Quick Reference Card
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AlArmS & TrouBlESHooTING
AlArmS & TrouBlESHooTING Continued
The CADD-legacy PCA pump signals with audible alarms and messages that appear on the display when a condition requires your attention.
Programming Incomplete Two-tone alarm when starting pump
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res Vol low Three beeps
Level of fluid in the reservoir is low. Prepare to install new reservoir.
reservoir Volume Empty Two-tone alarm
Reservoir volume has reached 0.0 ml. Press NEXT or STOP/START to silence alarm. Install a new reservoir, if appropriate.
low Bat 3 two-tone beeps every five minutes
Batteries are low, but pump is operable. Change batteries soon.
Battery Depleted Two-tone alarm
Batteries are depleted and cannot operate pump; install new batteries immediately.
Battery removed Pump Won’t run Two-tone alarm
With AC adapter attached, batteries have been removed while pump was running, or you have tried to start pump with depleted batteries. Install new batteries.
High Pressure Two-tone alarm
High pressure is being caused by an obstruction in the fluid path between the pump and the patient. Remove the obstruction to resume operation. Or press STOP/START or NEXT to stop the pump and silence the alarm for two minutes, then remove obstruction and restart pump.
upstream occlusion Two-tone alarm
CADD-legacy PCA ®
infusion Pump
Value Not Saved A value was not saved by pressing ENTER/CLEAR. Press NEXT to resume programming.
Model 6300
Error An error has occurred. Remove pump Two-tone alarm from service.
Quick Reference Card for Clinicians
lock level 1 (ll1)
No message The pump was running when batteries were Displayed removed or the batteries were removed Two-tone alarm within 15 seconds after stopping the pump. Batteries must be reinstalled.
A
ImPorTANT: Always stop pump before removing batteries. No Disposable, Clamp Tubing Two beep (long-short) alarm
B
The disposable was removed, or the cassette is not aligned with the pump or is damaged, or a malfunction of the pump sensor(s) is occurring. Clamp the tubing immediately. Press STOP/START or NEXT to silence the alarm.
C G D
Service Due The pump is due for service. Two-tone alarm
H
Fluid is not flowing from the reservoir to the pump. Check for a kink or air bubble in the tubing between the reservoir and pump. Remove the occlusion to resume operation. Press STOP/START or NEXT to stop the pump and silence alarm for two minutes, then remove the occlusion and restart the pump.
Screen Displays Current Pump Status Two-beep (long-short) alarm
The cassette is not aligned with the pump, or is damaged, or a malfunction of the pump sensor(s) is occurring. Reposition the pump to silence the alarm. If repositioning the pump does not silence the alarm within two minutes, the pump will display “No Disposable, Clamp Tubing.”
Air In line Detected Two-tone alarm
Air in fluid path. Press NEXT or STOP/ START to silence alarm. Make sure tubing is threaded in air detector properly. If the fluid path contains air, close clamps, disconnect from patient and prime fluid path.
Stopped Three beeps every five minutes
Pump is stopped. Start pump, if appropriate.
remote Dose Cord removed Two beeps when pump stopped, two-tone alarm when pump is running
Verify all programming screens by pressing ENTER/CLEAR before moving to next screen or starting pump.
Remote dose cord removed while pump was running.
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WArNING: This Quick reference Card should be used by clinicians only. Do not permit patients to have access to this card, as the information would allow access to all programming and operating functions. Assistance with the CADD-legacy PCA pump is available to clinicians 24-hours-a-day by calling 1-800-258-5361. ®
Smiths medical ASD, Inc.
EC Authorized representative
A Display shows programmed values and messages B AC Adapter Jack used to plug in AC Adapter C Accessory Jack used to plug in Remote Dose Cord D Indicator Light indicates AC power in use E Air Detector F Cassette (part of reservoir or administration set that attaches to pump) G Threaded Mounting Hole for use with Polemount Bracket Adapter (back of pump) H Battery Compartment (back of pump) I Cassette Latch attaches cassette to pump (side of pump) KEYPAD STOP/START
Stops and starts the infusion
ENTER/CLEAR
Enters or clears displayed value
Smiths medical Canada ltd.
PRIME
Fills tubing with fluid
Markham, Ontario, Canada, L3R 4Y8 Phone: 905-477-2000 Toll-Free: 1-800-387-4346
LOCK
Displays or changes Lock Level (security level)
NEXT
Advances to next programming screen
´ Î
Increases or decreases displayed values or scrolls through menu items
ON/OFF
Turns the pump on or off (low power)
DOSE
Delivers demand dose
St. Paul, MN 55112, USA Phone: 1-214-618-0218 Toll-Free USA: 1-800-258-5361
Smiths Medical international Ltd. TN25 4BF, UK Phone: +44 (0) 1233 722100
www.smiths-medical.com Smiths medical is part of the global technology business Smiths Group plc. Product(s) described may not be licensed or available for sale in Canada or other countries outside of the United States. CADD, CADD-Legacy, the Medication Cassette Reservoir design and the Smiths Medical and CADD design marks are trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. ©2010 Smiths Medical. All rights reserved. 10/10 IN19883
Read the entire Operator’s Manual before operating the CADD-Legacy ambulatory infusion pump. Failure to properly follow warnings, cautions and instructions could result in death or serious injury to the patient. ®
ProGrAmmING / SET-uP SEQuENCE
PumP oPErATIoNS
ProGrAmmING SCrEENS
CHANGING THE CASSETTE
Batteries must be installed; pump must be stopped and in ll1. NoTE: Value Not Saved is displayed if a value is scrolled and ENTEr/ ClEAr is not pressed. Press NEXT to continue programming.
View the lock level
1. Stop the pump. 2. Press LOCK. 3. View lock level. 4. Press LOCK or ENTER/CLEAR two more times.
main Screen
Displays status of pump (STOPPED or RUN)
reservoir Volume
Volume of fluid in reservoir
To remove used Cassette
units
Programming units (ml, mg, mcg)
Stop the Pump
1. Press and hold STOP/START until (– – – – – – – – – – – –) appears on the display. 2. Release STOP/START key. STOPPED will appear on the display when the pump is stopped.
Concentration
Concentration of medication in mg/ml or mcg/ml
1. Stop the pump. 2. Close all tubing clamps. 3. Disconnect tubing from patient. 4. Use key to unlock used cassette. 5. Remove and discard used cassette.
Continuous rate
Continuous rate of infusion (ml/hr, mg/hr, mcg/hr)
To Attach New Cassette
Demand Dose
Amount delivered when patient presses the DOSE key or remote dose button
Dose lockout
Amount of time that must elapse between demand doses (appears if demand dose is programmed)
Doses Per Hour
Maximum number of demand doses allowed in any one hour period (appears if demand dose is programmed and demand dose lockout is less than one hour)
Doses Given
Displays number of demand doses given since screen was last cleared (appears if demand dose is programmed)
Doses Attempted
Displays number of demand doses attempted since screen was last cleared (appears if demand dose is programmed)
Given
Total amount of medication delivered since display was last cleared (ml, mg, mcg)
Air Detector (status only)
Indicates if air detector is turned on or off and high or low sensitivity level
upstream Sensor (status only)
Indicates if turned on or off
1. Close all tubing clamps. 2. Insert new cassette hooks into pump’s hinge pins. 3. Place pump with cassette on firm surface and push down on top of pump so cassette fits tightly against the pump. 4. Insert a key into the lock, push in and turn until the line on the lock lines up with the arrow on the side of the pump. 5. Gently twist and pull on cassette to make sure it is attached properly. 6. Press ENTER/CLEAR to reset reservoir volume, if appropriate. 7. If the Air Detector is in use, make a small loop of tubing underneath the air detector and hold it with your thumb. Place the tubing over the groove in the air detector and tuck it under the catch. Seat the tubing into the groove by gently pulling the tube upward until it is under the retention nubs and flat in the groove. WArNING: 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 cassette could result in unregulated gravity infusion of medication from the fluid container or a reflux of blood. If you are using a CADD administration set or 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 and integral or add on anti-siphon Valve to protect against unregulated gravity infusion that can result from an improperly attached cassette.
WArNING: If the pump is dropped or hit, inspect it for damage. Do not use a pump that is damaged or is not functioning properly. main Screen
Press NEXT.
View reservoir Volume
1. Press ENTER/CLEAR to reset. 2. Press NEXT.
View units
3. Press NEXT.
View Concentration
NoTE: This screen does not appear if programming in milliliters. 4. Press NEXT.
Enter Continuous rate
5. Press ´orÎ to select desired Continuous Rate (select the upper limit if the program will be adjusted in LL1). 6. Press ENTER/CLEAR. 7. Press NEXT. WArNING: This pump delivers medication at a constant rate and/or allows delivery of a bolus dose at a specified time interval. Programming the pump at a delivery rate other than what is prescribed will cause over- or under-delivery of medication.
Enter Demand Dose
8. Press ´orÎ to select desired demand dose (select the upper limit if program will be adjusted in LL1). 9. Press ENTER/CLEAR. 10. Press NEXT.
*View Dose lockout
WArNING: When you enter a new value, any lockout time in effect will be cleared. A demand dose could be requested immediately upon starting the pump, resulting in over-delivery. 11. Press NEXT.
View Doses Per Hour
NoTE: This screen will only appear if you have programmed a demand dose and dose lockout is less than 1 hour. 12. Press NEXT.
*Clear Doses Given
13. Press ENTER/CLEAR to clear the value for the number of doses given. The display will show 0. 14. Press NEXT.
*Clear Doses Attempted
15. Press ENTER/CLEAR to clear the value for the number of doses attempted by the patient. The display will show 0. 16. Press NEXT.
Clear Given (ml, mg, mcg)
17. Press ENTER/CLEAR to clear the given value. The display will show 0.00. 18. Press NEXT.
Verify Air Detector Status
19. Verify the setting is correct. 20. Press NEXT.
Verify upstream 21. Verify the setting is correct. Sensor Status 22. Press NEXT. Verify 23. Press NEXT repeatedly to review program. Programming If pump will be operated in ll1 to allow adjustment of Continuous rate and/or Demand Dose (up to the maximum entered in ll0): 24. Change lock level to LL1. 25. Press NEXT to go to Continuous Rate or Demand Dose screen. 26. Press Î to select desired starting value. 27. Press ENTER/CLEAR. *These screens will appear only if a demand dose has been programmed. To operate in ll1 with upper limits, Decrease Continuous rate and/or Demand Dose
Start the Pump
1. Press and hold STOP/START until (– – – – – – – – – – – –) disappears from the display. 2. Release STOP/START key. RUN will appear on the display when the pump is running.
Prime the Fluid Path
Pump must be stopped and in ll0 or ll1. WArNING: Do not prime the fluid path with the tubing connected to a patient as this could result in over-delivery of medication or air embolism. 1. Press and hold PRIME until the word PRIME appears on the display, along with (– – – – – – – – – – – –). 2. Release the PRIME key. 3. Press and hold PRIME until priming appears on the screen. Continue priming until the fluid path is free of air. 4. Press NEXT to return to the main screen.
reset the reservoir Volume
1. Stop the pump. 2. Press NEXT to display the reservoir volume screen. 3. Press ENTER/CLEAR to reset the value to previously programmed amount.
Turn the Pump on
1. Press and hold ON/OFF until pump beeps and powers up.
Turn the Pump off
1. Press and hold ON/OFF until (•••• •••• ••••) appears on the display. 2. Release ON/OFF key. 3. The screen will go blank as the pump goes into a lower power state.
Change the Batteries
1. Stop the pump. 2. Push down and hold the arrow button on the battery door while sliding the door off. Remove and discard old batteries. ImPorTANT: Always stop pump before removing batteries. 3. Install new batteries, matching polarities shown on the pump. Replace battery door and close. 4. Start the pump. 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 which could result in loss of power or non-delivery of medication. WArNING: Do not use rechargeable NiCad or nickel metal hydride (NimH) batteries. Do not use carbon zinc (“heavy duty”) batteries.
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DoSING To Start Demand Dose
Pump must be running. 1. Press DOSE or remote dose cord button. Note: If you wish to stop delivery of the demand dose, press and hold SToP/STArT to stop the pump.
To Start Clinician Bolus
Pump must be running. 1. Press LOCK. 2. Press Î until clinician bolus code appears. 3. Press LOCK or ENTER/CLEAR. 4. Press ´orÎ to select desired amount. 5. Press DOSE or ENTER/CLEAR to start bolus. Note: If you wish to stop delivery of a clinician bolus, press and hold SToP/STArT to stop the pump.
To use the remote Dose Cord/ Button
• Use remote dose button on cord in same manner as DOSE key on pump keyboard. • Attach the remote dose cord by inserting the connector into the accessory jack and pushing firmly until it snaps into place. • Detach the remote dose cord by grasping the connector and pulling it out of the jack. Do not use excessive force or instruments, such as pliers, to remove the remote dose cord from pump.