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•
Use of a syringe with the CADD
®
administration set may result in UNDER
DELIVERY of medication. Syringe function
can be adversely affected by variations in
plunger dimension and lubricity, which can
result in greater force required to move the
syringe plunger. A syringe plunger will lose
lubrication as it ages and, as a result, the
amount of under-delivery will increase which
could on occasion, be significant. Therefore,
the type of medication and delivery accuracy
required must be considered when using a
syringe with the CADD
®
-Solis pump.
Clinicians must regularly compare the volume
remaining in the syringe to the pump’s
displayed values such as reservoir volume
and given in order to determine whether the
under-delivery of medication is occurring and
if necessary, take appropriate action.
•
There are potential health hazards associated
with improper disposal of batteries,
electronics, and contaminated (used)
reservoirs and extension sets. Dispose of used
batteries, reservoirs, extension sets, and other
used accessories, or a pump that has reached
the end of its useful life, in an environmentally
safe manner, and according to any regulations
that may apply.
•
Do not administer drugs to the epidural space
or subarachnoid space unless the drug is
indicated for administration to those spaces.
•
To prevent the infusion of drugs that are not
indicated for epidural space or subarachnoid
space infusion, DO NOT use administration
sets that incorporate injection sites.
•
If a CADD™ medication cassette reservoir or
CADD
®
extension or administration 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 color
coding, or other means of identification.
•
Do not use rechargeable NiCd or nickel metal
hydride (NiMH) batteries. Do not use carbon
zinc (“heavy duty”) batteries. They do not
provide sufficient power for the pump to
operate properly.
•
Always have new batteries available for
replacement. If power is lost, non-delivery of
drug will occur.
•
There is no pump alarm to alert users that a
battery has not been properly installed. An
improperly installed battery could result in
loss of power and nondelivery of drug.
•
Always check the battery compartment for
fluid or debris before inserting the batteries
and do not allow any fluid or debris to fall
into the battery compartment. Fluid or debris
in the battery compartment may damage the
battery contacts and could result in loss of
power and nondelivery of drug.
•
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 batteries will not be properly
secured; this may result in loss of power and
nondelivery of drug.
•
Follow the instructions for use provided
with the CADD™ medication cassette
reservoir, CADD
®
extension set, or CADD
®
administration set, paying particular attention
to all warnings and cautions associated with
their use.
•
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 of blood,
which could result in death or injury to the
patient.
If you are using a CADD
®
administration set
or CADD™ medication cassette reservoir that
does not have the flow stop feature: you must
use a CADD
®
extension set with anti-siphon
valve or a CADD
®
administration set with
either an integral or add-on anti-siphon valve
to protect against unregulated gravity infusion
that can result from an improperly attached
cassette.
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