Evaluation: Smiths Medical Medfusion 4000 Syringe Infusion Pump

March 20, 2019 | Evaluations & Guidance


  • The Medfusion 4000 is used to administer drugs or antibiotics from a syringe. It can also be used for enteral feeding. (Note: If this pump is used for enteral feeding, ECRI recommends clearly designating it as an enteral feeding pump. It should not be mixed with pumps that are delivering IV medications via syringe.)
  • Major device components and software features:
    • Pump: Used to deliver intravenous infusion therapy through a consumable syringe and administration set
      • Operational range:
        • Flow rate: 0.01-1,130 mL/hr
        • Volume to be infused (VTBI): 0-60 mL
      • Supported syringes:
        • Vendors—IV standard Luer syringes, 1-60 mL: i) BD ii) Covidien—Monoject iii) Terumo Medical—Terumo iv) B. Braun—Omnifix and Perfusor
        • Vendors—ENFit syringes and legacy enteral syringes, 5-60 mL: i) Kentec/VR Medical—Ameritus ii) Covidien—Monoject iii) NeoMed
      • Infusion modes:
        • Dose error reduction system (DERS)—PharmGuard Infusions with soft and hard limits
        • Non-DERS infusion—manual programming i) Infusion mode without any soft and hard limits ii) User confirmation required to enter mode
        • QuickLibrary—A mode that allows for quicker programming with independent limits that are only accessible if enabled and can be passcode protected. Can be used to create, for example, an anesthesia profile to make it possible to have drugs with programmable limits that are only accessible with a passcode.

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