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Pump Programming - Intermittent Delivery Mode

Section 2

Pump

ogr
amming

Dose

Volume

KVO

Cycle

Duration

Delay

(using Next

Dose Start

Time)

Time

KVO

Duration

Dose

Intermittent Cycle Graph and

Programming Screens

The Intermittent delivery mode delivers a specifi ed dose volume

over a specifi ed duration. You may repeat the dose in a cycle of

up to 96 hours. The KVO feature allows you to deliver a minimal

amount of drug between doses to maintain catheter patency. You

may also delay the start of delivery using The next dose start

time feature.

The following fi gure shows the programming screens in the

Intermittent delivery mode:

Air Detector

(Review)

Reservoir Volume

Dose Volume

Dose Duration

Dose Cycle

KVO

Next Dose Start Time

Dose Rate

Milliliters Given

*** INTERMT 6240X ***

STOPPED

Press NEXT to advance

If Air Detector

is installed

IN19822.indd 29

10/24/2011 3:57:15 PM

Содержание CADD-Prizm VIP 6100

Страница 1: ...CADD Prizm VIP Ambulatory Infusion Pump Model 6100 and 6101 Clinician Information ...

Страница 2: ...latory Infusion Pump The Operator s Manual provided with this product contains warnings and cautions that the user should be aware of for the safe use of the product If you have any questions regarding these systems please contact Smiths Medical s Clinical Services Department at 1 800 258 5361 ...

Страница 3: ... return a pump for service If the pump is dropped or hit the battery door may become broken or damaged Do not use the pump if the battery door is damaged because the battery will not be properly secured this may result in loss of power or non delivery of drug Do not disclose to the patient the pump s security codes or any other information that would allow the patient complete access to all progra...

Страница 4: ...ii ...

Страница 5: ... Upper Limits Adjusting Doses in Lock Level 1 17 PCA Starting a Clinician Bolus 18 PCA Starting a Demand Dose 18 PCA Stopping a Demand Dose or Clinician Bolus 19 Continuous Delivery Mode Continuous Cycle Graph and Programming Screens 20 Continuous Programming 21 CONTIN Programming with Upper Limits Adjusting Rate in Lock Level 1 23 TPN Delivery Mode TPN Cycle Graph and Programming Screens 24 TPN P...

Страница 6: ...s 42 Immediate Taper Down TPN 43 Prime 43 Time Remaining Intermittent 43 Extended History Viewing PCA 44 Changing Delivery Modes 45 AutoLock 45 Time 46 Date 46 Air Detector On Off 46 Event Log Viewing 46 Communications 47 Biomed Toolbox 47 Section 5 Accessories 48 Printing Reports 48 Power Pack or AC Adapter 48 Remote Dose Cord 49 CADD Pump Pouches 50 Security Shell 50 Using the Lockable Polemount...

Страница 7: ...ug by this pump is limited by any warnings precautions or contraindications in the drug labeling Analgesics Administration of analgesics to the epidural space is limited to use with indwelling catheters specifically indicated for either short or long term drug delivery Administration of analgesics to the subarachnoid space is limited to use with indwelling catheters specifically indicated for shor...

Страница 8: ...CTOR INSTALLED Power Data In Out Cassette Display Polemount Bracket Recess Power Jack Keypad Cassette Lock Cassette Latch Battery Compartment Data In Out Jack Air Detector Port Cover Air Detector op tional Indicator Lights Amber Green Rear View Front View Pump Diagram Upstream Occlusion Sensor Model 6101 only ...

Страница 9: ... Used for attaching accessories Interface Cable to connect to a PC Remote Dose Cord for remote operation of the dose key Cassette The portion of the reservoir or administration set that attaches to the bottom of the pump Polemount bracket recess Bracket slides into the recess on the back of the pump for attaching the pump to an IV pole Keypad starts and stops pump delivery Œ displays or changes th...

Страница 10: ... Toolbox menu to the Options menu or from the Options Menu to the main screen Í in the PCA delivery mode delivers a programmed amount of medication displays the Options menu answers yes increases values on programming screens or scrolls through items on a menu Î answers no decreases values on programming screens scrolls through items on a menu or cancels printing ...

Страница 11: ... If the pump is dropped or hit the battery door may become broken or damaged Do not use the pump if the battery door is damaged because the battery will not be properly secured this may result in loss of power or non delivery of drug There is no pump alarm to alert users that a battery has not been properly installed or has become dislodged An improperly installed or dislodged battery could result...

Страница 12: ...NG if the pump is running DOSING if a demand dose is in progress STOPPED if the pump is stopped RUNNING if the pump is running STOPPED if the pump is stopped The current reservoir volume Reminder that the NEXT key advances to programming screens RUNNING if delivery is tapering up RUNNING if delivering at the plateau rate RUNNING if delivery is tapering down RUNNING K if delivering the KVO RUNNING ...

Страница 13: ... exit help press any key other than the Å key This will bring you back to the original screen If a help screen tells you to press a certain key first exit help then press that key Help screens are lock level dependent If the pump s current lock level prevents access to a certain function the function will not be described in the help screens This is the calculated amount of fluid left in the reser...

Страница 14: ...s Yes Print Yes Yes Yes Reset Reservoir Volume Yes Yes Yes Reset Infusion Profile TPN Yes Yes Yes Change the lock level Yes w code Yes w code Yes w code Change the program Yes Within LL0 Limits No Change Next Dose Start Yes No No Time INTERMT Clear Given amount Yes Yes No Clear Dose Counters PCA Yes Yes No Immediate Taper Down Yes Yes Yes not TPN programmable programmable programmable Prime Yes Ye...

Страница 15: ...LL2 with the steps below For detailed information on lock levels see page 8 NOTE You may change the lock level at any time by stopping the pump and pressing Œ Then begin with step 2 below To change the lock level 1 With this message displayed press If you do not wish to change the lock level at this time press Î 2 The current lock level will appear 3 Press or Î until the desired lock level LL1 or ...

Страница 16: ...y Modes appears then press 2 Press or Î until the Access Code appears See the Operator s Manual Lock Code 10 Then press NOTE If the Lock Level code has been customized use the new Lock Level code 10 3 Press or Î to select the desired delivery mode Then press 4 Press to confirm the change The pump will go through the power up sequence in the new delivery mode If messages appear refer to the table o...

Страница 17: ...l appear The pump will review the program lock level AutoLock setting Air Detector status time and date If AutoLock is in use AutoLock is changing lock level to LL1 or LL2 will appear Stopping the Pump When the pump is stopped no delivery occurs STOPPED appears on the main screen and the amber indicator light blinks To stop the pump 1 Press If a demand dose or clinician bolus is in progress Stop D...

Страница 18: ...nits are mg or mcg If a Demand Dose is programmed Air Detector Review If Extended History is on If Air Detector is installed PCA Cycle Graph and Programming Screens The PCA delivery mode provides the following methods of delivery Continuous Rate Demand Dose activated by the patient Clinician Bolus a loading dose activated by the clinician You may program a continuous rate a demand dose or both The...

Страница 19: ...nd STOPPED appear on the main screen Press to begin 2 Enter the reservoir volume Press or Î to select the volume of fluid in a filled reservoir If you do not wish to use the reservoir volume feature scroll down to Not In Use located before 1 Press 3 Enter the units To accept the current programming units press Or to change the units Press or Î to select the desired programming units Press Press to...

Страница 20: ...ivery Press NOTE If Change Rate to appears you must confirm the rate because the units or concentration was changed or the rate is greater than or equal to 100 mg hr or mcg hr Press to confirm or press Îand re enter the rate 6 Enter the demand dose amount Press or Î to select the desired amount delivered when patient presses the dose key Press NOTE If Change demand dose to appears you must confirm...

Страница 21: ...eriod Press NOTE The number shown on this screen may be outside of the range this can happen when the demand dose lockout time is changed but the max doses per hour number is not adjusted If you scroll through the numbers only numbers within the range will appear WARNING When you enter a new max doses per hour value any lockout time in effect will be cleared A demand dose could be requested and de...

Страница 22: ...t marker optional This screen will appear only if the extended history is on If you do not wish to add a new patient marker press If you wish to add a new patient marker to the event log Press Press This will clear the extended history from the last patient and add a marker to the event log The main screen will reappear 13 Review the program Press repeatedly to review the programming screens If yo...

Страница 23: ...aximum values when the pump is in LL1 2 After you are finished programming change the lock level to LL1 3 Decrease the continuous rate or demand dose to its starting value then press Range Limited indicates you cannot increase the value beyond the maximum programmed in LL0 Adjusting the rate or dose while the pump is in use If it becomes necessary to increase the continuous rate or demand dose dur...

Страница 24: ...n will show the amount decreasing as the bolus is delivered PCA Starting a demand dose If a demand dose has been programmed the patient may start a demand dose while the pump is running If no demand dose has been programmed the pump will display the message Dose not delivered No Dose programmed 1 Make sure the pump is running in any lock level Start the pump if necessary 2 Press Í or the button on...

Страница 25: ...ress One beep will sound and the message Stop Demand Dose or Stop Clinician Bolus will appear 2 Press to stop the dose and to cancel the remainder of the dose Demand Dose Stopped or Clinician Bolus Stopped will appear 3 When Stop the Pump appears press Î to remain running or press to stop the pump Stop Demand Dose Press Y or N Demand Dose Stopped Stop the Pump Press Y or N ...

Страница 26: ...provides a continuous rate of delivery in milliliters per hour The following figure shows the programming screens in the Continuous delivery mode Reservoir Volume Continuous Rate Milliliters Given Air Detector Review CONTIN 6220X STOPPED Press NEXT to advance If Air Detector is installed Delivery Rate ML HR Time Continuous Delivery ...

Страница 27: ...on the main screen Press to begin 2 Enter the reservoir volume Press or Î to select the volume of fluid in a filled reservoir If you do not wish to use the reservoir volume feature scroll down to Not In Use located before 1 Press 3 Enter the hourly continuous rate Press or Î to select the desired continuous rate of drug delivery Press 4 Clear the milliliters given Press if you wish to clear the mi...

Страница 28: ...ector is not required this screen will show whether it is turned on or off Press to continue If you need to correct the air detector setting see the Operator s Manual 6 Review the program Press repeatedly to review the programming screens If you need to reprogram a setting press until the appropriate screen appears and change the setting as described in this section Air Detector Required Review On...

Страница 29: ...um value when the pump is in LL1 2 After you are finished programming change the lock level to LL1 3 Decrease the continuous rate to its starting value Range Limited indicates you cannot increase the value beyond the maximum programmed in LL0 Adjusting the rate while the pump is in use If it becomes necessary to increase the continuous rate during the course of therapy stop the pump but remain in ...

Страница 30: ...t the end of the infusion profile An automatic Keep Vein Open KVO rate is delivered at the end of the infusion profile The following figure shows the programming screens in the TPN delivery mode Reservoir Volume Infusion Volume Infusion Period Taper Up Period Taper Down Period Rate Review Milliliters Given Air Detector Review TPN 6230X STOPPED Press NEXT to advance If Air Detector is installed Inf...

Страница 31: ...D appear on the main screen Press to begin 2 Enter the reservoir volume Press or Î to select the volume of fluid in a filled reservoir If you do not wish to use the reservoir volume feature scroll down to Not In Use located before 10 0 Press 3 Enter the infusion volume When this screen is first displayed the third line may show the volume left from the last infusion period As soon as you begin scr...

Страница 32: ...ess or Î to select the period over which infusion will gradually decrease to end of infusion period Press 7 View the calculated rate Both the plateau rate and the KVO rate will be displayed The KVO is 1 10 of the plateau rate or 5 0 ml hr maximum Press to continue 8 Clear the milliliters given Press if you wish to clear the total amount delivered since the time and date shown even if the amount is...

Страница 33: ...r detector is not required this screen will show whether it is turned on or off Press to continue If you need to correct the air detector setting see the Operator s Manual 10 Review the program Press repeatedly to review the programming screens If you need to reprogram a setting press until the appropriate screen appears and change the setting as described in this section Air Detector Required Rev...

Страница 34: ...an administration set and answering yes to Reset reservoir volume to Then when you start the pump delivery will begin at the start of the infusion period illustrated below NOTE Whenever the reservoir volume is reset the infusion profile is also reset so the infusion will start at the beginning Infusion Peroid Infusion Volume Taper Up Period Taper Down Period KVO Infusion Profile Plateau Rate must ...

Страница 35: ...repeat the dose in a cycle of up to 96 hours The KVO feature allows you to deliver a minimal amount of drug between doses to maintain catheter patency You may also delay the start of delivery using The next dose start time feature The following figure shows the programming screens in the Intermittent delivery mode Air Detector Review Reservoir Volume Dose Volume Dose Duration Dose Cycle KVO Next D...

Страница 36: ...ure the pump is in LL0 Make sure INT and STOPPED appear on the main screen Press to begin 2 Enter the reservoir volume Press or Î to select the volume of fluid in a filled reservoir If you do not wish to use the Reservoir Volume feature scroll down to Not In Use located before 1 Press 3 Enter the dose volume Press or Î to select the desired dose volume in milliliters Press 4 Enter the dose duratio...

Страница 37: ...start time and date press Î 8 Verify the dose rate The pump automatically calculates the rate of dose delivery based on the volume and duration you entered This screen is for review only press to continue If the rate is 125 ml hr or greater a CADD Prizm high volume administration set must be used 9 Clear the milliliters given Press if you wish to clear the amount given even if the amount is zero t...

Страница 38: ...tector is not required this screen will show whether it is turned on or off Press to continue If you need to correct the air detector setting see the Operator s Manual 11 Review the program Press repeatedly to review the programming screens If you need to reprogram a setting press until the appropriate screen appears and change the setting as described in this section Air Detector Required Review ...

Страница 39: ...the amount of time the pump is stopped illustrated below If you wish to make up for the lost time in the cycle it is recommended that you wait until the current dose is completed To determine the amount of time remaining in the current dose use the Time Remaining Option described on page 34 Then stop the pump change to Lock Level 0 and reprogram the Next Dose Start Time described on page 34 KVO KV...

Страница 40: ...se start time and fluid is being delivered at the KVO rate if programmed Changing the Next Dose Start Time If you wish to reset the cycle stop the pump during KVO change to LL0 and reprogram the next dose start time NOTE The next dose start time cannot be changed in LL1 If a dose has been stopped in progress and you wish to cancel the current dose and reset the cycle make sure the pump is in Lock ...

Страница 41: ...ssette is locked insert the key and turn the lock clockwise one quarter turn until it stops The mark on the lock will line up with open dot 3 Use a coin or the side of the key to unlatch the cassette the part of the reservoir or administration set that attaches to the pump Insert the coin or the side of the key into the slot and turn clockwise until the latching button pops out The mark on the lat...

Страница 42: ...administration set for rates up to 350 ml hr not for use in PCA delivery mode Rates above 125 ml hr require a CADD Prizm high volume administration set Rates above 250 ml hr also require an AC adapter or a power pack CADD tubing sets with flow stop free flow protection When you attach a reservoir or administration set the pump s screens will lead you through the following steps Verifying the type ...

Страница 43: ... solid dot and you feel the button click into place 4 If appropriate insert the pump key into the lock and turn counterclockwise until the white mark lines up with the solid dot Press NOTE In the PCA delivery mode The cassette must be locked in order to start the pump WARNING Attach the cassette properly An improperly attached or detached cassette could result in unregulated gravity infusion of me...

Страница 44: ...alue NOTE If this screen does not appear reservoir volume may already be reset If this message appears the pump is in the TPN delivery mode and reservoir volume is not in use Press to reset the infusion profile 7 If you have reset the reservoir volume and the pump is in the TPN delivery mode Infusion Profile has been reset will also appear Infusion Profile has been reset Reset Infusion Profile Pre...

Страница 45: ...connected to a patient as this could result in over delivery of medication or air embolism To prime the tubing and connect to the patient 1 When Prime Tubing appears press 2 Make sure the tubing is disconnected from the patient and the tubing clamp is open 3 Press and hold the key until the tubing is fully primed or until priming stops NOTE Fluid delivered during priming is subtracted from the res...

Страница 46: ...sure that the entire fluid path is free of all air bubbles before connecting to the patient to prevent air embolism NOTE If the fluid path contains an air eliminating filter it is acceptable for air bubbles to be present on the vent side of the filter 8 If AutoLock is in use or if the pump is in LL1 or LL2 Start the Pump will appear go to step 9 If AutoLock is not in use and the lock level is LL0 ...

Страница 47: ...fusion profile so delivery will start at the beginning of the infusion period when you start the pump Resetting reservoir volume without changing the cassette 1 Stop the pump 2 Press to display the reservoir volume screen 3 Press 4 If this message appears press to reset the reservoir volume If this message does not appear the reservoir volume may already be reset If this message appears the pump i...

Страница 48: ...sure it is displayed on the Options menu and press 3 To exit the Options menu press until you return to the main screen Date Immed Taper Down Communications Delivery Modes Time Extended History Time Remaining Event Log Air Detector PCA only If Extended History is on Î TPN only INTERMT only If Air Detector is installed From any screen press to display Options AutoLock Biomed Toolbox Prime Options M...

Страница 49: ...eft in the infusion period Prime The Prime option is used in all delivery modes to pump fluid through the fluid path to remove air bubbles prior to connecting to the patient The pump must be stopped and in LL0 or LL1 to prime Fluid delivered with the priming feature is subtracted from the reservoir volume value but is not added to the amount given since this fluid is not delivered to the patient P...

Страница 50: ...r of doses given and attempted Both views show dose information for the past 48 hours unless a new patient marker has been added or the units time or date have been changed Dose information previous to any of these events will not appear Once you have selected the extended history option 1 Press or Î to select Patient Review or Doses Hour by Hour then press Follow the instructions for the appropri...

Страница 51: ...forward 6 When finished press to return to the Extended History screen Changing Delivery Modes The CADD Prizm VIP pump contains four delivery modes PCA CONTIN TPN INTERMT To change the delivery mode see page 10 When you change the mode the program will revert to the default settings and the event log will clear Therefore you may wish to print the event log before changing the mode Other Options se...

Страница 52: ...ired If the air detector is required you are not allowed to turn it off and this option will not appear in the menu For certain therapies it may be desirable to turn off the air detector for example for epidural infusion or subcutaneous infusion 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 that you pe...

Страница 53: ...d Toolbox Code PCA only An Œ next to a Biomed Toolbox Menu item means that feature has been turned on or customized Communications The Communications option was intended to allow remote connection with a CADD Prizm VIP pump using the CADD Ambassador system The CADD Ambassador system is no longer available so the Communications option can no longer be used Biomed Toolbox The biomed toolbox is used ...

Страница 54: ...o the pump such as the CADD External Power Source EPS system power pack reorder number 21 3801 or AC adapter The pump must also contain a functional 9 volt battery as a backup Otherwise the pump will not start Before using the power pack refer to the CADD External Power Source EPS system Instructions for Use supplied with the power pack for instructions on equipment setup system operation specific...

Страница 55: ... Pull the connector back using a straight steady motion DO NOT twist or turn the connector Remote Dose Cord In the PCA delivery mode a remote dose cord may be attached to the pump so the patient can start a demand dose by pressing either the remote dose cord button or the dose key NOTE The remote dose cord is used only for starting demand doses It is not associated with pump communications CAUTION...

Страница 56: ...lexibility to wear the pouch over the shoulder or around the waist and a clear plastic panel to view the pump s screen 08 02 95 D Zurn Prizm w Remote Dose I O Security Shell The security shell helps prevent access to the medication The security shell encloses the IV bag or sterile vial with injector syringe and locks the pump in such a way that the medication reservoir is inaccessible but the pump...

Страница 57: ...e bottom of the security shell then hang the bag from the post inside the security shell or If you are using a syringe slide the end of the plunger into the syringe holder inside the security shell 2 Fit the pump onto the security shell cassette end first Make sure the tubing leading from the IV bag or syringe to the pump fits completely inside the security shell CAUTION Do not pinch the tubing be...

Страница 58: ... a CADD key you can lock the bracket in place so that neither the pump nor the polemount bracket can be removed from the IV pole CAUTION If you use the EPS System power pack with a pump mounted on an IV pole do not allow the power pack to hang from the pump s connector This could result in damage to the power pack or pump connector If you wish to use an external source of power with the CADD Prizm...

Страница 59: ...curity shell 5 Slide the pump or security shell downward until you hear it click into place To remove the pump or security shell from the polemount bracket 1 Insert the key into the lock and turn it clockwise until the mark on the lock lines up with the open unlocked dot on the polemount bracket 2 Push in and hold the black release button on the side of the polemount bracket 3 Lift the pump or sec...

Страница 60: ... this message The air detector is being turned on automatically because the pump is powering up in Lock Level 0 Use Options if you wish to turn off the air detector The air detector has detected air in the fluid path the fluid path may contain air bubbles or the tubing may not be threaded through the air detector Press to silence the alarm then Make sure the tubing is threaded properly If the flui...

Страница 61: ...ump s Lock Level Code has been customized A pump fault has occurred Close the tubing clamp and remove the pump from use Contact Customer Service to return the pump for service The pump has detected high pressure which may be resulting from a downstream blockage kink in the fluid path or a closed tubing clamp Remove the obstruction to resume operation Or press to stop the pump and silence the alarm...

Страница 62: ...ir if appropriate The reservoir volume value is low indicating that the level of fluid in the reservoir is low Prepare to install a new reservoir Fluid is not flowing from the reservoir to the pump Check for a kink a closed clamp or an air bubble in the tubing between reservoir and pump Press to stop the pump and silence the alarm for two minutes then remove the obstruction and press to restart th...

Страница 63: ......

Страница 64: ...arks are trademarks of Smiths Medical The symbol indicates the trademark is registered in the U S Patent and Trademark Office and certain other countries All other names and marks mentioned are the trademarks or service marks of their respective owners 2010 Smiths Medical All rights reserved 10 10 IN19822 Product s described may not be licensed or available for sale in Canada or other countries ou...

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