Smiths Medical CADD Solis v 3.0 User manual

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K
J
I
H
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A. Battery Compartment
B. Display
C. Indicator Lights
D. USB Port
E. Blue AC Power Light
F. AC Power Jack
G. Remote Dose Cord Jack
H. Keypad
I. Cassette Latch
J. Cassette/Keypad Lock
K. Power Switch
CADD®-Solis v 3.0
Ambulatory Infusion System with
Programmed Intermittent Bolus
Quick Reference Card for Clinicians

Prepare the pump for a new patient
1. Begin without the cassette attached to the pump.
2. Insert four new 1.5 volt AA alkaline batteries or a
rechargeable battery pack.
3. Press the power switch to turn the pump on.
Start New Patient
4. Screen displays “Do you want to start a new patient?”
Press Yes.
5. The “Select Therapy” menu is displayed.
6. Scroll or to highlight the desired therapy.
Press Select.
7. Scroll or to highlight the desired qualifier.
Press Select.
8. Scroll or to highlight the desired drug and
concentration (or unit). Press Select.
9. Unlock the keypad using the security code or
the pump key.
10. Confirm that you have selected the correct therapy,
qualifier, drug and concentration [or unit]. Verify and
press Yes.
11. “Review pump settings” displays. Press Review.
12. To edit, highlight a patient specific parameter, press
Select. Scroll or to the new value then press Save.
Note: If the desired value is outside the soft limit, confirm
the soft limit override by pressing Yes.
Note: The next bolus setting allows for a one time override
of the intermittent bolus cycle as defined by the bolus
interval.
13. Continue until all patient specific parameters have been
reviewed and/or edited. Press Accept Value for each
setting. A check mark appears next to each patient
specific parameter you have accepted. To change a
patient specific parameter after you have accepted it,
repeat step 12.
14. When all values are accepted, press Next.
15. “Cassette not attached. Attach cassette before starting
pump.” is displayed.
When programming for the new patient is complete
16. Attach, latch, and lock the cassette to the pump.
17. “Prime Tubing?” displays.
Press Yes if priming is needed.
18. “Disconnect tubing…” displays. Press Prime.
Press Stop Priming when complete.
19. “Continue Priming?” displays. Press Yes or No.
20. “Start pump?” displays. Press Yes when you are ready
to begin the infusion. The pump begins running.
Setting up the Pump for a New Patient

With the pump running, all parameters can be changed
except reservoir volume.
Edit the program
1. Scroll or to highlight the patient specific
parameter you want to change. Press Select.
2. Unlock the keypad using the security code or
the pump key.
3. The patient specific parameter is displayed.
Scroll or to the new value then press Save.
Note: If the desired value is outside the soft limit, confirm
the soft limit override by pressing Yes.
Repeat steps 1 and 3 for each patient specific
parameter that you want to change.
Note: If a security code was used to unlock the keypad,
always relock the keypad after making a change by
pressing the right soft key twice (Tasks, then Lock Keypad).
If a key was used, turn the key clockwise to relock the
cassette and keypad.
4. Verify that the keypad and cassette are locked.
Changing a patient’s current program
while the pump is running
Pump must be running.
1. From the home screen Press Tasks.
2. Give Clinician Bolus” is highlighted. Press Select.
3. Enter the clinician security code.
4. The screen displays the clinician bolus scroll range
available. Scroll or until the desired value
appears. Press Deliver.
Note: If the desired value is outside the soft limit, confirm
the soft limit override by pressing Yes.
5. Choose Stop Bolus anytime during delivery to cancel
the bolus.
Note: Never leave the pump unattended while on the
Clinician Bolus Edit screen.
You must press Deliver to deliver the programmed value or
Cancel to leave the screen.
Clinician bolus

Stop the pump
1. Press Stop/Start.
2. “Stop Pump?” displays. Press Yes.
Edit the program
3. Scroll or to highlight the patient specific
parameter you want to change. Press Select.
4. Unlock the keypad using the security code or
the pump key.
5. The patient specific parameter is displayed.
Scroll or to the new value then press Save.
Note: If the desired value is outside the soft limit, confirm
the soft limit override by pressing Yes.
Note: The next bolus setting allows for a one time
override of the intermittent bolus cycle as defined by
the bolus interval.
Repeat steps 3 and 5 for each patient specific
parameter that you want to change.
When programming is complete
6. Press Stop/Start.
7. “Review pump settings” displays. Press Review.
8. Choose Accept Value to confirm the value is correct
for the highlighted patient specific parameter or
press Select to edit the highlighted parameter.
9. Continue until all patient specific parameters have
been reviewed, accepted and display checkmarks.
Press Next.
10. “Start Pump?” displays. Press Yes.
Note: If a security code was used to unlock the keypad,
the keypad automatically relocks when the pump is
started. If a key was used to unlock the cassette/keypad,
use the key to relock the cassette/keypad lock.
Changing a patient’s current program
with the pump stopped
The screensaver allows the pump to conserve battery
power when not in an edit mode and if no keypad buttons
have been pressed for 30 seconds. The pump displays a
blank screen. Press any button on the keypad, except the
PCA(PCEA) dose key, to turn the display on.
Screensaver

Changing the IV bag without changing the tubing.
Stop the pump
1. Press Stop/Start.
2. “Stop Pump?” displays. Press Yes. Aseptically
remove the empty IV bag from the tubing and attach
the new IV bag.
Reset reservoir volume
3. Scroll until Reservoir Vol is highlighted.
Press Select.
4. Screen displays “Reservoir Volume remaining: XXmL
Reset?” Press Yes.
5. Unlock the keypad using the security code or the
pump key.
6. The screen displays the current reservoir volume and
a scroll range.
7. Press Select to reset the reservoir volume to the
amount displayed in blue text or scroll or to
adjust the value. Press Save.
When programming is complete
8. Press Stop/Start.
9. “Review pump settings” displays. Press Review.
10. Choose Accept Value to confirm the value is correct
for the highlighted patient specific parameter or
press Select to edit the highlighted parameter.
11. Continue until all patient specific parameters have
been reviewed, accepted and display checkmarks.
Press Next.
12. “Start Pump?” displays. Press Yes.
Note: If a security code was used to unlock the keypad,
the pump will automatically relock when the pump is
started. If a key was used to unlock the cassette/keypad,
use the key to relock it.
13. If you’re not starting the pump immediately, press
No when “Start Pump?” appears. Lock the keypad
by pressing the right soft key twice (Tasks then Lock
Keypad). Ensure that the cassette is also locked by
turning the cassette/keypad lock clockwise to the
locked position.
Resetting the reservoir volume without
changing the tubing

Stop the pump
1. Press Stop/Start.
2. “Stop Pump?” displays. Press Yes.
3. Press the power switch to turn the pump off.
Acknowledge “Power down?” by pressing Yes.
4. Remove the used batteries.
5. Insert the new batteries.
6. Press the power switch to turn the pump on.
7. The screen displays “Do you want to start a new
patient?” Press No.
8. Press Stop/Start to start the pump.
9. “Start Pump?” displays. Press Yes.
Changing the batteries
Pump may be running or stopped to view reports.
Pump reports should be cleared in accordance with
institution policy.
Option 1:
1. From the home screen press Reports. Scroll or
to the desired report and press Select.
2. Press Back to return to the Reports menu, and then
press Back again to return to the home screen.
Viewing reports
Option 2:
1. From the home screen press Tasks. Scroll to
View Reports and press Select. Scroll or to the
desired report and press Select.
2. Press Back to return to the Reports menu. Press
Back again to return to the home screen.
To clear Given and PCA dose counters
1. From the home screen press Reports. Scroll or
to the “Given and PCA Dose Counters” report.
Press Select.
2. Press Clear Given to clear Total Given and update
the date/time stamp.
3. Press Clear Doses to clear Given/Attempted and
update the date/time stamp.
4. Press Back to return to the reports menu, and then
press Back again to return to the home screen.

High Priority Alarm
If the pump is running, it always stops when a high
priority alarm is activated. Accompanied by a red
screen, it continues until acknowledged or until the
condition that triggered the alarm goes away.
Medium Priority Alarm
This alarm does not stop the pump. Accompanied by an
amber screen, it continues until acknowledged or until
the condition that triggered the alarm goes away.
Low Priority Alarm
A low priority alarm does not stop the pump.
Accompanied by a blue screen, the alarm automatically
clears after 5 seconds or when the condition that
triggered the alarm goes away.
Informational Message
This alarm does not stop the pump. This message
appears in the status bar. It is displayed for 5 seconds
and is generally silent, requiring no acknowledgement.
Alarms

Screen is blank and alarm is sounding.
Alarm Priority High. The pump has lost power and is
no longer delivering. The pump was delivering and the
batteries were removed or the battery door was opened.
Clear this alarm by replacing the batteries or closing the
battery door, then turn the pump back on. Or the alarm
will stop after the power has been off for a minimum of 2
minutes.
Air-in-line detected. Press “acknowledge” then
prime tubing.
Alarm Priority High. The pump is stopped and can not
run.The air detector has detected air in the fluid path;
the fluid path may contain air bubbles. Acknowledge the
alarm. Then, if the fluid path contains air bubbles, close
the clamps, disconnect the fluid path from the patient,
and follow the instructions for priming to remove the air.
Battery depleted. Pump stopped.
Alarm Priority High. Install 4 new AA batteries or a
fully charged rechargeable battery pack. In order to
start delivery, good batteries must always be installed,
even when an external source of power is connected. If
appropriate, restart the pump.
Battery low. Replace battery.
Alarm Priority Low. Charge (or change) the rechargeable
battery pack or change the 4 AA batteries soon.
Current settings require high/standard volume set.
Change cassette.
Alarm Priority High. A high volume or standard volume
administration set is required. The pump is stopped and
will not run. Remove the administration set to continue.
Delivery limit reached. Or, delivery limit reached
and partial dose delivered.
Troubleshooting
Pump’s status bar reads “KVO = 0”
Alarm Priority Low. The programmed delivery
limit has been reached, and the pump is not delivering
fluid. This alarm occurs when the continuous rate or a
PCA dose has caused the delivery limit to be exceeded.
Acknowledge the alarm (the alarm automatically
clears after 5 seconds).
Pump’s status bar reads “Del Limit”
Alarm Priority Low. The programmed delivery limit
has been reached, and the pump is delivering fluid at
the KVO rate of 0.1mL/hr. This alarm occurs when the
continuous rate or a PCA dose has caused the delivery
limit to be exceeded. Acknowledge the alarm (the
alarm automatically clears after 5 seconds).

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Downstream occlusion. Clear occlusion between
pump and patient.
Alarm Priority High. The pump has detected high
pressure, which may be resulting from a downstream
blockage, kink in the fluid path, or a closed tubing clamp.
Delivery pauses and resumes if the occlusion is removed.
Remove the obstruction or stop the pump to silence the
alarm for 2 minutes, then remove the obstruction and
restart the pump.
Reservoir volume low.
Alarm Priority Medium/Low. (depending on how the
alarm is programmed in Admin Settings). Level of fluid in
the reservoir is low. Prepare to install a new reservoir, if
appropriate.
Reservoir volume is zero. Pump stopped.
Alarm Priority High. The reservoir volume has reached
0.0 ml. The pump stops and can not run. Acknowledge
the alarm. Install a new fluid container. Reset or edit the
value of the reservoir volume.
Upstream occlusion. Clear occlusion between pump
and reservoir.
Alarm Priority High. Fluid is not flowing from the fluid
container to the pump, which may be resulting from a
kink, a closed clamp, or air bubble in the tubing between
the fluid container and pump. Delivery is paused and
will resume if the occlusion is removed. Remove the
obstruction to resume operation. The alarm clears
when the occlusion is removed. You will be required to
acknowledge this alarm after it clears if it has occurred
and cleared more than 3 times within 15 minutes.
Troubleshooting continued

Customer and Clinical Services
1-800-258-5361
www.smiths-medical.com
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
Find your local contact information at
www.smiths-medical.com/customer-support/contact-us
Smiths Medical is part of the global technology business Smiths Group plc. Please see
the Instructions for Use/Operator’s Manual for a complete listing of the indications,
contraindications, warnings and precautions. CADD 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. Product referenced is CE-marked.
IN193516EN-082017
MPAUCA-1684
PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN
CANADA AND OTHER COUNTRIES