Smiths Medical CADD-Solis VIP User manual

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CADD®-Solis VIP
Ambulatory Infusion Pump
Quick Start Guide
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 Help Messages
K Cassette/Keypad Lock
L Power Switch

1
• Install a new set of AA batteries or a rechargeable battery pack:
• Turn on the pump using the power
switch on the side of the pump:
• To start programming, select Tasks:
• Press to highlight View Advanced
Tasks then press select .
PROGRAMMING A NEW PATIENT
Power switch to
turn pump on/off
OR
Tasks
02

2
• Using the key, highlight Start New Patient.
then press select to confi rm.
• Enter the 3-digit security code. Press
or to display each digit then press select
to confi rm and advance to the next digit.
Once the complete 3-digit code has been
entered, press Accept Value.
• Highlight the appropriate therapy:
PCA / Continuous / Intermittent / Step /
Taper by pressing or then
press select to confi rm.
• Next highlight a qualifi er by pressing
or then press select to confi rm.

3
• The Review screen appears. Select Review.
• The various delivery settings then appear on the screen.
To confirm a setting, press Accept Value, the
symbol appears on the left.
• Then highlight the drug by pressing or
and press select to confirm.
• A screen asking you Are these correct? appears.
To confirm select YES or to cancel select NO.

4
• The pump will then require you to attach the cassette or the bag, if this
has not yet been done (to attach the disposable see the section titled
Attaching the cassette or tubing ).
• The pump will then explain to you how to prime the tubing.
• Once priming is complete, the pump will
ask if you want to start delivery.
Press Yes to start.
To edit the highlighted delivery setting, press
select .
Next adjust the value by pressing or then
select Save.
Confirm your choice by pressing Accept Value,
the symbol appears on the left.
• When you have confirmed all of the settings,
press Next.

5
Should you wish to change one of the program settings while the pump is
running, follow the instructions below:
1. Press the Stop/Start key
Tasks
02
.
2. Press the key just below Tasks.
3. Using the key, scroll down until the white box highlights View
Delivery Settings then press select .
4. Then select the setting you want to edit and enter the keypad code
to continue.
You can then edit the value using the or keys and press Save
to confirm.
5. Your modification has been saved.
Press the Stop/Start key.
6. The pump then asks you to Review pump settings, select Review.
7. You must then confirm each item (the symbol appears by each item,
acknowledging your confirmation).
8. Once confirmation is compete the pump displays the question Start
the Pump? Confirm by pressing Yes.
02
Tasks
02
I WANT TO CHANGE A PROGRAM SETTING DURING DELIVERY

6
ATTACHING THE CASSETTE / ERA
1. Clamp the tubing, make sure the cassette latch
is unlocked and open the cassette latch to 90
degrees.
2. Insert the cassette hooks into the hinge pins on
the bottom of the pump.
3. Without holding the cassette latch, push up on
the cassette until it firmly clicks into place.
4. Lift the cassette latch into the closed position.
5. Insert the pump key and turn it clockwise
to lock the cassette if using PCA mode.
6. When set to PCA mode you must lock the cassette
in order to be able to start delivery. To lock the
cassette, insert the key into the cassette/keypad lock
and turn clockwise.
Correct Incorrect
An uneven gap indicates
that the cassette is not
properly latched.
REMOVING THE CASSETTE OR TUBING
1. Make sure that delivery has stopped and clamp the tubing.
2. If the cassette is locked, insert the key and
turn it counter-clockwise until it is in the
unlocked position.
3. Push down on the cassette latching lever
until the cassette detaches.

7
QUICK CHANGE OF DISPOSABLE,
SAME INFUSION VOLUME, SAME PROGRAMMING
1. With the pump switched on, stop delivery by pressing the Stop/Start
key
Tasks
02
.
2. Attach the new disposable. The pump displays the question Reset
reservoir volume to XX mL?
Press Yes to confirm.
3. Follow the instructions for priming the tubing.
4. The question Start the Pump? appears.
Select Yes if you want to restart the previous programming.
1. Switch off the pump by pressing the Power on/off key .
2. Remove the disposable.
3. Attach the new disposable.
4. Switch on the pump.
5. Press the button just below Tasks.
6. Using the key, scroll down until the white box highlights View
Delivery Settings then press select .
7. Using the key, scroll down until the white box highlights Reservoir
Volume then press select .
8. Enter the security code.
9. Next press or to select the new reservoir volume then press
Save.
10. Press the Stop/Start key, then select Review. Confirm all of the settings
and then press Next.
11. The question Start the Pump? appears.
Select Yes if you want to restart the previous programming.
CHANGE OF DISPOSABLE WHILE MODIFYING
THE INFUSION VOLUME
Tasks
02

8
Make sure that delivery has stopped, that the tubing is disconnected from
the patient and that the clamps are open.
If the pump displays the screen: Prime tubing?
1. The screen displays Prime tubing? Select Yes (unlock the keypad,
if necessary).
2. Select Prime.
3. Once you have pressed Prime, you do not need to hold your finger down
on the key.
4. Once priming is complete and the air is removed from the line, select
Stop Priming.
If the pump does not display the screen: Prime tubing?
1. In the Tasks menu, press or to select Prime tubing and press
select (unlock the keypad, if necessary).
2. Select Prime.
3. Once you have pressed Prime, you do not need to hold your finger down
on the key.
4. Once priming is complete and the air is removed from the line, select
Stop Priming.
I WANT TO PRIME THE TUBING
The reports can be viewed at any time, whether the pump is running
or stopped.
1. In the Tasks menu, press or to highlight View Reports and then
press select .
2. Next press or to highlight which report you want to view and
press select .
3. Press Back to return to the report selection menu then Back again
to return to the first screen.
I WANT TO CONSULT THE DELIVERY REPORTS

9
I WANT TO PROGRAM A DELAYED START
You can program a delayed start once you have confirmed your programming
and completed the priming. It must be done before starting delivery.
1. Go to the Tasks menu.
2. Press to highlight Set Next Dose Start
Time then press select to confirm.
3. Set the desired delivery start time then select Confirm.
4. A confirmation screen will appear displaying the delivery start time.
To confirm select Yes or to cancel select No.
5. Start delivery by pressing the Stop/Start
Tasks
02
key:
a delayed start screen will appear.
Note: the delivery start time will now be visible in the delivery settings.
To view these settings go to the Tasks menu then select Delivery Settings.

10
SETTINGS TO BE PROGRAMMED:
Continuous Rate: Specify the drug delivery rate. If the prescription
does not require the continuous rate, enter 0.
PCA Dose: Amount of drug delivered by pressing the PCA
Dose key or the Remote Dose Cord Button.
PCA Lockout: Minimum time that must elapse between the time
one PCA dose starts and the time that the next PCA
dose is available.
Delivery Limit: This option is used to restrict the amount of drug
delivered to the patient (including continuous
+ PCA doses, but not clinician boluses) within
a specified time frame (between 1 hour and 12
hours).
Max Doses/Hr: Maximum number of PCA doses allowed within a
1-hour period.
KVO Rate: The KVO (Keep Vein Open) function allows the
delivery of a minimal amount of drug to help
maintain catheter patency.
Reservoir Vol.: Reservoir volume (cassette or bag).
Start Time: If a delayed start is programmed, the delivery start
time is indicated here.
PCA / PCEA mode
250 mL Stopped
Exit Accept Value
'Accept Value', or press 'select' to edit
Continuous Rate 10 mL/hr
PCA Dose 5mL
PCA Lockout 30 Min
KVO Rate 0.1mL/hr
PCA 11:49 AM
PCA - Epidural
Bupivacaine (0.0625%) mL
Purple screen
PCA mode
Yellow screen
Epidural PCA

11
SETTINGS TO BE PROGRAMMED:
Infusion Volume: Total volume of fluid to be delivered ≠ reservoir
volume.
Taper Up: Duration for the taper up period.
Taper Down: Duration for the taper down period.
Infusion Duration: Time required to deliver the infusion volume.
Plateau Rate: Maximum rate at which medication is delivered.
This rate is automatically calculated by the pump.
KVO Rate: The KVO (Keep Vein Open) function allows the
delivery of a minimal amount of drug to help
maintain catheter patency.
Reservoir Vol.: Reservoir volume (cassette or bag).
Start Time: If a delayed start is programmed, the delivery start
time is indicated.
TAPER MODE (TPN - TOTAL PARENTERAL NUTRITION)
Green screen

12
SETTINGS TO BE PROGRAMMED:
Continuous Rate: Specify the delivery rate of the solution.
KVO Rate: The KVO (Keep Vein Open) function allows the
delivery of a minimal amount of drug to help
maintain catheter patency.
Reservoir Vol.: Reservoir volume (cassette or bag).
Start Time: If a delayed start is programmed, the delivery
start time is indicated.
CONTINUOUS MODE
Gray screen

13
SETTINGS TO BE PROGRAMMED:
Dose Volume: Dose volume to be delivered.
Dose Duration: Time required to deliver a dose.
Dose Cycle: Time from the start of one dose to the start of
the next dose.
Dose Rate: Automatically calculated by the pump (cannot be
modified), indicates the rate at which the dose
is delivered.
Next Dose: Indicates the time at which the next dose will start.
KVO Rate: The KVO (Keep Vein Open) function allows the
delivery of a minimal amount of drug to help
maintain catheter patency.
Reservoir Vol.: Reservoir volume (cassette or bag).
INTERMITTENT MODE
Blue screen

14
SETTINGS TO BE PROGRAMMED:
Infusion Volume: Total volume of fluid to be delivered ≠ reservoir
volume.
Initial Rate: Delivery rate that starts at the beginning of an
infusion.
Rate Increment: The amount of drug by which you want delivery to
increase with each step. Every step must increase
by the same amount.
Plateau Rate: Maximum rate at which medication is delivered.
Step Duration: Delivery time of each step. This time is the same for
each step and for the initial rate, with the exception
of the plateau.
Infusion Duration: Time required to deliver the infusion volume.
Automatically calculated by the pump.
KVO Rate: The KVO (Keep Vein Open) function allows the
delivery of a minimal amount of drug to help
maintain catheter patency.
Reservoir vol.: Reservoir volume (cassette or bag).
Start Time: If a delayed start is programmed, the delivery start
time is indicated.
STEP MODE
Olive screen

15
For certain alarms, such as occlusion alarms and the cassette detector,
you have the option of viewing help screens to help you to solve the
problem.
1. When an alarm is triggered, select
Silence to mute the alarm.
2. If help screens are available for the
alarm, Help appears above the right
soft key. Press this key to view the
help screens.
ALARM HELP SCREENS

16
Air in-line detected: High Priority Alarm = stops delivery
The air detector has detected air in the fluid path. The current delivery is
automatically stopped. Select Acknowledge to clear the alarm. If the fluid
path contains air bubbles, close the clamps and disconnect the fluid path
from the patient. Next prime the line to remove the air and restart delivery.
Battery low: Low Priority Alarm (blue screen)
Select Acknowledge to clear the alarm, or the alarm will automatically stop
after 5 seconds. You must replace the batteries or charge the rechargeable
battery pack.
Downstream Occlusion: High Priority Alarm = stops delivery
The pump has detected an occlusion between the pump and the patient, which
may be resulting from a kink in the fluid path, a closed tubing clamp, or a
blockage. Delivery is paused and will resume if the occlusion is removed. This
alarm has associated help screens. To access them press Silence then Help.
Reservoir volume low: Low Priority Alarm (blue screen)
Depending on your pump’s settings, an alarm will sound to inform you that
the volume in the reservoir (bag or cassette) is low and that a new bag or
cassette must be installed quickly.
Upstream Occlusion: High Priority Alarm = stops delivery
Clear occlusion between pump and reservoir.
Liquid is not flowing between the bag/cassette and the pump. This malfunction
may be resulting from a kink in the fluid path, a closed tubing clamp, or an
air bubble in the tubing. Delivery is paused and will automatically resume
once the occlusion is removed. If the alarm has been activated then cleared
more than 3 times within 15 minutes, you are required to acknowledge the
alarm before it can clear.
ALARM HELP SCREENS

17
Delivery Settings
PCA Continuous Intermittent Step Taper
Continuous
Rate
Continuous
Rate
Dose
Volume
Infusion Volume Infusion Volume
PCA Rate Dose
Duration
Initial Rate Taper Up
PCA Lockout* Dose Cycle Rate Increment Taper Down
Delivery Limit** Dose Rate Plateau Rate Infusion Duration
Max
Doses/Hr**
Next Dose Step Duration Plateau Rate
Infusion Duration
KVO Rate KVO Rate KVO Rate KVO Rate KVO Rate
Reservoir Vol. Reservoir
Vol.
Reservoir
Vol.
Reservoir Vol. Reservoir Vol.
Start Time*** Start Time*** Start Time*** Start Time***
* This setting does not appear if the PCA dose is zero.
** This setting may not appear, depending on the delivery limit method
selected.
*** This setting appears only if a delayed start is in effect.
SETTINGS MENUS FOR THE CADD®-SOLIS VIP PUMP

Infusion Duration

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. ©2016 Smiths Medical. All rights reserved. IN193563EN-052016
PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES
MPAUCA-1282
Smiths Medical ASD, Inc.
St. Paul, MN 55112, USA
Phone: [phone]
Toll-Free USA 1-800-258-5361
Find your local contact information at:
www.smiths-medical.com/customer-support