SYRINGE PUMPS AP 12 / 22 OPERATING MANUAL

OPERATING MANUAL

SYRINGE INFUSION PUMPS

AP 12 and AP 22

0197

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OPERATING MANUAL SYRINGE PUMPS AP 12 / 22

Dear Customer,

thank you very much for purchasing medical equipment from Ascor S.A.
We can assure you that you have made a good choice. Our Company
devotes much effort and time to improve its products. It will be a
pleasure and satisfaction for us if our product fulfils your requirements
and expectations. If during operation of our equipment you have any
doubts or remarks regarding its operation or functionality, please do not
hesitate to inform us about them. We will do our best to remedy all your
problems and your remarks will be taken into consideration in designing
our new products.

President of the Board

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Table of Contents
1. Be sure to read this section! 4

2. Application of the pumps 7

3. Pump construction 8
3.1 Pump AP 12 8
3.2 Pump AP 22 9

4. Pump functioning 10

5. Operation of the pumps 11

5.1 Installation and preparing the pump for operation 13
5.2 Setting up infusion parameters 15
5.2.1 Primary parameters 16
5.2.2 Auxiliary parameters 19
5.2.3 Additional parameters 20
5.3 Inserting the syringe into the pump 23
5.4 Infusion 24
5.4.1 Starting and stopping infusion 24
5.4.2 BOLUS function 25
5.4.3 Scrolling infusion information 25
5.4.4 Modification of parameters 26
5.4.5 Resetting Volume Counter during Infusion 26
5.5 Alarms, messages and warnings 27
5.6 Remarks for the Users 29

6. Cleaning and Disinfection 30

7. Manufacturer’s Responsibilities 30

8. User Tests 30

9. Maintenance and Repairs 32

10. Technical Data - Pumps AP 12 and AP 22 33

11. Examples of Trumpet Curve for selected syringes 34
12. About product and manufacturer 37
13. Notes 38

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1. Be sure to read this section!

Considerations on safety of operation

Before starting the pump operation, read carefully this instruction manual.

• The pump may only be operated by qualified medical personnel, familiar with this
instruction manual and/or trained by authorized personnel of Ascor S.A.

• Attention! For infusion with pumps AP 12 and AP 22, syringes specified

by the pump manufacturer may only be used. Failure to observing this
may be a danger to the patient’s health or life. All syringes accepted for
usage with the pumps are listed in a table on page 6. They are all three-part
syringes, i.e. they all have a rubber plunger. Their manufacturer’s name, capacity
and type matches the syringe that can be chosen in the pump program. Using a
syringe that is not listed in the table may lead to significant infusion errors,
which, in consequence, may be a danger to the patient.
• In case of any doubts concerning the syringes used or infusion errors
experienced, you should immediately contact Ascor local distributor or the
manufacturer.
• In case of any suspecting of incorrect pump operation, the syringe should
immediately be removed from the pump assembly.
• Attention! Lifting the syringe, which is connected with patient’s body through
extension tube, more than 30 cm higher than the position of syringe needle, may
result in spontaneous flow-in caused by the negative pressure generated in the
syringe.
• Syringes, as disposable components, should not be used longer than 24 hours.
• The pump does not have its own system of air detection in the drain. The pump
user must check if there are any bubbles of air in the drain or in the syringe. To
fill the drain with fluid, „<” button should be used to shift the pump arm.
• Pumps AP 12 and AP 22 were tested using a standard 150 cm long PVC
extension tube, external diameter 2.3 mm and internal diameter 1.1 mm (if not
otherwise stated).
• Attention! BOLUS flow rate is set automatically (minimum double infusion flow
rate) if its previous value was lower than double infusion flow rate.
• Delivering BOLUS doses with flow rates exceeding 1000 ml/h requires the usage
of standard drains with internal diameter equal to 1.1 mm. In case of using
extension tubes with internal diameter 0.9 mm, the pump will indicate occlusion
even at infusion pressure set to maximum.
• We recommend that the pump be connected to the hospital call system.
• The pumps can only be hanged on the specially designed poles.
• No other devices or things (e.g. aprons) can be hanged on the pump assembly.
• No vessels with fluids (e.g. coffee, tea) can be placed on or by the pump.
• The pump should only be operated within a safe distance from the patient, so
that its moving parts (i.e. pump arm) are out of the reach of patient’s body.
• The patient must be informed by the medical personnel that touching the pump
keyboard by any unauthorized persons may cause a risk to his health or life.

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• If a pump undergoes an impact, e.g. as a result of falling on a hard surface, it

should be sent to hospital service department in order to be tested, in
accordance with tests described in this instruction manual, for correct operation.
In case of any irregularities the pump should be sent to authorized servicing
company.
• Any irregularities in functioning of the pump should immediately be notified to
manufacturer, together with a detailed description of the problem, working
conditions, environment, external factors, etc., which might influence functioning
of the equipment.
• Operation of the pumps in environmental conditions not foreseen by the
manufacturer (e.g. in temperatures exceeding the ranges described in this
instruction manual) may be a menace to patient’s life or health.
• The equipment must not work in environment where inflammable or explosive
mixtures of anesthetic gases or explosive vapors are present.
• Pumps AP 12 and AP 22 have batteries ensuring their operation without
connection to the mains. If the pumps are stored without connection to the
mains, their batteries must be recharged every two months. During normal
operation, the pump indicates the status of the batteries.
• Before dispatching the pump to the maintenance workshop, it should be
disinfected in accordance with the included disinfection instruction manual.
• Pump life is estimated at 10 years, on condition of compliance with guidelines
included in this Operation Manual and systematic maintenance inspections
conducted every 12 months (post-guarantee period)
• It is advisable that a pump is returned to the manufacturer, after completing its
operation period, in order to be utilized in accordance with a proper ecological
process.
• Pumps AP 12 and AP 22 meet requirements of conformity with the European
standard EN 60601-2-24 and general standard PN-EN 60601-1 in the basic range
of safety requirements.
• Pumps AP 12 and AP 22 meet requirements of conformity with the standard
concerning electromagnetic compatibility (EMC) EN 60601-1-2. In spite of this we
recommend that the pumps should not work in a short distance from other
equipment that does not meet requirements of EMC and do not have CE marking,
which may emit strong electromagnetic radiation. This refers also other devices
that emit strong electromagnetic field, such as e.g. x-ray instruments,
defibrillators, mobile telephones, electro-surgery instruments, etc.

• Standard kit includes:

- one pump AP 12 or AP 22,
- power lead 230 V AC.

Additional equipment, supplied on customer’s request:

- External alarm cable,

- 12 V power cord

Please check the completeness of the delivery according to the order

specification.
Even if adequate packing is used, Ascor S.A. cannot exclude all transport
damages.
In case any irregularities are noticed, please inform our service department
before you start the equipment.

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List of syringes acceptable for usage with pumps AP 12 and AP 22

Message displayed for
Full name of the syringe Manufacturer
pumps AP 12/22

10 BBRAUN OMNIFX BRAUN OMNIFIX 10 ml B.Braun Melsungen AG

CODAN 10 ml,
10 CODAN/ONCE CODAN Medical System
ONCE 10 ml

10 MONOJECT MONOJECT 10 ml TYCO/Healthcare UK KENDALL

10 TERUMO TERUMO Syringe 10 ml TERUMO Europe N.V.

20 BBRAUN OMNIFX BRAUN OMNIFIX 20 ml B.Braun Melsungen AG

20 BBRAUN PERFUS BRAUN PERFUSOR 20 ml B.Braun Melsungen AG

20 B-D PLASTIPAK BD PLASTIPAK 20 ml Becton Dickinson &Co

20 CODAN/ONCE CODAN 20 ml, ONCE 20 ml CODAN Medical System

20 MONOJECT MONOJECT 20 ml TYCO/Healthcare UK KENDALL

30 BBRAUN OMNIFX BRAUN OMNIFIX 30 ml B.Braun Melsungen AG

30 B-D PLASTIPAK BD PLASTIPAK 30 ml Becton Dickinson &Co

30 CODAN/ONCE CODAN 30 ml, ONCE 30 ml CODAN Medical System

30 MONOJECT MONOJECT 30 ml TYCO/Healthcare UK KENDALL

30 TERUMO TERUMO Syringe 30 ml TERUMO Europe N.V.

50 B-D PERFUSION BD PERFUSION 50 ml Becton Dickinson &Co

50 B-D PLASTIPAK BD PLASTIPAK 50 ml Becton Dickinson &Co

50 B-D PRECISE BD PRECISE 50 ml Becton Dickinson Singapore

50 BBRAUN ADALAT Adalat – BARAUN 50 ml B.Braun Melsungen AG

50 BBRAUN OMNIFX BRAUN OMNIFIX 50 ml B.Braun Melsungen AG

50 BBRAUN PERFUS BRAUN PERFUSOR 50 ml B.Braun Melsungen AG

50 BBRAUN PROINJ BRAUN PROINJEKT 50 ml B.Braun Melsungen AG

50 CODAN/ONCE CODAN 50 ml, ONCE 50 ml CODAN Medical System

50 DISPOMED PL DISPOMED 50 ml Dispomed Lublin

50 INJECTOMAT INJECTOMAT Spritze 50 ml FRESENIUS Kabi Gmbh

50 IVAC IVAC 50 ml IVAC U.K. Ltd.

50 JANPOL JANPOL 50 ml JANPOL Ursus

50 MONOJECT MONOJECT 50 ml TYCO/Healthcare UK KENDALL

50/60 ONCE PERF. ONCE Perfusion 50/60 ml CODAN Medical System

50 TERUMO TERUMO 50 ml TERUMO Europe N.V.

60 PENTA PENTA (PF) 60 ml PENTAFERTE Campli Teramo

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2. Application of the pumps

Infusion syringe pumps AP 12 and AP 22 are designed for accurate dosage of drugs to the
patient and infusion fluids. They are indispensable for:
• intensive care units,
• open-heart surgery units,
• pediatric units,
• surgery units,
• ambulances.

The pumps are characterized by simplicity of operation, reliability and diversity of

applications. They are suitable for various types of single-use syringes. BOLUS function
enables a quick and repeated delivery of bolus doses to the patient, with accurately
established volume and within a chosen time of infusion.
The pumps can be operated without connection to the mains. The pump is supplied by the
internal battery automatically if there is, for example, a mains failure. It also enables to
continue the infusion when the patient is being transported.
Simple casing, without any parts protruding from the front panel, facilitates maintenance and
disinfection.
This instruction manual is designed for two types of syringe pumps: single-syringe pump AP
12 and double-syringe pump AP 22. Technical parameters, software as well as the way of
operating are identical for both types.

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3. Pump construction

3.1 Pump AP 12

Fig. 1. Pump AP 12, view from: a) front , b) side , c) back

1 – pump stem end, 2 – syringe holder, 3 - display, 4 - keyboard, 5 - clamp,
6 - syringe, 7 - socket, 8 - fuses, 9 – main switch, 10 – locking plate, 11 – RS 232,
12 – external alarm socket, 13 – external power supply 12V, 14 – pump arm.

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3.2 Pump AP 22

Fig. 2. Pump AP 22, view from: a) front, b) side, c) back

1 - system A display, 2 – system A keyboard, 3 - system B syringe, 4 - system A

syringe, 5 - “MAINS” indicating lamp, 6 – syringe clamp, 7 - system B keyboard, 8 -
system B display, 9 – system A pump stem end, 10 – system B pump stem end,
11 - clamp, 12 - socket, 13 - fuses, 14 – main switch, 15 - locking plate, 16 – external
power supply 12V, 17 – external alarm socket, 18 – RS 232, 19 – system A pump
arm, 20 - system B pump arm

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4. Pump functioning

In order to limit the risk of mistake, pumps AP are equipped with a sensor detecting the
syringe size (10, 20-30, 50ml) and comparing them with preset parameters.
Pumps AP are also equipped with a sensor for detecting the correct fixing of syringe
plunger in pump arm, which makes it impossible to start the pump in case of incorrect fixing
of the syringe.
Operation of the pump consists in moving the syringe plunger with user-preset speed,
which corresponds to a defined infusion flow rate. The pump arm is driven by a step motor,
whose speed of rotation is controlled by a microprocessor. The step motor drives the guide
screw, which causes the arm movement.
The internal microprocessor calculates with high accuracy the speed of rotation of the
motor in accordance with properly preset infusion parameters. Moreover, the microprocessor
controls infusion timing and volume, displays information and messages, checks for
occlusion and monitors the battery status.
The operation of the microprocessor is supervised by additional safety circuit, so called
“watchdog”, which stops the pump operation and activates an alarm in case of detecting any
irregularities.

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5. Operation of the pumps

Pump AP 12 – Keyboard description

green lamp indicates connection of the pump to mains 230 V AC and

charging of the battery;
when it is flashing in red, it means that the pump is powered by the battery

Flashing orange lamp indicates infusion in progress

button “yes” used to confirm / memorize information displayed

button “no” used to reset or reject information displayed;

it also serves as INFO button and enables scrolling the infusion data:
volume infused, time left, pressure, battery status

button “program” used to start setting up infusion parameters; it also

enables scrolling the pre-set infusion parameters

Button “start/stop” used to start or stop the infusion

Button used to switch on or off the pump

(to switch off the pump, the button should be pressed for abt. 3 seconds)

buttons enabling quick movement of a syringe plunger to the left or to the

right; left button is also used for starting BOLUS function

0–9 numeric keys for entering parameters

acoustic alarm muting button

button for changing the background light of the display

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Pump AP 22 – Keyboard description

green lamp indicates connection of the pump to mains 230 V AC and

charging of the battery;
when it is flashing in red, it means that the pump is powered by the
battery

flashing orange lamp indicates infusion in progress

button “yes” used to confirm / memorize information displayed

button “no” used to reset or reject information displayed;

it also serves as INFO button and enables scrolling the infusion data:
volume infused, time left, pressure, battery status

button “program” used to start setting up pump parameters; it also

enables scrolling the pre-set infusion parameters

button “start/stop” used to start or stop the infusion

button used to switch on or off the pump

(to switch off the pump, the button should be pressed for abt. 3 seconds)

buttons enabling quick movement of a syringe plunger to the left or to

the right; left button is also used for starting BOLUS function

0-9 Numeric keys for entering parameters

Acoustic alarm muting button

button for changing the background light of the display

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5.1 Installation and preparing the pump for operation

Preparing the pump for operation needs performing a few simple steps. The pump can
be fixed to a pole (diameter between 20 and 40 mm) or placed on a horizontal surface near
the patient’s bed. The pump can be positioned above, below or at patient level.
It is possible for the pump to be mounted on a horizontal tube (e.g. by patient’s bed).
This can be done by removing two screws that hold the clamp (Fig. 1, pos. 5) turn the clamp
o
by 90 and replace the two fixing screws. Make sure that the clamp is correctly fixed to the
pump body and begin the installation on a horizontal tube.
Attention! With this positioning there is a risk that the pump turns downwards, e.g. during
setting up, if the clamp is not tightened correctly.

Preparing the pump for operation:

1. Position the pump on a horizontal surface or fix it on the pole using the clamp (AP 12 -
Fig.1, pos. 5; AP 22 - Fig.2, pos. 11).
2. Insert the plug of pump supplying cable* into the 230 V mains socket equipped with
grounding pin.
3. Set the pump main switch in position “1” (green lamp MAINS should light up).

The pump is ready for inserting the syringe and setting up infusion parameters.

General notes
• Syringe, as a disposable component, should not be used longer than 24 hours.
• Attention! Removing the full syringe, which is connected with patient’s body
through the extension line, is a danger for the patient. Lifting such a syringe more
than 30 cm over the level of needle position (in patient’s body) may result in intrinsic
infusion caused by the under-pressure in the syringe.
• Attention! The above described situation of free flow of the drug from the syringe to
patient’s vein may also appear when the pump is positioned more than 30 cm above
the level of needle in patient’s vein, and when the syringe plunger is incorrectly fixed
on the pump arm.
• The syringe should be fixed in such way that its stem end is inside of pump arm end
(Fig.1, pos. 1), and the syringe wings are in the gap between the casing and the
locking plate (Fig. 1, pos. 10). Then the syringe must be locked with clamp (Fig.1,
pos. 2) positioning it perpendicularly to syringe axis. Make sure the syringe plunger
is positioned along syringe axis
• After inserting the syringe with drug, pressing „<” button will cause slow movement
of the plunger, which fills the drain with the fluid. Care should be taken to remove all
air from the drain – infusion fluid must flow out of the needle – before the needle is
inserted into patient’s vein. Manufacturer recommends filling the extension line
with fluid using the pump, as described above.

• To achieve proper accuracy for activation of „empty syringe” alarm, the pump, from
time to time, carries out a self-test in order to make corrections to the arm setting.
The display shows the following message:

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press ‘>’ !!!

The pump arm should then be moved completely back using „>” button.

• In case occlusion pressure is a critical parameter, we recommend usage of large

syringes, of volume up to 50/60 ml.

It should be kept in mind that the pump detects occlusion only as soon as the pump arm is
stopped by excessive pressure in the extension line and syringe. As the pressure increases
gradually, due to expansion of the extension line, occlusion indication is delayed, and the
delay depends on the infusion flow rate and length and flexibility of the extension line. In
order to shorten the time of occlusion detection as well as reduce volume of the drug
collected in the expanding extension line, usage of special high-pressure, short, low internal
diameter and thick-wall extension lines is recommended, especially with low infusion flow
rates.

Description of the most important symbols:

- Attention! Read the Operating manual

- Class BF device

- Separate collection

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5.2 Setting up infusion parameters

Infusion parameters are set up the same way for both types of pumps. For pump AP 22
setup is carried out separately for syringe A and syringe B.
Infusion parameters can be divided into three groups:
1. Basic parameters:
• syringe type,
• flow rate,
• volume or time of infusion,
• drug name
or:
• syringe type,
• volume,
• time,
• drug name
Additionally, the following parameters may be used:
• infusion time,
• time of pause,
These parameters are activated during setup of parameters included in group of additional
parameters (see below).

2. Auxiliary parameters:
• BOLUS rate,
• BOLUS volume,
• occlusion pressure.
3. Additional parameters:
• password,
• infusion rate in K.V.O. mode,
• volume and type of sound alarm,
• drug library modification,
• STAND-BY function on/off,
• ANTI–BOLUS function on/off,
• name of hospital ward.

Parameters of the first group must be set or confirmed before each infusion.
The second group includes auxiliary parameters, which can (but need not to) be set for each
infusion. They can be changed during infusion, if necessary.
The third group includes parameters that are not set very often. They can be changed only
before starting the infusion.

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5.2.1 Primary parameters

After starting the pump with ON/OFF button, the following message is displayed:

AUTO-TEST – X.X where X.X defines the software version installed

informing the user of the self-checking tests being carried out by the pump.

If any irregularities are detected, the pump is automatically locked and a sound alarm is
activated. If such situation appears repeatedly, please contact our maintenance personnel,
in order they carry out inspection or repair.
As soon as the self-testing is completed, the pump starts its work preparation cycle.
The following situations are possible:

a) two following messages alternate on the display:

NO MAINS !!! BATTERY

230V or 12V power supply is not present;

lamp is flashing red. If the pump should be powered from an internal battery, press YES.
Otherwise he pump should be connected to the mains.

b) in case of an interrupted infusion, a message is displayed:

Continue...?? “should the preceding infusion be continued ?”,

This happens when the previous infusion was not completed because the pump was
switched off using ON/OFF button during the course of infusion. Pressing YES means
that the infusion should be continued according to the previously set up parameters and
existing status of the volume counter. Pressing NO will cause resetting the volume
counter and beginning setup of new infusion.

c) type of previously used syringe is displayed, e.g.:

50ml B-D PLASTIPAK

Syringe type describes its volume in ml and manufacturer’s name. The syringe can be
accepted by pressing YES button.
Then the next step is setting up infusion flow rate. If syringe type is not confirmed, by
pressing NO button, the following question is displayed:

change syr ??? Change syringe ???

Confirming with YES button starts procedure of changing syringe type. Selection can be
made by pressing NO repeatedly until the right type of syringe appears on the display.
The choice should be confirmed by pressing YES button.
The next parameter to be set is:

rate XX.X ml/h “infusion rate in ml/hour”.

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Flow rates below 100 ml/h can be set with accuracy of 0,1 ml. Higher ones – with accuracy
of 1 ml.

The pump enables volume over time operation. This can be done by pressing NO button
(at the moment when rate is displayed) thus deleting the infusion flow rate, and pressing NO
button once again for abt. 1 second. The display will show:

volume XXml “infusion volume in ml”.

As soon as volume is set, time of infusion has to be entered:

“infusion time: hours : minutes” (seconds are not

time : XX:XX.XX
set).

When setting up the infusion flow rate, it should be kept in mind that, depending on
previously set type of syringe, maximum infusion flow rates are: 500 ml/h (for syringes
50 ml), 300 ml/h (for syringes 30 ml), 250 ml/h (for syringes 20 ml) and 150 ml/h (for
syringes 10 ml). If the flow rate setting is too high, the system informs of this fact by
displaying the maximum acceptable value for the chosen syringe type:

max. XX.X ml/h “maximum infusion flow rate is XX.X ml/h”.

This message can be deleted by pressing any key (it disappears automatically after approx.
5 seconds), and then correct value can be entered and confirmed by pressing YES button.

If the previous parameter was flow rate, and not volume and time, the next parameter would
be:

volume XX.X ml

The field XX.X shows the volume of the previously performed infusion. Pressing NO will
delete this value and allow for entering a new one, which should be confirmed by pressing
YES button. The maximum value of infusion volume is 1000 ml. Leaving this parameter
out (by pressing YES button without entering any number) or setting it to zero is
acceptable, but in such case “END OF INFUSION” alarm will not be activated (see
chapter 5.5), and the pump will not stop working until the syringe is emptied.
Instead of infusion volume, it is possible to set up the time of infusion. Obviously, only one of
these two parameters can be set. Change from volume to time setting (or vice versa) is
achieved by pressing NO button, in order to delete the existing value, and then
pressing it again and holding for more than approx. 1 second. As a result, the following
will be displayed:

time: XX:XX.XX “infusion time: hours : minutes”.

Minimum infusion time is 00 hours 01 minutes and maximum: 99 hours and 59 minutes.
Seconds cannot be set up.
The field XX:XX.XX can show the previously set time value. If it is not correct, delete it by
pressing NO button. The following will be displayed: 00:00:00. Enter new numbers from left
to right. Blinking zero indicates position, where a digit can be entered from the numeric pad.
The entered digit can be deleted at any time by pressing NO button. On completion of
entering the correct time value, press YES button for confirmation. Similar to volume, this
parameter can be left out (with no value entered) or set to zero, which will result in the
above described pump performance.
If the pump is going to be used in STAND-BY mode, two additional parameters, described
under item 5.2.3, will have to be set up.

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The final parameter to be set is drug name. The following question is displayed:

choose a drug ?

Pressing NO will automatically finish setting up the primary parameters, which means that a
correct syringe is to be inserted and a programmed infusion started.
If, however, YES button is pressed, the display will show the name of the drug infused
previously. Drug library can be scrolled by pressing NO repeatedly. When a desired drug
name is found, press YES to confirm it.
In case a desired drug name is not found, pressing PROG button will take the operator back
to the previous question: “choose a drug?”. Pressing NO will finish setting up the primary
parameters.
The drug library is described in more details in Chapter 5.2.3. (page 21,22).
If up to that moment the syringe has not been fixed on the pump assembly, correct settings
of the pump are indicated alternately with the following message:

INSERT SYRINGE! pre-set syringe type

and automatic adjustment (movement right) of the pump arm. It should be remembered
that the syringe should be filled with abt. 2-3 ml of drug more to fill the extension line
at the moment when FILL THE LINE message is displayed. In some cases, instead of
the above message, the following can be displayed:

wait !!!
This means, that the pump is carrying out a self-test in order to correct the stetting of the
pump arm. Wait a moment and then continue, following the messages displayed.

Pumps AP have a sensor for detecting syringe sizes (10, 20-30, 50ml) and comparing them
with the preset types. If a syringe of volume different than the preset one is inserted, a
message will be displayed:

WRONG SYRINGE !

When the syringe is inserted and clamped on the pump, the following message is displayed:

FILL the LINE!

The extension line should be filled with infusion fluid in such a way that there are no air
bubbles in it, by pressing < button.

The next message:

READY to run .. ??
means that the pump is ready for operation.
To start the infusion, button YES or START should be pressed.
Pressing the PROG button, it is possible to check (read) the preset infusion parameters. If
any of them is incorrect, it can be deleted with NO button and correct value can be entered.
After any change it should be confirmed with YES button.
All primary parameters, except for syringe type, can be changed at any time, also
during the infusion process.

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5.2.2 Auxiliary parameters

BOLUS and OCCLUSION PRESSURE
Modification or scrolling the auxiliary parameters can be done as soon as primary
parameters are set up or at any time, e.g. during infusion. It is not necessary to set
parameters for each infusion, since they are memorized by the system. Subsequent
infusion will be carried out according to the existing settings.
Setting up BOLUS
In order to begin setting parameters of this group PROG button should be pressed and held
for more than 1 second.
Attention! A short pressing of this button will enable scrolling the above-described primary
parameters.
The first auxiliary parameter is:

BOLUS XXX ml/h BOLUS flow rate in ml/h

XXX ml/h defines BOLUS flow rate. Depending on the syringe size used, the maximum
value is: 2000 ml/h for 50 ml syringe, 1200 ml/h for 30 ml syringe, 1000 ml/h for 20 ml
syringe and 600 ml/h for 10 ml syringe. In case of leaving this parameter without any value
is equal, the pump will deliver a bolus dose at a flow rate of 1000 ml/h for 50 ml syringe, 600
ml/h for 30 ml syringe, 500 ml/h for 20 ml syringe and 300 ml/h for 10 ml syringe.
Attention!
• If the preset BOLUS flow rate exceeds the maximum permissible value for the
syringe chosen, then the maximum permissible flow rate for this syringe will be
used.
• The pump will not accept a BOLUS flow rate lower than the preset doubled
infusion flow rate. For example, when the infusion flow rate is equal to 5 ml/h then
the minimum bolus flow rate will be 10 ml/h.
When the set value of BOLUS flow rate is confirmed with YES button, the next parameter –
BOLUS volume – will appear on the display:

BOLUS XX ml BOLUS volume in ml

Its value must not exceed the volume of the syringe chosen.
If the BOLUS volume value is not preset, infusion in BOLUS mode is continued as
long as BOLUS button is held. The volume of the delivered dose in ml is displayed. The
volume of fluid administered during activated BOLUS mode adds up to total volume of drug
administered to the patient.

Starting the BOLUS function is described with more details in Chapter 5.4.2. BOLUS
function can be stopped by pressing START/STOP button.
Setting the limit level of infusion pressure.
The next parameter that will be shown after pressing the YES button is pressure level, at
which ”OCCLUSION” alarm should be activated. The reason for activating this alarm may
be, e.g. crushed extension tube (drain) or obstructed syringe needle. Four pressure levels
can be preset:
• minimum 0.04 MPa (300 mm Hg),
• low 0.06 MPa (450 mm Hg),
• medium 0.09 MPa (675 mm Hg),

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• high 0.12 MPa (900 mm Hg).

One of the following messages, informing of the currently set value, will appear on the
display:

PRESS minimum

PRESS low

PRESS medium

PRESS high

The selection is made by pressing NO button repeatedly until the right pressure level is
displayed. Pressing YES button will result in setting up and memorizing the selected value.
The accuracy of measuring the occlusion pressure is proportional to the quality and volume
of the syringes used. The lower the volume (diameter) of the syringe, the more difficult an
accurate measurement is. In case occlusion pressure is a critical parameter, usage of large
syringes, at volume of 50÷60 ml, is recommended.
Attention!
• Syringes at volume of 10÷20 ml should only be used for very low infusion flow
rates, i.e. below 1 ÷ 2 ml/hour.
• Low quality syringes (not designed for usage with infusion pumps – with a cone
instead of thread) may cause accidental, false occlusion alarms for the lowest
infusion pressure levels.

5.2.3 Additional parameters

This group of parameters enables the user to customize the pump features. Setting up
parameters in this group should begin with switching the pump off using ON/OFF switch.
Then press PROG button and, holding it, switch the pump on with ON/OFF. The following
message will be displayed:

password 0

now PROG button can be released.

Entering a number in the range between 1 and 999999 enables protecting the infusion
parameters against any modification by unauthorized persons. If a password has been
entered, then, before any modification of any infusion parameter, a message is displayed:

PASSWORD

Correct password must be entered from the keyboard and confirmed by pressing YES
button. If password protection is not to be used, [0] should be entered as the
parameter and confirmed with YES button.

ATTENTION!

If you forgot the password code 555.555 will unblock the system.

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The next parameter is:

K.V.O. X.X ml/h K.V.O. rate in ml/h

KVO (Keep Vein Open) function consists in the fact that instead of stopping infusion, a
minimum flow rate is maintained in order to keep needle patiency (avoiding clot creation).
Typical flow rate of such infusion is 0.5 ml/h, but in certain cases it should be different. Its
value can therefore be set at 0 - 5.0 ml/h. Leaving this parameter without any value is equal
to setting it to 0,5 ml/h, while entering 0 ml/h will switch this function off. Volume of fluid
received by the patient during activated K.V.O. function adds up to total quantity of drug
received by the patient.
K.V.O mode infusion is activated after stopping the pump with START/STOP button or after
displaying the alarm message ”empty syringe” or ”end of infusion”.
ATTENTION! If the value of flow rate set for K.V.O. function is higher than the basic
infusion flow rate (delivery), then infusion in K.V.O. mode will be effected with flow
rate equal to basic infusion (e.g. if basic infusion flow rate = 0.5 ml/h, and K.V.O. flow
rate = 1.5 ml/h, then infusion in K.V.O. mode = 0.5 ml/h, i.e. infusion is not stopped).

The next parameter defines type of signal used as acoustic alarm. The required option can
be chosen with NO button.

ALARM -------------- Continuous alarm sound

or

ALARM - - - - - - - - Intermittent alarm sound

As soon as the selected option is confirmed with YES button, parameter defining the volume
level of the acoustic signal.

ALARM (1-3,*)

”1” means the lowest level. * – alarm volume increasing over time (press button '.' )
The next two parameters refer to the drug library.
The drug library consists of two lists: “manufacturer’s basic list” and “operator’s extended
list”.
“Manufacturer’s basic list” consists of the drug names entered by the manufacturer and
cannot be modified by the operator. The drug names are listed in alphabetical order and
displayed in small letters.
“Operator’s extended list” can be created by the user by adding new drug names (up to
fourteen). The following question is displayed:

add a drug ???

Pressing YES button enables entering a new drug name, which will be displayed in capital
letters. Each letter to be entered can be chosen with < or > buttons and must be
confirmed by pressing YES. The letter order is alphabetical. When a new drug name is
entered, pressing YES will include it in the drug library and then once again message “add
a drug ???” is displayed. It is possible to enter several drug names in a row, as long as the
above question is answered by pressing YES.

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Pressing NO will take the operator to the next question:

erase a drug ???

This function enables to remove an unnecessary drug name from the “operator’s extended
list”. After pressing YES choose a drug name to be erased by pressing NO repeatedly and
when it is displayed, press YES to erase it.

The next parameter in this group is:

STAND_BY yes
or

STAND_BY no
enabling to switch on/off the STAND_BY function. With this function infusion is periodically
held up. Choosing ”yes” results in adding two parameters to primary group:

On_time XX.XX:XX Time of infusion

and

Off_time XX.XX:XX Time of pause in infusion

XX.XX:XX defines infusion time and infusion breaks in hours. min. sec. The
cycle begins with infusion whose duration is equal to the preset ”infusion”
parameter. After this time an alarm is activated and the infusion is stopped.
Break in infusion begins, its duration being defined by „pause” parameter.
Completion of this period is signaled with another alarm and demand of
continuing the infusion. The cycle is repeated until the patient receives the
set volume of drug or the pump is switched off.

Another additional parameter is ANTI- BOLUS. This function ensures reduction of negative
consequences of occlusion occurring in the infusion fluid transportation system. Activating
this function (see Chapter ALARMS) will cause return of the pump arm, reduction of
pressure in extension line and withdrawal of drug excess from the flexible extension line to
the syringe. Thanks to this, when the line is patent again, there is no uncontrolled flow of
drug under pressure.

ANTI-BOLUS. Yes

ANTI-BOLUS function can be activated by pressing > button after resetting

OCCLUSION alarm. The following message will be displayed:

Reduce BOLUS ?

If the answer is YES, then the over pressure caused by occlusion will be
automatically reduced. This function reduces the risk of injecting a dose of
drug under too high pressure when the fluid transportation system is again
patent, i.e. so called „occlusion bolus” volume is reduced.
Attention! During infusion break, caused by occlusion, the K.V.O.
function is inactive.

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The next parameter, which can be entered, is name of the hospital unit, where the pump is
used.

NAME OF WARD ? Name of the hospital ward

If NO button is pressed, the name can be modified choosing the required letters with < or
> keys and confirming them with YES button. The characters are arranged in alphabetical
mode. As soon as the name is entered and confirmed with YES button, the following
message will be displayed:

Password

This function enables creating a separate password for the entered hospital unit name.

Entering a number in the range between 1 and 999999 enables protecting the hospital unit
name parameter against changing by unauthorized persons. If a password has been
entered, then, before any modification of the hospital unit name, a message is displayed:

PASSWORD

Correct password must be entered from the keyboard and confirmed by pressing YES
button. If password protection is not to be used, 0 should be entered as the parameter and
confirmed with YES button.

ATTENTION!

If you forgot the password, code 555.555 will unblock the system.

5.3 Inserting the syringe into the pump

As soon as the presetting procedure is completed, the following messages are displayed
alternately:

INSERT SYRINGE! Pre-set syringe type

They inform of the necessity of fixing a syringe, previously filled with drug, on the pump
assembly.
The pump arm will be adjusted automatically (will move right) to enable inserting the syringe
filled with a drug (the syringe volume + about 2,5 – 3 ml for priming the extension line). So
the syringe should be filled with an according volume of a drug.

Buttons <or >

are used for setting pump arm in a correct position. Pressing <
or for >
more than 2 seconds will cause increasing the speed of arm travel. Automatic arm
movement, without the necessity of pressing > button, is enabled, due to safety reasons,
only in case of arm return movement. The arm can then be stopped using START/STOP or
< buttons.
The syringe should be fixed in such a way that its stem end is positioned inside the
pump arm end (Fig.1, pos. 1), while the syringe wings should be inserted in the gap
between the casing and locking plate (Fig. 1, pos. 10). Then the syringe must be fixed

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with the clamp (Fig. 1, pos. 2) positioning it perpendicularly to syringe axis. Make sure
the syringe plunger is positioned along syringe axis.

Pumps AP have a sensor for detecting syringe sizes (10, 20-30, 50 ml) and comparing them
with preset types. If a syringe of volume different than the preset one is inserted, a message
will be displayed:

WRONG SYRINGE ! Preset syringe type

When a correct syringe is fixed, a message is displayed:

FILL the LINE !

The extension line should be filled with infusion fluid by pressing < button in such a way that
all air bubbles are removed from it.

Attention! Before starting the infusion process make sure there are no air bubbles in
the syringe and in the extension tube (drain). Otherwise, they should be removed using
the above procedure.

Then the following message appears:

READY to run....??

The infusion is initiated when the START/STOP or YES button is pressed.

5.4 Infusion
5.4.1 Starting and stopping infusion

Having set pump parameters and fixed the syringe, infusion can be started. It can be done
by pressing START/STOP button, which starts or stops the pump operation. Infusion is
indicated by blinking of a yellow lamp described with a word START as well as by the
following alternate messages:

Inf... XX.X ml/h Preset drug name

Where XX.X ml/h is the set flow rate (pump delivery).
In order to stop infusion for a while (without switching the pump off), START/STOP button
should be pressed. The yellow lamp START stops flashing and a message is displayed:

STOP XX.X ml/h

The pump switches over to “KVO” mode, and the following message is displayed alternately
with word STOP:

K.V.O X.X ml/h

where X.X ml/h is the flow rate in this mode.

If the START/STOP button is pressed again, the infusion is continued. Stopping the infusion
for more than 2 minutes will switch off the acoustic alarm (so called “reminder”).

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Infusion can also be stopped using ON/OFF button, which switches the pump off. When the
pump is switched on again, it is possible to continue the infusion by pressing YES in reply to
CONTINUE ? message, (the set parameters are memorized by the system). Also the status
of the counter of drug volume administered to the patient is memorized. This method of
stopping infusion is recommended in case infusion has to be stopped for more than
2 minutes.
As soon as the pump delivers the preset volume of the fluid, the following message will be
displayed:

END of infusion

Setting up the next infusion is possible as soon as the empty syringe is removed from the
pump.

5.4.2 BOLUS function

Pumps AP 12/22 enable administering a bolus dose to the patient during infusion or when
the infusion has been stopped with START/STOP button. Bolus function will be activated
after 3 seconds from pressing and holding the < button. This will be announced with the
message:

BOLUS X.X ml “volume of currently delivered bolus dose ”

Both flow rate and volume of BOLUS are programmable parameters (see item 5.2.2). If
volume is not entered, then infusion in “bolus” mode is continued as long as button < is
pressed. If the volume is set, the infusion will be stopped as soon as the set volume of drug
is administered. In this case it is not necessary to hold < button.
Administering of the drug using BOLUS preset function can be stopped by pressing
START/STOP button (or ON/OFF switch).
Bolus volume adds up to the quantity of drug administered during normal infusion. If
during BOLUS infusion the preset volume of infusion is reached, then the infusion
will be stopped, and „end of infusion” message will be displayed.

5.4.3 Scrolling infusion information

During infusion it is possible to scroll:

• volume of drug already administered to the patient,
• time left till emptying the syringe or time left till end of infusion,
• pressure in the fluid transportation system,
• battery status.
After each short pressing of NO button, information will be changing in the following
sequence on the display:

infused XX.X ml XX.X - volume in ml, received by the patient;

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empty.. XX.XX:XX XX.XX:XX – time till emptying syringe - hrs.mins.secs

to end XX.XX:XX XX.XX:XX – time till end of infusion - hrs.mins.secs

press... low Infusion pressure

battery battery status, if pump is powered by the internal battery

or

battery →→ Information on battery recharge

Pressing NO button again will result in return to displaying infusion flow rate. Cyclical
scrolling of information on the infusion status can be executed as often as required, without
affecting the process of infusion. The same method can be used for viewing information
when the pump is stopped as well as when „empty syringe” or „end of infusion” or
„occlusion” alarms are activated.

5.4.4 Modification of parameters

It is possible to change almost all infusion parameters in running course without the
necessity of the infusion interruption. It is especially easy to change the flow rate. Just enter
a new value from the numeric keypad and confirm it with YES button. Lack of
confirmation/entering with YES button, for safety reasons, will result in keeping the previous
infusion flow rate, which will appear on the display.
Other basic parameters (like: volume or time of infusion) can be changed by pressing PROG
button shortly, thus entering the possibility of scrolling pre-set parameters of infusion. When
the parameter to be modified is displayed, the previous value should be deleted by pressing
NO, and the new value introduced with number keys and confirmed with YES.
The auxiliary parameters can be changed by pressing PROG button (for at least 1 second)
and following the steps used for setting them up.
This does not refer to group of additional parameters (e.g. K.V.O, STAND-BY etc.), whose
change requires switching off the pump. It is also impossible to change syringe type during
the infusion process. This parameter can be modified after stopping infusion and removing
the syringe from the pump.

5.4.5 Resetting Volume Counter during Infusion

This procedure is carried out as follows: first, information on the preset volume should be
displayed, and then NO button should be pressed and held for 3 seconds. After this time a
short acoustic signal will sound and the system will start counting volume from zero. Volume
counter will also be reset when NO button is pressed to answer the message
“CONTINUE ?”, appearing during pump operation, or on completion of the infusion.
Attention! Resetting the volume counter during infusion will cause loss of information
on the quantity of drug administered to the patient till that moment.

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5.5 Alarms, messages and warnings

Situations requiring intervention of the personnel are signaled with acoustic and visual
alarms (display flashing). Acoustic alarm can be switched of using

button. Type of the alarm is described on the display with adequate message.
Five minutes before complete emptying of the syringe the system switches on an acoustic
alarm informing the personnel of the approaching end of infusion. When

the button is pressed, the following message is displayed:

5 min. PREALARM

If the preset or resulting infusion time is shorter than 5 minutes – the alarm will not be
activated.

When the drug in the syringe runs low – approx. 0.5 ml before its complete emptying – an
acoustic alarm sounds and the following message is displayed:

EMPTY SYRINGE !!
The pump is automatically switched over to K.V.O. mode. Infusion can be restarted as soon
as a new syringe, filled with the drug, is inserted into the pump. Answering YES to the
message „CONTINUE ?” will enable adding up the fluid volumes of the subsequent
syringes.
It is also possible to empty the syringe completely (including 0.5 ml remnant). To do this,
having reset EMPTY SYRINGE alarm, button START should be pressed. As soon as the
syringe is emptied completely, „empty syringe” alarm will reappear.
If infusion volume or time was set, then as soon as the set value is exceeded, infusion will
be stopped and the pump will be switched over to K.V.O mode. End of infusion will be
signaled with acoustic alarm and messages displayed alternately:

END of infusion KVO XX ml/h

Stoppage of the pump arm movement caused by occlusion is indicated by a sound and the
following message:

OCCLUSION !!!

At this moment pump operation is stopped.

It should be kept in mind that the system detects occlusion only when too high pressure in
the extension line and in the syringe stops the movement of the pump arm. Since the
pressure increases gradually, because of expansion of the tubing, occlusion is signaled with
a certain delay, which depends on infusion flow rate and length and flexibility of the
extension line. In order to shorten the occlusion detection time and reduce the drug volume
collected in the extension line, it is recommended that special high-pressure, short, low
internal diameter and thick-wall tubing is used, especially with low infusion flow rates.
Pumps AP12/22 have a special ANTI-BOLUS system enabling an automatic reduction of
the residual bolus volume on occlusion release. It ensures reduction of negative effects of
occlusion in the extension line. When this function is activated, the pump arm is retracted,
pressure of the system reduced and excess of drug withdrawn from the flexible tubing to the
syringe. As a result, as soon as the system is patent again, there is no uncontrolled flow of

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drug under pressure. The risk of infusing Bolus after occlusion release is thus significantly
reduced.
ANTI-BOLUS is started by pressing [>] button after muting OCCLUSION alarm. Then the
following question appears on the display:

Reduce BOLUS ?

If the answer is YES, the pump will automatically reduce the overpressure caused by
occlusion.
Attention! During the infusion break, caused by occlusion, K.V.O. function is inactive.
Occlusion alarm may also appear as a result of increased infusion resistance caused by
high density of the fluid delivered at high flow rates. In this case, the preset occlusion
pressure should be increased or the syringe used should be changed. Also flexible tube
(drain) of greater internal diameter is recommended.
The accuracy of measuring the occlusion pressure is proportional to the quality and volume
of the syringes used. The lower the volume (diameter) of the syringe, the more difficult an
accurate measurement is. In case occlusion pressure is a critical parameter, usage of large
syringes, at volume of 50÷60 ml, is recommended.
Attention! Syringes at volume of 10÷20 ml should only be used for very low infusion
flow rates, i.e. below 1 ÷ 2 ml/hour.
Having reset “OCCLUSION” alarm and pressing NO button it is possible, just as during
infusion, view all information on the current infusion, i.e. entered volume, time till emptying
the syringe, flow rate, occlusion pressure, battery status. As soon as the cause of occlusion
is removed, pressing the START/STOP button allows for continuing the process.

If during infusion the syringe is removed by the personnel or (accidentally) by the patient, the
following message will be displayed:

NO SYRINGE !!
and alarm will be activated. After resetting the alarm and inserting the syringe, the question
will appear:

Continue..... ?
Pressing YES button means completing the stopped infusion. Pressing NO button means
preparing the pump for a new infusion.

Alarm:

NO MAINS !!!
and flashing of red lamp

informs the operator of the fact that the pump has automatically switched over to power
supply from internal battery. This could happen as a result of mains failure, fuse blow-out,
disconnecting the supply cable or switching off the main switch (Fig.1 pos. 9). Pressing YES
button means confirming this situation.
Alarm:

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LOW BATTERY !!
means that the battery will be completely discharged within 30 minutes (at medium infusion
flow rates, i.e. approx. 5 ml/h). The pump should be connected to the mains as soon as
possible. If the infusion is continued without connection to the mains, the infusion message
“inf. XX.X ml/h” will be displayed alternately with the following message:

LOW BATT Low battery

together with a short acoustic signal.
When the message:

VERY LOW BATT ! Battery discharged

is displayed permanently and accompanied with a continuous acoustic signal, pump

operation with battery is impossible and infusion has been stopped - START/STOP
lamp is lit permanently.
In order to restart the infusion it is necessary to connect the pump to 230 V or 12 V mains.

5.6 Remarks for the Users

• Infusion must be carried out only with the syringe whose name has been set. Using
another syringe, even if its appearance and volume are identical, does not
guarantee achieving the set infusion parameters with accuracy indicated in the
pump technical data. This may have an impact on patient’s health.
• Usage of syringes with thread for fixing the extension line – Luer Lock – is
recommended. The thread secures the extension line against slipping off, e.g. when
the pressure increases because of occlusion.
• Attention ! The pump does not have its own system for detecting air in the line. The
pump user must check if there are any bubbles of air in the extension or in the
syringe. To fill the extension line with fluid, „<” button should be used to shift the
pump arm.
• During operation the pump should be positioned below or at patient level. This
secures the patients against free flow of drug from the syringe to his vein in case the
syringe is removed from the pump → see General Notes on Page 13.
• Connection of the pump to the mains is indicated by a green lamp

It is recommended that the pump be connected to the mains also when it is not
operated, in order to continue recharging of the pump battery (the pump can stay
connected to the mains for any time). This guarantees a complete recharging of the
battery.
• It is also recommended that the pump be supplied from the battery only in situations
where mains supply is impossible e.g. power failure, transporting the patient. Time
necessary for full recharging the completely discharged battery (message: VERY
LOW BATT !!!) is approx. 24 hours. The pump can be normally operated during
recharging of the battery.
• If electric voltage is present in the socket, and the message NO MAINS !!! is
displayed, it may mean that:
1. the main switch is in position “0” – pump is switched off;
2. the fuse is blown;

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3. electric cable is damaged;

4. the pump is out of order and it requires intervention of a servicing personnel.
• The fuses are in the “drawer” just above electric cable. In order to replace the
fuses, disconnect the cable from the socket, open the “drawer” using a
screwdriver, remove the blown fuses and insert identical new ones. If they are blown
again, contact the servicing personnel as soon as possible.
• Every application of the pump should be carefully considered, because the operator
(e.g. doctor or nurse) is responsible for its application and he/she should take into
considerations all technical parameters of the equipment, declared by the
manufacturer, as well as infusion parameters.
• Attention: Pumps AP 12/22 are devices of Class A. It may cause radio-electric
disturbances in residential environment. In such cases the user may be demanded
to use proper preventive measures.
VERY IMPORTANT !!!!!!!!!
• In case all used passwords are lost, entering code 555.555 will unblock the
system.

6. Cleaning and Disinfection

Before starting the cleaning procedure, the pump should be switched off with ON/OFF
button and the supply line should be disconnected (plug removed from the socket).
Cleaning can be carried out using a cloth and water solution of detergent (e.g. for cleaning
dishes) or others, based on isopropyl alcohol.
After cleaning the pump should be dried before connecting it back to the mains and starting.

7. Manufacturer’s Responsibilities
Manufacturer is responsible for safe, both for patient and user, and correct operation of the
equipment, according to the technical data detailed in this instruction manual, on condition
that:
• the equipment is operated in accordance with its use and in environment conditions
proper for this type of equipment.
• installation of the equipment is performed in accordance with requirements included
in this instruction manual,
• the equipment is operated in accordance with this instruction manual by trained
medical personnel,
• inspections, repairs and modifications were only made by authorized servicing
company.
Manufacturer recommends carrying out a technical inspection before the end of guarantee
period, and later on every two years.

8. User Tests
Pumps AP 12/22 are equipped with a set of tests with which it is possible to check correct
operation of its main subassemblies. These tests can be helpful for evaluating the condition
of the pump, but they do not guarantee detection of all existing faults. In case of any doubts
regarding the condition of the equipment or accuracy of its operation, the pump should be
immediately delivered to the hospital maintenance department in order to check it and/or

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take decisions as regards further steps to be taken, e.g. repair by the authorized servicing
company.
To start User Tests the pump should be switched on with ON/OFF button and then
START/STOP button should be pressed immediately. The display will show a broken line:

-------------------------------------
Enter 0 and confirm with YES button. This will activate the user test module. The first test
will be displayed. To carry out the test, select it pressing YES button. Otherwise press NO
button repeatedly until the right test is displayed.

1. Test for acoustic alarm, visual alarm external alarm relay.

ALARM test ?

This test will switch pump alarm system on/off (alternately):

Alarm on

Alarm off
Test can be stopped with YES button. During this test it is possible to check if the pump is
correctly connected to the hospital personnel calling system.

2. Display test.

DISPLAY test.?
It is carried out automatically until the following is displayed:

END OF TEST
Check if the lamps on the control panel are flashing and if the characters are properly
displayed.

3. Keyboard Test.

KEYBOARD test ?
Press buttons indicated on the display. If the keyboard operation is correct, the following
message appears on the display:

END OF TEST

4. Test of syringe detection system

SYR. Detection ? Syringe detection?

Syringes of 10, 20, 30, 50 ml volume should be inserted. If the volume of inserted syringe
does not correspond to the information displayed, the system of syringe detection is broken
and the pump should be sent to an authorized servicing company. Test can be stopped with
YES button.
5. Pump arm test

PUMP ARM test ?

The pump arm is moved alternately to the left and to the right. Test completion is indicated
with the following message:

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END OF TEST
The following message:

DAMAGE !!!
means that the pump should be sent to an authorized servicing company. Test can be
stopped with YES button.
In order to stop the testing procedures the pump should be switched off using the ON/OFF
button and started again with this button in order to continue the operation.

In order to finish the user tests procedure, the pump should be switched off with ON/OFF
button.

9. Maintenance and Repairs

All servicing issues should be directly notified to the manufacturer or
distributor of the equipment.

Any repairs of the pumps can be performed only by a trained servicing company indicated
by the manufacturer or distributor of the equipment. Manufacturer will secure after-
guarantee servicing of syringe pumps AP 12 and AP 22.

If it is necessary to send the equipment to the servicing company, it should be

properly disinfected as described in this instruction manual. Otherwise, the customer
will be charged for cleaning and disinfection of the equipment.

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10. Technical Data - Pumps AP 12 and AP 22

Flow rate: 0.1 – 500 ml/h

0.1 ÷ 99.9 ml/h in 0.1 ml/h steps
100-500 ml/h in 1 ml/h steps
0.1 ÷ 500 ml/h for syringe 50 ml
0.1 ÷ 300 ml/h for syringe 30 ml
0.1 ÷ 250 ml/h for syringe 20 ml
0.1 ÷ 150 ml/h for syringe 10 ml
Maximum BOLUS rate: 2000 ml/h
set in 1 ml/h steps
2000 ml/h for syringe 50 ml
1200 ml/h for syringe 30 ml
1000 ml/h for syringe 20 ml
600 ml/h for syringe 10 ml
BOLUS volume:
0.1ml up to syringe volume, set in 0.1ml steps
KVO volume: 0 ÷ 5ml/h
set in 0,1ml/h steps
Flow rate accuracy: ≤ ± 2% (as per EN 60601-2-24)
Infusion volume: 0.1 – 1000 ml
0.1 ÷ 99.9ml in 0.1 ml steps
100 to 1000 ml in 1 ml steps
Infusion time: max 99 hrs. 59 min.
Occlusion pressure: Programmable 4 levels:
minimum: 0.04 MPa ±0.01 (300 mm Hg ± 75 )
low: 0.06 MPa ±0.02 (450 mm Hg ±150)
medium: 0.09 MPa ±0.02 (675 mm Hg ±150)
high: 0.12 MPa ±0.03 (900 mm Hg ±225)

Syringe types: 10, 20, 30, 50/60 ml

(producers listed in operating manual)
Power supply: 230VAC ± 10%, 50 Hz, max. 10 W or 11-15 V DC
Fuse: 2x160 mA / 250 V (delayed, type T)
Power consumption: max 10 VA
Battery: Ni/Cd
4 hours at flow rate of 100 ml/h
24 hours at flow rate of 5 ml/h
Battery recharge time: 24 hours
Alarm volume adjustment: 3 volume levels,
increasing volume option,
continuous or intermittent
tone
Interface: Optional - RS 232 C 1200 BD
External alarm socket: 24V, 1A
Other features: Reduction of occlusion bolus (ABS)(Anti-Bolus-System)
Automatic syringe size detection
Information on battery recharge level
drug library
infusion pressure monitoring and indication
hospital ward setting
password protected change of parameters
Priming
STAND-BY function
user tests
Pump weight: AP 12 - 3.1 kg, AP 22 - 4.7 kg
Protection class: I, type BF, IP31
Dimensions (w × d × h): AP 12 320 × 180 × 140 mm
AP 22 320 × 250 × 140 mm
o o
Working conditions: Ambient temperature +5 C - 40 C
Relative humidity 20% - 90%
Safety: The device complies with:
EN 60601-1,
EN 60601-1-2 (EMC),
EN 60601-2-24,
MDD 93/42/EEC

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OPERATING MANUAL SYRINGE PUMPS AP 12 / 22

11. Examples of Trumpet Curve for selected syringes

Test of dosing accuracy for the syringe

20 ml Monoject
Performed in accordance with EN 60601-2-24 test 50.102
Flow rate 1ml/h and 5 ml/h. Liquid density 0,99823 [g/ml]

start-up-graph

trumpet curve

start-up-graph

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SYRINGE PUMPS AP 12 / 22 OPERATING MANUAL

trumpet curve
Test of dosing accuracy for the syringe
30 ml B-D PLASTIPAK
Performed in accordance with EN 60601-2-24 test 50.102
Flow rate 1ml/h and 5 ml/h. Liquid density 0,99973 [g/ml]

start-up-graph

trumpet curve

start-up-graph

trumpet curve

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OPERATING MANUAL SYRINGE PUMPS AP 12 / 22

Test of dosing accuracy for the syringe

50 ml B-D PLASTIPAK
Performed in accordance with EN 60601-2-24 test 50.102
Flow rate 1ml/h and 5 ml/h. Liquid density 0,99756 [g/ml]

start-up-graph

trumpet curve

start-up-graph

trumpet curve

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SYRINGE PUMPS AP 12 / 22 OPERATING MANUAL

12. About product and manufacturer

Syringe pumps AP family ( AP 12 and AP 22) have been produced by

the Company ASCOR S.A. which introduced and maintains the Quality
Management system, complying with the word and European
standards, what has been approved by ISO 13485 and ISO 9001
certificates.

The devices meet the requirements of the Council Directive 93/42/ EEC
- Medical Devices and are CE-marked.

Above certificates have been issued by TÜV Rheinland Product Safety

GmbH – Am Grauen Stein – D-51105 Köln (code 0197).

.
Guidance and manufacturer’s declaration – electromagnetic
emissions
The AP 12 AND 22 is intended for use in the electromagnetic environment specified below.
The customer or the user of the AP 12 AND 22 should assure that it is used in such an
environment.
Emissions test Compliance Electromagnetic
environment - guidance
RF emissions Group 1 The AP 12 AND 22 uses
energy only for its internal
CISPR 11
function. Therefore, its RF
emissions are very low and
are not likely to cause any
interference in nearby
electronic equipment.
RF emissions Class B
CISPR 11
Harmonic emissions Class A
IEC 61000-3-2
Voltage fluctuations / flicker Complies
emissions
IEC 61000-3-3

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OPERATING MANUAL SYRINGE PUMPS AP 12 / 22

Guidance and manufacturer’s declaration – electromagnetic

immunity
The AP 12 AND 22 is intended for use in the electromagnetic environment specified below.
The customer or the user of the AP 12 AND 22 should assure that it is used in such an
environment.
Immunity test IEC 60601 test level Compliance Electromagnetic
level environment - guidance
Electrostatic +/- 6 kV contact Complies Floors should be wood,
discharge (ESD) concentrate or ceramic tile. If
+/- 8 kV air
floors are covered with
IEC 61000-4-2
synthetic material, the
relative humidity should be at
least 30%r
Electrical fast +/- 2kV for power Complies Mains power quality should
transient burst supply lines be that of a typical
commercial or hospital
IEC 61000-4-4
environment.
Surge +/- 1kV differential Complies Mains power quality should
mode be that of a typical
IEC 61000-4-5
commercial or hospital
+/- 2kV common mode
environment.
Voltage dips, short <5% Ut (dip in Ut>95%) Complies Mains power quality should
interruptions and be that of a typical
for 0,5 cycle,
voltage variations on commercial or hospital
power supply input <40% Ut (dip in environment.
lines Ut>60%) for 5 cycles,
If the user of the AP 12 AND
IEC 61000-4-11 <70% Ut (dip in 22 requires continued
Ut>30%) for 25 cycles, operation during power
mains interruptions, the AP
<5% Ut (dip in
12 AND 22 is powered from
Ut>95%)for 5 seconds the battery
Power frequency 3 A/m Spełnia Power frequency magnetic
(50/60 Hz) magnetic normę fields should be at levels
field characteristic of a typical
location in a typical
IEC 61000-4-8
commercial or hospital
environment.
Note: Ut is the AC mains voltage prior to application of the test level.

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SYRINGE PUMPS AP 12 / 22 OPERATING MANUAL

Guidance and manufacturer’s declaration – electromagnetic

immunity
The AP 12 AND 22 is intended for use in the electromagnetic environment specified below.
The customer or the user of the AP 12 AND 22 should assure that it is used in such an
environment.
Immunity test IEC 60601 test Compliance Electromagnetic environment -
level level guidance
Conducted RF 3 Vrms 2,9 V Portable and mobile RF
communications equipment should
IEC 61000-4-6 150 kHz-80MHz
be used no closer to any part of the
Radiated 3 V/m 2,9 V/m AP 12 AND 22, including cables,
than the recommended separation
IEC 61000-4-3 80MHz-2,5GHz
distance calculated from the
equation applicable to the frequency
of the transmitter.

d = 1,2 P

d = 1,2 P 80MHz - 800MHz

d = 2,3 P 800MHz – 2,5GHz

where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in
meters (m).
Field strengths for fixed RF
transmitters, as determined by an
electromagnetic site survey, should
be less than the compliance level in
each frequency range.
Interference may occur in the vicinity
of equipment marked with the
following symbol:

NOTE 1: AT 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 : These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To asses the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the AP 12 AND 22 is used
exceeds the applicable RF compliance is observed, additional measures may be necessary,
such as reorienting or relocating the AP 12 AND 22
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 2,9 V/m.

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OPERATING MANUAL SYRINGE PUMPS AP 12 / 22

Recommended separation distances between portable and mobile RF

communications equipment and the AP 12 AND 22
The AP 12 AND 22 is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the AP 12 AND 22 can help
prevent electromagnetic interference my maintaining a minimum distance between portable
and mobile RF communications equipment (transmitters) and the AP 12 AND 22 as
recommended below, according to the maximum output of the communications equipment.
Rated maximum Separation distance according to frequency
output power or
transmitter [W] of transmitter [m]
150 kHz – 80 MHz 80 MHz – 800MHz 800MHz – 2,5 GHz

d = 1,2 P d = 1,2 P d = 2,3 P

0,01 0,12 0,12 0,23
0,1 0,38 0,38 0,73
1 1,2 1,2 2,3
10 3,8 3,8 7,3
100 12 12 23
For transmitters rated at maximum output power not listed above, the recommended
separation distance can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter range applies.
NOTE 1: AT 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 : These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.

Manufacturer:
ASCOR S.A.
8, Mory Street
01-330 Warsaw, Poland
tel.: +48-22-836-83-74
fax.: +48-22-836-14-96
e-mail: [email protected]
web side: www.ascor.com.pl

Model:

Serial no:

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