Infusion Pump

User Manual
 Notice

◎Do not use the pump in the presence of mixture of flammable anesthesia gas with air,
oxygen or nitrous oxide.
◎Please read and understand the user manual before using the pump.
◎Please check the parameter setting before starting work.
◎The product performance has nothing to do with gravity.
◎When there is air bubble in the tubing between the pump and patient, the air bubble must
be cleared away manually.
◎When the room temperature is below 18℃ or the rate is more than 30ml/h, in order to
avoid false occlusion alarms, it is not recommended to set the occlusion pressure to Low.
◎Occlusion alarm threshold is influenced by ambient temperature and material of IV set,
occlusion alarm may not be accurate when the IV set is of poor quality.
◎Don not push hard on the contact terminal of the pressure sensor, the pressure sensor
may be damaged.
◎When there are other infusion systems or accessories connected with the IV set of the
pump, make sure no air bubble enter, and one-way valve must be equipped with.
◎The IV tubing will be clamped automatically by the anti-flow clamp to prevent free flow
when the door of the infusion pump is open in single fault state.
◎In actual use, the IV set must be of qualified brand or calibrated, incorrect parameter
setting or incorrect choice of IV set may cause flow rate, infusion time and residual volume
inaccurate.
◎The target volume should be close to the actual volume in the container (Usually 15ml
less than the actual volume). Otherwise, please use the drip detector to avoid the air bubble
alarming when there’s no fluid in the tubing.
◎The last setting of IV tubing type, KVO rate, Purge rate, pressure and IV set brand will be
saved as default.
◎This product is prohibited for blood infusion.
◎In actual use, the IV tubing must be loaded in the pump according to correct order and
direction, and straightened. Otherwise no medication or overdose flowing may occur, with a
result of injury to the patient.
◎When the door or other parts become deformed or damaged, they should be timely
replaced with new parts, if not, pump will not work properly, and cause injury to the patient.
◎Check the IV tubing type choice before pressing start key to work.

1
◎The battery discharge time are more than 4 hours, but the battery may not work for 4
hours as it will be influenced by run time, operation environment or undercharge.
◎Environmental Protection: when the service life of the equipment and accessories
(including battery) expire, please dispose them properly to prevent environmental pollution.
◎The pump should be fixed with the clamp supplied by the manufacturer or fixed by your
own way. In order to avoid injury to the patient due to pump dropping, the pump can not be
placed on the flat surface without fence.
◎The pump should be operated only by professional doctor or nurses, incorrect operations
may cause injury to the patient.
◎The pump must be well grounded.
◎If the pump fails in actual use, immediately turn the pump off and stop working, timely
contact the manufacturer or dealer! In single fault state, the product may infuse no more
than 1ml at maximum.

Attention: marks and their meanings

～ AC DC BF Type equipment
Suspend Alarm Mute ！ Attention

OFF Turn Off ON Turn On

2
 Content
Chapter 1 Safety Guide………………… …………… ………… ………………… …… 4
1.1 Safety Instructions …………………… ……………… …………… …………… ... 4
Chapter 2 Brief Introduction ………… ………… ………… …… ……… …………… .. . . 5
2.1 Overview & Working Principles … … … … … … … … … … … … … … … … … … … . . 5
2.2 Features ………………………………………………………………………… .6
2.3 Specifications: …………………………………………… ……………………… .. 6
Chapter 3 Structure and Components … … … … … … … … … … … … … … … … … . . . 8
3.1 Appearance ……………………………………………… …………………… .. 8
3.2 Alarm Light and Keyboard … … … … … … … … … … … … … … … … … … … … … . 9
3.3 Keys Instruction …………………… ……………… ……………… ………… .. .9
3.4 Back Interface …………………………… ... …………………………………… .10
Chapter 4 Installation and Operation …… … … … … … … … … … … … … … … … … … . 11
4.1 Installation ………………………………………………………………………… 11
4.2 Starting ……………………………………………………………………………...11
4.3 Load, Purge, Replace IV Tubing …… … … … … … … … … … … … … … … … . . 11
4.4 Install Drip Detector………………………………………………………….........13
4.5 Infusion Mode …………………………………………………………………… .14
4.6 Infusion Parameters Setting …… … … … … … … … … … … … … … … … … … . 15
4.7 Drug Library …………………………………………………………………… .15
4.8 History ……………………………………………………………………………...17
4.9 NIBP & SpO2（Optional)………………………………………………………….18
4.10 SpO2 ………………………………………………………………………………18
4.11 NIBP ………………………………………………………………………………21
4.12 Operate Method of NIBP ……………………………………………………… .22
4.13 Setting ………………………………………………………………………….25
4.14 Other functions ………………………………………………………………...26
Chapter 5 Alarms ………………………………………………………………………….27
5.1 Infusion alarm ……………………………………………………………………..27
5.2 SPO2 & NIBP alarm …………………………………………………………....29
5.3 Alarm cancellation ………………………………………………………………...30
Chapter 6: Maintenance…………………………………………………………………...30
Chapter 7: Trouble Shooting …………………………………………………………….33
Appendix A Packing List …………………………………………………………………34

3
Chapter 1 Safety Guide

The electrical safety classification of this instrument is Class Ⅰ, electric shock protection
type is BF, it is a internal power supply, continuous operation device. BF type devices are
devices with a specific degree of protection against electric shock. B type protection
indicates that the patient connection should meet the requirements of permit of leakage
current and dielectric strength as IEC60601-1 specified.

1.1 Safety Instructions

In order to avoid any possible injury, please abide by the following safety instructions when
operating this instrument.

Warning: Avoid this pump working in the presence of flammable gases or anesthetic

agent, may cause danger of explosion.

Warning: Do not throw the battery into fire, may cause danger of explosion.

Warning: SpO2 is used to measure the function, please try to avoid intravenous fluids

on the same side body, may lead to blood backflow or SpO2 measurement results
inaccurate.

Caution: This instrument must be serviced by authorized qualified engineer.

Caution: This instrument is designed for continuous operation, IP rating is IPX1,

anti-drip device, avoid being splashed by water.

Caution: Keep instrument clean, avoid shaking.

Caution: Avoid high-temperature sterilization or electron beaming, γ radiation

sterilization.

Caution: Avoid this pump working in the environment with high-frequency interference

devices, make sure it is not interfered by the strong electromagnetic interference, such as

4
radio transmitter, mobile phone.

Caution ：Make sure this instrument is in good condition before use. Routine inspection

should be performed every one month or shorter than that. If there’s obvious damage on
the instrument, please replace broken parts before use.。

Caution ：The following safety inspections must be performed by well-trained persons

who have related knowledge and practical experience usually once every two years or
according to the regulations specified by public institutions.
Inspect if there’s mechanical or functional damage on the instrument.
Inspect if the safety labels are legible.
Verify the instrument functions are still the same as the user manual describes.

Caution ： Expired products should be disposed according to discarding standard of

electronic products or returned to the manufacturer for the purpose of recycle.

Caution：Expired battery should be properly disposed according to related standard.

Caution ：Keep away from the patient when replacing battery (around 1.5 meters away

from the patient).

Chapter 2 Brief Introduction

2.1 Overview & Working Principles

This pump is a drip type infusion pump, a high-precision intelligent pump which is capable
of accurately controlling the delivery rate of disposable IV set and monitoring the infusion
course, by means of sensors and microprocessor accurately controlling precise stepper
motor, driving transmission mechanism to drive peristaltic fingers regularly squeezing the IV
tubing against the backplate.
Standard disposable sterile IV sets of qualified brand (hereinafter to be referred as IV set) is
suitable for this pump, the calibration function makes IV sets of any brand is suitable for this

5
pump. This pump has various sound and light alarm function, so that the user can make
timely response to the pump to ensure the infusion is safe. It is specially suitable for clinical
treatment which require continuously and precisely controlling infusion at a constant rate,
meanwhile, monitoring the infusion course. It is widely used in internal medicine, surgical,
paediatrician, obstetrics, ICU, CCU wards, operating rooms and other clinical infusion
treatment (but does not apply to blood infusion).

2.2 Features:

 4.3” LED screen with 272×480 display, more clear.

 With heating function, suitable for infusing in winter.
 Optional function: NIBP and SpO2.
 Simple and convenient in operating, intuitive presence of working status.
 A variety of visible and audible alarm, make infusion more safety.
 Drug library with 210 kinds of medicine.
 Storage 1500 history events.
 Multi-language support.

2.3 Specifications:

 Adjustable Drop Rate Range: 1～400 drops/min (step: 1 drop/min).

 Adjustable Volume Rate Range: 1～1200 ml/h (step: 0.1 ml/h)
 Flow Precision: within ±3% (using the IV set appointed by the manufacturer or
calibrated high quality IV set) Mechanical precision: within ±2%.
 Purge Rate: 800 ml/h
 KVO Rate: 1 ml/h (less than 100 ml/h); 2 ml/h (100～300 ml/h);
3 ml/h (greater than 300 ml/h);
 Infusion Volume Range: 1 ml～ 9999.9 ml (step: 0.1 ml)

6
 Maximum Accumulated Volume: 9999.9 ml (step: 0.1 ml)
 Time Range: 1 min～ 9999 min (step: 1 min)
 Occlusion Alarm Threshold:
High: 800 mmHg ± 200 mmHg (106kPa±26.7kPa)
Medium: 500 mmHg ± 100 mmHg (66.7kPa±13.3kPa)
Low: 300 mmHg ± 100 mmHg (40.7kPa±13.3kPa)
 Alarm: Infusion Complete, Empty, Faulty Signal, Misoperation, Occlusion, Door Open,
Air Bubble, Low Battery, Setting Error, AC power off, Idle.
 Air Bubble Detector:
method: ultrasonic wave, sensitivity: ≥25μL.
 Power Supply:
AC 85～265V, 50/60Hz;
Internal Battery: 11.1V rechargeable li-ion battery. Capacity: ≥2000mAh; the pump
can work more than 4 hours at the flow rate of 25 ml/h after charging for 8 hours (Medium
rate specified by GB 9706.27-2005).
 Power: ≤40VA
 Size: 188 mm(L)×198 mm(W)×228 mm(H)
 Weight: 2.2kg
 Environment Requirements:
Conditions Transport Storage Operation
Ambient -30℃ ～+55℃ -30℃ ～ +5℃ ～
Temperature +55℃ +40℃
Relative 20% ～ 95% 20% ～ 20%～90%
Humidity (non-condensing) 95%
Atmosphere 70kPa～106kPa 70kPa ～ 86kPa ～
Pressure 106kPa 106kPa
 IV Set:
Disposable IV set of any brand is suitable for this pump, IV set of new brand should be
calibrated to ensure the infusion accuracy.
Note: 1)The IV set should be suitable for being sterilized by ethylene oxide, and conform to
《GB 8368-2005 disposable IV set, gravity type》; the IV tubing should be made of good
elastic PVC materials, the wall thickness of the tubing should be 0.4～0.6mm; the IV tubing

7
made of latex or silicone materials is not suitable for this pump, it may cause abnormal flow
rate, incontrollable infusion, tubing breakage, and other possible dangers.
2) The maximum actual flow rate is influenced by IV set elasticity, quality, parameters and
run time, so it may not reach 1200 ml/h, but at least 600 ml/h.
3) The flow rate accuracy varies with the manufacturer of IV set, operation ambient
temperature, run time, concentration of medication and other factors, so the IV set should
be calibrated before use.

Chapter 3 Structure and Components

3.1 Appearance

3-0
1—Drip Detector 2—Display 3—Alarm Light
4—Door Lock Base 5—Heater 6—Heater Switch
7—Air Bubble Detector 8—Peristaltic Fingers 9—Door
10—Backplate 11—Door Lock Hook 12—Pressure Sensor

8
13—Anti Flow Clamp Reseting Pin 14—Anti-flow Clamp Reseting Axle
15—Anti-flow Clamp 16—Keyboard

3.2 Alarm Light and Keyboard

Alarm Light 3-1

Keyboard 3-2

3.3 Keys Instruction

Return Key ——Press this key to back up one level to the previous menu.
Mute Key —— Press this key to clear the alarm arising in pump working, then switch
the pump to parameter setting interface. Otherwise, alarm will reoccur in 2 minutes if there
is no action.
Purge Key —— In non-working status, press this key, F-F will blink on the display,
the pump begins purging if pressing the key again within 3 seconds and holding it, purging
stops after the key is released, and the pump returns to the parameter setting status; the
pump exits from purging if not pressing the key again within 3 seconds, F-F disappears.
Increase Key ——When the cursor stays at the parameter option, press this key to
adjust, press and hold it to make the value increase rapidly.

9
 Decrease Key ——When the cursor stays at the parameter option, press this key to
adjust, press and hold it to make the value decrease rapidly.
In infusing status, press this key, F-F will blink on the display, the pump begins Purge
Infusing if pressing the key again within 3 seconds and holding it. The pump returns to
normal infusing status after the key is released.
Stop Key —— In infusing status, press this key to stop working, the pump returns to
parameter setting status.
Confirm Key —— Special design to avoid misoperation: when adjusting IV Set
tubing type and Accuracy Calibration, you must press Confirm key after parameter option
is selected. Otherwise, Increase and Decrease key are not workable
Press this key to clear the alarm arising in pump working, the pump returns to
parameter setting interface.
NIBP Key ——Start Key —— Press this key to begin measurement SpO2 for patient.
Start Key —— Press this key to begin infusing.

3.4 Back Interface

Back interface 3-3

1-SpO2
2-NIBP

10
3- Drip Detector
4-Communication (obligate)

Chapter 4 Installation and Operation

4.1 Installation

Fix the infusion pump to the IV pole at a proper height by clamp. The pump should be
equipped with stable IV pole. The pump must be fixed to the IV pole, putting it on the table
or patient bed is prohibited. Make sure it is firmly fixed before actual use.

4.2 Starting

AC power light will be on after AC is connected, press the switch at the rear of the pump to
on position, parameter setting interface appears on the display.
Note: if AC is not connected, the pump is powered by internal battery when turning the
pump on.

4.3 Load, Purge, Replace IV Tubing

1) Hang the infusion bottle (bag) on the IV pole, the infusion bottle (bag) should be
around 20cm to 80cm higher than the heart of the patient, then connect the IV set to the
infusion bottle (bag).
2) Close the flow regulator, extrude fluid in the drip chamber until 1/2 left.
3) Open the flow regulator, expel the air from the IV tubing, then close the flow regulator.
4) Pull the door lever up, open the door, load the IV tubing from top to bottom through air

11
bubble detector, peristaltic fingers, anti-flow clamp slot (move the anti-flow clamp to the left),
finally the tubing comes out from the groove of the pump outer shell.
5) Pull the door lever up, then make the hook capture the Door Lock Base, press down
the door lever, the door is well locked if it is aligned with outer shell in the same vertical
plane, then open the flow regulator.
6) Purge: press this key, F-F will blink on the display, the pump begins purging if pressing
the key again within 3 seconds and holding it, release it until the air is expelled from the
tubing and fluid drips out from the needle, stab the needle into vein (artery) of the patient,
then infusing begins.
7) The continuous use time of IV tubing: according to the instruction of IV set
manufacturer, another section of IV tubing which is not squeezed should be moved to the
peristaltic fingers after 4～5 hours continuous use (please stop infusing when doing this).
After being squeezed for some time, the IV tubing may cause inaccurate flow rate, or the IV
tubing may be broken, result in fluid leakage, air bubble and other dangers (such as
medicine pollution). Therefore, please replace the IV set with new one after 12 hours
continuous use.
8) Replace the IV tubing: after infusion completes, or press Stop key, then close the flow
regulator to avoid free flow. Unload the IV set, then replace it with new one following step
1)～6)

Note:

○
1 Prevent overflow: to prevent overflow, keep the mouth of infusion bottle vertically

upwards when stabing IV set into the bottle or pulling out from it.

○
2 Prevent free flow: after purging the tubing, to prevent free flow of fluid, make sure the

flow regulator closed until the door is locked. Open the flow regulator after the door is
locked, no fluid will drips out from the needle or the orifice of the drop chamber, otherwise,
stop working and check it.

○
3 When occlusion occurs, do not use purge function of the pump, please purge

manually.

12
Make sure the drip chamber is located between the infusion bottle (bag) and the pump, the
flow regulator is located between the pump and the patient, please open the regulator
before starting the pump.
Do not place the squeezed section of IV tubing in the air bubble detector, it will cause false
occlusion alarm.
In the interior of the pump, straighten the IV tubing in the direction of the arrow. The drip
chamber should be vertical to avoid air entering into the tubing.

4.4 Install Drip Detector

1) In rate mode, the drip detector must be installed. It should be located between the
orifice and the fluid level of drop chamber, that is, the bottom of the detector should be
higher than the fluid level, the top of the detector should be lower than the orifice. Keep the
detector vertical, make sure the fluid drips through the detecting area of infrared.
2) The way to make sure the drip detector is properly installed:
Imitate fluid dripping by sweeping your finger through the detecting area of infrared, the drip
indicator light will blink once while each sweeping, otherwise, it means that the drip detector
goes wrong.
When the pump is working, the drip indicator light will blink once while each dripping, no
blink or more than once mean the drip detector is incorrectly installed or goes wrong.
Note:

○
1 In non-rate mode, the drip detector is not required, but the IV set must be calibrated,

and set the accuracy and target volume. Otherwise, the ambient temperature must be
≥18℃, and the requirement of infusion accuracy is not within 10%.

○
2 Keep the detecting area of infrared away from direct light, direct sunlight shining on

the drip detector is prohibited.

13
 ○
3 Keep the drip detector vertical downwards, no signals or abnormal signals will be

detected if the detector is inclined, and cause sound and light alarms.

○
4 Make sure the detecting area is not blocked by fluid in the drip chamber or drops on

the wall of the drip chamber. Please timely clean the detector if there is fluid and foreign
matter on it.

4.5 Infusion Mode

1) Turn the pump on, last infusion mode and flow rate are displayed as default.
2) Flow Rate blinks, then press Select key to move the cursor to Mode option.
3) Press Increase or Decrease key to select mode when the cursor stays at Mode option,
press Select key to move the cursor to parameters option under this mode.

○
1 R Mode: rate mode

The rate unit in this mode is drop/min, press Start key to begin infusing after flow rate is
set and drip detector is install correctly. When infusion volume set to "----" mean not limit
infusion volume.
Note: make sure the drip detector work well under R mode.

○
2 V Mode: volume mode

The rate unit in this mode is ml/h, press Start key to begin infusing after infusion volume
is set. When accumulated volume amounts infusion volume of set, the pump will auto enter
KVO mode and issue alarm.

○
3 T Mode: time mode

The user free set infusion time, infusion volume, system is automatically to calculate the
infusion rate, speed rate range is 1-1200 ml/h, when infusion volume of set is overlarge and
leads to speed rate overstep this range, the system will automatically change the infusion
time, to ensure the speed rate within this range.
Press Start key to begin infusing after the infusion mode and parameters are set.

14
Press Stop key if you want to return to the setting interface.
Note: when change the time, if appearance the time cannot increase or decrease, this
belongs normal, not equipment appear problem, it is in order to ensure that the speed of the
user settings within the valid range.

4.6 Infusion Parameters Setting

Under the infusion interface, press the Increase or Decrease to move the cursor to the
needed options (the background color of selected option for the pink, not the selected
option for the blue), press the Confirmation key from the selected state into a state can be
setup, can change the parameter values according to Inc. or Dec. key, now the "Return"
of the screen at the lower left corner is change into "Step", and followed shows step value,
press the Return key can changes step values (step can be set for x1, x10, x100, x1000,
x10000).Respectively shows the parameters of the current parameter values increase or
decrease for its minimum increment of 1 time, 10 times, 100 times, 1000 times, 10000
times. (Each parameters level step please refer to the specifications of 2.3)

4.7 Drug Library

The equipment built in Cardiovascular, Respiratory System, Antibiotic, Antiviral, Digestive

System, Nervous System, Painkillers, Urinary System, Hematologic System, Endocrine
System, Anesthetic, muscle relaxant, Antispasmolytic etc. 13 categories of more than 210
kinds of drugs for the user to choose, if the user failed to found needed drugs in 210 drugs
within this equipment, the user can select defined.
1) Drug Selection
Turn the pump on, press Inc. or Dec. move the cursor to "Drug Library", press Conf.
key to enter selection interface of drug species, according to clinical need to select drug

15
species, press Conf. key enter drug selection interface chooses drug, then press Conf. key
enter drug library parameter setting interface.
2) Drug Parameter Setting

Drug parameter setting 4-1

Dosage: The dose of drug use
Weight: Patient's weight
Sol. Volume: Infusion volume of infusion bag or bottle
Drug Dose: The used drugs dose

Note: The values of these parameters must be input according to the actual situation, and
selection the correct dose and drug units, and then by the system be automatic conversion
to infusion rate.
Dose optional unit: ug/kg/min, ug/kg/h, mg/min, mg/h, mg/kg/min, mg/kg/h, g/h, g/kg/min,
g/kg/h, IU/h, U/min, U/h, ml/h, ng/kg/min, ug/h.
Drug optional unit: g, mg, ug, ng, ml, U, IU.
Drug quantity unit and dose unit must be the same type unit, otherwise the rate cannot be
calculated, rate of position will display "Unit Error", if the rate of calculation exceed the rate
range (1-1200 - ml/h), the rate of position display "Over Range". At this time the cursor
cannot move to confirm option, only when the rate of calculation does not exceed rate

16
range can select confirm option, and then press Conf. key, the interface to jump to infusion
interface of volume model or infusion rate equal to setting parameters rate of calculation.
The drug name be showed on the left upper corner of screen, press the Start key begin
infusion.
After drug library parameter set, only can temporarily keep, it will automatic recovery default
values after the reboot.

4.8 History

This pump can store 1500 events, the content of the records according to the time arrayal,
convenient for users to view.

Record Content 4-2

Note:

○
1 Only the function of SpO2 and NIBP be used in the infusing process can display the

record of SpO2 and NIBP. (When using the function of SpO2 and NIBP alone, there will be
no record)

○
2 For the record of drug name and dose only after select drugs and work.

17
 ○
3 State records the status when infusion stopped, including: stopped manually, alarm

and infusion completed etc.

4.9 NIBP & SpO2(Optional)

SpO2 and NIBP functions including: NIBP saturation (SPO2) and non-invasive
measurement of SpO2 (NIBP).This function is suitable for adult, children and neonatal baby.
It is under in time mode, volume mode, rate mode or calibrated interface can be used. In
the using process could not return to the superior menu, otherwise the pump will
automatically stop the SpO2 and NIBP measurement.

4.10 SpO2(Optional)

1) What is SpO2
SpO2 Plethysmogram measurement is employed to determine the oxygen saturation of
hemoglobin in the arterial blood. If, for example, 97% hemoglobin molecules in the red
blood cells of the arterial blood combine with oxygen, then the blood has a SpO2 oxygen
saturation of 97%. The SpO2 numeric on the monitor will read 97% .The SpO2 numeric
shows the percentage of hemoglobin molecules which have combined with oxygen
molecules to form oxyhemoglobin. The SpO2/PLETH parameter can also provide a pulse
rate signal and a plethysmogram wave.
2) How the SpO2 / PLETH Parameter Works

○
1 Arterial oxygen saturation is measured by a method called pulse oximetry. It is a

continuous, non-invasive method based on the different absorption spectra of reduced

hemoglobin and oxyhemoglobin. It measures how much light, sent from light sources on
one side of the sensor, is transmitted through patient tissue (such as a finger or an ear), to a
receiver on the other side.

18
The sensor measurement wavelengths are nominally 660nm for the Red LED and 940nm
for Infrared LED. Maximum optical power output for LED is 4 mW.

○
2 The amount of light transmitted depends on many factors, most of which are

constant. However, one of these factors, the blood flow in the arteries, varies with time,
because it is pulsating. By measuring the light absorption during a pulsation, it is possible to
derive the oxygen saturation of the arterial blood. Detecting the pulsation gives a PLETH
waveform and pulse rate signal.

○
3 The SpO2 value and the PLETH waveform can be displayed on the main screen.

○
4 SpO2 in this manual means physiological function NIBP saturation measured

through non-invasive method.

3) Operating Method for SpO2

○
1 Turn the pump on, enter the random mode, time mode, volume mode, rate mode or

calibration mode.

○
2 Attach the sensor to the appropriate site of the patient finger.

○
3 Plug the connector of the sensor extension cable into the SpO2 socket on the pump.

Note:

○
1 If COHb exists, MHB or dyeing dilution chemicals, there will be windage for SpO2

value.

○
2 If measures part and probe cannot be positioned accurately, it may cause in

inaccurate reading of SpO2, even pulse wave cannot be searched for monitoring NIBP. At
the time, repositioning is required.

○
3 Excessive moving of the measured part may cause in inaccurate measurement. At

the time, the patient should have been calmed or place onto a new position to reduce
influences to measurement by excessive moving.

○
4 During the course of long term and continuous monitoring, peripheral circulation

status and skin status should be checked once every 2 hours. If bad changes found,

19
measuring position should be changed timely.
During the course of long term and continuous monitoring, it is required to regularly check
the position of probe to prevent moving of the probe from influencing the accuracy of
measurement.

4-3
4) Limitations for Measurement
In operation, the following factors may affect the accuracy of NIBP:

○
1 High-frequency electrical interference, including interference created by the host

system, or interference from external sources, such as electrosurgical apparatus connected

with the host system.

○
2 Do not use oximeters and oximetry sensors during magnetic resonance imaging

(MRI) scanning. Induced current could potentially cause burns.

○
3 Intravascular dye injections

○
4 Over frequency movements

○
5 Sensor is not positioned in a right place

○
6 Sensor temperature (maintain between 28°C and 42°C for best operation )

○
7 Sensor is positioned on the arms with NIBP cuff, arterial duct or internal duct.

20
 ○
8 Concentrations of Non-functional hemoglobin, such as COHb and MetHb

○
9 External illumination more than 5,000 lumens/square meter (typical office lighting)

○
10 Venous pulsations

○
11 It is recommended to use SpO2 sensors described in chapter Accessories and

Ordering Information.

4.11 NIBP(Optional)

NIBP is measured with oscillometry. It can be used on Adult, Pediatric and Neonate baby.

Basic Parameter:
Overvoltage protection:
Adult 280 mmHg±10 mmHg
Children 237 mmHg±3 mmHg
Newborn 147 mmHg±3 mmHg

Timeout value: Adult blood pressure exceed 200mmHg: 120s,

Adult blood pressure below 200mmHg: 90s;
Neonate: 90s.

mmHg SYS DIA Mean

Adult 40~270 10~215 20-235

Measurement Range
Pediatric 40~200 10~150 20~165

Neonatal 40~135 10~100 20~110

There are three modes of measurement available: manual, automatic and continuous.

21
Each mode displays the diastolic, systolic and mean SpO2.
■ In the MANUAL mode, only one measurement is conducted for each time.
■ In the AUTO mode, the measurement is cycled; you can set the interval time to
1/2/3/4/5/10/15/30/60/90/120/180/
240/480 minutes.
■ In the continuous mode, the monitor measures the SpO2 as many times as possible in
five minutes.

Note:

○
1 You must not perform NIBP measurements on patients with sickle-cell disease or

under any condition which the skin is damaged or expected to be damaged.

○
2 For a thrombasthemia patient, it is important to determine whether measurement of

the SpO2 shall be done automatically. The determination should be based on the clinical
evaluation.

○
3 Ensure that the correct setting is selected when performing measurements on

children. It may be dangerous for the children to use an over pressure level.

4.12 Operate Method of NIBP

1) NIBP Measurement
Make sure that the air conduit connecting the SpO2 cuff and the monitor is neither
blocked nor tangled.

○
1 Plug the cuff tube in the NIBP socket interface and switch on the system.

○
2 Apply the NIBP cuff to the patient's arm or leg following the instructions below

(Figure 11 3).4-4

○
3 Press NIBP key begin measurement.

22
 Applying Cuff 4-4

Note:

○
1 Ensure that the cuff is completely deflated.

○
2 Apply the appropriate size cuff to the patient, and make sure that the symbol "Φ" is

over the appropriate artery. Ensure that the cuff is not wrapped too tightly around the limb.
Excessive tightness may cause discoloration and eventual ischemia of the extremities.

○
3 The width of the cuff should be either 40% of the limb circumference (50% for

neonates) or 2/3 of the upper arm length. The inflatable part of the cuff should be long
enough to encircle 50-80% of the limb. The wrong size of cuff can cause erroneous
readings. If the cuff size is in question, then use a larger cuff.

○
4 Connect the cuff to the air hose. The limb chosen for taking the measurement should

be placed at the same level as the patient's heart. If this is not possible you should apply
the following corrections to the measured values:
■ If the cuff is placed higher than the heart level, add 0.75 mmHg (0.10 kPa) for each inch
of difference.
■ If it is placed lower than the heart level, deduct 0.75 mmHg (0.10 kPa) for each inch of
difference.

Size of reusable cuff for neonate/children/adult

Patient Type Limb perimeter Cuff width Hose

Child （18-26）cm 10.6cm 1.5m-3m

23
 Adult 1 (27-35) cm 14cm 1.5m-3m
Adult 2 (33-47) cm 17cm 1.5m-3m
Leg (46-66) cm 21cm 1.5m-3m

2) Measurement Limitations
To different patient conditions, the oscillometric measurement has certain limitations.
The measurement is in search of regular arterial pressure pulse. In those circumstances
when the patient's condition makes it difficult to detect, the measurement becomes
unreliable and measuring time increases. The user should be aware that the following
conditions could interfere with the measurement, making the measurement unreliable or
longer to derive. In some cases, the patient's condition will make a measurement
impossible.
In operation, below factors may be effect the accuracy of SpO2:

○
1 Patient Movement: Measurements will be unreliable or may not be possible if the

patient is moving, shivering or having convulsions. These motions may interfere with the
detection of the arterial pressure pulses. In addition, the measurement time will be
prolonged.

○
2 Cardiac Arrhythmia's: Measurements will be unreliable and may not be possible if

the patient's cardiac arrhythmia has caused an irregular heartbeat. The measuring time
thus will be prolonged.

○
3 Heart-lung machine : Measurements will not be possible if the patient is connected

to a heart-lung machine.

○
4 Pressure Changes: Measurements will be unreliable and may not be possible if the

patient's SpO2 is changing rapidly over the period of time during which the arterial pressure
pulses are being analyzed to obtain the measurement.

○
5 Severe Shock: If the patient is in severe shock or hypothermia, measurements will

be unreliable since reduced blood flow to the peripheries will cause reduced pulsation of
the arteries.

24
 ○
6 Heart Rate Extremes: Measurements cannot be made at a heart rate of less than 40

bpm and greater than 240 bpm.

4.13 Setting

Setting: Language, basic parameter, calibration, NIBP&SPO2

1) Setting Language
Press SET key, move the cursor to language setting, press Conj. Key to set language,
choose the needed language then press Conj. System will be restart and change to the
needed language.
2) Setting basic parameter
Users can set Alarm, Warning Volume, Date, Time, Dept., Bed, Heat Temperature, IV
set, Occlusion level and Accuracy in basic parameter interface.
Temperature Ranges from 25-50 ℃ , Occlusion Level of High, Middle and Low. Accuracy
range from ± 35%. The machine will choose the corresponding infusion specification
according to the IV set.
Setting Date and Time: Move the cursor to date setting, press Conj. Key to set the date and
time. Users can set time and time format (yy-mm-dd, mm-dd-yy, dd-mm-yy). Then press
Conj. Key to save the modification and return; If you press the Return Key directly, the
screen return, but the date setting would not be saved.
3) Calibration
Function of Calibration is to calibrate the accuracy of IV set, we need beaker, balance
(measure the actual infusion volume) to calibrate. In calibration mode, the constant rate is
100ml/h and unchangeable, infusion volume range is 10ml-550ml. Only the infusion
finished, will the calibration setting appears, the cursor stays on calibration setting.

Calibration method:

○
1 set the infusion volume, put the needle into beaker, press Start key to infusion. When

the infusion finished, cancel the infusion complete alarm, then calibration setting appears.

25
 ○
2 Use the balance to weigh the infused volume, input the data, then press Conj. Key to

finish the setting, and press return key, it will calculate the infusion accuracy automatically,
save the setting and exit the calibration interface, calibration complete.
4) Setting NIBP&SPO2
Users can set the Alarm High limits and Low limits of NIBP&SPO2 (optional parameter),
Patient type and Working Mode.
Alarm high and low limits: spo2, pulse rate, SBP, DBP. Alarm limits.
Patient type: Adult, Pediatric and Neonate.
Working mode: Auto, Manual mode for 1 mins, Auto 2 mins, Auto 3 mins, Auto 4 mins,
Auto 5 mins, Auto 10mins, Auto 15mins, Auto 30mins, Auto 60, Auto 90mins, constant
5mins.
Manual mode: users start to measure SpO2 by themselves.
Auto mode: the machine starts to measure SpO2 at intervals automatically, users can
define the time to rework.
Constant mode: machine starts to measure the SpO2 constantly, and will stop until the
times up.

4.14 Other functions

1) Purge
Method: F-F will blink on the display screen, the pump begins purging if pressing the key
again within 3 seconds and holding it.
The function of Purge is difference in working and non-working status
In working status—it is mainly applied to increase infusion volume temporary, upon the
purge finished, the purge volume will be added in total infused volume.
In non-working mode—it is mainly applied to expel the air bubble from the IV tubing and
lavage.
2) KVO
When infusion completed alarm occurs, KVO function begins to work. It aims to keep

26
vein open, prevent blood backflow or blood coagulation. For KVO rate, please refer to 2.3.
3) Heating function
Heating function is suitable for the following situations: ambient temperature is below
15℃ or there is requirement for the fluid medication temperature. The Heating controlling
system is optional, it can be set to control the drug’s temperature in IV tubing safety.
Turn the pump on, open the door, slide the heating switch to On position, Heating function
begins to work.
Set heating temperature: choose main interface—set—set basic
parameter—heat—temperature.

Note: the adjustable maximum temperature is 50℃, but the actual temperature may not
reach the target value because of the factors such as ambient temperature, flow rate and
etc.
IV set tubing should be installed at the following groove to heat the temperature. (see as
picture 4-5)

Picture 4-5

Chapter 5 Alarms
This device has infusion alarm and NIBP&SPO2 alarm (if it has NIBP&SPO2 function).

5.1 Infusion alarm

Infusion complete alarm, Air Bubble alarm, Occlusion alarm, Door open alarm, Empty alarm,
Faulty signal alarm, Low battery alarm, AC power off alarm.
1) Infusion complete alarm

27
 When the target volume completed, sound and light alarms occur, the pump switchs to
KVO mode, KVO would be displayed on the screen.
2) Air Bubble alarm
When the air and bubble enter into the tube and go through the bubble detector, the
pump stops to infuse, bubble alarm light on and audible alarm occurs, wrong hint displays
on the screen. The pump begins to re-infuse until the air bubble is eliminated.
Note: The pump will not detect the air bubble when it stops infusing, you can eliminate the
air bubble by pressing purge button, but be sure the IV set is not connected to human body.
3) Occlusion alarm
In working mode, when the needle or IV set are occluded, occlusion alarm light on,
visible and audible alarm occurs, the pump stops working, solve the fault or press Mute
button to clear the alarm. The threshold and trigger time of occlusion alarm depend on
occlusion pressure, flow rate, the hardness of the IV tubing and the blocked section of the
IV tubing. For pressure levels of occlusion alarm, please refer to Chapter 2.3 Specifications.
When the pump runs at medium rate (25ml/h) and lowest rate (1ml/h), the trigger time is
shown as the Chart 1. Select a proper pressure level according to the actual situation after
clearing the occlusion fault. The maximum infusing pressure of the pump is 150kPa.

Flow Rate 1 ml/h 25 ml/h

Pressure Level low high low high
Trigger Time 1h 2h 5 min 5 min
Chart 1
4) Door Open Alarm
In working mode, pump stops infusing when the door is open. Alarm light and Door
light on and with audible alarm. In non-working mode, only the door light on when door is
open, it will not have audible alarm. Infusion pump cannot to infuse if the door is open.
5) Empty Alarm
In rate mode, the pump stops working when the infusion bottle becomes empty,
occlusion occurs or the drip detector detects no signals. Empty is displayed, sound and
light alarms occur. Press Mute key to clear the alarms, press Confirm to return to main

28
menu. Continue to work after replacing with new medication or clearing the fault.
Note: Empty alarm will only be occurred in Rate mode.
6) Faulty Signal Alarm
In rate mode, the pump stops working when the drip detector fails or the detecting area
is blocked, sound and light alarms occur, alarm light and signal light on. Clear the alarms,
restart the pump and the pump continues to work.
7) Low Battery Alarm
When the battery is low, the battery icon will blink intermittently in red, and the pump
gives intermittent sound alarm. Press Mute key to clear the alarm, the pump usually can
work for 30 minutes at the rate of 25ml/h. The pump will stop working at least 3 minutes
before the battery is exhausted. The pump must be connected with AC power to continue to
work.
Note: After connected to AC power, the Power light on and the battery starts charging.
8) AC power off alarm
The Power light will be off and pump will give sound alert when AC is not connected.
The battery icon displays the current power value.

5.2 SPO2 & NIBP alarm

1) SPO2 alarm
Spo2 sensor off alarm: no finger to detect by sensor.
Searching alarm: Module are searching for sensor signal
Ultra limit alarm: When the measured spo2 or pulse rate are higher than the high limit value
or lower than the low limit value, the color of measured words would be changed from red
words in black background to black words in red background, accompany with audible
alarm and sparking alarm icon.

2) NIBP alarm
Loose cuff alarm: cuff is loose or connected to the machine;
Air leak alarm: valve or air load is leaking;

29
 Weak signal alarm: patient’s pulse rate is weak or cuff is too loose;
Fault air pressure: air pump cannot be opened;
Exceed the limit alarm: patient’s SpO2 value exceeds the measure range.
Over exercise alarm: there is too much interference or motion artifact when measuring
the signal;
Over pressure protection alarm: pressure of cuff exceeds the normal reach;
Time out alarm: measuring time exceeds the regular time.

5.3 Alarm cancellation

When the infusion alarms occurs, press Mute button to clear the voice temporary, press
Stop button to cancel the alarm directly. Alarm would be revived automatically after cancel
the alarm for 90 seconds.
When the nibp&spo2 alarm occur, it cannot be cleared by manual operation, press Mute
button to clear the alarm temporary or the alarm will be relieved after 45 seconds
automatically.
Note: when occlusion alarm occurs, the device would start infuse again if the alarm is
relieved before press Stop button to cancel the alarm.

Chapter 6: Maintenance

◎The instrument must only be maintained by well trained professionals.

◎Do not use benzene, acetophenone or other organic solvents as cleaning agent; wipe the
exterior of the pump with a soft cloth sparingly dampened with cleaner, then remove the
cleaner with a soft cloth sparingly dampened with water, finally dry the exterior with a soft
cloth and place the pump on a dry shelf.
◎If the Power light is not lit after connecting the pump to external power supply, please
contact the manufacturer or dealer for professional repair. Unauthorized repair may cause
more damage or danger.

30
◎Considering the service life of the components and safety of medical instruments, it is
recommended that the service life of the pump do not exceed 7 years. The instrument may
become unreliable after 7 years use, which will cause danger.
◎Unplug the pump before replacing the fuse, the fuse is of fast blow type, specification:
F1AL/250V (“F” indicate fast, “L” indicate low breaking capacity ).
◎Maintenance of Rechargeable Battery:
When the pump is idle, please turn it off, so as to extend the service life and protect the
internal battery, avoiding damage to the battery due to excessive discharge.
The inspection of charge/discharge should be performed once a month, so that the battery
can power the pump when AC power fails.
Please charge the battery every three months if the pump is in long term idle status, so as
to avoid the battery losing capacity due to self discharge.
◎When recovering the pump from long term idle status, please reset the system time, and
perform the inspection of charge/discharge. The internal battery provides 500
charge/discharge cycles, contact the manufacturer or dealer if the battery capacity
obviously decreases or fails to be charged & discharged. Unapproved battery and
unauthorized repair is prohibited.
◎The used disposable IV set should be disposed according to the operating standard of
medical wastes.
◎Our company can provides upon request the circuit diagram, components list and other
materials specified by the standard (GB9706.1-2007 6.8.3C).
◎The memory chip of this pump can store the data for more than 20 years.
◎Periodical inspection and maintenance should be performed at least once a year.
◎This pump from the data of purchasing, our company provides free of replacement within
one month and five years warranty if any damage occurred. If product is damaged within
one year warranty, it should be send back to our company for maintenance, all the
maintenance charge and freight are on our company charge (except the internal battery
and if it is damaged artificially).
◎Do not pinch the rubber tube of NIBP cuff
◎Do not allow water or cleaning fluid invade into the coupling socket which is at the rear

31
end of the infusion pump to prevent damage to the instrument
◎When cleaning the device, do not clean the internal of coupling socket, clean the
peripheral of it
◎Disposable NIBP cuff must be recycled or disposed appropriately, for environment
protection.
◎Do not sterilize the spo2 sensor by high pressure way, do not immerse the sensor into
any fluid.
◎Do not use the sensor if it has symptom of damage or metamorphic.
◎Free maintenance is not suitable for the following situation:
1. Damage caused by fault installation, usage, maintenance and storage of customers;
2. Expire the warranty period;
3. Inconsistence or altered warranty certificate or effective certificate
4. The device is dismantled without the permission of our company;
5. Damage caused by exogenous action;
6. Damage caused in transport and loading for repairing;
7. Damage caused by force majeur, such as earthquake, flood, fire, lightning or other
uncontrolled natural calamities;
8. Damage caused by other exogenous reasons.
Note:

○
1 If the product has performance problems and hasnot any appearance damage within

one month of purchasing date, it can be replaced by an new product in the same model
after the confirmation of our technical persons;

○
2 Any maintanence caused by fault usage or if the product expires warrenty, all the

spare parts cost are on customers’charge.

○
3 The standard maintanence period of internal battery is months according to

relevant state regulations, if it expires the warranty period, the replacement cost is on
customers’ charge.

○
4 Power cable, pachage and appendix( User Manual, Warrenty card, Qualification) are

not included in warrenty.

32
 ○
5 In case of product damage, please package the product appropriately when

returning it back to our company.

○
6 This warrenty is only suitable in China( not including HongKong, Macau and Taiwan)

Chapter 7: Trouble Shooting

Fault Cause Solution

Reload IV set according to
IV set is incorrectly loaded.
the manual.
Drip detector is not installed Reinstall Drip detector
Flow rate inaccurate
or incorrectly installed according to the manual
Calibrate IV set according to
IV set is not calibrated.
the manual.

In switch off status, IV set is incorrectly loaded.

Readjust IV set.
drops falls from IV Or IV set is unqualified.
Parts damaged, deformed, Readjust or replace parts
tube
or screw loose. (Performed by professionals)

Battery has been damaged Charge the battery

Battery cannot be charged
Built-in battery is not
Insert the built-in battery
inserted
Charging or replace the
Low battery
battery
Switch on, display is 1) Switch off, restart the
black pump.
System error
2)contact manufacturer or
dealer for repair
Cuff is leaking Change the NIBP cuff
Abnormal NIBP data
NIBP module is damaged Change the NIBP module

33
 NIBP module is not powered
Provide the voltage at 12V
at 12V
Connect the sensor to
Sensor has been taken off
patient’s finger
Sensor is damaged Change the sensor
SPO2 cannot be The spo2 socket is not Connect the cable and
detected connected properly socket properly
Spo2 signal cable is
Re-connect the signal cable
loosening
Spo2 module is damaged Change the module

Appendix A Packing List

A.1 Main Unit and Accessories

◎Main Unit 1 ◎Heater 1

◎Power Cord 1 ◎NIBP cuff(optional) 1

◎User Manual 1 ◎Spo2 sensor(optional) 1
◎Drip Detector 1

34