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Clinician Guide

p. 44

Smiths Medical
Offers Outstanding Support

• Clinical and technical support
• Education and training materials

for clinicians and patients

1-800-258-5361
www.smiths-medical.com

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES

Smiths Medical ASD, Inc.

St. Paul, MN 55112, USA

Tel: +1-614-210-7300

www.smiths-medical.com

Find your local contact information at: www.smiths-medical.com/customer-support

Smiths Medical is part of the global technology business Smiths Group plc. Product(s) described may not be licensed or

available for sale in all countries. CADD, CADD-Solis and the Smiths Medical design mark are trademarks of Smiths

Medical. 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.

Smiths Medical ASD, Inc.

6000 Nathan Lane North

Minneapolis, MN 55442, USA

Phone: 1-614-210-7300

Toll-Free USA 1-800-258-5361

MPAUCA-1456

Содержание CADD Solis VIP 2120

Страница 1: ...CADD Solis VIP Ambulatory Infusion Pump Model 2120 Clinician Guide ...

Страница 2: ...ings 8 Security Levels 9 I Programming the Pump 12 Start New Patient Single Protocol 12 Start New Patient Protocol Library 13 Delayed Start Next Dose Start Time 13 Edit View Delivery Settings 14 Review Pump Settings 15 PCA Delivery Mode 15 Continuous Delivery Mode 18 Intermittent Delivery Mode 19 Step Delivery Mode 21 Taper Delivery Mode 23 ...

Страница 3: ... Pump 31 Stop the Pump 31 Reset Reservoir Volume 32 I Tasks and Advanced Tasks 33 Tasks Menu Overview 33 Display and Sound Settings 33 Time and Date 34 Reports 36 Advanced Tasks Menu Overview 36 Patient Permissions 37 I References and Troubleshooting 38 Alarms and Messages 38 Troubleshooting 40 Alarms and Messages Alphabetical List 40 ...

Страница 4: ... or both such as patient controlled analgesia Continuous delivery allows the infusion of drug fluid at a constant programmed rate Intermittent delivery allows the infusion of a specific volume of drug fluid at a regular programmed interval Step delivery allows an incremental increase in infusion rate to a specified maximum infusion rate for a specified total infusion volume Taper delivery allows a...

Страница 5: ...f and the display goes blank to save battery power except during an alarm or when the AC adapter is in use Press any key to turn the display back on except the PCA dose key when in PCA mode Power Switch Turns the pump on or off Press and hold the switch Power Jack The AC adapter can be plugged into the power jack When the AC adapter is plugged in the blue power light turns on The light is on regar...

Страница 6: ...eable battery pack fit into this compartment The batteries are the primary source of power or serve as a back up when the AC adapter is in use Cassette Latch Used to attach the cassette to the pump Cassette Keypad Lock Secures the cassette to the pump using the pump key The cassette latch must be closed before it can be locked Air Detector The air detector can be turned on or off depending on faci...

Страница 7: ...running 6 The type of battery in use the approximate amount of life remaining and if an AC adapter is in use AA batteries with AC adapter Rechargeable battery pack Rechargeable battery with AC adapter AA batteries 7 Keypad lock status locked or unlocked 8 Units of measurement and concentration if applicable for the drug or solution used in the current protocol 9 Screen name and blue help text if a...

Страница 8: ...specific parameters and manage air and occlusion parameter settings Clinician Code The clinician code allows access to all the functions the keypad code allows In addition it allows users to modify most advanced task settings format the time and date change delayed start and priming security options and select new protocols Administrator Code The administrator code allows access to all pump functi...

Страница 9: ...Intermittent Next Dose Start Time Intermittent Only Prime Tubing View Delivery Settings Edit Delivery Settings Therapy Type Determines Which Submenus Appear Display and Sound Settings Menu Backlight Intensity Alarm Volume Sound Theme Key Beep On Off Numeric Format Change Time and Date Menu Current Time Current Date Time Format Date Format View Reports View Advanced Tasks See Security Levels Advanc...

Страница 10: ...n Settings Alarm Settings Security Settings Menu Keypad Security Keypad Code Clinician Code Admin Code Manual Programming Security Start New Patient Select a Manual Mode Protocol Start New Protocol Same Patient Select a Manual Mode Protocol Delivery Hard and Soft Limits Menu Therapy Type Determines Which Submenus Appear Reset to Factory Settings TABLE KEY Yes No Availability based on facility prot...

Страница 11: ...take effect Note The keypad can be re locked by pushing the right soft key twice from the home screen or once from the Tasks or Advanced Tasks menu As a recommended safety precaution always manually lock the pump using this feature Entering Security Codes Press or to scroll to the correct digit Press Select or Accept Value to advance to the next digit Once the complete code has been entered press ...

Страница 12: ...t each delivery setting by pressing the right soft key Accept Value If any of the delivery setting values need to be edited press the Select key Once all the values have been accepted press the right soft key Next Start Pump appears choose Yes b Start Pump may appear on the screen Choose No The home screen will appear To review the delivery settings before starting the infusion Press the right sof...

Страница 13: ...2 If a cassette is attached latched and locked if using the PCA therapy the Prime tubing screen may appear The Start pump screen appears Select Yes to start the pump immediately or No start the pump at a later time Manual Mode Programming You can manually program the CADD Solis VIP pump if the physician s orders do not match the single protocol or any of the protocols in the library or if the pati...

Страница 14: ...The pump must be running on the selected date and time in order for delivery to begin To Set the Next Dose Start Time 1 Stop the pump if it is running If a dose was delivering when the pump was stopped the Interrupted screen appears Note If a dose is in progress this cancels the remainder of the dose 2 From the Tasks menu press or until Set Next Dose Start Time is highlighted then press Select 3 U...

Страница 15: ...ted as accurate To Review Pump Settings 1 When the Review pump settings screen appears select Review 2 Press or to scroll through and review all the settings If the highlighted setting is correct press Accept Value If the highlighted setting is incorrect press Select to edit the setting Press or to modify the setting and then press Save or Confirm 3 When the review is complete select Next PCA DELI...

Страница 16: ...ncy of available doses is limited by the programmed PCA lockout time If the PCA Lockout is one hour or greater this setting will not appear in the menu KVO Rate The KVO or keep vein open rate is calculated by the pump It allows the delivery of a minimal amount of drug to help maintain catheter patency If a continuous rate is programmed it will display as 0 1 mL hr or the mg or mcg equivalent If no...

Страница 17: ...reen shows the decreasing amount as the bolus is delivered You may stop the bolus at any time by selecting Stop Bolus 7 When the bolus has been delivered the screen says Clinician bolus complete Select OK Start a PCA Dose If a PCA dose is programmed the patient may start a PCA dose while the pump is running The amount delivered is added to the amount provided by the continuous rate Each time the p...

Страница 18: ...sion are indicated on the home screen with messages appearing in text a graphic in a shape unique to the therapy and with the colors green red and grey Examples specific to the continuous delivery mode are The pump is running with a programmed delayed start The pump is stopped It will deliver at a continuous rate once it is started Programming Screens Continuous Rate The desired continuous rate of...

Страница 19: ...ens Dose Volume The volume of the dose cannot be programmed to a value that would cause the rate of delivery for the programmed dose duration to exceed the dose rate maximum of 500 mL hr Therefore programming the dose volume may result in the automatic lengthening of the dose duration to accommodate the maximum dose rate Dose Duration The length of time required to deliver the dose The dose durati...

Страница 20: ...e between doses or until a dose begins if the next dose start time has been set to a value other than immediate Reservoir Volume The volume of fluid contained in the reservoir The reservoir volume value decreases as the pump is primed or delivers fluid Stopping the Pump During an Infusion Stopping the pump between doses does not affect the start time of subsequent doses Stopping the pump while a d...

Страница 21: ...ion is complete Programming Screens Infusion Volume The total volume of fluid to be delivered The reservoir volume must be large enough to support the entire infusion volume Therefore programming the infusion volume may result in an automatic increase in the reservoir volume Entering a new infusion volume resets the infusion so that delivery starts at the beginning Initial Rate The initial rate of...

Страница 22: ...me should not be programmed or edited to be less than the programmed infusion volume Entering a new reservoir volume resets the infusion so that delivery starts at the beginning Start Time The time the next infusion will begin It is displayed only if the delayed start is programmed The pump must be running on the selected date and time in order for the infusion to begin Note In the Step therapy yo...

Страница 23: ...wn and press Select 2 The pump displays a screen that tells you the current rate and asks you if you want to step down to the previous step rate and hold at that rate Select Yes TAPER DELIVERY MODE Taper delivery allows the infusion of nutritional solutions TPN total parenteral nutrition or other fluids with optional tapering Delivery can be gradually increased or tapered up at the beginning of th...

Страница 24: ...lume and taper up You cannot select a taper down duration that would cause the plateau rate to exceed the maximum allowable rate Entering a new taper down duration resets the infusion so that delivery starts at the beginning Infusion Duration The time required to deliver the infusion volume The minimum programmable infusion duration is limited by a combination of the plateau rate infusion volume t...

Страница 25: ... the pump a screen appears with the message Infusion was interrupted before completion Finish interrupted infusion or start from beginning with new bag Select New Bag to reset the reservoir volume and reset the infusion Or select Finish to resume the infusion from the point it was at when it was last running Taper Down Now This task allows you to stop an infusion early by immediately tapering down...

Страница 26: ...ump loses power AC Adapter The AC adapter can be used as an alternate source of power for the pump and or to recharge the rechargeable battery pack The pump requires AA batteries or the rechargeable battery pack to be installed as a backup while using the AC adapter Rechargeable Battery Pack The rechargeable battery pack is an alternative to using four AA batteries The rechargeable battery pack ca...

Страница 27: ... and tests for alarm conditions If any issues are found while the pump is performing the self tests alarms will sound If you believe there is a problem remove the pump from service and contact Smiths Medical Customer Service CAUTION If the power up results in an error message indicating that the protocol library was lost do not proceed with using the pump Follow your facility s procedures for down...

Страница 28: ...cassette reservoir or CADD administration set attached to a flexible IV bag Before attaching a new cassette make sure the pump is powered on Once the cassette is attached the pump automatically displays screens that allow you to verify the cassette type prime the fluid path reset the reservoir volume review pump settings and or start the pump 1 Clamp the tubing 2 Make sure the cassette latch is un...

Страница 29: ... the pump key into the cassette keypad lock and turn clockwise into the locked position Cassette Locked appears briefly in the status bar Note For PCA infusions the cassette must be locked in order to start the pump PRIME TUBING When priming the fl uid path the tubing downstream of the pump is filled with fluid removing any air bubbles Prime the tubing before connecting it to the patient s infusio...

Страница 30: ...Stop priming at any time by selecting Stop Priming Priming automatically stops after 10 mL or 20 mL if a high volume set is attached are primed Continue priming as needed Prime Tubing No Cassette Change 1 Stop the pump if it is running 2 In the Tasks menu press or until Prime Tubing is highlighted and then press Select 3 Unlock the keypad if required 4 If you have not already done so disconnect th...

Страница 31: ...t Pump appears select Yes 3 The pump begins running The red Stopped message in the status bar changes to a green Running message and Infusion is starting now appears briefly on the screen If a delayed start was programmed the display turns green and a message that the infusion is delayed appears briefly on the screen Then the Delayed Start screen appears along with the time remaining until the inf...

Страница 32: ...ume after attaching a new cassette 1 The pump displays a question asking if you wish to reset the volume to the default amount If this screen does not appear the reservoir volume may already be reset 2 If you are running a step or taper therapy you also see Infusion will be reset Select Yes to reset the volume and infusion Select No to keep the reservoir volume at the current setting To reset the ...

Страница 33: ... and numeric formats This change is for the current protocol only and remains in effect until the Start New Patient or Same Patient New Protocol task is selected To view or change any of these settings In the Tasks menu press or to highlight Display and Sound Settings and press Select Press or to highlight the setting you wish to view or change and press Select Unlock the keypad if required Edit t...

Страница 34: ... beeps will not sound while any alarm screens are being displayed or when entering a security code Numeric Format The numeric format setting allows you to select the character or space used to indicate the decimal point and thousands units separators This will be determined by your CADD Solis system administrator when the protocol library is created Contact your CADD Solis system administrator or ...

Страница 35: ...ystem administrator when the protocol library is created Contact your CADD Solis system administrator or see the Operator s Manual for more information Date Format The date format option allows you to select 1 of 3 formats for indicating the day month and year This will be determined by your CADD Solis system administrator when the protocol library is created Contact your CADD Solis system adminis...

Страница 36: ... by a CADD Solis system administrator Protocol libraries consisting of therapies qualifiers and drugs are created using the CADD Solis medication safety software The Advanced Tasks menu allows you to select a standard therapy protocol created by the CADD Solis system administrator or make changes to an individual protocol for single use or to manually program a protocol Notes When creating or edit...

Страница 37: ... In some cases the default security settings may be changed to allow patients additional access to pump functions Do not reduce security settings without providing proper training to patients The Patient Permissions task allows you to control a patient s access to two specific tasks priming and setting a delayed start Setting the permission to Off allows the patient to access one or both tasks wit...

Страница 38: ...mp by opening the battery door and if necessary removing the AC power Close the battery door and turn the pump back on If the error code does not repeat Customer Service may suggest continued use of the pump If the error is persistent the pump must be returned for service Note Document the error numbers displayed on the system fault screen to help Customer Service identify the problem High Priorit...

Страница 39: ...l examples are Cassette Locked and Cassette Unlocked Alarm Help Screens Additional information may be displayed when certain alarms occur The help screens describe what you can do to try to solve the current problem that is causing the alarm 1 When an alarm occurs select Silence to quiet the alarm 2 If help screens are available for the alarm Help appears above the right soft key To view the help ...

Страница 40: ...n is blank and alarm is sounding High The pump was delivering and the batteries were removed or the battery door was opened The pump lost power and is no longer delivering Clear the alarm by turning the pump back on or the alarm will stop after the power has been off for a minimum of 2 minutes A setting was edited but not saved and the edit was lost Medium A parameter was being manually edited but...

Страница 41: ... information about resetting the reservoir volume Cannot start pump without a latched cassette Medium The pump will not start without a cassette attached Select Acknowledge to clear the alarm Make sure a cassette is properly attached then start the pump NOTE This alarm has associated help screens Cassette not attached properly Reattach cassette High The cassette is not properly attached Close the ...

Страница 42: ...6 Wait 10 seconds 7 Close the Flow Stop feature if present 8 Reattach the CADD medication cassette reservoir or CADD administration set to the pump 9 Open the distal clamp 10 Review the pump program 11 Restart the pump NOTE This alarm has associated help screens High flow admin set required Remove cassette High The delivery specific parameters are programmed to values that cause the maximum rate o...

Страница 43: ...the event log see page 32 Reservoir volume is zero Pump stopped High The reservoir volume is 0 0 mL The pump was delivering but is now stopped and will not run Select Acknowledge to clear the alarm Attach a new reservoir and reset or edit the value of the reservoir volume if appropriate Reservoir volume low Medium Low Medium The programmed reservoir volume trip point has been reached indicating th...

Страница 44: ...port Smiths Medical is part of the global technology business Smiths Group plc Product s described may not be licensed or available for sale in all countries CADD CADD Solis and the Smiths Medical design mark are trademarks of Smiths Medical 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 th...

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