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Smiths Medical CADD-Prizm VIP 6100 User Manual

Smiths Medical CADD-Prizm VIP 6100
64 pages
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CADD-Prizm
®
VIP
Ambulatory Infusion Pump
Model 6100 and 6101
Clinician Information
IN19822.indd 1 10/24/2011 4:00:57 PM

Table of Contents

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Smiths Medical CADD-Prizm VIP 6100 Specifications

General IconGeneral
Device TypeInfusion Pump
ManufacturerSmiths Medical
ModelCADD-Prizm VIP 6100
Battery TypeLithium-ion
DisplayLCD
Power SourceRechargeable battery or AC adapter
Infusion ModesContinuous, Intermittent, PCA
Flow Rate Range0.1 to 999 mL/hr
Alarm TypesOcclusion, Air-in-line, Low Battery
Programming InterfaceKeypad and LCD screen
Rate Range0.1 to 999 mL/hr
CompatibilityCADD administration sets
Reservoir Capacity100 mL

Summary

General Description and Basic Operations

Description of the CADD-Prizm® VIP Pump

Overview of the CADD-Prizm® VIP ambulatory drug delivery pump.

Epidural/Subarachnoid Administration

Guidelines for administering drugs to the epidural or subarachnoid space.

Pump Diagram

Pump Component Descriptions

Indicator Lights

Explains the function of the pump's indicator lights.

Display and Jacks

Describes the pump display and its power/data jacks.

Cassette and Polemount Features

Details the cassette attachment and polemount bracket recess.

Keypad Functions

Explains the function of each button on the pump keypad.

Keypad Button Functions

NEXT Button Navigation

Details how the NEXT button navigates through screens.

DOSE Button for Demand Doses

Explains the DOSE button's function in PCA delivery.

OPTIONS Button for Menu Access

Describes accessing the options menu with the OPTIONS button.

Y/N Button for Selections

Explains the use of Y and N buttons for choices.

Installing a Battery

Battery Type and Safety Precautions

Recommends battery types and lists critical warnings for installation.

Battery Installation Steps

Step-by-step instructions for replacing the pump's battery.

The Main Screen

PCA Delivery Mode Screen

Displays information for the PCA delivery mode main screen.

Continuous Delivery Mode Screen

Displays information for the Continuous delivery mode main screen.

TPN Delivery Mode Screen

Displays information for the TPN delivery mode main screen.

Intermittent Delivery Mode Screen

Displays information for the Intermittent delivery mode main screen.

Getting Help Using the ? Key

Navigating Help Screens

How to view and move between help screens using the ? key.

Exiting Help Screens

Procedures for exiting help screens and returning to the original screen.

Lock Level Dependency of Help

Explains how lock levels affect available help information.

Lock Level Table

Pump Operations and Programming Access

Details features accessible in each lock level for operations and programming.

Options Access by Lock Level

Outlines feature access within the Options menu per lock level.

Changing the Lock Level

Initiating Lock Level Change

How to start the process of changing the pump's lock level.

Selecting New Lock Level

Steps to choose and set the desired lock level (LL1 or LL2).

Confirming Lock Level Change

Finalizing the lock level change and verifying the setting.

Changing Delivery Modes

Delivery Mode Overview

Lists the four available delivery modes: PCA, CONTIN, TPN, INTERMT.

Procedure for Changing Mode

Step-by-step instructions to switch between delivery modes.

Starting and Stopping the Pump

Starting the Pump

How to initiate pump operation and begin fluid delivery.

Stopping the Pump

Procedures for halting pump operation and delivery.

PCA Delivery Mode Programming

PCA Delivery Methods

Describes continuous rate, demand dose, and clinician bolus delivery.

PCA Programming Screen Overview

Illustrates the sequence of screens for PCA programming.

PCA Programming Steps

Set Reservoir Volume

How to enter the volume of fluid in the reservoir.

Set Programming Units

How to select units such as milligrams or milliliters.

PCA Programming: Drug Concentration and Rate

Enter Drug Concentration

Procedure for inputting the drug concentration.

Enter Continuous Rate

Steps to set the hourly drug delivery rate.

Enter Demand Dose Amount

How to program the amount for patient-activated doses.

PCA Programming: Dose Management

Set Demand Dose Lockout Time

Procedure for setting the time between patient-demand doses.

Set Maximum Doses Per Hour

How to limit the number of doses allowed in one hour.

Clear Dose Counters

Procedure to reset the counters for given and attempted doses.

PCA Programming: Final Steps and Review

Clear Units Given

Resets the total amount of drug delivered.

Verify Air Detector Status

Checks the status of the air detector if installed.

Add Patient Marker (Optional)

Option to add a marker to the event log.

Review Program Settings

How to review and potentially reprogram settings.

PCA: Upper Limits and Lock Level 1 Adjustment

Programming Upper Limits in LL0

Setting maximum values for rate/dose in Lock Level 0.

Adjusting Rate/Dose in LL1

How to adjust rate or dose within LL1 after LL0 limits are set.

PCA: Initiating Doses

Starting a Clinician Bolus

Procedure for administering a clinician-activated bolus dose.

Starting a Demand Dose

How a patient initiates a demand dose.

PCA: Stopping Doses

Stopping a Demand Dose

Procedure to stop a patient-initiated demand dose.

Stopping a Clinician Bolus

Procedure to stop a clinician-initiated bolus dose.

Continuous Delivery Mode

Continuous Delivery Graph

Visual representation of continuous drug delivery over time.

Continuous Programming Screens

Overview of the screens used for programming continuous delivery.

Continuous Programming Steps

Set Reservoir Volume

How to enter the reservoir volume for continuous delivery.

Set Continuous Rate

Procedure for setting the hourly drug delivery rate.

Clear Milliliters Given

Resets the total amount of drug delivered in continuous mode.

Continuous Mode: Final Checks

Verify Air Detector Status

Checks the status of the air detector for continuous delivery.

Review Program Settings

How to review and potentially reprogram continuous delivery settings.

CONTIN: Upper Limits and Lock Level 1 Adjustment

Programming Upper Limits in LL0

Setting maximum continuous rate in Lock Level 0.

Adjusting Rate in LL1

How to adjust the continuous rate within LL1.

TPN Delivery Mode

TPN Infusion Profile Graph

Visualizes the TPN infusion profile with taper periods.

TPN Programming Screens Overview

Overview of screens for programming TPN delivery.

TPN Programming Steps

Set Reservoir Volume

How to enter the reservoir volume for TPN.

Set Infusion Volume

Procedure for setting the total volume to be delivered.

TPN: Infusion Parameters

Set Infusion Period

Procedure for setting the total duration of the infusion.

Set Taper-Up and Taper-Down Periods

How to program the gradual increase and decrease phases.

View Calculated Rates

Displays the plateau and KVO rates for review.

Clear Milliliters Given

Resets the total delivered volume for TPN.

TPN: Final Checks

Verify Air Detector Status

Checks the status of the air detector for TPN delivery.

Review Program Settings

How to review and potentially reprogram TPN settings.

TPN: Starting Daily Infusion

Reservoir Volume Reset for Infusion

Importance of resetting reservoir volume before starting infusion.

Infusion Profile Reset

How resetting reservoir volume also resets the infusion profile.

Intermittent Delivery Mode

Intermittent Delivery Graph

Visualizes intermittent drug delivery with doses and durations.

Intermittent Programming Screens Overview

Overview of screens for programming intermittent delivery.

Intermittent Programming Steps

Set Reservoir Volume

How to enter the reservoir volume for intermittent delivery.

Set Dose Volume

Procedure for setting the volume of each intermittent dose.

Set Dose Duration

How to set the time over which each dose is delivered.

Intermittent: Dose Timing and Rates

Set Dose Cycle Time

Procedure for setting the time between the start of doses.

Set KVO Rate

How to set the Keep Vein Open rate for patency.

Enter Next Dose Start Time

Procedure for setting the date and time for the next dose.

Verify Dose Rate and Clear Volume

Review calculated dose rate and reset delivered volume.

Intermittent: Final Checks

Verify Air Detector Status

Checks the status of the air detector for intermittent delivery.

Review Program Settings

How to review and potentially reprogram intermittent settings.

INTERMT: Stopping the Pump During a Cycle

Effect of Stopping During KVO

Explains that stopping during KVO does not affect subsequent doses.

Effect of Stopping During Dose Delivery

Details how stopping during a dose shifts subsequent doses.

Reprogramming After Stopping

Recommendations for making up lost time after stopping a dose.

Intermittent: Time Management

Time Remaining Display

How to view remaining time in the current dose and cycle.

Changing Next Dose Start Time

Procedure for resetting or changing the next dose start time.

Resuming a Stopped Dose

How to restart delivery of a dose that was stopped.

Medication Reservoir or Administration Set

Removing a Used Reservoir/Set

Step-by-step guide for detaching a used reservoir or administration set.

Attaching a New Reservoir or Administration Set

Compatible Reservoir/Set Types

Lists compatible medication cassette reservoirs and administration sets.

Steps Following Set Attachment

Overview of subsequent procedures like priming and starting.

Attaching Reservoir/Set Procedures

Securing the Cassette

Step-by-step guide to physically attach the reservoir/set.

Locking the Cassette and Pump

How to lock the cassette and pump into place.

Resetting Reservoir Volume and Profile

Checking Reservoir Volume Reset

Procedure for confirming reservoir volume reset.

Resetting Infusion Profile (TPN)

How to reset the infusion profile in TPN mode.

Priming Tubing and Connecting Patient

Priming Tubing Before Connection

How to prime the tubing before connecting to the patient.

Connecting to Patient Infusion Set

Steps for connecting the primed tubing to the patient.

Finalizing Fluid Path Setup

Air Detector Tubing Threading

How to thread tubing through the air detector if used.

Ensuring Air-Free Fluid Path

Procedures to ensure the fluid path is free of air bubbles.

Resetting Reservoir Volume (Without Cassette Change)

Initiating Reservoir Volume Reset

Steps to start the reservoir volume reset process.

Resetting Infusion Profile (TPN)

How to reset the infusion profile when in TPN mode.

Options Menu

Overview of Options Menu

Explains the purpose and availability of pump options.

Accessing Options

Step-by-step guide on how to navigate and select options.

Specific Pump Options

Immediate Taper-Down (TPN)

Option to stop TPN infusion early by tapering down.

Prime Function

How to prime the fluid path to remove air bubbles.

Time Remaining (Intermittent)

How to view remaining time in intermittent delivery.

PCA Extended History Viewing

Extended History Overview

Describes viewing past 48 hours of PCA dose information.

Patient Review View

Summary view of current settings and dose history.

Doses Hour by Hour View

Detailed view of doses given/attempted per hour.

Options: History, Modes, and AutoLock

Reviewing PCA History

Final steps for reviewing PCA extended history data.

Changing Delivery Modes

Information on switching between PCA, CONTIN, TPN, INTERMT modes.

AutoLock Functionality

How AutoLock automatically changes pump lock levels.

Options: Time, Date, Air Detector, and Event Log

Time Setting

How to view and set the pump's internal clock time.

Date Setting

How to view and set the pump's current date.

Air Detector Control

How to turn the air detector on or off.

Event Log Viewing

How to access and review the pump's event log.

Options: Communications and Biomed Toolbox

Communications Option

Information on the discontinued remote connection option.

Biomed Toolbox Usage

How to use the toolbox for pump configuration and customization.

Accessories

Printing Reports

How to print reports using CADD-Sentry® safety software.

Power Pack or AC Adapter

Information on using external power sources for the pump.

Accessories: Power and Remote Dose

Attaching/Detaching Power Adapter

Steps for connecting and disconnecting power adapters.

Remote Dose Cord

Function and precautions for using the remote dose cord.

Accessories: CADD Pouches and Security Shell

CADD® Pump Pouches

Description of pouches for carrying and protecting the pump.

Security Shell Functionality

How the security shell prevents unauthorized access to medication.

Installing Pump in Security Shell

Securing IV Bag or Syringe

How to place the IV bag or syringe holder in the shell.

Fitting Pump into Security Shell

Steps for mounting the pump onto the security shell.

Security Shell and Polemount Bracket

Locking/Unlocking Security Shell

How to lock and unlock the pump within the security shell.

Using the Lockable Polemount Bracket

How to attach the pump or security shell to an IV pole.

Polemount Bracket Installation and Removal

Attaching Pump/Shell to Polemount Bracket

Steps to mount the pump or shell onto the bracket.

Removing Pump/Shell from Bracket

Steps to detach the pump or shell from the bracket.

Reference & Troubleshooting

Alarms and Messages List

A list of pump messages and their corrective actions.

Troubleshooting: Pump Errors and Issues

AutoLock and Cassette Errors

Corrective actions for AutoLock, Cassette Not Attached, Cassette Unlocked errors.

Error Detection and High Pressure

How to handle detected errors and high pressure conditions.

Administration Set Compatibility

Information on using compatible administration sets.

Troubleshooting: Power, Maintenance, and Reservoir

Power Pack and Maintenance Reminders

Actions for depleted power packs and upcoming maintenance.

Range Limited and Reservoir Status

Explains 'Range Limited' messages and low/zero reservoir volume.

Upstream Occlusion and Wrong Cassette

Corrective actions for upstream occlusion and wrong cassette detection.

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