Smiths Medical CADD-legacy Plus 6500 Reference guide

Rate is in
ml/hr
®
®
A
B
C
D
E
F
G
H
I
CADD-Legacy®PLUS
Infusion Pump
Model 6500
Quick Reference Card for Clinicians
Lock Level 0 (LL0)
ADisplay shows programmed values
and messages
BAC Adapter Jack used to plug in AC Adapter
CAccessory Jack (not currently in use)
DIndicator Light indicates AC power in use
EAir Detector
FCassette (part of reservoir or administration set
that attaches to pump)
GThreaded Mounting Hole for use with Polemount
Bracket Adapter (back of pump)
HBattery Compartment (back of pump)
ICassette Latch attaches cassette to pump (side of pump)
KEYPAD
STOP/START Stops and starts the infusion
ENTER/CLEAR Enters or clears displayed value
PRIME Fills tubing with fluid
LOCK Displays or 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)
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.
´
Î

PROGRAMMING / SET-UP SEQUENCE
CONTINUOUS DELIVERY
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.
Enter Dose
Cycle
Enter Reservoir
Volume
Enter
Continuous Rate
Clear Milliliters
Given
Verify Air Detector
Status
Verify Upstream
Sensor Status
Verify Programming
Main Screen
Enter Reservoir
Volume
Enter Dose
Volume
Enter Dose
Duration
Main Screen
Enter KVO Rate
Verify Dose
Remaining
Press NEXT.
1. Press
´orÎto select desired
reservoir volume.
2. Press ENTER/CLEAR.
3. Press NEXT.
4. Press ´orÎto select desired
Continuous Rate in ml/hr.
5. Press ENTER/CLEAR.
6. Press NEXT.
WARNING: This pump delivers medication at a
continuous rate or intermittent rate in milliliters
per hour (ml/hr). Programming the pump at a
delivery rate other than what is prescribed will
cause over- or under-delivery of medication.
7. Press ENTER/CLEAR to clear the given
value. The display will show 0.00.
8. Press NEXT.
9. Verify the setting is correct. (To change
setting, see Biomed Functions section.)
10. Press NEXT.
11. Verify the setting is correct. (To change
setting, see Biomed Functions section.)
12. Press NEXT.
13. Press NEXT repeatedly to review program.
INTERMITTENT DELIVERY
Batteries must be installed; pump must be stopped and in LL1.
Press NEXT.
1. Press
´orÎ to select desired
reservoir volume .
2. Press ENTER/CLEAR.
3. Press NEXT.
4. Press
´orÎto select desired dose volume.
5. Press ENTER/CLEAR.
6. Press NEXT.
7. Press
´orÎto select desired dose duration.
8. Press ENTER/CLEAR.
9. Press NEXT.
10.Press ´orÎto select desired dose cycle.
11.Press ENTER/CLEAR.
12.Press NEXT.
13.Press ´orÎto select desired KVO rate.
14.Press ENTER/CLEAR.
15.Press NEXT.
Note: Appears only during dosing or if dose is
interrupted.
16.Press NEXT.
17.Press ´orÎto select amount of time
before next dose. Select IMMEDIATE if dose
should begin when pump is started.
18.Press ENTER/CLEAR.
19.Press NEXT.
20.Press ENTER/CLEAR to clear the given
value. The display will show 0.00.
21.Press NEXT.
Enter Dose
Starts In
Clear Milliliters
Given

PROGRAMMING / SET-UP SEQUENCE CONTINUED
PUMP OPERATIONS
1. Stop the pump.
2. Press LOCK.
3. Press ´orÎuntil desired lock level appears.
4. Press LOCK or ENTER/CLEAR.
5. Press ´orÎuntil the lock level code appears.
6. Press LOCK or ENTER/CLEAR.
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.
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.
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.
1. Press and hold PRIME until the word PRIME
appears on the display, along with (–––– –––– ––––).
2. Release the PRIME key.
3. Press and hold PRIME. Priming appears on the display.
Continue priming until the fluid path is free of air.
4. Press NEXT to return to the main screen.
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.
1. Press and hold ON/OFF until pump beeps and
powers up.
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.
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
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.
WARNING: Do not use rechargeable NiCad or nickel
metal hydride (NiMH) batteries. Do not use carbon
zinc (“heavy duty”) batteries.
Change
the Lock
Level
Stop the
Pump
Start the
Pump
22. Verify the setting is correct. (To change
setting, see Biomed Functions section.)
23. Press NEXT.
24. Verify the setting is correct. (To change
setting, see Biomed Functions section.)
25. Press NEXT.
26. Press NEXT repeatedly to
review program.
Verify Air Detector
Status
Verify Upstream
Sensor Status
Prime the
Fluid Path
Reset the
Reservoir
Volume
Turn the
Pump On
Turn the
Pump Off
Change the
Batteries
Verify
Programming

PUMP OPERATIONS CONTINUED
Main Screen Displays status of pump (STOPPED or RUN)
CONTINUOUS MODE
Reservoir Volume Volume of fluid in reservoir
Continuous Rate Continuous rate of infusion (ml/hr)
Given Total amount of medication delivered since
display was last cleared
Air Detector Indicates if air detector is turned on or off
(status only) and high or low sensitivity level
Upstream Sensor Indicates if turned on or off
(status only)
INTERMITTENT MODE
Reservoir Volume Volume of fluid in reservoir
Dose Volume Volume of an individual dose
Dose Duration Amount of time over which an individual
dose is infused
Dose Cycle Time from start of one dose to start of next
dose
KVO Rate Keep Vein Open rate in ml/hr delivered
in between doses
Dose Remaining Time remaining for delivery of current dose
(only appears during dosing or if dose is
interrupted)
Dose Starts In Amount of time before start of next dose
Given Total amount of medication delivered since
display was last cleared
Air Detector Indicates if air detector is turned on or off
(status only) and high or low sensitivity level
Upstream Sensor Indicates if turned on or off
(status only)
PROGRAMMING SCREENS
Biomed
Functions
To Access
To Turn
Up-
stream
Sensor
ON/OFF
To Change
Delivery
Mode
To Exit
Biomed
Functions
Pump must be stopped and in LL0.
1. Press LOCK.
2. Press LOCK or ENTER/CLEAR.
3. Press
´orÎuntil the biomed code appears.
4. Press LOCK or ENTER/CLEAR.
5. Press NEXT to go through settings.
6. Press NEXT until AIR DETECTOR appears.
7. Press
´orÎuntil 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.
10.Press NEXT until UPSTREAM SENSOR appears.
11.Press ´orÎuntil 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 occlusion. Upstream occlusions could
result in under- or non-delivery of medications.
14.Press NEXT until DELIVERY MODE appears
(Intermittent or Continuous).
15.Press ´orÎuntil desired setting appears.
16.Press ENTER/CLEAR.
17.Press NEXT until NEXT FOR BIOMED, ENTER FOR
MAIN appears.
18.Press ENTER/CLEAR to return to main screen. Or
press NEXT to continue in Biomed settings loop.
To Turn Air
Detector
ON-HIGH,
ON-LOW
or OFF

ALARMS & TROUBLESHOOTING
CHANGING THE CASSETTE
To Remove Used
Cassette
To Attach New
Cassette
The CADD-Legacy®PLUS pump signals with audible alarms and messages
that appear on the display when a condition requires your attention.
Level of fluid in the reservoir is low. Prepare to
install new reservoir.
Reservoir volume has reached 0.0 ml. Press
NEXT or STOP/START to silence alarm. Install a
new reservoir, if appropriate.
Batteries are low, but pump is operable.
Change batteries soon.
Batteries are depleted and cannot operate
pump; install new batteries immediately.
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 is being caused by an occlusion in
the fluid path between the pump and the patient.
Remove the occlusion to resume operation.
Or press STOP/START or NEXT to stop the
pump and silence the alarm for two minutes,
then remove occlusion and restart pump.
Res Vol Low
Three beeps
Reservoir
Volume Empty
Two-tone alarm
Low Bat
3 two-tone beeps
every five minutes
Battery Depleted
Two-tone alarm
Battery Removed
Pump Won’t Run
Two-tone alarm
High Pressure
Two-tone alarm
1. Stop the pump.
2. Close all tubing clamps.
3. Disconnect tubing from patient.
4. Use coin to unlatch used cassette.
5. Remove and discard used 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 coin 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 and integral
or add on anti-siphon valve to protect against
unregulated gravity infusion that can result
from an improperly attached cassette.

Fluid is not flowing from the reservoir to the
pump. Check for a kink or air bubble in the
tubing between the reservoir and pump. Remove
the occlusion to resume operation or press
STOP/START or NEXT to stop the pump and
silence alarm for two minutes, then remove the
occlusion and restart the pump.
The cassette is not aligned with the pump, or is
damaged, or a malfunction of the pump sensor(s)
is occuring. 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 fluid path. Press NEXT or STOP/START 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.
Pump is stopped. Start pump, if appropriate.
Verify all programming screens by pressing
ENTER/CLEAR before moving to next screen or
starting pump.
A value was not saved by pressing ENTER/
CLEAR. Press NEXT to resume programming.
An error has occurred. Remove pump from
service.
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.
The disposable was removed, or the cassette is
not aligned with the pump or is damaged, or a
malfunction of the pump sensor(s) occurring.
Clamp the tubing immediately. Press STOP/
START or NEXT to silence alarm.
The pump is due for service.
ALARMS & TROUBLESHOOTING CONTINUED
The CADD-Legacy®PLUS pump signals with audible alarms and messages
that appear on the display when a condition requires your attention.
Upstream
Occlusion
Two-tone alarm
Air In Line
Detected
Two-tone alarm
Stopped
Three beeps
every five minutes
Programming
Incomplete
Value Not Saved
Error
Two-tone alarm
No Message
Displayed
Two-tone alarm
No Disposable,
Clamp Tubing
Two-beep
(long-short) alarm
Service Due
Two-tone alarm
Screen Displays
Current Pump
Status
Two-beep
(long-short) alarm
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®PLUS pump is
available to clinicians 24-hours-a-day by calling 1-800-258-5361.
CADD, CADD-Legacy, the Medication Cassette Reservoir design and the Smiths Medical
and CADD design marks are trademarks of Smiths Medical. The symbol ® indicates
the trademark is registered in the U.S. Patent and Trademark Office and certain other
countries. ©2010 Smiths Medical. All rights reserved. 11/10 IN19892
Smiths Medical ASD, Inc.
St. Paul, MN 55112, USA
Phone: [phone]
Toll-Free USA: 1-800-258-5361
www.smiths-medical.com
Smiths Medical is part of the global technology business Smiths Group plc.
EC Authorized Representative
Smiths Medical International Ltd.
TN25 4BF, UK
Phone: [phone]
Product(s) described may not be licensed or available for sale in Canada or other
countries outside of the United States.
Smiths Medical Canada Ltd.
Markham, Ontario, Canada, L3R 4Y8
Phone: [phone]
Toll-Free: 1-800-387-4346