kENDALL KANGAROO JOEY™ - Integrated Medical Systems, Inc.
Contents
1. Bolus Max Not Available in EZ Pump Mode 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 13B to program the 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 14A KANGAROO JOEY 6 enteral Feeding Pump EQLUS AT LEFT RT LEFT EVERY FLUSH INTERVAL IS FROM START OF EVERY FLUSH TO START OF FLUSH Figure 14A ADJUST FLUSH Figure 14B Setting the Flush Figure 14C 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 cyde that is already in progress The feeding cyde will pick up where it was interrupted after the flushing cycle is complete It is therefore possible that t2. Selecting Feed Mode EZ Pump Mode Option The EZ PUMP MODE option is a limited CONTINUOUS MODE only setting of KANGAROO JOEY Enteral Feeding Pump It feeds non stop no VTBD option at a rate 0 400mL hr as defined by the user until manually stopped It has no BOLUS FLUSHING RUN MODE SCREEN LOCK or AUTORESUME capability and displays no HISTORY information KANGAROO JOEY 0 Enteral Feeding Pump Turning on EZ PUMP MODE will automatically force the unit out of the INTERMITTENT BOLUS FEED mode if set Although the Continuous Mode feed VTBD will be set to 0 while EZ PUMP MODE is enabled the previous value of the Feed VTBD will be stored in the pump memory and recalled when EZ PUMP MODE is deselected The user can change the Feed Rate by normal means All other user settings including those not compatible with the EZ PUMP MODE BOLUS VTBD NUMBER OF BOLUSES SUPER BOLUS etc that were set before the pump was put into the EZ PUMP MODE will be ignored and invisible while in EZ PUMP MODE but remain stored in the pump memory for when EZ PUMP MODE is deselected EZ PUMP MODE essentially has no effect on CLEAR SETTINGS pressing CLEAR SETTINGS while EZ PUMP MODE is enabled will clear all Feed and Flush settings and totalizers as normal not just those that apply to EZ PUMP MODE Selecting the CLEAR SETTINGS option on power up will not clear Biotech Options such as EZ PUMP MODE or LOCK SETTINGS If the user selects the ADJUST FEED option fr
3. ttJCU Healthcare KENDALL KANGAROO JOEY 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 Benutzer und Service Handbuch 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 Gebruiks en onderhoudshandleiding Bomba de alimentacao ent rica Manual de funcionamento e assist ncia Enteraalinen ravitsemuspumppu Kaytto ja huolto opas Pumpe til enteral ern ring Betjenings og servicehandbog Avia evtepik o tionc Eyysrp to Aettoupyiac kat cuvtrjpnonc Pumpa pro enter ln v ivu Provozn a servisn pr rucka Enteralis t pl l pumpa Kezel si s karbantart si kezikonyv Hacoc gna 3urepanibHoro nuraHus PyKOoBO ICTBO No 3kcninyarauw N TEXHNYECKOMY O CNYKNBAHNIO Pompa zywienia dojelitowego Instrukcja obstugi i serwisowania Enteral Besleme Pompasi Kullanim ve Servis Kilavuzu Enteral ernaeringspumpe Bruker og vedlikeholdshandbok TM Trademark of Tyco Healthcare Group LP or its affiliate SPRAYNINE is a trademark of SprayNine Corporation PHISOHEX is a trademark of The Mentholatum Company HIBICLENS is a trademark of Regent Medical Limited VESTA S
4. e Attached to a vertical IV pole via the pole clamp peripheral device included with the pump e Placed on any stable surface A C Power Operation Plug the KANGAROO JOEY 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 KANGAROO JOEY sti Enteral Feeding Pump A fully charged new battery will supply 18 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 Note The KANGAROO JOEY Enteral Feeding Pump will not operate unless an approved KANGAROO JOEY Enteral Feeding Pump battery pack is installed in the pump Power On Off To power up the pump press the POWER button on the lower right of the front panel To power down the pump press and hold the 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 or Y buttons When the language is selected push the fifth button to enter the language selectio
5. 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 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 VTBD The remaining VTBD is shown next to the V icon 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 Figures 7A 7D e ADJUST FEED screen continuous mode Figure 11A ADJUST FLUSH screens Figure 12A 14A e HOLDING screens Figure 18A KANGAROO JOEY V enteral Feeding Pump FEED RATE mL hr Figure 15A RUNNING mode screen u23 for continuous feed mode FED rusa e DD nL EVERY Ehrs 1000m Figure 15B KTO H PROGRAM Figure 16 Program Locked screen LOCKED which indicates the pump is in LOCK SETTINGS mode KTO Not Available in EZ Pump Mode The Keep Tube Open KTO function within the KANGAROO JOEY Enteral Feeding Pump will help prevent a blockage of the feeding set by moving the feeding solution periodically within the tube On regular intervals calculated from the pump presently programmed feed rate a small and clinically insignificant portion of feeding solution is moved through the tube The amount of delivered fluid is monitored
6. mode e Press and hold the third button from the top with padlock next to it for at least 4 seconds and then release it To unlock the screen use the same procedure above FEED RATE mL E 423 mL Figure 17 Padlock indicates pump is in rusa UOmL LOCKSCREEN mode EVERY hrs ei ODUsL FED KANGAROO JO Y 1 EntenlFeeding Pump Hold Pump operation can be paused by pressing HOLD while it is RUNNING such as in Figure 15A 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 pump s alarm will sound if it has been left HOLDING for 10 minutes without further input There are five options available during HOLDING See Figures 18A and 18B LEAR WOL FEED RATE ED DIUST hr ETTINGS 15001 ESUME IM FED i BOLUS MIN FLUSH eb EVERY FUERY Bhrs FLUSH EVERY Figure 18A HOLDING mode Figure 18B HOLDING mode options continuous feeding mode options intermittent feeding mode Clear Volume Fed Press 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 Figures 7A 7D thus allowing any setting to be modified If the pump set has been removed after going into HOLD the opening menu will show LOAD A SET as seen in Figures 5A 5B
7. tracked and calculated into the final feed volume totalizer amounts displayed to the user The KTO feature can be activated via the RUNNING screen To activate the KTO feature press the input button to the left of the KTO icon see Figure 15A to immediately input a desired time in minutes for which the pump will remain in the Keep Tube Open mode before resuming the previously programmed feeding regimen Each press of the input button will increment the KTO time by 5 minute increments up to 30 minutes see Figure 15B 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 KTO back to 5 minutes No other input is needed to start the countdown as the time immediately counts down after the incremental value is reached Lock Screen Feature The KANGAROO JOEY Enteral Feeding Pump can be set to RUN and then be locked out from unintended use While the LOCK SETTINGS feature prevents changes only 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 unintended button activation 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
8. will automatically limit flushing settings which exceed pump capabilities to deliver CAUTION The KANGAROO JOEY 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 150i FED Fush 25 Om EVERY hrs INTERWAL IS FROM START OF FLUSH TO START OF FLUSH Figure 12A ADJUST FLUSH Figure 12B Setting the Flush Figure 12C Setting the Flush Time menu continuous mode Volume Interval Intermittent Mode Adjust Bolus Not Available in EZ Pump Mode 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 13A Press BOLUS RATE in Figure 13A to define the rate of delivery Press the buttons in Figure 13B to program the delivery rate from 1 to 400 in increments of 1 mL hr Press ENTER top button to exit the menu Press NUMBER OF BOLUSES in Figure 13A to define the total number of boluses to be delivered Press the buttons in Figure 13C to program the number of boluses up to a maximum of 99 Press ENTER top button to exi
9. 00 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 11A If the FEED VTBD is reprogrammed during a feeding from HOLDING mode the pump will restart the feeding and deliver the entire volume of the new VTBD setting FEED RRTE 150nL FED 20000 2 Figure 11A ADJUST FEED menu Figure 11B Setting the Feed Rate Figure 11C Setting the Feed Volume to be Delivered Continuous Mode Flushing Not Available in EZMODE 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 12A Press FLUSH VOLUME in Figure 12A to define the volume per flush occurrence Press the buttons in Figure 12B to program the flush volume from 10 to 500 in increments of 1 mL Press ENTER top button to exit the menu KANGAROO JOEY iti Enteral Feeding Pump Press FLUSH INTERVAL in Figure 12A to define the time interval between starts of flushing Press the buttons in Figure 12C 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
10. O JOEY 39 Enteral Feeding Pump HISTORY URRENT BUR N T 7 a IDGLUDED hrs Figure 20 Feed and Flush totals for up to 72 hours of previous history excluding data from the current FEED hour 2000 ial FLUSH Languages Press LANGUAGES in the MORE OPTIONS menu to change the preferred language for the screen interface Continuous Intermittent Not Available in EZ Pump Mode Press CONTINUOUS INTERMITTENT in the MORE OPTIONS menu to access the SELECT MODE menu Figure 10B 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 DONE in the MORE OPTIONS menu to exit the menu BioTech Menu The BioTech 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 BioTech menu Figure 21 shows the BioTech screen FLASH 1 05 Figure 21 BioTech screen CERT INTV 6 REGION CODE x J DOME BioTech Screen Data SN is the serial number of the pump SW shows the software version number in this pump FLASH shows t
11. 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 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 Refill the bag e Press CONTINUE to begin the pump RUNNING e Press HOLD e Press ADJUST SETTINGS e Press PRIME PUMP e Press HOLD TO PRIME to prime the line s Pump sets should not be reused after 24 hours of initial usage
12. Resume In __ Minutes Not Available in EZ Pump Mode Press RESUME IN MIN once to immediately place the KANGAROO JOEY Enteral Feeding Pump into a 30 minute resume running mode Pressing the RESUME IN MIN button again will cyle the resume in time back to zero No other input is needed to start the countdown as the time immediately counts down after the 30 minute value is reached Press RUN to immediately restart pump operation This option will not be available if the pump set is removed during HOLD History Not Available in EZ Pump Mode Press HISTORY to access the HISTORY screen Use this screen to review feeding and flushing history See subsection More Options below for further information KANGAROO JOEY C enteral Feeding Pump Flush Now Not Available in EZ Pump Mode During the RUNNING mode the pump can be diverted to immediately perform a flush flush on demand when a feed flush set is loaded by pressing FLUSH NOW in the RUNNING menu input a desired flush volume then press ENTER See Figure 15A 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 but may be adjusted to the users desired volume The screen will appear as the standard Flush input screen as shown in Figure 12B or 14B Setting the FLUSH NOW flushing volume is temporary and will not change the main periodic flushing volume
13. Screen Data a cuccscuttnaseeeusneusewacadwewecnadeceseuereees BioTech Options e s semi dasa as cameteanadonedaase sanestiemeuecaune Lock Settings Feature Program Locked ue EE PUMP MOUE ater cenesatangentaneus sarees AREE E LEE IIS Section VI Re Certification of Performance System Performance Re Certification ccec cee cceeceeeceenseees Certifying the Accuracy of Pump Flow Rate Section VII Cleaning sesseennnn I Section VII Battery Replacement KANGAROO JOEY Enteral Feeding Pump TABLE OF CONTENTS Section IX Error Warning Informational Screens and Troubleshooting SYSTEMIC ENOL ouo cereo en oq E Ua Batted ceed R RP SRPEAERU ERU neues NM DUCERET auis P RON ENON cin edeseuaceasauss PUE nwa stun see DE aS SET NS M UN RE ERI IOS PRETIUM FOCCIEN cT SIUS rna a EE TORIS E ay aes ake sw Aa anemones wanes bao FLOW ENO cosa yer EEA eae y iW nena anew anu ay seams an ta Pump Set Dislodged rOl ecu sen dis qa dud S SERE ses Soaedearduaesanhvus ade aan sees utees E URS ouam a T T Feeding COMM ECOEEETTTET t inini EE EEA EN EE EEE EE NNR Pump Set Use gt 24 Hours WalO ceca aom ap Ret pit n oi a EDER Eam LO Ub EH GERI EST ime M P O Section X Specifications and Symbols SPC CINCHUONS Le ceca cry amd E V PET Ped REGIE VS s
14. To select continuous feed mode or intermittent feed mode press MORE on the opening menu shown in Figures 5A 5B or Figures 7A 7D to access the MORE OPTIONS menu Figure 10A The MORE option is available either before a pump set has been loaded Figures 5A 5B or after the pump set is loaded Figures 7A 7D See subsection More Options for information on the other options in the MORE OPTIONS menu KANGAROO JOEY O9 EntenlFeding Pump Select CONTINUOUS INTERMITTENT under the MORE OPTIONS menu Figure 10A Then press CONTINUOUS MODE or INTERMITTENT MODE from the SELECT MODE menu Figure 10B Press DONE to exit ONT INUOUSS INTERMITTENT ONE El Figure 10A MORE OPTIONS menu Figure 10B 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 11A Press FEED RATE in Figure 11A to define the rate of delivery Press the buttons in Figure 11B 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 11A to define the Volume To Be Delivered Press the buttons in Figure 11C to program the volume from 1 to 30
15. YDE is a trademark of Steris Inc audi TYCO HEALTHCARE GROUP LP 15 HAMPSHIRE STREET MANSFIELD MA 02048 MADE IN U S A 2008 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 080516 PRODUCT INFORMATION IN U S 1 800 962 9888 www tycohealthcare com TYCO HEALTHCARE U K LTD GOSPORT P013 OAS U K 182545 Thank you for purchasing the KANGAROO JOEY Enteral Feeding Pump With proper care this device will provide you with years of precision service TABLE OF CONTENTS Section General Information ssssssssssse Section I Safety and Warnings seseeesesesesesese Section IIl Icon Identification enne Section IV Initial Setup Attaching the A C Adapter Power Cord ccc cee cee cece eee eeeeeeneenees Battery eld staan anes dator ETE T EP E E E EET Attaching Pole laMpD ees eetene dumme Ead uro REPPE UE PIE EI ELE EDEN PLATES Section V Instructions for Use AIUTO SOCIETE T TUTTI GeneralStartup isses mH hem Placement Mounting oar dra aH EROR UT UH RE IERP TE PER Y ens A C Power Operation esa tate iow benda baud Cork er dari vuv bhenis Battery Power Operation cess ug seyi s tupUSq UrediVlerPE tri In en p PUR ox Seid Power ON Of MER Language Selection First Power Up ccc cece eee n II Keep or Clear Prior Pump Settings ccsceecescesceeceeceeceveees Loading PUMP DELS oonotetuc
16. de feature is activated Communication Indicator 1 I Indicates that communication feature is activated Volume to be Delivered Indicator u Indicates that a VTBD has been programmed Keep Tube Open Indicates that Keep Tube Open feature is in operation d T T 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 NOTE It is important to make sure the power plug is pushed all the way into the pump for proper operation If the display screen shows the pump is running on battery power after plugging in the A C Adaptor check to make sure the A C Adaptor plug is flush with the back of the pump A C Adapter A C Adapter Port Plug Figure 2A Alignment of A C Adapter plug with pump s adapter port Use care aligning adapter with pump connector Do not detach the connector by pulling on the cord only A cord extension accessory is available that will allow the wall plug to be separated from the power transformer see Fig 2B The cord extension order number is located on page 38 KANGAROO JO Y 5 ntenlFeedingPump Figure 2B Battery Setup The battery is packed partially charged Charge battery 6 hours prior to use off A C power It is also recommended that the battery charge be topped off before battery only operation is utilized The battery pack will charge continuously whenever th
17. e 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 Figures 7A 7D to get one of the PRIME PUMP menus shown in Figures 8A and 8B DISCONNECT PRIMING Figure 8A PRIME PUMP menu for Feed Only set Auto Priming AUTO PRIME DISCONNECT PRIMING OLD To PRIME FLUSH Figure 8B PRIME PUMP menu for Feed amp Flush set 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 automatically prime both lines starting with the flush line Press STOP to cancel AUTO PRIME KANGAROO JOEY 11 Enteral Feeding Pump 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
18. e pump is plugged into a wall outlet including during normal use of the pump with A C power 6 hours of charging is required to fully recharge the battery pack A new battery pack will provide approximately 18 hours of service before needing to be recharged Attaching Pole Clamp The KANGAROO JOEY Enteral Feeding Pump can be attached to a vertical pole using the pole clamp which is included with the pump a flexible arm pole clamp may also be purchased and attached to the vertical pole Figure 3B The pole clamp provides the ability to retain the power cord to prevent accidental cord removal or cord loss Simply wrap the cord around the cord wrap posts to ensure that the cord stays with the pump To attach the pole clamp to the pump simply slide the clamp onto the mounting stud on the back of the pump Figure 3A When engaged turn the lever to secure attachment Avoid overtightening or loosening of handle Figure 3A KADGAROOJO Y 6 tntelFeedingPump Figure 3B Attaching and using the Pole Clamps Section V Instructions For Use Quick Start 1 Press POWER on lower right hand corner of control panel 2 Open blue door enclosing pump set loading area 3 Toload pump set refer to Figure 4 e Grasp finger tab on valve and insert into front pocket 1 e Grasp black ring retainer and wrap tubing around rotor 2 Pull up on retainer and insert into back pocket 3 Avoid overstretching the silicone tube e P
19. eed UII Ed E d UND NEA EE MENU a Symbols on Pump and Accessories acce st cen ER dard REY DR EX D patus ee aaa faeta Section Xl Customer Service sseeeennnnnn II Section XII Maintenance Top Door Enclosing Pump Set Loading Area ccc ce cece cece cece crete I sS dod PENERCRTETETT E OT TO TL QUINT Ju R dov amp fnmT Q PONG CLAUD ENTERS RET E E a ae sheen sane Section XIII Service Part Numbers Pep Mi PPS Section XIV Warranty sssssssssssem Hm Section XV Electromagnetic Conformity Declaration Section XVI AccuSystemy ssssseRR ee This product contains software solely owned by Tyco Tyco grants the user a non exclusive limited license to use the software according to the operating instructions A copy of the license can be obtained from Tyco KANGAROO JOEY Enteral Feeding Pump Section General Information The KANGAROO JOEY 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 Intuitive user interface Large backlit LCD display e Step by step prompts to guide programming and operation e Stoplight LED array vis
20. gure 1A is intended only for use by the manufacturer Any accessory equipment that can be connected to the serial 1 0 port and which does not comply with the equivalent safety requirements KANGAROO JOEY 3 Enteral Feeding Pump of this equipment may lead to a reduced level of safety of the pump While use of the pump serial 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 standard e Under no circumstances should the certified accessory be connected to the serial 1 0 port while pump is in use for enteral feeding of a patient 14 CAUTION This enteral feeding 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 For optimal accuracy the top of the starting volume of formula should be 6 inches above the pump do not reuse feeding sets and avoid overstretching the silicone that wraps around the pump rotor 15 Do not attempt to rotate the valve stem inside the feeding set valve assembly Rotation of the valve stem can only be done by the p
21. he net feeding volume is reduced from what may be intended over a given time period Press FLUSH VOLUME in Figure 14A to define the volume per flush cycle Press the buttons in Figure 14B to program the flush volume from 10 to 500 in increments of 1 mL Press ENTER top button to exit the menu Press FLUSH INTERVAL in Figure 14A to define the time interval between starts of flushing Press the buttons in Figure 14C 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 JOEY 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 JOEY 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 15A shows the RUNNING screen for continuous feeding with flushing
22. he version number of the flash data installed in this pump KANGAROO JOEY A Entenlfeding 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 BioTech Options Figure 22 BioTech option screen with Lock Setting EZ PUMP MODE and Communications features activated Full Communications feature to be added at later date LOCK SETTINGS Program Locked To lock the settings against unauthorized changes press LOCK SETTINGS to get the check mark as shown in Figure 22 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 16 The pump can be PRIMED or set to RUN HOLD etc when settings are locked EZ PUMP MODE Press EZ PUMP MODE to activate the EZ PUMP MODE feeding option A check mark will appear next to the EZ PUMP MODE button to indicate that the feature is active Pressing the EZ PUMP MODE button again will remove the check mark indicating that the feature is off If the EZ PUMP MODE feature is turned on the EZ PUMP MODE icon will appear in the lower right corner of the LCD next to the battery icon see Figure 9 See page 13 for EZ PUMP MODE details KANGAROO JOEY R2 tmtenlfedingPump
23. n After the language is selected the first time the pump is powered up the language selection screen 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 10A 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 If VTBD has been set the VTBD setting originally programmed will not change however value to be delivered will restart at one 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 The Biolech options settings will not change 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
24. o the slot Push down on the retainer then release to ensure proper engagement Figure 6B 5 Push the valve s finger tab to the right to ensure proper seating 6 Closethe blue transparent door checking to make sure the valve finger tab is captured by the slot in the blue door NOTE To avoid nuisance alarms make sure the pump set exterior is free from droplets of water or formula 7 The top of the starting volume of formula should be 6 inches above the pump Figure 4B MISTIC Retainer p uid End Finger Tab Set Loading Door Po PumpSet Valve Valve Slot RetainerSlot Button Figure 6A Figure 6B 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 KANGAROO JOEY 0 Enteral Feeding Pump AADEL FEED RATE mL hr 150m FED Figure 7A Opening menu for Continuous Feed mode with a Feed Only set BOLUS 35D eue Bhris Figure 7C Opening menu for Intermittent Feed mode with a Feed Only set Prime Pump 1500 FED FLusH 250ml EVERY hrs Figure 7B Opening menu for Continuous Feed mode with a Feed amp Flush set EOLUS EVERY FLUSH EVERY Figure 7D Opening menu for Intermittent Feed mode with a Feed amp Flush set The KANGAROO JOEY Enteral Feeding Pump may be primed automatically with a single button push including th
25. om either the LOAD A SET or SET LOADED screens control will pass directly to and from the Enter Feed Rate screen and bypass the ADJUST FEED screen since without the ability to adjust VTBD in EZ PUMP MODE the Adjust Feed screen is redundant Selecting EZ Pump Mode EZ PUMP MODE may be selected through the Biotech Options button which may be accessed on the Biotech screen see page 22 The EZ PUMP MODE setting will be stored in the machine pump memory and saved when the unit is shut off NOTE If the user inserts a Feed Flush set while the EZ PUMP MODE is enabled EZ PUMP MODE will be cancelled and the unit will immediately revert back to the normal mode If EZ PUMP MODE is desired the user must then re enable EZ PUMP MODE through the Biotech Options screen When enabled and not in CERTIFICATION MODE a small EZ icon will be visible on the bottom of the screen near the battery icon However it will not appear in the POWER DOWN SYSTEM ERROR or LOW BATTERY SCREENS Figure 9 Selecting Continuous or Intermittent Feed Mode The KANGAROO JOEY 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
26. previously programmed If FLUSH NOW is pressed by accident the user may either press the cancel button or allow the screen to return to the RUNNING screen after 10 seconds if there is no input for the flush volume If stopping a FLUSH NOW before the set volume has been delivered is desired press FLUSH NOW and enter a volume of zero and press ENTER The FLUSH NOW will stop immediately and the pump will return to the RUNNING mode More Options Press MORE in one of the opening menus Figures 5A 5B or Figures 7A 7D to access the MORE OPTIONS screen Figure 19 Figure 19 MORE OPTIONS menu O NTINMUOUS IMTERMITTENMT ONE A Buzzer 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 Critical errors of System Error and Pump Set Dislodged will always use the maximum volume setting History Not Available in EZ Pump Mode Press HISTORY in the MORE OPTIONS menu to access the HISTORY screen Press the buttons in Figure 20 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 NOTE The 72 hour history includes time when the pump is powered OFF KANGARO
27. pump will then show LOAD A SET Figures 5A 5B or if the pump set is already loaded it will show SET LOADED Figures 7A 7D KANGAROOJVOEY i Enteral Feeding Pump Loading Pump Sets The KANGAROO JOEY 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 intermittent feeding mode not available in EZ Pump Mode WES Qu DD i 3 BOLUSES FED 15001 OMA eus 3 Sim rusa ebat EVERY every Bhrs H Y EVERY R Figure 5A LOAD A SET opening menu Figure 5B LOAD A SET opening menu screen for Continuous Feeding mode screen for Intermittent Feeding mode EZ Pump Mode not activated EZ Pump Mode not activated To load a Pump Set follow the steps below 1 With the pump display facing you 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 then inserting the valve into the valve slot on the left Figure 6A 3 Grasp the MISTIC retainer end black ring retainer and wrap the tubing counterclockwise around the rotor Avoid overstretching the silicone tubing Figure 6B 4 Carefully pull the MISTIC retainer end left and upwards to position it over the slot on the left and then lower the retainer int
28. sasacve caved taeeesseeades E IDEEN PNE sac Pime PUMP RPR E E Stare eade Auto PAIMIN i234 Ero EUER weecenrnndowe Cbar ites d dnos CE qd HOLD PII Cs esee ote PRT DATES wet tp RE gener ER CRAS R3 EG EXPE DIESE Re priming after Bag Empty sssssssessse Selecting COMMON os ans areca tm tdeo beo bP Ea RIEN EN E RN dvERCI A EN OI Selecting EZ Pump Mode aces rx auia dodrte bc hi eaae d dc ar ee eo ER eda KANGAROO JOEY Enteral Feeding Pump TABLE OF CONTENTS Selecting Continuous or Intermittent Mode ccc c eee e cece eee eees Continuous Mode Adjust Feed cc cece cece eee eee eee enees Continuous Mode Feeding ce cee ese ce eee eeeaeees Continuous Mode Flushing Intermittent Mode Adjust Bolus c cece cece eee eaeeaes Intermittent Mode Feeding cecceceeceeceecesceess Intermittent Mode Feeding Bolus Max suus Intermittent Mode Flushing eeseeeeeeeeeeeees MOIS OPO esri aa os pr IEEE A E OR PRU da TD POE Buzzer Alarm Volume csccecceccscescencencescescescess ju a P EI EEE acne aaertetiaunswenectean samen aneas Language Selection ncccescxdecscesesaesebus tedusivnotexeveteesesss Continuous Intermittent Mode ccc cece eee e cece eee eenees DIDIGET WEN oreet aeons aveoaaneedees lt cynawateduodenteus emeaauwseieeeanes Accessing the BioTech Screen ce ccs ceecescenceeceecesceess BioTech
29. sily removable power cord Status Line Menu Selections Status LEDs Input Settings Menu Selection Fush blur Buttons j Sein ACIE Output Totals Power Button Graphic Display Battery Status Buzzer Alarm Hole Location A C Adapter Port Pole Clamp Attachment Point Battery Door Serial 1 0 Port is BEHIND Battery Door Figure 1A KANGAROO JOEY Enteral Feeding Pump features front and rear views KANGAROO JOEY 2 Enteral Feeding Pump Feeding Set Loading Area Figure 1B KANGAROO JOEY Enteral Feeding 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 2 Donotuse this device near flammable anesthetics 3 4 The KANGAROO JOEY Enteral Feeding pump utilizes a two prong medical grade power supply cord specifically designed for use only with 10 11 12 Read this booklet thoroughly before using the KANGAROO JOEY Enteral Feeding Pump Disconnect power supply before cleaning or servicing the KANGAROO JOEY feeding pumps Lithium lon battery charging circuit Use of an alternate consumer style power cord or DC car adapter may cause damage to the charging circuit and battery of the KANGAROO JOEY feeding pump Use only the supplied power adapter to charge your KANGAROO JOEY feeding pump from an AC power source Use only KANGAROO JOEY Enteral Feeding Pump power cord with b
30. t 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 13A to define the Volume to be delivered in each bolus Press the buttons in Figure 13D to program the volume per bolus from 1 to 3000 mL in increments of 1 mL Press ENTER top button to exit the menu Press BOLUS INTERVAL in Figure 13A to define the time interval between starts of bolus deliveries Press the buttons in Figure 13E 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 delivery capabilities 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 KANGAROO JOEY 15 Enteral Feeding Pump NOTE If 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 BOLUS 3 lat menu oO rtr BOLUS every Bihrs Figure 13C Setting the Number of Boluses 3000 MAX AT LEFT INTERVAL TS FROM START OF EOLUS TO START OF EOLUS Figure 13D Setting the volume per Figure 13E Setting the time interval Bolus between starts of bolus Intermittent Mode Feeding
31. ually indicates pump status in a bright or darkened room Ergonomics e Quiet operation e Compact portable aesthetic design Tabletop usage or IV pole mounting e Simple loading of pump sets Transparent top door to protect pump set e Water resistant e Soft Touch rubberized casing for easy grip and drop protection e Quick Release pole clamp for easy detachment of pump Features 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 Orientation independent delivery 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 restart e Keep Tube Open KTO feature e Stores previous 72 hours of feeding and flushing history e 15 Languages All sets operating on the KANGAROO ePump Enteral Feeding Pump will also operate on the KANGAROO JOEY Enteral Feeding Pump KANGAROO JOEY C Enteral Feeding Pump Service e Serial 1 0 port for data retrieval and software updates e Uses replaceable rechargeable Lithium lon Battery Pack for 18 hours of backup power Ea
32. uilt in A C adapter with pump See Section XIII Service Part Numbers for replacement of power cord Use only KANGAROO ePump Enteral Feeding 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 leaning frequency and practices must be consistent with institutional policy for cleaning of non sterile devices See Section VII Cleaning for instructions on cleaning the KANGAROO JOEY Enteral Feeding Pump See icon descriptions in Section Ill Icon 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 WARNING The serial 1 0 port see Fi
33. ump while the valve assembly is properly loaded into the pump 16 Should feeding sets require rinsing it is recommended that the feeding sets be rinsed while they are loaded in the pump 17 The KANGAROO JOEY Enteral Feeding Pump has been programmed to optimize accuracy by taking into account the viscosity of formula Formula that has been diluted and has a low viscosity will tend to deliver like water and thus deliver to the high side of the accuracy specification 18 CAUTION Ensure buzzer hole is unobstructed during normal operation so as to allow clear recognition of alarm 19 CAUTION The battery cells used in this device may present a fire or chemical hazard if mistreated Do not disassemble heat above 100 C 212 F or incinerate Section Ill Icon Identification Run Mode Vertically moving droplet in RUNNING screen indicates Run TEE PRIMING ee 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 to show auto prime feature is active Volume Setting Fil Indicates alarm volume setting VOLUME Error Indicator Pump operations are stopped until the error is resolved KADGAROOJO Y 4 Enteral Feeding Pump Information Indicator This indicates information only and H does not require any immediate action EZ Pump Mode Indicator F z Indicates that EZ Pump Mo
34. ush finger tab to right to ensure that valve is fully seated in the pocket e Close blue door KANGAROO JOEY 7 Enteral Feeding Pump Note display status line should read SET LOADED 4 Suspend the pump set bag so that the top of the starting volume of formula is 6 inches above the pump Figure B 5 To automatically prime the pump press PRIME PUMP and AUTO PRIME For Feed amp Flush sets auto priming will prime both lines 6 To directly control pump priming press 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 7 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 8 Press RUN when ready to start The screen will display RUNNING 9 Tostop press HOLD or press and hold the XD POWER button Black Ring Retainer MISTIC Figure 4A Installation of Pump Set See Figure 6 for detailed view Figure 4B Correct Fluid Level WARNING DO NOT OVERSTRETCH TUBE General Startup Placement Mounting There are two recommended placement methods for the KANGAROO JOEY Enteral Feeding Pump
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