COMPAT DualFlo User Manual
Contents
1. 25 mL flush Administers water volume with formula over a selected time interval during con tinuous feeding The Time Interval con cludes with an automatic 25 mL water flush Select Water Volume to be delivered Hydration with automatic flush is only recommended when Full Strength for mula is being delivered If used with diluted formula will result in further dilu tion ofthe formula L Press SELECT until Formula Strength is displayed and press if necessary to display FS Full Strength formula deliv ery 2 Press SELECT until Volume Set is displayed 3 Press A or V until desired water volume is displayed Adjustments can be made in 1 mL increments from 0 500 mL Change is more rapid when the key is pressed and held Select Time Interval in hours over which water volume will be delivered 4 Press SELECT until Time Interval is displayed 5 PressA or V Time intervals are adjustable in 1 hour increments from 2 to 12 hours Maximum water delivery is 75 mL per hour In the last 5 minutes of the selected time interval formula delivery stops and the final 25 mL of water is auto matically flushed through the line Water Vol Delivered resets to O after the time interval is completed and the entire water volume has been delivered Maximum Hydration Settings Maximum Time Water Interval hr Volume mL 2 150 3 225 4 300 5 375 6 450 7 500 8 500 9 502. Detailed Operating Instructions Attach pump to IV pole using built in pole clamp Plug power cord into a 120 VAC 60 Hz three wire grounded electrical outlet if available Prepare COMPAT DualFlo Delivery Set 1 Close both roller clamps on delivery set prior to setup Prepare and hang DualFlo delivery set from an IV pole 2 Opendelivery set security doors by pulling the latch on each door 3 Insert water drip chamber into water side drip chamber bracket and formula drip chamber into formula side drip chamber bracket 4 Carefully stretch water set silicone tubing around rotor Insert pump adapter into bridge Place tubing into tubing guide close and latch delivery set security door 5 Repeat step 4 with formula side delivery set Check pump settings 1 Press ON alarm sounds briefly and displays 8888 The pump has memory and displays previous settings and returns to flashing Flow Rate on the display panel Note Changes can only be made to parame ters at the START of a new feeding protocol to avoid improper water delivery To facili tate this safety feature parameters can only be changed when amount displayed in Vol Delivered is 0 If desired clear Vol Delivered or reset all parameters to default settings by pressing and holding CLEAR for 4 seconds when Rate is displayed 2 Check Formula Volume Delivered Press SELECT until Vol Delivered is displayed If desired reset to 0 by pressing
3. Automatically recharges when con nected to an AC outlet Recharge time is 12 hours from complete discharge to full recharge Operating time is 8 hours at 100 mL hour fully charged battery Charge unit fully every 6 months Dimension 6 4 High x 9 75 Wide x 5 0 Deep Welgli 1 30avaede tase ees 1 0 pounds Case Material Fire and impact resistant plastic Power Requirement 120V v 187 mA 60 Hz Operating Temperature 10 40 C 50 104 F 75 R H non condensing Storage Temperature 0 50 C 32 122 F 95 R H non condensing Type of Protection Against Electrical Shock Lie a sawedgd ete a d ues Class 1 Internally Powered Equipment Degree of Protection Against Electrical Shock Sag odq RAS a mea new Type BF Degree of Protection Against Ingress of Fluids FEQGGsessese ma ug ss Ordinary Equipment IPXO Symbols on Pump and Accessorries 20 The following symbols may be found on the pump Refer to Accompanying Documents See Instructions Ny Alternating Current Type BF Protection degree of protection against electrical shock there is no conductive connection to the patient Medical Electrical Equipment 1 Classified with respect to electrical shock fire ek and mechanical hazards in accordance with UL60601 1 eNA US jum pred Enia 2 Classified with r espect to electrical shock fire mechanical and other specified hazards in a
4. an amount of formula equal to the Dose Limit Three alarm modes are available when the dose is complete e Mode 1 Audible alarm sounds once then Stops e Mode2 Audible alarm sounds once stops and then alarms at 5 minute intervals e Mode 3 Audible alarm sounds continuously To select the desired mode turn pump off Then 1 Tumthe pump on by pressing ON 2 8888 is immediately displayed While dis played press and hold the and W keys simultaneously for 4 seconds 39 1 2 0r3is displayed which reflects the corresponding alarm mode Mode 1 Mode 2 or Mode 3 4 Select the desired alarm mode by pressing A increase or W decrease 5 Press SELECT to save the new alarm mode The pump audibly alarms once ver ifying the new alarm mode is saved If SELECT is not pressed the new alarm mode is not saved 6 Press OFF to turn the pump off 7 When the pump is turned back on it is set to operate with the new alarm mode HoLd Err Hold error Pump is left on hold and START HOLD is not pressed within 21 2 minutes Press START HOLD to silence the alarm press again to start feeding if desired Running Stopped illuminated Indicates the status of the pump AC illuminated Indicates the pump is operating on electrical power Plug power cord into an AC electrical outlet whenever possible No audible alarm sounds 17 Troubleshooting COMPAT Enteral Feeding Pumps are reliable elec
5. electrical outlet SELECT selects a delivery function to display and or change CLEAR clears displayed value of selected function to 0 If RATE is selected pressing and holding CLEAR for 4 seconds will reset all parameters to default settings A increases flow rate dose limit formula strength water volume set or time interval when pressed Change is more rapid when pressed and held W decreases flow rate dose limit formula strength water volume set or time interval when pressed Change is more rapid when pressed and held PRIME automatically primes both formula and water through the administration set START HOLD starts and or holds pump operation HOLD is used to temporarily stop feeding or silence an alarm condition Parameters can only be changed when pump is in HOLD mode An audio and visual alarm is activated if the pump has been in HOLD mode for 2 1 2 min utes Press START HOLD to resume normal operation COMPAT DualFlo cre RUNNING rj l storrep e Ac ml hr C ow lt q WATER FORMULA p gt vowwne ser RATE TIME INTERVAL VoL DEEE Accum VOLUME VOL DELIVERED DOSE LIMIT ACCUM VOLUME STRENGTH EXCEPT BATTERY CHARGER Lm SELECT Function Displays 9 RUNNING STOPPED indicates status of the pump when power is on 10 AC indicates the unit is plugged into an electrical outlet 11 LOW BAT indicates when the battery charge is below p
6. pump e Ifyour pump was supplied directly arrived d and shipaccording o i instructions given by the Nestl from Nestl HealthCare Nutrition HealthCare Representative contact your Nestl HealthCare p Nutrition Sales Representative orcall Unauthorized repairs void warranty Customer Service for instructions coverage see section on limited war from anywhere in the U S and ranty Safety and Warnings NOT FOR PARENTERAL USE interference and other types of interfer INTENDED EXCLUSIVELY FOR ence from external sources Avoid use of ENTERAL TUBE FEEDING AND other equipment that may cause erratic PATIENT HYDRATION operation or degradation in the perfor Do not use this device near flammable anesthetics possible explosion hazard This device is designed to minimize the effects of uncontrolled electromagnetic mance of this device If the integrity of the external protective conductor in the installation is in doubt equipment shall be operated from it s internal electrical power source Limited Warranty 22 Nestl HealthCare Nutrition warrants the COMPAT DualFlo Enteral Feeding Pump against defects in material and workmanship under normal use and ser vice for a period of one 1 year from date of delivery This warranty is valid only to the original purchaser and does not extend to any product or part thereof which has been subjected to accident abuse alteration misuse or which has not been operated and mai
7. 0 10 500 LT 500 12 500 DOSE 500 Quick Reference 14 How to set Formula Strength Programmable Flush or CLEAR Water Volume Delivered Formula Strength Dilution l Press SELECT until Formula Strength is displayed 2 Enter the formula strength required by pressing A or W 3 Optionsare FS Full Strength No formula dilution 34 2 3 1 2 1 3 14 strength or H50 no formula delivery only water is delivered To clear Volume Delivered and or Accumulated Volume Water Volume Delivered is used to moni tor water delivered when Hydration with Automatic Flush or Programmable Flush options are activated 1 Press SELECT until Vol Delivered is displayed 2 Pres CLEAR 3 Followsteps 1 and 2 using the SELECT key to move to Accum Volume and clear if desired Any time water volume delivered is reset to 0 formula volume delivered is auto matically reset to 0 Likewise when for mula volume delivered is reset to O water volume delivered is automatically reset to 0 Water Accumulated Volume is used to monitor the total water volume delivered over multiple time intervals Programmable flush after dose is delivered A set volume of water for hydration or flushing that is automatically adminis tered after the dose limit is delivered at a rate of 375 mL hr Press SELECT until Volume Set is displayed 2 Press A or V The Water Volume is adjustable in 1 mL increments from 0 500 Change is mo
8. 0 500 e Time Interval adjustable in 1 hour increments from 2 to 12 hours with programmable flush available as dose is delivered Ability to select basic full strength formula delivery when water delivery options are not desired Introduction cont Lifetime memory retention Infusion Rate Dose Limit Formula Strength Water Volume Set Time Interval Formula and Water Volume Delivered and Accumulated Volume are automatically recalled when the pump is turned back on Audio and visual alarms when pump is turned on Feed Error for detecting empty container or occluded line e 21 minute Hold Alarm if user forgets to start the pump Dose Delivered Low Battery NoSet Designed for ease of use Large LED display window alternates displaying delivery rate and volume delivered when pump is running Dose Limit for Intermittent Feeding with choice of 3 dose complete alarm modes Ability to quickly view formula and water settings without interruption of feeding Adapter Cap Holder Smooth surface of pump makes cleaning easy Lightweight and portable the pump is 7pounds and can clamp to any IV pole Adjustable Alarm Volume Control knob 8 hour battery life Self diagnostic mode allows for com plete circuitry check when pump is turned on Controls Keypad Controls l ON turns power on memory recalls previous settings OFF turns power off battery charges when plugged in to an
9. CLEAR This also resets Water Volume Delivered to 0 Accumulated Volume is not affected 3 Check Dose Limit Press SELECT until Dose Limit is displayed To change press A increase or W decrease For continuous feeding where no dose limit is desired press W until nOnE is dis played 4 CheckFormula Accumulated Volume Press SELECT until Accum Volume is displayed If desired reset to 0 by pressing CLEAR Detailed Operating Instructions cont 10 Formula Strength dilution 5 To dilute formula press SELECT until strength is displayed Press or W to set desired formula strength Options available are FS Full Strength no formu la dilution 34 2 5 12 1 3 14 strength or H 0 water only In steps 6 8 you have the option to select Hydration with Automatic Flush or Programmable Flush after dose is delivered Hydration with automatic 25 mL flush Administers water with formula over a selected time interval during continu ous feeding concluding with an automat ic 25 mL water flush 6 Toset water volume press SELECT until Volume Set is displayed Press A or V to set the desired volume of water to be delivered Adjustable in 1 mL increments from 0 500 mL 7 To select time interval in hours press SELECT until Time Interval is displayed Change by pressing A or V Adjustable in 1 hour increments from 2 to 12 hours MAXIMUM WATER DELIV ERYIS 75 ML PER HOUR UP TO A MAXI MUM OF 500 ML
10. COMPAT DualFlo TER lowes eus EE FORMULA D gt CAT w NU VOL DELIVERED vuo DOSELIMT e Xm ACCUM VOLUME STRENGTH e Compat ENTERAL DELIVERY YSTEM Operating Instructions 199255 COMPAT DualFlo Enteral Delivery Pump Table of Contents For Model Number 199255 COMPAT DualFld Enteral Delivery Pump U S Patent No 5 634 907 NOT FOR PARENTERAL USE INTENDED EXCLUSIVELY FOR ENTERAL TUBE FEEDING AND PATIENT HYDRATION For More Information Contact your local Nestl HealthCare Nutrition Sales Representative or call Customer Service from anywhere in the U S and Canada at 1 877 338 4238 Section Page Introduction 2 Controls 4 Preparation of COMPAT DualFlo Delivery Set 8 Operating Instructions 9 Quick Reference Flow Rate Dose Limit Formula Delivered 12 Hydration with Automatic Flush 13 Formula Strength Programmable Flush Water Delivered 14 Alarms Indicators 15 Troubleshooting IT Specifications 18 Symbols on Pump and Accessories 20 Self Test 21 Factory Service 21 Safety and Warnings 21 Limited Warranty 22 Cleaning 22 Pump is not intended for neonatal use Caution Federal law restricts this device to sale by or on the order of a physician Introduction The COMPAT DualFlo Enteral Delivery Pump is an easy to use versatile device for the administration of all enteral feeding solutions Key features of this device include Patient hydration with automatic
11. H 0 water only Water Side Displays 29 30 31 32 VOLUME SET displays the volume of water to be delivered over the selected Time Interval or at the end of the dose limit Select from 0 500 mL in 1 mL increments TIME INTERVAL displays the time interval 2 to 12 hours in 1 hour increments over which the selected water volume is delivered When doSE is displayed indicates Programmable Flush is activated When nOnE is displayed all water side settings are deactivated VOL DELIVERED displays amount of selected water volume that has been delivered At the con clusion of the Time Interval selected the Volume Delivered turns to 0 and anew accumulation begins ACCUM VOLUME displays water volume delivered over multiple Time Intervals Preparation of COMPAT DualFlo Delivery Set 00007 7 DIAGRAM 1 Open pump doors by pulling door latch insert pump set drip chamber into drip chamber bracket DIAGRAM 2 Assemble silicone tubing around rotor FORMULA D ME se rer TT XY Dose MT e ivo ACCUM wue TET e EXCEPT BATTERY CHARGER DIAGRAM 8 Insert pump adapter into bridge and place tubing into tubing guide Close and latch delivery set security door DIAGRAM 4 Completely assembled pump set Check or change Pump Settings to prepare enteral delivery
12. OW BAT indicator on the display panel comes on 15 minutes before the pump ceases operation due to a low battery condition After 15 minutes the indicator flashes an audible alarm sounds and the pump stops operation Whenever LOW BAT is indicated plug the pump into an electrical outlet and normal feeding may continue The battery recharges anytime the pump is connected to an AC outlet regardless of whether the pump is turned on or off To avoid degrading battery life it is impor tant not to run down the battery The pump stops an audible alarm sounds and FEEd Err is displayed Possible Condition 1 Water or Formula feeding container is empty 2 Anocclusion has caused delivery to stop 3 Drip chamber is overfilled 4 Drip chamber walls are heavily coated with formula 5 Drip chamber bracket sensors need cleaning 6 Drip chamber is improperly placed Corrective Action 1 Refill container or start new delivery set Follow instructions to prime the delivery set and resume feeding 2 Identify point of occlusion and correct 3 Insert new administration set use automatic priming to avoid flooding of drip chamber 4 Manipulate chamber to clear drops in sensor path 5 Clean sensor with cotton swab and isopropyl alcohol 6 Reposition drip chamber Alarms Indicators cont 16 doSE dEL Dose delivered The pump stops doSE dEL is displayed andan audible alarm sounds when the pump has delivered
13. See page 13 for maxi mum water volume setting at specific time intervals The final 25 mL of water is automatically flushed through the line before the con clusion of the selected time inter val Programmable Flush after dose is delivered Selected water volume delivered after the formula dose limit is delivered For this feature water is delivered at a fixed rate of 375 mL hr 8 Followsteps 6 and 7 At Volume Set enter the desired volume of water to be deliv ered When Time Interval is selected press A until doSE is displayed The amount in Volume Set is delivered after formula dose limit is reached To deactivate Hydration and Programmable Flush at Time Interval press until nOne is displayed 9 Check Water Volume Delivered Press SELECT until Vol Delivered is dis played This will be reset to 0 when Formula Vol Delivered is cleared see step 2 10 Check Water Accumulated Volume Press SELECT until Accum Volume is displayed If desired reset to 0 by pressing CLEAR 11 Check Infusion Rate Press SELECT until Rate is displayed To change press A or V Detailed Operating Instructions cont Auto Priming Automatic priming results in a small amount of fluid being discharged beyond the delivery set adapter 12 Open both roller clamps on the delivery set Remove the luer adapter cap from the delivery set and place the cap in the luer adapter cap holder available on th
14. ccordance with CAN CSA C22 2 No 601 1 21 Self Test The major functions of the pump maybe 5 The pump rotor should begin to tested by the following steps turn To test the visual alarms press either SELECT CLEAR A V l Turn the pump on by pressing ON PRIME or START HOLD When 2 8888is displayed immediately any of these keys are pressed or the While displayed press and simulta sensor is momentarily blocked all neously hold the A and W keys for visual alarm indicators should light 4 seconds The display changes to an audible alarm sounds andthe either a 1 2 or 3 the dose delivered rotor will halt momentarily alarm mode 6 Any failure indicates a service check 3 Press and simultaneously hold the must be performed See the Factory and W keys again for 4 seconds Service section for instructions on whi i 4 After 4 seconds an audible alarm will site UID sound teSt is displayed momentarily 7 Turn the pump off by pressing OFF and then all eights 8888 Factory Service All service work should be performedby Canada at 1 877 338 4238 from authorized personnel only If the pump 8 00 a m to 4 30 p m CST t i does Not Ancu property Tf it becomes necessary to return a Contact your supplier of the pump for factory service a replace COMPAT DualFlo Enteral Delivery ment pump will be sent to you Pump to arrange for Pump return Carefully pack the defective pump in and replacement the carton the replacement
15. e pump 13 Press PRIME for automatic priming of the delivery set The Pump displays a series of P s during the prime cycle and the rotor begins to turn Formula is primed first then water if necessary through the deliv ery line This fluid is not counted in Vol Delivered The prime cycle com pletes in approximately 3 minutes An audi ble alarm sounds when priming is com plete the pump goes to Hold mode and the Flow Rate flashes Begin Feeding 1 Connect delivery set adapter to the patients enteral feeding tube CAUTION Verify enteral tube placement before beginning feeding 2 Press START HOLD to begin enteral feeding The Pump primarily displays the flow rate It briefly displays the formula volume delivered every 7 seconds 3 Press START HOLD and or OFF to stop the pump at any time Flow Rate Dose Limit Formula and Water Vol Delivered Formula and Water Accum Volume Volume Set and Time Interval are retained in pump memory Pressing SELECT allows the user to scroll through and view Formula and Water side settings at any time Quick Reference How to set Flow Rate Dose Limit or CLEAR Formula Volume Delivered Note Changes can only be made to parameters at the START of a new feed ing protocol to avoid improper water delivery To facilitate this safety feature parameters can only be changed when amount displayed in Vol Delivered is 0 If desired clear Volume Delivered or reset all paramete
16. erculosis Disinfectants 70 concentration of isopropyl alcohol After application of these disinfecting agents allow to air dry These recom mendations should not be substituted for official procedures that may differ among institutions To determine the proper pro cedure in a particular institution contact the Infection Control Department Nestle utrition Nestl HealthCare Nutrition Inc Minnetonka MN 55343 9420 USA U S Toll Free 1 877 DEVICE 8 www nestlenutrition com us All trademarks are owned by Soci t des Produits Nestl S A Vevey Switzerland CMPT 10267 0308 SN1032
17. erformance level 12 Display panel indicates selected parameter Controls cont Front of the pump 13 Flow Sensors and Drip Chamber Guide 14 Tubing Guide 15 Drip Chamber Brackets 16 Rotary Peristaltic Pump Mechanism 17 Door Latch 18 Delivery Set Security Door Back of the Pump 19 Set Adapter Cap Holder 20 Power Cord 21 Alarm Volume Control 22 Pole Clamp 23 Directions Controls cont COMPAT ENTERAL DELIVERY SYSTEM DualFlo RUNNING oo x lowsar lt a WATER FORMULA p gt LME SET ew TIMEINTERVAL e VOL DELIVERED VOL DELIVERED DOSELIMIT Accum VOLUME ACCUM VOLUME SIRENGTH Controls cont Formula Side Displays 24 25 26 27 28 RATE displays the formula infusion rate Select from 1 295 mL hr in 1 mL increments VOL DELIVERED displays full strength or diluted formula volume delivered DOSE LIMIT displays dose limit Select from 1 2000 mL in 1 mL increments Dose is completed when Volume Delivered equals the Dose Limit set Refer to Dose Delivered under Alarms Indicators If nOnE is displayed this feature is deactivated ACCUM VOLUME displays full strength or diluted formula volume delivered over multiple feedings STRENGTH Formula Dilution displays formula strength to be delivered Select from FS Full Strength 34 2 5 12 1 3 14 strength or
18. flush Patient hydration needs are facilitated by administering up to 500 mL of water over a selected time interval in hours Time interval is adjustable in 1 hour increments from 2 to 12 hours In addi tion the final 25 mL of water is automati cally flushed through the line just before the conclusion of the time interval Formula dilution Provide formula dilution when necessary by selecting Formula Strength Formula can be delivered at full strength FS or diluted to 34 28 12 1 3 14 strength or H50 all water delivery no formula Programmable Flush after Dose is Delivered Deliver up to 500 mL of water ina programmable water delivery to hydrate the patient or flush the line after the for mula dose limit is delivered Water is delivered at a fixed rate of 375 mL hr Delivery Set Security Doors Reduces the likelihood of accidental dislodgment of sets and enables immediate detection of a free flow condition Automatic priming Automatic priming of formula and water through the administration set allows nurse time to perform other bedside duties and may help reduce wasted sets due to improper manual priming Versatility e Formula rate adjustable in 1 mL hr increments from 1 295 Dose Limit adjustable in 1 mL hr increments from 1 2000 Formula Strength options include FS Full Strength 34 2 5 12 1 5 14 strength or H 0 water only e Water volume adjustable in 1 mL hr increments from
19. ntained in accordance with prescribed instructions This warranty shall not apply if the prod uct has been repaired by anyone other than an authorized service representative of Nestl HealthCare Nutrition Nestl HealthCare Nutrition reserves the right to repair or replace at its option any pump which fails to meet the forego ing warranty This warranty is in lieu of all other warranties expressed or implied includ ing without limitation warranties of mer chantability and of fitness for a particular purpose Cleaning Routine cleaning of the COMPAT DualFlo pump should be an ongoing process in order to ensure maximum performance Caution Always disconnect the pump from an electrical outlet before cleaning to avoid electric shock hazard Clean the pump housing and rotor regularly using a cloth or sponge with warm soapy water Prolonged exposure to alcohol household detergents or strong cleansers can result in damage to pump housing Clean drip sensors with a cotton swab and isopropyl alcohol Do not autoclave Do not immerse pump in cleaning solutions Disinfecting If it is necessary to disinfect the entire pump the following is recommended General Disinfectants Cidex Advanced Sterilization Products pHisohex Winthrop Breon Lab Hibiclens Stuart Pharmaceuticals Isopropyl alcohol AIDS and Hepatitis Disinfectants 10 concentration of 5 25 sodium hypochlorite household bleach Tub
20. otor Close and latch door Specifications lo PERS us es Em IS JUL lt lt WATER FORMULA D gt ME vao X wew ico vow Delivery Sets The DualFlo Enteral Delivery Pump offers a choice of delivery sets including e 199407 COMPAT DualFlo Piercing 199607 Compat SpikeRight Spike and 1000 mL Vinyl Water Bag Spike Connector and 1000 mL Vinyl with preattached Water Bag with Preattached Pump pump set Set e 199447 COMPAT DualFlo 1000 mL Formula Vinyl Bag and 1000 mL Vinyl Water Bag with preat tached pump set 18 19 Specifications cont Type of Device Volumetric enteral feeding pump Mechanism Rotary Peristaltic Infusion Rate 1 295 mL hr in 1 mL increments Dose Limit 0 2000 mL in 1 mL increments Formula Strength FS Full Strength 3 4 2 3 12 1 3 1 4 H30 Water Volume Set 0 500 mL in 1 mL increments Time Interval sss 2 to 12 hours in 1 hour increments dose none Water Delivery 375 mL hr fixed rate when Programmable Flush after Dose Delivered is activated 75 mL per hour maximum water delivery when Hydration with Automatic Flush is activated ACCUNACY cc voce ure er ROSE 10 of selected flow rate Occlusion Pressure Does not exceed 20 p s i Battery vore seu sees Sealed lead acid Rechargeable
21. re rapid when the key is pressed and held Press SELECT until Time Interval is displayed 4 PressA until doSE is displayed eo To deactivate Hydration and Programmable Flush water side settings 1 At Time Interval press until nOnE is displayed 2 Clear Formula Vol Delivered and Accum Volume Set Rate and Dose Limit Verify formula strength 15 Alarms Indicators START HOLD again to resume normal operation When turned on the COMPAT DualFlo Enteral Feeding Pump is designed to provide audible and visible alarms under several conditions where desired performance cannot be maintained Pressing START HOLD after the alarm condition is identified silences the alarm and returns the pump to hold mode Perform the necessary procedures to correct the alarm condition Press no SEt No set An audible alarm sounds and no SEt is displayed Indicates one of the following conditions e ACOMPAT DualFlo set is not being used e One or both of the delivery set security doors are not closed and latched securely after the START HOLD key has been pressed Immediately determine if the delivery set has become dislodged from the pump Caution If formula is free flowing take cor rective action immediately Stop the formu la flow using the roller clamps on the deliv ery set Monitor patient for signs and symp toms of formula water over delivery FEEd Err Feed error LOW BAT illuminated Low Battery The L
22. rs to default settings by pressing and holding CLEAR for 4 seconds when Rate is displayed To set the Flow Rate 1 Press SELECT until Rate is displayed 2 Enter a new flow rate by pressing A increase or W decrease Change is more rapid when the key is pressed and held 3 Adjustable in 1 mL hr increments from 1 295 To set the Dose Limit 1 Press SELECT until Dose Limit is displayed 2 Enter a new dose limit by pressing A or WV Change is more rapid when the key is pressed and held 3 Adjustable in 1 mL increments from 1 2000 4 For continuous feeding when no dose limit is desired press W until nOnE is dis played To clear Volume Delivered and or Accumulated Volume If Formula Strength is activated to deliver diluted formula Formula Vol Delivered and Accum Volume Delivered display the TOTAL DILUTED FEEDING formula AND water delivered 1 Press SELECT until Vol Delivered is displayed 2 Press CLEAR 3 Follow steps 1 and 2 using SELECT until Accum Volume is displayed and clear if desired Any time Formula Vol Delivered is cleared Water Vol Delivered is automatically cleared Likewise if Water Vol Delivered is cleared Formula Vol Delivered is automatically cleared Accumulated Volume displays full strength or diluted formula volume delivered over multiple dose limit feedings Quick Reference How to set Hydration with Automatic Flush Hydration with automatic
23. tromechanical devices As with any mechanical device problems may occur The following tips will help you correct the minor in service problems that may arise TROUBLESHOOTING GUIDE SITUATION POSSIBLE CAUSE SOLUTION Low battery Battery charge is below Plug cord into AC outlet alarm activated performance level LOW BAT illuminated FEEd Err e Formula or water container e Replace or refill formula or alarm activated is empty water container Occlusion is restricting flow Drip chamber not properly placed in pump Identify point of occlusion and free up Pump Set kinked tubing blocked tubing closed roller clamp Feeding tube Feeding container Assemble properly Drip chamber walls coated with formula drops or condensation in sensor path Manipulate chamber to clear drops or condensation in sensor path Flow sensors housing need cleaning Clean with cotton swab damp ened with isopropyl alcohol HoLd Err Pump e Pump is on hold for more Press START HOLD button is left on hold than 2 1 2 minutes doSE dEL e Pump has delivered Clear Volume Delivered and Dose Complete preset volume start a new dose e no SEt alarm e Door not closed and latched Examine tubing for proper activated placement close door Wrong set is used Load an appropriate set Set is not properly in place Assemble tubing properly around pump r
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