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Accumate

2300

Volumetric Infusion Pump

Operating Manual
www.wooyoungmed.com

Log
o

Important

This Operating Manual is for clinician


use only.
Do not permit patients to have access
to this Operating Manual.
Please read the entire Operating
Manual before operating the Accumate
2300 volumetric infusion pump.
Failure to properly follow warnings,
cautions and instructions could result in
death or serious injury to the patient.

Warnings

If the pump is used to deliver life-sustaining


medication, an additional pump must be available.
Prior to use, always check the audible and visual
alarms.
The pump is not to be used for delivery of blood or
cellular blood products.
Do not use this pump on mains power if the integrity
of the protective earth system is suspect.
To prevent a possible explosion hazard do not use
this pump in presence of inflammable anesthetic
gases.
Do not use this pump in close proximity to equipment
such as surgical diathermy with generates high levels
of RFI.
Do not permit the use of mobile telephones in wards
where this pump is in use.
If the pump is dropped or hit, inspect the pump for
damage. Do not use a pump that is damaged or not
functioning properly. Contact Customer Service to
return a pump for service.
Do not permit this pump to used if standing in a pool
of liquid.
System delivery inaccuracies may occur as a result
of back pressure or fluid resistance, which depends
upon drug viscosity, catheter size, and extension set
tubing.
3

Warnings

Always read and follow the manual that accompany


the source container and IV administration sets you
are using. Carefully follow the manual for loading,
removing, and reloading the set, as well as
recommended set change intervals.
Change pumping section on tubing every 24 hours.
Do not use tubing for more than 72 hours.
Always check pump data prior to starting infusion.
After starting an infusion, make sure drops are falling
in the drip chamber. If no drops are falling, make sure
the roller clamp is open. If the roller clamp is open
and still no drops are falling, replace and dispose of
the set.
The air detector cannot recognize the introduction of
air at 3-way stopcocks, infusion ports, and other
lines/tubes below the pump.
To avoid mechanical or electronic damage, do not
steam autoclave or immerse the pump in any fluids
or cleaning solutions. Always disconnect electrical
power cord from outlet before cleaning to prevent
electrical shock.

Cautions

Do not operate the pump at temperatures below


+10C(50 F) or above 40C(104F) and humidity
levels below 30% or above 85%.
Do not store the pump at temperatures below
+5C(41 F) or above 40C(104F) and humidity levels
below 10% or above 90%. Do not store the pump
with the Administration Set attached.
Do not store the pump for prolonged periods with the
battery installed (above 3months).
Do not immerse the pump in cleaning fluid or water
or allow solution to soak into the pump, accumulate
on the key pad, or enter the battery compartment.
Do not clean the pump with acetone, other plastic
solvents, or abrasive cleaners.
Do not use the pump to therapeutic levels of ionizing
radiation.
Do not use the pump directly to ultrasound.
Do not use the pump in the vicinity of magnetic
resonance imaging (MRI) equipment.
Do not use the pump near ECG equipment.
Do not sterilize the pump.
All service and repair of the Accumate 2300 pumps
must be performed by Woo Young Medical or its
authorized agents.

Table of Contents

Introduction ......................................................... 7
Features of the Accumate 2300

Directions for Operation

Preparation of the IV-set ..............................................................12


Turning ON the Power - Rear ............................................................13
Turning ON the Power - Front ...........................................................14
Insertion of the IV-set ................................................................15
Setting the Flow Rate and Delivery Limit ...........................................17
Clearing the Volume Delivered ..........................................................18
Operating the Pump .............................................................18
Purge Infusion (stop mode) ...............................................................19
Bolus Infusion (start mode) ...............................................................19
Titration .................................................................. 20
Da ta L ock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Adjust Sound .................................................................. 22
Occlusion Level ................................................................ 23
Near End of Infusion ............................................................ 24
End of Infusion ................................................................... 25

Alarms and Troubleshooting .....................................................26


Specifications .......................................................... 28
Maintenance

Front View & Key Pad ................................................................. 8


Controls and Indicators ................................................................. 9
Rear View ........................................................... 10

Routine Maintenance Procedures ....................................................30


Cleaning and Storage ..................................................................31
Replacing the AC fuses ...................................................................32
Battery operation ................................................................. 33

Occlusion Pressure Limits ........................................................34


Start-up & Trumpet Curves ......................................................35
Warranty ................................................................38
Service and Packaging ............................................. 39
Contact ................................................................ 40
6

Introduction
The Accumate 2300 volumetric infusion pump is a fully
featured infusion pump suitable for critical care and
generation applications.
The Advantages
High precision.
Purge, automatic & manual bolus capability.
Easy to operate in only three steps.
Power On > Select (rate, total, VTBI) > Start
Easy to read, large display.
History function.
Historical data of infusion records.
(warnings, settings, starts and stops of infusion,
etc.)
Micro-infusion for neonatal and high risk application.
None dedicated sets, available from various
manufacturers.
Programmable, ultrasonic air bubble detector.
Multi-position clamp for vertical or horizontal fixation
to poles.
SAFETY STANDARD
The Accumate 2300 meets all safety standards for
medical electrical devices, corresponding to IEC
60601-1 and IEC 60601-2-24.
7

Features of the Accumate 2300


-Front View & Key Pad
a

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Controls and Indicators


NO.

Name

Function

Handle

To handle for carrying

Name Plate

To display the pump model and name

Display

All essential information is displayed (flow rate,


delivery limit, volume delivered, alarms
information)

Locker

To lock pump door

Key Pad

To set infusion data

Finger

To squeeze the tube with the spring housing by


peristaltic motion

Occlusion
Sensor

To detect the downstream occlusion of the tube

Clamp Lever

To prevent free flow when the pump door is


opened

Spring
Housing

To squeeze the tube with the peristaltic fingers

Door Handle

To lock pump door with locker

Door

To protect the tubing set when running

Door Magnet

To detect whether the door is open or not

Bubble Sensor

To detect air in the tube

LED

To indicates pump is infusing or lights up during


an alarm (normal : green, malfunction : red)

Controls and Indicators


NO.

Name

Function

Volume
Delivered

Displays Volume Delivered (VTBI:Volume To


Be Infused)

Delivery Limit

Displays delivery limit or alarms information

Flow Rate

Displays flow rate (infusion rate)

SELECT
/SILENCE

To select setting mode (flow rate, delivery limit,


volume delivered)
/ To silence alarm for 2minutes

BATTERY
LEVEL

To display the charging status of internal


rechargeable battery

EXTERNAL
POWER

To inform whether the external power is


connected or not

PURGE

To access PURGE or BOLUS key

POWER
ON/OFF

Press once to switch the pump ON. Press and


hold down for 2 seconds to switch the pump
OFF

START

To start the infusion

STOP
/CLEAR

To stop the infusion


/To clear the value when setting data

UP/DOWN

To increase or decrease of value shown on


display

10

Features of the Accumate 2300


-Rear View
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NO.

Name

Function

Multi-position Clamp

To fix the pump to vertical pole stand or horizontal bar of bed

Rear Support

To support to pole stand

Drop Sensor Port

To connect the drop sensor with the pump

Nurse Call/ Comm. Port

To connect the nurse call jack or communication cable

Front Panel Lock Switch

To lock the front key pad

12V DC Jack

To supply the power of 12V in ambulance car

Protective Ground

To connect the protective earth line

Spec Plate

To inform the product information

AC Outlet/Fuse Socket

To connect the AC 90~245V main power cord where the 1.25A fuse is

Rechargeable Battery

To hold the NIMH rechargeable battery

Power Switch

To switch the main power

Clamp Knob

To fix the clamp

11

Direction for Operation

Preparation of the IV-set


Check for cleanliness, completeness, and
damage. If unit appears damaged, do not use it.
Check the IV administration sets. If other IV
administration sets are used, the operating safety
of the pump can no longer be guaranteed.
Patient safety may, as a result, be compromised.
Recommended IV-set
BD(BECTON DICKINSON) :A122
KV(KOREA VACCINE) :143T/243T
Carefully purge the infusion set, without allowing
any air bubbles to enter, until the drip chamber is
to 1/3 full. If air has entered, repeat purgeprocedure.
Close the tubing roller clamp.
chamber
close

1/3

12

Direction for Operation

Turning ON the Power - Rear


Attach the pump to an IV
pole by turning the knob
on pole clamp.

Plug the pump's power


cord into an electrical
outlet.

Turn ON the MAIN POWER


switch. MAIN POWER switch
must be ON to charge the
battery.

13

Direction for Operation

Turning ON the Power - Front


Check whether the AC
power LED is turned on.
External Power LED display
will light.

Press the POWER ON key


on the front panel.
When turning the pump OFF, the
pump must be at STOP mode in
order for the POWER key to respond.

Wait the self test


procedure.

Check the previously


used data.

14

Direction for Operation

Insertion of the IV-set


Insert the IV-set chamber
into the IV bottle/bag. Fill 1/3
of the chamber.
Take cautions to avoid any air bubbles.

Open the door by pulling


the DOOR HANDLE.

Completely insert the IV-set


into the BUBBLE SENSOR.

Push the CLAMP LEVER to right


to open. Place the IV-set into
the clamp. This is a safety feature that
prevents free flow when the door is opened
during infusion.

15

Direction for Operation


Insert the IV-set in the occlusion
guide.

Check if the IV-set is


straightforward.

CAUTION : Make sure that IV tube is NOT loosely fastened into the internal
chamber of the pump. It should be straightforward.

Close the door by pushing


the tightly DOOR HANDLE.

The roller clamp should be below


the pump. Open the roller clamp
to be ready to infuse.
Check that no drops are falling in the drip
chamber.

16

Direction for Operation

Setting the Flow Rate and Delivery Limit


Press the SELECT key.
The digits in the LED digital
display will blink in 7seconds.

Use the UP() DOWN() keys to


set the desired rate of infusion.
The rate of infusion can be set
from 0.1 to 999.9ml/hr.

Press the SELECT key.


The digits in the LED digital
display will blink in 7seconds.

Use the UP() DOWN() keys to


set the desired volume to be
infused. The volume to be infused can be
set from 0.1 to 9,999ml.

17

Direction for Operation

Clearing the Volume Delivered


Press the SELECT key.
The digits in the LED digital
display will blink in 7seconds.

Press the STOP/CLR key.

Operating the Pump

Press the START key.

Check the three LED turned


on sequentially.

18

Direction for Operation

Purge Infusion (stop mode)


Press and hold the PURGE key
when the pump is not infusion.
Press and hold the PURGE key until fluid
flows and the purging of the IV-set is complete.
CAUTION : PURGE will infuse at the rate of 999.9ml/hr.
The volume used during purging will be displayed, but it is
not added to the volume delivered.
The pump will not purge if the lock has been enabled.

Bolus Infusion (start mode)


Press the PURGE key when the
pump is infusion.
PURGE will infuse at the rate of 999.9ml/hr.
The feature allows a bolus to be given during
an infusion.

Enter the amount of bolus to


be given in ml and Press the
START key. The amount of bolus
can be set from 1.0 to 99.9ml.

19

Direction for Operation

Titration (To change the flow rate while infusing)


Press the SELECT key.
The digits in the LED digital
display will blink in 7seconds.

Use the UP() DOWN() keys to


set the desired rate of infusion.
The rate of infusion can be set
from 0.1 to 999.9ml/hr.

Press the START key.

CAUTION : The pump will not titration if the lock has been enabled.

20

Direction for Operation

Data Lock (This features prevents unauthorized


use by locking out all key except SILENCE key.)
Turn ON [KEY LOCK] button
to lock the key pad on the
front panel.

Press the any key and


check the displayed in '----'.

Check the set up and pump


status again.

21

Direction for Operation

Adjust Sound (This feature allows the volume of


the alarm tone to be changed)
Turn ON [KEY LOCK] button
to lock the key pad on the
front panel.

Press and hold the SELECT


key and UP() /DOWN()
keys to increase or decrease
the sound level.

Select the volume of the alarm


tone to be changed.

caution : The volume of the alarm to change can be set from


1(45dB/1m) to 5(65dB/1m)

22

Direction for Operation

Occlusion Level (The pressure at which a


downstream occlusion alarm will be triggered
varied. The higher the pressure limit, the less
sensitive the pump is changes in fluid
resistance.)
Turn ON [KEY LOCK] button
to lock the key pad on the
front panel.

Press and hold the SELECT


key and UP()/DOWN() keys
to increase or decrease the
occlusion level.

Select the occlusion level


to be changed.
caution : The occlusion level to change can be set low(7 2psi),
center(11 3psi), or high(15 3psi).

23

Direction for Operation

Near End of Infusion (Sets the near end of


infusion warning time, as time left to End of
Infusion.)
Turn ON [KEY LOCK] button
to lock the key pad on the
front panel.

Press and hold the SELECT


key and UP()/DOWN() keys
to increase or decrease.

Select the near end of infusion


to be changed.

caution : The end of infusion to change can be set from 0(no set)
to 15minutes.

24

Direction for Operation

End of Infusion (The pump has reached the end


of the infusion)
In certain conditions the Accumate 2300
automatically switches to the KVO (Keep-VeinOpen) rate. The KVO-rate is set to 1.0ml/hr.
However, if the flow-rate set by the user is lower
than 1.0ml/hr, the KVO-rate is equal to flow-rate.
This alarm occurs 5 minutes
before infusion is completed.
Press the SILENCE key.

This alarm occurs when infusion


is completed. (KVO : Keep Vein
Open)
Press the STOP key to reset.

25

Alarms and Troubleshooting

Alarms are indicated by a combination of an


audible alarm, flashing alarm indicator and
abbreviated message in the display.
First press the SILENCE key to silence the
alarm for a maximum of 2 minutes, then check
the display for an alarm message. Press the
STOP key to cancel the alarm message.
If the infusion has stopped, rectify the cause of
the alarm then press the START key resume
the infusion.

26

Alarms and Troubleshooting


Alarm
Indication &
Sound

Possible Cause

Action

Air-in-line
Air
bb-bb-bb

Air bubble air-in-line sensor

Remove the air from the tube

IV tube not properly inserted


into the Bubble Sensor

Completely insert the IV


tube into the Bubble Sensor

Door Open
OPEn
bb-bb-bb

Door opened during infusion

Close the door

Occlusion
OccL
bb-bb-bb

Downstream tubing kinked


Filter blocked
Closed roller clamp
IV positional or infiltrated
Catheter or vein too small
Occlusion limit too low

Correct kinks
Correct blocked filter
Open roller clamp
Check IV site

Drive Error
Err
bb-bb-bb

Motor malfunction
Mechanical error

Request A/S
Request A/S

Low battery
BAtt
b-b-b

30 minutes until battery is fully


discharged

Connect pump to AC
power

End of infusion
End, conP
b-b-b

Programmed infusion is
complete

Stop infusion and reset

No Good
ng-?
silence

Self-Test NG
Internal Malfunction

Request A/S

27

Increase occlusion limit

Specifications
Name

Volumetric Infusion Pump

Model

Accumate 2300

Pumping System

Linear peristaltic

Flow Rate Range

0.1-999.9ml/hr (0.1ml/hr increments)

Delivery Limit Range

0.1-999.9ml (0.1 ml increments), 1,000-9,999ml(1ml


increments)

Total Volume

Equals to the upper limit of the delivery limit range

Purge Rate Range

Equals to the upper limit of the flow-rate range

Accuracy

+/- 5% nominal

KVO( Keep-VeinOpen)

0.1-5.0ml/hr(0.1ml/hr increments)
Adjustable occlusion[5.8-17.4psi(3 level : low, center, high)
Adjustable alarm volume (level up or down)
Infusion completed

Alarms

Low battery(30 min. before infusion stop)


Battery depleted(3 min. before power off)
Air-in-line
Door open
Drive error
Near End of Infusion
Titration while running
Self testing (System check)

Others
One key bolus
Front panel lock

28

Specifications
EMS

DC 12V

Electrical Safety

Class I, Type BF

Dimensions

140(W)*225(H)*140(D)mm

Weight

Approximately 2.5Kg

Power Requirements

AC 90-245V, 50/60Hz

Battery

Built-in rechargeable dc 12V(NI-MH 2.3Ah)

Battery Operation

Ca. 4hr @ 100ml/hr

Battery Charging
Time

7hrs

Operation Conditions

10-40(Relative humidity 30-85%)

Storage Conditions

5-40(Relative humidity 10-90%)

Accessories

AC power cord for 220V, Operating manual

Warranty

2 years from the date of delivery

Options

RS-485, nurse call, drop sensor

CAUTION : Specifications are subject to change without


notice.

29

Maintenance

Routine Maintenance Procedures


To ensure that pump remains in good operating
condition, it is important to keep it clean and carry out
routine maintenance procedures described below. All
servicing should only be performed by a qualified
service engineer with reference to the Technical
Service Manual for this product.
As required
Thoroughly clean external surfaces of the pump
before and after prolonged period of storage.
At least once per year
Inspect AC power supply plug and cable for
damage. Perform functional tests as outlined in
the Technical Service Manual. Operate the pump
on battery power until the battery low alarm then
charge the battery to confirm battery operation
and charging.

30

Maintenance

Cleaning and Storage


Before the transfer of the pump to a new patient and
periodically during the use, clean the pump by wiping
over with a lint-free cloth lightly dampened with warm
water and a standard disinfectant/detergent solution.
Disinfectants which are known to be corrosive to
metals must not be used. Concentrated Isopropyl
alcohol based cleaners will degrade plastic parts.
The IV-set and extension lines are disposable single
use items and should be discarded after use
according to their manufacturers' instructions.
If the pump is to be stored for an extended period it
should be first cleaned and the internal battery fully
charged. Store in a clean, dry atmosphere at room
temperature and, if available, employ the original
packing for protection.
Once every 3 months during storage, carry out
functional tests as described in the Technical Service
Manual and ensure that the internal battery is fully
charged.

Caution : Before cleaning always switch OFF disconnect from the


AC power supply. Never allow liquid to enter the casing and
excess fluid build up on the pump. Do not steam autoclave,
ethylene oxide sterilize or immerse this pump in any fluid. Keep
the pump plugged into electrical power during storage.

31

Maintenance

Replacing the AC fuses


If the pump continually illuminates the battery
indicator and the AC power indicator light does not
illuminate when the pump is connected to the AC
power supply and switched ON, suspect that either
the power supply fuse in the AC plug or the internal
fuses have blown.
First check the power supply fuse in the AC mains
plug. If the AC power indicator light does not
illuminate remove the pump from service.
It is recommended that only a qualified service
engineer replaces the AC fuses. For further
information regarding the replacement of internal AC
fuses refer to the Technical Service Manual.

32

Maintenance

Battery Operation
The internal rechargeable battery allows continued
operation when the AC power is unavailable, for
example during patient transfer or AC power failure.
A fully charged battery will provide over 4 hours of
operation at typical infusion rates.
A low battery alert is activated approximately 30
minutes before the battery depleted alarm.
The battery is maintenance free, sealed Nickel Metal
Hydride and requires no routine servicing. However,
to achieve optimum operation, ensure that the battery
is fully recharged after full discharge, before storage,
and at regular 3 month intervals during storage.
Charge retention will eventually degrade. Where
retention is critical the internal battery should be
replaced every 3 years.
It is recommended that only a qualified service
engineer replaces the Battery. For further information
regarding the replacement of batteries refer to the
Technical Service Manual.

33

Occlusion Pressure Limits

Occlusion Level(psi)

Time to alarm following occlusion is achieved in less


than 5minutes at rates of 25ml/hr and higher by the
appropriate selection of occlusion levels.
The following graphs show the typical values for time
to alarm and bolus volume that can be expected in
the event of an occlusion when the IV-set (KV 243T)
is selected.
Time to Alarm - 25ml/hr

16
14
12
10
8
6
4
2
0
0

1:00

2:00
min : sec

3:00

4:00

Bolus Volume

1.6
1.4
1.2
1

ml

0.8
0.6
0.4
0.2
0
1

10

11

Occlusion Level(psi)

34

12 13

14

15

Start-up Curves
& Trumpet Curves

In this pump, as with all infusion systems, the action


of the pumping mechanism and variations in
individual IV-sets cause short-term fluctuations in
rate accuracy.
The following curves show typical performance of the
system in two ways : 1) the delay in onset of fluid
flow when infusion commences (start-up curves)...
and 2) the accuracy of fluid delivery over various time
periods is measured (trumpet curves).
The start-up curves represent continuous flow versus
operating time from the start of the infusion. They
exhibit the delay in onset of delivery due to
mechanical compliance and provide a visual
representation of uniformity. Trumpet curves are
derived from the second hour of this data. Tests
performed per IEC60601-2-24 standard.

35

Start-up Curves
& Trumpet Curves
Trumpet curves are named for their characteristic
shape. They display discrete data averaged over
particular time periods or 'observation windows', not
continuous data versus operating time. Over long
observation windows, short term fluctuations have
little effect on accuracy as represented by the flat
part of the curve. As the observation window is
reduced, short term fluctuations have greater effects
as represented by the "mouth" of the trumpet.
Knowledge of system accuracy over various
observation windows may be of interest when certain
drugs are being administered. Short term fluctuations
in rate accuracy may have impact depending on the
half-life of the drug being infused, therefore the
clinical effect cannot be determined from the trumpet
curves alone.
Caution : Start-up and trumpet curves may not be
indicative of operation under negative pressure.

36

Start-up Curves
& Trumpet Curves

31
m

Time

17
m

13
m

9m

5m

2m

30
25
20
15
10
5
0
17
s

Rate(ml/hr)

Start-up (25ml/hr)

Trumpet Curve (25ml/hr)


15.00%

Error(%)

10.00%
5.00%
0.00%
-5.00%

17s

1m

5m

11m

19m

-10.00%
-15.00%

Observation Window (mins)

37

31m

Warranty

Woo Young Medical Co., Ltd. offers a 24-month


warranty on every Accumate 2300 unit (except
for the battery), effective from the date of
delivery.
The battery is free from defects in material and
workmanship under normal use and service for
a period one hundred eighty(180) days from the
date of delivery by Woo Young Medical to the
original purchaser.
This includes the repair or replacement of
damaged parts as a result of design/
manufacturing errors or material defects.
This warranty do not apply if Accumate 2300
has been altered, misused, or repaired by
persons not authorized by Woo Young Medical.
The warranty do not cover the elimination of
problems caused by incorrect operation,
inappropriate handling normal wear and tear.

38

Service & Packaging

Service
If the pump fails to respond to the operating or
troubleshooting procedures listed in this manual
and the cause cannot be determined, discontinue
use and forward it to an authorized Woo Young
Medical's agency.
With each complaint, please include pump serial
number and full description of difficulty, including
all setting, types of fluids, time, and alarm
messages.
Return IV-set used if possible.
Woo Young Medical cannot assume
responsibility for loss or damage to returned
pumps while they are in transit.

Packaging
The pump packaging is reusable.
Package Contents : Accumate 2300 Infusion
Pump, power cable, operation manual

39

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