Smiths Medical CADD-Solis VIP User manual

CADD®-Solis VIP
Ambulatory Infusion Pump
Operator’s Manual
Model 2120
X
s

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e CADD®-Solis VIP (variable infusion prole) Ambulatory Infusion Pump is designed to promote
patient care and safety for a variety of adult and pediatric patients, and clinical care areas.
is manual describes only the CADD®-Solis VIP Ambulatory Infusion Pump. Refer to the CADD®-Solis
Medication Safety Soware installation guide and online help for information specic to that program.
is pump can be programmed with a pump protocol conguration consisting of a therapy, qualier, and
drug. e pump can deliver medication via patient controlled analgesia (PCA), continuous, intermittent,
variable stepped rate, and tapered infusions.
is manual is intended for use by clinicians and system administrators only. Do not permit patients
to have access to it. e pump has three security levels designed to limit overall access to certain pump
features. Only disclose the pump’s security codes to those who are authorized. Access to the pump key
should also be restricted.
e issue date of this Operator’s Manual is included on the back cover. In the event one year has elapsed
between the issue date and product use, contact Smiths Medical to see if an updated version of this manual
is available.
Technical Assistance
If you have comments or questions concerning the operation of the CADD®-Solis VIP Ambulatory
Infusion Pump, call the number given below. When calling, specify the pump soware version number.
is information is located in the device information report (See Device Information on page98 for more
information).
Smiths Medical ASD is available to help with the programming and operation of the CADD®-Solis VIP
Ambulatory Infusion Pump.
Smiths Medical ASD, Inc.
St. Paul, MN 55112 USA
1 800.258.5361 (USA)
1 214.618.0218
www.smiths-medical.com
European Distribution:
Smiths Medical International Ltd.
WD24 4LG, UK
[phone]
Australian Distribution:
Smiths Medical Australasia Pty. Ltd.
61 Brandl Street
Eight Mile Plains, QLD 4113, Australia
[phone]

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Read this entire operator’s manual before operating the CADD®-Solis VIP ambulatory infusion pump.
Failure to properly follow warnings, cautions, and instructions could result in death or serious injury
to the patient.
Contraindications
•e pump is not to be used for delivery of blood or cellular blood products, as blood and cellular blood
products will be damaged by the pumping mechanism.
•is pump is not to be used in any intra-articular space infusion.
Warnings
•is operator’s manual should be used by authorized clinicians and system administrators only. Do not
permit patients to have access to this manual, as the information contained allows complete access to
all programming and operating functions.
•To avoid explosion hazard, do not use the pump in the presence of ammable anesthetics or explosive
gases.
•For patients likely to be adversely aected by unintended operations and failures, including interrupted
medication or uid delivery from the device, close supervision and provision for immediate corrective
action should be provided in order to assure minimum medication delivery interruption. Pump failure
suspends medication delivery, and unintended pump operations could lead to a variety of consequences
for the patient.
•If the pump is used to deliver life-sustaining medication, an additional pump must be available,
and close supervision and provision for immediate corrective action should be provided to assure
minimum medication delivery interruption in the event of a pump failure. Pump failure suspends
medication delivery.
•e user should ensure that the performance oered by the pump is t for the intended use and that the
pump is not used in any way or for any purpose other than its intended use.
•If the pump is dropped or hit, inspect it for damage. Do not use a pump that is damaged or not
functioning properly. Contact Smiths Medical Customer Service to return a pump for service.
•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 ambulatory infusion pump.
e volume remaining in the syringe must be regularly compared 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, appropriate action must be taken.
•Do not administer drugs to the epidural space or subarachnoid space unless the drug is indicated for
administration to those spaces.
•To prevent the infusion of drugs that are not indicated for epidural space or subarachnoid space
infusion, DO NOT use administration sets that incorporate injection sites.
•If a CADD™ medication cassette reservoir, CADD® extension set, or CADD® administration set is used
for epidural space or subarachnoid space drug delivery, it is strongly recommended that it be clearly
dierentiated from those used for other routes of infusion (for example, by color coding or other means
of identication).
•If the air detector is turned o, the pump does not detect air in the uid path. It is recommended that
you periodically inspect the uid path and remove any air to prevent air embolism.
•When the upstream occlusion sensor is turned o, the pump does not detect occlusions upstream
between the pump and the reservoir. Periodic inspection of the uid path for kinks, a closed clamp,

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or other upstream obstructions is recommended. Upstream occlusions may result in underdelivery of
medication.
•Do not disclose pump security codes or any other information that would allow the patient or
unauthorized clinician complete access to programming and operating functions.
•Do not leave the pump unattended while unlocked. All programming functions are accessible while the
pump is unlocked.
•e manual program mode does not contain programming limits. Carefully review each parameter to
ensure it accurately matches the prescription.
•Always carefully review the program on the pump aer it has been programmed to verify that the
pump is programmed correctly.
•e remote dose cord is for patient use only. Operation by anyone other than the patient may cause
overdelivery of medication.
•Ensure that the ± 6% system delivery accuracy specication is taken into account when programming
the pump and/or lling the reservoir. Failure to do so may result in medication in the reservoir
becoming depleted sooner than expected.
•Exercise care when using the clinician bolus function. Because there are no limits to the frequency
of delivering a bolus, and because the bolus amount may be set as high as 50mL (or the mg or mcg
equivalent), you should not permit the patient or unauthorized clinician to become familiar with the
procedure for giving a clinician bolus.
•To prevent the patient from accessing the clinician bolus function, do not let the patient know the
clinician or administrator security codes.
•Never leave the pump unattended while on the clinician bolus edit screen. You must deliver the
programmed value, or cancel and leave the screen.
•Do not use rechargeable NiCd or nickel metal hydride (NiMH) batteries. Do not use carbon zinc
(“heavy duty”) batteries. ey do not provide sucient power for the pump to operate properly.
•Always have new batteries available for replacement. If power is lost, nondelivery of drug occurs.
•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.
•ere 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 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.
•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. is may result in loss
of power and non-delivery of drug.
•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.
•Per general rules of safe practice, 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 reux 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®

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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 uid path with the tubing connected to a patient as this could result in overdelivery
of medication or air embolism.
•To prevent air embolism, ensure that the entire uid path is free of all air bubbles before connecting to
the patient.
•System delivery inaccuracies may occur as a result of back pressure or uid resistance, which depends
upon drug viscosity, catheter size, and extension set tubing (for example, microbore tubing), and
placing the infusion reservoir and/or pump above or below the level of the patient. System delivery
inaccuracy may result in under or overdelivery of medication.
•e use of power supplies and a remote dose cord other than those listed in the electromagnetic
emissions declaration may result in increased emissions or decreased immunity of the pump.
•e pump should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is
necessary, verify normal operation of the pump in the conguration in which it is to be used.
•ere 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.

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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.
•CADD® pumps are sealed units. A broken or damaged seal will therefore be considered conclusive
evidence that the pump has been misused and/or altered, which voids any and all warranties. All
service and repair of CADD® pumps must be performed by Smiths Medical or its authorized agents.
•Use only Smiths Medical accessories that are specied for use with the CADD®-Solis ambulatory
infusion pump, as other brands may adversely aect pump operation.
•Inspect the AA batteries for damage or wear to the metal or plastic insulation prior to use, or aer 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. Follow your facility’s procedures for downloading protocol libraries.
•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.
•If delivery of an infusion is aected by a time or date change, an alarm message appears and must be
conrmed.
•Do not immerse the pump in cleaning uid 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.
•e pump should not be directly irradiated by therapeutic levels of ionizing radiation due to the risk of
permanent damage to the electronic circuitry. e best procedure to follow is to remove the pump from
the patient during therapeutic radiation sessions or diagnostic levels of radiographic and uoroscopic
radiation. If the pump must remain in the vicinity during a diagnostic or therapy session, it should be
shielded, and its ability to function properly should be conrmed following treatment.
•Do not expose the pump directly to ultrasound, as permanent damage to the electronic circuitry may
occur.
•Magnetic elds produced by magnetic resonance imaging (MRI) equipment may adversely aect the
operation of the pump. Remove the pump from the patient 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 aect the performance of other equipment,
such as ECG monitors, can occur. e user should check the correct function of the equipment prior to
use.
•Do not use the pump in hyperbaric chambers as they aect how the pump works and may also cause
damage to the pump.

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General
Description
Pump
Programming
Operating
the Pump
Tasks and
Advanced Tasks
References and
Troubleshooting
Table of Contents
Technical Assistance ...........................2
Contraindications ..............................3
Warnings ......................................3
Cautions .......................................6
General Description
Introduction ...................................9
Indications .....................................9
Contraindications ..............................9
Epidural/Subarachnoid Administration . . . . . . . . . 9
Analgesics .................................9
Anesthetics ................................9
Symbols ......................................10
Pump Diagram ................................12
Pump Components, Ports, and Connectors . . . . 13
Indicator Lights ...........................13
Display with Backlighting . . . . . . . . . . . . . . . . . 13
Keypad ...................................13
Power Switch .............................14
Power Jack ...............................14
USB Port ..................................14
Remote Dose Cord Jack . . . . . . . . . . . . . . . . . . . 14
Battery Compartment . . . . . . . . . . . . . . . . . . . . 14
Cassette Latch ............................14
Cassette/Keypad Lock . . . . . . . . . . . . . . . . . . . . 14
Air Detector ..............................14
Downstream Occlusion Sensor . . . . . . . . . . . . 14
Upstream Occlusion Sensor . . . . . . . . . . . . . . . 14
Accessories ...................................15
CADD®-Solis Medication
Safety Software ........................15
AC Adapter ...............................15
Rechargeable Battery Pack . . . . . . . . . . . . . . . . 15
Remote Dose Cord ........................15
Polemount Bracket .......................15
Polemount Bracket Adapter . . . . . . . . . . . . . . . 15
Polemount Swivel ........................15
Pump Key ................................15
Pouches and Backpacks . . . . . . . . . . . . . . . . . . . 15
LockBox ..................................15
Pump Screens and Display . . . . . . . . . . . . . . . . . . . . 16
Pump Screens ............................16
Using Color ...............................17
Security Settings ..............................18
Security Level Tables . . . . . . . . . . . . . . . . . . . . . . 18
Autolock .................................21
Entering Security Codes. . . . . . . . . . . . . . . . . . . 21
Customized Security Settings . . . . . . . . . . . . . 22
Keypad Security ......................23
Keypad Code .........................23
Clinician Code ........................24
Administrator Code . . . . . . . . . . . . . . . . . . 24
Manual Programming . . . . . . . . . . . . . . . . 25
Pump Programming
Protocols and Protocol Libraries . . . . . . . . . . . . . . . 26
New Protocol Selection . . . . . . . . . . . . . . . . . . . . . . . 26
Single Protocol Download . . . . . . . . . . . . . . . . 26
Protocol Selection from a Library . . . . . . . . . . 27
Start New Patient . . . . . . . . . . . . . . . . . . . . . 27
Start New Protocol Same Patient . . . . . . 27
Manually Programmed Protocols . . . . . 28
Delayed Start/Next Dose Start Time . . . . . . . . . . . 31
Delivery Hard and Soft Limits . . . . . . . . . . . . . . . . . . 33
Delivery Settings ..............................34
Editing Delivery Settings . . . . . . . . . . . . . 35
Review Pump Settings . . . . . . . . . . . . . . . . . . . . . . . . 36
PCA Delivery Mode ...........................37
Home Screen .............................37
Programming Screens . . . . . . . . . . . . . . . . . . . . 38
Programming Example . . . . . . . . . . . . . . . . . . . 39
Give a Clinician Bolus . . . . . . . . . . . . . . . . . . . . . 43
Start a PCA Dose ..........................45
Stopping a Clinician Bolus or PCA Dose . . . . 46
Continuous Delivery Mode . . . . . . . . . . . . . . . . . . . . 47
Home Screen .............................47
Programming Screens . . . . . . . . . . . . . . . . . . . . 47
Programming Example . . . . . . . . . . . . . . . . . . . 48
Intermittent Delivery Mode . . . . . . . . . . . . . . . . . . . 51
Home Screen .............................51
Programming Screens . . . . . . . . . . . . . . . . . . . . 52
Programming Example . . . . . . . . . . . . . . . . . . . 53
Stopping the Pump During an Infusion . . . . 58
Step Delivery Mode ...........................59
Home Screen .............................59
Programming Screens . . . . . . . . . . . . . . . . . . . . 60
Programming Example . . . . . . . . . . . . . . . . . . . 62
Starting Each infusion . . . . . . . . . . . . . . . . . . . . . 67
Stopping and Restarting the Pump
During an Infusion . . . . . . . . . . . . . . . . . . . . . . 67
Step Up ..................................67
Step Down ...............................68
Taper Delivery Mode ..........................69
Home Screen .............................69
Programming Screens . . . . . . . . . . . . . . . . . . . . 70
Programming Example . . . . . . . . . . . . . . . . . . . 72
Starting Daily Infusion . . . . . . . . . . . . . . . . . . . . 76
Stopping and Restarting the Pump
During an Infusion . . . . . . . . . . . . . . . . . . . . . . 77
Taper Down Now .........................77

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References and
Troubleshooting
Tasks and
Advanced Tasks
Operating
the Pump
Pump
Programming
General
Description
Operating the Pump
Batteries ......................................78
Install the Batteries or Battery Pack . . . . . . . . 79
Replace the Battery Door . . . . . . . . . . . . . . . . . 79
Power Up .....................................80
Power Down ..................................80
Cassettes .....................................81
Remove a Cassette ........................81
Attach a Cassette .........................82
Prime Tubing .................................83
Prime Tubing After Changing a Cassette . . . 83
Prime Tubing, No Cassette Change . . . . . . . . 84
Start the Pump ................................85
Stop the Pump ................................86
Reset Reservoir Volume . . . . . . . . . . . . . . . . . . . . . . . 87
Tasks and Advanced Tasks
Tasks Menu Overview .........................88
Display and Sound Settings . . . . . . . . . . . . . . . . . . . 89
Backlight Intensity . . . . . . . . . . . . . . . . . . . . . . . . 89
Alarm Volume ............................89
Sound Theme ............................90
Key Beep On/O ..........................91
Numeric Format ..........................91
Time and Date ................................92
Current Time .............................92
Current Date ..............................93
Time Format ..............................93
Date Format ..............................94
Daylight Savings Time . . . . . . . . . . . . . . . . . . . . 94
Reports .......................................95
Total Given ...............................95
Given and PCA Dose Counters . . . . . . . . . . . . 96
PCA Dose Graph ..........................96
Delivery History and Pie Chart . . . . . . . . . . . . . 97
Delivery Log ..............................97
Event Log ................................98
Protocol Library Summary . . . . . . . . . . . . . . . . 98
Device Information . . . . . . . . . . . . . . . . . . . . . . . 98
Advanced Tasks Menu Overview . . . . . . . . . . . . . . 99
Patient Permissions ..........................100
Priming Security On/O . . . . . . . . . . . . . . . . .100
Delayed Start Security On/O . . . . . . . . . . . . 101
Air and Occlusion Settings . . . . . . . . . . . . . . . . . . . 102
Air Detector On/O . . . . . . . . . . . . . . . . . . . . . . 102
Air Detector Sensitivity . . . . . . . . . . . . . . . . . . 103
Upstream Sensor On/O . . . . . . . . . . . . . . . . . 103
Downstream Sensor Sensitivity . . . . . . . . . .104
Alarm Settings ...............................105
Infusion Alerts On/O. . . . . . . . . . . . . . . . . . . . 105
Pump Stopped Alarm Type . . . . . . . . . . . . . . . 105
Reservoir Low Trip Point . . . . . . . . . . . . . . . . . 106
Reservoir Low Alarm Type . . . . . . . . . . . . . . . . 106
Reservoir Empty Alarm Type . . . . . . . . . . . . . 107
PM Reminder On/O . . . . . . . . . . . . . . . . . . . . . 107
PM Reminder ............................108
PM Interval ..............................108
Reset to Factory Settings . . . . . . . . . . . . . . . . . . . . . 109
References and Troubleshooting
Alarms and Messages . . . . . . . . . . . . . . . . . . . . . . . . 110
Types of Alarms ..........................110
System Fault Alarm . . . . . . . . . . . . . . . . . . 110
High Priority Alarm . . . . . . . . . . . . . . . . . . 110
Medium Priority Alarm . . . . . . . . . . . . . . 110
Low Priority Alarm . . . . . . . . . . . . . . . . . . 111
Informational Message . . . . . . . . . . . . . . 111
Alarm Help Screens . . . . . . . . . . . . . . . . . . . . . . 111
Troubleshooting .........................112
Alarms and Messages,
Alphabetical List . . . . . . . . . . . . . . . . . . . . . . . 112
Cleaning the Pump and Accessories . . . . . . . . . . 119
Radiation and Magnetic Resonance
Imaging (MRI) ..............................120
Standards used in development
of the pump ...............................121
PCA Delivery Mode Scroll Ranges . . . . . . . . . . . . . 123
Military Time .................................124
Specications (Nominal) . . . . . . . . . . . . . . . . . . . . . 125
General Pump Specications . . . . . . . . . . . . . 125
Delivery Specications . . . . . . . . . . . . . . . . . . . 130
Common Delivery Specications . . . . . 130
PCA Delivery Specications . . . . . . . . . . 131
Continuous Delivery
Specications .....................132
Intermittent Delivery
Specications .....................132
Step Delivery Specications . . . . . . . . . 133
Taper Delivery Specications . . . . . . . . 133
Electromagnetic Emissions and
Immunity Declarations . . . . . . . . . . . . . . . . . . . . . 134
Collect Separately ............................136
Menu Maps ..................................137
Tasks Menus .............................137
Advanced Tasks Menus . . . . . . . . . . . . . . . . . . 139
Default Factory Settings . . . . . . . . . . . . . . . . . . . . . . 140
Manual Mode Initial Settings . . . . . . . . . . . . . . . . . 141
Accuracy Test Results . . . . . . . . . . . . . . . . . . . . . . . . 143
Limited Warranty ............................145
Index .......................................146

9
General Description
General
Description
General Description
Introduction
e CADD®-Solis VIP ambulatory infusion pump provides measured drug therapy to patients in hospital
or outpatient settings. erapy should always be overseen by a physician or a certied, licensed healthcare
professional. As appropriate, the caregiver and patient should be instructed in using the pump.
Indications
e CADD®-Solis VIP ambulatory infusion pump is indicated for intravenous, intra-arterial,
subcutaneous, intraperitoneal, perineural, surgical site, epidural space, or subarachnoid space infusion.
•PCA (patient-controlled analgesia) delivery is used for therapies that require a continuous rate of
infusion, patient-controlled demand doses, or both, such as patient-controlled analgesia.
•Continuous delivery allows the infusion of drug/uid at a constant, programmed rate.
•Intermittent delivery allows the infusion of a specic volume of drug/uid at a regular, programmed
interval.
•Step delivery allows an incremental increase in infusion rate to a specied maximum infusion rate for
a specied total infusion volume.
•Taper delivery allows a plateau rate of infusion with the option of tapering at the beginning and/or end
and has a programmable KVO rate at the end of the infusion.
Contraindications
•e pump is not to be used for delivery of blood or cellular blood products, as blood and cellular blood
products will be damaged by the pumping mechanism.
•is pump is not to be used in any intra-articular space infusion.
Epidural/Subarachnoid Administration
e selected drug must be used in accordance with the indications included in the package insert
accompanying the drug. Administration of any drug by this pump is limited by any warnings,
precautions, or contraindications in the drug labeling.
Analgesics
Administration of analgesics to the epidural space is limited to use with indwelling catheters specically
indicated for either short-term or long-term drug delivery.
Anesthetics
Administration of anesthetics to the epidural space is limited to use with indwelling catheters specically
indicated for short-term drug delivery.
WARNING:
•Do not administer drugs to the epidural space or subarachnoid space unless the drug is indicated
for administration to those spaces. Drugs not intended for epidural or subarachnoid space infusion
could result in serious patient injury or death.
•To prevent the infusion of drugs that are not indicated for epidural space or subarachnoid space
infusion, DO NOT use administration sets that incorporate injection sites. e inadvertent use of
injection sites for infusion of such drugs may cause serious patient injury or death.
• If a CADD™ medication cassette reservoir, CADD® extension set, or CADD® administration set
is used for epidural space or subarachnoid space drug delivery, it is strongly recommended that it
be clearly dierentiated from those used for other routes of infusion (for example, by color coding
or other means of identication). Drugs not intended for epidural or subarachnoid space infusion
could result in serious patient injury or death.

10
General Description
General
Description
Symbols
Symbols on the Pump and Labels
fCaution Power on/o switch
1Consult instructions for use Cassette unlock/lock
<Catalog number BSoft key
>Serial number UUp button
JDate of manufacture DDown button
@Authorized representative in the
European Community SSelect button
Australian representative 9Stop/Start button
PTemperature limitation @PCA Dose button
_Humidity limitation AA battery location,
positive terminal faces up
iAtmospheric pressure limitation AA battery location,
negative terminal faces up
JType CF equipment AA battery location,
positive terminal faces up
KClass II equipment AA battery location,
negative terminal faces up
ESplashproof—water splashed
against the pump housing will have
no harmful eects.
USB port
ZCollect separately
Direct current (power jack)
Remote dose cord jack

11
General Description
General
Description
Symbols on the Pump Display
Reservoir volume PCA delivery mode
Charge level of rechargeable battery
pack Continuous delivery mode
Charge level of rechargeable battery
pack. AC adapter connected. Intermittent delivery mode
Charge level of AA batteries Step delivery mode
Charge level of AA batteries. AC
adapter connected. Taper delivery mode
No battery installed, AC power only Keypad is locked
Incompatible battery Keypad is unlocked
Incompatible battery. AC Adapter
connected.
Appears next to a parameter that has
been reviewed and accepted.
Pump status is Started or Running.
On edit screens. Indicates current
parameter value. Press U or D to
scroll up or down to edit the value.
Pump status is Paused.
On edit screens with a menu of
options. Indicates which setting is
being selected.
Pump status is Stopped. The requested action can not be
performed.
There are more items to see in the
work area. Press U or D to scroll up
or down.
More data is available. On PCA dose
report only.
Item highlighted in the work area is at
the top of the menu. Press D to scroll
down.
Review screen
Item highlighted in the work area is at
the bottom of the menu. Press U to
scroll up.
Saving

12
General Description
General
Description
Pump Diagram
Front View
Rear View
Battery Compartment
Display
Indicator Lights
Amber
Green
AC Power Jack
Keypad
Blue AC
Power Light
Remote Dose
Cord Jack
USB Port
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)
Serial
number

13
General Description
General
Description
Pump Components, Ports, and Connectors
Indicator Lights
When the pump is powered, one or both of the indicator lights ash.
Green: e green light ashes to indicate that the pump is running and delivering uid as
programmed.
Amber: e amber light ashes when the pump is stopped, an alarm condition exists, or the battery or
the reservoir volume is low. It stays on continuously when the pump is inoperable. e display briey
describes the alarm condition when the amber light is ashing.
NOTE: At times both lights may ash. is indicates that the pump is running, but there is a condition
that needs attention (for example, low battery or low reservoir volume).
Display with Backlighting
e liquid crystal display (LCD) shows programming information and messages. Backlighting helps keep
the display visible in low light. In this manual, “display” is synonymous with display panel or LCD.
Aer a period of time in which no keys are pressed, the backlighting turns o and the display goes blank
to save battery power (except during an alarm or when the AC adapter is in use). To turn the display back
on, press any key except the PCA dose key when in PCA mode.
NOTE:
•When the display is blank, you can determine that the pump is powered by observing either the green
or amber (or both) indicator lights periodically ashing.
•If you press stop/start 9, the display reappears with a message asking if you wish to start or stop the
pump.
•If you press PCA dose @ while the pump screen is blank, the pump delivers a PCA dose, if that
option is available.
Keypad
e keys on the keypad are described below. A key beeps when pressed if it is operable in the current state
of the pump. However, the keys do not beep if the key beep function has been turned o in the protocol or
the administrator settings.
Starts and stops pump delivery.
 Referred to as “so keys.” Allow you to answer a question on the pump’s display. For example, the
screen above this key may display “Yes,” in which case pressing this key gives the question displayed
on the screen an answer of “Yes.” Also allows you to navigate through some of the pump screens (for
example, canceling an action, or backing out of an open screen).
 Allows navigation through the menus on the pump, scrolling down, or decreasing a value.
 Allows navigation through the menus on the pump, scrolling up, or increasing a value.
Used to select a menu item.
 Allows the patient to request a PCA dose if the remote dose cord is not connected, and if the PCA dose
option is available. If the remote dose cord is connected, this key is inactive.



 



14
General Description
General
Description
Power Switch
Turns the pump on or o. Press and hold the switch to turn the pump on. Press the switch to turn the
pump o, and conrm that you want to power down by selecting Yes.
Power Jack
You may plug the AC adapter into the power jack. When the AC adapter is plugged in, the blue power
light turns on. is light is on regardless of the pump’s on or o status. See AC Adapter on page15 for more
information.
USB Port
A mini-B USB cord may be attached to the USB port for communication with the CADD®-Solis
Medication Safety Soware.
Remote Dose Cord Jack
Used for attaching the remote dose cord. See Remote Dose Cord on page15 for more information.
Battery Compartment
Four AA batteries or the rechargeable battery pack t into this compartment. e batteries serve as
the primary source of power, or as a backup when the AC adapter is in use. See Batteries on page78 for
additional information.
Cassette Latch
Used to attach the cassette to the pump. When the pump is turned on, it detects whether the cassette
is latched properly. Delivery stops and an alarm occurs if the cassette becomes unlatched. See Attach a
Cassette on page82 and Remove a Cassette on page81.
Cassette/Keypad Lock
Secures the cassette to the pump using the pump key provided. e cassette latch must be latched before
it can be locked. e cassette/keypad lock can be congured to unlock only the cassette latch or to unlock
the cassette latch as well as the keypad. is is congured by the CADD®-Solis system administrator. See
Security Settings on page18.
Air Detector
e air detector may be turned on or o, depending on facility or therapy requirements (see Air Detector
On/O on page102). If air is detected in the part of the tubing that passes the air detector sensor, an alarm
sounds and delivery stops. If an air detector is not required, it may be turned o.
WARNING: If the air detector is turned o, the pump does not detect air in the uid path. It is
recommended that you periodically inspect the uid path and remove any air to prevent air
embolism, which could result in serious patient injury or death.
Downstream Occlusion Sensor
e pump contains a downstream occlusion sensor. When a downstream occlusion (between the pump
and the patient) is detected, an alarm sounds, delivery stops, and the display shows “Downstream
occlusion. Clear occlusion between pump and patient”.
Upstream Occlusion Sensor
e pump contains an upstream occlusion sensor. is feature may be turned on or o (see Upstream
Sensor On/O, on page103). When an upstream occlusion (between the pump and the reservoir) is detected,
an alarm sounds, delivery stops, and the display shows “Upstream occlusion. Clear occlusion between
pump and reservoir”.
WARNING: When the upstream occlusion sensor is turned o, the pump does not detect occlusions
upstream between the pump and the reservoir. Periodic inspection of the uid path for kinks, a
closed clamp, or other upstream obstructions is recommended. Upstream occlusions may result in
underdelivery of medication. If undetected, these occlusions could lead to death or serious injury to
the patient.

15
General Description
General
Description
Accessories
CAUTION: Use only Smiths Medical accessories that are specied for use with the CADD®-Solis
ambulatory infusion pump, as other brands may adversely aect pump operations.
All CADD®-Solis accessories may be obtained through the Customer Service department at Smiths
Medical. For detailed instructions and warnings applicable to each accessory, refer to the instructions for
use provided with the product.
CADD®-Solis Medication Safety Software
e CADD®-Solis Medication Safety Soware allows you to create and manage protocol libraries and then
send them to the pump. See the installation guide and online help for more information.
AC Adapter
e AC adapter can be used as an alternate source of power for the pump and/or to recharge
the rechargeable battery pack. e pump requires 4AA batteries or the rechargeable battery
pack to be installed as a backup while using the AC adapter.
Rechargeable Battery Pack
e rechargeable battery pack is an alternative to using 4AA batteries. e rechargeable
battery pack can be recharged with the AC adapter, either inside or outside of the pump.
Remote Dose Cord
e remote dose cord can be attached to the pump and provided to the patient as an
alternative to pushing the PCA dose @ key to request a PCA dose.
Polemount Bracket
e polemount bracket is used along with the polemount bracket adapter to attach the pump
to an IV pole.
Polemount Bracket Adapter
e polemount bracket adapter attaches to the back of the pump so that it can be hung from an
IV pole or in a lockbox.
Polemount Swivel
e polemount swivel allows the pump to rotate while it is attached to the CADD®-Solis
polemount bracket. With the swivel attached, the pump can be tilted or rotated 230° for easy
viewing of the display. e swivel can not be used in a LockBox.
Pump Key
e pump key is used to securely lock a cassette to the pump. It can also be used to lock and
unlock the keypad, if allowed by the protocol setting.
Pouches and Backpacks
Several styles of pump pouches and backpacks are available. ey can carry a
CADD®-Solis ambulatory infusion pump with either a CADD™ medication cassette
reservoir (50mL to 250mL) or a exible, plastic IV bag up to 3liters.
LockBox
Clear and yellow lockboxes are available to hold both the CADD®-Solis ambulatory
infusion pump and a CADD™ medication reservoir. e pump attaches to the lockbox with
a polemount bracket adapter and the lockbox can be attached to an IV pole. e lockbox
allows for viewing of its contents and access to the keypad, remote dose cord jack, and AC
power jack.

16
General Description
General
Description
Pump Screens and Display
Pump Screens
e sample screens in this manual are only examples of what might be displayed. e protocols, consisting
of therapies, qualiers, drugs and concentrations, and all associated pump settings in the pump library
will be established by your facility.
e therapy, qualier, and drug in the current protocol. On a home screen, only the therapy is listed.
 e status bar shows the status of the pump. It may also display messages and alerts.
 Current reservoir volume.
 e screen color is unique for each therapy.
 Delivery status of the pump—stopped or running.
 e type of battery in use and the approximate amount of life remaining. Also indicates if an AC
adapter is in use.
Keypad lock status—locked or unlocked.
i Units of measurement and concentration (if applicable) for the drug or solution used in the current
protocol.
 Screen name and help text, if there is any.
 e work area/contents for the displayed screen.
 e current time.
 e current status of the programmed infusion.
 Graphic that identies which therapy is programmed, and the status of the infusion. See explanations
of the dierent home screens and graphics in Delivery Settings beginning on page34.
AA batteries
with
AC adapter
Rechargeable
battery pack
Rechargeable
battery with
AC adapter
AA batteries

 
i










Menu Screen Home Screen

17
General Description
General
Description
 Information indicating upcoming events that are important to the user. e message is mode-specic,
and if the pump is running, indicates one of the following:
•When a delayed start will begin
•When the reservoir will be empty
•e current rate of delivery
•When the next dose will begin
•When the dose or infusion will be complete
If a new patient or new infusion is programmed but the pump has not been started, the message states
that the infusion (or dose) will begin when the pump starts.
Options for navigating the pump. ese options change depending on the screen and the functions
being performed with the pump.
Using Color
Therapy Screen Colors
e pump display uses color to help you recognize critical information quickly and easily. e unique
screen color for each type of therapy is factory-set:
Therapy Screen Color
PCA Purple*
Continuous Gray
Intermittent Blue
Step Olive
Taper Green
* May be customized to yellow.
For PCA therapy only, the screen color may be changed to yellow by using the CADD®-Solis Medication
Safety Soware. Depending on the needs of your pain management program, your facility may choose to
relate a purple or yellow screen to a specic protocol, including:
•Route of administration (for example, all epidural protocols), or
•Patient type (for example, all pediatric protocols), or
•Any other hierarchy which ts the needs of your institution.
Refer to your facility’s policies and procedures to understand how colors are used to identify your pain
management protocols.
Pump Status Colors
e colors green, amber, red, and blue are used to help clinicians and patients recognize pump status.
Similar to a trac control light, green means go, amber indicates caution, and red means stop:
•Green: Pump conditions are satisfactory.
•Amber: ere is a condition to watch, but the current pump conditions are satisfactory. Medium
priority alarms and values outside so limits display in amber.
•Red: ere 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.
For more information on alarm screens, refer to Alarms and Messages on page110.

18
General Description
General
Description
Security Settings
Security settings are used to limit patient and unauthorized clinician access to certain programming and
operating functions of the pump. Pump functions are protected by 3different security codes. The security
level tables list the functions that are available under each security code.
WARNING:
•Do not disclose pump security codes or any other information that would allow the patient or
unauthorized clinician complete access to programming and operating functions. Improper
programming could result in serious patient injury or death.
•Do not leave the pump unattended while unlocked. All programming functions are accessible while
the pump is unlocked, and improper programming could result in serious patient injury or death.
Security Level Tables
•e keypad code is for clinicians who need to modify and review patient-specic parameters, and
manage air and occlusion parameter settings.
•e clinician code allows access to all the functions the keypad code allows. In addition, it allows
users to modify most advanced tasks parameters, format the time and date, change delayed start and
priming security options, and select new protocols.
•e administrator code allows access to all pump functions and allows users to change protocol ranges
for patient-specic parameters, reset the pump to factory defaults, and select manual mode protocols.
Its use should be restricted to the CADD®-Solis system administrator and key individuals.

19
General Description
General
Description
Security Levels, Pump Operations and Tasks
Pump Operations
and Tasks
Available without
a security code
Available with
keypad code
Available with
clinician code
Available with
administrator code
Running Stopped Running Stopped Running Stopped Running Stopped
Stop/Start 9       
PCA Dose @
(PCA only) * * * *
Reset Reservoir
Volume    
Taper Down Now
(Taper only)    
Taper Down
Period of Taper
Down Now
(Taper only)
  
Set Delayed Start *  
Next Dose Start
Time
(Intermittent only) *  
Prime Tubing *  
View Delivery
Settings        
Edit Delivery
Settings
(Therapy type
determines which
submenus appear)
  
Display and Sound
Settings menu        
Backlight
Intensity        
Alarm Volume        
Sound Theme        
Key Beep On/O        
Numeric Format  
Change Time and
Date menu    
Current Time    
Current Date    
Time Format  
Date Format  
View Reports        
View Advanced
Tasks (see Security
Levels, Advanced
Tasks on page20)
       
Table Key: Yes No Availability based on facility protocol *

20
General Description
General
Description
Security Levels, Advanced Tasks
Advanced Tasks Available without
a security code
Available with
keypad code
Available with
clinician code
Available with
administrator code
Running Stopped Running Stopped Running Stopped Running Stopped
Step Down
(Step only)        
Step Up
(Step only)      
Give Clinician
Bolus
(PCA only)
 
Patient
Permissions  
Air and Occlusion
Settings   
Alarm Settings  
Security Settings
menu  
Keypad Security  
Keypad Code  
Clinician Code  
Admin Code 
Manual
Programming
Security

Start New Patient  
Select a manual
mode protocol *
Start New Protocol
Same Patient  
Select a manual
mode protocol *
Delivery Hard and
Soft Limits menu 
(Therapy type
determines
which submenus
appear)
 
Reset to Factory
Settings 
Table Key: Yes No Availability based on facility protocol *