BD Alaris™ PK 注射泵 取扱説明書

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取扱説明書
s
Alaris® PK
80053UN01
zh
1000DF00644 6
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Alaris® PK
简介 ...........................................2
关于本手册 ........................................3
TCI
概述 .........................................3
创建数据集 ........................................6
泵的功能 .........................................7
控制按钮和指示灯 ....................................8
符号定义 .........................................9
主显示屏功能 ...................................... 10
操作注意事项
..................................... 12
准备开始 ........................................ 14
....................................... 16
启动泵 ......................................... 19
基本特性 ........................................ 22
使用期间的操作 ..................................... 24
警报和警告 ....................................... 26
警报和警告 ....................................... 27
配置选项 ........................................ 28
规格 .......................................... 32
兼容注射器
...................................... 34
相关产品 ........................................ 35
兼容延长管
...................................... 36
维护 .......................................... 37
闭塞压力限度
..................................... 39
红外数据传输、
RS232
转换器和护士呼叫器规格 ....................... 40
喇叭形曲线和启动曲线
................................. 42
TCI
模式图解 ...................................... 43
备件
......................................... 46
服务联系方式
..................................... 47
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Alaris® PK
Alaris® PK
4
1. /
2. (TIVA)
3. TCI (TIVA)
4. TCI
(TCI)
(TCI)
Alaris® PK
/
Alaris® PK
Alaris® PK
Alaris® PK Alaris® PK
(DFU)
TCI
/
CareFusion - - TCI
- Alaris® PK
TCI
(ASTRA-ZENECA) TCI Marsh
TCI Minto Gepts
w
CareFusion
Alaris® PK
Alaris® PK
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Alaris® PK
Alaris® PK
1.0 / 5.0 /
w
CareFusion www.carefusion.com
CareFusion
PURGE
ON/OFF/
w
TCI
-
1
/
1
Kruger-Thiemer
2
Schwilden
3
80 90 TCI
(V1) (V2)
(V3)k
12
k
21
k
31
k
13
k
10
2
TCI
TCI
TCI
cl2
k
12
k
21
k
31
k
10
k
13
cl1
V2 V1 V3
cl3
2
4
90
TCI
Cp50 Cp95 50% 95% Ausems
5
90
6 7 8
3
k
1e
k
eo
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Alaris® PK
TCI
k
eo
TCI
3
cl2
k
12
k
21
k
31
k
10
k
eo
k
13
cl1
V2 V1 V3
cl3
3
-
TCI Alaris®
PK
TCI
TCI /
1. Danhof M: Does variability explain (all) variability in drug effects ?, Topics in pharmaceutical science. Edited by Breimer DD, Crommelin DJA, Midha KK. Noordwijk, Amsterdam
Med. Press BV, 1989, pp 573-586
2. Kruger-Theimer E: Continuous intravenous infusion and multicompartment accumulation. Eur J Pharmacol 1968; 4: 317-324
3. Schwilden H: A general method for calculating the dosage scheme in linear pharmacokinetics. Eur J Clin Pharmacol 1981; 20: 379-86
4. Shafer SL: Towards optimal intravenous dosing strategies. Seminars in Anesthesia 1993; 12: 222-234
5. Ausems ME, Hug CC, Jr., Stanski DR, Burm AG: Plasma concentrations of alfentanil required to supplement nitrous oxide anesthesia for general surgery. Anesthesiology 1986;
65: 362-73
6. Schnider TW, Minto CF, Stanski DR: The effect compartment concept in pharmacodynamic modelling. Anaesthetic Pharmacology Review 1994; 2: 204-213
7. Shafer SL: Principles of pharmacokinetics and pharmacodynamics., Principles and practice of anesthesiology. 2nd Edition. Edited by Longnecker DE, Tinker JH, Morgan GE.
New York, Mosby-Year Book, 1998, pp 1159- 1210
8. Shafer SL, Gregg KM: Algorithms to rapidly achieve and maintain stable drug concentrations at the site of drug effect with a computer-controlled infusion pump. J Pharminet
Biopharm 1992; 20: 147-69
TCI
Alaris® PK /
/
TCI
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Alaris® PK
TCI
Alaris® PK
Marsh
16
/
15 /
Vc = 0.228 x x
-1
)
k
10
= 0.119
-1
k
12
= 0.112
-1
k
13
= 0.0419
-1
k
21
= 0.055
-1
k
31
= 0.0033
-1
k
eo
= 0.26
-1
Marsh Brit J Anaesth1991 67 41-48
Minto
12
/
20 /
Vc = 5.1 - 0.0201 x - 40+ 0.072 x (lbm - 55)
V2 = 9.82 - 0.0811 x - 40+ 0.108 x (lbm - 55)
V3 = 5.42
cl1 = 2.6 - 0.0162 x - 40+ 0.0191 x (lbm - 55)
cl2 = 2.05 - 0.0301 x - 40
cl3 = 0.076 - 0.00113 x - 40
k
10
= cl1 / Vc
k
12
= cl2 / Vc
k
13
= cl3 / Vc
k
21
= cl2 / V2
k
31
= cl3 / V3
k
eo
= 0.595 - 0.007 x - 40
Minto Anesthesiology1997 86 10-33
Gepts
12
/
2 /
Vc = 14.3 l
k
10
= 0.0645
-1
k
12
= 0.1086
-1
k
13
= 0.0229
-1
k
21
= 0.0245
-1
k
31
= 0.0013
-1
Gepts Anesthesiology1995 83 1194-1204
5.6 k
eo
k
eo
= 0.17559
-1
Shafer Anesthesiology 1991 1
74(1) 53-63
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Alaris® PK
Alaris® PK
Alaris® PK Editor (1000CH00016)
1. Alaris® PK Editor
* TIVA TCI
PK/PD
Alaris® PK
2. Alaris® PK Editor
*
**
3. ALaris® PK Editor
4. Alaris® PK Alaris® PK Editor Transfer Tool
5.
Alaris® PK CRC
Alaris® PK Verification Tool
CRC
CRC
CRC
6.
w
**
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Alaris® PK
/
/
RS232
(PE)
(
M
D
I
)
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Alaris® PK
a
/ - 3
b
- LED
h
- LED
c
- 2 3 60
i
/ -
(VI)
-
VI
d
-
e
-
f
- /
g
-
j
-
30
S
-
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Alaris® PK
w
x
(PE)
y
RS232/
l
CF
IPX1
r
s
2007/47/EC 93/42/EEC
T
t
U
W
EC REP
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Alaris® PK
TIVA
TCI
CONFIRM TIME
TCI
-
MORE
MORE
BMI 21.6
BACK TCI 20 TCI
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Alaris® PK
l
-
N
-
C
D
E
F
-
-
-
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Alaris® PK
3
/
I
CareFusion
IV
J
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Alaris® PK
A
V
RS232/ RS232/
(ESD)
L
M
CareFusion
(MRI) MRI MRI
MRI CareFusion
(EMI)
(TSM) CareFusion
EMC CareFusion
CISPR 111 A
IEC/EN60601-1-2 IEC/EN60601-2-24
K
15 10 /
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Alaris® PK
w
1.
2.
Alaris® PK
CD
3. 2.5 S
1. Select Language
2.
f
3. OK
w
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Alaris® PK
w
15 40 mm
I.V.
*
*
1.
2.
w
/ *
I.V.
w
每次使用前,请检查杆夹:
无任何过度磨损迹象,
延伸的可安装位置无过度松动的迹象。
如果观察到这些迹象,必须停用该泵并由专业的维修人员进行检查。
/*
/* 1025mm
1. /*
2.
3.
4.
5.
*Alaris® DS Alaris®
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Alaris® PK
9 10
PURGE SYRINGE(排空注射器) PURGE (排空)
w
< 0.5 /
w
Alaris
CC
w
w
w
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Alaris® PK
w
1.
2.
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Alaris® PK
3.
w
4.
5.
6.
7. CONFIRM
TYPE
CONFIRM
TYPE
IVAC 50
ON HOLD
PURGE SYRINGE
w
CareFusion
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Alaris® PK
1.
2.
a
3.
a) NO SELECT PROFILE
OK
b) YES TCI MODETCI
4. TCI MODETCI - YES TCI NO TIVAMODETIVA
Alaris® PK TCI TIVA
TIVA TIVA
TCI
TIVA
1. f OK
INFO INFOml/h
2. CONCENTRATION-
a) OK
b) OK MODIFY
3. WEIGHT -
f OK
4.
f OK
AGE
HEIGHT
GENDER
LBM and BMI
5. CONFIRM OK MODIFY
6. INDUCTION-
f OK
OFF OK
7. TIME - OK
8. MAINTENANCE - OK
w
9. -
10. - TYPE
CONFIRM
11. -
i PURGE
12. -
13. -
b INFUSING
b YES
OVERRIDE LIMIT OVERRIDE LIMIT NO
w
VOLUME Ce/Cp
14. -
h ON HOLD
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BD Alaris™ PK 注射泵 取扱説明書

タイプ
取扱説明書