Smiths Medical CADD-Legacy PCA User manual

Smiths Medical ASD, Inc.
6000 Nathan Lane North
Minneapolis, MN 55442, USA
Tel: [phone]
Toll-Free USA: 1-800-258-5361
www.smiths-medical.com
Product(s) described may not be licensed or available for sale in Canada
or other countries outside of the United States.
CADD, CADD-Legacy, the Medication Cassette Reservoir 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. ©2017 Smiths Medical. All rights reserved. IN19882EN-112017
A. Display shows
programming information
and messages
B. Power Jack used to plug in
AC Adapter
C. Accessory Jack used to
plug in Remote Dose Cord
D. Indicator Light indicates
AC power in use
E. Air Detector
F. Cassette (part of reservoir
or administration set that
attaches to pump)
G. Threaded Mounting Hole
for use with Polemount
Bracket Adapter (back of
pump)
H. Battery Compartment
(back of pump)
I. Cassette Latch attaches
cassette to pump (side of
pump)
CADD-Legacy®PCA
Infusion Pump Model 6300
Quick Reference Card for Clinicians Lock Level 0 (LL0)
For more information, please visit
www.smiths-medical.com
G
H
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B
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Read the entire Operator’s Manual before operating the CADD-Legacy®ambulatory
infusion pump. Failure to properly follow warnings, cautions and instructions could
result in death or serious injury to the patient. Please see the instructions for use for
a complete listing of the indications contraindications, warnings and precautions.
Warning: This Quick Reference Card should be used by clinicians only. Do not permit
patients to have access to this card, as the information would allow access to all
programming and operating functions. Assistance with the CADD-Legacy®PCA pump
is available to clinicians by calling 1-800-258-5361.
IN19882EN-112017.indd 1 11/01/18 11:49

Batteries must be installed; pump must be stopped
and in LL0. NOTE: Value Not Saved is displayed if a value is
scrolled and ENTER/CLEAR is not pressed. Press NEXT to
continue programming.
Warning: If the pump is dropped or hit, inspect it for
damage. Do not use a pump that is damaged or is not
functioning properly.
Main Screen
Press NEXT.
Enter Reservoir Volume
1. Press orto select desired Reservoir Volume.
2. Press ENTER/CLEAR.
3. Press NEXT
Enter Units
4. Press orto select desired units.
5. Press ENTER/CLEAR.
6. Press NEXT.
Enter Concentration
Note: This screen does not appear if programming in
milliliters.
7. Press orto select desired Concentration.
8. Press ENTER/CLEAR.
9. Press NEXT.
Enter Continuous Rate
10. Press orto select desired Continuous Rate (select
the upper limit if the program will be adjusted in LL1).
11. Press ENTER/CLEAR.
12. Press NEXT.
Warning: This pump delivers medication at a constant rate
and/or allows delivery of a bolus dose at a specified time
interval. Programming the pump at a delivery rate other
than what is prescribed will cause over or under delivery of
medication.
Enter Demand Dose
13. Press orto select desired Demand Dose (select the
upper limit if program will be adjusted in LL1).
14. Press ENTER/CLEAR.
15. Press NEXT.
*Enter Dose Lockout
Warning: When you enter a new value, any lockout time in
effect will be cleared. A demand dose could be requested
immediately upon starting the pump, resulting in over-
delivery.
16. Press orto select desired Demand Dose Lockout.
Programming / Set-up sequence
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17. Press ENTER/CLEAR.
18. Press NEXT.
Enter Doses Per Hour
Note: This screen will only appear if you have programmed
a demand dose and dose lockout is less than 1 hour.
19. Press orto select desired Doses Per Hour.
20. Press ENTER/CLEAR.
21. Press NEXT.
*Clear Doses Given
22. Press ENTER/CLEAR to clear the value for the number
of doses given. The display will show 0.
23. Press NEXT.
*Clear Doses Attempted
24. Press ENTER/CLEAR to clear the value for the number
of doses attempted by the patient.
The display will show 0.
25. Press NEXT.
Clear Given (ml, mg, mcg)
26. Press ENTER/CLEAR to clear the given value.
The display will show 0.00.
27. Press NEXT.
Verify Air Detector Status
28. Verify the setting is correct. (To change setting, see
Biomed Functions section.)
29. Press NEXT.
*These screens will appear only if you have programmed
a demand dose.
Verify Upstream Sensor Status
30. Verify the setting is correct. (To change setting, see
Biomed Functions section.)
31. Press NEXT
Verify Programming
32. Press NEXT repeatedly to review program.
To Operate in LL1 with Upper Limits, Decrease
Continuous Rate and/or Demand Dose
If pump will be operated in LL1 to allow adjustment of
Continuous Rate and/or Demand Dose (up to the maximum
entered in LL0):
33. Change lock level to LL1.
34. Press NEXT to go to Continuous Rate or Demand Dose
screen.
35. Press to select desired starting value.
36. Press ENTER/CLEAR.
Programming / Set-up sequence - Continued
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Change the Lock Level
1. Stop the pump.
2. Press LOCK.
3. Press oruntil desired lock level appears.
4. Press LOCK or ENTER/CLEAR.
5. Press oruntil the lock level code appears.
6. Press LOCK or ENTER/CLEAR.
Start the Pump
1. Press and hold STOP/START until
(– – – – – – – – – – – –) disappears from the display.
2. Release STOP/START key. RUN will appear on the
display when the pump is running.
Stop the Pump
1. Press and hold STOP/START until
(– – – – – – – – – – – –) appears on the display.
2. Release STOP/START key. STOPPED will appear on
the display when the pump is stopped.
Prime the Fluid Path
1. Pump must be stopped and in LL0 or LL1.
Warning: Do not prime the fluid path with the tubing
connected to a patient as this could result in over
delivery of medication or air embolism.
2. Press and hold PRIME until the word PRIME appears
on the display, along with (– – – – – – – – – –).
3. Release the PRIME key.
4. Press and hold PRIME to fill fluid path and eliminate
air. Continue priming until the fluid path is free of air.
5. Press NEXT to return to the main screen.
Reset the Reservoir Volume
1. Stop the pump.
2. Press NEXT to display the Reservoir Volume screen.
3. Press ENTER/CLEAR to reset the value to previously
programmed amount.
Turn the Pump On
1. Press and hold ON/OFF until pump beeps and
powers up.
Turn the Pump Off
1. Press and hold ON/OFF until (•••• •••• ••••)
appears on the display.
2. Release ON/OFF key.
3. The screen will go blank as the pump goes into a
lower power state
Change the Batteries
Pump Operations
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1. Stop the pump.
2. Push down and hold the arrow button on the battery
door while sliding the door off. Remove and discard
old batteries.
Important: Always stop pump before removing batteries.
3. Install new batteries, matching polarities shown on
the pump. Replace battery door and close.
4. Start the pump.
Warning: If a gap is present anywhere between the
battery door and the pump housing, the door is not
properly latched. If the battery door becomes detached
or loose, the batteries will not be properly secured
which could result in loss of power or non-delivery of
medication. Do not use rechargeable NiCad or nickel
metal hydride (NiMH) batteries. Do not use carbon zinc
(“heavy duty”) batteries.
Biomed Functions To Access
Pump must be stopped and in LL0.
1. Press LOCK.
2. Press LOCK or ENTER/CLEAR.
3. Press oruntil the biomed code appears.
4. Press LOCK or ENTER/CLEAR.
5. Press NEXT to go through settings.
6. Press NEXT until AIR DETECTOR appears.
To Turn Air Detector ON-HIGH, ON-LOW or OFF
7. Press oruntil desired setting appears.
8. Press ENTER/CLEAR.
9. Press NEXT.
Warning: When the air detector is turned off, the pump
will not detect air in the fluid path.
Periodically inspect the fluid path and remove any air to
prevent air embolism.
To Turn Upstream Sensor ON/OFF
10. Press NEXT until UPSTREAM SENSOR appears.
11. Press oruntil desired setting appears.
12. Press ENTER/CLEAR.
13. Press NEXT.
Warning: When the upstream occlusion sensor is turned
off, the pump will not detect occlusions upstream
(between pump and reservoir). Periodically inspect the
reservoir for decreasing reservoir volume and inspect the
fluid path for kinks, a closed clamp, or other upstream
obstructions. Upstream occlusions could result in
under- or non-delivery of medications.
To Exit Biomed Functions
Pump Operations - Continued
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14. Press NEXT until NEXT FOR BIOMED, ENTER FOR
MAIN appears.
15. Press ENTER/CLEAR to return to main screen.
Or press NEXT to continue in Biomed settings loop.
Pump Operations - Continued
To Remove Used Cassette
1. Stop the pump.
2. Close all tubing clamps.
3. Disconnect tubing from patient.
4. Use key to unlock used cassette.
5. Remove and discard used cassette.
To Attach New Cassette
1. Close all tubing clamps.
2. Insert new cassette hooks into pump’s hinge pins.
3. Place pump with cassette on firm surface and push
down on top of pump so cassette fits tightly against
the pump.
4. Insert a key into the lock, push in and turn until the
line on the lock lines up with the arrow on the side
of the pump.
5. Gently twist and pull on cassette to make sure it is
attached properly.
6. Press ENTER/CLEAR to reset reservoir volume, if
appropriate.
7. If the Air Detector is in use, make a small loop of
tubing underneath the air detector and hold it with
your thumb. Place the tubing over the groove in the
air detector and tuck it under the catch. Seat the
tubing into the groove by gently pulling the tube
upward until it is under the retention nubs and flat
in the groove.
Warning: 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 cassette could result in unregulated gravity
infusion of medication from the fluid container or a
reflux of blood. If you are using a CADD®administration
set or Medication Cassette reservoir that does not have
the flow stop feature (catalog number does not start
with 21-73xx): You must use a CADD®extension set with
an integral 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.
Changing the Cassette
IN19882EN-112017.indd 6 11/01/18 11:49

Main Screen -Displays status of pump (STOPPED or
RUN)
Reservoir Volume -Volume of fluid in reservoir
Units -Programming units (ml, mg, mcg)
Concentration --Concentration of medication in mg/
ml or mcg/ml
Continuous Rate -Continuous rate of infusion (ml/hr,
mg/hr, mcg/hr)
Demand Dose -Amount delivered when patient
presses the DOSE key or Remote Dose Button
Dose Lockout -Amount of time that must elapse
between demand doses (appears if demand dose is
programmed)
Doses Per Hour -Maximum number of demand doses
allowed in any one hour period (appears if demand dose
is programmed and demand dose lockout is less than
one hour)
Doses Given -Displays number of demand doses given
since screen was last cleared (appears if demand dose
is programmed)
Doses Attempted -Displays number of demand doses
attempted since screen was last cleared (appears if
demand dose is programmed
Given -Total amount of medication delivered since
display was last cleared (ml, mg, mcg)
Air Detector (status only) -Indicates if air detector is
turned on or off and high or low sensitivity level
Upstream Sensor (status only) -Indicates if turned
on or off
Programming screens
Keypad
STOP/START Stops and starts the infusion
ENTER/CLEAR Enters or clears displayed value
PRIME Fills tubing with fluid
LOCK Displays or allows changes Lock
Level (security level)
NEXT Advances to next programming
screen


Increases or decreases displayed
values or scrolls through menu items
ON/OFF Turns the pump on or off (low power)
DOSE Delivers demand dose
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The CADD-Legacy®PCA pump signals with audible
alarms and messages that appear on the display when a
condition requires your attention.
Res Vol Low
Three beeps
Level of fluid in the reservoir is low. Prepare to install
new reservoir.
Reservoir Volume Empty
Two-tone alarm
Reservoir volume has reached 0.0 ml. Press NEXT or
STOP/START to silence alarm. Install a new reservoir, if
appropriate.
Low Bat
3 two-tone beeps every five minutes
Batteries are low, but pump is operable. Change
batteries soon.
To Start Demand Dose
Pump must be running.
1. Press DOSE or remote dose cord button.
Note: If you wish to stop delivery of the demand dose,
press and hold STOP/START to stop the pump.
To Start Clinician Bolus
Pump must be running.
2. Press LOCK.
3. Pressuntil Clinician Bolus Code appears.
4. Press LOCK or ENTER/CLEAR.
5. Press orto select desired amount.
6. Press DOSE or ENTER/CLEAR to start bolus.
Note: If you wish to stop delivery of a clinician bolus,
press and hold STOP/START to stop the pump.
To Use the Remote Dose Cord/Button
1. Use remote dose button on cord in same manner as
DOSE key on pump keypad.
2. Attach the remote dose cord by inserting the
connector into the accessory jack and pushing firmly
until it snaps into place.
3. Detach the remote dose cord by grasping the
connector and pulling it out of the jack.
Do not use excessive force or instruments, such as pliers,
to remove the remote dose cord from pump.
Alarms & Troubleshooting
Dosing
IN19882EN-112017.indd 8 11/01/18 11:49

Smiths Medical ASD, Inc.
6000 Nathan Lane North
Minneapolis, MN 55442, USA
Tel: [phone]
Toll-Free USA: 1-800-258-5361
www.smiths-medical.com
Product(s) described may not be licensed or available for sale in Canada
or other countries outside of the United States.
CADD, CADD-Legacy, the Medication Cassette Reservoir 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. ©2017 Smiths Medical. All rights reserved. IN19882EN-112017
Alarms & Troubleshooting
Battery Depleted
Two-tone alarm
Batteries are depleted and cannot operate pump; install
new batteries immediately.
Battery Removed Pump Won’t Run
Two-tone alarm
With AC adapter attached, batteries have been removed
while pump was running, or you have tried to start pump
with depleted batteries. Install new batteries
High Pressure
Two-tone alarm
High pressure is being caused by an occlusion in the
fluid path between the pump and the patient. Remove
the obstruction to resume operation. Or press NEXT or
STOP/START to stop the pump and silence the alarm for
two minutes, then remove occlusion and restart pump.
Upstream Occlusion
Two-tone alarm
Fluid is not flowing from the reservoir to the pump.
Check for a kink in the tubing between the reservoir and
pump. Remove the occlusion to resume operation. Press
NEXT or STOP/START to stop the pump and silence
alarm for two minutes, then remove the occlusion and
restart the pump.
Screen Displays Current Pump Status
Two-beep (long-short) alarm
The cassette is not aligned with the pump, or is damaged,
or a malfunction of the pump sensor(s) is occurring.
Reposition the pump to silence the alarm. If repositioning
the pump does not silence the alarm within two minutes,
the pump will display “No Disposable, Clamp Tubing.”
Air In Line Detected
Two-tone alarm
Air in fluid path. Press STOP/START or NEXT to silence
alarm. Make sure tubing is threaded in air detector
properly. If the fluid path contains air, close clamps,
disconnect from patient and prime fluid path.
Stopped
Three beeps every five minutes
Pump is stopped. Start pump, if appropriate.
Remote Dose Cord Removed
Two beeps when pump stopped, two-tone alarm when
pump is running
Remote dose cord removed while pump was running.
Programming Incomplete
Two-tone alarm when starting pump
Verify all programming screens by pressing ENTER/
CLEAR before moving to next screen or starting pump.
Read the entire Operator’s Manual before operating the CADD-Legacy®ambulatory
infusion pump. Failure to properly follow warnings, cautions and instructions could
result in death or serious injury to the patient. Please see the instructions for use for
a complete listing of the indications contraindications, warnings and precautions.
Warning: This Quick Reference Card should be used by clinicians only. Do not permit
patients to have access to this card, as the information would allow access to all
programming and operating functions. Assistance with the CADD-Legacy®PCA pump
is available to clinicians by calling 1-800-258-5361.
IN19882EN-112017.indd 9 11/01/18 11:49

Smiths Medical ASD, Inc.
6000 Nathan Lane North
Minneapolis, MN 55442, USA
Tel: [phone]
Toll-Free USA: 1-800-258-5361
www.smiths-medical.com
Product(s) described may not be licensed or available for sale in Canada
or other countries outside of the United States.
CADD, CADD-Legacy, the Medication Cassette Reservoir 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. ©2017 Smiths Medical. All rights reserved. IN19882EN-112017
A. Display shows
programming information
and messages
B. Power Jack used to plug in
AC Adapter
C. Accessory Jack used to
plug in Remote Dose Cord
D. Indicator Light indicates
AC power in use
E. Air Detector
F. Cassette (part of reservoir
or administration set that
attaches to pump)
CADD-Legacy®PCA
Infusion Pump Model 6300
Quick Reference Card for Clinicians Lock Level 0 (LL0)
For more information, please visit
www.smiths-medical.com
MPAUCA-1591
Alarms & Troubleshooting
Value Not Saved
A value was not saved by pressing ENTER/CLEAR. Press
NEXT to resume programming.
Error
Two-tone alarm
An error has occurred. Remove pump from service.
No Message Displayed
Two-tone alarm
The pump was running when batteries were removed or the
batteries were removed within 15 seconds after stopping
the pump. Batteries must be reinstalled.
Important: Always stop pump before removing batteries.
No Disposable, Clamp Tubing
Two beep (long-short) alarm
The disposable was removed, or the cassette is not aligned
with the pump or is damaged, or a malfunction of the pump
sensor(s) is occurring. Clamp the tubing immediately.
Press STOP/START or NEXT to silence the alarm.
Service Due
Two-tone alarm
The pump is due for service.
C
Read the entire Operator’s Manual before operating the CADD-Legacy®ambulatory
infusion pump. Failure to properly follow warnings, cautions and instructions could
result in death or serious injury to the patient. Please see the instructions for use for
a complete listing of the indications contraindications, warnings and precautions.
Warning: This Quick Reference Card should be used by clinicians only. Do not permit
patients to have access to this card, as the information would allow access to all
programming and operating functions. Assistance with the CADD-Legacy®PCA pump
is available to clinicians by calling 1-800-258-5361.
IN19882EN-112017.indd 10 11/01/18 11:49