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Belmont Rapid Transfuser RI-2

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Created on January 10, 2023

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Transcript

Belmont Rapid Transfuser RI-2

Product Overview Set Up Maintainance Troubleshooting

V.1/2023

RI-2 Instructional Video

Product Components

  1. Fluid Out Detector detects and alarms at an out of fluid situation.
  2. Power Switch turns system power on and off.
  3. Roller Pump is designed for pumping accuracy and reliability.
  4. Display and control panel show status and alarm messages with touch keys at the bottom of the screen.
  5. IR Temperature Probe (Output Probe) monitors output fluid temperature as it exits the Heat Exchanger.
  6. Air Detector detects air in the line. If air is detected the valve wand is closed immediately to prevent air into the patient.
  7. Valve wand closes off the recirculation line when the system is in the infusion mode and closes off the infusion line when the system is in the recirculation mode.
  8. IR Temperature Probe (Input Probe) monitors input fluid temperature as it enters the Heat Exchanger.

Product Components

Three Spike Disposable set

Product Components- 3L Reservoire

Set Up

  1. Snap reservoir chamber into the reservoir support clamp.
  2. Open the door. Insert heat exchanger with red arrow pointing up (Red tinted tubing to red stripe on unit.)
  3. Firmly position the interlock block into the fluid out detector.
  4. Guide the curved piece of pump tubing (Blue tinted tubing) over the pump head. Check that the thinner recirculate line is in the grove to the right.
  5. Place the pressure chamber into the pressure chamber well. Firmly insert the wider infuse line into the air detector to the left. Do not apply excessive pressure to the pressure transducer. Do not use the system if the pressure transducer is damaged.
  6. Place the thinner recirculate line to the right of the air detector.
  7. Close and latch the door. Check pump tubing for kinks and closed clamps. Connect the patient line.

Machine Installation

Load the circular heat exchange with the red arrow pointing up

Place the pressure chamber into the well and infuse line the air detector

Tighten all connections and snap the reservoir chamber into the suppport

Place the larger blue tubing in the groove to the left and the smaller tubing to the right, close and latch the door.

Place the infuse line to the lef t of the valve wand and the thinner recirc line to the right of the valve wand.

Firmly position the interlock block on top of the shelf with the blue arrow pointing inward.

Fluid and Product Compatibility

  • Uncompatible Products
    • Platelets
    • Cryoprecipitate
    • Lactated Ringers/Ringer's Solution
    • Hypotonic Sodium Chloride Solution
    • Any solution containing dextrose
      • D5W, D10W, D5 1/2 NS
    • Any solution containing calcium with citrated
  • Compatible Products
    • RBC
    • FFP
    • Albumin 5%
    • NS & Normosol
    • Plasma-Lyte A
    • Anticoagulated Cell-Saved Blood
    • Processed Anticoagulated Whole Blood

Alarm and Troubleshooting Guide

Common Alarms and Troubleshooting

Click each image to see more

Heating Fault Alarm

Air Detection Alarm

Fluid Out Alarm

Battery Power/ No Heater

High Pressure Alarm

Pressure Control Alarm

Click here after you explore all alarms

Problem: bags or resivoir have run out of product

  • Belmont will stop infusing and clamp out system
  • Add fluids, reprime the circuit
  • If fluid bags arent empty check that clamps are open and no lines are kinked.
  • IF large amount of product has infused, reservoir chamber may need to be changed

Problem: Air in tubing, air detector sensors are not seated, sensor is dirty

  • Check circuit for air
  • Open door then squeeze the tubing directly below air sensor to clear trapped air
  • Check detector for visible soilage
  • Ensure infuse line is seated in air detector

Problem: Disposable windows or temp probes are blocked or wet

  • Clean surfaces and sensors then attempt to restart the transfuser
  • If alarm continues take down and use another tubing setup

Problem: set rate is higher than max infusion rate

  • Dictated by length of catheter, patient placement of catheter, excess caps or large amoutns of tubing
  • Machine WILL continue to run, but self adjust to the max reccomended pressure translated to a max flow in mL/min
  • Infusion rate must be changed to match the 'actual' infusion rate
Max Pressure to flow rate is 300 mmHg dependent on catheter size and length

Problem: Patient line is occluded recirculation line is blocked infusion problem is occuring

  • Inspect the patient and recirculation lines to ensure flow is not blocked
  • Verify catheter length and gauge
  • Adjust flow rates depedent on catheter size

Situation: Machine is Unplugged or Patient is in Transport

  • Belmont CANNOT utilize heating mechanisms when the machine is not plugged in
  • Flow rate maximum is 50 mL/min when not plugged in
  • Battery takes 8 hours to charge fully
  • Battery life when unplugged is 30 minutes of active infusion

References and Resources

  1. Belmont Medical Technologies. (2021, April). The belmont rapid infuser RI-2 blood/fluid warmer | full instructional video [Video]. youtube. https://www.youtube.com/watch?v=0K7Jeu-L034&t=53s
  2. Belmont Medical Technologies. (2021). The Belmont Rapid Infuser ri-2 operator's maual [operators manual]. Emergo Europe BV.
  3. Technical Support: 1.855.397.4547
  4. techsupport@belmontmedtech.com