Baxter - Operator Manual - ExactaMix 2400 Compounder - 5300-7410 Rev. C

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SYMBOLS ON THE COMPOUNDER

Power button Power light

Load cell Display

Pump door must be closed to


Warning / Caution
operate

USB port Ethernet port

Reset button Protective ground (earth) terminal

WARNING! USA Federal law


restricts this device to sale,
Fuse
distribution, and use by or on
order of a physician.

TERMS IN THIS MANUAL

WARNING
Indicates a risk of personal injury or patient harm if the instructions are not followed

CAUTION
Indicates a risk of damage to equipment or data if the instructions are not followed

IMPORTANT! Provides important information


NOTE: Provides additional information
Tip! Provides a recommendation

In the electronic version of this manual, underlined text and Table of Contents entries provide
hyperlinks to other sections.
Table of Contents

TABLE OF CONTENTS

INTRODUCTION ..................................................................................................................... 1
COMPONENTS ....................................................................................................................... 2
Hardware Components ....................................................................................................... 2
Daily Use Components ........................................................................................................ 6
Software .............................................................................................................................. 7
License..................................................................................................................... 7
Permissions ............................................................................................................. 7
Navigation ............................................................................................................... 8
Menu Screen ........................................................................................................... 8
Pump Screen ........................................................................................................... 9
Tutorials ................................................................................................................ 12
FEATURES ............................................................................................................................ 13
Summary of Features ........................................................................................................ 13
Order Entry ....................................................................................................................... 13
Formulary .......................................................................................................................... 13
Ingredient Groups ............................................................................................................. 14
Universal Ingredient.......................................................................................................... 14
Configuration .................................................................................................................... 15
Barcode Verification ......................................................................................................... 15
Measurement of Volume and Weight .............................................................................. 15
Volumetric Delivery .............................................................................................. 15
Automatic Calibration ........................................................................................... 15
Gravimetric Verification ........................................................................................ 16
Printing Options ................................................................................................................ 16
Network Connectivity ....................................................................................................... 17
ORDERING SUPPLIES ............................................................................................................ 18
Inlets.................................................................................................................................. 18
Bags ................................................................................................................................... 19
Valve Sets .......................................................................................................................... 21
GETTING HELP...................................................................................................................... 22
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Table of Contents
INSTALLING THE COMPOUNDER........................................................................................... 23
STARTING UP, LOGGING IN AND OUT, AND SHUTTING DOWN .............................................. 30
Starting Up and Logging In ................................................................................................ 30
Logging Out ....................................................................................................................... 32
Rebooting and Shutting Down .......................................................................................... 32
SETTING UP THE COMPOUNDER........................................................................................... 35
Accessing the Setup Wizard .............................................................................................. 35
Calibrating the Load Cell ................................................................................................... 37
Selecting the Configuration .............................................................................................. 40
Changing the Tube Set ...................................................................................................... 42
Checking the Tube Set Statistics ........................................................................... 42
Removing the Expired Tube Set and Expired Ingredients .................................... 44
Installing the New Valve Set ................................................................................. 45
Preparing the New Ingredients ............................................................................. 47
Attaching the New Ingredients and Inlets ............................................................ 48
Priming and Verifying........................................................................................................ 58
Verifying the Ingredient and Inlet Barcodes ......................................................... 59
Priming the Inlets and Verifying the Setup ........................................................... 62
Calibrating the Compounder ............................................................................................ 69
Attaching and Removing the Calibration Bag ................................................................... 73
Attaching the Calibration Bag ............................................................................... 73
Removing the Calibration Bag .............................................................................. 73
Viewing the Authorization Report .................................................................................... 74
USING THE COMPOUNDER ................................................................................................... 75
Loading the Formula ......................................................................................................... 75
Loading a Formula by Scanning a Barcode ........................................................... 75
Entering a Formula through Direct Entry ............................................................. 77
Saving and Using a Direct-Entry Formula ............................................................. 80
Saving a Direct-Entry Formula to Use Later .......................................................... 81
Selecting a Saved Formula .................................................................................... 83
Fulfilling the Order (Basic Process) ................................................................................... 84
Understanding Automatic Unloading of Formulas ............................................... 84

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Table of Contents
Attaching the Patient Bag ..................................................................................... 85
Compounding the Solution ................................................................................... 86
Removing the Patient Bag..................................................................................... 90
Completing the Order ........................................................................................... 90
Fulfilling the Order (Additional Steps) .............................................................................. 91
Performing an Auto-Addition ............................................................................... 91
Performing a Manual Addition ............................................................................. 93
Replacing a Source Container ............................................................................... 94
Handling an Air Bubble ......................................................................................... 96
Handling an Occlusion........................................................................................... 98
Handling Other Interruptions and Errors............................................................ 100
MAINTAINING THE COMPOUNDER..................................................................................... 101
Calibrating the Load Cell ................................................................................................. 101
Changing the Tube Set .................................................................................................... 101
CLEANING THE COMPOUNDER ....................................................................................... 101
Calibrating the Compounder .......................................................................................... 103
Shutting Down and Starting Up the Compounder .......................................................... 103
Backing Up and Compacting the Database ..................................................................... 103
Backing Up the Entire Database ......................................................................... 104
Compacting the Database ................................................................................... 106
PERFORMING ADVANCED TASKS ........................................................................................ 107
Changing the Universal Ingredient ................................................................................. 107
Changing the Ingredient Remainders ............................................................................. 109
SETTING UP THE OPTIONS .................................................................................................. 111
Setting Up the System Options ....................................................................................... 111
MixCheck Report ................................................................................................. 112
Load Cell .............................................................................................................. 113
Track Product Expiration Date and Lot Number ................................................. 113
Logging ................................................................................................................ 113
Demo ................................................................................................................... 113
Storage ................................................................................................................ 114
MixCheck Data Export......................................................................................... 114

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Table of Contents
Tube Set Expiration ............................................................................................. 115
Setting Up the System (Continued) Options................................................................... 116
Database Compaction ......................................................................................... 116
Acceptable Weight Variances (%) ....................................................................... 117
Manual Add ......................................................................................................... 117
Flush Between UI Changes.................................................................................. 117
Report Printer ..................................................................................................... 117
MixCheck Data Export Printer............................................................................. 117
MixCheck Signature Label ................................................................................... 118
Authorization Report Signature Label ................................................................ 118
Setting Up the Security Options...................................................................................... 119
General ................................................................................................................ 119
Auto-Logout ........................................................................................................ 119
Password Expiration............................................................................................ 120
Order Entry Serial Number ................................................................................. 120
Barcode Reader ................................................................................................... 120
Default User ........................................................................................................ 120
Cosignature ......................................................................................................... 120
Solution Limit ...................................................................................................... 121
Setting Up the Directories Options ................................................................................. 121
Viewing the OEM Options............................................................................................... 122
SETTING UP THE USERS ...................................................................................................... 123
Working with Groups ...................................................................................................... 123
Adding or Editing a Group................................................................................... 123
Deleting a Group ................................................................................................. 126
Working with Users......................................................................................................... 127
Adding or Editing a User ..................................................................................... 127
Deleting a User .................................................................................................... 129
Changing a Password .......................................................................................... 129
IMPORTANT! Passwords are case-sensitive. ..................................................... 129
Logging in as a Different User ............................................................................. 130
USING THE CONFIGURATION EDITOR ................................................................................. 131

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Table of Contents
Adding or Editing a Configuration................................................................................... 132
Deleting a Configuration ................................................................................................. 138
USING THE FORMULARY EDITOR ........................................................................................ 139
Working with Ingredients ............................................................................................... 141
Adding or Editing an Ingredient .......................................................................... 141
Deleting an Ingredient ........................................................................................ 142
Viewing an Ingredient’s Usage Information ....................................................... 142
The Calibration Ingredient .................................................................................. 143
Viewing the Calibration Ingredient ..................................................................... 143
Working with Products ................................................................................................... 143
Adding or Editing a Product ................................................................................ 143
Deleting a Product .............................................................................................. 145
Viewing a Product’s Usage Information ............................................................. 146
USING THE INGREDIENT GROUP EDITOR ............................................................................ 147
Adding or Editing an Ingredient Group ........................................................................... 148
Deleting an Ingredient Group ......................................................................................... 149
USING THE INLET EDITOR ................................................................................................... 150
Adding or Editing an Inlet ............................................................................................... 151
Deleting an Inlet .............................................................................................................. 152
Viewing an Inlet’s Usage Information ............................................................................. 152
Viewing an Inlet’s Speeds and Flow Factors ................................................................... 153
USING THE BAG INVENTORY EDITOR .................................................................................. 155
Adding or Editing a Bag ................................................................................................... 157
Deleting a Bag ................................................................................................................. 158
USING REPORTS ................................................................................................................. 159
MixCheck Report ............................................................................................................. 161
Customizing MixCheck Reports .......................................................................... 161
Using MixCheck Reports ..................................................................................... 161
Viewing Old MixCheck Reports ........................................................................... 166
Authorization Report ...................................................................................................... 167
Formula Report ............................................................................................................... 168
Log Report ....................................................................................................................... 171

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Table of Contents
Configuration Report ...................................................................................................... 174
Formulary Report ............................................................................................................ 176
Product Barcodes Report ................................................................................................ 178
Inlet Barcodes Report ..................................................................................................... 180
Blackbox Report .............................................................................................................. 181
Calibration Summary Report .......................................................................................... 183
Formula Precision Report ............................................................................................... 185
Ingredient Usage Report ................................................................................................. 188
Bag Usage Report ............................................................................................................ 190
Flow Factors Report ........................................................................................................ 192
TROUBLESHOOTING ........................................................................................................... 193
Handling Interruptions and Errors .................................................................................. 193
Issues with the Barcodes .................................................................................... 193
Issues with the Formulas, Ingredients and Configurations ................................ 197
Issues with the Calibration.................................................................................. 201
Issues with the Weight and Load Cell ................................................................. 202
Issues with the Pump .......................................................................................... 203
Issues with the Occlusion Detector / “Flow Sensor” .......................................... 204
Other Issues ........................................................................................................ 205
Loading a Formula by Connecting a USB Drive ............................................................... 207
Restoring the Database................................................................................................... 209
GLOSSARY.......................................................................................................................... 211
APPENDIX .......................................................................................................................... 215
Specifications .................................................................................................................. 215
Display ................................................................................................................. 215
Dimensions.......................................................................................................... 215
Weight ................................................................................................................. 215
Electrical .............................................................................................................. 216
Performance ....................................................................................................... 216
Environmental Conditions .................................................................................. 216
WEEE Compliance ........................................................................................................... 217
Warranty Statement ....................................................................................................... 217

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Introduction

INTRODUCTION
The Baxter ExactaMix® 2400 Compounder is an automated pumping system that compounds
multiple sterile ingredients into a finished solution in a single patient bag. Using a formula
provided electronically or entered manually, the compounder withdraws a specified volume of
each ingredient from its source container in a specified sequence, and pumps each ingredient
into a patient bag. The finished solution is delivered to patients intravenously.
You can use the compounder to compound solutions such as:
• Total Parenteral Nutrition (TPN)
• Continuous Renal Replacement Therapy (CRRT)
• Cardioplegia
• Base solutions
• Epidurals
WARNING
The compounder software is not intended to replace the professional judgment or
knowledge of a pharmacist or pharmacy technician.

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Components

COMPONENTS
HARDWARE COMPONENTS
The compounder consists of these main hardware components:

Vial rack

Load cell

Display

Barcode reader
Base plate

Main module

Hardware components
NOTE: The vial rack extension (optional) and the printer (North America only) are not shown.

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Components
The main module contains the moving parts of the compounder, including these parts:
• The valve actuators open and close as needed to allow the delivery of individual
ingredients. When the pump is paused, the valve actuators automatically close.
• The occlusion detector detects occlusions (blockages) in the tube between the source
containers and the detector.
• The bubble detector detects air bubbles as they pass through the tube over the
detector.
• The pump door allows access to the pump rotor.
• The pump rotor moves the fluid from the valve set to the destination bag.

Occlusion detector Valve actuators


Bubble detector

Pump door

Pump rotor

Main module, with close-up view of the top

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Components
The load cell weighs each destination bag
and sends this measurement back to the
display, where calculations are performed.
A 2,000 g calibration weight is provided with
the compounder and used to calibrate the
load cell.

Load cell
The display operates the compounder
software and includes a touch screen for
easy input. The bottom of the display
contains four USB ports, which can be used
to connect a barcode reader, keyboard,
mouse, and printer or USB drive. The bottom
of the display also contains one Ethernet
port.

Display
The 2400 barcode reader is stored on the
right side of the display. This reader is used
to scan barcodes on the labels of source
containers, inlets and patient bags.
Models of the barcode reader may vary.

Barcode reader

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Components
The vial rack attaches to the main module.
Adjustable vial holders and syringe holders
attach to the vial rack.

Vial rack
The base plate is the common base on which
the compounder’s components sit.

Base plate
The laser printer, used for printing reports
and labels, can be connected directly to the
compounder or to a network.
Models of the printer may vary.
The printer is available in North America
only.

Printer

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Components

DAILY USE COMPONENTS


• The valve set is a sterile, multiple-port valve with an outlet tube attached. The valve
body fits over the valve actuators on the compounder, protecting them from damage.
The outlet tube attaches to the destination bag. For ordering information, refer to Valve
Sets on Page 21.
• The inlet is a sterile tube with a spike or Luer end attached. The spike or Luer end
attaches to a source container, and the other end attaches to a port on the valve set.
The type of inlet that is used depends on the source container. For inlet types,
descriptions and ordering information, refer to Inlets on Page 18.
NOTE: The valve set and inlets are collectively known as the tube set.
• The destination bag is a sterile container that holds the fluid pumped from the source
containers. There are two main types of destination bags, which are available in
different sizes. For bag types, descriptions and ordering information, refer to Bags on
Page 19.
o The patient bag is used for delivering the finished solution to a patient. This bag
contains three ports for filling the bag, adding ingredients manually and
delivering the finished solution.
o The calibration bag is used for collecting any fluid that is not intended for a
patient. For example, this type of bag is used while calibrating and priming the
compounder. This bag contains only one port for filling the bag. The calibration
bag is available in North America only.

Valve set Inlet Patient bag Calibration bag

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Components

SOFTWARE
The display of the compounder has Baxter ExactaMix® 2400 Operating Software installed.
To comply with regulations of the United States Food and Drug Administration (FDA), the
compounder has been validated and approved for use only with the software that Baxter
Healthcare Corporation provides.
CAUTION
Do not install any software on the compounder—including operating system updates,
antivirus software or firewall software—unless the software is provided by or approved
in writing by Baxter. Installing any software not approved by Baxter may change the
operating parameters, adversely affect the operation and create unsafe conditions.
Installing this software voids the compounder’s warranty.

License
The license to use the compounder software is granted to a single concurrent user on a single
ExactaMix 2400 Compounder for the term of the equipment contract. Baxter retains ownership
of the software. Distribution or copying of this software, other than for backup purposes, is
expressly forbidden.

Permissions
The options that appear in the software depend on the permissions granted to the user. If you
have questions about your permissions, contact your supervisor. For more information about
setting up permissions, refer to Setting Up the Users on Page 123.

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Components
Navigation
On any screen or window that requires data entry, tapping a field displays an on-screen
keyboard or number pad that allows you to enter characters.

On-screen keyboard and number pad

Menu Screen
The menu screen allows access to menus and settings.

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Components

Menu screen
The menu screen has six tabs at the top. Tapping a tab displays a drop-down menu. Use the:
• File menu to manage formulas, log in or out of the software, exit the software, restart
the compounder or shut down the compounder
• Edit menu to edit the configurations, formulary, ingredient groups, inlet information
and bag information
• Compound menu to set up the compounder for operation, select a formula to
compound and manage ingredients
• Tools menu to set up options related to the system, users, security, directories used for
saving certain files and software maintenance
• Reports menu to view, print and export reports related to compounding and other
device activity
• Help menu to view tutorials and information about the hardware and software
Tapping Close in the bottom right displays the pump screen (or a similar screen during the
setup process). You can also display the pump screen by selecting certain functions, such as
those on the Compound menu.

Pump Screen
The pump screen shows a diagram of the valve set. It is used during the compounding process.
Similar screens are used during setup.

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Components

Pump screen at the start of the compounding process


The appearance of the pump screen changes slightly during various steps of the compounding
process. However, the screen always includes these elements:
• The Formula: <formula name / patient name> and Serial #: <serial number> appear on
the top of the screen.
• Buttons appear on the left side of the screen. Tapping Run starts the compounding
process. Tapping Menu displays the menu screen.
• The total volume to be pumped for the order appears under the Menu button.
• A diagram of the valve set with numbered ports appears on the middle of the screen.
Ports that:
o Have no ingredient attached have an X over them
o Have an ingredient attached have an ingredient button connected
o Have the Universal Ingredient attached are identified by a U
o Make up an electronic Y-site are identified by colored highlighting

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Components

Ingredient button
On the pump screen, each ingredient button includes:
• The abbreviated ingredient name
• The port number
• A green check mark indicating that the inlet and port have been verified, or a red X
indicating that they need to be verified
• The ordered volume of the ingredient
• A number indicating the ingredient’s place in the compounding sequence
• A vertical bar showing how much of the ingredient remains in the container; during the
compounding process, this bar decreases as the remaining volume decreases
• A horizontal bar showing how much of the ingredient is being used for the current
order; during the compounding process, this bar increases as the pumped volume
increases

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Components
When an ingredient is being pumped, its button becomes yellow. An animation shows fluid
moving through the inlets and the outlet tube into the destination bag. Horizontal marks across
an inlet represent fluid, indicating that this inlet has been primed.

Tutorials
The compounder software includes step-by-step tutorials about setting up the compounder.
To access the tutorials:
1. At the menu screen, tap Help > Tutorials.
2. At the tutorials window:
• On the Contents tab, tap a topic to display the associated help content.
• On the Index tab, enter and search for keywords.

Tutorials window

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Features

FEATURES
SUMMARY OF FEATURES
The compounder:
• Accepts formulas created by order-entry software via 2D Formula Barcode/PAT/FRM file
interface, or by direct entry on the compounder
• Uses barcodes on the source containers and inlets to promote proper setup
• Includes software with a Setup Wizard to guide you through the setup process
• Supports a maximum of 24 ingredients, source containers in volumes of 10–5,500 mL
and destination bags in volumes of 125–5,000 mL
• Allows you to attach the same ingredient to more than one port, creating an electronic
Y-site
• Allows you to specify the sequence in which ingredients are pumped
• Allows you to specify the accuracy limits for the finished solution
• Uses volumetric delivery, gravimetric verification and automatic calibration to help
ensure delivery accuracy
• Uses a bubble detector and occlusion detector
• Can be immediately stopped by lifting the pump door
• Can track ingredient lot numbers and ingredient expiration dates
• Generates a MixCheck™ Report for each finished solution
• Can print reports and barcode labels at the compounder’s printer
• Can be set up to communicate with the printer and the order-entry computer through a
network

ORDER ENTRY
Order entry can be done through direct entry, refer to page 77, or by using separate order-
entry software.
The ExactaMix operating software can communicate, via a network, with order-entry software
on a separate computer. The order-entry software must produce both a .PAT/.FRM file and a
corresponding barcode. Scanning the barcode at the compounder retrieves the .PAT/.FRM file.
Alternatively the order-entry software must be able to produce a formula label, containing the
formula details in the 2D barcode. Scanning the 2D barcode loads the formula onto the
compounder. For more information, refer to Loading the Formula on Page 75.

FORMULARY
The formulary is the list of ingredients, and associated products, which can be attached to the
compounder.

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Features
An ingredient is a solution of a specific chemical entity at a specific concentration regardless of
container size, container type or manufacturer. One ingredient can have several associated
products.
A product is an ingredient in a particular container size and type from a specific manufacturer.
Several products can be associated to one ingredient group.
For example, in North America:
• Ingredient: Dextrose 70%
• Products:
o Hospira Dextrose 70%, 2000 mL bag
o Hospira Dextrose 70%, 1000 mL bag
o Hospira Dextrose 70%, 500 mL bottle
o Baxter Dextrose 70%, 2000 mL bag
o Baxter Dextrose 70% 1000 mL bottle

INGREDIENT GROUPS
An ingredient group is a list of chemically similar ingredients. For example:
• Ingredient Group: Phosphate
Ingredients: K Phos 3mM/mL, Na Phos 3mM/mL
• Ingredient Group: Calcium
Ingredients: Ca Gluconate 10%, Ca Chloride 10%
Some ingredients can tolerate each other’s presence in the finished solution, but must be
separated during compounding to ensure that they do not mix within the common fluid
pathway, or within the patient bag in the absence of sufficient volume. These ingredients are
considered to be incompatible. For example, calcium and phosphate should not be mixed in
their concentrated forms (in the absence of amino acids), or a precipitate will immediately
result. The compounder will pump incompatible ingredients only if it can pump a user-specified
volume of another ingredient between them.
Each ingredient group has a list of other groups with which it is incompatible. When ingredients
are assigned to these groups, the software can detect formulas in which incompatible
ingredients are not sufficiently separated.

UNIVERSAL INGREDIENT
When a patient bag is removed, approximately 25 mL of the last ingredient pumped remains in
the common fluid pathway. This ingredient then becomes the first ingredient to enter the next
patient bag when the next solution is compounded. Because this ingredient must be suitable
for all formulas, it is called the Universal Ingredient (UI).
Each formula must include enough UI volume to allow a final flush, which flushes all the
previous ingredients into the patient bag. Regardless of the total volume of the UI to be
delivered, the compounder reserves enough UI volume to perform a final flush at the end of

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Features
the compounding process. You can change the volume used for the final flush when creating a
configuration.
The UI is specified by the facility and is typically water or dextrose.

CONFIGURATION
A configuration identifies the products that will be attached to the ports, the sequence in which
they will be pumped, any allowable auto-additions, the ingredient and volume to use for any
ingredient flushes, the Universal Ingredient and the volume to use for the final flush.

BARCODE VERIFICATION
WARNING
It is important to use a barcode reader for scanning labels during verification of the
setup.
For the barcode verification to be effective, it is critical that the configuration be set up
properly. For instructions, refer to Attaching the New Ingredients and Inlets on
Page 48.
During daily setup, or when a source container must be replaced, the software guides you
through a process of barcode verification. You scan a barcode label on each inlet and each
source container to verify that the inlet is attached to the correct container.
Each inlet must be labeled with a barcode that identifies the port to which the inlet is attached.
These barcode labels are packaged with the valve set. The compounder software can also
generate a report that makes these labels available for printing.
Most source containers already have a manufacturer’s barcode label attached. For containers
that are filled or diluted in the pharmacy, the compounder software can also generate a report
that makes these labels available for printing.
Tip! Baxter strongly recommends using the manufacturer’s barcode whenever possible.

MEASUREMENT OF VOLUME AND WEIGHT


The compounder uses volumetric delivery to move fluid, with gravimetric verification to check
the final weight of the destination bag. The compounder also performs an automatic calibration
to maintain delivery accuracy.

Volumetric Delivery
The pump rotor moves as it pumps an ingredient into the destination bag. The amount of
movement determines the volume that is delivered.

Automatic Calibration
The pump is calibrated with water. A flow factor associated with each ingredient adjusts the
flow of that ingredient compared to the flow of water. The flow factor accounts for the
ingredient’s viscosity, the size and type of its source container, its inlet, its venting and other
factors that affect its delivery. As a result, calibrating with water automatically calibrates the
compounder for use with all the other ingredients.
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Features
Every time the rotor pumps an uninterrupted delivery of 175 mL or more of water, the
compounder automatically performs a calibration of the rotor movement. Automatic
calibration maintains the rotor’s accuracy and reduces the need for manual adjustments.

Gravimetric Verification
The compounder provides feedback about its delivery accuracy by weighing the finished
solution and comparing that weight to the theoretical weight of a perfectly compounded
solution. This theoretical weight is computed by this formula:

PRINTING OPTIONS
The printer is used for printing reports and creating labels for inlets and source containers.
The printer can use standard 8.5 x 11 in. (21.6 x 28 cm) for reports and Avery® label sheets
(70x25,4mm) (or comparable sheets) for inlet flags.
For using A4 paper, in the Options window, change the reports directory path to C:\Program
Files\Baxter\Exacta-Mix 2400\Reports\A4. Refer to section Setting Up Directories Option on
page 121.
You can connect the printer to a:
• USB port on the display
• USB port on the order-entry computer, for use on a network
• Network via an Ethernet cable
The compounder software includes the printer drivers.
CAUTION
Use only Baxter-authorized printers with the compounder. Installing other printer
drivers on the compounder voids the compounder’s warranty.

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Features

NETWORK CONNECTIVITY
You can connect the compounder, via an Ethernet cable, to a:
• Facility network
• Mini-net that is typically shared only with the order-entry computer and the
compounder’s printer
The compounder reaches out to the network only to retrieve .PAT/.FRM files, send print jobs
and back up the database.
Baxter does not support network-related equipment, nor activities related to setting up or
troubleshooting network connectivity for the compounder.
Tip! If you connect the compounder to a network, Baxter recommends taking precautions to
minimize the compounder’s exposure to cyber threats. For example, isolate the compounder
behind a VLAN or use a router that acts as a firewall. For more information about network
security, contact Baxter Technical Services. Refer to Getting Help on Page 22.

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Ordering Supplies

ORDERING SUPPLIES
Order supplies through your normal channels.
Baxter Customer Service at +1.800.567.2292.

WARNING
Use only sterile inlets, bags and valve sets validated by Baxter.

INLETS
The following inlets are available worldwide.
Standard Minimum
Order Quantity /
Product For use with: Priming Priming
Number Case
Volume Volume
Non-vented High- H938173 25 Large-volume, vented or collapsible 50–60 25–30 mL
Volume Inlet containers (such as bags of dextrose mL
and water)
Vented High- H938174 25 Large-volume, non-vented 50–60 25–30 mL
Volume Inlet containers that require a spike to mL
vent air into the container
Vented Micro- H938175 25 Small-volume vials 5–6 mL 2.5–3 mL
Volume Inlet
Micro-Volume Inlet, H938751 25 Small-volume bags or bottles that 5–6 mL 2.5–3 mL
with Large-Bore require a large-bore spike
Spikes
Syringe Inlet H938176 25 60 mL Luer syringes (regardless of 5–6 mL 2.5–3 mL
the volume they contain)

OEM inlets are sterile, bio-compatible, non-pyrogenic, non-DEHP and contain no natural rubber
latex components.
NOTE: The compounder will automatically use the highest available value for the standard
priming volume and half of that value for the minimum priming volume. However, you can
adjust these priming volumes in the Inlet Editor. For instructions, refer to Using the Inlet Editor
on Page 150.

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Ordering Supplies

BAGS
The following bags are available in North America.
Order Quantity / Notes
Product
Number Case
ExactaMix Empty EVA Container, H938737 50
250 mL
ExactaMix Empty EVA Container, H938738 50
500 mL
ExactaMix Empty EVA Container, H938739 50
1000 mL
ExactaMix Empty EVA Container, H938740 50
2000 mL
ExactaMix Empty EVA Container, H938741 50
3000 mL
ExactaMix Empty EVA Container, H938142 50
4000 mL
ExactaMix Empty EVA Container, H938143 50
5000 mL
ExactaMix Empty EVA Container, H938901 42
dual chamber, 1500 mL
ExactaMix Empty EVA Container, H938905 42
dual chamber, 3000 mL
ExactaMix Empty EVA Calibration H938735 50 Can be used for functions other than
Bag, 1000 mL calibration; refer to calibration bag on Page 6
Tamper-resistant add-port cap H9384858 100 Not compatible with dual-chamber bags
Baxter bags are sterile, bio-compatible, non-pyrogenic and contain no natural rubber latex
components. These bags have a large-bore, threaded fill-port connector.

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Ordering Supplies
The following bags are available in European Countries
Product Size Qty/ Fill Port Mfr
Product Description Film
Code (mL) Cs
E1301-OD EVA, TPN Bag, Internal Thread, 125 mL EVA 125 50 Lg. Bore B. Braun
E1302-OD EVA, TPN Bag, Internal Thread, 250 mL EVA 250 50 Lg. Bore B. Braun
E1305-OD EVA, TPN Bag, Internal Thread, 500 mL EVA 500 50 Lg. Bore B. Braun
E1310-OD EVA, TPN Bag, Internal Thread, 1000 mL EVA 1000 40 Lg. Bore B. Braun
E1320-OD EVA, TPN Bag, Internal Thread, 2000 mL EVA 2000 35 Lg. Bore B. Braun
E1330-OD EVA, TPN Bag, Internal Thread, 3000 mL EVA 3000 35 Lg. Bore B. Braun
E1340-OD EVA, TPN Bag, Internal Thread, 4000 mL EVA 4000 30 Lg. Bore B. Braun
E1350-OD EVA, TPN Bag, Internal Thread, 5000 mL EVA 5000 25 Lg. Bore B. Braun
E1302-OD/5 EVA, TPN Bag, Internal Thread, 250 mL (5 EVA 250 50 Lg. Bore B. Braun
pack)
E1305-OD/5 EVA, TPN Bag, Internal Thread, 500 mL (5 EVA 500 50 Lg. Bore B. Braun
pack)
E1310-OD/5 EVA, TPN Bag, Internal Thread, 1000 mL (5 EVA 1000 40 Lg. Bore B. Braun
pack)
EVA, TPN Bag, Internal Thread, 500 mL (5
E1305-OD/5 50 B. Braun
pack) EVA 500 Lg. Bore
EVA, TPN Bag, Internal Thread, 1000 mL (5
E1310-OD/5 40 B. Braun
pack) EVA 1000 Lg. Bore
EVA, TPN Bag, Internal Thread, 2000 mL (5
E1320-OD/5 35 B. Braun
pack) EVA 2000 Lg. Bore
E1302-OV/5 B. Braun EVA TPN Bag, 250 mL (5 pack) EVA 250 50 Lg. Bore B. Braun
E1305-OV/5 B. Braun EVA TPN Bag, 500 mL (5 pack) EVA 500 50 Lg. Bore B. Braun
E1310-OV/5 B. Braun EVA TPN Bag, 1000 mL (5 pack) EVA 1000 40 Lg. Bore B. Braun
E1320-OV/5 B. Braun EVA TPN Bag, 2000 mL (5 pack) EVA 2000 35 Lg. Bore B. Braun
E1330-OV/5 B. Braun EVA TPN Bag, 3000 mL (5 pack) EVA 3000 35 Lg. Bore B. Braun
E2301OD TPN BAG EVA 125 mL YELLOW EVA 125 50 Lg. Bore B. Braun
E2302OD TPN BAG EVA 250 mL YELLOW EVA 250 50 Lg. Bore B. Braun
E2305OD TPN BAG EVA 500 mL YELLOW EVA 500 50 Lg. Bore B. Braun
E2310OD TPN BAG EVA 1000 mL YELLOW EVA 1000 40 Lg. Bore B. Braun
E2320OD TPN BAG EVA 2000 mL YELLOW EVA 2000 35 Lg. Bore B. Braun
E2330OD TPN BAG EVA 3000 mL YELLOW EVA 3000 35 Lg. Bore B. Braun
E1301-OLPF EVA TPN Bag, 125 mL (LL Fill Port) EVA 125 50 Luer Lock Diffuplast
E1302-OLPF EVA TPN Bag, 250 mL (LL Fill Port) EVA 250 50 Luer Lock Diffuplast
E1305-OLPF EVA TPN Bag, 500 mL (LL Fill Port) EVA 500 50 Luer Lock Diffuplast
E1310-OLPF EVA TPN Bag, 1000 mL (LL Fill Port) EVA 1000 40 Luer Lock Diffuplast
E1320-OLPF EVA TPN Bag, 2000 mL (LL Fill Port) EVA 2000 35 Luer Lock Diffuplast
E1330-OLPF EVA TPN Bag, 3000 mL (LL Fill Port) EVA 3000 35 Luer Lock Diffuplast
E1340-OLPF EVA TPN Bag, 4000 mL (LL Fill Port) EVA 4000 30 Luer Lock Diffuplast
E1350-OLPF EVA TPN Bag, 5000 mL (LL Fill Port) EVA 5000 25 Luer Lock Diffuplast
E1401OD TPN BAG MULTILAYER 125 mL EVA 125 50 Lg. Bore Diffuplast
E1402OD TPN BAG MULTILAYER 250 mL EVA 250 50 Lg. Bore Diffuplast
E1405OD TPN BAG MULTILAYER 500 mL EVA 500 50 Lg. Bore Diffuplast
E1410OD TPN BAG MULTILAYER 1000 mL EVA 1000 40 Lg. Bore Diffuplast
E1420OD TPN BAG MULTILAYER 2000 mL EVA 2000 35 Lg. Bore Diffuplast
E1430OD TPN BAG MULTILAYER 3000 mL EVA 3000 35 Lg. Bore Diffuplast
E1440OD TPN BAG MULTILAYER 4000 mL EVA 4000 30 Lg. Bore Diffuplast

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Ordering Supplies
Baxter bags are sterile, bio-compatible, non-pyrogenic and contain no natural rubber latex
components. These bags have a large-bore, threaded fill-port connector or a luer lock fill-port
connector.

VALVE SETS
The following valve sets are available in North America.
Product Order Number Quantity / Case Notes
EM2400 Valve Set H938724 10 Includes:
• Numbered inlet labels with barcodes
• 10 calibration bags (H938735)
Baxter valve sets are sterile, bio-compatible, non-pyrogenic, non-DEHP and contain no natural
rubber latex components.

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Ordering Supplies

GETTING HELP
Baxter Technical Services is available 24 hours/day, 7 days/week at 1.800.678.2292 or
[email protected].
Before you call for technical support:
1. At the menu screen, tap Help > About.
The About window appears. It provides information about the hardware and software.
2. At the About window, identify the Operating Software Version and Build #.

About window

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Installing the Compounder

INSTALLING THE COMPOUNDER


Your Baxter service provider will install the compounder at your site.
If you must reinstall the compounder or replace a component, verification tests must be
performed before you use the compounder again. Contact Baxter Technical Services for
assistance. Refer to Getting Help on Page 22.
To start, open the packaging, remove all the items and inspect them to make sure that they are
not damaged.
WARNING
Do not use sharp objects to open the packaging. Personal injury could result.
The compounder should be placed on a level and stable surface to prevent its
modules from moving out of position. Always hold the modules as shown below to
avoid dropping them.
1. Route the power cord out through the routing hole in the back of the main module.
2. Place the main module onto the base plate.

Placing the main module


3. Place the load cell to the left of the base plate.
4. Place the display to the right of the base plate.
5. Tip the main module back and extend the support legs.

Support legs

Extending the support legs

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Installing the Compounder
NOTE: If the main module is near a wall, there may not be enough space behind the
main module to tip it back. You can move the compounder forward by lifting the front
of the base plate slightly and sliding it toward you.
WARNING
Using the support legs will reduce the possibility of pinching your hands when
you connect the cord and cables.
The power cord must be unplugged from the main AC power source whenever
you connect or disconnect the display and load cell.
The power cord must be positioned so that the plug is easily accessible.
6. Under the main module, connect the following cord and cables. Reach under the main
module with your palm facing up.
a. Connect the power cord.
b. Connect the cable for the display. Squeeze the ends of the connector to unlock it,
connect it, then release to lock it into place.
c. Connect the cable for the load cell. Squeeze the ends of the connector to unlock
it, connect it, then release to lock it into place.

Cable for
the display

Power cord

Cable for the


load cell

Connecting the cord and cables


NOTE: The above pictures depict ROHS unit plug placement. Plug locations for Non-ROHS units
are slightly different.

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Installing the Compounder
7. Retract the support legs so that the main module rests fully on the base plate.
8. Route the cables through the two routing holes, pushing any excess length of the cables
through the holes.

Routing a cable
9. Install the load cell.
a. Place the load cell onto the base plate.
b. To lock the load cell, move the black lever back until it clicks into place.

Installing the load cell

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Installing the Compounder
10. Install the display onto the arm.
The white locking pin snaps into the locked position.

Installing the display


NOTE: You can remove the display by pulling the locking pin out to the unlocked
position, then rotating the pin 90 degrees to keep it in this position while lifting the
display.
11. Install the barcode reader.
a. Pull the arm that is behind the display out to the right.
b. Rotate the arm up and over toward you.
c. Pull the arm slightly to the right to lock it into place.

Rotating the arm

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Installing the Compounder
d. Place the barcode reader in the cradle with the trigger facing you to avoid
accidental scanning.

Placing the barcode reader


12. Connect the USB cable from the barcode reader to a USB port on the bottom of the
display.
13. If desired:
• Connect the USB cable from the printer to a USB port on the display.
• Connect an Ethernet cable to the Ethernet port on the display.
NOTE: To perform administrative work, you can also connect a keyboard and mouse to
the USB ports on the display. The keyboard and mouse should not be connected during
normal compounding operation.

USB ports

Ethernet port

Ports on the display

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Installing the Compounder
14. Move the arm of the display to the desired position.
a. Unlock the lever on the right by rotating it forward.
NOTE: Pulling the lever slightly out to the right may make it easier to rotate.
b. Adjust the arm of the display forward or backward.
c. Lock the lever by rotating it backward.

Lever

Lever on the right


15. Move the display to the desired position.
a. Unlock the lever on the left by rotating it backward.
NOTE: Pulling the lever slightly out to the left may make it easier to rotate.
b. Adjust the display up or down.
c. Lock the lever by rotating it forward.

Lever

Lever on the left


16. Check that the cables:
• Are not kinked or pinched
• Do not touch the base of the load cell
17. Plug the power cord into an uninterruptible power supply (UPS).

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Installing the Compounder
18. Install the vial rack onto the back of the main module. On each end, slide the slot on the
vial rack over the bolt on the main module.

Installing the vial rack


19. Install the vial holders in the desired locations on the vial rack.
20. Adjust the position of each top and bottom vial holder.
a. Rotate the cam up to the unlocked position.
b. Push the holder to the desired location on the pole.
c. Rotate the cam down to the locked position.

Cam locked

Top vial holder

Cam unlocked

Bottom vial holder

Pole

Adjusting the vial holders

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Starting Up, Logging In and Out, and Shutting Down

STARTING UP, LOGGING IN AND OUT, AND SHUTTING DOWN


STARTING UP AND LOGGING IN
1. On the main module, press and hold the power button until the power light illuminates.

Power light

Power button

Power light and power button


2. If the software does not start automatically, double-tap the Exacta-Mix 2400 icon on
the Windows® desktop.
Tip! Baxter recommends setting the software to start automatically. Contact Baxter
Technical Services for assistance with setting up this feature. Refer to Getting Help on
Page 22.

Icon
3. If the Login window appears:
a. Enter a Login name.
b. Enter a Password. (NOTE: Passwords are case-sensitive)
c. Tap Log In.

Login window

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Starting Up, Logging In and Out, and Shutting Down
Tip! Baxter recommends setting up each user with a unique login name and password. If
the compounder is connected to a network, Baxter recommends that the compounder
be logged in to the network automatically. For details, contact Baxter Technical Services.
Refer to Getting Help on Page 22.
NOTE: To require each user to log in, refer to General on Page 119. To set up password
expiration, refer to Password Expiration on Page 120.
When the software starts, it performs self-checks and briefly displays the following
messages. Other messages may also appear. Do not cancel these operations.

Messages that appear at startup


Next, the software may display a Confirm screen. Several styles of the Confirm screen may
appear, but each includes this text: Compounder is not ready for operation. Do you wish to
run the setup wizard? The screen also lists the conditions that prevent the compounder from
being ready for operation. The screen appears if any of these conditions exist:
• The calibration of the load cell has expired.
• The calibration of the pump has expired.
• The tube set has expired.
NOTE: To set up the options for tube set expiration, refer to Tube Set Expiration on
Page 115.

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Starting Up, Logging In and Out, and Shutting Down

Confirm screen
4. If the Confirm screen appears:
o Tap Yes if you want to use the Setup Wizard now. For instructions on using the
Setup Wizard, refer to Setting Up the Compounder on Page 35.
o Tap No if you want to continue using the software in the current state.
Tip! Baxter recommends always tapping Yes. If you tap No, you will be instructed
to perform any required setup steps before compounding.

LOGGING OUT
When you have finished using the compounder, or another user needs to log in, you can log out
of the software without shutting down the compounder.
At the menu screen, tap either:
• File > Logout
• Tools > Users > Change User
NOTE: The Confirm screen may appear if the compounder is not ready for operation. To set up
the automatic logout option, refer to Auto-Logout on Page 119.

REBOOTING AND SHUTTING DOWN


Tip! Baxter recommends shutting down the compounder when you are finished using it. Baxter
also recommends fully shutting down and starting up the compounder once a day, to allow the
software to perform routine database maintenance at startup.
1. At the menu screen, tap File > Exit.

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Starting Up, Logging In and Out, and Shutting Down
The Exit Options window appears.

Exit Options window


IMPORTANT! The last two options shown above require Administration permissions. For
more information about user groups and permissions, refer to Setting Up the Users on
Page 123.
2. Tap one of these options:
• Shutdown the computer? to shut down the software and turn off the compounder
• Reboot the computer? to shut down the software, turn off the compounder and
restart the compounder
• Log on as a different user? to log out and allow another user to log on
NOTE: The Confirm screen may appear if the compounder is not ready for operation.
• Minimize this application? to minimize the compounder software so that the
Windows desktop is visible
NOTE: The compounder software remains active and can be maximized when
needed.
• Exit program? to exit the compounder software
3. Tap OK.

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Starting Up, Logging In and Out, and Shutting Down
NOTE: You cannot turn off any part of the compounder by pressing the power button on the
main module. This button is used only to turn the power on.
CAUTION
You can reboot the display by pressing and holding the Reset button on the side of
the display. You can shut down the compounder (main module and display) by
pressing and holding the power off button on the bottom right of the main module.
However, either of these actions can corrupt the database. Do not press either of
these buttons at any time other than when you are directed by Baxter Technical
Services.

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Setting Up the Compounder

SETTING UP THE COMPOUNDER


ACCESSING THE SETUP WIZARD
The Setup Wizard guides you through the setup process.
You can access the Setup Wizard in two ways:
• Tap Yes at the Confirm screen if it appears during startup.
• Tap Compound > Setup Wizard at the menu screen to access the Setup Wizard at any
time.
NOTE: The Compound menu also includes options that allow you to perform individual steps of
the setup process without completing the entire Setup Wizard.
Tip! Baxter recommends always using the Setup Wizard to guide you quickly through the
necessary steps in the proper sequence.

Menu screen, Compound menu

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Setting Up the Compounder
IMPORTANT! These functions require Compounder permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123.
The Setup Wizard guides you through these main steps:
1. Calibrate Load Cell guides you through calibrating the load cell.
2. Select Configuration allows you to select a configuration to use.
3. Change Tube Set guides you through installing a new tube set and new ingredients for
the selected configuration.
4. Prime and Verify guides you (and an optional cosigner) through the process of priming
the inlets and verifying the setup.
5. Calibrate Compounder calibrates the compounder’s pump to ensure that it will deliver
the intended volume of each ingredient.
6. Authorization Report allows you to view and print the Authorization Report, if desired.

Setup Wizard screen

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Setting Up the Compounder

CALIBRATING THE LOAD CELL


This procedure calibrates the load cell to ensure that it measures weight accurately.
The load cell must be calibrated:
• Daily when the calibration expires
• Using a 2,000 g weight that Baxter provides
Tip! Baxter recommends:
• Using gloves to handle the weight, to minimize the accumulation of oils and dust
• Storing the weight in its storage case
To calibrate the load cell:
1. At the Setup Wizard screen, tap Calibrate Load Cell.

Setup Wizard screen, calibrating the load cell


NOTE: To calibrate the load cell without using the Setup Wizard, you can tap Compound
> Calibrate Load Cell at the menu screen.

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53007410 Rev. C Page 37
Setting Up the Compounder
The Load Cell Calibration Requested message appears.

Message
IMPORTANT! If any items touch the load cell during the calibration, the calibration will
not be accurate.
2. Make sure that:
• There is no weight on the load cell.
• There is nothing touching any part of the load cell (for example, there are no cables
touching the base).
3. At the Load Cell Calibration Requested message, tap OK.
This message appears and then disappears:

Message
The Place Calibration Weight message appears.

Message

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Setting Up the Compounder
4. Place the 2,000 g weight on the load cell, aligning it with the holes in the load cell.

Aligning the calibration weight


5. Wait five seconds to allow the weight to stabilize.
6. At the Place Calibration Weight message, tap OK.
This message appears and then disappears:

Message
When calibration is finished, one of these results occurs:
• If you accessed the calibration procedure from the Setup Wizard screen, you return
to that screen, and a check mark now appears next to Calibrate Load Cell.
• If you accessed the calibration procedure directly from the Compound menu, a Load
cell calibration complete message appears.

Message
7. If the Load cell calibration complete message appears, tap OK.
8. Remove the calibration weight.

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Setting Up the Compounder

SELECTING THE CONFIGURATION


The configuration identifies which ingredients are attached and at which ports on the
compounder.
This procedure is required only if both of the following conditions exist:
• More than one configuration is available.
• You want to use a configuration that is different from the last one that was used.
The software automatically selects the last configuration that was used, and a check mark
appears next to Select Configuration.
If you want to change the configuration:
1. At the Setup Wizard screen, tap Select Configuration.

Setup Wizard screen, selecting the configuration


NOTE: To select the configuration without using the Setup Wizard, you can tap
Compound > Select Configuration at the menu screen.
The Select Configuration screen displays the last configuration that was used.

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Setting Up the Compounder
2. In the Name list, select the desired configuration.
3. Tap OK.

Select Configuration screen


NOTE: When you select a different configuration, you may need to change the tube set,
then prime and verify it.

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53007410 Rev. C Page 41
Setting Up the Compounder

CHANGING THE TUBE SET


The tube set must be changed:
• When you select a different configuration, in some cases
• During the daily setup, if the tube set is expired
NOTE: To set up the options for tube set expiration, refer to Tube Set Expiration on
Page 115.
WARNING
To maintain delivery accuracy, the tube set must be replaced after it has delivered
150 L of fluid or been installed for 24 hours, whichever comes first.
Check that the materials of the inlets, valves and bags are compatible with all
ingredients used. Contact the ingredient manufacturer to confirm compatibility.

Checking the Tube Set Statistics


1. At the Setup Wizard screen, tap Change Tube Set.

Setup Wizard screen, changing the tube set


NOTE: To change the tube set without using the Setup Wizard, you can tap Compound >
Change Tube Set at the menu screen.

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Setting Up the Compounder
A screen with tube set statistics and recommendations appears. The statistics show how
long the current tube set has been installed and how much fluid has been pumped
during that time. Based on the usage, the software recommends whether or not the
tube set should be changed.

Tube set statistics and recommendations


2. Tap one of these options:
• Tap Tube Set will be changed, then continue with Removing the Expired Tube Set
and Expired Ingredients on Page 44.
NOTE: Selecting Tube Set will be changed resets the expiration counter for the tube
set and resets the ingredient remainders (values in the software that represent the
actual volume of fluid remaining in the source containers).
• Tap Continue with current tube set.
NOTE: Selecting Continue with current tube set does not reset the expiration
counter or the ingredient remainders.

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Setting Up the Compounder
Removing the Expired Tube Set and Expired Ingredients
CAUTION
Do not remove the valve set until you have removed all the source containers.
This precaution helps to prevent a dropped source container from damaging the
valve actuators.

WARNING
The only time the rotor should be rotated manually is under “Tube Set Will Be
Changed” or when the compounder is powered OFF. Turning the rotor at any other
time while the compounder is powered on will result in a fault state error message.

If an expired tube set and expired ingredients are already installed:


1. Attach a calibration bag. Refer to Attaching the Calibration Bag on Page 73.
2. Remove one source container from the vial rack or hanger, and turn the container right
side up.
3. Lower the container below the height of the valve set, and allow the fluid in the inlet to
flow back into the source container.
4. Repeat the previous steps for each source container.
5. Press the tabs on the ends of the valve set, then lift to remove it.

Removing the valve set


NOTE: The appearance of the valve set may differ from the example shown above.
6. Turn the pump rotor counterclockwise to drain fluid from the common fluid pathway
into the calibration bag.
7. Remove the calibration bag.
a. Remove the bag’s fill port from the load cell’s fill port holder.
b. Remove the bag from the load cell.
8. Discard the valve set and the attached calibration bag.
9. Discard the inlets, spikes and Ingredient(s) per the facility protocol.
Tip! Baxter recommends cleaning the compounder before installing a new valve set.
Refer to CLEANING THE COMPOUNDER on Page 101, and follow your facility’s protocol.

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Setting Up the Compounder
Installing the New Valve Set
CAUTION
If the valve set is not installed properly, the compounder cannot be calibrated
accurately.
1. Check that the valve actuators are not broken or damaged.

Normal Damaged Broken

Valve actuators
WARNING
Do not use the compounder if a valve actuator is broken or damaged.
Patient harm can result. For assistance, contact Baxter Technical Services.
Refer to Getting Help on Page 22.
2. Remove the valve set from the packaging.
NOTE: Always use aseptic technique when installing the valve set.
IMPORTANT! Check the expiration date on the valve set before installing it. Do not use a
valve set that is past its expiration date.
3. Place the valve set onto the valve actuators.
4. Gently push the end tabs down and out until you hear a click on each end.

Installing the valve set


NOTE: The appearance of the valve set may differ from the example shown above.
5. Make sure that the valve set is installed securely by pulling up on both ends gently.
CAUTION
Once the valve set has been installed, do not attempt to remove it during
operation.
6. Open the pump door.

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Setting Up the Compounder

WARNING
To avoid pinching your fingers, grasp the pump rotor from the top and rotate it
counterclockwise, keeping your fingers away from other surfaces while moving
the rotor.
7. Route the outlet tube into channel 1, around the pump rotor and into channels 2 and 3
as shown. Move the pump rotor counterclockwise only. Do not pull or stretch the
outlet tube.

Pump rotor Outlet tube in channel 1

Channel 3 Channel 2

Routing the outlet tube


a. Make sure that the tube is in proper position at the bottom of channels 1 and 2.

Proper position Improper position


b. Make sure that the tube is in proper position against the wall around the pump
rotor.

Proper position Improper position

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Setting Up the Compounder
8. Close the pump door.
9. Connect the end of the outlet tube to the tube holder on the vial rack.

Connecting the outlet tube

Preparing the New Ingredients

WARNING
The compounder is not for use with non-sterile containers.

Source containers that can be used with the compounder are:


• Large-volume, vented or collapsible containers
• Large-volume, non-vented containers
• Small-volume vials
• 60mL Luer syringes
Tip! Baxter recommends using only sterile BD® 60 mL Luer syringes. If you plan to use a
different type, contact Baxter Technical Services. Refer to Getting Help on Page 22.
1. Gather all the new ingredients.
Tip! Baxter recommends using the Authorization Report to quickly identify the
ingredients needed for a specific configuration. For more information, refer to
Authorization Report on Page 167.
2. Check that each source container has a barcode label attached.
Tip! Baxter strongly recommends using the manufacturer’s barcode whenever possible.
NOTE: For containers that are filled or diluted in the pharmacy, the Product Barcodes
Report can make labels available for printing. For more information, refer to Product
Barcodes Report on Page 178.

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Setting Up the Compounder
Attaching the New Ingredients and Inlets
Always use aseptic technique when attaching the ingredients and inlets.
Follow all the steps of this process for one ingredient and inlet pair before continuing with the
next pair. This practice helps to ensure that you attach the ingredients and inlets correctly.
Tip! To keep track of the steps, Baxter recommends working from left to right in the sequence
of the port numbers (1, 2, 3 and so on). You might find it helpful to remember the main steps of
this process (covered in more detail on the upcoming pages) by remembering the term iTASL,
which signifies:
1. identify the port you are going to be working with by turning the cap.
2. Touch (tap) the ingredient button on the screen.
3. Attach the inlet to the port on the valve set.
4. Spike and hang the source container.
5. Label the inlet with the numbered barcode label.

To attach an ingredient:
1. identify the port you are going to be working with by turning the cap.

Turning Cap

2. Touch (tap) its ingredient button on the screen.

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Hang Source Containers screen, no ingredients attached


The ingredient detail window appears.
IMPORTANT! Always view the ingredient detail window. It includes details not visible on
the ingredient button. For example, it includes the full product description, which you
must check.

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Setting Up the Compounder

Ingredient detail window


3. At the ingredient detail window, review the information.
a. Check that the Port number is correct.
b. Check that the Product description matches the source container to be used.
NOTE: If desired, you can tap the arrow to the right of this field to see a list of
similar products in the same ingredient group. If you select another product in
this list, the Inlet type and Part # may change accordingly.
c. Check that the Inlet type and Part # are correct.
NOTE: The Part # shows the middle three digits of the complete part number.
For a list of complete part numbers, refer to Inlets on Page 18. The complete
part number also appears on the packaging materials for the inlet.
d. Check that the Remainder (mL) matches the current volume of the source
container.
NOTE: When you attach a full, unopened container, the Remainder (mL) should
equal the volume indicated on the container. When you attach a partially full
container, change the Remainder (mL) to the actual volume in the container.
Remainders on syringes should always be verified. The compounder will use this
information to help track the volume used, to alert you when the container
needs to be changed.
e. If required, enter or check the Lot Number and the Expiration.
NOTE: To set up these tracking options, refer to Track Product Expiration Date
and Lot Number on Page 113.

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WARNING
It is important to use the correct inlet type for the container. Using the incorrect
inlet type can lead to occlusions and incorrect ingredient delivery, resulting in
patient harm.
4. Attach the inlet to the port.
a. Locate the inlet type specified in the ingredient detail window.
b. Remove the inlet from its packaging materials and gently uncurl it. Do not pull or
stretch the inlet.
WARNING
A kink in the tube, a plugged vent on a vial or bottle inlet or a plugged
inlet spike can cause the compounder to deliver incorrect ingredient
volumes, resulting in patient harm. After attaching the inlets, visually
check that the tubes are not kinked or plugged.
c. Check that the inlet is not kinked or plugged.
d. On the valve set, locate the port number specified at the ingredient detail
window.
Tip! To locate an odd-numbered port, Baxter recommends locating the next,
even-numbered port in the front row. For example, to attach an inlet to port 3,
look for port 4 in the front row and then attach the inlet to the port directly
behind it (port 3). Avoid leaning over the compounder.
e. Grasp the port cap with one hand, remove the port cap and immediately attach
the inlet with your other hand.
5. Spike and hang the container.
CAUTION
The pictures and instructions on the following pages are for reference only.
When spiking the container, use proper technique as identified by your
facility’s protocol.

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o To spike and hang a bag:
NOTE: To prevent dropping the bag, you can hang it on the hood hanger.
a. Turn the bag with its spike port facing down.
NOTE: This step helps to reduce the possibility of
air bubbles entering the inlet tube.

Turning
WARNING
Failure to insert the spike completely
into the bag port may restrict flow and
cause the delivery of incorrect
ingredient volumes, resulting in patient
harm.
b. Insert the spike fully into the bag. Inserting
c. Rotate the spike 180° to prevent occlusions.
d. Hang the bag on the hood hanger, if the bag is not
already there.

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o To spike and hang a bottle:
NOTE: To prevent dropping the bottle, you can hang it on the hood hanger.
a. Turn the bottle with its septum facing down.
NOTE: This step helps to reduce the possibility of
air bubbles entering the inlet tube.

Turning
b. Locate the shoulder of the spike.
Shoulder

Shoulder
c. Insert the spike fully into the bottle, up to the
shoulder of the spike.
NOTE: Inserting the spike up to the shoulder helps
ensure that the maximum amount of fluid and the
minimum amount of air is withdrawn from the
bottle.

Inserting
d. Hang the bottle on the hood hanger, if the bottle
is not already there.

Hanging

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o To spike and hang a vial:
a. Turn the vial with its septum facing down
NOTE: This step helps to reduce the possibility
of air bubbles entering the inlet tube

Turning
b. Insert the spike fully into the vial.

Inserting
c. Push the bottom of the vial (now facing up)
against the top holder. Make sure that the vent
faces you.
NOTE: If the vent faces away from you (into the
bottom vial holder), the air flow may be
obstructed, causing an occlusion or limited flow.
Also, the vial will not be seated securely.
d. Slide the spiked end of the vial into the bottom
vial holder.
Vent

Hanging

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o To spike and hang a syringe:
a. Turn the syringe with its Luer end facing down.
NOTE: This step helps to reduce the possibility
of air bubbles entering the inlet tube.
NOTE: Only syringes that have been verified by
a pharmacist should be hung on the
compounder.
b. Rotate the inlet onto the syringe.

Rotating
c. Hang the syringe on the vial rack by snapping
the syringe flanges into the syringe holder.

Hanging
6. Label the inlet with the appropriate, numbered inlet barcode label that was packaged
with the valve set. Attach the label close to the source container. The number on the
label must match the number of the port to which the inlet is attached.
7. Check that the correct inlet is:
a. Attached to the correct ingredient and port
b. Labeled with the correct barcode label
Tip! Baxter recommends rotating the source container so that the barcode label faces
you, for easy scanning during barcode verification.
8. At the ingredient detail window, tap OK.

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At the Hang Source Containers screen, the color of the ingredient button becomes teal to
indicate that the ingredient is attached and waiting to be primed.

Hang Source Containers screen, one ingredient attached

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9. Repeat the previous steps for all the ingredients you want to attach.
When all the ingredient buttons are teal, you are finished changing the tube set.
10. Tap OK.

Hang Source Containers screen, all ingredients attached


If you started this procedure from the Setup Wizard screen, a check mark now appears
next to Change Tube Set at the Setup Wizard screen.

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PRIMING AND VERIFYING


After the ingredients and inlets are attached, they must be primed and verified. This process
includes scanning the barcodes on each container and inlet, priming the inlets and verifying the
setup.
1. At the Setup Wizard screen, tap Prime and Verify.

Setup Wizard screen, priming and verifying


NOTE: To prime and verify without using the Setup Wizard, you can tap Compound >
Prime and Verify at the menu screen.
WARNING
It is important to use a barcode reader for scanning labels during verification of
the setup.
2. If your facility:
• Uses barcode verification, continue with Verifying the Ingredient and Inlet Barcodes
on Page 59
• Does not use barcode verification, skip to Priming the Inlets and Verifying the Setup
on Page 62

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Verifying the Ingredient and Inlet Barcodes
WARNING
For the barcode verification to be effective, it is critical that the configuration be set up
properly. For instructions, refer to Attaching the New Ingredients and Inlets on
Page 48.
IMPORTANT! This procedure requires barcode scanning to be enabled. To enable barcode
scanning (and, if desired, to require it for verification), refer to Barcode Reader on Page 120.
Tip! Baxter recommends enabling barcode scanning at all times.
On the BARCODE VERIFICATION screen, the ports appear empty until the barcodes on the
attached inlets and source containers are scanned.

BARCODE VERIFICATION screen, no barcodes verified

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WARNING
Scan only the barcodes attached to the inlet and the corresponding source container.
Do not scan unattached barcodes or old (used) containers. Doing so may result in
incorrect ingredient delivery, resulting in patient harm.
Tip! Baxter strongly recommends scanning from left to right (or from right to left) to prevent
skipping any ports.
1. Scan the barcode label on an inlet.
2. Scan the barcode label on the corresponding source container.
If you scanned the correct source container, the corresponding ingredient button
appears on the screen.

BARCODE VERIFICATION screen, one pair of barcodes verified


If you scanned an incorrect source container, the compounder beeps and displays
Incorrect scan, try again at the bottom of the screen. Scan the correct source container.

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If the scanned product is not the specific product identified in the configuration but is
the same ingredient, a Warning message appears. Tap Yes if you want to use the
scanned product.

Message
3. Repeat the previous steps until an ingredient button appears for each attached
ingredient.
4. At the Barcode verification completed message, tap OK.

Message

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Priming the Inlets and Verifying the Setup
Usually, a cosigner must log in and verify the setup. Refer to your facility’s protocol.
WARNING
It is important to have a cosigner independently verify the setup, to help ensure that the
first user attached each ingredient’s inlet to the correct port. Incorrect setup could result
in patient harm.

IMPORTANT! The cosignature option requires Verification permissions. For more information
about user groups and permissions, refer to Setting Up the Users on Page 123. To require that a
cosigner verify the setup, refer to Cosignature on Page 120.
1. Attach a calibration bag. Refer to Attaching the Calibration Bag on Page 73.
2. If the Cosignature required message appears, the cosigner should:
a. Tap OK.

Message
b. Enter a Login name.
c. Enter a Password.
d. Tap Log In, then continue with the next steps.

Cosignature window

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When an X appears on the ingredient button, it indicates that priming and verification
are needed.

PRIME AND VERIFY screen, no inlets primed

CAUTION
Do not prime calcium and phosphate ingredients consecutively. Interaction of these
ingredients can cause a precipitate, which may block the common fluid pathway and
require a replacement of the tube set.
If the configuration includes a lipid, you should prime the Universal Ingredient
immediately after priming the lipid.
Always follow the configuration setup that Baxter recommends, and prime ingredients
in the sequence of the port numbers (1, 2, 3 and so on).
Tip! Baxter recommends physically rotating each source container so that its product
label faces you, for easy verification.
3. Tap an ingredient button.

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Setting Up the Compounder
The ingredient detail window appears.

Ingredient detail window before priming


4. At the ingredient detail window, review the information.
a. Check that the product information in the title bar of the window is correct.
b. Check that the Port Number is correct.
c. Check that the Ingredient description matches the source container to be used.
d. Check that the Remainder (mL) matches the current volume of the source
container to be used.
e. Check that the Spike Type (inlet type) is correct.
5. On the valve set, locate the port for this ingredient.
6. With your hand, hold the inlet that is attached to the port, and follow the inlet up to the
source container.

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7. While continuing to hold the inlet near the source container:
a. Check that the number on the inlet label matches the port number.
b. Check that the product attached to the inlet matches the information on the
screen.
c. At the ingredient detail window, tap Prime.
d. Check that a calibration bag is attached.
e. At the Priming pump message, tap OK.

Message
f. Watch and feel for fluid moving through the inlet that is in your hand.
When an ingredient is being primed, its button becomes yellow. The screen
displays an animation of the process.

PRIME AND VERIFY screen, priming in progress

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WARNING
The ingredient must be attached to the proper port. Patient harm can occur if
the location of an ingredient is incorrect.
8. If the fluid:
• Does flow through the inlet that is in your hand, continue with the next step
• Does not flow through the inlet that is in your hand, resolve any problems, check
that the inlet is attached to the correct port and prime it again
After the inlet has been primed, the ingredient detail window includes a Verify button,
and the Prime button becomes a Re-Prime button.

Ingredient detail window after priming


NOTE: The first prime uses the standard priming volume. Any subsequent primes use
the minimum priming volume.
9. Check the inlet to be sure that it primed properly, leaving no air in the inlet tube. If
necessary, tap Re-Prime.
10. When priming is finished:
a. Release the tube from your hand.
b. Tap Verify to confirm that the ingredient’s inlet is attached to the correct port.

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The connecting lines between the ingredient button and the port include horizontal
marks, indicating that the ingredient has been primed. On the ingredient button, the
red X becomes a green check mark, indicating that the ingredient has been verified.

PRIME AND VERIFY screen, one inlet primed and verified


11. Repeat steps 3–10 for all the attached ingredients. If the calibration bag becomes full,
remove it and attach a new one. Refer to Attaching and Removing the Calibration Bag
on Page 73.
12. When you are finished, tap Close.

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PRIME AND VERIFY screen, all inlets primed and verified


13. At the Fluid path will be flushed with UI message, tap OK.

Message
The compounder flushes the common fluid pathway with the Universal Ingredient, and
tests for proper function of the occlusion detector. If the test fails, you cannot continue
compounding a solution. Refer to Issues with the Occlusion Detector / “Flow Sensor” on
Page 204.
14. At the UI flush complete message, tap OK.

Message
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Setting Up the Compounder
If a cosigner was logged in, the software automatically logs out the cosigner and logs in
the original user.
If you started this procedure from the Setup Wizard screen, a check mark now appears
next to Prime and Verify at the Setup Wizard screen.

CALIBRATING THE COMPOUNDER


This procedure calibrates the compounder’s pump to ensure that it delivers the intended
volume of each ingredient.
1. At the Setup Wizard screen, tap Calibrate Compounder.

Setup Wizard screen, calibrating the compounder


NOTE: You can calibrate the compounder at any time by tapping Compound > Calibrate
Pump at the menu screen.

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CAUTION
A calibration bag must be used during all priming/verifying and Universal
Ingredient flushes.
2. If a calibration bag is not already attached, attach it. Refer to Attaching the Calibration
Bag on Page 73.
3. At the Calibrating pump message, tap OK.

Message
4. If the Bag currently on the load cell does not appear to be empty message appears,
visually check the contents of the bag.
• If the bag is empty, refer to The bag currently on the load cell does not appear to be
empty on Page 203.
• If the bag contains fluid, continue with the next step.
5. Check whether the bag has space for an additional 200 mL of fluid.
• If the bag does not have space:
a. Tap No.
b. At the Operation Cancelled message, tap OK.
c. Remove the calibration bag. Refer to Removing the Calibration Bag on Page 73.
d. Attach an empty calibration bag. Refer to Attaching the Calibration Bag on
Page 73.
e. Return to Step 1.
• If the bag has space, tap Yes.
IMPORTANT! It is acceptable to calibrate the pump when the calibration bag
contains fluid. However, the calibration procedure is the only time you should tap
Yes at this message. Never tap Yes when compounding a solution into a patient bag.

Message

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6. At the Select Bag Type window:
a. Select the type of bag you are using.
b. Tap OK.

Select Bag Type window,


sample North American version
IMPORTANT! If any items touch the load cell during the calibration, the calibration will
not be accurate.
7. Make sure that:
• There is no weight on the load cell.
• There is nothing touching any part of the load cell (for example, there are no cables
touching the base).

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The compounder pumps 100 mL of water, checks the weight, makes any necessary
adjustments to the movement of the pump rotor, pumps 100 mL again and checks the
weight again. If the Universal Ingredient (UI) for the configuration is something other
than water, the compounder automatically flushes the common fluid pathway with the
identified UI.
This message appears and disappears:

Message
8. At the Pump calibration completed successfully message, tap OK.

Message
NOTE: If calibration fails, refer to Pump calibration failed on Page 201.
If you started this procedure from the Setup Wizard screen, a check mark now appears
next to Calibrate Compounder at the Setup Wizard screen.
9. Remove the calibration bag. Refer to Removing the Calibration Bag on Page 73.

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ATTACHING AND REMOVING THE CALIBRATION BAG


Attach and remove the calibration bag when other procedures direct you to do so.

Attaching the Calibration Bag


Always use aseptic technique when attaching the bag.
1. Connect a sterile calibration bag to the outlet tube.
Tip! Baxter recommends connecting the bag to the outlet tube before attaching it to the
load cell, to prevent twisting or straining the tube.
2. Attach the bag to the load cell. Place the holes in the corners of the bag over the guide
pins on the load cell.
3. Route the bag’s fill port through the load cell’s fill port holder.
4. Make sure the outlet tube is curved, not twisted or kinked.

Attaching the calibration bag to the outlet tube and the load cell

Removing the Calibration Bag


Always use aseptic technique when removing the bag.
1. Remove the bag’s fill port from the load cell’s fill port holder.
2. Remove the bag from the load cell.
3. Clamp the bag’s fill port.
4. Disconnect the outlet tube from the bag.
5. Connect the end of the outlet tube to the tube holder on the vial rack.
6. Cap the bag’s fill port.
7. Discard the bag.

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VIEWING THE AUTHORIZATION REPORT


When the setup steps are finished, the Authorization Report button becomes active at the
Setup Wizard screen.
At the Setup Wizard screen, tap Authorization Report.

Setup Wizard screen, viewing the Authorization Report


NOTE: You can view the Authorization Report at any time by tapping Reports > Authorization
Report at the menu screen.
For more information, refer to Authorization Report on Page 167.
To exit the Setup Wizard screen, tap Exit.

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USING THE COMPOUNDER


After you finish setting up the compounder, you are ready to load formulas and fulfill orders.

LOADING THE FORMULA


There are several methods for loading a formula onto the compounder. They are:
• Automatically loading a formula by scanning a barcode to retrieve the .PAT/.FRM file
(recommended)
• Automatically loading a formula by scanning the 2D formula barcode containing the
formula details.
• Manually entering a formula through direct entry
• Manually selecting a saved formula
Tip! Baxter strongly recommends loading a formula by scanning a barcode, and using the
manual entry or selection methods only when the barcode method fails. If the network
connection to the order-entry computer fails, you can still load a formula by scanning a
barcode. For instructions, refer to Loading a Formula by Connecting a USB Drive on Page 207.
NOTE: To enable barcode scanning (and, if desired, to require it for loading formulas), refer to
Barcode Reader on Page 120.

Loading a Formula by Scanning a Barcode


Most facilities use this method.
IMPORTANT! This method requires:
• Order-entry software on a separate computer. This software must be able to produce
both a .PAT/.FRM file and a corresponding label / report with a barcode. Both the
.PAT/.FRM file and barcode must be compatible with the compounder.
Alternatively, the software must also be able to produce a formula label, containing the
formula details in the 2D barcode and the 2D formula barcode must also be compatible
with the compounder. Baxter Abacus® TPN Calculation Software meets these
requirements. For more information, contact Baxter Technical Services. Refer to Getting
Help on Page 22.
• Network connection between the order-entry computer and the compounder
• Barcode reader at the compounder
The pharmacist creates an order in the order-entry software, which creates a .PAT/.FRM file
that contains the patient information and the formula. A corresponding label with a barcode
also prints at the same time. Alternatively, the order-entry software creates and prints a 2D
Formula Barcode label which directly contains the patient information and the formula.
Typically, a technician applies this label to a new patient bag and brings the bag to the
compounder. However, this process depends on your facility’s protocol.

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At the compounder:
1. Navigate to the pump screen.
2. Scan the barcode on the label of the patient bag.
The compounder retrieves the order through the network and populates the pump
screen with the patient name, formula serial number and volume of each ingredient to
be pumped. The compounder reads the code number of each ingredient in the formula
and matches this number to one in the formulary. In the United States, the code
number is usually the National Drug Code (NDC).
WARNING
The code number for each product in the formula must exactly match the code
number for that product in the compounder’s formulary. If a code number is
assigned to one product in the order-entry software, and that number is
assigned to a different product in the compounder’s formulary, the
compounder may pump the wrong ingredient, resulting in patient harm. It is the
user’s responsibility to ensure that code numbers are properly and consistently
assigned in both systems.
NOTE: If any ordered ingredients are not in the configuration on the compounder, are
not allowed as auto-additions or have a volume less than 0.2 mL, the compounder
software will identify these ingredients as manual additions.
3. Continue with Fulfilling the Order (Basic Process) on Page 84.

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Entering a Formula through Direct Entry
Some facilities may use this method if the order-entry software is temporarily unavailable. With
this method, you must manually enter the volume of each ingredient to create a new formula.
This process creates a formula with a unique ID, but it does not create a 2D Formula
Barcode/.PAT/.FRM file or a corresponding label with a barcode.
WARNING
Formulas entered directly into the compounder should be checked by a pharmacist.
The compounder does not verify the formulas.
IMPORTANT! This function requires Formula Entry permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123.
1. At the menu screen, tap Tools > Direct Entry.

Menu screen, Tools menu


NOTE: To stop using direct entry, you can tap Tools > Cancel Direct Entry at the menu
screen.

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Using the Compounder
The pump screen appears. The text DIRECT ENTRY appears on the left side.

Pump screen during direct entry


2. Obtain the formula from the pharmacist. Refer to your facility’s protocol.
3. Tap the ingredient button for the first ingredient in the formula.

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The ingredient detail window appears.

Ingredient detail window during direct entry


4. At the ingredient detail window:
a. Check that the Ingredient shown matches the ingredient ordered. Check its
description, concentration and so on.
b. Enter the Ordered Volume of the ingredient to be delivered.
c. Tap Save, or tap Next to view the next ingredient detail window.
The Run button becomes available on the pump screen.
5. Repeat steps 3–4 for each ingredient in the formula.
6. If you want to:
• Use the formula now, continue with Saving and Using a Direct-Entry Formula on
Page 80
• Save the formula for using later, continue with Saving a Direct-Entry Formula to Use
Later on Page 81

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Using the Compounder
Saving and Using a Direct-Entry Formula
NOTE: For information about automatic unloading of formulas, refer to Understanding
Automatic Unloading of Formulas on Page 84.
1. Attach the patient bag. Refer to Attaching the Patient Bag on Page 85.
2. At the pump screen, tap Run.
3. At the Formula Information window:
a. Enter a Formula Name.
b. If desired, enter a new Serial Number.
Tip! Baxter recommends not changing the serial number.
c. Tap OK.

Formula Information window


4. Continue with Compounding the Solution on Page 86.
NOTE: You do not need to tap Run again.

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Saving a Direct-Entry Formula to Use Later
1. At the pump screen, tap Menu.
2. At the Information message, tap OK.

Message

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Using the Compounder
3. At the Formula Information window:
a. Enter a Formula Name.
b. If desired, enter a new Serial Number.
Tip! Baxter recommends not changing the serial number.
c. Tap OK.

Formula Information window

4. When you want to compound the solution, continue with Selecting a Saved Formula on
Page 83.

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Selecting a Saved Formula
Some facilities may use this method to select a saved formula, which has already been loaded
onto the compounder through scanning a barcode or direct entry.
IMPORTANT! This function requires that formulas can be loaded without scanning barcodes.
For more information, refer to Barcode Reader on Page 120.
1. At the menu screen, tap Compound > Select Formula.
The Select Formula window appears.

Select Formula window


2. At the Select Formula window, tap one of these filter options:
• Show All Formulas to view all the formulas that are stored
• Show Unpumped Formulas to view all the formulas that have not been used for
compounding
• Show Pumped Formulas to view all the formulas that have been used for
compounding
Tip! Baxter recommends selecting only Show Unpumped Formulas.
NOTE: You can tap Formula Name to sort by name or tap Serial Number to sort by
number. Formulas are stored for a specified time period. To set up the storage of
formulas, refer to Storage on Page 114.
3. Select a formula.
4. Tap OK.
The formula is loaded and appears on the pump screen.
5. Continue with Fulfilling the Order (Basic Process) on Page 84.

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Using the Compounder

FULFILLING THE ORDER (BASIC PROCESS)


Understanding Automatic Unloading of Formulas
As a safety precaution, the software automatically unloads the formula in these two main
situations:
• The software usually unloads the formula if you leave the pump screen after loading the
formula and before starting the compounding process.
The message below, or one similar to it, appears and then automatically disappears.
The only exception is that the software does not unload the formula when you perform
an auto-addition.

Message
• The software usually unloads the formula when compounding is finished, regardless of
the outcome.
No message appears; however, you cannot use the formula for compounding again.
The only exception is that the software does not unload the formula when both of these
conditions occur together:
o The solution limit is more than 1 and has not yet been met, or the solution limit
is disabled. For more information, refer to Solution Limit on Page 121.
o Barcode scanning is not required to load a formula, but the formula was loaded
through this method. For more information, refer to Barcode Reader on
Page 120.

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Using the Compounder
Attaching the Patient Bag
Always use aseptic technique when attaching the bag.
1. Connect a sterile patient bag to the outlet tube.
Tip! Baxter recommends connecting the bag to the outlet tube before attaching it to the
load cell, to prevent twisting or straining the tube.
2. Attach the bag to the load cell. Place the holes in the corners of the bag over the guide
pins on the load cell.
3. Route the bag’s fill port through the load cell’s fill port holder.
4. Make sure the outlet tube is curved, not twisted or kinked.

Attaching the patient bag to the outlet tube and the load cell

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Using the Compounder
Compounding the Solution
IMPORTANT! This function requires Compounder permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123.
1. At the pump screen, tap Run.

Pump screen, ready to start compounding the solution

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2. If the Bag currently on the load cell does not appear to be empty message appears,
visually check the contents of the bag.
• If the bag is empty, refer to The bag currently on the load cell does not appear to be
empty on Page 203.
• If the bag contains fluid:
a. Tap No.
b. At the Operation Cancelled message, tap OK.
c. Remove the bag. Refer to Removing the Calibration Bag on Page 73.
d. Attach an empty bag. Refer to Attaching the Patient Bag on Page 85.
e. Return to Step 1.

Message
WARNING
If you tap Yes, the compounder will reset the measured weight to zero, despite
the fact that the bag contains fluid.
The finished solution may contain an unintended volume or ingredient, even if
the final measured weight is within the acceptable range. This unintended
volume or ingredient may result in patient harm.
The Details section of the MixCheck Report will indicate that you continued
compounding despite the warning that the bag did not appear to be empty.
For instructions on how to handle a finished bag in this situation, refer to your
facility’s protocol.

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Using the Compounder
3. At the Select Bag Type window:
a. Select the size of the bag you attached.
b. Tap OK.

Select Bag Type window,


sample North American version
At the pump screen, the Run button becomes a Pause button. The compounder pumps each
ingredient, one at a time, into the patient bag in the specified sequence and volume. When an
ingredient is being pumped, its button becomes yellow.

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Using the Compounder

Pump screen, compounding the solution


NOTE: For information about messages that might appear just before or during the
compounding process, refer to Fulfilling the Order (Additional Steps) on Page 91. If you
need to stop compounding temporarily, you can perform either of the following actions.
The MixCheck Report will indicate that you performed the action.
• Tap Pause, then tap Resume to start compounding again.
• Open the pump door, then close the pump door and tap Resume to start
compounding again.

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Using the Compounder
When compounding is finished, a message displays this information about the patient
bag:
o Expected weight
o Actual weight
o Difference
o Statement about whether or not the difference is acceptable
NOTE: If the difference is not acceptable, refer to Issues with the Weight and Load Cell
on Page 202. The acceptable difference is typically set to ± 5%. To change this setting,
refer to Acceptable Weight Variances on Page 117.
4. At the message with information about the patient bag, tap OK.

Message

Removing the Patient Bag


Always use aseptic technique when removing the bag.
1. Remove the bag’s fill port from the load cell’s fill port holder.
2. Remove the bag from the load cell.
3. Clamp the bag’s fill port.
4. Disconnect the outlet tube from the bag.
5. Connect the end of the outlet tube to the tube holder on the vial rack.
6. Cap the bag’s fill port.

Completing the Order


WARNING
It is important to inspect the finished solution to make sure that it complies with
standards.
1. Visually inspect the finished solution in the patient bag for precipitates and particulates.
Follow your facility’s protocol.
2. View and approve the MixCheck Report according to your facility’s protocol. For
instructions, refer to MixCheck Report on Page 161.
3. If necessary, perform any manual additions. Refer to Performing a Manual Addition on
Page 93.

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FULFILLING THE ORDER (ADDITIONAL STEPS)


To complete some orders, you may need to perform additional steps along with the basic steps
already explained. Interruptions to the compounding process may occur. These additions and
interruptions are part of normal operation.

Performing an Auto-Addition
An auto-addition allows you to add an ingredient to the existing configuration temporarily, to
fulfill the current order, instead of selecting a new configuration (which would require you to
prime and verify all the inlets and ingredients).
If the loaded formula includes an ingredient that is not attached to the compounder, but is
identified as an allowable auto-addition in the formulary and the current configuration, a
Confirm message appears.
1. At the Confirm message, tap OK.

Message
2. At the Select port window:
a. Select the port to which you will attach the ingredient.
b. Tap OK.

Select port window

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Using the Compounder
3. At the Specify New Container window:
a. Select the Product Name.
b. Tap OK.

Specify New Container window


4. Attach the new ingredient and inlet. Refer to Attaching the New Ingredients and Inlets
on Page 48.
5. If you have already attached the patient bag, remove it. Refer to Removing the Patient
Bag on Page 90.
6. Attach a calibration bag. Refer to Attaching the Calibration Bag on Page 73.
7. Prime and verify the new inlet and ingredient. Refer to Priming and Verifying on
Page 58.
8. Remove the calibration bag. Refer to Removing the Calibration Bag on Page 73.
9. Attach the patient bag. Refer to Attaching the Patient Bag on Page 85.
NOTE: You can reattach the original patient bag.
10. Continue with compounding the solution. Refer to Compounding the Solution on
Page 86.
NOTE: The formula is not unloaded from the pump screen.

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Performing a Manual Addition
A manual addition allows you to add an ingredient to the finished solution manually. This type
of addition may be necessary when the loaded formula includes an ingredient that meets one
or more of these conditions:
• It is not in the configuration.
• It is not identified as an allowable auto-addition.
• Its ordered volume is less than the 0.2 mL minimum required for use on the
compounder.
If a formula loaded by scanning a barcode includes an ingredient that must be added manually:
• A Manual Add button appears on the left side of the pump screen. You can tap this
button to view information about the ingredients that must be added manually.

Pump screen with manual addition


• The MixCheck Report includes a list of any ingredients that must be added manually. For
more information, refer to MixCheck Report on Page 161.
To add ingredients manually, follow your facility’s protocol.
NOTE: To set the maximum volume allowed for a manual addition, refer to Manual Add on
Page 117.

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Using the Compounder
Replacing a Source Container
If you are fulfilling a series of orders, an ingredient may become depleted and need to be
replaced. When a formula is loaded and requires more ingredient volume than what remains in
the source container, the vertical bar on the ingredient button flashes. You can replace the
container now or start compounding. If you start compounding, the Swap Container window
appears when the source container is almost empty.

Swap Container window


1. Check that the source container is appropriately depleted.
WARNING
If there is a large amount of fluid remaining in the source container, or if the
container has emptied completely and forced air into the inlet, there may be
a delivery problem. For assistance with troubleshooting, contact Baxter
Technical Services. Refer to Getting Help on Page 22.
2. At the Swap Container window, tap one of these options:
• Tap Swap is complete to replace the empty container with an exact match (same
ingredient, container size, container type and manufacturer). Use aseptic technique
to replace the source container.
• Tap Use a different container to replace the empty container with the same
ingredient from a different container size, container type or manufacturer. Use
aseptic technique to replace the source container.

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Using the Compounder

WARNING
The remainder value in the software must accurately represent the
actual volume remaining in the source container. Change a remainder
value only when you know the precise amount remaining in the source
container. Incorrect remainder values can lead to bubbles, occlusions
and under-delivery of an ingredient if its source container runs empty.
NOTE: Using a different container may require you to change and prime the inlet.
Refer to Attaching the New Ingredients and Inlets on Page 48 and Priming and
Verifying on Page 58.
• Tap Stop filling and throw bag away to cancel the order. At the pump screen, tap
Stop and follow the on-screen instructions.
• Tap Use some overfill to use the fluid remaining in the current container to
complete the order. At the Overfill Volume window:
a. Enter the Overfill volume to use.
WARNING
Adjusting the value improperly in the Overfill volume to use field
can lead to bubbles, occlusions and under-delivery of an ingredient if
its source container runs empty.
b. Tap OK.

Overfill Volume window

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Using the Compounder
Handling an Air Bubble
An air bubble can occur at any time, but it most frequently occurs after attaching a source
container and priming the inlet. A bubble can be caused by an improperly spiked container, an
empty container or incomplete priming.
When the bubble detector finds a bubble in the outlet tube over the detector, the
compounding process stops and an alarm beeps. A message also appears.
1. At the Bubble was detected while pumping from port <port number> message, tap OK.

Message
IMPORTANT! A bubble in the common fluid pathway displaces the volume of one or
more ordered ingredients, causing an under-delivery of these ingredients.
2. Determine the impact of the bubble:
a. Check the size of the bubble using the EM2400 Bubble Chart (5300-0868) to
determine the volume of fluid displaced.
b. If more than one bubble is present, evaluate each bubble and add the values
together to determine the total volume of fluid displaced.
c. Identify all the ingredients pumped prior to the alarm, the ingredient pumped
during the alarm and the volume of each ingredient ordered.
Tip! Baxter recommends that a pharmacist evaluate the clinical significance of bubbles
encountered during the compounding process.
3. Ask a pharmacist to determine if the displaced volume is clinically significant for any of
the ingredients pumped. Assume that the total displaced volume applies to each
ingredient ordered.
4. If the clinical significance:
• Is acceptable, tap Resume at the pump screen to continue compounding the
solution, and do not continue with the steps below
• Is not acceptable, or cannot be determined, continue with the next step to cancel
the order
Tip! Baxter recommends documenting all decisions according to your facility’s protocol.
5. Immediately write a large “X” on the label of the patient bag.
6. At the pump screen, tap Stop.

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7. At the Really abort the current solution? message, tap Yes.

Message
The software unloads the formula.
8. At the Operation Cancelled message, tap OK.

Message
9. At the Fluid path will be flushed with UI message, tap OK.

Message
10. Check that the fluid moves properly during the flush.
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Using the Compounder
11. At the UI flush complete message, tap OK.

Message
12. Remove the bag. Refer to Removing the Patient Bag on Page 90.
13. Discard the bag.
NOTE: To help reduce the occurrence of bubbles and make their detection more accurate, you
can:
• Use proper technique to spike the containers. Refer to the steps for spiking a container,
starting on Page 51.
• Re-prime any inlets that have visible bubbles. Refer to Priming the Inlets and Verifying
the Setup on Page 62.
• Increase the priming volume in the configuration. Refer to Adding or Editing a
Configuration on Page 132.
• Clean the channel over the bubble detector. Refer to CLEANING THE COMPOUNDER on
Page 101.
• Make sure that the outlet tube is in the proper position. It should be at the bottom of
the channel over the bubble detector. Refer to Step 7a on Page 46.

Handling an Occlusion
An occlusion can be caused by an empty syringe, stuck syringe plunger, kinked tube or other
obstruction in the inlet.
When the occlusion detector detects that a vacuum was drawn, indicating an occlusion
somewhere between the source container and the detector, the compounding process stops
and an alarm beeps. A message appears, and a red occlusion symbol also appears near the
ingredient button.

Occlusion symbol
1. Immediately write a large “X” on the label of the patient bag.
2. At the Occlusion was detected while pumping from port <port number> message, tap
OK.
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Using the Compounder

Message
3. At the pump screen, tap Stop.
4. At the Really abort the current solution? message, tap Yes.

Message
The software unloads the formula.
5. At the Operation Cancelled message, tap OK.

Message

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Using the Compounder
6. Check that:
• Each syringe has fluid and its plunger is not stuck.
• The appropriate inlet is used with each source container.
• The inlets have no obstructions, kinks, tangles or plugs. If necessary, replace the
inlets. Refer to Changing the Tube Set on Page 42.
• The occlusion detector is not damaged or dirty.
• The outlet tube is straight and flat on the occlusion detector.
7. At the Fluid path will be flushed with UI message, tap OK.

Message
8. Check that the fluid moves properly during the flush.
9. At the UI flush complete message, tap OK.

Message
10. Remove the bag. Refer to Removing the Patient Bag on Page 90.
11. Discard the bag.

Handling Other Interruptions and Errors


For more information about handling interruptions and errors, refer to Troubleshooting on
Page 193.

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Maintaining the Compounder

MAINTAINING THE COMPOUNDER


To keep the compounder in the best possible condition, perform these routine maintenance
tasks:
• Calibrate the load cell
• Change the tube set
• Clean the compounder
• Calibrate the compounder
• Shut down and start up the compounder
• Back up and compact the database

CALIBRATING THE LOAD CELL


This procedure is usually performed as part of the daily setup.
For instructions, refer to Calibrating the Load Cell on Page 37.

CHANGING THE TUBE SET


This procedure is usually performed as part of the daily setup.
For instructions, refer to Changing the Tube Set on Page 42.

CLEANING THE COMPOUNDER


Clean the compounder when indicated by your facility’s protocol. Use only these approved
materials:
• Non-abrasive cloth
• Soap and water
• 70% isopropyl alcohol or another self-drying disinfectant
• Povidone iodine
Tip! Baxter recommends cleaning the compounder daily or whenever you change the tube set,
or whenever there is a spill.
CAUTION
Cleaning is required to ensure that the compounder operates as intended. Failure to
clean the compounder can impair its operation.
Do not immerse the compounder in liquid or use sodium hypochlorite solutions (for
example, Clorox®).
Disassembling the compounder beyond what is needed for cleaning as described in
this procedure voids the manufacturer’s warranty.
Power off the device during routine cleaning.

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Maintaining the Compounder
1. Shut down and turn off the compounder. Refer to Rebooting and Shutting Down on
Page 32.
2. If the tube set is installed, remove and discard it. Refer to Removing the Expired Tube
Set and Expired Ingredients on Page 44.
3. Open the pump door.
4. Remove and retain the thumbscrew and washer used to attach the rotor.

Removing the thumbscrew


5. Remove the pump rotor from the spindle.

Removing the pump rotor


6. Using the approved materials, clean the:
a. Pump rotor, making sure that the rollers spin freely
b. Pump rotor area
c. Channels near the pump rotor area
7. Install the:
a. Pump rotor, aligning the notch on the bottom of the rotor with the pin on the
spindle
b. Washer and thumbscrew
8. Close the pump door.
9. Using the approved materials, clean the:
a. Valve actuators
b. Surface of the main module
c. Load cell
d. Poles and holders on the vial rack

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CALIBRATING THE COMPOUNDER


This procedure is usually performed as part of the daily setup.
For instructions, refer to Calibrating the Compounder on Page 69.

SHUTTING DOWN AND STARTING UP THE COMPOUNDER


Tip! Baxter recommends fully shutting down and starting up the compounder once a day, to
allow the software to perform routine database maintenance at startup.
For instructions, refer to Starting Up, Logging In and Out, and Shutting Down on Page 30.

BACKING UP AND COMPACTING THE DATABASE


The compounder’s database accumulates data related to solutions, formulas and logs. For
example, the software records important device activity in a Blackbox log, which Baxter can
access through the Blackbox Report when needed. The compounder stores this data for a
specified time period. To set up the storage options, refer to Storage on Page 114.

When you shut down the software, the compounder automatically backs up the database. If
required during troubleshooting, you can use the backup data to restore the software settings
to an earlier state. When you start up the software, it notifies you if more than seven days have
passed since the last backup occurred. In this situation, perform a manual backup.
Tip! Baxter recommends performing a manual backup at least once a week or after changing
the system settings.
You can also compact the database to reduce its space on the hard drive and keep the
compounder operating efficiently. To set up the compaction options, refer to Database
Compaction on Page 116.

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Maintaining the Compounder
Backing Up the Entire Database
This procedure backs up the entire database, including the Blackbox log.
1. At the menu screen, tap Tools > Database > Backup All.
2. At the Backup Database Location window:
a. If desired, change the location of the backup by tapping the button to the right of
the current location (not recommended).
b. If you want to:
• Replace all the previous backup files to save space, select the Overwrite
Existing File? check box
• Keep the previous backup files, clear the Overwrite Existing File? check box
c. Tap OK.

Backup Database Location window


3. At the Backup succeeded message, tap OK.

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Message
Backing Up the Blackbox Log
This procedure backs up only the Blackbox log.
1. At the menu screen, tap Tools > Database > Backup Blackbox.
2. At the Backup Blackbox Location window:
a. If desired, change the location of the backup by tapping the button to the right of
the current location (not recommended).
b. If you want to:
• Replace all the previous backup files to save space, select the Overwrite
Existing File? check box
• Keep the previous backup files, clear the Overwrite Existing File? check box
c. Tap OK.

Backup Blackbox Location window


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Maintaining the Compounder
3. At the Backup succeeded message, tap OK.

Message

Compacting the Database


1. At the menu screen, tap Tools > Database > Maintenance.
2. At the Do Database Maintenance? message, tap OK.

Message

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Performing Advanced Tasks

PERFORMING ADVANCED TASKS


Perform these tasks only when directed by Baxter Technical Services.

CHANGING THE UNIVERSAL INGREDIENT


IMPORTANT! This function requires Change Universal Ingredient permissions. For more
information about user groups and permissions, refer to Setting Up the Users on Page 123.
To change the Universal Ingredient for the most recently used configuration when you are not
in the process of compounding a solution, do the following procedure. To change the volume
used for flushing after a UI change, refer to Flush Between UI Changes on Page 117.
If you are prompted to change the volume of the UI during the compounding process, refer to
Formula Conflict on Page 199.
1. At the menu screen, tap Tools > Change Universal Ingredient.

Menu screen, Tools menu

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Performing Advanced Tasks
A Change Universal window appears. It lists any ingredients that are available in the
current configuration and have been specified as Universal Ingredients in the Formulary
Editor. To specify the Universal Ingredients, refer to Using the Formulary Editor on
Page 139.
2. At the Change Universal window:
a. Select the Universal Ingredient you want to use.
b. Tap OK.

Change Universal window


The compounder requires a flush of the new Universal Ingredient to clear the old
Universal Ingredient from the common fluid pathway.
3. Attach a calibration bag. Refer to Attaching the Calibration Bag on Page 73.
4. At the Flushing with Universal Ingredient message, tap OK.

Message
The pump screen shows an animation of the flush.

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Performing Advanced Tasks
5. When the Completed flushing message appears, remove the calibration bag. Refer to
Removing the Calibration Bag on Page 73.
6. If you will continue with compounding a solution, attach a patient bag. Refer to
Attaching the Patient Bag on Page 85.
7. At the Completed flushing message, tap OK.

Message

CHANGING THE INGREDIENT REMAINDERS


For each ingredient, the compounder tracks the volume that is used and the volume that
remains in the source container (the remainder). If necessary, you can manually change each
remainder shown in the software.
WARNING
The remainder value in the software must accurately represent the actual volume
remaining in the source container. Change a remainder value only when you know the
precise amount remaining in the source container. Incorrect remainder values can
lead to bubbles, occlusions and under-delivery of an ingredient if its source container
runs empty.
IMPORTANT! This function requires Compounder permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123.
1. At the menu screen, tap Compound > Edit Source Remainders.
2. At the Edit Source Remainders window:
a. For the desired ingredient, change the Remainder to correspond to the volume
remaining in the container.
NOTE: You can tap Reset to change the remainder to its default value, or tap
Reset All to change all the remainders to their default values at the same time.
Tip! Baxter does not recommend using Reset All unless the entire list of
ingredients has been changed.
b. Tap OK.

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Performing Advanced Tasks

Edit Source Remainders window

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Setting Up the Options

SETTING UP THE OPTIONS


IMPORTANT! These functions require Administration permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123.
NOTE: At any tab of the Options window:
• Tapping OK saves the changes made on all the tabs and requires you to exit the
software.
• Tapping Cancel closes the window without saving any changes.

SETTING UP THE SYSTEM OPTIONS


Use the System tab to set up the general system options.
To access the system options, tap Tools > Options at the menu screen.
At the Options window, the System tab is selected.

Options window, System tab

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Setting Up the Options
MixCheck Report
The MixCheck Report is available after compounding is finished. For more information about
the contents of this report, refer to MixCheck Report on Page 161.

Options window, System tab


By default the Enable Auto-Print is enabled. Ensure either one or both of the options Enable
Auto-Display and Enable Auto-Print are selected; otherwise you get an error message. Use
Online MixCheck Authorization is optional.
• Select Use Online MixCheck Authorization if you want to require a qualified user to log
in with a password to approve each MixCheck Report on the screen.
• Select Enable Auto-Display if you want the MixCheck Report to appear automatically on
the display after compounding is finished.
• Select Enable Auto-Print if you want the MixCheck Report to print automatically after
compounding is finished.

Authorization Report
The Authorization Report is available after the Setup Wizard is finished, or from the Reports
menu. For more information about the contents of this report, refer to Authorization Report on
Page 167.
Select Auto Fill if you want to make the Assembled and Verified columns of the report
populate automatically with the name of the person who logged in to perform the task.
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Setting Up the Options
Load Cell
IMPORTANT! Baxter does not recommend changing these settings. Before changing any of
these settings, contact Baxter Technical Services. Refer to Getting Help on Page 22.
Select Use load cell if you want to use the compounder’s scale. This box should always be
selected, except if the load cell is not functional and an external scale is available. If you select
this check box, the following options become available.
Select Check for empty bag if you want to make the load cell check for the absence of a bag or
the presence of a non-empty bag. If you select this check box, numbers appear in both of these
fields:
• For Min Empty Weight, enter the minimum expected weight of an empty bag. If the
load cell measures a weight less than this number at the start of compounding, a
warning message indicates that a bag may not be attached to the load cell.
• For Max Empty Weight, enter the maximum expected weight of an empty bag. If the
load cell measures a weight greater than this number at the start of compounding, a
warning message indicates that the bag on the load cell may not be empty.
Tip! Baxter recommends selecting Check for empty bag.

Track Product Expiration Date and Lot Number


Select Enabled if you want to track the expiration date and lot number for every source
container that is attached to the compounder. If you select this check box, these options
become available:
• Select Use Previous Values, No Confirm if you want the compounder to use the
previous date and lot number without requiring confirmation.
• Select Use Previous Values, Confirm if you want the compounder to use the previous
date and lot number but require confirmation.
• Select Require Entry if you want the user to enter values each time a new container is
attached.

Logging
IMPORTANT! Baxter does not recommend changing these settings.
Regardless of the Logging settings, the compounder stores records in a Blackbox log. For
information about viewing the contents of this log, refer to Blackbox Report on Page 181.
In most cases, it is not necessary to change the Logging settings. Selecting any of these check
boxes may cause the log to grow to a size that slows the performance of the software.

Demo
Demo mode uses a “virtual compounder” to simulate the compounder’s operation. It can be
used during training.
Select Demo mode if you want to enable demo mode. If you select this check box, these
options become available:

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Setting Up the Options

• Select Warp factor if you want to make the virtual compounder perform compounding
operations faster than normal.
• For Pump Skew, enter a number. Entering a number other than 1.05 forces the virtual
compounder to pump inaccurately, for training purposes.
NOTE: Operating in demo mode affects the ingredient remainders.
Tip! Do not use demo mode with ingredients attached.

Storage
The storage fields set the number of days that the database stores solution, formula and log
(Blackbox) information. Information older than the specified storage period is purged when the
software starts up.
You can increase or decrease these settings:
• For Solution Storage (Days), enter the number of days that used formulas are available
in the database.
• For Formula Storage (Days), enter the number of days that unused formulas are
available in the database.
• For Log Storage (Days), enter the number of days that Blackbox information is available
in the database.
Tip! Baxter recommends entering at least 45 days for each of these fields.

MixCheck Data Export


Select Enable if you want the compounder to export data directly to the Baxter DoseEdge®
Pharmacy Workflow Manager.
For this feature, the DoseEdge system must be specified as the printer. For assistance with
setting up printers, contact Baxter Technical Services. Refer to Getting Help on Page 22.

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Setting Up the Options

Options window, System tab

Tube Set Expiration


IMPORTANT! Before changing any of these settings, contact Baxter Technical Services. Refer to
Getting Help on Page 22.
Select Enable if you want the compounder to display a message when the tube set has been
used longer than recommended.
For Max Hours to Use Tube Set, enter the maximum number of hours that the tube set should
be used.
Tip! Baxter recommends entering 20 for the Max Hours to Use Tube Set, so that the tube set
expires shortly before (instead of shortly after) the daily setup.

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Setting Up the Options

SETTING UP THE SYSTEM (CONTINUED) OPTIONS


The System Cont. tab is a continuation of the System tab.
To access the continued system options:
1. At the menu screen, tap Tools > Options.
2. At the Options window, tap the System Cont. tab.

Options window, System Cont. tab

Database Compaction
IMPORTANT! Do not change these settings unless directed by Baxter Technical Services.
Select Compact DB if you want to make the compounder compact the database at startup.

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Setting Up the Options
Acceptable Weight Variances (%)
For Final Solution, enter the maximum acceptable difference between the expected and actual
weight of the compounded solution. If any compounded solution has a weight outside this
range, an alarm beeps and a message displays the results in red. The results also appear on the
MixCheck Report.
For Individual Ingredient, enter the maximum acceptable difference between the expected and
actual weight of each delivered ingredient. If any delivered ingredient has a weight outside this
range, a message appears. The compounder weighs only ingredient deliveries of 100 mL or
more.
Tip! Baxter recommends entering 5% for the Final Solution and 5% for the Individual
Ingredient.

Manual Add
For Max manual add volume, enter the maximum volume allowed for a manual addition. If the
volume of the formula ingredient exceeds this amount, a message appears, with options to add
the ingredient manually or cancel compounding.

Flush Between UI Changes


For Volume (mL), enter the final flush volume used to clear the common fluid pathway after
changing the Universal Ingredient.
NOTE: A UI flush contains three deliveries with standard volumes of 50, 50 and 30 mL. Changing
the Volume setting changes only the last of the three deliveries.

Report Printer
Select the printer used for printing reports.

MixCheck Data Export Printer


Select the printer used when sending MixCheck data to the DoseEdge system.
If MixCheck Data Export option (System tab) is enabled, application will display MixCheck Data
Export Printer in System Cont. tab.

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Setting Up the Options

Options window, System Cont. tab

MixCheck Signature Label


Enter text that you want to include at the bottom of the MixCheck Report.

Authorization Report Signature Label


Enter text that you want to include about required signatures in the Authorization Report.

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Setting Up the Options

SETTING UP THE SECURITY OPTIONS


Use the Security tab to set the security features according to your facility’s protocol.
To access the security options:
1. At the menu screen, tap Tools > Options.
2. At the Options window, tap the Security tab.

Options window, Security tab

General
Select Use Security if you want each user to sign in with a user ID and password.
Select Remember last login if you want the login box to populate automatically with the user ID
of the last user who logged in. Only the user ID populates; the user must enter a password each
time.

Auto-Logout
Select Use Auto-Logout if you want the current user to be logged out automatically after a
period of inactivity.
For Minutes to Auto-Logout, enter the number of minutes after which the user is logged out.
Tip! Baxter recommends entering 10–15 for the Minutes to Auto-Logout.
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Setting Up the Options
Password Expiration
Select Use password expiration to place an expiration date on each password, if your facility’s
protocol requires that user passwords must be changed on a regular basis.
NOTE: By default Use password expiration checkbox is checked.
For Days password valid, enter the number of days after which the password expires.
Tip! Baxter recommends entering 90 (or the number specified by your facility’s protocol) for the
Days password valid.

Order Entry Serial Number


For Serial number length, enter the number of maximum length of serial number for a formula
file.
NOTE: If the Order Entry Serial Number is more than 36 characters, part of it may be truncated
in the reports.

Barcode Reader
Select Enable barcode reader to allow the use of a barcode reader for scanning labels during
verification of the setup and for loading formulas. If you select this check box, these options
become available:
• Select Use barcode verification if you want to require the use of a barcode reader for
scanning labels during verification of the setup.
• Select Require barcode to initiate compounding if you want to require the use of a
barcode reader for loading formulas. If this box is selected, the user cannot manually
select a saved formula.
WARNING
It is important to use a barcode reader for scanning labels during verification of the
setup and for loading formulas.
NOTE: Compounder supports both 1D & 2D GS1 barcode formats. However to enable 2D
barcode reading a 2D barcode reader (part number # 6500-0500) is needed.

Default User
If your facility does not require users to log in, select a Default User who is logged in
automatically at startup.
Tip! Baxter does not recommend using this feature.

Cosignature
Select Required for Configuration Verification if you want to require a second user to log in
and verify the configuration. If this option is not selected, the same user can set up and verify
the configuration.
Tip! Baxter strongly recommends requiring a cosignature.

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Setting Up the Options
Select Required for MixCheck Authorization if you want to require a second user to log in and
verify the MixCheck Report on the screen after compounding.

Solution Limit
Select Limit formula runs if you want to limit the number of times a specific formula can be
used for compounding.
For Max, enter the maximum of times an individual formula can be used.
Tip! Baxter recommends entering 1 for the Max.

SETTING UP THE DIRECTORIES OPTIONS


Use the Directories tab to set the locations of formula files, reports and backups.
To access the directories options:
1. At the menu screen, tap Tools > Options.
2. At the Options window, tap the Directories tab.

Options window, Directories tab


3. If you want to allow users to retrieve formula files, select Formula Search.

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Setting Up the Options
IMPORTANT! After initial installation, you should not need to change the locations of
the directories. Do not tap Reset Directories unless directed by Baxter Technical
Services. This button changes the locations of the directories from their current settings.
4. If you want to change the locations of the directories:
a. Tap Browse for Formula Files, Reports or Backups.
b. Select the location of the directory.

VIEWING THE OEM OPTIONS


You cannot edit the information on this tab; however, you may need to view it if directed by
Baxter Technical Services.
To access the OEM options:
1. At the menu screen, tap Tools > Options.
2. At the Options window, tap the OEM tab.

Options window, OEM tab

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Setting Up the Users

SETTING UP THE USERS


Each user must have an account so that the compounder can track activity. Users are assigned
to groups that have the appropriate permissions to perform the required tasks.

WORKING WITH GROUPS


Adding or Editing a Group
IMPORTANT! These functions require Administration permissions.
1. At the menu screen, tap Tools > Users > Edit Users and Groups.

Edit Users and Groups window


2. At the Edit Users and Groups window, in the top half, do one of these options:
• Tap Add to add a group.
The Add Group window appears.
• Select the group you want to edit from the Name list, then tap Edit.
The Edit Group <name> window appears.

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Setting Up the Users

Edit Group <name> window


3. At the Add Group window or Edit Group <name> window, select the permissions for the
group.
IMPORTANT! These permissions will apply to an entire group of users. You cannot
assign unique permissions directly to a user; however, you can create a group that
contains only one user.

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Setting Up the Users
Permissions Allowed Functions Baxter recommends
assigning to:
Administration • Access the Windows desktop Administrator
• Use Tools > Options
• Use Tools > Users > Edit Users and Groups
• Use the Inlet Editor
• Use the Bag Inventory Editor
Formulary • Use the Formulary Editor Administrator
• Use the Ingredient Group Editor
Edit Configuration Use the Configuration Editor Administrator
Formula Edit Increase the Universal Ingredient volume to satisfy the flush None*
requirement (available in v 1.11 or older software versions
only)
Formula Entry Create and save direct-entry formulas Administrator and
Pharmacist
Change Universal Change the Universal Ingredient without changing the Administrator,
Ingredient configuration Pharmacist and
Technician
Verification • Perform cosignature authorization of the priming and Administrator and
verifying steps during setup Pharmacist
• Perform authorization and cosignature authorization of
the MixCheck Reports
Compounder • Calibrate the load cell Administrator,
• Select the configuration Pharmacist and
• Change the tube set Technician
• Prime the inlets
• Calibrate the compounder
• Compound the solution
• Edit the source remainders
Report • View reports Administrator,
• Export reports Pharmacist and
• Print reports (except MixCheck Report) Technician
* Use of this permission for any user is discouraged. Because this permission allows a
user to make changes to formulas, the clinical impact must be considered.
Tip! Baxter recommends having a pharmacist perform the verification.
4. Tap Save.
5. At the Edit Users and Groups window, tap OK.

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Setting Up the Users
Deleting a Group
IMPORTANT! This function requires Administration permissions.
1. At the menu screen, tap Tools > Users > Edit Users and Groups.
2. At the Edit Users and Groups window, in the top half:
a. Select the group you want to delete from the Name list.
b. Tap Delete.
3. At the Delete user group <name>? message, tap Yes to delete the group.

Message
4. At the Edit Users and Groups window, tap OK.

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Setting Up the Users

WORKING WITH USERS


Adding or Editing a User
IMPORTANT! These functions require Administration permissions.
1. At the menu screen, tap Tools > Users > Edit Users and Groups.
The Edit Users and Groups window appears.

Edit Users and Groups window


2. At the Edit Users and Groups window:
a. In the top half, select the group from the Name list.
b. In the bottom half, do one of these options:
• Tap Add to add a user.
The Add User window appears.
• Select the user you want to edit from the Login Name list, then tap Edit.
The Edit User <name> window appears.

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Setting Up the Users

Edit User <name> window


3. At the Add User window or Edit User <name> window:
a. Enter the Login Name.
b. Enter the User Name.
Tip! Baxter recommends using a short Login Name and full User Name.
c. Select the Group to which the user is assigned.
d. Tap Save.
4. At the Edit Users and Groups window, tap OK.
NOTE: The password will be the same as the Login Name until the user logs in and
changes the password. Baxter requires that new users change their passwords upon
their first login attempt.

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Setting Up the Users
Deleting a User
IMPORTANT! This function requires Administration permissions.
1. At the menu screen, tap Tools > Users > Edit Users and Groups.
2. At the Edit Users and Groups window:
a. In the top half, select the group from the Name list.
b. In the bottom half, select the user you want to delete from the Login Name list,
then tap Delete.
3. At the Delete user <name>? message, tap Yes to delete the user.

Message
4. At the Edit Users and Groups window, tap OK.

Changing a Password
1. At the menu screen, tap Tools > Users > Change Password.
2. At the Change Password window:
a. Enter the Old password.
b. Enter the new password.
c. Enter the new password again to confirm it.
d. Tap OK.

IMPORTANT! Passwords are case-sensitive.


Baxter requires a new password shall be a minimum of 8 characters and a maximum of 40
characters. It shall contain at least 1 number, 1 alphabet, and 1 special character.

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Setting Up the Users

Change Password window

Logging in as a Different User


1. At the menu screen, select Tools > Users > Change User.
2. At the Login window:
a. Enter a different Login name.
b. Enter the Password. (NOTE: Passwords are case-sensitive)
c. Tap Log In.

Login window

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Using the Configuration Editor

USING THE CONFIGURATION EDITOR


Use the Configuration Editor to manage the configurations.
IMPORTANT! These functions require Edit Configuration permissions. For more information
about user groups and permissions, refer to Setting Up the Users on Page 123. Before making
any changes in the Configuration Editor, contact Baxter Technical Services. Refer to Getting
Help on Page 22.
IMPORTANT! The Configuration Editor is to be used only to create and manage non-active
configurations. All changes to the Universal Ingredient of an active configuration must be made
through the “Change Universal Ingredient” functionality described on Page 107.
At the menu screen, tap Edit > Configuration Editor.

Menu screen, Edit menu

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Using the Configuration Editor
The Edit Configurations window appears. It lists the available configurations and allows you to
add, edit or delete configurations.

Edit Configurations window

ADDING OR EDITING A CONFIGURATION


WARNING
It is strongly recommended that installers / support services review and approve
every new or edited configuration before it is placed into service.
Installers / support services are available for reviewing and approving all new and
updated configurations. Refer to Getting Help on Page 22 for additional
instruction.
1. At the Edit Configurations window, do one of these options:
• Tap Add to add a configuration.
The Add Configuration window appears.
• Select the configuration you want to edit, then tap Edit.
The Edit Configuration <name> window appears.
• Select the configuration you want to copy and then tap Copy.
The Copy of <copied configuration name> window appears.
NOTE: You can use the Copy option to make minor edits to an existing configuration
and save it with a new name.

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Add Configuration window


2. Enter the Name of the configuration.
3. Tap a port.
The Edit Port <number> window appears.

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Using the Configuration Editor

Edit Port <number> window


4. At the Edit Port <number> window:
a. Select the Product to associate with the port.
NOTE: For a product to appear in the list, it must first be in the formulary. Refer
to Using the Formulary Editor on Page 139.
b. Select the Prime Volume. You can leave the standard volume that is
automatically selected, or select the minimum volume.
Tip! Baxter recommends using the standard prime volume to ensure that the
inlets are primed and any bubbles are removed.
NOTE: The prime volume is used during setup of the compounder. This volume
must be set for each product that is in each configuration. Auto-addition
ingredients are always primed with the standard volume.
c. If the selected product requires an ingredient flush after it is delivered, select the
flush ingredient in the Flush With list and set the flush volume in the Volume
field.
NOTE: For example, to force a flush when lipids are pumped in a 3-in-1 bag, set
the port with the appropriate flush ingredient and volume. Typically, the flush
ingredient is the Universal Ingredient, but it can be any ingredient in the
configuration and the formula. For an ingredient to appear in the Flush With list,
it must first be specified as an allowable Universal Ingredient in the formulary.
Refer to Using the Formulary Editor on Page 139.
d. Tap OK.

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5. Repeat Steps 3–4 for all the ports you want to use.
The configuration window now shows the product that is associated with each port. If
you requested an ingredient flush for a product, the ingredient button includes a red
downward arrow that represents the flush. If the ingredient is set to use the minimum
prime volume, the ingredient button includes the letter M.

Configuration window with products


6. At the configuration window:
a. Select the Universal Ingredient.
NOTE: For the Universal Ingredient to appear in the list, it must first be in the
configuration. Universal Ingredients must be assigned to ports 19–24; they
cannot be assigned to ports 1–18. A port specified for the Universal Ingredient is
labeled U. For commonly used ingredients such as the Universal Ingredient, you
can set up an electronic Y-site.
b. Enter the Final Flush Volume.
Tip! Each formula must include at least this volume of the Universal Ingredient.
Baxter recommends using at least 30 mL. The minimum is 25 mL.
c. If you want to specify ingredients for auto-addition, tap Auto-Additions.
Otherwise, skip to Step 8.

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Using the Configuration Editor
A list of ingredients that are available for auto-addition appears on the right side
of the window.
NOTE: For the ingredient to be listed as available for auto-addition, it must first
be specified as an allowable auto-addition in the formulary. Refer to Using the
Formulary Editor on Page 139.

Selecting auto-additions

7. To select auto-additions:
a. Select the check box for each desired ingredient.
b. To select a specific product or add an ingredient flush for the selected ingredient,
tap Edit Selected.
c. When you are finished, tap Return to Products.

8. At the configuration window, tap Edit Sequence.


NOTE: This option is available only for existing configurations. If you do not edit the
sequence (pumping order), the compounder will use the sequence of the port numbers
(1, 2, 3 and so on).

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Using the Configuration Editor
A sequential list of ingredients appears on the right side of the window.

Editing the sequence


9. To edit the sequence:
a. Select an ingredient, then use the arrows to move it up or down in the sequence.
b. When you are finished, tap Return to Products.
10. At the configuration window, tap OK.
11. At the Edit Configurations window, tap Close.
WARNING
A Baxter pharmacist must approve every new or edited configuration before it
is placed into service.
12. Print a Configuration Report for the new or edited configuration. Refer to Configuration
Report on Page 174.
13. Contact Baxter Technical Services for instructions on sending the Configuration Report.
Refer to Getting Help on Page 22.

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Using the Configuration Editor

DELETING A CONFIGURATION
1. At the Edit Configurations window:
a. Select one or more configurations you want to delete.
b. Tap Delete.
2. At the Delete configuration <name>? message, tap:
• Yes to delete the configuration
• Yes to All to delete all configurations selected in the Edit Configurations window
NOTE: If only one configuration is selected, only one will be deleted.

Message
3. At the Edit Configurations window, tap Close.

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Using the Formulary Editor

USING THE FORMULARY EDITOR


Use the Formulary Editor to manage the ingredients and products in the formulary.
IMPORTANT! These functions require Formulary permissions. For more information about user
groups and permissions, refer to Setting Up the Users on Page 123. Before making any changes
in the Formulary Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22.
At the menu screen, tap Edit > Formulary Editor.

Menu screen, Edit menu

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Using the Formulary Editor
The Formulary Editor window appears. The top list identifies the ingredients that can be
included in a formula. The bottom list identifies each Product Name, with its Drug ID, that can
be used for each ingredient type.
Tapping the Inlets button displays the Inlet Editor. For instructions on using this feature, refer
to Using the Inlet Editor on Page 150.

Formulary Editor window

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Using the Formulary Editor

WORKING WITH INGREDIENTS


Adding or Editing an Ingredient
1. At the Formulary Editor window, in the top half, do one of these options:
• Tap Add to add an ingredient.
The Add Ingredient window appears.
• Select the ingredient you want to edit from the Name list, then tap Edit.
The Edit Ingredient <name> window appears.

Add Ingredient window


2. At the Add Ingredient window or Edit Ingredient <name> window:
a. Enter the Name.
b. Enter the Abbr (abbreviation).
NOTE: The information entered in the Abbr field will appear on the Ingredient
Abbreviation preview and in the ingredient button on the pump screen.
c. Enter the Spec Gr (specific gravity).
d. In the Groups list, select the group to which the ingredient belongs. For more
information, refer to Using the Ingredient Group Editor on Page 147.
e. If desired, select one or more of these check boxes:
• Warn If Manual Addition to make a message appear when a formula that
includes this ingredient is used, but this ingredient is not in the current
configuration

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Using the Formulary Editor

• Can be used for Universal Ingredient to allow this ingredient to be used as a


Universal Ingredient
• Auto-addition to allow this ingredient to be added for temporary use at an
open port
f. Tap Save.

Deleting an Ingredient
1. At the Formulary Editor window, in the top half:
a. Select one or more ingredients you want to delete from the Name list.
b. Tap Delete.
2. At the Delete ingredient <name>? message, tap:
• Yes to delete the ingredient
• Yes to All to delete all ingredients selected in the Formulary Editor window
NOTE: If only one ingredient is selected, only one will be deleted.

Message

Viewing an Ingredient’s Usage Information


1. At the Formulary Editor window, in the top half:
a. Select the ingredient you want to view from the Name list.
b. Tap Contained In.
A message with the ingredient’s current usage appears, including:
• The groups to which the ingredient belongs
• The products that contain the ingredient
• The configurations and formulas that contain the ingredient
2. At the Information message, tap OK.

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Using the Formulary Editor

Message

The Calibration Ingredient


The calibration ingredient is used for calibrating the compounder’s pump.

WARNING
A sterile water product is required as the calibration ingredient.

If you think the calibration ingredient needs to be changed, contact Baxter Technical Services.
Refer to Getting Help on Page 22.

Viewing the Calibration Ingredient


1. At the Formulary Editor window, in the top half, tap Show Cal. Ingredient.
The calibration ingredient is highlighted.
2. Tap OK.

WORKING WITH PRODUCTS


Adding or Editing a Product
1. At the Formulary Editor window:
a. In the top half, select the ingredient from the Name list.
b. In the bottom half, do one of these options:
• Tap Add to add a product.
The Add Product window appears.
• Select the product you want to edit from the Product Name list, then tap
Edit.
The Edit Product <name> window appears.

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Using the Formulary Editor

Add Product window


2. At the Add Product window or Edit Product <name> window:
a. Enter the product’s Manufacturer.
NOTE: The Ingredient Name field populates automatically with the ingredient
name in the formulary. You cannot change this field.
WARNING
It is important to select the correct inlet type for the container. Selecting
the incorrect inlet type can lead to occlusions and incorrect volume
delivery, resulting in patient harm.
b. Select the appropriate Inlet for the container. For information about the available
inlet types, refer to Inlets on Page 18.
c. Enter the Container Size.
d. Scan the barcode to enter the Barcode ID.
NOTE: For items that do not have a Barcode ID from the manufacturer, you can
enter the data manually.
Tip! Baxter recommends always using the barcode reader when possible.

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Using the Formulary Editor

WARNING
If a code number is assigned to one product in the order-entry
software, and that number is assigned to a different product in the
compounder’s formulary, the compounder may pump the wrong
ingredient. It is the user’s responsibility to ensure that code numbers
are properly and consistently assigned in both systems.
e. Enter the Drug ID.
NOTE: The Drug ID is used to identify products uniquely. In the United States, the
Drug ID is usually the NDC.
f. Enter the Max Hang Time.
NOTE: This setting is the maximum amount of time the product can be attached
to the compounder. The compounder displays a message if the product remains
attached longer than the specified time.
g. Select the product’s Container Type.
h. If you want to change the Name, tap Regenerate Name or enter a new name.
NOTE: Based on the product information, the Name is generated automatically
for new products. This name is used when the product’s barcode is printed.
i. Tap Save.

Deleting a Product
1. At the Formulary Editor window:
a. In the top half, select the ingredient from the Name list.
b. In the bottom half, select one or more products you want to delete from the
Product Name list, then tap Delete.
2. At the Delete product <name>? message, tap:
• Yes to delete the product from the ingredient
• Yes to All to delete all products selected in the Formulary Editor window
NOTE: If only one product is selected, only one will be deleted.

Message

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Using the Formulary Editor
Viewing a Product’s Usage Information
1. At the Formulary Editor window:
a. In the top half, select the ingredient from the Name list.
b. In the bottom half, select the product you want to view from the Product Name
list, then tap Contained In.
A message with the product’s current usage appears, including:
• The configurations that contain the product
• The solutions that contain the product
2. At the Information message, tap OK.

Message

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Using the Ingredient Group Editor

USING THE INGREDIENT GROUP EDITOR


Use the Ingredient Group Editor to manage the ingredient groups, assign the products that are
in the formulary to the correct groups and specify which groups are incompatible.
WARNING
Any calcium-containing products must be assigned to the calcium members group,
and any phosphate-containing products must be assigned to the phosphate members
group to ensure the software will warn users about formulas that may cause a
precipitate in the tube set during the compounding process.
IMPORTANT! These functions require Formulary permissions. For more information about user
groups and permissions, refer to Setting Up the Users on Page 123. Before making any changes
in the Ingredient Group Editor, contact Baxter Technical Services. Refer to Getting Help on
Page 22.
At the menu screen, tap Edit > Ingredient Group Editor.

Menu screen, Edit menu

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Using the Ingredient Group Editor
The Ingredient Groups window appears. It lists the available ingredient groups and allows you
to add, edit or delete ingredient groups. Calcium and Phosphate groups are created
automatically.

Ingredients Groups window

ADDING OR EDITING AN INGREDIENT GROUP


1. At the Ingredient Groups window, do one of these options:
• Tap Add to add a new ingredient group.
The Add Ingredient Group window appears.
• Select the group you want to edit, then tap Edit.
The Edit Ingredient Group <name> window appears.

Edit Ingredient Group <name> window


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Using the Ingredient Group Editor
2. Enter the Name of the group.
3. Specify the members of this group.
• To add an ingredient to this group:
a. Select the ingredient in the Nonmembers list.
b. Tap >> to move the ingredient to the Members list.
• To remove an ingredient from this group:
a. Select the ingredient in the Members list.
b. Tap << to move the ingredient to the Nonmembers list.
4. Specify the groups that are incompatible with this group.
• To make another group incompatible with this group:
a. Select the other group in the Compatible Groups list.
b. Enter a Flush Volume.
NOTE: The flush ingredient will be any ingredient that is not listed as
incompatible.
c. Tap >> to move the group to the Incompatible Groups list.
• To make another group compatible with this group:
a. Select the other group in the Incompatible Groups list.
b. Tap << to move the group to the Compatible Groups list.
5. To modify the flush volume for an incompatible group:
a. Select the group in the Incompatible Groups list.
b. Edit the Flush Volume.
c. Tap Modify Flush.
6. Tap Save.
7. At the Ingredient Groups window, tap Close.

DELETING AN INGREDIENT GROUP


1. At the Ingredient Groups window:
a. Select one or more ingredient groups you want to delete.
b. Tap Delete.
2. At the Delete ingredient group <name>? message, tap:
• Yes to delete the ingredient group
• Yes to All to delete all ingredient groups selected in the Ingredient Groups window
NOTE: If only one ingredient group is selected, only one will be deleted.

Message
3. At the Ingredient Groups window, tap Close.

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Using the Inlet Editor

USING THE INLET EDITOR


The priming volume and pumping speed for inlets may differ depending on the inlet’s spike and
tube diameter. The Inlet Editor allows you to adjust the priming volumes for all the inlets.
IMPORTANT! These functions require Administration permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123. Before making any
changes in the Inlet Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22.
At the menu screen, tap Edit > Inlet Editor.

Menu screen, Edit menu


The Inlet Editor window appears. It lists the available inlets and allows you to add, edit or delete
inlets.

Inlet Editor window

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Using the Inlet Editor

ADDING OR EDITING AN INLET


1. At the Inlet Editor window, do one of these options:
• Tap Add to add a new inlet.
The Add Inlet window appears.
• Select the inlet you want to edit, then tap Edit.
The Edit Inlet <name> window appears.

Edit Inlet <name> window


IMPORTANT! For the order number, description and recommended priming volume for
each inlet, refer to Inlets on Page 18.
NOTE: Use of this function is not recommended without Baxter instruction.
WARNING
Modifying these settings without contacting Baxter Technical Services
could result in ingredients over or under delivering and may cause
patient harm.
2. At the Add Inlet window or Edit Inlet <name> window:
a. Enter the Order Number.
b. Enter the Description.
WARNING
The Max Speed and Priming Speed are set automatically. Do not
change them unless directed by Baxter Technical Services.
c. If desired, edit the Standard Priming Volume.
NOTE: The software will not allow you to set a Standard Priming Volume that is
less than what Baxter recommends.
d. Tap Save.
3. At the Inlet Editor window, tap Close.
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Using the Inlet Editor

DELETING AN INLET
1. At the Inlet Editor window:
a. Select one or more inlets you want to delete.
b. Tap Delete.
2. At the Delete inlet <name>? message, tap:
• Yes to delete the inlet
• Yes to All to delete all inlets selected in the Inlet Editor window
NOTE: If only one inlet is selected, only one will be deleted.

Message
3. At the Inlet Editor window, tap Close.

VIEWING AN INLET’S USAGE INFORMATION


1. At the Inlet Editor window:
a. Select an inlet.
b. Tap Used By.
A message with the inlet’s usage information appears.

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Using the Inlet Editor
2. At the Information message, tap OK.

Message
3. At the Inlet Editor window, tap Close.

VIEWING AN INLET’S SPEEDS AND FLOW FACTORS


IMPORTANT! All the ingredients need flow factors prior to compounding. Contact Baxter
Technical Services for adding/updating flow factors.
IMPORTANT! These settings affect the delivery volume, so they must be accurate. Do not make
any changes unless directed by Baxter Technical Services. Baxter has determined the flow
factors for all of the ingredients commonly used in TPN. If you think that a flow factor needs to
be changed, or a flow factor for a new ingredient needs to be added, contact Baxter Technical
Services. Refer to Getting Help on Page 22.
NOTE: Only the OEM user is able to view or edit the flow factors.

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Using the Inlet Editor
1. At the Inlet Editor window:
a. Select an inlet.
b. Tap Speeds/Flow Factors
2. At the Speeds for Inlet <name> window, follow the instructions of Baxter Technical
Services.

Speeds for Inlet <name> window


3. At the Inlet Editor window, tap Close.

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Using the Bag Inventory Editor

USING THE BAG INVENTORY EDITOR


The Bag Inventory Editor allows you to manage the bags that are available for use on the
compounder.
CAUTION
Before making any changes in the Bag Inventory Editor, contact Baxter Technical
Services. Refer to Getting Help on Page 22.
IMPORTANT! These functions require Administration permissions. For more information about
user groups and permissions, refer to Setting Up the Users on Page 123. Use only bags validated
by Baxter for use with the compounder. For details, refer to Bags on Page 19. Using non-
validated bags voids all manufacturer warranties. In addition, the accuracy of the finished
solution will not be validated.
At the menu screen, tap Edit > Bag Inventor Editor.

Menu screen, Edit menu

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Using the Bag Inventory Editor
The Bag Inventory window appears. It lists the available bags and allows you to add, edit or
delete bags.

Bag Inventory window

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Using the Bag Inventory Editor

ADDING OR EDITING A BAG


IMPORTANT! Before adding a bag, contact Baxter Technical Services. Refer to Getting Help on
Page 22.
1. At the Bag Inventory window, do one of these options:
• Tap Add to add a new bag.
The Add Bag window appears.
• Select the bag you want to edit, then tap Edit.
The Edit Bag <name> window appears.

Add Bag window


2. At the Add Bag window or Edit Bag <name> window:
a. Enter:
• Part Number
• Description
• Bag Size
• Empty Weight
• Tolerance
NOTE: You can obtain the empty weight and tolerance of approved bags from
Baxter.
b. If you are adding a new bag, enter other information as directed by Baxter.
c. Tap Save.

3. At the Bag Inventory window, tap Close.

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Using the Bag Inventory Editor

DELETING A BAG
1. At the Bag Inventory window:
a. Select one or more bags you want to delete.
b. Tap Delete.
2. At the Delete bag <name>? message, tap:
• Yes to delete the bag
• Yes to All to delete all bags selected in the Bag Inventory window
NOTE: If only one bag is selected, only one will be deleted.

Message
3. At the Bag Inventory window, tap Close.

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Using Reports

USING REPORTS
The compounder offers standard reports that document compounding activity and support
various utilities. All reports are formatted for printing on 8.5 x 11 in. (21.6 x 28 cm) paper or on
A4 paper size of 70X25, 4 mm (or comparable paper).

NOTE: For using A4 paper, refer to Printing Options on Page 16


IMPORTANT! Viewing, printing and exporting reports requires Report permissions. For more
information about user groups and permissions, refer to Setting Up the Users on Page 123.
NOTE: To select the printer used for printing reports, refer to Report Printer on Page 117.
To view reports:
1. At the menu screen, select Reports > Standard.

Menu screen, Reports menu

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Using Reports
2. Select the report you want to view.

Standard reports
3. View the report. Refer to the instructions on the upcoming pages.
NOTE: The report screen may include scroll bars on the right side and/or the bottom.
The top of the report screen may include these navigation options:
o The print icon allows you to send the report to the specified printer.
o The export icon allows you to save the report to a USB drive.
o The refresh icon generates the report again.
o The percentage list controls the zoom.
o The arrows and the number field allow you to move to different pages of a multi-
page report.
4. When you are finished using the report, tap Exit.

Navigation options for reports

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Using Reports

MIXCHECK REPORT
The MixCheck Report provides details about the compounding process for an order. It reports
information including the expected bag weight, measured bag weight, ordered ingredients and
volumes, and manual additions that are required.

Customizing MixCheck Reports


IMPORTANT! Authorization and cosignature authorization of this report require Verification
permissions. For more information about user groups and permissions, refer to Setting Up the
Users on Page 123.
The following options are available for customizing the MixCheck Report:
• To make this report display and/or print automatically after compounding, and/or allow
on-screen authorization, refer to MixCheck Report on Page 112.
• To require a cosigner to authorize the MixCheck Report, refer to Cosignature on
Page 120.
• To allow exporting of this report directly to the DoseEdge system, refer to MixCheck
Data Export on Page 114.
• To specify signature-related text that you want to include at the end of the report, refer
to MixCheck Signature Label on Page 118.

Using MixCheck Reports


WARNING
It is important to print a MixCheck Report for every order, then have a cosigner
(pharmacist) view and approve the entire report, especially the Formula Name;
Expected Weight, Measured Weight and Difference; Manual Additions; and
Details.
For instructions on viewing and approving the MixCheck Report, refer to the following pages.

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Using Reports

Sample MixCheck Report

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Verify that the Formula Name matches


the patient name on the label on the
patient bag.

Verify that the Serial Number (unique for


each order) matches the serial number
on the label of the patient bag.

If Manual Additions are listed:


1. Verify that they match the label on
the patient bag and/or the original
formula.
2. Add these ingredients to the solution
manually.
3. Place your initials in the Added
column.

Evaluate the information in the Details


section to verify that the solution was
compounded properly. This section lists
any interruptions that occurred while
compounding, such as ingredient
changes, ingredient replacements,
occlusions, bubbles, pump pauses, pump
door openings and other interruptions.

In the signature-related section at the


end of the report, follow your facility’s
protocol.

Sample MixCheck Report (left side)

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Using Reports

Verify that the Date/Time matches the date and time


the order was fulfilled.

Compare the Measured Weight of the solution to the


Expected Weight. Verify that the Difference is within
acceptable limits per your facility’s protocol.

Verify that each ingredient and its Ordered Volume


match the label on the patient bag and/or the original
formula.

Verify that the Total (mL) matches the label on the


patient bag and/or the original formula.
NOTE: The Total (mL) doesn’t include the volume of
the Manual Additions.

Sample MixCheck Report (right side)


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Using Reports
If the Serial Number of the formula file contains more than 36 characters then the MixCheck
Report prints up to 36 characters followed by ‘…’.

If the Serial
Number of
the formula
is greater
than 36
characters
then 36
characters
followed by
‘…’ is
printed.

Sample MixCheck Report

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Using Reports
Viewing Old MixCheck Reports
1. At the menu screen, tap Reports > MixCheck > Old MixCheck Data.
2. At the Solutions window:
a. Select a formula.
b. Tap one of these buttons:
• View MixCheck to view the report on the screen
• Print MixCheck to send the report to the assigned printer
• Export MixCheck Data to export the data to the DoseEdge system

Solutions window

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Using Reports

AUTHORIZATION REPORT
The Authorization Report contains information about the compounder setup, including:
• The user who set it up (in the Assembled column) and the optional cosigner who
performed the verification (in the Verified column)
NOTE: Users can print the report and write their initials in these columns, or the
software can be set up to populate these columns automatically.
• The ingredient name, port and inlet used during setup
The following options are available for customizing the Authorization Report:
• To require a cosigner to verify the setup, refer to Cosignature on Page 120.
• To make the Assembled and Verified columns populate automatically, refer to
Authorization Report on Page 112.
• To specify signature-related text that you want to include at the end of the report, refer
to Authorization Report Signature Label on Page 118.
To view the Authorization Report, tap Reports > Standard > Authorization at the menu screen.

Sample Authorization Report

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Using Reports

FORMULA REPORT
The Formula Report is a summary of a specific formula.
To view the Formula Report:
1. At the menu screen, tap Reports > Standard > Formula.
2. At the Select Formula window:
a. Select Show All Formulas, or select another filter to reduce the number of
formulas displayed.
NOTE: You can tap Formula Name to sort by name or tap Serial Number to sort
by number.
b. Select a formula.
c. Tap OK.

Select Formula window

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Using Reports

Sample Formula Report

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Using Reports

If the Serial Number of the formula file contains more than 50 characters then the Formula
Report prints up to 50 characters followed by ‘…’.

If the Serial
Number of the
formula is
greater than 50
characters, then
50 characters
followed by ‘…’ is
printed.

Sample Formula Report

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Using Reports

LOG REPORT
The Log Report is a summary of the formulas that were used for compounding on a specific day.
To view the Log Report:
1. At the menu screen, tap Reports > Standard > Log.
2. At the Select Report Dates window:
a. Enter the date for the report.
b. Tap OK.

Select Report Dates window

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Using Reports

Sample Log Report

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Using Reports
If the Serial Number of the formula file contains more than 80 characters then the Log Report
prints up to 80 characters followed by ‘…’.

If the Serial
Number of the
formula is greater
than 80 characters,
then 80 characters
followed by ‘…’ is
printed.

Sample Log Report

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Using Reports

CONFIGURATION REPORT
The Configuration Report provides information about a specific configuration.
To view the Configuration Report:
1. At the menu screen, tap Reports > Standard > Configuration.
2. At the Select Configuration window:
a. Select the configuration.
b. Tap OK.

Select Configuration window

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Using Reports

Sample Configuration Report

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Using Reports

FORMULARY REPORT
The Formulary Report lists the ingredients that are included in the formulary. Only ingredients
that may actually be mounted on the compounder should be in the formulary.
To view the Formulary Report, tap Reports > Standard > Formulary at the menu screen.

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Using Reports

Sample Formulary Report


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Using Reports

PRODUCT BARCODES REPORT


The Product Barcodes Report displays the barcodes for products that are in the formulary. You
can print the report onto labels for use with products that do not have a manufacturer’s
barcode.
To view the Product Barcodes Report:
1. At the menu screen, tap Reports > Standard > Product Barcodes.
2. At the Select Product window:
a. Select the product.
b. Tap OK.

Select Product window

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Sample Product Barcodes Report

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Using Reports

INLET BARCODES REPORT


The Inlet Barcodes Report displays the barcodes for the inlets. You can print the report onto
labels, in case you make a mistake during setup and need an extra barcode label.
To view the Inlet Barcodes Report, tap Reports > Standard > Inlet Barcodes at the menu screen.

Sample Inlet Barcodes Report

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Using Reports

BLACKBOX REPORT
The Blackbox Report is a chronological list of all important system activity for a specific period
of time. If necessary, Baxter may use this information for troubleshooting.
To view the Blackbox Report:
1. At the menu screen, select Reports > Standard > Blackbox.
2. At the Enter Begin and End Times window:
a. Enter the starting and ending times for the report.
b. Tap OK.

Enter Begin and End Times window

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Using Reports
For assistance with reading this report, contact Baxter Technical Services. Refer to Getting Help
on Page 22.

Sample Blackbox Report

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Using Reports

CALIBRATION SUMMARY REPORT


The Calibration Summary Report summarizes the calibration processes for the pump and the
load cell during a specific period of time. It also distinguishes between automatic and manual
calibrations.
To view the Calibration Summary Report:
1. At the menu screen, tap Reports > Standard > Calibration Summary.
2. At the Select Report Dates window:
a. Enter the First and Last dates for the report.
NOTE: The available dates are still limited by the amount of time this information
is stored. For more information, refer to Storage on Page 114.
b. Tap OK.

Select Report Dates window

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Using Reports

Sample Calibration Summary Report

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Using Reports

FORMULA PRECISION REPORT


The Formula Precision Report summarizes the precision of the compounding process (how
accurately the actual weight matched the expected weight) during a specific period of time.
To view the Formula Precision Report:
1. At the menu screen, tap Reports > Standard > Formula Precision.
2. At the Select Report Dates window
a. Enter the First date and Last dates for the report.
NOTE: The available dates are still limited by the amount of time this information
is stored. For more information, refer to Storage on Page 114.
b. Tap OK.

Select Report Dates window


3. At the Enter Values window:
a. Select Acceptable Weight Variance (%) from the drop down list.
b. Tap OK.

Enter Values window


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Using Reports

Sample Formula Precision Report


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Using Reports
If the Serial Number of the formula file contains more than 36 characters then the Formula
Precision Report prints up to 36 characters followed by ‘…’.

If the Serial
Number of the
formula is
greater than 36
characters then
36 characters
followed by ‘…’
is printed.

Sample Formula Precision Report

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Using Reports

INGREDIENT USAGE REPORT


The Ingredient Usage Report summarizes the ingredient usage during a specific period of time.
This report is used to manage inventory.
To view the Ingredient Usage Report:
1. At the menu screen, select Reports > Standard > Ingredient Usage.
2. At the Select Report Dates window:
a. Enter the First and Last date for the report.
b. Tap OK.

Select Report Dates window

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Sample Ingredient Usage Report

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Using Reports

BAG USAGE REPORT


The Bag Usage Report summarizes the bag usage during a specific period of time. This report is
used to manage inventory.
To view the Bag Usage Report:
1. At the menu screen, tap Reports > Standard > Bag Usage.
2. At the Select Report Dates window:
a. Enter the First and Last date for the report.
b. Tap OK.

Select Report Dates window

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Using Reports

Sample Bag Usage Report


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Using Reports

FLOW FACTORS REPORT


The Flow Factors Report lists the flow factors for all the ingredients in the current configuration.
To view the Flow Factors Report, tap Reports > Standard > Flow Factors at the menu screen.
NOTE: You do not need to view this report unless directed by Baxter Technical Services.

Flow Factors

Configuration: TPN-TEST

Date: 1/8/2020

Time: 4:18:50PM

Port Seq Product Name Min Vol (mL) Max Vol (mL) Flow Factor

6 1 Baxter K Chloride 0.4mEq/mL 50 Bag

0.00 10.00 1.0040

10.00 12,000.00 1.9890

9 2 Baxter Travasol 10% 1000 Bag

0.00 5.00 1.0030

5.00 12.50 0.9730

12.50 12,000.00 1.0050

11 3 Baxter Dextrose 70% 2000 Bag

0.00 5.00 1.9870

5.00 12.50 1.9960

12.50 12,000.00 1.0220

12 4 Baxter Sterile Water for In 5000 Bag

0.00 5.00 1.9930

5.00 12.50 0.9640

12.50 12,000.00 1.9970

Page 1 of 1

Sample Flow Factors Report

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Glossary

TROUBLESHOOTING
HANDLING INTERRUPTIONS AND ERRORS
If you encounter any of these interruptions or errors, take the suggested actions. If the issue
persists, contact Baxter Technical Services. Refer to Getting Help on Page 22.

Issues with the Barcodes


Issue / On-screen Text Explanation Suggested Actions
The label on the source The barcode on the source Check that the barcode on the source container is
container cannot be container is not legible. legible.
scanned.

Text:
Unable to scan
The label on the source The ingredient is not in 1. Check that the barcode on the source container
container cannot be the formulary. is legible.
scanned. 2. Check that the Barcode ID in the formulary is
correct. Refer to Adding or Editing a Product on
Text: Page 143.
Not in Formulary 3. If the ingredient is not in the formulary, add the
ingredient. Refer to Adding or Editing an
Ingredient on Page 141.
The label on the patient The barcode reader does 1. Check that the green LED on the barcode
bag cannot be scanned. not indicate that it is reader illuminates when you scan a barcode.
operational. • If the LED does not illuminate, check that
the cable for the barcode reader is
connected properly to the display.
• If the LED illuminates, reboot the
compounder. Refer to Rebooting and
Shutting Down on Page 32.
2. Check that the barcode reader and its cable are
not damaged.
3. At the menu screen, tap Compound > Select
Formula, then select the formula you need. If it
is not listed, check that the Ethernet cable is
connected properly to both the display and the
order-entry computer. Then reboot the order-
entry computer and the compounder. Refer to
Rebooting and Shutting Down on Page 32.
No barcodes can be The barcode reader does 1. Disconnect the cable for the barcode reader
scanned. not indicate that it is from the display, then reconnect this cable.
operational. 2. Check that the barcode reader and its cable are
not damaged.
3. If the cables for the keyboard and mouse are
connected to the display, disconnect these
cables. Then reboot the compounder. Refer to
Rebooting and Shutting Down on Page 32.
4. Contact Baxter Technical Services for a barcode
programming sheet. Refer to Getting Help on
Page 22.

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Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: The .PAT /.FRM file is not 1. Correct the .PAT/.FRM file in the order entry
Unable to retrieve available. software, then print and scan a new barcode
formula for scanned label.
barcode <Formula File 2. Check that the Ethernet cable is connected
Name> from the formula properly to both the display and the order-
file directory <formula file entry computer.
directory>. There may be 3. Reboot the compounder. Refer to Rebooting
an issue with network and Shutting Down on Page 32.
connectivity, please 4. Check that the network is functioning.
reboot the compounder. 5. Check the path on both the order-entry
computer and the compounder. Refer to
If the problem persists, Setting Up the Directories Options on Page 121.
please contact Baxter
Technical Services
Text: The 2D Formula Barcode 1. Correct the serial number of the 2D Formula
2D Formula Barcode serial serial number does not Barcode, then print and scan the new 2D
number (X) does not meet the Order entry Formula Barcode.
meet current Order Entry specification
specification and cannot
be loaded.
Text: The 2D Formula Barcode 1. Correct the content of the 2D Formula Barcode,
The following formula does not meet the Order then print and scan the new 2D Formula
name or data is not entry specification Barcode.
supported.
Contact the Order Entry
System Administrator.

Content: "%s"
Text: 2D Formula Barcode serial 1. Either, correct the length of the serial number
2D Formula Barcode serial number format (X) does of the 2D Formula Barcode (Maximum up to
number format (X) does not meet the configured the value specified in the security tab), then
not meet the current maximum serial number print and scan the new 2D Formula Barcode
configured maximum length, set in options (or)
serial number length. screen  security tab. 2. Increase the serial number length value in the
Refer to security tab in The serial number length options screensecurity tab, such that the
options screen or contact should be less than or serial number length available in the 2D
the Order Entry systems. equal to the value Formula Barcode is lesser than or equal to the
specified in the security configured value in security tab.
tab.

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Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: The 2D Formula Barcode 1. Correct the length of the Ingredient ID, it must
2D Formula Barcode contains ingredient(s) not exceed 20 characters.
contains the following whose Ingredient ID(s) 2. Print the 2D Formula Barcode and scan the new
errors. So 2D Formula exceeds the maximum 2D Formula Barcode.
Barcode (X) cannot be allowable characters (20).
loaded.

1) Following Ingredient
ID(s) exceeds the
maximum characters (20).

(%s)

You must correct the


Ingredient ID(s) then load
the formula.
Text: The 2D Formula Barcode 1. Correct the length of the Ingredient Name, it
2D Formula Barcode contains ingredient(s) must not exceed 25 characters.
contains the following whose ingredient name(s) 2. Print the 2D Formula Barcode and scan the new
errors. So 2D Formula exceeds the maximum 2D Formula Barcode.
Barcode (X) cannot be allowable characters (25).
loaded.

1) Following manual
Ingredient Name(s)
exceeds the maximum
characters (25).

(%s)

You must correct the


manual Ingredient
Name(s) then load the
formula.
Text: The 2D Formula Barcode 1. Correct the format of the Ingredient Volume, it
2D Formula Barcode contains ingredient(s) must be of the format (####.##).
contains the following whose ingredient volume 2. Print the 2D Formula Barcode and scan the new
errors. So 2D Formula does not meet the format 2D Formula Barcode.
Barcode (X) cannot be (####.##).
loaded.

1) Following Ingredient
Volume(s) does not meet
the format (####.##).

(%s)

You must correct the


Ingredient Volume(s)
format then load the
formula.

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Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: The 2D Formula Barcode 1. Correct the Ingredient names having the same
2D Formula Barcode contains same ingredients ingredient name multiple times.
contains the following appearing multiple times 2. Print the 2D Formula Barcode and scan the new
errors. So 2D Formula whose volumes are 2D Formula Barcode.
Barcode (X) cannot be different.
loaded.

Ingredient (%s) appears


multiple times, with
volume (%d1) and
volume(%d2)
Text: The barcodes for formulas 1. Reprint the barcode.
Barcode reader (X): must use the Code39 2. Scan the barcode again.
barcode contains an symbology, which has a
invalid Code 39 character. restricted character set.
Text: The barcodes for formulas 1. Reprint the barcode.
Barcode reader (X): must use the Code39 2. Scan the barcode again.
barcode contains an symbology with a MOD43
invalid MOD43 check check digit appended.
digit.
Text: The barcode that was 1. Check that the network settings are correct.
Barcode reader (X): scanned does not match a 2. Check that the Ethernet cable is connected
invalid barcode or formula. properly to both the display and the order-
formula not available. entry computer.
3. Check the database to ensure that the formula
exists.

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Page 196 53007410 Rev. C
Glossary
Issues with the Formulas, Ingredients and Configurations
Issue / On-screen Text Explanation Suggested Actions
Text: The ingredient is an auto- Add the ingredient. Refer to Performing an Auto-
This formula contains addition ingredient. Addition on Page 91.
<ingredient name>, which
is not currently on the
configuration. Do you
wish to add it to the
configuration?
Text: The configuration is not Prime and verify the configuration. Refer to Priming
Configuration must be primed and verified. and Verifying on Page 58.
verified before
compounding.
Text: One or more ingredients 1. Tap Cancel.
The following ports are expired. 2. Check the expiration dates of all the
contain products that ingredients.
have been spiked longer 3. Change the container of each expired
than allowed. Port ingredient.
Product Time Spiked
Allowed Hang Time
(Hours) <list of products>.
Text: The ordered volume of the 1. Tap Cancel.
Ingredient <ingredient product exceeds the 2. Check that the Drug ID is correct and that it
name> must be manually maximum volume for matches the code number from the order-entry
added and its requested manual additions. software. Refer to Adding or Editing a Product
volume of <requested on Page 143.
volume> mL exceeds the
maximum manual add
volume of <max manual
add volume> mL.
Text: The product is not Add the product manually. Refer to Performing a
Manual Add included in the Manual Addition on Page 93.
configuration, or its
ordered volume is less
than 0.2 mL.
The product is included in Check that the Drug ID is correct and that it matches
the physical configuration, the code number from the order-entry software.
and its ordered volume is Refer to Adding or Editing a Product on Page 143.
at least 0.2 mL, but it does
not match any products in
the software
configuration.
Text: The container is almost Check that the container is almost empty.
Swap Container: Your empty and needs to be • If the container is almost empty, replace it.
container of <ingredient replaced. Refer to Replacing a Source Container on
name> is empty. You Page 94.
have <remaining volume> • If the container is not almost empty, check that
mL left to run. Please it is the correct container, and contact Baxter
change the container Technical Services. Refer to Getting Help on
now. Page 22.

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53007410 Rev. C Page 197
Glossary
Issue / On-screen Text Explanation Suggested Actions
The OK button is not The ingredient detail Tap each ingredient button to view the details.
active on the Hang Source windows have not been Refer to Attaching the New Ingredients and Inlets on
Containers screen, and the viewed. Page 48.
ingredient buttons do not
change to a teal color.
During priming, the fluid The inlet is not attached 1. Remove the source container from the vial rack
does not flow through the to the proper port. or hanger and turn it right-side-up, to prevent
expected inlet. fluid from flowing.
2. Remove the inlet from the incorrect port and
attach it to the correct port.
3. Return the source container to the vial rack or
hanger.
Text: The tube set needs to be Attach a calibration bag and continue. Refer to
Flushing with Universal flushed prior to Attaching the Calibration Bag on Page 73.
Ingredient. Please attach compounding.
flush/calibration bag.
Text: There is not enough 1. Tap Cancel.
Formula Conflict: ingredient flush between 2. Contact Baxter Technical Services. Refer to
incompatible ingredient Getting Help on Page 22.
Formula contains groups.
incompatible ingredients
with insufficient flush
volume between them.

First Ingredient:
<ingredient name>

Second Ingredient:
<ingredient name>

Required Flush: <required


volume>

Available Flush:
<available volume>

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Page 198 53007410 Rev. C
Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: The formula does not WARNING
Formula Conflict: contain the minimum
If you choose to Increase Ingredient
Additional <flush volume> required Universal
Volume, the clinical impact should be
mL of <Universal Ingredient.
considered. This option increases the
Ingredient> required for
volume in the bag and is not part of the
flush.
original order.
Increasing the Universal Ingredient
volume may change the overall formula
ordered. Consult a pharmacist before
compounding.
IMPORTANT! This function requires Formula Edit
permissions, which Baxter does not recommend
using. For more information about user groups and
permissions, refer to Setting Up the Users on Page
123.
Tap one of these options:
• Tap Change UI To… to change the Universal
Ingredient to one that has the minimum volume
required and does not have flush ingredient,
without increasing the ordered volume. Then
tap OK and continue with the steps below.

WARNING
A calibration bag must be used during
all Universal Ingredient flushes. You
must replace the original patient bag
with a calibration bag for the flush, then
reattach the original patient bag. If this
is not done, the patient bag could
contain an unintended volume and/or
ingredient.
1. If a patient bag is attached, remove it. Refer to
Removing the Patient Bag on Page 90.
2. Change the Universal Ingredient. Refer to
Changing the Universal Ingredient on Page 107,
starting at Step 2.
3. Attach the patient bag. Refer to Attaching the
Patient Bag on Page 85.
4. Repeat the compounding process.

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53007410 Rev. C Page 199
Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: 1. Click Ok on the error message.
The requested product All ingredients need flow 2. Contact Baxter Technical Services for
<product name> cannot factors prior to adding/updating flow factors.
be added to the compounding.
configuration as the flow
factors are not set up for
the associated inlet <inlet
name>.
Please confirm the correct
inlet is associated for this
product or enter the
correct flow factors for
the requested product
and associated Inlets.
Contact Baxter Technical
Services for help
Text: All ingredients need flow 1. Click Ok on the error message.
Formula cannot be factors prior to 2. Contact Baxter Technical Services for
pumped. The following compounding. adding/updating flow factors.
Products
contain invalid flow
factors:
<list of products>
Please contact Baxter
Technical Services to
obtain the
correct flow factors and
for help to enter them
into the Formulary.

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Page 200 53007410 Rev. C
Glossary
Issues with the Calibration
On-screen Text Explanation Suggested Actions
Load cell not calibrated. The load cell is not 1. Tap Yes.
Must calibrate to calibrated. 2. Calibrate the load cell. Refer to Calibrating the
continue. Load Cell on Page 37.
Span The calibration of the load 1. Check that:
Calibration out cell is out of range. • The load cell is level and locked into place.
of Range • There is nothing (for example, the outlet
tube, bag or cable for the load cell) touching
the pan or base of the load cell.
• There are no environmental factors (for
example, fans) interfering with the load cell.
2. Calibrate the load cell. Refer to Calibrating the
Load Cell on Page 37. Read the on-screen
messages carefully, and make sure that you do
not place the calibration weight on the load cell
too early.
The pump has not been The pump is not 1. Tap Yes.
calibrated since the last calibrated. 2. Calibrate the pump. Refer to Calibrating the
tube set change. This Compounder on Page 69.
operation must be
completed prior to
pumping a solution.

Would you like to


calibrate the pump now?
Pump calibration failed. The calibration of the 1. Check that the valve set is installed properly.
pump failed. Refer to Installing the New Valve Set on
Page 45.
2. For the source container of water, check the
following conditions. Refer to Attaching the
New Ingredients and Inlets on Page 48.
• The correct inlet is used.
• The inlet is not kinked.
• The bag is spiked properly. Refer to Page 52.
3. Clean any spills near the pump rotor. Refer to
CLEANING THE COMPOUNDER on Page 101.
4. Calibrate the load cell. Refer to Calibrating the
Load Cell on Page 37.
5. Calibrate the pump. Refer to Calibrating the
Compounder on Page 69.
Text : Certain situations may 1. Click Yes
You have exceeded the prevent auto-calibration 2. Calibrate the pump. Refer to Calibrating the
maximum allowed from happening. Compounder on Page 69
calibration limit of Therefore a manual
20000mL, the system will calibration is required.
recalibrate now. Do you
want to calibrate now?

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53007410 Rev. C Page 201
Glossary
Issues with the Weight and Load Cell
On-screen Text Explanation Suggested Actions
Expected Weight: The final bag weight is out 1. Check that all the source containers are spiked
<calculated weight> gm of range. properly. Refer to the steps for spiking a
container, starting on Page 51.
Actual Weight: <actual After the compounder 2. Check that the pump rotor is clean. Refer to
weight> gm delivers all the CLEANING THE COMPOUNDER on Page 101.
ingredients, the weight of 3. Check that the outlet tube is installed properly.
Difference: <weight the patient bag differs Refer to Installing the New Valve Set on
difference>% from the expected weight Page 45.
by more than the 4. Calibrate the load cell. Refer to Calibrating the
The final weight of this acceptable difference. Load Cell on Page 37.
solution is outside of the 5. Calibrate the pump. Refer to Calibrating the
acceptable limit of +/-5% Compounder on Page 69.
6. Compound a large-volume solution with at
Possible Cause: Unknown least 205 mL of water to make the compounder
calibrate automatically.
Expected Weight: An individual ingredient 1. Check that all the ingredients and inlets are
<calculated weight> gm delivery is out of range. correct.
2. Check that the tube set is installed properly.
Actual Weight: <actual After the compounder Refer to Installing the New Valve Set on
weight> gm delivers an ingredient, the Page 45 and Attaching the New Ingredients and
weight of the patient bag Inlets on Page 48.
Difference: <weight differs from the expected 3. On the MixCheck Report, check for references
difference>% weight by more than the to occlusions and bubbles. Refer to MixCheck
acceptable difference. Report on Page 161. Have a pharmacist check
The final weight of this the accuracy.
solution is within the The compounder checks 4. Check that all the source containers are spiked
acceptable limit of +/-5%, the weight after individual properly. Refer to the steps for spiking a
however some ingredient deliveries over container, starting on Page 51.
ingredients may not have 100 mL. 5. Check that the pump rotor is clean. Refer to
delivered correctly. CLEANING THE COMPOUNDER on Page 101.
6. Calibrate the load cell. Refer to Calibrating the
Possible Cause: Load Cell on Page 37.
<ingredient name> is 7. Calibrate the pump. Refer to Calibrating the
possibly <underweight / Compounder on Page 69.
overweight> by <weight 8. Compound a large-volume solution with at
error> grams least 205 mL of water to make the compounder
calibrate automatically.
9. Contact Baxter Technical Services to check that
the flow factors are correct. Refer to Getting
Help on Page 22.
Bag out of range Dextrose is pumping too 1. Check that there are no environmental factors
quickly or slowly. interfering with pumping dextrose.
• Keep the room temperature stable.
• Always allow refrigerated dextrose to return
to room temperature before using it.
2. Check that the source container is spiked
properly. Refer to the steps for spiking a
container, starting on Page 51.
3. Check that the correct inlet is assigned to
dextrose in the formulary. Refer to Adding or
Editing a Product on Page 143.

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Page 202 53007410 Rev. C
Glossary
On-screen Text Explanation Suggested Actions
The bag currently on the Before pumping starts, the If the bag is not empty, and you are:
load cell does not appear load cell detects that the • Compounding the solution, refer to Step 2 on
to be empty. destination bag contains Page 87
fluid. • Calibrating the compounder, refer to Step 4 on
Page 70

If the bag is empty:


1. Tap No.
2. At the Operation Cancelled message, tap OK.
3. Remove the bag from the load cell. Refer to:
• Removing the Patient Bag on Page 90
• Removing the Calibration Bag on Page 73
4. Calibrate the load cell. Refer to Calibrating the
Load Cell on Page 37.
5. If necessary, reattach the appropriate bag to
the load cell. Refer to:
• Attaching the Patient Bag on Page 85
• Attaching the Calibration Bag on Page 73
There does not appear to The load cell detects that If the bag is not attached, attach the appropriate
be a bag hung on the the destination bag is not bag to the load cell. Refer to:
scale. attached. • Attaching the Patient Bag on Page 85
• Attaching the Calibration Bag on Page 73

If the bag is attached:


1. Tap No.
2. Calibrate the load cell. Refer to Calibrating the
Load Cell on Page 37.

Issues with the Pump


On-screen Text Explanation Suggested Actions
Pump was paused. The pump was paused If the pump was paused by tapping Pause, tap
during normal operation. Resume to continue compounding.
[Error: 01-13-002] Unable The pump fault occurred. 1. At the pump screen, tap Stop and follow the
to start the pump on-screen instructions.
because the pump is in a 2. Reboot the compounder. Refer to Rebooting
fault state. and Shutting Down on Page 32.
Pump faulted. Unable to A system fault or power 1. Write a large “X” on the label of the patient
close valve. Valve is loss occurred. bag, then remove and discard the bag.
moving. 2. Reboot the compounder. Refer to Rebooting
and Shutting Down on Page 32.
Pump is in fault state and A pump fault occurred. Tap Yes to reset the pump.
must be reset before use.
Reset the pump?

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53007410 Rev. C Page 203
Glossary
Issues with the Occlusion Detector / “Flow Sensor”
NOTE: For all of these messages about the occlusion detector self-test, tapping Cancel displays
a Contact Baxter message and disables your ability to compound a solution or calibrate the
compounder.
On-screen Text Explanation Suggested Actions
The Occlusion Detector The test failed, possibly Contact Baxter Technical Services. Refer to Getting
Test failed. because the detector Help on Page 22.
Sensor failure. malfunctioned or the tube
set was not installed
Select OK to retry properly.
Select Cancel to exit
The Occlusion Detector The test failed because an 1. Tap Cancel.
Test failed. air bubble was detected in 2. To help reduce the occurrence of bubbles and
Air detected in fluid the common fluid make their detection more accurate, refer to
pathway. pathway. the note on Page 98.

Select OK to Retry. NOTE: To perform the test again, you must re-prime
Select Cancel to Exit. at least one non-UI inlet and then exit the PRIME
AND VERIFY screen.
The Occlusion Detector The test did not finish 1. Close the pump door.
Test failed. because the pump door 2. Tap OK. The test occurs again.
Pump door open. was opened during the
test.
Select OK to Retry.
Select Cancel to Exit.

The Occlusion Detector The test did not finish Tap OK. The test occurs again.
Test failed. because the pump was
Pump was paused. paused during the test.

Select OK to Retry.
Select Cancel to Exit.
The Occlusion Detector The test failed for an Tap OK. The test occurs again.
Test failed. unknown reason.

Select OK to Retry.
Select Cancel to Exit.
The Occlusion Detector The test did not start 1. Tap Cancel.
Test did not run because because an air bubble was 2. To help reduce the occurrence of bubbles and
the bubble test failed. detected in the common make their detection more accurate, refer to
fluid pathway, or the the note on Page 98.
outlet tube was not
installed properly. NOTE: To perform the test again, you must re-prime
at least one non-UI inlet and then exit the PRIME
AND VERIFY screen.
Cannot set flow sensor The compounder failed to Contact Baxter Technical Services. Refer to Getting
status: set the status of the Help on Page 22.
occlusion detector when
starting to pump.

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Page 204 53007410 Rev. C
Glossary
Other Issues
Issue / On-screen Text Explanation Suggested Actions
The compounder does not The power cord or the 3. Press and hold the power button until the
power up. cable for the display is green LED is illuminated.
disconnected. 4. Clean the power button.
5. Check that the power cord is connected to the
main module and the power source.
6. Check that the cable for the display is
connected properly to both the display and the
main module.
The power source is not Connect the power cord to another power source.
functional.
The screen of the display The cable for the display is 1. Check that the cable for the display is
does not respond to disconnected. connected properly to both the display and the
touch. main module.
2. Disconnect the cables for the mouse and
keyboard from the display.
The compounder cannot The network is Load the formula by connecting a USB drive. Refer
retrieve orders from the temporarily unavailable. to Loading a Formula by Connecting a USB Drive on
order-entry computer. Page 207.
The barcode label for the Contact Baxter Technical Services. Refer to Getting
patient bag cannot be Help on Page 22.
printed.
The MixCheck Report does The printer is Check that the printer is connected and turned on.
not print. disconnected or turned
off.
Printing was cancelled • Check that the MixCheck Report is available
inadvertently. when you print old MixCheck Reports. Refer to
Viewing Old MixCheck Reports on Page 166.
• Be aware that the message about the MixCheck
Report being printed appears after you tap OK
at the message about the final weight. If you
quickly tap more than once, you might
inadvertently tap Cancel Printing.
The path to the printer is Check the path to the printer. Refer to Setting Up
not set up properly. the Directories Options on Page 121.
Text: An internal software error Contact Baxter Technical Services. Refer to Getting
An unknown pump occurred. Help on Page 22.
error/valve error
occurred
Text: The 2D Formula Create a new order in the order-entry software.
Bad file format Barcode/.PAT/.FRM file
being read does not match
the expected format.
Text: During the compounding 1. Tap Continue.
Cancellation in progress. process, a necessary 2. Write a large “X” on the label of the patient
Solution will need to be container replacement bag, then remove and discard the bag.
discarded. Continue? was cancelled.

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53007410 Rev. C Page 205
Glossary
Issue / On-screen Text Explanation Suggested Actions
Text: Compaction of the 1. Close the other program that is accessing the
Cannot open DB file X database failed because database.
exclusively another program was 2. Try compacting the database again. Refer to
accessing the database. Compacting the Database on Page 106.
3. Reboot the compounder. Refer to Rebooting
and Shutting Down on Page 32.
Text: The database was Contact Baxter Technical Services. Refer to Getting
Cannot open DB X after compacted but cannot be Help on Page 22.
compaction opened. There may be a
hard drive error or
database corruption.
Text: The pump failed to Close the pump door.
Cannot resume: resume compounding.
Text: The cable for the display is Check that the cable for the display is connected
Compounder connection disconnected or damaged. properly to both the display and the main module,
not established. Must and that the cable is not damaged.
connect to continue.
Text: A software error occurred. Reconnect the cord and cables. Refer to Step 6 on
No Pump Device Assigned Page 24.
Text: A software error occurred. Reconnect the cord and cables. Refer to Step 6 on
No Scale Device Assigned Page 24.
Text: A software error occurred. Reconnect the cord and cables. Refer to Step 6 on
No Valve Device Assigned Page 24.
Text: A hardware 1. Shut down the compounder. Refer to
Time out. communication error Rebooting and Shutting Down on Page 32.
occurred. 2. Check that the cord and cables are connected
properly. Refer to Installing the Compounder
on Page 23.
3. Turn the compounder on. Refer to Starting Up
and Logging In on Page 30.
Text: The current database Contact Baxter Technical Services. Refer to Getting
Unable to save current DB cannot be saved. There Help on Page 22.
may be a hard drive
failure, missing directory,
network failure (if the
destination is on a
network drive) or issue
with permissions.
Text: A port cannot be closed. Reboot the compounder. Refer to Rebooting and
Valve is moving. Shutting Down on Page 32.
Text: Backup failed due to If you are saving backups on a server confirm the
Backup failed: either a network failure or network connectivity.
‘<Configured Backup path an incorrect backup folder
with Database name>’ is path.
If the problem still persists check the path of the
not a valid path. Make
backup folder. Refer to Setting Up the Directories
sure that the path name
is spelled correctly and Options on Page 121.
that you are connected to
the server on which the
file resides

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Page 206 53007410 Rev. C
Glossary

LOADING A FORMULA BY CONNECTING A USB DRIVE


Some facilities may use this method if they use order-entry software but the network is
temporarily unavailable.
IMPORTANT! This method requires:
• Formula Entry permissions. For more information about user groups and permissions,
refer to Setting Up the Users on Page 123.
• Order-entry software on a separate computer. This software must be able to produce
both a .PAT/.FRM file and a corresponding label with a barcode. Both the .PAT/.FRM file
and barcode must be compatible with the compounder. Abacus software meets these
requirements. For more information, or if a barcode cannot be printed, contact Baxter
Technical Services. Refer to Getting Help on Page 22.
• USB drive
NOTE: Be sure that the USB drive is free of viruses.
• Barcode reader at the compounder
In the order-entry software, the pharmacist creates an order, which creates a barcode and the
corresponding .PAT/.FRM file that contains the patient information and the formula. The
pharmacist saves the order onto a USB drive. A corresponding label with the barcode also prints
at the same time. Typically, a technician applies this label to a new patient bag and brings it to
the compounder. However, this process depends on your facility’s protocol.
At the compounder:
1. Connect the USB drive to a USB port on the bottom of the display.
2. Set up the EXACTAMIX software to look for formula files on the USB drive. For
instructions, refer to Setting Up the Directories Options on Page 121.
NOTE: The software will continue to look for formula files in this location until you
change it back to the original location.
3. Scan the barcode on the label of the patient bag.

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53007410 Rev. C Page 207
Glossary
The compounder retrieves the order file from the USB drive and populates the pump
screen with the name and volume of each ingredient to be pumped. The compounder
reads the code number of each ingredient in the formula and matches this number to
one in the formulary. In the United States, the code number is usually the NDC.
WARNING
The code number for each product in the formula must exactly match the code
number for that product in the compounder’s formulary. If a code number is
assigned to one product in the order-entry software, and that number is
assigned to a different product in the compounder’s formulary, the
compounder may pump the wrong ingredient. It is the user’s responsibility to
ensure that code numbers are properly and consistently assigned in both
systems.
NOTE: If any ordered ingredients are not in the configuration on the compounder, are
not allowed as auto-additions or have a volume less than 0.2 mL, the compounder
software will identify these ingredients as manual additions.
4. Continue with Fulfilling the Order (Basic Process) on Page 84.

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Page 208 53007410 Rev. C
Glossary

RESTORING THE DATABASE


If certain types of issues occur, Baxter Technical Services may ask you to restore the database.
1. At the menu screen, tap Tools > Database > Restore Database.
2. At the Do you wish to backup message, if you:
• Want to back up the current database before restoring, tap Yes and continue with
the next step
• Do not want to back up the current database before restoring, tap No and skip to
step 5

Message
3. At the Backup Database Location window:
a. If desired, change the location of the backup by tapping the button to the right of
the current location (not recommended).
b. Check Overwrite Existing File? to replace the previous backup file.
c. Tap OK.

Backup Database Location window

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53007410 Rev. C Page 209
Glossary
4. At the Backup succeeded message, tap OK.

Message
5. At the Restore Database Location window:
a. If desired, change the location of the backup you want to restore by tapping the
button to the right of it.
b. Tap OK.

Restore Database Location window


6. At the Database restored successfully message, tap OK.

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Page 210 53007410 Rev. C
Glossary
The compounder is now ready to use the restored database.

Message
NOTE: Upon login Baxter recommends resetting the directories to the correct path. Refer to section Setting Up the
Directories Options on Page 121.

GLOSSARY
Use this glossary to help you understand any terms that may be unfamiliar.
Term Definition
acceptable weight variance The percentage by which the final weight of the compounded solution,
or the weight of an ingredient delivery, is allowed to differ from the
expected weight. You can specify the variance.
alarm An audible tone that indicates an error state.
auto-addition An option that allows you to add an ingredient to the existing
configuration when needed, instead of selecting a new configuration
(which would require you to prime and verify all the inlets and
ingredients).
backup The process and result of saving database information to a location
other than the compounder.
base plate The common base on which the compounder’s components sit.
Blackbox data The logged activities of the compounder, mainly based on the
communication between software, firmware and user actions.
cardioplegia A specific combination of ingredients used to induce cardiac arrest
during cardiac surgery.
common fluid pathway The area from the port through the valve set to the destination bag. One
or more ingredients can be present in this area.
compounder The complete device with all of its hardware components and software,
excluding the tube set and bags.
compound / compounding The process of pumping ingredients into a patient bag.
configuration A designation of the products that will be attached to the ports, the
sequence in which they will be pumped, any allowable auto-additions,
the ingredient and volume to use for any ingredient flushes, the
Universal Ingredient and the volume to use for the final flush.
Continuous Renal Replacement A form of therapy to dialyze acute patients continuously, when these
Therapy (CRRT) patients cannot tolerate conventional dialysis.
daily setup The process of attaching all the ingredients for a specific configuration to
the compounder and preparing to compound solutions. Includes
priming, verification and calibration.

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53007410 Rev. C Page 211
Glossary
Term Definition
daily use components The disposable components (tube set) and destination bags.
database Information containing operating parameters, the formulary and other
definable variables to be used by the compounder.
deliver / delivering The act of pumping ingredients from a source container to the
destination bag.
delivery A single, measured volume of fluid that has been pumped into the
destination bag.
destination bag A sterile container that holds the fluid pumped from the source
containers. It can be a patient bag (used for delivering the finished
solution to a patient) or a calibration bag (used for collecting any fluid
that is not intended for a patient).
direct entry mode A mode where you enter a formula manually by specifying the ingredient
and volume to be delivered from each port.
display The touch-screen display for the user interface. It mounts to the base
plate.
disposables See tube set.
dose A specific volume and concentration of an ingredient.
electronic Y-site A setup option that helps to improve the efficiency of pumping common
ingredients. When the first container of this ingredient has emptied, the
compounder continues pumping from the next container of this
ingredient.
enhanced flush Two intermediate flushes followed by the final flush.
epidural An injection into the epidural space of the spine for regional anesthesia.
equivalent ingredient products Products of the same ingredient type that may have different container
sizes, container types or manufacturers.
final flush A delivery of fluid that is pumped to clear all delivered ingredients from
the common fluid pathway, to ensure that these ingredients are fully
present in the finished solution. The fluid used for this flush is always the
Universal Ingredient. The standard volume is 30 mL, but it can be
changed.
finished solution The ingredients in the patient bag after compounding, including manual
additions.
flow factor A value associated with each ingredient that compares the flow of that
ingredient to the flow of water. The flow factor accounts for the
ingredient’s viscosity, the size and type of its source container, its inlet,
its venting and other factors that affect its delivery.
fluid pathway See common fluid pathway.
flush See final flush, ingredient flush or intermediate flush.
formula A recipe of ingredients to be compounded. Typically, it is created by the
pharmacist, based on a prescription from a physician.
formulary The list of ingredients, and associated products, which can be attached
to the compounder.
incompatible group A group of ingredients that you identify as having interaction concerns
with other ingredients.
ingredient A solution of a specific chemical entity at a specific concentration,
regardless of the container size, container type or manufacturer. One
ingredient can have several associated products.
ingredient flush A delivery of fluid that is pumped to clear the common fluid pathway
between the delivery of certain ingredients that have interaction
concerns. The fluid used for this flush is usually the Universal Ingredient,
but it can be any compatible ingredient in the configuration and formula.
ingredient group A list of chemically similar ingredients, used for defining incompatible
groups.
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Glossary
Term Definition
initial setup The placement and assembly of the product components at the
customer facility by Baxter personnel.
inlet A sterile tube with a spike or Luer end attached. The spike or Luer end
attaches to a source container, and the other end attaches to a port on
the valve set.
intermediate flush A delivery of fluid that comes just before the final flush as part of an
enhanced flush. The fluid used for this flush is always the Universal
Ingredient, and it is pumped in two deliveries of 50 mL each.
large-volume delivery See macro ingredient.
load cell The component that holds the destination bag, weighs the compounded
solution and reports the measurement to the software. It mounts to the
base plate.
macro ingredient A generic term used to describe an ingredient that uses a large-bore inlet
and is delivered in volumes equal to or greater than 5 mL.
main module The component that contains the valve actuators, occlusion detector,
bubble detector, pump chamber and power supply. It mounts to the
base plate.
maintenance The act of performing scheduled or expected work on the compounder.
It does not include repairs or corrections due to product failure.
manage The act of creating, modifying, saving or deleting information within the
software.
manual addition A product that is added to the compounded solution manually, after
compounding has finished.
message Small on-screen window or other text that provides information or
instructions, but does not allow you to enter information. Pay attention
to the text, because some messages may include critical information.
micro ingredient A generic term used to describe an ingredient that uses a micro inlet and
is delivered in volumes less than 5 mL.
National Drug Code (NDC) A unique, three-segment number used in the United States to identify
drug products used by humans.
occlusion A blockage in the fluid pathway.
OEM Original Equipment Manufacturer i.e Baxter Healthcare
outlet tube The section of tube on the discharge side of the valve set. It connects the
valve set to the destination bag.
.PAT file A file, created in the order-entry software, which contains the patient
information and formula.
.FRM file An encrypted file, created in the order-entry software, which contains
the patient information and formula.
2D Formula Barcode Label A label, printed in the order-entry software, which contains the patient
information and formula along with the 2D Barcode.
patient The recipient of the finished solution.
permissions The privileges granted to groups of users to allow them to perform
specific functions.
port The interface between the valve set and the inlets for source containers.
prime To pump a small volume of an ingredient through an inlet, to remove air
bubbles from the inlet and prepare it for compounding the solution.
privileges See permissions.
product An ingredient in a particular container size and type from a specific
manufacturer. Several products can be associated with one ingredient.
pump A peristaltic device used to push fluid through the outlet tube.
pump module See main module.

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Glossary
Term Definition
remainder A value in the software that represents the actual volume of fluid
remaining in the source container.
scale See load cell.
screen A large on-screen window that takes up the full screen of the display.
Pay attention to the text, because some screens may include critical
information.
sequence The order in which ingredients are delivered to the destination bag.
solution The mixture of ingredients that have been compounded.
small-volume delivery See micro ingredient.
source container A container (bag, bottle, vial or syringe) that holds one ingredient.
tolerance The amount by which any characteristic (for example, dimensional,
chemical, physical or mechanical properties) may vary from that
specified.
Total Parenteral Nutrition (TPN) A form of intravenous therapy that requires multiple fluid ingredients to
be accurately compounded into a single solution to support a patient’s
nutritional needs.
tube set The valve set and inlets.
Universal Ingredient (UI) The ingredient that is used to flush the common fluid pathway. This
ingredient must be contained in the configuration and the formula being
compounded.
unload The precaution of removing a formula from the pump screen when you
navigate away from this screen. Unloading does not delete the formula
from the database.
user accounts The accounts that contain the user names, user permissions and other
attributes as determined by the facility.
valve set A sterile, multiple-port valve with an outlet tube attached. The valve
body fits over the valve actuators on the compounder, protecting them
from damage. The outlet tube attaches to the destination bag.
variance One measure of statistical dispersion, averaging the squared distance of
its possible values from the expected value (mean).
volume The physical amount of the ingredient that is delivered, typically in
milliliter (mL) units.
window An on-screen feature that provides information or instructions and
allows you to make choices or enter information. Pay attention to the
text, because some windows may include critical information.

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Glossary

APPENDIX
SPECIFICATIONS
Display
DY Display
Dimensions and Weight: Length: 12.2 in. (31 cm)
Width: 2.1 in. (5.3 cm)
Height: 9.6 in. (24.2 cm)
Weight: 8 lb (3.6 kg)
Operating software: Windows 10 IoT Enterprise 2016 LTSB
CPU: Intel Atom Z5xxP 1.1 Ghz
Memory: 512 MB SDRAM and 2 GB SODIMM
Screen: XGA/VGA
CD ROM: None
Ethernet: 10/100 Base-T Ethernet network
connectivity
USB ports: 4 ports, USB 2.0 supporting USB 1.1/2.0
The display supports the connection and use of a USB 1.1 keyboard and mouse.

Dimensions
Main module: Length: 24 in. (61 cm)
Width: 10 in. (25.4 cm)
Height: 10 in. (25.4 cm)
Display: Length: 11 in. (27.9 cm)
Width: 5 in. (12.7 cm)
Height: 9 in. (22.9 cm)
Load cell: Length: 13 in. (33 cm)
Width: 8 in. (20.3 cm)
Height: 10 in. (25.4 cm)
Compounder, Length: 30 in. (76.2 cm)
without vial rack: Width: 19 in. (48.3 cm)
Height: 12 in. (30.5 cm)
Compounder, Length: 41 in. (104 cm)
with vial rack: Width: 20 in. (50.8 cm)
Height: 30 in. (76.2 cm)

Weight
Main module: 40 lb (18.14 kg)
Display: 10 lb (4.5 kg)
Load cell: 5 lb (2.3 kg)
Base: 13 lb (5.89 kg)
Vial rack: Less than or equal to 13 lb (6 kg)
Compounder: 79 lb (35.83 kg)

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Electrical
Power: 100–240 V AC RMS, 50–60 Hz, 336 W
Line cord: 3-prong detachable plug
Fuse ratings: F1—3 Amp, 2 AG, fast acting, 250 V
• Pump driver PCA F1—2 Amp, 2 AG, fast acting, 250 V
• LRV PCA F1—4 Amp, 5 x 20 mm, slow acting, 250 V
• Power supply F2—4 Amp, 5 x 20 mm, slow acting, 250 V
F3—3.15 Amp, 5 x 20 mm, fast acting, 250 V
F4—3.15 Amp, 5 x 20 mm, fast acting, 250 V
F5—6.3 Amp, 5 x 20 mm, fast acting, 250 V

Performance
Accuracy: ± 0.03 mL at 0.2 mL;
± 0.03 mL at 0.4 mL;
± 0.06 mL at 1 mL;
± 5% at 10 mL and greater
Dispensing of ingredients: Increments of 0.01 mL
Volume of source containers: 0.2–5,500 mL
Volume of destination bags: 125–5,000 mL
Maximum flow rate of water: 16.6 mL/second
Maximum number of ingredients: 24
Maximum capacity of vial rack: 16 (small-volume vials and 60 mL Luer syringes)

Environmental Conditions
Operating temperature: 59–86°F (15–30°C)
Storage temperature: 32–147°F (0–64°C)
Maximum relative humidity: 10–80%
Maximum altitude: Not to exceed 3,000 m
Main supply voltage fluctuation: Not to exceed ±10%
Sound pressure level: Not to exceed 85 dBA

For Indoor Use Only


ISO Class 5 (Class 100) cleanroom as defined in ISO 14644-1:1999
Class I Equipment (Grounded Type)
Installation (Over Voltage) Category II
Pollution Degree 2 Environment
The maximum circuit voltage of USB 1.1/2.0 is 5.0 V DC with a maximum current of 500 mA DC
(all ports combined). Use only Baxter-supplied USB devices.
This equipment is intended for use in a “basic electromagnetic environment” as defined per IEC
61326; such as an office, pharmacy, or clinic. It is not intended to be used in an “industrial
environment” or near equipment either sensitive to electromagnetic interference or near
equipment that emits electromagnetic interference such as large electrical machinery or near
MRI, CAT, Electrosurgical or Electrocautery or similar equipment. If you find that this
equipment creates interference with other nearby equipment or is affected by other nearby
equipment try changing the orientation or separation of each equipment to reduce the effect.

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Glossary

WEEE COMPLIANCE

• This symbol on a Baxter product or its packaging means


that the product should not be disposed of with general
waste. It is your responsibility to dispose of your waste
equipment separately from the municipal waste stream. The
correct disposal of your end-of-life equipment will help
prevent potential negative consequences for the
environment and human health.
• Baxter endeavors to reduce the environmental and human
health effects of electrical and electronic equipment at the
time it is being discarded and offers its EU customers
details on to facilitate environmentally sound disposal of this
equipment at:
http://www.baxter.com/assets/europe/directives/weee/index.
html

WARRANTY STATEMENT
Baxter Healthcare Corporation provides a limited warranty for the ExactaMix 2400
Compounder.
See your lease or purchase contract for details about the warranty.
If the equipment is under warranty, Baxter will replace the defective equipment. Equipment
that is not under warranty can also be replaced, however, the customer is responsible for the
cost of repairs and shipping.
Baxter Healthcare Corporation warrants that the ExactaMix 2400 Operating Software will
perform as described in the operator manual, by the release notes with the currently released
version and when operated on a properly configured computer using a properly configured load
cell and barcode reader. Where there is a discrepancy between the manual and the operation
of the software, Baxter Healthcare Corporation may, at its discretion, revise either the software
or the text of the manual.
This software is intended solely for the operation of the ExactaMix 2400 Compounder for the
preparation of compounded sterile formulas. It is not intended to replace the professional
knowledge or judgment of a Registered Pharmacist in the preparation of such formulas.
No other warranties, whether express or implied, made by any representative or other agent of
Baxter Healthcare Corporation shall be binding upon Baxter Healthcare Corporation. This is an
exclusive warranty.

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