Dr A Ruthven – Version 1.2 – November 2021
PROGRAMMING THE PUMP
1. Open the white battery cap by twisting anticlockwise and pulling. Insert 2 x new AA batteries.
2. Turn on the pump – replace the white battery cap and twist it clockwise until black and white lines align.
3. The pump will be in pause mode – a flashing ; will be displayed.
4. Clear the pump history (READ THIS ENTIRE STEP BEFORE STARTING):
• Press and hold !!for 2 seconds – pump beeps & displays ‘Hx’.
• Release and immediately then re-press and hold for 2 seconds – pump beeps & displays ‘Hx O’.
• The history has now been cleared. If ‘Hx O’ was not displayed, repeat this step until it is.
5. The pump remains in pause mode – a flashing ; will be displayed.
6. Press and hold both and ! together for 2 seconds until a beep is heard & PRO is displayed briefly.
7. Flashing PIb should be displayed. If not, press to cycle through modes until PIb is displayed.
8. Press and hold !!until a beep is heard to select PIb mode.
9. Set the desired dose (d) i.e. programmed intermittent bolus volume by tapping to increase / !to
decrease (see prescription charts for suggested doses). Do not press and hold buttons to change faster.
10. Press and hold !!until a beep is heard to confirm the dose & repeat for the decimal.
11. Int will be displayed then disappear. Set the bolus interval to 4:00 (4 hours) in the same way (tap
and !!to change, press and hold !!to confirm).
12. Set the ‘volume to be infused’ to the same as the volume of the attached local anaesthetic bag.
Note volumes vary between drug manufacturers – please check carefully when programming pump.
13. A flashing ;signifies programming is complete. The pump remains in pause mode.
14. Press !to review programming. The settings will be displayed then the pump resumes pause mode.
15. If you have made an error at any point you must repeat the entire process (go back to step 6).
STARTING THE PROGRAM
Do this ASAP after loading dose given (even if pump not yet attached to catheter)
1. Press to start the program. If you have not already reviewed the program settings, these will be
displayed in sequence and you then need to press again to start the program.
2. A flashing green light under !!shows that the program is running. The display should show 0.0ml.
Do not press !!within 60 seconds of starting the program or an initial bolus will be delivered.
If !!is pressed in error and an inadvertent bolus is started, see box below.
3. If the display shows a volume other than 0.0ml, the history has not been successfully cleared. Press
to pause the pump and repeat step 4 under ‘programming the pump’ above, then press to restart.
4. Place pump & local anaesthetic in black carry bag, being careful not to kink tubing within the bag.
5. Document date/time program started on prescription chart.
REVIEWING THE CURRENT PROGRAM SETTINGS
1. Press to pause the pump – a flashing ;is displayed.
2. Press ! – the display shows ‘Rx’ then cycles through:
• Program type (should always be set to PIb)
• Programmed intermittent bolus volume (e.g. 20-30ml)
• Dosing interval (should always be set to 4:00 i.e. 4 hours)
• Volume to be infused remaining
3. The pump remains in pause mode with a flashing ;displayed.
4. Press !to restart the program. !!flashes green to show the pump is running & the display shows
the total volume infused since the history was last cleared.
STOPPING AN INADVERTENT INITIAL BOLUS
1. Press to enter pause mode and stop bolus administration. A flashing ;is displayed.
2. Clear the pump history (READ THIS ENTIRE STEP BEFORE STARTING):
• Press and hold !!for 2 seconds – pump beeps & displays ‘Hx’.
• Release and immediately then re-press and hold for 2 seconds – pump beeps & displays ‘Hx O’.
• The history has now been cleared. If ‘Hx O’ was not displayed, repeat this step until it is.
3. Press !to restart program. !!flashes green to show the pump is running & the display shows 0.0ml.
