1 Volumat MC Agilia Volumetric infusion pump Instrutions for use2 Contents 1. 4 Programming modes. 4 Infusion modes. 4 Intended use. Description Handle 5 - Infrared cell 9 - Fixing button 2 - Pump door 6 - Mains power 10 - Drop sensor connection 3 - Door lever 7 - Communication port and DC power input-output socket 4 - Assembly bolt 8 - Fixing clamp nuvolumatMCagiliaINT7 Mains indicator 17 - OK/Start/Enter 23 - BOLUS or PRIME 12 - SILENCE ALARM 18 - Indicator lights (LEDs) 24 - ON/OFF 13 - MENU 19 - Fast decrement 25 - Monitoring screen 14 - Graphic Function 20 - Decrement (see page 12) 15 - Correction/Back 21 - Increment 16 - STOP/PAUSE 22 - Fast increment nuvolumatMCagiliaINT 7.

• Injectomat Agilia Technical Manual Eng
• Fresenius Kabi Injectomat Agilia Syringe Pump Service Manual

9 Using the fixing clamp The fixing clamp is only orientable when closed against the pump. It is maintained in its vertical or horizontal position with the fixing button. The following images show how to modify the pump installation, from a pole to a rail position. Unscrew the clamp screw (A) and disengage the device from the pole. Push the fixing button (B).

Fold the fixing clamp against the pump. This is the recommended position for the fixing clamp when the device is placed on a flat surface. B A Rotate the fixing clamp downward through 90 degrees. Move the fixing clamp outward (A). The fixing button is released automatically. Engage the device on the rail and use the clamp screw (B) to secure it. A B nuvolumatMCagiliaINT 9.

10 Installing the device Position the device securely on the rail, pole or flat surface and connect to the mains supply. The Volumat MC Agilia can operate with its battery, but the mains supply should be used under normal conditions to ensure the battery is charged. The mains supply indicator lights up (yellow) when power is supplied by the mains or an external supply. Preparing the infusion set From the Volumat lines range, choose the infusion set that best suits your protocol. Proceed with the User test, see page 50. The user test performs a complete alarms and safety features check.

It is recommended, if the device has not been used recently, and is mandatory in some countries to fulfill local legal requirements before each use. Prepare the solution container (bag/bottle) with its associated infusion line according to local facility procedures. Caution: The infusion set and the solution container must be in normal temperature conditions: +18 /+30 C. Purging the set used with a bag or a bottle With a bag Introduce the spike right down into the bag (roller clamp open, air inlet closed). Press the bag in order to remove the air, and fill the drip chamber up to 1/2 to 2/3 of its capacity. Hang the bag upside down, and let the liquid flow into the set.

Once the set is completely primed, close the roller clamp and check absence of air bubble. Or a bottle 1. Introduce the spike right down into the bottle (roller clamp open, air inlet closed) 2. Close the roller clamp. Hang the bottle upside down then press the drip chamber in order to fill it up to 1/2 of its capacity. Open the roller clamp.

Open the air inlet, and let the liquid flow into the set. Once the infusion set is primed, close the roller clamp and check absence of air bubble nuvolumatMCagiliaINT. 11 Installing the tubing set in the pump Open the pump door by lifting the door lever. Note: The pump automatically switches on when connected to mains (see Ward option Par 28, page 48). If not, press the key. An auto-test checks the functionality of the pump.

Make sure that all LEDs and buzzers are activated. Once the auto-test is OK, a message is displayed to indicate that you can install the tubing set. Align the tubing set horizontally along the tube guides so that the green connector is positioned to the right (green) and the blue clamp is positioned in front of the clamp guide (blue).

Insert the green connector in the green slot. Position the blue clamp in its blue slot and then push the clamp to locate the spherical hinge into place. Ensure that the tube is in the left tube guide, then push the door lever to close the pump door. The Occlusivity Check System (OCS) automatically clamps the line, activates real pumping and checks the rise in pressure. The OCS test verifies the circuit and pump occlusivity to secure the pump against a risk of free flow. When the OCS test is successful, the infusion mode defined in the options is displayed (to program the infusion, see next page) nuvolumatMCagiliaINT 1112 Installing the tubing set in the pump The final installation should look like this: Place the container outside the pump Towards the patient The container should be placed between 20 and 80 cm above the pump The set should be positioned in the pump so as to avoid any tension Monitoring screen Pressure level The arrow indicates the pressure level. For details, go to page 53.

Battery level VI: Volume infused. It increases during infusion. To clear it, press the key then select 'ml?' VTBI: Volume to be infused.

It decreases during infusion. To modify it, press then select 'VTBI'. Infusion time. It decreases during infusion. Infusion in progress. Infusion indicator. Speed is related to flow rate.

Drop sensor presence indicators. Turns off when a drop is detected. Infusion flow in progress. You can always modify it, whenever necessary, by simply pressing the increment/ decrement keys, and then OK nuvolumatMCagiliaINT13 4. Operations No drug name and flow rate ml/h modes The V/R infusion mode and No drug name programming mode are described.

For another infusion mode, go to page 14; for another programming mode, go to page 25 or page Flow rate/start Volume selection Choose flow rate ml/h mode (for Dose rate mode, refer to page 20) then press OK. Use the arrows to select the volume to be infused (VTBI), then press OK. Note: Use the fast increment key to increment VTBI per predefined levels (1 ml, 10 ml, 20 ml, 50 ml, 100 ml, 250 ml, 500 ml, 1000 ml.). Caution: the volume setting must be the closest (less or equal) possible to the actual volume of the container. All added or removed volumes must be taken into account, including the volumes of fluids contained in the set and lost during priming that must be removed from the volume to be infused ( 25 ml).

3 - Flow rate selection 4 - Starting the infusion Use the arrows to modify the flow rate as required, then press OK. Note: The infusion time is calculated automatically and adjusted according to the displayed flow rate. Open the roller clamp. Check that there is no free flow or air remaining inside the infusion line. Connect the set to the patient via the IV infusion set according to local facility procedures.

Press Start to start the infusion or C to modify the Volume/Rate selection nuvolumatMCagiliaINT 1314 Other infusion modes in flow rate ml/h The infusion mode set by default is displayed, but you can select another infusion mode (Volume/Time/Rate, Volume/Time, Time/Rate, Simple rate, Ramp, Sequence or Drops/min), provided it is preselected in the Ward option Par 29 (see page 48). Note: The infusion mode menu is accessible before starting the infusion and in mode. 1 - Menu selection 2 - Infusion mode selection Press the key to display the Infusion mode screen. If it does not appear at first, use the arrows to select 'ml/h'. In the Infusion mode screen, use the arrows to select a new infusion mode, then press OK. Is displayed on the screen if you choose the current mode.

Press this key to set new parameters. 3 - Volume/Time/Rate or Volume/Time Select a volume to be infused (VTBI), then press OK. Select a time and press OK. Select a flow rate and press OK. Note: If you modify the flow rate, the infusion duration is automatically calculated and readjusted according to the displayed flow rate. Select a volume to be infused (VTBI), then press OK. Select a time and press OK.

Note: The flow rate is calculated automatically and can be modified directly only during infusion nuvolumatMCagiliaINT15 Time/Rate Simple rate Select a time, then press OK. Select a flow rate, then press OK and start.

Note: The volume to be infused (VTBI) is calculated automatically and cannot be modified directly. Drops/minute mode Select a flow rate, then press OK and start. Note 1: This infusion mode only works with the drop sensor fixed on the drip chamber and connected to the pump (for installation, see page 35). If not, a warning message appears when you select this mode in the Infusion mode screen. Shut-down the pump, set the drop sensor, and restart the pump.

Note 2: When no more drops are detected, it indicates that the container is empty. The infusion will be stopped and an alarm generated. This infusion mode allows to convert the traditional prescription of rate in drops per minute into flow rate in ml/h.

Check the equivalent quantity of drops per ml, then press OK. Select a volume to be infused (VTBI), then press OK.

Select a flow rate or a number of drops per minute and press OK according to the service option Par 33 (page 49). Note: The default value is based on the mathematical conversion 1 drop/min = 3 ml/h (20 drops per ml). This value can differ according to the choice of drug nuvolumatMCagiliaINT 1516 Ramp mode This infusion mode allows, with a simple adjustment of the rise and fall times, the infusion flow rate to be increased gradually by 10 intermediate stages until the maximum plateau flow rate is reached. At the end of the infusion, the flow rate will be gradually reduced to zero.

Note: This mode is accessible only in flow rate ml/h mode. Adjust the total volume to be infused with. Confirm by pressing OK.

Adjust the total infusion time in minutes with and, in hours with. Confirm by pressing OK. Adjust the rise time in minutes and in hours with the arrows. Confirm by pressing OK. Do the same for the fall time. Adjust the plateau flow rate with the arrows.

Confirm by pressing OK. Press start to start the infusion. 1 - Infusion stop 2 - Ramp-down Press during the infusion. 3 actions are then possible: Press to start the ramp-down. Press to stop the infusion. Press C to continue the infusion.

Note: This screen is accessible only during the plateau. Else, pressing leads directly to the infusion stopping. Check the ramp-down values, then press OK nuvolumatMCagiliaINT17 Sequential mode Up to 20 infusion sequences can be programmed, each with their own volumes to be infused and infusion flow rates. Pause (Stop) or Keep Vein Open (KVO) periods can also be programmed in sequential mode. Note: This mode is accessible only in flow rate ml/h mode. Regulate the volume of the first sequence with.

Confirm by pressing OK. Adjust the flow rate of the first sequence with the arrows. Confirm by pressing OK. Choose whether or not to beep at the end of the sequence with the arrows. Confirm by pressing OK. Select the following sequence with Adjust the following sequence(s) in the same way. Adjust the volume.

Confirm by pressing OK. Adjust the last sequence by selecting end for the last volume to be infused.

Check the sequential programming and confirm with OK. Press start to start the infusion. Changes made in a sequential program become effective only for sequences which have not yet been executed or when the entire sequential program is restarted.

A sound beep can be programmed at the end of each sequence. Note: To modify a future sequence, press the key, change the parameters of the future sequence, then press start to confirm. The sequential program is not modified. If a sequential program is modified during a sequential infusion, only future sequences will be modified. 22 7 - Flow rate selection 8 - Starting the infusion Select the dose rate, then press OK. Note: The flow rate in ml/h is calculated automatically according to the Patient parameters and the dilution. Open roller clamp.

Check that there is no free flow or air remaining inside the infusion line. Connect the set to the patient via the IV infusion set according to local facility procedures.

Press start to start the infusion. Loading dose Once the parameters are entered, a loading dose can be infused. Note: This operation is available in dose rate mode only if it is selected in the service option Par 19 (refer to page 48). 9 - Loading dose question 10 - Loading dose unit Answer the question: 'Do you want a loading dose?'

If you press no, return to step 8. Press start to go directly to the infusion. If you press yes, go to step 10.

Select the loading dose unit. Press OK to validate your choice nuvolumatMCagiliaINT23 11 - Loading dose settings 12 - Loading dose start Set up the loading dose parameters and press OK.

Press C to change the loading dose parameters. Return to step 10. Press start to start the loading dose Loading dose interruption Press the key to interrupt the loading dose.

Note: If you press the key twice, the loading dose is deleted. Press start to continue with the infusion. Answer the question: 'Continue?' - If you press no, the loading dose is deleted. Press start to continue with the infusion. If you press start, the loading dose is confirmed and the infusion continues until at the end of the loading dose. At the end of the loading dose, the infusion continues with the values programmed initially at stage 8.

Note: During the infusion, you can check the volume infused by pressing the key. The infusion screen returns automatically or press the key again nuvolumatMCagiliaINT 2324 Other infusion modes in dose rate The infusion mode set by default is displayed, but you can select another infusion mode (Volume/Time/Rate, Volume/Time, Time/Rate, Simple rate), provided it is preselected in the Ward option Par 29 (see page 48). Note: The infusion mode menu is accessible before starting the infusion and in mode. Menu selection Infusion mode selection Press the key to display the Infusion mode screen. If it does not appear at first place, use the arrows to select 'DR'.

In the Infusion mode screen, use the arrows to select a new infusion mode, then press OK. Or Volume/Time. Select a volume to be infused (VTBI), then press OK. Select a time and press OK. Select a dose rate value and press OK.

Select a volume to be infused (VTBI), then press OK. Select a time and press OK. Note: Flow rate is calculated automatically and can be modified directly only during infusion nuvolumatMCagiliaINT25 Time/Rate Simple rate Select a time, then press OK. Select a dose rate, then press OK and Start.

Note: The volume to be infused (VTBI) is calculated automatically and cannot be modified directly. Select a dose rate, then press OK and Start. Note 1: This infusion mode only works with the drop sensor fixed on the drip chamber and connected to the pump (for its installation, see page 35). If not, a warning message appears when you select this mode in the Infusion mode screen. Shut-down the pump, set the drop sensor, and restart the pump. Note 2: When no more drops are detected, it indicates that the container is empty.

The infusion will be stopped and an alarm generated. Drug labelling mode Caution: Drug labelling is available only if authorized in the the Ward option Par 22 (see page 48) and preselected in the User option User 9 (see page 46).

1 - Drug selection 2 - Define the infusion Start the pump. The Drug screen appears. Use the arrows to select a name in the Drug list, then press OK.

Note: Select 'Drug X (ml/h)' or 'Drug X (dose)' if the drug name is not in the predefined drug list. Infusion adjustments can be made as described in Operations on page nuvolumatMCagiliaINT 2526 Vigilant Drug Lib mode Vigilant Drug Lib is the safest and simplest mode to administrate a drug via the Volumat MC Agilia. You need to select a drug from a drug library in which the drugs have been predefined with all their infusion parameters. To define a drug library, use Vigilant Drug Lib for Agilia software. Caution: Vigilant DrugLib is available only if authorized in the Ward option Par 22 (see page 48) and preselected in the User option User 9 (see page 46).

1 - Drug selection 2 - Drug information Start the pump. The Drug screen appears. Use the arrows to select a drug name in the Drug library, then press OK. Note: The Drug library is preselected in the Ward option Par 17 (see page 47). Depending on the drug selected, an informative screen may appear. If the information confirms the patient s needs and the infusion provided, press OK.

Injectomat Agilia Technical Manual Eng

Infusion adjustments can be made as described in Operations on page 13. Note: Fields and selected values may be limited according to drug parameters defined by the Vigilant Drug Lib. 3 - Parameters adjustments 4 - High flow rate / Low flow rate The screen displays predefined values for volume to be infused (VTBI), time and flow rate. You can use the arrows to modify the adjustable parameters.

Press OK to validate the parameters Note 1: The selection of 'Furosemide' has switched the device to micro mode (values with one decimal). Note 2: Depending on the predefined infusion mode, some parameters cannot be modified. During parameters adjustments, if the calculated flow rate is higher than the limit predefined in the drug library, the warning High flow rate is displayed.

To launch the infusion, this high flow rate must be confirmed by a press on start. Note: Identically, the warning Low flow rate is displayed if the calculated flow rate is lower than the limit predefined in the drug library nuvolumatMCagiliaINT27 Special features Programmed bolus Via key Via key Press the key: Press prog. The 'Programmed bolus' screen appears. Go to step 1.

Press the key. Select 'Programmed bolus' in the menu. 1 - Bolus unit 2 - Bolus parameters Select the bolus unit. Note: This screen is displayed only in Dose rate mode. Adjust the bolus parameters. Select a volume or a dose, then press OK. Select a flow rate value (ml/h) then press OK nuvolumatMCagiliaINT 2728 3 - Bolus start 4 - Bolus interruption Press C to modify the bolus values.

Return to step 1. Press start to start the bolus. Note: If you press the key again, this screen appears directly with the last bolus parameters. Note: To save the bolus parameters, press on the diskette icon. Manual bolus Press the key to interrupt the bolus.

Answer the question: 'Continue?' - If you press no, the bolus is deleted. If you press start, the bolus continues. Note: During the bolus, the occlusion pressure level is set to its maximum value (750 mmhg). To start a bolus, press twice on the key: one short press, then one continuous press (activates bolus; check volume infused on screen).

This volume is taken into account in the VTBI). To stop the bolus, release the key.

To change the bolus rate, keep the bolus key pressed for at least 3 seconds and modify the bolus rates with the selection keys. Note: This operation is available only if preselected in the Ward option Par 19 (see 48). During the bolus, the occlusion pressure level is set to its maximum value (750 mmhg). Note: This function is not accessible with Ramp and Sequential modes nuvolumatMCagiliaINT29 The first two features are available only if preselected in the Ward option Par 19 (see page 48). Prime set See air bubble Press the key to start-up the pump. The infusion mode defined in the options is displayed after the OCS screen. Press the key.

Make sure that the set is not connected to the patient, as indicated on screen. Press the key continuously and release the key to end priming. Note: Priming is accessible as long as the infusion has not started. Note: This feature is available only when an air alarm is triggered (air volume exceeded or air bubble in front of the air detector).

The air bubble is removed without having to open the pump door. Press the key to reach function Press OK to confirm, or C to cancel the selection. Press the key continuously to force the air out of the pump. Note: This feature allows you to advance the air bubble at the same set rate for a volume equal to the volume of air defined in the alarm setting. Caution: It is recommended to ask for medical advice to assess if the infusion can be restarted because air is still present. If the air bubble exceeds an acceptable size, or if the pump cannot be restarted because air is still present, the set should be removed from the pump and disconnected from the patient according to facility procedures for set priming or set exchange. Note: During priming, the occlusion pressure level is set to its maximum value (750 mmhg), and the air alarm is disabled nuvolumatMCagiliaINT 2930 General operations The following operations can be repeated and/or modified during the infusion process.

Note: For information on LEDs, see Indicator lights in chapter 'Display and symbols', page 36. Stop Switch-off To stop the infusion, press the key. Note: After 2 minutes, an alarm is generated as a reminder that the infusion is stopped. To restart the infusion, you must confirm (or modify) the volume, time and flow rate values, by pressing OK for each value, and finally start. Press the key to interrupt the infusion. Press the key continuously, until the Switch off screen disappears. To disconnect the pump, disconnect the mains supply, then the power lead.

Fresenius Kabi Injectomat Agilia Syringe Pump Service Manual

Pause To program a pause, press the key twice, define a pause duration If desired, press the checkbox button to activate the 'Start infusion at pause end' option for an automatic start. Note: If you do not check the 'Start infusion at pause end' option, an audible alarm is generated at the end of the pause duration.

A manual start is necessary to continue the infusion nuvolumatMCagiliaINT31 VTBI selection during infusion Pressure management During infusion it is possible to adjust the VTBI. Press the key to access the menu and select VTBI. Modify the VTBI with the selection keys and press OK. The pressure parameters for the infusion can be defined from the pressure management menu.

Press the key, use the selection keys and enter button to access the Pressure management parameters. Maximum pressure DPS Use the selection keys to define the upper pressure limit and press OK. The Dynamic Pressure System (DPS) calculates pressure differences to anticipate possible occlusion or disconnection problems. To activate the DPS, use the button. To continue the infusion, press OK nuvolumatMCagiliaINT 3132 History To display the history when the infusion is in progress, press the graphic key. This key also allows the numerical and graphical infusion screen to be selected.

Press the button with short press until you reach the history menu. Choose the history with the selection value keys.

Symbols Definitions Circle Curve Loop + Loop - Right arrow Left arrow Vertical line Eye Pressure history Flow rate history Go to more detailed period Go to less detailed period Displace the event marker to the right side Displace the event marker to the left side Time / event marker Time / event details where the marker is placed Note 1: To refresh the history, exit and select the history again. Refresh is not automatically performed when remaining in the history screen.

Note 2: The history is not stored after switch off nuvolumatMCagiliaINT33 Pressure history (in mmhg) The date and user pressure limit is displayed on the upper line. The dotted curve represents the limit. The limit is adjustable in User Menu User 4: pressure (see page 46). It is also adjustable during infusion in the Pressure section of the menu. The continuous curve represents the real pressure during infusion The history is cancelled on drug change and patient change. The history runs over 2 hours. Note: On boluses and purge the pressure limit alarms are increased to their maximum level.

Example of an occlusion view Example of the detailed screen of the event This screen appears when pressing the eye key. User limit indicates the limit set by the user. Current limit is the pressure on infusion in the line. Flow/Dose rate history The history runs over 12 hours. The upper line indicates the flow or dose rate nuvolumatMCagiliaINT 3334 Changing an infusion set 1. Press the key to hold the infusion.

Close the roller clamp. Press the key to silence the audible signal for 2 minutes. Open the pump door. Disengage the infusion set from the pump. Disconnect the infusion set from the container.

Disconnect the infusion set from the IV device in accordance with local facility procedures. Follow instructions as described from pages 11 to 13 (set installation and infusion adjustments). Pre-programming the infusion The Volumat MC Agilia can be pre-programmed before installing the tubing set.

Switch on the device (door closed and without set) and select the button. Infusion adjustments can be made as described in Operations on page 13. When the parameters are logically entered and confirmed by pressing OK, the exit and C options are displayed as optional actions. C will allow parameter modifications and exit validates the program parameters and the device will display the 'Install set' screen. When the tubing set is installed, the device self -tests and the programmed parameters are displayed. Press start to start the infusion or C to modify the parameters. Note: The parameters are stored in the device and are displayed when the machine is turned on nuvolumatMCagiliaINT.

Benefits DEHP-free. All Volumat Lines are free from phthalates (DEHP) in order to limit patient exposure to the components of the plastic materials. There is no risk of DEHP migration into the vascular system of the patient during the IV Treatment.Automatic flow stop. The SafeClip on the Volumat Lines automatically clamps the line to avoid any risk of free-flow when the door is opened and when the set is removed. The risk of an unclosed roller clamp is eliminated.OCS for complete security. The occlusivity check system (OCS) is the auto-test that checks the correct working order of the pump in association with the silicone segment of the administration set to prevent free-flow.

The efficiency of this combination is tested whenever the set is installed by performing the OCS test.Guaranteed set performance. All Volumat Lines have a silicone pumping segment with a very precise diameter and high elasticity. The special design guarantees excellent flow rate accuracy and infusion reliability. Recalibration of the pump is not necessary.Wide flow rate range.

The design of the silicone segment enables constant flow rates in the range from 0.1 up to 1500 ml/h, whereas non-dedicated systems with PVC lines are limited to a maximum rate of 600 to 1000 ml/h.Intelligent pressure management. Special sensors in the pump measure the pressure on two points of the silicone segment. Both upstream- and downstream occlusions occurring in the line are detected enabling safe pressure management.Ease of use.

The set connectors have the same blue and green colour and shape as the dedicated slots in the pump for an intuitive and fast installation of the set. This system makes it impossible to insert the set the wrong way round. Thanks to the high reliability of the pumps and the sets, a drop sensor is no longer necessary.Service.