Cane Crono User Manual - Buttons

Summary of Crono

  • Page 1

    User guide.

  • Page 2

    Canè s.P.A. Medical technology via cuorgnè 42/a 10098 rivoli (to) italy tel.+39 011 9574872 - fax +39 011 9598880 www.Canespa.It - mailbox@canespa.It.

  • Page 3: Table Of Contents

    3 man 01/04 crono fe 03/11 table of contents introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 5 note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 6 intended use . . . . . . . . . . . . . . . . . . . . . ...

  • Page 4

    4 man 01/04 crono fe 03/11 infusion set occlusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 34 end of infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 34 reversals of the pump pusher . . . . . . . . . . . . . . . . . . . . . . . . Page 35...

  • Page 5: Introduction

    5 man 01/04 crono fe 03/11 introduction the instructions provided in this manual are intended for both the prescri- bing physician, and for patients who subsequently use the crono fe pump. The pump is ready to use at delivery and does not require installation or other tests before being used on pati...

  • Page 6: Note

    6 man 01/03 crono fe 11/10 note the manufacturer only takes the responsibility for the safety and reliability of this pump, provided that it is used in accordance with the current instruc- tions for use and only in case any repairs and changes to the device are made exclusively by the manufacturer. ...

  • Page 7: Description Of The Pump

    7 man 01/04 crono fe 03/11 description of the pump crono fe is a new innovative pulsatile ambulatory infusion pump for con- trolled drug administration on patients in hospital or in ambulatory care. The pump is provided with key-pad lock-out functions in order to avoid un- authorized reprogramming o...

  • Page 8

    8 man 01/04 crono fe 03/11 interval time between f-boluses programmable from 5 minutes to 300 minutes in steps of 5 minutes. F-bolus pump mean accuracy +/- 1%. F-bolus system: • mean accuracy +/- 2%. • maximum positive deviation + 13.7%. • maximum negative deviation - 14.4%. Max. Occlusion pressure ...

  • Page 9: Factory Settings

    9 man 01/04 crono fe 03/11 factory settings the following factory settings are programmed at the delivery of the pump: key-pad lock-out level l 0 syringe size 10 ml f-bolus 25 µl f-bolus interval time 90 minutes number of infusions 0

  • Page 10

    10 man 01/04 crono fe 03/11 standard equipment supplied 1. Ambulatory infusion pump. 2. Pump case. 3. Elastic belt. 4. Collar strap. 5. Fabric holder. 6. 2 batteries (one already inserted in the pump). 7. Battery compartment opening tool. 8. User guide. 1 2 3 4 5 6 7 8.

  • Page 11: Optional Accessories

    11 man 01/04 crono fe 03/11 optional accessories optional accessories are available upon request: 1. Upright leather holder similar to a mobile telephone holder. 2. Horizontal leather holder similar to a sunglasses case. 1 2.

  • Page 12

    12 man 01/04 crono fe 03/11 how to use the standard equipment supplied the following illustrations show how the pump and its accessories can be set up. How to attach collar strap to the pump and the fabric holder. How to use elastic belt with pump and fabric holder 20 10 ml 20 10 ml.

  • Page 13: How To Wear The Pump

    13 man 01/04 crono fe 03/11 how to wear the pump the following pictures show the various ways the pump can be worn. Wearing the pump around the neck wearing the pump around the neck with a collar strap and a fabric holder. Wearing the pump at the waist wearing the pump at the waist with an elastic b...

  • Page 14: Pump Overview

    14 man 01/04 crono fe 03/11 pump overview collar strap locking rings syringe fin hook display buttons pusher battery compartment serial number short instructions.

  • Page 15

    15 man 01/04 crono fe 03/11 liquid crystal display (lcd) this is a screen on the front of the pump where symbols and messages are displayed informing the user about operations in progress as well as giving warnings and alarm messages. “low battery” symbol : appears when the battery charge is low (se...

  • Page 16: Main Screen Indication

    16 man 01/04 crono fe 03/11 main screen indication the above screens are given as examples of what can be displayed. Pump off prime function prime execution time left to the end of infusion (hour) time left to the end of infusion (days) time left to the next f-bolus f-bolus ongoing f-bolus delivery ...

  • Page 17

    17 man 01/04 crono fe 03/11 pump locked number of delivered infusions error message (see page 47) occlusion feed/reversal motion of the pump pusher end of infusion low battery battery discharged volume delivered (ml) as f-bolus doses 10 20 10 20 10 20 10 20 10 20 20 10 10 20 10 20 10 20

  • Page 18: Key-Pad

    18 man 01/04 crono fe 03/11 key-pad • the key-pad has 3 buttons for programming and for the operation of the pump. • the buttons are time-controlled: keep buttons pressed for a few seconds to activate commands. • command execution is confirmed by a brief acoustic signal. • during the selection of th...

  • Page 19: Syringes

    19 man 01/04 crono fe 03/11 syringes the ambulatory infusion pump crono fe uses dedicated 10 and 20 ml dedi- cated syringes. The 10 and 20 ml syrin- ges are: • sterile; • single use only; • pyrogen-free; • to be used only if packaging is not damaged. Luer lock cap the luer lock cap should be used to...

  • Page 20: Syringe Preparation

    20 man 01/04 crono fe 03/11 syringe preparation 1 . Attach the supplied needle to the syringe with a clockwise rotation. 2 . Draw up the infusion solution slowly. Do not exceed the syringe capacity. 3 . Attach luer-lock cap and unscrew the piston rod of the syringe counter-clock wise with a fairly s...

  • Page 21: Safety System To Avoid

    21 man 01/04 crono fe 03/11 safety system to avoid free-flow "free flow" means an uncontrolled release of the infusion solution from the syringe caused by gravity. In order to prevent this from happening, the tip of the pump pusher has been knurled which part must be inserted inside the rubber pisto...

  • Page 22: Device Activation

    22 man 01/04 crono fe 03/11 device activation when you insert the battery, the pump starts a sequen- ce of activation during which: • the pump will carry out a self-test with brief acoustic signals and all symbols will appear on the screen • the pump’s pusher will place itself in the correct startin...

  • Page 23: Cautions

    23 man 01/04 crono fe 03/11 the pump in off: the number of complete infusions already delivered will appear on the screen. 2. Without releasing the button and depressing the button as well: l 0 or l1 will appear on the screen with 0 or 1 blinking. 3. Depressing the or buttons will change the lock le...

  • Page 24: Functions And Selection

    24 man 01/04 crono fe 03/11 table of key-pad functions the following table lists the accessible functions at any key-pad lock-out level (l0 or l1) both when the pump is in off and on condition. * only at the beginning of a complete filled syringe. ** only available at the beginning of a new or new p...

  • Page 25: Programming

    25 man 01/04 crono fe 03/11 10 20 10 20 10 20 10 20 programming for programming, the pump must be: • in off condition • with key-pad lock-out in l0 depress the button for about 1 second to access the pump programming sequence. The first program- ming option displayed on the screen is the syringe siz...

  • Page 26: Warnings

    26 man 01/04 crono fe 03/11 programming the syringe size the syringe size dose can be programmed either to 10 (ml) or to 20 (ml). The syringe size is accessed by the first depressing of the button in the pump programming sequence (see page 25). Programming procedure: 1. While syringe size symbol is ...

  • Page 27: Note

    27 man 01/04 crono fe 03/11 programming of f-bolus dose volume the f-bolus dose volume can be programmed from 5 µl to 1000 µl in steps of 5 µl. The f-bolus dose is accessed by the second depres- sing of the button in the pump programming sequence (see page 25). Programming procedure: 1. When the but...

  • Page 28: Note

    28 man 01/04 crono fe 03/11 interval time between f-bolus doses interval time between f-bolus doses can be program- med from 5 minutes to 300 minutes in steps of 5 minu- tes. Interval time between f-bolus doses is accessed by the third depressing of the button in the pump pro- gramming sequence (see...

  • Page 29

    29 man 01/04 crono fe 03/11 nuously (in steps of 10 minutes). - if it is not necessary to re-program the present value, just depress the button while the value flashes. Programming of partial volume partial volume is used when less than 10 or 20 ml is drawn up in the syringe for a specific treatment...

  • Page 30: Note

    30 man 01/04 crono fe 03/11 programmed partial volume. During the movement of the pusher, there will be an acoustic signal and the volume corresponding to the selected par- tial volume will be displayed on the screen. 5. When the pusher reaches its programmed position, the display will show off note...

  • Page 31: Starting The Pump

    31 man 01/04 crono fe 03/11 starting the pump depress the button when the pump is in off and there will be a short acoustic signal and the display will show either: - pr (priming function) provided that the pusher is in the start position for a new, full or partial volume, infusion or - remaining in...

  • Page 32

    32 man 01/04 crono fe 03/11 the prime function is available at both lock levels. Priming procedure: depress the button when the pump is in off the display shows pr. There are three different alternatives to choose from: a. To postpone priming b. To skip priming c. To start priming to postpone primin...

  • Page 33: Note

    33 man 01/04 crono fe 03/11 the display will show pr and alternative a , b or c options can be selected again. There is no time limit to finish the priming procedure. Note the priming volume is not included in the administra- tion volume. Pump in on (running) the display shows the remaining delivery...

  • Page 34: Infusion Set Occlusion

    34 man 01/04 crono fe 03/11 infusion set occlusion the pump has been designed to recognise when the drug delivery is interrupted by external circumstances such as involuntary kink of the infusion set tubing. In this case the pump stops running the infusion, the dis- play will show the symbol for occ...

  • Page 35: Note

    35 man 01/04 crono fe 03/11 reversals of the pump pusher reversal of pusher before the end of infusion it is possible to interrupt an infusion in progress and reverse the pusher to its starting position: 1. Depress the and the buttons simultaneously to switch off the pump. 2. Depress the and the but...

  • Page 36: Pump Pusher Movement

    36 man 01/04 crono fe 03/11 pump pusher movement when the pump pusher reverses with a continuous movement, a symbol depicting movement will be dis- played. Note • the reversal of the pusher before the end of infu- sion can be interrupted by depressing the and the buttons simultaneously; off will be ...

  • Page 37: Switching Off The Pump

    37 man 01/04 crono fe 03/11 switching off the pump depress the and buttons simultaneously. The display will show off. Displaying programmed parameters to display programmed parameters the pump must be running (on) . The screen will show pro- grammed f-bolus volume in µl, the interval time bet- ween ...

  • Page 38: Note

    38 man 01/04 crono fe 03/11 displaying delivered volumes this display procedure will show the delivered volume in µl since the start of the infusion. The pump has to be running (on) and the screen will either show the remaining delivery time or the remaining time to the next f-bolus. Display procedu...

  • Page 39: Infusions

    39 man 01/04 crono fe 03/11 displaying the number of complete infusions • the pump has to be in off to be able to display the number of complete infusions performed by the pump. • depress the button for about 7 seconds and the number of complete infusions will be displayed. Low battery alert the low...

  • Page 40: Battery Replacement

    40 man 01/04 crono fe 03/11 battery replacement use only lithium 3 volt 123 a batteries. Make sure the pump is in off condition (off will be displayed), then replace the battery. Battery replacement procedure: 1. Open the battery compartment using the keyring device that is included with the pump 2....

  • Page 41: Note

    41 man 01/04 crono fe 03/11 in your right hand. • tap your right hand on the palm of your left hand until the battery falls out. Note when a battery is installed, the pump performs a self-test during which all symbols will be displayed and the pump will emit acoustic signals. Under average operating...

  • Page 42: General Cautions

    42 man 01/04 crono fe 03/11 general cautions the device may be damaged upon contact with any liquid, therefore remo- ve it before taking a bath or shower etc. Should the pump accidentally come into contact with any liquid (drug solution, sweat, bed wetting) the pump has to be checked by canè or canè...

  • Page 43: Cautions

    43 man 01/04 crono fe 03/11 cautions - do not dip the device into water or detergent solutions. - avoid the risk of liquid penetration inside the instrument. Should the device become wet, absorb the liquid with blotting paper. - do not clean the pump with acetone, solvents or abrasive detergents. - ...

  • Page 44: User Information

    44 man 01/04 crono fe 03/11 user information the pump can only be repaired by canè s.P.A. And the pump has there- fore to be sent to canè's local representative in the country in which the pump has been sold for further transportation to canè s.P.A.: do not send any pumps for repair before you conta...

  • Page 45: Manufacturer’S Guarantee

    Man 01/04 crono fe 03/11 manufacturer’s guarantee with this consumer guarantee, canè s.P.A. Guarantees that this product is free from defects in materials and workmanship for a period of 2 (two) years beginning from the date of purchase. If during this period of guarantee the product proves defectiv...

  • Page 46

    46 man 01/04 crono fe 03/11 5. Canè s.P.A. Will aim to carry out repairs to the device over a period not in excess of 4 (four) years, from the date of purchase. After 4 years, canè s.P.A. Will no longer be obliged to make any repairs. Canè s.P.A. Is not responsible towards the purchaser or third par...

  • Page 47: Alarm Messages

    Alarm messages 47 man 01/04 crono fe 03/11 10 20 10 20 10 20 10 20 10 20 10 20 10 20 10 20 10 20 unfeasable operation uncorrected reset re-start device --------------- critical condition of the security system press button press button press button irregularity of the motor circuit mechanical block ...

  • Page 48: Short Instructions

    48 man 01/04 crono fe 03/11 short instructions buttons battery insertion screen buttons pusher reversal screen buttons key-pad lock out screen inserting battery phase pump off pump off - the screen will show all symbols. - pusher self-adjust. - pump switches off. Reversing of the pusher to the start...

  • Page 49: Buttons

    49 man 01/04 crono fe 03/11 buttons settings screen buttons prime screen operation feasible only with key-pad unlocked. - syringe size. - setting f-bolus. - setting interval time between f-bolus. - setting partial volume. Decrease/increase above parameter. / 10 20 10 20 10 20 10 20 pump off prime po...

  • Page 50: Buttons

    50 man 01/04 crono fe 03/11 buttons screen review option screen (setting parameters) buttons screen review option screen (volume already delivered) buttons pump on screen buttons end of infusion screen - programmed f-bolus volume. - programmed f-bolus interval time. - programmed partial volume. 10 2...

  • Page 51: Buttons

    51 man 01/04 crono fe 03/11 10 20 buttons pump on screen pump on and pump switches off.

  • Page 52: Pump Icon Table

    52 man 01/04 crono fe 03/11 pump icon table drip-proof instrument it can withstand occasional liquid dripping. It must not be immersed in liquid. Electro medical equipment bf type warning: see instructions for use sn pump serial number 0476 ce mark dispose of used electric and electronic devices in ...

  • Page 53: 0123

    53 man 01/04 crono fe 03/11 syringe blister package icon table i 0123 read the instructions ce mark recycle do not reuse this device pyrogen free protection against moisture 2 pyrogen do not expose to direct sunlight expiration date sterilized with ethylene oxide polypropylene lot number ref number ...

  • Page 54: Glossary

    54 man 01/04 crono fe 03/11 glossary alarm an alarm is a condition that warrants the user’s attention, and is critical enough that it requires that the pump be shut down or reset. When an alarm occurs, an alarm beep is sounded and a descriptive mes- sage appears on the display screen. Display screen...

  • Page 55: 0476

    55 man 01/04 crono fe 03/11 0476 serial number statement of conformity the company canè s.P.A., with headquarters in via cuorgnè, 42/a 10098 rivoli (turin) - italy, manufacturer of the medical device crono fe ambulatory infusion pump with "réservoir" for drug administration declares that the device ...