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Legacy® PLUS - Smiths Medical

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Clinicians must regularly compare the volume remaining in the syringe<br />

to the pump’s displayed values such as RES VOL and GIVEN in<br />

order to determine whether under-delivery of medication is occurring<br />

and if necessary, take appropriate action.<br />

• System delivery inaccuracies may occur as a result of back pressure or<br />

fluid resistance, which depends upon medication viscosity, catheter<br />

size, and extension set tubing (for example, microbore tubing).<br />

• Do not administer medications to the epidural space or subarachnoid<br />

space unless the medication is indicated for administration to those<br />

spaces.<br />

• To prevent the infusion of medications that are not indicated for<br />

epidural space or subarachnoid space infusion, do not use administration<br />

sets that incorporate injection sites.<br />

• If a Medication Cassette Reservoir, CADD Extension Set or CADD<br />

Administration Set is used for medication delivery into the epidural<br />

or subarachnoid space, clearly differentiate them from those used for<br />

other routes of infusion, for example, by color coding, or other means<br />

of identification.<br />

• When the Air Detector is turned off, the pump will not detect air in<br />

the fluid path. Periodically inspect the fluid path and remove any air<br />

to prevent air embolism.<br />

• Follow the Instructions for Use provided with the Medication Cassette<br />

Reservoir and CADD Extension Set, or CADD Administration<br />

Set, paying particular attention to all warnings and cautions<br />

associated with their use.<br />

• When the Upstream Occlusion Sensor is turned off, the pump will not<br />

detect occlusions upstream (between pump and fluid container). Periodically<br />

inspect the fluid container for decreasing volume, inspect the fluid<br />

path for kinks, a closed clamp, or other upstream occlusions. Upstream<br />

occlusions could result in under- or non-delivery of medications.<br />

• Do not disclose to the patient the pump’s security codes or any other<br />

information that would allow the patient complete access to all programming<br />

and operating functions.

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