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Deltec CADD-TPN 5700 Operator's Manual

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Deltec
SIM S D elt ec, In c., St . Pau l, M N 55112 U .S.A.
This online version differs
from the printed version.
Certain information that is
not intended for patients has
been removed.
CADD-TPN
Ambulatory Infusion System
Model 5700
Operator's Manual
®

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Summary of Contents for Deltec CADD-TPN 5700

  • Page 1 Certain information that is not intended for patients has been removed. CADD-TPN ® Ambulatory Infusion System Model 5700 Operator’s Manual Deltec SIM S D elt ec, In c., St . Pau l, M N 55112 U .S.A.
  • Page 2 The issue date of this Operator’s Manual is included for the clinician’s information. In the event one year has elapsed between the issue date and product use, the clinician should contact SIMS Deltec, Inc. to see if a later revision of this manual is available.
  • Page 3 800-426-2448. Our staff is available to help clinicians twenty-four hours a day with the ® programming and operation of the CADD-TPN infusion system. SIMS Deltec, Inc. 1265 Grey Fox Road St. Paul, Minnesota 55112 U.S.A.

  • Page 4: Table Of Contents

    CONTENTS INTRODUCTION ................GENERAL DESCRIPTION OF THE CADD-TPN SYSTEM AND ® ITS ACCESSORIES ................ 2.1 WARNINGS and CAUTIONS ..........2.1.1 WARNINGS ..............2.1.2 CAUTIONS ..............2.2 Physical description of the pump display, function keys, and set plate ................... 2.3 Description of the pump display and function keys ....2.4 System components and accessories ........
  • Page 5 3.5 Priming the administration set and add on anti-siphon valve ® with the CADD-TPN pump ............ 29 3.6 Selecting and programming the lock levels (LL0, LL1, and LL2) ..................30 ® 3.7 Operating the CADD-TPN pump .......... 33 3.7.1 Summary of programming and record-keeping displays ................

  • Page 7: Introduction

    INTRODUCTION The Deltec CADD-TPN Model 5700 Ambulatory Infusion System consists ® of a pump and its related accessories. The purpose of this manual is to help you, the healthcare professional, to ® become familiar with the CADD-TPN pump and its associated functions, which are described in Section 2;...

  • Page 8: Warnings And Cautions

    WARNINGS and CAUTIONS Read this entire Operator’s Manual before operating the CADD-TPN ® ambulatory infusion pump. Failure to properly follow warnings, cautions, and instructions could result in death or serious injury to the patient. 2.1.1 WARNINGS • This Operator’s Manual should be used by clinicians only. Do not permit patients to have access to this manual, as the information contained would allow the patient complete access to all programming and operating functions.

  • Page 9: Cautions

    administration set from the pump. • Use only CADD-TPN* Administration Sets with an Add On Anti-Siphon Valve to protect against: unregulated gravity infusion that can result from an improperly attached reservoir, and delivery inaccuracies. • System delivery inaccuracies may occur as a result of back pressure or fluid resistance, which depends upon drug viscosity, catheter size, and extension set tubing (for example, microbore tubing).
  • Page 10 Do not use the pump in the presence of flammable anesthetics or explosive gases. • Use only Deltec accessories as using other brands may adversely affect the operation of the pump. • Check appropriate medication stability for time and temperature to...

  • Page 11: Physical Description Of The Pump Display, Function Keys, And Set Plate

    Physical description of the pump display, function keys, and set plate The following diagram, Figure 1, illustrates the CADD-TPN pump and its ® functions. INFUSION RES VOL TAPER ML/HR TAPER GIVEN Display (LCD) PERIOD STOP HR : MIN LO BAT Keyboard Scroll keys CADD-TPN...

  • Page 12: Description Of The Pump Display And Function Keys

    Description of the pump display and function keys Liquid Crystal Display (LCD). The screen or display panel that shows the pump’s various control functions and the values you program for the pump operation. In this manual, the term “display” is synonymous with display panel or LCD.

  • Page 13: System Components And Accessories

    System components and accessories The CADD-TPN system consists of the following components: ® ® • CADD-TPN pump, including – Carrying case – Battery (9-volt) – Operator’s Manual with warranty information – Set plate (non-sterile - for demonstration purposes only) • External Power Source (EPS) System, including –...
  • Page 14 Anti-Siphon Valve Male luer ___ 1800 connector with ___ 1600 protective cap ___ 400 Injection site ___ 200 Tubing clamp Filter CADD-TPN spike Set plate 8/11/99 D. Zurn, «TPN Set w/ASV, 21-7071» Text callouts: 12/13 Helvetica Figure 2. Administration set without connections to the fluid container or patient access device.

  • Page 15: Understanding The Continuous Infusion Mode And The Tapering Modes

    Understanding the continuous infusion mode and the tapering modes The CADD-TPN pump delivers solutions at continuous infusion rates, which ® may include a programmable feature called “tapering.” With tapering, infusion rates are gradually increased at the beginning of an infusion period, and/or are gradually decreased at the end of an infusion period.
  • Page 16 hour of infusion. Between the second and ninth hours of infusion, the solution is delivered at the continuous rate of 222 ml/hr. In the last hour, the infusion rate decreases. 04/13/94 D. Zurn “TPN Notch Taper Graph NoText” Infusion Period Continuous Rate Rate 5 ML/HR...

  • Page 17: Operator Instructions

    OPERATOR INSTRUCTIONS This section describes how to operate the CADD-TPN system. It contains ® detailed, step-by-step instructions to enable you to perform the following tasks: • Installing a battery and observing the power-up test (3.1) ......• Programming the pump operations (3.2) ..............

  • Page 18: Installing Or Replacing The Battery And Observing The Pump Power-Up Test

    Installing or replacing the battery and observing the pump power-up test NOTE: The pump can also be powered by the External Power Source (EPS) System. (See Section 3.8.) CAUTION: If your delivery rate is more than 250 ml/hr, you must use the power pack instead of a 9-volt battery to power the pump.
  • Page 19 STEP 3: Install the battery in the compartment (bot- tom-end first). NOTE: Be sure to match the polarity markings of the new battery (+ and –) with those on the battery com- partment. If you put the battery in backwards, the display panel will be blank, and you will not hear a beeping sound.
  • Page 20 software revision level will appear briefly. STEP 6: Begin operation of the current program by pressing and holding the STOP/START key to enter the Start mode (Section 3.7.3), or proceed to Section 3.2 to program the pump. NOTE: You will not be able to change the delivery rate until the infusion period has been completed, unless you stop the pump and reprogram in Lock Level 0.

  • Page 21: Programming The Cadd-Tpn Pump

    Programming the CADD-TPN ® pump 3.2.1 Preparing to program the CADD-TPN ® pump Before you begin, determine the following: • The value that should be programmed for RES VOL, in milliliters, including the KVO and priming volume (if appropriate). (See Section 3.7.2.) •...
  • Page 22 STEP 2: Determine the current lock level of the pump. • Press and release the LOCK key. • The current lock level (LL0, LL1, or LL2) will appear on the display for 15 seconds unless you press the LOCK key again. To change the lock level to LL0, press the up or down SCROLL key until LL0 appears.

  • Page 23: Setting And Changing The Reservoir-Residual Volume (Res Vol)

    3.2.2 Setting and changing the reservoir-residual volume (RES VOL) NOTE: Make sure that the pump is in the Stop mode and Lock Level 0 (Section 3.2). The pump’s computer memory keeps track of the amount of solution infused; and the display automatically shows the calculated amount of solution in milliliters that remain in the fluid container.

  • Page 24: Setting And Changing The Infusion Volume (Infusion Ml)

    The display shows the RES VOL setting. In this RES VOL example, the volume of solution that remains in 0810 the fluid container is 810 ml, and the pump is in STOP STOP the Stop mode. • Press the SCROLL keys to change the value of the volume in the fluid container.

  • Page 25: Setting And Changing The Infusion Period (Hr:min)

    • Press the SCROLL keys to change the infusion volume. A beep will sound each time a SCROLL key is pressed. • Press the SET/CLEAR key within 15 seconds to set the desired value for the infusion volume. NOTES: (1) If you do not press the SET/CLEAR key within 15 seconds after releasing the SCROLL key, the pump will retain the previous setting for the infusion volume.
  • Page 26 • Press the SCROLL keys to change the value of the infusion period. A beep will sound each time you press the SCROLL key. • Press the SET/CLEAR key within 15 seconds to set the desired value for the infusion period. NOTES: (1) If you do not press the SET/CLEAR key within 15 seconds after releasing the SCROLL key, the pump will retain the previous setting for the...

  • Page 27: Setting And Changing The Taper-Up Period (Hr:min)

    programmed, and the pump’s current values prevent you from setting the longer period, you may follow either of these steps: • Increase the infusion volume; or, • Lengthen the taper-up and/or taper-down values. 3.2.5 Setting and changing the taper-up period (HR:MIN) The “Taper-up Period (HR:MIN)”...
  • Page 28 period, you can put the pump into the Start mode. If the pump is not put into the Start mode, the pump will remain in the Stop mode, and RES VOL will appear on the display (after 60 seconds). An alarm will beep every five minutes to indicate that the pump is in the Stop mode.

  • Page 29: Setting And Changing The Taper-Down Period (Hr:min)

    3.2.6 Setting and changing the taper-down period (HR:MIN) The “Taper-down Period (HR:MIN)” is the total amount of time, at the end of an infusion period, when the infusion rate is gradually decreased. To program a taper-down period, you must program a value for the desired time. This period can last from 0 minutes to 99 hours and 40 minutes (0–99:40).

  • Page 30: Viewing The Continuous Infusion Rate (Ml/Hr)

    NOTE: If the pump alarms while programming a new taper up, you have reached the pump’s min or max rate. See Sections 4.4.3 and 4.4.4 for detailed information. 3.2.7 Viewing the continuous infusion rate (ML/HR) If you wish to view the current rate of delivery (continuous infusion rate), you must do the following: •...
  • Page 31 • Press the SET/CLEAR key to clear the ML GIVEN value. A beep sounds to 0000 GIVEN tell you this has happened, and the STOP value “0000” will appear on the pump display. You cannot clear the ML GIVEN in Lock Level 1 (LL1) or Lock Level 2 (LL2).

  • Page 32: Removing A Used Administration Set

    Removing a used administration set WARNING: Always close the administration set tubing with the clamp before removing ® the CADD-TPN Administration Set from the pump, or unregulated gravity infusion can result, which could result in death or serious injury to the patient.

  • Page 33: Preparing And Attaching A New Cadd-Tpn Administration Set

    Preparing and attaching a new CADD-TPN ® Administration Set Before using the CADD-TPN Administration Set, refer to the Instructions ® for Use supplied with the set for instructions, warnings, and cautions. Priming must occur before you connect the set to the patient’s infusion device or indwelling catheter.
  • Page 34 • Gently twist and pull on the set plate to make sure it is firmly attached. WARNING: It is essential that you attach the set plate properly. When you attach it properly, the slot of the locking button lines up with the arrow on the side of the pump.

  • Page 35: Priming The Administration Set And Add On Anti-Siphon Valve With The Cadd-Tpn Pump

    Priming the administration set and add on anti-siphon valve with the CADD-TPN ® pump Use the PRIME key to prime the set before connecting it to the patient. Be sure the pump is in the Stop mode and in either Lock Level 0 (LL0) or Lock Level 1 (LL1).

  • Page 36: Selecting And Programming The Lock Levels (Ll0, Ll1, And Ll2)

    Selecting and programming the lock levels (LL0, LL1, and LL2) The CADD-TPN pump has three different lock levels. They appear on the ® pump’s display as “LL0”, “LL1”, and “LL2”. The purpose of the lock level function is to limit or restrict access to the keyboard. •...
  • Page 37 Lock Description Level Use this lock level for programming any of the pump’s functions. You can start and stop the pump; stop the RES VOL alarm; clear the value for the ML GIVEN; change or reset the value for RES VOL; prime the administration set, taper down immediately;...
  • Page 38 • Press the up SCROLL key until the lock level code appears on the **** pump’s display. • Press the LOCK key again to complete RES VOL 0200 the final step in the locking sequence. STOP STOP The previous display will reappear. •...

  • Page 39: Operating The Cadd-Tpn

    Operating the CADD-TPN ® pump 3.7.1 Summary of programming and record-keeping displays This section summarizes the displays and alarms that occur when using the ® CADD-TPN pump. The following values provide an example of a programming schedule with KVO delivery: RES VOL: 2010 milliliters RES VOL...
  • Page 40 indicator will blink during continuous delivery. If you decide to interrupt the delivery, in order to taper down immediately, see Section 3.7.4. • The pump will automatically calculate a continuous delivery rate in milliliters per hour. Based on the program values above, the rate will be 222 ml/hr.

  • Page 41: Using The Optional Kvo (Keep Vein Open) Mode

    3.7.2 Using the optional KVO (Keep Vein Open) mode When the infusion period has been completed, you will hear 9 beeps, and, if applicable, the pump will enter the KVO mode (Keep Vein Open rate of 5 ml/ hr). The KVO delivery rate of 005 ml/hr will be displayed, and the ML indicator will blink.

  • Page 42: Starting And Stopping The Pump

    3.7.3 Starting and stopping the pump To start the pump, follow these steps: STEP 1: Press and hold the STOP/START key. Three dashes appear on the display; then they will disappear one-by-one. STEP 2: Release the STOP/START key after the last dash disappears, and the pump will beep;...

  • Page 43: Tapering Down Immediately

    3.7.4 Tapering down immediately On occasion, it may be necessary for medical reasons to taper down immediately, interrupting the schedule for continuous delivery. You will not be able to taper down immediately if the pump is not in the process of delivering solution at the continuous rate;...

  • Page 44: Starting The Daily Infusion

    3.7.5 Starting the daily infusion At the beginning of every infusion period, follow these steps: • Press and hold the STOP/START key to stop the pump if it is not stopped. RES VOL • Press the SELECT MODE key until RES VOL appears on the display.

  • Page 45: Resuming Delivery During The Infusion Period

    3.7.6 Resuming delivery during the infusion period If you stop the pump in LL0, LL1, or LL2 before the infusion period has been completed, and wish to resume delivery from where it had been interrupted, restart the pump. • Press and hold the STOP/START key to resume delivery. The pump will continue the delivery from the point where it had been interrupted.

  • Page 46: The External Power Source (Eps) System

    The External Power Source (EPS) system Refer to the External Power Source (EPS) System Instructions for Use supplied with the product for instructions on equipment set-up and other operational instructions, including specifications and warnings, before using the EPS System ® with the CADD-TPN Ambulatory Infusion System.
  • Page 47 Administration Fluid container Fluid support straps container _ _ 2 7 0 0 _ _ 2 4 0 0 _ _ 2 1 0 0 _ _ 1 8 0 0 _ _ 1 5 0 0 _ _ 1 2 0 0 Filter _ _ 9...

  • Page 49: Reference Section

    REFERENCE SECTION Glossary AC Adapter. The electronic device which plugs into an AC outlet to power the pump and to recharge the power pack. ® CADD-TPN Administration Set. An accessory that connects the fluid container to the patient’s access device and/or infusion set, consisting of the following components: bag spike, set plate, filter, tubing, clamp, injection site, luer lock connector, add-on anti-siphon valve, and cap.
  • Page 50 Microprocessor. The electronic device that controls the pump. Mode. Any condition, type, or state of pump operation. For example, you may program a specific mode, such as the RES VOL mode. Power Pack. A device that contains rechargeable batteries. After the power pack is charged by the AC adapter, it can be used to power the pump.

  • Page 51: Pump Maintenance And Cleaning

    Pump maintenance and cleaning CAUTIONS: • Do not immerse the pump in cleaning fluid or water. Do not allow solution to soak into the pump, accumulate on the keypad, or enter the battery compartment. • Do not clean the pump with acetone, other plastic solvents, or abrasive cleaners.

  • Page 52: Alarms And Troubleshooting Chart

    Alarms and troubleshooting chart The CADD-TPN pump (Model 5700) has a number of alarms to alert you ® about conditions that require corrective action. The alarms are audible and can be distinguished as shown below and on the following pages. Table 2.
  • Page 53 Table 2— continued. Alarm Condition Corrective Action The power pack emits 1 beep LO BAT alarm indicates • Begin recharging the power pack every 2 seconds. that the power pack will with the AC adapter; or, soon be unable to sup- •...
  • Page 54 Table 2— continued. Alarm Condition Corrective Action A series of 9 beeps sound The end of the infusion pe- Corrective action is not neces- in succession. riod has been reached. The sary. pump switches to the KVO rate of 5 ml/hr. 3 beeps sound every five The pump is in the Stop Start the pump or remove the...
  • Page 55 NOTES: (1) Every time you press an active key, the pump beeps once. The pump will not beep if you press a key that is not operable; for example, when you press a key that is not operable in a selected lock level or that is not used in the selected mode.

  • Page 56: The Reservoir-Residual Volume (Res Vol) Alarm

    4.4.1 The reservoir-residual volume (RES VOL) alarm If the pump is running, the RES VOL value will decrease as the pump delivers the solution. When the computer’s calculated reservoir-residual volume is reduced to 50 ml, there will be an audible alarm (1 beep). At that point, the displayed RES VOL numbers will blink about every two seconds.

  • Page 57: The Rate-Too-Low Alarm

    Either of the above actions will cancel the alarm. If you wish to review the programmed values, press and release the SELECT MODE key. Each value will appear on the display in succession. 4.4.4 The rate-too-low alarm After programming the pump, the pump will automatically calculate the continuous delivery rate.

  • Page 58: Specifications (Nominal)

    Specifications (nominal) 4.5.1 Programming specifications Reservoir-residual volume 0–9990 ml, in 10-ml increments. When the pump is ......programmed to zero, “OFF”...

  • Page 59: General Pump Specifications

    4.5.2 General pump specifications Resolution 250 microliters per pump stroke (nominal)..... . 2.79 cm × 8.89 cm × 13.34 cm (1.1 in × 3.5 in × Size .
  • Page 60 System operating temperature +2°C to 40°C (35°F to 104°F)....System storage temperature -30°C to 50°C (-22°F to 122°F)....Power pack charging temperature +10°C to 35°C (50°F to 95°F).

  • Page 61: Limited Warranty

    Manufacturer as follows: Customer Service Department, upon Manufacturer’s proprietary confidential SIMS Deltec, Inc., 1265 Grey Fox Road, St. Paul, MN 55112, (800) 426-2448. Notice to the Manufacturer must include information. No rights are granted under this license...
  • Page 62 © 1999 SIMS Deltec, Inc. All rights reserved Printed in U.S.A. 19215_2636-01L SIMS Deltec, Inc. 8/99 St. Paul, Minnesota 55112 U.S.A. 40-2636-01L...

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