Ross Patrol Operating Manual
Contents
1. urn dial to RUN to start pump doSE FEd Dose complete VOL FED urn dial to HOLD is equal to the SET DOSE urn dial to SET DOSE and depress up arrow to increase dose OR depress down arrow to zero the dose setting OR turn dial to CLEAR VOL after four beeps volume fed will be cleared Turn dial to RUN to start pump FrEE FLO Free flow alarm Remove from service immediately Verify pump set is properly installed Replace set if necessary Confirm no drops fall when in HOLD Check accuracy per page 12 SEL rAtE Dial turned to RUN without 2 Turn dial to SET RATE selecting a rate Enter a rate using the up or down arrow TROUBLESHOOTING continued VISUAL CONDITION OR EXPLANATION OR DISPLAY PROBLEM CORRECTIVE ACTION SEL run HOLD time out Turn dial to RUN E1 E9 Electronics error Remove pump from patient immediately and contact Ross LO bAt Approximately 30 minutes of urn dial to HOLD then RUN battery operation remain Plug power cord into AC outlet for 12 hours then continue feeding NOTE After 30 minutes pump alarms continuously for one minute and then shuts down H5 HOLD countdown urn dial to HOLD f desired program the HOLD timer for 1 90 minutes by depressing the up or down arrow LOC Lock out disables SET RATE Turn dial to SET RATE SET DOSE and CLEAR VOL 1 Depress up and down dial settings arrows simultaneously to deactivat2. see AL PUMP ENTER AL OPERATING MANU ly Use On Enteral id Not For IV Use Ms i Vy ein lr illi T Vista d init S SET DOSE HOLD E VOL FED pa o CLEAR i VOL T CHARS b TABLE OF CONTENTS PAGE Pump Characteristics 4 Indications For Use 5 Precautions 5 Panel Displays 6 Control Dial Settings 7 amp 8 Pump Sets 9 Instructions For Use 11 Checking Pump Accuracy 12 Troubleshooting 13 amp 14 Cleaning 15 Storage 16 Service 16 Specifications 17 Warranty 18 O 1999 Ross Products Division Abbott Laboratories PUMP CHARACTERISTICS The Ross Patrol Enteral Pump is a microprocessor computer controlled rotary peristaltic pump that provides for accurate controlled enteral feeding in a safe userfriendly system It has a large easy to read display and simple controls The Patrol Pump uses a specially designed feeding set which includes a bolus prevention feature to provide safe accurate control of enteral feeding PRECAUTION This pump is designed to deliver liquid enteral feeding products only standard liquid products infant formulas or reconstituted powder products that have been thoroughly mixed into solution The Patrol Pump offers these features 1 Alarms for free flo
3. a volume of product no more than four times the hourly feeding rate should be hung NOTE Do not rely on free flow alarm as a criterion for use with volume sensitive patients NOT FOR IV USE Confirm proper placement and function of patients enteral feeding tube nasogastric nasojejunal gastrostomy etc Failure to do so may result in vomiting and or aspiration Verify the following before initiating feeding 1 Only a Ross Patrol Pump Set is being used 2 Pump set tubing is properly stretched counterclockwise under rotor and blue connector is secured in the pump 3 If the feeding set is damaged in any way eg broken cut torn parts separated replace the set immediately 4 Flow rate is set at the prescribed mL hr DIAL SET RATE refer to page 7 Pump set and container should be replaced as needed or at least every 24 hours to avoid fluid contamination problems For single patient use only PANEL DISPLAYS Here is a simple explanation of the panel features Understanding them is neces sary for successful operation of the pump FRONT PANEL Feeding Display Pump Dial BACK PANEL DYNGPR Yossible eerposion hpzaad if ubdd in the proaence of foimmable anesthdaics WAURION Elrctrucal spick haraard Gf nzt cise Refwr servicpng to quplifled service pursotnel NARUING Diocolnect AP pewey coro buftre sprvifing Raplice batkjery only with apjroved Rous rhpljcement pigrt Troinding
4. uelisbiliry wat wnry ba awhieved whkn this eduipmont is connrctew yo a iecoptacle marted Poskital Drede ITPUPT 143L G0UT KO0mP p PUTRTED DOIUNT PUYT GRJUNH TSST PUINT RTW CUVDR HOYDER y f cclagsstksD Pole Clamp with Set Cover Holder Hospital Grade Power Cord CONTROL DIAL SETTINGS DIAL FUNCTION OFF CHARGE Stops all pump functions Battery charges in all dial settings when pump is plugged in The pump will retain current RATE DOSE and VOL FED values indefinitely unless the pump is unplugged from an AC power source while in the OFF CHARGE setting SET RATE Allows flow rate to be set 1 to 300 mL hr in 1 mL hr increments by pressing the key pad arrows when the pump is in the SET RATE mode The up arrow increases the rate The down arrow decreases the rate NOTE The LOC feature may be activated by depressing both arrows simultaneously when the dial is in the SET RATE position Repeat procedure to deactivate The SET RATE SET DOSE and CLEAR VOL values cannot be changed while the LOC feature is activated SET DOSE Allows dose to be limited 1 to 9999 mL in 1 mL increments by pressing the keypad arrows when the pump is in the SET DOSE mode The up arrow increases the dose The down arrow decreases the dose Completion of this dose triggers the doSE FEd alarm Refer to doSE FEd page 13 NOTE Pump will operate without a DOSE selected SET DOSE at 0000 RU
5. Fuse 200 mA time delay type Line Cord Hospital grade nondetachable 10 feet Leakage Less than 100 microamps Mechanical Height 8 5 inches Width 6 5 inches Depth 4 8 inches Weight 6 6 Ibs Operational Specifications Flow Rates Range Increments Accuracy Pressure 1 300 mL hr 1 mL hr 10 or 0 5 mL hr whichever is greater refer to CHECKING PUMP ACCURACY page 12 Pumps against 18 psi nominal back pressure before no FLO alarm Refer to PATROL MAINTENANCE AND REPAIR MANUAL for test procedure Battery Operation Type Voltage Rechargeable sealed lead acid 6 V the pump will fully recharge in a maximum of 4 5 hours while pump is off or 12 hours if the pump is operating Expected Life When fully charged 8 hours at 125 mL hr Standards r S p CSA Standard C22 2 No 125 Designed and manufactured to meet requirements of LIMITED WARRANTY PLAN Ross Products Division of Abbott Laboratories warrants the Patrol Enteral Pump against defects in material and workmanship for a one 1 year period from date of delivery This warranty is valid only to the original purchaser and does not extend to any product or part thereof which has been subjected to accident alteration damage mis use repair by other than Ross authorized representatives or has not been operated and maintained in the manner prescribed in the Operating Manual or which at the time of pump failure was bei
6. MP L3 16 Turn pump dial to SET RATE Pump will initiate system self check procedure Select flow rate from 1 to 300 mL hr by pressing the arrows and observing the entry on the dis play Holding down an arrow will cause the numbers to scroll Never use sharp objects such as pens pencils fingernails or paper clips to depress the keypad arrows If desired turn dial to SET DOSE and select dose by pressing the arrows NOTE Pump will operate with out a DOSE selected SET DOSE at 0000 Turn dial to RUN to start feeding 17 To see feeding volume delivered turn dial to VOL FED 18 To clear the volume delivered turn dial to CLEAR VOL This occurs after four beeps 19 When feeding is complete turn pump dial to OFF NOTE If alarm sounds turn pump dial to HOLD Correct alarm condition indicated by visu al display then turn dial to RUN to restart feeding For explana tion of alarms see pages 13 and 14 PRECAUTION The pump set and container should be replaced as needed or at least every 36 hours to avoid fluid contamina tion problems For single patient use only Do not store for pro longed periods at extreme tem peratures CHECKING PUMP ACCURACY Fluid head height and viscosity are two variables that can affect flow rate To check flow rate use the following procedure Select a new pump set for this test Be sure to use a graduated cylinder for volume measuremen
7. N Only setting that activates feeding Visual display shows rate of flow in mL hr and the dash on the left side of the display scrolls from top to bottom when pump is in RUN mode NOTE It is normal for rotor movement to be intermittent eg starts stops starts stops etc while in the RUN mode This intermittent move ment regulates the rate of flow conserves bat tery life and does not affect the accuracy of the pump The RUN mode should always be verified by the top to bottom scrolling bars on the left side of the display window 7 CONTROL DIAL SETTINGS continued DIAL FUNCTION HOLD Stops pumping action and audio alarms HOLD is used when correcting an alarm condition or whenever pumping action is temporarily interrupted such as when con necting a new feeding container If pump is left on HOLD for more than 5 minutes an alarm will sound and the message SEL run select RUN will be displayed NOTE The HOLD timer may be pro grammed for a duration of 1 90 minutes in 1 minute intervals by depressing the key pad arrows either up or down when the dial is in the HOLD position VOL FED Stops pumping action The display will show the volume delivered Pump accumu lates volume delivered up to 9999 mL unless the volume is reset to zero by turning to CLEAR VOL or the pump is unplugged while in the OFF CHARGE mode Upon exceeding the maximum volume allowed on the display the value turns to zer
8. ORIES INC COLUMBUS OHIO 43215 1724 USA 21395 9901 52034 52036 10 99 LITHO IN USA
9. e 1 Repeat steps to activate 8888 Display test All segments should be illuminated CLEANING There are no routine calibration or adjustment procedures required with the Patrol Pump All servicing or adjustments should be referred to qualified technical personnel refer to Service Manual For trouble free operation check the pump daily and clean immediately after spills occur While cleaning pump should be turned off and unplugged Do not submerge autoclave heat steam ETO or radiation sterilize the pump THE PUMP CAN BE CLEANED AS FOLLOWS HOUSING Do not spray water or cleaning solution into pump Clean outside surface only Use soft cloth and warm soapy water For general cleaning use dishwashing detergent nonchlorine based or isopropyl alcohol For general disinfecting use 70 concentration isopropyl alcohol For disinfecting after exposure to AIDS or hepatitis use 10 concentration of 5 2596 sodium hypochlorite household bleach This solution may discolor the pole clamp After exposure to tuberculosis use 7096 concentration isopropyl alcohol These recommendations are not substitutes for official procedures that may differ among institutions DROP DETECTOR Clean the drop sensors with a soft brush soft lint free cloth or cotton swab and warm soapy water Then rinse the drop sensors with cotton swab and warm water Be sure no soapy film or residue is left on lenses Dry tho
10. ng used with pump sets or con tainers other than Ross pump sets and containers Examples of damage or misuse include but are not limit ed to pumps that have been dropped have had fluid spilled into or onto the casing or have been submerged In no event shall Ross be liable for any incidental indirect or consequential damages in conjunction with the pur chase or use of the pump even if advised of the pos sibility of the same Ross reserves the right to repair or replace at its option any pump that fails to meet the foregoing warranty THE WARRANTIES HEREUNDER ARE IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WITH OUT LIMITATION THE WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR A PARTICULAR PURPOSE NOTE When repairs on the unit are made under warranty because of faulty material or workmanship within one year from the date of delivery to the customer the customer will not be billed for parts repaired or replaced Also the customer will not be charged for labor involved in connection with the installation of such parts furnished under warranty Shipping costs for units returned to Ross including loaners shall be paid by the customer The units should be promptly returned properly pack aged Loss or damage in return shipment to Ross shall be at the cus tomers risk Ross authorization should be obtained to return the unit KON IN ENTERAL sec ROSS PRODUCTS DIVISION ROSS ABBOTT LABORAT
11. o and a new accumulation begins This is not accompanied by an alarm CLEAR VOL Stops pumping action and resets the volume fed to zero NOTE The pump will beep four times before clearing the volume to alert users that the dial has been turned to CLEAR VOL The user must turn dial away from CLEAR VOL to any other setting before the fourth beep to avoid an unintentional loss of accumulated volume PUMP SETS The Ross Patrol Pump offers a wide choice of feeding sets PUMP SET EXAMPLE SHOWN Ross Top Fill Enteral Nutrition Bag With Preattached Patrol Pump Set pump insert blue Ky connector ms Uv Safe T Valve INSTRUCTIONS FOR USE Before initial use on battery power and after extended storage periods the pump must be plugged into an AC power source for a minimum of 12 hours pump may be operated during this time Use AC power whenever possi ble Plug in during storage to assure a fully charged battery for emergencies DANGER Possible explosion hazard if used in the presence of flammable anesthetics TO ASSEMBLE 1 Attach pump to stand using pole clamp Plug in cord if power is available If using battery power do not let battery run down When the low battery mes sage LO bAt appears the battery has approximately 30 minutes of energy left for pump operation 2 Complete self adhesive delivery label and affix to bag 3 Attach the Ross Patr
12. ol Pump Set securely onto a filled enteral nutrition container if it is not pre attached Suspend container 20 inches above and to the side of or behind pump 4 Place sight chamber into drop detector and seat in place before priming 5 Remove cover from adapter and discard or place into set cover holder on the pump pole clamp If product is not filled at bedside it is advisable to close slide clamp before transporting Make sure slide clamp is open for set up TO PRIME SET With one hand on the blue nector of the pump set gently pull until fluid flows Completely prime the set by allowing fluid to expel air from the tubing Let fluid slowly enter sight cham ber to fill line 1 4 full NOTE If sight chamber is filled above the line after priming overfilled invert container holding all tubing above sight chamber and contain er With one hand on the sight chamber and the other hand on the blue connector gently pull until fluid drains from tubing Suspend container and reprime Grasp the blue connector on the pump insert Loop the pump insert under the rotor counter clockwise Gently pull up and then seat the blue connector in the slot above the rotor Confirm proper placement and function of enteral feeding tube Attach feeding set adapter to enteral feeding tube INSTRUCTIONS FOR USE ntinuea TO START PU
13. roughly DO NOT CLEAN WITH ALCOHOL ROTOR ASSEMBLY Clean the pump with a soft lint free cloth to avoid damaging the surface Be especially careful with the operators panel and drop detector area If necessary mild warm soapy water may be used sparingly Avoid the use of all strong solvents or cleaners as these will damage the pump Detach the pump rotor from the pump by loosening the Allen screw The pump rotor can then be immersed in mild warm soapy water or detergent and rinsed under a faucet Dry excessive moisture from the pump rotor before reassembly After cleaning plug the pump into an AC grounded electrical outlet to maintain battery charge STORAGE The pump should be stored away from excessive heat cold or humidity Be sure pump dial is in the OFF position SERVICE a The Ross Patrol Enteral Pump is designed to be highly reliable As with any electromechanical device however minor problems may occur In the event of a pump malfunction or for technical assistance or parts please contact Ross Products Division Abbott Laboratories OPERATING INSTRUCTIONS VIDEOTAPE An instructional videotape in VHS format assists caregivers and medical profes sionals in learning procedures for operating the Ross Patrol enteral delivery system This videotape is available for your use through a Ross representative 16 SPECIFICATIONS Power Voltage 100 to 130 VAC 60 Hz 1 Phase Power 15 watts average
14. t not an enteral container or other uncalibrated vessel Using Ensure Complete Balanced Nutrition Osmolite Isotonic Liquid Nutrition or tap water fill the feeding container and set up pump according to instructions Suspend bag to side of or behind and 20 inches above pump see illustration With the test pump connected to AC power start the pump and let it run for 15 minutes Then run fluid into the graduated cylinder for 30 minutes and compare to SET RATE on pump Amount Expected in Graduated Cylinder SET RATE 30 minutes 34 2 mL to 41 8 mL 67 5 mL to 82 5 mL 76 mL hr 150 mL hr If amount in graduated cylinder is incorrect based on SET RATE try a new pump set and repeat procedure TROUBLESHOOTING The Ross Patrol Enteral Pump is designed to be highly reliable As with any electromechanical device however problems may occur Intermittent audio alarms are accompanied by messages on the front panel indicating the cause of the alarm for all alarm conditions The following tips will help correct problems that may arise VISUAL CONDITION OR EXPLANATION OR DISPLAY PROBLEM CORRECTIVE ACTION no FLO Flow has stopped due to Turn dial to HOLD occlusion or empty container m Clear obstruction check for kinked tubing or empty container Refill container if necessary Be sure sight chamber is not overfilled or covered with a film of product
15. w 2 Flow rate selection from 1 to 300 mL hr in 1 mL hr increments 3 Accuracy to 10 or x0 5 mL hr whichever is greater refer to CHECKING PUMP ACCURACY page 12 Dose setting Volume fed accumulation 8 hour battery operation at 125 mL hr when fully charged Alarms FrEE FLO free flow 1 no FLO no flow doSE FEd dose fed a LO bAt low battery a SEL rAtE invalid rate select rate a SEL run inactivity select run a E1 to E9 failed pump self test 8 Programmable HOLD timer 9 Lock out feature 10 System self check 11 User friendly operating controls 12 Simple set up 13 Memory Automatic retention of the following values until turned off and disconnected from AC power a VOL FED volume accumulation RATE 1 DOSE NOW A INDICATIONS FOR USE The Ross Patrol Pump can be used for adult and pediatric patients provided the patients can tolerate a feeding range within the pump operational specifications Those specifications are The flow rate range is 1 to 300 mL hr in 1 mL hr increments The flow rate accuracy is 10 or 0 5 mL hr whichever is greater Pumps against 18 psi nominal back pressure before no FLO alarm If these specifications are not appropriate for a given patient the Patrol Pump should not be used PRECAUTIONS All enteral pumps have the potential to bolus feed or overdeliver which is an important consideration in feeding volume sensitive patients In these patients
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