ROSS English Patrol Enteral Pump Manual
Contents
1. Operating Manual For Enteral Use Only Not for IV Use 4 amp ROSS NUTRITION CONTENTS Pump Characteristics oa s eccesso che EFE whee REY EROR CDI DERE 3 Indications for Use acces ee dart ur et I ee bns 4 Pr CAULIODS eet bdo ber doe totos idis 4 Panel Displays sss tue 5 Control Dial Settings cesses mmn 6 Pump SOUS gi oc ener rete eben t ee RU e er e acd e nre dde ea 8 Insituctio ns for Use rt eov PI cr 9 Checking Pump ACCOTA E Ret ebbe 11 TroubleslioOting sissi redeo ER er 12 Cleaning ERR DE RES 14 sca dies eee riu 15 osos Ree eM RE bee e qutd etas 15 SpecifiCations E patna RECEN 16 Limited Warranty hoe E Pe nde ed cea 17 USER QUALIFICATIONS The Ross Patrol Enteral Pump is for use at the direction of or under the supervision of licensed physicians and by licensed or certified health care professionals who are trained in the use of the pump and the administration of enteral fluids 2002 2004 Abbott Laboratories PUMP CHARACTERISTICS The Ross Patrol Enteral Pump is a microprocessor computer controlled rotary peristaltic pump that provides for accurate controlled enteral feeding in a safe user friendly system It has a large easy to read display2. OOE 5 52034 52036 29082 5050 LITHO IN USA ROSS PRODUCTS DIVISION ROSS ABBOTT LABORATORIES P COLUMBUS OHIO 43215 1724 USA NUTRITION
3. Ross Patrol Enteral Pump offers a wide choice of feeding sets PUMP SET EXAMPLE SHOWN Ross Top Fill Enteral Nutrition Bag With Preattached Patrol Pump Set pump insert blue A connector v Safe T Valve INSTRUCTIONS FOR USE Before initial use on battery power and after extended storage periods the pump must be plugged into an AC power source for a minimum of 12 hours pump may be operated during this time The pump should be operated on battery power for a minimum of 6 continuous hours at least once every 6 months for best performance and battery life Use AC power whenever possible Plug in during storage to ensure a fully charged battery for emergencies Battery indication check battery powered operation is indicated by periodic flashing of only the Set Rate while continuously showing horizontal scrolling bar DANGER Possible explosion hazard if used in the presence of flammable anesthetics TO ASSEMBLE 1 Attach pump to stand using pole clamp Plug in cord if power is available If using battery power do not let battery run down When the low battery message LO bAt appears the battery has approximately 30 minutes of energy left for pump operation 2 Attach the Ross Patrol Pump Set securely onto a filled enteral nutrition container if it is not preattached Suspend container to the side of or behind and 20 inches above the pump 3 Place sight chamber into drop detector and seat
4. in place before priming GRPUND NST FOPT p LF 4 Remove cover from adapter and discard or place into set cover holder on the pump pole clamp M TO PRIME SET 5 With one hand on the blue connector of the pump set gently pull until fluid flows c Completely prime the set by allowing fluid to expel air from the tubing 7 Let fluid slowly enter sight chamber to fill line 1 4 full NOTE If sight cham ber is filled above the line after prim ing overfilled invert container hold ing all tubing above sight chamber and container With one hand on the sight chamber and the other hand on the blue connector gently pull until fluid drains from tubing Suspend container and reprime Grasp the blue connector on the pump insert Loop the pump insert under the rotor counterclockwise Gently pull up and then seat the blue connector in the slot above the rotor 10 Confirm proper placement and func tion of enteral feeding tube 11 Attach feeding set adapter to enteral feeding tube INSTRUCTIONS FOR USE continued TO START PUMP 12 Turn pump dial to SET RATE 17 To clear the volume delivered Pump will initiate system self check turn dial to CLEAR VOL This procedure occurs after four beeps 13 Select flow rate from 1 to 18 When feeding is complete turn 300 mL hr by pressing the arrows pump dial to OFF and observing the entry on the
5. screw The pump rotor can then be immersed in mild warm soapy water or detergent and rinsed under a faucet Dry excessive moisture from the pump rotor before reassembly After cleaning plug the pump into an AC grounded electrical outlet to maintain battery charge 14 STORAGE The pump should be stored away from excessive heat cold or humidity Be sure pump dial is in the OFF position SERVICE The Ross Patrol Enteral Pump is designed to be highly reliable However in the event of a pump malfunction or for technical assistance or parts please contact Ross Products Division Abbott Laboratories OPERATING INSTRUCTIONS VIDEOTAPE An instructional videotape in VHS format assists caregivers and medical professionals in learning procedures for operating the Ross Patrol enteral delivery system This videotape is available for your use through a Ross Representative Removal of the plug from electrical receptacle is used as the means of disconnection from AC power 15 SPECIFICATIONS POWER Voltage 100 to 130 VAC 60 Hz 1 Phase Power 15 watts average Fuse 200 mA time delay type Line Cord Hospital grade nondetachable 10 feet Leakage Less than 100 microamps MECHANICAL Height 8 5 inches Width 6 5 inches Depth 4 8 inches Weight 6 6 pounds OPERATIONAL SPECIFICATIONS FLOW RATES Range 1 300 mL hr Increments 1 mL hr Accuracy 10 or 0 5 mL hr whichever is greater refer
6. to CHECKING PUMP ACCURACY page 11 Pressure Pumps against 18 psi nominal back pressure before no FLO alarm Refer to PATROL MAINTENANCE AND REPAIR MANUAL for test procedure BATTERY OPERATION Type Rechargeable sealed lead acid Voltage 6 V the pump will fully recharge in a maximum of 4 5 hours while pump is off or 12 hours if the pump is operating Expected Life When fully charged 8 hours at 125 mL hr STANDARDS Designed and manufactured to meet requirements of Canadian Standards Association EXPLANATION OF SYMBOLS N Attention consult accompanying documents 16 LIMITED WARRANTY Ross Products Division of Abbott Laboratories warrants each Ross Patrol Enteral Pump purchased as a newly manufactured unit against defects in materials and workmanship for a three 3 year period from date of shipment and warrants purchase of each remanufactured used Patrol Pump for a twelve 12 month 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 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 containe
7. 5 minutes Then run fluid into the graduated cylinder for 30 minutes and compare to SET RATE on pump Amount Expected in Graduated Cylinder SET RATE 30 minutes 76 mL hr 34 2 mL to 41 8 mL 150 mL hr 67 5 mL to 82 5 mL If amount in graduated cylinder is incorrect based on SET RATE try a new pump set and repeat procedure 11 TROUBLESHOOTING The Ross Patrol Enteral Pump is designed to be highly reliable However if problems occur intermittent audio alarms accompanied by messages on the front panel indicate the cause of the alarm for all alarm conditions The following tips will help correct problems that may arise VISUAL DISPLAY CONDITION OR PROBLEM EXPLANATION OR CORRECTIVE ACTION no FLO Flow has stopped due to occlusion or empty container Turn dial to HOLD Clear obstruction check for kinked tubing or empty container Refill container if necessary Be sure sight chamber is not overfilled or covered with a film of product Turn dial to RUN to start pump doSE FEd Dose complete VOL FED is equal to the SET DOSE Turn dial to HOLD Turn dial to SET DOSE and depress up arrow to increase dose OR depress down arrow to zero the dose setting OR turn dial to CLEAR VOL after four beeps volume fed will be cleared Turn dial to RUN to start pump FrEE FLO Free flow alarm Indicate
8. and simple controls The Patrol Pump uses a specially designed feeding set which includes a bolus prevention feature to provide safe accurate control of enteral feeding The Patrol Pump offers these features 1 Alarms for free flow 2 Flow rate selection from 1 to 300 mL hr in 1 mL hr increments 3 Accuracy to 10 or 0 5 mL hr whichever is greater refer to CHECKING PUMP ACCURACY page 11 Dose setting Volume fed accumulation 8 hour battery operation at 125 mL hr when fully charged Alarms FrEE FLO free flow no FLO no flow doSE FEd dose fed LO bAt low battery SEL rAtE invalid rate select rate SEL run inactivity select run E1 E9 failed pump self test 8 Programmable HOLD timer 9 Lock out feature 10 System self check 11 User friendly operating controls 12 Simple setup 13 Memory Automatic retention of the following values until turned off and disconnected from AC power VOL FED volume accumulation RATE DOSE INDICATIONS FOR USE The Ross Patrol Enteral 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 The flow rate range is 1 to 300 mL hr in 1 mL hr increments The flow rate accuracy is 10 or 0 5 mL hr whichever is greater Pumps against 18 psi nominal back pressure before no FLO alarm If these specifications are not appropria
9. ation check the pump daily and clean immediately after spills occur While cleaning pump should be turned off and unplugged Do not submerge autoclave heat steam ETO or radiation sterilize the pump THE PUMP CAN BE CLEANED AS FOLLOWS HOUSING Clean outside surface only do not spray water or cleaning solution into pump For general cleaning use soft cloth and warm soapy water Rinse and dry thoroughly For general disinfecting and or after exposure to tuberculosis use 70 6 concentration isopropyl alcohol For disinfecting after exposure to AIDS or hepatitis use 10 6 concentration of 5 25 sodium hypochlorite household bleach This solution may discolor the pole clamp NOTE These recommendations are not substitutes for official procedures that may differ among institutions DROP DETECTOR Clean the drop sensors with a soft brush soft lint free cloth or cotton swab and warm soapy water Then rinse the drop sensors with a cotton swab and warm water Be sure no soapy film or residue is left on lenses Dry thoroughly DO NOT CLEAN WITH ALCOHOL ROTOR ASSEMBLY Clean the pump with a soft lint free cloth to avoid damaging the surface Be especially careful with the operator s panel and drop detector area If necessary mild warm soapy water may be used sparingly Avoid the use of all strong solvents or cleaners as these will damage the pump Detach the pump rotor from the pump by loosening the Allen
10. dis NOTE If alarm sounds turn play Holding down an arrow will pump dial to HOLD Correct cause the numbers to scroll Never alarm condition indicated by sharp objects visual display then turn dial to cils fingernails or paper clips to RUN to restart feeding For depress the keypad arrows explanation of alarms see pages 14 If desired turn dial to SET DOSE 12 and 13 and select dose by pressing the PRECAUTION The pump set ALLOWS and container should be NOTE Pump will operate without a replaced as needed or at least DOSE selected SET DOSE at 0000 every 24 hours to avoid fluid 15 Turn dial to RUN to start feeding contamination problems For single patient use only Do not store for prolonged periods at extreme temperatures 16 To see feeding volume delivered turn dial to VOL FED 10 CHECKING PUMP ACCURACY Fluid head height and viscosity are two variables that can affect flow rate To check flow rate use the following procedure Select a new pump set for this test Be sure to use a graduated cylinder for volume measurement not an enteral container or other uncalibrated vessel Using Ensure Complete Balanced Nutrition Osmolite Isotonic Nutrition or tap water fill the feeding container and set up pump according to instructions Suspend bag to side of or behind and 20 inches above pump see illustration With the test pump connected to AC power start the pump and let it run for 1
11. l BACK PANEL DYNGPR Yossible eerposion hpzaad if ubdd in he prosence of foimmable anest WAURION Eircirucal spick haraard Gf nzt ozeg cise Refwr servicpng to quplifled service pursotnel NARUING Diocolnect AP pewey coro sprvifing Rapl ce batkjery only with apjroved Rous rhplicement pjgrt Troinding velsily wat wnry ba awhieved whin this eduipmontis connrctew yo a iecoptacle marted Poskital Drede ITPUPT 143L 60UT K00mP lt PUTRTED DOIUNT PUYT us GRJUNH TSST PUINT RTW CUVDR YDER Pole Clamp with Set Cover Holder Hospital Grade Power Cord CONTROL DIAL SETTINGS DIAL FUNCTION OFF CHARGE Stops all pump functions Battery charges in all dial settings when pump is plugged in The pump will retain current RATE DOSE and VOL FED values indefinitely unless the pump is unplugged from an AC power source while in the OFF CHARGE setting NOTE Removal of the plug from electrical receptacle is used as the means of disconnection from AC power SET RATE Allows flow rate to be set 1 to 300 mL hr in mL hr increments by pressing the keypad arrows when the pump is in the SET RATE mode The up arrow increases the rate The down arrow decreases the rate NOTE The LOC feature may be activated by depressing both arrows simultaneously when the dial is in the SET RATE position Repeat procedure to deactivate The SET RATE SET DOSE and CLEAR VOL
12. rs 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 newly manufactured unit are made under warranty because of faulty material or workmanship within three 3 years from the date of shipment 12 months for purchase of a remanufactured previously used unit 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 Ross 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 17 NOTES ROSS IN ENTERAL
13. s gross uncontrolled overdelivery Remove pump from patient immediately Verify pump set is properly installed Replace set if necessary Confirm no drops fall when in HOLD Check accuracy per page 11 SEL rAtE Dial turned to RUN without selecting a rate 12 Turn dial to SET RATE Enter a rate using the up or down arrow TROUBLESHOOTING continued VISUAL CONDITION OR EXPLANATION OR DISPLAY PROBLEM CORRECTIVE ACTION SEL run HOLD time out Turn dial to RUN E1 E9 Electronics error Remove pump from patient immediately and contact Ross LO bAt Approximately 30 minutes Turn dial to HOLD then RUN of battery operation remain Plug power cord into AC outlet for 12 hours then continue feeding NOTE After 30 minutes pump alarms continuously for 1 minute and then shuts down H5 HOLD countdown Turn dial to HOLD If desired program the HOLD timer for 1 90 minutes by depressing the up or down arrow LOC Lock out disables SET RATE Turn dial to SET RATE SET DOSE and CLEAR VOL Depress up and down dial settings arrows simultaneously to deactivate Repeat steps to activate 8888 Display test All segments should be 13 illuminated CLEANING There are no routine calibration or adjustment procedures required with the Patrol Pump All servicing or adjustments should be referred to qualified technical personnel refer to Service Manual For trouble free oper
14. te for a given patient the Patrol Enteral Pump should not be used PRECAUTIONS e This pump is designed to deliver liquid enteral feeding products only standard liquid products infant formulas or reconstituted powder products that have been thoroughly mixed into solution e Enteral pumps may have the potential to bolus feed or overdeliver which is an important consideration in feeding volume sensitive patients In these patients do not hang more volume of nutritional product than can be tolerated as a bolus NOT FOR IV USE Confirm proper placement and function of patient s enteral feeding tube nasogastric nasojejunal gastrostomy etc Failure to do so may result in vomiting and or aspiration Verify the following before initiating feeding 1 Only a Ross Patrol Pump Set is being used 2 Pump set tubing is properly stretched counterclockwise under rotor and blue connector is secured in the pump 3 If the feeding set is damaged in any way eg broken cut torn parts separated replace the set immediately 4 Flow rate is set at the prescribed mL hr dial SET RATE refer to page 6 Pump set and container should be replaced as needed or at least every 24 hours to avoid fluid contamination problems For single patient use only PANEL DISPLAYS Here is a simple explanation of the panel displays Understanding them is necessary for successful operation of the pump FRONT PANEL FEEDING Display Pump Dia
15. terrupted such as when connecting a new feeding container If pump is left on HOLD for more than 5 minutes an alarm will sound and the message SEL run SELECT run will be displayed NOTE The HOLD timer may be programmed for a duration of 1 90 minutes in 1 minute intervals by depressing the keypad arrows either up or down when the dial is in the HOLD position USING THE HOLD FUNCTION TO SILENCE AN ALARM HOLD also is used to silence an alarm When placing pump on HOLD to silence an alarm pump remains on HOLD and visually flashes the alarm message until condition is remedied and pump is returned to RUN In this case the 5 minute timer will NOT be initiated and no audible alarm will sound VOL FED Stops pumping action The display will show the volume delivered Pump accumulates volume delivered up to 9999 mL unless the volume is reset to zero by turning to CLEAR VOL or the pump is unplugged while in the OFF CHARGE mode Upon exceeding the maximum volume allowed on the display the value turns to zero and a new accumulation begins This is not accompanied by an alarm Stops pumping action and resets the VOL FED to zero NOTE The pump will beep four times before clearing the volume to alert users that the dial has been turned to CLEAR VOL The user must turn dial away from CLEAR VOL to any other setting before the fourth beep to avoid an unintentional loss of accumulated volume PUMP SETS The
16. values cannot be changed while the LOC feature is activated SET DOSE Allows dose to be limited 1 to 9999 mL in 1 mL increments by pressing the keypad arrows when the pump is in the SET DOSE mode The up arrow increases the dose The down arrow decreases the dose Completion of this dose triggers the doSE FEd alarm Refer to doSE FEd page 12 NOTE Pump will operate without a DOSE selected SET DOSE at 0000 RUN Only setting that activates feeding Visual display shows rate of flow in mL hr and the dash on the left side of the display scrolls from top to bottom when pump is in RUN mode NOTE With flow rates less than 185 mL hr it is nor mal for rotor movement to be intermittent eg starts stops starts stops etc while in the RUN mode This intermittent movement regulates the rate of flow con serves battery life and does not affect the accuracy of the pump The RUN mode should always be verified by the top to bottom scrolling bars on the left side of the display window Battery Operation Indication Battery powered opera tion is indicated by periodic flashing of the displayed SET RATE while in the RUN mode The horizontal scrolling dash is constantly visible while the pump is in the RUN mode on battery or AC powered operation 6 CONTROL DIAL SETTINGS continued DIAL HOLD FUNCTION USING THE HOLD FUNCTION HOLD stops pumping action Use HOLD whenever pumping action must be temporarily in
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