SIMS Deltec CADD-PCA 5800R Bedienungsanleitung

i
Deltec
SIM S D elt ec, In c ., St . Pau l, M N 55112 U .S.A.
CADD-PCA
®
Ambulatory Infusion Pump
Model 5800R
Operator’s Manual
This online version differs
from the printed version.
Certain information that
is not intended for patients
has been removed.

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This manual pertains only to the Deltec CADD-PCA®, Model 5800R, infusion
pump.
The issue date of this Operator’s Manual is included for the clinician’s information.
In the event one year has elapsed between the issue date and product use, the
clinician should contact SIMS Deltec, Inc. to see if a later revision of this manual is
available.
WARNING:
It is intended that this Operator’s Manual only be utilized by clinicians.
Do not permit patients to have access to this manual or otherwise disclose
to the patient the security code of the pump or any information which
would allow the patient to have complete access to all programming and
operating functions.
CADD, CADD-PCA, Medication Cassette Reservoir and Medication Cassette Reservoir
design are SIMS trademarks.
U. S. Patent Nos. 4,559,038; 4,565,542; 4,650,469 and D294,733; other patents pending.
DURACELL®is a registered trademark of Duracell Inc. EVEREADY®ENERGIZER®
is a
registered trademark of Union Carbide Corp. ULTRALIFE®is a registered trademark of
Ultralife Batteries, Inc.

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TECHNICAL ASSISTANCE
If you have comments or questions concerning the operation of the CADD-PCA®
pump, please call this number: 800-426-2448.
Our staff is available to help clinicians twenty-four hours a day with the program-
ming and operation of the CADD-PCA infusion pump.
SIMS Deltec, Inc.
1265 Grey Fox Road
St. Paul, Minnesota 55112 U.S.A.

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CONTENTS
1.0 INTRODUCTION ................................................................................... 1
2.0 GENERAL DESCRIPTION OF CADD-PCA®Pump Operations ........ 1
2.1 WARNINGS and CAUTIONS ....................................................... 2
2.1.1 WARNINGS ....................................................................... 2
2.1.2 CAUTIONS ........................................................................ 3
2.2 Physical Description of the Pump and Accessories ..................... 5
2.2.1 Items Packaged with the Pump ........................................ 6
2.2.2 Description of the Function Keys and Display Panel ........ 6
2.2.3 Description of the Reservoir or Administration Set ........... 8
2.3 Understanding the Delivery Modes .............................................. 9
2.3.1 Continuous Rate Delivery ................................................. 9
2.3.2 Patient-Activated Dose Delivery ....................................... 10
2.3.3 Clinician-Activated Bolus Delivery (Optional) ................... 10
3.0 OPERATOR INSTRUCTIONS .............................................................. 11
3.1 Installing or Replacing the Battery ................................................ 12
3.2 Preparing to Program the CADD-PCA®Pump ............................. 15
3.3 Programming the CADD-PCA®Pump .......................................... 18
3.3.1 Setting the Reservoir-Residual Volume (RES VOL) ......... 18
3.3.2 Changing the Units of Measure (MG or ML) ..................... 19
3.3.3 Setting the Concentration (MG/ML) .................................. 20
3.3.4 Setting the Continuous Rate (MG/HR or ML/HR) ............. 20
3.3.5 Setting the Patient-Activated Dose (MG or ML) ................ 21
3.3.6 Setting the Dose Minutes .................................................. 22
3.3.7 Setting the Doses per Hour .............................................. 23
3.3.8 Reviewing the Number of Doses Given (DOSE GIVEN)
and the Number of Doses Attempted (DOSE) .................. 23
3.3.9 Reviewing the MG GIVEN or ML GIVEN .......................... 24
3.4 Attaching and Removing the Cassette .......................................... 26
3.4.1 Removing a Used Cassette .............................................. 26
3.4.2 Attaching the Cassette ....................................................... 27
3.5 Priming the CADD-PCA®Pump Tubing ........................................ 28

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3.6 Programming the Patient Lock Levels (LL0, LL1, and LL2) ......... 29
3.7 Starting and Stopping the Pump .................................................. 33
3.8 Reviewing the Automatic Display ................................................. 34
3.9 Using the Optional Clinician-Activated Bolus (MG or ML) ............ 34
3.10 Attaching, Using, and Detaching the Remote DOSE
Cord/Button .................................................................................. 36
3.10.1 Attaching the Remote DOSE Cord to the Pump .......... 36
3.10.2 Using the Remote DOSE Button to Deliver a Dose or
Bolus ................................................................................. 36
3.10.3 Detaching the Remote DOSE Cord from the Pump ..... 37
4.0 Reference Section ............................................................................... 38
4.1 Glossary ....................................................................................... 38
4.2 Pump Maintenance and Cleaning ............................................. 40
4.3 Equipment Exposure to Radiation or Magnetic Resonance
Imaging (MRI) ............................................................................... 41
4.4 Alarms and Troubleshooting Chart ............................................... 42
4.4.1 The Reservoir-Residual (RES VOL) Volume Alarm ......... 44
4.4.2 The High Pressure (HI P) Alarm ....................................... 44
4.5 Specifications (Nominal) ............................................................... 45
4.5.1 Parameter Settings Table ................................................. 45
4.5.2 Programming Specifications ............................................. 46
4.5.3 General Specifications ...................................................... 47
4.6 Limited Warranty .......................................................................... 48

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1
Description
1.0 INTRODUCTION
The Deltec CADD-PCA®pump provides measured drug therapy to
patients in hospital or outpatient settings. Healthcare professionals
should use this manual to learn how to operate the pump.
The purpose of this manual is to familiarize you with the CADD-PCA®
pump’s functions, which are described in Section 2; and to instruct you
in how to use those functions, which are outlined in detail in Section 3.
Section 4 is a reference.
2.0 GENERAL DESCRIPTION OF CADD-PCA®
PUMP OPERATIONS
The Deltec CADD-PCA®pump is indicated for intravenous, subcuta-
neous, epidural space, or subarachnoid space infusion.
Therapy should always be overseen by a physician or a certified,
licensed healthcare professional. The patient should be instructed in
using and troubleshooting the pump.
Epidural/Subarachnoid Administration
The selected drug must be used in accordance with the indications
included in the package insert accompanying the drug. Administration
of any drug by this pump is limited by any warnings, precautions, or
contraindications in the drug labeling.
Analgesics Administration of analgesics to the epidural space is
limited to use with indwelling catheters specifically indi-
cated for either short-or long-term drug delivery.
Administration of analgesics to the subarachnoid space is
limited to use with indwelling catheters specifically indi-
cated for short-term drug delivery.
Anesthetics Administration of anesthetics to the epidural space is
limited to use with indwelling catheters specifically indi-
cated for short-term drug delivery.
WARNING:
Administration of drugs to the epidural space or subarachnoid
space other than those indicated for administration to the epidu-

2
Description
ral space or subarachnoid space could result in death or serious
injury to the patient.
To prevent the infusion of drugs that are not indicated for
epidural space or subarachnoid space infusion, DO NOT use
administration sets that incorporate injection sites. The inadvert-
ent use of injection sites for infusion of such drugs may cause
death or serious injury to the patient.
If a Medication Cassette™Reservoir, CADD®Extension Set or
CADD®Administration Set is used for epidural space or sub-
arachnoid space drug delivery, it is strongly recommended that it
be clearly differentiated from reservoirs, cassettes or administra-
tion sets used for other routes of infusion, for example, by color
coding, or other means of identification.
2.1 WARNINGS and CAUTIONS
Read this entire Operator’s Manual before operating the CADD-PCA®
ambulatory infusion pump.
Failure to properly follow warnings, cautions, and instructions could
result in death or serious injury to the patient.
2.1.1 WARNINGS
•Do not use a pump that appears to have been damaged or tampered
with, or is not functioning properly.
•Use only drugs and solutions which are stable under delivery condi-
tions experienced during use in the pump. Observe warnings pack-
aged with the Medication Cassette™Reservoir or CADD®Adminis-
tration Set.
•Do not use the pump in the presence of flammable anesthetics or
explosive gases.
•The pump does not have an air-in-line alarm, an air entrapment
mechanism, or an upstream occlusion detector mechanism. Periodic
visual inspection is therefore recommended.
•Back-pressure or fluid resistance, which depends upon drug viscosity
and catheter size, may result in system delivery inaccuracies.
•Only the CADD®Extension Set with Anti-Siphon Valve must be used
with this pump; other extension sets will result in system delivery
inaccuracies.
•This pump is capable of being set at a residual volume higher than the
capacity of the fluid container. The reservoir-residual volume value

3
Description
should be programmed to reflect the actual volume of the medication being used.
•Avoid dropping the pump or hitting the pump against a hard surface, as this could
cause the cassette to become detached and the battery cover to become detached
or loose. If the cassette becomes detached, an uncontrolled flow of medication
from the fluid container or a reflux of blood may result, which could result in
death or serious injury to the patient. If the battery door becomes detached or
loose, the battery will not be properly secured; this may result in loss of power,
nondelivery of drug, and, depending on the type of drug being administered,
death or serious injury.
•If the pump is dropped or hit, inspect the pump to ensure that the cassette did not
become detached and the battery cover did not become dislodged. Inspection
should include closing the clamp on the tubing, detaching the pump and inspect-
ing the hinges, and checking the clips on the battery door to ensure they are not
broken. If there appears to be damage, the patient should be instructed to
immediately contact his or her health care provider, the pump should be taken out
of service, and Deltec’s Customer Service department should be contacted for
return authorization. If there appears to be no damage, reattach the cassette
following the instructions in the Operator’s Manual.
•To prevent the uncontrolled flow of medication, use a CADD®Extension Set with
Anti-Siphon Valve, a CADD®Administration Set with integrated anti-siphon
valve, or a CADD®Administration Set with an attached Add On Anti-Siphon
Valve.
•Use of a syringe with the CADD®Administration Set may result in UNDER-
DELIVERY of medication. Syringe function can be adversely affected by varia-
tions in plunger dimension and lubricity, which can result in greater force being
required to move the plunger. A syringe will lose plunger lubrication as it ages
and, as a result, the amount of under-delivery will increase which could, on
occasion, be significant. Therefore, the type of medication therapy and delivery
accuracy required must be considered when using a syringe with the CADD®
pump.
Clinicians must regularly compare the volume remaining in the syringe to the
pump’s displayed values such as RES VOL and GIVEN in order to determine
whether under-delivery of medication is occurring and, if necessary, take appro-
priate action.
2.1.2 CAUTIONS
•This device is not intended to be used for delivery of blood or cellular blood
products.
•This device may interfere with ECG equipment. Monitor ECG equipment care-
fully when using this device.

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Description
•The pump is not sterile. It is not designed to be sterilized. Sterilization could
damage the microcomputer and other pump parts.
•The pump should be routinely cleaned and kept free of dirt, liquids, and foreign
objects.
•Do not store the pump at temperatures below -40°C (-40°F ) or above 55°C
(131°F).
•Do not operate the pump at temperatures below +2°C (35°F) or above 40°C
(104°F).
•Do not expose the pump to humidity levels above 90% R. H.
•The pump is water resistant. However, total immersion is not recommended
because moisture build-up within the case may damage the parts. Do not use
pump in the shower, sauna, or steam bath.
•Do not store the pump for prolonged periods with a battery; the battery could
leak and damage the pump.
•Avoid using the pump in close proximity to sources of strong static electricity or
strong electromagnetic fields.
•The use of a Deltec Pump Pouch is recommended. If the pump is dropped or
inadvertently hit against a hard surface, the pump pouch is designed to minimize
the need for servicing.
Inhaltsverzeichnis
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