Uploaded by Lucas Becker

01 Infusion & Syringe Pump Instruction V2.0 EN

advertisement
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
Download