Smiths Medical CADD Prizm VIP 6100 User manual

TPN Total Parenteral Nutrition Delivery Mode
Model 6100 and 6101
Ambulatory
Infusion
Pumps
PATIENT INFORMATION

Table of Contents
Introduction ................................................................. 1
Warnings ...................................................................... 2
Cautions......................................................................... 4
CADD-Prizm®Pump (Diagram) ................................... 6
Description of the Keys ............................................... 7
Installing a Battery ....................................................... 8
Using the Power Pack or AC Adapter ......................... 11
The Main Screen ........................................................... 13
Description of the Infusion Profile ............................. 14
How to Use the HELP Key Å.................................... 15
Starting the Pump ........................................................ 16
Stopping and Restarting the Pump ............................ 17
Removing a Cassette ................................................... 18
Attaching a Cassette .................................................... 19
Priming the Tubing and Starting the Pump ............... 22
Inserting the Tubing into the Air Detector ................. 24
What if I drop or hit the pump? .................................. 25
Alarms and Messages .................................................. 26

1
Introduction
Your doctor has recommended that you use the CADD-Prizm®
pump as part of your treatment.
The CADD-Prizm®pump can be carried with you and is
designed to deliver medication into your body. Your physi-
cian 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 pump can
be reprogrammed as your medication needs change.
The pump can be programmed to deliver TPN (“total
parenteral nutrition”) solution or other fluids at a constant
rate. Delivery may “taper up,” or gradually increase, at the
beginning of delivery. Delivery may also “taper down,” or
gradually decrease, at the end of delivery. The pump stores
programmed information 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 instruc-
tions. 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.

2
Failure to properly follow warnings, cautions, and instruc-
tions 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 dimen-
sion and lubricity, which can result in greater force re-
quired 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 and 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 occur-
ring and, if necessary, contact your clinician.
• Do not use rechargeable NiCad 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 drug will occur.
• There is no pump alarm to alert you that the battery has
not been properly installed or has become dislodged. An
improperly installed or dislodged battery could result in
loss of power and non-delivery of drug.

3
• If the pump is dropped or hit, the battery door may be-
come broken or damaged. Do not use the pump if the
battery door is damaged because the battery will not be
properly secured; this may result in loss of power or non-
delivery of drug.
• Prior to starting infusion, inspect the fluid path for kinks, a
closed clamp, or other upstream obstructions, and remove
all air to prevent air embolism.
• Close the tubing clamp before removing the cassette from
the pump to prevent unregulated gravity infusion.
• If you are using a CADD™ Administration Set or Medica-
tion Cassette Reservoir that does not have the flow stop
feature (reorder number does not start with 21-73xx): You
must use a CADD™Extension Set with Anti-Siphon Valve or
a CADD™Administration Set with either an integral or add
on Anti-Siphon Valve to protect against delivery inaccura-
cies and unregulated gravity infusion that can result from
an improperly attached cassette.
• For detailed instructions and warning pertaining to Medi-
cation Cassette Reservoirs or CADD™Administration Sets,
please refer to the instructions for use supplied with those
products.
• Frozen Medication must be thawed at room temperature
only. Do not heat the Medication Cassette Reservoir in a
microwave oven as this may damage the medication, the
Medication Cassette Reservoir, or cause leakage.
• Attach the cassette (the part of the Medication Cassette
Reservoir or CADD™Administration Set that attaches to
the pump) properly. An improperly attached or detached

4
cassette could result in unregulated gravity infusion 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 medica-
tion or air embolism.
• Ensure that the entire fluid path is free of all air bubbles
before connecting to your catheter to prevent air embo-
lism.
• If the pump is dropped or hit, inspect the pump for dam-
age. Do not use a pump that is damaged or is not working
properly. Contact your clinician for further instructions.
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
Medication Cassette Reservoir or CADD™Administration
Set attached.
• Do not expose the pump to humidity levels below 10% or
above 90% relative humidity.
• Do not store the pump for prolonged periods with the
battery installed.
• Failure to push the Power Pack cord connector or AC
Adapter cord connector all the way forward may result in
an intermittent connection, and the connector may dis-
lodge, causing a loss of power and pump alarms.
• Do not immerse the pump in cleaning fluids or water or

5
allow solution to soak into the pump, accumulate on the
keypad, or enter the battery compartment, Data In/Out
jack, accessory jack, or Air Detector Port area.
• Do not clean the pump with acetone, other plastic sol-
vents, or abrasive cleaners.
• Do not use the pump in the presence of flammable anes-
thetics or explosive gasses.
• Use only Smiths Medical MD accessories as using other
brands may adversely affect the operation of the pump.

6
CADD-Prizm®Pump (Diagram)
Display
Keypad
Power Jack
(for the Power
Pack or AC
Adapter)
Data In/Out
Jack
Air Detector
(Optional)
Amber
Light
Green
Light
Cassette (the
part of the
Medication
Cassette
Reservoir or
CADD™
Administration
Set that
attaches to
the pump)
Green Light
Blinks every 3 seconds when the pump is running and deliver-
ing fluid.
Amber Light
Flashing: pump is stopped; or an alarm exists. Steady: pump is
inoperable, call clinician.
Display
Shows information and messages. After a short time, the
display turns itself off to save power. Press any key to turn
the display back on.
Battery
Compartment
®

7
Description of the Keys
⁄Starts and stops the pump and silences
alarms.
ŒUsed by the clinician.
ÅThe “Help” Key — explains what you see on
the display.
¤Used by the clinician.
„Advances you from one screen to the next
and silences some alarms.
ÍThis key is not used in the TPN Delivery mode.
‹Used by the clinician.
´Lets you answer yes to a question on the
pump’s display.
ÎLets you answer no to a question on the
pump’s display.

8
Installing a New Battery
A 9 volt battery may be used to power the pump. Even if you
are using a Power Pack or AC Adapter to power the pump,
you must have a 9 volt battery installed.
If 9-volt Battery Low or 9-volt Battery Depleted appears in
the display, or if Battery Low appears on the main screen,
you should change the battery.
Use a new 9 volt alkaline or lithium battery such as the
DURACELL®Alkaline MN 1604, the EVEREADY®ENERGIZER
Alkaline #522 or the ULTRALIFE®Lithium U9VL battery.
Dispose of used batteries in an environmentally safe manner,
and according to any regulations which may apply.
WARNINGS:
• Do not use rechargeable NiCad 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 drug will occur and, depend-
ing on the drug being administered, could result in death
or serious injury.
• There is no pump alarm to alert you that the battery has
not been properly installed or has become dislodged. An
improperly installed or dislodged battery could result in
loss of power and non-delivery of drug and, depending on
the drug being administered, could result in death or
serious injury.
• If the pump is dropped or hit, the battery door may
become broken or damaged. DO NOT USE the pump if it

9
has been damaged because the battery will not be prop-
erly secured; this may result in loss of power, nondelivery
of drug, and, depending on the type of drug being admin-
istered, death or serious injury.
To install a new battery:
1. Stop the pump by pressing
⁄.
2. When you see Stop the pump?,
press ´.
3. Press the button on the battery
door and slide the battery door
forward. Remove the used
battery.
4. Match the +and –markings on
the new battery with the mark-
ings on the pump. Insert the
battery. The pump will beep
if the battery is inserted
correctly.
5. Replace the battery door. The
pump will power up auto-
matically.
6. Start the pump by pressing
⁄.
7. When you see Start the
pump?, press ´.
NOTE:
• If you put the battery in backwards, the display will remain
m
Match
attery»
Stop the Pump?
Press Y or N
pen
o
n»
Press
Battery
Door
Button
Start the Pump?
Press Y or N

10
blank. Reinsert the battery, 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 at the end
of the power up sequence. All of the display indicators, the
software revision level, and each parameter will appear
briefly.
CAUTION: Do not store the pump for prolonged periods of
time with the battery installed. Battery leakage could dam-
age the pump.

11
Using the Power Pack or AC Adapter
Depending on your delivery, your clinician may give you a
rechargeable Power Pack or an AC Adapter to power your
pump. For complete instructions, you should also read the
Instructions for Use that come with the Power Pack or AC
Adapter.
The cord from the Power Pack or AC Adapter plugs directly
into the “Power” jack on the side of your pump.
NOTE: A good 9 volt battery must also be installed in your
pump as a backup. Otherwise, you won’t be able to start the
pump. Your Power Pack or AC Adapter may or may not have
the connector shown.
1. Open the “Power” cover
on the side of your pump.
2. Line up the red mark on
the Power Pack cord
connector with the red
mark on the pump’s
Power jack.
3. Push the connector
forward until it stops. Do
not twist or turn the
connector. Pull lightly on
the cord directly behind
the flared part of the
connector to make sure it is firmly attached.
CAUTION: Failure to push the connector all the way forward
may result in an intermittent connection, and the connector
may dislodge, causing a loss of power.
Power Jack
Red Mark

12
NOTE: If necessary, you can recharge the Power Pack while it
is still attached to the pump. Just attach the AC Adapter
connector to the Power Pack input jack. Or, if you want to
operate the pump on AC power, you can attach the AC
Adapter directly to the pump’s Power jack.
Detaching the Power Pack
1. Grasp the connector.
2. Pull the connector back using a straight, steady motion.
DO NOT twist or turn the connector.
2000-03-21 D. Zurn
«EPS Compnts NoCallouts w/Cone»

13
Battery
Status
*** TPN 6230X ***
Low Battery RUNNING ≥
Res Vol 3000.0 ml
Press NEXT to advance
Reminder that the „
key lets you look at the
pump’s program
Status of Infusion
Period. See the next
page. If the pump is
stopped, this will
show STOPPED.
Status of
Reservoir
Volume
The 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:

14
Description of the Infusion Profile
The illustration below shows what an infusion profile may
look like. You can tell where you are in your infusion profile
by looking at the main screen.
• During taper up, the main screen shows RUNNING ¤
• During the plateau rate, the main screen shows RUNNING ≥
• During taper down, the main screen shows RUNNING ™
• During KVO, the main screen shows RUNNING K
Your clinician may or may not have programmed a taper up
or a taper down. If there is no taper up, delivery will start at
the plateau rate. If there is no taper down, you will still hear
9 beeps at the end of the infusion profile, but the rate will
immediately drop from the plateau rate to the KVO rate.
Then when you stop the pump, it will automatically reset to
the beginning of the infusion profile.
RUNNING ¤
(Taper up)
RUNNING ™
(Taper down)
RUNNING K
(KVO)
RUNNING ≥
(Plateau)
Before each infusion,
the infusion profile is
reset so delivery
starts here
At the end of the
infusion profile, you’ll
hear 9 beeps. The
KVO rate starts
automatically.

15
How to Use the HELP Key Å
If you have a question about a screen, press Åfor more
information. A description of the screen will appear.
For example, if you want information about the Reservoir
Volume screen, you can press Åand this screen will
appear:
The symbol (?≥) in the lower
right corner means there are
more help screens. Press Å
again to see the next help
screen.
To page through all the help screens, press Årepeatedly.
This will take you through all the help screens, then back to
the original screen you had questions about.
To return to the original screen you had questions about,
without going through all the help screens, press „.
This is the
calculated amount of
fluid left in the
reservoir. ?≥

16
Starting the Pump
When you start the pump, it will 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 26.
WARNING: Prior to starting infusion, inspect the fluid path
for kinks, a closed clamp, or other upstream obstructions,
and remove all air bubbles to prevent air embolism. An
undetected upstream occlusion may result in under- or non-
delivery of drug and, depending on the drug being adminis-
tered, could result in death or serious injury. Air embolism
can result in death or serious injury.
1. Press ⁄.
2. When Start the pump?
appears, press ´.
Starting pump… will appear.
The pump will automatically
review and display the prepro-
grammed settings.
RUNNING will appear on the
main screen, the green light
will blink, and fluid delivery
will begin as programmed by
your clinician.
*** TPN 6230X ***
RUNNING ¤
Res Vol 3000.0 ml
Press NEXT to advance
Start the Pump?
Press Y or N
Starting pump...

17
Stopping and Restarting the Pump
Stopping the pump stops delivery of medication. Whenever
the pump is stopped, the amber light will blink.
• If you stop the pump during the Infusion Profile, delivery
will stop, but will continue from the same point when you
restart the pump.
• If you stop the pump during KVO delivery, the Infusion
Profile and the Reservoir Volume will automatically be
reset. This means that when you restart the pump, it will
start from the beginning of the Infusion Profile.
1. Press ⁄.
2. When Stop the Pump?
appears, press ´.
You will see two screens if you
stopped the pump during KVO
delivery:
STOPPED will appear on the
main screen, and the amber
light will blink.
Stop the Pump?
Press Y or N
*** TPN 6230X ***
STOPPED
Press NEXT to advance
Infusion Profile
has been reset
Reservoir Volume
3000.0 ml
<Resetting...>

18
Removing a Cassette
WARNING: Close the tubing clamp before removing the
cassette from the pump to prevent unregulated infusion,
which could result in death or serious injury.
To remove a cassette:
1. Press ⁄to stop the
pump. When Stop the
pump? appears, press ´.
2. Close all tubing clamps and
disconnect the tubing from your
access device as instructed by your
clinician.
3. Use a coin to unlatch the cas-
sette. Insert the coin into the slot
and turn clockwise until the latch-
ing button pops out.
NOTE: If you cannot turn the
latching button, the cassette
may be locked. Contact your
clinician.
4. Remove the cassette from
the pump.
5. Discard the Medication
Cassette Reservoir or
CADD™Administration Set
as instructed by your
clinician.
2000-03-08 D. Z
u
«Prizm Remove C
a
Stop the Pump?
Press Y or N
®
®