Home

Kangaroo EPump Feeding Pump User Manual

1. sssssssssssem Hm Section XV Electromagnetic Conformity Declaration Section XVI AccuSystemy ssssssseRR em 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 ePump Enteral Feeding Pump 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 Intuitive user interface Large backlit LCD display e Step by step prompts to guide programming and operation e Stoplight LED array visually indicates pump status in a bright or darkened room Ergonomics e Quiet operation e Compact aesthetic design Tabletop usage or IV pole mounting Simple loading of Pump Sets Transparent side door to protect Pump Set e Integrated handle for easy transport Features 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 Audible alarm to indicate err
2. o o oooooommoommoos o Certifying the Accuracy of Pump Flow Rate o oooooooooommooo Section VII Cleaning sseeennnn e ens Section VIII Battery Replacement KANGAROO ePump Enteral Feeding Pump TABLE OF CONTENTS Section IX Error Warning Informational Screens and Troubleshooting eye ouo cereo en E E EE A EAA EN EA ER o O NM DUCERET volor HER OTOL ENON cisepu gute Saarteg ama ta neler EMI R NEMETMEUESNSbRACIP E NUN KINDER FEDERE rr dan ios FISH EMO A o Un 9 A A o O RUE SNP EEPEURD NUN RIEN nan Rae on A Pamp Set Dislodged BOP M O BO LOW A O EE II A dsl COMP E PO o UE o e o say enmuine ees aners IEAA Pump Set Use gt 24 Hours Warning rats cota NEN PR ibl pei Armin EPR POPE ER Section X Specifications and Symbols SPC CINCHUONS rara REGIE vs Me dE Ed E dU NN PADRE EU a Symbols on Pump and Accessories ioco tube ae rio asta Section Xl Customer Service eeeennnnnn RI Section XII Maintenance Side Door Enclosing Pump Set Loading Ared ccc cece cece cece eee teeta eeee I babet PACK sana acres ty us sued akan sian a eny AF acta aren NIE M AERE ENDE Jua MT T an din POLE CAMP CC EE A Section XIII Service Part Numbers ACOSO Mi PPS Section XIV Warranty
3. 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 Anv ndar och servicemanual Enterale voedingspomp Handleiding voor bediening en onderhoud Bomba de alimenta o ent rica Manual de funcionamento e assist ncia Enteraalinen ravitsemuspumppu K ytt ja huolto opas Pumpe til enteral ern ring Betjenings og serviceh ndbog Avtiia evtepik oition Eyyetpidto Aettoupyiac kat o ppic 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 3urepanbHoro nuTanna PyKOBOACTBO no 3Kcriryaraup Y TEXHNYECKOMY 0 CNYKNBAHNIO Pompa ywienia dojelitowego Instrukcja obs ugi i serwisowania Enteral Besleme Pompas Operasyon ve Servis K lavuzu Enteral ern ringspumpe Bruker og vedlikeholdsh ndbok CER A 0123 ONLY See Accompanying Documents 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 trademark of Tubifoam Ltd VESTA SYDE is a trademark of Steris Inc aaa TYCO HEALTHCARE GROUP LP MAN
4. EN60601 1 2 IEC 61000 4 2 2001 Complies Surge Immunity EN60601 1 2 IEC 61000 4 5 2001 Complies KANGAROO ePump 39 Enteral Feeding Pump Section XVI AccuSystem The KANGAROO ePump enteral feeding pump 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 critical functional parts of the KANGAROO ePump enteral feeding platform is the AccuSystem y feeding set produced by Tyco Healthcare Group LP The functionality of the KANGAROO ePump AccuSystemy 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 y feeding sets have satisfied our customers expectations is due to the integration of these two parts during the manufacturing process The KANGAROO ePump AccuSystemy feeding set manufacturing process parameters are tightly controlled at Tyco Healthcare Group LP 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
5. KANGAROO ePump 18 Enteral Feeding 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 pumps 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 ml PUST es i 150m ESUME IM FED i BOLUS MIN FLUSH 250mL EVERY EVERY 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 RESUMEIN MIN Not Available in EZMODE Press RESUME IN __ MIN once to immediately place the KANGAROO ePump into a 30 minute resume running mode Pressing the RESUME IN __ MIN button again will cycle the resume in time back to zero No other input is needed to start the countdown as the time immediately counts down a
6. e Very low battery 15 minutes max Auto Priming Indicator PRIMING When auto priming the bar will progress E to show auto prime feature is active Volume Setting Indicates alarm volume setting MOLUME Error Indicator Pump operations are stopped until the error is resolved Information Indicator This indicates information only and H does not require any immediate action KANGAROO ePump 4 Enteral Feeding Pump EZMODE Indicator F 7 Indicates that EZMODE feature is turned on Communication Indicator t t 1 Indicates that communication feature is turned on Volume to be Delivered Indicator u Indicates that VTBD feature is turned on Keep Tube Open Indicates that Keep Tube Open feature is turned on 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 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 2A Alignment of A C Adapter plug with Qu pump s adapter port Use care aligning adapter with pump connector The connector which attaches to the back of the pump has a spring loaded locking sleeve that locks into the pump thus helping to prevent the connector from being accidentally unplugged from the pump To remove the connector grasp the outer sliding sleeve member and pull Do not
7. 2 a 14 t OS gt un a pe o A QM free pum NN STR de armen e tall es A iiie e e 5 ES ES E TRES MASS VU E UE ES S AR E AES VE RE ES ES UL A E RS MES RE ES PES URL PES UNA MINES UE ER PES LES PR IN m cos ee HUN NN HSN HON HSI UR SENT ue ue ue ue us a st quet ue O ue a ed O O O O O O O O O O O dl ea ORO AROS RO ARO ARO ARO A RO ARO ARO A ROA NGS SGN NIS RN SEG ROBO A QNS ANN ROA RO ASS NIA I NIA SAN QNS ROA SO ARO ARO ARO A Nu ROA SE ROA SE MAN s 2 x a de de de de de e de de de de de de de de de de de de de Soft t SG hl amete Fd IN A MU Seed NEE E Td E Ma M AA SOCIO Fd Nune a A UN rs A a E amne A AIN A EN St d A Fa Nue Ma M AS SCG Fd e IA IS a A a E O d IN a A aee T Nue Ma M LAS amu LIA Neue ae aan A ESS E RUNI A O MOENIA O E O O E RUNTIME O E RUNDE AERE IEEE NNNM O M Stratton I NIE O O O O NR O o e O EE Imo d mem mW d m mW d mm mW d am Bo d m eo AF a Ro d a mW d mm mW d m mW d mm mW d mm mon d mm ak am Bo d am eo d am mW d um mW d am mW d mm 7 52 a d a mW d e mW d m mW d mm mW d mm mW AW am Ro d m mW d m Bo d m mW d mm mW d am mW d mm Ak am Ta en Ru a ees eee Soe ur Soe ur Soe ur Soe ee ees Soe ur ees Soe eee Soe ur Qr Ar ur A Na NE NE e Se ee Qu Ar ur Soo ur Ar ur Soe ur Ar ur A Na rue Soe ur Soe ur e Soe ee Que A tyc O Healthcare KENDALL KANGAROO ePump tyCoa Healthcare KENDALL KANGAROO ePum Enteral Feeding Pump Operation and Service Manual Enteral Feeding Pump
8. HOLD TO PRIME FLUSH until the flushing fluid has reached the valve and then press HOLD TO PRIME FEED until the feeding fluid has reached past the valve and down to the distal end connector 6 Use buttons on left side of LCD to set the feeding parameters Set flushing parameters if a Feed amp Flush Set is loaded The continuous or intermittent feed mode selection is made under the MORE options menu 7 Press RUN when ready to start The screen will display RUNNING 8 To stop press HOLD or press and hold the POWER button Black Ring Retainer MISTIC Figure 4 Installation of Pump Set General Startup Placement Mounting There are two recommended placement methods for the KANGAROO ePump enteral feeding pump e Attached to a vertical IV pole via the Pole Clamp peripheral device included with the pump e Placed feet down on any horizontal surface A C Power Operation Plug the KANGAROO ePump enteral feeding pump into an A C power outlet for normal operation When the pump is not plugged in orif A C power is interrupted a built in rechargeable battery will run the pump KANGAROO ePump 8 Enteral Feeding 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 fully charged new battery will supply 15 hours of backup power a
9. Internal timer stopped 1 Flash Chip missing OR version incompatible 2 Too many graphic screens in memory 4 Never got a ADC ISR for motor current 5 Never got a ADC ISR for battery level 6 Never got a ADC ISR for battery temperature 7 Never got a ADC ISR for Ultrasonic Upstream Occlusion or Bag Empty checks 8 Never got a ADC ISR for Ultrasonic during Downstream Occlusion 9 RS232 Communications Transmission Error 10 Flash Write Error 11 Flash Read Error 12 General Stopcock Time Out 13 Time Out for Buzzer Test 16 Flash Screen Read Error 19 Flash Languages Read Error 20 Could not find Stop Cock Flush Position during prime routine 21 Could not find Stop Cock Feed Position during prime routine 22 Motor Error during Tubing AutoLoad 23 Motor Failsafe Time Out Error Possible damaged gearbox encoder or flex cable 25 Display Lockup Time Out Error 33 Motor Control Failure 4 SYSTEM ERROR PLEASE CALL e Figure 25 General System TECH SUPPORT Error screen See Customer Service section KANGAROO ePump 27 Enteral Feeding Pump Turn the power off and back on to try to clear the error If the error cannot be resolved in a timely manner press POWER to stop operation of the pump and put a different pump into service Hold Error Adjustable Audible Volume 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 Figu
10. Symbols on Pump and Accessories The following symbols are found on the pump or on the accessories such as the A C adapter gt See Accompanying Documents Medical Equipment Refer to Accompanying Documents Type BF Protection Degree of protection against electrical shock there is no conductive connection to the patient Manufacturing Date Code Serial Number Reorder number for the device located on the carton label Alternating Current Class Il 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 oia Community Certification Power Button KANGAROO ePump 24 30008t D FOO 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 Furopean Union s Waste Electrical and Electric Equipment WEEE Directive in accordance with European Standard EN 50419 34 220 240V 002747 T40 F For Medical Equipment 120V Class 2 or US 1 3 RED STEPPED CONNECTOR VDE in Europe UL in USA and Ca
11. 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 37 KANGAROO ePump 5 Enteral Feeding Pump Figure 2B 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 Attaching Pole Clamp The KANGAROO ePump enteral feeding pump can be attached to a vertical pole using the Pole Clamp included with the pump The pole clamp provides the ability to retain the power cord to prevent accidental cord removal or cord loss Simply place the power cord into the U shaped groove located on the back of the pole clamp as shown in Fig 3 and attach the pole clamp to the KANGAROO ePump enteral feeding pump Be sure not to pinch the power cord or damage the cord insulation when installing To attach the Pole Clamp to the KANGAROO ePump ent
12. feeding pump is dependent on the use of acceptable Tyco Healthcare Group LP KANGAROO ePump AccuSystem y feeding sets The use of generic feeding sets or other feeding sets not produced by Tyco Healthcare Group LP is not supported or sanctioned by Tyco Healthcare Group LP 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 AccuSystemy logo to be certain that your KANGAROO ePump enteral feeding pump will deliver accurately every time it is utilized KANGAROO ePump 40 Enteral Feeding Pump A gt O A A A A A A A A A A A A O oath A A E firme Er A A A a are A A A ear A A Che arg A ri A ear A 10 072 ae arent ame tid A E te a In AER BARAA AAA AAA RARA RARA RARA RARA AAA AAA ARA A AAA RARAS AAT AUAM AAA AAA AAA RARAS AAA AAA AAA AAAAA ARA A RARAS ARA A AAT AUAM AAA AAA AAA RARAS qa SOS A O A A A FN Y A O T Lm ee aa cl ul Al Al if mn m m m m m m Mi mn mn mn mn m I m m m m mn m mn mm mn Al Al if ih i E E ah if ANE ES NES RUE ES UES RU ERE RES AN ES ES ER E CES DRE ES OA ES QUEE ES ES EI ES ES E E VES DA E HR a eee ita o ERR STORIA Wells es ca el Ee ea BS SE tT AP Ne m S aS Woes S E MENS em E S A gt ie ee at v MS 2 Ex iat I E ei pl CCS EU il M nr ee AAN Ser S T s ER wa E US ae q B co Ss e SE Lv S co E M y la ieee A Ne RA jo 2 i 2 EE Mite t mam co Sere dl ToS eem 4 I Ta
13. 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 Not Available in EZMODE The KANGAROO ePump enteral feeding pump can be set to RUN and then locked out from unauthorized use While the LOCK SETTINGS feature prevents only changes to the input parameters the LOCK SCREEN feature will lock out any button presses including RUN or HOLD except power off Use LOCK SCREEN when the pump is running and there is a need to prevent tampering such as putting the pump into an unwanted HOLD The RUNNING screen will show a padlock to indicate that no changes can be made without unlocking the screen To lock the screen use the following procedure while the pump is in RUNNING mode e Press and hold the third button from the top for at least 3 seconds and then release it To unlock the screen use the same procedure above FEED RATE mL 423 mL Figure 17 Padlock indicates pump is in riusH 200 mL LOCKSCREEN mode EVERY hrs 21000n FED
14. x e c 2 z E ite eee N Med EE im Mee enl pe om D Sey il Ngee ee AN ROS Ad eS q 2 1 ON ss A c de 5 E ETT idi oc A LLI gt EE Me EE w c g 127 Sn ASS teer g Z eei C 5 x o mal 225 ey MIR o mmm qu uy oco EL lee c X S 25 Ee SE Qs ec 2 AN SED ju L p flac sn NN e E 2 9 ER hes MCI fg XI et a amp icr lt 13 2133 Es de e Y E 5 e LT st Y Y sis mE ES vel E D lge Ex pr ec 5 slot MS qu LLI e I x ON ASS E m C Q E E and er Q el32 EZ o c E S SEE EE en a 5 Q siez Re NS eS a g 3 S EI E ites Rm QJ m Oo Sse gt 2 a mT S SE Es N er e y Y E ERN U e 2 a B EE alee So s ON Nc dba ec 2 El UO pa Sere ute oq o o 2 2 mes NES hom J SA p E A et E T 4 E lt AN ES F az gt T ERN ROS Sees qJ oo pee Lie M ps d E eres am 3 sE tes T E Y E NES p E E to e a rera di s y d ON NL pu e A DAN ee d gt Hg o gt 2 2 fe Se Wee 2 6 n D Sg y 2 jas I S SES vu y LS igre 7 y 2 Bu BS S 3 g En RS T e o e 9 og S 5 e z E T ac Meere d EF ne Ye W lt L E S qu V NEA To v Na n Y z 3 Y oro LLI ro ec gt E 9 E 5Sa tua Se E amp EN Mes 2 E c e S ec ES NES D D Sx 5 NS J oz lt EN A gt n E s y E EUN decide Hd 5 cc Uc o T Pu SN ESE c y 2 e ES Ne o 3 D E bie ee Bi uv 2 6 e ERGO NN ES D to
15. 6 3 cm 6 4 Depth 11 7 cm 4 6 Weight 1 1 kg 2 4 lbs 1 2 kg 2 7 lbs 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 2 15 hrs at 100 mL hr feed rate Approximately 15 minutes prior to complete battery discharge a low battery alarm will occur see subsection Battery Low in Section IX When complete discharge occurs the pump will automatically turn itself off The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the battery pack Alarms e System Error e How Error Pump Set Dislodged Error e Hold Error Rotor Error KANGAROO ePump 32 Enteral Feeding Pump e Feed Error Flush Error e Battery Low Alarm Volume Minimum of 70 dBA at 1 meter in maximum volume orientation Operating Temperature 10 40 C 50 104 F 75 R H non condensing Storage Temperature 0 50 C 32 122 F 95 R H non condensing Type of Protection Against Electrical Shock Class Il Internally powered Equipment Degree of Protection Against Electrical Shock Type BF Mode of Operation Continuous or programmed intermittent operation Degree of Protection Against Ingress of Fluids Drip proof IPX1 KANGAROO ePump 33 Enteral Feeding Pump
16. A SYDE is a trademark of Steris Inc audi TYCO HEALTHCARE GROUP LP MANSFIELD MA 02048 MADE IN U S A 2007 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 070105 PRODUCT INFORMATION IN U S 1 800 962 9888 www tycohealthcare com TYCO HEALTHCARE U K LTD GOSPORT P013 OAS U K 182433 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 Section General Information ssssssssssse Section ll Safety and Warnings ooooooccccccccccccooo Section IIl Icon Identification Section IV Initial Setup Attaching the A C Adapter Power Cord ccc cce cee cee ee eneeeeneeneenees PP N A Attaching Pole CIGITIDa see reetes aedes usta eones Section V Instructions for Use e General StartUP 6 cece ec cece eee eee Hmmm Placement Mounting eie dide sra on daa FERRO tI vU MERIT ERE E ees A C Power Operation AA e PP A Battery POWBPDDSFAUIOILo eid va Soto P o RI OPRU dRU E TUS DEOS POWER ON OM scires O o UE ERA Language Selection First Power Up sss Keep or Clear Prior Pump Settings sslsee nnn Loading PUMP SEIS saree dyaenayasancusea hess pacedeuwenayaruees II PPIEN AES 2d Prime PUMP xcanssevadieanacth ratito east span Auto PRIMING e A o A CIA eu III Re priming after B
17. Biomedical Engineering Department an outside service or by Tyco Healthcare Group LP Factory Service To arrange for Tyco Healthcare Group LP Factory Service in the US call 1 800 448 0190 In Canada call 1 877 664 TYCO 8926 Outside of the US and Canada please contact your local Customer Service for more information If a pump malfunctions please contact your THGLP Representative or call Customer Service for instruction Section VIII Battery Replacement See Figure 24 and do the following to replace the Battery Pack e 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 e Slide Battery Pack out of compartment e Slide a new Battery Pack into compartment with wire harness extending out Align connector with red wire at upper right e Push connector in until properly latched e Tuck wires into slot between connector and battery to insure wires are not pinched Re tighten Battery Door screw Note Replacement Battery Packs are available from Tyco Healthcare Group LP See Section XIII Service Part Numbers KANGAROO ePump 25 Enteral Feeding Pump Figure 24 Installation of Battery Pack WARNING USE OF A BATTERY PACK NOT SUPPLIED BY TYCO HEALTHCARE GROUP LP CAN BE DANGEROUS AND VOIDS ALL WARRANTIES AND PERFORMANCE SPECIFICATIONS The battery will charge continuously
18. 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 ePump 16 Enteral Feeding Pump EQLUS AT LEFT RT LEFT EVERY FLUSH INTERVAL IS FROM START OF EUER 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 the 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 FL
19. R to stop operation of the pump and put a different pump into service KANGAROO ePump 28 Enteral Feeding Pump FEEL ERROR BAG EMPTY CLOG IN LINE Figure 28 Feed Error screen VALVE NOT LOADED Flush Error Adjustable Audible Volume The FLUSH ERROR screen appears when the flushing solution is no longer being delivered because the flush bag is empty or because of a clog 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 Figure 29 If the error still cannot be resolved press CO POWER to stop operation of the pump and put a different pump into service FLUSH ERROR BAG EMFTY CLOG IN LINE URLUE NOT LOADED Figure 29 Flush Error screen Flow Error Adjustable Audible Volume The FLOW ERROR screen appears when either the feeding or the flushing solution is no longer being delivered because of a clog between the pump and the patient Check the line to find the occlusion causing the blockage If the error cannot be resolved check the valve pocket in the Pump Set loading area for dampness or dirt which may be a cause for a false error Clean and dry the valve pocket If the error still cannot be resolved load a new Pump Set prime it and restart the feeding Figure 30 If the error still cannot be resolved press CO POWER to stop operation of the pump and put a different pump int
20. SFIELD MA 02048 MADE IN U S A O 2007 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 070118 PRODUCT INFO IN U S 1 800 962 9888 www tycohealthcare com EC REP TYCO HEALTHCARE U K LTD GOSPORT P013 OAS U K 182433 KANGAROO ePump Performance Certification KANGAROO ePump Enteral Feeding Pump Serial Number Date of Re Certification The undersigned hereby certifies that the above referenced pump has been tested per the pump s internal re certification protocol with the following results Manual Tests Passed Failed Buzzer Test LED Test Battery Test MISTIC Test Auto Test Inspector Signature Facility Address City State Zip tyCa Healthcare KENDALL Rx CE Trademark of Tyco Healthcare Group LP or its affiliate ONLY 0123 aaa TYCO HEALTHCARE GROUP LP MANSFIELD MA 02048 MADE IN U S A 2007 TYCO HEALTHCARE GROUP LP ALL RIGHTS RESERVED 070118 IN U S 1 800 962 9888 www tycohealthcare com TYCO HEALTHCARE U K LTD GOSPORT PO13 OAS U K 182433
21. USH 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 ePump enteral feeding pump flushes at a rate of 1960 mL hr 32 7 mL minute Use care when programming the flush volume so that it matches the patient s need NOTE The pump will automatically flush an additional 25 mL of water after completing the programmed delivery of formula as long as at least one flush had occurred during formula delivery The KANGAROO ePump enteral feeding pump will only run when a Pump Set is properly loaded and the necessary feeding parameters have been programmed For a Feed amp Flush Set the flushing parameters do not have to be set for the pump to begin operating If flushing parameters are set as zeros there will be no flushing After the pump has been programmed press RUN to start operation Figure 15A shows the RUNNING screen for continuous feeding with flushing The status line will indicate RUNNING and the droplet icon will move vertically on the screen The green LED indicator will be illuminated to give a quick visual indication of positive status in a darkened room The RUNNING screen shows the feed rate amount fed flushing data if a Feed amp Flush Pump Set is used
22. able anesthetics A Ww N Va Read this booklet thoroughly before using the KANGAROO ePump enteral feeding pump Disconnect power supply before cleaning or servicing Use only KANGAROO ePump enteral feeding pump Power Cord with built in A C adapter with pump See Section XIII Service Part Numbers for replacement of Power Cord Useonly KANGAROO ePump enteral feeding pump Pump Sets with this device Pump is not compatible with other Pump Sets Forre certification see Section VI Re certification of Performance For other integrity checks consult with a qualified Biomedical technician or contact the manufacturer Section Xl Customer Service For service or for technical information please contact Customer Service Section XI Donotopen 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 of non sterile devices See Section VII Cleaning for instructions on cleaning the KANGAROO ePump enteral feeding pump See icon descriptions in Section IIl Icon Identification and Section X Specifications and Symbols for additional safety information KANGAROO ePump 3 Entera
23. ag EMpty oooooocooocrorccnccnaccna cono Selecting Feed Mode cen oru hop bL ooo ERI FIM MOT er eitis no sarees adeees KANGAROO ePump Enteral Feeding Pump TABLE OF CONTENTS Selecting Continuous or Intermittent Mode oooooocoocoommommo Continuous Mode Adjust Feed ooooooooocoocorrormm Continuous Mode Feeding o 00ooooooocorrorcormo o Continuous Mode Flushing o o o o ooo oo o Intermittent Mode Adjust Bolus o0 o ooooo Intermittent Mode Feeding cccceccsccecesceeceess Intermittent Mode Feeding Bolus Max Intermittent Mode Flushing A EE o A MOP ODT ONS eie OO CERERI RUMIMDORIEMEPU PRU EDI MEE Buzzer Alarm Volume seen jo E E Language Selection ce etucestaceceesgsacueduateeurevaeie RETE nTPERES Continuous Intermittent Mode sees APP o P PME MFUPPNI HARTE Accessing the BioTech Screen sese BioTech Screen Data erii rero to rr YuES E Rev ECET CERE ep rSsS BioTech Options cexsonssnm entr rn abut eost pp RRR EE UNENUUE FUN Lock Settings Feature Program Locked Zinn generis aes Communication Es ose deter ias can dose ace IS PIE INE Section VI Re Certification of Performance System Performance Re CertificatiON
24. 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 ePump 17 Enteral Feeding Pump FEED FiRTE lt TC p wa KIU s hr Figure 15A RUNNING mode screen Figure 15B KTO 493 nL for continuous feed mode i 123 mL FED FED rusa 200 uL EVERY hrs 1000m ei OD H PROGRAF Figure 16 Program Locked screen LOCKED which indicates the pump is in LOCK SETTINGS mode KTO Not Available in EZMODE The Keep Tube Open KTO function within the KANGAROO ePump 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 dinically insignificant portion of feeding solution is moved through the tube The amount of delivered fluid is monitored 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
25. ata transfer of various pump settings status errors etc through the serial 1 0 port If feature is desired please contact technical support for additional information NOTE If EZMODE and the COMMUNICATION feature are both activated the icons for both features will alternate KANGAROO ePump 22 Enteral Feeding Pump Press DONE to exit the BioTech 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 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 XIII Service Part Numbers for ordering new Re Certification Pump Sets Load the Re Certification Pump Set The pump will automatically recognize the Re Certification Pump Set and give brief instructions to initiate the self diagnostic procedure Follow the instructions and review the pass fail information at the end of the test Certifying the Accuracy of Pump Flow Rate Use the following procedure to check the flow rate accuracy e Perform test at room temperature 22 C 2 C 72 F 3 F with a new Pump Set e Fill a new Feed Only Pump set bag with water to the 500 mL mark e Load the Pump Set Suspend the Pump Set bag so that the botto
26. cally 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 150m FED FLUSH 250mL 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 EZMODE 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 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 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 inc
27. d 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 NMTINMUOUS IMTERMITTENMT ONE E Buzzer Alarm Volume Press BUZZER in the MORE OPTIONS menu to access the BUZZER screen and increase or decrease the alarm buzzer volume The alarm will be audible as the volume setting is changed This sets the volume level for any warning or error that may occur with the pump Critical errors of System Error and Pump Set Dislodged will always use the maximum volume setting History Not Available in EZMODE 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 KANGAROO ePump 20 Enteral Feeding Pump HISTORY URRENT BUR NOT 7 IDGLUDED hrs Figure 20 Feed and Flush totals for up to 72 hours of previous history excluding data from the current FEED hour 2000 mi FLUSH Language Selection Press LANGUAGES in the MORE OPTIONS menu to change the preferred language for the screen interface Continuous Intermittent Mode Not Available
28. en is redundant Selecting EZMODE EZMODE may be selected through the Biotech Options button which may be accessed on the Biotech screen see page 21 The EZMODE setting will be stored in the flash memory and saved when the unit is shut off NOTE If the user inserts a Feed Flush set while the EZMODE is enabled EZMODE will be cancelled and the unit will immediately revert back to the normal mode If EZMODE is desired the user must then re enable EZMODE 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 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 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 t
29. eral 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 KANGAROO ePump 6 Enteral Feeding Pump Figure 3 Attaching and using the Pole Clamp or Cord Clip If cord restraint is preferred but use of the pole clamp is not desired a cord restraint clip is provided with the KANGAROO ePump enteral feeding pump Using the pole clamp mounting bolt follow the pole clamp assembly instruction to attach the cord clip Refer to Fig 3 Section V Instructions For Use Quick Start 1 Press C 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 KANGAROO ePump 7 Enteral Feeding Pump 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 Finger tab should align with locating rib e Close blue door Note display status line should read SETLOADED 4 To automatically prime the pump press PRIME PUMP and AUTO PRIME For Feed amp Flush sets auto priming will prime both lines 5 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
30. fter the 30 minute value is reached Run Mode Press RUN to immediately restart pump operation This option will not be available if the Pump Set is removed during HOLD View History Not Available in EZMODE 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 ePump 19 Enteral Feeding Pump Flush Now Not Available in EZMODE During the RUNNING mode the pump can be diverted to immediately perform a flush flush on demand 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 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 an
31. he Pump Set is loaded Figures 7A 7D See subsection More Options for information on the other options in the MORE OPTIONS menu KANGAROO ePump 13 Enteral Feeding 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 ONTIMUOUSTNTERMITTENT 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 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 righ
32. hment Pole Clamp See Section IV for initial setup including attachment of the Pole Clamp to the pump Figure 36 Battery Door Replacement KANGAROO ePump 36 Enteral Feeding 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 Figure 37 User maintenance is to be performed only by appropriately qualified technical personnel Visit our web site at www kangarooepump com 1 KANGAROO ePump dFM US 382400 E ot International 482400 2 Main Door Blue transparent door sssssessesen III F31877WT 3 Bery e X ober RESI ad coo EAEE IORDCRMTCR RUE dees ens F010484WT 4 Battery Door with Screw serranas torero rada dan F31878WT Power Cord with A C Adapter ccc ccc cee cee cece eee eee e m 382491 A e O oo IIA 382492 Electrical Plugs Setof 4 eicarinricin raras an ac e ieu sa ee s bh eee Rep 382493 Re Certification Pump Set csse memes 776150 Cord Retaining Clip AAN o ss 382494 Technical Manual Communications MODE sss F182432WT ACCESSORY ITEMS Cord Extension Accessory US caesis e io 0 e ENDORSE ERE RE REUR CORPO PRO 382495 Cord Extension Accessory Europe ooooooooocoocrorcnccnccnoconcono ran cono caros 382496 Cord Extension Accessory A
33. in EZMODE 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 REGI N 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 the version number of the flash data installed in this pump KANGAROO ePump 21 Enteral Feeding Pump CERT INTV indicates the number of times the pump has been powered on since the last re certification See Section Vl for details of re certifying the pump BioTech Options Figure 22 BioTech option screen with Lock Setting EZMODE and Communications features activated Loc
34. k Settings Feature 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 EZMODE Press EZMODE to activate the EZMODE feeding option A check mark will appear next to the EZMODE button to indicate that the feature is active Pressing the EZMODE button again will remove the check mark indicating that the feature is off If the EZMODE feature is turned on the EZMODE icon will appear in the lower right corner of the LCD next to the battery icon see Figure 9 See page 13 for EZMODE details COMMUNICATION Press COMMUNICATION to activate the communication feature A check mark will appear next to the COMMUNICATION button to indicate that the feature is active Pressing the COMMUNICATION button again will remove the check mark indicating that the feature is off If the COMMUNICATION feature is turned on the COMMUNICATION icon will appear in the lower right corner of the LCD next to the battery icon see Figure 23 FEED RATE mL hr Figure 23 rusa 200 mL EVERY hrs Turning the COMMUNICATION feature on will initiate d
35. l Feeding Pump 12 This device is designed to minimize the effects of uncontrolled electromagnetic interference and other types of interference from external sources Avoid use of other equipment that may cause erratic operation or degradation in the performance of this device 13 WARNING The serial 1 0 port see Figure 1A is intended only for use by the manufacturer Any accessory equipment that can be connected to the DB9 Serial 1 0 port and which does not comply with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the pump While use of the pump s DB9 port is not recommended for customers the following should be considered in the event that the customer decides to connect to this port 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 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 Section lll 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
36. le 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 e Refer to General Cleaning Directions before starting Unless soiling is observed the power cord should not be cleaned e If cleaning of the power cord is necessary unplug from outlet and wipe the exterior surfaces of the wall plug with a cloth dampened with isopropyl alcohol KANGAROO ePump 24 Enteral Feeding Pump CAUTION Avoid exposing power cord to excess moisture as this can lead to an electrical shock or fire hazard Directions for Cleaning Rotor Assembly e Refer to General Cleaning Directions before starting e Open the blue door enclosing the Pump Set loading area e Loosen rotor set screw with 5 64 2 mm allen wrench and gently pull rotor off shaft After removing rotor avoid getting any moisture in the rotor shaft opening e Clean 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 section of the output shaft e Push rotor into place and tighten set screw Do not over tighten 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
37. lect 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 BioTech 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 e Press HOLD e 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 KANGAROO ePump 9 Enteral Feeding Pump Loading Pump Sets The KANGAROO ePump enteral feeding pump will indicate LOAD A SET in the screens 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 EZMODE WES Qu o up 3 BOLUSES FED 15001 b fi eus 3 Sim rusa ebllaL EVERY EVERY Bhrs A EVERY Fi Figure 5A LOAD A SET opening menu Figure 5B LOAD A SET opening menu screen for Continuous Feeding mode screen for Intermittent Feeding mode EZMODE not activated EZMODE not activated To load a Pump Set follow the steps below 1 Open the blue transparent door that encloses the rotor and Pump Set loading area 2 Load the P
38. m of the bag is 18 inches above the pump Make sure pump is plugged into A C power do not run test with battery power e Program a Continuous Mode feed rate see below for suggested example rates e Run the pump for 15 minutes to achieve steady state operation e Then begin collecting the water in a calibrated measuring container such as a large capacity graduated cylinder for exactly 30 minutes NOTE The amount of water collected in 30 minutes will be half of the value programmed for the hourly flow rate within 1096 or 0 5 mL whichever is larger Rate Set Amount Expected in 30 Minutes 75mL hr 33 7 mL to 41 3 mL 150 mL hr 67 5 mL to 82 5 mL If the amount collected is outside the range load a new Pump Set and re run the test procedure to confirm results KANGAROO ePump 23 Enteral Feeding Pump Section VII Cleaning Cleaning should be performed as needed It may also be desirable to define cleaning intervals based on knowledge of the environment in which the pump is used Only personnel trained in the cleaning of medical devices should perform cleaning CAUTION Do not immerse pump or power cord in water or other cleaning solution clean using a damp not wet cloth or sponge Failure to follow the cleaning procedures described herein could result in hazards to users As with any AC powered electrical device care must be taken to prevent liquid from entering the pump to avoid electrical shock hazard fire hazard or damage t
39. nada Set Loading Diagram Maximum operating pressure 103 kPa Assure that the white cap and red stepped connector are securely tightened Enteral Feeding Pump 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 XII 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 Canadian Highway Watertown NY 13601 Pointe Claire QC HOR 1C7 1 800 448 0190 or 315 788 5246 1 877 664 8926 or 514 695 1220 U K Service Center Outside of U S and Canada Tyco Healthcare Group LP 20 Garryduff Road Ballymoney BT53 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
40. nnector 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 ofthe 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 Selecting Feed Mode EZMODE Option The EZMODE option is a limited CONTINUOUS MODE only setting
41. o electrical components If any ofthe 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 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 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 Nine Phisohex Hibiclens or Vesta Syde because damage to the pump case housing can result Directions for Cleaning Pump Housing e Refer to General Cleaning Directions before starting e Clean outside surface with a damp not wet cloth or sponge and keep pump in upright position as much as possible e Avoid excess moisture near po
42. o service 4 FLOW ERROR CLOG IN LINE DOWNSTREAM Figure 30 Flow Error screen OF PUMP Pump Set Dislodged Error Fixed Audible Volume 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 Figure 31 If the error cannot be resolved press POWER to stop operation of the pump and put a different pump into service KANGAROO ePump 29 Enteral Feeding Pump PUHP SET DISLODGED POWER DOWN AND RE INSTALL SET Figure 31 Pump Set Dislodged Error screen Battery Low Fixed Audible Volume 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 Figure 32 Plug the power cord in to begin recharging The pump will automatically return to the screen that was active prior to the error The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the battery pack 4 BAT UE Figure 32 Battery Low error screen Indicates that the battery must be PLUG IN POWER CORD recharged immediately Feeding Complete Adjustable Audible Volume The FEEDING COMPLETE information
43. of ePump It feeds non stop no VTBD option at a rate KANGAROO ePump 12 Enteral Feeding Pump 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 Turning on EZMODE 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 EZMODE is enabled the previous value of the Feed VTBD will be stored in flash memory and recalled when EZMODE is deselected The user can change the Feed Rate by normal means All other user settings including those not compatible with the EZMODE BOLUS VTBD NUMBER OF BOLUSES SUPER BOLUS etc that were set before the pump was put into the EZMODE will be ignored and invisible while in EZMODE but remain stored in the flash memory for when EZMODE is deselected EZMode essentially has no effect on CLEAR SETTINGS pressing CLEAR SETTINGS while EZMODE is enabled will clear all Feed and Flush settings and totalizers as normal not just those that apply to EZMODE Selecting the CLEAR SETTINGS option on power up will not clear Biotech Options such as EZMODE or LOCK SETTINGS If the user selects the ADJUST FEED option from 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 EZMode the Adjust Feed scre
44. ors or Pump Set loading conditions e Attitude independent design eliminates need for drip chamber on pump set e Sensor technology detects both upstream and downstream flow conditions e Continuous feed intermittent feed and flush capability e Auto prime feature reduces the need for time consuming manual priming e Hold feature with restart and Keep Tube Open KTO feature Stores previous 72 hours of feeding and flushing history Service e Serial 1 0 port for data retrieval and software updates e Uses replaceable rechargeable NiMH Battery Pack for 15 hours of backup power e Removable Power Cord KANGAROO ePump 1 Enteral Feeding Pump Menu Selections Menu Selection Buttons Graphic Display Feeding Set Cap Storage Area Door KANGAROO ePump LS A A gt lt A FLusH 250mL EVERY hrs gt TA Front EF el S Figure 1A KANGAROO ePump features front and rear views Status Line Status LEDs Input Settings Output Totals Power Button Battery Status Integrated Handle Pole Clamp Attachment Point A C Adapter Port Serial 1 0 Port Battery Compartment Enteral Feeding Pump Feeding Set Capture Figure 1B KANGAROO ePump Pump Set loading area Section I Safety and Warnings CAUTION U S federal law restricts the sale of this device to physicians or to their direct representatives 1 Do not use this device near flamm
45. p 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 8B DISCONNECT SET FROM PRIMING Figure 8A PRIME PUMP menu for Feed Only set Auto Priming DISCONNECT 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 KANGAROO ePump 11 Enteral Feeding Pump Press 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 co
46. r 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 as T e Medical Electrical Equipment U o KANGAROO ePump Enteral Feeding Pump D L 1 Classified with respect to electrical shock fire and mechanical hazards C a US in accordance with UL60601 1 MEDICAL ELECTRICAL EQUIPMENT WITH uc HAZARDS OMLY s aceoRGANce 2 Classified with respect to electrical shock fire mechanical and other MIWULDSTAPNOSAGINDU specified hazards in accordance with CAN CSA C22 2 No 601 1 Type Infusion Device Volumetric Pumping Mechanism Rotary Peristaltic Pump Sets KANGAROO ePump MISTIC Feed Only Set or Feed amp Flush Set Feeding Formula Delivery Rate 1 400 mL hr in 1 mL increments KANGAROO ePump 31 Enteral Feeding Pump Feeding Formula VTBD 1 3000 mL in 1 mL increments Bolus Volume 1 3000 mL in 1 mL increments Number of Boluses 1 99 Bolus Interval 1 24 hours in 1 hour increments Flushing Solution Dose Range 10 500 mL in 1 mL increments Flushing Solution Interval Range 1 24 hr in 1 hr increments Accuracy 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 Ocdusion Pressure 15 psi 103 kPa Nominal Dimensions Height 16 8 cm 6 6 Width 1
47. re 26 Press 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 Figures 18A 18B to see the options on the HOLDING menu screen If the error cannot be resolved press POWER to stop operation of the pump and put a different pump into service Figure 26 Hold Error screen Rotor Error Adjustable Audible Volume The ROTOR ERROR screen appears during RUNNING or PRIMING when the pump has detected an unusual operating condition for the rotor See Figure 27 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 POWER to stop operation of the pump and put a different pump into service Figure 27 Rotor Error screen Re load the set tubing and press CONTINUE Feed Error Adjustable Audible Volume 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 Figure 28 If the error still cannot be resolved press CO POWE
48. rements 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 ePump 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 EOLUS 3 151 menu oO rtr BOLUS every Bhrs Figure 13C Setting the Number of Boluses 3000 MAX AT LEFT INTERVAL 13 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 Bolus Max Not Available in EZMODE 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
49. screen appears after completion of the programmed feeding Figure 33 Press Power Down to turn off the pump Press CONTINUE to return to the SET LOADED opening menu Figures 7A 7D H FEEDING COMPLETE Figure 33 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 hours actually running Itis recommended to replace Pump Sets after this length of usage This icon is only an informational message and does not require action Figure 34 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 KANGAROO ePump 30 Enteral Feeding Pump FEED RATE mL r Figure 34 Running screen with the gt 24 HRS of Pump Set Usage indicator in upper 123nL Wide genet rusa 200 ml EVERY hrs 21000 LED Array The pump status LED array on the upper right of the pump gives a quick visual indication of the pump status especially in darkened rooms A green light status indicates normal pump operation A yellow light status indicates an informational or warning situation for a low battery condition the pump in HOLDING mode or one ofthe following errors HOLD ERROR FEED ERROR FLOW ERROR and FLUSH ERROR A red light status indicates a critical pump erro
50. t 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 C 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 An or V buttons When the language is selected push the fifth button to enter the language selection 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 CLEAR SETTINGS Se
51. t 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 ePump 14 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 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 automati
52. 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 35 and do the following 1 Placetop Door Hinge onto the Top Hinge Pin 2 Carefully press down on the bottom of the door to spread the door hinges apart 3 Placethe bottom Door Hinge onto the Bottom Hinge Pin KANGAROO ePump 35 Enteral Feeding Pump To Hinge Top Door Pin Hinge gt mi i pOH Lower Hinge Lower Door Pin Hinge Figure 35 Blue Door Replacement 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 capacity Battery Door To replace Battery Door see Figure 36 and do the following 1 Align the Battery Door Hinges with the long hinge pins 2 Snap the hinges onto the hinge pins 3 Screw down the door to hold in place Power Cord See Section IV for initial setup including Power Cord attac
53. 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 Anv ndar 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 ern ring Betjenings og servicehandbog Avthia evtepiknc o tionc Eyysipi to Mrtoupyiac kat o pfic Pumpa pro enter ln vyzivu Provozn a servisn pr rucka Enter lis t pl l pumpa Kezel si s karbantart si k zikonyv Hacoc gna 3urepanbHoro nuraHus PyKOBOACTBO No 3kcnnyarauu Y TEXHNYECKOMY O CNYKNBAHNIO Pompa zywienia dojelitowego Instrukcja obstugi i serwisowania Enteral Besleme Pompasi Operasyon ve Servis Kilavuzu Enteral ernzeringspumpe Bruker og vedlikeholdshandbok TM 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 trademark of Tubifoam Ltd VEST
54. ump Section XV Electromagnetic Conformity Declaration The KANGAROO ePump enteral feeding pump has been built and tested according to UL60601 1 E189131 CSA C22 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 RF emissions CISPR 11 Group 1 The KANGAROO ePump enteral feeding pump 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 Class B The KANGAROO ePump enteral feeding pump 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 Class 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
55. ump 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 valve finger tab to ensure proper seating 6 Closeblue transparent door Pump Set Finger Tab Set Loading Door L f sl NI MT OH Cx NM 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 ePump 10 Enteral Feeding Pump FEED RRTE mL hr 150m FED Figure 7A Opening menu for Continuous Feed mode with a Feed Only set BOLUS 35 cuero hrs Figure 7C Opening menu for Intermittent Feed mode with a Feed Only set Prime Pump 150m FED Fush 5L 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 ePump enteral feeding pump may be primed automatically with a single button push including the flushing line if a Feed amp Flush Set is loaded The pum
56. ustralia o ooooocoommnscorcrorcrccnacancono caco oo 382497 Cord Extension Accessory UK 382498 Serial Cable COMMUNICATION Feature csse Hm 382499 KANGAROO ePump 37 Enteral Feeding Pump Section XIV Warranty LIMITED WARRANTY Kendall a Tyco Healthcare Group LP company warrants to the original purchaser Customer that this product will be free of defects in materials and workmanship under normal use for one 1 year from the date of original purchase from Tyco Healthcare Group LP or its authorized distributor If this product does not operate as warranted above during the applicable warranty period Tyco Healthcare Group LP 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 Tyco Healthcare Group LP 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 Tyco Healthcare Group LP 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 KANGAROO ePump 38 Enteral Feeding P
57. whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the Battery Pack Section IX Error Warning Informational Screens and Troubleshooting For operational errors the KANGAROO ePump enteral feeding pump display will show the error indicator icon with specific information regarding the error condition and will sound the alarm The following conditions will trigger error conditions and will activate audible and visible alarms e Feed or Flush containers are empty Feed or Flush tube becomes occluded between bag and pump e Tube becomes occluded between pump and patient 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 e System errors see below e Feeding complete e The MISTIC connector is removed during AUTOPRIMING or RUNNING The Error Warning and Information Screens are described below KANGAROO ePump 26 Enteral Feeding Pump System Error Fixed Audible Volume The system error screen is the most general form of error Figure 25 The only way to exit from a System Error is to power down No CONTINUE option is allowed because of the severity of the error An error number is also displayed on the screen for reference purposes This number should be reported when calling the Customer Service Support Line Error Related Sub system 0

Kangaroo EPump Feeding Pump User Manual

Contents

Download Pdf Manuals

Related Search

Related Contents