Agilia SP Pca
Agilia SP Pca
Technical Manual
Symbol Descriptions
Refer to the Instructions for Use Name and address of the manufacturing facility
The UDI (Unique Device Identifier) is represented in AIDC (Automatic Identification and Data Capture) and readable text:
(01) Product Identifier GTIN
(21) Product Serial Number
(11) Date of Manufacture
(240) Product Reference
Warning of a potential hazard that could result in serious personal injury and/or product damage if the written
instructions are not followed.
Recommendations to be followed.
2 13608-1_TM_Agilia_SP_PCA_Eng
Table of Contents
1 INTRODUCTION 6
2 DESCRIPTION 7
3 FUNDAMENTALS 27
4 PROFILE MENU 29
6 MAINTENANCE OPERATIONS 36
3
6.2.11 Test 10: Keypad ....................................................................................................................................... 49
6.2.12 Test 11: Ageing Test ................................................................................................................................ 50
6.2.13 Test 12: Battery Life ................................................................................................................................. 51
6.2.14 Test 13: Battery Test ................................................................................................................................ 51
6.2.15 Test 16: Cover.......................................................................................................................................... 53
6.2.16 Test 17: Patient handset .......................................................................................................................... 54
6.2.17 Test 20: Pump Code ................................................................................................................................ 55
6.2.18 Test 21: Power Info .................................................................................................................................. 55
6.2.19 Test 22: LCD Voltage ............................................................................................................................... 57
6.2.20 Test 23: Temperature............................................................................................................................... 57
6.2.21 Test 24: Watchdog ................................................................................................................................... 58
6.2.22 Test 25: Wi-Fi Module Information ........................................................................................................... 59
6.2.23 Checking the Pressure Limit Alarm .......................................................................................................... 60
6.2.24 Control the plunger head detection finger and anti-siphon arms movement............................................ 61
6.2.25 Control the disengagement and plunger head alarms ............................................................................. 63
6.2.26 Checking the End of Infusion Alarm ......................................................................................................... 65
6.2.27 Checking the AC Power Supply / Battery Operation ................................................................................ 65
6.2.28 Electrical Test........................................................................................................................................... 65
6.3 QUALITY CONTROL PROCEDURE............................................................................................................ 66
6.3.1 Running a Quality Control ........................................................................................................................ 66
6.3.2 Quality Control Certificate ........................................................................................................................ 69
6.4 TESTING THE FLOW RATE ..................................................................................................................... 70
8 INTERVENTION PROCEDURES 80
4
9 DEVICE STORAGE 156
13 SPECIFICATIONS 163
14 RECYCLING 164
15 WARRANTY 165
16.1 TABLE 1 - GUIDANCE AND MANUFACTURER'S DECLARATION - ELECTROMAGNETIC EMISSIONS ............... 166
16.2 TABLE 2 - GUIDANCE AND MANUFACTURER'S DECLARATION - ELECTROMAGNETIC IMMUNITY ................. 167
16.3 TABLE 4 - GUIDANCE AND MANUFACTURER'S DECLARATION - ELECTROMAGNETIC IMMUNITY ................. 168
16.4 TABLE 6 - RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION
EQUIPMENT AND AGILIA PUMP ............................................................................................................. 169
16.5 EMC TEST DEVIATIONS AND SUPPLEMENTARY TESTS ......................................................................... 170
INDEX 175
5
1 Introduction
1.1 Scope
This technical manual is applicable to the Agilia SP PCA and Agilia SP PCA WiFi pumps. These devices
are referred to throughout this manual as the "Agilia SP PCA".
The user must adhere to the instructions specified in this technical manual. Failure to adhere to these
instructions may result in damage to the equipment, injury to patients or injury to users.
WARNING
Check that this technical manual is applicable to the current software version of the device.
The software version of the device is displayed on the startup screen.
The software version described in this technical manual is displayed in the Release Notes at the end
of this document.
1.4 Contraindications
While being serviced, the device must not be connected to a patient.
Do not modify the pump (except in the case of operations recommended by Fresenius Kabi).
For more information, refer to the Instructions for Use of the Agilia SP PCA.
6
2 Description
8
6
3
9 10 11 12
5
1
2
4
6
7
Figure 2.1: Housing
Legend
1 Cover 9 Syringe barrel clasp
8 Keypad
7
The Agilia SP PCA range of pumps is made up of 7 main parts: a cover, a base, an angle bracket, a
syringe guard, a clear protective cover, a patient handset and a cover left hinge.
The cover contains the following:
- Display board
- Keypad
The base supports the following:
- CPU board
- Mechanical framework assembly
- Plunger driver unit
- Wi-Fi board (for Wi-Fi infusion pumps)
The angle bracket supports the following:
- Power supply board
- AC power board
- Battery
- Fixing clamp system
- Fixing clamp locking system
The syringe guard supports the following:
- Interface board
- Clear protective cover locking system
- Clear protective cover detection sensor
- Patient handset holder
- Patient handset cable reel
8
2.1.2 Keypad
1
2 17
3
16
4 15
14
5 6 7 8 9 10 11 12 13
Figure 2.2: Keypad description
Legend
1 Screen 10 Decrement
5 On / Off 14
3 Cancel value / Move back to previous field
6 Bolus / Prime 15
3 Menu
7 Fast increment 16
3 PCA history
8 Increment 17
3 Alarm silence
9
2.1.3 Display Board
The display board is located under the front of the command panel, and contains all essential parts for
human-machine interaction:
Keypad
Synoptics and control indicators
LCD screen
This board is connected to other parts with the connectors shown below.
J2
J1
J3
Legend
J1 J1 Connector to Keypad
10
J1 Connector to Keypad
Pin n° Signal Description
1 GND Ground
2 KBD_COL_0 Column 0
3 KBD_COL_1 Column 1
4 KBD_COL_2 Column 2
5 KBD_LINE_0 Line 0
6 KBD_LINE_1 Line 1
7 KBD_LINE_2 Line 2
8 TON/OFF On/Off key
9 KBD_LINE_3 Line 3
10 GND Ground
11 GND Ground
12 GND Ground
11
J3 Connector to Display
Pin n° Signal Description
1 GND Ground
2 A Anode of the backlight (+5V)
3 K Cathode of the backlight
4 GND Ground
5 SCK SPI clock (HMI_SCK_SCL signal)
6 GND Ground
7 SDA SPI data (MOSI) (HMI_MOSI_SDA signal)
8 GND Ground
9 CD Control/Data (0:control, 1:data) (LCD_CD signal)
10 GND Ground
11 /RST Reset (RESET/ signal)
12 GND Ground
13 CS0 Chip select (CSLCD/ signal)
14 GND Ground
15 BM0/DB13 Mode select (LCD_MS signal)
16 GND Ground
17 VLCD Charge pump voltage (ANA_VLCD signal)
18 GND Ground
19 +3V3 +3V3 power supply
20 GND Ground
21 GND Ground
22 GND Ground
12
2.1.4 CPU Board
The CPU board consists of a main microcontroller, FLASH and RAM memories, and various analog or
power functions, such as:
One single-step bipolar motor command
Adjustment of and acquisition from different detectors
Different lines of communication (synchronous and asynchronous serial links).
The CPU Board is connected to the Display Board with the J3 connector.
A ribbon cable connects it to the Power Supply Board with the J6 connector.
The CPU Board is connected to the Interface Board with the J9 connector.
J1 J2
J3
J5
J4
J9
J6 J7 J8
Figure 2.4: CPU Board (Front View)
J10
13
J1 Connector to Syringe Barrel Clasp
Pin n° Signal Description
1 GND Ground
2 SW_OUT Flange switch state
3 SW_IN Flange switch power supply
4 DIA+ +3.3 V power supply
5 DIA_OUT Syringe barrel clasp potentiometer value
6 DIA- Ground
14
J4 Connector to Wi-Fi Board (for Wi-Fi pumps only)
Pin n° Signal Description
1 Floating Not used on Agilia VP range. Leave floating
2 Floating Not used on Agilia VP range. Leave floating
3 GND Ground
4 Floating Not used on Agilia VP range. Leave floating
5 Floating Not used on Agilia VP range. Leave floating
6 GND Ground
7 WIFI_VCC +3V3 Wi-Fi power supply
8 WIFI_VCC +3V3 Wi-Fi power supply
9 UART-RxD Receive data
10 UART-TxD Transmit data
11 UART-RTS Hardware flow control (request to send)
12 UART-CTS Hardware flow control (clear to send)
13 GND Ground
14 GND Ground
15
J7 to Motor Connector
Pin n° Signal Description
1 MOTP_OUT1B Output B of the coil 1
2 MOTP_OUT1A Output A of the coil 1
3 MOTP_OUT2A Output A of the coil 2
4 MOTP_OUT2B Output B of the coil 2
5 GND Ground
6 GND Ground
16
2.1.5 Power Supply Board
The power supply board consists of he following:
An ATtiny26L secondary microcontroller associated with the one on the CPU board.
Different analog or power functions, including:
- Power supply management for all boards
- Battery charger
- Infrared interface
- Separate lines of communication (internal and external) to the boards
- Speaker
- Buzzer
- Super-capacitor
The power supply board is located on the angle bracket. See figure 2.1, page 7. It supplies power to the
electronic unit from the 100 V - 240 V AC network, or from 9 V DC. It also charges a 2.2 Ah battery. This
board is connected to other parts with the connectors shown below.
J1
J2
J5
J3
J4
Legend
J1 Connector - Connection to CPU Board J4 Connector - Connection to Secondary
J1 J4
Microcontroller
J2 Connector - Connection to microphone, J5 Connector - Connection to AC Power Board
J2 speaker and external plug (RS232 Communication J5
Port and DC Power Input/Output)
J3 J3 Connector - Connection to Internal Battery
17
J1 Connector to CPU Board
Pin n° Signal Description
1 GND Ground
2 +5V +5V power supply
3 +5V +5V power supply
4 GND Ground
5 +VCOMM Common power supply (main or external +10V)
6 +VCOMM Common power supply (main or external +10V)
7 GND Ground
8 SO_ANA_SPEAK Speaker analog output
9 +3V3-PERM Permanent +3.3V power supply (battery backup)
10 GND Ground
11 PWR_SCL I²C clock for POWER board
12 GND Ground
13 PWR_SDA I²C data for POWER board
14 GND Ground
15 IRDA_TX Infrared data transmission
16 PWR_CD_PRI_VCOMM Primary microcontroller common power supply switch
17 IRDA_RX Infrared data received
18 SO_CD_SHDN/ Speaker shutdown command
19 SO_ANA_MIC Analog microphone input
20 GND Ground
21 EXT_TX External transmit data
22 PRES_BOARD/ HMI and UC board presence detection
23 EXT_RX External receive data
24 CMD_FAIL LED command failure
25 KON-OFF On/Off key
26 GND Ground
18
J3 Connector to Internal Battery
Pin n° Signal Description
1 VBAT Positive output of the smart battery
2 BAT_DATA One-wire communication link between the SMP and the battery
3 GND Ground (negative output of the smart battery)
4 GND Ground
5 GND Ground
19
2.1.6 AC Power Board
The AC power board contains the power cord inlet, the ECM filter, and the F1 line fuse.
It is the interface of the power supply. The AC power board is located on the angle bracket.
See figure 2.1, page 7. This allows the power supply board to be changed without the need for soldering.
This board is connected to other parts with the connectors shown below.
J1
J2
F1 1
Legend
J1 J1 Connector - Connection to Power Supply F1
J1 Line Fuse F1
Board
J2 J2 Connector - Power Cord Inlet 1
J1 Fuse Identification Label
J2 Connector to AC Power
Pin n° Signal Description
1 Neutral Neutral wire
2 Line Hot wire
3 GND Ground
20
2.1.7 Interface board
The Interface board receives data coming from cover locking detection sensor and patient handset and
transmits these data to the CPU board.
J1 J2
Legend
J1 J1 Connector - Connection to CPU Board J2 J2 Connector - Connection to cover lock flexible
circuit
21
2.1.8 Wi-Fi Board
For Agilia Wi-Fi pumps only.
The Wi-Fi board is securely fixed to a holder above the CPU Board.
A ribbon cable connects it to the CPU Board with the J1 connector.
J1
Legend
J1 J1 Connector - Connection to CPU Board
22
2.1.9 Back View
9
8
BOLUS
7
6
1
2 3 4 5
Figure 2.13: Back View
Legend
1 Cord stowage 63 RS232 Communication Port
3 Release Button 63
8 Infrared Cell
Legend
1 Bolus start button J1 J1 Connector - Connection to patient handset
23
2.2 Principles of Operation
From an operational point of view, the Agilia SP PCA range of pumps is made up of 3 sub-assemblies:
Syringe test and maintenance
Motory
External connection
24
2.3 Operation Diagrams
Communication between interface board processor and CPU board
Opening Magnet Hall effect
arms sensor
Plunger driver
head
Lock
Magnet
Hall effect
sensor
Syringe guard
Cover detection
Lock detection
Electronic Electronic
interface interface
Communication
Electronic interface
DC supply Handset
Electronic
interface
CPU BOARD
INTERFACE BOARD
Connector
LED
Switch
Patient
HANDSET handset
25
Other communications with CPU board
Opening Optical sensor
levers (plunger driver
head)
Switch (detection) Plunger driver head
Opening
arms
Potentiometer
Force
Syringe barrel clasp
sensor
Switch
(disengagement)
Half nuts
Optical
sensor
Stepper Linear
motor potentionmeter
Interface
Internal communication
watchdog
Flash memory
Main microprocessor
Display Keypad RAM memory
Temperature sensor
Supervisory circuit
Sound Communication
management interface
Wi-Fi BOARD communication Watchdog
CPU BOARD
(if present)
Microphone
Secondary Battery/Battery
microprocessor charger
HP
Speaker
IrDa Battery
Interface Communication
communication Internal watchdog
External connector
AC/DC
DC supplies converter
Different
voltages
Power supply
Safety management
EMC filter AC
power supply
AC POWER BOARD
26
3 Fundamentals
3.1 Training
The following three training levels outline the specifics needed to maintain and preserve the equipment.
INFORMATION
For training, contact your Fresenius Kabi sales representative.
WARNING
In order to maintain the pump’s performance, a preventive maintenance inspection must be carried out at
least once every 3 years. This procedure, which includes changing the battery, should be carried out by
trained and qualified technical personnel in compliance with this document and procedures. Only
authorized personnel should attempt to repair the device.
If these maintenance procedures are not observed, the pump’s correct operation will be impaired.
INFORMATION
The preventive maintenance inspection must be carried out with Agilia Partner maintenance software.
INFORMATION
These control checks must be performed by trained technical personnel, and are not covered by any
contracts or agreements provided by Fresenius Kabi.
For more information, contact your Fresenius Kabi sales representative.
27
3.3 Accessing / Exiting the Operating Functions
The Options menu gives access to the functions for operating the pump. The Options menu allows the
operator to customize the pump, edit infusion and maintenance parameters, and run tests.
The Options menu comprises the following:
Pump Settings
Basic Profile Configuration
Profile Menu
Maintenance
INFORMATION
If the wrong access code is entered, Error is displayed.
As long as the pump remains powered on, the code does not need to be entered again.
Commands
Operation Key
Scroll options and change selected value (increasing/decreasing) Arrow keys
28
4 Profile Menu
5. Press OK.
The relevant profile information is displayed:
Profile name
Author
Creation date
Modification date
Version
INFORMATION
In addition to Basic Profile, the default profile names are available if specified with Agilia Vigilant Master Med.
Agilia Vigilant Master Med may not be available in some countries. Contact your Fresenius Kabi sales
representative.
29
5 Basic Profile Configuration
The Basic Profile Configuration menu is available only if Basic Profile has previously been selected as the
default profile. See section 4, page 29.
5.1 Accessing the Basic Profile Configuration
1. Access the Options menu. See section 3.3, page 28.
2. Press the arrow keys to select Basic Profile configuration.
3. Press enter.
6. Press the arrow keys to select the setting category (User or Ward).
7. Press enter.
Volume/Time V/T
or Dose/Time D/T
Pause
Patient
Programmed bolus
Clinician bolus
Alarm volume
Vol-dose history
View event log
PCA treatment
Library information
Data Set DS
30
Function Setting Description Range of Settings
User 4: Pressure Mode Selects the mode. 3 levels / Variable
Variable: One initial pressure
value that can be adjusted during
infusion.
3 levels: 3 fixed pressure limits
that can be selected during
infusion.
DPS Activates or deactivates the DPS Yes / No
(Dynamic Pressure System) mode
while an infusion is in progress.
Unit Selects the pressure unit. mmHg / kPa (for
Japanese market only) /
PSI
Maximum pressure value If Mode = Variable, defines the 500 900 mmHg
maximum pressure allowed during
an infusion.
High pressure value If Mode = 3 levels, defines the 300 750 mmHg
maximum pressure allowed during
an infusion.
Medium pressure value If Mode = 3 levels, defines the 150 600 mmHg
medium pressure allowed during an
infusion.
Low pressure value If Mode = 3 levels, defines the low 50 300 mmHg
pressure allowed during an infusion.
Limit stored If enabled, the last pressure limit Enabled / Disabled
adjustment is automatically stored in
memory for the next startup.
If disabled, the user has to enter
pressure limit for the next startup.
Limit If Limit stored is disabled, sets the 50 mmHg "Maximum
maximum pressure allowed during pressure value"
an infusion.
If Limit stored is enabled, the limit is
set to ’---’ and cannot be changed.
Drop threshold If DPS = Yes, sets a pressure drop ’----’ (No drop pressure
threshold. A message is generated if monitoring) or:
the pressure drops below this 100 500 mmHg
threshold.
Raise threshold If DPS = Yes, defines a pressure rise 100 200 mmHg
threshold. A message is generated if
the pressure rises above this
threshold.
DPS stored If DPS = Yes and DPS stored is Enabled / Disabled
enabled, the latest DPS adjustments
during infusion are saved
automatically at power off for the
next startup.
If DPS stored is disabled, the DPS
adjustments must be entered at the
next startup.
User 5: KVO KVO1 Sets the KVO1 flow rate. 0.1 5 mL/h
KVO2 Sets the KVO2 flow rate. 0.1 5 mL/h
Continuous Activates the Continuous function. Yes / No
After the VTBI is completed, the
infusion continues at the
programmed flow rate.
Silence duration Sets the silence duration alarm in 1 min 12 hours
KVO.
User 10: PCA mode Continuous rate only Sets the PCA infusion mode Enabled / Disabled
PCA bolus only
PCA bolus + continuous
PCA bolus + variable
31
Function Setting Description Range of Settings
User 12: View flow rate history Displays or hides menu item: View Enabled / Disabled
Graph items flow rate history.
View pressure history Displays or hides menu item: View Enabled / Disabled
pressure history.
Par 1: Key press sound Turns the key press sound on or off. Enabled / Disabled
Key press sound
Par 2: Alarm Volume Sets the volume for alarms. 7 volume levels
Alarm Volume
Par 3: Drug and parameters: Saves the drug name only, or all Enabled / Disabled
Store infusion Store drug name only infusion parameters, or nothing.
parameters Store param. infusion
Same infusion screen: If Displayed is enabled, enables the Enabled / Disabled
Displayed display of the same infusion screen.
Same infusion screen:Time Duration of context backup. 1 24 hours
Par 4: Maximum rate for 50 mL Sets the maximum infusion rate for 0.1 1200 mL/h
Maximum rate syringe 50 / 60 mL syringes.
Maximum rate for 30 mL Sets the maximum infusion rate for 0.1 600 mL/h
syringe 30 mL syringes.
Maximum rate for 20 mL Sets the maximum infusion rate for 0.1 600 mL/h
syringe 20 mL syringes.
Maximum rate for 10 mL Sets the maximum infusion rate for 0.1 350 mL/h
syringe 10 mL syringes.
Maximum rate for 5 mL Sets the maximum infusion rate for 0.1 250 mL/h
syringe 5 mL syringes.
Par 7: Infusion start: Mandatory Displays a Mandatory prime Enabled / Disabled
Infusion start prime message, an Advised prime
Infusion start: Advised message, or no message prior to Enabled / Disabled
prime starting an infusion.
Par 8: Empty syringe mode If Empty syringe mode is enabled, Enabled / Disabled
Empty syringe an "Empty syringe mode" banner
starts blinking after the
acknowledgement of a medium-
priority "End of infusion" alarm.
Par 9: 50 mL Sets the bolus rate for 50 mL 0.1 1200 mL/h
Bolus rates syringes.
30 mL Sets the bolus rate for 30 mL 0.1 600 mL/h
syringes.
20 mL Sets the bolus rate for 20 mL 0.1 600 mL/h
syringes.
10 mL Sets the bolus rate for 10 mL 0.1 350 mL/h
syringes.
5 mL Sets the bolus rate for 5 mL 0.1 250 mL/h
syringes.
Par 10: 50 mL Sets the bolus rate for 50 mL 0.1 1200 mL/h
PCA Bolus rates syringes.
30 mL Sets the bolus rate for 30 mL 0.1 600 mL/h
syringes.
20 mL Sets the bolus rate for 20 mL 0.1 600 mL/h
syringes.
10 mL Sets the bolus rate for 10 mL 0.1 350 mL/h
syringes.
5 mL Sets the bolus rate for 5 mL 0.1 250 mL/h
syringes.
Par 12: Max. dose left Sets the remaining dose that triggers 0 15 % of the
Near end of the Maximum dose nearly Maximum dose
maximum dose reached !! infusion alarm (for a PCA programmed
therapy only).
Par 15: Syringe name Displays the syringe or ward name in Enabled / Disabled
Syringe/ward name Ward name the Infusion monitoring screen.
displays
32
Function Setting Description Range of Settings
Par 16: General infusion: Auto-lock Locks or not the keyboard when the Enabled / Disabled
Cover keyboard at cover close cover is closed and a general
infusion is selected.
General infusion: Auto- Unlocks or lets the keyboard locked Enabled / Disabled
unlock keyboard at cover when the cover is opened and a
open general infusion is selected.
PCA: Install mandatory If Install mandatory is enabled, a Enabled / Disabled
PCA therapy cannot be runned if the
clear protective cover is not installed.
PCA: Infusion without lock If Infusion without lock is enabled, Enabled / Disabled
a PCA therapy can be runned
irrespective of the clear protective
cover status (locked or unlocked).
PCA: Lock mandatory If Lock mandatory is enabled, a Enabled / Disabled
PCA therapy cannot be runned if the
clear protective cover is unlocked.
PCA: Auto-lock keyboard at Locks automatically (or lets Enabled / Disabled
cover close unlocked) the pump keyboard when
the cover is closed and a PCA
therapy is selected.
PCA: Auto-unlock keyboard Unlocks automatically (or lets Enabled / Disabled
at cover open locked) the pump keyboard when the
cover is opened and a PCA therapy
is selected.
Par 17: Sound for patient bolus If Sound for patient bolus request Enabled / Disabled
Patient handset request is enabled, the handset emits a
sound when pressing the handset
button.
Blinking light for PCA bolus If Blinking light for PCA bolus is Enabled / Disabled
enabled, the handset LED flashes for
a few seconds when pressing the
handset button.
Par 18: Screen brightness low Brightens or darkens the screen at Enabled / Disabled
Day/Night mode next night mode startup.
Infusion indicators low Brightens or darkens the infusion Enabled / Disabled
indicators at next night mode startup.
Key press sound off Turns on or off the key press sound Enabled / Disabled
at next night mode startup.
Manual mode Displays or hides "Day/Night mode" Enabled / Disabled
menu item.
Auto mode Enables/disables the ability to Enabled / Disabled
automatically activate night mode.
Day/Night mode If Auto mode is enabled, press OK 00h00 23h59
to set a daily period for the automatic 00:00 23:59
activation of night mode.
Par 19: Direct bolus Activates or deactivates the Direct Enabled / Disabled
Other functions bolus function.
Loading dose Activates or deactivates the Loading Enabled / Disabled
dose function.
Programmed bolus Activates or deactivates the Enabled / Disabled
Programmed bolus function.
33
Function Setting Description Range of Settings
Par 20: Concentration units Sets the available concentration Enabled / Disabled
Authorized units units: nanog, µg, mg, g, mmol, munit,
unit, cal, kcal, mEq, /mL, /XmL
Dose rate units Sets the available dose units: Enabled / Disabled
nanog/h, nanog/kg/min, nanog/kg/h,
µg/h, µg/min, µg/kg/min, µg/kg/h,
mg/min, mg/h, mg/24h, mg/kg/min,
mg/kg/h, mg/kg/24h, mg/m2/h,
mg/m2/24h, g/h, g/kg/min, g/kg/h,
g/kg/24h, mmol/h, mmol/kg/h,
mmol/kg/24h, munit/min,
munit/kg/min, munit/kg/h, unit/min,
unit/h, unit/kg/min, unit/kg/h, kcal/h,
kcal/24h, kcal/kg/h, mEq/min,
mEq/h, mEq/kg/min, mEq/kg/h
Par 22: mL/h / mL Sets the available modes for the Enabled / Disabled
Programming modes profile.
Mass flow / Dose Sets the available modes for the Enabled / Disabled
profile.
Par 23: Min weight (kg) Sets the lower programmable limit of 0.25 kg
Patient parameters patient weight. "Max weight (kg)"
Max weight (kg) Sets the upper programmable limit of "Min weight (kg)"
patient weight. 350 kg
Default weight (kg) Sets the patient default weight. "Min weight (kg)"
"Max weight (kg)"
Min surface (m²) Sets the lower programmable limit of 0.05 m²
patient BSA. "Max surface (m²)"
Max surface (m²) Sets the upper programmable limit of "Min surface (m²)"
patient BSA. 4.5 m²
Default surface (m²) Sets the default patient BSA. "Min surface (m²)"
"Max surface (m²)"
Par 25: Same therapy screen Displays the same therapy screen Yes / No
Same therapy when changing current drug.
screen
Par 26: General infusion Gives access to general infusion Enabled / Disabled
Therapeutic therapies
functions PCA Gives access to PCA therapies Enabled / Disabled
Mandatory PCA code Sets a passcode entry for accessing Enabled / Disabled
a PCA therapy
Par 29: Continuous only Sets the avalaible infusion modes of Enabled / Disabled
PCA modes PCA bolus only a PCA therapy. Enabled / Disabled
Patient bolus + continuous Enabled / Disabled
Patient bolus + variable Enabled / Disabled
Mode stored Stores or not the last infusion mode Enabled / Disabled
selected of a PCA therapy.
Loading dose PCA If Loading dose PCA is enabled, Enabled / Disabled
allows to request a loading dose
when a PCA therapy is selected.
Clinician bolus If Clinician bolus is enabled, allows Enabled / Disabled
to request a clinician bolus when a
PCA therapy is selected.
34
Function Setting Description Range of Settings
Par 30: Enable modifications during Allows or prevents parameter Enabled / Disabled
PCA options treatment modifications while a PCA therapy is
in progress.
Display PCA bolus Displays or hides if a patient is Enabled / Disabled
available or not during the lockout
period.
Display lockout time Displays or hides the remaining Enabled / Disabled
lockout time on the PCA infusion
screen.
Auto dose rate unit If Auto dose rate unit is enabled, Enabled / Disabled
the flow rate unit is automatically set
from the concentration unit selected.
If Auto dose rate unit is disabled,
the flow rate unit and concentration
units are selected by the user.
Maximum PCA bolus If Maximum PCA bolus is enabled, Enabled / Disabled
enable allows to set a maximum number of
boluses that can be administered to
a patient over a rolling period of time.
Par 31: Time Sets the remaining time that triggers 1 30 min
Near end of infusion the Near end of infusion alert.
alert
Par 34: While stopped only If While stopped only is enabled, Enabled / Disabled
Rate titration allows rate modification after an
infusion stop only.
If Choice in menu is enabled, the
Automatic lock menu item is
Choice in menu available to program an automatic Enabled / Disabled
Par 39: lock of the keyboard. To unlock
Automatic keypad keypad, a code is necessary.
lock Automatic lock If Automatic lock is enabled, the Enabled / Disabled
keypad is automatically locked if no
Duration before lock user action is done at end of the 15 s to 60 s
Duration before lock.
Note:
The displayed menu may change depending on the pump configuration and destination country.
µ = mc or micro.
35
6 Maintenance Operations
INFORMATION
This date corresponds to the next preventive maintenance date to be carried out.
See section 3.2.1, page 27.
The date is displayed for consultation only, and cannot be changed here.
5. Press enter.
The details of the event are displayed.
6. Press exit to return to the Maintenance options menu.
36
6.1.5 Maintenance Information
1. Access the Maintenance options menu. See section 6.1.1, page 36.
2. Press the arrow keys to select Svc 4: Maintenance information.
3. Press enter.
37
List of Tests
Tests Tests
Test 1 Identification. See section 6.2.2, page 38. Test 12 Battery life. See section 6.2.13, page 51.
Test 2 Maintenance options. See section 6.2.3, page 39. Test 13 Battery test. See section 6.2.14, page 51.
Maintenance messages.
Test 3 Test 16 Cover. See section 6.2.15, page 53.
See section 6.2.4, page 39.
Test 4 Events. See section 6.2.5, page 40. Test 17 Patient handset. See section 6.2.16, page 54.
Test 5 Force. See section 6.2.6, page 41. Test 20 Pump code. See section 6.2.17, page 55.
Test 6 Displacement. See section 6.2.7, page 43. Test 21 Power information. See section 6.2.18, page 55.
Test 7 Syringe barrel clasp. See section 6.2.8, page 45. Test 22 LCD voltage. See section 6.2.19, page 57.
Test 8 Battery information. See section 6.2.9, page 48. Test 23 Temperature. See section 6.2.20, page 57.
Test 9 Indication. See section 6.2.10, page 49. Test 24 Watchdog. See section 6.2.21, page 58.
Wi-Fi module information.
Test 10 Keypad. See section 6.2.11, page 49. Test 25
See section 6.2.22, page 59.
Test 11 Ageing test. See section 6.2.12, page 50.
38
Boot version or revision
Boot creation date
39
6.2.5 Test 4: Events
Test Description
Run this test to consult the list of pump events, and the details of each recorded technical event.
The clinical events are not displayed here.
5. Press enter.
The selected event is displayed in detail.
6. Press the arrow keys to scroll through the event detail screen.
40
6.2.6 Test 5: Force
Test Description
The syringe force sensor is used to monitor the pressure and detect occlusions in the syringe.
Run this test to validate the accuracy of the force sensor.
This test checks the pressure inside the syringe when an occlusion alarm is triggered.
Force sensor
Force sensor
Main
microprocessor Integrated
amplifier
CPU BOARD
Prerequisites
The dynamometer’s calibration certificate is valid.
41
10.Open the syringe barrel clasp, push the disengagement lever down, and move the plunger driver to
the right.
11.Place the dynamometer in the syringe cradle, with the flanges correctly inserted in the provided slot.
12.Secure the dynamometer with the syringe barrel clasp.
13.Slide the arms spacer to the left.
14.Push the disengagement lever, and move the plunger driver gently to the left until it is in contact with
the plunger head of the dynamometer.
15.Release the disengagement lever.
The arms must not be in contact with the arms spacer.
42
6.2.7 Test 6: Displacement
Test Description
The Displacement sensor is a linear potentiometer used to control the linear motion of the
plunger driver and to determine the remaining volume in the syringe.
Run this test to validate the accuracy of the displacement sensor.
Main sensor
microprocessor
Interface
CPU BOARD
Prerequisites
The calibration certificate of the displacement verification gauge is valid.
43
Figure 6.2: Plunger driver to the right stop position
9. Check the value displayed for Position. The value must be between 4.67 in and 5.41 in
(118.5 mm and 137.5 mm).
10.Unlock the pump cover to open the cover.
11.Push the disengagement lever down, and move the plunger driver gently to the left stop.
12.Close the cover by pushing it until you feel and hear it click into place.
13.Check the value displayed for Position. The value must be between 0.39 in and 0.60 in
(10 mm and 15.2 mm).
14.Unlock the pump cover to open the cover.
15.Open the syringe barrel clasp and place the 2.56 in (65 mm) gauge in the syringe cradle, with the
flanges correctly inserted in the provided slot and the 2.56 in (65 mm) part positioned to the right.
16.Secure the gauge with the syringe barrel clasp.
17.Push the disengagement lever down, and move the plunger driver gently to the left until it is in contact
with the gauge.
18.Close the cover by pushing it until you feel and hear it click into place.
44
19.Check the value displayed for Position. The value must be between
2.5 in and 2.62 in (63.5 mm and 66.5 mm).
20.Unlock the pump cover to open the cover.
21.Open the syringe barrel clasp.
22.Push the disengagement lever down and move the plunger driver to the right.
23.Remove the 2.56 in (65 mm) displacement gauge.
24.Close the cover by pushing it until you feel and hear it click into place.
25.Press exit to return to the Tests menu.
Syringe
Main installation
microprocessor
Interface
CPU BOARD
45
Required Tools and Equipment
V1 diameter verification gauge, 11.5 mm (0.45 in) diameter
V2 diameter verification gauge, 15.5 mm (0.61 in) diameter
V4 diameter verification gauge, 28 mm (1.10 in) diameter
Prerequisites
The calibration certificates of the diameter verification gauges are valid.
11.Check the value displayed for Diameter. The value must be equal to 10.5 mm ± 1.5 mm
(0.35 in to 0.47 in).
46
12.Unlock the pump cover to open the cover.
13.Open the syringe barrel clasp, and remove the V1 diameter verification gauge.
14.Place the V2 diameter verification gauge in the syringe cradle, with the flanges correctly inserted in
the provided slot.
15.Secure the V2 diameter verification gauge with the syringe barrel clasp.
16.Close the cover by pushing it until you feel and hear it click into place.
17.Check the value displayed for Diameter. The value must be equal to 15.5 mm ± 1.5 mm
(0.55 in to 0.70 in).
18.Unlock the pump cover to open the cover.
19.Open the syringe barrel clasp, and remove the V2 diameter verification gauge.
20.Place the V4 diameter verification gauge in the syringe cradle, with the flanges correctly inserted in
the provided slot.
21.Secure the V4 diameter verification gauge with the syringe barrel clasp.
22.Close the cover by pushing it until you feel and hear it click into place.
23.Check the value displayed for Diameter. The value must be equal to 28 mm ± 1.5 mm
(1.04 in to 1.16 in).
The test fails if one of these three Diameter values is outside the tolerance zone.
24.Press exit to return to the Tests menu.
25.Unlock the pump cover to open the cover.
26.Open the syringe barrel clasp, and remove the V4 diameter verification gauge.
27.Close the cover by pushing it until you feel and hear it click into place.
47
6.2.9 Test 8: Battery Info
Test Description
This test provides information about battery usage time, voltage output, current output, and
temperature.
Run this test to check that the battery data is correct.
5. Check that the displayed values are within the limits shown in the table below.
Value Limits
Voltage 5.0 V to 8.7 V
Current - Connected to an AC power supply, battery being charged -135 mA to -165 mA
(battery charge status indicator is flashing)
Current - Connected to an AC power supply, battery fully charged -50 mA to +50 mA
(battery charge status indicator is lit permanently)
Current - Pump running on battery -50 mA to -200 mA
(battery charge status indicator is off)
Temperature +2 °C to +48 °C (+35.6 °F to +118.4 °F) for normal
room temperatures
48
6.2.10 Test 9: Indication
Test Description
Run this test to check the correct functioning of display, battery charge status indicator, power
supply indicator, infusion indicator lights, microphone and buzzer.
5. Press for at least 5 seconds to exit and return to the Tests menu.
49
6.2.12 Test 11: Ageing Test
Test Description
The Ageing test checks that the motor unit is functioning correctly by carrying out
displacements between the 115 mm (4.52 in) and 20 mm (0.79 in) positions.
If the test fails, replace the motor unit. See section 8.16, page 124.
6. Press the arrow keys to enter the motor command mode (Current).
Available options: Low, High, Maximum or Auto.
7. Press OK.
8. Press the arrow keys to select the displacement type Advance or Go/return.
9. Press OK to start the test.
If a battery alarm is present, the test cannot be launched (the OK button is not
available).
The pump starts moving the plunger forward.
While an ageing test is in progress, the pump displays the following information:
Flow rate in mL/h
Motor command mode (Current = Low, High, Maximum or Auto)
Animation representing the plunger displacement
The test ends when:
The plunger reaches the 20 mm (0.79 in) position (Displacement = Advance).
The plunger reaches the 115 mm (4.52 in) position (Displacement = Go/return). The plunger
starts moving backwards when it reaches the 20 mm position.
The user presses the exit key.
INFORMATION
During the test, the motor rotation is tested and the pump triggers an error if a problem is detected.
50
6.2.13 Test 12: Battery Life
Test Description
This test provides information on the current battery charge percentage, and displays results of
the last battery discharge test (last run of "Test 13: Battery test").
Prerequisites
Run test 13: "Battery test" on the pump before launching this test.
See section 6.2.14, page 51.
Prerequisites
The pump is disconnected from the AC power supply.
51
1. Access the Tests menu. See section 6.2.1, page 37.
2. Press the arrow keys to select Test 13: Battery test.
3. Press enter.
INFORMATION
If the pump is connected to an AC power supply, the test does not start and the
following screen is displayed.
Disconnect the pump from the AC power supply. The test is automatically initiated.
While a battery test is in progress, the pump displays the following information:
Pre alarm: Duration from transition to battery until pre alarm in hours and
minutes (hh:mm).
This duration increases up to the pre alarm triggering time, then stops.
Alarm: Duration from transition to battery until alarm in hours and minutes
(hh:mm).
This duration:
- is equal to ’--:--’ as long as the pre alarm is not triggered,
- starts from the pre alarm triggering time, then increases up to the alarm
triggering time, and finally stops.
Cut off: Duration from alarm to automatic pump power off.
This duration:
- is equal to ’--:--’ as long as the alarm is not triggered,
- is reset to ’00:00’ when the alarm is triggered,
- increases up to the pump cut off.
INFORMATION
If the pump is connected to an AC power supply while a battery test is running,
the test stops and the following screen is displayed.
Press exit to return to the Tests menu.
4. At end of test, display the "Pre alarm", "Alarm" and "Cut off" stored in memory:
Connect the pump to an AC power supply
Power on the pump
Run test 12 (Battery life)
Check that the displayed "Alarm" is equal to or greater than 01h30 (01:30).
If not, replace the battery. See section 8.2, page 81.
5. Press exit to return to the Tests menu.
52
6.2.15 Test 16: Cover
Test Description
This test checks that the clear protective cover is properly installed and locked.
53
6.2.16 Test 17: Patient handset
Test Description
This test checks that the patient handset is correctly detected by the pump and that the patient
handset LEDs work properly.
5. Connect the handset to the pump and check that connected is displayed for
Handset.
6. Press and hold the handset button and check that pressed is displayed for
Status.
7. Release the handset button and check that released is displayed for Status.
54
6.2.17 Test 20: Pump Code
Test Description
Run this test to display and modify the code which gives access to the Pump Settings from the
Options menu. See section 3.3, page 28.
INFORMATION
If you do not want to protect access to the Pump settings by a code, enter "0000".
INFORMATION
The backup capacitor voltage and temperature must be systematically checked during the maintenance
protocol.
55
1. Access the Tests menu. See section 6.2.1, page 37.
2. Press the arrow keys to select Test 21: Power info.
3. Press enter.
The DC voltage is displayed:
Conversion: DC voltage conversion value (in mV)
DC voltage: DC voltage charging value (in V)
4. Connect and disconnect the pump from the power source, and check that the DC voltage value
changes:
With a pump connected to an AC power supply:
5. Press the arrow keys to scroll through the other information screens:
Conversion: Backup capacitor conversion value in mV
Backup capacitor: Backup capacitor voltage in V
6. Check that the displayed values are within the limits shown in the table below.
Value Limits
DC Voltage - Pump connected to an AC power supply 9.5 V to 10.5 V
DC Voltage - Pump running on battery -0.5 V to 0.5 V
Backup capacitor 2.3 V to 2.7 V
Backup temperature -20 °C to +110 °C (-4 °F to +230 °F)
5 V booster 4600 mV to 5920 mV
56
6.2.19 Test 22: LCD Voltage
Test Description
Run this test to display the charge voltage of the pump’s LCD screen (for information only).
Values Limit
Temperature -20 °C to +80 °C (-4 °F to +176 °F)
57
6.2.21 Test 24: Watchdog
Test Description
This test checks the status of the pump’s microprocessor (free or busy) every 2 seconds.
The pump’s microprocessor is not too busy to carry out infusions correctly.
If the test fails, it means that the pump’s microprocessor is too busy.
An infusion is likely not to be carried out correctly.
Prerequisites
The pump must be used on battery with the AC power cord disconnected.
4. Press OK to confirm.
5. Check that all red LEDs light up and that the buzzer sounds between 1.0 second and 2.25 seconds.
If the test fails, a message "Watchdog not functional return to After Sales Service" is displayed.
6. Press key for 5 seconds to stop the alarm and return to Tests screen.
INFORMATION
The Watchdog test must be systematically carried out after each maintenance procedure.
58
6.2.22 Test 25: Wi-Fi Module Information
Test Description
This test displays for information the Wi-Fi parameters saved on the pump. Run this test to
check that all parameters are correct.
If they are not, upload the Wi-Fi configuration to the pump using Agilia Partner maintenance
software.
Prerequisites
The pump must be equipped with Wi-Fi.
INFORMATION
When powering on a pump, it may take a few minutes for the Wi-Fi module information to refresh.
If some data are not displayed when performing this test, wait a few minutes for the pump to refresh Wi-Fi
module information (without powering off the pump), then run the test again.
If after a prolonged period where no information is displayed, contact your Biomed or IT service
department.
59
6.2.23 Checking the Pressure Limit Alarm
Test Description
Run this test to check the triggering of an occlusion alarm when the pressure downstream the
pump exceeds the pressure limit stated in the Pressure management menu.
Prerequisites
The dynamometer’s calibration certificate is valid.
1. Access the Basic Profile configuration. See section 5.1, page 30.
2. Press the arrow keys to select User.
3. Press enter.
4. Press the arrow keys to select User 4: Pressure.
5. Press enter.
6. Select:
Mode = 3 levels
High = 900 mmHg (17.4 PSI or 1.20 bar)
Medium = 500 mmHg (9.67 PSI or 0.67 bar)
Low = 200 mmHg (3.87 PSI or 0.27 bar)
7. Power the pump off and on again to exit the Options menu and return to standard operation.
8. Open the syringe barrel clasp, push the disengagement lever down, and move the plunger driver to
the right.
9. Place the dynamometer in the syringe cradle, with the flanges correctly inserted in the provided slot.
10.Secure the dynamometer with the syringe barrel clasp.
11.Slide the arms spacer to the left.
12.Push the disengagement lever, and move the plunger driver gently to the left until it is in contact with
the plunger head of the dynamometer.
13.Release the disengagement lever.
The arms must not be in contact with the arms spacer.
60
14.Press C to change the syringe.
17.Press or .
6.2.24 Control the plunger head detection finger and anti-siphon arms movement
1. Press the disengagement lever.
61
7. Check that the anti-siphon arms move back
towards the plunger driver (the finger detects the
presence of the syringe and the arms lock it against
the plunger driver).
CONFORM
8. If the anti-siphon arms do not move back or if the
plunger head detection finger remains depressed,
the control is not conform.
NOT CONFORM
9. If this test is not conform, either:
replace the plunger kit for Agilia SP (see section 8.21, page 146),
or
disassemble the plunger driver and remove the upper and lower anti-siphon arms,
clean and grease their axes with "Polylub GLI151" ref. Z171423,
grease the inside of the left helico lever with "Polylub GLI151" ref. Z171423,
reassemble the parts paying attention to the correct positioning of the (white) left helico gear,
(black) right helico gear and left helico lever.
62
6.2.25 Control the disengagement and plunger head alarms
1. If needed, exit the Maintenance mode
pressing "OFF" .
2. Install a 50mL syringe and secure it with
the syringe barrel clasp.
3. Move the plunger driver and position it in
contact with the syringe plunger head.
4. Close the anti-siphon arms on the
syringe plunger.
5. Let the protective cover open.
6. Press "ON" .
7. Select a profile.
8. Select "General infusion".
63
21.Release the plunger head detection
finger.
22.Check that the "Plunger head alarm !!!"
message reappears.
grease the inside of the left helico lever with "Polylub GLI151" ref. Z171423,
reassemble the parts paying attention to the correct positioning of the (white) left helico gear,
(black) right helico gear and left helico lever.
64
6.2.26 Checking the End of Infusion Alarm
1. Power the pump off and on again to exit the Options menu and return to standard operation.
2. Push the disengagement lever down and move the plunger to the right.
3. Install a "BD Precise" 50 mL syringe.
4. Secure the syringe with the syringe barrel clasp.
5. Position the syringe piston at a remaining VTBI value of at least 10 mL.
6. Push the disengagement lever down, and move the plunger driver gently to the left until it is in contact
with the syringe, with the anti-siphon arms positioned on the syringe piston.
7. Release the disengagement lever.
8. Select a flow rate of 200 mL/h.
9. Start the infusion and check that the end of infusion pre alarm is triggered.
The pump is compliant with the IEC 60601-1 medical electrical equipment standard.
Contact your biomedical department or your Fresenius Kabi sales representative.
65
6.3 Quality Control Procedure
6.3.1 Running a Quality Control
Print the form provided. See section 6.3.2, page 69.
This form can only be used for a Quality Control Procedure. To perform the Preventive Maintenance
Procedure, Agilia Partner maintenance software is mandatory.
Run Test 2: Maintenance. See section 6.2.3, page 39.
Enter the following maintenance data in the form:
- Running time in hours since last preventive maintenance date
- Last preventive maintenance date
Fix the next preventive maintenance date. Add a maximum of 3 years to the date of last preventive
maintenance.
Fill the Next maintenance date in the form.
1. Run Test 1: Identification. Identification and general appearance check. See section 6.2.2, page 38.
Check housing, clear protective cover and patient handset.
Check AC power cord.
Check the product code REF and serial number SN on the pump
identification label.
Fill the pump identification data in the form:
- Pump type
- Product code
- Serial number
BOLUS
2. Check the attachment lock knob and rotating pole clamp (locking system test).
66
3. Check the LCD contrast and adjust if necessary:
Access the Pump Settings menu in the Options menu.
Select User 3: Contrast.
4. Run Test 9: Indication. See section 6.2.10, page 49.
Check backlight, all pump LEDs, power supply indicator, battery charge indicator. Check that the
speaker and buzzer are functioning correctly.
5. Run Test 10: Keypad. See section 6.2.11, page 49.
Check the keypad.
6. Run Test 16: Cover. See section 6.2.15, page 53.
Check the clear protective cover (detection and lock systems).
7. Run Test 17: Patient handset. See section 6.2.16, page 54.
Check the patient handset (connection and proper working order).
8. Run Test 24: Watchdog. See section 6.2.21, page 58.
Check that all red LEDs light up and that the buzzer sounds between 1.0 second and 2.25 seconds.
Press for 5 seconds to stop the alarm and power off the pump.
9. Run Test 7: Syringe Barrel Clasp. Check the syringe barrel clasp sensor.
See section 6.2.8, page 45.
Position the V1 diameter verification gauge.
Check the value displayed for Diameter. The value must be equal to 10.5 mm ± 1.5 mm
(0.35 in to 0.47 in).
Position the V2 diameter verification gauge.
Check the value displayed for Diameter. The value must be equal to 15.5 mm ± 1.5 mm
(0.55 in to 0.70 in).
Position the V4 diameter verification gauge.
Check the value displayed for Diameter. The value must be equal to 28.0 mm ± 1.5 mm
(1.04 in to 1.16 in).
If one of these values is outside the tolerance zone, run a calibration of the syringe barrel clasp
sensor using Agilia Partner.
10.Run Test 5: Force (occlusion alarm test). See section 6.2.6, page 41.
Install a dynamometer.
Start an infusion at 1000 mL/h.
Check that the pump triggers an "Occlusion" pre alarm, then an "Occlusion" alarm in less than
60 seconds when 10.88 PSI (0.75 bar) < Pressure < 12.33 PSI (0.85 bar).
If not, calibrate the force sensor using Agilia Partner.
Press to silence the alarm.
Press to stop the infusion.
11.Run Test 6: Displacement. Check the displacement sensor. See section 6.2.7, page 43.
Move the plunger driver to the right stop.
Check the value displayed for Position. The value must be between 118.5 mm and 137.5 mm
(4.67 in and 5.41 in).
Install the 65 mm (2.56 in) displacement gauge.
Check the value displayed for Position. The value must be equal to 65 mm ± 1.5 mm
(2.56 in ± 0.06 in).
Move the plunger driver to the left stop.
Check the value displayed for Position. The value must be between 10 mm and 15.2 mm (0.39 in
and 0.60 in).
If one of these values is outside the tolerance zone, run a calibration of the displacement sensor
using Agilia Partner.
67
12.Control the plunger head detection finger and anti-siphon arms movement.
See section 6.2.24, page 61.
13.Control the disengagement and plunger head alarms. See section 6.2.25, page 63.
14. Check the AC power disconnection:
Disconnect the pump’s AC power cord.
Check that the plug-shaped power supply indicator is off.
Connect the pump to an AC power supply.
Check that the plug-shaped power supply indicator lights up green.
15. Check the battery life:
Connect the pump to an AC power supply.
Recharge the battery for 8 hours (pump switched off).
Run Test 13: Battery test. See section 6.2.14, page 51.
At end of test:
- Connect the pump to an AC power supply
- Power on the pump
- Run Test 12: Battery life. See section 6.2.13, page 51.
- Check that the displayed "Alarm" is equal to or greater than 01h30 (01:30).
If not, replace the battery. See section 8.1, page 77.
In the Quality Control Procedure, this test is not mandatory.
16. Run the electrical test according to EN/IEC 60601-1 standard. See section 6.2.28, page 65.
17. Enter the following identification data in the form:
Result (Pass/Fail) for each test
Global result for Quality control (Pass/Fail)
Biomedical name
Ward name
Name
Technical department
Date and signature
68
6.3.2 Quality Control Certificate
Pump type: Product code: Serial number:
Hospital name: Running time since last Date of last preventive maintenance:
preventive maintenance date:
Ward name: Date of next preventive maintenance:
Not executed
15 Battery life. Test 13: Battery test and Test 12: Battery life.
Displayed "Alarm": : (greater than 01h30 (01:30))
16 Electrical tests.
Pass
Fail
Name: Date: Signature:
Technical department:
Observations:
69
6.4 Testing the Flow Rate
Test Description
During this flow rate test an infusion is carried out at a certain flow rate, and the delivered
volume is reported.
The volume reported is compared to the theoretical volume, and the flow rate test is stated as
passed if the calculated flow rate error is between -3 % and +3 %.
If the test fails, calibrate the displacement using Agilia Partner maintenance software.
Prerequisites
The scale’s calibration certificate is valid.
INFORMATION
Do not recycle distilled water.
The test procedure below can be performed with all syringe sizes (50/60 mL, 30 mL, 20 mL, 10 mL,
5 mL).
70
1
ml
10
20
30
40
50
0.4 in
60
(1 cm)
2
3
Figure 6.9: Flow rate test using a scale
Legend
1 Catheter extension bracket support 3 Anti-vibration measuring table
2 Scale
INFORMATION
Check that the installation surface is level.
2. Prime the syringe and the extension set using the key.
Refer to the Instructions for Use of the relevant pump.
3. Check for the absence of air bubbles.
4. On the pump, select a flow rate and start a first infusion to stabilize it.
For a flow rate of less than 5 mL/h, wait at least one hour.
For higher rates, wait between 10 and 30 minutes.
5. Stop the infusion when the stabilization time is elapsed.
6. Zero the scale or write down the initial weight.
7. Simultaneously re-start the infusion with the same flow rate and start the chronometer.
8. After the infusion time (e.g. 10 minutes, 15 minutes, 1 hour), stop the infusion.
9. At the end of infusion, weigh the beaker with water and write down this new value.
If the scale was not zeroed at start of infusion, calculate the difference with the initial weight.
10.Divide the infused volume in mL (for water: 1 mL for 1 g) by the infusion time in hours: this gives the
measured value for the flow rate in mL/h.
11.Calculate the difference between the theoretical value and the measured value according to the
following formula:
The flow rate test is stated as passed if the calculated flow rate error is between -3 % and +3 %.
71
7 Troubleshooting and Messages
72
Displayed Message Priority Problem / Resolution
Occlusion pre-alarm !! In-line pressure has reached the following value:
25 mmHg / 2.5 kPa / 0.5 PSI below the programmed
threshold (from 50 to 75 mmHg).
Medium (!!) 50 mmHg / 5 kPa / 1 PSI below the programmed threshold
(over 100 mmHg).
Check the infusion line.
Set the correct pressure threshold.
Near end of infusion !! The time remaining is less than the defined time duration (adjustable
Medium (!!) between 1 and 30 minutes), and the remaining volume of fluid in the
syringe has dropped to less than 10% of the syringe capacity.
Near end of volume limit !! The time remaining is less than the defined time duration
(adjustable between 1 minute and 30 minutes), and the
Medium (!!)
remaining VTBI until the volume limit has dropped to less than
10% of the syringe capacity.
Near end of volume/time !! Medium (!!) The time remaining is less than the defined time duration
Near end of dose/time !! (adjustable between 1 and 30 minutes), and the remaining
Medium (!!) VTBI has dropped to less than 10% of the syringe capacity.
Check settings !! The flow rate (or dose) has been modified using the keys, but
Medium (!!) has not been confirmed.
Check the flow rate (or dose) and press OK to confirm.
Waiting settings !! A value must be entered.
Medium (!!)
Enter a value and press OK to confirm.
Waiting start !! The infusion settings have been entered, but have not been
Medium (!!) confirmed with start.
Check the infusion settings, and press start to start the infusion.
Cover present !! Cover is installed on the pump while an infusion is in progress
Medium (!!) or stopped.
Remove the cover from the pump, or close it.
Cover opened !! In general infusion, the protective cover is opened during
Medium (!!) infusion.
Silence the alarm and close the cover.
End of volume limit ! The volume limit is reached and the end of infusion setting is
Low (!)
set as "KVO" or "continuous".
End of volume/time ! Low (!) The VTBI is completed and the end of infusion setting is set as
End of dose/time ! Low (!) "KVO" or "continuous".
Pressure increase ! The pressure is increasing in the infusion line.
Low (!)
Check for occlusions in the infusion line.
Drop in pressure ! The pressure is decreasing in the infusion line.
Low (!) Check the downstream Luer lock connection and the
integrity of the entire line.
High internal temperature ! Temperature increase.
Low (!) Check device environment.
Send the pump for maintenance.
AC power failure ! The power supply is inconsistent.
Low (!)
Contact your Technical Service.
If the pump is not used during an extended period, connect to a
Low (!)
power supply and wait until the battery is charged.
Alarm reporting not available The pump is mounted on a Link+ Agilia rack that has not been
on the Link ! upgraded.
Low (!)
Contact your qualified technician or your Fresenius Kabi
Technical Service.
Remove completely syringe ! Preventive auto-test on potential failure of plunger head.
Low (!)
Remove and reinstall syringe.
Patient handset not connected The patient handset is missing or not connected although the
Low (!) handset is mandatory.
Connect the patient handset to the pump.
Upper soft max The upper soft limit is exceeded, according to the drug settings
Information signal
defined in the drug library.
Lower soft min The lower soft limit is exceeded, according to the drug settings
Information signal
defined in the drug library.
73
Displayed Message Priority Problem / Resolution
Reached hard limit Information signal The upper or lower hard limit is reached.
Power disconnection The pump is disconnected from the AC power. A single beep is
emitted.
Press to acknowledge.
Information signal
Check that the battery life is sufficient for the expected
infusion duration.
If the disconnection was unintentional, check the power connection.
Keypad lock status The keypad is locked.
Information signal
Unlock the keypad.
Keypad locked The keypad is locked and the syringe barrel clasp was opened
Unlock keypad to continue Information signal and closed.
Unlock the keypad.
Cover opened If the protective cover is not mandatory, the message is
Information signal displayed if it is left open.
Remove cover or press OK to acknowledge cover is open.
Cover installed If the protective cover is not mandatory, the message is
Close or remove the cover Information signal displayed if it is installed during infusion.
Close the cover.
Cover opened If the protective shell is not mandatory, message displayed if it
Lock the cover or confirm Information signal is left open, and acknowledged.
start Close the cover or confirm start of infusion without the cover.
In the case of a system malfunction, the alarm sounds and an error message Erxx(yyyy) !!! is
displayed.
1. Record the error message Erxx(yyyy) !!!.
2. Disconnect the pump from the power supply.
3. Reset the device by pressing the key for 10-15 seconds, and release it when the device powers off.
WARNING
If the alarms persist when the pump is powered on again, do not use the device on a patient, and contact
qualified biomedical engineering staff in your healthcare facility, or your Fresenius Kabi sales
representative.
74
7.4 Troubleshooting Guide
Description Cause Recommended Action
End of infusion detected too early (at The installed syringe doesn't Replace or confirm the right syringe brand.
approximately 10 mL). correspond to the selected Calibrate the displacement sensor using
No end of infusion pre-alarm and alarm syringe. Agilia Partner maintenance software.
Flow rate or displacement drift. The installed syringe doesn't Replace or confirm the right syringe brand.
correspond with the selected Check the displacement calibration.
syringe. If necessary, recalibrate the displacement sensor
The position sensor calibration using Agilia Partner maintenance software.
values have drifted. Replace the displacement sensor.
See section 8.19, page 138.
Occlusion alarm after the pump has been Wrong calibration of the force Recalibrate the force sensor using
turned on. sensor. Agilia Partner maintenance software.
Force sensor is out of order. Replace the force sensor and ribbon cable kit.
Flexible circuit is cut. See section 8.18, page 132.
Occlusion alarm during the infusion. The pressure limit selected is too Select a higher pressure limit (Pressure
low. management menu ).
Wrong calibration of the force Recalibrate the force sensor using
sensor. Agilia Partner maintenance software.
Flexible circuit is cut. Replace the force sensor and ribbon cable kit.
See section 8.18, page 132.
Disengagement alarm after the pump has The disengagement micro-switch Replace the disengagement flexible circuit.
been turned on or during the infusion. is defective. See section 8.17, page 127.
Carriage flexible circuit is cut.
Unjustified alarm involving plunger head Optical switch and/or anti-siphon Check the anti-siphon system.
position. arms finger detection are Check the plunger driver internal mechanism.
defective. Replace the force sensor.
Flexible circuit is cut. See section 8.18, page 132.
Unjustified alarm involving syringe barrel Defective syringe barrel clasp Check the syringe barrel clasp.
clasp and/or syringe body. potentiometer. Run test 7. See section 6.2.8, page 45.
Flat ribbon cable is defective. If the error remains, replace the syringe barrel
Switch or flat ribbon cable flange clasp.
detection is defective. Calibrate the syringe barrel clasp using
Agilia Partner maintenance software and
check the pump functionality.
Display defect: LED, LCD display. Control transistors, LED and/or Check the display board.
connections are defective. Check the connections between CPU board
and display board.
Replace the display board/LCD display.
See Section 8.10, page 98.
The power supply indicator doesn't light Battery is totally discharged. Connect the pump to the AC power supply.
up. Replace the battery.
Power supply board is defective. See section 8.2, page 81.
Check the power cord and AC power supply.
Replace the power supply board.
See section 8.12, page 106.
Battery alarm even though it has been The power supply board is Replace the power supply board.
completely charged. damaged. See section 8.12, page 106.
The pump turns ON or OFF by itself. Defective keypad. Replace the upper case. See section 8.3,
Power supply board is damaged. page 83.
Check the keypad by running test 10.
See section 6.2.11, page 49.
Replace the power supply board if necessary.
See section 8.12, page 106.
Some keys of the keypad do not work. Defective keypad. Replace the upper case.
See section 8.3, page 83.
Check the keypad by running test 10.
See section 6.2.11, page 49.
Mechanical elements are damaged. After a fall. Check the status of the casings and the
mechanical system.
The pump must not be used.
75
7.5 Error Codes
Error Code Description Recommended Actions
01 Motor rotation Check correct functioning of the motor.
Check the ribbon cable connection between the optical switch
and the CPU board (J5 connector). See figure 2.4, page 13.
Check the correct functioning of the motor rotation optical switch.
Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
02 Displacement Check the displacement sensor calibration.
Run test 6 Displacement. See section 6.2.7, page 43.
Check the displacement sensor connection to CPU board
(J2 connector). See figure 2.4, page 13.
Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
10 RAM Replace the CPU board.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
11 Flash memory (deleting or Replace the CPU board. See section 8.11, page 102.
programming problem) Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
12 Resources Carry out a complete configuration for the pump using the
Agilia Partner maintenance software.
If the problem cannot be resolved:
Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
13 Secondary Crc16 Carry out a complete configuration/calibration/control cycle using
microcontroller - version is Agilia Partner maintenance software.
incorrect
14 Secondary microcontroller Replace the Power supply board. See section 8.12, page 106.
restarting - Watchdog
problem
15 Secondary microcontroller Check the ribbon cable connection between Power supply board
communication (J1 connector) and CPU board (J6 connector).
See figure 2.4, page 13.
See figure 2.6, page 17.
Replace the Power supply board. See section 8.12, page 106.
16 Disconnected battery Check the battery connection to power supply board
(J3 connector). See section 2.1.5, page 17.
Check the battery charging voltage. Run test 12.
See section 6.2.13, page 51.
Replace the battery. See section 8.2, page 81.
17 Battery charge Check the battery charging voltage. Run test 12.
See section 6.2.13, page 51.
Replace the battery. See section 8.2, page 81.
18 AC power presence Remove the battery door. See section 8.2, page 81.
Check the status of the AC power fuse.
Replace the Power supply board. See section 8.12, page 106.
19 Battery temperature Check the battery status. Run test 8.
See section 6.2.9, page 48.
Replace the battery. See section 8.2, page 81.
76
Error Code Description Recommended Actions
20 Syringe barrel clasp Check the syringe barrel clasp calibration. Run test 7.
potentiometer See section 6.2.8, page 45.
Calibrate the syringe barrel clasp using Agilia Partner
maintenance software.
If the error remains, check the cable connection to CPU board
(J1 connector). See figure 2.4, page 13.
If the error remains, replace the syringe barrel clasp.
See section 8.14, page 112.
Calibrate the syringe barrel clasp using Agilia Partner
maintenance software and check the pump functionality.
21 Displacement linear Check the displacement calibration. Run test 6.
potentiometer See section 6.2.7, page 43.
Calibrate the displacement using Agilia Partner maintenance
software.
If the error remains, check the cable connection to CPU board
(J2 connector). See figure 2.4, page 13.
If the error remains, replace the displacement sensor.
See section 8.19, page 138.
Calibrate the displacement using Agilia Partner maintenance
software and check the pump functionality.
22 Force sensor Check the force sensor calibration. Run test 5.
See section 6.2.6, page 41.
Calibrate the force sensor using Agilia Partner maintenance
software.
If the error remains, check the cable connection to CPU board
(J9 connector). See figure 2.4, page 13.
If the error remains, replace the force sensor and ribbon cable kit.
See section 8.18, page 132.
Calibrate the force sensor using Agilia Partner maintenance
software and check the pump functionality.
23 Syringe flanges switch Check the syringe flanges switch is functioning correctly by
running test 7. See section 6.2.8, page 45.
Check the cable connection to CPU board (J1 connector).
See figure 2.4, page 13.
Replace the syringe barrel clasp flexible circuit.
See section 8.14, page 112.
24 Disengagement switch Check the functionality of the disengagement switch.
Check the cable connection to CPU board (J9 connector).
See figure 2.4, page 13.
Replace the disengagement flexible circuit.
See section 8.17, page 127.
25 Syringe head detection Check the functionality of the syringe head optical switch by
optical switch running test 7. See section 6.2.8, page 45.
Check the cable connection to CPU board (J9 connector).
See figure 2.4, page 13.
Replace the plunger kit.See section 8.21, page 146.
26 Board missing Check the connection between Display board and CPU board.
See section 2.1.3, page 10.
See section 2.1.4, page 13.
Check the connection between Power supply board and CPU
board.
See section 2.1.4, page 13.
See section 2.1.5, page 17.
Replace the faulty part(s).
27 LCD backlight missing Check the connection between Display board (J3 connector) and
LCD display. See section 2.1.3, page 10.
Replace the LCD display. See section 8.10, page 98.
If the problem cannot be resolved, replace the Display board.
77
Error Code Description Recommended Actions
28 Keypad Run test 10 to check the keypad. See section 6.2.11, page 49.
Replace the upper case. See section 8.3, page 83.
Run test 10 to check the keypad.
If the problem cannot be resolved, replace the Display board.
See section 8.10, page 98.
29 Analog/digital converter Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
30 Time keeper Replace the Power supply board supporting the secondary
microcontroller. See section 8.12, page 106.
Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
31 Syringe parameters Carry out a complete configuration using Agilia Partner
maintenance software.
33 Disengagement optical Check the functionality of the disengagement switch.
switch Check the cable connection to CPU board (J9 connector).
See figure 2.4, page 13.
Replace the disengagement flexible circuit.
See section 8.17, page 127.
34 Infusion flow rate Carry out a complete configuration using Agilia Partner
maintenance software.
35 Motor period Carry out a complete configuration using Agilia Partner
maintenance software.
36 Motor rotation direction Carry out a complete configuration using Agilia Partner
maintenance software.
37 OFF key. Check that you have not pressed the OFF key too repeatedly.
Reading status problem or Replace the Power supply board to check the functionality of the
key pressed too repeatedly secondary microcontroller. See section 8.12, page 106.
Replace the Display board. See Section 8.10, page 98.
Replace the CPU board to check the functionality of the main
microcontroller.See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
38 Locked OFF key Run test 10 to check the functionality of the keypad, and
especially the OFF key. See section 6.2.11, page 49.
Replace the upper case. See section 8.3, page 83.
Replace the Power supply board to check the secondary
microcontroller functionality. See section 8.12, page 106.
39 Impossible to power off Replace the Power supply board. See section 8.12, page 106.
43 LCD communication failure Replace the Display board. See Section 8.10, page 98.
44 LCD driver failure Replace the Display board. See Section 8.10, page 98.
45 Defective LCD voltage Replace the Display board. See Section 8.10, page 98.
78
Error Code Description Recommended Actions
52 Defective buzzer Buzzer sound level too low or defective speaker (see error code 51).
Replace the Power supply board supporting the buzzer.
See section 8.12, page 106.
53 Battery parameter in Contact the Fresenius Kabi Technical Service.
coulometer EPROM
54 Secondary microcontroller / Contact the Fresenius Kabi Technical Service.
coulometer power supply
board communication
55 Defective profile Carry out a complete configuration check using Agilia Partner
maintenance software.
56 CMDFAIL Replace the Power supply board. See section 8.12, page 106.
Autotest failure on starting Replace the Display board. See section 8.10, page 98.
up the pump. Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
57 ADC converter - Interface Check connection of Interface board to CPU board
board (J9 connector).
Replace the Interface board. See section 8.6, page 88.
Replace the CPU board. See section 8.11, page 102.
58 Patient handset Check connection of patient handset to the pump and to Interface
board through the cover lock flexible circuit. See section 8.5,
page 86.
Replace the patient handset. See section 8.2, page 81.
Replace the Interface board. See section 8.6, page 88.
59 Cover (presence and lock Replace the pusher protection with lock kit. See section 8.8,
system detections) page 92.
Replace the Interface board. See section 8.6, page 88.
95 Internal flash Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
96 Defective detection of pump Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
97 Defective oscillator Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
98 Defective reset circuit Replace the CPU board. See section 8.11, page 102.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
99 Activation of the watchdog Replace the Power supply board to check the functionality of the
secondary microcontroller. See section 8.12, page 106.
Replace the CPU board to check the functionality of the main
microcontroller.
Carry out a complete configuration/calibration/control cycle using
Agilia Partner maintenance software.
79
8 Intervention Procedures
WARNING
ONLY use the recommended accessories and spare parts delivered with the pump. NO PART IS
REPAIRABLE. When replacing components, only use Fresenius Kabi spare parts. Refer to the
"Spare Parts Catalog" for ordering information.
Any instruments or devices used for maintenance must be regularly checked or re-calibrated
according to their specifications and local regulations.
Disconnect the battery, and discharge the boost capacitor before opening the pump (see
procedure no.2). A risk of electric shock exists when touching a charged boost capacitor.
For safety reasons, the technician should not intervene when the pump is connected to an AC power
supply:
- Unplug the power supply cord from the AC power supply.
- Power off the pump.
When working with electronic components, we recommend wearing an anti-static bracelet
connected to earth and working on an anti-static mat.
Do not touch the electronic boards with your hands.
80
8.1 Procedure #1: Patient Handset
Maintenance level
Level 3 specialist technician.
Dismantling
1. Unplug the patient handset.
To disconnect the handset, hold the connector by the plastic ring [1].
Do not attempt to pull the cord, you will damage the connector.
2. Remove the handset [2].
2
1
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
8.2 Procedure #2: Battery and Battery Door - Boost Capacitor Discharge
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
The battery must be only replaced by a qualified person.
See section 3.1, page 27.
Dismantling
1. Unscrew the 2 screws [1] that hold the battery door in place.
2. Remove the battery door [2].
3. Power on the pump.
81
2
1 1
4. Disconnect the [J3] connector and remove the battery [3].
The boost capacitor starts to discharge.
The buzzer sounds and red LEDs light during this discharge (approximately 20 minutes).
J3
INFORMATION
If the identification labels of the fuse [4] and the battery [5] are damaged, they must be replaced.
Contact Fresenius Kabi to get new labels.
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Insert the battery in the correct direction.
3. Perform a charge/discharge cycle.
4. Perform the regular servicing tests. See Quality Control Procedure, page 66.
82
8.3 Procedure #3: Clear Protective Cover
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Dismantling
1. Unlock the protective cover.
1
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
83
8.4 Procedure #4: Left hinge kit
Required Tools and Equipment
1 Torx T-10 screwdriver
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
84
5. Remove the left hinge kit [3].
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
85
8.5 Procedure #5: Rear Cover
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Remove the screw cap [1].
2. Unscrew the screw [2].
1 2
5. Remove the rear cover assembly [5], being careful not to pull out cable [6].
6. Disconnect cable [6] from cover lock flexible circuit [7].
7
6
86
7. Unscrew the 4 screws [8].
11
10
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
87
8.6 Procedure #6: Interface Board
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Remove the screw cap [1].
5. Unscrew the screw [2].
1 2
88
6. Remove the patient handset cable reel [3].
7. Unscrew the 4 screws [4].
8. Remove the rear cover [5], being careful not to pull out cable [6].
9. Disconnect cable [6] from cover lock flexible circuit [7].
7
6
5
10.Disconnect CPU board flat cable from the interface board [8] at [J1].
11.Dislodge carefully the interface board [8].
12.Disconnect cover detection flexible circuit [9] from interface board at [J2].
8 J1 9 J2
J1 J2
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
89
8.7 Procedure #7: Cover detection flexible circuit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1 2
90
6. Remove the patient handset cable reel [3].
7. Unscrew the 4 screws [4].
8. Remove the rear cover [5], being careful not to pull out cable [6].
9. Disconnect cable [6] from cover lock flexible circuit [7].
7
6
5
10.Disconnect CPU board flat cable from the interface board [8] at [J1].
11.Dislodge carefully the interface board [8].
12.Disconnect cover detection flexible circuit [9] from interface board at [J2].
8 J1 9 J2
13.Push the tab [a] and dislodge the cover lock flexible circuit [9] by sliding it out as shown below.
9 a
9
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
91
8.8 Procedure #8: Pusher protection with lock kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover and remove the key.
1
4. Remove the screw cap [1].
5. Unscrew the screw [2].
1 2
92
6. Remove the patient handset cable reel [3].
7. Unscrew the 4 screws [4].
8. Remove the rear cover [5], being careful not to pull out cable [6].
9. Disconnect cable [6] from cover lock flexible circuit [7].
7
6
5
10.Disconnect CPU board flat cable from the interface board [8] at [J1].
While doing this, pay attention to the position of flat cable connected to [J1].
11.Dislodge carefully the interface board [8].
12.Disconnect cover lock flexible circuit [9] from interface board at [J2].
While doing this, pay attention to the position of cable [9] connected to [J2].
13.Remove the interface board [8].
8 J1 9 J2
14.Push the tab [a] and dislodge the cover lock flexible circuit [9] by sliding it out as shown
below.
9 a
93
15.Unscrew the 2 screws [4].
16.Dislodge the pusher protection with lock kit [10] by sliding it out toward the right as shown
below.
10
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the regular servicing tests. See Quality Control Procedure, page 66.
94
8.9 Procedure #9: Upper Case
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
95
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
96
11.Disconnect the display board flat cable at [J2].
12.Disconnect the display board / keypad cable (connection at [J1]).
13.Unscrew the 4 screws [9] that fasten the display board unit to the upper case.
9 9
J1
9 J2 9
14.Remove the hood hook [10] and the display board unit [11] from the upper case [7].
11
9
10
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the regular servicing tests. See Quality Control Certificate, page 69.
97
8.10 Procedure #10: Display Board/LCD Display
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
98
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
99
11.Disconnect the display board flat cable at [J2].
12.Disconnect the display board / keypad cable (connection at [J1]).
13.Unscrew the 4 screws [9] that fasten the display board unit to the upper case.
9 9
J1
9 J2 9
14.Remove the hood hook [10] and the display board unit [11] from the upper case [7].
11
9
10
11
J3
100
12
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibration using Agilia Partner maintenance software:
LCD contrast
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
101
8.11 Procedure #11: CPU Board
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
102
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
103
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and [J9].
13.Unscrew and remove the screw [9].
J1 J2
J3
J1
J5
J9 9
J6 J7
J10
104
10
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibrations using Agilia Partner maintenance software:
Force sensor
Syringe barrel clasp
Displacement
Date
LCD contrast
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
INFORMATION
When replacing the CPU board, carry out a complete configuration of the pump (calibrations and tests).
Each pump has its own CPU board model. Be careful not to mix up the different pump references.
105
8.12 Procedure #12: Power Supply Board and AC Power Board
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
106
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
107
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect flat cable from power supply board at [J2].
13.Unscrew and remove screw [9].
14.Remove the power supply board:
Pull the board out by its corner edge to dislodge it from securing clip [10].
Dislodge the power supply board from slot [11].
J2
10 11
Re-assembling
1. Place the black insulator part [12] on the AC supply board.
2. Insert the power supply board in slot [11].
3. Locate securing clip [10] then press the power supply board down, locking the board into
position with the securing clip.
4. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
12
11
10
5. Perform the regular servicing tests. See Quality Control Certificate, page 69.
108
8.13 Procedure #13: Wi-Fi Board
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
This procedure is only applicable to pumps equipped with a Wi-Fi module.
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
109
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
110
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cable connected to the CPU board at [J4] (Wi-Fi board connection).
13.Unscrew and remove the screw [9] that holds the Wi-Fi board holder [10] to the CPU
board.
14.Dislodge the Wi-Fi board holder from the right flange slot [11].
10
11
J4
12 12 J1
10
13
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the regular servicing tests. See Quality Control Certificate, page 69.
111
8.14 Procedure #14: Syringe Barrel Clasp
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
112
5. Remove the left hinge kit [3].
4 5
10.Remove the rear cover [8], being careful not to pull out cable [9].
11.Disconnect cable [9] from cover lock flexible circuit [10].
10
9
113
12.Disconnect CPU board flat cable from the interface board [11] at [J1].
While doing this, pay attention to the position of flat cable connected to [J1].
13.Dislodge carefully the interface board [11].
14.Disconnect cover detection flexible circuit [12] from interface board at [J2].
While doing this, pay attention to the position of cable [12] connected to [J2].
15.Remove the interface board [11].
11 J1 12 J2
17.Dislodge the pusher protection with lock kit [13] by sliding it out toward the right as shown
below.
13
114
19.Remove the angle bracket [14], being careful not to pull out the CPU board flat cable [16].
20.Disconnect CPU board flat cable [16] at [J1].
21.Unscrew the 2 screws [7] that hold the upper case [15] to the base.
22.Remove the upper case [15], being careful not to pull out the display board flat cable.
14
16
J1
7 7
15
J1
J2
24.Disconnect the cable that connects the CPU board to displacement linear potentiometer at
[J2].
J2
115
25.Push the disengagement lever [17] down and move the plunger driver to its maximum.
26.Remove the 2 plastic caps [18] using a flat screwdriver.
27.Unscrew and remove the 2 screws.
28.Unclip and remove the syringe flange cradle [19].
29.Unscrew and remove the screw [7] that holds the base.
30.Remove the base [20].
While removing the base [20], pay attention to the position of angle bracket clip kit [21]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
17 21
18 7 21
18
19
20
20
31.Unscrew and remove the 2 screws [22].
32.Remove the syringe barrel clasp bridle [23].
22 22
23
23
116
33.Unclip and remove clip [26].
34.Pull syringe barrel clasp kit [24] out of its base location.
35.Disconnect the syringe detector [25] from the syringe barrel clasp kit [24].
36.Remove syringe barrel clasp kit [24]
24 26 25 24 26
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Do not forget to clip part [26] into the groove of syinge barrel clasp before attaching bridle
[23].
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibration using Agilia Partner maintenance software:
Syringe barrel clasp
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
117
8.15 Procedure #15: Syringe Detection System
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
118
5. Remove the left hinge kit [3].
4 5
10.Remove the rear cover [8], being careful not to pull out cable [9].
11.Disconnect cable [9] from cover lock flexible circuit [10].
10
9
119
12.Disconnect CPU board flat cable from the interface board [11] at [J1].
While doing this, pay attention to the position of flat cable connected to [J1].
13.Dislodge carefully the interface board [11].
14.Disconnect cover detection flexible circuit [12] from interface board at [J2].
While doing this, pay attention to the position of cable [12] connected to [J2].
15.Remove the interface board [11].
11 J1 12 J2
17.Dislodge the pusher protection with lock kit [13] by sliding it out toward the right as shown below.
13
120
19.Remove the angle bracket [14], being careful not to pull out the CPU board flat cable [16].
20.Disconnect CPU board flat cable [16] at [J1].
21.Unscrew the 2 screws [7] that hold the upper case [15] to the base.
22.Remove the upper case [15], being careful not to pull out the display board flat cable.
14
16
J1
7 7
15
J1
J2
24.Disconnect the cable that connects the CPU board to displacement linear potentiometer at
[J2].
J2
121
25.Push the disengagement lever [17] down and move the plunger driver to its maximum.
26.Remove the 2 plastic caps [18] using a flat screwdriver.
27.Unscrew and remove the 2 screws.
28.Unclip and remove the syringe flange cradle [19].
29.Unscrew and remove the screw [7] that holds the base.
30.Remove the base [20].
While removing the base [20], pay attention to the position of angle bracket clip kit [21]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
17 21
18 7 21
18
19
20
20
31.Unscrew and remove the 2 screws [22].
32.Remove the syringe barrel clasp bridle [23].
22 22
23
23
122
33.Unclip and remove clip [25].
34.Pull syringe barrel clasp kit [24] out of its base location.
35.Disconnect the syringe detector [26] from the syringe barrel clasp kit [24].
36.Remove the syringe detector [26].
37.Remove membrane [27].
The syringe detection system [28] comprises syringe detector [26] and membrane [27].
26 27
24
27
25
25 26 28
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Do not forget to clip part [25] into the groove of syinge barrel clasp before attaching bridle
[23]. Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibration using Agilia Partner maintenance software:
Syringe barrel clasp
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
123
8.16 Procedure #16: Motor
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
124
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
125
11.Disconnect the cable that connects the motor to the CPU board at [J7].
12.Unscrew and remove the 4 screws [9] that hold the motor [10] to the mechanical framework.
J7
10
9 9
9 9
10
Re-assembling
1. Place the motor in position being careful not to damage the gear wheel teeth. While doing
this, pay attention to reconnect the opto motor ground loop [11] on the inside at screw [9b]
level (see the sketch below).
2. Engage the 2 gear wheels together without forcing, and turn them slightly.
3. Tighten the 4 motor fixing screws, following the order [9a], [9b], [9c], [9d] given in the
sketch below.
9d
9b
9c
9a 9b 9a
9d 9c
11
4. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
5. Perform the following calibration using Agilia Partner maintenance software:
Displacement
6. Perform the regular servicing tests. See Quality Control Certificate, page 69.
126
8.17 Procedure #17: Disengagement Flexible Circuit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
127
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
128
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and
[J9].
13.Unscrew and remove the screw [9] that holds the CPU board to the flange..
J1 J2
J3
J1
J5
J9 9
J6 J7
14.Remove the CPU board.
While doing this, take care not to pull out the flat cable on the inside.
15.Disconnect the flat cable from CPU board at [J10].
J10
129
16.Unscrew the upper screw [9] that holds the board disengagement flexible circuit to the
carriage kit [10].
10
17.Remove self-locking ring [11] using a flat screwdriver. This self-locking ring holds the board
disengagement flexible circuit to the carriage kit.
11 11 11
18.Disconnect the plunger driver flat cable [12] from the board [13].
19.Unscrew and remove the screw [14] that holds the upper 1/2 band to the lower 1/2 band.
14 13
14
12
130
20.Dislodge the disengagement flexible circuit [15].
15
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
Insert aperture [16] in spur [17].
Replace self-locking ring [11] with a new one when assembling the board disengagement
flexible circuit to the carriage kit.
17 16
131
8.18 Procedure #18: Force Sensor + Ribbon Cable Kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
132
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
133
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and [J9].
13.Unscrew and remove the screw [9] that holds the CPU board to the flange..
J1 J2
J3
J1
J5
J9 9
J6 J7
14.Remove the CPU board.
While doing this, take care not to pull out the flat cable on the inside.
15.Disconnect the flat cable from CPU board at [J10].
J10
134
16.Push the disengagement lever down [10] and move the plunger driver to its maximum.
17.Remove the 2 plastic caps [11] using a flat screwdriver.
18.Unscrew and remove the 2 screws.
19.Unclip and remove the syringe flange cradle [12].
20.Unscrew and remove the 2 screws [13] that hold the base.
21.Remove the base [14].
While removing the base [14], pay attention to the position of angle bracket clip kit [15]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
22.Unscrew and remove the 3 screws [16] that hold the right flange assembly to the aluminum
profile.
23.Take the unit apart.
10 15
16
11 13 15
11
12
14
16 16 14
135
24.Remove the self-locking ring [17].
25.Unscrew and remove the linking band that holds screw [18].
26.Disconnect the flat cable [19].
27.Remove the carriage kit [20].
28.Remove the 2 plastic caps [21] using a flat screwdriver.
29.Unscrew then remove the 2 screws that hold the plunger cover in place.
30.Remove the plunger cover and lever kit [22].
22
21 22
21
18
20
17
19
31.Unscrew and remove the 2 screws [23] that hold the pressure sensor support [24].
32.Remove the pressure sensor support [24].
While removing the pressure sensor support [24], pay attention to the position of
spring [25]. Do not forget to position this spring as it was before re-fixng the support.
33.Rotate part [26] in the direction shown in the sketch.
27 28
23
24
23
25 26
136
34.At the same time, dislodge boards [27] and [28] and pull out the force sensor and ribbon
cable kit [29].
While pulling out the force sensor and ribbon cable kit, pay attention to the position of the
boards [27] and [28]. Also pay attention to the springs that maintain part [26]. Do not forget
to position all these elements as they were before re-assembling the unit.
27
29
28
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibration using Agilia Partner maintenance software:
Force sensor
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
137
8.19 Procedure #19: Linear Sensor Kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
138
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
139
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and
[J9].
13.Unscrew and remove the screw [9].
J1 J2
J3
J1
J5
J9 9
J6 J7
14.Remove the CPU board.
While doing this, take care not to pull out the flat cable on the inside.
15.Disconnect the flat cable from CPU board at [J10].
J10
140
16.Push the disengagement lever down [10] and move the plunger driver to its maximum.
17.Remove the 2 plastic caps [11] using a flat screwdriver.
18.Unscrew and remove the 2 screws.
19.Unclip and remove the syringe flange cradle [12].
20.Unscrew and remove the 2 screws [13] that hold the base.
21.Remove the base [14].
While removing the base [14], pay attention to the position of angle bracket clip kit [15]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
22.Unscrew and remove the 3 screws [16] that hold the right flange assembly to the aluminum
profile.
23.Take the unit apart.
10 15
16
11 13 15
11
12
14
16 16 14
17
17 18
141
26.Unscrew and remove the 3 screws [19] that hold the linearity sensor kit in place.
27.Remove the linearity sensor kit [21] being careful not to pull out the flat cable [20].
19
20
19 19
21
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections and to reconnect the opto motor
ground loop when assembling.
2. Perform the following calibration using Agilia Partner maintenance software:
Displacement
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
142
8.20 Procedure #20: Plunger Cover and Lever Kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
1. Unlock the protective cover and remove the key.
1
4. Remove the screw cap [1].
5. Unscrew the screw [2].
1 2
143
6. Remove the patient handset cable reel [3].
7. Unscrew the 4 screws [4].
8. Remove the rear cover [5], being careful not to pull out cable [6].
9. Disconnect cable [6] from cover lock flexible circuit [7].
7
6
5
10.Disconnect CPU board flat cable from the interface board [8] at [J1].
While doing this, pay attention to the position of flat cable connected to [J1].
11.Dislodge carefully the interface board [8].
12.Disconnect cover detection flexible circuit [9] from interface board at [J2].
While doing this, pay attention to the position of cable [9] connected to [J2].
13.Remove the interface board [8].
8 J1 9 J2
144
15.Dislodge the pusher protection with lock kit [10] by sliding it out toward the right as shown
below.
10
11
11 12
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
2. Perform the following calibrations using Agilia Partner maintenance software:
Force sensor
Displacement
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
145
8.21 Procedure #21: Plunger Kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
146
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
147
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and [J9].
13.Unscrew and remove the screw [9].
J1 J2
J3
J1
J5
J9 9
J6 J7
14.Remove the CPU board.
While doing this, take care not to pull out the flat cable on the inside.
15.Disconnect the flat cable from CPU board at [J10].
J10
148
16.Push the disengagement lever down [10] and move the plunger driver to its maximum.
17.Remove the 2 plastic caps [11] using a flat screwdriver.
18.Unscrew and remove the 2 screws.
19.Unclip and remove the syringe flange cradle [12].
20.Unscrew and remove the 2 screws [13] that hold the base.
21.Remove the base [14].
While removing the base [14], pay attention to the position of angle bracket clip kit [15]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
22.Unscrew and remove the 3 screws [16] that hold the right flange assembly to the aluminum
profile.
23.Take the unit apart.
10 15
16
11 13 15
11
12
14
16 16 14
149
24.Remove the self-locking ring [17].
25.Unscrew and remove the linking band that holds screw [18].
26.Disconnect the flat cable [19].
27.Remove the carriage kit [20].
28.Take apart the plunger kit [21] using a rotating movement to remove the pin from the
plunger cover.
18
20
17
19
21
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibrations using Agilia Partner maintenance software:
Force sensor
Displacement
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
150
8.22 Procedure #22: Carriage Kit
Required Tools and Equipment
1 Torx T-10 screwdriver
1 flat screwdriver
1 anti-static bracelet
Maintenance level
Level 3 specialist technician.
See section 3.1, page 27.
Prerequisites
The patient handset is removed. See section 8.1, page 81.
The battery is disconnected and the boost capacitor discharged. See section 8.2, page 81.
Dismantling
If a Wi-Fi pump is used, remove the Wi-Fi board, then dislodge the CPU board as described
later in this procedure.
To remove the Wi-Fi board: See section 8.13, page 109.
1. Unlock the protective cover.
1
4. Unscrew the 2 screws [2].
151
5. Remove the left hinge kit [3].
4
4
7. Remove the angle bracket [6], being careful not to pull out the CPU board flat cable [8].
8. Disconnect CPU board flat cable [8] at [J1].
9. Unscrew the 2 screws [5] that hold the upper case [7] to the base.
10.Remove the upper case [7], being careful not to pull out the display board flat cable.
8
J1
5
5
152
11.Disconnect the display board flat cable at [J2].
J1
J2
12.Disconnect the flat cables connected to the CPU board at [J1], [J2], [J3], [J5], [J6] [J7] and
[J9].
13.Unscrew and remove the screw [9].
J1 J2
J3
J1
J5
J9 9
J6 J7
14.Remove the CPU board.
While doing this, take care not to pull out the flat cable on the inside.
15.Disconnect the flat cable from CPU board at [J10].
J10
153
16.Push the disengagement lever down [10] and move the plunger driver to its maximum.
17.Remove the 2 plastic caps [11] using a flat screwdriver.
18.Unscrew and remove the 2 screws.
19.Unclip and remove the syringe flange cradle [12].
20.Unscrew and remove the 2 screws [13] that hold the base.
21.Remove the base [14].
While removing the base [14], pay attention to the position of angle bracket clip kit [15]
between the base and the aluminum profile. When re-assembling the base, make sure to
position this part as it was originally.
22.Unscrew and remove the 3 screws [16] that hold the right flange assembly to the aluminum
profile.
23.Take the unit apart.
10 15
16
11 13 15
11
12
14
16 16 14
154
24.Remove the self-locking ring [17].
25.Unscrew and remove the linking band that holds screw [18].
26.Disconnect the flat cable [19].
27.Remove the carriage kit [20].
18
20
17
19
20
Re-assembling
1. Perform the dismantling procedure in reverse order to re-assemble the unit.
Pay attention to the direction of the flat cable connections when assembling.
2. Perform the following calibrations using Agilia Partner maintenance software:
Force sensor
Displacement
3. Perform the regular servicing tests. See Quality Control Certificate, page 69.
155
9 Device Storage
Refer to the Instructions for Use of the relevant pump for the following information:
Precautions for storage
Storage and transport conditions
Preparing the device for storage
Using the device after storage
156
10 Cleaning and Disinfecting
Refer to the Instructions for Use of the relevant pump for the following information:
When to clean and disinfect the pump
Recommended and prohibited agents
Instructions for cleaning and disinfecting
157
11 Power Management
Refer to the Instructions for Use of the relevant pump for the following information:
AC power supply precautions
Battery precautions
Battery operating mode
158
12 Technical Characteristics
Power supply
100 V - 240 V ~ / 50 / 60 Hz with functional earth
AC Power Maximum consumption 10-15 VA
Protective fuse 1 X T1.6AH 250V accessible in the battery compartment
External
Power Supply
9 VDC / Power > 15 W
(Available in a
Future Release)
Length: 3.00 m
Maximum length: 3.00 m
Cord Type: SJT3x18AWG
Technical data: 3x18AWG (Green, black, white), dielectric strength: 2 kVac, 1 min
Standard: UL62 CSA 22.2 No. 49
Type: HG/TR
Plug Technical data: 15A - 12.5V AC.
Standard: NEMA 5-15 Hospital Grade
Type: C13
Connector Technical data: 10A - 250V UL CSA
Standard: EN 60320-1 C22.2 N°21 UL 817
12.2 Battery
Disconnect the battery before opening the device. Avoid short circuits and extreme temperatures.
If the device is not used for more than 3 months, the date is erased (all other settings are stored
permanently). When you power on the pump, you must set the date again.
159
12.5 Infrared Communication
The pump is equipped with an infrared cell located at the back of the device.
Compatibility Asynchronous Serial Infrared (SIR) physical layer irPHY 1.0, baseband no carrier
Transport
Proprietary
Protocol
Speed 115.2 kb/s max
Input / Output
250 mW
power (pump)
Input / Output
100 mW
Power (PC)
Compatibility USB 2.0 compliant.
Length 85 in (2.15 m)
Housing IP27
12.8 Compliance
IP 22 (pump)
Compliant with the following standards:
ElectroMedical IP 27 (handset Index of protection against ingress of water or
IEC 60601-1
Equipment Safety except particulate matter
IEC 60601-1-8 connector)
EMC
Compliant with the following standards: Protection against leakage current:
(ElectroMagnetic
IEC 60601-1-2 Defibrillation-proof type CF applied part*
Compatibility)
160
12.9 Dimensions - Weight
Pump dimensions and weight without protective cover
H/W/D 150 x 350 x 195 mm
Screen Size 70 x 35 mm
Weight Approximately 65 g
12.10Electronic Boards
The Agilia SP PCA, Agilia SP PCA WiFi pumps are equipped with 5 electronic boards:
Power supply board
AC Power board
Interface board
CPU board
Display board
For the Agilia SP PCA WiFi pump, an additional electronic board is present:
Wi-Fi board
161
12.11 Material Characteristics
Component Material
1 Screw cap (2) Polyamide
2 Nut bolt button Polyamide
3 M8 molded screws Polyamide
4 Angle bracket ABS
5 Battery door ABS
6 Light guide Polycarbonate
7 Window Polycarbonate
8 Molded base ABS
9 Cover hook Polyamide 6
10 Infrared window Polycarbonate
11 Eccentric bolt POM
12 Bolt front case POM
13 Bolt rear case POM
14 Bolt button POM
15 Bolt button pen POM
16 Molded lever + hooks Polyarylamide
17 Motor silent blocks Elastomere
18 Back foot LSR
19 Front foot LSR
20 Syringe barrel clasp stop Polyamide
21 Connector stopper TPE EPTR
22 Right and left flange Polycarbonate
23 Wi-Fi board support Polycarbonate
24 Plunger driver body Polycarbonate
25 Plunger driver flange Polycarbonate
26 Plunger driver flange stop Polycarbonate
27 Wing switch support Polycarbonate
28 Syringe barrel clasp bridle Polycarbonate
29 Molded syringe barrel clasp Polycarbonate
30 Dual syringe wings holder Polycarbonate
31 Syringe protective cover Aromatic polyester
32 Left hinge ABS
33 Pusher protection ABS
34 Rear cover ABS
35 Patient handset cable reel ABS
36 Left hinge ABS
37 Patient handset housing ABS
162
13 Specifications
Refer to the Instructions for Use of the relevant pump for the following information:
Infusion Rate
Volume To Be Infused (VTBI)
Infusion Tme
Flow Rate Accuracy
Occlusion Alarm Response Time
Occlusion Alarm Threshold
Pressure Management
Trumpet and Start-up Curves
Essential Features
Feature Refer to
Flow rate accuracy IFU
Time to Detect Occlusion IFU
Bolus Volume After Occlusion Release IFU
Management of High-priority Alarms IFU
163
14 Recycling
Before disposal, remove the battery from the device. Batteries and devices with this label must not be
disposed of with the general waste. They must be collected separately and disposed of according to local
regulations.
INFORMATION
For more information on waste processing regulations, contact your local Fresenius Kabi
organization or the local distributor.
For more information on dismantling the device, refer to the chapter "Intervention Procedures" in this
document.
Follow healthcare facility policy regarding proper disposal after use.
164
15 Warranty
Refer to the Instructions for Use of the relevant pump for the following information:
General conditions of warranty
Limited warranty
Warranty conditions for accessories
165
16 Guidance and Manufacturer's Declaration on EMC
Refer to the Instructions for Use of the relevant pump for the following information:
Electromagnetic compatibility
Electrostatic discharge (ESD) information and ESD precautions to be taken
Electromagnetic compatibility and interference guidance
Wi-Fi compatibility
The Agilia pumps include RF transmitters whose effective radiated power (EIRP power) is defined below:
Frequency band 2.4 GHz: 20 dBm.
Frequency band 5 GHz: 17 dBm.
Compliance Obtained
Emission Test Electromagnetic Environment - Guidance
by the Device
The Agilia pump only uses RF energy for its internal operation. Its RF
RF emissions CISPR 11 Group 1 emissions are therefore very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions CISPR 11 Class B
Harmonic emissions
Class A The Agilia pump is suitable for use in all establishments other than
IEC61000-3-2
domestic and those directly connected to the public low-voltage power
Voltage fluctuations supply network that supplies buildings used for domestic purposes.
Flicker emissions Comply
IEC 61000-3-3
Conducted emissions
150 kHz - 108 Mhz Class 5
CISPR25
The Agilia pump is suitable for use in automotive environments.
Radiated emissions
150 kHz - 2.5 Ghz Class 3
CISPR25
166
16.2 Table 2 - Guidance and Manufacturer's Declaration - Electromagnetic Immunity
WARNING
The Agilia pump and its accessories are intended to be used in the electromagnetic environments
specified below.
The customer or the user of the Agilia pump should ensure that it is used in such environments.
IEC 60601-1-2
-------------- Compliance Level
Immunity Test IEC 60601-2-24 Obtained by the Electromagnetic Environment - Guidance
and ANSI/AAMI ID26 Device
Test Level
± 6 kV contact Floor coverings made from wood, tiles and concrete,
± 8 kV air with relative humidity level at least 30 %, make it
Electrostatic -------------- possible to guarantee the necessary level of
± 8 kV contact
Discharge (ESD) conformity. If it is not possible to guarantee this
± 15 kV air
IEC 61000-4-2 ± 8 kV contact environment, additional precautions must be taken,
± 15 kV air such as: use of anti-static equipment, preliminary user
discharge and the wearing of antistatic clothing.
± 2 kV for power supply ± 2 kV for power supply
Electrical fast
lines lines AC power quality should be that of a typical
Transient / burst
± 1 kV for input output ± 1 kV for input output commercial or healthcare facility environment.
IEC 61000-4-4
lines lines
± 1 kV ± 1 kV
Surge differential mode differential mode AC power quality should be that of a typical
IEC 61000-4-5 ± 2 kV ± 2 kV commercial or healthcare facility environment.
common mode common mode
< 5% Ut < 5% Ut
(> 95% dip in Ut) (> 95% dip in Ut)
for 0.5 cycles for 0.5 cycles
Voltage dips, short 40% Ut 40% Ut AC power quality should be that of a typical
interruptions and (60% dip in Ut) (60% dip in Ut) commercial or healthcare facility environment.
voltage variations for 5 cycles for 5 cycles
on power supply 70% Ut 70% Ut For short and long interruptions (< than battery life) of
input lines (30% dip in Ut) (30% dip in Ut) AC power, the internal battery provides continuity of
IEC 61000-4-11 for 25 cycles for 25 cycles service.
< 5% Ut
< 5% Ut
(> 95% dip in Ut) for
(> 95% dip in Ut) for 5 s
5s
Power frequency 3 A/m 400 A/m If necessary, the power of the magnetic field should be
(50/60 Hz) -------------- measured in the intended installation location to
magnetic field 400 A/m ensure that it is lower than compliance level.
IEC 61000-4-8 If the measured field in the location where the
Agilia pump is used exceeds the applicable magnetic
field compliance level above, observe the Agilia pump
to verify that it is operating normally. If you notice
abnormal performance, additional measures may be
necessary, such as reorienting or relocating the
Agilia pump, or installing magnetic shielding.
Note: "Ut" is the AC Power voltage prior to applying the test level.
167
16.3 Table 4 - Guidance and Manufacturer's Declaration - Electromagnetic Immunity
WARNING
The Agilia pump and its accessories are intended to be used in the electromagnetic environments
specified below.
The customer or the user of the Agilia pump should ensure that it is used in such environments.
IEC 60601-1-2
--------------
Compliance Level
Immunity Test IEC 60601-2-24 Obtained by the Electromagnetic Environment - Guidance
and ANSI/AAMI ID26 Device
Test Level
Portable and mobile RF communication equipment
should be used no closer to any part of the Agilia pump
(including cables), than the recommended separation
distance calculated from the transmitter frequency
equation.
3 Vrms
Recommended separation distance:
Conducted RF 150 kHz to 80 MHz
3 Vrms D = 0.35 P,
IEC 61000-4-6 --------------
for a frequency of 150 kHz to 80 MHz
Not applicable
D = 0.35 P,
for a frequency of 80 MHz to 800 MHz
D = 0.7 P,
for a frequency of 800 MHz to 2.5 GHz
3 V/m P is the maximum output power rating of the transmitter
80 MHz to 2.5 GHz in Watts (W) according to the transmitter manufacturer,
Radiated RF
-------------- 10 V/m and D is the recommended separation distance in
IEC 61000-4-3
10 V/m meters (m).
80 MHz to 2.5 GHz Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey (a),
should be less than compliance level (b).
Interference may occur in the vicinity of equipment
marked with the following symbol:
Notes:
At 80 MHz and 800 MHz, the highest frequency range applies.
These guidelines may not apply to all situations. Absorption and reflection from structures, objects and people may affect the electromagnetic
propagation.
(a) Field strengths from fixed transmitters, such as base stations for radio (cell / cordless) telephones and land mobile radios, amateur radio,
AM and FM radio broadcasts and TV broadcast cannot be predicted theoretically with accuracy. To access the electromagnetic environment
due to the fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location where the
Agilia pump is used exceeds the applicable RF compliance level above, the Agilia pump should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Agilia pump, or installing
magnetic shielding.
(b) Over the frequency range of 150 kHz to 80 MHz, field strengths should be less than 10 V/m.
168
16.4 Table 6 - Recommended Separation Distances Between Portable and Mobile RF
Communication Equipment and Agilia pump
WARNING
The Agilia pump and its accessories are intended for use in electromagnetic environments in which
radiated RF disturbances are controlled.
Users of the Agilia pump may prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communication equipment (transmitters) and the
Agilia pump as recommended below, and according to the maximum output power of the
communication equipment (transmitters).
The device should not be used next to other equipment. If adjacent use is necessary, observe the
device to verify that it operates normally in the configuration in which it will be used (pump with a AC
power cord, an RS232 cable).
For transmitters rated at a maximum output power not listed above, the recommended separation distance
D in meters (m) can be estimated using the equation applicable to the transmitter frequency, where P is
the maximum output power rating of the transmitter in watts (W) as designated by the transmitter
manufacturer.
INFORMATION
At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
169
16.5 EMC test deviations and supplementary tests
To ensure compatibility with the new EMC standard IEC / EN 60601-1-2 Ed4 and special environments,
specific, additional or deviating tests are listed below with respect to the basic tests, in accordance to
manufacturer risk analysis.
IEC 60601-1-2
Compliance level obtained Electromagnetic
Immunity test IEC 60601-2-24
by the device environment – guidance
Test level
Wooden, tiled or concrete flooring,
with a relative humidity level at least
± 8 kV contact ± 8 kV contact 30%, makes it possible to guarantee
the level of necessary conformity. If
Discharge (ESD) it is not possible to guarantee this
IEC 61000-4-2 environment, the additional
precautions must be taken, such as:
± 15 kV air ± 15 kV air use of anti-static material,
preliminary user discharge and
wearing anti-static clothing.
Portable and mobile RF
communications equipment should
be used no closer to any part of the
Agilia pump, including cables, than
the recommended separation
distance calculated from the
Radiated RF
10 V/m, 80 MHz at 2.7 GHz 10 V/m, 80 MHz at 2.7 GHz equation applicable to the frequency
IEC 61000-4-3
and power of transmitter
For standard commuication services
and equipment, the specific
frequencies were tested for a
minimum approach distance of
30 cm and 10 cm (see below)
385 MHz, PM 18Hz, 27 V/m Not tested For minimal distance approach
450 Mhz, 1 KHz, 28 V/m Not tested 30 cm (12 inches)
710 MHz, PM 217 Hz, 9 V/m Not tested
"Not tested" frequencies are
745 MHz, PM 217 Hz, 9 V/m Not tested
replaced by IEC 61000-4-39 test
780 MHz, PM 217 Hz, 9 V/m Not tested method and reduced minimal
810 MHz, PM 18 Hz, 28 V/m Not tested distance approach (see below)
Near field radiated 870 MHz, PM 18 Hz, 28 V/m Not tested
RF Portable and mobile RF
930 MHz, PM217 18 Hz, 28V/m Not tested
IEC 61000-4-3 communications equipment should
test method 1720 MHz, PM 217 Hz, 28 V/m Not tested
be used no closer to any part of the
1845 MHz, PM 217 Hz, 28 V/m Not tested Agilia pump, including cables, than
1970 MHz, PM 217 Hz, 28 V/m Not tested the recommended minimal
2450 MHz, PM 217 Hz, 28 V/m 2450 MHz, PM 217 Hz, 28 V/m separation distance (30 cm) for
5240 MHz, PM 217 Hz, 9 V/m 5240 MHz, PM 217 Hz, 9 V/m these frequencies
5500 MHz, PM 217 Hz, 9 V/m 5500 MHz, PM 217 Hz, 9 V/m
5785 MHz, PM 217 Hz, 9 V/m 5785 MHz, PM 217 Hz, 9 V/m
450 MHz, PM 217 Hz, 28 V/m 450 MHz, PM 217 Hz, 28 V/m For minimal distance approach
710 MHz, PM 217 Hz, 28 V/m 710 MHz, PM 217 Hz, 28 V/m 10 cm
787 MHz, PM 217 Hz, 28 V/m 787 MHz, PM 217 Hz, 28 V/m 250 mW average power for 28 V/m
810 MHz, PM 217 Hz, 44 V/m 810 MHz, PM 217 Hz, 44 V/m test level
830 MHz, PM 217 Hz, 44 V/m 830 MHz, PM 217 Hz, 44 V/m
Near field radiated 600 mW average power for 44 V/m
RF - special test 870 MHz, PM 217 Hz, 44 V/m 870 MHz, PM 217 Hz, 44 V/m
test level
IEC 61000-4-39 1750 MHz, PM 217 Hz, 28 V/m 1750 MHz, PM 217 Hz, 28 V/m
test method 1875 MHz, PM 217 Hz, 28 V/m 1875 MHz, PM 217 Hz, 28 V/m Portable and mobile RF
1970 MHz, PM 217 Hz, 28 V/m 1970 MHz, PM 217 Hz, 28 V/m communications equipment should
be used no closer to any part of the
2560 MHz, PM 217 Hz, 28 V/m 2560 MHz, PM 217 Hz, 28 V/m Agilia pump, including cables, than
2655 MHz, PM 217 Hz, 28 V/m 2655 MHz, PM 217 Hz, 28 V/m the recommended minimal
separation distance (10 cm) for
these frequencies
170
IEC 60601-1-2
Compliance level obtained Electromagnetic
Immunity test IEC 60601-2-24
by the device environment – guidance
Test level
Electrical Fast ± 2 kV for power supply lines ± 2 kV for power supply lines Electricity power quality should be
transient / Burst ± 1 kV for input output lines ± 1 kV for input output lines that of a typical domestic,
IEC 61000-4-4 100 KHz repetition 100 KHz repetition commercial or hospital environment
Electricity power quality should be
that of a typical domestic,
± 1 kV commercial or hospital environment.
± 1 kV
Surge differential mode For very exposed establishments or
differential mode
IEC 61000-4-5 ± 2 kV buildings with the lightning, a
Does not apply
common mode protection must be installed on
electricity power. Class II product
and no earth connexion.
Portable and mobile RF
communications equipment should
be used no closer to any part of the
3 Vrms 3 Vrms
Agilia pump including cables, than
Conducted RF 150 KHz to 80 MHz 150 KHz to 80 MHz
the recommended separation
IEC 61000-4-6 And 6 Vrms in the ISM and And 6 Vrms in the ISM and
distance calculated from the
amateur radio bands amateur radio bands
equation applicable to the frequency
and power of transmitter (see
table 6).
If necessary, the power magnetic
field should be measured in the
intended installation location to
make sure it is lower than the
compliance level.
If the measured field in the location
Power frequency where the Agilia pump is used
(50 / 60 Hz) exceeds the applicable magnetic
400 A / m 400 A / m
magnetic field field compliance level above, the
IEC 61000-4-8 Agilia pump should be observed to
verify normal operation. If abnormal
performance is observed, additional
measures may be necessary, such
as reorienting or relocating the
Agilia pump, or installing magnetic
shielding.
Electricity power quality should be
0 % Ut 0 % Ut that of a typical domestic,
(100% dip in Ut) (100% dip in Ut) commercial or hospital environment.
for 0,5 cycle for 0,5 cycle
For short and long interruptions
at 0°, 45°, 90°, 135°,180°, 225°, at 0°, 45°, 90°, 135°,180°,
(< than battery autonomy) of
270°,and 315° 225°, 270°,and 315°
Voltage dips, short electricity power supply, the internal
interruptions and battery provides the continuity of
0% Ut 0% Ut
voltage variations on service.
(100% dip in Ut) (100% dip in Ut)
power supply input
for 1 cycle for 1 cycle For very long (> than battery
lines
IEC 61000-4-11 autonomy) interruptions of electricity
70% Ut 70% Ut power supply, the Agilia pump must
(30% dip in Ut) (30% dip in Ut) be powered from an external
for 25 cycles at 50 Hz for 25 cycles at 50 Hz Uninterruptible Power Supply
for 30 cycles at 60 Hz for 30 cycles at 60 Hz (UPS).
at 0° at 0° Note: Ut is the a/c mains voltage
prior to application of the test level.
171
17 Spare Parts Catalog
172
18 Ordering Information
18.3 Disposables
Refer to the Instructions for Use of the relevant pump
173
19 Glossary of Terms
L
A lb(s) Pound(s)
A Amperes LED Light Emitting Diode
AC Alternating Current LSB Least Significant Bit
Ah Ampere-hours M
AM Amplitude Modulation
mA Milliamperes
B mEq Milliequivalents
BSA Body Surface Area mL/h Milliliters per hour
C mmHg Millimeters of mercury
MOS Metal Oxyde Semiconductor
CCU Critical Care Unit
MRI Magnetic Resonance Imaging
CDC Centers for Disease Control
mW/sr Milliwatts per steradian
CIS Clinical Information System
Special International Committee on Radio N
CISPR
Interference NAM North America
CT Scan Computed Tomography NICU, PICU Neonatal and Pediatric Intensive Care Units
D NMR Nuclear Magnetic Resonance
dBA Decibels O
DC Direct Current OCS Occlusivity Check System
DECT Digital Enhanced Cordless Telecommunications OR Operating Room
DEHP Di(2-ethylhexyl) phthalate
P
DERS Dose Error Reduction Software
PACU Post-Anesthesia Care Unit
DI Dose Infused
PC Personal Computer
DPS Dynamic Pressure System
PE Protective Earth
DUR Duration
PSI Pounds per Square Inch
E R
ECG Electrocardiogram
RAM Random Access Memory
ECMO ExtraCorporeal Membrane Oxygenation
REF Product reference / part number
ED Emergency Department
RF Radio Frequency
EEG Electroencephalogram
RFID Radio Frequency IDentification
EMC Electromagnetic compatibility
Rest Of the World (Other countries than US and
ErXX Error message ROW
Canada)
ESD Electrostatic Discharge
RS232 Serial interface connector
F S
FM Frequency Modulation S/N Serial Number
ft Feet SELV Safety Extra Low Voltage
G SIR Asynchronous Serial Infrared
GPL General Public License U
H USB Universal Serial Bus
H/W/D Height / Width / Depth USB 2.0 OTG USB On-The-Go
HF High Frequency Ut Test specification level
hPa Hectopascals V
HTTP HyperText Transfer Protocol
V Volts
Hz Hertz
VA Volt-Amperes
I VDC Volts Direct Current
IEC International Electrotechnical Commission VI Volume Infused
IFU Instructions for Use VTBI Volume to Be Infused
in Inches W
IT Information Technology W Watts
IV Intravenous
K
kg Kilograms
KVO Keep Vein Open
174
Index
A M
AC Power Board Maintenance
Description 20 Date 36
Dismantle/Re-assemble 106 Display Startup Screen 37
Ageing Test 50 Schedule 27
Alarms 72 Maintenance Options Menu 36
Maintenance Test 39
B Material Characteristics 162
Motor 124
Basic Profile Configuration 30
Battery
Dismantle/Re-assemble 81 O
Test 48, 51 Operation Diagram 25
Options Menu 29
C
Carriage Kit 151 P
CPU Board Plunger Cover 143
Description 13 Plunger Kit 146
Dismantle/Re-assemble 102 Power Information 55
Power Supply Board
D Description 17
Dismantle/Re-assemble 106
Disengagement Flexible Circuit 127
Pressure Limit Alarm Test 60
Displacement Sensor Test 43
Pump Code 55
Display Board
Pump Identification 38
Description 10
Dismantle/Re-assemble 98
Q
E Quality Control
Certificate 69
Error Codes 76
Maintenance 27
Events
Data Log 36
Test 40 R
Release Notes 177
F Ribbon Cable Kit 132
Force Sensor
Dismantle/Re-assemble 132 S
Test 41 Symbol Descriptions 2
Syringe Barrel Clasp
I Dismantle/Re-assemble 112
Test 45
Indication Test 49
Syringe Detection System 118
K
T
Keypad
Description 9 Table of Contents 3
Technical Characteristics 159
Test 49
Temperature Test 57
Tests
L Access Menu 37
LCD Display List 38
Dismantle/Re-assemble 98 Training 27
Voltage 57 Troubleshooting 75
Lever Kit 143
Linear Sensor Kit 138 U
Upper Case 83
175
W
Watchdog 58
Wi-Fi Board
Description 22
Dismantle/Re-assemble 109
Wi-Fi Module Information 59
176
Release Notes
The screenshots and illustrations in this document are for illustrative purposes only. Screen contents may vary based on individual configurations
and minor software modifications; therefore, some screenshots may appear slightly different from what you see on the product.
This document may not be reproduced in whole or in part without the written consent of Fresenius Kabi. Vigilant® and Agilia® are registered
trademarks in the name of Fresenius Kabi in selected countries.
Made in France
Revision date: June 2018
www.fresenius-kabi.com
0123
177
Local Contacts for Servicing
13608-1_TM_Agilia_SP_PCA_Eng
12098-5_master_ifu_agilia_sp_pca_eng
Table of Contents
1 INTRODUCTION 10
1.1 SCOPE .................................................................................................10
1.2 INTENDED USE ......................................................................................10
1.3 PRINCIPLES OF OPERATION ...................................................................10
1.4 INTENDED PRODUCTS TO BE INFUSED ....................................................11
1.5 INTENDED USERS ..................................................................................11
1.6 INTENDED PATIENTS .............................................................................12
1.7 CONTRAINDICATIONS .............................................................................13
1.8 USE ENVIRONMENT ...............................................................................13
3 DESCRIPTION 16
3.1 PUMP FRONT VIEW ...............................................................................16
3.2 PUMP BACK VIEW .................................................................................17
3.3 PUMP BOTTOM VIEW (DEVICE IDENTIFICATION LABEL) ...........................17
3.4 PATIENT HANDSET ................................................................................18
3.5 KEYPAD DESCRIPTION ...........................................................................18
3.6 DISPLAY AND SYMBOLS .........................................................................20
3.7 PACKAGING ..........................................................................................22
4 FUNDAMENTALS 23
4.1 DEFINITIONS OF TERMS USED IN PCA THERAPY ....................................23
4.2 PCA MODES .......................................................................................24
4.3 GENERAL INFUSION MODES...................................................................27
4.4 DERS INTERFACE ................................................................................27
5 INSTALLATION 31
5.1 TYPES OF INSTALLATIONS .....................................................................31
5.2 USING THE ROTATING POLE CLAMP.......................................................32
5.3 ATTACHING THE PUMP ..........................................................................33
5.4 INSTALLING AND REMOVING THE PROTECTIVE COVER ............................35
5.5 CONNECTING AND DISCONNECTING THE PATIENT HANDSET ..................35
3
6 GETTING STARTED 36
6.1 FLOWCHART .........................................................................................36
6.2 USING THE PUMP FOR THE FIRST TIME ..................................................36
6.3 POWERING ON ......................................................................................37
6.4 INSTALLING A SYRINGE..........................................................................39
6.5 PUMP HEIGHT .......................................................................................41
4
8.5 SELECTING A PROGRAMMING MODE (FLOW RATE OR DOSE RATE).........71
8.6 SELECTING A SYRINGE ..........................................................................71
8.7 SELECTING A DRUG ..............................................................................71
8.8 SELECTING DRUG CONCENTRATION.......................................................71
8.9 SELECTING THE PATIENT’S CHARACTERISTICS .......................................72
8.10 PROGRAMMING AN INFUSION BY DOSE ...................................................72
8.11 PROGRAMMING AN INFUSION BY FLOW RATE .........................................74
8.12 PROGRAMMING AN INFUSION BEYOND SOFT LIMITS ................................74
8.13 STARTING AN INFUSION .........................................................................75
8.14 MONITORING AN INFUSION .....................................................................75
8.15 ADJUSTING THE INFUSION RATE (RATE TITRATION) ................................76
8.16 ADMINISTERING A BOLUS ......................................................................77
8.17 ADVANCED INFUSION PROGRAMMING MODES.........................................79
8.18 PRE-PROGRAMMING THE PUMP .............................................................81
9 ENDING AN INFUSION 82
9.1 STOPPING THE INFUSION IN PROGRESS .................................................82
9.2 COMPLETING AN INFUSION ....................................................................82
9.3 UNLOCKING THE PUMP KEYPAD .............................................................84
9.4 POWERING OFF THE PUMP ....................................................................84
10 MENUS 85
10.1 OVERVIEW ............................................................................................85
10.2 PROFILE ...............................................................................................87
10.3 PRESSURE ............................................................................................87
10.4 KEYPAD LOCK STATUS ..........................................................................89
10.5 KEYPAD AUTOMATIC LOCK ....................................................................91
10.6 BATTERY LIFE .......................................................................................92
10.7 VOLUME INFUSED / DOSE INFUSED ........................................................92
10.8 PAUSE ..................................................................................................93
10.9 PROGRAMMED BOLUS ...........................................................................94
10.10 CLINICIAN BOLUS ..................................................................................94
10.11 PATIENT ...............................................................................................95
10.12 DAY/NIGHT MODE .................................................................................96
10.13 VOLUME/TIME AND DOSE/TIME ..............................................................97
10.14 VOLUME LIMIT.......................................................................................97
5
10.15 ALARM VOLUME ....................................................................................98
10.16 VOLUME-DOSE HISTORY .......................................................................98
10.17 VIEW FLOW RATE HISTORY ...................................................................99
10.18 VIEW PRESSURE HISTORY ..................................................................100
10.19 VIEW PCA HISTORY ...........................................................................100
10.20 VIEW PCA TREATMENT INFORMATION .................................................101
10.21 VIEW PCA EVENT LOG .......................................................................101
10.22 VIEW EVENT LOG................................................................................102
10.23 SYRINGE.............................................................................................103
10.24 DATE / TIME .......................................................................................103
10.25 MAINTENANCE ....................................................................................104
10.26 LIBRARY INFORMATION ........................................................................104
10.27 CLINICAL INFORMATION .......................................................................105
10.28 DATA SET ...........................................................................................105
15 SYRINGES 119
15.1 SYRINGE LIST .....................................................................................119
15.2 PREPARING A SYRINGE .......................................................................119
6
15.3 OPERATIONS FOR SYRINGES ...............................................................121
15.4 GRAVITY INFUSION IN PARALLEL WITH A PUMP .....................................122
16 SPECIFICATIONS 123
16.1 ESSENTIAL FEATURES .........................................................................123
16.2 PUMP ACCURACY...............................................................................123
16.3 FLOW RATE SETTINGS ........................................................................125
16.4 VOLUME TO BE INFUSED (VTBI) SETTINGS .........................................125
16.5 DOSE TO BE INFUSED (DTBI) SETTINGS .............................................126
16.6 INFUSION TIME DISPLAY ......................................................................126
16.7 CONCENTRATION ................................................................................126
16.8 PATIENT DATA ....................................................................................127
16.9 PRESSURE MANAGEMENT ...................................................................127
16.10 UNITS AND CONVERSION RULES .........................................................128
7
19.10 OCCLUSION ALARM ACCURACY AND BOLUS VOLUME AT OCCLUSION
RELEASE143
20 WI-FI 144
20.1 GENERAL INFORMATION ......................................................................144
20.2 USAGE RESTRICTIONS IN EUROPE .......................................................145
20.3 TECHNICAL SPECIFICATIONS ................................................................145
20.4 ELECTROMAGNETIC COMPATIBILITY .....................................................145
20.5 PROTOCOLS AND STANDARDS .............................................................146
21 TROUBLESHOOTING 147
23 WARRANTY 151
23.1 GENERAL WARRANTY CONDITIONS ......................................................151
23.2 LIMITED WARRANTY ............................................................................151
23.3 WARRANTY CONDITIONS FOR ACCESSORIES ........................................151
25 SERVICING 155
25.1 INFORMATION ON DEVICE SERVICING ...................................................155
25.2 MAINTENANCE REQUIREMENTS ............................................................155
25.3 QUALITY CONTROL .............................................................................156
8
26 GLOSSARY OF TERMS 157
INDEX 160
9
1 Introduction
1.1 Scope
These Instructions for Use (IFU) are applicable to the Agilia SP PCA and
Agilia SP PCA WiFi pumps. These devices are referred to throughout this manual
as the "Agilia SP PCA".
The user must adhere to the instructions specified in this IFU. Failure to adhere to
these instructions may result in damage to the equipment, injury to patients or injury
to users.
WARNING
Check that this IFU is applicable to the current software version of the
device.
The software version of the device is displayed on the start-up screen.
The software version described in this IFU is displayed on the cover
page and in the Release Notes, page 166.
10
Agilia SP PCA is used with the patient handset (applied part) for PCA therapy
Agilia SP PCA is intended for use on only one patient at a time. It can be reused
indefinitely on multiple patients throughout its lifetime.
General
Infusion products PCA
infusion
Analgesic drugs
Antibiotics -
Chemotherapy -
Catecholamines -
Medication
Short acting drugs -
Anesthesia drugs -
Diluted drugs -
Other diluted IV drugs -
Standard solutions -
Parenteral fluids Colloids -
Parenteral nutrition -
Blood -
Red blood cells -
Transfusion Platelets -
Plasma -
Albumin -
When using Agilia SP PCA to infuse critical medications, ensure that adequate
monitoring is provided, and that backup pumps and syringes are available for
immediate use.
Only use Agilia SP PCA for the infusion of fluids that are intended for infusion
pumps.
Administration Routes
The system allows infusion via the following access routes:
IV access with any device that administers a medical fluid to a vein and is
equipped with a female Luer lock,
Subcutaneous access.
11
The only bolus function with the handset can be used safely by patients, who must
have the proper physical and mental abilities and have received appropriate
training by the clinical staff.
Neonates
Pediatrics
Pediatrics
Age Adults
Adults
Elderly
Elderly
When using the pump with a very sensitive population such as the neonates, make
sure to:
Switch to night mode.
Set the alarm volume to the minimum level.
WARNING
Specific attention for infusing high risk and life sustaining medication
therapies: use the smallest compatible syringe size necessary to deliver
the fluid or medication; this is especially important when infusing high risk
or life-sustaining medications at low infusion rates (e.g., less than 5 mL per
hour, and especially flow rates less than 0.5 mL per hour). Using a larger
syringe when infusing at low rates can lead to inadequate syringe pump
performance including delivery inaccuracies, delay of therapy, and
delayed generation of occlusion alarms. This is due to the increased
friction and compliance of the syringe plunger head with larger syringes.
12
1.7 Contraindications
The use of the Agilia SP PCA for PCA therapy requiring the patient handset is
contra-indicated for neonates, and for patients that have physical or mental
inabilities to handle the handset.
13
WARNING
The functionality of the pump can be affected by pressure variations,
mechanical shocks, heat ignition sources, and so on.
INFORMATION
For more information on using the device in specific conditions, contact
your Fresenius Kabi representative.
14
2 Agilia Connect Infusion System
INFORMATION
For a list of compatible accessories, disposables and software, and for
ordering information, refer to the System Components booklet.
INFORMATION
The Agilia Connect Infusion System is made up of medical devices that
are subject to medical device regulations and market authorizations.
Some devices, including software products, may not be available in your
country at the time of publishing this document.
15
3 Description
8 7 Legend
1 1 Handle
BOLUS
21 Syringe barrel clasp
6 3 Cover clasp
41 Plunger driver
53 Disengagement lever
63 Syringe guard
7 Patient handset
2 3 4 5 8 Cover lock
Legend
BOLUS
1 Clear protective cover
21 Cover clasp
1 2 3
Figure 3.2: Front view with cover open
16
3.2 Pump Back View
Legend
9 1 Cord stowage
BOLUS
3 Cable gland
4
4 Wrist strap
14
5 6 7 8 9 10 11 12 13
Legend
18
3.5.1 Keypad Details
Table 3.7: Selection Keys
Key Description
Arrow keys
Keys for setting volume, time, flow rate and other values.
Note:
Pressing and holding any of the arrow keys results in faster increment or decrement.
Note:
Infusion indicator lights provide information about the infusion: in progress, or with a low, medium
or high-priority alarm.
Green indicator lights will continuously flash from right to left while the infusion is running.
Low and medium priority yellow lights can be combined with green flashing lights, which indicates
infusion is still running.
The frequency of flashing varies according to flow rate.
19
3.6 Display and Symbols
Table 3.10: Infusion status
Symbol Description
Infusion in progress (Basic Profile + custom profiles with a drug list)
Symbols for infusion in progress.
Infusion in progress (custom profiles with a drug library)
Animated symbol displayed when the pump is infusing a drug from a drug library.
Infusion stopped
STOP remains in the center of the screen until the user starts the infusion again.
start Start
end End
OK Confirm
20
Symbol Description
C Change selection
Select / Deselect
Alarm silenced
Pressure increase
Drop in pressure
Note: For more information on alarms, see Section 14, page 111.
21
Symbol Description
Loading dose (general infusion)
Displayed when programming a loading dose.
Clinician bolus (PCA therapy)
Displayed when programming or during infusion of a clinician bolus.
3.7 Packaging
The Agilia SP PCA packaging contains the following:
1 Agilia SP PCA pump and its protective cover.
1 patient handset with a cable and connector, and a wrist strap.
1 Instructions for Use manual (this document + System Components booklet).
1 power cord for the pump.
Packaging weight: approximately 515 g.
Packaging consists of: recycled cardboard, expanded foam.
INFORMATION
It is the healthcare facility’s responsibility to check the pump integrity
upon reception.
If the packaging contents are incomplete or damaged, contact your
Fresenius Kabi sales representative.
22
4 Fundamentals
23
Cumulated limits
Refer to the maximum amount of drug, programmed by the clinician, that can be
administered to the patient over a rolling period of time. This maximum amount can
be specified in terms of total dose or of number of boluses. The cumulated limits are
calculated and updated by taking into account all doses administered: the PCA
boluses, the continuous infusion, the clinician boluses, but not the loading dose.
DERS or Dose Error Reduction Software
Dose error reduction software is used to create drug definitions and pump
configurations. By defining limits on parameters such as drug concentration,
maximum dose, pressure limits or even disabling certain functions, the DERS
reduces the potential for human error.
The Agilia SP PCA pump is designed to interface with a DERS to offer a selection
of profiles and drug names. The clinician can select a drug and adjust the infusion
parameters only within the limits defined by the DERS.
24
4.2.1 PCA Bolus Only Mode
The clinician programs the allowed PCA bolus, and specifies the lockout time and
the cumulated dose limits. The patient can self-administer a bolus outside of the
lockout time as shown below. The clinician can administer a bolus at any time.
rate
time
PCA Clinician P P C P
bolus bolus
25
4.2.3 PCA Bolus + Continuous Mode
The clinician programs the allowed PCA bolus in volume or dose, a continuous
infusion rate, and the cumulated limits.
The patient can self-administer a bolus outside of the lockout time, as shown below.
The clinician can administer a bolus at any time.
rate
time
time
26
4.3 General Infusion Modes
A general infusion can be programmed with one of the following modes:
Infusion mode Description
Infusion with a programmed flow rate (mL/h) or dose rate (for example,
Simple rate
mg/h, microg/kg/min) of the full contents of the syringe.
Infusion of a programmed volume (mL) or dose (for example mg, microg/kg)
Volume/Time
over a programmed period of time. The flow rate or dose rate is
Dose/Time
automatically computed.
Infusion with a programmed flow rate (mL/h) or dose rate (for example,
Rate + Volume Limit
mg/h, microg/kg/min) with a limitation on the volume or dose to be infused.
27
Basic Profile
The pump is delivered with one default profile called Basic Profile. Basic Profile
does not include a drug list or drug library.
Basic Profile has the following characteristics:
All infusion settings are to be defined.
DERS safeguards are unavailable:
- The infusion is programmed without a drug name.
- There are no limits on drug infusion parameters.
It is the caregiver’s responsibility to adapt the pump configuration and infusion
settings available in Basic Profile to the patient and to the protocol.
28
4.4.4 Drug Entries
Drug entries created in a DERS specify a number of parameters and values. Some
parameters are mandatory. They are summarized in the table below.
Parameters PCA General infusion
Drug name Value to be provided (no default value)
Type of therapy PCA infusion General infusion
Drug concentration Value to be provided for infusions programmed in dose rate
PCA bolus only Simple rate
Continuous only Volume/Time
Infusion mode
PCA bolus + continuous Dose/Time
PCA bolus + variable Rate + Volume Limit
Prescription unit /
Volume or Dose Flow rate or dose rate
Infusion rate
Limits on dose Hard limits and soft limits (mininmum and maximum values)
selection or flow rate on a range of values or on finite values
Values to be provided for a single
PCA limits N/A
PCA bolus and cumulated limits
There is a special entry called Drug X that has no predefined parameters, see
Section 4.4.5, page 30.
Hard Limits and Soft Limits
Programming limits can be set on flow rate or on drug concentration for each drug
within a drug library. Two types of limits can be set:
Hard limits: limits that cannot be overridden when programming an infusion.
Soft limits: limits that can be overridden within an authorized range when
programming an infusion. Additional confirmation is required.
The limits can define a range or finite values, as shown in the illlustrations below.
29
Limits for PCA therapy
In PCA therapy, in addition to the limits on flow rate and dose rate, it is possible to
impose limits on PCA specific parameters:
Limits on PCA bolus: hard and soft limits on volume or dose infused in a
single bolus, minimum and maximum lockout time.
Cumulated limits: maximum number of boluses, and/or maximum dose
assessed over a specified period of time.
4.4.5 Drug X
Drug X entries with a flow rate or dose rate are open entries that can be selected if
the intended drug is not found in the drug library. Their characteristics are:
Fewer limits than the other drugs in the library.
No safeguards imposed by a DERS.
It is strongly recommended to use Drug X entries in a limited number of clinical
cases and under close patient monitoring by the clinical staff. In each custom
profile, the healthcare facility can enable or disable Drug X entries.
Profile 1
(Basic)
Profile 2
(Custom)
Profile 3
(Custom)
Profile 4
(Custom)
... Profile 20
(Custom)
Data Set
If there is no data set uploaded to the pump, the pump can be used with the Basic
Profile.
30
5 Installation
On an
Agilia Link
rack
On another
pump
On an Agilia
Duo
32
You can fold the clamp up as follows:
1. Push the release button.
2. Fold the pole clamp inward toward the
pump.
Locked Unlocked
WARNING
When installed on a rolling stand, do not tip over the system more than
5°: it may fall.
Attaching the Pump to a Rail
Only single pumps can be attached to a bed rail or gurney rail
1. Rotate the pole clamp to the vertical
position, as shown in Section 5.2, page 32.
2. Unscrew the clamp, attach to the rail, and
screw the clamp until pump is fully secured
to the rail.
33
3. Make sure that the pump is securely
attached.
4. Lock the clamp and remove the key.
34
5.4 Installing and Removing the Protective Cover
The protective cover is recommended for PCA therapy but not mandatory.
1. Place the hinges of the protective cover
opposite the holders on the pump casing.
2. Slide the cover to the left until it clicks into
place.
Disconnection
INFORMATION
To ensure proper operation, use only the Fresenius Kabi patient handset
provided with the pump.
INFORMATION
Do not connect or disconnect the patient handset after starting an infusion.
35
6 Getting Started
6.1 Flowchart
Once the pump is installed at the bedside, you must follow the steps below in order
to install a syringe and power on the pump.
Powering on
Section 6.3, page 37.
Programming an infusion
PCA therapy, see Section 7, page 42; general infusion, see Section 8, page 69
INFORMATION
In order to ensure that all the safety features of the device are activated,
make sure that the following instructions are applied:
The pump is powered on prior to being connected to the patient.
The pump is not connected to the patient during the setup.
36
6.3 Powering on
INFORMATION
The pump can operate on battery; however, it is recommended to
connect it to an AC power supply as often as possible to ensure that
the battery remains charged.
When the pump is connected to the power supply, check that the power
supply indicator lights up green, and that the power cord and the
wall plug are accessible.
1 2
37
Screen after powering on Description
Profile selection screen displayed if several
profiles are available.
38
6.4 Installing a Syringe
WARNING
Installing a syringe must only be done when the patient is not connected.
39
5. Secure the syringe with the
syringe barrel clasp [A].
INFORMATION
Do not use the syringe pump with the protective cover if the cover is
damaged. The cover must be changed if it is damaged.
INFORMATION
The protective cover is recommended for PCA therapy but not mandatory.
The pump’s behavior in relation with the protective cover can be
configured in the pump options.
40
6.5 Pump Height
WARNING
Ideally, the syringe pump should be level with the distal tip of the catheter
(the site of fluid delivery). If accessing a central line, the syringe pump
should be at the level of the patient’s heart. If the pump height is raised
relative to the distal tip of the catheter (e.g., during patient transport), the
increase in height of the syringe pump can result in a temporary increase
in fluid delivery or bolus until the flow rate stabilizes. Alternatively, if the
pump is lowered relative to the distal tip of the catheter, the decrease in
height of the syringe pump can result in a decrease in delivery or under-
infusion until the flow rate stabilizes.
41
7 Programming a PCA Infusion
This section explains how to program a PCA infusion with the Agilia SP PCA pump.
Selecting a profile
Section 7.2, page 46
Selecting a therapy
Section 7.3, page 46
PCA infusion
Selecting a syringe
Section 7.5, page 47
Selecting a drug
Section 7.6, page 48
Selecting concentration
Section 7.7, page 48
42
7.1.1 Programming PCA Infusion in PCA Bolus Only Mode
43
7.1.3 Programming PCA Infusion in PCA Bolus + Continuous Mode
PCA infusion: continuous mode
44
7.1.4 Programming PCA Infusion in PCA Bolus+Variable Rates Mode
45
7.2 Selecting a Profile
Profiles are available for selection if previously uploaded to the pump.
46
7.4 Selecting the Prescription Unit (Volume / Dose)
After selecting PCA therapy, the Prescription unit screen is displayed.
Note: This screen is not displayed if you previously selected a custom profile,
because the prescription unit is pre-defined.
WARNING
During programming and prior to starting an infusion, verify that the
syringe size and model on the syringe pump’s display screen match the
syringe size and model loaded in the syringe pump.
1. Press OK to confirm the displayed syringe, or the
edit symbol to change it.
47
7.6 Selecting a Drug
After you confirm the syringe type, the screen displays a drug selection menu.
Note: This screen is not displayed if you previously selected the Basic Profile that
does not offer a pre-defined drug list.
Drug names are sorted alphabetically with Drug X displayed at the top of the list:
Drug X G I P R
A C J L S U
D F M O V Z
1. Use the arrow keys to scroll to the first letter of
the drug name you want, and press OK.
A list of drugs is displayed.
48
1. Use the arrow keys to select the concentration
unit, and press OK.
1. Use the arrow keys to adjust the drug concentration within the authorized range
or among the authorized finite values.
2. Press OK to confirm.
If the Patient characteristics screen is displayed, see below; if the PCA loading
dose screen is displayed, see Section 7.10, page 52.
49
7.8 Specifying the Patient’s Characteristics
After selecting a drug and a drug concentration, the Patient screen can be
displayed to allow you to specify the patient’s body weight.
50
1. During infusion programming, before infusing a
loading dose, or before starting the infusion,
press the bolus key .
2. Select Purge.
The Prime set screen is displayed.
INFORMATION
Priming is only accessible prior to starting the infusion.
The key is not active when the menu screen is displayed.
During priming, the occlusion pressure level is set to its maximum
value 900 mmHg / 120 kPa / 17.4 PSI.
Priming is limited to 5 mL maximum. Above 5 mL, you must release
and press the key again to restart priming.
Quick-Start
Quick-start is designed to decrease the delay of therapy when the pump’s prime
function is not used.
When quick-start is triggered, the infusion starts at a high flow rate (120 mL/h) until
the pump’s plunger driver starts pushing the syringe plunger head. The flow rate
then automatically switches to the programmed value.
51
At the beginning of an infusion, quick-start is triggered or not triggered in the
following situations:
Prime Function Configuration Quick-start Trigger Rule
Mandatory Not triggered
Advised Triggered if flow rate is equal or inferior to 50 mL/h and
automatic priming has not been done.
Not triggered if automatic priming has been done by the
Not displayed user.
INFORMATION
Priming the line automatically ensures better pump performance than
using quick-start.
WARNING
If priming has not been performed, a quick start could result in an
undesired bolus in some cases. Always prefer the automatic prime
function for life-sustaining drugs.
INFORMATION
You can request a PCA loading dose at any time during PCA infusion
programming by pressing the bolus key .
1. Select yes to program a loading dose, or no if
you do not need it.
If you select no, the PCA delivery mode screen is
displayed. See Section 7.11.
52
6. See Section 7.18, page 58 for precautions to
take before starting the infusion.
7. Select start to administer the loading dose.
If you need to adjust the settings, press .
53
3. Use the arrow keys to set the bolus lockout time.
4. Press OK to confirm the lockout time.
If the Continuous rate screen is displayed, see
Section 7.13. If the Cumulated limits screen is
displayed, see Section 7.16, page 56.
54
5. Set the value and start time of the second and
third dose rate if required, and press OK to
confirm each value.
The Cumulated limits screen is displayed. See
Section 7.16.
55
The figure opposite shows the screen displayed
when you try to reduce the value of Lockout time.
Press OK to acknowledge the hard limit.
The next programming screen is displayed and you
can continue programing the infusion.
INFORMATION
The Max Nb PCA boluses field is not displayed if the PCA mode is
Continuous only.
56
7.17 Reviewing the PCA Infusion Settings
After setting the parameters for PCA infusion, you must review and validate them.
1. Press OK to confirm the PCA mode, the bolus
dose, and the background rate if applicable.
To change a setting, press the cancel key
and see Section 7.20, page 62.
INFORMATION
The estimated duration of the infusion is based on the assumption that the
patient gets a PCA bolus after each lockout period.
57
7.18 Starting a PCA Infusion
After reviewing the PCA settings, check the following before starting the infusion.
1. Check that there is no air in the syringe or in the extension set.
For information on priming the extension set, see Section 7.9, page 50.
2. Connect the extension set to the patient's access device.
3. Check the integrity of the delivery path.
4. If necessary, make sure the protective cover is closed and remove the key.
5. Press start to start the infusion.
If the protective cover is open or missing, you will be prompted to confirm start.
The keypad is automatically locked when you start the infusion.
6. If PCA boluses are allowed, give the handset to the patient, and explain how to
use the bolus button.
For information on using the patient handset, see Section 7.21.1, page 63.
WARNING
When connecting the extension set to the patient's access device, always
use an aseptic technique in accordance with your healthcare facility’s
policy.
WARNING
Before actually starting the infusion, you must close the protective cover
and remove the key to avoid tampering or drug theft.
58
Legend
1 PCA therapy indicator
59
PCA Bolus in progress
When the patient requests a PCA bolus, and it is delivered, the screen displays a
progression bar, and a countdown of time and dose. The indicator lights flash fast.
Legend
1 Drug name and/or concentration
1 21 PCA bolus in progress
2
Dose countdown during bolus
3 3 infusion
4 41
Progress bar showing percentage
5 of bolus infused
Time countdown during bolus
53 infusion
Green LEDs flashing fast to indicate
7 7 bolus in progress
60
7.19.2 Displaying PCA History
PCA infusion data is saved on the pump for 24 hours. During PCA infusion, or after
it has ended, you can display information on the PCA treatment received by a
patient.
INFORMATION
PCA infusion data is not saved when the pump is turned off.
61
7.20 Modifying a Running PCA Infusion
At any time during a PCA infusion, you can modify the infusion settings. You must
enter the passcode for PCA therapy if prompted.
62
The message below is displayed if you attempt to change PCA infusion settings
without stopping the infusion in progress.
BOLUS BOLUS
BOLUS BOLUS
BOLUS
BOLUS
63
1. Hold the device in the palm of your hand, with the bolus button facing up.
2. To trigger a bolus, press the bolus button on the handset.
The pump beeps and the blue LED above the bolus button flashes for a few
seconds (default behavior).
If a PCA bolus is not available due to the lockout period between two consecutive
boluses, or because the maximum number of boluses allowed has been reached,
on pressing the bolus button, the pump beeps and the LED on the patient handset
flashes but the pump does not deliver the bolus.
By default, the pump display shows when a PCA bolus is available. This feature can
be disabled in the pump configuration, as explained in Section 11.3, page 107.
64
4. Set the value of the dose that you want to
administer to the patient.
If you have already administered a PCA bolus,
the previous dose is displayed.
5. Press OK to confirm the dose.
See Section 7.22.4, page 67 if the dose to be
infused exceeds the maximum dose specified in
the cumulated limits.
6. Press start to administer the bolus, the edit key
to modify the dose, or exit to cancel the clinician
bolus.
If a PCA bolus is not available, you can view the remaining time until it becomes
available again.
65
2. Select PCA bolus using the confirmation key.
A message is displayed with the remaining
lockout time. After 10 seconds, the message
disappears and the monitoring screen is shown
again.
If the Display lockout time feature has also been enabled in the pump options, and
a PCA bolus is not available, the actual lockout time is shown directly at the bottom
of the monitoring screen.
66
7.22.2 Low Remaining Bolus
The messages below are displayed when you start the PCA infusion if the volume
remaining in the syringe represents less than 5 PCA boluses.
67
At the end of the bolus, an information message is
displayed.
68
8 Programming a General Infusion
The Agilia SP PCA syringe pump can be used for general infusions as well as for
PCA therapy.
This section presents the general workflow for programming an infusion, and the
procedures for general infusions with a flow rate or a dose rate.
Selecting a therapy
Section 7.3, page 46
General infusion
Selecting a syringe
Section 8.6, page 71
Selecting a drug
Section 8.7, page 71
69
8.2 Programming a General Infusion by Dose Rate
Basic Profile Custom profile Custom profile
Section , page 28 with a drug list (with a drug library)
Section , page 27 Section , page 27
Selecting a therapy
Section 8.4, page 71
Selecting a syringe
Section 8.6, page 71
Selecting a drug
Section 8.7, page 71
Selecting concentration
Section 8.8, page 71
70
8.3 Selecting a Profile
Profiles are available for selection if previously uploaded to the pump. See Section
7.2, page 46 for explanations on how to select a profile.
71
8.9 Selecting the Patient’s Characteristics
After selecting a drug and a drug concentration, the Patient screen can be
displayed to allow you to specify the patient’s body weight or surface. See Section
7.8, page 50 for detailed explanations.
INFORMATION
The weight entry screen is displayed only if the selected drug uses
weight for dose rate calculations.
The body surface area entry screen is displayed only if the selected
drug uses body surface area for dose rate calculations.
Custom profiles define a default weight or body surface area.
8.10 Programming an Infusion by Dose
When programming an infusion by dose, you will be prompted, as necessary, to:
Select the dose rate and the value of the dose
Program a loading dose, if required
8.10.1 Selecting the Dose Rate
After selecting the drug concentration, the Dose rate screen is displayed.
Note: This screen is not displayed if you previously selected a custom profile from
a drug library because the dose rate is pre-defined.
1. Press the arrow keys to select the dose rate.
2. Press OK to confirm.
The next screen displayed allows you to set the
dose to be infused. See Section 8.10.2.
INFORMATION
The loading dose is only available with the first start of an infusion. If no is
pressed inadvertently, power the pump off and then on to access the
loading dose again.
73
Interrupting a Loading Dose
74
8.13 Starting an Infusion
WARNING
If the protective cover is necessary, before actually starting the infusion,
you must close it and remove the key.
75
INFORMATION
To change the flow rate during infusion, see Section 8.15, page 76.
Display of infusion remaining time depends on the predefined settings
for this drug.
76
8.16 Administering a Bolus
A bolus is an extra dose that a pump can deliver during an infusion. There are two
ways to deliver a bolus dose during a general infusion:
Direct bolus, using the bolus key
Programmed bolus, using the bolus key or the menu key
During bolus administration, the occlusion pressure level is set to its maximum
value: 900 mmHg / 120 kPa / 17.4 PSI.
INFORMATION
The bolus volume is added to the Volume Infused (VI).
The key is not active when the menu screen is displayed.
77
8.16.2 Programmed Bolus
At any time during infusion, you can program a bolus in one of the following ways.
Press , then Programmed bolus.
Press , and select in the menu. Press enter to confirm.
Note: This feature can be deactivated in Basic Profile (see the Technical manual)
and in custom profiles. Therefore, the Programmed bolus screen is not displayed
for all drugs.
1. During the infusion, press the bolus key .
The bolus screen is displayed.
2. Select Programmed bolus on the screen to
access the programmed bolus function.
The Programmed bolus screen is displayed.
INFORMATION
If you press the bolus key again, and select Programmed bolus, the
settings of the last bolus are displayed.
Interrupting a Programmed Bolus
1. Press to interrupt the bolus.
2. Answer the question: Continue?
Press no or to stop the bolus and resume the
infusion.
Press start to continue the programmed bolus.
78
8.17 Advanced Infusion Programming Modes
The Agilia SP PCA pump offers the following advanced programming modes:
Volume/Time and Dose/Time
Volume limit
Note: The availability of these infusion modes depends on the pump configuration
and the selected drug. They are not available for PCA therapy.
8.17.1 Volume/Time and Dose/Time
You can use this infusion mode to program a volume or dose to be infused (VTBI
or DTBI) over a programmed period of time. When the VTBI / DTBI is reached, an
alarm is triggered.
1. Press the menu key , then press the arrow
keys to select V/T (or D/T ).
2. Press enter.
The Volume/time (or Dose/time) screen is
displayed.
79
8.17.2 Volume Limit
You can use this infusion mode to set a limit to the volume infused. When the limit
is reached, an alarm is triggered.
80
8.18 Pre-programming the Pump
If necessary, you can program the pump before installing the syringe.
Note: You cannot pre-program the pump for PCA therapy. This programming mode
is available for general infusion only.
You can program the pump before installing the syringe:
81
9 Ending an Infusion
This section explains how to stop an infusion in progress, how to complete an
infusion that runs until the end of the syringe, and how to power off the pump.
82
Silencing the Near End of Infusion Alert
83
9.3 Unlocking the Pump Keypad
There are two possible methods for unlocking the keypad of the Agilia SP PCA
syringe pump.
By using the keypad lock status menu, as explained in Section 10.4, page 89.
By opening the protective cover (if it is in use and if the auto-unlock on opening
cover has been enabled in the pump options), as explained below.
.
84
10 Menus
10.1 Overview
10.1.1 Using the Keypad
Operation Key
85
Stop
Menu Symbol Infusion Associated Procedure
Required
Patient NO
Changing a patient’s weight or body surface area,
page 95
Day/Night mode NO
Switching between day mode and night mode,
page 96
Clinical information NO
Viewing time remaining before clinical information is
displayed, page 105
86
10.2 Profile
Symbol Pro
Procedure Displaying active profile information
INFORMATION
The Profile function is not available in PCA therapy.
1. Press .
10.3 Pressure
Symbol
The pump pressure limit is pre-defined in the pump options in one of the following
modes:
3 levels (low , medium , high ).
The pressure limit is adjustable according to 3 pre-set values.
Variable
The pressure limit is adjustable within a pre-defined range.
When the pressure limit is reached, an occlusion alarm is triggered. You must
silence the alarm, resolve the occlusion and start the infusion again.
To consult the pressure settings, see Section 16.9, page 127.
87
WARNING
When addressing or clearing an occlusion:
Ensure the fluid flow to the patient is OFF to prevent administering an
unintended bolus. An occlusion may pressurize the infusion tubing and
syringe, which can result in an unintended bolus of drug when the
occlusion is cleared. In order to prevent this additional bolus,
disconnect the tubing, or relieve the excess pressure through a
stopcock, if present. The health care professional should weigh the
relative risks of disconnection with the risks of an unintended bolus of
drug.
Be aware that using larger size syringes on a high plunger force setting
may produce a larger post occlusion bolus due to excessive syringe
plunger head compliance.
You can modify the pressure limit as follows:
INFORMATION
The Dynamic Pressure System (DPS) informs the user of any sudden
rise or drop in pressure before the pressure limit is reached.
If variable pressure mode is enabled, a pre alarm is triggered when the
pressure reaches 50 mmHg below maximum pressure (25 mmHg
when maximum pressure is 50 mmHg).
If other pumps are used in parallel, it is recommended that their
pressure limits be adjusted to the same level.
88
WARNING
To avoid the presence of air and to minimize the amount of time it takes
the pump to recognize an occlusion and generate an alarm while infusing
at low rates (less than 5 mL per hour, and especially less than 0.5 mL per
hour):
Consider occlusion pressure threshold setting and adjust it, as
necessary. The lower the occlusion pressure threshold setting, the
shorter the occlusion detection time. However, when infusing viscous
or thick fluids (e.g., lipids), the occlusion pressure threshold setting
may need to be adjusted to reduce false alarms.
Use the smallest compatible syringe size necessary to deliver the fluid
or medication. This minimizes the amount of friction and compliance
(i.e., stiffness) of the syringe plunger head. Because syringe pumps
infuse fluids by precisely controlling the plunger, smaller syringes
provide more precise fluid delivery than larger syringes.
Use the prime feature on the pump when changing a syringe and/or
tubing.
Use extension sets which have the smallest internal volume or
deadspace (e.g., use microbore tubing when infusing at low rates,
shorter length of tubing, etc.).
1. Press .
89
4. Press to lock the keypad.
The keypad is locked and the screen
displays .
5. Press OK to confirm.
1. Press .
INFORMATION
The and keys remain functional when the keypad is locked.
During keypad lock, the key is functional when an alarm occurs, or
at the end of infusion.
The keypad locked status is memorized when the pump is powered off.
In case of forgotten unlock code, contact your biomedical department.
90
10.5 Keypad Automatic Lock
Symbol
You can use this feature to avoid inadvertent key presses. Depending on the device
configuration, the keypad automatic lock feature may or may not be available.
If keypad automatic lock is selected, the keypad will lock automatically at infusion
start or after a time-out.
Activating the Keypad Automatic Lock
You can activate the keypad automatic lock as follows:
91
10.6 Battery Life
Symbol
1. Press .
2. Use the arrow keys to select .
The time remaining under current flow rate
conditions is displayed.
The bar graph shows a visual representation of battery life. The symbol displayed
shows the following:
: The pump is plugged into the AC power supply.
: The pump is operating on battery.
You can view and clear the volume or dose infused as follows:
1. Press .
INFORMATION
When the pump is powered off or a new drug is selected, the volume or
dose infused is cleared.
92
10.8 Pause
Symbol
INFORMATION
The Pause function is not available in PCA therapy.
INFORMATION
If you do not activate the "Start infusion at pause end" option, an audible
alarm is generated at the end of the pause. The infusion must be started
manually to continue the infusion.
93
10.9 Programmed Bolus
Symbol
INFORMATION
The programmed bolus function is not available in PCA therapy.
10.10Clinician Bolus
Symbol
94
7. Choose one of the options:
- Press start to start infusion of the clinician
bolus
- Press exit to save the settings without
administering the bolus
- Press C to modify the settings.
10.11Patient
Symbol
INFORMATION
If the selected dose rate unit is weight-based (kg), the screen displays
the patient’s weight.
If the selected dose rate unit is body surface area-based (m²), the
screen displays the patient’s body surface area.
You can change the patient’s weight or body surface area as follows:
95
10.12Day/Night Mode
Symbol
1. Press .
2. Press the arrow keys to select .
3. Press enter.
1. Press .
2. Press the arrow keys to select .
3. Press enter.
96
10.13Volume/Time and Dose/Time
V/T
Symbols
D/T
Procedure Programming a Volume/Time or Dose/Time infusion
INFORMATION
The V/T and D/T functions are not available in PCA therapy.
1. Press .
10.14Volume Limit
Symbol VL
Procedure Programming a Volume Limit infusion
INFORMATION
The VL function is not available in PCA therapy.
97
10.15Alarm Volume
Symbol
10.16Volume-Dose History
Symbol
This function allows the user to view the infusion history on the pump.
You can view the infusion history as follows:
98
10.17View Flow Rate History
Symbol
This function allows the user to check the current infusion’s history information in
order to verify the dose administered.
You can view flow rate history as follows:
INFORMATION
The history is not refreshed while the history screen is displayed. To
refresh the history data, exit and select the history again.
Flow rate history is not stored after powering off.
99
10.18View Pressure History
Symbol
This function allows the user to check the current infusion’s history information in
order to verify changes in pressure. You can view pressure history as follows:
1. Press , then the arrow keys to select .
2. Press enter.
The following information is displayed:
- An event marker (cursor)
- The event details (time and pressure limit)
- The pressure limit (dotted line)
- The measured pressure (solid line)
3. Press the and buttons to browse the
events.
4. Press to view information about the
selected event.
INFORMATION
The history is not refreshed while the history screen is displayed. To
refresh the history data, exit and select the history again.
Pressure history is not stored after powering off.
100
10.20View PCA Treatment Information
Symbol
INFORMATION
The PCA history and PCA event log keep the information that is erased
from the PCA treatment screen. The PCA treatment reset is an event that
is shown in the event log.
The PCA event log shows all the actions related to the PCA therapy in progress. It
is a subset of the pump event log. It can store up to 1500 events. When it is full,
older events are overwritten. Events are stored in the log even after the pump is
powered off and on again.
Note: When the AC power is disconnected for a period of time, or when the
batteries are not operating, the log file is kept in a non-volatile memory for
approximately 10 years.
You can view the PCA event log as follows:
1. Press , then the arrow keys to select .
A list of events is displayed.
2. Press enter.
The first event in the list is highlighted.
101
3. Press the arrow keys to scroll through the list and
to select an event.
4. Press enter.
Details of the selected event are displayed.
The event log displays details of the last events that occurred on the pump. The log
can store up to 1500 events. When it is full, older events are overwritten. Events are
stored in the log even after the pump is powered off and on again.
Note: When the AC power is disconnected for a period of time, or when the
batteries are not operating, the log file is kept in a non-volatile memory for
approximately 10 years.
You can view the event log as follows:
1. Press , then press the arrow keys to
select .
2. Press enter.
102
10.23Syringe
Symbol
10.24Date / Time
Symbol
INFORMATION
In PCA therapy, the Date/Time function is disabled during infusion to
avoid affecting time based safety limits.
You can set the date and time as follows:
103
10.25Maintenance
Symbol
10.26Library Information
Symbol
104
10.27Clinical Information
Symbol
For drugs selected from a custom profile, clinical information messages can be
displayed.
You can view the time remaining before clinical information is displayed, as follows:
10.28Data Set
Symbol DS
Procedure Displaying active data set information
105
11 Advanced Pump Configuration
This section describes the options available to configure the pump’s behavior and
the menus displayed.
Options access +
Option selection
Select / Deselect
Selected current values are stored when the device is powered off after programming.
To display the user menus, after programming, power off then power on again.
INFORMATION
If the wrong access code is entered, error is displayed.
106
11.3 Pump Settings
You can use the functions listed below to customize your Agilia SP PCA pump.
Default
Function Choice
pump setting
[User 1]:
Screen options Enable/Disable framing of editable values Enabled
[User 2]:
Maintenance: display or hide maintenance Hide
Menu items
Date / Time: display or hide date/time menu Hide
107
12 Data Communication
12.1 Overview
Cable Communication Wi-Fi Communication
Communication between a hospital information
Connection of 1 pump to a PC for:
system server and pumps for:
Data set upload
Data set upload
Maintenance Pump history retrieval
INFORMATION
Ensure that all hospital information systems have been approved by
Fresenius Kabi. For more information, contact your technical services
representative.
Before connecting the pump to a hospital information system, ask your
IT or biomedical department to configure the device.
INFORMATION
Do not disconnect communication cables while data is being transferred.
108
12.3 Communication via Wi-Fi
The Wi-Fi option allows the pump to connect to a hospital information system
without cables.
To know if your pump is equipped with a Wi-Fi module, check for the presence of
the Wi-Fi logo on the pump keypad.
To activate or deactivate the Wi-Fi module, see Section 11.3, page 107.
For more information on the Wi-Fi module, refer to the technical manual.
INFORMATION
Wi-Fi pumps can be configured with Wi-Fi module enabled or disabled.
INFORMATION
It is the hospital's responsibility to define a data set and upload it to the
device.
109
13 User Test
The following protocol provides a quick integrity check guide to ensure that the
pump and patient handset are functional. Perform this user test before each use of
the pump and patient handset.
1. Check the external appearance of the pump including the protective cover for
the absence of cracks or other visible damage.
2. Check the patient handset including the cable gland and cable connector for
the absence of cracks or other visible damage.
3. Check that the locks on the protective cover and on the rotating pole clamp are
functional.
4. Check for the absence of visible damage on the power cord inlet and the power
cord.
5. When used on a pole or a rail, check that the pump is securely attached.
6. Connect the pump to the AC power supply, and check that the power indicator
lights up and a beep is emitted.
7. Power on the pump, and wait for the auto-test to complete. Check the display
and light indicators.
8. Press any key and listen for a key beep (if key beep is activated).
9. Connect the patient handset and check that the LED above the bolus button
lights up.
10.Before programming an infusion, press the bolus button on the patient handset
and listen for a beep.
INFORMATION
If any one of the above tests is not satisfactory, do not use the pump or
handset.
110
14 Alarms and Safety Features
14.1 Introduction
Agilia SP PCA has a continuous monitoring system that begins when the pump is
started.
When an alarm is triggered, a message is displayed on the pump screen. We
recommend that the user stand in front of the pump to read the message before
acknowledgment.
WARNING
Audible alarm signals from medical devices may be masked by
environmental noise. Make sure to set the alarm volume high enough so
that you can hear the alarm signal above environmental noise.
Required
Alarm Priority operator Description
response
The infusion stops.
Immediate
The infusion indicator lights flash red.
High (!!!)
response
The pump emits audible alarm signals.
An alarm description is displayed on the pump screen.
The key silences the alarm (for two minutes).
Prompt The infusion continues.
Medium (!!)
response The infusion indicator lights flash yellow.
The pump emits audible alarm signals.
Low (!) Awareness The key silences the alarm (for no time limit).
The infusion continues.
Information signals Awareness An information message is displayed on the pump
screen.
111
14.3 General Remarks
When two alarms occur at the same time, the higher priority alarm is displayed.
When two alarms with the same priority level are triggered at the same time,
the pump software assigns them a priority.
When the cause of a high-priority alarm has been fixed, the red indicators
switch off. However, the message remains displayed at the top of the screen as
a reminder of the cause of the alarm.
The device guarantees the triggering of high-level priority alarms in every use
condition.
A maximum of 1 mL may be infused due to a single fault condition.
For all alarms (except occlusion alarms), the amount of time between the alarm
condition and the alarm generation is less than 5 seconds.
If the AC power is disconnected and if the battery is discharged, the alarms
settings are not modified and are stored indefinitely.
112
Stops
Message Priority Problem / Resolution
Infusion?
If the protective cover is mandatory, message
displayed if it is left open.
Cover opened !!! High (!!!) Yes
Close the cover or confirm start of infusion
without the cover.
Cover is installed on the pump while an
infusion is in progress or stopped.
Cover installed !! Medium (!!) No
Remove the cover from the pump, or close
it.
In general infusion, the protective cover is
Cover opened !! Medium (!!) No opened during infusion.
Silence the alarm and close the cover.
If the protective cover is not mandatory,
Information message displayed if it is left open.
Cover opened No
signal Remove cover or press OK to
acknowledge cover is open
If the protective cover is not mandatory,
Cover opened message displayed if it is left open, and
Information acknowledged.
Lock the cover or No
confirm start signal
Close the cover or confirm start of infusion
without the cover.
If the protective cover is not mandatory,
Cover installed Information message displayed if it is installed during
Close or remove the No infusion.
cover signal
Close the cover.
113
Stops
Message Priority Problem / Resolution
Infusion?
The volume limit is reached and the end of
End of volume
limit !
Low (!) No infusion setting is set as "KVO" or
"continuous".
114
Stops
Message Priority Problem / Resolution
Infusion?
In PCA therapy, the maximum number of PCA
boluses specified has been infused.
Wait until the time a PCA bolus becomes
Maximum Nb PCA
boluses!!
Medium (!!) No avalaible again.
Or, modify the infusion settings to increase
the cumulated limit on the number of
boluses, and restart the infusion.
In PCA therapy, the maximum dose specified
in the cumulated limits is nearly reached.
Maximum cumulated Wait until the time a PCA bolus becomes
dose nearly Medium (!!) No avalaible again.
reached !!
Or, modify the infusion settings to increase
the cumulated dose limit to allow more
PCA boluses, and restart the infusion.
The time remaining is less than the defined
time duration (adjustable between 1 and
Near end of
infusion !!
Medium (!!) No 30 minutes), and the remaining volume of fluid
in the syringe has dropped to less than 10 %
of the syringe capacity.
The flow rate (or dose) has been modified
using the keys, but has not been confirmed.
Check settings !! Medium (!!) No
Check the flow rate (or dose) and press OK
to confirm.
A value must be entered.
Waiting settings !! Medium (!!) No
Enter a value and press OK to confirm.
The infusion settings have been entered, but
have not been confirmed with start.
Waiting start !! Medium (!!) No
Check the infusion settings, and
press start to start the infusion.
Displayed after administration of a clinician
Clinician bolus bolus in excess of the maximum dose
Low (!) Yes
ended! specified in the cumulated limits. Alternates
with the maximum dose high priority alarm
Information The upper soft limit is exceeded, according to
Upper soft max No
signal the drug settings defined in the drug library.
Information The lower soft limit is exceeded, according to
Lower soft min No
signal the drug settings defined in the drug library.
Information
Reached hard limit No The upper or lower hard limit is reached.
signal
115
Table 14.7: Pressure Alarms
Stops
Message Priority Problem / Resolution
Infusion?
The pressure in the infusion line has reached
the threshold level.
Occlusion alarm !!! High (!!!) Yes Check whether the infusion line is
occluded. If necessary, readjust the
pressure threshold. See Section 10.3,
page 87.
In-line pressure has reached the following
value:
25 mmHg / 2.5 kPa / 0.5 PSI below the
programmed threshold (from 50 to
Occlusion
Medium (!!) No 75 mmHg).
pre alarm !! 50 mmHg / 5 kPa / 1 PSI below the
programmed threshold (over 100 mmHg).
Check the infusion line.
Set the correct pressure threshold.
The pressure is increasing in the infusion line.
Pressure increase ! Low (!) No
Check for occlusions in the infusion line.
The pressure is decreasing in the infusion line.
116
Table 14.9: Power Alarms
Stops
Message Priority Problem / Resolution
Infusion?
The power supply is inconsistent.
AC power failure ! Low (!) No
Contact your technical support.
The pump is disconnected from the AC power.
A single beep is emitted.
Press to acknowledge.
Information
Power disconnection
signal
No Check that the battery life is sufficient for
the expected infusion duration.
If the disconnection was unintentional,
check the power connection.
117
WARNING
If the alarms persist when the pump is powered on again, do not use the
device on a patient, and contact qualified biomedical engineering staff in
your healthcare facility, or your Fresenius Kabi sales representative.
118
15 Syringes
WARNING
Fresenius Kabi cannot accept responsibility for any flow rate errors that
are due to changes to syringe specifications introduced by the
manufacturer.
Ensure syringe sizes and models are compatible with the syringe
pump, refer to the System Components booklet. Use of incompatible
syringes can cause injury to the patient and improper pump operation
resulting in inaccurate fluid delivery, insufficient occlusion sensing, and
other potential problems.
119
INFORMATION
The fluid in the syringe and the syringe must be within normal operating
temperature conditions: +18 °/+30 °C.
It is recommended to prime the set immediately before starting the
infusion.
Do not use in conjunction with positive pressure infusion devices that
could generate back pressure higher than 2000 hPa (1500 mmHg):
doing so will damage the administration set and the pump.
Some extension sets may have components such as a filter that
require special instructions.
Certain drugs may require specific extension sets.
Connect the infusion line in accordance with procedures in your
healthcare facility using good medical practices. It is recommended to
use a Luer lock system to reduce the risk of disconnection, leakage,
air-in-line, or contamination.
Manually prime the syringe and extension set to remove all air, before
connecting to the pump.
120
15.3 Operations for Syringes
15.3.1 Removing a Syringe
1. Press to stop the infusion.
2. Disconnect the extension set from the patient’s access device in accordance
with the healthcare facility’s protocol.
3. Open the syringe barrel clasp.
4. Press to silence the audible signal for 2 minutes.
5. Push the disengagement lever down and remove the syringe from its cradle.
6. Disconnect the syringe from its extension set.
WARNING
Electronically prime the syringe pump system after replacing a near-empty
syringe with a replacement syringe to avoid the presence of air and
minimize the amount of time it takes the pump to recognize an occlusion
and generate an alarm while infusing at low rates.
Verify the fluid flow to the patient is OFF, and if available, use the prime
function on the syringe pump to remove any mechanical slack in the
system.
Using the syringe pump’s prime feature engages the mechanical
components of the pump and decreases the syringe’s friction and
compliance (i.e., stiffness) to minimize startup delays and delivery
inaccuracies, especially at low infusion rates.
Failure to use the prime feature on the syringe pump after every syringe
change and/or tubing change can significantly delay the infusion delivery
startup time and lead to delivery inaccuracies.
INFORMATION
Properly dispose of used syringes.
121
15.4 Gravity Infusion in Parallel with a Pump
You can infuse the contents of a fluid container via gravity, in parallel with the pump.
ml
10
20
30
40
50
60
INFORMATION
Fresenius Kabi recommends the use of a back check valve or positive
pressure infusion devices when an infusion on the pump is connected
to a gravity line. This will prevent the back-up of IV fluid or medication
into the gravity line.
If there is no back check valve on a gravity infusion line during a multi-
line infusion, it will be impossible to detect patient-side occlusions.
Such an occlusion could cause the pumped drug to back up into the
gravity line, and later be infused in an uncontrolled manner when the
occlusion is released.
Be careful about drugs interactions and incompatibilites during a multi-
line infusion. Fresenius Kabi recommends infusing the critical drugs
first.
122
16 Specifications
This chapter describes all of the parameters that you can use to program an
infusion with the Agilia SP PCA pump as well as the essential features that classify
it as a medical device.
INFORMATION
The range of settings and default values described in this section
correspond to the factory configuration. The range of settings and default
values can be adjusted in Basic Profile (see the Technical manual) and in
custom profiles. Increment rules can be modified in custom profiles.
Flow Rate Accuracy Section 16.2.1, page 123 and Section 19.9, page 140
Note: All tests below are in accordance with the IEC 60601-2-24 standard
and ANSI/AAMI ID26.
Values are representative of syringes used during internal tests and are
provided as indicators only.
Accuracy
Flow Rate ± 3%
123
16.2.2 Effects of Pressure Variations on Accuracy
Changes in the position of the pump in relation to the patient’s access device can
affect the accuracy of the pump as shown below.
Accuracy
Back Pressure
(Deviation From Mean Values)
+ 39.9 kPa (299.3 mmHg) ~ - 3%
+ 13.33 kPa (100 mmHg) ~ - 1.5%
- 13.33 kPa (100 mmHg) ~ + 1.5%
Target Volume
0.1 mL 1.8 mL
Test condition: 25 measurements, Back pressure: 0 mmHg, Temperature: 20 °C, Extension set length:
60 in (150 cm), Syringe: BD Precise.
Accuracy ± 75 mmHg ± 15 %
124
16.3 Flow Rate Settings
Syringe
Minimum
Unit
50 mL/
30 mL 20 mL 10 mL 5 mL
Increment
60 mL
Programmed bolus
Clinician bolus 0.1 0.1 0.1 0.1 0.1 0.01 (0.10 9.99)
mL/h 0.1 (10.0 99.9)
Loading dose 1200 600 600 350 250 1 (100 1200)
PCA loading dose
Priming mL/h 1200 600 600 350 250 Not adjustable
PCA bolus
Clinician bolus mL 0.1 99.9 N/A 0.01
PCA loading dose
Direct bolus mL 0.1 50 N/A 0.1
Programmed bolus
mL 0.1 99.9 N/A 0.01
Loading dose
Applicable for all syringe sizes.
125
16.5 Dose To Be Infused (DTBI) Settings
Default Minimum
Unit Range of Settings
Value Increment
0.001 (0.010 0.999)
0.001 (1.00 9.99)
Dose All 0.01 9999 N/A 0.01 (10.0 99.9)
1 (100 9999)
Programmed bolus
PCA bolus 0.001 (0.010 0.999)
0.001 (1.00 9.99)
Clinician bolus All 0.01 9999 N/A 0.01 (10.0 99.9)
PCA loading dose 1 (100 9999)
Loading Dose
Applicable for all syringe sizes.
16.7 Concentration
The settings available for concentration shown below apply for PCA therapy and
general infusion.
Default Minimum
Unit Range of Settings
Value Increment
0.001 (0.010 0.999)
0.001 (1.00 9.99)
Concentration Dose unit 0.01 70000 N/A 0.01 (10.0 99.9)
1 (100 9999)
Volume of Diluent mL 1 60 N/A 1
126
16.8 Patient Data
The patient body surface area is not a parameter available in PCA therapy.
Default Minimum
Unit Range of Settings
Value Increment
0.01 (0.25 9.99)
Patient Weight kg 0.25 350 N/A 0.1 (10.0 19.9)
1 (20 350)
Patient Body
m² 0.05 4.5 N/A 0.01
Surface Area
Default Minimum
Unit Range of Settings
Value Increment
25 (50 250)
Full Range mmHg 50 900 50 900
Variable
50 (250 900)
Maximum
mmHg 500 900 750 50
Limit
Raise
mmHg 50 400 100 50
Threshold
DPS
Drop
mmHg 100 400 100 50
Threshold
Note: 1 bar = 750 mmHg = 100 kPa = 14.5 PSI.
127
16.10 Units and Conversion Rules
16.10.1 Prescription Units
In PCA therapy, you can select the prescription units listed in the table below to
program an infusion. You cannot select the prescription unit for a general infusion.
Volume Dose
128
16.10.3 Dose Rate Units
The table below shows all the dose rate units available on the pump.
min h 24h
g - g/h -
g/kg g/kg/min g/kg/h g/kg/24h
mmol - mmol/h -
mmol/kg - mmol/kg/h mmol/kg/24h
mUnit mUnit/min -
mUnit/kg mUnit/kg/min mUnit/kg/h
kcal/h
kcal - kcal/24h
kcal/kg/h
kcal/kg - -
129
16.10.5 Conversion of Concentrations and Dose Rates
When you start an infusion, the pump converts the parameters you programmed
into a volume and a flow rate using the equations below.
Conversion Equation
Conversion of a dose rate including unit/kg into unit/kg/h (dose rate) × kg (weight)
mL/h =
volume flow rate (mL/h) unit/mL (concentration)
Conversion of a dose rate including unit/m2 into unit/m2/h (dose rate) × m2 (body surface area)
mL/h =
volume flow rate (mL/h) unit/mL (concentration)
Conversion of a dose including unit/m2 into volume unit/m2 (dose) × m2 (body surface area)
mL =
(mL) unit/mL (concentration)
unit (dose)
Conversion of a dose into a volume (mL) mL =
unit/mL (concentration)
130
17 Cleaning and Disinfection
To avoid the risks of infection and microbial transmission, make sure to adequately
clean and disinfect the equipment.
WARNING
The disinfection procedure must be done immediately after cleaning.
Disinfecting the pump without prior cleaning is not effective.
The pump is not intended to be sterilized; sterilization may result in
damage to the pump.
In case of contamination by blood or bodily fluids when the pump and
handset are in use, and if allowed by your local practices and
healthcare facility policies, immediately perform the quick cleaning
procedures described below. Always follow your local protection rules.
131
infusion parameters. Do not move the pump.
2. Use ready-to-use wipes to wipe down all exposed surfaces of the pump.
3. At the end of the infusion, perform the complete cleaning protocol, as explained
in Section 17.4.1, page 133.
17.3 When to Clean and Disinfect the Pump and the Patient
Handset
Thoroughly clean and disinfect the pump in the following cases.
After each patient use.
Before any maintenance.
On a routine basis when the pump is not in use.
Before storage.
132
protect the pump from damage that can cause it to malfunction.
WARNING
Only trained staff can clean and disinfect the pump.
Do not place the pump in an autoclave or immerse it in liquid. Do not
immerse the handset connector.
Do not spray liquids directly on connectors. Instead, use a cleaning
cloth or disposable wipes.
133
Protocol for the patient handset
1. Place the patient handset on a clean surface or disposable underlay.
2. Use a ready-to-use wipe to remove any major grime.
3. Thoroughly wipe down all exposed surfaces (housing, blue button area, strap,
cable gland, cable, and connector).
- Do not allow liquids to run, leak, or drip into the housing or the connector.
4. Make sure the patient handset remains damp for at least 1 minute to dissolve
all organic matter.
5. Allow the device to dry completely at room temperature.
134
2. Use a ready-to-use wipe to wipe down all exposed surfaces making sure to
cover all hard-to-reach areas.
- Do not allow liquids to run, leak, or drip into the housing or the connector.
3. Using a fresh ready-to-use wipe, repeat step 2.
4. Leave the disinfection agent on the patient handset for at least 3 minutes.
5. Wipe down the power cord and any pump accessories.
6. Allow the device to dry completely at room temperature.
135
18 Power Management
WARNING
The pump and its accessories can only be connected to the AC power
supply with the power cord supplied by Fresenius Kabi, or with a power
supply accessory from the Agilia product range.
Do not use an extension cord when connecting the pump to the AC
power supply.
Pumps must be plugged into a medical grade power strip if one is used.
136
18.3 Battery Operating Mode
The device is provided with an internal battery that automatically provides power to
the device in case of power failure or disconnection from the AC power supply. The
battery charges when the pump is connected to AC power supply.
Before starting for the first time, charge the battery for approximately 6 hours by
plugging in the power supply cord with the pump powered off.
INFORMATION
During operation, leave the device connected to the power supply in order
to maintain the battery's charge and maximum capacity, and to maximize
battery lifetime and performance.
137
19 Technical Characteristics
19.2 Battery
Disconnect the battery before opening the device. Avoid short circuits and extreme
temperatures.
If the device is not used for more than 3 months, the date is erased (all other
settings are stored permanently). When you power on the pump, you must set the
date again.
Characteristics 7.2 V 2.2 Ah - Li-ion Smart battery
138
19.5 Infrared Communication
The pump is equipped with an infrared cell located at the back of the device.
0 21
1 23
20 27
100 30
400 49
1200 32
High-priority 55 63
Medium-priority 50 57
Low-priority 45 52
139
19.7 Compliance
Compliant with the
IP 22 (pump) Index of protection against
ElectroMedical following standards:
IP 27 (handset ingress of water or
Equipment Safety IEC 60601-1 except connector) particulate matter
IEC 60601-1-8
EMC Compliant with the Protection against leakage
(Electromagnetic following standard: current: Defibrillation-proof
compatibility) IEC 60601-1-2 type CF applied part*
Screen Size 70 x 35 mm
140
Syringe used: BD Precise 50 mL
Fluid used: distilled water
Recommendations to improve performances and safety when the pump is
commonly used at low flow rates (≤ 20 mL/h):
Limit the range of available flow rates in accordance with the maximum flow
rate to be used.
Lower the pressure limit in order to gain in time to detect occlusion.
Sampling time: 10 s
Flow rate (mL/h)
0
0 10 20 30 40 50 60 70 80 90 100 110 120
Time (minutes)
Legend
10
Measured
variance from
flow rate
6,0
3,9 Error
5
Flow rate
Flow rate (mL/h)
1,0
1,1
0 Sampling time: 10 s
-1,6
-1,9
-5
-4,4
-6,5
-8,6
-10
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Time (minutes)
Figure 19.7: Trumpet curves for 2, 5, 11, 19, 31 minutes observation windows
(1 mL/h over 2 hours)
141
19.9.2 Flow rate: 5 mL/h
10 Legend
Instantaneous
9 flow rate
8 Set flow rate
Sampling time: 10 s
Flow rate (mL/h)
0
0 10 20 30 40 50 60 70 80 90 100 110 120
Time (minutes)
10
Legend
Measured
variance from
flow rate
Error
5
Flow rate
1,7 0,2
Flow rate (mL/h)
0,7 0,4
1,0
0 Sampling time: 10 s
-0,3
-0,7 -0,5
-1,0
-1,9
-5
-10
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Time (minutes)
Figure 19.9: Trumpet curves for 2, 5, 11, 19, 31 minutes observation windows
(5 mL/h over 2 hours)
142
19.10Occlusion Alarm Accuracy and Bolus Volume at
Occlusion Release
The time to detect an occlusion varies depending on syringe size, flow rate and
pressure, as shown in the table below. Note that this time is always better with a
smaller syringe and lower pressure.
Pressure 900
Pressure 50 mmHg
mmHg
0.1 mL/h < 5 hours < 28 hours
50mL syringe 1 mL/h < 30 minutes < 3 hours
5 mL/h < 7 minutes < 30 minutes
Test conditions: Temperature: 20 °C, Extension set length: 150 cm, Syringe: BD Precise
Volume
143
20 Wi-Fi
WARNING
Agilia Wi-Fi pumps must be configured by qualified and appropriately
trained staff.
INFORMATION
If communication with the wireless network is interrupted, the pump can
be used as intended. For more information, contact your Fresenius Kabi
sales representative.
144
20.2 Usage Restrictions in Europe
The Wi-Fi pumps are restricted to indoor use in the following countries.
AT BE BG HR CZ CY DK
EE FI FR DE EL HU IE
IT LV LT LU MT NL PL
PT RO SI SK ES SE UK
Austria (AT), Belgium (BE), Bulgaria (BG), Croatia (HR), Czech Republic (CZ),
Cyprus (CY), Denmark (DK), Estonia (EE), Finland (FI), France (FR),
Germany (DE), Greece (EL), Hungary (HU), Ireland (IE), Italy (IT), Latvia (LV),
Lithuania (LT), Luxembourg (LU), Malta (MT), Netherlands (NL), Poland (PL),
Portugal (PT), Romania (RO), Slovenia (SI), Slovakia (SK), Spain (ES),
Sweden (SE) and United Kingdom (UK).
INFORMATION
Changes or modifications not expressely approved by the party
responsible for compliance could void the user's authority to operate the
equipment.
Europe - Radio Equipment Directive
This product is designed as a radio device that uses harmonized frequencies and
power levels for Europe.
145
20.5 Protocols and Standards
This wireless functionality is compliant with the following protocols and standards:
IEEE 802.11a/b/g/n standard
WPA/WPA2-Entreprise, WPA/WPA2-PSK (Wi-Fi protected access) is a long-
term security solution for wireless networks. For more information, refer to the
IEEE 802.11.
TCP (Transmission Control Protocol / Internet Protocol), IPv4 (Internet Protocol
Version 4), DHCP (Dynamic Host Configuration Protocol) and HTTP (Hypertext
Transfer Protocol) are standard data transport protocols used for the internet
and other similar networks.
Agilia infusion pumps do not require an active wireless communication to function
as intended (infuse). Wireless transactions are initiated by the pump and are
periodic. The absence of connection (for example, out of range) does not affect the
device ability to infuse. Pending data is stored and re-transmitted when the
connection becomes available. Data integrity and quality of service are inherent in
the design. The system should be ensured and maintained by a qualified and
trained technical user, or a Fresenius Kabi representative.
146
21 Troubleshooting
147
Issue Recommended Actions
Connect the pump to the AC power supply.
The power supply indicator does not
light up.
Contact your biomedical department or Fresenius Kabi
support.
Connect the pump to the AC power supply.
The pump powers off on its own. Contact your biomedical department or Fresenius Kabi
support.
Check the AC power voltage.
The battery alarm is ON even though
the pump has been correctly charged.
Contact your biomedical department or Fresenius Kabi
support.
The pump powers off when it is The battery is completely discharged: charge the battery.
disconnected from the AC power Contact your biomedical department or Fresenius Kabi
supply. support.
Check that the handset is connected to the pump and that
the pump is On.
Check that the handset connector is correctly plugged in
The LED on the patient handset does and that the cable is not damaged.
not light up. Connect the handset connector to another Agilia SP PCA
pump to see if the problem persists.
Contact your biomedical department or Fresenius Kabi
support.
Check that the handset is connected to the pump and that
the pump is On.
No beep when pressing the bolus Check that the bolus button beep is enabled in the pump
button on the patient handset. configuration.
Contact your biomedical department, or Fresenius Kabi
support.
148
22 Device Storage, Transport, and Recycling
149
We recommend charging the battery for at least hours.
We recommend that the "User test" is performed when the device is installed after
storage, and before being used on a patient, see section 13, page 110.
INFORMATION
For more information on waste processing regulations, contact your
Fresenius Kabi sales representative or the local distributor.
For more information on dismantling the device, refer to the technical
manual.
Follow healthcare facility policy regarding proper disposal after use.
150
23 Warranty
151
24 Guidance and Manufacturer's Declaration on
EMC
152
If it is not possible to guarantee this environment, the following additional
precautions must be taken:
Use of anti-static equipment
Preliminary user discharge (explained below)
Anti-static clothing
The best precaution is preliminary user discharge on a grounded metal object such
as a rail, a pole or a metal part located at the rear of the Agilia pump.
For maintenance operations performed on the Agilia pump, place the device on a
conductive working surface, and wear a special ESD conductive wristband.
153
WARNING
Use of the Agilia pump adjacent to or stacked with other equipment
should be avoided because it could result in improper operation. If such
use is necessary, this equipment and the other equipment should be
observed to verify that they are operating normally.
Use of accessories, transducers and cables other than those specified
or provided by the manufacturer of the Agilia pump could result in
increased electromagnetic emissions or decreased electromagnetic
immunity of this equipment and result in improper operation.
Portable RF communications equipment (including peripherals such as
antenna cables, internal and external antennas) should be used no
closer than 10 cm for cell phones and 30 cm for other equipments, to
any part of the Agilia pump, including cables specified by the
manufacturer. Otherwise, degradation of the essential performances of
Agilia pump could result. Electrosurgical equipment (including base
unit, cables, electrodes) should be used no closer than 30 cm to any
part of the Agilia pump, including cables specified by the manufacturer.
Otherwise, degradation of the essential performance of Agilia pump
could result.
The user might be required to take mitigation measures, such as relocating or re-
orienting the equipment.
If the Agilia pump is placed near RF communication equipment such as cell phones,
DECT phones or wireless access points, portable RFID reader, large scale RFID
reader and RFID tags, it is essential to observe a minimum distance between the
Agilia pump and this equipment.
If the Agilia pump causes harmful interference or if it is itself disrupted by external
interference, try the following:
Reorient or relocate the Agilia pump, the patient or disruptive equipment.
Change the routing of cables.
Connect the Agilia pump power plug to a protected / backed-up / filtered supply
or directly to the UPS circuit (uninterruptible power supply).
Increase the separation between the Agilia pump and disruptive equipment.
Plug the Agilia pump into an outlet on a different circuit from the one to which
the patient or disruptive equipment is connected.
In any case, whatever the context, the user should conduct interoperability
testing in a real situation to find the correct setup and location.
If the problem persists, the pump shall not be used in such environment.
For further information on EMC compliance, please refer to the Agilia pump
Technical Manual.
154
25 Servicing
INFORMATION
Fresenius Kabi is not liable for loss or damage to the device during
transport.
For more information on servicing, contact your Fresenius Kabi sales
representative.
155
INFORMATION
If the device needs upgrading, Fresenius Kabi or its representative will
provide relevant instructions. It is the healthcare facility's responsibility to
follow Fresenius Kabi’s instructions.
INFORMATION
These control checks must be performed by trained technical
personnel, and are not covered by any contract or agreement provided
by Fresenius Kabi.
For more information, refer to the technical manual, or contact your
Fresenius Kabi sales representative.
156
26 Glossary of Terms
EEG Electroencephalogram
A
EMC Electromagnetic compatibility
A Amperes
ErXX Error message
AC Alternating Current
ESD Electrostatic Discharge
Ah Ampere-hours
AIDC Automatic Identification and F
Data Capture FCC Federal Communications
AM Amplitude Modulation Commission
A/m Amperes per meter FM Frequency Modulation
ft Feet
B
BPSK Binary Phase Shift Keying G
BSA Body Surface Area GPL General Public License
GTIN Global Trade Item Number
C
cal Calorie H
CCK Complementary Code Keying H/W/D Height / Width / Depth
CDC Centers for Disease Control HF High Frequency
CISPR Special International Committee hPa Hectopascals
on Radio Interference HTTP HyperText Transfer Protocol
CT Computed Tomography Hz Hertz
Scan
I
D IC Industry Canada
dBA Decibels
IEC International Electrotechnical
dBm Decibels-Milliwatts Commission
DC Direct Current IEEE Institute of Electrical and
DECT Digital Enhanced Cordless Electronics Engineers
Telecommunications IFU Instructions for Use
DEHP Di(2-ethylhexyl) phthalate in Inches
DERS Dose Error Reduction Software IT Information Technology
DHCP Dynamic Host Configuration IV Intravenous
Protocol
K
DI Dose Infused
kg Kilograms
DPS Dynamic Pressure System
KVO Keep Vein Open
DSSS Direct Sequence Spread
Spectrum L
DTBI Dose to Be Infused lb(s) Pound(s)
DUR Duration LED Light Emitting Diode
E M
ECG Electrocardiogram mA Milliamperes
ECMO ExtraCorporeal Membrane mEq Milliequivalents
Oxygenation
mL/h Milliliters per hour
157
mmHg Millimeters of mercury V
mmol Millimole V Volts
MOS Metal Oxyde Semiconductor V/m Volts per meter
MRI Magnetic Resonance Imaging VA Volt-Amperes
mW/sr Milliwatts per steradian VDC Volts Direct Current
N VI Volume Infused
N/A Not Applicable Vrms Root Mean Square Voltage
NMR Nuclear Magnetic Resonance VTBI Volume to Be Infused
O W
OCS Occlusivity Check System W Watts
OFDM Orthogonal Frequency Division WPA Wi-Fi Protected Access
Multiplexing
OR Operating Room
P
PC Personal Computer
PCA Patient Controlled Analgesia
PSI Pounds per Square Inch
PSK Phase Shift Keying
Q
QAM Quadrature Amplitude
Modulation
QPSK Quadrature Phase Shift Keying
R
REF Product reference / part number
RF Radio Frequency
RFID Radio Frequency IDentification
RS232 Serial interface connector
S
SN Serial Number
SELV Safety Extra Low Voltage
SIR Asynchronous Serial Infrared
T
TCP Transmission Control Protocol
U
UDI Unique Device Identifier
USB Universal Serial Bus
Ut Test specification level
158
Appendix: Factory Configuration
Features not enabled in the factory configuration can be enabled in the pump options or in custom
profiles. Otherwise, they can be enabled on request.
159
Index
A Continuous Rate
Definition 23
Agilia Connect Infusion System 15
Illustration 25
Alarm
Adjust Volume 98 Programming 54
Contraindications 13
End of Infusion 82
Cumulated Limits
List 112
Priorities 111 Definition 24
Setting 56
Priority 19
Silencing 83
Sound Level 139
D
Data Communication 108
B Data Set
Definition 30
Background Infusion 23
Display Information 105
Basal Rate 23
Basic Profile 28 Upload 109
Upload Symbol 22
Configuration 159
Date/Time 54, 107
Battery
Characteristics 138 Setting 103
Day Mode 96
Charge Level 19, 37, 92
Delivery Package 22
Full Charge Time 36
Operating Mode 137 DERS
Definition 24
Bolus 77
Drug 29
Clinician 23, 64, 94
Direct 77 Dimensions and Weight 140
Disinfection 131
Pause 78
Displaying Dose Infused 92
PCA 23, 63
Programmed 78, 94 Displaying Profile Information 87
Displaying Volume Infused 92
Stop 78
Dose Error Reduction Software
Bolus Cord
Connecting and Disconnecting 35 Definition 24
Dose Infused
Definition 23
Display and Clear 92
Description 18
Using 63 Dose Rate
Monitoring 76
Bolus in Progress
Programming 72
Monitoring 60
Dose/Time 79, 97
C Drug
Select 48, 71
Cables
Select Concentration 48
Data Communication 108
Drug Entry 29
Power Supply 138
Drug Library 28
Charging the Battery 36
Display Information 104
Cleaning 131
Drug List 28
Clinical Information Message 105
Drug X 30
Clinician Bolus 94
Administration 64
Definition 23
E
Electromagnetic Guidance 152
Empty Syringe Mode 83
End of Infusion 82
End of Infusion Alarm 83
160
Environment 13 Infusion Limits 24
Essential Features 123 Acknowledging 55
Event Log Hard and Soft 29
All Infusions 102 Overriding 55, 74
PCA Infusions 101 PCA 30
Programming 56
F Review 57
Factory Configuration 159 Infusion Mode 29
First Use 36 Continuous Rate 23, 25
Flow Rate Dose Rate 72
Monitoring 75 Dose/Time 79, 97
Programming 74 Flow Rate 74
General Infusion 27
G PCA Bolus 25
General Infusion PCA Bolus + Continuous 26
Main Steps 69, 70 PCA Bolus + Variable Rates 26
Pre-programming 81 PCA Therapy 24
Start 75 Select 53, 71
Glossary 157 Variable Rates 23
Graphics Volume Limit 80, 97
Flow Rate History 99 Volume/Time 79, 97
Pressure History 100 Infusion Programming
Continuous Mode 43
H Continuous Rate 54
Handset Dose Rate 70, 72
Connecting and Disconnecting 35 Flow Rate 69, 74
Definition 23 PCA Bolus 53
Description 18 PCA Bolus + Continuous Mode 44
Using 63 PCA Bolus + Variable Rates 45
Hard Limit 29 PCA Bolus Mode 43
Height 41 Variable Rates 54
History Data Installation 31
Flow Rate 99 Intended Use 10
General Infusion 98
PCA 61, 100 K
Pressure 100 Keypad
Description 18
I Lock / Unlock 89
Infusion Unlock 84
Change Infusion Rate 76 Unlock Code 107
End 82 KVO 79, 80
Modify Parameters 62
Monitor 58, 75 L
Pause 93 Language Selection 107
Pre-programming 81 Limits
Start 58, 75 General Infusion 74
Status Symbols 20 Hard and Soft 29
Stop 82 PCA 30
View History 98, 100
161
Loading Dose Patient Controled Analgesia
Pause 74 Bolus 23
PCA 23 Definition 23
Programming 52 Patient Handset
Stop 74 Alarms 113
Locking/Unlocking the Keypad 89 Connecting and Disconnecting 35
Lockout Time Definition 23
Definition 23 Description 18
Display 65 Using 63
Pausing an Infusion 93
M PCA
Maintenance 155 Definition 23
Display Information 104 Loading Dose 23
Reminder Message 37 Lockout Time 23
Requirements 155 Time Interval 23
Menu Titration 23
Customization 107 PCA Alarms
List 85 During Programming 66
Modifying Infusion Parameters Patient Handset 113
General Infusion 76 Protective Cover 112
PCA 62 PCA Bolus
Modifying the Pressure Limit 87 Administration 63
Monitoring Definition 23
Bolus in Progress 60 Illustration 25
Dose 76 Lockout 64
Flow Rate (ml/h) 75 Monitoring 58
PCA Bolus + Continuous Mode 59 Programming 53
PCA Bolus Mode 58 PCA Bolus + Continuous
Illustration 26
N Monitoring 59
Navigation Buttons 20 PCA Bolus + Variable Rates
Near End of Infusion Alert 82 Illustration 26
Night Mode 96 PCA Code 46
PCA History 61, 100
O PCA Infusion
Occlusion Main Steps 42
Clearing 88 Modify Parameters 62
Pressure Limits 89 Start 58
Operating Conditions 13 PCA Limits
Operational Tests 110 Acknowledging 55
Options Definition 24
Pump Configuration 106 Overriding 55
User Menu 85 Setting 56
PCA Lockout 23, 65
P PCA Modes 24
Select 53
Packaging 22
Patient Characteristics 127 PCA Parameters
Review 57
Change 95
PCA Treatment 101
Description 12
Setting 50, 72 Pole Installation 32
162
Power Cord 138 Silencing an Alarm 83
Power Supply Soft Limit 29
Characteristics 138 Software Version 166
Symbols 19 Sound Levels 139
Powering Off 84 Starting a General Infusion 75
Powering On 37 Starting a PCA Infusion 58
Pre-programming an Infusion 81 Stopping an Infusion 82
Prescription Unit Storage 149
Select 47 Symbol Descriptions 2
Pressure Syringe 119
DPS 88 Change 121
Management 127 Display Information 102
Modify Limit 87 Installation 39
Operating Range 13 List 119
Priming Remove 121
Manual Prime 119 Replacement Interval 121
Prime With Pump 50 Select 47, 71
Profile
Basic Profile 28 T
Custom 27 Table of Contents 3
Custom Profile 27 Temperature
Definition 27 Operating Range 13
Display Information 87 Testing the Pump 110
Select 46, 71 Therapy
Programming Mode Select 46, 71
Select 71 Titration
Protective Cover General Infusion 76
Alarms 112 PCA 23, 52
Unlock Keypad 84 Training 12
Pump Configuration 106 Treatment in Progress
Default Settings 107 Clear Data 101
Pump Configuration Menu Display Data 92, 101
Access 106 Troubleshooting 147
Trumpet Curves 140
Q
Quick-Start 51 U
Units 128
R Unlocking Keypad 84
Rail installation 33 User Test 110
Release Notes 166
Reviewing Infusion Parameters 57 V
Rotating Pole Clamp 32 Variable Rates
Definition 23
S Programming 54
Screen Volume Infused
Contrast 107 Display and Clear 92
Display and Symbols 20 Volume Limit 80, 97
Screen options 107 Volume/Time 79, 97
Servicing 155 VTBI 79, 125
Setting Date and Time 54, 103
163
W
Warranty 151
Wi-Fi 109, 144
Enabling or Disabling 107
Symbol Display 20
Wireless Communication 109
164
165
Release Notes
The screenshots and illustrations in this document are for illustrative purposes only. Screen contents
may vary based on individual configurations and minor software modifications; therefore, some
screenshots may appear slightly different from what you see on the product.
This document may not be reproduced in whole or in part without the written consent of Fresenius Kabi.
Vigilant® and Agilia® are registered trademarks in the name of Fresenius Kabi in selected countries.
Made in France
Revision date: May 2018
www.fresenius-kabi.com 0123
166
Local Contacts for Servicing
12098-5_master_ifu_agilia_sp_pca_eng