baxter ExactaMix 2400 Compounder Operator's Manual
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baxter ExactaMix 2400 Compounder Operator's Manual

baxter ExactaMix 2400 Compounder Operator's Manual

Pumping system
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SYMBOLS ON THE COMPOUNDER
TERMS IN THIS MANUAL
WARNING
Indicates a risk of personal injury or patient harm if the instructions are not followed
CAUTION
Indicates a risk of damage to equipment or data if the instructions are not followed
IMPORTANT! Provides important information
NOTE: Provides additional information
Tip! Provides a recommendation
In the electronic version of this manual, underlined text and Table of Contents entries provide
hyperlinks to other sections.
Power button
Load cell
Pump door must be closed to
operate
USB port
Reset button
WARNING! USA Federal law
restricts this device to sale,
distribution, and use by or on
order of a physician.
Power light
Display
Warning / Caution
Ethernet port
Protective ground (earth) terminal
Fuse

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Summary of Contents for baxter ExactaMix 2400 Compounder

  • Page 1 SYMBOLS ON THE COMPOUNDER Power button Power light Load cell Display Pump door must be closed to Warning / Caution operate USB port Ethernet port Reset button Protective ground (earth) terminal WARNING! USA Federal law restricts this device to sale, Fuse distribution, and use by or on order of a physician.

  • Page 3: Table Of Contents

    Gravimetric Verification ..................16 Printing Options ........................ 16 Network Connectivity ....................... 17 ORDERING SUPPLIES ......................18 Inlets ..........................18 Bags ........................... 19 Valve Sets .......................... 21 GETTING HELP ........................22 Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page i...
  • Page 4 Saving a Direct-Entry Formula to Use Later ............81 Selecting a Saved Formula ..................83 Fulfilling the Order (Basic Process) ................... 84 Understanding Automatic Unloading of Formulas ..........84 Operator Manual for the Baxter ExactaMix 2400 Compounder Page ii 53007410 Rev. C...
  • Page 5 Load Cell ......................113 Track Product Expiration Date and Lot Number ..........113 Logging ........................ 113 Demo ........................113 Storage ........................ 114 MixCheck Data Export ..................114 Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page iii...
  • Page 6 Deleting a User ....................129 Changing a Password ..................129 IMPORTANT! Passwords are case-sensitive............129 Logging in as a Different User ................130 USING THE CONFIGURATION EDITOR ................. 131 Operator Manual for the Baxter ExactaMix 2400 Compounder Page iv 53007410 Rev. C...
  • Page 7 Customizing MixCheck Reports ................161 Using MixCheck Reports ..................161 Viewing Old MixCheck Reports ................166 Authorization Report ...................... 167 Formula Report ....................... 168 Log Report ........................171 Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page v...
  • Page 8 Display ......................... 215 Dimensions ......................215 Weight ......................... 215 Electrical ......................216 Performance ....................... 216 Environmental Conditions .................. 216 WEEE Compliance ......................217 Warranty Statement ....................... 217 Operator Manual for the Baxter ExactaMix 2400 Compounder Page vi 53007410 Rev. C...

  • Page 9: Introduction

    Introduction INTRODUCTION The Baxter ExactaMix® 2400 Compounder is an automated pumping system that compounds multiple sterile ingredients into a finished solution in a single patient bag. Using a formula provided electronically or entered manually, the compounder withdraws a specified volume of each ingredient from its source container in a specified sequence, and pumps each ingredient into a patient bag.

  • Page 10: Components

    Vial rack Load cell Display Barcode reader Base plate Main module Hardware components NOTE: The vial rack extension (optional) and the printer (North America only) are not shown. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 2 53007410 Rev. C...
  • Page 11 • The pump rotor moves the fluid from the valve set to the destination bag. Occlusion detector Valve actuators Bubble detector Pump door Pump rotor Main module, with close-up view of the top Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 3...
  • Page 12 This reader is used to scan barcodes on the labels of source containers, inlets and patient bags. Models of the barcode reader may vary. Barcode reader Operator Manual for the Baxter ExactaMix 2400 Compounder Page 4 53007410 Rev. C...
  • Page 13 Models of the printer may vary. The printer is available in North America only. Printer Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 5...

  • Page 14: Daily Use Components

    This bag contains only one port for filling the bag. The calibration bag is available in North America only. Valve set Inlet Patient bag Calibration bag Operator Manual for the Baxter ExactaMix 2400 Compounder Page 6 53007410 Rev. C...

  • Page 15: Software

    The display of the compounder has Baxter ExactaMix® 2400 Operating Software installed. To comply with regulations of the United States Food and Drug Administration (FDA), the compounder has been validated and approved for use only with the software that Baxter Healthcare Corporation provides.

  • Page 16: Navigation

    On any screen or window that requires data entry, tapping a field displays an on-screen keyboard or number pad that allows you to enter characters. On-screen keyboard and number pad Menu Screen The menu screen allows access to menus and settings. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 8 53007410 Rev. C...

  • Page 17: Pump Screen

    Compound menu. Pump Screen The pump screen shows a diagram of the valve set. It is used during the compounding process. Similar screens are used during setup. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 9...
  • Page 18 Have an ingredient attached have an ingredient button connected o Have the Universal Ingredient attached are identified by a U o Make up an electronic Y-site are identified by colored highlighting Operator Manual for the Baxter ExactaMix 2400 Compounder Page 10 53007410 Rev. C...
  • Page 19 • A horizontal bar showing how much of the ingredient is being used for the current order; during the compounding process, this bar increases as the pumped volume increases Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 11...

  • Page 20: Tutorials

    2. At the tutorials window: • On the Contents tab, tap a topic to display the associated help content. • On the Index tab, enter and search for keywords. Tutorials window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 12 53007410 Rev. C...

  • Page 21: Features

    For more information, refer to Loading the Formula on Page 75. FORMULARY The formulary is the list of ingredients, and associated products, which can be attached to the compounder. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 13...

  • Page 22: Ingredient Groups

    Regardless of the total volume of the UI to be delivered, the compounder reserves enough UI volume to perform a final flush at the end of Operator Manual for the Baxter ExactaMix 2400 Compounder Page 14...

  • Page 23: Configuration

    Tip! Baxter strongly recommends using the manufacturer’s barcode whenever possible. MEASUREMENT OF VOLUME AND WEIGHT The compounder uses volumetric delivery to move fluid, with gravimetric verification to check the final weight of the destination bag.

  • Page 24: Gravimetric Verification

    (70x25,4mm) (or comparable sheets) for inlet flags. For using A4 paper, in the Options window, change the reports directory path to C:\Program Files\Baxter\Exacta-Mix 2400\Reports\A4. Refer to section Setting Up Directories Option on page 121. You can connect the printer to a: •...

  • Page 25: Network Connectivity

    Baxter does not support network-related equipment, nor activities related to setting up or troubleshooting network connectivity for the compounder. Tip! If you connect the compounder to a network, Baxter recommends taking precautions to minimize the compounder’s exposure to cyber threats. For example, isolate the compounder behind a VLAN or use a router that acts as a firewall.

  • Page 26: Ordering Supplies

    Ordering Supplies ORDERING SUPPLIES Order supplies through your normal channels. Baxter Customer Service at +1.800.567.2292. WARNING Use only sterile inlets, bags and valve sets validated by Baxter. INLETS The following inlets are available worldwide. Standard Minimum Order Quantity / Product...

  • Page 27: Bags

    Tamper-resistant add-port cap H9384858 Not compatible with dual-chamber bags Baxter bags are sterile, bio-compatible, non-pyrogenic and contain no natural rubber latex components. These bags have a large-bore, threaded fill-port connector. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C...
  • Page 28 TPN BAG MULTILAYER 2000 mL 2000 Lg. Bore Diffuplast E1430OD TPN BAG MULTILAYER 3000 mL 3000 Lg. Bore Diffuplast E1440OD TPN BAG MULTILAYER 4000 mL 4000 Lg. Bore Diffuplast Operator Manual for the Baxter ExactaMix 2400 Compounder Page 20 53007410 Rev. C...

  • Page 29: Valve Sets

    Ordering Supplies Baxter bags are sterile, bio-compatible, non-pyrogenic and contain no natural rubber latex components. These bags have a large-bore, threaded fill-port connector or a luer lock fill-port connector. VALVE SETS The following valve sets are available in North America.

  • Page 30: Getting Help

    Ordering Supplies GETTING HELP Baxter Technical Services is available 24 hours/day, 7 days/week at 1.800.678.2292 or COtechsupport@baxter.com. Before you call for technical support: 1. At the menu screen, tap Help > About. The About window appears. It provides information about the hardware and software.

  • Page 31: Installing The Compounder

    Your Baxter service provider will install the compounder at your site. If you must reinstall the compounder or replace a component, verification tests must be performed before you use the compounder again. Contact Baxter Technical Services for assistance. Refer to Getting Help on Page 22.
  • Page 32 Cable for the load cell Connecting the cord and cables NOTE: The above pictures depict ROHS unit plug placement. Plug locations for Non-ROHS units are slightly different. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 24 53007410 Rev. C...
  • Page 33 Place the load cell onto the base plate. b. To lock the load cell, move the black lever back until it clicks into place. Installing the load cell Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 25...
  • Page 34 Pull the arm that is behind the display out to the right. b. Rotate the arm up and over toward you. c. Pull the arm slightly to the right to lock it into place. Rotating the arm Operator Manual for the Baxter ExactaMix 2400 Compounder Page 26 53007410 Rev. C...
  • Page 35 NOTE: To perform administrative work, you can also connect a keyboard and mouse to the USB ports on the display. The keyboard and mouse should not be connected during normal compounding operation. USB ports Ethernet port Ports on the display Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 27...
  • Page 36 • Are not kinked or pinched • Do not touch the base of the load cell 17. Plug the power cord into an uninterruptible power supply (UPS). Operator Manual for the Baxter ExactaMix 2400 Compounder Page 28 53007410 Rev. C...
  • Page 37 Push the holder to the desired location on the pole. c. Rotate the cam down to the locked position. Cam locked Top vial holder Cam unlocked Bottom vial holder Pole Adjusting the vial holders Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 29...

  • Page 38: Starting Up, Logging In And Out, And Shutting Down

    2. If the software does not start automatically, double-tap the Exacta-Mix 2400 icon on the Windows® desktop. Tip! Baxter recommends setting the software to start automatically. Contact Baxter Technical Services for assistance with setting up this feature. Refer to Getting Help on Page 22.
  • Page 39 Starting Up, Logging In and Out, and Shutting Down Tip! Baxter recommends setting up each user with a unique login name and password. If the compounder is connected to a network, Baxter recommends that the compounder be logged in to the network automatically. For details, contact Baxter Technical Services.

  • Page 40: Logging Out

    Setup Wizard, refer to Setting Up the Compounder on Page 35. o Tap No if you want to continue using the software in the current state. Tip! Baxter recommends always tapping Yes. If you tap No, you will be instructed to perform any required setup steps before compounding.
  • Page 41 Windows desktop is visible NOTE: The compounder software remains active and can be maximized when needed. • Exit program? to exit the compounder software 3. Tap OK. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 33...
  • Page 42 However, either of these actions can corrupt the database. Do not press either of these buttons at any time other than when you are directed by Baxter Technical Services.

  • Page 43: Setting Up The Compounder

    NOTE: The Compound menu also includes options that allow you to perform individual steps of the setup process without completing the entire Setup Wizard. Tip! Baxter recommends always using the Setup Wizard to guide you quickly through the necessary steps in the proper sequence.
  • Page 44 5. Calibrate Compounder calibrates the compounder’s pump to ensure that it will deliver the intended volume of each ingredient. 6. Authorization Report allows you to view and print the Authorization Report, if desired. Setup Wizard screen Operator Manual for the Baxter ExactaMix 2400 Compounder Page 36 53007410 Rev. C...

  • Page 45: Calibrating The Load Cell

    This procedure calibrates the load cell to ensure that it measures weight accurately. The load cell must be calibrated: • Daily when the calibration expires • Using a 2,000 g weight that Baxter provides Tip! Baxter recommends: • Using gloves to handle the weight, to minimize the accumulation of oils and dust •...
  • Page 46 3. At the Load Cell Calibration Requested message, tap OK. This message appears and then disappears: Message The Place Calibration Weight message appears. Message Operator Manual for the Baxter ExactaMix 2400 Compounder Page 38 53007410 Rev. C...
  • Page 47 • If you accessed the calibration procedure directly from the Compound menu, a Load cell calibration complete message appears. Message 7. If the Load cell calibration complete message appears, tap OK. 8. Remove the calibration weight. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 39...

  • Page 48: Selecting The Configuration

    NOTE: To select the configuration without using the Setup Wizard, you can tap Compound > Select Configuration at the menu screen. The Select Configuration screen displays the last configuration that was used. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 40 53007410 Rev. C...
  • Page 49 2. In the Name list, select the desired configuration. 3. Tap OK. Select Configuration screen NOTE: When you select a different configuration, you may need to change the tube set, then prime and verify it. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 41...

  • Page 50: Changing The Tube Set

    Setup Wizard screen, changing the tube set NOTE: To change the tube set without using the Setup Wizard, you can tap Compound > Change Tube Set at the menu screen. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 42 53007410 Rev. C...
  • Page 51 • Tap Continue with current tube set. NOTE: Selecting Continue with current tube set does not reset the expiration counter or the ingredient remainders. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 43...

  • Page 52: Removing The Expired Tube Set And Expired Ingredients

    8. Discard the valve set and the attached calibration bag. 9. Discard the inlets, spikes and Ingredient(s) per the facility protocol. Tip! Baxter recommends cleaning the compounder before installing a new valve set. Refer to CLEANING THE COMPOUNDER on Page 101, and follow your facility’s protocol.

  • Page 53: Installing The New Valve Set

    Valve actuators WARNING Do not use the compounder if a valve actuator is broken or damaged. Patient harm can result. For assistance, contact Baxter Technical Services. Refer to Getting Help on Page 22. 2. Remove the valve set from the packaging.
  • Page 54 Make sure that the tube is in proper position at the bottom of channels 1 and 2. Proper position Improper position b. Make sure that the tube is in proper position against the wall around the pump rotor. Proper position Improper position Operator Manual for the Baxter ExactaMix 2400 Compounder Page 46 53007410 Rev. C...

  • Page 55: Preparing The New Ingredients

    • Small-volume vials • 60mL Luer syringes Tip! Baxter recommends using only sterile BD® 60 mL Luer syringes. If you plan to use a different type, contact Baxter Technical Services. Refer to Getting Help on Page 22. 1. Gather all the new ingredients.

  • Page 56: Attaching The New Ingredients And Inlets

    This practice helps to ensure that you attach the ingredients and inlets correctly. Tip! To keep track of the steps, Baxter recommends working from left to right in the sequence of the port numbers (1, 2, 3 and so on). You might find it helpful to remember the main steps of...
  • Page 57 IMPORTANT! Always view the ingredient detail window. It includes details not visible on the ingredient button. For example, it includes the full product description, which you must check. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 49...
  • Page 58 If required, enter or check the Lot Number and the Expiration. NOTE: To set up these tracking options, refer to Track Product Expiration Date and Lot Number on Page 113. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 50 53007410 Rev. C...
  • Page 59 On the valve set, locate the port number specified at the ingredient detail window. Tip! To locate an odd-numbered port, Baxter recommends locating the next, even-numbered port in the front row. For example, to attach an inlet to port 3, look for port 4 in the front row and then attach the inlet to the port directly behind it (port 3).
  • Page 60 Insert the spike fully into the bag. Inserting c. Rotate the spike 180° to prevent occlusions. d. Hang the bag on the hood hanger, if the bag is not already there. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 52 53007410 Rev. C...
  • Page 61 Inserting d. Hang the bottle on the hood hanger, if the bottle is not already there. Hanging Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 53...
  • Page 62 Also, the vial will not be seated securely. d. Slide the spiked end of the vial into the bottom vial holder. Vent Hanging Operator Manual for the Baxter ExactaMix 2400 Compounder Page 54 53007410 Rev. C...
  • Page 63 Attached to the correct ingredient and port b. Labeled with the correct barcode label Tip! Baxter recommends rotating the source container so that the barcode label faces you, for easy scanning during barcode verification. 8. At the ingredient detail window, tap OK.
  • Page 64 At the Hang Source Containers screen, the color of the ingredient button becomes teal to indicate that the ingredient is attached and waiting to be primed. Hang Source Containers screen, one ingredient attached Operator Manual for the Baxter ExactaMix 2400 Compounder Page 56 53007410 Rev. C...
  • Page 65 Hang Source Containers screen, all ingredients attached If you started this procedure from the Setup Wizard screen, a check mark now appears next to Change Tube Set at the Setup Wizard screen. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 57...

  • Page 66: Priming And Verifying

    • Uses barcode verification, continue with Verifying the Ingredient and Inlet Barcodes on Page 59 • Does not use barcode verification, skip to Priming the Inlets and Verifying the Setup on Page 62 Operator Manual for the Baxter ExactaMix 2400 Compounder Page 58 53007410 Rev. C...

  • Page 67: Verifying The Ingredient And Inlet Barcodes

    IMPORTANT! This procedure requires barcode scanning to be enabled. To enable barcode scanning (and, if desired, to require it for verification), refer to Barcode Reader on Page 120. Tip! Baxter recommends enabling barcode scanning at all times. On the BARCODE VERIFICATION screen, the ports appear empty until the barcodes on the attached inlets and source containers are scanned.
  • Page 68 Do not scan unattached barcodes or old (used) containers. Doing so may result in incorrect ingredient delivery, resulting in patient harm. Tip! Baxter strongly recommends scanning from left to right (or from right to left) to prevent skipping any ports.
  • Page 69 Warning message appears. Tap Yes if you want to use the scanned product. Message Repeat the previous steps until an ingredient button appears for each attached ingredient. 4. At the Barcode verification completed message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 61...

  • Page 70: Priming The Inlets And Verifying The Setup

    2. If the Cosignature required message appears, the cosigner should: a. Tap OK. Message b. Enter a Login name. c. Enter a Password. d. Tap Log In, then continue with the next steps. Cosignature window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 62 53007410 Rev. C...
  • Page 71 Always follow the configuration setup that Baxter recommends, and prime ingredients in the sequence of the port numbers (1, 2, 3 and so on). Tip! Baxter recommends physically rotating each source container so that its product label faces you, for easy verification.
  • Page 72 5. On the valve set, locate the port for this ingredient. 6. With your hand, hold the inlet that is attached to the port, and follow the inlet up to the source container. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 64 53007410 Rev. C...
  • Page 73 Watch and feel for fluid moving through the inlet that is in your hand. When an ingredient is being primed, its button becomes yellow. The screen displays an animation of the process. PRIME AND VERIFY screen, priming in progress Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 65...
  • Page 74 10. When priming is finished: a. Release the tube from your hand. b. Tap Verify to confirm that the ingredient’s inlet is attached to the correct port. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 66 53007410 Rev. C...
  • Page 75 11. Repeat steps 3–10 for all the attached ingredients. If the calibration bag becomes full, remove it and attach a new one. Refer to Attaching and Removing the Calibration Bag on Page 73. 12. When you are finished, tap Close. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 67...
  • Page 76 If the test fails, you cannot continue compounding a solution. Refer to Issues with the Occlusion Detector / “Flow Sensor” on Page 204. 14. At the UI flush complete message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder Page 68 53007410 Rev. C...

  • Page 77: Calibrating The Compounder

    1. At the Setup Wizard screen, tap Calibrate Compounder. Setup Wizard screen, calibrating the compounder NOTE: You can calibrate the compounder at any time by tapping Compound > Calibrate Pump at the menu screen. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 69...
  • Page 78 However, the calibration procedure is the only time you should tap Yes at this message. Never tap Yes when compounding a solution into a patient bag. Message Operator Manual for the Baxter ExactaMix 2400 Compounder Page 70 53007410 Rev. C...
  • Page 79 • There is no weight on the load cell. • There is nothing touching any part of the load cell (for example, there are no cables touching the base). Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 71...
  • Page 80 If you started this procedure from the Setup Wizard screen, a check mark now appears next to Calibrate Compounder at the Setup Wizard screen. 9. Remove the calibration bag. Refer to Removing the Calibration Bag on Page 73. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 72 53007410 Rev. C...

  • Page 81: Attaching And Removing The Calibration Bag

    Always use aseptic technique when attaching the bag. 1. Connect a sterile calibration bag to the outlet tube. Tip! Baxter recommends connecting the bag to the outlet tube before attaching it to the load cell, to prevent twisting or straining the tube.

  • Page 82: Viewing The Authorization Report

    NOTE: You can view the Authorization Report at any time by tapping Reports > Authorization Report at the menu screen. For more information, refer to Authorization Report on Page 167. To exit the Setup Wizard screen, tap Exit. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 74 53007410 Rev. C...

  • Page 83: Using The Compounder

    • Manually entering a formula through direct entry • Manually selecting a saved formula Tip! Baxter strongly recommends loading a formula by scanning a barcode, and using the manual entry or selection methods only when the barcode method fails. If the network connection to the order-entry computer fails, you can still load a formula by scanning a barcode.
  • Page 84 0.2 mL, the compounder software will identify these ingredients as manual additions. 3. Continue with Fulfilling the Order (Basic Process) on Page 84. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 76 53007410 Rev. C...

  • Page 85: Entering A Formula Through Direct Entry

    1. At the menu screen, tap Tools > Direct Entry. Menu screen, Tools menu NOTE: To stop using direct entry, you can tap Tools > Cancel Direct Entry at the menu screen. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 77...
  • Page 86 Pump screen during direct entry 2. Obtain the formula from the pharmacist. Refer to your facility’s protocol. 3. Tap the ingredient button for the first ingredient in the formula. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 78 53007410 Rev. C...
  • Page 87 • Use the formula now, continue with Saving and Using a Direct-Entry Formula on Page 80 • Save the formula for using later, continue with Saving a Direct-Entry Formula to Use Later on Page 81 Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 79...

  • Page 88: Saving And Using A Direct-Entry Formula

    Tip! Baxter recommends not changing the serial number. c. Tap OK. Formula Information window 4. Continue with Compounding the Solution on Page 86. NOTE: You do not need to tap Run again. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 80 53007410 Rev. C...

  • Page 89: Saving A Direct-Entry Formula To Use Later

    Using the Compounder Saving a Direct-Entry Formula to Use Later 1. At the pump screen, tap Menu. 2. At the Information message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 81...
  • Page 90 Tip! Baxter recommends not changing the serial number. c. Tap OK. Formula Information window 4. When you want to compound the solution, continue with Selecting a Saved Formula on Page 83. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 82 53007410 Rev. C...

  • Page 91: Selecting A Saved Formula

    3. Select a formula. 4. Tap OK. The formula is loaded and appears on the pump screen. 5. Continue with Fulfilling the Order (Basic Process) on Page 84. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 83...

  • Page 92: Fulfilling The Order (Basic Process)

    Barcode scanning is not required to load a formula, but the formula was loaded through this method. For more information, refer to Barcode Reader on Page 120. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 84 53007410 Rev. C...

  • Page 93: Attaching The Patient Bag

    Always use aseptic technique when attaching the bag. 1. Connect a sterile patient bag to the outlet tube. Tip! Baxter recommends connecting the bag to the outlet tube before attaching it to the load cell, to prevent twisting or straining the tube.

  • Page 94: Compounding The Solution

    Setting Up the Users on Page 123. 1. At the pump screen, tap Run. Pump screen, ready to start compounding the solution Operator Manual for the Baxter ExactaMix 2400 Compounder Page 86 53007410 Rev. C...
  • Page 95 For instructions on how to handle a finished bag in this situation, refer to your facility’s protocol. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 87...
  • Page 96 At the pump screen, the Run button becomes a Pause button. The compounder pumps each ingredient, one at a time, into the patient bag in the specified sequence and volume. When an ingredient is being pumped, its button becomes yellow. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 88 53007410 Rev. C...
  • Page 97 • Tap Pause, then tap Resume to start compounding again. • Open the pump door, then close the pump door and tap Resume to start compounding again. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 89...

  • Page 98: Removing The Patient Bag

    2. View and approve the MixCheck Report according to your facility’s protocol. For instructions, refer to MixCheck Report on Page 161. 3. If necessary, perform any manual additions. Refer to Performing a Manual Addition on Page 93. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 90 53007410 Rev. C...

  • Page 99: Fulfilling The Order (Additional Steps)

    1. At the Confirm message, tap OK. Message 2. At the Select port window: a. Select the port to which you will attach the ingredient. b. Tap OK. Select port window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 91...
  • Page 100 NOTE: You can reattach the original patient bag. 10. Continue with compounding the solution. Refer to Compounding the Solution on Page 86. NOTE: The formula is not unloaded from the pump screen. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 92 53007410 Rev. C...

  • Page 101: Performing A Manual Addition

    MixCheck Report on Page 161. To add ingredients manually, follow your facility’s protocol. NOTE: To set the maximum volume allowed for a manual addition, refer to Manual Add on Page 117. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 93...

  • Page 102: Replacing A Source Container

    If there is a large amount of fluid remaining in the source container, or if the container has emptied completely and forced air into the inlet, there may be a delivery problem. For assistance with troubleshooting, contact Baxter Technical Services. Refer to Getting Help on Page 22.
  • Page 103 Adjusting the value improperly in the Overfill volume to use field can lead to bubbles, occlusions and under-delivery of an ingredient if its source container runs empty. b. Tap OK. Overfill Volume window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 95...

  • Page 104: Handling An Air Bubble

    Identify all the ingredients pumped prior to the alarm, the ingredient pumped during the alarm and the volume of each ingredient ordered. Tip! Baxter recommends that a pharmacist evaluate the clinical significance of bubbles encountered during the compounding process.
  • Page 105 8. At the Operation Cancelled message, tap OK. Message 9. At the Fluid path will be flushed with UI message, tap OK. Message 10. Check that the fluid moves properly during the flush. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 97...

  • Page 106: Handling An Occlusion

    1. Immediately write a large “X” on the label of the patient bag. 2. At the Occlusion was detected while pumping from port <port number> message, tap Operator Manual for the Baxter ExactaMix 2400 Compounder Page 98 53007410 Rev. C...
  • Page 107 3. At the pump screen, tap Stop. 4. At the Really abort the current solution? message, tap Yes. Message The software unloads the formula. 5. At the Operation Cancelled message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 99...

  • Page 108: Handling Other Interruptions And Errors

    10. Remove the bag. Refer to Removing the Patient Bag on Page 90. 11. Discard the bag. Handling Other Interruptions and Errors For more information about handling interruptions and errors, refer to Troubleshooting on Page 193. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 100 53007410 Rev. C...

  • Page 109: Maintaining The Compounder

    • Soap and water • 70% isopropyl alcohol or another self-drying disinfectant • Povidone iodine Tip! Baxter recommends cleaning the compounder daily or whenever you change the tube set, or whenever there is a spill. CAUTION Cleaning is required to ensure that the compounder operates as intended. Failure to clean the compounder can impair its operation.
  • Page 110 9. Using the approved materials, clean the: a. Valve actuators b. Surface of the main module c. Load cell d. Poles and holders on the vial rack Operator Manual for the Baxter ExactaMix 2400 Compounder Page 102 53007410 Rev. C...

  • Page 111: Calibrating The Compounder

    For instructions, refer to Calibrating the Compounder on Page 69. SHUTTING DOWN AND STARTING UP THE COMPOUNDER Tip! Baxter recommends fully shutting down and starting up the compounder once a day, to allow the software to perform routine database maintenance at startup.

  • Page 112: Backing Up The Entire Database

    • Keep the previous backup files, clear the Overwrite Existing File? check box c. Tap OK. Backup Database Location window 3. At the Backup succeeded message, tap OK. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 104 53007410 Rev. C...
  • Page 113 • Replace all the previous backup files to save space, select the Overwrite Existing File? check box • Keep the previous backup files, clear the Overwrite Existing File? check box c. Tap OK. Backup Blackbox Location window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 105...

  • Page 114: Compacting The Database

    3. At the Backup succeeded message, tap OK. Message Compacting the Database 1. At the menu screen, tap Tools > Database > Maintenance. 2. At the Do Database Maintenance? message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder Page 106 53007410 Rev. C...

  • Page 115: Performing Advanced Tasks

    Performing Advanced Tasks PERFORMING ADVANCED TASKS Perform these tasks only when directed by Baxter Technical Services. CHANGING THE UNIVERSAL INGREDIENT IMPORTANT! This function requires Change Universal Ingredient permissions. For more information about user groups and permissions, refer to Setting Up the Users on Page 123.
  • Page 116 3. Attach a calibration bag. Refer to Attaching the Calibration Bag on Page 73. 4. At the Flushing with Universal Ingredient message, tap OK. Message The pump screen shows an animation of the flush. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 108 53007410 Rev. C...

  • Page 117: Changing The Ingredient Remainders

    NOTE: You can tap Reset to change the remainder to its default value, or tap Reset All to change all the remainders to their default values at the same time. Tip! Baxter does not recommend using Reset All unless the entire list of ingredients has been changed.
  • Page 118 Performing Advanced Tasks Edit Source Remainders window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 110 53007410 Rev. C...

  • Page 119: Setting Up The Options

    Use the System tab to set up the general system options. To access the system options, tap Tools > Options at the menu screen. At the Options window, the System tab is selected. Options window, System tab Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 111...

  • Page 120: Mixcheck Report

    Select Auto Fill if you want to make the Assembled and Verified columns of the report populate automatically with the name of the person who logged in to perform the task. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 112...

  • Page 121: Load Cell

    IMPORTANT! Baxter does not recommend changing these settings. Before changing any of these settings, contact Baxter Technical Services. Refer to Getting Help on Page 22. Select Use load cell if you want to use the compounder’s scale. This box should always be selected, except if the load cell is not functional and an external scale is available.

  • Page 122: Storage

    Tip! Baxter recommends entering at least 45 days for each of these fields. MixCheck Data Export Select Enable if you want the compounder to export data directly to the Baxter DoseEdge® Pharmacy Workflow Manager. For this feature, the DoseEdge system must be specified as the printer. For assistance with setting up printers, contact Baxter Technical Services.

  • Page 123: Tube Set Expiration

    For Max Hours to Use Tube Set, enter the maximum number of hours that the tube set should be used. Tip! Baxter recommends entering 20 for the Max Hours to Use Tube Set, so that the tube set expires shortly before (instead of shortly after) the daily setup.

  • Page 124: Setting Up The System (Continued) Options

    Options window, System Cont. tab Database Compaction IMPORTANT! Do not change these settings unless directed by Baxter Technical Services. Select Compact DB if you want to make the compounder compact the database at startup. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 116 53007410 Rev.

  • Page 125: Acceptable Weight Variances (%)

    If any delivered ingredient has a weight outside this range, a message appears. The compounder weighs only ingredient deliveries of 100 mL or more. Tip! Baxter recommends entering 5% for the Final Solution and 5% for the Individual Ingredient. Manual Add For Max manual add volume, enter the maximum volume allowed for a manual addition.

  • Page 126: Mixcheck Signature Label

    Enter text that you want to include at the bottom of the MixCheck Report. Authorization Report Signature Label Enter text that you want to include about required signatures in the Authorization Report. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 118 53007410 Rev. C...

  • Page 127: Setting Up The Security Options

    For Minutes to Auto-Logout, enter the number of minutes after which the user is logged out. Tip! Baxter recommends entering 10–15 for the Minutes to Auto-Logout. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C...

  • Page 128: Password Expiration

    NOTE: By default Use password expiration checkbox is checked. For Days password valid, enter the number of days after which the password expires. Tip! Baxter recommends entering 90 (or the number specified by your facility’s protocol) for the Days password valid.

  • Page 129: Solution Limit

    2. At the Options window, tap the Directories tab. Options window, Directories tab 3. If you want to allow users to retrieve formula files, select Formula Search. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 121...

  • Page 130: Viewing The Oem Options

    Setting Up the Options IMPORTANT! After initial installation, you should not need to change the locations of the directories. Do not tap Reset Directories unless directed by Baxter Technical Services. This button changes the locations of the directories from their current settings.

  • Page 131: Setting Up The Users

    • Tap Add to add a group. The Add Group window appears. • Select the group you want to edit from the Name list, then tap Edit. The Edit Group <name> window appears. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 123...
  • Page 132 IMPORTANT! These permissions will apply to an entire group of users. You cannot assign unique permissions directly to a user; however, you can create a group that contains only one user. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 124 53007410 Rev. C...
  • Page 133 * Use of this permission for any user is discouraged. Because this permission allows a user to make changes to formulas, the clinical impact must be considered. Tip! Baxter recommends having a pharmacist perform the verification. 4. Tap Save. 5. At the Edit Users and Groups window, tap OK.

  • Page 134: Deleting A Group

    Tap Delete. 3. At the Delete user group <name>? message, tap Yes to delete the group. Message 4. At the Edit Users and Groups window, tap OK. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 126 53007410 Rev. C...

  • Page 135: Working With Users

    The Add User window appears. • Select the user you want to edit from the Login Name list, then tap Edit. The Edit User <name> window appears. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 127...
  • Page 136 3. At the Add User window or Edit User <name> window: a. Enter the Login Name. b. Enter the User Name. Tip! Baxter recommends using a short Login Name and full User Name. c. Select the Group to which the user is assigned. d. Tap Save.

  • Page 137: Deleting A User

    Tap OK. IMPORTANT! Passwords are case-sensitive. Baxter requires a new password shall be a minimum of 8 characters and a maximum of 40 characters. It shall contain at least 1 number, 1 alphabet, and 1 special character. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev.

  • Page 138: Logging In As A Different User

    1. At the menu screen, select Tools > Users > Change User. 2. At the Login window: a. Enter a different Login name. b. Enter the Password. (NOTE: Passwords are case-sensitive) c. Tap Log In. Login window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 130 53007410 Rev. C...

  • Page 139: Using The Configuration Editor

    IMPORTANT! These functions require Edit Configuration permissions. For more information about user groups and permissions, refer to Setting Up the Users on Page 123. Before making any changes in the Configuration Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22.

  • Page 140: Adding Or Editing A Configuration

    The Copy of <copied configuration name> window appears. NOTE: You can use the Copy option to make minor edits to an existing configuration and save it with a new name. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 132 53007410 Rev. C...
  • Page 141 Using the Configuration Editor Add Configuration window 2. Enter the Name of the configuration. 3. Tap a port. The Edit Port <number> window appears. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 133...
  • Page 142 Select the Prime Volume. You can leave the standard volume that is automatically selected, or select the minimum volume. Tip! Baxter recommends using the standard prime volume to ensure that the inlets are primed and any bubbles are removed.
  • Page 143 Enter the Final Flush Volume. Tip! Each formula must include at least this volume of the Universal Ingredient. Baxter recommends using at least 30 mL. The minimum is 25 mL. c. If you want to specify ingredients for auto-addition, tap Auto-Additions.
  • Page 144 NOTE: This option is available only for existing configurations. If you do not edit the sequence (pumping order), the compounder will use the sequence of the port numbers (1, 2, 3 and so on). Operator Manual for the Baxter ExactaMix 2400 Compounder Page 136 53007410 Rev. C...
  • Page 145 10. At the configuration window, tap OK. 11. At the Edit Configurations window, tap Close. WARNING A Baxter pharmacist must approve every new or edited configuration before it is placed into service. 12. Print a Configuration Report for the new or edited configuration. Refer to Configuration Report on Page 174.

  • Page 146: Deleting A Configuration

    • Yes to All to delete all configurations selected in the Edit Configurations window NOTE: If only one configuration is selected, only one will be deleted. Message 3. At the Edit Configurations window, tap Close. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 138 53007410 Rev. C...

  • Page 147: Using The Formulary Editor

    Setting Up the Users on Page 123. Before making any changes in the Formulary Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22. At the menu screen, tap Edit > Formulary Editor.
  • Page 148 Tapping the Inlets button displays the Inlet Editor. For instructions on using this feature, refer to Using the Inlet Editor on Page 150. Formulary Editor window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 140 53007410 Rev. C...

  • Page 149: Working With Ingredients

    • Warn If Manual Addition to make a message appear when a formula that includes this ingredient is used, but this ingredient is not in the current configuration Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 141...

  • Page 150: Deleting An Ingredient

    • The groups to which the ingredient belongs • The products that contain the ingredient • The configurations and formulas that contain the ingredient 2. At the Information message, tap OK. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 142 53007410 Rev. C...

  • Page 151: The Calibration Ingredient

    The calibration ingredient is used for calibrating the compounder’s pump. WARNING A sterile water product is required as the calibration ingredient. If you think the calibration ingredient needs to be changed, contact Baxter Technical Services. Refer to Getting Help on Page 22. Viewing the Calibration Ingredient 1.
  • Page 152 Scan the barcode to enter the Barcode ID. NOTE: For items that do not have a Barcode ID from the manufacturer, you can enter the data manually. Tip! Baxter recommends always using the barcode reader when possible. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 144...

  • Page 153: Deleting A Product

    • Yes to All to delete all products selected in the Formulary Editor window NOTE: If only one product is selected, only one will be deleted. Message Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 145...

  • Page 154: Viewing A Product's Usage Information

    A message with the product’s current usage appears, including: • The configurations that contain the product • The solutions that contain the product 2. At the Information message, tap OK. Message Operator Manual for the Baxter ExactaMix 2400 Compounder Page 146 53007410 Rev. C...

  • Page 155: Using The Ingredient Group Editor

    IMPORTANT! These functions require Formulary permissions. For more information about user groups and permissions, refer to Setting Up the Users on Page 123. Before making any changes in the Ingredient Group Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22.

  • Page 156: Adding Or Editing An Ingredient Group

    The Add Ingredient Group window appears. • Select the group you want to edit, then tap Edit. The Edit Ingredient Group <name> window appears. Edit Ingredient Group <name> window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 148 53007410 Rev. C...

  • Page 157: Deleting An Ingredient Group

    • Yes to All to delete all ingredient groups selected in the Ingredient Groups window NOTE: If only one ingredient group is selected, only one will be deleted. Message 3. At the Ingredient Groups window, tap Close. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 149...

  • Page 158: Using The Inlet Editor

    Setting Up the Users on Page 123. Before making any changes in the Inlet Editor, contact Baxter Technical Services. Refer to Getting Help on Page 22. At the menu screen, tap Edit > Inlet Editor.

  • Page 159: Adding Or Editing An Inlet

    Edit Inlet <name> window IMPORTANT! For the order number, description and recommended priming volume for each inlet, refer to Inlets on Page 18. NOTE: Use of this function is not recommended without Baxter instruction. WARNING Modifying these settings without contacting Baxter Technical Services could result in ingredients over or under delivering and may cause patient harm.

  • Page 160: Deleting An Inlet

    VIEWING AN INLET’S USAGE INFORMATION 1. At the Inlet Editor window: a. Select an inlet. b. Tap Used By. A message with the inlet’s usage information appears. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 152 53007410 Rev. C...

  • Page 161: Viewing An Inlet's Speeds And Flow Factors

    TPN. If you think that a flow factor needs to be changed, or a flow factor for a new ingredient needs to be added, contact Baxter Technical Services. Refer to Getting Help on Page 22.
  • Page 162 1. At the Inlet Editor window: a. Select an inlet. b. Tap Speeds/Flow Factors 2. At the Speeds for Inlet <name> window, follow the instructions of Baxter Technical Services. Speeds for Inlet <name> window 3. At the Inlet Editor window, tap Close.

  • Page 163: Using The Bag Inventory Editor

    Setting Up the Users on Page 123. Use only bags validated by Baxter for use with the compounder. For details, refer to Bags on Page 19. Using non- validated bags voids all manufacturer warranties. In addition, the accuracy of the finished solution will not be validated.
  • Page 164 Using the Bag Inventory Editor The Bag Inventory window appears. It lists the available bags and allows you to add, edit or delete bags. Bag Inventory window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 156 53007410 Rev. C...

  • Page 165: Adding Or Editing A Bag

    NOTE: You can obtain the empty weight and tolerance of approved bags from Baxter. b. If you are adding a new bag, enter other information as directed by Baxter. c. Tap Save. 3. At the Bag Inventory window, tap Close.

  • Page 166: Deleting A Bag

    • Yes to All to delete all bags selected in the Bag Inventory window NOTE: If only one bag is selected, only one will be deleted. Message 3. At the Bag Inventory window, tap Close. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 158 53007410 Rev. C...

  • Page 167: Using Reports

    NOTE: To select the printer used for printing reports, refer to Report Printer on Page 117. To view reports: 1. At the menu screen, select Reports > Standard. Menu screen, Reports menu Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 159...
  • Page 168 The arrows and the number field allow you to move to different pages of a multi- page report. 4. When you are finished using the report, tap Exit. Navigation options for reports Operator Manual for the Baxter ExactaMix 2400 Compounder Page 160 53007410 Rev. C...

  • Page 169: Mixcheck Report

    (pharmacist) view and approve the entire report, especially the Formula Name; Expected Weight, Measured Weight and Difference; Manual Additions; and Details. For instructions on viewing and approving the MixCheck Report, refer to the following pages. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 161...
  • Page 170 Using Reports Sample MixCheck Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 162 53007410 Rev. C...
  • Page 171 In the signature-related section at the end of the report, follow your facility’s protocol. Sample MixCheck Report (left side) Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 163...
  • Page 172 Verify that the Total (mL) matches the label on the patient bag and/or the original formula. NOTE: The Total (mL) doesn’t include the volume of the Manual Additions. Sample MixCheck Report (right side) Operator Manual for the Baxter ExactaMix 2400 Compounder Page 164 53007410 Rev. C...
  • Page 173 Report prints up to 36 characters followed by ‘…’. If the Serial Number of the formula is greater than 36 characters then 36 characters followed by ‘…’ is printed. Sample MixCheck Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 165...

  • Page 174: Viewing Old Mixcheck Reports

    • View MixCheck to view the report on the screen • Print MixCheck to send the report to the assigned printer • Export MixCheck Data to export the data to the DoseEdge system Solutions window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 166 53007410 Rev. C...

  • Page 175: Authorization Report

    • To specify signature-related text that you want to include at the end of the report, refer to Authorization Report Signature Label on Page 118. To view the Authorization Report, tap Reports > Standard > Authorization at the menu screen. Sample Authorization Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 167...

  • Page 176: Formula Report

    NOTE: You can tap Formula Name to sort by name or tap Serial Number to sort by number. b. Select a formula. c. Tap OK. Select Formula window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 168 53007410 Rev. C...
  • Page 177 Using Reports Sample Formula Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 169...
  • Page 178 Report prints up to 50 characters followed by ‘…’. If the Serial Number of the formula is greater than 50 characters, then 50 characters followed by ‘…’ is printed. Sample Formula Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 170 53007410 Rev. C...

  • Page 179: Log Report

    1. At the menu screen, tap Reports > Standard > Log. 2. At the Select Report Dates window: a. Enter the date for the report. b. Tap OK. Select Report Dates window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 171...
  • Page 180 Using Reports Sample Log Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 172 53007410 Rev. C...
  • Page 181 80 characters followed by ‘…’. If the Serial Number of the formula is greater than 80 characters, then 80 characters followed by ‘…’ is printed. Sample Log Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 173...

  • Page 182: Configuration Report

    1. At the menu screen, tap Reports > Standard > Configuration. 2. At the Select Configuration window: a. Select the configuration. b. Tap OK. Select Configuration window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 174 53007410 Rev. C...
  • Page 183 Using Reports Sample Configuration Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 175...

  • Page 184: Formulary Report

    To view the Formulary Report, tap Reports > Standard > Formulary at the menu screen. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 176 53007410 Rev. C...
  • Page 185 Using Reports Sample Formulary Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 177...

  • Page 186: Product Barcodes Report

    1. At the menu screen, tap Reports > Standard > Product Barcodes. 2. At the Select Product window: a. Select the product. b. Tap OK. Select Product window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 178 53007410 Rev. C...
  • Page 187 Using Reports Sample Product Barcodes Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 179...

  • Page 188: Inlet Barcodes Report

    To view the Inlet Barcodes Report, tap Reports > Standard > Inlet Barcodes at the menu screen. Sample Inlet Barcodes Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 180 53007410 Rev. C...

  • Page 189: Blackbox Report

    BLACKBOX REPORT The Blackbox Report is a chronological list of all important system activity for a specific period of time. If necessary, Baxter may use this information for troubleshooting. To view the Blackbox Report: 1. At the menu screen, select Reports > Standard > Blackbox.
  • Page 190 Using Reports For assistance with reading this report, contact Baxter Technical Services. Refer to Getting Help on Page 22. Sample Blackbox Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 182 53007410 Rev. C...

  • Page 191: Calibration Summary Report

    NOTE: The available dates are still limited by the amount of time this information is stored. For more information, refer to Storage on Page 114. b. Tap OK. Select Report Dates window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 183...
  • Page 192 Using Reports Sample Calibration Summary Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 184 53007410 Rev. C...

  • Page 193: Formula Precision Report

    Select Report Dates window 3. At the Enter Values window: a. Select Acceptable Weight Variance (%) from the drop down list. b. Tap OK. Enter Values window Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 185...
  • Page 194 Using Reports Sample Formula Precision Report Operator Manual for the Baxter ExactaMix 2400 Compounder Page 186 53007410 Rev. C...
  • Page 195 Precision Report prints up to 36 characters followed by ‘…’. If the Serial Number of the formula is greater than 36 characters then 36 characters followed by ‘…’ is printed. Sample Formula Precision Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 187...

  • Page 196: Ingredient Usage Report

    1. At the menu screen, select Reports > Standard > Ingredient Usage. 2. At the Select Report Dates window: a. Enter the First and Last date for the report. b. Tap OK. Select Report Dates window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 188 53007410 Rev. C...
  • Page 197 Using Reports Sample Ingredient Usage Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 189...

  • Page 198: Bag Usage Report

    1. At the menu screen, tap Reports > Standard > Bag Usage. 2. At the Select Report Dates window: a. Enter the First and Last date for the report. b. Tap OK. Select Report Dates window Operator Manual for the Baxter ExactaMix 2400 Compounder Page 190 53007410 Rev. C...
  • Page 199 Using Reports Sample Bag Usage Report Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 191...

  • Page 200: Flow Factors Report

    The Flow Factors Report lists the flow factors for all the ingredients in the current configuration. To view the Flow Factors Report, tap Reports > Standard > Flow Factors at the menu screen. NOTE: You do not need to view this report unless directed by Baxter Technical Services. Flow Factors...

  • Page 201: Troubleshooting

    HANDLING INTERRUPTIONS AND ERRORS If you encounter any of these interruptions or errors, take the suggested actions. If the issue persists, contact Baxter Technical Services. Refer to Getting Help on Page 22. Issues with the Barcodes Issue / On-screen Text...
  • Page 202 Order Entry systems. equal to the value Formula Barcode is lesser than or equal to the specified in the security configured value in security tab. tab. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 194 53007410 Rev. C...
  • Page 203 Barcode (X) cannot be (####.##). loaded. 1) Following Ingredient Volume(s) does not meet the format (####.##). (%s) You must correct the Ingredient Volume(s) format then load the formula. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 195...
  • Page 204 3. Check the database to ensure that the formula exists. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 196 53007410 Rev. C...

  • Page 205: Issues With The Formulas, Ingredients And Configurations

    If the container is not almost empty, check that mL left to run. Please it is the correct container, and contact Baxter change the container Technical Services. Refer to Getting Help on now. Page 22. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 197...
  • Page 206 Formula contains groups. incompatible ingredients with insufficient flush volume between them. First Ingredient: <ingredient name> Second Ingredient: <ingredient name> Required Flush: <required volume> Available Flush: <available volume> Operator Manual for the Baxter ExactaMix 2400 Compounder Page 198 53007410 Rev. C...
  • Page 207 Changing the Universal Ingredient on Page 107, starting at Step 2. 3. Attach the patient bag. Refer to Attaching the Patient Bag on Page 85. 4. Repeat the compounding process. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 199...
  • Page 208 <list of products> Please contact Baxter Technical Services to obtain the correct flow factors and for help to enter them into the Formulary. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 200 53007410 Rev. C...

  • Page 209: Issues With The Calibration

    Compounder on Page 69 calibration limit of Therefore a manual 20000mL, the system will calibration is required. recalibrate now. Do you want to calibrate now? Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 201...

  • Page 210: Issues With The Weight And Load Cell

    Page 51. 3. Check that the correct inlet is assigned to dextrose in the formulary. Refer to Adding or Editing a Product on Page 143. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 202 53007410 Rev. C...

  • Page 211: Issues With The Pump

    Shutting Down on Page 32. Pump is in fault state and A pump fault occurred. Tap Yes to reset the pump. must be reset before use. Reset the pump? Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 203...

  • Page 212: Issues With The Occlusion Detector / "Flow Sensor

    Issues with the Occlusion Detector / “Flow Sensor” NOTE: For all of these messages about the occlusion detector self-test, tapping Cancel displays a Contact Baxter message and disables your ability to compound a solution or calibrate the compounder. On-screen Text...

  • Page 213: Other Issues

    2. Write a large “X” on the label of the patient Solution will need to be container replacement bag, then remove and discard the bag. discarded. Continue? was cancelled. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 205...
  • Page 214 Refer to Setting Up the Directories sure that the path name Options on Page 121. is spelled correctly and that you are connected to the server on which the file resides Operator Manual for the Baxter ExactaMix 2400 Compounder Page 206 53007410 Rev. C...

  • Page 215: Loading A Formula By Connecting A Usb Drive

    .PAT/.FRM file and a corresponding label with a barcode. Both the .PAT/.FRM file and barcode must be compatible with the compounder. Abacus software meets these requirements. For more information, or if a barcode cannot be printed, contact Baxter Technical Services. Refer to Getting Help on Page 22.
  • Page 216 0.2 mL, the compounder software will identify these ingredients as manual additions. 4. Continue with Fulfilling the Order (Basic Process) on Page 84. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 208 53007410 Rev. C...

  • Page 217: Restoring The Database

    Glossary RESTORING THE DATABASE If certain types of issues occur, Baxter Technical Services may ask you to restore the database. 1. At the menu screen, tap Tools > Database > Restore Database. 2. At the Do you wish to backup message, if you: •...
  • Page 218 If desired, change the location of the backup you want to restore by tapping the button to the right of it. b. Tap OK. Restore Database Location window 6. At the Database restored successfully message, tap OK. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 210 53007410 Rev. C...

  • Page 219: Glossary

    Glossary The compounder is now ready to use the restored database. Message NOTE: Upon login Baxter recommends resetting the directories to the correct path. Refer to section Setting Up the Directories Options on Page 121. GLOSSARY Use this glossary to help you understand any terms that may be unfamiliar.
  • Page 220 The fluid used for this flush is usually the Universal Ingredient, but it can be any compatible ingredient in the configuration and formula. ingredient group A list of chemically similar ingredients, used for defining incompatible groups. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 212 53007410 Rev. C...
  • Page 221 An ingredient in a particular container size and type from a specific manufacturer. Several products can be associated with one ingredient. pump A peristaltic device used to push fluid through the outlet tube. pump module See main module. Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 213...
  • Page 222 An on-screen feature that provides information or instructions and allows you to make choices or enter information. Pay attention to the text, because some windows may include critical information. Operator Manual for the Baxter ExactaMix 2400 Compounder Page 214 53007410 Rev. C...

  • Page 223: Appendix

    Load cell: 5 lb (2.3 kg) Base: 13 lb (5.89 kg) Vial rack: Less than or equal to 13 lb (6 kg) Compounder: 79 lb (35.83 kg) Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev. C Page 215...

  • Page 224: Electrical

    Operator Manual for the Baxter ExactaMix 2400 Compounder Page 216 53007410 Rev. C...

  • Page 225: Weee Compliance

    Baxter Healthcare Corporation may, at its discretion, revise either the software or the text of the manual. This software is intended solely for the operation of the ExactaMix 2400 Compounder for the preparation of compounded sterile formulas. It is not intended to replace the professional knowledge or judgment of a Registered Pharmacist in the preparation of such formulas.

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