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1. cscsssssssssssssssssssssssssssssecsssscssssscsssecsucsecsscsscsseesseseaeases 22 Section Vil CLC AIG se eessussisesenssrceraiievisnativeicisretauatnineniieon reins ee Section VIII Battery Replacement cccsscsssssscssssssccsssscsssssscssssssscssssees 24 Section IX Error Warning Informational Screens and Troubleshooting DV STGNIT AAEE ON E ET A E EE E T ETT EAE 25 MOA ENOT aoee erteceereaeee rete eevee tee renrrer ttear terre te te conver etree ere nr mene rrr arte Senter nree 26 ROLO EON aeren ese E sagecvcssessesccscesshscuste cectasieecc sense ceaeaneee ptaeetnes pete aceon 2 FOC GOP E E 27 PENEN O sce net aausc ce susaceateenneec tessa ven cccuetaa cocaine tec coneen tuts tucacueednssecanenstiamierceuasteseertatnats 27 PHOS EO OM ere eee EE E E E EE E E 28 Pump Set Dislodged Error ssssssessssssseeeessssseeeossssseeessssseesesssssereeossssecossssseceeosssseeessssssreoossssereesssssseeosss 28 DAO EOW eera E E ses E E O E EEEN E E O EEAS 29 Feeding Complete essseessssssseeesssssseesssssseeeesssssscesosssseeeessssseeesssssereeossssetosssssereeossssereosssssreeossssereesssssseeosss 29 Pump Set Use gt 24 Hours Warning ss cvvescsasveeseiyevwsspnieviaovanetosnanensseedss hesncenesascaviwinaeievessssniniannetantaddssvivanss 29 FEET UTA eaaa er EEE EEE E A E E E soni aiusiisicapntaie 29 Section X Specifications and Symbols PE ONS aeria 30 Symbols on Pump and Accessories ssse essssseeessss
2. ENTER top button to exit the menu Ifthe FEED VTBD is set to zero the pump will run until the bag is emptied 12 KANGAROO ePump FEED RATE dOn EUT TONS AT LEFT AT LEFT Figure 10A ADJUST FEED menu Figure 10B Setting the Feed Figure 10C Setting the Feed Rate Volume to be Delivered Continuous Mode Flushing For CONTINUOUS feeding mode with a Feed amp Flush Set loaded the opening menu will appear as shown in Figure 7B Press ADJUST FLUSH in Figure 7B to program the flushing parameters from the ADJUST FLUSH screen shown in Figure 11A Press gt FLUSH VOLUME in Figure 11A to define the volume per flush occurrence Press the buttons in Figure 11B to program the flush volume from 10 to 500 in increments of 1 ml Press ENTER top button to exit the menu Press gt FLUSH INTERVAL in Figure 11A to define the time interval between starts of flushing Press the buttons in Figure 11C to program the time interval from 1 to 24 hours in increments of 1 hour Press ENTER top button to exit the menu The pump will automatically limit flushing settings which exceed pump capabilities to deliver CAUTION The KANGAROO ePump enteral feeding pump flushes at a rate of 1960 mL hr 32 7 mL minute Use care when programming the flush volume so that it matches the patient s need NOTE The pump will automatically flush an additional 25 ml of water after completing the programmed delivery of formula as long as at leas
3. hrs Section VI Re Certification of KANGAROO ePump Performance System Performance Re Certification A series of self diagnostic checks can be run to re certify pump performance It is recommended that this re certification procedure be run at least once per year or any time the pump is suspected of having improper performance See Section Xlll Service Part Numbers for ordering new Re Certification Pump Sets Load the Re Certification Pump Set The pump will automatically recognize the Re Certification Pump Set and give KANGAROO ePump 21 brief instructions to initiate the self diagnostic procedure Follow the instructions and review the summary information at the end of the test Certifying the Accuracy of Pump Flow Rate Use the following procedure to check the flow rate accuracy e Perform test at room temperature 72 F 3 F with a new Pump Set e Fully fill a new Feed Only Pump set bag with water e Load the Pump Set e Suspend the Pump Set bag so that the bottom of the bag is 18 inches above the pump e Make sure pump is plugged into A C power do not run test with battery power e Program a Continuous Mode feed rate see below for suggested example rates e Run the pump for 15 minutes to achieve steady state operation e Then begin collecting the water in a calibrated measuring container such as a large capacity graduated cylinder for exactly 30 minutes NOTE The amount of water collected in 30 minutes wil
4. 4 To automatically prime the pump press gt PRIME PUMP and gt AUTO PRIME For Feed amp Flush sets auto priming will prime both lines 5 To directly control pump priming press gt PRIME PUMP and then press and hold the HOLD TO PRIME button s Ifa Feed amp Flush Set is used remember to first press HOLD TO PRIME FLUSH until the flushing fluid has reached the valve and then press HOLD TO PRIME FEED until the feeding fluid has reached past the valve and down to the distal end connector 6 Use buttons on left side of LCD to set the feeding parameters Set flushing parameters if a Feed amp Flush Set is loaded The continuous or intermittent feed mode selection is made under the MORE options menu 7 Press gt RUN when ready to start The screen will display RUNNING 8 To stop press HOLD or press and hold the C POWER button Black Ring Retainer MISTIC 3 Installation of Pump Set 1 me 4 KANGAROO ePump 7 General Startup Placement Mounting There are two recommended placement methods for the KANGAROO ePump enteral feeding pump e Attached to a vertical IV pole via the Pole Clamp peripheral device included with the pump e Placed feet down on any horizontal surface A C Power Operation Plug the KANGAROO ePump enteral feeding pump into an A C power outlet for normal operation When the pump is not plugged in or if A C power is interrupted a built in rechargeable battery will run
5. Class Il Internally powered Equipment Degree of Protection Against Electrical Shock lype BF Mode of Operation Continuous or programmed intermittent operation Degree of Protection Against Ingress of Fluids Drip proof IPX1 Symbols on Pump and Accessories The following symbols are found on the pump or on the accesories such as the A C adapter Refer to Accompanying C CE Mark European Documents Community Certification See Instructions 0123 Type BF Protection Degree of protection against electrical 1 3 shock there is no conductive 4 Set Loading Guide connection to the patient rw Manufacturing Date Code D Power Button Serial Number Buttons for Selecting Screen Prompts MEDICAL EQUIPMENT Alternating Current DB9 Serial 1 0 Communication Port Certification and Programming Class Il Equipment degree of protection against electrical shock Double Insulated E7 Reorder number for the device located on the carton label Power Source 9V DC 1 7 Amp rw Direct Current DC PX1 Prip Proof Degree of protection Functional Ground against ingress of fluids Ir R 32 EN60601 1 TUV Certification 1EC60601 1 Caution For indoor use only KANGAROO ePump Section XI Customer Service The circuitry of the KANGAROO ePump enteral feeding pump is not customer serviceable In particular electronic assembly rework by non authorized KANGAROO ePump enteral feeding
6. as this can lead to an electrical shock or fire hazard Directions for Cleaning Rotor Assembly Refer to General Cleaning Directions before starting Open the blue door enclosing the Pump Set loading area Loosen rotor set screw with 5 64 2mm allen wrench and gently pull rotor off shaft After removing rotor avoid getting any moisture in the rotor shaft opening Clean rollers thoroughly with warm soapy water or isopropyl alcohol if necessary Be sure all parts of rotor are completely dry before putting it back onto shaft To replace rotor align set screw on hub of rotor with the flattened section of the output shaft Push rotor into place and tighten set screw Do not over tighten KANGAROO ePump 23 Preventative Maintenance This pump must be periodically re certified to assure proper functioning and safety The recommended service interval is at least once per year Re certification may be done at the user s Biomedical Engineering Department an outside service or by Tyco Healthcare Group LP Factory Service To arrange for Tyco Healthcare Group LP Factory Service call 1 800 448 0190 In Canada call 1 877 664 TYCO 8926 Ifa pump malfunctions please contact your THGLP Representative or call Customer Service for instruction Section VIII Battery Replacement See Figure 21 and do the following to replace the Battery Pack e Power down the unit e Loosen the Battery Door screw on back of pump e Open Battery Door and
7. Flush Position during prime routine Could not find Stop Cock Feed Position during prime routine Motor Error during Tubing AutoLoad Motor Failsafe Time Out Error Possible damaged gearbox encoder or flex cable Graphic Display Error Timeout during GDStatusCheck function Graphic Display Error Timeout during GDAutoModeDataWriteCheck function Graphic Display Error Timeout during GDWriteBytes function SYSTEM ERROR EE Figure 22 General System TECH SUPPORT nih Error screen See Customer 50 Service section If the error cannot be resolved in a timely manner press CL POWER to stop operation of the pump and put a different pump into service Hold Error The HOLD ERROR screen will appear if the pump has been in HOLD mode without input for more than 10 minutes See subsection Hold for description of HOLDING mode Press gt CONTINUE to return to the HOLDING screen where settings can be adjusted the pump can be set to run immediately or the pump can be set to run in a specified number of minutes See Figure 15 to see the options on the HOLDING menu screen If the error cannot be resolved press C POWER to stop operation of the pump and put a different pump into service 26 Figure 23 Hold Error screen KANGAROO ePump Rotor Error The ROTOR ERROR screen appears during RUNNING or PRIMING when the pump has detected an unusual operating condition for the rotor See Figure 24 The ROTOR ERROR general
8. pump technicians will likely affect accuracy Certain replacement items as listed in Section XIII Service Part Numbers are available from the service centers listed below All service personnel must be properly trained and qualified with operation of the KANGAROO ePump enteral feeding pump Improper service may impair operation of the pump Return for Repair 1 Call Customer Service for an Authorized Return Number and shipping instructions using the appropriate phone number below 2 Pack the instrument carefully and ship the insured parcel to United States Canada Tyco Healthcare Group LP Kendall Division of Tyco Healthcare Canada Inc 98 6 Faichney Drive 151 Whitehall Drive Watertown NY 13601 Markham Ontario Canada L3R9T1 1 800 448 0190 or 315 788 5246 1 800 268 9895 or 905 479 5500 U K Service Center Outside of U S and Canada Tyco Healthcare Group LP 20 Garryduff Road Ballymoney BI53 7AP 001 44 12656 63234 Section XII Maintenance For general maintenance issues not discussed below contact Customer Service Section XI WARNING Do not open the main housing as there are no user serviceable parts inside Opening of device may affect function of device and voids the warranty The following maintenance items parts can be replaced by the customer on the KANGAROO ePump enteral feeding pump See Section XIII for Service Part Numbers and Section XI for contacting Customer Service Side Door enclosing Pu
9. sterile devices See Section VII Cleaning for instructions on cleaning the KANGAROO ePump enteral feeding pump 11 See icon descriptions in Section Ill Icon Identification and Section X Specifications and Symbols for additional safety information 12 This device is designed to minimize the effects of uncontrolled electromagnetic interference and other types of interference from external sources Avoid use of other equipment that may cause erratic operation or degradation in the performance of this device 13 WARNING The DB9 serial 1 0 port see Figure 1A is intended only for use by the manufacturer Any accessory equipment that can be connected to the DB9 Serial 1 0 port and which does not comply with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the pump While use of the pump s DB9 port is not recommended for customers the following should be considered in the event that the customer decides to connect to this port e The accessory is specifically certified as complying with the safety requirements for accessories used with the pump whereas the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard e Under no circumstances should the certified accessory be used while the pump is in use for enteral feeding of a patient Section Ill Icon Identification Run Mode Vertically moving drop
10. the pump Battery Power Operation If A C power is not available to the pump or if A C power is interrupted the pump will automatically operate on backup battery power The built in battery recharges any time the pump is plugged into an outlet A tully charged new battery will supply 15 hours of backup power at 125 ml hr before requiring recharging Contact Customer Service Section XI to replace the Battery Pack if battery life degrades Power On Off To power up the pump press the CL POWER button on the lower right of the front panel To power down the pump press and hold the Cl POWER button until the pump display turns off Keep or Clear Prior Pump Settings Immediately after powering up the pump if the prior feed or flush settings were not cleared and the settings are not locked in the Biolech Screen the pump will give the following two options KEEP SETTINGS Select this option to start with the same settings that were most recently programmed into the pump Any of the previously programmed settings can be modified if needed The feed totals mL FED Continuous Feed mode or BOLUSES FED Intermittent Feed Mode are also maintained CLEAR SETTINGS Select this option to reset all input feeding settings to zero It will then be necessary to program all settings before running the pump Note that only input settings are cleared The feed totals mL FED Continuous Feed mode or BOLUSES FED Intermittent Feed Mod
11. Adapter F010486WT 5 POS CIND son csewa shed savers A11164W1 Re Certification Pump Set 776150 Figure 34 User Serviceable Parts Section XIV Warranty LIMITED WARRANTY Kendall a Tyco Healthcare Group LP company warrants to the original purchaser Customer that this product will be free of defects in materials and workmanship under normal use for one 1 year from the date of original purchase from Kendall or its authorized distributor If this product does not operate as warranted above during the applicable warranty period Kendall may at its option and expense replace the defective part or product with a comparable part or product repair the defective part or product or if neither replacement nor repair is reasonably available refund to Customer the purchase price for the defective part or product Dated proof of original purchase will be required Kendall does not assume any liability for loss arising from unauthorized repair misuse neglect or accident 34 KANGAROO ePump Section XV Electromagnetic Conformity Declaration The KANGAROO ePump enteral feeding pump has been built and tested according to UL60601 1 E181931 CSA 22 2 No 601 1 M90 and EN60601 1 2 Standards The KANGAROO ePump enteral feeding pump is intended for use in the electromagnetic environment specified below The user of the pump should assure that it is used in such an environment electromagnetic Environment Guidan
12. CS e E AAE A T E EE EE EEEE 9 aE a PEE E E E E E O AEA AE A E 10 PU OA E E E N E E E EE 11 O aeS e e E suas cuoantbueate rnespsalestecobeontaaeviees 11 ODI arer DGG ODT issin ENTE EAEE 11 Selecting Continuous or Intermittent Feed MOde c scssscscsssssesssscssecsssessssesssssscssssecsessessessssesseeseeseesees 12 Continuous Mode Adjust Feed ssseseeessssseessssssseceesssssesosssseeceeossseeeossssseresonsseeeeosssssterosssseeresssssseeosssss 12 DAO VOUT aE E A E 12 P E OCCT SNAG REEE A E AAEE A E 13 Intermittent Mode Adjust BONES sczctsasndscscsuvspyseceavarcoensscseusssncesssvayeressaccsdevapreatieuea seas oormnravecieas 14 WRT NOG N A E A E 14 eminent Mote Feeding DOIUS MaX ase ccsssosccarescesedsteassaasansseattannssostorseatuseuonienteeean or aREReanaTes 15 E E E EE A A 15 BUY en ar ccc A E A E E 2k 16 E E ONNE EEE EEE A AA A AAA 17 KANGAROO ePump Table of Contents Page Pr ISIN A O E A EE EE ds neea on ee 18 More OMON sorrire a E E E G 19 TAE E E N E E 19 P i E E N E A A O T E EE 19 T E E N E E R 19 OE E E E IAEA EE E T V T 19 Biorach N rE E E 20 E U cas cect E A ENEA E 20 E a E AANA A O T EE 20 MGI E A E a E E E wana esuatecetetesaes 20 Lork Sareen FEAN oras nna EE E ANEA NE E R 21 Section VI Re Certification of Performance System Performance Re Certification ssssscsssssssssssssssosssssssssosssssassscsassscsassscsucsscsucsscscssesseassssenseases 21 Certifying the Accuracy of Pump Flow Rate
13. D Array The pump status LED array on the upper right of the pump gives a quick visual indication of the pump status especially in darkened rooms A green light status indicates normal pump operation A yellow light status indicates a warning situation for either a low battery condition the pump in HOLDING mode or one of the following errors HOLD ERROR FEED ERROR FLOW ERROR and FLUSH ERROR A red light status indicates a critical pump error The screen will show one of the following error messages SYSTEM ERROR SET DISLODGED ERROR or ROTOR ERROR Section X Specifications and Symbols Specifications UL Listing Medical Electrical Equipment KANGAROO ePump Enteral Feeding Pump 1 Classified with respect to electrical shock fire and mechanical hazards in accordance with UL60601 1 IECAANCAL HAZARDS ORY NACA 2 CaS with oe to electrical shock fire mechanical and other specified STOA hazards in accordance with CAN CSA 22 2 No 601 1 Type Infusion Device Volumetric Pumping Mechanism Rotary Peristaltic Pump Sets KANGAROO ePump MISTIC Feed Only Set or Feed amp Flush Set Feeding Formula Delivery Rate 1 400 ml hr in 1 ml increments Feeding Formula VTBD 1 3000 ml in 1 ml increments Bolus Volume 1 1000 ml in 1 ml increments Number of Boluses 1 99 Bolus Interval 4 24 hours in 1 hour increments 30 KANGAROO ePump Flushing Solution Dose Range 10 500 ml in 1 ml increments Flushing Solution In
14. INTERVAL in Figure 13A to define the time interval between starts of flushing Press the buttons in Figure 13C to program the time interval from 1 to 24 hours in increments of 1 hour Press ENTER to exit the menu The pump will automatically limit flushing settings which exceed pump capabilities to deliver CAUTION The KANGAROO ePump enteral feeding pump flushes at a rate of 1960 mL hr 32 7 mL minute Use care when programming the flush volume so that it matches the patient s need NOTE The pump will automatically flush an additional 25 ml of water after completing the programmed delivery of formula as long as at least one flush had occurred during formula delivery The KANGAROO ePump enteral feeding pump will only run when a Pump Set is properly loaded and the necessary feeding parameters have been programmed For a Feed amp Flush Set the flushing parameters do not have to be set for the pump to begin operating If flushing parameters are set as zeros there will be no flushing After the pump has been programmed press RUN to start operation Figure 14 shows the RUNNING screen for continuous feeding with flushing The status line will indicate RUNNING and the droplet icon will move vertically on the screen The green LED indicator will be illuminated to give a quick visual indication of positive status in a darkened room 16 KANGAROO ePump The RUN option can be selected from the following screens if the proper parameters ar
15. Press gt BOLUS INTERVAL in Figure 12A to define the time interval between starts of bolus deliveries Press the gt buttons in Figure 12E to program the time interval between starts of bolus deliveries from 1 to 24 hours in increments of 1 hour Press gt ENTER top button to exit the menu The pump will automatically limit bolus settings which exceed pump capabilities to deliver For example a bolus delivery volume of 200 mL cannot be made once per hour if a rate of 150 mL hr is already programmed In this case the maximum volume allowed would be 150 mL 14 KANGAROO ePump Rate FRESS BUTTONS AT LEFT Figure 12D Setting the volume per Bolus Intermittent Mode Feeding Bolus Max Hoe 3 EQLUSES FED Figure 12A ADJUST cous of lom BOLUS menu every Bhs NUMBER OF BOLUSES MAX FRESS BUTTONS AT LEFT Figure 12C Setting the Number of Boluses AT LEFT INTERVAL I FROM START OF EQLUS TO START OF BOLUS s Figure 12E Setting the time interval between starts of bolus The BOLUS MAX option can be used to deliver a bolus at a high rate similar to gravity feeding Press BOLUS MAX in the BOLUS RATE menu Figure 12B to program the BOLUS MAX mode The feeding rate in Figure 7 will show 999 during RUNNING indicating that the high feed rate is active Intermittent Mode Flushing For INTERMITTENT feeding mode with a Feed amp Flush Set the opening menu shown in Figure 7D will s
16. Pump Set is used remember to first press HOLD TO PRIME FLUSH until the flushing fluid has reached the valve and then press HOLD TO PRIME FEED until the feeding fluid has reached past the valve and down to the stepped end connector If the feeding line is primed first subsequent priming of the flushing line will force the air between the flush solution bag and valve into the main line which already has been primed with enteral formula Re priming after Bag Empty A Pump Set bag that has been emptied will trigger the FEED ERROR screen In this condition the Pump Set bag can be refilled to continue the feeding but only after the Pump Set has been re primed To re prime the Pump Set do the following e Disconnect the feeding line from the patient e Refill the bag e Press CONTINUE to begin the pump RUNNING e Press gt HOLD e Press ADJUST SETTINGS e Press gt HOLD TO PRIME to prime the line s Pump Sets should not be reused after 24 hours of initial usage KANGAROO ePump 11 Selecting Continuous or Intermittent Feed Mode The KANGAROO ePump enteral feeding pump can be programmed to feed continuously or intermittently The continuous feeding mode will deliver the enteral nutrition at a steady rate either until the programmed volume has been delivered or until the supply has been exhausted The Intermittent feeding mode delivers boluses of enteral nutrition at programmed time intervals The bolus volume and feed rate are a
17. Set Capture Feeding Set Loading Area Figure 1B KANGAROO ePump Pump Set loading area Section Il Safety and Warnings CAUTION U S federal law restricts the sale of this device to physicians or to their direct representatives 1 Read this booklet thoroughly before using the KANGAROO ePump enteral feeding pump 2 Do not use this device near flammable anesthetics 3 Disconnect power supply before cleaning or servicing 4 Use only KANGAROO ePump enteral feeding pump Power Cord with built in A C adapter with pump See Section XIII Service Part Numbers for replacement of Power Cord 5 Use only KANGAROO ePump enteral feeding pump Pump Sets with this device Pump is not compatible with other Pump Sets 6 For re certification see Section VI Re certification of Performance For other integrity checks consult with a qualified Biomedical technician or contact the manufacturer Section XI Customer Service 7 For service or for technical information please contact Customer Service Section XI 8 Do not open the main housing as there are no user serviceable parts inside Opening may affect function of device and voids the warranty To replace battery see Section VIII 9 Dispose of old battery powered electronic equipment in a manner consistent with institutional policy for expired equipment disposal KANGAROO ePump 10 Cleaning frequency and practices must be consistent with institutional policy for cleaning of non
18. There is approximately 15 minutes of battery life remaining when this screen appears Plug the power cord in to begin recharging The pump will automatically return to the screen that was active prior to the error The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the battery pack PAT TERY Figure 29 Battery Low error screen Indicates that the battery must be recharged immediately FLUG IN POWER CORD Feeding Complete The FEEDING COMPLETE information screen appears after completion of the programmed feeding Press Power Down to turn off the pump Press CONTINUE to return to the SET LOADED opening menu Figure 7 COMPLETE Figure 30 Feeding Complete notification screen Pump Set Use gt 24 Hours Warning The Pump Set usage warning indicator will blink on the RUNNING screen if a Pump Set has been used for 24 or more hours It is recommended to replace Pump Sets after this length of usage This icon is only an informational message and does not require action Figure 31 shows an example of the RUNNING screen where a Feed amp Flush Set has been in use for more than 24 hours The informational warning indicator shows up in the upper left on the screen FEED RATE mL hr Figure 31 Running screen with the gt 1500 24 HRS of Pump Set Usage indicator in riven PS upper left of the screen EWERY hrs KANGAROO ePump 29 LE
19. alarm sounds momentarily about 15 minutes before shut off e Unit is left in HOLD mode longer than 10 minutes without input e Pump Set tubing is improperly loaded around the rotor e System errors see below e Feeding complete e The MISTIC connector is removed during AUTOPRIMING or RUNNING The Error Warning and Information Screens are described below System Error The system error screen is the most general form of error Figure 22 The only way to exit from a System Error is to power down No CONTINUE option is allowed because of the severity of the error An error number is also displayed on the screen for reference purposes This number should be reported when calling the Customer Service Support Line Error Related Sub system 0 Oo CO N Dn wo A N3 Internal timer stopped Flash Chip missing OR version incompatible Too many graphic screens in memory Never got a ADC ISR for motor current Never got a ADCISR for battery level Never got a ADCISR for battery temperature Never got a ADC ISR for Ultrasonic Upstream Occlusion or Bag Empty checks Never got a ADC ISR for Ultrasonic during Downstream Occlusion S232 Communications Transmit Flash Write Error Flash Read Error Stopcock Time Out Time Out for Buzzer Test KANGAROO ePump 25 Error Related Sub system 14 20 21 22 23 50 51 52 Time Out during downstream occlusion check never got RotorOn3 0 May blow fuse Could not find Stop Cock
20. ce RF emissions CISPR 11 Group 1 RF emissions CISPR 11 Class B Harmonic emissions a IEC 61000 3 2 Class A Voltage fluctuations flicker emissions a IEC 61000 3 3 Complies ose i a EN60601 1 2 IEC 61000 4 3 2002 Complies ns EN60601 1 2 IEC 61000 4 6 2001 Complies pen P EN60601 1 2 IEC 61000 4 8 2001 Complies aro EN60601 1 2 IEC 61000 4 11 2001 Complies eal em EN60601 1 2 IEC 61000 4 4 2001 Complies Electrostatic Discharge Immunity EN60601 1 2 IEC 61000 4 2 2001 Complies Surge Immunity EN60601 1 2 IEC 61000 4 5 2001 KANGAROO ePump The KANGAROO ePump uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The KANGAROO ePump is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used domestic purposes for 35 Patents pending KANGAROO ePump is a trademark of Sherwood Services AG tSPRAY NINE is a trademark Spray Nine Corporation PHISOPHEX is a trademark of Smith Kline Beecham Corp HIBICLENS is a trademark of Tubifoam Ltd VESTA SYDE is a trademark of Steris Inc TYCO HEALTHCARE GROUP LP MANSFIELD MA 02048 MADE IN U S A 2004 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 040415 m IN U S 1 800 962 9888 www IycoHealthca
21. disconnect wire harness A small straight bladed screw driver may be needed to disconnect the connector tab e Slide Battery Pack out of compartment e Slide a new Battery Pack into compartment with wire harness extending out e Align connector with red wire at upper right e Push connector in until properly latched e Tuck wires into slot between connector and battery to insure wires are not pinched Re tighten Battery Door screw Note Replacement Battery Packs are available from Tyco Healthcare Kendall Co See Section XIII Service Part Numbers Figure 21 Installation of Battery Pack WARNING USE OF A BATTERY PACK NOT SUPPLIED BY TYCO HEALTHCARE KENDALL CAN BE DANGEROUS AND VOIDS ALL WARRANTIES AND PERFORMANCE SPECIFICATIONS The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the Battery Pack 24 KANGAROO ePump Section IX Error Warning Informational Screens and Troubleshooting For operational errors the KANGAROO ePump enteral feeding pump display will show the error indicator icon with specific information regarding the error condition and will sound the alarm The following conditions will trigger error conditions and will activate audible and visible alarms e Feed or Flush containers are empty e Feed or Flush tube becomes occluded between bag and pump e Tube becomes occluded between pump and patient e Battery low
22. e will not be reset to zero To clear output feed totals mL FED or BOLUSES FED e Program the input settings e Start the pump RUNNING e Immediately press the HOLD button e Select the top button CLEAR VOL FED The status line of the pump will then show LOAD A SET Figure 5 or if the Pump Set is already loaded it will show SET LOADED Figure 7 8 KANGAROO ePump Loading Pump Sets The KANGAROO ePump enteral feeding pump will indicate LOAD A SET in the screen s status line if a Pump Set is not installed A blinking icon of a Pump Set will also appear in the upper left corner of the screen Figure 5A shows the screen for continuous feeding mode and Figure 5B shows the screen for intermittent feeding mode FEED RATE 15000 FED EQLUs rush 250m EVERY EVERY hrs Figure 5A LOADA SET opening Figure 5B LOADA SET opening menu screen for Continuous menu screen for Intermittent Feeding mode Feeding mode To load a Pump Set follow the steps below 1 Open the blue transparent door that encloses the rotor and Pump Set loading area 2 Load the Pump Set by holding the finger tab on the valve and inserting the valve down into the slot on the left Figure 6A 3 Grasp the MISTIC retainer end black ring retainer and wrap the tubing counterclockwise around the rotor Figure 6B 4 Carefully pull the MISTIC retainer end upwards to position it over the slot on the right and then lower the retainer into the
23. e programmed and the Pump Set is loaded e SET LOADED screens Figure 7 e ADJUST FEED screen continuous mode Figure 10A e ADJUST FLUSH screens Figure 11A 13A e HOLDING screens Figure 15 150i FED Fush 250ml EVERY hrs Figure 14 RUNNING mode screen for continuous feed mode Hold Pump operation can be paused by pressing HOLD while it is RUNNING such as in Figure 14 The status line will indicate HOLDING and the yellow LED indicator will be lit up to give a quick visual indication of a warning status in a darkened room Note the pumps alarm will sound if it has been left HOLDING for 10 minutes without further input It can be programmed to automatically restart after a specified time period by pressing the gt RESUME IN _ MIN button There are five options available during HOLDING See Figures 15A and 15B LEAR VOL ED ADT UST 150m FEO FLUSH 250m EWERY hrs FLUSH EVERY Figure 15A HOLDING mode Figure 15B HOLDING mode options continuous feeding options intermittent feeding mode mode KANGAROO ePump 17 Clear Volume Fed Press gt CLEAR VOL FED to re zero the mL FED output status on the right side of the screen of Figure 15A or to re zero the BOLUSES FED output status in Figure 15B Adjust Settings Press gt ADJUST SETTINGS to return to one of the opening menus shown in Figure 7 thus allowing any setting to be modified Ifthe Pump Set has been removed after goin
24. ected before using the pump It is also recommended that the battery charge be topped off before battery only operation is utilized The battery pack will charge continuously whenever the pump is plugged into a wall outlet including during normal use of the pump with A C power Eight hours of charging is required to fully recharge the battery pack A new battery pack will provide approximately 15 hours of service before needing to be recharged KANGAROO ePump 5 Attaching Pole Clamp The KANGAROO ePump enteral feeding pump can be attached to a vertical pole using the Pole Clamp included with the pump To attach the Pole Clamp to the KANGAROO ePump enteral feeding pump align the hole on the Pole Clamp with the mounting hole on the back of the pump Use a 3 8 round head bolt and rubber washer to fasten together as shown in Figure 3 Figure 3 Attaching and using the Pole Clamp KANGAROO ePump Section V Instructions For Use Quick Start 1 Press Cl POWER on lower right hand corner of control panel 2 Open blue door enclosing Pump Set loading area 3 To load Pump Set refer to Figure 4 e Grasp finger tab on valve and insert into left pocket 1 e Grasp black ring retainer and gently stretch tubing around rotor 2 Pull up on retainer and insert into right pocket 3 e Press down on finger tab to ensure that valve is fully seated e Close blue door Note display status line should read SET LOADED
25. g into HOLD the opening menu will show LOAD A SET as seen in Figure 5 Resume After Specified Time Interval Press gt RESUME IN __ MIN to immediately input a time in minutes in which to resume operation Each press of gt RESUME IN MIN will increment the resume time by 5 minute increments up to 30 minutes Atter 30 is reached each additional button press will increment in larger time steps up to a maximum of 240 minutes No other input is needed to start the countdown as the time immediately counts down after the incremental value is reached Run Mode Press gt RUN to immediately restart pump operation This option will not be available if the Pump Set is removed during HOLD View History Press gt HISTORY to access the HISTORY screen Use this screen to review feeding and flushing history See subsection More Options below for further information Flush Now During the RUNNING mode the pump can be diverted to immediately perform a flush flush on demand by pressing gt FLUSH NOW in the RUNNING menu See Figure 14 When FLUSH NOW is pressed the screen will prompt for the volume to be immediately flushed and will show the previously programmed flush volume as default The screen will appear as the standard Flush input screen as shown in Figure 11B or 13B Setting the FLUSH NOW flushing volume is temporary and will not change the main periodic flushing volume previously programmed If FLUSH NOW is pressed by acc
26. how the ADJUST FLUSH option Press ADJUST FLUSH in Figure 7D to program the flushing parameters from the ADJUST FLUSH screen Figure 13A KANGAROO ePump 15 S00 MAX FRESS a AT LEFT AT LEFT EVER east INTERWAL IS FROM START OF EVERY z D FLUSH T START OF FLUSH 5 Figure 13A ADJUST FLUSH Figure 13B Setting the Flush Figure 13C Setting the Flush menu intermittent mode Volume Time Interval Note The nature of two intermittent processes periodic bolus feeding and periodic flushing is such that occasional conflicts can arise where each process needs to be running at the same time Because the Feed Only type of Pump Set is available and is dedicated only to feeding the flushing process is assigned precedence over the feeding process for Feed amp Flush pump sets Flushing precedence means that a flush cycle will run to its end even if a bolus delivery is scheduled to begin It also means that a flush cycle will interrupt a bolus feeding cycle that is already in progress The feeding cycle will pick up where it was interrupted after the flushing cycle is complete It is therefore possible that the net feeding volume is reduced from what may be intended over a given time period Press gt FLUSH VOLUME in Figure 13A to define the volume per flush cycle Press the buttons in Figure 13B to program the flush volume from 1 to 500 in increments of 1 ml Press gt ENTER top button to exit the menu Press gt FLUSH
27. ident the screen will return to the RUNNING screen after 10 seconds if there is no input for the flush volume 18 KANGAROO ePump More Options Press MORE in one of the opening menus Figures 5 or 7 to access the MORE OPTIONS screen Figure 16 Figure 16 MORE OPTIONS menu ONT INUOUSSINTERMIT TENT ONE Buzzer Alarm Volume Press BUZZER in the MORE OPTIONS menu to access the BUZZER screen and increase or decrease the alarm buzzer volume The alarm will be audible as the volume setting is changed This sets the volume level for any warning or error that may occur with the pump History Press gt HISTORY in the MORE OPTIONS menu to access the HISTORY screen Press the buttons in Figure 17 to set the time history of interest The totals of FEED mL and FLUSH mL will be shown for the requested history time WARNING A maximum of 72 hours of past history can be retrieved excluding data from the current hour Figure 17 Feed and Flush totals for up to 72 hours of previous purrons history excluding data from the AT LEFT current hour Language Selection Press gt LANGUAGES in the MORE OPTIONS menu to change the preferred language for the screen interface Continuous Intermittent Mode Press gt CONTINUOUS INTERMITTENT In the MORE OPTIONS menu to access the SELECT MODE menu Figure 9B Use this menu to select between continuous feeding mode and intermittent feeding mode See subsection Selecting Continuous o
28. ifferent pump into service FLUSH ERROR PLOG TN LINE VALUE NOT LOADED Figure 26 Flush Error screen Flow Error The FLOW ERROR screen appears when either the feeding or the flushing solution is no longer being delivered because ofa clog Check the line to find the occlusion causing the blockage If the error cannot be resolved check the valve pocket in the Pump Set loading area for dampness or dirt which may be a cause for a false error Clean and dry the valve pocket If the error still cannot be resolved load a new Pump Set prime it and press CONTINUE to restart If the error still cannot be resolved press C POWER to stop operation of the pump and put a different pump into lt gt FLOW ERROR CLOG IN LINE eo Figure 27 Flow Error screen service Pump Set Dislodged Error The PUMP SET DISLODGED screen will appear if the black ring retainer MISTIC is not properly loaded in the MISTIC pocket in the Pump Set loading area Check and correct the positioning of the MISTIC retainer if possible Ifthe error cannot be resolved load a new Pump Set prime it and press CONTINUE to restart Ifthe error cannot be resolved press C POWER to stop operation of the pump and put a different pump into service PUMP SET DISLODGED POWER DOWN AND Figure 28 Pump Set Dislodged Error screen RE INSTALL SET 28 KANGAROO ePump Battery Low The BATTERY LOW screen appears when the battery needs to be recharged
29. ill indicate PROGRAM LOCKED and will not allow access to the parameters Figure 19 The pump can be PRIMED or set to RUN HOLD etc when settings are locked Press DONE to exit the Biolech menu To re enter this menu screen power down the pump and then power it up again and hold the top button as described above 20 KANGAROO ecPump l PROGRAM Figure 19 Program Locked LOCKED screen which indicates the pump is in LOCK SETTINGS mode Lock Screen Feature The KANGAROO ePump enteral feeding pump can be set to RUN and then locked out from unauthorized use While the LOCK SETTINGS feature prevents only changes to the input parameters the LOCK SCREEN feature will lock out any button presses including RUN or HOLD except power off Use LOCK SCREEN when the pump is running and there is a need to prevent tampering such as putting the pump into an unwanted HOLD The RUNNING screen will show a padlock to indicate that no changes can be made without unlocking the screen To lock the screen use the following procedure while the pump is in RUNNING mode e Press and hold the second button from the top for at least 2 seconds e Press and hold the third button from the top for at least 2 seconds e Press and hold the second button again for at least 2 seconds To unlock the screen use the same procedure above FEED RATE ii hr Figure 20 Padlock 150m indicates pump is in LOCK SCREEN mode FuusH 250ml EVERY
30. l be half of the value programmed for the hourly flow rate within 10 or 0 5 ml whichever is larger Rate Set Amount Expected in 30 Minutes 75mL hr 33 7 mL to 41 3 mL 150 mL hr 67 5 mL to 82 5 mL If the amount collected is outside the range load a new Pump Set and re run the test procedure to confirm results Section VII Cleaning Cleaning should be performed as needed It may also be desireable to define cleaning intervals based on knowledge of the environment in which the pump is used Only personnel trained in the cleaning of medical devices should perform cleaning CAUTION Do not immerse pump or power cord in water or other cleaning solution clean using a damp not wet cloth or sponge Failure to follow the cleaning procedures described herein could result in hazards to users As with any AC powered electrical device care must be taken to prevent liquid from entering the pump to avoid electrical shock hazard fire hazard or damage to electrical com ponents If any of the following events occur DO NOT USE the pump until it has been properly cleaned and serviced by personnel trained in servicing KANGAROO ePump enteral feeding pumps wetting of the pump s power cord or leakage into the pump interior during cleaning spillage of large amounts of formula onto the pump exterior or any spillage onto the power cord 22 KANGAROO ePump General Cleaning Directions Cleaning of KANGAROO ePump enteral feeding pumps mu
31. let in RUNNING screen indicates Run mode Battery Symbols e Full charge e 2 3 or less charge e 1 3 or less charge e Very low battery 15 minutes max Auto Priming Indicator PRIMING When auto priming the bar will progress to show auto prime feature is active o Volume Setting Indicates alarm volume setting ij VOLUME 4 KANGAROO ePump Information Indicator Error Indicator Pump operations are stopped until the error is resolved This indicates information only and does not require any immediate action Section IV Initial Setup Attaching the A C Adapter Power Cord Plug the Power Cord into the A C Adapter Port on the back of the pump See Figure 1A to locate port on pump Make note of the location of the pins and tab on the plug to properly orient the plug A C Adapter AC Adapter Port Plug C Figure 2 Alignment of A C Adapter plug with lt pump s adapter port Use care aligning adapter with pump connector The connector which attaches to the back of the pump has a spring loaded locking sleeve that locks into the pump thus helping to prevent the connector from being accidentally knocked out To remove the connector grasp the outer sliding sleeve member and pull Do not detach the connector by pulling on the wire only Battery Setup The battery pack is fully charged before shipping and is left unconnected to optimally preserve battery life WARNING The battery should be conn
32. lso programmed To select continuous feed mode or intermittent feed mode press MORE on the opening menu shown in Figures 5 or 7 to access the MORE OPTIONS menu Figure 9A The MORE option is available either before a Pump Set has been loaded Figure 5 or after the Pump Set is loaded Figure 7 See subsection More Options for information on the other options in the MORE OPTIONS menu Select gt CONTINUOUS INTERMITTENT under the MORE OPTIONS menu Figure 9A Then press gt CONTINUOUS MODE or gt INTERMITTENT MODE from the SELECT MODE menu Figure 9B Press DONE to exit CONTINUOUS MODE INTERMITTENT MODE ONT INUOUSS INTERMITTENT ONE Figure 9A MORE OPTIONS menu Figure 9B SELECT MODE menu for continuous or intermittent mode selection Continuous Mode Adjust Feed Continuous Mode Feeding For CONTINUOUS feeding mode the ADJUST FEED option is available in the opening menus Figure 7A for Feed Only sets or Figure 7B for Feed amp Hush sets Select this option to program the feeding parameters from the ADJUST FEED screen Figure 10A Press gt FEED RATE in Figure 10A to define the rate of delivery Press the buttons in Figure 10B to program the fate from 1 to 400 in increments of 1 ml hr Press gt ENTER top button to exit the menu Press gt FEED VTBD in Figure 10A to define the Volume To Be Delivered Press the buttons in Figure 10C to program the volume from 1 to 3000 ml in increments of 1 ml Press
33. ly results from a problem with the Pump Set tubing around the rotor Check that the Pump Set is not damaged and re load the tubing around the rotor as described in subsection Loading Pump Sets Press gt CONTINUE to restart If the error cannot be resolved press CI POWER to stop operation of the pump and put a different pump into service Figure 24 Rotor Error screen Re load the set tubing and press CONTINUE Feed Error The FEED ERROR screen appears when the enteral formula is no longer being delivered because the bag is empty or because of a clog between the pump and the bag Check the feed line to find the occlusion causing the blockage Ifthe occlusion cannot be cleared load a new Pump Set prime it and press CONTINUE to restart If the error still cannot be resolved press C POWER to stop operation of the pump and put a different pump into Service FEED ERROR BAG EMPTY i CLOG IN LINE Figure 25 Feed Error screen WALVE WOT LOADED Flush Error with Feed amp Flush Set only The FLUSH ERROR screen appears when the flushing solution is no longer being delivered because the flush bag is empty or because of a clog Check the flush line to find the occlusion causing the blockage If the occlusion cannot be cleared load a new Pump Set prime it and press CONTINUE to restart KANGAROO ePump 27 If the error still cannot be resolved press CL POWER to stop operation of the pump and put a d
34. menu for Feed Only set 10 Figure 8B PRIME PUMP menu for Feed amp Flush set KANGAROO ePump Auto Priming The AUTO PRIME option will be available if the pump senses that the currently installed Pump Set was not previously primed and that there is no fluid in the line near the rotor If auto priming is desired press and release gt AUTO PRIME to automatically prime the line s For Feed amp Flush Pump Sets the auto prime feature will automatically prime both lines starting with the flush line Press gt STOP to cancel AUTO PRIME When auto priming is completed the status line will show AUTO PRIME COMPLETE and will no longer show the AUTO PRIME option Be sure that the line s are fully primed If not use the hold to prime option s to complete the priming as described below Hold to prime The hold to prime options allow for precise interactive control of the priming process Feed Only Pump Sets For Feed Only Pump Sets the screen will appear as in Figure 8A Press and hold HOLD TO PRIME FEED until the feed line has been primed down to the stepped end connector at the end of the Pump Set Feed amp Flush Pump Sets For Feed amp Flush Pump Sets the display will appear as in Figure 8B First press and hold HOLD TO PRIME FLUSH to prime the flushing line and then press and hold HOLD TO PRIME FEED to prime the feed line down to the stepped end connector at the end of the Pump Set Ifa Feed amp Flush
35. mp Set Loading area Lower Hinge Lower Door Hinge To replace the Side Door see Figure 32 and do the following 1 Place top Door Hinge onto the Top Hinge Pin Figure 32 Blue Door Replacement 2 Carefully press down on the bottom of the door to spread the door hinges apart 3 Place the bottom Door Hinge onto the Bottom Hinge Pin KANGAROO ePump 33 Battery Pack See Section VIII for full instructions on replacing Battery Pack Battery Door To replace Battery Door see Figure 33 and do the following 1 Align the Battery Door Hinges with the long hinge pins 2 Snap the hinges onto the hinge pins 3 Screw down the door to hold in place Power Cord See Section IV for initial setup including Power Cord attachment Figure 33 Battery Door Replacement Pole Clamp See Section IV for initial setup including attachment of the Pole Clamp to the pump Section XIII Service Part Numbers To place an order for parts or if technical assistance is required call customer service The KANGAROO ePump enteral feeding pump contains a limited number of serviceable parts User maintenance is to be performed only by appropriately qualitied technical personnel Visit our web site at www TycoHealthcare com 1 KANGAROO ePump 382400 2 Main Door Blue transparent door F31877WT 3 Battery PACK ws lt y523e0ndeunseas F010484WT 4 Battery Door with Screw F31878W1 Power Cord with A C
36. op usage or IV pole mounting e Simple loading of Pump Sets e Transparent side door to protect Pump Set e Integrated handle for easy transport Features e MISTIC Magnetic Intelligent Set Type Identification Connector Feed Only vs Feed amp Flush Set identification system to ensure match between the pump s user interface and Pump Set type e Automatic Anti Free Flow AFF System e Audible alarm to indicate errors or Pump Set loading conditions e Attitude independent design eliminates need for drip chamber on pump set e Sensor technology detects both upstream and downstream flow conditions e Continuous feed intermittent feed and flush capability e Auto prime feature reduces the need for time consuming manual priming e Hold feature with programmable restart e Stores previous 72 hours of feeding and flushing history Service e Serial I O port for data retrieval and software updates e Uses replaceable rechargeable NiMH Battery Pack for 15 hours of backup power e Removable Power Cord e Removable Pole Clamp KANGAROO ePump 1 denu Status Line Selections eo Status LEDs Input Venu Settings Selection ioe E Output Buttons j verv Bhrs Fic Power Button Graphic Status Integrated Handle Feeding set Cap storage Area Pole Clamp Attachment Point A A C Adapter serial I O Port Hw t Compartment Back Figure 1A KANGAROO ePump features front and rear views 2 KANGAROO ePump Feeding
37. r Intermittent Feed Mode for more information Press gt DONE in the MORE OPTIONS menu to exit the menu KANGAROO ePump 19 BioTech Menu The Biolech screen will show technical information about the pump and has a lock feature to lock the Pump Settings against unauthorized changes Accessing the BioTech Screen To get the BioTech screen press the power button to start the pump and press and hold the top button while the startup sequence kangaroo icon hops across the screen executes You must be pressing the top button at the end of the sequence in order to access the Biolech menu Figure 18 shows the Biolech screen snC 1234561 SW 1 000 Bice 3 100 Figure 18 BioTech screen with Pump Settings locked against unauthorized changes CERT INT 8 BioTech Screen Data SN is the serial number of the pump SW shows the software version number in this pump FLASH shows the version number of the flash data installed in this pump CERT INTV indicates the number of times the pump has been powered on since the last re certification See Section VI for details of re certifying the pump Lock Settings Feature Program Locked To lock the settings against unauthorized changes press LOCK SETTINGS to get the check mark as shown in Figure 18 The settings can only be changed again by pressing LOCK SETTINGS to remove the check mark If the settings are locked and a change is attempted the screen w
38. re com EC REP TYCO HEALTHCARE U K LTD GOSPORT P0130AS U K SWISS DISTRIBUTOR TYCO HEALTHCARE SWITZERLAND LID ROOSTRASSE 53 POSTFACH CH 8832 WOLLERAU SWITZERLAND 182321
39. slot Figure 68 5 Press down on the valve s finger tab to ensure proper seating 6 Close blue transparent door Pump Set Set _ ae Loading Valve S Door A MISTIC Retainer End Figure 6A Figure 6B KANGAROO ePump The display should read SET LOADED and will show one of the following opening menus depending on the type of Pump Set detected and whether continuous or intermittent feeding mode has been selected Figure 7A Opening menu for Continuous Feed mode with a Feed Only set BOLUS 350m every Bhrs Figure 7C Opening menu for Intermittent Feed mode with a Feed Only set Prime Pump a H ae m q iy PU AL EED AC E J i 4 FLusH 25D EVERY amp hirs Figure 7B Opening menu for Continuous Feed mode with a Feed amp Flush set BOLUS every hre rouse 25D mt EvERY hrs G Figure 7D Opening menu for Intermittent Feed mode with a Feed amp Flush set The KANGAROO ePump enteral feeding pump may be primed automatically with a single button push including the flushing line ifa Feed amp Flush Set is loaded The pump can also be primed in a more interactive method using the hold to prime feature After a Pump Set has been loaded and the status line shows SET LOADED press PRIME PUMP in the opening menu Figure 7 to get one of the PRIME PUMP menus shown in Figure 8 DISCONNECT SET FROM FATIENT BEFORE PRIMING Figure 8A PRIME PUMP
40. ssssessssseeeeesssssseeosssseceesssssseeosssssteeossssseressssssteosssssereessssss 32 Section XI Customer Service ssssscsssscossscossscocsssocssscossscososcesssceossssossseesssses DD KANGAROO ePump Table of Contents Page Section XII Maintenance Side Door Enclosing Pump Set Loading Area sscsssssssssssssssssssssosssssossassssssssassacsassscsassscsussscssessessessees 33 PEA Kr A E cea tress age wt ees 33 SEMT DY OG AT E E P E EE IE EE st T E E 33 PAY OE CON aai AEA EE A E E E A A 33 FTI arae E T 33 Section XIII Service Part Numbers esesesssesooocseceeecccsoooocceccecosooococceccessoooocecsee 34 Section XIV Wairanty vxcsscpacsssacersantasanesseuressssxenssentaaonsesansasacreienanicareunransens 34 Section XV Electromagnetic Conformity Declaration sccssscssssccssseeees 35 KANGAROO ePump Section General Information The KANGAROO ePump enteral feeding pump is a simple to use precision enteral feeding pump It is easily programmed to provide patients with either continuous or intermittent feeding and can provide automatic flushing capability when used with KANGAROO ePump Feed amp Flush Sets User Interface e Intuitive user interface e Large backlit LCD display e Step by step prompts to guide programming and operation e Stoplight LED array visually indicates pump status in a bright or darkened room Ergonomics e Quiet operation e Compact aesthetic design e Tablet
41. st be performed as follows CAUTION Disconnect pump from AC power source before cleaning After cleaning do not connect to AC power source until pump and power cord are thoroughly dry A mild detergent should be used for general cleaning If necessary the pump may be cleaned with a 10 1 water and hypochlorite mixture however repeated cleaning with this solution can damage the plastic pump case Isopropyl alcohol applied with a damp not wet cotton swab may be used for cleaning difficult to reach areas however it should be used sparingly because repeated cleaning may damage the case DO NOT USE strong cleaners such as tSpray Nine tPhisohex tHibiclens or tVesta Syde because damage to the pump case housing can result Directions for Cleaning Pump Housing Refer to General Cleaning Directions before starting Clean outside surface with a damp not wet cloth or sponge and keep pump in upright position as much as possible Avoid excess moisture near pole clamp area Do not allow cleaning solution to enter the vertical vents in the housing underneath the handle Directions for Cleaning Pump Power Cord Refer to General Cleaning Directions before starting Unless soiling is observed the power cord should not be cleaned If cleaning of the power cord is necessary unplug from outlet and wipe the exterior surfaces of the wall plug with a cloth dampened with isopropyl alcohol CAUTION Avoid exposing power cord to excess moisture
42. t one flush had occurred during formula delivery FEED RATE 300 r hr FRESS 1 oO i Perian aT LEFT rush Siml every hrs INTERWAL IS FROM START OF FLUSH T START OF FLUSH Figure 11A ADJUST FLUSH Figure 11B Setting the Flush Figure 11C Setting the Flush menu continuous mode Volume Time Interval KANGAROO ePump 13 Intermittent Mode Adjust Bolus Intermittent Mode Feeding For INTERMITTENT feeding mode the ADJUST BOLUS option is available in the opening menus Figure 7C for a Feed Only set or Figure 7D for a Feed amp Flush set Select this option to program the feeding parameters from the ADJUST BOLUS screen Figure 12A Press gt BOLUS RATE in Figure 12A to define the rate of delivery Press the buttons in Figure 12B to program the delivery rate from 1 to 400 in increments of 1 ml hr Press ENTER top button to exit the menu Press gt NUMBER OF BOLUSES in Figure 12A to define the total number of boluses to be delivered Press the gt buttons in Figure 12C to program the number of boluses up to a maximum of 99 Press ENTER top button to exit the menu The number of boluses can be set as zero in which case the pump will run until the bag is emptied Press gt VOLUME PER BOLUS in Figure 12A to define the Volume to be delivered in each bolus Press the gt buttons in Figure 12D to program the volume per bolus from 1 to 1000 ml in increments of 1 ml Press gt ENTER top button to exit the menu
43. terval Range 1 24 hr in 1 hr increments Accuracy 10 or 0 5 ml hr whichever is larger with bag at 18 above pump at room temperature 72 F 3 F using a new pump set with less than the recommended 24 hours of maximum usage Occlusion Pressure 15 psi 103 kPa Maximum Dimensions Height 6 6 Width 6 4 Depth 4 6 Weight 2 4 Ibs 3 3 Ibs with pole clamp Material Housing ABS Polycarbonate blend Pump Set Door Polyester Polycarbonate blend Power Use AC adapter for wall outlet usage Pump operates on 9V DC 1 7 Amps Battery New fully charged NiMH Battery Pack delivers gt 15 hrs at 100 ml hr feed rate Approximately 15 minutes prior to complete battery discharge a low battery alarm will occur see subsection Battery Low in Section IX When complete discharge occurs the pump will automatically turn itself off The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the battery pack Alarms e System Error e Flow Error e Pump Set Dislodged Error e Hold Error e Rotor Error e Feed Error e Flush Error e Battery Low Alarm Volume Minimum of 70 dBA at 1 meter in maximum volume orientation KANGAROO cPump 31 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