1. McKinley T34 Syringe Pump
Training Aid

2. DISADVANTAGES OF T34 [ When compared with Graseby ]
Weight
Size
Battery life
Weight; T g, MS16 135g.
Approx dimensions; T34 67x169x39mm, MS16 61x166x23
Duracell alkaline battery life; T34 approx 2-5 days, Ms16 approx 50 days

3. ADVANTAGES OF T34 SINGLE MODEL, THEREFORE NO CONFUSION
3 POINT CONTACT DETECTION
SYRINGE RECOGNITION
AUTOMATIC CALCULATION
LCD AND INSTRUCTIONS
PUMP CAN BE CONFIGURED
LOG EVENT MEMORY
SUPERIOR RANGE OF ALARMS
Log event memory of approx 500 events. Each action, e.g. press stop = an event. Gives 10 pieces info re each even [inc. VI, VTBI, rate, current, occlusion pressure.
More about other advantages as go thru presentation.

4. Dock / Connection Port
Allows technicians to upload and download info. [e.g. add new programs]

5. Check Service Date
Annual service mandatory. If more 2/12 over due date for service should not be used and sent to medical electronics.

6. Open Battery Compartment

7. T34-Battery fitting and Testing
9 volt alkaline or lithium battery only.
Variation in size between different brands (do not force into compartment)
Battery Test
Switch the pump on
Press INFO key
Select battery life using ↓↑ keys, press YES
Verify sufficient battery power for programme.
Replace when battery level 35% or below
No alarm when battery inserted cf Graseby.

8. T 34 Keypad
INFO; access event log, Set Up (code protected), battery status, keypad lock.
UP/DOWN arrow keys- scroll through options
YES/START key- confirms selection/starts infusion.
NO/STOP- step back a screen/stops infusion.
FF (forward)-moves actuator forward
BACK-moves actuator back
ON/OFF
FF in stages for safety. Barrel arm must be down to move actuator. No clutch cf Graseby. No ‘boost’
Can’t turn off accidently; press stop and then press and hold off.

9. Instructions
Aide memoire but pump should not be used if person has not received training. Eden Valley Hospice staff [ ] and Palliative Care unit staff at West Cumberland Hospital [ and ask for Pal care Unit] can give advice.

10. L.C.D. Screen
Follow instructions on the screen!!

11. T34 LCD Screen 4 Line Liquid Crystal Display (LCD)
Backlit – activated on any key press (time adjust/ disable)
Displays infusion parameters and user instructions

12. T34- 3 Point Contact Recognition and Syringe Loading1 3 2
Barrel clamp arm- (detects syringe size/width of barrel, secures)
Syringe ear/collar sensor (detects secure loading of syringe collar)
Plunger sensor (detects secure loading of syringe plunger)
Pump should always know what size of syringe e.g. 10 or 20 ml etc. It may occasionally not identify syringe brand if two manufacturers syringes internal dimensions are very similar. But operator can over-rule if pump ‘wrong’ when confirming syringe type/brand.
Once size and brand confirmed the pump knows how far back the plunger is and therefore how much fluid volume there is. It is defaulted to run over 24 hrs and therefore can work the hourly rate out. It infuses in mls per hour NOT mm per hour cf Graseby

13. Access Codes and Keypad Lock
Secure user access codes (2) - prevent misuse
Access codes not provided to local users as it is envisaged that all subcutaneous infusions in palliative care will run over a 24 hour period
Keypad lock
Press and hold INFO key to lock, repeat to unlock

14. Infusion set up and Programming
Draw up prescribed medication and diluent to a minimum volume of 12 millilitres in the syringe. The volume may need to be greater than this in some circumstances.
Manually prime the extension set and Saf-t-intima set.
DO NOT load syringe, ensure barrel clamp bar is down.
Switch the pump on.
Screen displays the following …..Pre-Loading…. message
This screen changes very quickly. Preloading takes actuator back to where it started at beginning of previous infusion; useful if drawing up same volume on consecutive days.
when pre-load has finished use the FF or BACK keys to adjust the actuator position if required (forward movement limited + no clutch)

15. Syringe Placement Lift the barrel clamp
Seat syringe collar/ear and plunger so the back of the collar/ear sits against the back of the central slot (ensure correct placement)
Lower barrel clamp arm
Screen syringe graphic ceases to flash at each point as syringe is correctly seated.
If any point continues to flash, check the placement at that point.
Need to insert syringe with quite a firm action.

16. Syringe Detection and Confirmation
confirm syringe size and brand match screen message. Press YES key to confirm or scroll to view closest matches

17. Summary Screen and Starting the Pump
The summary screen confirms:
Volume to be infused
Duration of infusion
Rate (ml/h)
Press YES to confirm
Pump prompts START INFUSION?
Check line is connected to access device or insert cannulae, ensure clamp is off and press YES to start infusion
What are the indicators that the pump is infusing?

18. Running Screen Top line - Infusion Duration remaining is displayed
Main line - Infusion rate is displayed in ml/hr
Bottom line alternates between syringe size/brand and the message <<<< pump delivering (in case keypad LED disabled)
Green LED indicator (above ON/OFF key) flashes. (frequency fixed in Change Set up mode/ can be disabled to extend battery life)
No audible sound when running, cf Graseby.

19. Program Lock If the Program Lock is ON
Pre-set duration is locked ( at 24 hours )
User cannot change VTBI, volume to be infused. (entire syringe contents will be delivered)
User cannot change infusion rate calculated by the pump
Infusion Summary Screen is displayed immediately after syringe confirmation
Check & Confirm Infusion Parameters and Start Infusion

20. Recommended Checks During Infusion
Check the display- pump is delivering & infusion rate is as programmed
Press the INFO key to check -
Single press – VTBI & VI (volume infused)
Double press- battery life remaining
VTBI = volume to be infused and VI = volume infused.

21. Alarm Conditions Alarm Possible Cause Action
Occlusion or Syringe empty
Pt access device blocked, kinked, clamped. Occlusion.
Actuator has reached minimum travel position
Remove occlusion and restart.
Flush or replace access device
Release clamp
End of program, turn pump OFF
Syringe Displaced
Syringe has been removed or displaced
Check & Confirm syringe seated correctly and Resume
Pump Unattended
Pump left or no key presses detected for 2 minutes
Start infusion, continue programming or switch off
Near End
15 minutes from end of infusion
Prepare to change syringe or switch off
End Program
Infusion Complete
Pump will either default to KVO, await nurse, or alarm, switch pump off
Low battery
Battery is almost depleted (30 minutes left)
Prepare to change battery
End Battery
Battery is depleted
Change battery
If pump not running green flashing light becomes constant red light. Alarms will continue until problem resolved; can be muted by pressing yes/start
Near end and low battery are intermittent alarms..

22. Troubleshooting Fault Possible Cause Action The pump will not start
No battery present
Battery inserted incorrectly
Battery is depleted/very low
Pump is faulty
Fit a battery
Re-align battery terminals
Fit a new battery
Service required
Infusion ended early/going too quickly
Incorrect rate set
Wrong syringe brand confirmed during set up
Pump faulty or incorrectly calibrated
Check displayed rate against prescription change if necessary
Ensure correct understanding of user/educate
Service/calibration required
The pump has stopped before emptying syringe
Exhausted battery
Faulty pump
Fit new battery, turn pump on, confirm syringe size and brand select to resume infusion
Return for service

23. Patient Safety Optional accessories available:
Rigid lockbox (with key) for all syringes up to 30ml
Carry pouch to protect pump and/or lockbox
Use of these accessories protects the syringe pump, syringe and contents from damage and/or tampering
Keys are standard for all boxes.

24. Inspection and Maintenance
Inspect Box contents
Damage
Missing items
Cleaning - damp cloth, weak 10% bleach solution to decontaminate, do not immerse in any fluid
In case of malfunction make a written note of: -
Pump serial number (see back of unit)
Circumstances (as detailed as possible)
screen messages/error codes (press info key to obtain) and note
withdraw pump from use and return to
authorised service engineers for inspection

25. McKinley Contact Details & Reference Materials
McKinley office Tel:
Clinical Support Tel:
Tech. Support Tel:
Patient Reference Guide (Ref:0504T34PIL)
User Pocket reference
(Abridged – Program Lock ON) (Ref: 0505T34PRA)
(Full – Program Lock Disabled) (Ref:0504T34PRF)
T34 Instruction manual (Ref: SM)

26. WARNING ! When changing infusion switch the pump OFF.
This screen will appear if
the battery goes flat and is
replaced without the syringe being
removed or if the syringe contents
are changed and the pump is not
switched off [but just stopped].
‘NO for new program’ always
defaults to 24hrs. ‘Yes to resume’
protects the prescription i.e. it
continues at the same rate [volume
and time may change].