Smiths Medical CADD-Solis User manual

CADD®-Solis Pump
Quick Reference Guide
Continuous infusion pain management with or
without clinician bolus and/or patient controlled
doses. Intermittent boluses are available. Pump
programmed by choosing a protocol: therapy,
qualifier and drug, or programmed manually.

• Open the battery compartment and insert
four AA batteries matching the + and -
markings inside the battery compartment.
• Close the compartment cover when the
batteries are in place.
Insert batteries
• To switch the pump on, press and hold the power switch.
• The pump carries out self-tests and sounds six beeps when the
tests are complete.
• Screen shows Start New Patient?
Switch on
1. Clamp the tubing, make sure the cassette
latch is unlocked and open the cassette latch
to 90 degrees.
2. Insert the cassette hooks into the hinge pins on the
bottom of the pump.
3. Without holding the cassette latch, push up on the
cassette until it firmly clicks into place.
4. Lift the cassette latch up into the closed position.
5. Insert the pump key and turn it clockwise to lock
the cassette.
Attaching the cassette / administration set

This should be a clean/aseptic technique.
1. Open and inspect the cassette to ensure
that it is intact and sterile.
2. Attach a Luer lock syringe containing the
medication to the end of the line.
3. Tilt the cassette to approx 70° angle and
fill. When 3/4 of the fluid is inserted,
clamp the line. Gently tap the cassette to
collect air in the outlet point.
4. Open the clamp and withdraw the air
into the syringe.
5. Hold the syringe with the tip down-wards
and finish filling the reservoir.
6. Clamp the line and disconnect the syringe. Cap the line with a
sterile cap, or attach an extension line.
Filling 50ml and 100ml medication cassettes
For infusion of larger volumes of fluid, an administration set
can be used to attach a non-vented fluid bag. This should be a
clean/aseptic technique.
1. Open and inspect the administration
set to ensure it is intact and sterile.
2. Close clamp to stop flow of fluid
down the line.
3. Remove sterile cap and spike the
fluid bag.
External reservoir adaptor

Ensure you have the pump, a fresh set of 4 AA batteries, a
filled medication cassette (or administration set and fluid
bag). You also need to know the keyboard access code for the
pump, or have the pump key.
1. Insert batteries and press the power switch to turn pump on.
2. Do you want to start a new patient? Press Yes.
3. Choose a Therapy and press SQualifier and press Sa
Drug and press S
4. Unlock the keypad.
5. Are these correct? Verify the chosen protocol and press Yes.
6. Review pump settings. Press Review.
7. Carefully check the patient specific parameters. Press Accept
Value on each parameter, or press Sto change.
8. When you have finished the review, press Next to continue.
9. Cassette not attached. Attach cassette before starting pump.
Attach, latch and lock cassette to the pump.
10.Prime Tubing? Press Prime. Press Stop Priming
when complete.
11.Continue Priming? Press No.
12.Start Pump? Press Yes when you have connected the tubing to
the patient, and are ready to start the infusion.
Set up the pump for a new patient

You can change settings when the pump is stopped. Before
you restart the pump, the screen displays all the patient
specific parameters which you must review and accept.
1. Use Uand Dto highlight the patient specific
parameter you want to change, for example,
Continuous Rate and press S.
2. Unlock the keypad. The screen shows the
current setting of your selected parameter.
For rates, the range of soft limits for the
protocol are shown in green, and the range of
hard limits are in amber.
3. Use Uand Dto set the new value and
press Confirm.
4. If a soft limit is exceeded, you see the message
Confirm soft limit override? Press Yes.
5. When the change is complete, press T
6. Review pump settings. Press Review.
7. Carefully check the patient specific parameters. Press Accept
Value on each parameter, or press Sto change.
8. When you have finished the review, press Next.
9. Start Pump? Press Yes to start the infusion.
The Home screen is displayed, showing the
Reports and Tasks menu keys.
Change the program with the pump stopped

Follow your standard protocol for preparing the cassette.
1. Press T. Pump displays Stop pump?
2. Press Yes. Pump displays Pump is stopping.
3. Clamp the tubing and disconnect from the patient.
4. Unlock the cassette latch and remove the empty cassette.
5. Attach a new cassette (see Attaching cassette /
administration set).
6. Set Reservoir Volume? press Yes.
7. Enter security code (see Unlocking the pump).
8. Press Sto reset to the protocol volume
displayed, or Uand Dto adjust.
9. When the reservoir volume is correct,
press Save. Pump displays Reservoir
volume…..saving.
10.Prime the tubing when prompted (see Prime the tubing).
11.Review pump setting and start pump? Press Yes.
12.Press Review, then check the patient specific parameters and
Accept Value on each parameter.
13.When you have finished the review, press Next to continue.Start
pump? Press Yes.
Changing medication cassette / administration set

Ensure that the pump is stopped, the tubing is
disconnected from the patient, and the clamp
is open on the patient tubing.
1. Press Tasks use Uand Dto highlight the
Prime Tubing option, then press S.
2. When prompted, unlock the pump.
3. Press Prime to start priming.
4. Press Stop Priming when the air is removed, or
the delivery will stop automatically at 10 ml.
Prime the tubing
You can start and stop the pump, and deliver a PCA dose
(if one is programmed) without unlocking the pump.
For all other tasks, you must enter the security code.
When the security code is required,the pump displays
Enter Code to Continue.
1. Use Uand Duntil the first digit of the
code is shown on the screen.
2. Press Sto advance to the next digit.
3. Repeat with the second and third digits,
then press Sor Accept Value to finish
entering the code.
Note: If the pump displays Use Key or Code to Continue, you can
unlock the keypad using the pump key, or enter the code, as above.
Unlocking the pump

The Reports function is on the Home screen and also appears
as an option on the Tasks menu. Reports can be displayed
when the pump is running, or when it is stopped.
1. Press Reports to display the
Select Report menu.
2. Use Uand Dto highlight a report title
and press S. The report is displayed on
the screen.
Examples:
3. Press Back to return to the Select Report menu.
Reports
PCA Dose Graph Delivery History
& Pie Chart

Air in-line. Press ‘Acknowledge’ then prime tubing.
There may be air bubbles in the line; the pump will not run.
1. Press Acknowledge to silence the alarm.
2. Before clearing the air from the tubing, clamp the tubing
and disconnect from the patient. Open the clamp on tubing
when disconnected.
3. Press Tasks, use Uand Dto highlight the Prime Tubing
option, then press S(see Prime the tubing).
4. Reconnect tubing to patient and start pump.
Battery low. Replace battery.
The battery power is low but the pump is still operable.
1. Press Acknowledge to silence the alarm.
2. Change the batteries or recharge the battery pack as
soon as possible.
Downstream occlusion. Clear occlusion between pump
and patient.
High pressure may be due to blockage, kink in line or
closed clamp.
• Remove the obstruction to resume operation without stopping
the pump or,
• Stop the pump, remove obstruction, review the program settings
then restart the pump.
Troubleshooting

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA
AND OTHER COUNTRIES
Smiths Medical International
1500 Eureka Park, Lower Pemberton
Ashford Kent, TN25 4BF
Tel: [phone]
www.smiths-medical.com
Find your local contact information at:
www.smiths-medical.com/customer-support/contact-us
Smiths Medical is part of the global technology business Smiths Group plc. Please see
the Instructions for Use/Operator’s Manual for a complete listing of the indications,
contraindications, warnings and precautions. CADD and the Smiths Medical design mark are
trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S.
Patent and Trademark Office and certain other countries. All other names and marks mentioned
are the trademarks or service marks of their respective owners. ©2017 Smiths Medical.
All rights reserved. IN193544GB-012017
MPAUCA-1503