McKinley T34 Syringe Pump

Training Aid

DISADVANTAGES OF T34

[ When compared with Graseby ]

• Weight

• Size

• Battery life

ADVANTAGES OF T34

• SINGLE MODEL, THEREFORE NO CONFUSION

• 3 POINT CONTACT DETECTION• SYRINGE RECOGNITION• AUTOMATIC CALCULATION• LCD AND INSTRUCTIONS• PUMP CAN BE CONFIGURED• LOG EVENT MEMORY• SUPERIOR RANGE OF ALARMS

Dock / Connection Port

Check Service Date

Open Battery Compartment

T34-Battery fitting and Testing

• 9 volt alkaline or lithium battery only.• Variation in size between different

brands (do not force into compartment)• Battery Test

– Switch the pump on– Press INFO key– Select battery life using ↓↑ keys,

press YES– Verify sufficient battery power for

programme. – Replace when battery level 35% or

below

T 34 Keypad

1. INFO; access event log, Set Up (code protected), battery status, keypad lock.

2. UP/DOWN arrow keys- scroll through options3. YES/START key- confirms selection/starts infusion. 4. NO/STOP- step back a screen/stops infusion.5. FF (forward)-moves actuator forward6. BACK-moves actuator back7. ON/OFF

Instructions

L.C.D. Screen

T34 LCD Screen

• 4 Line Liquid Crystal Display (LCD)• Backlit – activated on any key press (time adjust/

disable)• Displays infusion parameters and user instructions

T34- 3 Point Contact Recognition and Syringe Loading

1. Barrel clamp arm- (detects syringe size/width of barrel, secures)

2. Syringe ear/collar sensor (detects secure loading of syringe collar)

3. Plunger sensor (detects secure loading of syringe plunger)

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Access Codes and Keypad Lock• Secure user access codes (2) - prevent misuse• Access codes not provided to local users as it is envisaged that all

subcutaneous infusions in palliative care will run over a 24 hour period

• Keypad lock– Press and hold INFO key to lock, repeat to unlock

Infusion set up and Programming

• Draw up prescribed medication and diluent to a minimum volume of 12 millilitres in the syringe. The volume may need to be greater than this in some circumstances.

• Manually prime the extension set and Saf-t-intima set.• DO NOT load syringe, ensure barrel clamp bar is down. • Switch the pump on.• Screen displays the following …..Pre-Loading…. message

•when pre-load has finished use the FF or BACK keys to adjust the actuator position if required (forward movement limited + no clutch)

Syringe Placement• Lift the barrel clamp• Seat syringe collar/ear and

plunger so the back of the collar/ear sits against the back of the central slot (ensure correct placement)

• Lower barrel clamp arm• Screen syringe graphic

ceases to flash at each point as syringe is correctly seated.

• If any point continues to flash, check the placement at that point.

Syringe Detection and Confirmation

• confirm syringe size and brand match screen message. Press YES key to confirm or scroll to view closest matches

Summary Screen and Starting the Pump

• The summary screen confirms:– Volume to be infused– Duration of infusion– Rate (ml/h)

• Press YES to confirm

• Pump prompts START INFUSION?

• Check line is connected to access device or insert cannulae, ensure clamp is off and press YES to start infusion

• What are the indicators that the pump is infusing?

Running Screen• Top line - Infusion Duration remaining is displayed • Main line - Infusion rate is displayed in ml/hr• Bottom line alternates between syringe size/brand and the

message <<<< pump delivering (in case keypad LED disabled)• Green LED indicator (above ON/OFF key) flashes. (frequency

fixed in Change Set up mode/ can be disabled to extend battery life)

Program Lock• If the Program Lock is ON

– Pre-set duration is locked ( at 24 hours )– User cannot change VTBI, volume to be infused. (entire syringe contents

will be delivered)– User cannot change infusion rate calculated by the pump

• Infusion Summary Screen is displayed immediately after syringe confirmation

• Check & Confirm Infusion Parameters and Start Infusion

Recommended Checks During Infusion

• Check the display- pump is delivering & infusion rate is as programmed

• Press the INFO key to check -– Single press – VTBI &

VI (volume infused)– Double press- battery

life remaining

Alarm ConditionsAlarm Possible Cause Action

Occlusion or Syringe empty Pt access device blocked, kinked, clamped. Occlusion.

Actuator has reached minimum travel position

Remove occlusion and restart.

Flush or replace access device

Release clamp

End of program, turn pump OFF

Syringe Displaced Syringe has been removed or displaced

Check & Confirm syringe seated correctly and Resume

Pump Unattended Pump left or no key presses detected for 2 minutes

Start infusion, continue programming or switch off

Near End 15 minutes from end of infusion

Prepare to change syringe or switch off

End Program Infusion Complete Pump will either default to KVO, await nurse, or alarm, switch pump off

Low battery Battery is almost depleted (30 minutes left)

Prepare to change battery

End Battery Battery is depleted Change battery

TroubleshootingFault Possible Cause Action

The pump will not start No battery present

Battery inserted incorrectly

Battery is depleted/very low

Pump is faulty

Fit a battery

Re-align battery terminals

Fit a new battery

Service required

Infusion ended early/going too quickly

Incorrect rate set

Wrong syringe brand confirmed during set up

Pump faulty or incorrectly calibrated

Check displayed rate against prescription change if necessary

Ensure correct understanding of user/educate

Service/calibration required

The pump has stopped before emptying syringe

Exhausted battery

Faulty pump

Fit new battery, turn pump on, confirm syringe size and brand select to resume infusion

Return for service

Patient Safety

• Optional accessories available:– Rigid lockbox (with key) for all syringes up to

30ml– Carry pouch to protect pump and/or lockbox

• Use of these accessories protects the syringe pump, syringe and contents from damage and/or tampering

Inspection and Maintenance

• Inspect Box contents– Damage– Missing items

• Cleaning - damp cloth, weak 10% bleach solution to decontaminate, do not immerse in any fluid

• In case of malfunction make a written note of: -– Pump serial number (see back of unit)– Circumstances (as detailed as possible)– screen messages/error codes (press info key to

obtain) and note– withdraw pump from use and return to

authorised service engineers for inspection

McKinley Contact Details& Reference Materials

• McKinley office Tel: 01253 894646 (info@mckinleymed.co.uk)• Clinical Support Tel: 07786 077920

(gmckenzie@mckinleymed.co.uk)• Tech. Support Tel: 01253 894729 (service@mckinleymed.co.uk)

• Patient Reference Guide (Ref:0504T34PIL)• User Pocket reference

– (Abridged – Program Lock ON) (Ref: 0505T34PRA)• User Pocket reference

– (Full – Program Lock Disabled) (Ref:0504T34PRF)• T34 Instruction manual (Ref: 100-090SM)

WARNING !•When changing infusion switch the pump OFF.

•This screen will appear if the battery goes flat and is replaced without the syringe being removed or if the syringe contents are changed and the pump is not switched off [but just stopped].

•‘NO for new program’ always defaults to 24hrs. ‘Yes to resume’ protects the prescription i.e. it continues at the same rate [volume and time may change].