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Deltec CADD-Prizm PCS II 6101, Operator'S Manual

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Deltec CADD-Prizm PCS II 6101 Operator'S Manual Download Page 1

i

PROOF (LR # 4559)

, 2004-12-27 

«4938-51C § 0 Cover PCS II», 6.75

″ ×

 9

″

To Purchase, Visit 

Avobus.com

 or call 

1-800-674-3655

 

This online version differs from the 

printed version.  

 

Certain information that is not intended 

for patients has been removed.

Summary of Contents for CADD-Prizm PCS II 6101

Page 1: ...004 12 27 4938 51C 0 Cover PCS II 6 75 9 To Purchase Visit Avobus com or call 1 800 674 3655 This online version differs from the printed version Certain information that is not intended for patients...

Page 2: ...rator s Manual is included for the clinician s informa tion In the event one year has elapsed between the issue date and product use the clinician should contact Smiths Medical MD Inc to see if a late...

Page 3: ...tion delivery and unin tended pump operations could lead to a variety of consequences for the patient If the pump is used to deliver life sustaining medication an additional pump must be available and...

Page 4: ...istration Set is used for epidural space or subarachnoid space drug delivery it is strongly recommended that it be clearly differentiated from those used for other routes of infusion for example by co...

Page 5: ...without programming a Continuous Rate or Demand Dose The user may be required to program other cleared delivery parameters Setting this New Patient Marker option clears any internal Lockout time and i...

Page 6: ...fluid path is free of all air bubbles before connecting to the patient to prevent air embolism Do not place the Remote Dose Cord where the button might accidentally be pushed Accidentally pushing the...

Page 7: ...do not use excessive force or instruments such as pliers to remove the Remote Dose Cord from the pump Do not immerse the pump in cleaning fluid or water Do not allow solu tion to soak into the pump ac...

Page 8: ...l electronic equipment artifacts which affect the performance of other equipment such as ECG monitors can occur The user should check the correct function of the equipment prior to use To avoid damagi...

Page 9: ...1 6 3 Keypad 5 1 6 4 Power jack 6 1 6 5 Data In Out jack 6 1 6 6 Air Detector Port Cover 6 1 6 7 Air Detector accessory optional 6 1 6 8 Cassette 7 1 6 9 Polemount Bracket recess 7 1 6 10 Battery com...

Page 10: ...rds and lockouts in Reports menu 25 2 5 9 2 If Biomed Toolbox is set to clear program in Reports menu 26 2 6 Delivery Methods 28 2 7 Programming Screens 29 2 7 1 Units if applicable 30 2 7 2 Concentra...

Page 11: ...3 3 1 To start a Clinician Bolus 53 3 4 Starting a Demand Dose 55 3 4 1 To start a Demand Dose 55 3 5 Stopping a Demand Dose or Clinician Bolus 57 3 5 1 To stop a dose while the pump is running 57 3 6...

Page 12: ...inder 76 5 14 Custom Lock Level Code 76 5 15 Custom Clinician Code 77 5 16 Units Selection 78 5 17 Units Location 78 5 18 Programming Units 79 5 19 Date Format 80 5 20 Custom Main Display 80 5 21 Auto...

Page 13: ...ges Micrograms 104 6 9 Military Time Conversion Chart 105 6 10 Technical Description 106 6 10 1 Standards Used in Development of the Pump 106 6 10 2 Specifications Nominal 106 6 10 2 1 General Pump Sp...

Page 14: ...xiv PROOF LR 4559 2004 12 27 4938 51C 0 Cover PCS II 6 75 9...

Page 15: ...nistration The selected drug must be used in accordance with the indications included in the package insert accompanying the drug Administration of any drug by this pump is limited by any warnings pre...

Page 16: ...y cause serious patient injury or death If a Medication Cassette Reservoir CADD Extension Set or CADD Adminis tration Set is used for epidural space or subarachnoid space drug delivery it is strongly...

Page 17: ...roof water splashed against pump housing will have no harmful effects see Cleaning the Pump and Accessories Section 6 for additional important information D Date of Manufacture REF Catalog reorder num...

Page 18: ...the Medication Cassette Reservoir or CADD Administration Set that attaches to the pump Polemount Bracket Recess Cassette Keypad lock Cassette latch Battery compartment Rear View h kj CADD Prizm PCS I...

Page 19: ...klighting turns off and the display blanks to save battery power except during an alarm or when an external power source is in use Press any key to turn the display back on NOTE If you press the displ...

Page 20: ...dose amount or scroll through items on a menu allows you to answer no to a question on the pump s display scroll down or decrease a value scroll through items on a menu or cancel printing 1 6 4 Power...

Page 21: ...ith the pump Medication Cassette Reservoir 50 or 100 ml used with a CADD Extension Set CADD Administration Set WARNING Follow the Instructions for Use provided with the Medication Cassette Reservoir a...

Page 22: ...n pump and fluid container It is recommended that you periodically inspect the fluid path for kinks a closed clamp or other upstream obstructions Upstream occlusions may result in under or nondelivery...

Page 23: ...or 2 minutes when the pump is stopped or 1 minute when running the display reverts to the main screen When the 9 volt battery is low Battery Low appears on the main screen PCS XXXXX Battery Low RUNNIN...

Page 24: ...The AutoLock feature automatically changes the lock level from LL0 to LL1 or LL2 when the pump is started See Section 5 for more information on using AutoLock 1 8 2 Security Codes The following secur...

Page 25: ...et Reservoir Volume Yes Yes Yes No No No Change the lock level Yes Yes Yes Yes Yes Yes Start a Demand Dose No No No Yes Yes Yes Start a Clinician Bolus No No No Yes Yes Yes w code w code w code Change...

Page 26: ...only only Air Detector Yes View View No No No only only Stopped Running Report Options LL0 LL1 LL2 LL0 LL1 LL2 Dose Counters clear or view Yes Yes Yes Yes Yes Yes Given clear or view Yes Yes Yes Yes Y...

Page 27: ...se carbon zinc heavy duty batteries They do not provide sufficient power for the pump to operate properly which could result in death or serious injury to the patient Always have new batteries availab...

Page 28: ...e battery door The pump will begin to power up NOTE If you put the battery in backwards the display will remain blank Reinsert the battery making sure to match the and markings CAUTION Do not store th...

Page 29: ...showing the delivery mode that is currently active If no Air Detector is attached No Air Detector attached will appear The Automatic Review will appear if turned on in the Biomed Toolbox If messages a...

Page 30: ...over the time period selected You should reprogram all settings related to Dose Lockout Max Doses per Hour and Delivery Limit as appropriate for the particular patient Failure to program these setting...

Page 31: ...eviously programmed value Lock Level changes to LL0 WARNING After clearing the program the pump will not go into the run mode without programming a Continuous Rate or Demand Dose The user may be requi...

Page 32: ...the pump must be running WARNING Attach the cassette properly A detached or improperly attached cassette could result in unregulated gravity infusion of medication from the fluid container or a reflux...

Page 33: ...n death or serious injury to the patient NOTE If the pump is running when you attempt to unlock the pump pro gram not all of the above steps will be required 2 4 Programming the Pump General Instructi...

Page 34: ...gramming the following messages may appear Press ENTER to save will appear 10 seconds after you change a setting to remind you to press Entering Changing or Resetting means the new setting is being en...

Page 35: ...rned on in the Biomed Toolbox and you have programmed a Demand Dose It shows the number of Demand Doses given and attempted since the date and time indicated which is the last time they were cleared m...

Page 36: ...9 99 it automatically returns to zero and continues counting The Given amount does not include drug delivered during priming Even if this screen shows zero you should clear it before beginning program...

Page 37: ...gs 1 appears Press to page forward or to page backward 2 5 5 Pain Scale The Pain Scale appears if it has been turned on in the Biomed Toolbox and allows you and or the patient to enter a pain scale ra...

Page 38: ...ery Log appears if it has been turned on in the Biomed Toolbox and is a subset of the Event Log and includes information having to do specifically with delivery events Delivery Log information include...

Page 39: ...as been turned on in the Biomed Tool box see Section 5 15 1 9 New Patient Marker only appears in the Reports menu when the pump is stopped and in LL0 When a New Patient Marker is selected and dependin...

Page 40: ...nternal Delivery Limit Once cleared a Demand Dose could be requested and delivered immediately upon starting the pump and the full volume could be delivered over the time period selected You should re...

Page 41: ...aulted Continuous Rate defaults to 0 and must be confirmed Demand Dose defaults to 0 and must be confirmed Demand Dose Lockout defaults to 24 Hrs 00 Min Max Doses per Hour defaults to 1 Delivery Limit...

Page 42: ...d Dose activated by the patient Clinician Bolus activated by the clinician You may program each of the methods individually or in combination The following graph illustrates the combined delivery meth...

Page 43: ...r Biomed Toolbox see Section 4 Options or Section 5 Biomed Toolbox before beginning pro gramming Units ml mg or mcg if set as part of programming screens see Section 5 Biomed Toolbox Concentration mg...

Page 44: ...n will not appear if only one unit type has been pro grammed in the Units Selection feature in the Biomed Toolbox or Units Location has been programmed to the Options Menu or Biomed Toolbox The range...

Page 45: ...section of the Biomed Toolbox If you programmed a Demand Dose enter the maximum number of Demand Doses allowed in any one hour period The possible values may be limited by the Demand Dose Lockout tim...

Page 46: ...the volume of fluid in the fluid container The Reservoir Volume value decreases as the pump delivers fluid or you use the priming feature When you change the fluid container and reset the Reservoir Vo...

Page 47: ...s if applicable The Biomed Toolbox allows you to program the display so Units appears here as part of the programming screens as part of the Biomed Tollbox manu or as part of the Options menu If Units...

Page 48: ...n the Biomed Toolbox Press Press to confirm the change NOTE If you change the Concen tration you must enter the Con tinuous Rate Demand Dose and Delivery Limit 4 Enter the hourly Continuous Rate Press...

Page 49: ...e in effect will be cleared A Demand Dose could be requested and delivered immedi ately upon starting the pump and may result in overdelivery which could cause in death or serious injury to the patien...

Page 50: ...h could result in death or serious injury to the patient 8 Enter the Delivery Limit If Delivery Limit is not selected in the Dosing Limit feature in the Biomed Toolbox this screen will not appear Pres...

Page 51: ...erify the Air Detector status This screen will appear only if an Air Detector is installed Make sure the setting is correct NOTE If the Air Detector is not required this screen will show whether it is...

Page 52: ...Make sure the pump is stopped before removing the cassette 1 Close the tubing clamp 2 If locked insert the key and turn the lock clockwise one quarter turn until it stops NOTE If the AutoLock setting...

Page 53: ...OTE You can access this sequence of screens even when you are not attaching a cassette With the pump stopped and the main screen displayed press to display the sequence beginning with verifying the ty...

Page 54: ...m the fluid container or a reflux of blood which could result in death or injury to the patient If you are using a Deltec administration set or medica tion cassette reservoir that does not have the fl...

Page 55: ...ir Volume to may appear To reset Reservoir Volume to the value shown press To retain the current value press NOTE If this screen does not appear Reser voir Volume is either already reset or not in use...

Page 56: ...nnected to a patient as this could result in overdelivery of medication or air embolism which could result in serious patient injury or death 1 With the pump stopped and in LL0 or LL1 press 2 Make sur...

Page 57: ...luid path is free of all air bubbles before connecting to the patient to prevent air embolism Air embolism could result in serious patient injury or death NOTE If the fluid path contains an air elimin...

Page 58: ...and Section 4 Options for turning the Air Detector On or Off 1 If the Air Detector is in use open the Air Detector door and thread the tubing through the groove 2 Close the door making sure the tubing...

Page 59: ...nformation on lock levels see Lock Levels Section 1 NOTE You may change the lock level at any time whether the pump is running or stopped by accessing the Lock Level function in the Options menu 2 13...

Page 60: ...odes or any other information that would allow the patient complete access to all program ming and operating functions Improper programming could result in serious patient injury or death 6 Press to s...

Page 61: ...ot use the Remote Dose Cord to pick up or carry the pump Using the cord in this manner could damage the pump or cord To avoid damaging the connector or cord do not use excessive force or instruments s...

Page 62: ...o the patient press to start the pump 2 Starting Pump will appear The pump will review the program lock level AutoLock setting time date dose counters and given If AutoLock is in use AutoLock is locki...

Page 63: ...for a Titration Limit set at 25 percent LL0 Programmed Titration Limit while pump is Value Stopped in LL1 Running in LL0 or LL1 Continuous Rate 10 mg hr 12 5 mg hr Demand Dose 5 mg 6 25 mg 4 hr Delive...

Page 64: ...up Programming Section 2 Pump Setup and Programming to relock the cassette to relock the pump program or change the Lock Level setting in the Options menu To Purchase Visit Avobus com or call 1 800 67...

Page 65: ...op the Pump appears press 3 1 2 To turn pump indicators off 1 When Turn indicators off screen appears press to turn pump indicators off or press to leave pump on 2 Once pump indicators are turned off...

Page 66: ...e counters and given If AutoLock is in use Lock Level Locking will appear 3 2 2 To turn pump indicators off 1 If you want to turn pump indicators off at this screen press 2 Press to turn pump indicato...

Page 67: ...e bolus can be set as high as 20 ml or the mg or mcg equivalent you should not permit the patient to become familiar with the procedure for giving a Clinician Bolus Improper programming could result i...

Page 68: ...ar asking you to confirm the value Press to con firm or to re enter the value 7 The screen will show the amount decreasing as the bolus is delivered NOTE The maximum Clinician Bolus may be limited by...

Page 69: ...s Rate programmed if the patient attempts to deliver a Demand Dose when the Delivery Limit has been reached Delivery Limit reached Current Delivery at KVO 1 ml hr will appear on the display and the do...

Page 70: ...on 3 Operating the Pump As the Demand Dose is delivered the main screen will show DOSING in place of RUNNING PCS XXXXX Low Battery DOSING Res Vol 47 0 ml Press VIEW to advance To Purchase Visit Avobus...

Page 71: ...unter screen under Given Attempt 3 5 1 To stop a dose while the pump is running 1 Press One beep will sound and the message Stop Demand Dose or Stop Clinician Bolus will appear 2 Press to stop the dos...

Page 72: ...except in LL2 and starting the pump You can however reset the Reservoir Volume without changing the cassette using the Reservoir Volume programming screen The pump must be stopped and in any lock lev...

Page 73: ...and unlocking of the pump program using the keypad 4 1 1 To access Options 1 With the pump stopped start at any screen and press 2 Use or to page through the Options To select an Option make sure it i...

Page 74: ...e has been customized Enter the Custom Lock Level Code in the next step 3 Press or until the Lock Level Code Text Omitted appears WARNING Do not disclose to the patient the pump s security codes or an...

Page 75: ...space or subarachnoid space unless the drug is indicated for administration to the those spaces Drugs not intended for epidural or subarachnoid space infusion could result in serious patient injury or...

Page 76: ...ions menu 4 4 1 To change Units 1 Press Press or until Programming Units appears 2 To change the setting press 3 Press or to select the desired units then press 4 Press to confirm the change The pump...

Page 77: ...t injury or death Changing the Time will reset the Delivery Limit feature This will allow delivery to begin as soon as the pump is restarted resulting in overdelivery which could result in serious pat...

Page 78: ...ill reset the Delivery Limit feature This will allow delivery to begin as soon as the pump is restarted resulting in overdelivery which could result in serious patient injury or death NOTE Changing th...

Page 79: ...be set to Turned On or Turned Off If the Air Detector is turned on an alarm will sound when air is detected in the fluid path See Section 6 for Air Detector specifications WARNING When the Air Detect...

Page 80: ...nge the Air Detector setting To view the setting the pump may be in any lock level To change the setting the pump must be stopped and in LL0 pump program and keypad completely unlocked 1 Press Press o...

Page 81: ...mp s security codes or any other information that would allow the patient complete access to all program ming and operating functions Improper programming could result in serious patient injury or dea...

Page 82: ...before customizing concentrations 1 At the Biomed Toolbox Menu press or until Custom Conc appears If an X appears in the box concentrations for either mg or mcg are currently customized 2 To view or c...

Page 83: ...ws the user to limit the dosing by selecting a Delivery Limit a Maximum Doses per Hour or neither If the Max Doses Per Hour function is not selected doses will be limited only by Demand Dose Lockout t...

Page 84: ...e the setting press Press or to select the desired setting then press 3 Press to confirm the change NOTE It may take a moment before the change is entered as data in pump memory must first be cleared...

Page 85: ...Rate and either Demand Dose or Clinician Bolus rate For example if the Maximum Delivery Rate is pro grammed to 60 ml hr and the Continuous Rate is programmed to 15 ml hr a Demand Dose or Clinician Bo...

Page 86: ...o program the pump to alarm when the Reservoir Volume reaches a specified level Once activated the alarm continues to sound until cleared or until the Res Vol reaches zero If this feature is turned on...

Page 87: ...the alarm however the alarm will not reoccur The default setting is Single 1 At the Biomed Toolbox Menu press or until Res Vol Empty Alarm appears 2 To change the setting press Press or to select the...

Page 88: ...s a percent age It indicates the percentage change you could titrate from the original value which was programmed while the pump was stopped and unlocked The Titration Limit range is 1 to 300 percent...

Page 89: ...Cassette Keypad Lock will change the Lock Level to LL1 when used to unlock the cassette and then back to LL2 when the cassette is locked With the pump stopped the Cassette Keypad Lock will change the...

Page 90: ...nths The message will begin appearing on the date programmed and during every power up until it is reset Use this screen to specify the interval at which the message should appear or use it to reset t...

Page 91: ...Clinician Bolus Code Changing this code does not affect the Lock Level Code or the Biomed Toolbox Code 1 At the Biomed Toolbox Menu press or until Custom Clinician appears If an X appears in the box a...

Page 92: ...ected 1 At the Biomed Toolbox Menu press or until Units Selection appears 2 To enter the Units Selection screens press 3 Press or to move through the various programming selections Milligrams Millilit...

Page 93: ...lligrams or micrograms If Programming Units does not appear it has been pro grammed in Biomed Toolbox to be part of the Options menu or program ming screens or only 1 unit has been selected in Units S...

Page 94: ...9 volt battery is low 1 At the Biomed Toolbox Menu press or until Main Display appears 2 To change the main screen display settings press There are two screens associated with this feature To scroll b...

Page 95: ...ng press Press or to turn Auto Review On or Off then press 5 22 Custom Reports This series of screens allows you to turn on those reports which can be viewed and or changed using the key Only those re...

Page 96: ...n Given shows the total amount of drug delivered to the patient since it was last cleared 1 Press to turn the Given report function on or off 5 22 1 3 Doses Hour By Hour Doses Hour by Hour allows you...

Page 97: ...nd Dose Lockout or Delivery Limit Clinician Boluses delivered Pain Scale Entries and changes to the pump program or settings The pump records the date and time of each event and lists events in order...

Page 98: ...3 New Patient Marker Function The New Patient Marker feature allows you to configure the function of the New Patient Marker clearing the previous records and lockouts clearing the pump program or both...

Page 99: ...orts Clear or Power Up Clear Option 1 Reports No Clear this is the default setting It means that if the New Patient Marker feature is turned on in the Reports menu and selected by the user the pump wi...

Page 100: ...pressing The user can clear the previous records and lockouts and a New Patient Marker will be logged in the Event Log and the program will be cleared 5 23 1 To View or Change the New Patient Marker F...

Page 101: ...y of medication which could be up to 10 of the set delivery rate The Upstream Occlusion events will be recorded in the pump event history as Upstream Occlusion detected and Upstream Occlusion Ended wh...

Page 102: ...er the pump may be programmed without an Air Detector WARNING When the Air Detector is not installed or is installed but turned Off the pump will not detect air in the fluid path It is recommended tha...

Page 103: ...been customized Custom will appear on the code screen If necessary contact Smiths Medical MD s Customer Service Department for instructions on reverting to the standard code If you are trying to use a...

Page 104: ...90 Section 6 Reference Troubleshooting Reference Troubleshooting concentration on Section 5 Or the concentration may not be programmable see scroll range tables this section...

Page 105: ...hile an external source of power is connected Remove and reinstall the battery to cancel this message With an external power source attached the 9 volt battery was removed The pump is still running Pr...

Page 106: ...lly been removed press Then have an Air Detector installed properly If an Air Detector is attached and the alarm persists have the Air Detector serviced This message indicates that an Air Detector is...

Page 107: ...ation of the value you entered Check the value If it is correct press If it is incorrect press and choose a correct value If this message appears when you try to use to go to the next screen you may h...

Page 108: ...fferent Concentration Then return to the Biomed Toolbox and turn off this concentration The programmed Delivery Limit has been reached and the pump is delivering fluid at the KVO rate This alarm occur...

Page 109: ...nsure the cords and cables are properly attached If this does not correct the problem replace the power source Printing has finished Remove the cable from the Data In Out jack to continue The pump has...

Page 110: ...ervice The pump will not start if no rate or doses have been programmed Follow the instructions in Section 2 for programming the pump was pressed at the screen asking if an epidural cassette was attac...

Page 111: ...luid in the fluid container is low Prepare to install a new fluid container if appropriate The programmed Res Vol alarm trip point has been reached Press to silence the alarm Prepare to install a new...

Page 112: ...e obstruction to resume operation Or press to stop the pump and silence the alarm for 2 minutes then remove the obstruction and press to restart the pump The pump detects the cassette is damaged attac...

Page 113: ...lvents or abrasive cleaners as damage to the pump may occur Use any of the following solutions to clean the pump and accessories Soap solution Benzalkonium Chloride concentrate 0 13 Glutaral Concentra...

Page 114: ...OTE Do not use an alcohol formulation that contains compo nents other than alcohol and water OR Pre moistened alcohol swab 1 Using a swab wetted with alcohol rub the entire battery contact for a minim...

Page 115: ...reatment Do not expose the pump directly to ultrasound as permanent damage to the pump s electronic circuitry may occur Do not use the pump in the vicinity of magnetic resonance imaging MRI equipment...

Page 116: ...Milliliters Units Starting Value Increment Maximum Milliliters 0 10 0 10 30 00 Milligrams 10 of Mg only Values between 0 01 and 0 5 0 01 Concentration Micrograms concentration Mcg only Values between...

Page 117: ...05 10 1 0 05 20 2 0 10 40 3 0 15 60 4 0 20 80 5 0 25 100 6 0 30 120 7 0 35 140 8 0 40 160 9 0 45 180 10 0 50 200 11 0 55 220 12 0 60 240 13 0 65 260 14 0 70 280 15 0 75 300 20 1 00 400 25 1 25 500 30...

Page 118: ...0 35 140 8 0 40 160 9 0 45 180 10 0 50 200 11 0 55 220 12 0 60 240 13 0 65 260 14 0 70 280 15 0 75 300 20 1 00 400 25 1 25 500 30 1 50 600 35 1 75 700 40 2 00 800 45 2 25 900 50 2 50 1000 55 2 75 1100...

Page 119: ...00 3 00 AM 03 00 4 00 AM 04 00 5 00 AM 05 00 6 00 AM 06 00 7 00 AM 07 00 8 00 AM 08 00 9 00 AM 09 00 10 00 AM 10 00 11 00 AM 11 00 12 00 PM noon 12 00 1 00 PM 13 00 2 00 PM 14 00 3 00 PM 15 00 4 00 PM...

Page 120: ...he pump was fitted with an admin istration set with its inlet connected to a 250 ml bag and its outlet routed back to the bag forming a closed loop system A total of six feet of tubing was used to for...

Page 121: ...ck re order number 21 3801 AC Adapter The expected life of a 9 volt battery is 12 hours at 100 ml hour or approximately 5 days at 10 ml day nominal This estimate is based on laboratory tests conducted...

Page 122: ...interruption in the delivery of medica tion could result in patient injury or death System Definition System is defined as a CADD Prizm pump with an attached Medication Cassette Reservoir and CADD Ex...

Page 123: ...equivalent Default 0 mg hr Demand Dose 0 to 20 0 ml Delivery rate Continuous Rate Demand Dose programmable from 40 to 125 ml hr Default 0 ml Demand Dose Lockout 5 minutes to 24 hours in the following...

Page 124: ...rements of 1 hour Default 4 Hours Program Limits Maximum limits in mg mcg and ml can be pro grammed for Demand Dose Continuous Rate and Clinician Bolus Default Maximum values Maximum Delivery Rate 40...

Page 125: ...fault milligrams Date Format US Standard mm dd yy or European Standard dd mm yy Default U S Standard Custom Main Display Display Res Vol or Continuous Rate Power Source Always or Low 9 volt battery on...

Page 126: ...events the Patient History Report lists current pump settings amount of medication delivered and hourly dose summaries for the time period you specify for the past 48 hours or to the last New Patient...

Page 127: ...press to enter editing screens press to exit editing screens without making changes From menu press to exit Options Units Concentration Continuous Rate Air Detector review status Demand Dose Demand Do...

Page 128: ...u Screens From Custom Reports screen in Biomed Toolbox press Press or to move through menu Press to return to Biomed Tool box menu Custom Lock Level Code Custom Clinician Code Units Location Date Form...

Page 129: ...the infusion system plotted against given time periods Flow rate immediately following startup Time Interval 0 5 min Total Time 120 min Programmed Rate 24 0000 ml hr Cassette used CADD Administration...

Page 130: ...up Time Interval 15 min Total Time 1500 min Programmed Rate 0 1 ml hr Cassette Used CADD Administration Set Short term flow rate error Programmed Rate 0 1 ml hr Average Flow Rate 0 0989 ml hr Mean Flo...

Page 131: ...r to test the watchdog circuit on every power up By setting a flag in memory and not strobing the watchdog the microprocessor can force a watchdog time out After being reset the microprocessor checks...

Page 132: ...ecays to a nominal value of 5 6 volts a hardware reset circuit is triggered which places the microprocessor in reset This prevents ambiguous microprocessor operation when the battery voltage continues...

Page 133: ...stop all drug delivery 6 13 Data Handling Software Safety Features Data Stored in RAM Before use data associated with delivery and stored in RAM is tested by calculating a CRC on the data and then co...

Page 134: ...se note that the following information is not meant to be inclusive of all items which should be included in your program The suggested procedures are only provided as a reference for your use NOTE Pe...

Page 135: ...attery door The battery door should fit snugly in place when it is closed on the pump Attach either a 50 or 100 ml Medication Cassette Reservoir or a CADD Administration Set to the pump Check for smoo...

Page 136: ...erting a key into the lock and turn clock wise until the mark lines up with the open dot The display should show Cassette Unlocked Unlatch the cassette by inserting a coin into the latch slot and turn...

Page 137: ...Remove and reinsert the battery After a few seconds the LCD will display all off pixels dots followed by all on pixels Examine the LCD for missing dark or light pixels Program the pump to the followi...

Page 138: ...ir Volume is Zero Alarm Check Press again Repeat priming by pressing and holding the key The pump should prime ten double activations and then stop The pump will alarm and display Reservoir Volume is...

Page 139: ...n Count the activations One activation should occur every twelve seconds Approximately one minute fifty seconds 1 50 and ten activations later the Reservoir Volume alarm should occur The display shoul...

Page 140: ...w a Reservoir Volume of 9 0 ml Press the button on the Remote Dose cord two more times within the next 5 minutes The pump should not deliver and the message Dose Not Delivered Dose Locked Out should b...

Page 141: ...sette Reservoir containing distilled water to the pump Latch and lock the cassette 3 Prime the tubing The tubing should be filled with fluid to the end of the luer lock connector The system must be fr...

Page 142: ...on An adjustable metered pressure source is connected to the Medication Cassette Reservoir tubing The pressure is slowly increased until the high pressure alarm sounds Equipment needed Pressure gauge...

Page 143: ...is activated NOTE The pressure may be increased rapidly to 8 psi 0 55 bar after which the pressure should be increased at 3 psi min 0 21 bar min or less until the alarm sounds 7 The high pressure alar...

Page 144: ...needed 50 or 100 ml Medication Cassette Reservoir with attached CADD Extension Set OR 50 or 100 ml Medication Cassette Reservoir with flow stop feature with attached CADD Extension Set reorder numbers...

Page 145: ...This is the postdelivery weight 8 Calculate the difference in weight between the predelivery weight and the postdelivery weight This is the weight of the amount delivered 9 Find the difference between...

Page 146: ...low stop feature with attached CADD Extension Set reorder numbers start with 21 73xx 50 or 60 ml syringe A fluid collection device such as a burette or a Class A 25 ml capacity graduated cylinder 40 m...

Page 147: ...ly by 100 This is the accuracy error percentage 9 If the accuracy error percentage is greater than 6 repeat the test with a new Medication Cassette Reservoir If the pump fails a second time call Smith...

Page 148: ...very Limit 70 110 Dosing Limit 69 Epidural Mode 12 key beeps 72 110 Maximum Delivery Rate 71 110 New Patient Marker 84 112 PM Reminder 76 111 Program Limits 70 programming units 79 Pump Stopped Alarm...

Page 149: ...d Dose Lockout 31 109 programming 35 Dose Counters 12 82 clearing 21 Doses Hour by Hour 12 82 viewing 22 Dosing Limit 69 Max Doses Per Hour 31 Downstream Occlusion Sensor 8 E epidural administration 1...

Page 150: ...moving 47 REPORTS Key 21 Res Vol Empty Alarm 73 Reservoir Volume 8 32 109 programming 37 resetting 41 58 S safety features 117 hardware 117 software 118 Screen Maps 113 Biomed Toolbox Menu Screens 114...

Page 151: ...r accident Mis use includes but is not limited to use not in compli ance with the Operator s Manual or use with nonap proved accessories The Pump is a sealed unit and the fact that the seal has been b...

Page 152: ...red by one or more of the following U S Patent Nos 4 559 038 4 565 542 4 650 469 5 181 910 5 338 157 5 364 242 5 485 408 5 531 697 5 531 698 5 538 399 5 540 561 5 564 915 5 567 136 5 567 119 5 695 473...

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