Starting the Pump ........................................................ 16
Stopping and Restarting the Pump ............................ 17
Removing a Cassette ................................................... 18
Attaching a Cassette .................................................... 19
Priming the Tubing and Starting the Pump ............... 22
Inserting the Tubing into the Air Detector ................. 24
What if I drop or hit the pump? .................................. 25
Alarms and Messages .................................................. 26
.................................... 15
Å
Introduction
Your doctor has recommended that you use the CADD-Prizm
pump as part of your treatment.
The CADD-Prizm® pump can be carried with you and is
designed to deliver medication into your body. Your physician will prescribe your medication specifically for you. Your
prescription is programmed into your pump by your clinician
according to your physician’s specific orders. This pump can
be reprogrammed as your medication needs change.
The pump can be programmed to deliver TPN (“total
parenteral nutrition”) solution or other fluids at a constant
rate. Delivery may “taper up,” or gradually increase, at the
beginning of delivery. Delivery may also “taper down,” or
gradually decrease, at the end of delivery. The pump stores
programmed information and historical information that
your clinician needs for your specific therapy.
Your clinician will instruct you on the proper use of this
pump. This guide is intended to supplement those instructions. Perform only those procedures for which you have
received training.
®
The following is a list of warnings and cautions that you
should read before operating the pump. It is important that
you understand and follow these warnings and cautions.
1
Failure to properly follow warnings, cautions, and instructions could result in damage to the pump or death or serious
injury.
Warnings
• If the pump is used to deliver life-sustaining medication, an
additional pump must be available.
• 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 and could, on occasion, be
significant.
You must regularly compare the volume remaining in the
syringe to the pump’s displayed values such as Reservoir
Volume or Given to determine if under-delivery is occurring and, if necessary, contact your clinician.
• Do not use rechargeable NiCad 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 you that the battery has
not been properly installed or has become dislodged. An
improperly installed or dislodged battery could result in
loss of power and non-delivery of drug.
2
• 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 nondelivery of drug.
• Prior to starting infusion, inspect the fluid path for kinks, a
closed clamp, or other upstream obstructions, and remove
all air to prevent air embolism.
• Close the tubing clamp before removing the cassette from
the pump to prevent unregulated gravity infusion.
• If you are using a CADD™ Administration Set or Medication Cassette Reservoir that does not have the flow stop
feature (reorder number does not start with 21-73xx): 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 delivery inaccuracies and unregulated gravity infusion that can result from
an improperly attached cassette.
• For detailed instructions and warning pertaining to Medication Cassette Reservoirs or CADD™ Administration Sets,
please refer to the instructions for use supplied with those
products.
• Frozen Medication must be thawed at room temperature
only. Do not heat the Medication Cassette Reservoir in a
microwave oven as this may damage the medication, the
Medication Cassette Reservoir, or cause leakage.
• Attach the cassette (the part of the Medication Cassette
Reservoir or CADD™ Administration Set that attaches to
the pump) properly. An improperly attached or detached
3
cassette could result in unregulated gravity infusion or a
reflux of blood.
• Do not prime the fluid path with the tubing connected to
your catheter. This could result in over-delivery of medication or air embolism.
• Ensure that the entire fluid path is free of all air bubbles
before connecting to your catheter to prevent air embolism.
• If the pump is dropped or hit, inspect the pump for damage. Do not use a pump that is damaged or is not working
properly. Contact your clinician for further instructions.
Cautions
• Do not operate the pump at temperatures below + 2˚C
(36˚F) or above 40˚C (104˚F).
• Do not store the pump at temperatures below -20˚C (-4˚F)
or above 60˚C (140˚F). Do not store the pump with a
Medication Cassette Reservoir or CADD™ Administration
Set attached.
• Do not expose the pump to humidity levels below 10% or
above 90% relative humidity.
• Do not store the pump for prolonged periods with the
battery installed.
• Failure to push the Power Pack cord connector or AC
Adapter cord connector all the way forward may result in
an intermittent connection, and the connector may dislodge, causing a loss of power and pump alarms.
• Do not immerse the pump in cleaning fluids or water or
4
allow solution to soak into the pump, accumulate on the
keypad, or enter the battery compartment, Data In/Out
jack, accessory jack, or Air Detector Port area.
• Do not clean the pump with acetone, other plastic solvents, or abrasive cleaners.
• Do not use the pump in the presence of flammable anesthetics or explosive gasses.
• Use only Smiths Medical MD accessories as using other
brands may adversely affect the operation of the pump.
5
CADD-Prizm® Pump (Diagram)
Green
Light
Battery
Compartment
Cassette (the
part of the
Medication
Cassette
Reservoir or
CADD
Administration
Set that
®
attaches to
the pump)
Keypad
Power Jack
(for the Power
Pack or AC
Adapter)
Data In/Out
Jack
Air Detector
(Optional)
Display
Amber
Light
Green Light
Blinks every 3 seconds when the pump is running and delivering fluid.
™
Amber Light
Flashing: pump is stopped; or an alarm exists. Steady: pump is
inoperable, call clinician.
Display
Shows information and messages. After a short time, the
display turns itself off to save power. Press any key to turn
the display back on.
6
Description of the Keys
⁄
Œ
Å
¤
„
Í
‹
´
Î
Starts and stops the pump and silences
alarms.
Used by the clinician.
The “Help” Key — explains what you see on
the display.
Used by the clinician.
Advances you from one screen to the next
and silences some alarms.
This key is not used in the TPN Delivery mode.
Used by the clinician.
Lets you answer yes to a question on the
pump’s display.
Lets you answer no to a question on the
pump’s display.
7
Installing a New Battery
A 9 volt battery may be used to power the pump. Even if you
are using a Power Pack or AC Adapter to power the pump,
you must have a 9 volt battery installed.
If 9-volt Battery Low or 9-volt Battery Depleted appears in
the display, or if Battery Low appears on the main screen,
you should change the battery.
Use a new 9 volt alkaline or lithium battery such as the
DURACELL® Alkaline MN 1604, the EVEREADY® ENERGIZER
Alkaline #522 or the ULTRALIFE® Lithium U9VL battery.
Dispose of used batteries in an environmentally safe manner,
and according to any regulations which may apply.
WARNINGS:
• Do not use rechargeable NiCad 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, which could result in death or
serious injury.
• Always have new batteries available for replacement. If
power is lost, non-delivery of drug will occur and, depending on the drug being administered, could result in death
or serious injury.
• There is no pump alarm to alert you that the battery has
not been properly installed or has become dislodged. An
improperly installed or dislodged battery could result in
loss of power and non-delivery of drug and, depending on
the drug being administered, could result in death or
serious injury.
• If the pump is dropped or hit, the battery door may
become broken or damaged. DO NOT USE the pump if it
8
has been damaged because the battery will not be properly secured; this may result in loss of power, nondelivery
of drug, and, depending on the type of drug being administered, death or serious injury.
To install a new battery:
1. Stop the pump by pressing
.
⁄
2. When you see Stop the pump?,
press ´.
3. Press the button on the battery
door and slide the battery door
forward. Remove the used
battery.
4. Match the + and – markings on
the new battery with the markings on the pump. Insert the
battery. The pump will beep
if the battery is inserted
correctly.
5. Replace the battery door. The
pump will power up automatically.
Stop the Pump?
Press Y or N
n»
Press
Battery
Door
Button
Match
attery»
6. Start the pump by pressing
.
⁄
7. When you see Start the
pump?, press ´.
NOTE:
• If you put the battery in backwards, the display will remain
Start the Pump?
Press Y or N
9
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