T34™ Syringe Pump (3rd edition)

LOCK ON DURATION (Prime and Load)

Quick Reference Guide for Homecare
Barrel clamp arm sensor Syringe collar
Syringe plunger
Plunger sensor

Actuator

LCD display
screen

i+ key
(Info menu)
LED indicator
Up On / Off
Down Move Actuator Back
Start / OK Move Actuator Forward
Stop / No Purge / Bolus feature
Note: Instructions on the pump label are for reference only and do not reflect all
possible settings. Please, refer to the Directions For Use for full instructions.

• This guide is not intended to be comprehensive instructions for

the set-up and operation of the infusion pump. For complete pump
information, refer to the T34™ Syringe Pump Directions For Use (3rd
Edition).
• Some screens in this guide may vary depending on the way the
pump is set up. They are for reference purposes only and may be
different than the information displayed on your system.
• Before operating the pump, users should consult the full Directions
For Use guide.
• If you need assistance with setting up or maintaining the
equipment or to report unexpected operation or events, contact the
manufacturer or manufacturer’s representative.

PAT999-103EN Rev. 04
Loading Syringe

STEP 1 Manual adjustment of the actuator

• Ensure the barrel clamp arm is down.
• Place the prepared syringe above the pump to
visually ali / gn the syringe collar to the collar
sensor.
• Use the / keys (if required), to move the
actuator to the correct position for placing the
syringe collar and plunger into the matching
pump sensor areas.

STEP 2 Syringe loading

• Lift the barrel clamp arm fully and turn the arm
90° (either way).
• Place the syringe collar vertically (long side) into
the pump collar slot and the syringe plunger into
the pump plunger slot. The syringe should click
into position.
• Turn and lower the barrel clamp arm onto the
Rear View syringe. If barrel clamp arm is not down, the
display shows ‘Check Syringe Loaded Correctly’.
If the syringe is not loaded correctly, the display will
show ‘Check Plunger Sensor’ or ‘Check Collar Sensor.’

WARNING: Ensure the syringe loaded is

appropriate, and that the correct syringe
extension set has been selected.

STEP 3 Syringe detection and confirmation

The pump identifies the syringe brand, size and
volume by measuring the syringe dimensions from
the three sensors.
Check that the syringe brand and size inserted
into the pump matches the syringe brand and size
displayed. Confirm the match by pressing the key.
WARNING: Ensure the appropriate syringe
size and brand have been selected.
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Starting a New Infusion

Scenario
• Lock on, default duration 24 hours.
• Infusion required: deliver syringe contents over 24 hours.
• 20ml BD Plastipak syringe.
• Syringe volume after priming is 17.5ml.
A. Prepare syringe
Manually prime the syringe extension set.
Note: In Duration mode we recommend using “Prime and Load” and not “Load and
Prime”. Please be aware if using Load and Prime instead of Prime and Load sequence, the
rate of delivery will be automatically adjusted to compensate for the lost priming volume
while maintaining the preset duration. If you wish to maintain the rate, please work in
Rate mode.
B. Check the pump
Ensure that the pump is clean, visually intact, and appropriate for the
intended use.
C. Insert battery
Fit the battery correctly.
D. Power on and observe Pre-Loading
With no syringe in place and barrel clamp arm
down, press key until the screen illuminates. T34
Version T34.xxxxx
ID: (Syringe Pump)
Observe Pre-Loading: automatic
actuator movement and screen information. Pre-Loading
Use  to Interrupt

Occlusion xxx mmHg

WARNING: keep fingers away Max rate 5ml/h
from actuator moving parts. Program lock ON
Battery status 99%

Load Syringe
Wait until the Load Syringe prompt displays.

PAT999-103EN Rev. 04 | 3/16

Starting a New Infusion

E. Check battery level

Press key: Press key:

i+ Menu Battery Level

Battery Level 99%
Select /, Press  Empty Full
F. Load and confirm syringe after the syringe extension set
is connected and primed
Align the syringe to pump syringe fitting sensors.
• Use the / keys to move the actuator as necessary.
• Fit the syringe into the sensors.

If the syringe size / brand displayed matches the

20ml BD Plastipak
one used, press key. (If they do not match,
use / keys to select the correct option.)
Select /, Press 

G. Program the pump

• If prime / purge is required, press key and Volume 17.5ml
follow screen prompts. Duration 24:00
• Review the program summary. If correct, Rate 0.73ml/h
press key. Confirm, Press 
H. Start infusion

• To start the infusion, press key. Start infusion?

Time Remaining 23:59

• When the infusion is in progress, this
screen displays:
Rate 0.73ml/h
<<< Pump Delivering

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Monitoring During Infusion

Regular monitoring includes the following checks:

• All connections between the syringe and the syringe extension set are
secure.
• There are no kinks in the syringe extension set.
• There are no signs of physical damage to the pump or lockbox.
• The keypad lock is on.
• Infusion is in progress.
• Volume history and battery status are as expected.
To activate or deactivate the keypad lock:
Press and hold the button for approximately 5 seconds.
When infusion is in progress:
• The pump LED light flashes green.
• The LCD screen displays three lines of information:
Line 1 – infusion time remaining
Line 2 – ml/h infusion rate Time Remaining 23:59
Line 3 – alternates between Pump Delivering Rate 0.73ml/h
and the syringe size and brand that have been <<< Pump Delivering
selected.
To check volume history and battery level:
Press the key once and then again. The first press shows the current VTBI
(volume to be infused) and the VI (volume infused) and the second press
shows the current battery level:

Infusion Summary Battery Level

45%
VTBI 7.9 VI 4.1 Empty Full
I. Powering off
• Unlock the keypad if needed by pressing and holding the key for
approximately 5 seconds until the pump unlocks.
• If an infusion is running, stop it running by pressing the key.
• Press and hold the key until a beep is heard and the pump switches off.
Note: When an alarm activates, infusion stops and the LED indicator turns
red. The alarm sounds continuously until the problem is rectified. Always note
the alarm condition before stopping the pump.
PAT999-103EN Rev. 04 | 5/16
Alerts, Alarms and Troubleshooting

Display Prompt Result / Cause

Keypad Locked Only the , and keys are accessible. If furt
Pump Stopped,
The infusion has been stopped. Press
Press  to Resume
Program Nearly Alert: Program is about to end / syringe is
Prepa
Complete almost empty.

Low Battery Alert: Remaining battery life less than 30 minutes. Prepa

Pump Paused Alarm: The pump has been stopped / paused for Press
Too Long more than two minutes without any key presses. two m
Syringe Empty, Alarm: Current infusion program has completed /
Prepa
Remove Syringe syringe is empty.

End Battery Alarm: Battery will fail imminently. Chang

Syringe Displaced, Alarm: One or more of the syringe detection Check

Check Syringe sensors is not detecting. assist
Occlusion / Empty Syringe, Alarm: Clamped line, occluded or kinked.
Relea
Check Line Actuator has reached the minimum travel position.
System Error. Press & Hold
i+ for Details. If problem
Alarm: An internal system error has occurred. Refer
persists send pump for
Two examples of system failure screen messages be pr
service.
are shown here. recurs
ERROR Startup Motov Fail. If . code
problem persists send pump
for service

Program protection and Resume:

• Pre-Loading and syringe empty alarm clears a program from the pump
memory.
• If the option is available to resume a program, a screen prompt displays.

If the syringe size / brand displayed matches

20ml BD Plastipak the one used, press key.
Select /, Press 

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 Possible Actions

If further access is needed, press and hold the button to unlock the keypad.

Press key to Resume the infusion or press key to continue stopped state.

Prepare to change syringe or discontinue pump use.

nutes. Prepare to change battery.

d for Press key to resume the infusion. Press key to continue pause for another
sses. two minutes, or power off.
ted /
Prepare to change syringe or discontinue pump use.

Change battery.

Check the syringe and re-seat as necessary. Check screen messages for
assistance.

Release the clamp, flush / replace the access device or clear the occlusion.
sition.

d. Refer to the pump service manual for a full list of error codes. The user may
ages be prompted to power off and restart, which may rectify the error. If the error
recurs, take pump out of use. Press key to obtain error message, record error
code and summary of fault and return pump to designated service centre.

Press key to retain the current program

Press  to Resume, (ml/h rate is protected). Press key to delete
 for New Syringe the current program which allows a new
infusion to be programmed.

PAT999-103EN Rev. 04 | 7/16

Cleaning and Maintenance

IMPORTANT!
• The Manufacturer Recommended Cleaning (MRC) protocol is NOT intend-
ed to replace local Infection Prevention and Control Policy. The decision
about the level of decontamination required depends not only on how the
device is used, but also on the risk of the device transmitting infection or
acting as a source of infection.
• Best prevention practices against HAI (Hospital Acquired Infections)
recommend a 2 steps process: Step 1. Removing unwanted soils from all
surfaces with a cleaning agent (pathogens can use soils for harborage
limiting accessibility to disinfectant agents). Step 2. Disinfecting the freshly
cleaned surfaces.

MRC PROTOCOL

INTENT:
• To preserve pump performance.
• To remove soil, particles and chemical residue that could accumulate over
time on pump surface. Soil, particles and chemical residue result from
normal use and from the “disinfection protocol” developed by users at point
of use.

INSTRUCTIONS
• To clean the pump, wipe the external pump surface using a disposable alco-
hol wipe impregnated with isopropyl alcohol (IPA) 70%, to minimize pump
exposure to excessive quantities of liquids.
• Isopropyl alcohol (IPA) is volatile and leaves no residue upon evaporation,
therefore surfaces are left dry quickly after wiping.

FREQUENCY:
• It is recommended to apply the MRC protocol to the pump after each disinfection
sequence as a preventive measure to maintain pump performance and longevity
(removal of chemical residue).
• Note: Preventive maintenance also helps to maintain pump performance over
time. This should be performed as recommended in the Periodic Maintenance
section.

8/16 | PAT999-103EN Rev. 04

Cleaning and Maintenance

• Turn off the pump before cleaning.

• When fluid ingress is suspected, stop using the pump and request pump
verification through maintenance to identify potential need of corrections.
• Immersing the pump into liquid could cause damage to components. Do
not soak or immerse any part of the pump or the pump charger into any
type of liquid.
• If other chemical cleaning agents are used for the “disinfection protocol
/ regime”, ensure to follow the manufacturer recommended cleaning to
preserve pump performance, after completing the “disinfection protocol /
regime”.
• Do not spray or rinse cleaning solutions directly on pump surfaces or in po-
tential liquid retention areas or open ports such as electrical connections.
• Avoid using chemicals that can damage the surfaces of the instrument (for
example, chlorinated solvents).
• When using cleaning solutions containing chemicals (such as corrosive
agents), do not use concentrated solutions and do not expose surfaces
above the recommended dwell time. After application, rinse surfaces with
IPA disposable wipes to eliminate chemical residue.
• Do not steam, autoclave, EO (ethylene oxide) sterilize, immerse the pump
or pump charger in any type of fluids, or allow fluids to enter the pump
case.

Periodic maintenance is recommended every 12 months. Periodic maintenance

is designed to help ensure the pump’s accuracy and detect and repair any
potential inconsistencies prior to their occurence in the field. Refer to Direction
for Use manual about periodic maintenance.

IP RATING
The rating of the pump is IP22. This is the moisture protection rating and
indicates the degree of particle and water ingress protection.

PAT999-103EN Rev. 04 | 9/16

Intended Use

The T34™ syringe pump is designed for infusion of medications or fluids

requiring continuous or intermittent delivery at precisely controlled infusion
rates through all clinically acceptable routes of administration including
intravenous, subcutaneous, percutaneous, in close proximity to nerves, and
into an intraoperative site (soft tissue / body cavity / surgical wound site).
The system is intended for patients who require maintenance medications,
analgesics, immunoglobulins, biosimilar, chemotherapeutic agents and general
fluids therapy in hospital and homecare environments.

Contraindications
• Infusion of blood and blood products
• Infusion of insulin
• Infusion of critical medications whose stoppage or interruption could cause
serious injury or death
• Use in ambulatory regimens by patients who do not possess the mental,
physical or emotional capability to self-administer their therapy, or who are
not under the care of a responsible individual
Note: Failure to use this equipment in the specified type of shielded location
could result in degradation of performance, interference with other equipment
or interference with radio services.
Note: No modification to this equipment is permitted.

Hazards
• Potential strangulation may occur if tubing is of excessive length.
• Potential choking may occur if small parts are inhaled or swallowed.
• Potential allergic reactions may occur due to materials used in the pump.
• Children, pets, fireplaces, dust, lint and direct sunlight may all affect pump
operation.
• The use of single-use disposable components on more than one patient is
a biological hazard. Do not re-use single-use disposable components.
• Unsafe operation may result from using improper accessories. Use only
accessories and options designed for this system and supplied or recom-
mended by the T34™ Syringe Pump distributor.
• Do not use this equipment with other infusion systems or accessories that
are not approved to be used with this pump system.
10/16 | PAT999-103EN Rev. 04
Operating and Transport Conditions
System Accuracy

OPERATING AND TRANSPORT CONDITIONS

There is no additional time required for the unit to equilibrate once removed
from minimum to maximum storage temperatures.
Ensure to operate the pump within the specified operating range.

OPERATING CONDITIONS
Ambient Temperature: +5°C to +40°C
Relative Humidity: 15% to 90%, non-condensing
Ambient Pressure: 70 kPa to 106 kPa

TRANSPORT AND STORAGE CONDITIONS

Temperature: −25°C to +70°C
Relative Humidity: 0% to 90%
Air Pressure: 48 kPa to 110 kPa

SYSTEM ACCURACY
System accuracy of ±5% achieved under nominal conditions, defined as
follows:

Flow rates: 1ml/h and 5ml/h.

Tested with syringe extension set model M100-172SB;
Needle: 18 gauge;
Solution Type: Distilled water;
Temperature: 22°C ± 3°C;
Back Pressure: 0 ± 10 mmHg;
Syringe size and brand: BD Plastipak 20ml;

PAT999-103EN Rev. 04 | 11/16

Disposal and Battery

PROPER DISPOSAL
When the time comes to dispose of the pump, accessories or packaging do
so in the best way to minimise any negative impact on the environment. You
may be able to use special recycling or disposal schemes. To find out about
these contact your technical service department or local waste disposal service.
Existing national or local regulations concerning waste disposal must take
precedence over the above advice.
Used syringe extension sets should be considered bio-hazardous and treated
(handled, disposed or processed) as potentially posing significant risks of
infection transmission to humans or harming the environment. Please follow
any applicable national and institutional guidelines for bio-hazardous materials
treatment.

BATTERY
Always use a 9 volt alkaline disposable battery, type 6LR61.

BATTERY OPERATION FOR 9V BATTERY

Rate (ml/h) Approximate battery life
1 ml/h 25 hours
5 ml/h 20 hours

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 Place Contact Information Here

Caesarea Medical Electronics Ltd. EC REP MedNet GmbH

16 Shacham Street, Industrial Park Borkstrasse 10 48163
Caesarea North, P.O.BOX 3009 Muenster, Germany
Caesarea 3088900, Israel +49 251 32266 0

0344

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affiliates.
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