Syringe Pump Caddo 15B Learning Material Ver. 1.1 An ISO 9001:2008 company 94, Electronic Complex, Pardesipura Indore - 452 010 India Tel: +91-731 4211100 Fax: +91-731-2555643 e mail: info@scientech.bz Websites: www.caddo.bz www.scientech.bz

Save paper, save trees, save earth Dear User, We request you to use the Learning material in the CD form provided with this supply. Your this act will help to save paper. Please remember that each paper manual requires 50-100 sheets of paper on an average. Your CD learning material has colourful diagrams, plenty of theory, detailed experiments with observation tables, frequently asked questions, etc... and more so sometimes videos as well. Scientech Technologies Pvt. Ltd. 2

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Syringe Pump Caddo 15B Table of Contents 1. Safety Instructions 5 2. Introduction 6 3. Features 7 4. Technical Specifications 8 5. Operation 12 6. Maintenance 17 7. Trouble Shooting Guidance 18 8. Warranty 19 Scientech Technologies Pvt. Ltd. 4

Safety Instructions Read the following safety instructions carefully before operating the instrument. To avoid any personal injury or damage to the instrument or any product connected to it. Do not operate the instrument if suspect any damage to it. The instrument should be serviced by qualified personnel only. For your safety: Use proper Mains cord Ground the Instrument : Use only the mains cord designed for this instrument. Ensure that the mains cord is suitable for your country. : This instrument is grounded through the protective earth conductor of the mains cord. To avoid electric shock the grounding conductor must be connected to the earth ground. Before making connections to the input terminals, ensure that the instrument is properly grounded. Observe Terminal Ratings : To avoid fire or shock hazards, observe all ratings and marks on the instrument. Use only the proper Fuse : Use the fuse type and rating specified for this instrument. Use in proper Atmosphere : Please refer to operating conditions given in the manual. 1. Do not operate in wet / damp conditions. 2. Do not operate in an explosive atmosphere. 3. Keep the product dust free, clean and dry. Scientech Eco Foundation Scientech Technologies Pvt. Ltd. 5

Introduction The Syringe pump can be used to control the Injection rates accurately. It should only be used in the laboratory or similar indoor environment by qualified personnel. Syringe pump functions with a range of standard, single use, disposable syringes of various types and accepts sizes of 10ml, 20ml and 50ml and can administer fluids in ways that would be impractically expensive or unreliable if performed manually by nursing staff. It can administer as little as 0.1 ml per hour injections. The syringe pump could be widely used for various departments of hospitals, such as medicine department, department of pediatrics, department of gynecology and obstetrics, oncology, neurology, ICU and CCU. Scientech Technologies Pvt. Ltd. 6

Features Compatible with syringes of most of the standard brands. Automatic Calibration for syringes. Three working modes: Rate control mode, Time control mode and Dose weight control mode (ug/kg/min or mg/kg/h). Built in rechargeable battery (Li battery). 5 hours internal battery backup. Alarm functions: occlusion, empty, near empty, low battery, end of infusion, syringe loose, etc Three levels of the occlusion limited pressure: high, middle and low. Three levels of alarm sound: high, middle and low. The syringe pump goes into KVO mode automatically as infusion is completed. Purge / Bolus function. Scientech Technologies Pvt. Ltd. 7

Technical Specifications 1. Flow range (Rate mode) 50 ml syringe - 0.1 1800 ml / hr (0.1 ml / hr step) 20 ml syringe - 0.1 800 ml / hr (0.1 ml / hr step) 10 ml syringe - 0.1 400 ml / hr (0.1 ml / hr step) 2. Accuracy: +/- 2% (After correct calibration) 3. Time setting mode range: Volume: 0.1 99.9ml, 0.1ml step. Time: 1 1999min, 1min step. 4. Weight setting mode range: Sol. volume: 0.1 199.9ml, 0.1ml step. Drug mass: 0.1 999.9ml, 0.1 ml step. Dose: 0.01 99.99ug/kg/min, 0.01ug/kg/min step. 0.01 99.99mg/kg/h, 0.01mg/kg/h step Weight: 0.1-99.9kg, 0.1kg step. 100 300kg, 1kg step. 5. Purge rate: 1800ml/h (50ml), 800ml/h (20ml), 400ml/h (10ml). 6. Volume limits range: 0 1999.9ml, 0.1ml step. 7. Bolus volume: maximum of 25ml. 8. Bolus Rate: Up to 300ml/hr for 10ml syringes Up to 600 ml/hr for 20ml syringes Up to 1200 ml/hr for 50 ml syringes 9. Power supply: AC 100-240V +/- 10%, 50/60Hz. 10. Power consumption: 25<VA 11. Class: I 12. Type: BF 13. Size: 280mm(W) x 130mm(H) x 160mm(D) 14. Net Weight: 3.5 Kg.(Approx) 15. Operating condition: Ambient temperature 10-40degree C Relative humidity 20-90% 16. Storage condition: Ambient temperature: -10~55degree C Relative humidity: 10~90%. There should not be corrosive gas and harmful substance in the air and avoid pressing and drenching by rain and snow in the state of transportation. Scientech Technologies Pvt. Ltd. 8

Chapter 2: Installation and Familiarization Installation Initial inspection Before installing the instrument check the instrument for any external damage or broken connectors. If damage is found contact the authorized sales dealer for guidance. Initial charging Keep the unit plugged to AC mains for charging the built in battery for about 16 to 18 hours before actual use. Recommendations The pump must be mounted within 1.0m above or below the patient s heart. The most accurate pressure monitoring in the extension set is achieved when the pump is positioned close to the patient s heart level. The instrument should be away from vibrations, dust, corrosive or explosive atmosphere, extreme temperature or excessive humidity & all large electrical appliances/ X-ray equipments/ RF transmitters. The instrument is designed to operate at all ambient temperatures between 10 C to 40 C. Temperatures beyond this range could affect the accuracy & cause damage to the equipment Connect AC power using the three-pin power cord, supplied with the product and ensure a reliable ground. Do not touch the power plug with wet hands. Please contact qualified service engineer for replacing the fuses when the fuses melt! There are two fuses inside the syringe pump. Keep the syringe pump dry! When the liquid medicine flows into the syringe pump, turn off the power and pull out the plug immediately. The syringe pump can only be used again only after verification by qualified service engineer. Please confirm the syringe pump stability in fixation and make sure not to fall off after fixation. Please do Calibration as any standard syringe (10ml, 20ml and 50ml) is being used for the first time. Do not rotate the press rod away from the syringe in the state of working. Please deal with alarms immediately. The syringe pump can continue to work only after getting rid of the alarms. Please use AC power as often as possible as the internal battery is charged at the same time. When AC power failure, the internal battery will work. Scientech Technologies Pvt. Ltd. 9

Please connect the instrument to AC power immediately on indication of Low battery on the LCD when the internal battery is used. Product Familiarization 1 AC indicator; 2 Alarm indicator; 3 Infusing indicator; 4 Calibration key; 5 Mode key; 6 LCD; 7 Select key; 8 Confirm/Clear key; 9 Purge/Bolus key; 10 Start/Stop key; 11 Bolus LED; 12 KVO LED; Logo; 13 Slow decrement key; 14 Slow increment key; 15 Fast increment key; 16 Fast decrement key; 17 Plunger holder; 18 Declutch; 19 Slot for plunger; 20 Syringe; 21 Syringe holder;. Description of Keys Mode Key To switch among the 3 working modes 1.Rate setting mode 2.Time setting mode and 3.Weight setting mode in a cyclic manner. Calibration Key For calibrating the syringe, when any new brand syringe (10ml, 20ml and 50ml) is going to be used for the first time. Only one set of parameters will be stored in the pump. Slow Increment Key To increment the value of any parameter at a reasonable speed. For each press, value will be incremented in the minimum interval. If the key is kept pressed, the value of the parameter will increase quickly. Scientech Technologies Pvt. Ltd. 10

Fast Increment key -- To increment the value of any parameter with higher speed. If the key is kept pressed, the value of the parameter will increase very quickly. Slow decrement Key To decrement the value of any parameter at a reasonable speed. For each press, value will be decremented in the minimum interval. If the key is kept pressed, the value of the parameter will decrease quickly. Fast decrement key -- To decrement the value of any parameter with higher speed. If the key is kept pressed, the value of the parameter will decrease very quickly. Select Key To select the parameter to be set before the syringe pump commence working. And return to the set parameter interface by the select key while the pump in the pause state. Confirm Clear Key To clear the alarm as the syringe pump alarms and continue or stop according to the indication of various interfaces (such as work interface, purge interface, alarm interface, etc). Press the Confirm/ Clear key to clear condition. the volume injected to ZERO in stop Purge/Bolus Key To Purge the extension line during set up while the pump is stopped. Press the key once and release. Press and hold it again within in 5 seconds. The pump will start purging in the predetermined accelerated rate. The pump will be in the purge mode as long as the key is kept pressed and comes out of purge mode when the key is released. Start/Stop To start infusion after setting the parameters, and to stop infusion when the infusion is over. Description of Indicators Power is lit as AC power is connected and the unit is ON. Alarm indicator is lit whenever any alarm comes along with audio and visual indications. Moving Green triangular blocks inside this syringe symbol on the display indicates infusion or purging is taking place. Bolus LED: Will be ON when the unit is in bolus rate setting interface and Blinking when in bolus operation. KVO LED: Blinking when the unit is in KVO mode. Scientech Technologies Pvt. Ltd. 11

Chapter 3: Operation. Pump installation: Place the syringe pump on the table or fix to the infusion pole by tightening the screw handle. Connect AC power with the special three-pin plug power cable supplied with the product. And use the internal battery only in case of AC power failure. Turn-on the power switch, and the set parameter interface will be displayed automatically. The AC power indicator will be ON when the AC power is used, and will black out when the internal battery is used. Calibration: Calibrate the syringe, as mentioned below, for the first time use of any syringe (10ml, 20ml and 50ml) of any brand. The calibration will allow the syringe pump to measure the parameters of that syringe and store them automatically. It is not needed to calibrate again when the same type of syringe is used later. First, install the syringe pump properly. Then use an empty syringe that need to be calibrated (10ml, 20ml and 50ml), push the plunger in the syringe to the ZERO ml scale (Bottom) and install the syringe on the syringe pump properly. Then, press the calibration key, and set syringe to 0 ml on the Display. Press confirm key. If the syringe is already pushed to zero, the display will indicate set the syringe 50ml, or 20ml or 10ml. Take the syringe out of the syringe pump and pull the plunger to the maximum scale (as example, for the 50ml syringe, pull to the scale of 50ml), re-install the syringe on the syringe pump again and press the Confirm Clear key. Wait for a few seconds, the calibration will be finished automatically. The parameters of the syringe used for calibration (10ml, 20ml and 50ml) will be stored into the syringe pump. If this type of syringe is used next time, it is not required to do calibration again. Note: When a different brand of syringe is used with same capacity, it is recommended to perform calibration again so as to ensure the accuracy. Syringe installation Fill the liquid medicine into the syringe, install the extension line of infusion, fix the syringe on syringe pump properly and lock the syringe using syringe clamp. If the syringe is not installed properly, Loose will be displayed. Purge Press and release the Purge / Bolus key. Within 5 seconds, press and hold the key again. Purge is displayed. The pump will start purging in the predetermined accelerated rate. The pump will be in the purge mode as long as the key is kept pressed and comes out of purge mode when the key is released. The syringe pump will return to the set parameter interface automatically. Scientech Technologies Pvt. Ltd. 12

Caution: Make sure that the extension tube is not connected to the patient while purging. Rate mode 1. Switch on: Turn on the power switch provided at the back of the unit, and the set parameter interface will be displayed automatically. Power LED on the panel will be ON. 2. Loading syringe: Fill the syringe with required fluid and fix the extension line of infusion; place the syringe on the pump properly, and then lock the syringe with syringe clamp. 3. Purge to fill the extension line, if required (decided by the user). 4. Setting Parameters: Flow rate: In the rate mode, when the power is on, automatically RATE starts blinking. Set the flow rate (ml/h) using the increment / decrement keys. Target Volume: Press the Select key to switch to set target volume. Then Tar. Vol (target volume ie Volume To Be Infused) starts blinking. Set target volume using the increment / decrement keys. Occlusion limit: Press the Select key to switch for setting Occl. Lt (H,M,L). As it flashes, set the level as High, Medium or Low as required, using increment / decrement keys. Alarm Sound volume: Press the Select key to set Vol. (H,M,L). As it flashes, set the level as High, Medium or Low as required, using increment / decrement keys. 5. Start Infusion: Press the start/pause button to start the infusion. Icon Infusing on the display panel starts blinking. 6. Stop infusion: To stop infusion press start/pause button. Scientech Technologies Pvt. Ltd. 13

Time mode Set the Tar. Vol. (ml), Occl Lt (high, middle, low) and alarm sound volume (high, middle, low), as mentioned above in the Rate Mode, on the basis of various kinds of clinical treatment required in time setting mode. To switch among various parameters use the button SELECT on the panel. For setting the Time, refer below for the procedure. Target Time: Press the Select key to switch to set target time. Then Time starts blinking. Set target time using the increment / decrement keys. In the time mode, flow rate will be decided by the machine itself. Weight setting mode: This mode is used to infuse medications with a narrow therapeutic range in relation to patient body weight so that ideal dose of the drug can be safely administered. Set Sol. Vol., Drug Mass, Dose, Weight, Occl Lt (high, middle, low) and alarm sound volume (high, middle, low) on the basis of various kinds of clinical treatment required in weight setting mode and start infusion. To switch among various parameters use the button Select on the panel. The flow rate will be automatically calculated by the syringe pump. Bolus function Maximum Bolus volume is 25 ml. Bolus Flow Rate Setting Mode In the stop condition, press both Mode and Purge/Bolus keys simultaneously, It switches to the Bolus Flow Rate Setting Mode. The Bolus LED in the panel will lit. The default Bolus Flow rate of 200ml/hr will be displayed. Bolus flow rate is adjustable in minimum in steps of 0.1ml/hr. To adjust the rate, use the increment / decrement keys. The maximum limits for Bolus Flow Rate for different sizes of syringe are given below. Up to 300ml/hr for 10ml syringes Up to 600 ml/hr for 20ml syringes Up to 1200 ml/hr for 50 ml syringes. The default Bolus flow rate is 200ml/hr. Press confirm key. Bolus LED will be OFF and the pump will return to normal, stopped condition. Bolus operation While infusion is in progress, press and hold Purge/Bolus key to switch to bolus operation mode. Scientech Technologies Pvt. Ltd. 14

Bolus LED on the panel will start blinking synchronously with the infusing on the display panel and the pre-set bolus flow rate will be displayed instead of normal flow rate. The infusion will be done at the bolus flow rate. This will continue as long as the Purge / Bolus key is kept pressed provided no alarm comes in between or the maximum bolus limit of 25ml is not reached. When the Purge / Bolus key is released, automatically pump comes out of the bolus mode and go back to continue infusion prior to the bolus operation. It is possible to infuse 25ml for every entry into the bolus mode. If the bolus volume reached the limit it will stop infusing immediately with audio alarm and visual changes in the panel. The bolus rate will go back to its default value of 200ml/h if the unit is switched off. The total volume infused displayed is inclusive of the bolus volume. KVO: During infusion, when the infused volume reaches the target volume, the pump will alarm and switch to KVO. The LED of KVO starts blinking. Press the confirm key, only the alarm sound will be cleared, but KVO will continue. The LED of KVO will keep on blinking until the stop / pause key is pressed to stop KVO. Other icons on the display panel: a) Battery: It indicates the remaining capacity of the battery. If there is only one black block (see fig 1.a) in the icon, means battery is near to empty and is to be re-charged immediately. Three black blocks (see fig 1.b) in the icon means battery is full. While charging, the black block seem to be moving. (a) Figure 1 (b) b) Occlusion pressure level: The pressure inside the syringe is indicated in display panel as in Figure 2. And the white lines stand for the level of the pressure inside the infusion line. The larger the number of white lines, the more the infusion pressure (see fig 2.b) exists. (a) (b) Figure 2 Scientech Technologies Pvt. Ltd. 15

Alarms and Disposition Whenever the alarm happens, press the Confirm / Clear key to clear the alarms and it will return to the set parameter interface automatically. The causes and how to get out of them are given below. Occlusion When occlusion alarm occurs, the pump will stop working automatically. Near empty The syringe pump will give alarm to remind the user that the syringe is near to empty. Empty The syringe pump will give alarm and switch to KVO (0.1ml/h) automatically when the syringe is empty. Clear the alarm by the Confirm / Clear key and will return to the set parameter interface. Syringe loose The syringe pump stops working and give alarm if the plunger is not engaged properly in the guide. Clear the alarm, engage the plunger properly in the guide and start again. Low battery If the capacity of the battery is below a certain level, low battery alarms (battery icon on the display starts blinking), connect AC mains immediately. But the bat low alarm will not disturb the infusion. ie., if the battery low alarm happens during infusion, it won t stop infusion. Clear the alarm using Confirm / Clear key, and it will work for sometime, till the battery becomes empty (if mains is not connected). End of infusion The syringe pump will stop working and gives alarm when the infused volume reaches the target volume. Clear the alarm by Confirm / Clear key. Automatically the pump switches to KVO. Scientech Technologies Pvt. Ltd. 16

Chapter 4: Maintenance. Once unpacked, keep the unit for charging the internal battery at least for 16 to 18 hours before putting the equipment for actual use. The equipment uses Lithium rechargeable batteries. Though the equipment can be operated for few more minutes even after the battery low indication, it is recommended to keep the unit for charging the battery immediately on low battery indication. When using the syringe pump in conjunction with any other pumps or devices requiring vascular access, extra care is advised. Adverse delivery of fluids or medication can be caused by the substantial variation in pressures created within the local vascular system by such pumps. Keep the pump dry and clean. Voltages present inside the instrument are potentially dangerous. If there is a problem with the instrument, the power cord should be removed until the instrument is repaired by a qualified service personnel. This is to prevent anyone from inadvertently using the instrument, thus causing possible harm to themselves, or damage to the instrument itself. Adequate protection including clothing and ventilation must be provided if dangerous liquids are used. In case of incidental spillage, carefully wipe with a dry cloth, taking into account the nature of the spilled liquid and necessary safety precautions. Cleaning, dismantling, maintenance, adjustment and repair should only be performed by a qualified personnel trained in such work, and who are aware of the possible dangers involved. Clean the instrument with a soft cloth lightly moistened with soapy water. Do not use abrasive or chemical cleaning agents. This instrument must not be sterilized, using an autoclave, or any other mechanical device. If the instrument does not appear to function correctly, first verify electrical connections are correct and that the instrument is switched ON. Contact your Trivitron dealer for technical advice or an eventual service visit. Any service required will be given within the warranty conditions assured by your Trivitron dealer. Do not mount the pump in a vertical position with the syringe positioning upwards as this could lead to an infusion of air which may be in the syringe. If the pump is dropped, subjected to excessive moisture, fluid spillage, humidity or high temperature or otherwise suspected to have been damaged, remove it from service for inspection by qualified service personnel. When transporting or storing, use original packaging where possible, and adhere to temperature, humidity and pressure ranges stated in the specifications section. Scientech Technologies Pvt. Ltd. 17

Chapter 5: Trouble shooting guidelines. Please contact the dealer or the Authorized service agent of Trivitron, for any defect in the syringe pump. Never disassemble the syringe pump without authorization. Anyone who disassembles the syringe pump without authorization do so at his / her own risk. Some of the possible faults and the remedies are given below NO response after switch-on Faults Possible Causes Possible Remedies Checkup the syringe on the display after start up. Troubles infunction NO display or blackened display No response of Key-press Occlusion 1 Low battery 2 No AC power 3 Fuse melt 4 The broken LCD 1 The clamp is loose. 2 The installation of syringe is incorrect. 3 System error 1 The broken display. 2 Low battery The broken keys 1 The extension pipe or pinhead occlusion 2 The installation of syringe is incorrect. 3 Syringe is not calibrated 1 Connect AC power 2 Checkup the connection of AC power 3 Contact Authorized service agent. 1 Re fix the clamp 2 Install the syringe again 3 Contact Authorized service agent. 1 Contact Authorized service agent. 2 Connect AC power Contact Authorized service agent. 1 Pause at once, find out the causes and get rid of them, then work again 2 Install the syringe again 3 Calibrate the syringe. Scientech Technologies Pvt. Ltd. 18

Warranty 1) We guarantee this product against all manufacturing defects for 24 months from the date of sale by us or through our dealers. Consumables like dry cell etc. are not covered under warranty. 2) The guarantee will become void, if a) The product is not operated as per the instruction given in the Learning Material b) The agreed payment terms and other conditions of sale are not followed. c) The customer resells the instrument to another party. d) Any attempt is made to service and modify the instrument. 3) The non-working of the product is to be communicated to us immediately giving full details of the complaints and defects noticed specifically mentioning the type, serial number of the product and date of purchase etc. 4) The repair work will be carried out, provided the product is dispatched securely packed and insured. The transportation charges shall be borne by the customer. Scientech Technologies Pvt. Ltd. 19