Smiths Medical CADD - User Manual

The CADD®-Solis VIP is an ambulatory infusion pump designed for controlled delivery of fluids to a patient. This device is intended for use in various clinical settings, providing flexibility and mobility for patients requiring continuous or intermittent infusions.

Function Description

The primary function of the CADD®-Solis VIP pump is to deliver fluids, such as medications, nutrients, or other solutions, to a patient at a controlled rate and volume. It supports multiple therapy types, including Epidural, IV PCA, Epidural PCA, and Peripheral Nerve Block, allowing for a wide range of clinical applications. The pump is equipped with a display that shows critical information such as infusion volume, therapy type, and status (e.g., "Stopped"). Indicator lights provide quick visual cues about the pump's operational status. A keypad allows for user interaction, enabling clinicians to program and adjust settings. The device also features a remote dose cord jack, which can be used for patient-controlled analgesia (PCA) where the patient can administer a bolus dose within pre-set limits. Power is supplied by either four AA batteries or a rechargeable battery pack, offering portability, and it can also be connected to an AC power source via an AC power jack and USB port.

Usage Features

The CADD®-Solis VIP pump is designed with several features to facilitate ease of use and patient safety during operation.

Powering On and Off: To power on the pump, the user presses and holds the power switch. The pump then performs self-tests and emits six beeps upon completion, after which the home screen is displayed, indicating readiness for use.

Unlocking the Pump: For security, the pump can be unlocked either with a security code or a physical pump key. When using a code, the user presses the up or down arrow keys to select the first digit, then presses "Select" to advance to the next digit, repeating the process for all digits before pressing "Select" or "Accept Value." If using the key, it is inserted into the lock and turned counterclockwise.

Setting Up for a New Patient: This process involves several steps to ensure accurate and safe delivery. First, fresh batteries or a rechargeable pack are inserted, and the pump is powered on. From the home screen, the user navigates through "Tasks," "View Advanced Tasks," and "Start New Patient." A warning screen will appear, indicating that this action will overwrite all existing delivery settings. After confirming, the keypad is unlocked. The user then selects the desired therapy, qualifier, and drug using the arrow keys and "Select" button. Finally, the settings are reviewed and confirmed, and patient-specific parameters are checked and accepted.

Editing Individual Delivery Settings: The pump allows for modification of patient-specific parameters related to the infused drug, within limits established in the protocol. To edit settings, the pump must first be stopped if it is running. From the "Tasks" menu, "View Delivery Settings" is selected. The desired setting is highlighted using the arrow keys, and "Select" is pressed. If prompted, the keypad is unlocked. The new value is then selected using the arrow keys and saved. Any additional settings can be modified by scrolling through them. Note that editing settings in "Step" or "Taper" mode will reset the infusion to the beginning.

Attaching a Cassette: The cassette, which contains the fluid and tubing, is crucial for delivery. To attach it, the tubing is clamped, and the cassette latch is opened. The cassette hooks are inserted into the hinge pins at the bottom of the pump, and the cassette is swung into the latch position. The pump is then placed upright on a firm, flat surface, and pressure is applied to the latch side to ensure the cassette fits tightly. The cassette latch is then lifted into the closed position. If resistance is met, the cassette should be unlatched and the process repeated. Proper attachment is verified by ensuring the top of the cassette aligns evenly with the bottom of the pump. To secure the cassette, the pump key is inserted into the lock and turned clockwise.

Removing a Cassette: Before removal, the pump must be stopped, and the tubing clamped. If the cassette is locked, the pump key is used to turn the lock counterclockwise to the unlocked position. The cassette latch is then pushed down until the cassette detaches.

Resetting the Reservoir Volume: This can be done after attaching a new cassette or without changing the cassette. When a new cassette is attached, the pump will prompt the user to reset the reservoir volume. If not changing the cassette, the pump must be stopped, and "Reset Reservoir Volume" is selected from the "Tasks" menu. The pump will then ask for confirmation to reset the volume.

Priming the Tubing: Priming ensures that air is removed from the tubing before connecting to the patient. The pump must be stopped, the tubing disconnected from the patient, and clamps open. If a cassette is attached after power-on, a "Prime Tubing?" screen appears, prompting the user to select "Yes" and then "Prime." If no cassette is changed, "Prime Tubing" is selected from the "Tasks" menu. Priming continues until air is removed or a set volume (10mL or 20mL for high volume sets) is delivered, at which point "Stop Priming" is selected.

Reports: The pump can generate reports on its operation, which can be viewed at any time, whether the pump is running or stopped. From the "Tasks" menu, "View Reports" is selected, and then the desired report is chosen.

Patient Permissions: This feature allows clinicians to control certain patient-facing functionalities, such as priming security and delayed start security. These settings can be toggled on or off, with the option to require a security code for activation.

Maintenance Features

The CADD®-Solis VIP pump incorporates several features to assist with maintenance and troubleshooting, primarily through its alarm system and informational messages.

Screensaver: To conserve battery power, the pump activates a screensaver after 30 seconds of inactivity in edit mode or if no keypad buttons are pressed. The display goes blank, and any keypad button (except the PCA dose key in PCA mode) will reactivate it.

Blue Text: The display uses blue text to provide additional instructions or information relevant to the current screen, guiding the user through operations.

Alarms: The pump is equipped with a comprehensive alarm system to alert users to potential issues, categorized by priority:

System Fault Alarm (High Priority): Indicates an unrecoverable hardware or software error. This alarm is accompanied by an amber indicator light, a two-tone sound, and a red screen. To clear, power must be removed from the pump.
High Priority Alarm: The pump pauses or stops, displays a red screen, and the alarm continues until a key is pressed or the condition is resolved. Examples include "Air-in-line detected" and "Battery depleted."
Medium Priority Alarm: The pump continues running, displays an amber screen, and the alarm persists until a key is pressed or the condition is resolved. An example is "Reservoir volume low" (if programmed as medium priority).
Low Priority Alarm: The pump continues running, displays a blue screen, and the alarm sounds for five seconds or until a key is pressed or the condition is resolved. An example is "Battery low."

Informational Message: These messages appear in the status bar without stopping the pump. They may sound for five seconds or be silent, requiring no acknowledgment. An example is "Cassette Locked."

Troubleshooting: The manual provides guidance for common issues:

Screen blank and alarm sounding (High Priority): This indicates power loss due to battery removal or door opening. The alarm stops after two minutes of no power, or by turning the pump back on.
Air-in-line detected (High Priority): The pump stops. Acknowledge the alarm, close clamps, disconnect from the patient, prime tubing, and restart.
Battery depleted (High Priority): The pump stops. Acknowledge the alarm, replace batteries or install a rechargeable pack, and restart. Good batteries are always required, even with AC power.
Battery low (Low Priority): Acknowledge the alarm or it clears automatically. Replace batteries or recharge soon.
Downstream occlusion (High Priority): The pump pauses or resumes if the occlusion is cleared. Remove obstruction or stop pump to silence alarm for two minutes, then remove obstruction and restart.
Reservoir volume low (Medium or Low Priority): Acknowledge the alarm and prepare to install a new reservoir.
Reservoir volume is zero (High Priority): The pump stops. Acknowledge the alarm, attach a new reservoir, and reset or edit the volume.
Upstream occlusion (High Priority): The pump pauses. Remove obstruction to resume operation. The alarm clears when the occlusion is removed, but must be acknowledged if it occurs and clears more than three times within 15 minutes.

These features collectively ensure that the CADD®-Solis VIP pump is not only effective in delivering infusions but also user-friendly and equipped with robust safety and maintenance mechanisms.

Smiths Medical CADD Specifications

General

Manufacturer	Smiths Medical
Display	LCD screen
Infusion Modes	Continuous, Intermittent
Infusion Volume Range	0.1 mL to 9999 mL
Alarms	Occlusion, air-in-line, low battery
Compatibility	Compatible with various