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MEDIFUSIONⓇ

DI-4000

User Manual

DAIWHA

Copyright © 2012, DAIWHA Corporation. All rights reserved.


Manual No: DW-DI4000-OP-EN (Rev 1.04)
Contents
1. Precautions ................................................................................................................... 5
1.1 Overview .......................................................................................................................... 5
1.2 Warnings .......................................................................................................................... 5
1.3 Caution ............................................................................................................................. 6
1.4 Symbols ........................................................................................................................... 9
2. Specifications ............................................................................................................. 10
2.1 Specifications ................................................................................................................. 10
2.2 Occlusion Detection Characteristics .............................................................................. 12
2.3 Usable I.V Sets .............................................................................................................. 12
2.4 Memory Function ........................................................................................................... 12
2.5 Classification .................................................................................................................. 12
2.6 EMS Issues .................................................................................................................... 13
2.7 Drop Sensor Function(Optional) .................................................................................... 13
2.8 Characteristics Curves ................................................................................................... 14
3. Names and Functions ................................................................................................ 15
3.1 Keys ............................................................................................................................... 15
3.2 LCD Display ................................................................................................................... 16
3.3 LED Display ................................................................................................................... 16
3.4 Other .............................................................................................................................. 17
3.5 External Interface Area .................................................................................................. 17
3.6 Accessories .................................................................................................................... 17
4. Installation .................................................................................................................. 18
4.1 Installing DI-4000 and Connecting the Power ............................................................... 18
4.2 Installing the I.V Set ....................................................................................................... 20
4.3 Installing the Drop Sensor(Optional) .............................................................................. 21
5. Infusion Mode ............................................................................................................. 22
5.1 Normal Infusion .............................................................................................................. 22
5.2 Drug Infusion .................................................................................................................. 24
5.3 Dosage Infusion (Drug) .................................................................................................. 25
5.4 Dosage Infusion (Manual) .............................................................................................. 26
6. Settings ....................................................................................................................... 28
6.1 Secondary Infusion Mode .............................................................................................. 33
7. Operation .................................................................................................................... 34
7.1 Standby (Before Operation) ........................................................................................... 35
7.2 Start Infusion (Start Operation) ...................................................................................... 35
7.3 Stop and Pause.............................................................................................................. 36

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7.4 Viewing the Infused Volume and Time Remaining ........................................................ 36
7.5 Key Lock Function.......................................................................................................... 36
7.6 History Log Function ...................................................................................................... 36
8. Patient's Settings........................................................................................................ 37
8.1 Menu Tree ...................................................................................................................... 37
8.2 Special Functions ........................................................................................................... 38
8.2.1 I.V Set Selection ..................................................................................................... 38
8.2.2 Drug Selection ........................................................................................................ 38
8.2.3 Dosage Setting ....................................................................................................... 38
8.2.4 Secondary Mode .................................................................................................... 38
8.2.5 Infusion Relay ......................................................................................................... 38
8.3 Options ........................................................................................................................... 38
8.3.1 Bolus F.rate............................................................................................................. 39
8.3.2 Bolus Volume ......................................................................................................... 39
8.3.3 Standby Alarm ........................................................................................................ 39
8.3.4 Near Complete Alarm ............................................................................................. 39
8.3.5 Pressure Level ....................................................................................................... 39
8.3.6 Nurse Call ............................................................................................................... 39
8.3.7 Auto Save On/Off ................................................................................................... 39
8.3.8 AC/DC Removal Alarm ........................................................................................... 39
8.3.9 K.V.O Set ................................................................................................................ 39
8.3.10 Air Set ..................................................................................................................... 39
8.3.11 Drop Set ................................................................................................................. 39
8.3.12 Auto Bolus Check ................................................................................................... 39
8.3.13 UP Occlusion Set ................................................................................................... 40
8.4 Config Mode ................................................................................................................... 40
8.4.1 Alarm Sound Volume .............................................................................................. 40
8.4.2 Key Sound Volume ................................................................................................. 40
8.4.3 Alarm Logs ............................................................................................................. 40
8.4.4 Event Logs.............................................................................................................. 40
8.4.5 Setting the Date ...................................................................................................... 40
8.4.6 Setting the Time ..................................................................................................... 40
8.4.7 Factory Reset ......................................................................................................... 40
8.4.8 Contrast Normal ..................................................................................................... 40
8.4.9 Contrast(Standby) .................................................................................................. 40
8.4.10 Language................................................................................................................ 40
8.5 Service Mode ................................................................................................................. 41
9. Alarms ......................................................................................................................... 42
9.1 Occlusion Alarm ............................................................................................................. 42

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9.2 UP Occlusion Alarm ....................................................................................................... 42
9.3 Air Bubble Alarm ............................................................................................................ 43
9.4 Door Open Alarm ........................................................................................................... 43
9.5 Low Battery Alarm .......................................................................................................... 43
9.6 Empty Battery Alarm ...................................................................................................... 43
9.7 Infusion Complete Alarm ................................................................................................ 44
9.8 AC/DC Power Removal Alarm ....................................................................................... 44
9.9 Standby Alarm ................................................................................................................ 44
9.10 Near Complete Alarm ..................................................................................................... 44
9.11 Abnormal Drop Alarm ..................................................................................................... 44
9.12 Time Out Alarm .............................................................................................................. 45
9.13 Error Codes .................................................................................................................... 45
9.14 Checklists for Alarms...................................................................................................... 45
10. Precautions during Use ............................................................................................. 48
10.1 Life-span of Replaced Parts ........................................................................................... 48
10.2 Maintenance ................................................................................................................... 48
10.3 Cleaning and Disinfecting .............................................................................................. 48
10.4 Disposal ......................................................................................................................... 49
10.5 Storage ........................................................................................................................... 49
11. Document History....................................................................................................... 50
12. <Supplement> ............................................................................................................. 51
12.1 Infusion Relay ................................................................................................................ 51
12.1.1 Preparation ............................................................................................................. 51
12.1.2 Infusion Relay ......................................................................................................... 51
12.1.3 Infusion Relay Ready ............................................................................................. 51
12.1.4 Set for Infusion relay mode .................................................................................... 52
12.1.5 Stop Infusion relay of Master Pump ....................................................................... 53
12.1.6 Stop Infusion relay of Slave Pump ......................................................................... 53
12.1.7 Start Infusion relay( Automatic ) ............................................................................. 54
12.1.8 Infusion relay start(hand-operate) .......................................................................... 55
12.1.9 Other message ....................................................................................................... 56

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1. Precautions
1.1 Overview
◎ This manual describes how to use the infusion pump (Model: DI-4000) manufactured by DAIWHA
Corporation, and its technical specifications.
◎ This pump is designed to meet the requirements for delivering drugs in general wards, to new-born
babies, and to emergency rooms.
◎ Please ensure that only clinical doctors and nurses who are familiar with the operation of this
pump can use this pump. You can set the range of flow rate from 0.1 ml/h to 1200 ml/h.
◎ This pump allows you to set Normal Infusion mode and Dosage mode.
◎ Repair or circuit alteration of this equipment can only be carried out by personnel authorized by
DAIWHA. The warranty shall not apply to defects or damage caused by repairs or disassembly by
anyone other than personnel authorized by DAIWHA, and safety shall not be assured.
◎ Parts or circuits which are used for this equipment can be replaced to improve the safety and
performance of this equipment.
◎ Read this manual carefully before using the pump, and understand its functions and how to use it
for safe use.
◎ Contact DAIWHA if you have any questions regarding the equipment or the User Manual.
◎ This manual is only applicable to pumps with Program Version v1.xx or above.

Safety precautions are classified as below in accordance with the expected danger, seriousness of
damage or urgency.

A precaution which can result in critical personnel injury or immediate loss of life if
Danger instructions are not followed.

A precaution which could result in critical personnel injury or loss of life if instructions
Warning are not followed.

A precaution which could result in minor personnel injury or damage to the product if
Caution instructions are not followed.

1.2 Warnings
1. Do not operate the DI-4000 infusion pump in the presence of flammable anesthetics, flammable
liquids, or explosive gases (danger of fire or explosion).
2. Do not touch the inlet section with a wet hand or get it wet (danger of electric shock or short-
circuit).
3. Do not operate the pump in an area where strong sources of high frequency waves and
electromagnetic fields are present or where high pressure oxidation ignites (cause of failure or
low performance).
4. Ensure that the I.V Set is installed correctly.
5. Check the infusion volume, flow rate, time and settings carefully prior to infusion.
Infusion differences or critical errors may occur, since this pump does not have a device to
determine infusion.
6. Check the functions and infusion differences of the pump if the pump has been severely impacted.
This pump does not have a device to detect force of impact automatically.
7. Do not use the pump where radiation and MRI equipment are used or where high pressure
oxidation could ignite. (It can cause product failure, breakage, degradation or explosion.)
8. Do not leave the infusion pump in a damp environment or where there is active gas
(comprehensive disinfecting gas). (These environments may affect internal electrical parts and
cause degradation of or damage to the equipment.)
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9. Do not keep or use the infusion pump in the presence of flammable liquid or gas. (Doing so may
cause ignition or explosion.)
10. Do not use the infusion pump in an environment, e.g., an extracorporeal circuit, where positive
pressure and negative pressure occur. (Infusion may not be accurate and the occlusion alarm
function may not work properly.)

1.3 Caution
1. Only designated personnel (trained, experienced) are permitted to operate the pump for safe use.
2. Operate the pump using the correct procedure.
3. The following must be ensured when installing the pump.
1) Be mindful of safety procedures, e.g. vibration, impact (including transport).
2) The location for installation must not be affected by temperature, humidity and pressure.
3) Ensure that the pump is always clean.
4) The correct electric power has to be provided.
5) The location must be securely grounded.
6) Avoid strong direct sunlight.
4. The following must be ensured when operating the pump with an external power source.
1) The power plug has to be plugged into a grounded outlet in the hospital, and check the rated
voltage and the frequency beforehand.
2) Do not use an extension cord containing two wires without it being grounded.
3) Check the power plug prior to use.
4) Do not connect the DC power and AC power to the pump simultaneously.
5) Be careful of the polarity and voltage when using the DC power.
5. The following must be ensured when operating the pump with a battery.
1) Be careful of the usage time when operating the pump with a battery.
(The battery can support a running rate of 25 ml/h for up to 7 hours when fully charged.)
2) Connect the power cord to the pump to charge the battery if the “Low Battery” lamp on the LCD
display blinks or if the alarm goes off.
3) Charge the battery at least once a month to prevent its life-span from being reduced if it is not
being used for an extended period of time.
4) If possible, fully recharge the battery after it has been completely discharged.
5) The battery capacity is indicated on the LCD display while the battery charges. Charge the
battery fully.
6) Replace the battery if the battery usage time drastically decreases after being fully charged.
(Contact the supplier you purchased the product from when replacing the battery.)
6. The following must be ensured during infusion.
1) Check the operating conditions of the pump and the patient’s condition regularly.
2) Check if there is any damage to the I.V Set., e.g. a leakage or a broken filter.
3) Use the Lock function to prevent the settings from being altered, even if some keys are pressed
while the pump is in use.
7. The following must be ensured when using the I.V Set.
1) Use the I.V Set designated for medicinal infusion only, otherwise the flow rate may differ
from the desired rate and cause malfunction of the air and occlusion alarms. Contact a
manufacturer or its authorized service representative or the head office if you can't use the
I.V Set designated in this user manual.
2) Do not reuse the I.V Set. If you reuse the I.V Set, it may result in the malfunctioning of
infusion volume or sensors.
3) Change the position of the I.V Set tube at least 15 cm if it is used for more than 12 hours.
You must follow the instructions in order to use the I.V Set within the range of tolerance.
4) Do not extend the I.V Set during installation, as it may result in an incorrect flow rate and
infusion volume.
5) Free flow or leakage may occur if the I.V Set is not installed correctly.

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6) Do not link and use other devices or products to infuse a drug into a patient who is
connected to the I.V Set section (Patient Line). It may result in an incorrect flow rate and
infusion volume, and may affect the alarm functions.
7) Only use I.V Sets specified in the operator's manual. Use of unauthorized sets may lead to
PATIENT RISK.
8. Please note that infusion volume may differ in the following conditions.
1) The activation time of the occlusion alarm is long when infusing the drug at a low speed and
infusion does not happen,
2) The pump is operated in an environment other than the ambient temperature (10℃ ~ 40℃),
relative humidity (20% ~ 90%) and atmospheric pressure (70 kPa ~ 106 kPa).
9. The following must be ensured when cleaning the pump.
1) Do not disinfect the pump with Ethylene Oxide gas or by autoclaving.
2) Do not wipe the pump with thinner, solvents, benzene, ammonia or acetone. Wipe the pump
down with damp gauze and then dry with a smooth, dry cloth.
3) Do not operate the pump in wet conditions.
4) Do not submerge the pump in water or dry the pump forcibly.
10. Do not open or disassemble the pump.

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Sales & Address: Daiwha B/D, 733-18 Yeoksam-dong, Gangnam-gu, Seoul, Korea
Service Center Tel : +82-2-558-1711∼6
Fax : +82-2-554-0317
Website: www.daiwha.com

Address: mdi Europa Gmbh Langenhagener Str. 71 30855


Hannover-Langenhgener, Germany
Tel: +49-511-39 08 95 30

This is medical equipment.

DAIWHA Corporation
1656-2 Dongwha-ri, Munmak-eub, Wonju si, Gangwon-do, Korea

Product Name Infusion Pump

Model DI-4000

Packaging Unit 1 Set

Purpose Consistent infusion of medicine

Storage Store at room temperature

Usages and Precautions See the User Manual

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1.4 Symbols

Power On (main power On)


Power Off (main power Off)

AC DC

Up Key Down Key

Left Key Right Key

BOLUS (Fast Infusion) Cancel Key

Start/Stop Key (Start/Stop


Alarm Clear/ Information Key
Infusion)

Date of Manufacture Manufacturer

Device Complies with the


Attention
Requirements of the EC
(Read the User Manual carefully
Directive
prior to use.)
93/42/EEC.

Type CF Serial Number

IPX1 Protected against dripping water Reference Number

Authorized European Recycle electrical and electronic


Representative equipment

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2. Specifications
2.1 Specifications
Product Name Volumetric Infusion Pump

Model DI-4000

Pumping Mechanism Peristaltic Transit Finger

Flow Rate 0.1 - 1200 ml/h

±5% ( Korea Vaccine CODE S203T Pump Type)


Measured every hour at room temperature (25℃) using water or saline
Accuracy
solution (above 1.0 ml/h of flow rate).
* Accuracy may differ depending on the type of medical fluid and I.V Set.

0.1 - 9999 ml 0.1 - 99.9 ml (in 0.1 ml increments)


Total Vol.
or infinity 100 - 9999 ml (in 1 ml increments)
Infusion
Range
Infused 0.1 - 99.9 ml (in 0.1 ml increments)
0.0 - 9999 ml
Vol. 100 - 9999 ml (in 1 ml increments)

Bolus Rate (Purge) 700 ml/h (default) - 1 ~ 1200 ml/h

Bolus Volume (Purge) 0.1 - 99.9 ml (in 0.1 ml increments)

1 ml/h (default)
At flow rate 1.0 ~ 1 2 0 0 m l / h
1 ~ 9 ml/h
KVO Rate
0.1 ml/h (default) At flow rate 0.1 ~ 0.9 ml/h

Occlusion Pressure 60 - 850 mmHg

Mono Graphic LCD (Resolution: 240 x 64)


Display
LED: Operating, Warning, AC/DC

* Air Bubble alarm


* Up-Stream Occlusion alarm
* Down-Stream Occlusion alarm (detection capacity: 60 - 850 mmHg)
- Nine adjustable steps for downstream occlusion
* Low Battery and Empty Battery alarms
* AC/DC Power Removal alarm
Alarms
* Standby alarm (at an interval of 2 minutes when not infusing)
* Near Complete alarm
* The pump stops operating when alarms go off except for the Low Battery
and Start Reminder alarms.
* Malfunction
The status of the pump is displayed and an alarm goes off.

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* Door Open: Infusion is unavailable when the door is open.
* Key Lock: Only the START/STOP and ON/OFF keys work.
* Up / Down Occlusion Sensor: Detects clogging of the extension tube.
Safety Features
* Nurse Call: Monitoring is possible if an alarm goes off.
* Air Sensor: Detects air bubbles.
* Drop Sensor: Detects medical fluid drops.

* Time Mode: Calculates the flow rate by setting the infusion time.
* Dosage Mode: Calculates the flow rate by setting the dosage.
* Titration: Flow rate can be altered during infusion
(available only when the time remaining for infusion is more than 5 minutes).
* Secondary Infusion Mode( Primary, Secondary)
* Low, Empty Battery: Alarms go off 30 minutes and 3 minutes before the
battery goes flat.
* Date and Time: The date and time can be checked without a power supply,
since a designated clock is installed.
Other Functions
* Standby (Pause) Mode: Pauses the operation of the pump.
1 - 1440 min (in 1 min increments)
* Event History: Saves up to 2000 and it can view by separate PC utility.
Please refer service manual for detailed usage of event history.
* Alarm log event: Saves up to 50 in the pump and it can view in the pump at
setting mode1. Please refer service manual for detailed usage of alarm log
event.
* All records of infusion events will be stored automatically and permanently
after power off.

* AC 100 - 240 VAC, 50 - 60 Hz (Fuse: 250V, T3.15A)


* DC 12V (1A)
* Ni-MH Rechargeable Battery
Power
- 2000 mA/h, AA, 1.2 V, 8 ea
- Operating time: approx. 7 hours at a flow rate of 25ml/h
- Recharging time: approx. 5 hours

Power Consumption 34 VA

* Protection from electric shock: Class Ⅰ


Protection Type * Protection capacity for electric shock: Type CF
* Protection from liquid infiltration: IPX 1 (drip-proof)

Dimensions (W×D×H) 260×130×91mm

Weight Approx. 1.8 kg

Operating Temperature: 10 - 40 ℃, Humidity: 20 - 90%


Environment Atmospheric Pressure: 70 - 106 kPa (525.04 - 795.06 mmHg)

Temperature: -10 - 60 ℃, Humidity: 10 - 95%


Storage Environment Atmospheric Pressure: 65 - 120 kPa (487.54 - 900.07 mmHg)

User Manual 1 ea (Manual No.: Refer to the front cover of the manual.)
Pole Clamp 1 ea (Model: Pole Clamp-A)
Accessories Drop Sensor 1 ea (Optional)
Medifusion Station 1ea (Optional)
AC Power Cable 1 ea (4 m, 0.75 ㎟ x 3C,
KS C IEC 60227-5 300/500V 60227kSIEC 53)

Communication USB

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2.2 Occlusion Detection Characteristics
1. Occlusion Pressure(Down-Stream), Time to Alarm and Bolus Volume are measured at a 25
ml/h of flow rate.
2. I.V Set for measurement: Korea Vaccine CODE S203 Type Ⓣ(at ambient temperature 25℃)
3. Measurement position: The occlusion clamp is placed 1 m below the pump.

NOTE: The following figures are only for reference.


(Measurement Instrument: FLUKE IDA4PLUS)
Occlusion Occlusion Time to
Flow Rate Level Pressure Alarm
(Setting) (mmHg) (min : sec)

2 192 01 : 02

4 430 01 : 59
25 ml/h
5 542 02 : 23

7 759 03 : 22

2.3 Usable I.V Sets


1. Korea Vaccine (Type S203T), JMS(JY-A343CN), COSMED(DWS201) etc
2. Various kinds of I.V Sets will be available through continuous product updates.

Caution
The infusion volume may differ depending on the type of I.V Sets.

2.4 Memory Function


1. Recent flow rates and intended infusion volume are stored in the internal memory even after the
power is turned off, and the data saved in the memory is stored semi-permanently.
2. The date, time, infusion volume and status are stored, and you can view the data on the LCD
display, or via USB.

2.5 Classification
- Class I internally powered equipment
- Type CF
- IPX1
- Equipment not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen
or nitrous oxide.
- Continuous operation

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2.6 EMS Issues
This equipment has been tested and found to comply with the limits for medical devices in EN 601-1-2.
These limits are designed to provide reasonable protection against harmful interference in a typical
medical installation.
This equipment generates, uses and can radiate radio frequency energy and, if not installed and used
in accordance with the instructions, may cause harmful interference to other devices in the vicinity.
However, there is no guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference to other devices, which can be determined by
turning the equipment off and on, the user is encouraged to try to correct the interference by one or
more of the following measures:
- Reorient or relocate the receiving device.
- Increase the separation between the equipment.
- Connect the equipment into an outlet on a circuit different from that to which the other device(s)
are connected.
- Consult the manufacturer or field service technician for help.

2.7 Drop Sensor Function(Optional)

1. Detects free flow caused by abrupt device malfunctioning

2. Detects No Drop caused by an empty bottle or clogging of the tube.

3. It is advisable to reinforce the safety of the drop sensor.

4. See Drop S ensor Installation for other installation.

Caution
Do not connect or disconnect the Drop sensor during infusion

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2.8 Characteristics Curves
* The following characteristics curves were achieved in the same conditions as those of IEC 60601-2-
24.
1. Start-up curve: This curve shows an infusion every 30 seconds within 2 hours of measurement
time. This start-up curve shows the characteristics of the infusion when the ratio becomes stable
after the onset of infusion.
2. Trumpet curve: This curve shows the fluctuation ratio through the maximum and the minimum
differences in the flow rate on the horizontal and the vertical axes. (The smaller the gaps get, the
fewer fluctuations occur.)

NOTE: The following figures are only for reference. (Measurement Instrument: METRON QA-IDS MKII)

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3. Names and Functions

3.1 Keys
No. Key Key name Description

When you press the LOCK key, the corresponding icon appears on the LCD
① LOCK
display. At this time, only the START/STOP and ON/OFF keys work.

When you press the BOLUS key while paused or during infusion, the pump
② BOLUS infuses at the flow rate and volume set in the Setting Mode (BOLUS volume
and rate).

③ MENU Allows you to set sub functions.


Note: This key does not work during infusion.)

Allows you to cancel changing from the sub menu to the root menu or settings.
④ CANCEL You can also use this key when you reset the input values in the Settings
window.
⑤ RIGHT Used when moving the menu.

⑥ LEFT Used when moving the menu.

Used when moving the menu. When you press this key in the Settings window,
⑦ UP you can also increase the set values. The settings information is displayed on
the infusion screen.

Used when moving the menu. When you press this key in the Settings window,
⑧ DOWN you can also decrease the set values. The settings information is displayed
on the infusion screen.

Allows you to move from the sub menu to the root menu. This button allows you
⑨ OK to move to the root menu when the settings on the Settings screen are
complete.
When you select I.VOL and then press the INFO key on the infusion screen, the
⑩ INFO
time remaining displays. Press the INFO key ( ) to clear an alarm sound.

If you press this key after completing the infusion settings on the infusion screen,
⑪ START/STOP
infusion will start. If you press this key once again, the infusion will stop.

⑫ POWER The pump turns on when pressing the ON/OFF key, but when pressing and
holding the ON/OFF key, it turns off.

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3.2 LCD Display
ⓐAlarm display
ⓑStatus display
ⓒPressure display
ⓓLock/Unlock display
ⓔBattery display
ⓕT.VOL (Total Volume)
ⓖI.VOL (Infusion Volume)
ⓗF.RATE (Flow Rate)
ⓘInformation display

<Battery level display based on the battery capacity>

No. Battery Status Battery Capacity LCD Display Remarks

1 75 - 100%

2 50 - 75 %

3 20 - 50%

4 7 - 20% Battery Low Battery Low alarm

Below 7%
5 Battery Empty alarm
Battery Empty

6 Charging Shows the current battery status

7 Charging Complete

Caution

The battery does not charge when DC power is supplied.

3.3 LED Display


Ⓐ Infusion LED (Green) - When the pump is infusing, this LED blinks. When the pump is paused, this
LED turns off.
Ⓑ Alarm LED (Red) - When an alarm goes off, this LED turns on. When the alarm is cleared, this
LED turns off.
Ⓒ AC/DC LED (Amber) - When the battery is working, this LED turns off. When the AC power is
connected, this LED turns on.

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3.4 Other
Ⓐ Door – Is used to open and close the door.

3.5 External Interface Area

①LAN Port
②USB Port
③DC Power Inlet
④Nurse Call Port
⑤Drop/PCA Port
⑥AC Power Inlet
⑦Fuse

Caution

When using the external interface portion RACK SYSTEM is used to separate.

3.6 Accessories
①AC power cable
②Pole clamp
③User Manual
④Medifusion Station (optional)
⑤Drop Sensor (optional)

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4. Installation
4.1 Installing DI-4000 and Connecting the Power
Installing DI-4000 on the infusion stand

1. Mount the DI-4000 onto the infusion stand


by fastening the ①knob of the pole clamp.

<Before installation> <After installation>

Caution

1. Use the pump horizontally. In an emergency or depending on the circumstances, you may also
use the pump vertically.

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Connecting external power

1. Plug the power cord into the AC power cord


inlet at the back of the pump.

2. The orange AC/DC LED on the front turns


on.

3. Press the ON/OFF key ( ) on the front.

4. The display on the front turns on and the


functions of the pump are checked
automatically.

Using the battery power

1. Press the ON/OFF( ) key on the front.

2. The display on the front turns on and the


functions of the pump are checked
automatically.

3. When the self-test is complete, the infusion


settings are displayed on the LCD display
and then the pump switches to the standby
mode.

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4.2 Installing the I.V Set
1. Place the roller clamp of the I.V Set at the bottom of the
pump and close the roller clamp.

Put the injecting needle into the IV solution container and fill
the solution in the chamber to between 1/3 and 1/2.

Open the roller clamp to remove the air from the tube and
then close the roller clamp.

2. Mount the IV solution container on the pole. The solution


container must not be placed more than 1 m above the
patient’s heart.

3. Push the door knob upwards to open the door.

4. Press the I.V Set tightly onto the upstream occlusion


detector to keep the tube in position.

5. Please make sure that I.V Set properly installed inside of


pumping unit.

6. Press the I.V Set tightly onto the air detector to keep the
tube in position.

7. Press the I.V Set tightly onto the downstream occlusion


detector to keep the tube in position.

8. Open the roller clamp in the I.V Set.

9. Remove the air in the tube and check if there is leakage


prior to putting the needle into the patient’s vein.

10. To start infusion, set the infusion mode with the


keypad, and then press the START key ( ).

11. When infusion starts, the LCD display shows the


Infused Volume, Time Remaining and Occlusion.

Caution
1. Verify if the I.V Set is approved. Using an inappropriate I.V Set may result in triggering the
occlusion or air alarm, or not achieving a desired flow rate.
2. Make sure that the I.V Set is installed straight without being bent or twisted, otherwise it may
result in not achieving a desired flow rate.
3. Close the roller clamp prior to opening the door or removing the I.V Set, otherwise leakage may
occur.
4. Follow the above instruction when replacing the liquid container or I.V Set.
5. It is recommended to place the IV solution container more than 50 cm above the patient’s heart.
6. Do not use the I.V Set in the same position over 12 hours, The tubing may deform and cause a
flow error when used continuously over a long period. It is recommended either to side the tubing by
at least 15cm once in every 12 hours or to replace with a new I.V Set.

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4.3 Installing the Drop Sensor(Optional)

1. Connect the drop sensor to the drop sensor port on the back of
the pump.
 Caution: Do not connect the drop sensor to the Nurse Call port.
 Do not connect or disconnect the drop sensor during infusion.

2. Set the drop sensor according to the I.V Set drops/ml.

3. Place the drop sensor between the drip chamber nozzle and the
surface of the liquid.
 Do not install the drop sensor too close to the nozzle, do not tilt
the chamber, do not install the drop sensor below the surface of
the solution, otherwise drops cannot be counted.

4. Install the drop sensor vertically to the drip chamber, otherwise it


may not operate properly.

5. Always ensure the surface of the I.V Set chamber is kept clean
when using the drop sensor.
 Ensure that there is no dirt or in the chamber, otherwise drops
cannot be counted.

Caution

1. Do not expose the drop sensor to direct sunlight.

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5. Infusion Mode
5.1 Normal Infusion
Set the T.VOL, R.TIME and F.RATE with the keypad.

Setting the Total Volume

Press OK key.

Press Up/down
key to change
the total volume
and press OK.

Flow rate Setting


Press Start key
to start infusion.

Setting the Flow Rate

Press OK key.

Press Up/down
key to change
flow rate.

Press OK key
Press Start key
to start infusion.

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Setting the Time Remaining

Press INFO key.

Press OK key.

Press Up/down
key to change
the remaining
time.

Press OK key.

Press Start
key to start
infusion.

Set the T.VOL first and then set the R.Time.

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5.2 Drug Infusion
After Drug name setting, set the Total Volume and Flow Rate with the same steps of Normal Infusion Mode.

Setting the Drug

Press MENU key.

Press OK to move to
sub-title menu bar.

Press Up/down
key to select the
Drug Select bar
and press OK key.

Press Up/Down key to select


the alphabet index and press
OK key.
Select the drug
name and press
OK key.
Press MENU key to move to main
window. Set the Total Volume and
Flow Rate and press Start key to
start infusion.

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5.3 Dosage Infusion (Drug)
Set the Drug, Weight and T.VOL with the keypad.

Setting the Dosage

Press MENU key.

Press OK key to move to sub-title


Press Up/down key to
select the Drug Select
bar and press OK key.

Press Up/Down key to select


the alphabet index and press OK
Select the drug
name
and press OK key.
Select Dosage Set
menu and press OK.

Press the
Up/Down
to set the
Weight,

After setting,
press MENU key
to move to Main
Window.
Press Start key to start infusion.

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5.4 Dosage Infusion (Manual)
Without setting Drug Library, user can change Concentration, Dose and Measure.
For the initial setting, user should clear the Therapy before setting Dosage.

Setting the Dosage(Manual)

1. Press Menu key in the standby mode to


move to the menu functions.
2. Select Special Function by UP and DOWN

1. Select Dosage Set by UP and DOWN


keys and press OK key.

1. Select configuration of Concentration


by UP and DOWN keys and press OK
key.

1. Select Drug and press OK key. Select


the volume of Drug and press OK Key.
2. Select Amount and press OK key. Set
dilution amount and press OK key.

1. After the setting is done, press the


Cancel to move to the Dose setting
mode.
1. Select Dose measure by UP and DOWN
keys and press OK key.
2. In case of using weight, go to Weight Set.
3. In case of not using weight, ignore this
phase and go directly to Dose set menu.

1. With using direction key, input weight


and press OK key to go to Dose set
menu.

1. With using direction key, set Dose


value and press OK key.

1. User can check current setting


status.
2. Select T.Vol, press MENU key to go

Finish setting and press Start key to start

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The above process is for the first time use. To reset or revise the Dosage, go to the Dosage Set Menu where
user can check the current set status and reset it.

Dosage setting (Manual)

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1. Press the menu key in the standby mode.
2. Select Special Function by UP and DOWN
keys and press OK key.

1. Select Dosage Set by UP and DOWN


keys and press OK key to move to
Dosage set display.

.
T.Vol, Dose and Weight can be changed on Dosage Set display, but to change concentration, user need to
proceed the process for the first time use.

6. Settings
1. You can set Infusion Mode 1 (Normal) or Infusion Mode 2 (Drug) as below:
1) In Infusion Mode 1 (Normal), you can set the infusion flow rate and time.
2) In Infusion Mode 2 (Drug), you can set the Dosage (mcg/kg/min), Weight (Kg) and T.Vol (ml).
3) Manual Dosage is the mode which user set Dosage Measure, Concentration, Dose and etc,

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without selecting Drug.

● Changing infusion mode

Category
LCD Display Description Remarks
Mode

Infusion Mode 1 You do not need to select a


(Normal) drug.

Infusion Mode 2
You need to select a drug.
(Drug)

you can set Dosage


Infusion Mode 3
measure, Concentration,
(Manual Dosage)
Dose without setting Drug

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● Setting the infusion mode

Category
Display Description Remarks
Mode

Set the flow rate See Chapter 5.


Setting
(ml/h) Infusion Mode
the flow
and the total (Normal) - Setting
rate
volume (ml). the Flow Rate
Infusion
Mode 1
(Normal)
Set the infusion
See Chapter 5.
Setting time,
Infusion Mode
the flow rate (ml/h),
(Normal) - Setting
infusion and the total
the Infusion Time
time volume (ml).

After Set the


See Chapter 5.
drug,
Setting the
Setting Set the flow rate
Infusion Mode
the drug (ml/h)
(Drug)
and the total
volume (ml).
Infusion
Mode 2
After Set the
(Drug)
drug, Set the
See Chapter 5.
dosage
Setting Setting the
(mcg/kg/min),
the Infusion Mode
weight (kg),
dosage (Dosage)
dosage (mg),
and total volume
(ml).

It starts infusion See Chapter 5.


Setting
Setting the
the after setting Infusion Mode
dosage
Dosage mode. -Dosage(Manual)
(Manual)

● Changing values in Infusion mode

Category
Button Operation Remarks
Mode

, ,
Infusion Setting Mode Change digits and values. See the menu for
, each setting.

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● You can set the additional functions as below.

Function LCD Display Description

If there is the existing setting value in display,


Press CLEAR ( ) key to change the setting
Clear the value to “0”.
input value *Caution: If placed “0” for setting value, it
won’t be saved.

In Main Window, press CLEAR( ) key and


Clear the
OK( ) key to clear all setting values(T.Vol,
total set
value F.Rate, R.Time, Drug, I.Vol).

In Infusion mode, press the UP ( ), and Down ( ) keys to view the set values.

e.g.) I.V Set: KOVAX S203T


The current I.V Set is a S203T ml
KOVAX I.V Set.

e.g.) Drug: No Drug


Infusion Mode 1 (Normal) is set, and this
is displayed when selecting Drug
Library. See Infusion Mode (Drug).

e.g.) T.Vol: 30.0 ml


The total volume (ml) is displayed.

Viewing e.g.) I.Vol: 0.0 ml


set values The infused volume (ml) is displayed.

e.g.) R.Time: 0:04


The time remaining for the completion of
infusion is displayed.

e.g.) F.Rate: 500 ml/h


The flow rate (ml/h) is displayed.

EX) NO SLOT
When installed into Station, Slot No. is displayed in
LCD of the pump.
When the station is not installed, “NO SLOT” is
displayed in the LCD of the pump.

1. To reset a set value, press the CLEAR ( ) key and the OK ( ) key on the Settings screen.
2. To reset all the set values, press the CLEAR ( ) key and the OK ( ) key on the Infusion
Standby screen.
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● Resetting the Accumulated Volume (ml) – Infusion Mode 1 (Normal)
You can reset the accumulated volume (ml) as below

No. LCD Display Description

In Infusion Ready window, select I.Vol (ml) by


pressing the left ( ) and right ( ) keys. When
1
you press the OK key ( ), the accumulated
volume displays.

To reset the value on the I.Vol (ml) display, press


2
the CLEAR ( ) and OK ( ) keys.

3 When you press the OK key ( ), the Infusion


Ready window appears.

1. Press the START key ( ) to start infusion.


* The accumulated infusion volume is displayed as follows:
0.1 - 99.9 ml (in 0.1 ml increments)
100 - 9999 ml (in 1 ml increments)

● Titration Function – Infusion Mode 1(Normal)


You can set the titration function as below
No. LCD Display Description

In Infusion Mode (Normal), select F.Rate (ml/h) by


1
pressing the left ( ) and right ( ) keys.

2 When you press the OK key( ), the flow rate


input display appears.

3 Press UP( ), DOWN( ) key to set the Flow


Rate.

When you press the OK key ( ), infusion


4
resumes at the changed flow rate.

1. This function allows you to change the flow rate during infusion.
* Extra care is required since this function allows you to change the flow rate during infusion.

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6.1 Secondary Infusion Mode
In Secondary Infusion Mode, there are two different infusion mode, which is Primary and Secondary
mode. Please make sure that user can’t use two different mode in same time and it is operate able as
automatic and manual infusion mode.

No. LCD Display Description

1 Press the MENU key ( ).

Select Special Function by pressing the UP ( )

and DOWN ( ) keys. Press the OK key ( )


2 to move to the sub menu. Select Secondary
Mode by pressing the UP ( ) and DOWN ( )
keys.
Press the OK key ( ).

At the first stage, user can choose Auto Mode.


OK Key( ): After the Primary Infusion it will
automatically revert to Secondary infusion mode
3 and it will continue another infusion.

Cancel Key( ): setting for separated infusion


mode of Primary Infusion and Secondary Infusion

User can choose the Primary mode and


4 Secondary mode in “Special function 
Secondary mode.”

In Main Window, press CLEAR( ) key and


5
OK( ) key to clear all setting values(T.Vol,
F.Rate, R.Time, Drug, I.Vol, Primary, Secondary).

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7. Operation
* Please ensure that you operate the Infusion pump in a safe indoor area.
1. Operation states can be categorized as follows.
● Types of operation states

Mode
Display Description Remarks
Category
The Infusion pump can be
operated immediately after
Standby
pressing the START key
( ).

The START key( ) was


Infusion pressed, and infusion has
started.

After set infusion Value,


Standby The POWER key( ) was
pressed.

Purge Press the BOLUS key ( )


Infusion in the standby mode.

Bolus Press the BOLUS key ( )


Infusion in the normal infusion state.

When the STOP key ( )


is pressed in the normal
Stop
infusion state, infusion will
stop.

Infusion
You do not need to select a
Mode 1
drug in this mode.
(Normal)

Infusion
You need to select a drug in
Mode 2
this mode.
(Dosage)

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7.1 Standby (Before Operation)
1. The infusion pump can be operated immediately after pressing the START key ( ) in the
standby mode.
2. You can access any mode in the standby mode. However ensure that the Key Lock switch is on.
(See Chapter 7.5 Key Lock Function.)
3. The Standby alarm goes off if no keys are pressed within the configured time in the standby
mode. The red LED will blink. (See Chapter 9. Setting the Standby Alarm.)
4. When you press the BOLUS key ( ), infusion starts at the set BOLUS F.Rate with the set bolus
infusion volume.
Caution

When you press the BOLUS key ( ) in standby mode, occlusion is detected in Purge Mode.
Note that excessive liquid may be infused abruptly.

7.2 Start Infusion (Start Operation)


1. Press the START key ( ) on the front to start the pump.
2. The infusion volume on the I.Vol display increases as the pump keeps running.
3. When pressing the Up/Down keys, you can view information such as the Drug, R.Time, T.Vol,
I.Vol, F.Rate and I.V Set.
4. When pressing the BOLUS key ( ), infusion starts at the set bolus flow rate with the set bolus
volume.
Caution

When pressing the BOLUS key ( ) during operation, occlusion is detected in the bolus state.
Note that excessive liquid may be infused abruptly.

5. Press the OK key ( ) to change the flow rate during infusion. See Chapter 6.1.4 Titration
Function.
6. If you press the STOP key ( ) during operation and no keys are pressed within the configured
pause time, the Standby alarm will go off and the red alarm LED will blink.
7. The Near Complete alarm is triggered if the infusion completion time is within 5 minutes in
accordance with the set total volume and the infused volume. See Chapter 9. Setting the Near
Complete Alarm.
8. If the Save function is on, the infusion volume and flow rate are saved. When the power is turned
off and turned on again, the previous data is displayed.
※ If the Save function is not set, the infusion volume and flow rate are not saved. Therefore when the
power is turned off and turned on again, the infusion volume and flow rate are displayed as "0".

Caution

1. Before you start infusion, ensure that the I.V Set is installed correctly, and the flow rate and
intended volume are set properly.
2. Press the START key ( ) and monitor the infusion for a while to ensure that it is working
properly.

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7.3 Stop and Pause
1. If the STOP key ( ) is pressed during normal infusion or bolus infusion, infusion stops and the
green LED turns off.
2. If infusion does not start within the preset pause time after pressing the STOP key ( ), the
standby alarm goes off and the red LED blinks.

7.4 Viewing the Infused Volume and Time Remaining


1. Press the UP ( ) and DOWN ( ) keys to view the information on the Drug, R.Time, T.Vol, I.Vol,
F.Rate and I.V Set.

7.5 Key Lock Function


1. This function is used to prevent malfunctioning of the keys during infusion.
2. When you press the Lock key ( ) on the keypad, the Key Lock icon on the LCD display
appears. At this time, only the START/STOP ( ) and ON/OFF ( ) keys will work.

7.6 History Log Function


1. The History Log function saves the events of the equipment in the memory.
2. Up to 2,000 events can be saved, and when there are more than 2,000 events, the oldest ones
are overwritten.
3. Events are saved when starting, completing and stopping infusion, and when alarms occur.
4. Events contain the Date & Time (the date and time when an event occurred), Operation Mode,
Total Volume, Flow Rate, Infused Volume and Types of Alarms.
1) Date & Time: Year, Month, Day, Hour, Minute, Second
2) Operation Modes: Ready, Normal, Bolus, Purge and Pause modes
3) Total Vol: 0 - 9999.9
4) Flow Rate: 0 - 1200.0
5) Infused Vol: 0 - 9999.9
6) Types of alarms
5. You can view event logs on the LCD display. See the service manual for detailed information.
6. The 50 most recent alarm logs are saved in the History Log and other memory. You can view the
alarm logs on the LCD display. See the service manual for detailed information.

Opera
tion

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8. Patient's Settings
8.1 Menu Tree

Special Option Config Mode Service


Function
I.V set Select Bolus F.Rate Alarm Volume Occl Ch

Drug Select Bolus Volume Key Volume Checker

Dosage Set Standby Alarm Alarm Log Air Ch

Secondary Mode Near complete Event Log Drop C


Alarm
Infusion Relay Pressure Level Date Set Door C

Nurse Call Time Set SMPS C

Auto Save Factory Reset Battery C


On/Off
ACDC Remove Contrast Normal Disp Ch
Alarm
K.V.O Set Contrast(Standby) Key Ch

Air Set Language IO Che

Drop Set CAL Ch

Auto Bolus SCAL C


Check
UP Occlusion F/W Ch
Set

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8.2 Special Functions
1. Change the status and the set values using the directional keys, and press the OK key ( ) to
finish setting.

8.2.1 I.V Set Selection


1. When you have installed a defined I.V Set from another manufacturer, you can change the
manufacturer.

8.2.2 Drug Selection


1. Set the drug infusion mode.
See Chapters 5.2 Dosage Infusion and 6.4 Infusion Mode (Drug).

8.2.3 Dosage Setting


1. Change detailed settings in the Drug Infusion mode. See Chapter 6.4 Infusion Mode (Drug)

8.2.4 Secondary Mode


1. The mode user can set the Secondary infusion mode. With choosing Secondary infusion mode,
user can switch to Primary and Secondary mode.
2. User can set Secondary mode as ‘Automatic’ and ‘Hand-operated’. If user set as Automatic,
infusion automatically changes to Secondary infusion mode when Primary infusion is done.
User have to select between choice of Secondary and Primary mode.
3. Primary and Secondary is displayed on top of the screen.

8.2.5 Infusion Relay


1. Connect 2pumps and infuse automatically/hand-operatedly.
2. This function can be used with Daiwha’s Medifusion Station. So user can use Infusion Relay with
purchasing Daiwha’s Medifusion station.
3. Setting Infusion Relay is only for one time use, and user has to reset to use this function again.
4. If user needs further details of using Infusion Relay, refer to the <Appendix-Infusion Relay>

Caution
1. Verify if the I.V Set is approved. Using an inappropriate I.V Set may result in triggering the
occlusion or air alarm, or not achieving a desired flow rate.
2. Make sure that the I.V Set is installed straight without being bent or twisted, otherwise it may
result in not achieving a desired flow rate.
3. Close the roller clamp prior to opening the door or removing the I.V Set, otherwise leakage may
occur.
4. Follow the above instruction when replacing the liquid container or I.V Set.
5. It is recommended to place the IV solution container more than 50 cm above the patient’s heart.
6. Do not use the I.V Set in the same position over 24 hours, The tubing may deform and cause a
flow error when used continuously over a long period. It is recommended either to side the tubing by
at least 15cm once in every 24 hours or to replace with a new I.V Set.

8.3 Options
1. Change the status and the set values using the directional keys, and press the OK key ( ) to
finish setting.

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8.3.1 Bolus F.rate
1. Press the BOLUS key ( ) to change the bolus flow rate.

8.3.2 Bolus Volume


1. Press the BOLUS key ( ) to change the bolus volume.

8.3.3 Standby Alarm


1. The standby alarm goes off if infusion doesn't start or if no keys are pressed within the configured
pause time in standby or pause mode.
2. You can turn the standby alarm on and off.

8.3.4 Near Complete Alarm


1. The Near Complete alarm goes off when the infusion approaches the preset infusion completion
time in accordance with the preset total volume and the infused volume.
2. You can change the time when the Near Complete Alarm will go off.
3. You can set the time to a minimum of 1 minute and a maximum of 24 hours.

8.3.5 Pressure Level


1. You can change the occurrence level of the occlusion alarm.
2. If the pressure measured in real-time is greater than the preset pressure level, the occlusion
alarm will go off.

8.3.6 Nurse Call


1. You can turn the Nurse Call mode on or off when the alarm goes off.

8.3.7 Auto Save On/Off


1. You can turn the Save function on and off.
2. If the Save function is on, the infusion volume and flow rate are saved. When the power is turned
off and turned on again, the previous data is displayed.
3. If the Save function is not set, the infusion volume and flow rate are not saved. Therefore when
the power is turned off and turned on again, the infusion volume and flow rate are displayed as
"0".

8.3.8 AC/DC Removal Alarm


1. You can turn this alarm on or off when connecting or disconnecting the AC/DC power.

8.3.9 K.V.O Set


1. You can set the K.V.O (Keep Vein Open) flow rate and turn it on or off.

8.3.10 Air Set


1. You can set the bubble size of the air sensor.

8.3.11 Drop Set


1. You can choose one of 15, 20 and 60 as the number of drops for the I.V Set.

8.3.12 Auto Bolus Check


1. Bolus confirmation message can be turn On/Off.
2. After Auto Bolus Check Turn on, pump will display Popup message of bolus operation confirmation.
3. Press OK key to Bolus Infusion or Press Cancel key to normal infusion

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8.3.13 UP Occlusion Set
1. User can set Up Stream Occlusion sensitivity.
2. User can set level 1-9, and level 1 can be adjusted to -1psi(-51.7mmHg) pressure.

8.4 Config Mode


1. Change the status and the set values using the directional keys, and press the OK key ( ) to
finish setting.

8.4.1 Alarm Sound Volume


1. Allows you to adjust the volume of the alarms and sound effects.

8.4.2 Key Sound Volume


1. Allows you to adjust the volume of the keys when they are pressed.

8.4.3 Alarm Logs


1. You can view the alarm logs.
It is sorted by recent logs.

8.4.4 Event Logs


1. You can view the event logs.
2. Sorted by recent logs.

8.4.5 Setting the Date


1. Allows you to set the date.

8.4.6 Setting the Time


1. Allows you to set the time.

8.4.7 Factory Reset


1. Allows you to set the pump back to the factory settings.
2. Enter the password to set the pump back to the factory settings.
3. The password is provided separately.

8.4.8 Contrast Normal


1.You can control Contrast of LCD.

8.4.9 Contrast(Standby)
1.You Can Control Contrast of Standby Window

8.4.10 Language
1. English, Italian, Spanish, French, Dutch
2. Allows changing the language of pump.
3. Add Language of other nations through continuous product updates.
4. Select Language and press the OK key to set the language of nations.

Caution

1. Set the date and time on the pump correctly.


2. The date and time set on the pump apply to the alarm and event logs.

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8.5 Service Mode
1. It’s a Service Mode of Infusion pump DI-4000, which is for checking the functional operation of
Sensor assembly, Calibration data, SMPS, Battery, etc.

2. Select the sub-menu and press the OK( ) key to move to the sub-menu.

3. Password is required for using the sub-menu of Service Mode.

4. Input the password by Up & Down key to move to sub-menu.(Password: 1711)

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9. Alarms
Alarms
The following describes the alarms and corrective action when the pump is not working properly.
Stop the infusion immediately if the pump is not working properly.
For the patient’s safety, there are many safety alarms. Alarms go off and the user is notified of
each state by the triggering of alarms and the status LEDs and the LCD displays. The operator
can identify the pump status within a meter of the pump, and within three meters of the pump
with the status LEDs and alarms.

1. Alarm LED
- Red LED ON: An alarm is activated.
- Red LED OFF: The alarm is deactivated.

9.1 Occlusion Alarm


1. Occlusion Alarm is activated when the pressure is bigger than setting during infusion.
2. The Occlusion alarm is triggered and infusion stops when the I.V Set is twisted during infusion or
installed incorrectly, or when the needle of the I.V Set is clogged and thus the liquid is not being
injected into the patient.
3. The following alarm goes off and the corresponding LED turns on when the occlusion alarm is
triggered.
- An alarm goes off.
- Alarm LED: The red LED blinks.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Occlusion"
4. Press the OK key ( ) to clear the occlusion alarm and to switch to the standby mode.

9.2 UP Occlusion Alarm


1. Up Occlusion Alarm is activated when clamp is locked and the pressure is lower than minus set
pressure.
2. The Up Occlusion alarm is triggered and infusion stops when the I.V Set is twisted during infusion
or installed incorrectly, or when the needle of the I.V Set is clogged and thus the liquid is not
being injected into the patient.
3. The following alarm goes off and the corresponding LED turns on when the occlusion alarm is
triggered.
- An alarm goes off.
- Alarm LED: The red LED blinks.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Up Occlusion"
4. Press the OK key ( ) to clear the Up occlusion alarm and to switch to the standby mode.

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Caution
1. In case the Occlusion alarm occurs due to the locking of the roller clamp, do not open the roller
clamp immediately. It can cause a globule of bolus to the patient.
2. Corrective action for influx of bolus in a globule
1) Check that the manual roller clamp is closed.
2) To solve this problem, remove the tubing from the pump and clear the pressure.
3) Check that the pressure is being cleared from the tubing.

9.3 Air Bubble Alarm


1. The pump stops if the Air sensor detects air in the tube during infusion, and the Air Bubble alarm is
triggered.
2. The following alarm goes off and the corresponding LED turns on when the Air alarm is triggered.
- An alarm goes off.
- Alarm LED: The red LED blinks.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Air"
3. Press the OK key ( ) to clear the occlusion alarm and to switch to the standby mode.

9.4 Door Open Alarm


5. The pump stops if the Door LED is triggered when the door is opened during infusion.
6. The following alarm goes off and the corresponding LED turns on when the Door Open alarm is
triggered.
- An alarm goes off.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Door.
3. Press the OK key ( ) to clear the occlusion alarm and to switch to the standby mode.

9.5 Low Battery Alarm


1. The Low Battery alarm is triggered 30 minutes before the pump stops working if the pump is
operating on battery power without an external power source.
2. The following alarm goes off and the corresponding LED turns on when the Battery Low alarm is
triggered.
- An alarm goes off.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Low Battery" blinks.
3. When external power is supplied to the pump, the Low Battery alarm is cleared.

9.6 Empty Battery Alarm


1. If the pump is operating on battery power without an external power source, the Empty Battery
alarm is triggered 3 minutes before the remaining battery shuts down the pump.
2. The following alarm goes off and the corresponding LED turns on when the Empty Battery alarm
is triggered.
- An alarm goes off.
- Alarm LED: The red LED blinks.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Empty Battery" blinks.
3. When external power is supplied to the pump, the Empty Battery alarm is cleared.

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4. When the Empty Battery alarm occurs, you cannot clear it with the CLEAR key ( ).
5. After the Empty Battery alarm occurs, the pump stays on for 3 minutes, and then shuts down.
6. If you turn the pump on when the battery is empty, the following alarm goes off and the
corresponding LED turns on, and then the pump shuts down.
- An alarm goes off.
- Alarm LED: The red LED blinks.
- The alarm icon displays on the LCD display.
- LCD status indicator: “Empty Battery" blinks.

9.7 Infusion Complete Alarm


1. When the set infusion volume is complete, infusion stops and the pump switches to the standby
mode.
2. The Infusion Complete alarm is triggered, and the green LED turns off. - An alarm goes off and
the green LED turns off.

9.8 AC/DC Power Removal Alarm


1. If AC/DC Power is removed, "Removal Power" alarm occurs for 3 minutes.
- Alarm sound
- Alarm icon displays on the LCD
- "Removal Power" blinks on the LCD
- Power LED Off
2. "Removal Power" alarm sounds for 3 minutes.
3. "Removal Power" alarm can be turned off by pressing INFO( ).
4. If AC/DC Power is re-connected during "Removal Power" alarm period, alarm will be
automatically off. And then, the injection alarm occurs for 2 seconds.

9.9 Standby Alarm


5. If there isn’t any input to any keys for 2 minutes, Standby alarm occurs.
6. In "Standby“ alarm period, following symptom appears:
- Alarm sound
- Alarm icon displays on the LCD
- "Standby" blinks on the LCD
7. "Removal Power" alarm can be turned off by pressing any keys.
8. If there isn’t any input to any keys for 2 minutes, Standby alarm occurs.

9.10 Near Complete Alarm


1. “Near Complete” alarm occurs when 5 minutes before the infusion completes in accordance with
the set total volume and the infused volume.
2. In "Near Complete “ alarm period, following symptom appears:
- Alarm sound
- Alarm icon displays on the LCD
- "Near Complete" blinks on the LCD
3. After finishing of infusion " Near complete" alarm will be off and after the "complete" alarm, pump
will be KVO or standby mode.

9.11 Abnormal Drop Alarm


1. T he Drop Sensor alarm is triggered;
- when an abrupt free flow, leakage or an empty liquid bottle occurs during infusion.
- when the number of drops detected is much larger or smaller than the one set on the drop

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2. The following alarm goes off and the corresponding LED turns on when the Standby alarm is
triggered.
- An alarm goes off.
-Status LED: The red LED blinks.
-The alarm icon displays on the LCD display.
-LCD status indicator: "Drop" blinks.
3. Press the CLEAR key ( ) to clear the Standby alarm temporarily.

9.12 Time Out Alarm


1. “Time Out” alarm occurs if there isn’t any input to POWER( ) key for the set time in Standby
mode.
2. In "Time Out“ alarm period, following symptom appears:
- Alarm sound.
- Alarm icon displays.
- LCD status indicator: "Time Out" blinks.
3. "Time Out” alarm can be turned off by pressing any keys.

9.13 Error Codes


1. If an error occurs while using the pump, the pump displays an error code on its LCD display.
2. Turn the power switch at the back of the pump off, and turn it back on when an error occurs. If the
same error code persists, stop using the pump and contact the vendor you purchased the pump
from.

Error Code Cause

E001 Motor Check Error

E002 System Error

9.14 Checklists for Alarms


When an alarm goes off, infusion stops automatically (in accordance with the priority).
Check the alarm message, LED and alarm on the LCD display. Press the STOP key ( ) to stop the
alarm. Refer to the inspection items for the corresponding alarm and press the START key ( ) to
resume the infusion. Check the alarm.
※ The operator must be present at a location where he/she can identify the pump status while the
pump is running.

Alarm Status Cause Corrective Action Inspection

An air inflow is detected: Remove air from the Install the I.V Set in
Air Bubble Alarm This alarm occurs if air I.V Set in use. which air has flowed in
flows in during infusion. the air detection part.

The I.V Set is clogged or Check if the I.V Set is Reinstall the I.V Set
Occlusion Alarm the pressure is greater clogged and remove and check the settings
Up Occlusion Alarm than the preset the pressure. again.
sensitivity.

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The remaining battery Connect the AC power Run the pump until the
Low Battery Alarm capacity is less than 30 supply and charge the Low Battery alarm is
minutes. battery. triggered.

The remaining battery Connect the AC power Run the pump until the
Empty Battery
capacity is less than 5 supply and charge the Empty Battery alarm is
Alarm
minutes. battery. triggered.

Infusion reached the Press the


desired total volume. START/STOP button to
Infusion Complete clear the alarm. If the
Alarm alarm is not cleared,
the alarm sounds for 2
seconds.

The total infusion Press the INFO key to After the total volume
estimation amount is clear this alarm. amount has been
K.V.O Alarm
infused. infused, infusion starts
with the K.V.O set rate.

The AC/DC power is Press the


removed. START/STOP button to
AC/DC Power clear the alarm. If the
Removal Alarm alarm is not cleared,
the alarm sounds for 2
seconds.

No keys are pressed Press the When the Standby


during the preset START/STOP button alarm is enabled
Standby Alarm standby alarm time. to clear the alarm.

There is a certain This alarm is cleared When a certain amount


amount of infusion time when the desired total of infusion time is left
Near Complete left within the preset volume is achieved. within the preset Near
Alarm infusion completion time, Complete time
in accordance with the
preset total volume.

The door is opened Press the INFO key to Open the door during
forcibly during infusion. clear this alarm. Check infusion.
Door Alarm that the door is
properly closed.

The drop sensor is Press the INFO key to Install or uninstall drop
installed or uninstalled clear this alarm. sensor during infusion.
during infusion.

Drop Alarm A drop error has Install the drop sensor Imitate no drop or free
occurred. correctly or remove flow drop situation
water drops from the during infusion when
I.V Set chamber. drop sensor is
installed.

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Motor error Turn the pump back E001
on. Request After
Sales service if this
persists.
Error Code
System error Turn the pump back E001
on. Request After
Sales service if this
persists.

Caution

Install the I.V Set on the product properly prior to use

Contact the vendor you purchased the product from for other error
codes or problems with the product.

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10. Precautions during Use
Perform regular inspection and maintenance of the pump to use it safely for an extended period of
time.

Caution

Do not use the pump if the pump is found to be abnormal during inspection, and contact the vendor
you purchased the pump from.
Do not use the pump if it has any external signs of impact or is dropped, and contact the vendor you
purchased the pump from. The sensors inside the pump or their accuracy may deteriorate, even if
there were no external issues.

10.1 Life-span of Replaced Parts


1. Batteries – Check the usage times of the batteries, since the batteries' life-spans could be reduced
if the batteries are used for more than a year. It is highly advisable to replace the batteries every
year.
▪ Battery life-span may differ depending on the environment and the frequency of use.
▪ Contact the vendor you purchased the pump from when replacing the batteries.

10.2 Maintenance
It is essential to inspect the pump regularly for safe and correct use. Contact the vendor you
purchased the pump from if it is found to be abnormal.
1. Accuracy Inspection – Monitor infusion volume regularly. Contact the vendor you purchased the
pump from if there is a large difference in infusion volume.
2. Air (Bubble) Alarm Inspection – Blow air bubbles (over 3 mm) into the pump and monitor if the air
alarm is triggered when the air bubbles pass the air sensor.
3. Occlusion Alarm Inspection – Completely block the tube between the pump and the patient with a
roller clamp or by hand to prevent the influx of liquid, and monitor if the occlusion alarm is triggered.
4. Door Open Alarm Inspection
- Check if the Door LED works if the door is opened.
- Open the door during infusion and check if the Door Open alarm and the Door LED work.
4. Battery Low Alarm Inspection
- Fully charge the batteries for 5 hours.
- Disconnect the external power source and use battery power. Set the flow rate to 25 ml/h
and press the START key to start infusion.
- Verify that infusion continues for 7 hours and that the remaining battery capacity LED turns
off.
- Replace the batteries if they don’t last for at least 2 hours.

10.3 Cleaning and Disinfecting


1. Clean and store the pump properly after use.
If the pump is not stored properly or is stored without cleaning, it may cause malfunctioning of the
pump.
※Precautions
1. Disconnect the pump from any external power source when cleaning.

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2. Do not disinfect the pump with Ethylene Oxide gas or by autoclaving.
3. Do not wipe down the pump with thinner, solvents, benzene, ammonia or acetone. Use a damp
cloth.
4. Dry the pump after cleaning.

10.4 Disposal
When the pump reaches the end of its life-span, dispose of or recycle the pump and the batteries (Ni-
MH) in accordance with local regulations, or contact the nearest vendor.

10.5 Storage
1. Avoid direct sunlight when storing the pump. Do not leave the pump in wet and humid conditions.
2. Avoid areas with a possibility of falling.
3. Transport & storage condition:
- Temperature : -10℃~45℃
- Humidity : 10%~95%
- Pressure : 65KPa ~ 120KPa

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11. Document History

Change Code Revised Description

Rev 0.1 2012.01.14 Created a draft

Rev 1.0 2012.06.07 Changed text and images

Rev 1.01 2012.07.19 Changed text and images

Rev 1.02 2012.12.14 Changed text and images

Rev 1.03 2013.1.08 Changed text and images

Changed text and images


Rev 1.04 2013.04.30
(Black LCD)

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12. <Supplement>
12.1 Infusion Relay
12.1.1 Preparation
1.I.V Set, 2 pumps, Medifusion, Station

12.1.2 Infusion Relay


1. Connect two pumps to infuse.
2. Master-slave structure which starts to infuse Slave pump automatically after infusion of Master
pump is done.
3. Infusion Relay provides automatic/hand-operated mode.
4. Infusion Relay is compatible to Daiwha’s Infusion Pump(DI-4000).
5. Infusion Relay is for one time use, and the pump which is done with infusion will be disconnected.
6. In case of using Infusion Relay again, user needs to reset the setting.

12.1.3 Infusion Relay Ready


NO Pictures Explanation

1. Each Slot of Station is fixed to each


other. And when user connect pump
1
on it, Slot number will be numbered
automatically. (Refer to the picture)

1. Install pump to Station and connect

AC power. Press POWER( ) key for


2
few seconds to turn on.
2. Install the I.V Set and choose the
manufacturer.

1. On the waiting screen, user can


check Slot numbers of each pump with
3
using UP/DOWN ( , ) keys.

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12.1.4 Set for Infusion relay mode
- It is arbitrarily setting as Slot no.1 for Master Pump and Slot no.2 for Slave Pump for explanation.
You use allotted Slot no. of the pump.

No. Pictures Pump Explanation

1. Press MENU key on Master


Pump(Slot no.1) and choose
Master Special Function>Infusion
1 Pump Relay>Master Start then
(Slot 1)
Press OK ( ) key.

1. Select Slot number of Slave


Master Pump(Slot no.2) with using
2 Pump
(Slot 1) UP/DOWN ( , ) keys and
press OK key.

1. Go waiting mode of connecting


Master Slave pump.
3 Pump 2. After connecting Slave Pump,
(Slot 1) top message will be
changed.(Refer to picture)

1. Press MENU key on Slave


Slave Pump(Slot no.2) and choose
4 Pump Special Function>Infusion
(Slot 2) Relay>Slave Start then press OK
( ) key.

Slave 1. Select Slot number of Master


5 Pump Pump(Slot no.1) with using
(Slot 2) UP/DOWN ( , ) key and
press OK key.

1. Go waiting mode of connecting


Master Pump.
Slave
6 Pump
2. After connecting Master Pump,
(Slot 2)
top message will be
changed.(Refer to picture)

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12.1.5 Stop Infusion relay of Master Pump
- It stops all infusion relay when either Master or Slave pumps is stopped.
No. Pictures Pump Explanation

.
1. Master Start will be changed
Master as Master Stop after Relay
1 Pump mode has been set.
(Slot 1) 2. Choose Master Stop then

press OK ( ) key.

Master 1. Recheck cancelling Infusion


2 Pump Relay mode. Press OK ( )
(Slot 1) key to go to cancelling screen.

Master
1. Notice Relay Stop to Slave
3 Pump
Pump and wait for response.
(Slot 1)

.
1. Screen will be changed to
waiting mode when Slave
pump respond to Relay Stop.
Master
4 Pump
2. If Slave Pump hasn’t been
(Slot 1)
set or does not exist, screen
will be changed to waiting
mode 3~5 seconds later from
Master Pump.

12.1.6 Stop Infusion relay of Slave Pump


- When one of Master/Slave pump is disconnected, the other will be also disconnected automatically.
- Same proceed with cancelling Infusion Relay of Master Pump.

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12.1.7 Start Infusion relay( Automatic )
- To use Automatic Infusion Relay, Near Complete Alarm of Master Pump must be OFF then start to
infuse.

No. Pictures Pump Explanation


1. Install syringe to Master

Master Pump and finish setting


1 Pump infusion. Then press START
(Slot 1)
( ) key to start to infuse.

1.Screen will be changed like


this picture when infusion
starts.
Master 2. When infusion is done,
2 Pump Slave Pump is noticed to start
(Slot 1) infusion automatically. Then
Infusion Relay mode is
canceled and screen will be
changed to waiting mode.

1. Infusion starts automatically


when Master Pump notice to
Slave start.
3 Pump 2. If syringe is not installed or
(Slot 2) infusion setting is not set,
alarm will be activated and
automatic infusion is not
started.

1. Screen will be changed like


this picture when infusion
Slave
starts.
4 Pump
2. When infusion is done,
(Slot 2)
Relay Mode will be cancelled
and screen will be changed to
waiting mode.

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12.1.8 Infusion relay start(hand-operate)
- Hand-Operated Infusion Relay can be used in case of using Master Pump with setting Near
Complete Alarm. And when the rest of infusion time (R.Time) is lower than Near Complete Alarm,
user can start to infuse Slave Pump hand-operatedly.

No. Pictures Pump Explanation


1. Set Near Complete Alarm
Master
and Press OK ( ) key.
1 Pump
(Slot 1) 2. Press MENU ( ) key to
go to waiting mode.

1. Put the syringe into Mater


Master pump and complete infusion
2 Pump setting and press
(Slot 1)
START( )key.

1. When infusion is done,


Slave Pump is noticed to start
Master
infusion automatically. Then
3 Pump
Infusion Relay mode is
(Slot 1)
canceled and screen will be
changed to waiting mode.
1. When R.Time is lower than
Near Complete Alarm, the
screen will be changed like the
picture.
Master
2. If user press OK ( ) key,
4 Pump
infusion of Slave Pump will be
(Slot 1)
started. If user press CANCEL
( ) key, mode will be
changed as automatic Infusion
Relay.
1. Infusion starts automatically
when Master Pump notice to
start.
Slave
2. If syringe is not installed or
5 Pump
infusion setting is not set,
(Slot 2)
alarm will be activated and
automatic infusion is not
started.

1. When infusion is done,


Slave
Relay Mode will be cancelled
6 Pump
and screen will be changed to
(Slot 2)
waiting mode.

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12.1.9 Other message
- If user set incorrectly during setting Relay mode, the picture below could be shown.

No. Pictures Pump

1. When user set a pump as Slave


Pump which is already set as Master
Pump.
1
2. When user set a pump as Master
Pump which is already set as Slave
Pump.

1. When a pump is not installed to


Station.

2. When a pump is not installed


2
correctly to Station.
*If this screen is not disappeared after
re-install a pump to station, please ask
manufacturer.

1. When user set Relay Mode with the


3
situation above still go on.

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