The BD Alaris™ neXus CC Syringe Pump (Model: CCneXus1) is a compact and lightweight medical device designed for accurate and reliable continuous or intermittent infusions of parenteral fluids and drugs. It is intended for use in hospitals, healthcare facilities, and during medical ambulance ground transport, for adults, paediatrics, and neonates. The pump controls rate and volume, and is indicated for intravenous (IV), subcutaneous, and irrigation of fluid spaces therapies. It is contraindicated for enteral therapies.
Function Description:
The pump delivers fluids using rate, volume over time, dose rate calculation, and pre-programmed drug dosing protocols that include concentration values and Guardrails™ dosing safety limits. It accepts single-use Luer lock syringes ranging from 5ml to 50ml. The BD Alaris™ neXus Editor software, a medical device accessory, allows hospitals to develop best-practice data sets of IV medication dosing guidelines, referred to as profiles. Each profile contains a specific drug library and appropriate pump configuration, including Guardrails™ Soft and Hard Limits. Soft limits can be overridden during infusion programming, while Hard Limits cannot. The pump provides automatic alerts when dosing, bolus, loading dose, age, or weight limits are exceeded, without requiring connection to a PC or network. These data sets are developed and approved by pharmacy and clinical input, then transferred to the pump by Qualified Service Personnel, either manually via the BD Alaris™ neXus Transfer Tool or automatically through the BD Alaris™ Communication Engine.
The pump features an in-line pressure sensor technology for highly accurate, real-time pressure monitoring, which improves early occlusion detection, reduces alarm time, and minimizes the risk of post-occlusion bolus. It can connect to the BD Alaris™ Communication Engine via a connected Alaris™ Gateway Workstation or hospital Wi-Fi, automatically detecting infusion data, logs, and configuration information.
Important Technical Specifications:
- Infusion Rates:
- 5ml syringes: 0.1ml/h to 150ml/h
- 10ml syringes: 0.1ml/h to 300ml/h
- 20ml syringes: 0.1ml/h to 600ml/h
- 30ml syringes: 0.1ml/h to 900ml/h
- 50ml syringes: 0.1ml/h to 1200ml/h
- Infusion Rate Increments:
- 0.10 to 9.99 ml/h: 0.01 ml/h (single chevron), 0.10 ml/h (double chevron)
- 10.0 to 99.9 ml/h: 0.1 ml/h (single chevron), 1.0 ml/h (double chevron)
- 100 to 999 ml/h: 1 ml/h (single chevron), 10 ml/h (double chevron)
- 1000 to 1200 ml/h: 10 ml/h (single chevron), 100 ml/h (double chevron)
- Volume Infused Range: 0.0ml to 9990ml.
- Bolus Rates: User adjustable in 10ml/h increments, up to the maximum infusion rate for the selected syringe size.
- Bolus Volume Limit: Minimum 0.1ml, maximum 25.0ml, increments of 0.1ml (default 5.0ml).
- Bolus Volume Accuracy (using BD Plastipak 50ml syringe at 5ml/h):
- 0.1ml: Typical 1.7%, Typical Maximum 5.1%, Typical Minimum -2.5% (Pump Specification ±10%)
- 25ml: Typical 0.1%, Typical Maximum 0.5%, Typical Minimum -0.6% (Pump Specification ±5%)
- Critical Volume (50ml syringe): Maximum overinfusion 0.87ml.
- Purge Rate: 100 to 500ml/h.
- Purge Volume Range: 0.5 to 5ml.
- Keep Vein Open (KVO) Rate: 0.1 to 2.5ml/h.
- Volume To Be Infused (VTBI): 0.10 to 1000ml, 1 minute to 24 hours.
- Near End Of Infusion Alarm: 1 to 15 minutes to end of infusion, or 10% of syringe volume (whichever is smaller).
- End Of Infusion (EOI) Alarm: 0.1 to 5% of syringe volume.
- Maximum Pumping Pressure Limit: 1000mmHg (nominal at L10).
- Occlusion Accuracy (with pressure disc, % of full scale):
- 0mmHg: ±2% (23°C), ±4% (5°C to 40°C)
- 25mmHg: ±4% (23°C), ±7% (5°C to 40°C)
- 500mmHg: ±5% (23°C), ±7% (5°C to 40°C)
- 1000mmHg: ±6% (23°C), ±10% (5°C to 40°C)
- System Accuracy:
- <1ml/h: Typical ±2%, Pump Specification ±10%
- ≥1ml/h: Typical ±2%, Pump Specification ±2%
- Electrical Classification: Class I product, Continuous Mode Operation, Transportable.
- Battery: Rechargeable sealed NiMH. Mean Time To Power Down from fully charged at 5ml/h and 23 ± 2°C is 6 hours (4 hours with Wi-Fi ON). Charging takes 2½ hours from discharge to 90% charge.
- AC Power Supply: 115-230V AC, 50–60Hz, 30VA (max charging), 10VA (nominal).
- Dimensions: 335mm (w) x 121mm (h) x 200mm (d).
- Weight: 2.4kg (excluding power cable).
- Protection against fluid ingress: IP32 (IP33 with AC power cable retainer kit fitted).
- Operating Temperature Range: 0°C to +40°C.
- Wi-Fi Network Standards: 802.11a/b/g/n. Frequency band of operation: 2400–2483.5MHz (2.4GHz) and 5150-5350MHz / 5470–5725MHz (5GHz).
- Memory Retention: Electronic memory retained for at least 6 months when not powered up.
- Fuse Type: 2 x T 1.25H, 250V.
Usage Features:
- Controls: ON/OFF, RUN, HOLD, MUTE, PURGE/BOLUS, OPTIONS, PRESSURE, CHEVRON keys, and BLANK SOFTKEYS for display interaction.
- Display: Features Pump Status, Syringe type fitted/Profile/Drug name, Pressure Information, Infusion Rate, Volume Infused, Volume Infused Option, and VTBI Option.
- Screen Icons: Time remaining, Battery indicator, Guardrails™ Soft Alert (up/down arrows), Hard Limit Warning (exclamation mark), Wi-Fi connected/disconnected.
- Syringe Loading: Secure loading of syringes from 5ml to 50ml, with automatic detection of syringe type and size. Users must confirm the detected syringe.
- Purge Function: Allows priming of the extension set with fluid or drug before connecting to the patient or after changing a syringe.
- Bolus Infusion: Configurable as Disabled, Hands-On, or Hands-Free and Hands-On. Hands-On bolus allows rate adjustment, while Hands-Free bolus uses preset rates and volumes.
- Volume To Be Infused (VTBI): Allows setting a specific volume to be infused and the rate at the end of VTBI (stop, KVO, or continuous infusion).
- Clear Volume: Enables clearing the infused volume.
- Rate Lock: An anti-tamper feature that, when enabled, prevents changes to infusion rate, bolus operations, and powering down the pump.
- Rate Titration: Allows adjustment of the infusion rate while the pump is infusing (if enabled).
- Dosing Summary: Provides a review of currently selected dosing information.
- 24 Hour Log: Displays hourly infused volume and total volume since last cleared.
- Event Log: Records pump events (if enabled).
- Data Set Details: Provides information about the currently selected data set.
- Infusion Setup: Allows changing infusion settings.
- Pump Details: Displays pump information including Unit Reference, Serial Number, and Software version.
- Add Drug: Allows adding a drug while the pump is running a ml/h infusion.
- Adjust Alarm Volume: Enables adjustment of the audible alarm volume.
- Profile Filter: Configures which profiles are enabled or disabled for selection.
- Standby Mode: Allows placing the pump in standby (if enabled).
- Date and Time: Displays current date and time, configurable by Qualified Service Personnel or automatically updated via BD Alaris™ Communication Engine.
- Network Status: Provides information on wireless network connection status.
- Wireless Connection: Allows manual enabling/disabling of Wi-Fi communication.
- In Line Pressure Monitoring: Displays pressure trend graph, alarm level, and allows adjustment of the pressure alarm level. Features Auto Set Pressure and Auto Pressure for automatic adjustment of occlusion limits.
- Alarms and Warnings: Indicated by audible alarms, flashing alarm indicators, and descriptive messages. Alarms are categorized by priority (High, Medium, Low) with distinct audio and visual indicators. Prompts are audible messages without visual indicators.
- Optional Lock Box: Available in "Rate Unlocked" (allows rate adjustment during infusion) and "Rate Locked" (requires pump to be on hold to change rate) configurations.
Maintenance Features:
- Routine Maintenance: Includes cleaning external surfaces, inspecting AC power supply, keypad, and plunger, and checking self-test operation.
- Cleaning and Storage:
- Recommended Cleaners: Hibiscrub 20% (v/v), Virkon Disinfectant 1% (w/v), warm soapy water, mild detergent, 40% isopropyl alcohol, Chlor-Clean, Clinell Universal Wipes, Reynard, TriGene Advance, Tristel Fuse sachets, Tristel Trio wipes system, Tuffie 5 wipe, Tuffie Disinfectant.
- Avoid: Disinfectants corrosive to metals (e.g., NaDcc, Hypochlorites, Aldehydes), cationic surfactants >1%, mixtures of alcohol and chemicals with cationic surfactants >1% chlorohydrocarbons, iodine.
- Procedure: Switch off and disconnect from AC power supply before cleaning. Avoid liquid ingress, aggressive cleaning agents, steam autoclaving, ethylene oxide sterilization, or immersion.
- Storage: Store in a clean, dry atmosphere at room temperature, preferably in original packaging, with the internal battery fully charged. Functional tests and battery recharge recommended every three months during storage.
- Battery Operation: Internal rechargeable NiMH battery. Requires full recharge after discharge and before storage, and at regular three-month intervals during storage. Only BD recommended batteries should be used and replaced by Qualified Service Personnel.
- Disposal: Electrical and electronic products should not be mixed with household waste. Internal rechargeable battery and Nickel Metal Hydride battery should be removed and disposed of according to local regulations.
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