Alaris Medley POC Model 8000 Version 7

Directions for Use
5
2
9
6
3
ENTER
CANCEL
SYSTEM
ON
POINT-OF-CARE UNIT
1
4
0
8
8000 SERIES
SILENCE
OPTIONS
7
.
CLEAR
Point-of-Care Unit, 8000 Series
ALARIS Medical Systems, Inc.
Medley™ Medication Safety System
SPECIAL PRODUCT NOTE
This document and some display screens make reference to
a module that is not currently available, the Medley™ EtCO2
Module. At the time of this publication, the Medley™ EtCO2
Module has not been released for commercial sale and ALARIS
Medical Systems, Inc. may never make the EtCO2 Module
available for commercial sale.
GENERAL CONTACT INFORMATION
Customer Advocacy - North America
Clinical and technical feedback.
Phone: (800) 854-7128, Ext. 7812
E-Mail: CustomerFeedback@alarismed.com
Technical Support - North America
Maintenance and service information support; troubleshooting.
United States:
Phone:
(858) 458-6003
(800) 854-7128, Ext. 6003
Canada:
Phone:
Eastern: (800) 908-9918
Western: (800) 908-9919
Customer Care - North America
Instrument return, service assistance, and order placement.
United States:
Phone:
(800) 482-4822
Canada:
Phone:
(800) 387-8309
TABLE OF CONTENTS
INTRODUCTION
1
2
4
ABOUT THE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FEATURES AND DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GETTING STARTED
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OPERATING FEATURES, CONTROLS AND INDICATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INSTALLATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ATTACHING AND DETACHING MODULES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Attaching Module(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Detaching Module(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adding Module(s) While System is Powered On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DISPLAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Main Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjusting Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
START-UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Powering On System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Responding to Maintenance Reminder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selecting New Patient and Profile Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Entering Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Modifying Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADJUSTING AUDIO VOLUME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SETTING UP TIME OF DAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REVIEWING SYSTEM CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REVIEWING SERIAL NUMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REVIEWING SOFTWARE VERSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
POWERING OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Powering Off System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Powering Off Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOCKING/UNLOCKING TAMPER RESIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
7
9
9
9
10
10
11
11
12
12
12
13
14
17
18
20
20
21
22
23
24
24
24
25
ALARMS, ERRORS, MESSAGES
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AUDIO CHARACTERISTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ERRORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
28
29
30
31
MAINTENANCE
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SYSTEM CONFIGURABLE SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STORAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Point-of-Care Unit, 8000 Series
Directions for Use
33
34
35
TABLE OF CONTENTS
i
MAINTENANCE (Continued)
BATTERY CARE AND MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Type and Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Charge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Cautions and Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
INSPECTION REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SERVICE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Technical Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ii TABLE OF CONTENTS
35
35
35
36
36
37
38
38
39
40
Point-of-Care Unit, 8000 Series
Directions for Use
INTRODUCTION
About the System
INTRODUCTION
The Medley™ Medication Safety System is a modular infusion
and monitoring system intended for use in today’s growing
professional healthcare environment, for use in adult, pediatric
and neonatal care. It consists of the Point-of-Care Unit (8000
Series), the Guardrails® Safety Software, and up to
4 detachable modules (or “channels”) which provide infusion
or monitoring capabilities.
NOTE: The Medley™ Point-of-Care Unit was formerly known as
the Medley™ Programming Module.
The Medley™ Point-of-Care Unit is the core of the Medley™
System and provides a common user interface for
programming infusions and monitoring, which helps to reduce
complexity at the point of care.
Guardrails® Safety Software for the Medley™ System brings a
new level of medication error prevention to the point of patient
care. The Guardrails® Safety Software features medication
dosing and concentration guidelines for up to 10 patientspecific care areas, referred to as profiles. Each profile
contains a specific drug library and channel labels, as well as
instrument configurations appropriate for the care area.
Optional drug-specific Guardrails® Clinical Advisories provide
visual messages. Dosing limits for each drug entry may be
either Guardrails® Hard Limits that cannot be overridden
during infusion programming or Guardrails® Soft Limits that
can be overridden, based on clinical requirements.
Concentration limits can only be Guardrails® Soft Limits.
A data set is developed and approved by the facility’s own
multi-disciplinary team using the Guardrails® Editor, the
PC–based authoring tool. A data set is then transferred to the
Medley™ System by qualified personnel. The approved data
sets are maintained by the Guardrails® Editor for future
updates and reference.
Information about Guardrails® Alerts that occur during use is
stored within the Medley™ Point-of-Care Unit, and can be
accessed using the Guardrails® Continuous Quality
Improvement (CQI) Standard Software.
Point-of-Care Unit, 8000 Series
Directions for Use
INTRODUCTION
1
About the System (Continued)
Compliance with Federal Aviation Regulations: The
Medley™ Point-of-Care Unit has received a Statement of
Compliance with Federal Aviation Regulations for use as a
“Portable Electronic Device Aboard Aircraft”. This is pursuant
to the FAA Advisory Circular No. 91-21-1A and attested by an
FAA Designated Engineering Representative with an FAA form
8110-3, “Statement of compliance with the Federal Aviation
Regulations”.
Contraindications: None known.
This document provides directions for use for the Medley™
Point-of-Care Unit. For additional operating instructions,
reference the Directions for Use (DFU) for the individual
Medley™ Module(s).
WARNING
Read all instructions before using
the Medley™ System.
Features and Definitions
Reference the “Alarms, Errors, Messages” chapter of this DFU for the definitions of various alerts.
Reference the DFU that applies to the attached Medley™ Module(s) for features and definitions specific
to that module.
Anesthesia Mode
Allows anesthesiologist to access additional drugs, in each profile,
that are appropriate to anesthesiology. It also features permanent
pause. Clinical Advisories will not be displayed in this mode.
Battery Run Time Display
Appears on Main Display prompt bar when Point-of-Care Unit is
disconnected from AC. If enabled, this feature provides a visual
display of estimated remaining battery run time under current
operating conditions, when operating on battery.
Concentration Limits
Limits specified for the range of concentrations allowed for a
particular drug in a profile.
Data Set
Created using Guardrails® Editor authoring tool and then transferred
to Point-of-Care Unit. A data set reflects facility’s best-practice
guidelines for IV drug administration and includes: Profile Drug
Libraries, Clinical Advisories, instrument configurations, and Channel
Label Libraries.
2 INTRODUCTION
Point-of-Care Unit, 8000 Series
Directions for Use
Features and Definitions (Continued)
Dose Checking
INTRODUCTION
Always Dose Checking option causes a Guardrails® Soft Alert to
occur each time a dose limit is exceeded. Drug label in Message
Display provides an indicator (“---” or “LLL”) that infusion is beyond
current Guardrails® Soft Limit.
Smart Dose Checking option causes an initial Guardrails® Soft Alert
to occur when a dose limit is exceeded. Subsequent programming
beyond dose limit will not receive an alert. Drug label in Message
Display provides an indicator (“---” or “LLL”) if infusion is beyond
current Guardrails® Soft Limit.
Guardrails® Safety Software
Designed to help prevent programming errors by:
• Customizing device configurable settings to meet need of
selected hospital/facility area/unit (profile).
• Comparing user programming with hospital-defined best-practice
guidelines.
• Providing a Guardrails® Prompt if an out-of-limits entry is made.
Patient ID Entry
An optional alphanumeric 16-character patient identifier can be
entered and displayed.
• When enabled, ID entry defaults to Startup screen.
• When disabled, ID entry is only accessible from System Options
screen.
Profile
A unique set of system configuration settings and best-practice
guidelines for a specific patient population or patient type, and
consists of following 3 components:
• Instrument configuration settings.
• A Guardrails® Drug Library, which includes drug names, standard
concentrations, dosing units, Guardrails® Limits, and optional
associated Clinical Advisories for both continuous and bolus dose
infusion.
• A Channel Label Library with text (alphanumeric) labels, that
allows identification of modules that are actively infusing nondrug
therapies (for example, saline or TPN). Channel labels can also
be used to identify route of delivery (for example, epidural).
Profile settings are established by the facility’s own multi-disciplinary
team prior to system implementation. Profile parameters are used to
create a data set, which is then transferred to the Point-of-Care Unit.
System Configuration
Allow system settings to be customized. If Profiles feature is
enabled, system settings defined for selected profile are
automatically activated.
Tamper Resist
Provides a quick one-touch lockout of front panel keypad.
Point-of-Care Unit, 8000 Series
Directions for Use
INTRODUCTION
3
Symbols
Alarm silence (pauses audio alarm for 120 seconds).
Alternating Current: Indicates device should be attached to alternating current source,
50/60 Hz only.
Attention: Refer to accompanying documentation.
!
+
75
Canadian and U.S. Certification Mark: Products bearing this mark have been tested and
certified in accordance with applicable U.S. and Canadian electrical safety and performance
standards (CSA C22.2 No. 601.1, UL 2601-1 and IEC 60601–2–24).
Type CF defibrillation-proof equipment.
Communications connector for RS-232 attachment.
Electrostatic discharge (ESD).
Fuse Replacement: Replace fuse only with same type and rating.
IPX1
Protection against fluid ingress: Drip Proof
IUI Connector: Inter-Unit Interface connector used to establish power and communications
between Point-of-Care Unit and attached modules.
Main Power: Connected to alternating current, 100-240 VAC.
Manufacturing Date: Number adjacent to symbol indicates month and year of manufacture.
MM-YYYY
Potential Equalization Conductor (if so equipped). Note: If integrity of PEC or Hospital Earth
System is in question, operate instrument using internal battery power.
Radio frequency (RF) radiation.
Only
CAUTION: Federal (U.S.A.) law restricts this device to sale by or on order of a physician.
“SYSTEM ON”
Tamper Resist activate/deactivate switch.
4 INTRODUCTION
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
Warnings and Cautions
Warnings and Cautions are provided throughout this
Directions for Use (DFU) to provide information needed to
safely and effectively use the Medley™ Medication Safety
System and its accessories. Module-specific Warnings and
Cautions are covered in the applicable module’s DFU.
Only
GETTING STARTED
A
is an alert to an imminent hazard which
DANGER
could result in serious personal injury and/or product damage
if proper procedures are not followed.
A WARNING is an alert to a potential hazard which could
result in serious personal injury and/or product damage if
proper procedures are not followed.
A CAUTION is an alert to a potential hazard which could
result in minor personal injury and/or product damage if proper
procedures are not followed.
DANGER
Explosion risk if used in the presence of flammable anesthetics.
WARNINGS
• When properly secured/snapped, the bottom latch
provides a very secure connection between modules. If
not properly latched, a module can be dislodged during
operation.
• Do not use the Medley™ System near Magnetic Resonance
Imaging (MRI).
• Disconnect from main (AC) and battery power when
performing maintenance.
• Electrical shock hazard. Do not open case. Refer to
qualified service personnel.
• Use of accessories or cables other than those specified
may result in degraded electromagnetic compatibility
performance of this instrument.
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
5
Warnings and Cautions (Continued)
CAUTIONS
• The Medley™ System is not intended to replace
supervision by medical personnel. The user must
become thoroughly familiar with the Medley™ System
features, operation and accessories prior to use.
• Always use a grounded, three-wire receptacle. Where
the integrity of the protective earth grounding system is in
doubt, operate on internal battery.
• Should an instrument be dropped or severely jarred, it
should be immediately taken out of use and inspected by
qualified service personnel, to ensure its proper function
prior to reuse.
• If an instrument appears damaged, contact ALARIS
Medical Systems for authorization to return it for repair.
6 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Operating Features, Controls and Indicators
Front/Side View
IUI Connector, Left
(not visible)
IUI Connector, Right
Main Display
Silence Key: When pressed
during an alarm, silences audio
for 2 minutes.
System On Key: When
pressed, changes Medley™
System from Standby to
Operating mode.
Options Key: When
pressed, allows access to
available System or Channel
Options.
SYSTEM
ON
Soft Keys (see above)
Battery Indicator: When
illuminated, indicates Medley™
System is operating on battery
power.
Computer Monitor Mode
Indicator: When illuminated,
indicates Medley™ System is
connected to a server or
computer. When blinking,
indicates data transfer.
Point-of-Care Unit, 8000 Series
Directions for Use
Up/Down Arrows: When
pressed, increases or decreases
parameter with each key press or
scrolls up and down when
pressed and held.
Enter Key: When pressed,
confirms current parameter entry.
Cancel Key: When pressed,
sequentially backs out of current
setup sequence.
Power Indicator: When
illuminated, indicates Medley™
System is connected to an AC
power source.
GETTING STARTED
Soft Keys: When pressed,
allows selection of options or
infusion parameters appearing
on Main Display adjacent to
soft key.
Clear Key: When
pressed, clears current
selected parameter setting
to “0”.
Module Release Latch:
Decimal Key: When pressed,
inserts a decimal point in numeric
data.
Numeric Keypad
When pressed, allows
module to be removed.
GETTING STARTED
7
Operating Features, Controls and Indicators (Continued)
Rear View
IUI Connector, Right
IUI Connector, Left
Power Cord Strap
Use this bolt to reorient
Pole Clamp 90° for
attachment to a bed rail
instead of a pole.
Primary Audio Speaker
Connector Plug over RJ45
Communication Data Port
Tamper Resist Switch
8 GETTING STARTED
Option Upgrade Panel
Point-of-Care Unit, 8000 Series
Directions for Use
Installation
Instruments are tested and calibrated before they are
packaged for shipment. To ensure proper operation after
shipment, it is recommended that an incoming inspection be
performed before placing the instrument in use.
Prior to placing the Medley™ System in use:
Perform check-in procedure per Medley™ Maintenance
Software/User Manual (Model 8970C, or later).
2.
Verify whether or not Profiles feature has been enabled.
Reference “Reviewing System Configuration” section in
“Getting Started” chapter.
GETTING STARTED
1.
NOTE: To enable the Profiles feature, a hospital-defined
best-practice data set must be uploaded to the Point-of-Care
Unit.
Attaching and Detaching Modules
Modules can be attached to either side of the Point-of-Care
Unit or to either side of another module. The process to
attach or detach is the same for either side, whether
attaching/detaching to/from a Point-of-Care Unit or another
module.
Attaching Module(s)
1.
Position free module at a 45° angle, aligning IUI
connectors.
2.
Rotate free module down against Point-of-Care Unit or
attached module, until bottom latch snaps in place.
NOTES:
•
Individual hospital/facility may choose to permanently attach
modules. To remove permanently attached modules, contact
qualified service personnel.
•
Application of adhesive tape or other materials to the sides of
the Point-of-Care Unit and modules may prevent proper
latching.
WARNING
When properly secured/snapped,
the bottom latch provides a very
secure connection between
modules. If not properly latched, a
module can be dislodged during
operation.
45°
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
9
Attaching and Detaching Modules (Continued)
Detaching Module(s)
1.
Ensure module(s) is powered off before detaching.
2.
Push module release latch (located directly below IUI
connectors) and then rotate module(s) up and away from
Point-of-Care Unit or attached module (opposite to motion
shown above) to disengage connectors.
• Medley™ System reidentifies and shows appropriate
module identification (A, B, C or D), from left to right.
• Appropriate module position(s) (A, B or C) for
remaining module(s) appear on Main Display.
NOTE: The Medley™ Medication Safety System is designed to
operate a maximum of 4 infusion or monitoring modules.
Modules added in excess of 4 will not be recognized by the
system. The module(s) can be attached in any position;
however, when mounted on an IV pole, it is recommended that a
balanced configuration be maintained.
Release Latch
Adding Module(s) While System is Powered On
Add module as described in “Attaching Module(s)”.
IUI Connectors
• System tests module, causing all LED segments and
indicator lights of displays to illuminate briefly.
• Appropriate module identification display (A, B, C or D)
illuminates. Modules are always labeled left to right, so if a
module is added to left of other modules, all modules will
be reidentified. Module reidentification does NOT interrupt
or affect infusion or monitoring on active modules.
• Module positions (A, B, C or D) appear on Main Display.
NOTE: If any of the following conditions are observed, the
affected module must be removed from use and inspected by
qualified personnel:
•
LED segments are not illuminated on displays during power-
•
•
on test.
Indicator lights do not illuminate.
Appropriate module identification (A, B, C or D) is not
displayed.
If the affected module operates normally when it is attached via
the alternate IUI connector, it may be used until a replacement
module can be substituted.
10 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Displays
The displays illustrated throughout this document are for
illustration purposes only. The display content will vary,
depending on configuration settings, hospital-defined data set
uploaded using the Guardrails® Safety Software, and many
other variables.
Main Display
Title Bar
Soft Keys
Module Selected Indicator
“Inactive” Soft Key
Nonhighlighted indicates a
nonselected soft key.
“Active” Soft Key
Highlighted indicates a
selected soft key.
Prompt Bar
Look here for user prompts.
Point-of-Care Unit, 8000 Series
Directions for Use
VTBI = 250.0 mL
GETTING STARTED
Module Status
• A solid letter display indicates
module is operating.
• An outlined letter display
indicates module is attached
and ready for use.
Midtown Hospital
Adult ICU
SYSTEM
ON
VOLUME
INFUSED
AUDIO
ADJUST
Infusion Setup
RATE
VTBI
40 mL/h
_250 mL
SYSTEM
ON
>Press START
PAUSE
SECONDARY
START
GETTING STARTED
11
Displays (Continued)
Adjusting Display Contrast
1.
Press OPTIONS key.
2.
Select Display Contrast soft key.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
PAGE
DOWN
EXIT
3.
4.
To adjust display for optimum viewing, use
Lighter/Darker soft keys.
System Options
Display Contrast
®
To return to main screen, press MAIN SCREEN soft key.
Medley™
Lighter
Darker
Medication Safety System
>Adjust Display to
Desired Contrast
MAIN
SCREEN
Start-Up
Powering On System
1.
Connect Point-of-Care Unit to an external AC power
source.
2.
Press SYSTEM ON.
3.
System self test begins:
• Diagnostics test causes all LED display segments and
Status Indicator lights of attached module(s) to
illuminate briefly.
• Power Indicator illuminates.
• Appropriate module identification (A, B, C or D)
displays on attached module(s).
• An Audio tone sounds.
-- Continued on Next Page --
12 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Start-Up (Continued)
Powering On System (Continued)
• At completion of system-on test, New Patient? screen
appears.
• If PM Reminder option is enabled and scheduled
preventive maintenance is due, MAINTENANCE
REMINDER screen appears.
NOTES:
GETTING STARTED
• Previous infusion parameters are automatically cleared after
8 hours.
• If any of the following conditions are observed, the Point-ofCare Unit or the affected attached module must be removed
from use and inspected by qualified personnel:
♦ LED segments are not illuminated during system-on test.
♦ Indicator lights do not illuminate.
♦ Appropriate module identification (A, B, C or D) is not
displayed.
♦ Audio tone does not sound.
♦ Main Display does not appear backlit, appears irregular, or
has evidence of a row of pixels not functioning properly.
If the affected module operates normally when it is attached
via an alternate IUI connector, it may be used until a
replacement module can be substituted.
Responding to Maintenance Reminder
If the Preventive Maintenance (PM) Reminder option is
enabled and the Point-of-Care Unit or an attached module is
due for preventive maintenance, a MAINTENANCE REMINDER
message appears at power up.
MAINTENANCE REMINDER
B
Module(s) due for routine
preventive maintenance:
Module A: YYYY-MM-DD
NOTES:
• If necessary, the reminder can be temporarily bypassed by
pressing the CONFIRM soft key.
• Notify the appropriate facility personnel when a MAINTENANCE
REMINDER occurs.
1.
CONFIRM
Remove and, if needed, replace module requiring
maintenance with a new module (reference “Attaching
and Detaching Modules” section).
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
13
Start-Up (Continued)
Responding to Maintenance Reminder (Continued)
2.
If “system” (Point-of-Care Unit and attached modules)
was powered off to replace Point-of-Care Unit, reinitiate
start-up process.
OR
If an “attached module” (such as, a Pump Module) was
powered off and removed, MAINTENANCE REMINDER
display reflects removal of that module. To continue
start–up process, press CONFIRM soft key.
MAINTENANCE REMINDER
B
Module(s) due for routine
preventive maintenance:
CONFIRM
Selecting New Patient and Profile Options
The option to enter and display a 16-character alphanumeric
patient identifier is always available. The instrument may be
configured to automatically display the Patient ID Entry
screen during start up or to provide access only through the
Systems Options menu.
The following procedures assume the Profiles feature is
enabled.
NOTE: The display contrast can be adjusted at this time by
pressing the DISPLAY CONTRST soft key and following the
directions on the screen (also reference “Displays”, “Adjusting
Display Contrast” section).
14 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Start-Up (Continued)
Selecting New Patient and Profile Options (Continued)
Patient ID Entry Feature Disabled
1.
Select required NEW PATIENT? option.
To indicate programming is for a new patient and clear all
stored patient parameters from memory, press Yes soft
key.
Midtown Hospital
NEW PATIENT ?
Yes
“Yes” Clears Previous
Patient Data
No
OR
>Select Yes or No
GETTING STARTED
To confirm programming is for same patient and retain all
stored patient parameters, press No soft key.
DISPLAY
CONTRST
• Last used profile displays.
NOTE: If the Profiles feature is disabled, the main menu
appears.
2.
Select correct profile.
To accept current profile, press Yes soft key and proceed
to step 5.
Midtown Hospital
Adult ICU
Adult ICU ?
Yes
“Yes” Confirms Same
Profile
No
• Main screen appears.
OR
To change profile, press No soft key and continue with
next step.
>Select Yes or No
• Profile selection screen appears.
3.
To select a profile, press corresponding left soft key.
NOTE: To view additional choices, press PAGE DOWN soft
key.
4.
5.
To confirm profile selection, press CONFIRM soft key.
Midtown Hospital
Profiles
Adult General Care
Neonatal
Peds ICU
• Main screen appears.
Neonatal ICU
To enter Patient ID, if desired, reference “Entering Patient
ID” section.
>Select a Profile and
Confirm
Point-of-Care Unit, 8000 Series
Directions for Use
1 of 2
Adult ICU
CONFIRM
PAGE
DOWN
GETTING STARTED
15
Start-Up (Continued)
Selecting New Patient and Profile Options (Continued)
Patient ID Entry Feature Enabled
1.
Select required NEW PATIENT? option.
• To indicate programming is for a new patient and clear
all stored patient parameters from memory:
Midtown Hospital
NEW PATIENT ?
Yes
“Yes” Clears Previous
Patient Data
No
a. Press Yes soft key.
♦
Patient ID Entry screen appears.
>Select Yes or No
DISPLAY
CONTRST
b. If patient identifier is not required, press CONFIRM
or EXIT soft key.
OR
Enter patient identifier (reference “Entering Patient
ID” section).
♦
Last used profile displays.
Patient ID Entry
A-E
A
B
F-J
C
K-O
D
P-T
E
U-Y
________________
>Enter Patient ID and Press
CONFIRM
EXIT
CONFIRM
PAGE
DOWN
-- OR -• To confirm programming is for same patient and retain
all stored patient parameters, press No soft key.
♦
Last used profile displays.
NOTE: If the Profiles feature is disabled, the main menu
appears.
2.
Select correct profile.
Midtown Hospital
Adult ICU
To accept current profile, press Yes soft key.
Adult ICU ?
Yes
“Yes” Confirms Same
Profile
No
• Main screen appears.
OR
To change profile, press No soft key and continue with
next step.
>Select Yes or No
• Profile selection screen appears.
16 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Start-Up (Continued)
Selecting New Patient and Profile Options (Continued)
Patient ID Entry Feature Enabled
(Continued)
3.
To select a profile, press corresponding left soft key.
Midtown Hospital
Profiles
1 of 2
Adult ICU
Adult General Care
NOTE: To view additional choices, press PAGE DOWN soft
key.
4.
Neonatal
Peds ICU
Neonatal ICU
• Main screen appears.
>Select a Profile and
Confirm
CONFIRM
GETTING STARTED
To confirm profile selection, press CONFIRM soft key.
PAGE
DOWN
Entering Patient ID
When the Patient ID Entry feature is disabled, the Patient ID
Entry screen can only be accessed through the Systems
Options menu. To enter a patient ID, begin with step 1 of the
following procedure.
When the Patient ID Entry feature is enabled, the Patient ID
Entry screen appears after responding Yes to New Patient?
prompt. To enter a patient ID, begin with step 2 of the
following procedure.
1.
To access Patient ID Entry screen:
a. Press OPTIONS key.
• System Options menu appears.
b. Press Patient ID soft key.
• Patient ID Entry screen appears.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
EXIT
Point-of-Care Unit, 8000 Series
Directions for Use
PAGE
DOWN
GETTING STARTED
17
Start-Up (Continued)
Entering Patient ID (Continued)
2.
To enter patient identifier, use numeric data entry keys
and/or alpha speed keys.
A-E
B
F-J
NOTES:
C
K-O
•
An alphanumeric identifier, of up to 16 characters, can be
entered.
D
P-T
E
U-Y
Press the soft key next to a letter group to list letters in
that group. Press the soft key next to an individual letter
to enter that letter.
________________
•
3.
Patient ID Entry
A
•
To access the letter “Z” and special characters (hyphen,
underscore, space), press the PAGE DOWN soft key.
•
To clear an entire entry, press CLEAR key.
•
To back up a single character at a time, press CANCEL
key.
To verify correct entry, press CONFIRM soft key.
• If accessed from New Patient? screen, last used
profile appears.
• If accessed from Systems Options menu, main
screen appears.
• Patient ID appears on main screen, current profile
screen, and New Patient? screen.
>Enter Patient ID and Press
CONFIRM
EXIT
CONFIRM
PAGE
DOWN
Patient ID Entry
A
A-E
B
F-J
C
K-O
D
P-T
E
U-Y
123456789CD_ _ _ _ _
>Enter Patient ID and Press
CONFIRM
EXIT
CONFIRM
PAGE
DOWN
Modifying Patient ID
1.
Press OPTIONS key.
• System Options menu appears.
2.
Press Patient ID soft key.
• Patient ID Entry screen appears.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
EXIT
18 GETTING STARTED
PAGE
DOWN
Point-of-Care Unit, 8000 Series
Directions for Use
Start-Up (Continued)
Modifying Patient ID (Continued)
3.
To clear entire entry, press CLEAR key.
OR
To back up a single character at a time, press CANCEL
key.
Patient ID Entry
A-E
A
B
F-J
C
K-O
D
P-T
E
U-Y
123456789CD
>Enter Patient ID and Press
CONFIRM
EXIT
To enter modified patient identifier, use numeric data entry
keys and/or alpha speed keys.
NOTES:
•
•
•
5.
PAGE
DOWN
GETTING STARTED
4.
CONFIRM
Patient ID Entry
A-E
A
B
F-J
C
K-O
An alphanumeric identifier, of up to 16 characters, can be
entered.
D
P-T
E
U-Y
Press the soft key next to a letter group to list letters in
that group. Press the soft key next to an individual letter
to enter that letter.
________________
>Enter Patient ID and Press
CONFIRM
EXIT
CONFIRM
PAGE
DOWN
To access the letter “Z” and special characters (hyphen,
underscore, space), press the PAGE DOWN soft key.
To verify correct entry, press CONFIRM soft key.
• Patient ID Entry verification screen appears.
Patient ID Entry
A-E
A
B
F-J
C
K-O
D
P-T
E
U-Y
234567891EF_ _ _ _ _
>Enter Patient ID and Press
CONFIRM
EXIT
6.
To accept modified Patient ID, press Yes soft key.
• Main screen appears with new Patient ID.
OR
To retain original (old) Patient ID, press No soft key.
CONFIRM
PAGE
DOWN
Patient ID Entry
Patient ID
123456789CD
will be changed to
234567891EF
Yes
No
Is this correct?
• Main screen appears with old Patient ID.
>Press Yes or No
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
19
Adjusting Audio Volume
1.
Press Audio Adjust soft key.
Midtown Hospital
Adult ICU
VTBI = 250.0 mL
VOLUME
INFUSED
2.
3.
To change volume to desired level, press either Louder
or Softer soft key. To sample alarm loudness level, Test
soft key may be pressed.
To return to Point-of-Care Unit screen, press MAIN
SCREEN soft key.
• After 30 seconds without a key press, Main Display
appears.
AUDIO
ADJUST
Audio Volume Adjust
Test
3
Louder
Softer
>Change Setting or
Cancel
MAIN
SCREEN
Setting Up Time of Day
1.
2.
Press OPTIONS key.
Press Time of Day soft key.
System Options
Time of Day
Current time:
09:00
Change
Time
CONFIRM
3.
Press Change Time soft key.
System Options
Time of Day
Current time:
__:__
Change
Time
CONFIRM
20 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Setting Up Time of Day (Continued)
4.
Enter current Time of Day.
System Options
Time of Day
5.
Press Confirm soft key.
Current time:
14:30
Change
Time
NOTE: The format is a 24-hour clock (military time).
CONFIRM
1.
Press OPTIONS key.
2.
Press PAGE DOWN soft key.
3.
Press System Configuration soft key.
Factory Default:
4.
Select PC Unit.
PC Unit
GETTING STARTED
Reviewing System Configuration
System Config - Module 1 of 2
Yes
Shared Infusion Settings
Pump Module
SPO2 Module
>Press CANCEL or EXIT
EXIT
5.
To review various system configuration settings, press
PAGE UP and PAGE DOWN soft keys.
PAGE
DOWN
System Config - PCU 1 of 2
Alarm audio:
Profile 1
Anesthesia Mode: Disabled
NOTES:
Battery meter:
Disabled
•
The Profiles option is listed only if it is disabled.
Clock setup:
09:00
•
The Dose Checking option is listed only if the Profiles
option is enabled and a valid data set is present.
Key click audio:
Enabled
>Select an Option
or EXIT
EXIT
PAGE
DOWN
System Config - PCU 2 of 2
Max Pt. weight:
500 kg
Patient ID Entry:
Disabled
PM Reminder:
Disabled
Profiles:
Disabled
Tamper resist:
Disabled
>Select an Option
or EXIT
PAGE
UP
6.
EXIT
To return to main screen, press CANCEL key or EXIT soft
key.
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
21
Reviewing Serial Number
1.
Press OPTIONS key.
2.
Press Page Down soft key.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
EXIT
3.
Press Serial Numbers soft key.
PAGE
DOWN
System Options 2 of 3
Battery Runtime
System Configuration
Serial Numbers
Software Versions
>Select an Option or
EXIT
PAGE
UP
• Serial numbers for Point-of-Care Unit and all attached
modules display.
EXIT
PAGE
DOWN
Serial Number Review
PC Unit:
nnnn-nnnnnnnn
Module A: nnnn-nnnnnnnn
NOTE: “nnnn-nnnnnnnn” in the illustrated display
represents a serial number.
4.
To return to main screen, press EXIT soft key.
Module B: nnnn-nnnnnnnn
Module C: nnnn-nnnnnnnn
Module D: nnnn-nnnnnnnn
>Press CANCEL or EXIT
EXIT
22 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
Reviewing Software Version
1.
Press OPTIONS key.
2.
Press PAGE DOWN soft key.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
PAGE
DOWN
EXIT
Press Software Versions soft key.
GETTING STARTED
3.
System Options 2 of 3
Battery Runtime
System Configuration
Serial Numbers
Software Versions
>Select an Option or
EXIT
PAGE
UP
4.
To review software version information, press View soft
key next to desired module.
OR
To return to main screen, press EXIT soft key
PAGE
DOWN
EXIT
Software Rev. Review
PC Unit:
View
Module A:
View
Module B:
View
Module C:
View
Module D:
View
>Select an Option or
EXIT
EXIT
5.
To return to previous screen, press EXIT soft key.
Software Rev. Review
Module Software: A
NOTE: “nn.nn” in the illustrated display represents a
software version.
Main processor: nn.nn
Main boot block: nn.nn
Keyboard:
nn.nn
>Press CANCEL or EXIT
EXIT
Point-of-Care Unit, 8000 Series
Directions for Use
GETTING STARTED
23
Powering Off
Powering Off System
1.
Press OPTIONS key.
2.
Press Power Down All Channels soft key.
System Options 1 of 3
Display Contrast
Patient ID
Time of Day
Power Down All Channels
Anesthesia Mode
>Select an Option or
EXIT
EXIT
3.
Press Yes soft key.
System Options
• During power off sequence, Main Display flashes
POWERING DOWN.
Power Down
All Channels?
PAGE
DOWN
Yes
No
>Press Yes or No
Powering Off Module
Press and hold CHANNEL OFF key until a beep is heard
(approximately 1.5 seconds) and then release to initiate power
down.
NOTE: To interrupt the power down sequence, quickly press any
one of the numeric keys on the Point-of-Care Unit.
• During power off sequence, Main Display flashes
Powering Down.
• Once all attached modules are powered off, Point-of-Care
Unit automatically powers down.
24 GETTING STARTED
Powering Down
Point-of-Care Unit, 8000 Series
Directions for Use
Locking/Unlocking Tamper Resist
1.
Initiate operation of desired modules.
2.
Press and hold Tamper Resist Switch, on back of Pointof-Care Unit, for 3 to 4 seconds. An advisory tone and a
three-second PANEL LOCKED prompt on Main Display
confirm activation. When Tamper Resist is active, keypad
panel is locked; however, clinician may:
Midtown Hospital
Adult ICU
VTBI = 250.0 mL
• Silence key for audio alarm.
• View volume(s) infused.
• View and test audio alarm setting.
PANEL LOCKED
VOLUME
INFUSED
AUDIO
ADJUST
GETTING STARTED
• View selected parameters on attached modules.
Any other key press will result in a visual PANEL LOCKED
prompt and, if Key Click Audio is enabled, an illegal
key–press audio advisory.
3.
To unlock keypad panel, press and hold Tamper Resist
Switch for 3 to 4 seconds. A three-second PANEL
UNLOCKED prompt on Main Display and, if Key Click
Audio is enabled, an advisory tone confirms Tamper
Resist is off.
Midtown Hospital
Adult ICU
VTBI = 250.0 mL
PANEL UNLOCKED
VOLUME
INFUSED
Point-of-Care Unit, 8000 Series
Directions for Use
AUDIO
ADJUST
GETTING STARTED
25
T H I S PA G E
I N T E N T I O N A L LY
LEFT BLANK
26 GETTING STARTED
Point-of-Care Unit, 8000 Series
Directions for Use
ALARMS, ERRORS, MESSAGES
To enhance safety and ease of operation, the Medley™ System provides a full range of audio and visual
alarms, errors, and messages.
NOTE: Operating the system near equipment which radiates high-energy radio frequencies
(electrosurgical/cauterizing equipment, portable radios, cellular telephones, etc.) may cause false alarm
conditions. If this happens, reposition the device away from the source of interference or turn off the device
and manually regulate the flow with the clamp and/or monitor the vital parameters using an appropriate clinical
alternative.
Definitions
A sequence of audio and/or visual signals indicating operating status
of Medley™ Medication Safety System. Audio may be silenced for
approximately 2 minutes by pressing SILENCE key.
Alarm
An audio and visual signal that a potentially unsafe condition is
present. Immediate action is required. Audio may be silenced for
approximately 2 minutes by pressing SILENCE key.
Alarm Silence
Alarms for Medley™ EtCO2 and SpO2 Modules can be silenced for up
to 120 seconds by pressing SILENCE key (on Point-of-Care Unit). This
will not silence infusion alarms. Silence period can be ended by
pressing CANCEL SILENCE soft key (on applicable module).
Calibration Check
When Medley™ EtCO2 Module reaches 4000 hours or 1 year
(whichever comes first) of operating time, “Calibration Check
Required” message displays. This message appears each time
system is powered up, until calibration check is performed.
Error
An audio and/or visual signal that a failure has been detected.
Immediate action is required.
Guardrails® Alert
A visual message to help reduce programming errors by indicating a
Guardrails® Limit (“soft” or “hard”) has been exceeded. A response is
required before programming can continue.
Guardrails® Clinical Advisory A visual message when a designated drug is selected, to remind
clinician of specific hospital/facility standards of practice when
programming an IV medication. A specific clinical advisory/message
can be associated with a selected drug within any of the patient care
profiles. Clinical Advisories will not be displayed in Anesthesia mode.
Maintenance Reminder
Point-of-Care Unit, 8000 Series
Directions for Use
A visual message that, when enabled, appears at module startup
when scheduled preventive maintenance is due/overdue for any part
of Medley™ System (Point-of-Care Unit or attached module).
ALARMS, ERRORS, MESSAGES
27
ALARMS, ERRORS,
MESSAGES
Advisory / Message
Definitions (Continued)
Prompt
A visual message, appearing on bottom line of Main Display or in
Message Display. Message may be accompanied by an audio signal
that can be silenced for 12 seconds by pressing SILENCE key.
Audio Characteristics
The Medley™ System provides various types of alert information. The characteristics of the
accompanying audio sounds are as follows:
Type
Sound
Notes
Advisory / Message
One short beep every 2 seconds
Variable volume; can be silenced
for 2 minutes.
Alarm
Choice of 3 alarm audio profiles,
selectable in System Configuration
Variable volume; can be silenced
for 2 minutes.
Error (Hardware Detected)
Pairs of long beeps
Fixed maximum decibel volume;
cannot be silenced.
Error (Software Detected)
Pairs of long beeps
Fixed maximum decibel volume;
can be silenced for 2 minutes.
EtCO2 Alarm (HIGH PRIORITY)
A sequence of 5 beeps
Variable volume; can be silenced
for 2 minutes.
EtCO2 Alarm (LOW PRIORITY)
One long beep approximately
every 4 seconds
Variable volume; can be silenced
for 2 minutes.
EtCO2 Error (Hardware Detected)
A single alarm tone volume
Fixed maximum decibel volume;
cannot be silenced.
EtCO2 Error (Software Detected)
Pairs of long beeps
Fixed maximum decibel volume;
can be silenced for 2 minutes.
Illegal Key Press
Two short beeps
Variable volume; cannot be
silenced.
Key Click
One short beep
Fixed minimum volume; can be
silenced and disabled in System
Configuration.
Prompt
One short beep every 2 seconds
Variable volume; can be silenced.
SpO2 Alarm (HIGH PRIORITY)
A sequence of 5 beeps
Variable volume; can be silenced
for 2 minutes.
SpO2 Alarm (LOW PRIORITY)
One long beep approximately
every 4 seconds
Variable volume; can be silenced
for 2 minutes.
28 ALARMS, ERRORS, MESSAGES
Point-of-Care Unit, 8000 Series
Directions for Use
Audio Characteristics (Continued)
Type
Sound
Notes
SpO2 Error (Hardware Detected)
A single alarm tone volume
Fixed maximum decibel volume;
cannot be silenced.
SpO2 Error (Software Detected)
Pairs of long beeps
Fixed maximum decibel volume;
can be silenced for 2 minutes.
Switchover
Six short beeps: secondary
switching to primary. Two short
beeps: bolus switching to
continuous.
Variable volume; can be silenced
and disabled in System
Configuration.
Alarms
Alarm
Meaning
Response
Operation of all modules stopped
due to insufficient battery charge.
Connect AC power cord to power
source; alarm will be silenced.
Press RESTART key on Pump
Module to continue operation of
paused modules.
Channel Disconnected
Module(s) disconnected while in
operation or have a communication
problem.
To silence alarm and clear
message from screen, press
CONFIRM soft key. Reattach
module, if desired, ensuring it is
securely “clicked” into place at
Module Release Latch. If alarm is
still present, replace module with
an operational instrument.
Very Low Battery <5 minutes to
system shutdown
Battery has 5 minutes or less of
power at current power
consumption rate before operation
stops.
Connect AC power cord to power
source; alarm will be silenced.
Point-of-Care Unit, 8000 Series
Directions for Use
ALARMS, ERRORS, MESSAGES
29
ALARMS, ERRORS,
MESSAGES
Battery Discharged
Errors
Error
Meaning
Response
Channel Error
Error detected. Operation stops on
affected module.
To silence alarm and continue
operation of unaffected modules,
press CONFIRM soft key . Replace
module with an operational
instrument, as required. Service by
qualified personnel is required.
Defective Battery
Defective battery detected.
To power down system, press
SYSTEM OFF soft key; or to
continue temporary operation while
an operational Point-of-Care Unit
can be located, press SILENCE key.
Service by qualified personnel is
required.
Hardware Detected Error
Error detected on Point-of-Care
Unit. Operation stops on all
modules.
Press SYSTEM ON key to power
down system. Replace Point-ofCare Unit with an operational
system. Service by qualified
personnel is required.
Missing Battery
Battery detected as not present or
not connected.
To power down system, press
SYSTEM OFF soft key; or to
continue temporary operation while
an operational Point-of-Care Unit
can be located, press SILENCE key.
Service by qualified personnel is
required.
Power Supply Error
Power supply system malfunction
detected.
Disconnect AC power immediately.
To power down system, press
SYSTEM OFF soft key; or to
continue operation under battery
power while an operational Pointof-Care Unit can be located, press
SILENCE key. Service by qualified
personnel is required.
System Error
Error detected on Point-of-Care
Unit. Operation continues on all
attached modules.
30 ALARMS, ERRORS, MESSAGES
To power down system, press
SYSTEM OFF soft key; or to
continue temporary operation while
an operational Point-of-Care Unit
can be located, press SILENCE key.
Service by qualified personnel is
required.
Point-of-Care Unit, 8000 Series
Directions for Use
Messages
Message
Meaning
Response
AC power cord is disconnected
from power source. Approximate
remaining battery run time under
current power consumption rate is
displayed.
None. Connect AC power cord to
power source as soon as possible.
Low Battery
Low battery threshold sensed;
remaining battery run time is
limited.
Connect AC power cord to power
source; alarm will be silenced.
Panel Locked
Tamper Resist feature is active and
key was pressed.
If appropriate, deactivate Tamper
Resist feature using Tamper Resist
Control on back of Point-of-Care
Unit.
Panel Unlocked
Tamper Resist feature deactivated.
None.
Powering Down
Last module powering off. System
shuts off in indicated number of
seconds.
Press any key, except SYSTEM ON
key, to cancel power down
sequence.
Replace Battery
Occurs at System On. Battery has
less than 50% of original capacity.
Press either SYSTEM OFF or
CONFIRM soft key to continue
normal operation with reduced
battery capacity. Service by
qualified personnel is required.
Point-of-Care Unit, 8000 Series
Directions for Use
ALARMS, ERRORS, MESSAGES
ALARMS, ERRORS,
MESSAGES
Battery Run Time = X.X hours
31
T H I S PA G E
I N T E N T I O N A L LY
LEFT BLANK
32 ALARMS, ERRORS, MESSAGES
Point-of-Care Unit, 8000 Series
Directions for Use
MAINTENANCE
The Medley™ System Technical Service Manual is available from ALARIS Medical Systems. It includes
routine service schedules, interconnect diagrams, component parts lists and descriptions, test
procedures, and other technical information, to assist qualified service personnel in repair and
maintenance of the instrument’s repairable components. Maintenance procedures are intended to be
performed only by qualified personnel, using the service manual and Medley™ Maintenance Software.
Specifications
Battery Operation:
Battery run time is a function of the number of modules attached and module
activity. With a new, fully charged battery, the system will operate as follows
before a "BATTERY DISCHARGED" message occurs:
• 8 hours with 1 Pump Module infusing at 25 mL/h
• 4 hours with 4 Pump Modules infusing at 25 mL/h
• 6 hours with 1 active SpO2 Module
• 8 hours with 1 Syringe Module or PCA Module infusing at 5 mL/h
• 4 hours with 4 Syringe Modules infusing at 5 mL/h
• 5.5 hours with 1 active EtCO2 Module
Communication Data Port:
RS-232 with an RJ45 connector.
Dimensions:
6.9"W x 8.8"H x 9"D (including pole clamp)
Electric Classification:
Class 1, Internally Powered Equipment
NOTE: Reference module-specific Directions for Use for shock protection type
and defibrillation-proof rating information.
Electronic Memory:
Operating
Storage/Transport
Temperature Range:
41 to 104°F
(5 to 40°C)
-4 to 140°F
(-20 to 60°C)
Relative Humidity:
20 to 90%
Noncondensing
5 to 85%
Noncondensing
525 to 4560 mmHg
(700 to 6080 hPa)
375 to 760 mmHg
(500 to 1013 hPa)
Environmental Conditions:
(Avoid prolonged exposure
to relative humidity >85%)
Atmospheric Pressure:
Equipment Orientation:
To ensure proper operation, the instrument must remain in an upright position.
Fluid Ingress Protection:
IPX1, Drip Proof
Leakage Current:
Less than 100 microamps
Point-of-Care Unit, 8000 Series
Directions for Use
MAINTENANCE
33
MAINTENANCE
System configuration parameters stored in volatile memory are retained for at
least 6 months by internal backup lithium battery. Module-specific parameters are
stored for 8 hours when system is turned off. After 8 hours of continuous off-time,
or if a module is detached, module-specific trend data (if applicable) and modulespecific operating parameters are automatically purged. If a Medley™ PCA, SpO2
or EtCO2 module is detached and replaced with another PCA, SpO2 or EtCO2
module, its module-specific trend data is purged.
Specifications (Continued)
Power Requirements:
100 - 240V ~, 50/60 Hz, 150 VA MAX (See Notes 1 and 2)
Weight:
7.2 lbs
NOTES:
1. Power Cords; North America: To ensure correct polarity and grounding reliability, use power cords that
incorporate a NEMA 5-15P (125V) or NEMA 6-15P (250V) plug only.
2. Power Cords; International: Use only cords that comply with IEC 60245, or IEC 60227, designation #53 and
local electrical codes and/or regulations.
3. Compliance to Standards: The Medley™ Medication Safety System has been assessed and complies with
the following standards: UL 60601–1; CSA C22.2 No. 601.1, including A1 and A2; IEC/EN 60601–2–24;
IEC/EN 60601–1–2 and AAMI ID26.
System Configurable Settings
If the configuration settings need to be changed from the
"Factory Default" settings, reference the applicable Technical
Service Manual or contact ALARIS Medical Systems, Technical
Support, for technical, troubleshooting, and preventive
maintenance information.
NOTE: With the Profiles feature enabled, the settings are
configured independently for each profile. A hospital-defined, bestpractice data set must be uploaded to enable the Profiles feature.
Date and Time is a system setting and is the same in all profiles.
Feature
Default Setting
Options
Alarm Audio
Profile 1
Profile 1, 2 or 3
Anesthesia Mode
Disabled
Enabled - Disabled
Battery Meter
Disabled
Enabled - Disabled
Clock Setup (Date and Time)
N/A
Set date and time
Dose Checking
Always
Always, Smart
Key Click Audio
Enabled
Enabled - Disabled
Max Patient Weight
500 kg
0.1 - 500 kg
Patient ID Entry
Disabled
Enabled - Disabled
PM Reminder
(Preventive Maintenance)
Enabled
Enabled - Disabled
Profiles
Disabled
Enabled - Disabled
Tamper Resist
Disabled
Enabled - Disabled
34 MAINTENANCE
Point-of-Care Unit, 8000 Series
Directions for Use
Storage
Plug the Point-of-Care Unit into an AC outlet during storage, to
ensure a fully charged battery when needed.
(AC indicator light) will be on whenever the Point-of-Care
Unit is plugged in.
Battery Care and Maintenance
Battery Type and Charging
The Medley™ Point-of-Care Unit is equipped with a 12 volt,
4000 mAh nickel metal hydride battery. The battery is
charging whenever the instrument is plugged into an AC
receptacle. The life expectancy of the battery is dependent on
the amount of use, the depth of discharge, and the state of the
charge that is maintained. Generally, the battery will have the
longest life if the instrument is plugged in and battery use is
infrequent. Frequent use of battery power and insufficient
battery charge cycles will significantly decrease the life of the
battery.
The quality of the battery is also a significant factor in
determining battery life and runtime. The battery cannot be
repaired and should not be opened. Replace the battery with
the same type, size and voltage rating. Use of any other
brand may yield poor performance and is not recommended.
Batteries should be charged in a room with a temperature
between 50 - 80.6°F (10 - 27°C), to minimize charge time and
maximize battery life.
MAINTENANCE
Battery Charge
• The Medley™ Point-of-Care Unit is shipped with the battery
in a discharged condition.
• Before the Point-of-Care Unit is released for use, it should
be plugged into a hospital grade AC outlet and the battery
charged for at least 8 hours. This will ensure proper
battery operation when the Medley™ System is first set up
for patient use.
• Whenever possible, leave the power cord connected to an
external AC power source while operating the instrument.
Point-of-Care Unit, 8000 Series
Directions for Use
MAINTENANCE
35
Battery Care and Maintenance (Continued)
Battery Care
The battery capacity should be checked at least once every
6 months. Reference the Medley™ System Technical Service
Manual for test and replacement procedures.
If the Point-of-Care Unit is to be stored at temperatures in
excess of 86°F (30°C) for 1 or more months, the battery should
be removed and placed in an environment of 50 – 86°F
(10 – 30°C).
If the batteries are to be stored for more than 1 year, they
should be charged at least once per year to prevent leakage
and deterioration in performance due to self-discharge.
When the battery is first being put into use, or has been out of
use for 1 or more months, it will not have full capacity due to
deactivation of reactants.
Restore such batteries to original performance by repeating
1 or 2 cycles of fully charging and fully discharging.
Some temporary reduction in capacity might become apparent
if the battery is partially discharged repeatedly. Doing 1 or
2 cycles of full discharge and full charge can restore full
performance.
Battery Cautions and Disposal
Battery replacement should be performed by qualified service
personnel while the instrument is not in use.
36 MAINTENANCE
CAUTION
DO NOT open, incinerate or short
circuit. Worn–out batteries must be
disposed of properly, according to
local regulations.
Point-of-Care Unit, 8000 Series
Directions for Use
Cleaning
DO NOT spray cleaning fluids directly onto the instrument or
immerse the instrument in fluids.
DO NOT use solutions containing phosphoric acid (Foamy
Q&A*), aromatic solvents (naphtha, paint thinner,
etc.), chlorinated solvents* (Trichloroethane, MEK,
Toluene, etc.), ammonia, acetone, benzene, xylene
or alcohol, other than as specified below.
DO NOT use hard or pointed objects to clean any part of the
instrument.
Acceptable cleaning solutions are:
Warm water
Mild detergent (such as, Manu-Klenz)
10% bleach solution (1 part bleach to 9 parts water)
CaviCide
Compublend II
Envirocide
2% Glutaraldehyde in water
Hydrogen Peroxide 3%
70% Isopropyl Alcohol
2% Phenols in water (O-Syl 1:128, Pheno-Cen 1:256,
Vesphene)
10% Providone Iodine (Betadine)
Quaternaries 1:512
WARNING
Turn the instrument off and unplug
the power cord from the AC power
source before cleaning. Do not
spray fluids directly onto the rear
case of the instrument. Do not
steam autoclave, EtO sterilize,
immerse the instrument or allow
fluids to enter the instrument case.
Failure to follow these instructions
may result in an electrical hazard.
CAUTION
The solutions/solvents identified as
NOT to be used can damage the
surfaces of the instrument.
WEX-CIDE
NOTE: All recommended solutions must be diluted per the
Manufacturer’s recommendation.
Keep instrument upright and do not allow any part of
instrument to become saturated with or submersed in
fluid during cleaning operation.
2.
Use a soft cloth dampened with warm water and a mild
nonabrasive cleaning solution to clean all exposed
surfaces. For sanitizing or antibacterial treatment, use
10% bleach solution and water.
MAINTENANCE
1.
NOTE: A soft-bristled brush may be used to clean hard to
reach and narrow areas.
3.
*
Use a soft cloth dampened with water to rinse off cleaning
solution.
Excluding 10% bleach solution in water.
Point-of-Care Unit, 8000 Series
Directions for Use
MAINTENANCE
37
Inspection Requirements
To ensure the system remains in good operating condition,
both regular and preventive maintenance inspections are
required. Reference the Medley™ Maintenance Software/User
Manual (Model 8970C, or later) for detailed instructions.
WARNING
Failure to perform these inspections
may result in improper instrument
operation.
REGULAR INSPECTIONS
PROCEDURE
FREQUENCY
INSPECT FOR DAMAGE:
Exterior Surface
Pole Clamp
Power Cord
Keypad
CLEANING
Start-Up
Each usage
Each usage
Each usage
Each usage
As required
Each usage
CAUTION
Regular and preventive
maintenance inspections should
only be performed by qualified
service personnel.
Service Information
NOTE: If the instrument shows evidence of damage in transit,
notify the carrier’s agent immediately. Do not return damaged
equipment to the factory before the carrier’s agent has
authorized repairs.
If the instrument fails to respond as described in this
document and the cause cannot be determined, do not use
the instrument. Contact qualified ALARIS Medical Systems
service personnel.
WARNING
During servicing, an instrument’s
configuration settings might be reset
to the factory defaults. Qualified
hospital/facility personnel are
responsible for checking in the
instrument and ensuring the current
hospital-approved data set is
loaded.
If it is necessary to return the instrument for service, obtain a
return authorization number prior to shipment. Carefully
package the instrument (preferably in the original packaging),
reference the return authorization information, and return it to
the appropriate service or distribution center. ALARIS Medical
Systems does not assume any responsibility for loss of, or
damage to, returned instruments while in transit.
38 MAINTENANCE
Point-of-Care Unit, 8000 Series
Directions for Use
Service Information (Continued)
Technical Support
Technical support, service information, applications, and
manuals may be obtained by contacting an ALARIS Medical
Systems representative.
When submitting any request for service, include:
•
•
•
•
•
•
Model number
a description of difficulty experienced
instrument settings
administration set/lot number
solution(s) used
message displayed at time of difficulty
MAINTENANCE
Point-of-Care Unit, 8000 Series
Directions for Use
MAINTENANCE
39
WARRANTY
ALARIS Medical Systems, Inc., (hereinafter referred to as “ALARIS Medical Systems”) warrants
that:
A. Each new ALARIS Medical Systems® Medley™ Point-of-Care Unit is free from defects in
material and workmanship under normal use and service for a period of one (1) year from the
date of delivery by ALARIS Medical Systems to the original purchaser.
B. The battery and each new accessory is free from defects in material and workmanship under
normal use and service for a period of ninety (90) days from the date of delivery by ALARIS
Medical Systems to the original purchaser.
If any product requires service during the applicable warranty period, the purchaser should
communicate directly with the relevant account representative to determine the appropriate repair
facility. Except as provided otherwise in this warranty, repair or replacement will be carried out at
ALARIS Medical Systems’ expense. The product requiring service should be returned promptly,
properly packaged and postage prepaid by purchaser. Loss or damage in return shipment to the
repair facility shall be at purchaser’s risk.
In no event shall ALARIS Medical Systems be liable for any incidental, indirect or consequential
damages in connection with the purchase or use of any ALARIS Medical Systems® Product. This
warranty shall apply solely to the original purchaser. This warranty shall not apply to any
subsequent owner or holder of the product. Furthermore, this warranty shall not apply to, and
ALARIS Medical Systems shall not be responsible for, any loss or damage arising in connection
with the purchase or use of any ALARIS Medical Systems® Product which has been:
(a) repaired by anyone other than an authorized ALARIS Medical Systems Service Representative;
(b) altered in any way so as to affect, in ALARIS Medical Systems’ judgment, the product’s stability
or reliability;
(c) subjected to misuse or negligence or accident, or which has had the product’s serial or lot
number altered, effaced or removed;
or
(d) improperly maintained or used in any manner other than in accordance with the written
instructions furnished by ALARIS Medical Systems.
This warranty is in lieu of all other warranties, express or implied, and of all other obligations or
liabilities of ALARIS Medical Systems, and ALARIS Medical Systems does not give or grant, directly
or indirectly, the authority to any representative or other person to assume on behalf of ALARIS
Medical Systems any other liability in connection with the sale or use of ALARIS Medical Systems®
Products.
ALARIS MEDICAL SYSTEMS DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
ANY WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE OR
APPLICATION.
See packing inserts for international warranty, if applicable.
40 MAINTENANCE
Point-of-Care Unit, 8000 Series
Directions for Use
ALARIS Medical Systems, Inc.
10221 Wateridge Circle
San Diego, California 92121 U.S.A.
Mail:
P.O. Box 85335
San Diego, California 92186-5335 U.S.A.
ALARIS®, ALARIS Medical Systems®, Guardrails®, and Medley™ are trademarks and registered trademarks of ALARIS Medical Systems, Inc.
All other trademarks belong to their respective owners.
Patents, Patented/Brevets, Brevetti, Patente, Patenten,
,
:
US – D362,062; 4,689,043; 4,690,673; 4,764,166; 5,096,385; 5,165,873; 5,453,098; 5,601,445; 5,681,285; 5,713,856; 5,781,442; 5,800,387;
5,836,910; 5,941,846; 6,267,559; 6,269,340. AU – 596,552; 604,477; 634,811; 682,789; 693,662; 703,178; 719,254; 728,366; 730,203.
CA – 1,238,832; 1,258,212; 1,296,092; 2,026,518; 2,029,267; 2,145,266. DE – P3686558.3; P3774598; P690244923; 69007003T2;
69512464T2. HK – 1006006. JP – 1,816,872; 2,594,604; 3,133,640. TW – NI–107963. EP0225158 (AT, BE, CH, FR, IT, NL, SE, UK).
EP0238227 (FR, UK). EP0431310 (FR, UK). EP0422855 (FR, UK). EP0686405 (BE, FR, IT, LU, NL, SE, UK). Other Patents Pending
10010715 Rev00
© 2001 - 2004 ALARIS Medical Systems, Inc.
Point-of-Care Unit, 8000 Series
Directions for Use
All Rights Reserved
Download PDF