pain management - smiths medical€¦ · 3 closer eyes 18g 915 mm • • • 0.45 mm 0.83 mm...

Pain Management

The expert choice. From pump to patient.

CADD®-Solis Ambulatory Infusion Pump

EpiFuse® Catheter Connector

LockIt Plus® Catheter Securement Device

Epidural MiniPack System

CSEcure® Needle Sets

p. 2 Pain Management

Experts choose Smiths Medical for their regional anaesthesia needs for three fundamental reasons

HELPS PROVIDE MORE EFFECTIVE PAIN MANAGEMENT

Smiths Medical partners with clinical experts to develop ground-breaking innovations and valued product refinements, all with the common aim of improving the efficacy of regional anaesthesia for both patients and clinicians. We offer solutions that helps provide:

• More effective new delivery modes

• Improved catheter management

• Combined spinal/epidural solutions that maximize procedural benefits

HELPS ENHANCE RECOVERY OUTCOMES

Optimal pain control and patient ambulation are central to the success of enhancing patient recovery. Smiths Medical solutions help clinicians shorten recovery periods, conserve resources and reduce the potential of patient complications by helping:

• Increase patient mobility

• Reduce motor blocks

• Allow more accurate placement of peripheral nerve blocks

HELPS IMPROVE PATIENT SAFETY

Smiths Medical makes patient safety a key priority, continuously investing in the development of new technologies and incremental product safety features. Working with clinical experts, healthcare agencies and regulatory bodies worldwide, we strive to bring meaningful safety advancements by helping:

• Reduce medication errors

• Prevent medication free-flow

• Develop the future - ISO Standard for Neuraxial Connectors

p. 3Pain Management

Trust Smiths Medical to provide innovation, choice and experience

INNOVATIVE SOLUTIONS

You want innovation with purposeful functionality to help deliver the best of care.

We developed the CADD®-Solis pump with Programmed Intermittent Bolus (PIB) to provide more effective pain management. Clinicians can combine intermittent bolus’ with patient controlled analgesia (PCA) to increase drug distribution, reduce consumption and improve patient satisfaction.

That’s just one example of Smiths Medical working with experts to address changing clinical trends to improve treatment efficacy.

CLINICAL CHOICE

You need product solutions to support a wide spectrum of patients and treatment approaches.

Smiths Medical understands the importance of clinical choice in the way our customers treat their patients, therefore we have established a wide range of products and configurations to address your regional anaesthesia requirements.

In addition to the standard Portex® procedure kits, our custom kitting service is the epitome of clinical choice, allowing you to select a personalized product to uniquely fit your needs.

UNRIVALLED EXPERIENCE

You demand quality, performance and reliability from your products and suppliers.

With trusted and reliable brands such as Portex® and CADD®, Smiths Medical has over 40 years of experience in regional anaesthesia.This means that, like you, we are experts in our field and continue to leverage this knowledge in our current and future ranges.

The Portex® Epidural Minipack combines quality components, which give you the performance you need, in an easy to use format.

p. 5Pain Management

Contents

I EPIDURAL ANAESTHESIA ............................................................................................6

I SPINAL ANAESTHESIA ................................................................................................17

I COMBINED SPINAL EPIDURAL SYSTEMS...................................................................22

I CADD®-SOLIS INFUSION SYSTEMS.............................................................................26

I CADD-LEGACY® PCA AMBULATORY PUMP ................................................................28

I CADD™ MEDICATION CASSETTE RESERVOIRS WITH FLOW STOP FREE-FLOW PROTECTION .............................................................29

I SELECT CUSTOM KITS .................................................................................................32

I SAFETY DEVICES ..........................................................................................................33

I INDEX ...........................................................................................................................36

Contents


For the past 40 years Portex® has pioneered epidural systems. After being the first to produce epidural catheters for Obstetric Anaesthesia in the early 1970’s, Portex® went on to develop ‘single use’ devices in the early 1980’s, quickly establishing a strong reputation for innovation, quality and reliability expected from a market leader. The Portex® Minipack was the first ‘single use’ kit designed specifically for epidural procedures and included the first plastic, low friction Loss of Resistance Device.

The success of this epidural kit has led to the trade name ‘Minipack’ being used generically within the medical profession to describe a basic single use epidural pack.

Today Portex® continues to lead the field in Epidural Anaesthesia with a broad range of epidural procedure kits and components, including the EpiFuse® Catheter Connector. Closing with one hand, with a definitive click, the EpiFuse® Catheter Connector is a response to your request for an epidural catheter connector that locks securely and opens easily.

Recognising that procedural techniques vary, Portex® has pioneered a custom kitting service, allowing clinicians to customise a procedure tray to suit individual needs.

Epidural Anaesthesia

p. 7Pain Management

Epidural AnaethesiaEpidural Anaethesia

Needle Gauge Length Product Code

16G 80 mm 100/395/160

18G 80 mm 100/395/180

18G 80 mm (clear hub) L728-61 *

16G 110 mm (clear hub) 100/395/560

18G 110 mm (clear hub) 100/395/580

Supplied sterile in packs of 10* Supplied sterile in packs of 20

ORDERING INFORMATION

Designed to provide accurate and reliable access to the epidural space.

• Optimised tip profile to maximise the all-important feel during insertion

• Internal stylets help minimise tissue coring during insertion

• Optional snap on wings allow maximum flexibility in use

• Depth of needle insertion is easily determined by clear 10 mm graduations

• Extra length and paediatric sizes available

Tuohy Needles

Tuohy Needles


Capacity Product Code

10 mL 100/398/000

Supplied sterile in packs of 10

Tuohy Needle Gauge Length Product Code

16G 80 mm 100/380/016

18G 80 mm 100/380/018




The Portex® ‘Loss of Resistance’ Device is a single use, low friction syringe specifically designed to facilitate successful location of the epidural space.

• Designed with low and consistent frictional movement of the plunger to provide excellent sensitivity for epidural space detection

• Graduated barrel indicates degree of plunger advancement

• Suitable for use with both air and saline techniques with standard Luer slip connection to epidural needles

• Latex-free

• 3-part

Loss of Resistance Device and Tuohy needle set. Ideal for use in chronic pain clinics for bolus injections into the epidural space.

Contents: (Tuohy Needle - length 80 mm, with attachable wings, a 10 mL plastic LORD, 10mL syringe: 3-part/luer slip/latex-free and a 18G Filter needle)

Epidural ‘Loss of Resistance’ Device

Epidural Single Shot Packs

Epidural Single Shot Packs

Epidural ‘Loss of Resistance’ Device

p. 9Pain Management

Epidural Anaethesia

Clear Catheter Type

For use withneedle gauge Length Catheter

ID LabelCatheter Guide

Catheter Connector

Length Product Code

Internal External

Closed End 3 Eyes 16G 915 mm • • • 0.55 mm 1.03 mm 100/382/116CZ

3 Closer Eyes 16G 915 mm • • • 0.55 mm 1.03 mm 100/382/816CZ

Closed End 3 Eyes 18G 915 mm • • • 0.45 mm 0 83 mm 100/382/118CZ

3 Closer Eyes 18G 915 mm • • • 0.45 mm 0.83 mm 100/382/818CZ

Paediatric Open End 19G 650 mm • • • 0.38 mm 0.63 mm 100/382/019

Catheter size reflects the compatible epidural needle gauge. Supplied sterile in packs of 10

20G Closed End 3 Eyes 18G 915 mm • • 0.46 mm 0.86 mm G997-61

Actual catheter gauge.


• Manufactured from a clear polyether block amide for optimum clarity, strength and kink resistance

• Available in various gauges with a choice of distal tip eye geometry

• Smooth tip forming to help minimise trauma during insertion

• Standard 1 cm catheter marking to facilitate accurate catheter positioning

• Confirmed patency and consistent flow rates achieved through 100% flow testing after manufacture

• Distal tip mark to aid visual confirmation of complete catheter on removal

• Paediatric catheters available in 18G or 19G with option of closer helically placed eyes for even distribution of drugs, helping to reduce the likelihood of multi-compartmental spread of local anaesthetic1

• All catheters are supplied with the EpiFuse® Catheter Connector

Epidural Catheter

Epidural Catheter

Open End Catheter

Closed End Catheter - 3 Lateral Eyes

Closed End Catheter - 3 Closer Eyes (Paediatric)

1 Collier, C.B., Gatt, S.P., A new epidural catheter. Closer eyes for safety? Anaesthesia 1993: 48; 803-806


Catheter Gauge Product Code

16G/17G/18G 4909E


For catheters used with: Product Code

16/17G needle 100/399/216

18G needle 100/399/218




At Smiths Medical, we always look for innovative ideas that help improve customer satisfaction and the clinical performance of our products. Many times our best ideas come from you. You told us you want a catheter connector for epidurals that locks securely and unlocks easily. We listened.

Secure, yet easy to open when necessary, the EpiFuse® Catheter Connector, is now the standard component in the Portex® Continuous Epidural Trays, Kits, and Packs. It is also available packaged separately.

• Accepts catheters that fit through 16G, 17G, and 18G epidural needles

• One-hand activation for ease-of-use

• Tamper resistant

• Definitive closure click

• Yellow body for easy identification as an epidural catheter

• Flat profile for increased patient comfort

Security with a click. The LockIt Plus® device securely sticks to the insertion site while minimizing catheter migration and kinking with an audible click.

• Transparent locking mechanism protects catheter patency and permits monitoring of the exit site

• Low profile for patient comfort

• Reversible lock secures the catheter in place and allows for clinical access when necessary

• Solid puncture site cover helps minimize kinking of the catheter exiting the body

• Large foam adhesive pad makes application easy and minimizes patient discomfort

• Peel-away liner over the adhesive backing enables easy and straightforward application

• Medical grade adhesive helps decrease skin irritation





p. 11Pain Management

Epidural Anaethesia

Filter Type Membrane Pore Size Maximum Pressure

Unit (psi)Filter Area

Priming Volume Product Code

Flat 0.2µm hydrophilic 2-way 115 psi, 792 kPa 5.25 cm2 0.8 mL 100/386/010CZ



Epidural Flat Filter

Designed for the in-line filtration of low volume doses of aqueous solutions — the flat filter is designed for patient comfort and is especially suitable for filtration of drug solutions during injection into the epidural space to help prevent infection.

• The 0.2 µm hydrophilic supported membrane allows two-way filtration and the ability to test aspirate

• Male and female Luer lock connections for maximum security

• Flat profile for patient comfort

• Transparent to allow visual monitoring of filtration and low priming volume

• Suitable for 96 hours period of use

Note: We recommend use of this filter with a syringe no smaller than 10 mL capacity to avoid undue pressure.

Epidural Flat Filter


A cost-effective and convenient procedure pack, containing all the essential components needed to perform an epidural procedure. Available in four variants providing flexibility and choice. All products are single-use and offered in space saving packs.

A

B

Epidural MiniPack System 1


Epidural Anaethesia


Tuohy NeedleGauge Length

With AttachableWings

Clear Catheter with Connector & Guide

Plastic LORD Size10mL: Luer slip7mL: Luer Lock

Catheter Identification Label

0.2µm Epidural Filter

Product Code

16G 80 mm • Open End 10 mL • • 100/391/016CZ

16G 80 mm • Closed End 3 Eyes 10 mL • • 100/391/116CZ

16G 110 mm • Closed End 3 Eyes 10 mL • • 100/391/516

16G 80 mm •Closed End 3 Closer Eyes

10 mL • • 100/391/816CZ

17G 80 mm • Open End 7 mL • G747*

17G 80 mm • Closed End 3 Eyes 7 mL • G998*

18G 80 mm • Open End 10 mL • • 100/391/018CZ


18G HD (Higher Stiffness) 80 mm • Closed End 3 Eyes 10 mL • • 100/391/318CZ

18G 110 mm • Closed End 3 Eyes 10 mL • • 100/391/518


10 mL • • 100/391/818CZ

18G 80 mm • Open End 7 mL • G749*

18G 80 mm • Closed End 3 Eyes 7 mL • G748*

19G 90 mm • Open End 10 mL • • 100/391/190

Supplied sterile in packs of 10 * Supplied in packs of 20

Epidural MiniPack System 1 Paediatric




Plastic LORD Size(Luer slip)



Product Code


10 mL • • 100/391/180

19G 50 mm • Open End 10 mL • • 100/391/019CZ


Epidural MiniPack System 1 with LockIt Plus® Fixation Device




Plastic LORD Size(Luer slip)



Product Code





A

B

Catheter size reflects the compatible epidural needle gauge.


A B

C

Epidural MiniPack Systems 2/3/4


Epidural Anaethesia


Tuohy Needle Gauge LengthWith Attachable Wings



0.2µm Epidural Filter Product Code

16G 80 mm • Closed End 3 Eyes • • 100/392/116CZ

17G 80 mm • Open End • E623*

18G 80 mm • Closed End 3 Eyes • • 100/392/118CZ

Supplied sterile in packs of 10 * Supplied sterile in packs of 20


Tuohy Needle Gauge LengthWith Attachable Wings



Product Code

16G 80 mm • Closed End 3 Eyes • 100/394/116CZ

18G 80 mm • Closed End 3 Eyes • 100/394/118CZ






0.2µm Epidural Filter Product Code

16G Closed End 3 Eyes • • 100/393/116CZ

18G Closed End 3 Eyes • • 100/393/118CZ


A

B

C


Epidural Anaethesia

Epidural Maxipacks

Patient Preparation Procedure Components

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18G

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22G

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16G

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16G • • • • • • • • • • • 16G • • 10 mL Plastic L/SClosed

End 3 Eyes• • • 100/390/116

17G • • • • • • • 17G • • 10 mL Glass L/L Open End • E622*

18G • • • • • • • • • • • 18G • • 10 mL Plastic L/SClosed

End 3 Eyes• • • 100/390/118

18G • • • • • • • 18G • • 10 mL Glass L/L Open End • G745*

18G • • • • • • • 18G • • 10 mL Glass L/LClosed

End 3 Eyes• G895*

18G • • • • • • • 18G • • 7 mL Plastic L/SClosed

End 3 Eyes• L794*

17GSingleShot

• • • • • • • • 17G • • 10 mL Glass L/L E621*

Supplied sterile in packs of 10Syringes are latex-free

*22G x 38 mm hypodermic needle supplied pre-attached to 3 mL syringe

A convenient, single-use procedure pack offered in a logical two-layer format with the upper tray containing a selection of patient preparation components and the lower tray containing all the essential epidural procedure components. Available in 16G, 17G and 18G.


Epidural Maxipacks


Spinal Anaethesia

Spinal Anaesthesia

Complementing the epidural systems products, Smiths Medical applies the same meticulous attention to detail and quality to a range of precision-engineered spinal needles, including the Portex RapID® spinal needle range. Designed to provide maximum performance without compromise to safety, the Portex RapID® spinal needle selection delivers the high performance demanded by today’s healthcare professionals. Spinal needles are available in Lancet (Quincke) and Pencil Point (Whitacre) tip designs, and offered as either individual needles supplied with a matched introducer needle or in convenient procedure trays.

Recognising that procedural techniques vary, the Portex RapID® range of spinal needles are also available through the Select Custom Kitting service, allowing clinicians to customise a spinal procedure tray to suit individual needs.


The Portex RapID® range of Spinal Needles are available either as a needle set or in a Midi-Tray format. The Midi-Tray provides a systematic presentation of the key components necessary for the administration of single shot Spinal Anaesthesia.

• Available in both Pencil Point and Lancet tip variants from 22G through to 29G depending on patient and procedural requirements; Extra length needles available in 26G and 27G

• Pencil Point tip needles incorporate precision engineered tip and eye geometry for atraumatic insertion and promote reduction in Post Dural Puncture Headache (PDPH)

• Size and positioning of the lateral eye helps minimise the potential for transdural positioning, promoting accurate delivery in the subarachnoid space

• Clear hubs and excellent cerebrospinal fluid (CSF) flashback performance provides rapid identification of correct needle placement

• Colour-coded stylets allow easy identification of needle size

• Supplied with a matched introducer needle to facilitate accurate and safe needle placement within the subarachnoid space

Portex RapID® Spinal Neeldle Sets and Midi-Trays


Spinal Anaethesia

Spinal Needle

Length Introducer Needle

RapID® Product Code Quantity Per Pack

22G 90 mm 18G • 100/496/122 20

24G 90 mm 20G • 100/496/124 20

25G 90 mm 20G • 100/496/125 20

25G 90 mm L741-61 100

25G 90 mm 20G M122 60

26G 90 mm 20G • 100/496/126 20

25G 115mm 20G • 100/492/815 10

26G 115 mm 20G • 100/492/816 10

27G 90 mm 20G • 100/496/127 20

27G 115 mm 20G • 100/492/817 10

Spinal Needle

Length Introducer Needle

RapID® Product Code Quantity Per Pack

22G 90 mm 18G • 100/496/022 20

22G 90 mm L746-61 100

24G 90 mm 20G • 100/496/024 20

25G 90 mm 20G • 100/496/025 20

26G 90 mm 20G • 100/496/026 20

27G 90 mm 20G • 100/496/027 20

29G 90 mm 22G M341 60



Pencil Point Spinal Needle Sets (Whitacre)

Lancet Point Spinal Needle Sets (Quincke)


Spinal Needle

Length 20G X 38 mm Introducer Needle

25G X 16mm Intradermal Needle

22G X 38 mm Hypodermic Needle

Syringe3ml: 3 part/Luer Slip5ml: 3 part/ Luer Lock

Filter Kwill

Product Code

25G 90 mm 20G 25G 22G 3 mL & 5 mL • 100/497/125

26G 90 mm 20G 25G 22G 3 mL & 5 mL • 100/497/126



Midi-Trays are available in Pencil Point format, containing a spinal needle and introducer, supported by the key components necessary for administration of the local anaesthetic prior to needle insertion.

Filter kwill (5µm, priming volume of 0.3 mL) removes particulate matter when drawing up, maximising patient safety.

Midi-Trays


Spinal Anaethesia

SPINAL MAXIPACKS, PENCIL POINT NEEDLE, LANCET TIP NEEDLE

The spinal Maxipack provides all the essential components required for spinal anaesthesia in a single pack.

Presented in a logical two layer format, the upper tray contains a selection of patient preparation components and the lower tray contains the essential components to perform the spinal block.

Available in 22G to 27G Pencil Point or Lancet tip format dependent on the patient and procedure requirements.

Spinal Maxipacks

Patient Preparation Procedure Components

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22G

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22G • • • • • • • • • • • 22G L R • 18G 100/389/022

22G • • • • • • 22G L BD • 18G E619*

24G • • • • • • 24G A A • 19G G888*

25G • • • • • • • • • • • 25G P R • 18G 100/389/825

25G • • • • • • 25G P A • 19G G973*

25G • • • • • • 25G L BD • 19G E620*

26G • • • • • • • • • • • 26G P R • 18G 100/389/826

26G • • • • • • 26G L BD • 20G G421*

27G • • • • • • 27G L BD • 20G G972*

Supplied sterile in packs of 10* 21G x 38 mm hypodermic needle supplied pre-attached to 3 mL syringe

25G x 16 mm hypodermic needle supplied pre-attached to 5 mL syringe


Spinal Maxipacks


Combined Spinal Epidural Systems

Bringing together the well documented advantages of epidural and spinal anaesthesia, the Smiths Medical range of Combined Spinal Epidural products includes the unique CSEcure® locking needle system.

Launched in 1998, the CSEcure® needle system promotes patient safety and is an effective solution to needle control during

the CSE procedure, without compromising the all important feel. The CSEcure® needle system is available in a wide range of pack options from individual sets of needles through to full procedure packs.

Recognising that procedural techniques vary, the CSE needle range is also available through the Select Custom Kitting service, allowing the clinician to

customise a CSE procedure tray to suit their individual needs. In addition, the CSE range offers a selection of traditional non-locking needle systems supplied as either matched needle sets or in full procedure trays. These traditional non-locking CSE needles are offered in ‘needle-through-needle’ or ‘back eye’ design to facilitate spinal needle placement.




TuohyNeedle


SpinalNeedle

Spinal NeedleType

CSEcure® Lock

Product Code

18G • 27G Lancet • 100/396/318

16G • 26G Pencil • 100/396/916

16G • 27G Pencil • 100/396/716

18G • 27G Pencil • 100/396/718


CSEcure® Minipacks

TuohyNeedle


SpinalNeedle

Spinal Needle Type

CSEcure® Lock

Product Code

18G • 27G Lancet • 100/491/318

16G • 26G Pencil • 100/491/916

16G • 27G Pencil • 100/491/716

18G • 27G Pencil • 100/491/718

Contents: CSEcure® needle set with lock, Catheter (closed end 3 eyes) and EpiFuse® connector, Filter (0.2µm), 10ml/ Luer Slip LORD, Fixation sponge, Catheter ID label


CSEcure® Needle Systems

• Providing the rapid onset and reliability of a spinal block, allowing anaesthesia to be prolonged both intra and post-operatively via an epidural catheter

• Designed for optimal performance, helping to minimise drag of needle through needle and maximise feel of dural puncture

• Rapid CSF flashback to confirm correct needle tip position

• CSEcure® needle system’s unique locking needle hub feature enables tip relationships to be maintained after dural puncture, providing increased confidence of correct spinal needle tip position during injection of the anaesthetic

• Maximum of 15 mm spinal needle tip protrusion from Tuohy needle

• In locked position the spinal needle is free to rotate, enabling 360o freedom for drug dispersal in preferred direction

• Pencil point needles provide a satisfactory solution to the problem of Post Dural Puncture Headache (PDPH) and atraumatic entry into the sub-arachnoid space

• Excellent drug distribution is achieved through three helically located lateral eyes within the clear catheter, helping to minimise the potential for the localised pooling of drug solutions within the epidural space



CSEcure® Minipacks


TuohyNeedle


SpinalNeedle

Spinal NeedleType

Back Eye

Product Code

18G 25G Pencil • MI45*

16G • 26G Lancet 100/396/116

16G • 26G Pencil 100/396/816

Supplied sterile in packs of 10 * Supplied sterile in packs of 30


Traditional (non-locking) Needle Sets

Traditional (non-locking) Needle Sets



TuohyNeedle


SpinalNeedle

Spinal NeedleType

Back Eye

Product Code

18G 25G Pencil • M146*

16G • 26G Lancet 100/491/116

18G • 27G Pencil 100/491/618

16G • 26G Pencil 100/491/816

18G • 26G Pencil 100/491/818

Contents: CSE needle set, Catheter (closed end 3 eyes) and EpiFuse® connector, Filter (0.2µm), 10ml/ Luer Slip LORD, Fixation sponge, Catheter ID label


* No catheter label, no fixation sponge


Traditional (non-locking) CSE Minipacks

Traditional (non-locking) CSE Minipacks


2. D. McAtamney, D., O’Hare, C., and Fee, J.P.H. An in vitro evaluation of flow from multihole epidural catheters during continuous infusion with four different infusion pumps. Anasethesia, 1999, 54, pages 664-669.

CADD®-Solis pump with PIB

Example Screen Displays

Continuous Rate

2 mg/hr

6

0

Bolus Interval

1 Hrs 0 Min

2 Hrs 0 Min

20 Min

Stopped

Don’t Save Save

1 mL

EpiduralLabor and DeliveryFentanyl/Bupivacaine mL

Bolus Interval 1 Hrs 0 MinNext Bolus 3 Min

Intermittent Bolus 10 mL

PCEA Dose 2 mL

HomePress ‘select’ to edit

Reports Tasks

100 mL Running

Back

54 mL Running

PCEA and Intermittent GraphPCEA Attempted PCEA Given Intermittent Bolus

Count

10

0

2

4

6

8

11:00 15:00

Tailor Programming RUN screen

Titrate Dose adjustment within limits

Track On-board reports

The CADD®-Solis system combines PCEA/PCA and PIB deliveries for an effective, innovative labour analgesia pain management solution.

CADD®-Solis Infusion System

• Configurable boluses and predictable delivery pressure improves drug distribution and pain management2

• PCEA/PCA and PIB deliveries combine to create more effective drug delivery duration and block density

• Smart pump technology promotes patient safety with programming limits, clinical advisory notes and best practice protocols

PUMP FEATURES

• Large colour screen differentiates therapies and displays infusion settings

• CADD™ medication cassette reservoirs are designed to keep medications safe and secure

• Scroll keys help prevent double key press errors

• Compact, lightweight pump designed for patient mobility

TAILOR, TITRATE AND TRACK THERAPY FOR BETTER OUTCOMES

• Tailor patient and procedure-specific protocols with intermittent bolus volumes and intervals as well as patient-controlled dosing

• Tailor distribution of the drug with the intermittent bolus volume and bolus delivery rate

• Tailor drug delivery duration with the intermittent bolus interval

• Titrate dosing without stopping the pump

• Titrate dosing within user-defined programming limits

• Track therapy progress with trend and log reports that are easy-to-access and interpret


CADD®-Solis Infusion Systems

CADD®-Solis PIB Ambulatory Infusion System

On-board Protocol Library

Stores up to 500 therapy/qualifier/drug protocols

Programme Security

Cassette/keypad lock and three customizable security access levels by protocol: keypad code, clinician code, administrator code

Clinical Advisory Note

User-defined per protocol

Delivery Limit Method

Delivery limit, Max doses per hour or not in use

Max Doses Per Hour 1 to 60

Delivery Limit Amount

0.1 to 1900 mL (or the mg or mcg equivalent) in increments of: 0.01 mL from 0.01 to 0.5 mL 0.1 mL from 0.5 mL to 100 mL 1.0 mL from 100 to 1,000 mL 10 mL from 1,000 to 1,900 mL

Delivery Limit Period

1 to 12 hours in increments of 1 hour

Pump Size 1.6 in. x 4 in. x 5 in. excluding cassette or other accessories

Weight 21 oz. including 4 AA alkaline batteries, excluding other accessories

Power Sources 4 AA (IEC LR6) alkaline batteries; AC adapter; rechargeable battery pack

Battery Life Alkaline Approximately 113 hours at 10 mL/hr

Delivery methods Continuous rate, PCA dose, Clinician bolus, Programmed intermittent bolus

Continuous Rate 0 to 100 mL/hr (or the mg or mcg equivalent)

PCA Dose 0 to 50 mL (or mg or mcg equivalent)

PCA Dose Lockout1 minute to 24 hours in the following increments: 1 minute for values between 1 and 20 minutes 5 minutes for values between 20 minutes and 24 hours

PCA/PCEA Configurability

User can configure PCA/PCEA nomenclature per protocol

Intermittent Bolus The amount of drug to be infused with each intermittent bolus – 0 to 50 mLs

Intermittent BolusInterval

The amount of time from the start of one intermittent bolus to the start of the next intermittent bolus – 0 to 4 hours

Next BolusThe length of time from when the pump starts until the next intermittent bolus is delivered; 0 to 4 hours

Bolus TypeThe timing of intermittent bolus delivery after PCA with the Bolus Type feature, PCA Lockout or Intermittent Bolus Interval

Clinician Bolus 0 to 50 mL (or the mg or mcg equivalent)

Maximum Delivery Rate

Intermittent Bolus, Clinician Bolus, and PCA Dose: with standard volume tubing: 40-250 mL/hr with high volume tubing: 40-500 mL/hr (high volume tubing compatible with Model 2110 pumps only)

Units Milliliters (mL), milligrams (mg), micrograms (mcg)

Concentration

Mg/mL: 0.1 to 0.5 mg/mL in increments of 0.1 mg/mL 0.5 to 1 mg/mL in increments of 0.5 mg/mL 1 to 15 mg/mL in increments of 1 mg/mL 15 to 100 mg/mL in increments of 5 mg/mLMcg/mL: 1 to 15 mcg/mL in increments of 1 mcg/mL 15 to 100 mcg/mL in increments of 5 mcg/mL 100 to 500 mcg/mL in increments of 100 mcg/mL

Reservoir Volume0 to 9999 mL; programmable in 1 mL increments, displayed in 0.1 mL increments

Delivery Mechanism Linear peristaltic

Delivery Pressure 18 +/- 9 psi

Accuracy +/- 6% (nominal)

Event Log 5,000 events

ReportsIntermittent Bolus Status, given and dose counters, delivery log, event log, protocol library summary, device information

GraphsPCEA/PCA Dose Graph, Intermittent Bolus Graph, PCEA/PCA and Intermittent Graph, Delivery history and pie chart

CADD®-Solis Ambulatory Infusion System

CADD®-Solis Ambulatory Infusion Pump – Grey keypad

21-2111-0300-50

CADD®-Solis Ambulatory Infusion Pump - Yellow keypad

21-2112-0300-50

CADD®-Solis Pump Software Upgrade 67-2470-030001-50

SureLink™ Remote Support Software 21-2136-0200-25

CADD™-Solis Medication Safety Software – Administrator CD

21-2194-0300-25

CADD™-Solis Medication Safety Software – Administrator License

21-2199-01-INT

CADD™-Solis Software Maintenance 21-2198-01-INT

CADD®-Solis System AccessoriesRemote Dose Cord 21-2186-25

Lockbox Clear 21-2188-25

Lockbox Yellow 21-2189-25

Polemount Adapter 21-2135-25

Polemount Adapter Swivel 21-2183-25

Polemount Bracket 21-6118-24

Lockable Polemount Bracket 21-6120-24

Battery Door Replacement 21-2184-51

Pump Key 21-2185-51

AC Adapter 21-2140-25

Rechargeable Battery 21-2160-51

Power Cord 21-2148-XX*

* Please contact Customer Service for the correct Power Cord for your Country.


For continuous and PCA infusion therapies, this single therapy ambulatory pump is small, easy to use and lightweight.

SAFE

• Built-in safety features provide an alert to help prevent improper delivery

• The air-in-line detector will indicate if air is present in the administration set tubing

• Upstream and downstream occlusion sensors will detect an interruption of fluid delivery and a cassette detection sensor will detect if proper attachment has taken place

• 3 Levels of code-protected keypad locks available

RELIABLE

• The pump is able to store 1000 events in its memory providing accurate information to assist in patient management, troubleshooting and documentation

• The information can be downloaded to a PC or printer using the CADD-Sentry® PC communications system

• The strong and sturdy casing makes the CADD-Legacy® pump durable

Specifications & Ordering Information

Product Code 21-6300-51

Delivery Modes Continuous, Demand Dose, Clinician Bolus (Modes can be used independently or in combination)

Indications Pain Management infusion therapies

Delivery Routes Intravenous, Intra-arterial, Subcutaneous, Intraperitoneal, Epidural, Subarachnoid Space

Programming

Programming Units ml, mg, mcg

Reservoir Volume 1ml - 9,999ml or not in use

Drug Concentration 0.1 - 100mg/ml, 1 - 500mcg/ml

Continuous Rate 0 - 50ml/hr, 0 - 5,000mg/hr, 0 - 25,000mcg/hr*

Dose Volume Demand Dose - 0 - 9.9ml, 0 - 990mg, 4,950mcg Clinician Bolus - 0 - 20ml, 0-2,000mg, 0 - 10,000mcg

Demand Dose Lockout 5min - 24hr

Demand Doses/Hour 1 - 12

Reporting

Reservoir Volume 0 - 9,999ml (ml only)

Given (Volume Delivered) 0 - 99,999.95ml

Doses Given 0 - 999

Doses Attempted 0 - 999

*Subject to availability.

CADD-Legacy® PCA Pump

CADD-Legacy® PCA Ambulatory Pump

CADD-Legacy® PCA Pump


CADD™ Medication Cassette Reservoirs with Flow Stop Free-Flow Protection

Together with CADD® infusion pumps, CADD™ medication cassette reservoirs and CADD® extension sets provide a complete ambulatory medication delivery system

A Complete Ambulatory Medication Delivery System

• Safe -Multiple color cassette options for specific therapies help reduce the risk of medication errors

• Secure-Durable impact- and tamper-resistant reservoirs lock directly onto CADD® pumps for medication security

• Ambulatory-Small, lightweight system promotes patient mobility for improved clinical outcomes

• Free-Flow Protection- An integral set-based safety feature that prevents free flow of fluids

CADD™ Medication Cassette Reservoirs with Flow Stop Free Flow Protection

Safe and secure ambulatory infusion therapy


CADD™ Medication Cassette Reservoirs with Flow Stop Free-Flow Protection

Product Codes Unit

50 mL CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7301-24 12/box

100 mL CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7302-24 12/box

100 mL Yellow CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7300-24 12/box

Product Codes Unit

250 mL Clear CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7308 12/box

250 mL Yellow CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7309 12/box

250 mL Blue CADD™ medication cassette reservoir with Flow Stop, clamp, and female luer

21-7310 12/box

Medication Cassettes

Medication Cassettes

Filling – The medication cassette reservoir is designed to be easily filled with the blue flow stop clip in place

Closing the fluid path – Remove the blue clip to close the fluid path

Opening the fluid path – Press the green button to open the fluid path

• Holds up to 250 mL of medication

• Easy to fill

• Reduce the risk of medication free flow with the integrated Flow Stop safety feature

Cassette opens for ease of filling

1

Bag is easily manipulated for air removal

2

Cassette snaps shut to secure medication bag in housing

3



CADD™ Medication Cassettes with Flow Stop

CADD™ 250mL Medication Cassettes Reservoirs


CADD® Administration Sets with Flow Stop Free-Flow Protection

Product Codes Unit

CADD® administration set with female luer, Flow Stop, clamp and one-way checkvalve with male luer (TOTM)

21-7321-24 12/box

CADD® administration set with bag spike, Flow Stop, clamp and one-way checkvalve with male luer (TOTM)

21-7322-24 12/box

CADD® blue-striped administration set with bag spike, Flow Stop, clamp, and one-way checkvalve with male luer (TOTM)

21-7323-24 12/box

CADD® yellow-striped administration set with bag spike, Flow Stop, clamp, and one-way checkvalve with male luer (TOTM)

21-7324-24 12/box

CADD® administration set with male luer, Flow Stop, clamp, and one-way checkvalve with male luer (TOTM

21-7359-24 12/box

CADD® administration set with female luer, Flow Stop, 7.6 cm y-extension, one-way checkvalve with female luer, one-way checkvalve with male luer, and clamps (TOTM)

21-7390-24 12/box

CADD® administration set with bag spike, Flow Stop, 7.6 cm y-extension, one-way checkvalve with female luer, one-way checkvalve with male luer, and clamps (TOTM)

21-7391-24 12/box

Product Codes Unit

CADD® administration set with bag spike, Flow Stop, 0.2–micron air-eliminating filter, spiral tubing, clamp, and one-way checkvalve with male luer (TOTM)

21-7336-24 15/box

CADD® yellow-striped administration set with bag spike, Flow Stop, 0.2–micron air-eliminating filter, clamp, and one-way checkvalve with male luer (TOTM)

21-7339-24 12/box

CADD® administration set with bag spike, Flow Stop, 0.2–micron air-eliminating filter, spiral tubing, clamp, and one-way checkvalve with male luer (TOTM)

21-7383-24 15/box

CADD® administration set with bag spike, Flow Stop, clamp, 0.2-micron air-eliminating filter, and one-way checkvalve with male luer (TOTM)

21-7394-24 12/box

CADD® administration set with female luer, Flow Stop, clamp, 0.2-micron air-eliminating filter, and one-way checkvalve with male luer (TOTM)

21-7395-24 12/box

Standard Administration Set



CADD® Administration Sets with Flow Stop for rates up to 250ml/hr

Administration Sets with Air-eliminating Filters for rates up to 250ml/hr

Not manufactured with DEHP



CADD® High Volume Administration Sets

Product Codes Unit

CADD® high volume administration set with bag spike, Flow Stop, 0.2–micron air-eliminating filter, clamp, injection site and one-way checkvalve with male luer (TOTM)

21-7355-24 15/box

CADD® high volume administration set with bag spike, flow stop, clamp and one-way checkvalve with male Luer (TOTM)

21-7357-24 15/box

CADD® high volume administration set with bag spike, flow stop, 1.2-micron air-eliminating filter, Luer-activated needleless injection site, clamp, and one-way checkvalve with male Luer (TOTM)

21-7375-24 15/box

CADD® high volume administration set with bag spike, flow stop, 1.2-micron air-eliminating filter, clamp, injection site, and one-way checkvalve with male Luer (TOTM)

21-7381-24 15/box

CADD® yellow striped high volume administration set with bag spike, clamp, and integral anti-siphon valve with male Luer (TOTM)

21-7384-24 15/box

CADD® yellow striped high volume administration set with bag spike, 0.2-micron air-eliminating filter, clamp, and integral anti-siphon valve with male Luer (TOTM)

21-7385-24 15/box


CADD® High Volume Administration Sets for rates up to 500 mL/hr


High Volume Administration Set


CADD® Extension Sets

Product Codes Unit

CADD® Extension set with male/male Luer, integral anti-siphon valve and clamp, 76 cm length (TOTM)

21-7045-24 50/box


21-7046-24 50/box


21-7047-24 50/box

CADD® Extension set with male/male Luer, integral anti-siphon valve, and clamp, 76 cm length (TOTM)

21-7060-24 12/box


21-7061-24 12/box


21-7062-24 12/box

CADD® Yellow Striped Extension set with male/male Luer, integral anti-siphon valve and clamp, 229 cm length (TOTM)

21-7105-24 12/box

CADD® Yellow Striped Extension set with male/male Luer, 0.2 micron air-eliminating filter, clamp and integral anti-siphon valve with clamp, 254 cm length (TOTM)

21-7107-24 12/box

CADD® Yellow Striped Extension set with male/male Luer, 0.2 micron air-eliminating filter and integral anti-siphon valve with clamp, 229 cm length (TOTM)

21-7108-24 12/box

CADD® Blue Striped Extension set with male/male Luer, 0.2 micron air-eliminating filter and integral anti-siphon valve with clamp, 229 cm length (TOTM)

21-7109-24 50/box


CADD® Extension Set for use with CADD™ medication cassette reservoirs


Extension Set


• With a simple ordering system, custom kits provide exactly the right components for each individual, with no extras to assemble and nothing wasted

• Considerable time-savings are made from set up to procedural application as all the items are present in one package

• Helps reduce risk of infection as all items are only handled once

• Stockholding is reduced as packs can be held by your local distributor according to forecast and demand

SELECT CUSTOM KIT SERVICE

Select Custom Kits

Select Custom Kits

Smiths Medical recognises that health professionals are as individual as their patients. The Select Custom Kitting service allows clinicians the opportunity to customise their own kits to suit their personal component preferences and operational needs. The service offers the following benefits to both users and purchasers:


Safety Devices

Product Codes

Bulk pack 1000 units/case 4139

Sterile 5 pack 100 units per case 4244

Product Codes

18G x 1 ½” needle 4280

18G x 1” needle 4281

19G x 1 ½” needle 4282


20G x 1 ½” needle 4284


21G x 1 ½” needle 4286


22G x 1 ½” needle 4288



25G x 5/8” needle 4291


25G x 1 ½” needle 4293

Safety Devices



Point-Lok® Needle Protection Device

Needle-Pro® Safety Device

• A stand-alone needle protection device designed to lock onto the sharp tip of a 16g to 30g needle

• Provides effective protection for needles that do not have integral sharps protection

• Helps reduce accidental needle sticks, from prep to disposal

• Available separately or packaged in Portex® kits and trays

• The protective sheath is locked over the needle using only one hand, offering excellent clinical protection

• The needle is securely locked inside the safety device and remains protected through disposal to help prevent accidental needle sticks

• Keeps needles contained to help prevent accidental needle sticks after injections or aspiration


Index

Product Code Page Product Code Page Poduct Code Page

21-2111-0300-50 ............................... 27

21-2112-0300-50 ............................... 27

21-2135-25 ........................................ 27

21-2136-0200-25 ............................... 27

21-2140-25 ........................................ 27

21-2148-XX ........................................ 27

21-2160-51 ........................................ 27

21-2183-25 ........................................ 27

21-2184-51 ........................................ 27

21-2185-51 ........................................ 27

21-2186-25 ........................................ 27

21-2188-25 ........................................ 27

21-2189-25 ........................................ 27

21-2194-0300-25 ............................... 27

21-2198-01-INT ................................. 27

21-2199-01-INT ................................. 27

21-6118-24 ........................................ 27

21-6120-24 ........................................ 27

21-6300-51 ........................................ 28

21-7045-24 ........................................ 33

21-7046-24 ........................................ 33

21-7047-24 ........................................ 33

21-7060-24 ........................................ 33

21-7061-24 ........................................ 33

21-7062-24 ........................................ 33

21-7105-24 ........................................ 33

21-7107-24 ........................................ 33

21-7108-24 ........................................ 33

21-7109-24 ........................................ 33

21-7300-24 ........................................ 30

21-7301-24 ........................................ 30

21-7302-24 ........................................ 30

21-7308 ............................................. 30

21-7309 ............................................. 30

21-7310 ............................................. 30

21-7321-24 ........................................ 31

21-7322-24 ........................................ 31

21-7323-24 ........................................ 31

21-7324-24 ........................................ 31

21-7336-24 ........................................ 31

21-7339-24 ........................................ 31

21-7355-24 ........................................ 32

21-7357-24 ........................................ 32

21-7359-24 ........................................ 31

21-7375-24 ........................................ 32

21-7381-24 ........................................ 32

21-7383-24 ........................................ 31

21-7384-24 ........................................ 32

21-7385-24 ........................................ 32

21-7390-24 ........................................ 31

21-7391-24 ........................................ 31

21-7394-24 ........................................ 31

21-7395-24 ........................................ 31

67-2470-030001-50 ........................... 27

100/380/016......................................... 8

100/380/018......................................... 8

100/382/019......................................... 9

100/382/116CZ .................................... 9

100/382/118CZ .................................... 9

100/382/816CZ .................................... 9

100/382/818CZ .................................... 9

100/386/010CZ .................................. 11

100/389/022....................................... 21

100/389/825....................................... 21

100/389/826....................................... 21

100/390/116....................................... 16

100/390/118....................................... 16

100/391/016CZ .................................. 13

100/391/018CZ .................................. 13

100/391/019CZ .................................. 13

100/391/116CZ .................................. 13

100/391/118CZ .................................. 13

100/391/126CZ .................................. 13

100/391/128CZ .................................. 13

100/391/180....................................... 13

100/391/190....................................... 13

100/391/318CZ .................................. 13

100/391/516....................................... 13

100/391/518....................................... 13

100/391/816CZ .................................. 13

100/391/818CZ .................................. 13

100/392/116CZ .................................. 15

100/392/118CZ .................................. 15

100/393/116CZ .................................. 15

100/393/118Z .................................... 15

100/394/116CZ .................................. 15

100/394/118CZ .................................. 15

100/395/160......................................... 7

100/395/180......................................... 7

100/395/560......................................... 7

100/395/580......................................... 7

100/396/116....................................... 24

100/396/318....................................... 23

100/396/716....................................... 23

100/396/718....................................... 23

100/396/816....................................... 24

100/396/916....................................... 23

100/398/000......................................... 8

100/399/216....................................... 10

100/399/218....................................... 10

100/491/116....................................... 25

100/491/318....................................... 23

100/491/618....................................... 25

100/491/716....................................... 23

100/491/718....................................... 23

100/491/816....................................... 25

100/491/818....................................... 25

100/491/916....................................... 23

100/492/815....................................... 19

100/492/816....................................... 19

100/492/817....................................... 19

100/496/022....................................... 19

100/496/024....................................... 19

100/496/025....................................... 19

100/496/026....................................... 19

100/496/027....................................... 19

100/496/122....................................... 19

100/496/124....................................... 19

100/496/125....................................... 19

100/496/126....................................... 19

100/496/127....................................... 19

100/497/125....................................... 20

100/497/126....................................... 20


Index

Product Code Page

4139 ................................................... 35

4244 ................................................... 35

4280 ................................................... 35

4281 ................................................... 35

4282 ................................................... 35

4283 ................................................... 35

4284 ................................................... 35

4285 ................................................... 35

4286 ................................................... 35

4287 ................................................... 35

4288 ................................................... 35

4289 ................................................... 35

4290 ................................................... 35

4291 ................................................... 35

4292 ................................................... 35

4293 ................................................... 35

4909E ................................................. 10

E619* ................................................. 21

E620................................................... 21

E621................................................... 16

E622................................................... 16

E623................................................... 15

G421 .................................................. 21

G745 .................................................. 16

G747 .................................................. 13

G748 .................................................. 13

G749 .................................................. 13

G888 .................................................. 21

G895 .................................................. 16

G972 .................................................. 21

G973 .................................................. 21

G997-61 ............................................... 9

G998 .................................................. 13

L728-61 ............................................... 7

L741-61 ............................................. 19

L746-61 ............................................. 19

L794 ................................................... 16

M122 .................................................. 19

M146 .................................................. 25

M341 .................................................. 19

MI45 ................................................... 24


Notes

...To Patient• Portex® Epidural Anaesthesia Range

• Portex RapID® Spinal Anaesthesia Range

• Portex® CSEcure® Spinal and Epidural Needles

FROM PUMP TO PATIENT

From Pump... • CADD®-Solis Ambulatory Infusion System

• CADD®-Legacy Ambulatory Infusion Pump

• CADD™ Medication Cassette Reservoirs

• CADD® Administration Sets

From pump to patient, Smiths Medical provides quality products and services chosen by clinical experts worldwide, to help make every intervention successful.

MPAUCA-1505

Experience the expert choice for yourself, choose CADD® and Portex® products from Smiths Medical for all your regional Anaesthesia needs

For more information visit our website at www.smiths-medical.com

Find your local contact information at: www.smiths-medical.com/customer-support/contact-usProduct referenced is CE-marked. Smiths Medical is part of the global technology business Smiths Group plc. Please see the Instructions for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and precautions. CADD, Portex, CADD-Legacy, EpiFuse, Portex RapID, CSEcure and the Smiths Medical 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. All other names and marks mentioned are the trademarks or service marks of their respective owners. ©2019 Smiths Medical. All rights reserved. RA194643GB-122019

Smiths Medical International 1500 Eureka Park, Lower PembertonAshford Kent, TN25 4BFTel: +44 (0)845 850 0445www.smiths-medical.com

Smiths Medical ASD, Inc. 6000 Nathan Lane NorthMinneapolis, MN 55442, USATel: 1-614-210-7300 Toll-Free USA: 1-800-258-5361www.smiths-medical.com

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES

pain management - smiths medical€¦ · 3 closer eyes 18g 915 mm • • • 0.45 mm 0.83 mm...

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