Smiths Medical cadd-solis VIP 2120 Technical manual

CADD®-Solis VIP
Ambulatory Infusion Pump
Model 2120
Patient Information Guide
Intermittent Delivery Mode

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Your Clinician’s:
Name:
Phone Number:
Instructions:
Pump placement during bathing/showering:
Pump placement during sleep:
Storage of medication/uid:
Notes:

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Table of Contents
Introduction ........................................................................................................ 4
Warnings............................................................................................................... 5
Cautions................................................................................................................ 8
CADD®-Solis VIP Pump Diagrams ..............................................................10
Installing New Batteries.................................................................................13
Using the Rechargeable Battery Pack or AC Adapter .........................15
Turning the Pump On and O.....................................................................16
Pump Screens ................................................................................................... 17
Removing a Cassette......................................................................................20
Attaching a New Cassette ............................................................................21
Priming the Tubing and Connecting to Your Catheter ......................25
Priming the Tubing without ChangingtheCassette ..........................27
Resetting the Reservoir Volume.................................................................29
Starting the Pump ...........................................................................................31
Stopping the Pump During an Infusion ..................................................33
Next Dose Start Time .....................................................................................34
Setting the Time and Date...........................................................................35
What if I Drop or Hit the Pump?..................................................................38
Alarms and Messages.....................................................................................39
Alarm Help Screens.........................................................................................41
Notes....................................................................................................................42

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Introduction
Your doctor recommends the CADD®-Solis VIP ambulatory
infusion pump as part of your treatment.
e CADD®-Solis VIP pump can be carried with you and is
designed to deliver medication into your body. Your physician
has prescribed a therapy specically for you. Your prescription
is programmed into your pump by your health care provider
according to your physician’s specic orders. is pump can be
reprogrammed by your health care provider as your medication
needs change.
Your pump is programmed for Intermittent delivery and is used for
therapies that require an infusion of a specic volume of drug/uid
at a regular, programmed interval.
Your health care provider will instruct you on the proper use of
this pump. is guide is intended to supplement those instructions.
Perform only those procedures for which you have received
training.
Before operating the pump, you should read the following list of
warnings and cautions. It is important that you understand and
follow these warnings and cautions.

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Failure to properly follow warnings, cautions, and instructions
could result in death, serious injury, or damage to the pump.
Warnings
• To avoid explosion hazard, do not use the pump in the presence of
ammable anesthetics or explosive gases.
• If the pump is used to deliver life-sustaining medication, an
additional pump must be available. Pump failure suspends
medication delivery.
• Use of a syringe with the CADD®administration set may result
in UNDERDELIVERY of medication. Syringe function can
be adversely aected by variations in plunger dimension and
lubricity, which can result in greater force required to move the
syringe plunger. A syringe plunger loses lubrication as it ages and
as a result, the amount of underdelivery increases, which could
on occasion, be signicant. erefore, the type of medication
and delivery accuracy required must be considered when using a
syringe with the CADD®-Solis VIP pump.
You must regularly compare the volume remaining in the
syringe to the displayed values on the pump (for example,
Reservoir Vol. and Total Given) in order to determine whether
underdelivery of medication is occurring. If necessary, contact
your health care provider.
• 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.
• Carefully route tubing, cords, and cables to reduce the possibility
of patient entanglement or strangulation. Failure to observe this
warning could result in patient injury or death.

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• 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.
• Common portable and mobile consumer electronic devices may
cause interference with the pump. Observe the pump to verify
normal operation. If abnormal performance is observed, it may
be necessary to reorient or relocate the pump away from radio
frequency transmitting devices.
• Residential/facility wiring must comply with all applicable
electrical codes. Do not bypass power cord connections. Do not
remove a prong from the power cord. Failure to comply may
result in fire or electrical shock.
• When the pump is powered off, medication is not delivered,
alarms are not sensed or indicated, the display is blank, the
keypad does not respond to presses, and the amber and green
lights are not lit.
• A rechargeable battery pack that has reached the end of its
useful life must be replaced with either another CADD®-Solis
rechargeable battery pack or with 4 AA batteries.
• 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, nondelivery of drug occurs.
• 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

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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.
• Do not use other AC adapters with the pump. AC adapters from
other companies can damage the rechargeable battery pack and
the pump, and could result in loss of power and nondelivery of
drug.
• Always clamp the tubing before removing the cassette from the
pump. Removing the cassette without closing the clamp could
potentially cause unregulated gravity infusion.
• Attach the cassette properly. A detached or improperly attached
cassette could result in unregulated gravity infusion of
medication from the reservoir, or a reflux of blood.
• 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.
• Do not prime the fluid path with the tubing connected to your
catheter as this could result in overdelivery of medication or air
embolism.
• To prevent air embolism, ensure that the entire fluid path is free
of all air bubbles before connecting to your catheter.
• If the pump is dropped or hit, inspect it for damage. Do not use a
pump that is damaged or not functioning properly. If necessary,
contact your health care provider.

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Cautions
• Do not operate the pump at temperatures below 2°C (36°F) or
above 40°C (104°F) to avoid damaging the electronic circuitry.
• Do not store the pump at temperatures below –20°C (–4°F) or
above 60°C (140°F) to avoid damaging the electronic circuitry.
Donot store the pump with a CADD™medication cassette
reservoir or CADD®administration set attached.
• Do not expose the pump to humidity levels below 20% or above
90% relative humidity to avoid damaging the electronic circuitry.
• 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.
Contact your health care provider.
• If delivery of an infusion is affected by a time or date change, an
alarm message appears and must be confirmed.
• Do not immerse the pump in cleaning fluid or water. Do not
allow solution to soak into 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.
• 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 due to the risk of permanent damage to the
electronic circuitry. The best procedure to follow is to remove the
pump 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

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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 electronic circuitry may occur.
• Magnetic fields produced by magnetic resonance imaging (MRI)
equipment may adversely affect the operation of the pump.
Remove the pump during MRI procedures and keep it at a safe
distance from magnetic energy.
• 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 affect how
the pump works and may also cause damage to the pump.
• Use only Smiths Medical accessories that are specified for use
with the CADD®-Solis VIP ambulatory infusion pump, as other
brands may adversely affect pump operations.
• Failure to push the AC adapter connector all the way into the
power jack may result in an intermittent connection and the
connector may dislodge, causing a loss of power to the pump.
• If you are using a CADD™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.

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CADD®-Solis VIP Pump Diagrams
Green Light: Flashes when the pump is running and delivering
medication.
Amber Light: Flashes when the pump is stopped, an alarm exists,
or the battery or the reservoir volume is low. If the amber light is
continuously lit, the pump is inoperable and you must contact
your health care provider.
Note: At times, both indicator lights may ash. is means the
pump is running, but will require your attention soon (for
example, for a low battery or low reservoir volume).
Battery compartment
Display
Indicator lights
Amber
Green
AC power jack
Keypad
Blue AC
power light
Remote dose cord jack
(not used for
Intermittent therapy)
USB port
(used by
clinician only)

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Display: Shows any information and messages. Aer a short time,
the display turns itself o to save power. Press any key to turn the
display back on.
WARNING: When the pump is powered o, medication is not
delivered, alarms are not sensed or indicated, the display is
blank, the keypad does not respond to presses, and the amber
and green lights are not lit.
Power switch
Cassette/Keypad lock
(unlock/lock)
Cassette latch
Cassette
(The part of the CADD™
medication cassette
reservoir or CADD®
administration set that
attaches to the pump)

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Keypad
Starts and stops pump delivery.
“So keys” let you answer a question on the pump display.
For example, the screen above this key may display “Yes,”
in which case, pressing this key gives the question a “Yes”
answer. “So keys” also let you move through some of the
pump screens.
Lets you scroll down menus or decrease values.
Lets you scroll up menus or increase values.
Selects a menu item.
is key is not used for your therapy.
Note: e keys beep when pressed, if this feature has been
turned on by your health care provider.







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Installing New Batteries
Four new AA, 1.5 volt primary (non-rechargeable) alkaline batteries
or the CADD®-Solis rechargeable battery pack must be used to
power the pump. If the rechargeable battery pack is used, it can be
recharged with the AC adapter.
When Battery Low, Battery Depleted, or Rechargeable battery
reached end of use appears in the pump display, change the batteries
as soon as possible. Dispose of used batteries in an environmentally
safe manner and according to any regulations that may apply.
Note: Do not mix new and used batteries because it may aect
low battery alarm times. Always select new batteries when
replacing depleted ones.
WARNING:
• A rechargeable battery pack that has reached the end of its
useful life must be replaced with either another CADD®-Solis
rechargeable battery pack or with 4 AA batteries. Using
rechargeable battery packs from other manufacturers could
result in re or explosion.
• Do not use rechargeable NiCd or nickel metal hydride (NiMH)
batteries. Do not use carbon zinc (“heavy duty”) batteries.
They do not provide sucient power for the pump to operate
properly, which could result in death or serious injury.
• Always have new batteries available for replacement. If power is
lost, nondelivery of drug occurs and depending on the type of
drug being administered, could result in death or serious injury.
• 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 and depending on the type
of drug being administered, could result in death or serious injury.
• 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 nondelivery of drug, and depending on the

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type of drug being administered, could result in death or serious
injury.
• If the pump is dropped or hit, the battery door may become
broken or damaged. Do not use the pump if the battery door
is damaged because the batteries will not be properly secured.
This may result in loss of power and nondelivery of drug, and
depending on the type of drug being administered, could result
in death or serious injury.
To install batteries or the rechargeable battery pack:
1. Make sure the pump is stopped and powered o.
2. Using your ngers or a coin, turn the knob
on the battery door counterclockwise to
open the battery door.
3. Hold the pump at an angle to
remove the old batteries and insert
4new AA batteries. Match the +
and–markings on the batteries
with the markings onthe pump.
OR: If using a rechargeable battery
pack, insert it asshown.
4. Close the battery door and turnthe knob on
the battery door clockwise to lock.
Note:
• If the batteries are installed backwards, the
pump will not power on. If the pump does
not power on, check the batteries, making
sure to match the +and –markings on the
batteries to the pump.
• Battery life may vary depending on the amount and rate of
medication delivered, battery age, temperature, and active display
time and backlight intensity (increasing backlight intensity
shortens battery life).
• Battery power is quickly depleted at temperatures below 10°C (50°F).

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Using the Rechargeable Battery Pack or AC Adapter
You may have a rechargeable battery pack and an AC adapter to
power your pump. e AC adapter can be used to power the pump
and/or to recharge the rechargeable battery pack. When using
the AC adapter, the pump must also have 4 AA batteries or the
rechargeable battery pack installed as a backup.
WARNING: Do not use other AC adapters with the pump. AC
adapters from other companies can damage the rechargeable
battery pack and the pump. This may result in loss of power
and nondelivery of drug, and depending on the type of drug
being administered, could result in death or serious injury.
Note: For complete instructions, warnings and cautions, read
the Instructions for Use that come with the rechargeable
battery pack or AC adapter.
To connect the AC Adapter:
1. Plug the AC power cord (the cord that
plugs into your wall outlet) into the
AC power input connector on the
ACAdapter.
2. Plug the output power cord from the
AC Adapter into the pump’s AC
power jack (labeled “7V”). Push the
connector rmly into the jack until
it stops. When the AC adapter is
properly connected, the blue light
next to the connector on the pump
lights. If the pump is powered on,
“ACAdapter Connected” appears briey on the pump display
and the battery status shows an AC power connection.
CAUTION: Failure to push the AC Adapter connector all the way
into the power jack may result in an intermittent connection
and the connector may dislodge, causing a loss of power to
the pump.
Output power cord
AC power input
AC power jack
and blue light

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Turning the Pump On and Off
To turn on the pump, press and hold the
power switch .
When the pump powers on, it performs
various self-tests. Watch and listen for
the following:
• The green and amber lights flash.
• The display shows a blue and
amber rotating arc, followed by a
CADD®-Solis Ambulatory Infusion
System display. If you see any stripes,
or black or white pixels, or if your display appears faulty, contact
your health care provider.
• When power up completes, six beeps sound. Contact your health
care provider if you do not hear the beeps, because there may be a
problem with the audible alarms.
• If any issues are detected during power on, alarms will sound
and/orbe displayed. If the alarms continue after you follow any
on-screen help, contact your health care provider.
To turn off the pump, press the power switch . When the “Power
down?” message appears, press Yes. e pump then powers o.
When the pump is powered o:
• The display is blank.
• Keypad presses are not detected.
• Medication is not infused.
• Alarms are not sensed, and audio and visual alarms are not
displayed.
• If the AC adapter is plugged in, the blue AC power light remains
on. No other lights are lit.
• If the pump is connected to AC power and a rechargeable battery
pack is installed, the battery pack continues to charge.
Power
Switch

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Pump Screens
Your therapy information
Pump status bar. is area may show messages and alerts.
Current reservoir volume
Delivery status of the pump: Stopped or Running
e battery type in use, approximate amount of battery life
remaining, and AC adapter in use indicator
Keypad lock status: locked or unlocked
Screen name and help text, if any
Work area/contents for the displayed screen

  




Menu screen
AA batteries
with
ACadapter
Rechargeable
battery pack
Rechargeable
battery with
ACadapter
AA batteries

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Note: e screens shown are examples. Your pump screens may
vary based on your specic therapy.
Current pump time
Current status of your infusion
A graphic of the infusion prole for your therapy, and the
status of your infusion. e graphic uses the colors green,
red, and gray. e colors indicate that the pump is running
(green), or stopped (red). e graphic is entirely gray before
the pump starts.
Information about upcoming events that are important to
the pump delivery. When the pump is running, messages
may indicate:
• When the next dose will begin
• When the dose will be complete
Options for navigating the pump. Press the “so key” below
the displayed option to select it.




Home screen


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Pump Status Colors
e colors green, amber, red, and blue in the pump status bar help
you quickly recognize pump status. Similar to a trac light, green
means go, amber indicates caution, and red means stop:
• Green: Pump conditions are satisfactory.
• Amber: There is a condition to watch, but the current pump
conditions are satisfactory.
• Red: There is a warning condition that requires immediate
attention and infusion has stopped. All high priority and
systemfault alarms display in red.
• Blue: Low priority alarms and informational messages display
inblue.
On-screen text and help in the pump display provide more
information when there are conditions or alarms that need your
attention. If you cannot correct a condition or alarm by following
the on-screen help, contact your health care provider.
For information about alarm screens, see “Alarms and Messages” on
page 39.

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Removing a Cassette
e medication reservoir should be changed before new infusions,
and when you receive reservoir volume empty or low alarms.
Note: You should always have the supplies necessary to change
your CADD™medication cassette reservoir or CADD®
administration set, as instructed by your health care provider.
WARNING: Always clamp the tubing before removing the
cassette from the pump. Removing the cassette without
closing the clamp could potentially cause unregulated gravity
infusion, which could result in serious injury or death.
To remove a cassette:
1. Make sure the pump is stopped before removing the cassette.
For instructions, see “Stopping the Pump During an
Infusion” on page 33.
2. Close the tubing clamp.
3. If the cassette is locked, insert the pump key
into the cassette/keypad lock and turn it
counter-clockwise to the unlocked position.
4. Push down on the
cassette latch until the
cassette detaches.
5. Remove and discard the CADD™medication cassette
reservoir or CADD®administration set as instructed by your
health care provider.