Smiths Medical CADD Solis VIP 2120 Clinicians Manual

Smiths Medical CADD Solis VIP 2120 Clinicians Manual

Ambulatory infusion pump

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CADD
-Solis VIP
®
Ambulatory Infusion Pump Model 2120
Clinician Guide

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Table of Contents
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Summary of Contents for Smiths Medical CADD Solis VIP 2120

  • Page 1 CADD -Solis VIP ® Ambulatory Infusion Pump Model 2120 Clinician Guide...
  • Page 2: Table Of Contents

    Contents Description of the CADD -Solis VIP Pump ............4 ® Indications ......................4 Pump Diagram ....................5 Pump Descriptions ................... 5 Keypad ....................... 6 Pump Screens ...................... 7 Security Settings ....................8 Security Levels ....................9 Programming the Pump ..................12 Start New Patient - Single Protocol ..............
  • Page 3 Operating the Pump ................... 26 Power Sources ....................26 Replacing the Battery Door ................27 Power Up ......................27 Power Down ..................... 27 Cassettes ......................27 Prime Tubing ....................29 Start the Pump ....................31 Stop the Pump ....................31 Reset Reservoir Volume ..................
  • Page 4: Description Of The Cadd -Solis Vip Pump

    Description of the CADD -Solis VIP Pump ® The CADD -Solis VIP ambulatory infusion pump provides measured drug therapy ® to patients in hospital or outpatient settings. Therapy should always be overseen by a physician or a certified, licensed healthcare professional. As appropriate, the caregiver and patient should be instructed in using the pump.
  • Page 5: Pump Diagram

    PUMP DIAGRAM Battery Compartment Display Indicator Lights Amber Green Power USB Port Switch Blue AC Power Light Cassette/ Keypad AC Power Lock Jack (Unlock/Lock) Remote Dose Cord Cassette Jack Serial Latch Number Cassette Keypad (The part of the CADD ™ medication cassette reservoir or CADD administration set...
  • Page 6: Keypad

    KEYPAD USB Port - A mini-B USB cord can be attached to the USB port for communication with the CADD -Solis ® medication safety software. Remote Dose Cord Jack - Used for attaching the remote dose cord to the pump. Battery Compartment - Four AA batteries or the rechargeable battery pack fit into this compartment.
  • Page 7: Pump Screens

    Pump Screens The sample screens shown below are only examples of what might be displayed. The protocols and all associated pump settings will be established by your facility. Menu Screen Home Screen The therapy, qualifier and drug in Keypad lock status – locked the current protocol.
  • Page 8: Security Settings

    SECURITY SETTINGS Clinician Code - The clinician code allows access to all the functions the Security settings are used to limit keypad code allows. In addition, it patient and unauthorized access to allows users to modify most advanced certain programming and operating task settings, format the time and functions of the pump.
  • Page 9: Security Levels

    SECURITY LEVELS Available Without Available with Available with Pump Operations a Security Code Keypad Code Clinician Code and Tasks Running Stopped Running Stopped Running Stopped       Stop/Start PCA Dose (PCA only)    Reset Reservoir Volume Taper Down Now ...
  • Page 10 SECURITY LEVELS Available Without Available with Available with a Security Code Keypad Code Clinician Code Advanced Tasks Running Stopped Running Stopped Running Stopped       Step Down (Step Only)   Step Up (Step only)  ...
  • Page 11 Autolock Entering Security Codes The autolock feature reduces the Press ▲ or ▼ to scroll to the correct digit. Press Select or Accept Value chance of unauthorized pump programming. When the keypad is to advance to the next digit. Once the unlocked with a security code and left complete code has been entered, press Select or Accept Value.
  • Page 12: Programming The Pump

    Programming the Pump START NEW PATIENT - “Start Pump?” may appear on SINGLE PROTOCOL the screen Choose No. The home screen will To start a new patient using the appear. To review the delivery single protocol that was downloaded settings before starting the to the pump: infusion: Power on the pump.
  • Page 13: Start New Patient - Protocol Library

    START NEW PATIENT – If a cassette is attached, latched PROTOCOL LIBRARY and locked (if using the PCA therapy), the “Prime tubing?” To Start a New Patient Using a Protocol screen may appear. The “Start From a Library on the Pump: pump?”...
  • Page 14: Edit / View Delivery Settings

    Note: In step and taper therapies, To Set the Next Dose Start Time: you may not set a delayed start after Stop the pump if it is running. If a an infusion has been started. dose was delivering when the pump To Set a Delayed Start: was stopped, the “Interrupted”...
  • Page 15: Review Pump Settings

    Editing Delivery Settings When the review is complete, select Next To view and edit delivery settings: PCA DELIVERY MODE Stop the pump if it is running PCA (patient-controlled analgesia) In the Tasks menu, press ▲ or delivery is used for therapies that ▼...
  • Page 16 Programming Screens • KVO Rate The KVO or “keep vein open” • Continuous Rate rate is calculated by the pump. It The desired continuous rate of allows the delivery of a minimal medication delivery amount of drug to help maintain PCA Dose •...
  • Page 17 Giving a Clinician Bolus Start a PCA Dose A clinician bolus may be delivered only If a PCA dose is programmed, the patient may start a PCA dose while the when the pump is running. It allows delivery of a specific amount of drug, pump is running.
  • Page 18: Continuous Delivery Mode

    To Start a PCA Dose: Examples specific to the continuous delivery mode are: Press the PCA dose key on the pump • The pump is running with a or the remote dose cord. If a dose is programmed delayed start available, it will start infusing.
  • Page 19: Intermittent Delivery Mode

    INTERMITTENT DELIVERY MODE Programming Screens Dose Volume Intermittent delivery allows the • The volume of the dose cannot be infusion of a specific volume of drug at a regular, programmed interval and programmed to a value that would over a specified duration. A dose may cause the rate of delivery for the programmed dose duration to be repeated in a cycle up to 96 hours.
  • Page 20 Dose Rate • Stopping the Pump • During an Infusion This setting is for review only and shows the rate at which the dose is Stopping the pump between doses delivered based on the programmed does not affect the start time of dose volume and dose duration.
  • Page 21: Step Delivery Mode

    STEP DELIVERY MODE Programming Screens Infusion Volume Step delivery allows the infusion of a • The total volume of fluid to be specified volume of drug at an initial rate with linear step increases up to delivered. The reservoir volume a plateau rate.
  • Page 22 Step Duration • Start Time • The length of time programmed The time the next infusion will for each step during medication begin. It is displayed only if the delivery. After infusion occurs for delayed start is programmed. The pump must be running on the the step duration, the rate increases by the rate increment unless the selected date and time in order for...
  • Page 23: Taper Delivery Mode

    Step Up be gradually increased, or tapered up, at the beginning of the infusion, and it This option allows you to increase the can be gradually decreased, or tapered rate of infusion at a time other than down, at the end of the infusion. An what is programmed.
  • Page 24 Programming Screens • Infusion Duration - The time required to deliver the Entering a new infusion volume, taper infusion volume. The minimum up, taper down, infusion duration or programmable infusion duration reservoir volume resets the infusion so is limited by a combination of the that delivery starts at the beginning of plateau rate, infusion volume, taper the infusion duration.
  • Page 25 Reservoir Volume - The volume of Taper Down Now • fluid contained in the reservoir. The This task allows you to stop an infusion reservoir volume value decreases early by immediately tapering down. as the pump is primed or delivers The following conditions are necessary fluid.
  • Page 26: Operating The Pump

    Operating the Pump POWER SOURCES Rechargeable Battery Pack AA Batteries The rechargeable battery pack is an alternative to To power the CADD -Solis VIP pump, ® using four AA batteries. The it is recommended that four AA, 1.5 volt rechargeable battery pack non-rechargeable alkaline batteries can be recharged with the AC adapter, are used or the CADD...
  • Page 27: Replacing The Battery Door

    If any issues are found while the pump is performing the self tests, alarms will sound • If you believe there is a problem, remove the pump from service and contact Smiths Medical Customer Service CADD -Solis VIP Pump p. 27 ®...
  • Page 28 Removing a Cassette Clamp the tubing Make sure the pump is stopped Make sure the cassette latch is unlocked then open the latch before removing the cassette Close the tubing clamp If locked, insert the pump key and turn the cassette/keypad lock counter-clockwise into the unlocked position.
  • Page 29: Prime Tubing

    Lift the cassette latch handle If you wish to lock the cassette, into the closed position. If you insert the pump key into the experience resistance when lifting cassette/keypad lock and turn the cassette latch handle, do not clockwise into the locked position. force the latch.
  • Page 30 Prime Tubing After Changing Stop priming at any time by a Cassette selecting Stop Priming. Priming automatically stops after 10 mL Note: If you are not changing the (or 20 mL if a high volume set is cassette but wish to prime the fluid attached) are primed.
  • Page 31: Start The Pump

    START THE PUMP If a delayed start was programmed, the display turns green and a Infusion begins when the pump starts. message that the infusion is When the pump is running, “Running” delayed appears briefly on the appears on the status bar, the graphic screen.
  • Page 32: Reset Reservoir Volume

    RESET RESERVOIR VOLUME To reset the reservoir volume without changing the cassette: The reservoir volume setting indicates Stop the pump if it is running the amount of fluid contained in the reservoir. Once this number is set, the In the Tasks menu, press ▲ or ▼ pump keeps track of how much fluid until Reset Reservoir Volume is has been delivered and adjusts the...
  • Page 33: Tasks And Advanced Tasks

    Tasks and Advanced Tasks TASKS MENU OVERVIEW The Tasks menu leads to most of the pump’s operating functions. Some items in the Tasks menu will require a security code to view/edit the item. Task Menu Function Description on Page Reset Reservoir Volume Taper Down Now (Taper therapy) Set Delayed Start (all therapies except Intermittent) Set Next Dose Start Time (intermittent therapy)
  • Page 34: Time And Date

    Sound Theme Numeric Format The Sound Theme setting allows you to The numeric format setting allows you to select the character or space choose between three different sound themes for the alarms and beeps that used to indicate the decimal point the pump makes.
  • Page 35 Current Time Date Format To set the current time: The date format option allows you to select 1 of 3 formats for indicating In the Change Time and Date menu, the day, month, and year. This will press ▲ or ▼ to highlight Current be determined by your CADD -Solis ®...
  • Page 36: Reports

    REPORTS Notes: The reports screen is used to view a • When creating or editing a protocol variety of reporting and record-keeping under Advanced Tasks, it is functions. The reports available are: important to note that the edits made affect only the protocol •...
  • Page 37: Patient Permissions

    The following functions are in the Advanced Tasks menu: Advanced Task Menu Function Description on Page Give Clinician Bolus (PCA Therapy) Step Up (Step therapy) Step Down (Step therapy) Patient Permissions Air and Occlusion Settings See Operator’s Manual Alarm Settings See Operator’s Manual Security Settings Start New Patient...
  • Page 38: References And Troubleshooting

    Medium Priority Alarm • the fault should be reported to A medium priority alarm does Smiths Medical Customer Service at not stop the pump if it is running. 1-800-258-5361 The alarm is accompanied by an amber screen, and it persists until...
  • Page 39 Low Priority Alarm Alarm Help Screens • A low priority alarm does not stop Additional information may be the pump if it is running. The alarm displayed when certain alarms occur. is accompanied by a blue screen, The help screens describe what you can and it persists for five seconds do to try to solve the current problem unless it is acknowledged by the...
  • Page 40: Troubleshooting

    TROUBLESHOOTING Issue Possible Solution Delivery has stopped. Read the message on the display and A continuous two-tone alarm is refer to the list of messages in the table below. If the display is sounding, and the amber light is blank or contains random characters, the 4 AA batteries or the lit or flashing.
  • Page 41 Alarm Alarm / Message Description / Corrective Action Priority The rechargeable battery pack or the 4 AA batteries are low but the pump is still operable. Select Acknowledge to clear the Battery low. alarm, or the alarm will automatically clear after 5 seconds. Replace battery.
  • Page 42 Alarm Alarm / Message Description / Corrective Action Priority The pump has detected high pressure, which may be resulting from a downstream blockage, a kink in the fluid path, or a closed tubing clamp. Delivery is paused and will resume if the occlusion is removed.
  • Page 43 Alarm Alarm / Message Description / Corrective Action Priority The pump had a protocol library the last time it was powered on, but now it does not. This may happen if the pump was manually reverted to the factory default, recently had a Pump does not have a Medium software update, or if an attempt to install a protocol library...
  • Page 44 Find your local contact information at: www.smiths-medical.com/customer-support Smiths Medical is part of the global technology business Smiths Group plc. Product(s) described may not be licensed or available for sale in all countries. CADD, CADD-Solis and the Smiths Medical design mark are trademarks of Smiths Medical.

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