Ross Companion Feeding Pump User Manual
Contents
1. No 54748 Purchase No 00084 Lease Rent Companion Enteral Nutrition Pump POWER OFF VOLUME CHARGE CLEAR Companion Enteral Nutrition Pump Operating Manual For Enteral Use Only Not for IV Use 4 amp ROSS NUTRITION CONTENTS Pump Characteristics 0 0 cece eee crescer 3 Indications for USE sato vd da a pce Ds Ed a hee 3 Pediatric WSC s mdo tye andas di Pree a ha an Ae DERE hae Kae RS 4 Precautions stoh i E Quine Dea UU af GA Lees Sawada EMI Rear 4 Special Features ancas nave ainda eed A oa o d k 4 iistraions essi sas bk bide E ig ad dp a dd hon 5 Control Dial Settings ss ace ci ene cht arnt ne Renegade ov 7 Visual Displays and Audio Alarms 2 20 8 Pump Charger Connection s crescer cererii tana kanit ua poa iaia 10 Instructions lor USE as rsss mega ara ad ai a db n a 11 Battery Operation 44 5 55 nd oa AA AK uo a a A a 15 Checking Pump Accuracy 6 ett eee eens 16 Cleaning quis a ee 17 DisinfectantS ars nda eae eth de ceeded tees had tae bad E aha 17 NOC a ea a SU O 17 SETVICE cs araras da pal A gs weg ot aaa doo ND dare aC ran 18 Ambulatory Transporter 0 cette eens 19 Specifications ucraniano sk a a 20 Limited Warranty suore Ak ma sov id ka thai dada ees ooo 21 USER QUALIFICATIONS The Ross Companion Enteral Pump is for use at the direction of or under the super vision of licensed physicians and by licensed or certified health care professionals who2. 9 Small and lightweight 10 Simple setup 11 Backlit visual display for easier viewing in a darkened room 12 Self test capability INDICATIONS FOR USE The Ross Companion Enteral Nutrition Pump can be used for adult and pediatric patients provided the patients can tolerate a feeding range within the pump s operational specifications Those specifications are e The flow rate range is 5 300 mL hr in 1 mL hr increments e The flow rate accuracy is 10 e Pumps against 24 psi nominal back pressure before no FLO alarm 3 This pump is designed to deliver only a liquid enteral feeding product standard liquid product infant formula or reconstituted powder product that has been thoroughly mixed into solution If the specifications are not appropriate for a given patient the Companion Pump should not be used PEDIATRIC USE Do not use this pump for feeding newborn infants or infants in a neonatal intensive care unit NICU Enteral pumps have the potential to bolus feed small amounts which is an important consideration in feeding volume sensitive patients The Ross Companion Enteral Nutrition Pump should normally be used only for children 12 months of age or older and only if the rate of feeding is 25 mL hr or greater In these patients do not hang more volume of nutritional product than can be tolerated as a bolus PRECAUTIONS This pump is not for IV intravenous use Confirm proper placement and function of patient s ent
3. avoid bacterial contamination of enteral product in open systems pump set should be changed as needed or at least every 24 hours Refer to product labeling for closed systems Pump sets and containers are for single patient use only 14 BATTERY OPERATION When pump is removed from the charger base power is supplied by the internal rechargeable battery No routine maintenance is required for the battery l Before using pump remove it from the charger base turn pump on and confirm that BATTERY appears on the display If the display fails to illuminate or low battery alarm sounds charge pump for 8 hours before operating on battery power If battery is discharged and AC power fails during feeding pump will shut down and no alarm will sound While pumping in battery mode the display light turns off after approximately 15 seconds to save power Press the light symbol in the lower right corner of pump front panel to turn on the display light temporarily When the LOW BATTERY message first appears pump will run for approximately 30 minutes before shutting down completely To continue operation without interruption place pump in its charger base and connect to AC power within 30 minutes of alarm Pump can be used while the battery is recharging To charge battery seat pump in the charger base and connect to AC power A pump can operate on a new fully charged battery for approximately 8 hours at 150 mL hr flow rate Battery opera
4. gastrostomy etc 2 Attach to or place on an appropriate feeding stand or pole If a pole is used be sure pump is properly seated in charger before clamping to the pole DANGER POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS CAUTION ELECTRICAL SHOCK HAZARD DO NOT REMOVE BACK REFER SERVICING TO QUALIFIED SERVICE PERSONNEL Companion Distributed by ROSS Bing se Made in U S A by FRANTZ MEDICA Gar US and Foraign patents provided upon request ver a oe ma FIT 3 Plugin power cord unless battery operation is desired 4 Fill feeding container with enteral nutritional product or use a prefilled enteral feeding container Attach Companion Pump set securely onto filled container if it is not preattached 11 INSTRUCTIONS FOR USE continued 5 Suspend container to the side of or behind and 20 inches above pump 6 Squeeze sight chamber s to 2 full 7 To prime pump open the slide clamp on the tubing distal to the bellows and remove cap from adapter at distal end of pump set tubing Compress bellows of cassette repeatedly 2 strokes second until the fluid has expelled all air from cassette and tubing NOTE Proper priming is critical to assure accurate delivery 12 INSTRUCTIONS FOR USE continued 8 Using shape for orientation insert cassette into pump until seated Press
5. individual appropriately trained in the repair of these devices such as a biomedical engineer BME biomedical electronic technician BMET or other qualified technician or has not been used in the manner prescribed in the Operating Manual or that at the time of pump failure was being used with pump sets or containers other than Ross pump sets and containers Examples of damage or misuse include but are not limited to pumps that have been dropped have had fluid spilled into the casing or have been submerged In no event shall Ross be liable for any incidental indirect or consequential damages in conjunction with the purchase or use of the pump even if advised of the possibility of the same Ross reserves the right at its option to repair provide field replaceable parts for or replace any pump that fails to meet the foregoing warranty THE WARRANTIES HEREUNDER ARE IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION THE WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR A PARTICULAR PURPOSE NOTE When repairs on the remanufactured unit are made under warranty because of faulty material or workmanship within one 1 year from the date of shipment the customer will not be billed for parts repaired provided or replaced Also the customer will not be charged for labor involved in connection with the installation by Ross of such parts furnished under warranty Shipping costs for units returned to Ros
6. until cassette clicks into place Grasp base of cassette tubing and pull gently to confirm that cassette is seated Wrong 9 Access pump control dial by pressing PUSH Turn to SET RATE and select flow rate from 5 to 300 mL hr by pressing touch pads arrow buttons Confirm proper placement and function of enteral feeding tube Attach adapter to enteral tube 10 Turn dial to RUN to start feeding If cassette is not properly seated EMPTY alarm will sound after a short delay For example the alarm will sound within 30 seconds at 100 mL hr Always check sight chamber of pump set when starting feeding to verify that the formula is dripping If no drops are detected check the feeding container the set tubing between pump and the enteral feeding container and the patien s feeding tube for particles clumping or kinking that would prevent fluid flow NOTE If alarm sounds turn pump dial to HOLD Correct alarm condition indicated by visual display then turn pump dial to RUN to restart feeding For an explanation of alarms see Page 9 13 INSTRUCTIONS FOR USE continued 11 When feeding is completed turn pump dial to HOLD or POWER OFF Pump stops and sounds an alarm automatically when the container is empty 12 Disconnect pump set tubing from patient s enteral feeding tube release cassette from pump by pressing release latch downward and discard set and container PRECAUTION To
7. ALARMS continued Intermittent audio alarms are always accompanied by a visual message on the display panel indicating the cause of the alarm The visual display LOW ALARM indicates that the alarm volume is set too low To change the alarm volume press the HI LO Alarm Volume button NOTE If the microprocessor or motor malfunctions pump will stop pumping action all visual displays will cease and a continuous audio alarm will sound The continuous alarm will not cease even if pump dial is turned to HOLD If this happens TURN PUMP DIAL TO POWER OFF SERVICING IS REQUIRED VISUAL CAUSE OF DISPLAY AUDIO ALARM ACTION OCCL Flow has stopped Turn control dial to HOLD because of a distal Check pump set tubing and occlusion patient s feeding tube for the flow restriction eg kinked tubing Verify that the occlusion is cleared after restarting pump by confirming that formula is dripping in the sight chamber EMPTY Empty feeding container Turn control dial to HOLD If or missing or improperly container is empty provide seated cassette new feeding or turn dial to POWER OFF if no additional feeding is administered Assure that cassette is in place and properly seated SELECT RUN Pump is on but control If additional time is desired dial is not set to RUN in HOLD turn dial briefly to Pump was left in setting RUN then to HOLD Alarm other than POWER OFF will sound again in 5 minutes or RUN for 5 minutes If feeding is complet
8. Phase 2 watts Fuse 1 AMP 3AG type Power Cord Hospital grade 10 feet nondetachable from charger Leakage Less than 100 microamps MECHANICAL PUMP ONLY PUMP WITH CHARGER Height 4 3 inches 6 0 inches Width 6 0 inches 6 7 inches Depth 1 7 inches 3 3 inches Weight 1 5 pounds 4 0 pounds OPERATIONAL SPECIFICATIONS FLOW RATES Range 5 to 300 mL hr Increments 1 mL hr Accuracy 10 with measured flow rates of 1 liter of enteral product from 5 to 300 mL hr using Companion Pump set at zero back pressure atmospheric Pressure Pumps against 24 psi mean back pressure before occlusion alarm BATTERY OPERATION Type 1 0 Ah rechargeable sealed lead acid Voltage 4 Recharge Rate 1 hours for every 1 hour of battery use Operating Life 8 hours at 150 mL hr when fully charged When low battery alarm occurs the pump will operate for approximately 30 minutes before shutting down STANDARDS Designed and manufactured to meet requirements of UL 544 1976 20 54748 84 27721 CO a 8 13 04 12 18 PM E e 21 LIMITED WARRANTY Ross Products Division of Abbott Laboratories warrants each Ross Companion Enteral Pump purchased as a remanufactured unit against defects in materials and workmanship for a one 1 year period from date of shipment This warranty does not extend to any product or part thereof that has been subjected to accident alteration damage misuse or repaired by someone other than an
9. are trained in the use of the pump and the administration of enteral fluids O 2001 2004 Abbott Laboratories PUMP CHARACTERISTICS The Ross Companion Enteral Nutrition Pump is a volumetric infusion pump that uses a specially designed administration set including a cassette with bellows to deliver measured amounts of enteral formula The pump operates on AC or battery power The fluid delivery system and safety alarms function when the pump is used by an ambulatory patient or is mounted on a pole The volume monitoring device does not depend on drop counting so pump adapts well to patient activities The pump is controlled by a microprocessor computer providing accurate delivery rates easy to read displays and simple controls A charger unit with a power cord is provided with each Companion Pump The charger may be clamped to a feeding stand or pole or positioned on a flat surface Additionally the Companion Pump offers these features 1 Accuracy to 10 at rates of 5 to 300 mL hr 2 8 hour battery operation at 150 mL hr when fully charged 3 Alarms e OCCLUSION e EMPTY FEEDING CONTAINER MISSING OR IMPROPERLY LOADED CASSETTE e SELECT RUN e LOW BATTERY e RESET RATE 4 Fluid flow and fluid monitoring independent of pump position no drop counting 5 Adjustable alarm volume for low or high setting 6 Flow rate selection of 5 to 300 mL hr in 1 mL hr increments 7 VOLUME FED accumulation display 8 User friendly operating controls
10. e with a new pump set If pump fails the accuracy test consistently return it for service 16 CLEANING The pump and charger base are specifically designed for easy cleaning Unplug and turn off pump before cleaning Remove pump from the charger for cleaning Clean the outside surfaces behind pump inside the charger cavity and the cassette release lever with warm soapy water Do not immerse in water Rinse and dry thoroughly For trouble free operation the surfaces should be cleaned immediately after spills occur The cassette cavity can be cleaned with a cotton swab or soft cloth and warm soapy water Do not clean cassette cavity with alcohol Dry thoroughly Be sure no soap film or residue is left in the cassette cavity NOTE Do not submerge autoclave heat steam ETO or radiation sterilize pump or charger DISINFECTANTS Recommended for all external parts and surfaces Allow to air dry after disinfecting GENERAL AIDS AND HEPATITIS TUBERCULOSIS Cidex Arbrook Inc 10 concentration of 70 concentration pHisoHex Winthrop 5 25 sodium hypochlorite isopropyl alcohol Breon Laboratories household bleach Hibiclens Stuart Pharmaceuticals 70 concentration of isopropyl alcohol These recommendations are not substitutes for official procedures that may differ among institutions STORAGE e The pump should be stored away from extreme temperatures or humidity e In order to assure maximum battery capacity wh
11. ed turn dial or longer to POWER OFF RESET RATE Flow rate selected is less Turn the control dial to SET than 5 mL hr RATE Select rate of flow from 5 to 300 mL hr LOW BATTERY Approximately 30 minutes Turn the control dial to of battery power remain HOLD then back to RUN to stop audio alarm Return pump to charger and plug in power cord PUMP CHARGER CONNECTION To Separate When properly seated pump is held firmly within the charger base To separate pump and charger locate pump release latch on the back of the charger within the handle cavity Pull the latch toward the pole clamp knob and slide pump out of the charger Grasp pump securely to withdraw it from charger To Reconnect With pump display panel facing outward slide pump into charger using built in guides for alignment Slide pump in until it snaps into position and verify that it is locked in place When properly seated pump case will not protrude from charger Pole Clamp Pump must be inserted into charger for pole attachment Pole clamp mechanism is controlled by a knob on the right side of the charger Align pole cavity located at back of charger with the pole turn knob clockwise until the pole is firmly captured NOTE The Ross Companion Enteral Pump Charger is not interchangeable with the ClearStar Enteral Pump Charger 10 INSTRUCTIONS FOR USE 1 Confirm proper placement and function of patien s enteral feeding tube nasoenteric jejunostomy
12. eral feeding tube nasogastric jejunostomy gastrostomy etc and verify the following before initiating feeding 1 Only a Ross Companion Pump set is being used 2 Cassette is properly seated in pump 3 When connected to AC power the pump is fully seated in charger 4 Flow rate is set at the prescribed mL hr SPECIAL FEATURES Small Size The Companion Pump is small and lightweight The pump weighs 1 5 lbs the charger weighs 2 5 lbs With the Companion Ambulatory Transporter a patient can easily carry the pump and up to 500 mL of enteral formula during routine activities Position Independent The Companion Pump fluid delivery and alarm systems function when pump is in any position that might be customary for ambulatory use ROSS COMPANION ENTERAL NUTRITION PUMP Illustrations Touch Pads Display Panel Control Dial Select the numerical Shows flow rate Select pump value of flow rate from cumulative functions 5 to 300 mL hr in 1 mL VOLUME FED increments RUN indicator and visual expla nation of all intermittent audio alarms Low OCEL EMPTY ALARM LOW BATTERY SELECT RUN Companion Enteral Nutrition Pump Display Light HI LO Alarm Press to temporarily Volume illuminate display panel Select volume while on battery power of audio alarm Pump Set To Container Cassette With Bellows Cassette Cavity Using shape for orientation insert cassette into pump until seated F Cas
13. ile in storage plug unit into AC power source standard wall outlet 17 SERVICE The Ross Companion Enteral Nutrition Pump is designed to be highly reliable However in the event of a pump malfunction or for technical assistance or parts please contact your pump provider or the Ross Device Call Center Be prepared to provide pump name serial number found on back and specifics of problem Service if required should be performed by trained service representatives Before calling do a few simple checks 1 Check for proper electrical connection Is pump plugged in Is electrical outlet functioning Is battery properly charged 2 If electrical outlet usage is intended be sure pump is properly positioned within charger base Be sure that a Companion charger is being used 3 Be sure a Companion Pump set is being used and that the cassette is properly seated in cassette cavity 4 Check visual display and correct situation as indicated 18 AMBULATORY TRANSPORTER The Companion Ambulatory Transporter enables patient to carry pump bag and tubing without a pole Shoulder or Neck Strap Waist Strap Companion I Ambulatory Enteral Nutrition 01010177 Bag 500 mL with Preattached Companion Pump Set Removable Washable Tray Pump Tubing 2 Zippers Pump Access Flap Velcro Closure Durable Nylon Material SPECIFICATIONS POWER Power 120 VAC 60 Hz 1
14. s including loaners shall be paid by the customer The units should be promptly returned properly packaged Loss or damage in return shipment to Ross shall be at the customer s risk Ross authorization should be obtained prior to return of the unit 21 54748 84 27721 CO a 8 13 04 12 18 PM tp 22 NOTES 22 54748 84 27721 CO a 8 13 04 12 18 PM E e 23 23 54748 84 27721 CO a 8 13 04 12 18 PM P ROSS IN ENTERAL see Anon 54748 00084 27721 3010 LITHO IN USA Distributed by ROSS PRODUCTS DIVISION ABBOTT LABORATORIES INC COLUMBUS OHIO 43215 1724 USA o Digitally signed by Renee Cook DN CN Renee Cook C US Abbott Laboratories OU Ross Products Division Reason am approving this document Date 2004 10 01 14 04 18 0400 ROSS NUTRITION
15. s pumping action and silences audio alarm if one has occurred without erasing previous commands or memory functions HOLD is used when correcting an alarm condition or whenever feeding is temporarily interrupted such as when connecting a new feeding container VOLUME FED Stops pumping action and displays cumulative volume fed in mL since this value was last cleared NOTE If 9999 mL is fed numerical value turns to O and a new accumulation begins To clear VOLUME FED turn knob to VOLUME CLEAR and wait for 4 beeps to sound VOLUME CLEAR Stops pumping action and automatically clears to zero any accumulated numerical value of volume fed to that point NOTE Pump activates flow only in RUN setting Pump maintains memory in all settings except POWER OFF and VOLUME CLEAR VISUAL DISPLAYS AND AUDIO ALARMS VISUAL DISPLAYS CONTROL VISUAL DISPLAY AUDIO ALARM DIAL SETTING POWER OFF None None Charge SET RATE Previous flow rate or None No pumping action 000 mL hr RUN Numerical rate in None mL hr and RUN HOLD Existing flow rate or None No pumping action 000 mL hr Any previous Visual alarm display audio alarm remains visible if one ceases occurred VOLUME FED Numerical value of None No pumping action accumulated volume fed in mL or 0000 VOLUME CLEAR Numerical value of None No pumping action accumulated volume fed is automatically cleared to zero 0000 mL VISUAL DISPLAYS AND AUDIO
16. sette Release Latch Press down to release cassette for removal Adapter Cover Charger is Pump Charger Connector Pole Clamp Knob Pump Release Pole Clamp Latch Carrying Handle DANGER POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS CAUTION ELECTRICAL SHOCK HAZARD DO NOT REMOVE BACK REFER SERVICING TO QUALIFIED SERVICE PERSONNEL Companion Distrbutad by ROSS ET S Made in U S A by FRANTZ MEDICAL US Patents 4 545 487 5 128 503 Other US and Foreign patents s provided upon request e es orev sam Gig Power Cord Self Test Procedure Each time pump is turned on the microprocessor initiates a self test procedure Audio alarm visual displays and readout 8888 turn on for 5 seconds If the self test fails F1 may appear If this happens DO NOT USE THE PUMP SERVICING IS REQUIRED Flashing Displays Three flashing visual displays indicate the need for immediate attention e EMPTY e OCCL e LOW BATTERY CONTROL DIAL SETTINGS POWER OFF Stops all pump functions Battery charges in all control dial settings when pump is plugged into AC power SET RATE Allows flow rate to be set 5 to 300 mL hr in 1 mL increments by pressing the touch pads arrow buttons No pumping action occurs in this mode RUN Only setting that activates pumping action Visual display shows flashing RUN and rate of flow in mL hr HOLD Stop
17. tion time will diminish with partially charged or older batteries A new pump should be plugged in for 12 15 hours before initial use to fully charge the battery The battery will charge in any control dial setting including the POWER OFF position when connected to AC power NOTE e A battery that has repeatedly been fully discharged and or left in a discharged state for an extended period may not recharge properly e If battery is rarely used occasionally operating pump on battery power may extend battery life e When not being used on battery power pump should ALWAYS remain plugged in to AC power to maintain battery charge and performance 15 CHECKING PUMP ACCURACY The height of the enteral feeding container diameter of the feeding tube and formula viscosity are three variables that can affect pump accuracy To check accuracy use the following procedure Use a new pump set for this test Fill the feeding container with 8 fl oz of Osmolite and set the container so that the level indicator on the sight chamber is 20 inches above the cassette see diagram Set up pump according to instructions Operate pump at 50 mL hr for 15 minutes and discard the formula delivered Increase the rate to 100 mL hr and run enteral product into a graduated cylinder for 1 hour The volume of Osmolite delivered should be between 90 and 110 mL If the volume delivered is outside this range repeat the procedur
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