SIMS Deltec CADD-1 5100 HFX Operator's Manual

Ambulatory infusion pump

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Deltec

SIM S D elt ec, In c., St . Pau l, M N 55112 U .S.A.

CADD-1

Ambulatory Infusion Pump

Model 5100 HFX

O perator's Manual

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Page 1 This online version differs from the printed version. Note: Colors are Black Certain information that is and Cyan (as second color) not intended for patients has been removed. CADD-1 ® Ambulatory Infusion Pump Model 5100 HFX O perator’s Manual Deltec SIM S D elt ec, In c., St .
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. WARNING: It is intended that this O perator’s Manual only be utilized by clinicians.
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-1 ® infusion pump. SIMS Deltec, Inc. 1265 Grey Fox Road St. Paul, Minnesota 55112 U.S.A.
Page 4: Table Of Contents
CONTENTS 1.0 INTRODUCTION ................ ® 2.0 GENERAL DESCRIPTION OF CADD-1 PUMP OPERATIONS ................2.1 WARNINGS and CAUTIONS ..........2.1.1 WARNINGS .............. 2.1.2 CAUTIONS............... 2.2 Physical Description of the Pump and Accessories ... 2.2.1 Items Packaged with the Pump ....... 2.2.2 Description of the Function Keys and Display Panel ...............
Page 5 ® 3.4 Programming the CADD-1 Pump for High Flow Delivery ................20 3.5 Attaching and Removing the Cassette ....... 22 3.5.1 Removing a Used Cassette ........22 3.5.2 Attaching the Cassette ..........23 3.6 Priming the CADD-1 ® Pump Tubing ........24 3.7 Programming the Patient Lock Levels (LL0, LL1, and LL2) ..................
Page 7: Introduction
INTRODUCTION The Deltec CADD-1 ® pump provides measured drug therapy to patients in hospital or outpatient settings. H ealthcare professionals should use this manual to learn how to operate the pump. ® The purpose of this manual is to familiarize you with the CADD-1 pump’s functions, which are described in Section 2;...
Page 8: Warnings And Cautions
2.1 WARNINGS and CAUTIONS Read this entire Operator’s Manual before operating the CADD-1 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 • Do not use a pump that appears to have been damaged or tampered with, or is not functioning properly.
Page 9: Cautions
• To prevent the uncontrolled flow of medication, use a CADD ® Extension Set with ® Anti-Siphon Valve, a CADD Administration Set with integrated anti-siphon valve, ® or a CADD Administration Set with an attached Add O n Anti-Siphon Valve. ®...
Page 10: Physical Description Of The Pump And Accessories
2.2 Physical Description of the Pump and Accessories The following diagram, Figure 1, illustrates the CADD-1 ® pump and its major functions. RES VOL RATE Display (LCD) GIVEN STOP LO BAT Keyboard Scroll Keys Rate is in ml/24 hrs CADD-1 ®...
Page 11: Items Packaged With The Pump
2.2.1 Items Packaged with the Pump Packaged with the pump are the following accessories: Battery (9-volt) ™ 50 ml M edication Cassette Reservoir (non-sterile, for demonstration only) Carrying case Carrying pouch O perator’s M anual with war ranty information ® The following products are also compatible with the CADD-1 pump: ™...
Page 12 2.2.3 Description of the Medication Cassette ™ Reservoir or ® CADD Administration Set ® ™ The CADD-1 pump may use a detachable, single use M edication Cassette Reservoir for holding the drug. They are available in 50 ml and 100 ml sizes. A CADD ®...
Page 13: Understanding The Delivery Modes
Understanding the Delivery Modes This section introduces the three delivery modes that appear on the CADD-1 ® H FX pump display: (1) the Continuous Rate (M L) M ode; (2) the M illiliters Given (M L GIVEN ) M ode; and (3) the Reservoir-Residual Volume (RES VO L) M ode.
Page 14: The Continuous Rate (Ml)
2.3.3 The Continuous Rate (ML) The delivery rate in M L (milliliters in a 24-hour period) is the constant rate at which the pump delivers medication. The delivery rate range is from 1 ml to 299 ml/24 hours in 1 ml increments. If you program a delivery rate of 000 ml, delivery will not occur.
Page 15: Operator Instructions
OPERATOR INSTRUCTIONS This section describes how to operate the CADD-1 ® pump. It contains detailed, step-by-step instructions that will enable you to perform the following tasks: • Installing a battery and observing the Power up Test .... (Section 3.1) • Preparing to program the pump ...........
Page 16: Installing Or Replacing The Battery
3.1 Installing or Replacing the Battery Use a new, 9-volt alkaline or lithium battery to power the pump. (See Section 4.5.2, “ General Specifications,” for further information regarding batteries.) WARNING: • Do not use rechargeable NiCad or nickel metal hydride (NiMH) batteries. Do not use carbon zinc (“heavy duty”) batteries.
Page 17 NOTE: Be sure to m atch the polarity m ark ings of the new battery (+ and –) w ith those on the battery com partm ent. If you put the battery in back w ards, the display panel w ill be blank , and you w ill not hear a beeping sound.
Page 18 STEP 6: Begin operation of the current program by pressing and holding the STOP/ START key to enter the Start mode (Section 3.8), or proceed to Section 3.2 to program the pump. NOTE: You w ill not be able to change the delivery rate until the infusion period has been com pleted, unless you stop the pum p and reprogram in L ock L evel 0.
Page 19: Preparing To Program The Cadd-1 Pump
Preparing to Program the CADD-1 ® Pump The CADD-1 ® pump must be in Lock Level 0 (LL0) in order to program the pump. You will need to perfor m three steps to ensur e that the pump is in Lock Level 0 (LL0): 1.
Page 20 STEP 2: Determine the current lock level of the pump. Œ • Press and release the LO CK key. This example shows that the pump is in Lock Level 1. STOP ´ STEP 3: Change the lock level to Lock Level 0 (LL0). •...
Page 21 Œ • Press the LO CK key to enter the new lock level into the pump’s memory. Œ • Press the LO CK key again to verify that you are in LL0. STOP Œ • Press the LO CK key two more times in succession to return to the RES VO L display, which is the starting point for infusion or for programming the pump.
Page 22: Programming The Cadd-1
Programming the CADD-1 ® Pump for Continuous Rate Delivery NOTE: M ak e sure that the pum p is set in the Stop m ode and L ock L evel 0 (Section 3.2). 3.3.1 Setting the Reservoir-Residual Volume (RES VOL) The pump’s computer memory keeps track of the amount of the drug infused;...
Page 23 „ Press the SELECT MODE key until “RES VOL” appears on the • display. RES VOL This example shows a RES VOL setting of 100 ml with the pump in the Stop mode. STOP ´ Press the SCROLL keys to set the value for the volume contained •...
Page 24: Setting The Continuous Rate (Ml)
3.3.2 Setting the Continuous Rate (ML) The delivery rate in ML (milliliters in a 24-hour period) is the constant rate at which the pump delivers medication. The delivery rate range is from 001 ml/24 hrs to 299 ml/24 hrs in 1 ml increments/24 hrs. „...
Page 25: Reviewing The Ml Given (Ml Given)
3.3.3 Reviewing the ML GIVEN (ML GIVEN) The ML GIVEN mode displays the total milliliters delivered since the mode was last cleared, including the quantities delivered in the Continuous Rate and High Flow modes. The number of milliliters in ML GIVEN increases from 000 to 999 and then automatically resets to 000.
Page 26: Programming The Cadd-1 Pump For High Flow Delivery
Programming the CADD-1 ® Pump for High Flow Delivery You can select High Flow Mode so the pump delivers medication at a rate of approximately 90 ml/hr. Once you select the High Flow Mode and start the pump, you cannot change the Lock Level or view any other values. High Flow delivery will continue until you stop the pump or until the reservoir-residual volume (RES VOL) reaches zero.
Page 27 Press and release the STOP/START or SET/CLEAR key to stop the pump. • CAUTION: Depending upon the condition of the battery, the high flow rate may be reduced. In the High Flow Mode, a new alkaline battery w ill last about 10 hours; and a lithium battery w ill last about 20 hours.
Page 28: Attaching And Removing The Cassette
Attaching and Removing the Cassette 3.5.1 Removing a Used Cassette WARNING: Alw ays close the fluid path tubing w ith the clamp before removing the cassette from the pump to prevent unregulated gravity infusion, w hich could result in death or serious injury to the patient. To remove the cassette, follow these steps: Place the pump with the cassette •...
Page 29: Attaching The Cassette
3.5.2 Attaching the Cassette Obtain a new, filled Medication Cassette Reservoir, or CADD Administration ™ ® Set attached to a nonvented fluid container. Refer to the instructions for use supplied with the product for preparing the product for use. Ensure that the fluid path tubing is closed with the clamp. •...
Page 30: Priming The Cadd-1
Priming the CADD-1 ® Pump Tubing To use the Prime mode, be sure that the pump is in the Stop mode and in either Lock Level 0 (LL0) or Lock Level 1 (LL1). You cannot prime the tubing in Lock Level 2 (LL2).
Page 31: Programming The Patient Lock Levels (Ll0, Ll1, And Ll2)
the entire fluid path is free of all air bubbles. Air embolism could result in death or serious injury to the patient. Programming the Patient Lock Levels (LL0, LL1, and LL2) The CADD-1 ® pump has three different lock levels. They appear on the pump’s display as “LL0,”...
Page 32 Lock Description Level Use this lock level for programming the pump’s functions. In the Continuous Rate mode, the patient may decrease the ML rate or increase it up to the value that had been programmed in Lock Level 0. In addition, the patient may prime the tubing and reset the RES VOL to the original programmed value.
Page 33 Once you have selected the desired lock level, • press the LOCK key again. The display shows “000.” Scroll to (** text omitted from online version**) • ´ You should not let the patient know this code, in order to prevent the patient from programming the pump.
Page 34: Starting And Stopping The Pump
Starting and Stopping the Pump To start the pump, follow these steps: ⁄ Press and hold the STOP/START key. Three dashes appear STEP 1: on the display; then they disappear one-by-one. Release the STOP/START key after the last dash disappears, and the STEP 2: pump beeps;...
Page 35: Reviewing The Cadd-1 Programming Modes
Reviewing the CADD-1 ® Programming Modes Drug delivery begins in the Start mode. When the pump is in the Start mode, programming is not possible, but you can review the pump’s programming modes. To review each mode in succession, press and release the SELECT MODE key after each mode appears on the display.
Page 36: Reference Section
4.0 REFERENCE SECTION Glossary Aspirate. This term refers to the removal of air from the fluid path by suction. ® . A trademark acronym for Computerized Ambulatory Drug Delivery. CADD ® Administration Set. The device that allows the pump to operate with large CADD capacity IV bags.
Page 37 Mode. A condition, method, or state of operation. For example, you may program a specific mode, such as the RES VOL mode. Patency. This term refers to the catheter being open or unobstructed. Prime Key. Press this key to purge air from the fluid path. You should perform that procedure before you attach the tubing to the indwelling catheter.
Page 38: Pump Maintenance And Cleaning
Pump Maintenance and Cleaning CAUTION: • Do not immerse the pump in cleaning fluid or w ater. Do not allow solution to soak into the pump, accumulate on the keypad, or enter the battery compartment. • Do not clean the pump w ith acetone, other plastic solvents, or abrasive cleaners. Use any of the following solutions to clean the pump and accessories: Soap solution •...
Page 39: Alarms And Troubleshooting Chart
Alarms and Troubleshooting Chart The CADD-1 pump (Model 5100 HFX) has a number of alarms to alert you to ® conditions that require corrective actions. The alarms are audible and can be distinguished as shown below and on the following page. Table 2.
Page 40 Alarm Condition Corrective Action A continuous, variable- A controller, microprocessor, • Close the tubing with the clamp. or motor fault has occurred. tone alarm sounds; the let- • Remove the pump from service ter E and two numbers The pump operation stops. and have it repaired.
Page 41: The Reservoir-Residual (Res Vol) Volume Alarm
4.4.1 The Reservoir-Residual (RES VOL) Volume Alarm If the pump is running, the RES VOL numeric value will decrease as the pump delivers the drug until the counter has counted down to 5 ml. At that point, the RES VOL numbers on the display will flash about every two seconds. You will also hear a three-beep alarm, which will reoccur as the pump counts down to 4, 3, 2, and 1 ml.
Page 42: Specifications (Nominal)
Specifications (Nominal) 4.5.1 Programming Specifications Delivery Rate Range 001–299 ml/24-hour period in 1 ml increments; the high flow rate is 90 ml/hr. ML GIVEN Range 000–999 ml, 1 ml increments rounded down to nearest ml..RES VOL Range 001–999 ml rounded up to the nearest ml in 1 ml increments; ..
Page 43 Bolus volume at occlusion alarm pressure < 0.25 ml ......Power Source 9-volt alkaline battery (use DURACELL ® Alkaline MN 1604 ....or EVEREADY ENERGIZER Alkaline #522, for example). ® ® 9-volt lithium battery (use ULTRALIFE ® Lithium U9VL). Pump Timing Accuracy ±...
Page 44: Limited Warranty
SIMS Deltec, Inc., postage prepaid. Any loss or damage during shipment is at the risk of the sender. C. Conditions of Warranty: The warranty is void if the pump has been 1) repaired by someone other than SIMS Deltec, Inc.

SIMS Deltec CADD-1 5100 HFX Operator's Manual

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