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What This Guide Helps With
This guide helps troubleshoot the ICU Medical CADD-Solis alarm Disposable type high flow administration set required. This is a high-priority alarm related to the programmed delivery rate, pump model, and administration set type.
Programmed delivery rates above 250 mL/hr require a high-volume administration set and a CADD-Solis 2110 pump. If the required setup is not present, the pump may alarm and prevent therapy from continuing as programmed.
Step-by-Step Troubleshooting
Ensure Patient Safety First
- Do not continue infusion therapy with an unresolved high-priority alarm.
- Notify clinical staff immediately if the alarm occurs during active patient therapy.
- Have the clinician move the patient to an approved backup pump or alternate therapy method if medication delivery must continue.
- Verify the ordered therapy, required flow rate, and patient care needs before changing any setup.
Confirm the Alarm Message
- Confirm the pump displays: Disposable type high flow administration set required.
- Check whether the alarm occurs during programming, startup, cassette attachment, or attempted infusion start.
- Confirm whether the programmed delivery rate is above 250 mL/hr.
Verify Pump Model
- Check the pump model and confirm whether the device is a CADD-Solis 2110 when high-volume delivery is required.
- If the pump is not the required model for the ordered high-flow therapy, remove it from the setup and provide the correct pump type according to facility policy.
- Do not force the therapy to run on an incompatible pump model.
Verify the Administration Set
- Confirm the connected disposable administration set is the required high-volume administration set.
- Check the set packaging, part information, and facility supply labeling if available.
- Replace the disposable set if the wrong type is installed.
- Make sure the cassette or disposable is fully seated and properly latched before restarting therapy.
Check the Programmed Therapy Setup
- Have clinical staff confirm the prescription, therapy protocol, delivery rate, and medication setup.
- If the ordered rate is above 250 mL/hr, confirm the pump and disposable set are both appropriate for high-volume delivery.
- If the high-flow setup is not intended, clinical staff should adjust the therapy setup according to the prescription and facility policy.
Restart and Recheck
- After the correct pump model and high-volume administration set are in place, clear the alarm according to normal pump operation.
- Restart therapy only after the clinician verifies the setup is correct.
- Confirm the alarm does not return when the infusion is started.
If the Problem Persists
If the correct high-volume administration set is installed, the correct CADD-Solis 2110 pump is being used, and the therapy setup matches the prescription but the alarm continues, external setup causes have been ruled out.
Remove the pump from service, label it Out of Service, and send it for repair or bench evaluation. Do not return the pump to clinical use until the alarm behavior has been evaluated and corrected.
Clinical Use Tip
Never troubleshoot an infusion pump setup on an active patient when therapy delivery may be interrupted or changed. Move the patient to a backup pump or approved alternate delivery method first, then troubleshoot the removed device and setup.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"CADD-Solis pump displayed high-priority alarm Disposable type high flow administration set required during therapy setup."
Cause
What was observed during troubleshooting.
Example:
"Programmed delivery rate was above 250 mL/hr and the installed disposable set was not the required high-volume administration set."
Resolution
What action was taken.
Example:
"Clinical staff replaced setup with required high-volume administration set and verified use with CADD-Solis 2110 pump. Alarm cleared and pump function was verified before return to use."
Helpful Details to Include (If Known)
- Alarm behavior
- Accessories swapped
- Power behavior
- Environmental factors
- Indicator lights
- Final device status
Final Thought
This alarm should be handled as a therapy setup and compatibility issue first. Confirm patient safety, verify the pump model, confirm the administration set, check the ordered rate, and escalate the pump only after external setup problems have been ruled out.
That is successful troubleshooting.