Initial programming

Include drug name, concentration, dosing units, initial

settings for bolus doses, continuous fl ow setting, lockout

intervals and time-based dosing limits

Dose Limits

Set dose limits for subsequent reprogramming of the

pump and maximum rate limits and lockout intervals

for each order

Indication of overridden limit

Clear indication should be displayed on the pump when

limits are overridden

Confi gure protocol library to current practices

Specifi cally confi gure a facilities protocol/drug library

to current ordering and delivery practices

Simple to operate

Encourage consistent use by being simple to operate

Display protocol/drug name at all times

Display the protocol/drug name and dosing information

at all times

Track limit overrides and programming

changesProvide the ability to track limit overrides, programming

changes and the ability to retain data for 1 year and

downloadable for analysis

Provide facility-based support with

implementation of advanced safety features

Developing a protocol library consistent with facility’s

ordering and delivery practices as well as developing

protocol-specifi c parameters

INCLUDED

INCLUDED

INCLUDED

INCLUDED

INCLUDED

INCLUDED

INCLUDED

INCLUDED

✔

✔

✔

✔

✔

✔

✔

✔

Summary of recognized standards for

error-reduction features in PCA pumps*

CADD®-Solis Ambulatory

Infusion System Features

Summary of recognized standards for

error-reduction features in PCA pumps*

CADD®-Solis Ambulatory

Infusion System Features

CADD®-SolisAmbulatory Infusion System

A state-of-the-art, smart pain management

system that meets industry recognized

standards for advanced error-reduction features

in PCA pumps

*Health Devices, January 2006, Volume 35, Number 1 This information is for illustrative purposes only – ECRI has not evaluated the CADD®-Solis ambulatory infusion system

Breakthrough Advancements in

PatientSafetyIndividualPatientCareScalableConnectivity

Designed to help you connect

PatientCenteredSmart

PainManagementInfusionSolution

ambulatoryin a truly pump

CADD®-Solis Ambulatory Infusion System

CADD®-SolisAmbulatoryInfusionPumpCADD®-SolisMedicationSafetySoftwareCADD®MedicationCassetteReservoirsandAdministrationSets

Designed to meet industry recognized standards for advanced error reduction (SMART infusion) features in PCA pumps

•OptimizemedicationdeliverysafetyfeatureswithCADD®-Solismedicationsafetysoftware

•Encouragessafetyandstandardizationforallpainmanagementtherapies

Customizable therapy-based protocol library deploy user’s best practices in all care areas

•Facility-definedprotocollibraryreflectstreatment-basedclinicalpathways

•Specificallyconfigureafacilitiesprotocollibrarytocurrentorderinganddeliverypractices

Personalized programming to meet individual patient needs

•On-boardlibraryholdsupto500protocols•User-definedsoftandhardlimitsprovide

flexibilityandaddedsafety

Secure access and simple menu structure with soft-key interface and familiar CADD® pump scroll keys

•Softkeyinterfacehelpsmakeprogrammingandnavigatingintuitiveandeasy

•Scrollkeypadhelpsprevententeringvaluesoutsideofdefinedprogramlimits

•Designateauthorizeduserswithlevelsofsecurityaccess

Studies show the risk of harm from medication errors

The Institute of Medicine (IOM) report, Preventing Medication Errors, estimated 450,000 preventable adverse drug events (ADEs) that occur in U.S. hospitals each year1

A hospitalized patient can expect, on average, to be subjected to more than one medication error each day1

One study found that each preventable ADE that took place in a hospital added about $8,750 (2006 dollars) to the cost of the hospital stay1

A recent study found 47% of adverse events involved medications, and wrong dosages were among the most common errors2

(1)PreventingMedicationErrors,IOM,2006.(2)RothschildJ.M.,Keohane,C.A.,Cook,E.F.,etal.Acontrolledtrialofsmartinfusionpumpstoimprovedmedicationsafetyincriticallyillpatients.CriticalCareMedicine,(2005)33(3),533-540,679.

PatientSafety

Built-inmedicationsafetyfeaturesandadvancedprogrammingsimplicityenableapatient-focused,treatment-orientedinfusionsystemdesignedtoaddressmedicationsafetygoalsandreducetheriskofprogrammingerrors.

IndividualPatientCare

ScalableConnectivity

Flexible design supports future point of care expansion needs

•UniquearchitectureprovidesflexibilitytosustainyourvisionoffutureITinfrastructureneeds

•Supportsbestpracticesandenablescontinuousqualityimprovements

A highly versatile, multi-therapy pain management infusion system

•IVPCA,subcutaneous,epidurals,nerveblocks,surgicalsiteinfusiontherapies

•Post-op,laboranddelivery,trauma,pediatrics

Medication delivery focused on the point of care

•Strikinglyclearscreendisplaystherapy,drug,medicationdeliverysettingsandstatus

•Colorindicatorsofprotocol,pumpoperatingstatusandalarms/alerts

Immediate patient assessment with on-screen color graphs and trending data

•Helpssupporttheclinicianatbedsideinmonitoringpatientresponse

•PromotesCQIprocesses

Human factors testing used in design for more intuitive ease-of-use

•Easytousecontrolsandhighcontrastdisplays

•Helpsminimizetheriskofusererror

Versatile medication delivery options

•ExclusiveCADD™medicationcassettereservoirstopromotepatientmobility

•WidevarietyofCADD®administrationsets

Thescalableplatformisidealtogrowwithyourevolvingclinicalandtechnologyconnectivityroadmap.

Aversatile,multi-therapyinfusionsystemtosupportallyourpainmanagementmedicationdeliveryneeds.Thecompact,lightweightdesignpromotespatientmobility,associatedwithimprovedclinicaloutcomes,reducedlength-of-stay,andreducedtreatmentcosts.

Designed to help you connectCADD®-SolisAmbulatoryInfusionSystem

Status bar colorcodedforimmedi-atevisualindicationofpumpoperatingstatus

Protocol title bar displaysatalltimeswhilerunning-tall/shortmanstyle

On-screen graphs and trend reports

promoteimmediatepatientcaremanagement

Soft key interfacemakesnavigationintuitive

Keypad lock statusforaddedpatientsafety

Drug concentration and/or units of measure

helpseliminatedrugerrorsInfusion settings

displayatalltimeswhilerunning,valuesarecolor-indicated Clinical task menu

structuredesignedforeaseofuse

Cassette latchpermitseasyattachmentoftheCADD™cassette

Scroll keys helppreventdoublekeypresserrors

PCA dose key enablesconvenientPCAwhileambulatory

Remote PCA dose cord

ergonomicallydesignedtopromoteeaseofuse

CADD®-SolisPumpFeatures

Pump alarms differentiatedbycolorandsound:red–highpriorityamber–mediumpriorityblue–lowpriority

*ACTUAL SIZE PUMP AND REMOTE DOSE CORD

Compact,lightweightdesign

helpspromotepatientmobilityandimproved

outcomes

CADD™ medication cassette reservoirs

keepmedicationssafeandsecure

Colorscreensdifferentiatefacility-definedcustomprotocols

Hardandsoftlimitswithvisualalerts

•IVPCA–Subcutaneous–Epidurals–NerveBlock–SurgicalSite•Post-op–Labor&Delivery–Trauma–Pediatrics

Personalizedtherapywithinsafelimits

On-screengraphs,trendreportsanduseraudittrail

Promotepatient-centeredcareandCQIprocesses

GivenandPCAdosecountersDeliveryhistoryandpiechartPCAdosegraphDeliverylogEventlogProtocollibrarysummaryDeviceinformation

Patient-CenteredProgrammingforClinicalCareAreas

Therapy-BasedProtocolLibraryOuruniqueprotocollibraryusingtherapy,qualifieranddrugprogrammingsequencesisdesignedtoreflecttreatment-basedclinicalpathwaysforclinicalcareareas.

CADD®-SolisMedicationSafetySoftware

Designedtohelpreducetheriskofadversedrugevents(ADEs)andhelppromotebestpractices

Hospital Medication Order Form

DATE

TIME

PHYSICIAN ORDERS

IV PCA

PAIN MANAGEMENT ORDERS

For Post-Surgical Adults

These orders MUST be used for all Post-Surgical Adult MORPHINE IV PCA orders

MORPHINE 1 mg/mL

CLINICAN BOLUS:

mg

CONTINUOUS RATE:

mg/hr

PCA DOSE:

mg

PCA DOSE FREQUENCY: Every minutes

MAX PCA DOSES PER HOUR: _

1. Implement Pain Algorithm if pain is inadequately controlled after PCA is initiated.

2. Second clinician must verify pump settings prior to initiating PCA pump.

3. Instruct patient and family that only patient should press PCA button.

4. If patient is unable to use a PCA, please contact the Pain Team for recommendations.

PCA MONITORING

1. Monitor pain rating, respiratory quality and rate, sedation scale every 30 minutes X 4 after

initiation and then every 2 hours.

2. Initiate continuous pulse oximetry.

3. Obtain order from physician for ABGs if needed.

4. Complete full vital signs every 8 hours or as per physician.

REVERSAL ORDERS

1. Stop PCA pump.

2. Respiratory depression and/or somnolence: Administer naloxone (Narcan) _______mg IV

STAT. May repeat every 2 minutes until respiratory rate greater than 12 and patient

arousable.

3. Contact physician providing care.

4.

Physician Signature:

Print Name:

Date:

HOSPITAL MEDICATION ORDERS

m

IV PCA PAIN MANAGEMENT ORDERSForPostSurgicalAdults

THERAPYIVPCA

QUALIFIERPost-SurgicalAdults

DRUGMorphine1mg/mL

Physician’sOrder AdministratorSoftware1 2

•Managemultiplelibrarieswiththeabilitytodesignateandnameeachprotocollibrarywithinaparticularareaofcare

•Doseerrorreductionsystemprovidesstandardizedprotocollibrarywithdosinglimits

•Administratormanageshardandsoftlimits

•Advancedconnectivitycapabilitywiththehospitalnetwork,designedtohelpimprovecommunication,documentation,efficiencyandpatientsafety

•ContinuousQualityIndicators(CQI)logreportsforhealthcareproviderstomonitoranddocumenttrendsandcompliancewithdosingandclinicalpolicies

•Printpharmacy-generatedbarcodes

Create and manage customizable therapy-based protocol libraries with patient-specifi c programming limits

CLINICIAN SELECTS THERAPY, QUALIFIER AND DRUG FROM PUMP SCREENS

ProgrammingthePump3

“…medication errors can be made by (1) selecting the wrong units for a medication; (2) selecting the wrong value for concentration; or (3) selecting the wrong values for rates. The CADD®-Solis ambulatory infusion system programming sequence is designed to help eliminate all three possible programming errors…”

Patient-CenteredCare

Nursing•Distinctiveon-screengraphsdesigned

tohelpmaketrendingintuitive,supportcriticalthinking,andwhenneeded,stimulateclinicalassessment

•Personalizetherapyspecificationswithinsafelimits

•Learnonepainmanagementmedicationdeliverysystem

Pharmacy•Promotessafetyandstandardization

forallpainmanagementtherapies

•Therapy-basedsafetysoftwaredesignedtohelpsegmentdrugandconcentrationforpatientcareareas

•Widevarietyofmedicationdeliverysets,includingexclusiveCADD™medicationcassettereservoirs

Anesthesia•Intuitive,task-orienteduserinterface

promotessimplicityandpatientsafety

•Compact,lightweightdesignenablespatientmobilityandfacilitatesrecovery

•Deployuserbestpracticeprotocolsinthepump

TheClinicalAdvantage

ThenewCADD®-Solisambulatoryinfusionsystemisdesignedtohelphealthcareprovidersadministermedicationsaccurately,monitorpatient’sresponsetotherapy,stimulateearlyclinicalassessmentandfacilitatepatientrecovery.

Thecustomizableprotocollibraryisdesignedtoreflecttreatment-basedclinicalpathwaysforindividualpatientpopulations.

“…In pain management, a drug protocol is only part of the treatment. For example, a morphine protocol for acute post-op pain is not the same as a morphine protocol for cancer pain, because the patient’s needs are not the same. However, a therapy-based protocol library allows the healthcare provider to manage the individual needs of specifi c patient populations…”

CADD®-SolisSystemMedicationDeliveryOptions

SuperiorCustomerSupport

Medicationdeliveryoptionsoffertheflexibilitytoeffectivelymeettheneedsofyourpatients.Thesedeliveryoptionsareavailablecompoundedoremptyandsterile,readytobefilledbyyourpharmacy.

CADD™medicationcassettereservoirsCADD®administrationsetsFlowStopfree-flowprotectionMedicationIVbagsMedicationsyringesCADD®-Solislockboxes

Evaluation program

•Productevaluationandtrainingplanshelpensurecompetent,self-sufficientclinicians

•Humanandsimulateduseprogramsavailable

Implementation services

•Comprehensiveonsitein-servicetrainingandcoordinationduringtheimplementationprocessand“golive”transition

•Helpsstayonschedule,hitexpectedmilestonesandproducedesiredresults

Clinical and technical 24/7 phone support

•SmithsMedical’sclinicalandtechnicalservicespecialistsarereadytoassist

Clinical education and product support materials

•Widevarietyofproductsupportandclinicaleducationmaterials

•Online,interactiveandprintedformats

CADD®-Solis medication safety software maintenance program

•Protectyourtechnologyinvestmentandreducetotalcostofownership

•Futuresoftwareupdatesavailableatsubstantialsavings

Hardware warranty protection

•2-yearwarrantywitheachnewpump•Industry-leadingpumphardware

protection

Hardware warranty extension program

•Virtuallyeliminatenon-budgetedhardwareserviceexpenses

•Ensureonlymanufacturer-certifiedpartsareused

Designed to help you connectCADD®-SolisAmbulatoryInfusionSystem

Indications Intravenous,intra-arterial,subcutaneous,intraperitoneal,incloseproximitytonerves,intoanintraoperativesite(softtissue,bodycavity/surgicalwoundsite),epiduralspace,orsubarachnoidspaceinfusion.Thispumpisintendedfortherapiesthatrequireacontinuousrateofinfusion,patient-controlleddemanddoses,orboth(suchaspatient-controlledanalgesia)

PumpSize 1.6in.x4in.x5in.excludingcassetteorotheraccessoriesScreenSize 2.12in.x2.12in.(320pixelsx320pixels)Weight 21oz.including4AAalkalinebatteries,excludingotheraccessoriesOn-boardProtocolLibrary Storesupto500protocolsSecurity Cassette/keypadlockandthreecustomizablesecurityaccesslevels:keypadcode;cliniciancode;

administratorcodeAccuracy +/-6%(nominal)DeliveryMethods Continuousrate;PCAdose;ClinicianbolusReservoirVolume 0to9999mL;programmablein1mLincrements,displayedin0.1mLincrementsUnits Milliliters(mL),milligrams(mg),micrograms(mcg)Concentration mg/mL: 0.1to0.5mg/mLinincrementsof0.1mg/mL 0.5to1mg/mLinincrementsof0.5mg/mL 1to15mg/mLinincrementsof1mg/mL 15to100mg/mLinincrementsof5mg/mL mcg/mL: 1to15mcg/mLinincrementsof1mcg/mL 15to100mcg/mLinincrementsof5mcg/mL 100to500mcg/mLinincrementsof100mcg/mLContinuousRate 0to30mL/hr(orthemgormcgequivalent)PCADose 0to20mL(ormgormcgequivalent)

Deliveryrate(continuousrate+PCAdose):programmablefrom40to175mL/hrPCADoseLockout 1minuteto24hoursinthefollowingincrements: 1minuteforvaluesbetween1and20minutes

5minutesforvaluesbetween20minutesand24hoursMaxDosesPerHour 1to60DeliveryLimitAmount 0.1to1000mL(orthemgormcgequivalent)inincrementsof:

0.01mLfrom0.01to0.5mL 0.5mLfrom0.5to100mL 1.0mLfrom100to1000mL

Given 0to99,999.99in0.01unitincrementsClinicianBolus 0to20mL(ormgormcgequivalent)

Deliveryrate(continuousrate+clinicianbolus):programmablefrom40to175mL/hrDeliveryLimitMethod Deliverylimit,maxdosesperhourornotinuseDeliveryLimitPeriod 1to12hoursinincrementsof1hourPowerSources 4AA(IECLR6)alkalinebatteries;ACadapter;rechargeablebatterypackBatteryLife(Alkaline) Approximately120hoursat10mL/hrMoistureProtection Splashproof(IPX4)perIEC60529EventLog 5000eventsAirDetector,Integral TurnonoroffAirDetector,Sensitivity Low–singlebubblegreaterthan400uL

High–singlebubblegreaterthan150uLAlarmsandMessages Multiplealarms,allcolorcoded,manywithoptionto“acknowledge”or“silence”.Alarmsinclude

highpriority;mediumpriority;lowpriority;informationalmessagesandsystemfaultalarmsAlarmVolume High,medium,lowAlarmSoundTheme Standard,intense,distinctiveHighPressureAlarm 18+/-9psiGraphs PCAdosegraph;DeliveryhistoryandpiechartReports GivenandPCAdosecounters;deliverylog;eventlog;protocollibrarysummary;deviceinformationOther Scrollkeys;task-basedsoftkeyuserinterface;cassettelatch;cassette/keypadlock;indicator

lights;continuousbacklightdisplaywithACpower;datainterfaceport;remotedosecord;upstreamanddownstreamocclusionsensors;polemountadapterplate;CADD™medicationcassettereservoir;CADD®-Solislockboxes;compatiblewithCADD®-Solismedicationsafetysoftware

SpecificationsCADD®-Solis Ambulatory Infusion Pump

SystemFunctionalityandRequirementsCADD®-Solis Medication Safety Software

CADD®-Solis Medication Safety Software – Administrator v1.2

ThesoftwareallowsuserstocreateasetofstandardpumpprotocolstobeusedwiththeCADD®-Solisambulatoryinfusionpump.Featuresinclude:

•CreateaprotocollibrarydatabaseonaserveroronaPC•Createmultiplelibrarieswithintheprogram.Eachlibrarycanbedesignatedandnamedforaparticularcare

settinginthefacility•Createmultiplepumpprotocolswithineachlibrary•Designateauthorizedusersforeachlibrary

Thesoftwareallowsuserstosendaprotocollibraryto,andgethistoryfrom,aCADD®-Solisambulatoryinfusionpump

Thesoftwarecanbeusedinvarioussystemconfigurations,including:•TheprotocollibrarydatabasecanbelocatedonaserverwithoneormoreadministratorPCsonthenetwork

throughoutthefacility•TheprotocollibrarydatabasecanbelocatedontheadministratorPC

Theadministratorsoftwarecanalsoprintbarcodes,printprescriptionformsandviewreports

Threemainadministratorsoftwarefunctions:•Librarygeneralsettings–determinemainsettingsandsecuritiesforalibrary•Setuptherapies,qualifiersanddrugs–createspecificprotocolsuniquetoeachlibrary•Specifyprotocols–createandviewprotocols

System Requirements v1.2•MicrosoftWindows®2000serverorWindows®2003server(whenhostingthedatabaseonaserver)•APCrunningWindows®2000(withSP4)orXPProfessional(withSP2)•CD-ROMdrive•Minimum70MBavailableharddiskspace(application)•Minimum525MBavailableharddiskspace(database)•Minimum256MBRAM•Mouseorotherpointingdevice•USBportforconnectiontoCADD®-Solispump•16-bitcolorcapablegraphicscard•Displaydevicewithminimumscreenresolutionof1024x768•Optional:barcodereader(configurableasahumaninterfacedevice[HID])–code128compatible(minimum)•Optional:Zebrabrandbarcodeprinter(compatiblewithZPLorZPLIIprogramminglanguage–threeinch

widebyoneinchhighlabelstockoncontinuousfeedroll)•Optional:USBportsforconnectiontoabarcodereaderandprinter

Description Item Number

CADD®-SolisAmbulatoryInfusionPumpCADD®-SolisAmbulatoryInfusionPump,Model2100 21-2101

Includes pump, remote dose cord, 4 AA batteries, 2-year limited warranty

CADD®-SolisMedicationSafetySoftwareLicense,CADD®-SolisMedicationSafetySoftware–Administrator 21-2199

MaintenanceProgram,CADD®-SolisMedicationSafetySoftware 21-2198

AccessoriesCADD®-SolisLockbox–Clear 21-2188

Large lockbox with full keypad accessCADD®-SolisLockbox–Yellow 21-2189

Large lockbox with full keypad accessRemoteDoseCord 21-2186PolemountAdapter 21-2135

For use with Lockable Polemount Bracket, item #21-6120-51LockablePolemountBracket 21-6120ACAdapter 21-2140

For use with power cord, item #21-2145-01PowerCord 21-2145

For use with AC Adapter, item #21-2140-51BatteryPack,Rechargeable,Standard-Life 21-2160PumpKey 21-2185

For use with all CADD® pumps

ProfessionalImplementationServicesComprehensive(standard)ImplementationServices 21-0032-01AdministratorConsultingService(On-site) 21-0000-47AdministratorConsultingService(Off-site) 21-0033-01AdministratorGeneralTraining(Off-site) 21-0000-84CADD®PumpClinicianTrainingService 21-0000-49

OrderInformationCADD®-SolisAmbulatoryInfusionSystem

User

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