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What This Guide Helps With
This guide assists Clinical Engineering in troubleshooting a Fresenius Kabi Agilia infusion pump when users report incorrect infusion programming, unexpected infusion rates, or alarms related to infusion delivery. Many programming errors are caused by external factors such as improper setup, user input errors, or accessory compatibility, rather than internal device failure.
Step-by-Step Troubleshooting
Verify Power and Battery
- Ensure the pump is powered on and the battery or AC source is functioning.
- Why: A weak battery or intermittent power can cause programming errors or missed inputs.
Confirm Correct Syringe/Cartridge Installation
- Check that the syringe or cartridge matches the pump’s size and type specifications.
- Ensure it is properly seated and the door is closed.
- Why: The pump calculates rates based on syringe size; wrong size triggers errors.
Check Infusion Settings
- Review programmed rate, volume, and mode for correctness.
- Confirm units (mL/h) and duration match the intended prescription.
- Why: Simple data entry mistakes are common and easy to correct.
Inspect Tubing and Connections
- Verify there are no kinks, occlusions, or clamped lines.
- Ensure the line is compatible with the pump.
- Why: Flow restrictions can cause the pump to alarm or incorrectly calculate rates.
Reset the Pump (Soft Reset)
- Power cycle the pump following manufacturer guidance.
- Reprogram the infusion and test with a known empty syringe first.
- Why: Some errors can be cleared with a simple reset, avoiding unnecessary escalation.
Check for Software or Firmware Alerts
- Ensure the pump is up to date and not showing software error messages.
- Why: Outdated firmware can cause miscalculations in rate delivery.
If the Problem Persists
Common external causes have been ruled out; internal programming or electronics may be faulty.
- Remove the device from service.
- Label it “Out of Service.”
- Send for vendor repair or bench evaluation.
Knowing when to stop is proper troubleshooting—do not attempt internal board-level fixes.
Clinical Use Tip
Never program or troubleshoot the pump on an active patient if errors occur.
Move the patient to a verified working pump first.
Document any interventions and communicate with nursing staff before returning the device to service.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
“Pump displays incorrect infusion rate despite correct programming.”
Cause
What was observed during troubleshooting.
Example:
“Pump settings confirmed; syringe type correct; no occlusions found; error persisted after power cycle.”
Resolution
What action was taken.
Example:
“Device removed from service, labeled Out of Service, sent for vendor repair.”
Helpful Details to Include
- Outlet tested
- Battery/AC status
- Syringe/cartridge type
- Alarm messages
- Pump indicator lights
- Line and tubing inspection
- Reset attempts
Final Thought
Patient safety comes first—always verify infusion accuracy on a working pump before returning the patient to therapy. Logical, stepwise troubleshooting helps avoid unnecessary vendor costs and ensures proper documentation for future reference.
That is successful troubleshooting.