Smiths Medical CADD-Solis Operator's Manual
Ambulatory infusion pump
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Summary of Contents for Smiths Medical CADD-Solis
- Page 1 This online version differs from the printed version. Certain information that is not intended for patients has been removed.
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Page 3: Technical Assistance
Information Report (See Reports on page 27). available, and close supervision and provision for immediate corrective action should be Our staff at Smiths Medical is available to help twenty- provided to assure minimum medication four hours a day with the programming and operation ®... - Page 4 • ® zinc (“heavy duty”) batteries. They do not Use of a syringe with the CADD provide sufficient power for the pump to administration set may result in UNDER operate properly. DELIVERY of medication. Syringe function can be adversely affected by variations in •...
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Page 5: Cautions
• • Per general rules of safe practice, always clamp The use of power supplies and a remote tubing before removing the cassette from the dose cord other than those listed in the pump. Removing the cassette without closing electromagnetic emissions declaration may the clamp could potentially cause unregulated result in increased emissions or decreased gravity infusion. - Page 6 • • Only use accessories that are specified for use Use of this pump on patients monitored by ® with the CADD -Solis ambulatory infusion electronic equipment may cause artifactual pump. interference. As with all electronic equipment, electrical artifacts which affect the •...
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Page 7: Table Of Contents
Table of Contents Programming and Operation ......21 Technical Assistance ............1 WARNINGS ................1 Security Settings ..............21 Security Level Table ..........21 CAUTIONS ................3 Autolock ...............22 General Description ..........7 Tasks ..................22 Introduction ................7 Give Clinician Bolus ..........22 Indications ................ - Page 8 Collect Separately ........... 51 Programming Screens/Menus Maps ....51 Default Factory Settings ...........52 Accuracy Test Results ............53 Start-up curve over the stabilization period Flow rate: Intermediate (10 mL/hr) .....53 Trumpet Curve over T(2) Period: Intermediate rate (10 mL/hr) .........53 Index ..............55 Limited Warranty ..........59...
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Page 9: General Description
General Description General Description Introduction WARNING: • Do not administer drugs to the epidural space ® The CADD -Solis ambulatory infusion pump or subarachnoid space unless the drug system provides measured drug therapy to patients is indicated for administration to those in hospital or outpatient settings. Therapy should spaces. -
Page 10: Symbols
General Description Symbols Symbols on the pump’s display Indicates reservoir volume Direct Current (Power Jack) Rechargeable battery pack charge level Consult Instructions for Use Rechargeable battery pack charge level, with Caution AC adapter Class II Equipment AA battery charge level Type CF Equipment AA battery charge level, with AC adapter Splashproof—water splashed against pump... -
Page 11: Features Of The Pump System
CADD® pump • Versatile administration set options: scroll keys: – Smiths Medical offers a wide variety of – Soft key interface helps make programming CADD® administration sets, featuring and navigating intuitive and easy. exclusive medication cassette reservoirs to –... - Page 12 – Event log holds up to 5,000 events. menu. – Clinical, technical, and implementation – Alarm/alert screens are color coded to low, support are offered 24/7 by Smiths Medical. medium, and high priority conditions. – Therapy, qualifier, drug, concentration/ units, and keypad lock status displayed at all times except when viewing reports or during alarm/alert conditions.
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Page 13: Pump Diagram
General Description Pump Diagram Description of the Keys, Components, Ports, and Connectors Front View Indicator Lights Battery Compartment Display When the pump is powered, one or both of the Indicator Lights indicator lights will flash. Amber Green: The green light flashes to indicate Green that the pump is running and delivering fluid as programmed. -
Page 14: Keypad
General Description Keypad USB Port The keys on the keypad are described below. A key A mini-B USB cord can be attached to the USB ® beeps when pressed if it is operable in the current port for communications with the CADD -Solis state of the pump. -
Page 15: Delivery Methods
General Description Delivery Methods The pump provides the following methods of delivery: • Continuous Rate (see page 30). • PCA Dose (see page 30). • Clinician Bolus (see page 22). Clinician Bolus (used here as a loading dose) Continuous Rate PCA Doses Time... -
Page 16: Pump Setup
Fluid or debris in the battery compartment may damage the battery AA 1.5 volt primary (non-rechargeable) alkaline contacts and could result in loss of power and batteries or the Smiths Medical rechargeable battery nondelivery of drug and, depending on the type ® pack are recommended for use in the CADD... -
Page 17: Replacing The Battery Door
AC adapter. flash. You can obtain a desktop AC adapter through the Customer Service department at Smiths Medical. • The display will quickly flash gray, then blue. See the desktop AC adapter’s instructions for use for An amber swirl will then fill the display, more information. -
Page 18: Cassette
® set with free-flow protection must be used in order to prevent free-flow. NOTE: Smiths Medical recommends that the appropriate supplies needed to replace the cassettes are available in case of a damaged cassette. NOTE: For detailed instructions and warnings pertaining to the medication cassette reservoir ®... -
Page 19: Programming The Pump: General Instructions
Pump Setup Programming the Pump: General The type of battery being used and the approximate amount of life it has, as well as Instructions AC indication. The Pump Screen Battery with AC Rechargeable The screen shots that you will see in this manual Adapter—may be battery source AA battery... -
Page 20: Before Programming
Pump Setup Attach a Cassette in the protocol title bar () as well as the soft key bar (). A protocol displayed in black signifies that the protocol being used is a non-standard protocol Obtain a new, filled medication cassette reservoir, or or that the pump is programmed using the manual ®... -
Page 21: Remove A Cassette
Pump Setup 5. Insert the pump key “Cassette Unlocked” will briefly appear in the into the cassette/ status bar. keypad lock and turn clockwise into the 3. Push down on locked position. the cassette latch until the cassette NOTE: The cassette detaches. -
Page 22: Stop The Pump
Pump Setup Stop the Pump Stopping the pump stops delivery. When the pump is stopped, “Stopped” will appear with red highlighting on the status bar and the amber indicator light will flash, while the green indicator light will be off. To stop the pump: 1. -
Page 23: Programming And Operation
Programming and Operation Programming and Operation Security Settings The security settings are used to limit patient and clinician access to certain programming and operating functions of the pump. The various functions of the pump are protected by three different security codes, and may also be protected by the cassette/keypad lock. -
Page 24: Autolock
Programming and Operation • Autolock Adjust Alarm Volume • View Reports ® The CADD -Solis pump has been designed to • Adjust Admin Settings meet both safety and usability needs. The autolock Depending on the level of security required and how feature reduces the chance of non-authorized pump ®... -
Page 25: Start New Patient
Programming and Operation a clinician bolus, it will give you the option to restart WARNING: To prevent the patient from the clinician bolus where it left off or to start with a accessing the clinician bolus function, do new clinician bolus. not let the patient know the security codes. WARNING: Exercise care when using the clinician Improper programming could result in bolus function. -
Page 26: Start New Protocol, Same Patient
Programming and Operation 2. Unlock the keypad using the security code or on selecting a therapy, qualifier, and drug for the the pump key. new protocol. NOTE: When starting a new protocol, be sure to 3. Press U or D to attach a new reservoir with the proper drug and highlight the desired concentration. -
Page 27: Set Time And Date
Programming and Operation To set the current time: WARNING: Ensure that the entire fluid path is free of all air bubbles before connecting to the 1. Press U or D patient to prevent air embolism. Air embolism until Current Time is could result in serious patient injury or death. highlighted and press NOTE: If the fluid path contains an air eliminating filter, it is acceptable for air bubbles 2. -
Page 28: Adjust Backlight Intensity
Programming and Operation 4. Press U or D to 3. Press U or D to scroll to the correct scroll from 1 to 10. The day and press S to pump will display the navigate to the year. intensity of each number as it appears. -
Page 29: Adjust Admin Settings
Programming and Operation • PCA Doses Attempted shows the total Adjust Admin Settings number of PCA doses attempted by the patient The administrator settings contain pump while the pump was running, including those configurations that are set up by the CADD®-Solis that were delivered, locked out, and stopped in system administrator. -
Page 30: Pca Dose Graph
Programming and Operation PCA Dose Graph Delivery Log This screen displays the The delivery log is a subset of the event log and number of doses attempted contains information having to do specifically with and given in 30 minute delivery events. Delivery log information includes: increments starting from •... -
Page 31: Protocol Library Summary
Programming and Operation Patient Specific Parameters To view the event log: (Programming Screens) 1. From the Reports menu, press U or D The patient specific parameters are found on to choose Event Log the home screen and can be edited within limits and press S. -
Page 32: Continuous Rate
Programming and Operation NOTE: When using the pump key to unlock the ® CADD -Solis system administrator, the pump keypad, be sure to keep the cassette latch in the will display the message, “PCA dose not available latched position. because no dose programmed. ” The PCA dose amount can be edited while the Continuous Rate pump is running or stopped (if the keypad is... -
Page 33: Hourly Limit
Programming and Operation 2. Unlock the keypad 3. Press U or D until using the security code you reach the desired or the pump key. PCA lockout time and select Save. 3. Press U or D until you reach the desired hourly limit amount and select Save. -
Page 34: Reservoir Volume
Programming and Operation Manual Mode Programming Reservoir Volume The reservoir volume is a program setting that The manual mode is for situations when the doctor’s allows you to set the amount of fluid that is orders may not match any of the protocols in the contained in the reservoir. - Page 35 Programming and Operation The following chart includes the initial settings of To use the manual mode: the Manual Mode. 1. Determine whether you are starting a new Pump Function What Changes in the Protocol patient, or starting a new protocol with the same Programming Units User chooses mL, mg, or mcg patient.
- Page 36 Programming and Operation NOTE: If the information displayed is incorrect, selecting the left soft key will back you out of each screen, allowing you to start over. 5. The pump will take a moment to set the program before it asks you to review the pump settings.
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Page 37: References And Troubleshooting
References and Troubleshooting References and Troubleshooting Understanding the Alarms and NOTE: Document the error numbers displayed on the system fault screen to help Smiths Medical Messages Customer Service identify the problem. There are multiple alarms that the pump can High Priority Alarm –... -
Page 38: Alarms And Messages, Alphabetical List
References and Troubleshooting Alarms and Messages, Alphabetical List Alarms and Messages Alarm Priority Description / Corrective Action (Screen is blank and alarm is High The pump was delivering and the batteries were removed or the sounding) battery door was opened. The pump has lost power and is no longer delivering. - Page 39 References and Troubleshooting Alarms and Messages Alarm Priority Description / Corrective Action Battery removed. Pump High The rechargeable battery pack or the 4 AA batteries were stopped. removed. The pump was delivering and is now stopped. Select acknowledge to clear the alarm. • Install a fully charged rechargeable battery pack or 4 new AA batteries.
- Page 40 References and Troubleshooting Alarms and Messages Alarm Priority Description / Corrective Action Cannot start pump with an Medium The batteries installed are either the wrong kind of AA unusable battery batteries, or you are using a rechargeable battery pack that is not compatible with the pump.
- Page 41 References and Troubleshooting Alarms and Messages Alarm Priority Description / Corrective Action Delivery limit reached. (Pump’s The programmed delivery limit has been reached, and the status bar will read “KVO = 0”) pump is not delivering fluid. This alarm occurs when the continuous rate is programmed to 0 mL/hr, and either a PCA dose or the continuous rate has caused the delivery limit to be exceeded.
- Page 42 Make sure there is nothing pressing on any of the keys. If the alarm persists, close the tubing clamp, remove the batteries to turn off the pump, and remove the pump from use. Contact Smiths Medical Customer Service to return the pump for service. Lock cassette to start pump.
- Page 43 References and Troubleshooting Alarms and Messages Alarm Priority Description / Corrective Action Pump does not have a protocol Medium If the pump had a protocol library the last time it was powered library. on, but now it does not, you will see this alarm. This would happen if the pump was manually reverted to the factory default, has recently had a software update, or if an attempt to install a protocol library failed.
- Page 44 References and Troubleshooting Alarms and Messages Alarm Priority Description / Corrective Action Unknown cassette type. High The pump detects the cassette is incompatible with the pump. Remove cassette. The pump is stopped and will not run. Close the tubing clamp, remove and then reattach the cassette.
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Page 45: Cleaning The Pump And Accessories
References and Troubleshooting Cleaning the Pump and Accessories NOTE: Ensure that debris is not allowed to build up on the pressure plate surface of the pumping Cleaning Solutions mechanism (see the Technical Manual for a diagram of the pumping mechanism). Inspect The following solutions may be used to clean the the air detector sensor slot and remove any pump and accessories, unless otherwise specified:... -
Page 46: Continuous Rate Scroll Ranges
References and Troubleshooting Continuous Rate Scroll Ranges PCA Dose, Clinician Bolus Scroll Ranges: Milligrams Units Starting Increment Maximum Value 0.10 Milliliters 30.00 Milligrams Milligrams Concentration Concentration Milligrams mg only: Values between 0.01 and 0.5: 0.01 Concentration mg/mL increment max mg/mL increment max &... -
Page 47: Technical Description
References and Troubleshooting Technical Description IEC 60601-1-2 (Edition 2.1, 2004-11), Medical Electrical Equipment, Part 1-2: General Requirements for Safety - Collateral Standards used in development of the pump Standard: Electromagnetic Compatibility - The following standards were used in whole or part Requirements and Tests. in the development of the pump. IEC 61000-4-2 (2001), Electromagnetic Medical Electrical Equipment Compatibility (EMC), Part 4-2: Testing... -
Page 48: Specifications (Nominal)
References and Troubleshooting EN 55011 (1998), Industrial, scientific and Disposable type invalid; Disposable locked but medical (ISM) radio frequency equipment not latched; Reservoir volume empty; Pressure - Radio disturbance characteristics - Limits sensor faulty; Downstream occlusion; Upstream and methods of measurement. Amendment 1 occlusion;... - Page 49 References and Troubleshooting Continuous Delivery Rechargeable Battery Pack System Operating Temperature Life with screen intensity set to 3 2°C to 40°C (36°F to 104°F). System Storage and Transportation Temperature Rate Life Volume –20°C to 60°C (–4°F to 140°F). 0.4 mL/hr 119 hrs 47.6 mL 1 mL/hr 89 hrs 89 mL Relative Humidity 5 mL/hr 88 hrs 440 mL 20% to 90% relative humidity, non-condensing.
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Page 50: Delivery Specifications
References and Troubleshooting High Pressure Alarm Threshold Concentration 18 ± 9 psi [1.24 ± 0.62 bar]. mg/mL: 0.1 to 0.5 mg/mL in increments of 0.1 mg/mL. Air Detector Alarm 0.5 to 1 mg/mL in increments of 0.5 mg/mL. Sensitivity: 1 to 15 mg/mL in increments of 1 mg/mL. Low - Single bubble greater than 400 μL . -
Page 51: Electromagnetic Emissions And Immunity Declarations
References and Troubleshooting Maximum Delivery Rate (combined bolus and the pressure to settle before a possible alarm continuous) (if the pressure settles below the high pressure 40 to 175 mL/hr in increments of 1 mL. alarm threshold before the 2 second delay is complete, the alarm will not happen). Key Beeps On or off. - Page 52 References and Troubleshooting Guidance and manufacturer’s declaration - electromagnetic immunity Guidance and manufacturer’s declaration - electromagnetic immunity The CADD®-Solis pump is intended for use in the electromagnetic environment specified The CADD®-Solis pump is intended for use in the electromagnetic environment specified below.
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Page 53: Programming Screens/Menus Maps
References and Troubleshooting extension sets. Dispose of used batteries, reservoirs, Recommended separation distances between portable and mobile RF extension sets, and other used accessories, or a communications equipment and the CADD®-Solis pump pump that has reached the end of its useful life, in The CADD®-Solis pump is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. -
Page 54: Default Factory Settings
References and Troubleshooting Default Factory Settings The following chart details the factory default parameters: The first time you use the pump, the protocol will Programming Units be set to the factory default. If you desire to reset the Continuous Rate 0 mL/hr pump to the factory default, you may do so at any PCA Dose Amount... -
Page 55: Accuracy Test Results
References and Troubleshooting Accuracy Test Results Start-up curve over the stabilization period In this device, as with all infusion pumps, the Flow rate: Intermediate (10 mL/hr) motion of the pumping mechanism and variations in individual disposables cause short-term fluctuations in rate accuracy. The following curves show typical performance of the pump system in two ways: Flow... - Page 56 References and Troubleshooting...
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Page 57: Index
Rechargeable Battery Pack, 15, 37, 41, 49 Battery Compartment, 11, 12 Given counter, 27 PCA Doses Attempted, 27 CADD-Solis Medication Safety Software System, 15, 27 PCA Doses Given, 27 Cassette, 11, 16, 38, 40, 42 Total Given, 27 Attach a Cassette, 18... - Page 58 Protocol Library Summary, 29, 51 Pump, development, 45 standards, 45 Lock, 11 Pump Accessories, 15 Log, 28 CADD-Solis Medication Safety Software, 15 Delivery, 28 cassette, 16 Event, 28 desktop AC Adapter, 15 Low Priority Alarm, 35 Polemount Adapter Bracket, 16...
- Page 59 Index Security Level Table, 21 Set Time and Date, 21, 22, 25, 51 Soft Limit, 29 Specifications, 46 Administrator Settings Specifications, 48 Delivery Specifications, 48 General Pump Specifications, 46 Start New Patient, 21, 22, 23, 51 Start New Protocol, Same Patient, 21, 22, 24, 51 Start the Pump, 19, 37, 38 Start-up curve, 53 Stop the Pump, 20...
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Page 61: Limited Warranty
Program only in conjunction with the single Pump the Manufacturer as follows: Customer Service Department, supplied by Manufacturer. The Licensed Computer Smiths Medical MD, Inc., 1265 Grey Fox Road, St. Paul, MN Program is supplied only in machine-readable object 55112, (800) 426-2448 (USA, Canada) or Smiths Medical code form and is based upon Manufacturer’s proprietary... - Page 64 61 Brandl Street, Eight Mile Plains, QLD 4113, Australia. Tel: +61 (0) 7 3340 1300 CADD-Solis, CADD, and the CADD and Smiths Medical design marks are trademarks of the Smiths Medical family of companies. ® The symbol indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries.
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Questions and answers
I have a question about these two qualifiers shown in the picture below. I typically give a bolus dose manually through the epidural catheter so I usually choose the PCEA with delay to ensure the pump does not give a PIEB dose right away. Are my assumptions correct? I had an issue with a pump not giving a demand dose with the patient button. My settings are 6 ml every 30 minutes with 5ml PCEA with 15 minute lockout. When the patient presses the button, the pump states a lockout even though she has not pressed the button before. Any suggestions?
To ensure proper functioning of the PCEA (patient-controlled epidural analgesia) and demand dose features on the Smiths Medical Solis pump, the following settings must be configured:
1. PCA Dose: Set the amount of drug delivered when the patient presses the remote or pump button.
2. PCA Lockout: Set the minimum time that must pass between two PCA doses to prevent overdose. During this lockout, no additional PCA dose can be delivered.
3. Continuous Rate: Set if continuous infusion is required, which delivers the drug at a steady rate.
4. Intermittent Bolus Settings (if using PIEB):
- Intermittent Bolus: Set the dose delivered automatically at regular intervals.
- Bolus Interval: Set the time between the start of one bolus and the next.
- Next Bolus: Set the time for the next scheduled bolus.
5. Hourly Limit: Set to restrict the maximum total drug delivered per hour, including continuous, intermittent, and PCA doses.
6. Lockout Coordination (if using one pump for both PIEB and PCEA): Choose whether the PIEB lockout or PCEA lockout controls the interval between bolus and patient-demand doses.
These settings ensure safe and effective delivery of analgesia and prevent overdose.
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can we program cadd pump dilaudid 10mg/ml concentration and set rate as 2.5mg continous with 2.5mg bolus every 10 minutes
The CADD-Solis pump allows programming in milliliters (mL), milligrams (mg), or micrograms (mcg). The continuous rate and clinician bolus can be programmed in 0.1 mL increments, and delivery limits can be set based on max doses per hour or other parameters.
For a dilaudid concentration of 10 mg/mL:
- A continuous rate of 2.5 mg/hr equates to 0.25 mL/hr.
- A bolus of 2.5 mg equates to 0.25 mL.
- A bolus every 10 minutes means up to 6 boluses per hour.
Since the pump allows programming in 0.01 to 0.5 mL increments, it can accommodate a 0.25 mL continuous rate and bolus. The hourly limit and lockout period can be programmed to match the 10-minute bolus interval.
Thus, the Smiths Medical CADD-Solis pump can be programmed for this dilaudid concentration and dosing regimen.
This answer is automatically generated