Smiths Medical CADD-legacy 1 User manual

1
Rate is in
mL/24 hrs
This guide is intended to supplement
instructions on how to operate the pump supplied
by your Clinician. Perform only those procedures for
which you have received training by your Clinician.
Legacy
Patient Information
CADD-Legacy®1
Ambulatory Infusion Pump
Model 6400
CONTINUOUS DELIVERY
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Table of Contents
Introduction ........................................................................................... 1
Warnings .................................................................................................. 2
Cautions ................................................................................................... 4
CADD-Legacy®1 Pump (Diagram) ................................................. 5
Description of the Keys ....................................................................... 6
Installing New Batteries ...................................................................... 7
Main Screen ............................................................................................ 10
Starting the Pump ................................................................................ 11
Stopping the Pump .............................................................................. 12
Turning the Pump On/Off .................................................................. 12
Removing a Cassette ........................................................................... 13
Attaching a Cassette ............................................................................ 14
Resetting the Reservoir Volume ...................................................... 16
Priming the Tubing Using the Pump ............................................. 17
Inserting the Tubing into the Air Detector .................................. 18
What if I drop or hit the pump? ....................................................... 20
Messages and Alarms .......................................................................... 21
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Introduction
Your doctor has recommended that you use the
CADD‑Legacy®1 pump as part of your treatment.
The CADD-Legacy®1 pump can be carried with you and is
designed to deliver medication into your body. Your physician
will prescribe your medication specifically for you. Your
prescription is programmed into your pump by your clinician
according to your physician’s specific orders.
This patient guide pertains only to the CADD-Legacy®1 Model
6400 ambulatory infusion pump. There are other CADD-
Legacy®pump models available; review the rear label of the
pump to ensure it is a CADD-Legacy®1 Model 6400 pump
before use. This pump delivers medication at a continuous
rate in milliliters per 24 hours (mL/24hrs). The pump stores
programmed and historical information that your clinician
needs for your specific therapy.
Your clinician will instruct you on the proper use of this pump.
This guide is intended to supplement those instructions.
Perform only those procedures for which you have received
training.
The following is a list of warnings and cautions that you should
read before operating the pump. 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 damage to the pump or death or serious injury.
Warnings
• If the pump is used to deliver life-sustaining medication, an
additional pump must be available.
• Use of a syringe with the CADD®administration set may
result in UNDER-DELIVERY of medication. Syringe function
can be adversely affected by variations in plunger dimension
and lubricity, which can result in greater force required
to move the syringe plunger. A syringe plunger will lose
lubrication as it ages and, as a result, the amount of under-
delivery will increase which could on occasion, be significant.
You must regularly compare the volume remaining in the
syringe to the pump’s displayed values such as Reservoir
Volume or Given to determine if under-delivery is occurring
and, if necessary, contact your clinician.
• 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, non-delivery of medication will occur.
• If the pump is dropped or hit, the battery door tabs may
break. Do not use the pump if the battery door or tabs
are damaged because the batteries will not be properly
secured; this may result in loss of power and non-delivery of
medication. Contact your clinician for further instructions.
• If a gap is present anywhere between the battery door and
the pump housing, the door is not properly latched. If the
battery door becomes detached or loose, the batteries will
not be properly secured; this could result in loss of power
and non-delivery of medication.
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• Prior to starting infusion, inspect the fluid path for kinks, a
closed clamp, or other upstream occlusions, and remove all
air bubbles to prevent air embolism.
• Close the fluid path tubing with the clamp before removing
the cassette from the pump to prevent unregulated gravity
infusion.
• If you are using a CADD®administration set or CADD™
medication cassette reservoir that does not have the flow
stop feature (catalog number does not start with 21-73xx):
You must use a CADD®extension set with an integral Anti-
Siphon Valve or a CADD®administration set with either
an integral or an Add On Anti-Siphon Valve to protect
against unregulated gravity infusion that can result from an
improperly attached cassette.
• For detailed instructions and warnings pertaining to
the CADD™medication cassette reservoir or CADD®
administration set, please refer to the instructions supplied
with those products.
• Attach the cassette (the part of the CADD™medication
cassette reservoir or CADD®administration set that attaches
to the pump) properly. An improperly attached or detached
cassette could result in unregulated gravity infusion of
medication from the fluid container or a reflux of blood.
• Do not prime the fluid path with the tubing connected
to your catheter. This could result in over-delivery of
medication or air embolism.
• Ensure that the entire fluid path is free of all air bubbles
before connecting to your catheter to prevent air embolism.
• If the pump is dropped or hit, inspect the pump for damage.
Do not use a pump that is damaged or is not functioning
properly. Contact your clinician for further instructions.
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Cautions
• Do not operate the pump at temperatures below +2°C (36°F)
or above 40°C (104°F).
• Do not store the pump at temperatures below -20°C (-4°F)
or above 60°C (140°F). Do not store the pump with a CADD™
medication cassette reservoir or CADD®administration set
attached. Use the protective cassette provided.
• Do not expose the pump to humidity levels below 20% or
above 90% relative humidity.
• Do not store the pump for prolonged periods with the
batteries installed.
• Frozen medications must be thawed at room temperature
only. Do not heat the CADD™medication cassette reservoir
in a microwave oven as this may damage the medication, the
CADD™medication cassette reservoir, or cause leakage.
• Do not immerse the pump in cleaning fluid or water or allow
solution to soak into the pump, accumulate on the keypad,
or enter the battery compartment.
• Do not clean the pump with acetone, other plastic solvents,
or abrasive cleaners.
• Do not use the pump in the presence of flammable
anesthetics or explosive gases.
• Use only Smiths Medical accessories as using other brands
may adversely affect the operation of the pump.
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Battery
Compartment
Cassette (the part of the CADD™medication cassette reservoir
or CADD®administration set that attaches to the pump)
Display
Power Jack
Accessory Jack
AC Indicator
Light
Air Detector
Keypad
CADD‑Legacy®1 Pump (Diagram)
Display
Shows information and messages.
AC Indicator Light
The green indicator light is on when you are using the
AC Adapter to power the pump.
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Description of the Keys
⁄
Starts and stops the pump and silences alarms.
¤
Resets the reservoir volume screen.
‹
Fills the tubing to remove air bubbles from the fluid
path.
Œ
Used by the clinician.
„
Advances you from one screen to the next and
silences alarms.
´
Allows you to increase a value or scroll up through
items on a menu.
Î
Allows you to decrease a value or scroll down through
items on a menu.
Å
Allows you to put the pump into a low power state
when not in use or back into full power.
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Installing New Batteries
If LowBat or Battery Depleted appears on the screen, you
should change the batteries.
Use two new, AA alkaline batteries such as the DURACELL®or
EVEREADY®ENERGIZER®.
Dispose of used batteries in an environmentally safe manner,
and according to any regulations which may apply.
WARNING:
•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, which could result in
death or serious injury.
•Always have new batteries available for replacement.
If power is lost, non‑delivery of medication will occur
and, depending on the type of medication being
administered, could result in death or serious injury.
•If the pump is dropped or hit, the battery door or tabs
may break. Do not use the pump if the battery door
or tabs are damaged because the batteries will not be
properly secured; this may result in loss of power, non‑
delivery of medication, and, depending on the type
of medication being administered, death or serious
injury.
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To install new batteries:
1. Stop the pump by pressing
and holding ⁄.
2. When you see 3 sets of dashes
appear, release ⁄.
3. Push down and hold the arrow
button on the battery door while
sliding the door off.
4. Remove the used batteries. Pulling
on the end of the battery strap will
make battery removal easier.
5. Match the +and –markings on the
new batteries with the markings
inside the battery compartment.
Insert the batteries over the top of
the battery strap. The pump will
beep if the batteries are inserted
correctly.
6. Replace the battery door. The pump
will power up automatically.
NOTES:
• If you put the batteries in backwards, the display will remain
blank. Reinsert the batteries, making sure to match the +and –
markings.
• The power-up sequence will start, the pump will go through
an electronic self-test, and the pump will beep 6 times at the
end of the power-up sequence. All of the display indicators, the
software revision level, and each parameter will appear briefly.
STOPPED
Stopping
---- ---- ----
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WARNING: If a gap is present anywhere between the
battery door and the pump housing, the door is not
properly latched. If the battery door becomes detached or
loose, the batteries will not be properly secured; this could
result in loss of power, non‑delivery of medication, and
depending on the type of medication being administered,
death or serious injury.
CAUTION: Do not store the pump for prolonged periods
of time with the batteries installed. Battery leakage could
damage the pump.
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Main Screen
The following screen is what you will see on the pump’s
display most of the time. It is called the Main Screen and
shows the following:
RUN
ResVol 50.0 ml
When running:
Mode of pump
Reservoir
Volume
When stopped:
Mode of pump
Battery Status
(for example,
LowBat)
Status of
Reservoir
Volume
STOPPED
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Starting the Pump
When you start the pump, it will automatically review the
program, and then begin delivering medication. If the pump
will not start, a message should appear on the display. Refer to
the Messages and Alarms section on page 21.
WARNING: Prior to starting infusion, inspect the fluid path
for kinks, a closed clamp, or other upstream occlusions,
and remove all air bubbles to prevent air embolism. An
undetected upstream occlusion may result in under‑ or
non‑delivery of medication and, depending on the type of
medication being administered, could result in death or
serious injury. Air embolism can result in death or serious
injury.
1. Press and hold ⁄.
2. When you see 3 sets of dashes
disappear, release ⁄.
After automatically reviewing
the program, RUN and the
volume remaining in your fluid
container will appear on the
main screen. Fluid delivery will
begin as programmed by your
clinician.
Starting
Starting
---- ---- ----
RUN
ResVol 50.0 ml
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Stopping the Pump
Stopping the pump stops delivery of medication.
1. Press and hold ⁄.
2. When you see 3 sets of
dashes appear, release ⁄.
STOPPED will appear on the
main screen.
Turning the Pump On/Off
When the pump is stopped, you may put the pump into a low
power state by turning it off. The pump may be turned off
when it is disconnected from your access site and it is going to
be stored.
To turn the pump off:
1. Press and hold Å.
2. When you see 3 sets of dots
appear, release Å.
To turn the pump on:
•Press and hold Å.
The pump will power up and automatically review all screens.
Stopping
---- ---- ----
STOPPED
Stopping
Turning off
•••• •••• ••••
Turning off
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Removing a Cassette
WARNING: Close the fluid path tubing with the clamp
before removing the cassette from the pump to prevent
unregulated gravity infusion, which could result in death
or serious injury.
To remove a cassette:
1. Press and hold ⁄.
2. When you see 3 sets of
dashes appear, release ⁄.
3. Close all tubing clamps and
disconnect the tubing from your access
device as instructed by your clinician.
4. Insert a coin into the slot in the lock and
turn it clockwise. The lock will pop out
when you unlock the cassette.
5. A continuous alarm will sound and the pump will display No
Disposable, Clamp Tubing. The alarm may be silenced by
pressing ⁄or „.
6. Remove the cassette from the pump
hinge pins.
7. Discard the CADD™medication
cassette reservoir or CADD®
administration set as instructed by
your clinician.
Stopping
---- ---- ----
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Attaching a Cassette
WARNING:
•If you are using a CADD®administration set or CADD™
medication cassette reservoir that does not have the
flow stop feature (catalog number does not start with
21‑73xx): You must use a CADD®extension set with an
integral 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.
Unregulated gravity infusion can result in death or
serious injury.
•For detailed instructions and warnings pertaining to
the CADD™medication cassette reservoir or CADD®
administration set, please refer to the instructions for
use provided with those products.
CAUTION: Frozen medication must be thawed at room
temperature only. Do not heat the CADD™medication
cassette reservoir in a microwave oven as this may damage
the medication, the CADD™medication cassette reservoir,
or cause leakage.
Use aseptic technique as instructed by your clinician.
1. Clamp the tubing on the new
CADD™medication cassette
reservoir or CADD®administration
set. If required, remove blue clip
from flow stop feature.
2. Insert the cassette hooks into the
hinge pins on the pump.
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3. Place the pump upright on a firm,
flat surface. Press down so the
cassette fits tightly against the
pump.
4. Insert a coin into the lock, push
in, and turn counterclockwise
until the line on the lock lines
up with the arrow on the side
of the pump and you feel the
button click into place.
WARNING: Attach the cassette (the part of the CADD™
medication cassettereservoir or CADD®administration
set that attaches to the pump) properly. An improperly
attached or detached cassette could result in unregulated
gravity infusion of medication from the fluid container or a
reflux of blood, which could result in death or serious injury.
5. Gently twist, push, and pull on
the cassette to make sure it is
firmly attached.
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Resetting the Reservoir Volume
1. Begin at the main screen.
•Make sure STOPPED appears on the main screen.
2. Press „to go to the reservoir volume screen.
3. Press ¤to reset the
volume to the programmed
volume.
NOTE: When the pump calculates that 5 mL remain in the fluid
container, beeps sound and ResVol Low appears on the main
screen. This alarm recurs at every subsequent decrease of 1 mL
until the Reservoir Volume reaches 0 mL, at which point the pump
stops and the Reservoir Volume empty alarm sounds.
Reservoir Volume
100.0 ml
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Priming the Tubing Using the Pump
When the new cassette is attached, and the reservoir volume
has been reset or changed to reflect the new volume, prime
the tubing.
1. Make sure the tubing is disconnected from your access site
and the tubing clamp is open.
WARNING: Do not prime the fluid path with the
tubing connected to your catheter. This could result in
overdelivery of medication or air embolism, which could
result in death or serious injury.
2. Press and hold ‹.
3. After you see Prime and 3 sets
of dashes, release ‹.
4. Press and hold ‹again to fill the fluid path and to
eliminate air bubbles. The screen displays Priming… and you
will hear a short beep each time the pump goes through
a delivery cycle. The pump will stop automatically after
priming 10 delivery cycles.
NOTE: The air detector alarm is automatically disabled when
priming.
5. If the tubing is not yet fully primed, press and hold ‹
again. If the tubing is primed, press „to return to the
main screen.
6. If your clinician instructed you to use the Air Detector, go to
the next section. If not, follow your clinician’s instructions for
connecting the tubing to your access site. Open all clamps.
Prime
---- ---- ----
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WARNING: Ensure that the entire fluid path is free of all
air bubbles before connecting to your catheter to prevent
air embolism. Air embolism could result in death or serious
injury.
Inserting the Tubing into the Air Detector
The Air Detector is designed to detect air bubbles in the fluid
path. When the tubing is routed through an Air Detector that is
turned on, an air bubble exceeding the specified size will cause
an alarm to sound and the pump to stop.
1. If your clinician instructed you to use the Air Detector, make
a small loop of tubing underneath the air detector and hold
it with your thumb.
2. Place the tubing over the groove in the air detector and tuck
it under the catch.
Catch
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