Smiths Medical CADD-Solis User manual

ABattery Compartment
BDisplay
CIndicator Lights
DUSB Port
EBlue AC Power Light
FAC Power Jack
GRemote Dose Cord Jack
HKeypad
ICassette Latch
JCassette/Keypad Lock
KPower Button
LWireless Communication
Module
M Wireless Indicator
CADD®-Solis
Ambulatory Infusion Pump with
Wireless Communications
Quick Reference Guide using Code or Key
Version 4.0 or higher
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L
B
C
D
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F
G
I
H
J
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M

Prepare the pump for a new patient
1. Confirm one of these power sources is inserted into
the battery compartment: four new 1.5 volt AA alkaline
batteries, rechargeable battery pack, or wireless
communication module.
2. Begin without the cassette attached to the pump.
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. If your facility has chosen to use Profiles, the currently
chosen Profile will display. Press Yes to confirm if the
current Profile is correct, then go to Step 8. Press No to
select a new Profile.
6. The “Select Profile” menu is displayed.
7. Scroll or to highlight the desired Profile. Press Select.
8. The “Select Therapy” menu is displayed.
9. Scroll or to highlight the desired therapy.
Press Select.
10. Scroll or to highlight the desired qualifier.
Press Select.
11. Scroll or to highlight the desired drug and
concentration (or unit). Press Select.
12. Unlock the keypad using the security code or the
pump key.
13. Confirm that you have selected the correct therapy,
qualifier, drug and concentration [or unit]. Verify and
press Yes.
14. “Review pump settings” displays. Press Review.
15. 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.
16. 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.
17. To change a patient specific parameter after you have
accepted it, repeat step 15.
18. When all values are accepted, press Next.
19. “Cassette not attached. Attach cassette before starting
pump.” is displayed. This will not display if in step 2 a
cassette or administration set was attached.
When programming for the new patient is complete
20. Attach, latch, and lock the cassette to the pump.
21. “Prime Tubing?” displays. Press Yes if priming
is needed.
22. “Disconnect tubing…” displays. Press Prime. Press Stop
Priming when complete.
23. “Continue Priming?” displays. Press Yes or No.
24. “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
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.
Changing a patient’s current program with the
pump stopped

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 continued
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

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
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.
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. Scroll down to “PCA doses Given/Attempted.”
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.
Viewing reports

Battery State Battery Image Alarm Message
Fully or nearly
fully charged
With AA
batteries
N/A
~50% charge With AA and AC
adapter
N/A
Low battery
<25% charge
Pump emits 3
beeps every 5
min.
Rechargeable
battery or
Communication
Module
Battery low, replace battery
Recharge the wireless
communication module or the
rechargeable battery pack, or
replace the 4 AA batteries soon.
Depleted battery
Pump emits
a continuous,
variable-tone
alarm
Battery power
is too low to
operate pump
Pump delivery
operation stops
Rechargeable
battery or
Communication
Module with AC
adapter
Battery depleted. Pump stopped.
- Install 4 new AA batteries or,
- Install a fully charged
rechargeable battery pack or,
- Attach an AC adapter to charge the
Communication Module battery
In order to start delivery, charged
batteries must always be installed,
even when an external source of
power is connected. If appropriate,
restart the pump.
Shut down Screen is black Pump powers off
Managing battery status
Stop the pump
1. Press Stop/Start.
2. “Stop Pump?” displays. Press Yes.
3. If the wireless Communication Module is not
attached, press the power button 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 button 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.
Note: If the wireless Communication Module is attached,
plug the AC Adapter in AC Power Jack to recharge. The
Communication Module battery life is 4 hours at 10 mL/hr
with backlight intensity set to 3.
Changing the batteries

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
Alarm Conditions
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
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
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
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 and troubleshooting
Wireless status, if Communication Module
is installed
Wireless Off Wireless Off
(white indicator)
Wireless On
Wireless On, not associated with wireless
access point (orange indicator)
Wireless On, associated with wireless
access point
(orange indicator with green center)
Wireless On, associated with wireless
access point, and communicating with
PharmGuard®Server software
(green indicator with green center)
If pumps are not communicating with the PharmGuard®
Server software or displayed on the Device Connections
report, then locate the pump, verify the pump is powered
on, and verify the wireless communications are turned on.

Alarms and troubleshooting continued
Troubleshooting
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,
if not using the Communication Module, then turn the pump
back on.
If using the Communication Module, attach the AC adapter,
power on the pump, and leave the AC adapter attached until
the Communication Module battery is charged. The alarm
will continue to sound for a minimum of 2 minutes while the
power is off, then the alarm will stop.
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.
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. Running at KVO rate.
Alarm Priority Low. The programmed delivery limit has
been reached and the pump is delivering at a KVO rate. This
alarm occurs when the continuous rate with PCA/PCEA or
intermittent bolus with PCA/PCEA caused the delivery limit
to be exceeded. Select Acknowledge to clear the alarm or
the alarm automatically clears after 5 seconds.
Delivery Limit reached. Partial PCA (PCEA) dose
delivered. Running at KVO rate.
Alarm Priority Low. The programmed delivery limit has been
reached and the pump is delivering at a KVO rate. This alarm
occurs when the delivery limit is exceeded while a PCA/PCEA
dose is being delivered. Select Acknowledge to clear the alarm
or the alarm automatically clears after 5 seconds.
When a Delivery Limit is reached, the pump status bar will
display: “KVO = 0” if the continuous rate value is 0.
“Del Limit” if the continuous rate value is greater than 0.
(KVO = 0.1 mL/hr with a standard set; KVO = 0.2 mL/hr with a
high volume set.
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 or 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.
Alarms and troubleshooting continued

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
Smiths Medical is part of the global technology business Smiths Group plc. Product(s)
described may not be licensed or available for sale in all countries. 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. IN193534EN-082017
Customer Support 1-800-258-5361
www.smiths-medical.com
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