X
This online version differs from the printed
version.
Certain information that is not intended for
patients has been removed.
s
The CADD®-Solis ambulatory infusion system
is designed to promote patient care and safety
for a variety of adult and pediatric patients and
clinical care areas, including, but not limited to,
post-operative, trauma, critical care, oncology, and
labor and delivery. This manual concerns only the
CADD
pump can be programmed with a pump protocol
configuration, consisting of a therapy, qualifier,
and drug. The pump can deliver medication at a
constant rate and/or with a bolus dose.
This manual is intended for clinician use only, do
not permit patients to have access to it. The pump
has three security levels designed to limit overall
patient access and clinician access to certain pump
features. Only disclose the pump’s security codes to
those who are authorized. Patient and unauthorized
clinician access to the pump key should also be
restricted.
The issue date of this Operator’s Manual is included
on the back cover. In the event one year has elapsed
between the issue date and product use, the clinician
should contact Smiths Medical to see if an updated
revision of this manual is available.
-Solis ambulatory infusion pump. This
®
Technical Assistance
If you have comments or questions concerning the
operation of the CADD®-Solis ambulatory infusion
pump, please call the number given below. When
calling, please specify the pump’s software version
number. This information is located in the Device
Information Report (See Reports on page 27).
Our staff at Smiths Medical is available to help twentyfour hours a day with the programming and operation
of the CADD®-Solis ambulatory infusion pump.
U.S. Distribution:
Smiths Medical MD, Inc.
1265 Grey Fox Road
St. Paul, MN 55112
1 800.426.2448
+1 651.633.2556
www.smiths-medical.com
European Distribution:
Smiths Medical International Ltd.
WD24 4LG, UK
+44 (0) 1923 246434
Read this entire Operator’s Manual before operating
the CADD
Failure to properly follow warnings, cautions, and
instructions could result in death or serious injury to
the patient.
-Solis ambulatory infusion pump.
®
WARNINGS
• This operator’s manual should be used by
clinicians only. Do not permit patients to
have access to this manual, as the information
contained would allow the patient complete
access to all programming and operating
functions.
• To avoid explosion hazard, do not use the
pump in the presence of flammable anesthetics
or explosive gases.
• For those patients who are likely to be
adversely affected by unintended operations
and failures, including interrupted medication
or fluid delivery from the device, close
supervision and provision for immediate
corrective action should be provided in order
to assure minimum medication delivery
interruption. Pump failure will suspend
medication delivery, and unintended
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 close supervision and provision
for immediate corrective action should be
provided to assure minimum medication
delivery interruption in the event of a pump
failure. Pump failure will suspend medication
delivery.
• The pump is not to be used for delivery of
blood or cellular blood products, as blood
and blood products will be damaged by the
pumping mechanism.
• If the pump is dropped or hit, inspect the
pump for damage. Do not use a pump that
is damaged or is not functioning properly.
Contact Smiths Medical Customer Service to
return a pump for service.
1
• 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
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.
-Solis pump.
®
®
• 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.
2
• Per general rules of safe practice, always clamp
tubing before removing the cassette from the
pump. Removing the cassette without closing
the clamp could potentially cause unregulated
gravity infusion.
• The use of power supplies and a remote
dose cord other than those listed in the
electromagnetic emissions declaration may
result in increased emissions or decreased
immunity of the pump
• Exercise care when using the clinician bolus
function. Since there are no limits on the
frequency of delivering a bolus, and since the
amount of the 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.
• To prevent the patient from accessing the
clinician bolus function, do not let the patient
know the security codes.
• Never leave the pump unattended while on
the clinician bolus edit screen. You must
press “Confirm” or “Deliver” to deliver the
programmed value or cancel to leave the
screen. Failure to do so could result in serious
patient injury or death.
• Do not prime the fluid path with the tubing
connected to a patient as this could result in
overdelivery of medication or air embolism.
• Ensure that the entire fluid path is free of all
air bubbles before connecting to the patient to
prevent air embolism.
• The manual mode does not contain
programming limits. Be sure to carefully
review each parameter to ensure it accurately
matches the prescription.
• The pump should not be used adjacent to
or stacked with other equipment. If adjacent
or stacked use is necessary, the user should
verify normal operation of the pump in the
configuration in which it is to be used.
CAUTIONS
• To avoid damaging the pump’s electronics, do
not operate the pump at temperatures below
2°C (36°F) or above 40°C (104°F)
• To avoid damaging the pump’s electronics,
do not store the pump at temperatures below
–20ºC (–4°F) or above 60°C (140°F). Do not
store the pump with a medication cassette
reservoir or CADD® administration set
attached.
• To avoid damaging the pump’s electronics, do
not expose the pump to humidity levels below
20% or above 90% relative humidity.
• CADD
damaged seal will, therefore, be considered
conclusive evidence that the pump has been
misused and/or altered, which voids any
and all warranties. All service and repair of
CADD® pumps must be performed by Smiths
Medical or its authorized agents.
pumps are sealed units. A broken or
®
• Ensure that the ± 6% system delivery accuracy
specification is taken into account when
programming the pump and/or filling the
reservoir. Failure to do so may result in
medication in the reservoir becoming depleted
sooner than expected.
• System delivery inaccuracies may occur as
a result of back pressure or fluid resistance,
which depends upon drug viscosity, catheter
size, and extension set tubing (for example,
microbore tubing), and placing the infusion
reservoir and/or pump above or below the
level of the patient.
• Inspect the AA batteries for damage or wear
to the metal or plastic insulation prior to use,
or after the pump has been dropped or hit.
Replace the batteries if any damage is noted.
• Do not store the pump for prolonged periods
with the batteries installed. Battery leakage
could damage the pump.
• 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 downloading protocol
libraries.
3
• Only use accessories that are specified for use
with the CADD®-Solis ambulatory infusion
pump.
• If you are using a medication cassette reservoir
in which the medication is frozen, thaw at
room temperature only. Do not heat in a
microwave oven as this may damage the
product and cause leakage.
• 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 downloading protocol
libraries.
• Do not immerse the pump in cleaning fluid
or water. Do not allow solution to soak in to
the pump, accumulate on the keypad, or enter
the battery compartment, USB port, remote
dose cord jack, or power jack areas. Moisture
buildup inside the pump may damage the
pump.
• Use of this pump on patients monitored by
electronic equipment may cause artifactual
interference. As with all electronic equipment,
electrical 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.
• Do not use the pump in hyperbaric chambers
as they will affect how the pump works and
may also cause damage to the pump.
• Do not clean the pump with acetone, other
plastic solvents, or abrasive cleaners, as
damage to the pump may occur.
• The pump SHOULD NOT BE DIRECTLY
IRRADIATED by therapeutic levels of ionizing
radiation because of the risk of permanent
damage to the pump’s electronic circuitry.
The best procedure to follow is to remove the
pump from the patient during therapeutic
radiation sessions or diagnostic levels of
radiographic and fluoroscopic radiation. If
the pump must remain in the vicinity during
a diagnostic or therapy session, it should be
shielded, and its ability to function properly
should be confirmed following treatment.
• Do not expose the pump directly to
ultrasound, as permanent damage to the
pump’s electronic circuitry may occur.
• Magnetic fields produced by magnetic
resonance imaging (MRI) equipment may
adversely affect the operation of the pump.
Remove the pump from the patient during
MRI procedures and keep it at a safe distance
from magnetic energy.
4
Table of Contents
Technical Assistance ............................................................ 1
WARNINGS .............................................................................. 1
CAUTIONS ...............................................................................3
General Description ............................................7
Introduction ...........................................................................7
Indications ............................................................................... 7
Epidural/Subarachnoid Administration ........................7
Analgesics ...................................................................... 7
Anesthetics ................................................................... 7
Symbols .................................................................................... 8
Features of the pump system ...........................................9
Pump Diagram.....................................................................11
Description of the Keys, Components, Ports,
and Connectors ...................................................................11
Indicator Lights ..........................................................11
Display with backlighting ...................................... 11
Keypad ......................................................................... 12
Power Switch .............................................................. 12
Power Jack ...................................................................12
USB Port ....................................................................... 12
Remote Dose Cord Jack ..........................................12
Battery Compartment .............................................12
Cassette Latch ............................................................ 12
Cassette/Keypad Lock ............................................. 12
Delivery Methods ............................................................... 13
Pump Setup ....................................................... 14
Installing the Batteries ...................................................... 14
Replacing the battery door ................................... 15
Power Up ............................................................................... 15
Description of pump accessories .................................. 15
CADD
Desktop AC Adapter ................................................15
Rechargeable Battery Pack .................................... 15
Cassette ........................................................................ 16
Remote Dose Cord ................................................... 16
Polemount Bracket Adapter..................................16
Polemount Bracket ...................................................16
Pump Key ..................................................................... 16
Programming the Pump: General Instructions ........ 17
The Pump Screen ...................................................... 17
Color Display ..............................................................17
Before Programming ............................................... 18
Attach a Cassette ................................................................ 18
Remove a Cassette ............................................................. 19
Start the Pump.....................................................................19
Stop the Pump .....................................................................20
-Solis Medication Safety Software ....... 15
®
Programming and Operation ..........................21
Security Settings ................................................................. 21
Security Level Table .................................................21
Autolock .......................................................................22
Tasks ........................................................................................22
Give Clinician Bolus ..................................................22
Start New Patient ......................................................23
Start New Protocol, Same Patient ....................... 24
Prime Tubing ..............................................................24
Set Time and Date ....................................................25
Adjust Backlight Intensity ...................................... 26
Adjust Alarm Volume ...............................................26
View Reports ..............................................................26
Adjust Admin Settings ............................................27
Reports ................................................................................... 27
Given and PCA Dose Counters .............................27
PCA Dose Graph ........................................................28
Delivery History and Pie Chart .............................28
Delivery Log ................................................................ 28
Event Log .....................................................................28
Protocol Library Summary .....................................29
Device Information ..................................................29
Patient Specific Parameters (Programming Screens) .29
Continuous Rate ........................................................ 30
PCA Dose .....................................................................30
PCA Lockout ...............................................................30
Hourly Limit ................................................................ 31
Max Doses/Hr ............................................................. 31
Reservoir Volume ...................................................... 32
Manual Mode Programming .......................................... 32
References and Troubleshooting ....................35
Understanding the Alarms and Messages .................35
Alarms and Messages, Alphabetical List .....................36
Cleaning the Pump and Accessories ............................ 43
Exposure to Radiation
or Magnetic Resonance Imaging (MRI) .......................43
Continuous Rate Scroll Ranges ......................................44
PCA Dose, Clinician Bolus Scroll Ranges: Milliliters ......44
PCA Dose, Clinician Bolus Scroll Ranges: Milligrams .....44
PCA Dose, Clinician Bolus Scroll Ranges: Micrograms ..44
Technical Description ........................................................ 45
Specifications (Nominal) ..................................................46
General Pump Specifications ...............................46
Delivery Specifications ...........................................48
Administrator Settings Specifications ...............48
Electromagnetic Emissions
and Immunity Declarations ................................... 49
5
Collect Separately ................................................... 51
Z
Programming Screens/Menus Maps .................. 51
Default Factory Settings ...................................................52
Accuracy Test Results ........................................................53
Start-up curve over the stabilization period
Flow rate: Intermediate (10 mL/hr) ..................... 53
Trumpet Curve over T(2) Period:
Intermediate rate (10 mL/hr) .................................53
Index ..................................................................55
Limited Warranty .............................................59
6
General Description
General Description
Introduction
The CADD®-Solis ambulatory infusion pump
system provides measured drug therapy to patients
in hospital or outpatient settings. Therapy should
always be overseen by a physician or a certified,
licensed healthcare professional. As appropriate, the
patient should be instructed in using the pump.
Indications
The CADD®-Solis ambulatory infusion pump
is indicated for intravenous, intra-arterial,
subcutaneous, intraperitoneal, in close proximity
to nerves, into an intraoperative site (soft tissue,
body cavity/surgical wound site), epidural space, or
subarachnoid space infusion. The pump is intended
for therapies that require a continuous rate of
infusion, patient-controlled demand doses, or both
(such as patient-controlled analgesia).
Epidural/Subarachnoid
Administration
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,
precautions, or contraindications in the drug
labeling.
WARNING:
• Donotadministerdrugstotheepiduralspace
or subarachnoid space unless the drug
is indicated for administration to those
spaces. Drugs not intended for epidural or
subarachnoid space infusion could result in
serious patient injury or death.
• Topreventtheinfusionofdrugsthatarenot
indicated for epidural space or subarachnoid
spaceinfusion,DONOTuseadministration
sets that incorporate injection sites. e
inadvertentuseofinjectionsitesforinfusion
of such drugs may cause serious patient injury
or death.
• IfaCADD™medicationcassettereservoiror
CADD® extension or administration set is used
for epidural space or subarachnoid space drug
delivery,itisstronglyrecommendedthatit
be clearly dierentiated from those used for
other routes of infusion, for example, by color
coding, or other means of identication. Drugs
not intended for epidural or subarachnoid
space infusion could result in serious patient
injury or death.
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.
Anesthetics
Administration of anesthetics to the epidural
space is limited to use with indwelling catheters
specifically indicated for short-term drug delivery.
7
General Description
Symbols
Direct Current (Power Jack)
1
f
K
J
E
D
<
>
6
Consult Instructions for Use
Caution
Class II Equipment
Type CF Equipment
Splashproof—water splashed against pump
housing will have no harmful effects (see
Cleaning the Pump and Accessories on p. 44
for additional important information)
Date of Manufacture
Catalog Number
Serial Number
CAUTION:Federal (USA) law restricts
this device to sale by or on the order of a
physician.
Collect Separately
Z
P
_
i
@
Temperature Limitation
Humidity Limitation
Atmospheric Pressure Limitation
Authorized Representative in the European
Community
Symbols on the pump’s display
Indicates reservoir volume
Rechargeable battery pack charge level
Rechargeable battery pack charge level, with
AC adapter
AA battery charge level
AA battery charge level, with AC adapter
No battery installed, AC power only
Incompatible battery
Incompatible battery, with AC adapter
Pump status is running
Pump status is paused or in KVO
Pump status is stopped
Arrows used in the soft key bar indicating there
are more items to see by pressing U or D
Arrows used in the soft key bar indicating the
top of the menu, press D to move through the
menu
Arrows used in the soft key bar indicating
the bottom of the menu, press U to move
through the menu
Home screen
Indicates keypad is locked
Australian Representative
Power on/off button
USB port
Remote dose cord jack
Cassette lock/unlock
AA battery location, positive terminal
faces up
AA battery location, negative terminal
faces up
AA battery location, positive terminal
faces up
AA battery location, negative terminal
faces up
8
Indicates keypad is unlocked
Appears next to parameter if it has been
reviewed and accepted
Appears on edit screens where a value is scrolled;
indicates where the value is being scrolled
Appears on edit screens where there is a
menu of options; indicates which setting is
being selected
Indicates the requested action could not be
performed (e.g., wrong security code entered)
Appears on PCA dose report to indicate
more data is available
Review screen
Appears when the pump is saving an edited
parameter
General Description
Features of the pump system
The CADD®-Solis ambulatory infusion system
delivers break-through advancements in patientcentered pain management infusion solutions.
The CADD®-Solis ambulatory infusion pump
and CADD®-Solis Medication Safety Software are
designed to help promote optimal patient safety,
patient care, and a scalable connectivity platform
designed to grow with evolving clinical and
technology needs.
Patient Safety—Built-in medication delivery
safety features and advancements in programming
simplicity enable a patient-focused, treatmentorientated infusion system designed to help address
medication safety goals and reduce the risk of
programming errors:
• State-of-the-art technology designed to meet
advanced dose-error reduction guidelines:
– Initial programming set-up.
– Dose limits.
– Indication of overridden soft limits.
– Configure protocol library to current
practices.
– Software that is simple to operate.
– Display protocol and drug name at all
times.
– Tracks limit overrides and programming
changes.
• Customizable therapy-based protocol libraries
deploy user’s best practices in all care areas:
– Facility-defined protocol library includes
the therapy, qualifier, drug, unit/
concentration, dose limits, and drug
delivery parameters.
– Personalize therapy within user-defined soft
and hard limits.
– Simulates standard flow sheet used in many
healthcare facilities.
• Secure access and simple menu structure with
soft-key interface and familiar CADD® pump
scroll keys:
– Soft key interface helps make programming
and navigating intuitive and easy.
– Scroll keypad prevents entering values
outside of defined program limits.
– Designate authorized users with levels of
security access.
Patient Care—A versatile multi-therapy infusion
system designed to support pain management
medication delivery needs. The compact,
lightweight design promotes patient mobility, which
is associated with improved clinical outcomes,
reduced length-of-stay, and reduced treatment costs:
• A highly versatile, multi-therapy pain
management infusion system:
– IV PCA, epidurals, nerve blocks, surgical
site infusion therapies.
– Therapies that require a continuous rate of
infusion, patient-controlled PCA doses, or
both (such as patient-controlled analgesia).
– Post-op, labor and delivery, trauma, and
pediatrics.
• Medication delivery focused on the point of
care:
– Strikingly clear screen displays therapy
protocol, drug, medication delivery settings,
and status.
– Color indicators of therapy protocol, pump
operating status, and alarms/alerts.
• Immediate access to patient data to assist
with patient assessment with on-screen color
graphs and trending data:
– Unique graphs, trend reports and user
audit trail facilitate patient-centered care
management and promote continuous
quality indicators (CQI) processes.
– Reports include: given and PCA dose
counters, PCA dose graph, delivery
history and pie chart, delivery log, event
log, protocol summary library, device
information.
• Human factors design testing to help ensure
ease-of-use:
– Rigorous testing and analysis resulting in
an intuitive design with easy to operate
controls and high contrast display to help
save time and lower the risk of user error.
• Versatile administration set options:
– Smiths Medical offers a wide variety of
CADD® administration sets, featuring
exclusive medication cassette reservoirs to
promote patient mobility.
9
General Description
ScalableConnectivity—The flexible architectural
platform is ideal to grow with your evolving clinical
and technology road map.
• Flexible design supports future point of care
expansion needs:
– Unique platform provides immediate
clinical care benefits and flexibility to
sustain our vision of evolutionary IT
infrastructure needs.
– Promotes maximum patient safety,
personalized therapy for patient needs,
supports best practices and enables
continuous quality improvements.
Additional features of the CADD®-Solis ambulatory
infusion system:
• Use with CADD®-Solis Medication Safety
Software to optimize capabilities:
– Use with CADD®-Solis Medication
Safety Software to optimize medication
delivery safety features and comprehensive
management and analysis capabilities of the
CADD®-Solis ambulatory infusion system.
• Firmware design highlights:
– TALL/short man display style along with
units of measurement and/or concentration
promotes added safety.
– Status bar displays reservoir volume
status, delivery status, and power status
at all times, unless there is an alarm/alert
condition, and each indicator is color-coded
green, amber or red for an immediate visual
indication of pump operating status.
– Screen title bar with help text helps the user
easily identify their location in the pump
menu.
– Alarm/alert screens are color coded to low,
medium, and high priority conditions.
– Therapy, qualifier, drug, concentration/
units, and keypad lock status displayed at
all times except when viewing reports or
during alarm/alert conditions.
– Print bar codes and prescription forms.
• Hardware design highlights
– Cassette latch designed to help easily attach
the medication cassette reservoir.
– PCA dose @ key on pump for convenient
PCA dose availability while patient is
ambulatory.
– Remote PCA dose cord with LED
ergonomically designed to facilitate patient’s
ease of use.
– Agile polemount bracket adapter attached
to back of pump enhances visibility on IV
pole.
– Three power sources offer versatile
and economic options: 4 AA batteries;
rechargeable battery pack, and AC power.
– Integral air-in-line detection to notify user
of presence of air-in-tubing.
– PM (preventative maintenance) reminder
available.
– Splash proof (IPX4) moisture protection.
• Additional highlights
– User-friendly, easy-to-teach programming/
navigation menu may help shorten staff inservice time and promotes patient bedside
care.
– Three levels of customizable security
access levels: keypad code; clinician code;
administrator code, allows facility to
designate user access.
– Cassette/keypad lock promotes added
safety.
– On-board library holds up to 500 therapy
protocols.
– Adjustable alarm/alert volumes to meet
specific clinical setting needs.
– Event log holds up to 5,000 events.
– Clinical, technical, and implementation
support are offered 24/7 by Smiths Medical.
10
General Description
Pump Diagram Description of the Keys,
Components, Ports, and Connectors
Front View
Battery Compartment
Display
Indicator Lights
Amber
Green
USB Port
Blue AC
Power Light
AC Power Jack
Remote
Dose Cord
Jack
Keypad
Indicator Lights
When the pump is powered, one or both of the
indicator lights will flash.
Green: The green light flashes to indicate
that the pump is running and delivering fluid
as programmed.
Amber: The amber light flashes when the
pump is stopped, an alarm condition exists,
or the battery or the reservoir volume is low.
It stays on continuously when the pump is
inoperable. The display will briefly describe
the alarm condition when the amber light is
flashing.
NOTE: At times both lights may flash. This
indicates that the pump is running, but there
is a condition the clinician should be aware of
(e.g., low battery or low reservoir volume).
Rear View
Power Switch
Cassette/Keypad Lock
(Unlock/Lock)
Cassette Latch
Display with backlighting
The liquid crystal display (LCD) shows
programming information and messages.
Backlighting helps keep the display visible in low
light. In this manual, “display” is synonymous with
display panel or LCD.
After a period in which no keys are pressed, the
backlighting turns off and the display goes blank
to save battery power (except during an alarm or
when an external power source is in use). You may
press any key to turn the display back on.
NOTE: When the display is blank, you can
determine that the pump is powered by observing
either the green or amber (or both) LED indicators
periodically flashing.
NOTE: If you press stop/start 9, the display will
reappear with a message asking if you wish to start
or stop the pump.
Cassette (the part
of the medication
cassette reservoir
or CADD®
administration set
that attaches to
the pump)
NOTE:If you press PCA dose @ while the pump
screen is blank, the pump will deliver a PCA dose,
if available.
11
General Description
Keypad
The keys on the keypad are described below. A key
beeps when pressed if it is operable in the current
state of the pump. However, the keys will not beep
if the key beep function has been turned off in the
protocol or the administrator settings.
Starts and stops pump delivery.
Allows you to answer a question on the pump’s
display. For example, the screen above this
key may display “Yes,” in which case pressing
this key would give the question displayed
on the screen an answer of “Yes.” Also allows
you to navigate through some of the pump’s
screens (e.g., canceling an action, opening the
reports/tasks menus, or backing out of an open
screen). Referred to as “soft keys.”
Allows you to navigate through the menus on
the pump, scrolling down.
Allows you to navigate through the menus on
the pump, scrolling up.
USB Port
A mini-B USB cord can be attached to the USB
port for communications with the CADD®-Solis
Medication Safety Software.
Remote Dose Cord Jack
The remote dose cord jack is used for attaching the
remote dose cord. (See Remote Dose Cord on page 16
for more information.)
Battery Compartment
Four AA batteries or the rechargeable battery pack
fit into this compartment. The batteries serve as the
primary source of power, or as a backup when the
AC adapter is in use. (See Installing the Batteries
on page 14 for information on how to install the
batteries.)
Cassette Latch
This is used to attach the cassette to the pump.
When the pump is turned on, it will detect whether
the cassette is latched properly. Delivery will stop
and an alarm will occur if the cassette becomes
unlatched. (See Attach a Cassette on page 18 and
Remove a Cassette on page 19.)
Cassette/Keypad Lock
Used to select a menu item.
Allows the patient to request a PCA dose, if
the remote dose cord is not connected. If the
remote dose cord is connected this key will be
inactive.
Power Switch
Turns the pump on or off. Press and hold the switch
to turn the pump on. Press the switch to turn the
pump off and confirm that you want to power down
by selecting Yes.
Power Jack
You may plug the AC adapter into the power jack.
When the AC adapter is plugged in, the blue power
light turns on. This light is on regardless of the
pump’s on or off status. (See Desktop AC Adapter on
page 15 for more information.)
This allows you to secure the cassette to the pump
using the pump key provided. The cassette latch
must be latched before it can be locked. The
cassette/keypad lock can be configured to unlock
only the cassette latch or to unlock the cassette latch
as well as the keypad. This is configured by your
CADD®-Solis system administrator. (See Security
Settings on page 21.)
12
Delivery Methods
The pump provides the following methods of delivery:
• Continuous Rate (see page 30).
• PCA Dose (see page 30).
• Clinician Bolus (see page 22).
Clinician Bolus
(used here as a
loading dose)
PCA Doses
Dosage
General Description
Continuous Rate
Time
13
Pump Setup
Pump Setup
Installing the Batteries
AA 1.5 volt primary (non-rechargeable) alkaline
batteries or the Smiths Medical rechargeable battery
pack are recommended for use in the CADD®-Solis
pump.
NOTE:Smiths Medical does not recommend
mixing new and used batteries; doing so may affect
low battery alarm times. Always select four new
batteries when replacing them.
CAUTION:InspecttheAAbatteriesfordamage
or wear to the metal or plastic insulation prior to
use, or aer the pump has been dropped or hit.
Replace the batteries if any damage is noted.
The pump retains all programmed values while the
batteries are removed. The pump’s batteries must be
in place during delivery. If the batteries are removed
while the pump is delivering, and an AC adapter is
connected, delivery will stop. If an AC adapter is not
connected and the batteries are removed, delivery
will stop and the pump will lose power.
Dispose of used batteries in an environmentally safe
manner, and according to any regulations which
may apply.
• Always check the battery compartment for uid
or debris before inserting the batteries and do
not allow any uid 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
nondeliveryofdrugand,dependingonthetype
of drug being administered, could result in
death or serious injury to the patient.
• 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,
nondeliveryofdrugand,dependingonthetype
of drug being administered, could result in
death or serious injury to the patient.
Toinstallthebatteries:
1. Make sure the
pump is stopped
or powered off.
Using your fingers,
the pump key, or a
coin, turn the knob
on the battery door
counter-clockwise and open the battery door.
WARNING:
• Do not use rechargeable NiCd or nickel metal
hydride (NiMH) batteries. Do not use carbon
zinc(“heavyduty”)batteries.eydonot
providesucientpowerforthepumpto
operate properly, which could result in death or
serious injury to the patient.
• Alwayshavenewbatteriesavailablefor
replacement.Ifpowerislost,nondeliveryof
drug will occur and, depending on the type of
drug being administered, could result in death
or serious injury to the patient.
• ere is no pump alarm to alert users that a
battery has not been properly installed. An
improperly installed battery could result
inlossofpowerandnondeliveryofdrug
and, depending on the type of drug being
administered, could result in death or serious
injury to the patient.
2. Hold the pump at an
angle and place 4 AA
batteries in the pump,
from the bottom up
(see picture). Match
the + and - markings
on the new batteries
with the markings on
the pump.
OR: If using a
rechargeable battery
pack, insert it into the
pump as shown.
14
Pump Setup
3. Close the battery door and using your fingers,
the pump key, or a coin, turn the knob on the
battery door clockwise to lock.
NOTE: If you put the batteries in backwards, the
pump will not power up. Check the batteries,
making sure to match the + and - markings.
CAUTION:Donotstorethepumpforprolonged
periods with the batteries installed. Battery
leakage could damage the pump.
NOTES:
• Battery life is dependent on the amount of
medication delivered, delivery rate, battery
age, temperature, active display time, and
backlight intensity.
• The power of the battery will be quickly
depleted at temperatures below 10°C (50°F).
Replacing the battery door
If the battery door
is removed or needs
replacing, simply snap the
door onto the bar that is
located on the pump (see
picture).
Power Up
• After the power up is completed, listen for
the Morse Code “OK” sound (a series of six
audible beeps). If you do not hear this sound,
there may be a problem with the audible
alarms. If you believe there is a problem,
remove the pump from service and contact
Smiths Medical Customer Service.
• If any issues are found while the pump is
performing the self tests, alarms will sound
(e.g., if the battery is low or a key on the
keypad is stuck in the pressed position).
CAUTION:Ifthepowerupresultsinanerror
message indicating that the protocol library
was lost, do not proceed with using the pump.
Follow your facility’s procedures for downloading
protocol libraries.
Description of pump accessories
CAUTION:Onlyuseaccessoriesthatarespecied
for use with the CADD®-Solis ambulatory
infusion pump.
CADD®-Solis Medication Safety Software
The CADD®-Solis Medication Safety Software
allows you to create and manage protocol libraries
and then import them into the pump. See the
installation guide and help files that come with the
system for more information.
Press and hold the power switch to turn the pump
on. The pump will start the power up sequence
during which it will perform various self-tests,
test for alarm conditions, and then ask you if you
want to start a new patient. Watch for the following
during power-up:
• Both the green and amber indicator lights will
flash.
• The display will quickly flash gray, then blue.
An amber swirl will then fill the display,
followed by a CADD®-Solis Ambulatory
Infusion System display. Look for any stripes
or black or white pixels, which would indicate
a faulty display. If you see any indication of a
faulty display, remove the pump from service
and contact Smiths Medical Customer Service.
Desktop AC Adapter
The desktop 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 that
4 AA batteries or the rechargeable battery pack are
installed as a backup while using the AC adapter.
You can obtain a desktop AC adapter through the
Customer Service department at Smiths Medical.
See the desktop AC adapter’s instructions for use for
more information.
Rechargeable Battery Pack
The rechargeable battery pack is an alternate
to using four AA batteries and can be obtained
through the Customer Service department at Smiths
15
Pump Setup
Medical. The rechargeable battery pack can easily
be recharged with the AC adapter, either inside or
outside of the pump. See the rechargeable battery
pack’s instructions for use for more information.
Cassette
The cassette is the part of the medication cassette
reservoir or CADD® administration set that attaches
to the bottom of the pump. The following single-use
products are compatible with the pump:
• Medication cassette reservoir, used with a
CADD® extension set.
• CADD
WARNING: Follow the instructions for use
providedwiththeCADD™medicationcassette
reservoir,CADD® extension set, or CADD®
administration set, paying particular attention
to all warnings and cautions associated with
their use. Incorrect preparation and/or use of
these products could result in serious patient
injury or death.
administration set.
®
Polemount Bracket Adapter
The optional polemount bracket adapter attaches
onto the back of the pump. This allows you to attach
the pump to an IV pole. Refer to the instructions for
use provided with the polemount bracket adapter
for information.
Polemount Bracket
The polemount bracket is used along with the
polemount bracket adapter to attach the pump to an
IV pole. Refer to the instructions for use provided
with the polemount bracket for information.
Pump Key
The pump key is used to securely lock the cassette
to the pump. It can also be used to lock and unlock
the keypad, if allowed by the CADD®-Solis system
administrator.
NOTE: A CADD® set with free-flow protection
must be used in order to prevent free-flow.
NOTE: Smiths Medical recommends that the
appropriate supplies needed to replace the cassettes
are available in case of a damaged cassette.
NOTE: For detailed instructions and warnings
pertaining to the medication cassette reservoir
or CADD® administration set, please refer to the
instructions for use supplied with the product for
preparing the product for use.
Remote Dose Cord
The remote dose cord can be attached to the pump
and provided to the patient as an alternative to
pushing the PCA dose @ key when requesting
a PCA dose. The LED on the remote dose cord
indicates PCA dose status:
• Off: A PCA dose is not available.
• Flashing: A PCA dose is available.
• On: A PCA dose has been requested and
delivery has started.
Refer to the instructions for use provided with the
remote dose cord for more information.
16
Pump Setup
Programming the Pump: General
Instructions
The Pump Screen
The screen shots that you will see in this manual
are only examples of what might be displayed.
The protocols (consisting of therapies, qualifiers,
drugs and concentrations, and all associated pump
settings) in your pump library will be established by
your facility.
i
1)
1!
The type of battery being used and the
approximate amount of life it has, as well as
AC indication.
Rechargeable
AA battery
source
Keypad lock status—locked or unlocked. In
battery source
Battery with AC
Adapter—may be
AA or rechargeable
battery
this example, the keypad is locked.
iThe units of measurement (mL, mg, or mcg)
and the concentration (if units are mg or
mcg) for the current protocol.
The name of the screen displayed and help
text for the screen, if there is any. This
screen, for example, is the home screen.
The work area/contents for the screen being
displayed (in this example, the patient
specific parameters are on display).
Options for navigating the pump. These
options will change depending on the screen
you are on and what functions you are
performing with the pump.
The therapy, qualifier, and drug from the
current protocol.
The status bar shows the status of the pump. It
also displays messages and alerts, for example,
if you locked or unlocked the cassette/keypad
lock or the keypad, attached a cassette, or
reached delivery limit.
The current value of the reservoir volume.
The color of the screen is dependent on how
the protocol was set up in the CADD®-Solis
Medication Safety Software. If the screen color
is black, the protocol has been modified in the
administrator settings (see the Administrator
Settings Guide for more information) or the
pump is in manual mode (see Manual Mode
Programming on page 32).
The delivery status of the pump—stopped or
running.
Color Display
The CADD®-Solis pump display uses color to
help the clinician recognize critical information
quickly and easily. For example, your facility may
choose to relate a specific color to each protocol in
its library. This is customizable by your CADD®Solis system administrator. Protocols may be
color coded in several different ways depending
on the needs of your pain management program,
including:
• Routeofadministration(e.g.,allepidural
protocols may be yellow and used with a
pump with a yellow keypad, yellow cassette
reservoir or administration set, yellow
extension set, and a yellow lockbox).
• Patienttype(e.g.,allpediatricprotocolsmay
be blue).
Or by any other hierarchy which fits the needs
of your institution. There are five protocol colors
available. The color of the protocol is displayed
17
Pump Setup
in the protocol title bar () as well as the soft key
bar (). A protocol displayed in black signifies that
the protocol being used is a non-standard protocol
or that the pump is programmed using the manual
mode (see Manual Mode Programming on page 32).
Refer to your facility’s policies and procedures to
understand how colors will be used to identify your
protocols.
The pump also uses color to help the clinician
recognize the pump’s status. The colors blue, green,
amber, and red are used in the status bar as well as
on alarm screens.
Similar to a traffic control light: green means go,
amber indicates caution, and red means stop:
• Green—indicates the conditions in the pump
are good (e.g., the reservoir volume is above
the low reservoir trip point).
• Amber—indicates there is a condition to
watch, but the current conditions of the pump
are satisfactory (e.g., the low reservoir trip
point has been reached).
Attach a Cassette
Obtain a new, filled medication cassette reservoir, or
CADD® administration set attached to a flexible IV
bag. Refer to the instructions for use supplied with
the product for information on preparing the
product for use.
CAUTION:Ifyouareusingamedicationcassette
reservoirinwhichthemedicationisfrozen,
thaw at room temperature only. Do not heat in a
microwaveovenasthismaydamagetheproduct
and cause leakage.
To attach the cassette to the pump:
1. Make sure the cassette latch
is unlocked and open the
cassette latch.
• Red—indicates a warning condition that
requires immediate attention and that the
infusion has stopped (e.g., the reservoir
volume has reached zero).
The color blue is also used in the status bar to give
informational messages (e.g., remote dose cord
attached).
To understand how colors relate to alarm screens,
refer to the alarms and messages section on p. 36.
Before Programming
Protocol libraries are created with the CADD®-Solis
Medication Safety Software and can be imported
into the pump by your CADD®-Solis system
administrator. Before programming the pump for
a patient, make sure the pump contains a protocol
library. If you are not using the CADD®-Solis
pump with a protocol library, see Manual Mode
Programming on page 32.
A protocol from the library may be manually edited
in the administrator settings. If you are authorized,
see the Administrator Settings Guide or contact
your facility’s CADD®-Solis system administrator for
further information.
2. Clamp the tubing.
Insert the cassette
hooks into the hinge
pins on the bottom
of the pump.
3. Holding the pump
in your hands, push
down on the cassette
latch, and push up
on the cassette until
it firmly clicks into
place.
4. Lift the cassette latch
into the closed
position. A message
will briefly appear in
the status bar so you
can verify the type
of cassette you have
attached.
18
Loading...