Infusion & Syringe Pump Instruction 21 July 2023 Contents Pump Mindray Products Basic Knowledge 2 © 2016 Mindray Confidential Pump • Definition • Category • Application 3 © 2016 Mindray Confidential 1 Definition What Is an Infusion Pump? An infusion pump is a medical device that delivers fluids, such as nutrients and medications, into a patient’s body in controlled amounts. Infusion pumps are in widespread use in clinical settings such as hospitals, nursing homes, and in the home. 4 © 2016 Mindray Confidential 1 Category There are many types of infusion pumps, including large volume, patient-controlled analgesia (PCA), elastomeric, syringe, enteral, and insulin pumps. Enteral Pump Large Volume Pump elastomeric Pump Small Volume Pump(Syringe) 5 © 2016 Mindray Confidential PCA Pump Insulin Pump 1 Application Enteral Nutrition Set Syringe Size:1ml/2ml/3ml/5ml/10ml/20ml/30ml/50ml/60ml 6 © 2016 Mindray Confidential Light Resistant Set IV Set IV Set 1 Application Some are designed mainly for stationary use at a patient’s bedside. Others, called ambulatory infusion pumps, are designed to be portable or wearable. NSICU ICU MICU SICU PICU CICU CSICU NICU EICU 7 © 2016 Mindray Confidential Mindray Product • SK Series • New SK Series (Goose) • BeneFusion 1/3/5 Series • BeneFusion n/e Series 8 © 2016 Mindray Confidential 2 Mindray Product–SK Series SK Medical was founded in 2004, which was controlled by Mindray in 2011 and wholly purchased by Mindray in 2016 9 © 2016 Mindray Confidential 2 Mindray Product–SK Series Model Version 2.0 Discontinued 2013 Version 3.0 Discontinued 2014 SK-500I SK-500II SK-500III 10 © 2016 Mindray Confidential End Of Service Version 3.1 Discontinued 2017 2 Mindray Product–SK Series Model Version 2.0 Discontinued 2013 Version 3.0 Discontinued 2017 11 © 2016 Mindray Confidential SK-600I SK-600II End Of Service SK-700I 2 Mindray Product– New SK Series Mindray released the New SK series in 2017. SK-600II SK-600I SK-500I 12 © 2016 Mindray Confidential SK-500II SK-500III 2 Mindray Product– New SK Series The structure of hardware is same BeneFusion SP1 SK-500I The structure of software is same The operation is same BeneFusion SP3 (The 1st ) SK-500II The calibration is same The maintenance is same BeneFusion SP3D (The 1st ) 13 © 2016 Mindray Confidential SK-500III Only the appearance is different 2 Mindray Product– New SK Series The structure of hardware is same The structure of software is same BeneFusion VP1 SK-600I The operation is same The calibration is same The maintenance is same BeneFusion VP3(The 1st ) 14 © 2016 Mindray Confidential SK-600II Only appearance is different 2 Mindray Product–BeneFusion 1/3/5Series 2015.8 BeneFusion SP5TCI 2015.2 BeneFusion CS5 2014.8 BeneFusion VP5 2016.2 BeneFusion VP3/1 2015.7 BeneFusion SP3/1 2014.4 BeneFusion SP5 15 © 2016 Mindray Confidential 2014.12 BeneFusion DS5 Items VP5/VP5 Ex VP5 PVC VP5 Silicone Appearance IV set Software Normal Infusion Set VP5 normal software package Dedicated Infusion Set VP5 PVC Dedicated software package Dedicated Infusion Set VP5 Silicone Dedicated software package Installation: VP5 is required to do the calibration and test; VP5 PVC and Silicone are only required to do test, and no calibration Service Spare Parts: most of the spare parts are the same, but only a few parts are different. Upgrade: we can upgrade the system software of VP5/ex, VP5 PVC, and VP5 Silicone at the customer side or workshop, the procedure is the same. Maintenance: the maintenance procedure is same and the requirement is the same 2 Mindray Product–BeneFusion n Series BeneFusion nDS Docking Station BeneFusion nVP BeneFusion nSP Syringe Pump 17 © 2016 Mindray Confidential Volumetric Pump 2 Mindray Product–BeneFusion e Series BeneFusion eDS Elite/Basic Docking Station BeneFusion eVP Volumetric Pump BeneFusion eSP Syringe Pump 18 © 2016 Mindray Confidential 维度 nVP / nVP ex nVP PVC nVP Silicone Appearance IV set Normal Infusion Set Dedicated Infusion Set Software Software Package are same Installation: nVP is required to do the calibration and test; nVP PVC and Silicone are only required to do test, and no calibration Service Spare Parts: most of the spare parts are the same, but only a few parts are different. Upgrade: one system software package Maintenance: the maintenance procedure is same and the requirement is the same Dedicated Infusion Set 2 Mindray Product–BeneFusion i Series BeneFusion iSP Syringe Pump BeneFusion iVP Volumetric Pump Visible safety for all 2 Mindray Product–BeneFusion u Series BeneFusion uDSP Syringe Pump BeneFusion uSP Syringe Pump BeneFusion uVP Volumetric Pump Ultimate care with ease 2 The Overview of Mindray Infusion Pump Product High-end VP5 Mid-range 5series Low-end SK-600I eDS SP5 SP3D SK系 3series SP3 1系 VP1 SK-500I SP1 SK-600II i series V P 3 SK-500II SK-500III nVP CMS/nCS nDS e CS5 DS5 nSP u series eVP series eSP Basic Knowledge • Smart System • Accurate Infusion • Friendly Design • Easy Connection 24 © 2016 Mindray Confidential 3 Basic Knowledge manual administration The Air bubble cannot be detected The pressure cannot be detected No alarm The rate cannot be controlled accurately Low caring quality Infusion information cannot be collected and reviewed 25 © 2016 Mindray Confidential 3 Basic Knowledge Infusion pumps offer significant advantages over the manual administration of fluids, including the ability to deliver fluids in very small volumes, and the ability to deliver fluids at precisely programmed rates or automated intervals. They can deliver nutrients or medications, such as insulin or other hormones, antibiotics, chemotherapy drugs, and pain relievers. 26 © 2016 Mindray Confidential 3 Basic Knowledge Pump Infusion Smart System The pump are the powerful partners for intravenous infusion that are designed with the concept of SAFE infusion Accurate Infusion Friendly Design Easy Connection 27 © 2016 Mindray Confidential Basic Knowledge Smart System 28 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system ROM Power CPU Alarm & Buzzer Speaker Sensor System Self-test 29 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system In gravity infusion. When the infusion is complete, if we do not remove the needle from the patient in time, the blood will be refluxed by the pressure. KVO KVO means keep the vein open, the infusion pump continues infusion at a very low rate (0.1~5.0ml/h) after finishing the infusion in order to prevent blood backflow or vascular blockage 30 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system Intelligent Occlusion Management —Dynamic Pressure System A wide range of occlusion detection to increase safety levels mmHg Graphical and numerical pressure indicators to predict occlusion alarm in advance. 31 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system Automatic Pressure Release Function —Anti-Bolus When occlusion occurs, infusion will stop and the [Occlusion] alarm will be triggered. After the alarm is triggered, the motor is reversed, and the cannula pressure is then released. This prevents an additional aggressive dose to the patient after the occlusion is eliminated. 32 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system Dose Error Reduction System (DERS) Default range Minimum hard limit Minimum soft limit Maximum soft limit Maximum hard limit The DERS drug library assists in protecting patients by triggering the alarms when the actual dose reaches defined limits, ensuring patient safety. Applicable to 5 series, n/e series 33 © 2016 Mindray Confidential 3 Basic Knowledge-Smart system Smart Pump Interface Colour-coded drug names 34 © 2016 Mindray Confidential Coloured dose rate displayed when the soft limit is reached Considerate reminders displayed when the hard limit is reached 3 Basic Knowledge-Smart system Alarm information Alarm level Color of alarm light Audible alarm frequency Flashing light frequency Light/ no-light ratio High-level Red 10 seconds 2.0±0.6Hz 20%~60% Mid-level Yellow 15 seconds 0.6±0.2Hz 20%~60% Low-level Yellow 20 seconds Steady 100% STOP – Clear high-level & med-level alarm (except No battery and system error) Silence – Mute high-level & med-level alarm for 2 min – Clear low-level alarm ( except No AC, communication interrupted, infusion interrupted) 36 © 2016 Mindray Confidential Basic Knowledge Accurate Infusion 37 © 2016 Mindray Confidential 3 Basic Knowledge-Accurate Infusion The principle of syringe pump Syringe Plunger holder Syringe Motor Leadscrew Gears & cogs to turn the leadscrew Direction of movement Apply to all syringe pump 38 © 2016 Mindray Confidential 3 Basic Knowledge-Accurate Infusion The principle of infusion pump Camshaft Infusion Set 39 © 2016 Mindray Confidential Fingers Medicine 3 Basic Knowledge-Accurate Infusion 2300 2300 0.1 0.1 nSP ≤±1.8%, nVP ≤±5% Supports for 1-60ml syringe (nSP) 1500 1200 Initiate from 0.01ml/h 800 Maximum flow rate up to 2300ml/h 300 150 50 40 © 2016 Mindray Confidential Unit: ml/h 0.01 0.01 0.01 0.1 0.1 BeneFusion nSP 1ml 2/3ml 5/6ml 10/12ml 20ml 0.1 30/35ml 50/60ml BeneFusion nVP 3 Basic Knowledge-Accurate Infusion Fast Start The first drop can be delivered in just 2~3 seconds, leading to a timely infusion therapy 41 © 2016 Mindray Confidential 3 Basic Knowledge-Accurate Infusion The elasticity of Iv set will become worse after long time of use, the accuracy will be worse. These errors will be modified by a compensatory algorithm 43 © 2016 Mindray Confidential 3 Basic Knowledge-Accurate Infusion Mechanical Error Materials Variances Therefore, in order to ensure the accuracy of infusion/injection, calibration is required before first use. 44 © 2016 Mindray Confidential 3 Basic Knowledge-Accurate Infusion High accuracy detection sensors Dual-sensor design 6 levels of Bubble size From 15 to 800 μl Accumulated bubble 0.1-1.0 ml/15min Air sensor Minimum 45 © 2016 Mindray Confidential 15 uL 3 Basic Knowledge-Accurate Infusion High accuracy detection sensors Speedometer style indicator 15 levels of an occlusion alarm From 50 to 1125 mmHg 1 ml syringe, max. 975mmHg. ≥ 2 ml syringe, occlusion ranges from • 0.01ml/h ≤ rate < 0.1 ml/h, 50 to 225mmHg; • 0.1ml/h ≤ rate ≤ 100ml/h, 50 to 1125mmHg; • 100ml/h ≤ rate ≤ 2300ml/h, 50 to 1125mmHg. 46 © 2016 Mindray Confidential Basic Knowledge Friendly Design 47 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Automatic Loading System Syringe Loading 4s Turn On 2s 48 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Easy Use Quick Guide 49 © 2016 Mindray Confidential Graphical Alarm Display 3 Basic Knowledge-Friendly Design Multi-scenario application Satisfy a Variety of clinical purposes Versatile enough to Integrate all functions 50 © 2016 Mindray Confidential Easier device management Higher work efficiency 3 Basic Knowledge-Friendly Design Infusion Mode Up to 12 infusion mode by Flow rate (ml/h) by Special function Rate mode Time mode Dose mode TIVA mode Loading Dose mode Micro-infusion mode Dose Time mode TCI mode Sequential mode Intermittent mode Ramp mode 51 by Dose rate © 2016 Mindray Confidential PCA mode • Standard 9 infusion mode, 3 optional mode • Special function for BeneFusion nSP only, license controlled • BeneFusion nVP supports for nutrition and blood transfusion, no dedicated infusion mode 3 Basic Knowledge-Friendly Design Basic Infusion Mode Set any two parameters, and the third parameter will be calculated automatically 52 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Dose/Dose time mode Dose mode Dose time mode Applied drugs: Vasoactive drugs Applied drugs: Antidote Dose rate with body weight • Dose unit: ng, ug, mg, g, mU, U, kU, EU, mmol, mol, kcal, mEq • Weight unit: kg, lbs • Time: min, h, 24h 53 © 2016 Mindray Confidential Dose rate without body weight • Dose unit: ng, ug, mg, g, mU, U, kU, EU, mmol, mol, kcal, mEq • Time: min, h, 24h 3 Basic Knowledge-Friendly Design Infusion Mode - Sequential mode Applied drug: Oncology drugs ml/h Up to 54 11 sequences © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Infusion Mode - Intermittent mode Applied drug: Commonly used drugs in emergency room ml/h Maintain rate as low as to 0ml/h 55 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Infusion Mode - Loading Dose mode Applied drug: Antibiotics, Long half-life drug ml/h Large dose followed by a maintain dose 56 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Infusion Mode– Ramp mode Applied drug: Vasoactive drug ml/h For elder/pediatric patient 57 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Infusion Mode -TIVA Applied drug: Anesthesia drug Dose rate Total IntraVenous Anesthesia 58 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Infusion Mode -TCI Applied drug: Anesthesia drug 59 © 2016 Mindray Confidential Marsh Propofol Schnider Kataria Paedfusor Remifentanil Minto Sulfentanil Gepts Alfentanil Maitre 3 Basic Knowledge-Friendly Design Infusion Mode-PCA Patient Controlled Analgesia Applied drug: Analgesic drug Patient Controlled Analgesia is an effective method of pain relief that gives the patient a sense of control over their pain. 60 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design BeneFusion nVP (Enteral Feeding) Enteral Feeding Peristaltic mechanism No dedicated infusion mode Enteral feeding disposables Flow rate/Dose rate mode 61 © 2016 Mindray Confidential Nutrition 3 Basic Knowledge-Friendly Design Mode BeneFusion nSP BeneFusion eSP BeneFusion SP5 BeneFusion SP5 TCI BeneFusion SP5 TIVA BeneFusion SP3 BeneFusion SP1 Rate Mode Time Mode Dose Mode(Body Weight) Dose Time Mode Loading Dose Mode Micro-Infusion Mode Sequential Mode Intermittent Mode Ramp Mode Drip Mode TIVA Mode TCI Mode PCA Mode Note: ex does not provide the Loading Dose Mode TCI, TIVA, and PCA are contrlled by License 62 © 2016 Mindray Confidential 3 Basic Knowledge-Friendly Design Mode BeneFusion nVP BeneFusion eVP BeneFusion VP5 BeneFusion VP3 Rate Mode Time Mode Dose Mode(Body Weight) Dose Time Mode Loading Dose Mode Micro-Infusion Mode Sequential Mode Intermittent Mode Ramp Mode Drip Mode Note: ex does not provide the Loading Dose Mode 63 © 2016 Mindray Confidential BeneFusion VP1 Basic Knowledge Easy connection 64 © 2016 Mindray Confidential 3 Basic Knowledge-Easy Connection Pump connect to DS5/CS5 Great capability to supervise up to 64 DS5 or 512 BeneFusion pumps simultaneously. Digital network with centralized management of infusion data, which greatly increases work efficiency and alleviates workloads. HL7 protocol allows BeneFusion pumps to be integrated into the hospital network, such as CIS, HIS and so on, which assists the hospital to implement a paperless environment. 65 © 2016 Mindray Confidential 3 Basic Knowledge-Easy Connection DS5 connect to Patient Monitor Vital information from infusions, including drug name, rate and accumulated volume can be synchronized and shown on BeneVision N series patient monitor. Drug-related physiological parameters, such as HR, BP,RESP, BIS and so on, to provide a comprehensive picture for medical staff to diagnose and prescribe the patient. 66 © 2016 Mindray Confidential 3 Basic Knowledge-Easy Connection Access to hospital networks with enhanced IT solutions • Infusion pumps connect with CMS directly or through BeneLink. • Through BeneVision CMS, infusion information can be extended to the whole monitoring network • With the IHE HL7 interface, infusion pumps can connected with CPOE to get prescriptions and send the infusion result to HIS/EMR. 67 © 2016 Mindray Confidential Thank You! Infusion Pump Introduction Exam Please scan the QR Code and finish the exam by the end of this week 69 © 2016 Mindray Confidential Version Information 70 Version Author Date Description 1.0 Martin Zhang 2019-05-30 First Version 2.0 Martin zhang 2022-11-05 Updated © 2016 Mindray Confidential Check Information Version Reviewer Date Description 1.0 Jin Zhengyun 2019-05-30 First Version 2.0 71 © 2016 Mindray Confidential