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Enteral Feeding Pump - Sparrow Health System

1. 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 28 KANGAROO ePump 2005 Tyco Healthcare Group LP 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 Feed or Flush containers are empty Feed or Flush tube becomes occluded between bag and pump Tube becomes occluded between pump and patient e Battery low alarm beeps continuously about 15 minutes before shut off e Unit is left in HOLD mode longer than 10 minutes without input Pump Set tubing is improperly loaded around the rotor System errors see below 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 becaus
2. 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 OMTINUOUS INTERMITTENT ONE E 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 Flush sets Select this option to program the feeding parameters from the ADJUST FEED screen Figure 10A Press FEED RATE in Figure 10A to define the rate of delivery Press the buttons in Figure 10B to program the rate from 1 to 400 in increments of 1 ml hr Press ENTER top button to exit the menu Press 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 ENTER top button to exit the menu If the FEED VTBD is set to zero the pump will run until the supply is exhausted NOTE When a FEED VTBD is set the remaining volume to be delivered remaining VTBD will be displayed next to the v icon on the lower right hand portion of the screen Figure 10A If the FEED VTBD is reprogrammed during a feeding from HOLDING mode the pump will restart the fee
3. BOLUS MAX mode The feeding rate for BOLUS MAX is 999 mL hr Intermittent Mode Flushing For INTERMITTENT feeding mode with a Feed amp Flush Set the opening menu shown in Figure 7D will show the ADJUST FLUSH option Press ADJUST FLUSH in Figure 7D to program the flushing parameters from the ADJUST FLUSH screen Figure 13A Enteral Feeding Pump 19 2005 Tyco Healthcare Group LP Seovuses FED cous 3 lont UN rus DOn AT LEFT INTERVAL IS FROM START OF h FLUSH TO START OF FLUSH o EUERV 8 rs Figure 13A ADJUST FLUSH Figure 13B Setting the Flush Figure 13C Setting the Flush Time menu intermittent mode Volume 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 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 fl
4. Group LP Feeding Set Capture 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 I Enteral Feeding Pump Read this booklet thoroughly before using the KANGAROO ePump enteral feeding pump 2 Do not use this device near flammable anesthetics 3 4 Useonly KANGAROO ePump enteral feeding pump Power Cord with built in A C adapter with pump See Section Disconnect power supply before cleaning or servicing XIII Service Part Numbers for replacement of Power Cord Use only KANGAROO ePump enteral feeding pump Pump Sets with this device Pump is not compatible with other Pump Sets 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 For service or for technical information please contact Customer Service Section XI 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 Dispose of old battery powered electronic equipment in a manner consistent with institutional policy for expired equipment disposal Cleaning frequency and practices must be consistent with institutional policy for cleaning o
5. Group LP j CE T40 F ANGS VDE in Europe For Medical Equipment 100V Japanese Certification 1 Grasp finger tab on valve and 3 insert into left pocket 2 Grasp black ring retainer and I T gently stretch tubing around rotor 3 Pull up on retainer and insert into right pocket 1 Maximum operating pressure 103 kPa 8e Assure that the white cap and red stepped connector 2 are securely tightened RED STEPPED KANGAROO ePump 2005 Tyco Healthcare Group LP 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 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 Tyco Healthcare Canada 98 6 Faichney Drive 7300 Trans Canada Watertown NY 13601 Pointe Claire Qu bec Canada H9R 1C 1 800 448 0190 or 315 7
6. 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 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 D POWER button on the lower right of the front panel To power down the pump press and hold the 4 POWER button until the pump display turns off Language Selection First Power Up Immediately after powering up the pump for the first time the language option screen will appear Select the language using the N or NY buttons When the language is selected push the fifth button lt to enter the language selection After the language is selected the first time the pump is powered up the language selection scre
7. emissions CISPR 11 Group 1 The NANGAROU 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 RF emissions CISPR 11 lass B 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 for domestic purposes Harmonic emissions IEC 61000 3 2 lass A Voltage fluctuations flicker emissions IEC 61000 3 3 Complies Radiated Disturbance Immunity EN60601 1 2 IEC 61000 4 3 2002 Complies Conducted Disturbance Immunity EN60601 1 2 IEC 61000 4 6 2001 Complies Power Frequency Magnetic Field Immunity EN60601 1 2 IEC 61000 4 8 2001 Complies Voltage dips and sags Immunity EN60601 1 2 IEC 61000 4 11 2001 Complies Electrical Fast Transient Bursts Immunity 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 Complies Enteral Feeding Pump 8 2005 Tyco Healthcare Group LP Section XVI AccuSystemy The KANGAROO ePump is a reliable and accurate enteral feeding device The reason for the accuracy of the KANGAROO ePump enteral feeding pump is the design controlled calibration methods and stringent manufacturing controls One of the most c
8. 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 rusa 5n every Ohrs EVERY Figure 5A LOAD A SET opening menu Figure 5B LOAD A SET opening menu screen for Continuous screen for Intermittent Feeding mode Feeding mode Toload 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 slot Figure 6B 5 Press down on the valve5 finger tab to ensure proper seating 6 Close blue transparent door Pump Set Finger Tab Set Loading Door NS a L1 yl t TJ Button Figure 6A Figure 6B Enteral Feeding Pump S B 2005 Tyco Healthcare Group LP 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 LIPFILIF TL FEED RRTE De hr 150i
9. 10 or 0 5 ml hr whichever is larger with bag at 46 cm 18 above pump at room temperature 22 C 2 C 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 16 8 cm 6 6 Width 16 3 cm 6 4 Depth 11 7 cm 4 6 Weight 1 1 kg 2 4 Ibs 1 2 kg 2 7 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 5 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 System Error How Error e Pump Set Dislodged Error Hold Error Rotor Error Feed Error e Hush Error Dattery Low Alarm Volume Minimum of 70 dBA at 1 meter in maximum volume orientation Enteral Feeding Pump 8S Operating Temperature 10 40 C 50 104 F 7596 R H non condensing Storage Temperature 0 50 C 32 122 F 9596 R H non condensing Type of Protection Against Electric
10. 3 DioTech Meee ts stelle latte suah eati tdm tet AE 24 CCS AMOS IOI CE SCOR PR 24 POL CC GCI AUG ases v UR ORNA EE PR CERE E EMITE RI uM NEU te TA epa 24 LOK SNIF ONE TO T LOCK CU ttm 24 Lork screen Feat oarso tte feo m ET E o Ceca tte Lo ied 25 Section VI Re Certification of Performance System Performance Re Certification c sssssssssscsssssssssssssssscssssssssesssessssecsessecsessessesseessssesassseeaseseeneesee 25 Certifying the Accuracy of Pump Flow Rate c scssscsssssssssscsssssessesscssesscsscsssecsssucsesscsessesassseeaseseeaeesee 26 Section vil Cleanilld iu a nn RH RH nS 26 Section VIII Battery Replacement eee 28 Enteral Feeding Pump 3 2005 Tyco Healthcare Group LP Page Section IX Error Warning Informational Screens and Troubleshooting EN ENO sie cotra N HP REESE ERRARE UNE OH ten HERD NU AO 29 PONDER O ee U PP 30 BOLOPEFIOD cere tte Seti eon dd SCIL EA eet s Ma I ir Rent 31 PoETO coetu secesae at MM ttes E xu ert 31 diris ewe EE 31 RON di o eR ITE 32 Pump Ser Dislodged ENON cedendo novit ctt che died ae MU dee tend NM 32 Bdtteby EO odes horde E E ta cassette dette Ay 33 RSS AIRLINE RETO 33 Pump set Use 24 HOLS Wall asses SERBIEN ERR eet RH Y EM MAeESR SORORE rH ADR RPRR ER 33 Able ME 34 Section X Specifications and Symbols SPCC CANONS secet ere pere rt t cH nemi cU ete UM EEUU 34 Symbols on Pump and Accessories sscsscsscsss
11. 88 5246 1 877 664 8926 or 514 698 1220 U K Service Center Outside of U S and Canada Tyco Healthcare Group LP 20 Garryduff Road Ballymoney BI53 7AP 44 28276 61719 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 Pump Set Loading area To replace the Side Door see Figure 32 and do the following 1 Place top Door Hinge onto the Top Hinge Pin 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 Lower Hinge Lower Door Hinge Figure 32 Blue Door Replacement Enteral Feeding Pump 8 2005 Tyco Healthcare Group LP Battery Pack See Section VIII for full instructions on replacing Battery Pack During long term non usage or storage greater than 9 months of the pump battery discharge and deactivation may tend to occur It is recommended that the battery be disconnected during this time The battery may need to be charged and discharged several times to restore optimal ca
12. FED 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 witha Feed Only set Prime Pump mL hr 150 FED rusa 25a every hrs Figure 7B Opening menu for Continuous Feed mode with a Feed amp Flush set seus 3 lon EVERY Bhrs FLUSH 25 Dit every hrs B 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 induding the flushing line if a 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 PRIMING menu for Feed Only set 14 Ege PATIENT BEFORE PRIMING Figure 8B PRIME PUMP menu for Feed amp Flush set KANGAROO ePump 2005 Tyco Healthcare Group LP 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 AUTO PRIME to automatically prime the line s For Feed amp Flush Pump Sets the auto prime feature will automatic
13. RECN OF EI GIUM UND A TII o RS UHR cubeseaast 12 Loading EUMD S BIS desee itd ord oe ce LLL cA ALD HT 13 PEIELGPUTDD ceci eerte coelis ec dieti cie an oe eo e eta rtt taa poe Te 14 AUCH Oa RERO ON NERA ER MEA ORNARE NDA incase se I pASS Ut UT o RIA RU 15 DIDI TOS E so recs A A E E utile Mee Uoc tte tuus UIS EU 15 Hec DADO OP Bg EMD debi M Gta me er ee im e NEAN 15 Selecting Continuous or Intermittent Feed Mode ccssssscsssssesssssesesssssscsssscsessscsessecsessessessessesseeseeseesees 16 2 KANGAROO ePump 2005 Tyco Healthcare Group LP TABLE OF CONTENTS Page Continuous Mode Adjust Feed sssssscssssscssssscsscsssssesssssssesssssssssssssnssassassassnssscsussscsussecsucsecsseesesseaseaees 16 ou Tu MOGE aco PH 16 COM nuou MOCO FUSING ede steer oett ces LP sua eei M DN A D EE 17 Intermittent Mode Adjust BolUus cscssssscssssscssssssssssssssssesssssssosssssnssassnsssssnssscsassscsussscsuesscsecsseaseseass 18 MIRROR ENIOGE FCOITG EEE E tet ptr PR ERRARE 18 JOH TS Mode a IM BOLUS IGN e M 19 Jat cU n Ode U s me ET 19 DU T NR 20 POU cs aaa NP RITE D E 21 PIS OU sia T 22 More JP NUES ETE D DOSE 23 2117722915 0 0 OWING EET TT 23 LAS 6 VS EN ERR EORR CLUSTERS CERT HSTUTEN TREO EE E ENT NU 23 PQ A A eset EEE NETES EE EA HU AL NNUS e ay UMANE Pec nea ut 23 OMUMUOUS MONI MENT TOU PE E tot Go vero S beet pde Gut tuelileicsets 2
14. S 8 unauthorized changes REGION CODE 1 av LOCK SETTINGS DONE 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 inFigure 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 will 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 gt 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 24 KANGAROO ePump 2005 Tyco Healthcare Group LP PROGRAM Figure 19 Program Locked screen LOCKED 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 bu
15. a quick visual indication of positive status in a darkened room The RUNNING screen shows the feed rate amount fed flushing data if a Feed amp Flush Pump Set is used and the remaining volume to be delivered remaining VIBD The remaining VTBD is shown next to the v icon 20 KANGAROO ePump 2005 Tyco Healthcare Group LP The RUN option can be selected from the following screens if the proper parameters are programmed and the Pump Set is loaded e SET LOADED screens Figure 7 e ADJUST FEED screen continuous mode Figure 10A ADJUST FLUSH screens Figure 11A 134 e HOLDING screens Figure 15 150uL FED rusa 290ml EVERY hrs 2000 z continuous feed mode Hold Pump operation can be paused by pressing HOLD while itis 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 an informational 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 FEED RRTE ml EE E 150 01 ESUME IN FED i BOLUS MIN tiusq 250m lt every Bhrs every Bhrs F FLUSH every Bhrs G Figure 15A HOLDING mode Figure 15B HOLDING mode options cont
16. al Shock 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 Documents See Instructions A Type BF Protection Degree of protection against electrical shock there is no conductive connection to the patient ANA Manufacturing Date Code SN L1 Medical Equipment Serial Number Reorder number for the device located on the carton label Alternating Current Class I Equipment degree of protection against electrical shock Double Insulated Direct Current DC IPX1 Drip Proof Degree of protection against ingress of fluids C CE Mark European o123 Community Certification Power Button 36 Cz ex 12 900 0 o Buttons for Selecting Screen Prompts Power Source 9V DC 1 5 Amp DB9 Serial 1 0 Communication Port Certification and Programming Caution For indoor use only Functional Ground Do not use Kangaroo ePump Feeding Sets for greater than 24 hours Do not use if unit package is open or damaged Flushing Solution Feeding Formula See Kangaroo ePump Manual for Feeding Set loading instructions 2005 Tyco Healthcare
17. ally 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 If a Feed amp Flush 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 Em
18. ding and deliver the entire volume of the new VTBD setting 16 KANGAROO ePump 2005 Tyco Healthcare Group LP EL FEED RATE 150m FED AT LEFT 3 20000 e Figure 10A ADJUST FEED menu Figure 10B Setting the Feed Rate Figure 10C Setting the Feed 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 least one
19. e section Turn the power off and back on to try to clear the error If the error cannot be resolved in a timely manner press M 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 inactive without input for more than 10 minutes See subsection Hold for description of HOLDING mode Press gt CONTINUE to return to the previous 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 CI POWER to stop operation of the pump and put a different pump into service 30 Figure 23 Hold Error screen CONTINUE POWER DOWN KANGAROO ePump 2005 Tyco Healthcare Group LP 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 generally 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 CONTINUE to restart If the error cannot be resolved press T 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 pre
20. e of the severity ofthe 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 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 ADCISR for Ultrasonic during Downstream Occlusion Oo OO NS QV uU A N9 R5232 Communications Transmit 10 Flash Write Error 11 Flash Read Error 12 Stopcock Time Out 13 Time Out for Buzzer lest Enteral Feeding Pump S 2005 Tyco Healthcare Group LP Error Related Sub system 14 20 21 22 23 33 50 5 52 Time Out during downstream occlusion check never got RotorOn3 0 May blow fuse Could not find Stop Cock 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 Motor Control Failure Graphic Display Error Timeout during GDStatusCheck function Graphic Display Error Timeout during GDAutoModeDataWriteCheck function Graphic Display Error Timeout during GDWriteBytes function Figure 22 General System Error screen See Customer Servic
21. ector 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 cord 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 connected 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 Enteral Feeding Pump 9 2005 Tyco Healthcare Group LP 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 16 bolt to fasten together as shown in Figure 3 Figure 3 Attaching and using the Pole Clamp 10 KANGAROO ePump 2005 Tyco Healthcare Group LP Section V Instructions For Use Quick Start Press Cl POWER on lower right hand corner of control panel NO Open blue door enc
22. eding pump will deliver accurately every time it is utlized 40 KANGAROO ePump
23. eeding pump should only be used for patients who can tolerate the flow rates and accuracy levels delivered by the pump Premature infants may require higher accuracy rates than specified for this enteral feeding pump Section III Icon Identification Run Mode Vertically moving droplet 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 When auto priming the bar will progress PRIMING to show auto prime feature is active NENNEN 101 Volume Setting Indicates alarm volume setting ai MOLUME KANGAROO ePump 2005 Tyco Healthcare Group LP Error Indicator Pump operations are stopped until the error is resolved Information Indicator 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 A C Adapter Port Plug Figure 2 Alignment of A C Adapter plug with 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 conn
24. ely perform a flush flush on demand by pressing 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 gt FLUSH NOW is pressed by accident the screen will return to the RUNNING screen after 10 seconds if there is no input for the flush volume 22 KANGAROO ePump 2005 Tyco Healthcare Group LP 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 ONTINUOUS INTERMITTENT ONE Buzzer Alarm Volume Press gt 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 Critical errors of SYSTEM ERROR and PUMP SET DISLODGED will always use the maximum volume setting 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 req
25. en will not appear during future power up operations Should the language need to be changed after the initial power up it can be changed through the MORE OPTIONS menu see Figure 16 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 BioTech 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 volume totals mL FED Continuous Feed Mode or BOLUSES FED Intermittent Feed Mode and mL FLUSH are also maintained CLEAR SETTINGS Select this option to reset all input feeding settings and the output feed totals to zero It will then be necessary to program all settings before running the pump Note The output feed totals mL FED BOLUSES FED mL FLUSH can be cleared at any time and without Clearing the input settings by doing the following Start the pump RUNNING Press HOLD Press CLEAR VOLUME 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 12 KANGAROO ePump 2005 Tyco Healthcare Group LP Loading Pump Sets The KANGAROO ePump enteral feeding pump will indicate LOAD A SET in the screen s status line
26. f non sterile devices See Section VII Cleaning for instructions on cleaning the KANGAROO ePump enteral feeding pump 2005 Tyco Healthcare Group LP See icon descriptions in Section Ill lcon Identification and Section X Specifications and Symbols for additional safety information 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 pumps DB9 port is not recommended for customers the following should be considered in the event that the customer decides to connect to this port he 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 Under no circumstances should the certified accessory be used while the pump is in use for enteral feeding of a patient CAUTION This enteral f
27. flush had occurred during formula delivery USH FEED RATE Mte TM hr 15000 FED AT LEFT rusa 250ml every 8hrs Figure 11A ADJUST FLUSH Figure 11B Setting the Flush menu continuous mode Volume Enteral Feeding Pump AT LEFT INTERVAL IS FROM START OF FLUSH TO START OF FLUSH gt Figure 11C Setting the Flush Time Interval 17 2005 Tyco Healthcare Group LP 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 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 gt 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 buttons in Figure 12C to program the number of boluses up to a maximum of 99 Press gt 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 supply is exhausted Press VOLUME PER BOLUS in Figure 12A to define the Volume to be delivered in each bolus Press the buttons in Figure 12D to program the volume per bolus from 1 to 1000 ml in increme
28. ials 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 Removal defacement or alteration of serial lot number voids warranty Kendall disclaims all other warranties expressed or implied including any implied warranty of merchantability or fitness for a particular purpose or application other than as expressly set forth in the product labeling 38 KANGAROO ePump 2005 Tyco Healthcare Group LP 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 Emissions Test Electromagnetic Environment Guidance RF
29. ine Phisohex Hibiclens or Vesta Syde because damage to the pump case housing can result Directions for Cleaning Pump Housing Refer to General Cleaning Directions before starting lean 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 e 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 e f 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 as this can lead to an electrical shock or fire hazard Directions for Cleaning Rotor Assembly Refer to General Cleaning Directions before starting e 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 e lean rollers thoroughly with warm soapy water or isopropyl alcohol if necessary e Be sure all parts of rotor are completely dry before putting it back onto shaft e To replace rotor align set screw on hub of rotor with the flattened sectio
30. inuous feeding mode options intermittent feeding mode Enteral Feeding Pump 0 2 2005 Tyco Healthcare Group LP Clear Volume Fed Press gt CLEAR VOLUME to re zero the output feed totals mL FED BOLUSES FED and mL FLUSH Adjust Settings Press 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 going into HOLD the opening menu will show LOADA 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 RESUMEIN MIN will increment the resume time by 5 minute increments up to 30 minutes After 30 is reached each additional button press will increment in larger time steps up to a maximum of 240 minutes Another button push after 240 will cycle the resume in time back to zero 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 immediat
31. k of Tubifoam Ltd VESTA SYDE is a trademark of Steris Inc TYCO HEALTHCARE GROUP LP MANSFIELD MA 02048 MADE IN U S A 2005 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 050328 PRODUCT INFORMATION IN U S 1 800 962 9888 www TycoHealthcare com EC REP TYCO HEALTHCARE U K LTD GOSPORT P013 OAS U K SWISS DISTRIBUTOR TYCO HEALTHCARE SWITZERLAND LTD ROOSTRASSE 53 POSTFACH CH 8832 WOLLERAU SWITZERLAND 2 182388 2005 Tyco Healthcare Group LP Thank you for purchasing the KANGAROO ePump Enteral Feeding Pump With proper care this device will provide you with years of precision service TABLE OF CONTENTS Page Section General Information eren 5 Section Safety and Warnings eennnnnn 7 Section II Icon Identification eee 8 Section IV Initial Setup Attaching the A C Adapter Power Cord ssssssssssesssssessssscsssssssscssssscssssucesssucsessucsessussessucsecsussusseesessesaseass 9 Dattery SOUD ORDEN EMITIR NT vascsed svasstesersA0ae AE 9 Attaching Pole CaM paresan aeter ttt tech eI S E RS 10 Section V Instructions for Use BU eeiam e 11 General Sar aeaa nra PME CNE 12 EOE L EE EEEE AAAA E EAE PEN E E A E 12 146 2717 2 601 1911 pt MOI 12 BTCV OW Or DCMU tu tM NE NEU 12 Ree aS 12 KN GUGGC SOICGCHON FSC POWE UD m 12
32. losing Pump Set loading area I 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 lose blue door Note display status line should read SET LOADED lo automatically prime the pump press PRIME PUMP and AUTO PRIME For Feed amp Flush sets auto priming will prime both lines lo directly control pump priming press gt PRIME PUMP and then press and hold the HOLD TO PRIME button s If a 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 Nc Cn On 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 Press gt RUN when ready to start The screen will display RUNNING To stop press HOLD or press and hold the C POWER button co J Black Ring Retainer MISTIC Figure 4 Installation of Pump Set Enteral Feeding Pump S 2005 Tyco Healthcare Group LP General Startup Placement Mounting
33. n of the output shaft e Push rotor into place and tighten set screw Do not over tighten Enteral Feeding Pump 0 7 2005 Tyco Healthcare Group LP 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 If a 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 Power down the unit Loosen the Battery Door screw on back of pump e Open Battery Door and disconnect wire harness A small straight bladed screw driver may be needed to disconnect the connector tab Slide Battery Pack out of compartment Slide a new Battery Pack into compartment with wire harness extending out Align connector with red wire at upper right Push connector in until properly latched 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
34. n 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 components 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 e 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 26 KANGAROO ePump 2005 Tyco Healthcare Group LP General Cleaning Directions Cleaning of KANGAROO ePump enteral feeding pumps must 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 e 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 e DO NOT USE strong cleaners such as Spray N
35. ndle 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 pumps 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 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 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 Removable Pole Clamp Enteral Feeding Pump 5 2005 Tyco Healthcare Group LP Status Line Menu Selections a Status LEDs Input Settings Menu Selection Buttons Output Totals Power Button Graphic Display Battery Status Integrated Handle Feeding Set Cap Storage Area lt om ARE MO Pole Clamp rl 2 N Attachment Point CQ e SeS A C Adapter Port Serial 1 0 Port Battery C ale A RR SS Compartment Back Figure 1A KANGAROO ePump features front and rear views 6 KANGAROO ePump 2005 Tyco Healthcare
36. nts of 1 ml Press gt ENTER top button to exit the menu Press gt BOLUS INTERVAL in Figure 12A to define the time interval between starts of bolus deliveries Press the 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 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 NOTE f the NUMBER OF BOLUSES is reprogrammed during a feeding from HOLD mode the pump will restart the bolus feeding and will deliver all the boluses as defined by the new setting 18 KANGAROO ePump 2005 Tyco Healthcare Group LP Figure 12B Setting the Bolus Rate S000 MAX PRESS BUTTONS AT LEFT gt Figure 12D Setting the volume per Bolus Intermittent Mode Feeding Bolus Max BOLUS 3 int meny every hrs NUMBER OF BOLUSES NTER Figure 12C Setting the Number of Boluses BOLUS INTERVAL INTERVAL IS FROM START OF BOLUS TO START OF BOLUS 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 gt BOLUS MAX in the BOLUS RATE menu Figure 128 to program the
37. pacity 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 Figure 33 Battery Door Replacement Power Cord See Section IV for initial setup including Power Cord attachment 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 qualified technical personnel Visit our web site at www TycoHealthcare com 1 KANGAROO ePump US 382400 i Paneth te ag Nad International 482400 2 Main Door Blue transparent door F31877WT O Battery PAC Koei od cafes ote oa ROT o F010484WT 4 Battery Door with Screw F31878WT Power Cord with A C Adapter 382491 us POE CAND ca cdam e ibt eet 382492 Electrical Plugs Set of 4 382493 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 mater
38. peration A yellow light status indicates an informational or warning situation for 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 PUMP SET DISLODGED or ROTOR ERROR Section X Specifications and Symbols Specifications UL Listing SEL les WT Cem s MECHANICAL HAZAROS ONLY EN ACCORDANCE WITH ULSOS1 CAN CSA C22 2ND80 1 ESTDA Type Infusion Device Volumetric Pumping Mechanism Rotary Peristaltic Pump Sets Medical Electrical Equipment KANGAROO ePump Enteral Feeding Pump 1 Classified with respect to electrical shock fire and mechanical hazards in accordance with UL60601 1 2 Classified with respect to electrical shock fire mechanical and other specified hazards in accordance with CAN CSA C22 2 No 601 1 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 1 24 hours in 1 hour increments 34 KANGAROO ePump 2005 Tyco Healthcare Group LP Flushing Solution Dose Range 10 500 ml in 1 ml increments Flushing Solution Interval Range 1 24 hr in 1 hr increments Accuracy
39. pty 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 Refill the bag Press CONTINUE to begin the pump RUNNING Press gt HOLD Press gt ADJUST SETTINGS e Press gt PRIME PUMP Press HOLD TO PRIME to prime the line s Pump Sets should not be reused after 24 hours of initial usage Enteral Feeding Pump 85 2005 Tyco Healthcare Group LP 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 also 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
40. r the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the battery pack BATTERY LOL Figure 29 Battery Low error screen Indicates that the battery must be PLUG IN POWER CORD recharged immediately n9 so 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 RRTE mL hr Figure 31 Running screen with the gt 24 150a HRS of Pump Set Usage indicator in upper FED left of the screen rusa 250m every hrs Enteral Feeding Pump 3 LED Array 2005 Tyco Healthcare Group LP 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 o
41. ritical functional parts of the KANGAROO ePump enteral feeding platform is the AccuSystem v feeding set produced by Tyco Healthcare The functionality of the KANGAROO ePump AccuSystem y feeding set is extremely important for maintaining quality and also for allowing the accurate delivery of nutrition and hydration The reason the KANGAROO ePump enteral feeding pump and the KANGAROO ePump AccuSystem feeding sets have satisfied our customers expectations is due to the integration of these two parts during the manufacturing process The KANGAROO ePump AccuSystem y feeding set manufacturing process parameters are tightly controlled at Tyco Healthcare to minimize variation and produce consistent and reliable products The special grades of thermoplastic materials are also tightly controlled and are specifically chosen to deliver consistent quality and accurate flow delivery with the KANGAROO ePump enteral feeding pump The factory calibration and final determination of an acceptable KANGAROO ePump enteral feeding pump is dependent on the use of acceptable Tyco Healthcare KANGAROO ePump AccuSystem feeding sets The use of generic feeding sets or other feeding sets not produced by Tyco Healthcare is not supported or sanctioned by Tyco Healthcare The use of unauthorized KANGAROO ePump feeding sets could jeopardize the accuracy of the KANGAROO ePump enteral feeding pump Check your feeding set for the AccuSystem y logo to be certain that your KANGAROO ePump enteral fe
42. rror 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 restart the feeding If the error still cannot be resolved press C POWER to stop operation ofthe pump and put a different pump into service Qo FLOU ERROR CLOG IN LINE DOWNSTREAM Figure 27 Flow Error screen OF PUMP 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 If the error cannot be resolved load a new Pump Set prime it and restart the feeding If the error cannot be resolved press 1 POWER to stop operation of the pump and put a different pump into service SET DISLODGED POWER DOWN AND Figure 28 Pump Set Dislodged Error screen RE INSTALL SET 32 KANGAROO ePump 2005 Tyco Healthcare Group LP Battery Low The BATTERY LOW screen appears and the alarm beeps continuously when the battery needs to be recharged 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 wheneve
43. sessssssssssssssesosssssnssassaesassassacsussscsussscsussscsucsscsucsscsscaseasensesees 36 Section XI Customer Service ettet 37 Section XII Maintenance Side Door Enclosing Pump Set Loading Area sese tnntnntnntnntnncis 37 Dae Pack sonst cee ceate as E I MI AM M 38 Battery DUE cota b e HON TUR ARN RISE O RENS ERES CU RAND R ERA 38 Zuge m r RRMR 38 dUAA E M 38 Section XIII Service Part Numbers ttt 38 Section XIV Waltallby eee ie I d med t 38 Section XV Electromagnetic Conformity Declaration 39 Section XVI AccuSystemy ttc 40 4 KANGAROO ePump 2005 Tyco Healthcare Group LP 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 Stoplight LED array visually indicates pump status in a bright or darkened room Ergonomics e Quiet operation e Compact aesthetic design e Tabletop usage or IV pole mounting e Simple loading of Pump Sets e Transparent side door to protect Pump Set e Integrated ha
44. ss 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 If the occlusion cannot be cleared load a new Pump Set prime it and restart the feeding If the error still cannot be resolved press V POWER to stop operation of the pump and put a different pump into service Q FEED ERROR BAG EMPTY CLOG IN LINE Figure 25 Feed Error screen VALVE NOT LOADED TOP ALARM a Flush Error The FLUSH ERROR screen appears when the flushing solution is no longer being delivered because the flush bag is empty or because of a dog between the pump and flush bag 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 restart the feeding Enteral Feeding Pump 0 3 2005 Tyco Healthcare Group LP If the error still cannot be resolved press Cl POWER to stop operation of the pump and put a different pump into service FLUSH ERROR BAG EMPTY CLOG IN LINE Figure 26 Flush Error screen VALVE NOT LOADED gure 26 Flus Ws Flow Error The FLOW ERROR screen appears when either the feeding or the flushing solution is no longer being delivered because of a dog between the pump and the patient Check the line to find the occlusion causing the blockage If the e
45. t 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 22 C 2 C 72 F 3 F with a new Pump Set Fully fill a new Feed Only Pump set bag with water Load the Pump Set Suspend the Pump Set bag so that the bottom of the bag is 18 inches above the pump Makesure pump is plugged into A C power do not run test with battery power Program a Continuous Mode feed rate see below for suggested example rates Runthe pump for 15 minutes to achieve steady state operation hen 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 will be half of the value programmed for the hourly flow rate within 1096 or 0 5 ml whichever is larger hate Set Amount Expected in 30 Minutes 75 mL hr 33 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 leaning 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 clea
46. ttJCU Healthcare KENDALL KANGAROO ePump Enteral Feeding Pump Operation and Service Manual Enteral Feeding Pump Operation and Service Manual Nutripompe Manuel d utilisation et d entretien Pumpe f r die enterale Ern hrung Betriebs und Serviceanleitung Pompa di alimentazione enterale Manuale operativo e di manutenzione Bomba para alimentaci n enteral Manual de operaci n y servicio Enteral matningspump Anvandar och servicemanual Enterale voedingspomp Handleiding voor bediening en onderhoud Bomba de alimentac o ent rica Manual de funcionamento e assist ncia Enteraalinen ravitsemuspumppu Kaytto ja huolto opas Pumpe til enteral ernzering Betjenings og servicehandbog Avia evtepik oitions Eyyetpi to Aettoupyiac Kat og pBic Pumpa pro enter ln v ivu Provozn a servisn p ru ka Enter lis t pl l pumpa Kezel si s karbantart si k zik nyv Hacoc gna 3HTepanbHoro NUTAaHNA PyKOBOACTBO No 3Kcryryaratu M TEXHNYECKOMY 06 CITyKHBaHMHIO Pompa ywienia dojelitowego Instrukcja obs ugi i serwisowania Enteral Besleme Pompas Operasyon ve Servis K lavuzu Enteral ern ringspumpe Bruker og vedlikeholdshandbok CE RX A 0123 See Instructions Trademark of Tyco Healthcare Group LP or its affiliate SPRAY NINE is a trademark of Spray Nine Corporation PHISOPHEX is a trademark of Smith Kline Beecham Corp HIBICLENS is a trademar
47. tton 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 and then release it e Press and hold the third button from the top for at least 2 seconds and then release it e Press and hold the second button again for at least 2 seconds To unlock the screen use the same procedure above FEED RATE hr Figure 20 Padlock indicates pump is in LOCK SCREEN mode Section VI Re Certification of 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 XIll Service Part Numbers for ordering new Re Certification Pump Sets Enteral Feeding Pump 85 2005 Tyco Healthcare Group LP Load the Re Certification Pump Set The pump will automatically recognize the Re Certification Pump Set and give brief instructions to initiate the self diagnostic procedure Follow the instructions and review the pass fail information a
48. uested history time WARNING A maximum of 72 hours of past history can be retrieved excluding data trom the current hour Figure 17 Feed and Flush totals for up to 72 hours of previous history press excluding data from the current BUTTONS hour AT LEFT 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 or Intermittent Feed Mode for more information Press gt DONE in the MORE OPTIONS menu to exit the menu Enteral Feeding Pump 8 2005 Tyco Healthcare Group LP Biolech 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 Biolech 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 BioTech menu Figure 18 shows the BioTech screen sw 1234567 Sl 1 000 l l FLASH 8 100 Figure 18 BioTech screen with wes Pump Settings locked against CERT EB D
49. ush cycle Press the buttons in Figure 13B 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 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 Ihe 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

Enteral Feeding Pump - Sparrow Health System

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