English - Covidien Kangaroo ePump™ Enteral Feeding Pump
Contents
1. SS peer Su spen Standard N 30819 Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Winus LI Ayo Section XI Customer Service The circuitry ofthe Kangaroo Epump Enteral Feed and Flush Pump is not customer serviceable In particular electronic assembly rework by nonauthorized Kangaroo pump Enteral Feed and Pump technicians wil likely affect accuracy personnel must be propery trained and qualifed with operation ofthe Kangaroo Epump Enteral Feed and Flush Pump service may impair operation of the pump Return for Repair 1 Cal Customer Service foran Authorized Return Number and shipping structions sing the appropiate phone number below 2 Packtheinstnment carefully and ship the insured parcel to United States Canada Covidien Covidien 5920 Longbow Drive 7200 Trans Canada Highway Boulder 80301 USA Rinte Gaire QC HOF ICT Canada Phone 1 800 448 0190 Phone 1 877 664 8926 Outside US amp Canada Covidien Unit 2 Talisman Business Center London Road Bicester OK266HR UK Phone 44 1869 328065 Section XII Maintenance For general maintenance issues not discussed below contact Customer Service Section Xl Waring Do not open the main housing as there are no user serviceable parts inside Opening of device may affect function of device and voids the waranty maintenance temps be reglas by te aster on2. and ig the Pole Camp or Cord y Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Section V Instructions For Use Quick Start 1 2 3 Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Press POWER on lowe right hand comer of contol pane Open blue door endosing Pump Set loading area load Pump Set refer to Figure Grasp finger tab on valve and insert into left pocket 1 Grasp black ring retainer and gent stretch tubing around rator 2 Pull up on retainer and insert into right pocket 3 Press down on finger tab to ensure that valve is fl seated Finger tab shoul align with locating rib Cose blue door Note display status ine should read SET LOADED Toautomatcaly prime te pump press PRIME PUMP and AUTO PRIME for Kangaroo Eup eed amp Fush sets auto priming wil pime both ines To directly control pump priming press PRIME PUMP and then press and hold the HOLD TO PRIME buttons fa Feed Flush Set isused remember to fist press HOLD TO PRIME FLUSH until the flushing fuid has reached the valve and then pres HOLD TO PRIME FEED uni the feeding fluid has reached past the valve and down to the distal end connector Use buttons on leftside of LCD toset the feeding parameters Set flushing parameters ifa Feed amp Flush Set is loaded The continuous or intermittent feed mode selection is made under the MORE options menu Press RUN when ready to start The sareen wil display RUNNIN
3. covipien Operating Manual Kangaroo Epump Enteral Feed and Flush Pump with Pole Clamp Programmable Thank you for purchasing the angaroo Epump Enteral eed and Flush Pump with Pole Camp With proper care this device wil provide you with years of precision service Table of Contents Section 1 General Information Section Il Safety and Warnings Section Ill Icon Identification Section IV Initial Setup Attaching the A C Power Adapter Battery Setup Hiding Pole Clamp Section V Instructions for Use Quick tar General Startup Placement Mountng MC Power Operation Battery Power Operation Power ONO s language Selection Fist Power Up Keep or Clear Prior Pump Settings Loading Pump ets Prime Pump Re priming after Bag Empty Selecting Feed Mode Selecting MODE Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Table of Contents Selecting Continuous or Intermittent Mode Continuous Mode Adjust Feed Continuous Mode Feeding Continuous Mode Rushing Intermittent Mode Adjust Bolus Intermittent Mode Feeding Intermittent Mode Feeding Bolus Intermittent Mode Flushing Pana Keep Tube Open 0 Lock Screen Feature Hold Fush Now More Options Buzzer Harm Volume History csse Language Selection Continuous intermittent Mode
4. Kangaroo pump Entel ed and Aush np See Seton XI 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 Place top Door Hinge onto the Top Hinge Pin 2 Carefully press down on the bottom ofthe door to spread the door hinges apart Place the bottom Door Hinge onto the Bottom Hinge Pin FS cepe Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Battery Pack See Section Vl for full instructions on replacing Battery Pack During ong term no usageo storage greater than 9 months ofthe pump battery discharge and deactivation may tend to occur Itis recommended that the battery be disconnected during this time The battery may need to be charged and discharged several times to restore optimal 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 down the door to holdin place MC Power Adapter See Section IV forint setup nding AVC Power Adapter attachment 9 Pole Clamp Battery Dour Replacement See Section IV for initial setup nding attachment ofthe Pole Clamp to the pump Section XIII Service Part Numbers To place an order for parts ori echnical sistance is required call customer service The Kangaroo E
5. to program time interval between starts of alas delves fom 28 reef hou Pres gt ENTER button to ert the fr D seng hetero The pump wil automatically imit bolus settings which exceed pump delivery capabilities For example bolus delivery volume of 00 ml cannot be made once per hour ifa rate of 150 mL hris programmed In this case the maximum volume allowed would be 150 mL am Note th NUMBER OF DUIS ding esting fom WOLD mode the pump wil estar the bolus feeding and wil deliver all the boluses as defined by the new Sh seing Intermittent Mode Feeding Bolus Max ot Available in EZMODE Sting he ae The BOLUS MAK option can be used to deier a bolus ata high rate similar to gravity feeding Mis 898 Fes BOLUS MAX in the BOLUS RATE en Figure 138 to program the BOLUS MAX mode Z Thefeeding rate for BOLUS MAis 999 mL aera gu Sing ee tre Epump Enteral Feed and Rush Pump with Pole Camp Intermittent Mode Flushing For INTERMITTENT feeding mode with a Fed amp Flush Set the opening menu shown in Figure 70 wil show the ADJUST FLUSH option Press ADJUST FLUSH in Figure 70 to program the flushing parameters from the ADJUST FLUSH screen Figure 14A 3 anna AUT iu Tie E on Note The nature of two intermittent processes periodic bolus feeding and periodic flushing is such that occasional conflicts can a
6. Battery low alarm beeps continuously about 15 minutes before shut off Unitisleftin HOLD mode longer than 10 minutes without input Pump Set tubing is improperly loaded around the rotor System eos see below Feeding complete The MISTIC connector is removed during AUTOPRIMING or RUNNING The Error Warning and Information Screens are described below System Error Volume ou The system error screen isthe most general form of eror Figure 25 Theon way to enit ram a System Eroris to power down No CONTINUE option is alowed because ofthe severity of An emar lumber salsa displayed on the scen for reference purposes Tis number should be reported when aling the Customer Service Support Line Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Eror Related Sub system Intemal timer stopped Fash Chip missing OR version incompatible Too many graphic screens in memory Never gota ADC ISR for motor curent Never gota ADCISR for battery level Never gota ADC ISR for battery temperature Never gota ADC ISR for Ultrasonic Upstream Occlusion or Bag Empty checks Never gota ADC ISR for Ultrasonic during Downstream Occlusion S232 Communications Transmission Error 00 Fash nox 0 Genera StopeodkTime Out 8 TimeOut for Buzer Test 16 Fash Sereen Read Eror 19 Fach Languages Read Enor 20 Could notfind Stop Cock Flush Position during prime routine 22 Could not find Stop Cock
7. Blech Menu Accessing the BioTech Seen Biotech Screen Data Biotech Options Lock Settings Feature Program Locked Communication Section VI Performance Evaluation stem Performance TS Certifying the Accuracy of Pump Flow Rate 20 Section VII Cleaning ES Section Vill Battery Replacement n Kangaroo Epump Enteral Feed and Push Pump with Pole Camp Table of Contents Section IX Error Warning Informational Screens and Troubleshooting System Eror 3 Hold or Rotor or Fash nor Pump et lodged Em Battery low Feeding Complete Pump Set Use gt 24 Hours Waring R Be Reo bo ob Section X Specifications and Symbols eM UMUM Symbols on Pump and Accessorie Section XI Customer Service Section XII Maintenance Side DoorEndosing Pump Set PEIE Battery Pack ic Battery Door NC Power Adapter Pole damp Section XIII Service Part Numbers S Section XIV Warranty isses Section XV Electromagnetic Conformity 2 2 1 1 7 7 This product contains software solely owned by Covidien Covidien 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 Covidien Kangaroo Epump Enter
8. FEED option from either the LOAD A SET or SET LOADED screens contral will pass directly to and from the Enter Feed Rate sareen and bypass the ADJUST FEED screen since without the abit to adjust 180 in EZMode he Adjust Feed sen s redundant Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Selecting EZMODE EIMODE may be selected through the Biotech Options button which may be accessed on the Biotech seen see page 19 The EIMODE setting willbe stored in the lsh memory and saved when the unitis shut of ote If the user inserts a Feed Fush set while the EZMODE is enabled EZMODE wil be canceled 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 seen When enabled and not in CERTIFICATION MODE a small EZ icon will be vibe on the bottom of the screen near the battery ion However it vill not appear in the POWER DOWN SYSTEM ERROR or LOW BATTERY SCREENS Selecting Continuous or Intermittent Feed Mode The Kangaroo Epump Enteral Feed and Flush Pump can be programmed to feed continuously or intermittently The continuous feeding mode wil deliver the enteral nutrition at a steady rate ether unt the programmed volume has been delivered or until the supply has been exhausted The Intermittent feeding mode delves boluses of enteral nutrition at programmed time intervals The bolus volume and feed rate are also programmed To select
9. Performance Tests For other integrity checks consult with a qualified Biomedical technician or contact the manufacturer Section XI Customer Service 7 For service or for technical information please contact Customer Service Section XI 3 Donatopen the main housing as there are no user serviceable parts inside Opening may affect function af device and voids the waranty To replace battery see Section VI 3 Dispose of old battery powered electronic equipment in a manner consistent with institutional policy for expired equipment disposal 10 ening frequency and practices must be consistent with institutional policy for deaning of non sterile devices See Section VI Geaning for instructions on deaning the Kangaroo Epump Enteral Feed and Rush Pump Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp TI See icon desatiptionsin Section II Icon Identification and Section X Specifications and Symbols for additional safety information 12 is designed to minimize the effects of uncontrolled electromagnetic interference and other types ofinterference from extemal sources Avoid use of other equipment that may cause erratic operation or degradation in the performance of this device 73 Warming The serial port ee Figure TA is intended only for use with the approved Communication Cable Part Number 382499 ny other equipment that an be connected to the DBS Serial port may lead to a reduced level of s
10. Refil thebag Pres CONTINUE to begin the pump RUNNING Pres HOLD Pres ADJUST SETTINGS Press PRIME PUMP Press HOLD TO PRIME to prime the ine Pump Sets should not be reused after 24 hours of inal usage Selecting Feed Mode EZMODE Option The EZMODE option isa limited CONTINUOUS MODE only setting of Epump It feds non stop no BD option ata rte ras defined by the user until manual stopped It has no BOLUS FLUSHING RUN MODE SCREEN LOCK or AUTORESUME capability and displays no HISTORY information Tuning on EZMODE wl automaticaly fce the unit out ofthe INTERMITTENT BOLUS FEED mode Although the Continuous Mode feed VTE wil be set to 0 while EZMODE is enabled the previous value of the Fed VID wil be stored in flash memory and recalled when EZMODE is deselected The user can change the Feed Rate by normal means Al other user setings induding those not compatible with the MODE BOLUS NUMBER OF BOLUSES SUPER BOLUS etc that were set before the pump was put into the EMODE wil be ignored and invisible while in EZMODE but reman stored in the fash memory EZMODE is deselected EZMode eel has no effect CLEAR SETTINGS pressing CLEAR SETTINGS while EZMODEisenabed wil dear all Feed and Fush settings and ttalzers as normal not just those that apply to EZMODE Selecting the CLEAR SETTINGS option on power up wil not ear Biotech Options such as EZMODE or LOCK SETTINGS the user selects the ADJUST
11. continuous feed mode or intermittent feed mode press MORE on the opening menu show in Figures SA SBo Figures 7He70 to access the MORE OPTIONS menu Figure 10A Te MORE option vale either before a Pump Set has been loaded urs Sk or after the Pump Seiad gre 0 See subsection More Options fer information on the other options in the MORE OPTIONS menu Select CONTINUOUS INTERMITTENT under the MORE OPTIONS menu Figure 10A Then press CONTINUOUS MODE INTERMITTENT MODE from the SELECT MODE menu Figure 108 Press DONE to erit Hei MORE OPTIONS menu gue 108 SELECT NODE menu ter Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Continuous Mode Adjust Feed Continuous Mode Feeding For CONTINUOUS feeding mode the ADJUST FEED ioni vati the opening menus gue 7A for feed Only set or Figure T forfeed Flush sels Select tis option to program the feeding parameters rom te ADJUST FED screen iue TTA ress FEED RATE in Figure define the rate af delivery Press the buttons in Figure 118 to program the rate fom 1 to 400in mL Pres ENTER op button to et the menu FEED VIBDin Figure TA to define the Volume To Be Delivered Press the buttons in Figure 11C to program the volume from Tio 3000 in increments of mL Ps ENTER p button toeni the menu FEED VIBO is he pump wli un unt the supply is exhausted Note When a FEED VTBD isset the remaining volume to be deli
12. use the following procedure while the pump isin RUNNING mode Pressand 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 Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp 6 fun operaton an be paused by psig HOLD vile Ris RUNNING such asin foure 15 Te satus Ine inate ING and the yellow LED indicator wil be lit up to give a quick visual indication of an informational statusin a darkened room Note the pumps alarm wil sound ifithas been left HOLDING for 10 minutes without further input There are five options available during HOLDING See Figures 18A and 188 77 rum 2504 Bs eel IQ ade on lear Volume Fed Pres CLEAR VOLUME to re zero the output fed totals mL FED BOLUSES FED and mL FLUSH Adjust Settings Pres ADJUST SETTINGS to retum t one of the opening menus shown in Figures 74D thus allowing any setting to be modified the Pump Set has been removed after going into HOLD the opening menu will show LOAD A SET as seen in gures 58 RESUME IN __ MIN Vor Available in Pres RESUME IN _ MIN once to immediately place the Kangaroo pump into 30 minute resume running mode Pressing the RESUME IN MIN button again willy the resume in time back to zero No other input is needed to start the countdown as the time immediately counts down after the 30 minute valu
13. 5 minutes max Auto Priming Indicator PRINING When auto priming the bar wl progress to show auto prime feature is active 1 Volume Setting alam volume seting Voume Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Error Indicator sped nt the eroris resolved Information Indicator Thsindiates information only and does nat require any immediate action EZMODE Indicator Communication Indicator tg 1 Indicates that communication features turned on mo Volume to be Delivered Indicator m Indes that VT feature s tumed on Keep Tube Open KPO Section IV Initial Setup Attaching the A C Power Adapter Plug the A C Power Adapter Part Number 382491 into the A C Adapter Port onthe back ofthe pump See Foure iol poten pump Hake ACP bones us The connector which attaches the back ofthe pump has a spring loaded locking sleeve that acs 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 detach the connectar by puling on the cord ony Use are aligning adapter thump connectar apnea Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Battery Setup The battery packis fully charged before shipping and is left unconnected to optimally preserve batt
14. Fed Postion during prime routine 2 MotorEror during Tubing Autoload 28 Motor Failsafe Time Out Eror Possible damaged gearbox encoder or fex cable 25 Display Lodup Time Out or 33 Motarantl Failure Tum the power off and back on o ty to dear the eror fhe enor cannot be resolved in a timely manne press POWER to stop pera ofthe pump and put a diferent pump into service Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Hold Error Adjustable Audible Volume The HOLD ERROR screen wil appear ifthe pump has been inactive without input for more than 10 minutes See subsection Hoki for description of HOLDING mode Figure 26 Pres CONTINUE to retum to the previous screen Where setings can be adjusted the pump an torun immediately or the pump can be set to runin a speied number af minutes e Fes 18 to see options on the HOLDING menu screen Tdi Iftheeor cannot be resolved press O POWER to stop operation ofthe pump and put a diferent pump into service Rotor Error Adjustable Audible Volume The ROTOR ERROR een appear ding RUNNING or PRIMING hen the pump has detected an unusual operating condition forthe 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 r
15. G Tostop press HOLD or press and hold the POWER button E ig alin of Pop General Startup Placement Mounting Thee are two recommended placement methods forthe Kangaroo pump Enteral Feed and Flush Pump Atached toa vertical IV pole via the Pole Gamp peripheral device induded with the pump Paced feet down on any horizontal surface AC Power Operation Pug the Kangaroo Epump Enteral Feed and Flush Pump into an A power outlet for normal operation When the pump snot plugged in or if NC power isinterupted a buit in rechargeable battery will run the pump Battery Power Operation IENCpowerisnotavallable to the pump or if power is interrupted the pump wil automatically operate on backup battery power The built in battery recharges any time the pump is plugged into an outlet new battery wil supply 15 hours of backup power at 125 mL hr before requiring recharging Contact Customer Service Section X1 to replace the Battery Pack if battery e degrades Power On Off To power up the pump press the CD POWER button on tbe lower ight af the ront panel To power down the pump press and hold the POWER button A countdown wil begin on the display when the countdown reaches O immediately release the POWER button Noe The display badight and Status LED array wll ema on for a shart perd after releasing the POWER button while he pump completes ts internal power down proce
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17. RUNNING mode More Options Press MORE in one ofthe opening menus Figures SA 5B ar Figures 7A 70 to access the MORE OPTIONS screen Figure 19 Buzzer Alarm Volume Pres BUZZER in the MORE OPTIONS menu to access the BUZZER screen and increase or igre MORE OPO men decease the alarm buzzer volume The alarm wil be audible as the volume setting is changed the volume level for any warning or error that may occur with the pump Critica errors of System Emar and Pump Set Dislodge wil always use the maximum volume setting History Not Aan EZMODE Pres HISTORY in he MORE OPTIONS menu to access he HISTORY sareen the batons in Figure 200 set the ime history f nes The ttak of FEED an FLUSH ibe shown for the requested history ume Warning A maximum of 72 hours of past history can be retrieved excluding data from the curent hour NOTE The 72 hour history includes time when the pump is powered OFF Language Selection Pres LANGUAGES in the MORE OPTIONS menu to change the preferred language for the screen interface Continuous intermittent Mode Not Available in EZMODE Pres CONTINUOUS INTERMITTENT in the MORE OPTIONS menu to access SELECT MODE menu Figure 108 Use this menu to select between continuous feeding mode and intermittent feeding mode See subsection Selecting Continuous ot Intermittent Feed for mare infomation Pres DONE in the MORE OPTIONS menu to enit the men
18. Rush Pump with Pole Camp The display should read SET LOADED and wil one af the folowing opening menus depending on the type of Pump Set detected and whether continuous or intermittent feeding mode has been selected CORDED F TOD nes 250 mw Bs con Bs p tate edt Fend ony et Prime Pump The Kangaroo Epump Enteral Feed and Flush Pump may be primed automatically with a single button push induding the flushing ine ifa feed amp Flush Set is loaded The pump can akso be primed in more interactive method using the hald to prime feature Mera Pump Set has been loaded and the status line shows SET LOADED press PRIME PUMP in the opening menu Figures 7 70 to get one ofthe PRIME PUMP menus shown in Figures 3 38 PRIME PUMP mema for Auto Priming AUTO PRIME option vba th pup sens tat te Purg Set vas not previ rie and that there ino fluidin the near the rotor auto riingis desired press and release AUTO PRIME to automaticaly prime theline For Feed amp Flush Pump Sets the auto prime feature wil automaticaly prime both Iines starting with the flush Ine STOP to cancel AUTO PRIME When auto primingis completed the status ine wil show AUTO PRIME COMPLETE and wil no longer show the AUTO PRIME Be sure that the ine are fly primed If not us
19. a Fed and Flush Pump with Pole Camp 1 sed with respect to electrical shock fre and mechanica hazards in accondance with 0601 2005 80811 2 sed with respect to decr tod fre mechanical and ather specified hazards in accordance With CANUCSA Q2 2 Na 6060 108 Pumping Mechanism Rotary Pestaltic Pump Sets Kangaroo Epump MISTIC Feed Only Setor Fed A Flush Set Feeding Formula Delivery Rate 1 400 ml hrin 1 ml increments Feeding Formula VTBD T3000 ml in 1 mLincements Bolus Volume 1 3000 mL in 1 ml ingements Number of Boluses 19 Bolus Interval 1 24 hours in T hour increments Flushing Solution Dose Range 10500 mL in 1 ml increments Flushing Solution Interval Range 1 24 hr in 1hr increments Accuracy 105405 mL hr whichever is larger with bag at 46 cm 1 above pump at room temperature 22 C 2 C 72 F 3 F using anew pump set with less than the recommended 24 hours of maximum usage Oedusion Pressure 15 psi 103 KPa Nominal Dimensions Height 16cm 667 Width 163 cm 64 Depth 117 am 46 Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Weight 1124 1 2kg 27 Ibs with pole damp Material Housing ABS Polycarbonate lend Pump Set Door Polyester Polycarbonate blend Power Use AC power adapter for wall outletusage Pump operates on 9V C 1 5 Amps Battery Hew aly rr NMH Batey Pak delves Sha Vb Led apo ines prior to discharge a ow battery alarm vil occ
20. afety of the pump The Covidien approved Communication Cable Part Number 382499 is specifically approved as complying with the safety requirements for accessories used with the pump whereas the safety approval af the accessory has been performed in accordance to the appropriate EC 60601 1 and or IEC 6060 1 1 harmonized standard Caution This enteral feeding pump should only be used for patients who can tolerate the fow rates and accuracy levels delete by the pump Premature infants may require higher accuracy raes than speed for this enteral feeding pump 15 Do not attempt to rotate the valve stem inside the feeding set valve assembly Rotation ofthe valve stem an only be done by the pump while the valve assembly i properly loaded into the pump 16 Should feeding sets require rinsing itis recommended that the feeding sets be rinsed while they are loaded in the pump 17 Used feeding sets should be disposed afin accordance with current hospital procedure or local disposal guidelines 18 Caution Ensure buzzer hole is unobstructed during normal operation so as to dear recognition of alarm 19 Caution The battery cells used in this device may present a fre or chemical hazard if mistreated Do not disassemble heat above 100 C QT or incinerate Section Ill Icon Identification Run Mode Vertically moving droplet in RUNNING screen indicates un Mode Battery Symbols Ful dange Boles charge artes dange low atx 1
21. al Feed and Rush Pump with Pole Camp Section General Information The Kangaroo pump Enteral Feed and Flush Pump with Pole Camp simple to use precision enteral feeding pump seas programmed to provide patients wth ether continuous or intermittent feeding and can provide automatic using capability when Used with Kangaroo Epump Feed amp Fush Sets User Interface Intuitie serine Lage badit LCD display Step by step prompts to guide programming and operation Stoplight LED aay vial indicates pump status ina bright or darkened oom Ergonomics Quet operation Compact aesthetic design Tabletop usage or IV pole mounting Spl loading of Pump Sets Transparent side door to protect Pump Set Integrated handle for easy transport Features MISTK Magnetic Inteligent Set ype ldentifcation Connector Feed Only v Feed amp Flush Set identification system to ensure match between the pump user interface and Pump Set ype Automatic Anti Fe Fow AFF System Audible alarm to indicate errors or Pump Set loading conditions Attu independent design eliminates need for dip chamber on pump set Sensor technology detects both upstream and downstream conditions Continuous feed intermittent feed and flush capability Mito rime feature reduces the need for time consuming manual priming Hold feature with restart and Keep Tube Open KTO feature Stores previous 72 hours of feeding and flush
22. dien disclaims all other warranties expressed or implied including any implied warranty of merchantability or finess for a particular purpose or application ather than as expressly set forth in the product labeling In no event shall Covidien e liable for any nent Indrect or consequential damages in conjunction with the purchase or use ofthe Pump even of the posibiity Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp 2 Section XV Electromagnetic Conformity Dedaration The pump Enteral Feed and Flush Pump has been bult and tested according t ULEO6OT 1 1 5606011200 C22 No 608 0 86060122506 and ENGOSOT 1 2 Standards The Kangaroo jump Enteral Feed and Flush Pump is intended for use in the electromagnetic envionment speed belon The user lance p The Kangaroo tpn Erer Feedid Pash heng ases eal cn Ii eyo at secant ecran p y tic ceed Bench pve pet that pic weds pupae 5 urnas 5o nom oan agnete eld munay oci 1200 Buss may mty BH HH d dH d d oum Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Rx CHI 0123 US amener 709297 7 A07 S0 08059 M28 CONDE CO
23. dry before putting it back onto shaft To replace rotor align set screw on hubofrotor with the flattened section ofthe output shaft Push rotor into place and tighten set screw Do not over tighten Preventative Maintenance This pump must be periodically tested to assure proper functioning and safety The recommended service interval is atleast once per year Performance testing may be done at the user Biomedical Engineering Department outside service or by Covidien Factory Serve To arrange for Covidien Factory Service in the US call 1 800 448 0190 In Canada call 1 877 664 8926 Outside ofthe US and Canada please contact your local Customer Service for more information Ma pump malfunctions please contact your Covidien Representative or cal Customer Service for instruction Section VIII Battery Replacement See Figure 24 and do the following to replace the Battery Pack Power dow the unit losen the Battery Door screw on back af pump Open ate Doar and disconnect vires Asal stag aded sew ve may be needed to disconnect the Connector ti Side Battery Pack out of compartment Sidea new Battery Pack into compartment with wire harness extending out Align connector with red wire at upper ight Pus connectorin until propery latched Caution Ensure the battery wires are routed through the lot between the connectar and the battery to prevent the wires fom becoming pinched Re tighten the Battery D
24. e check mark indicating that the feature off Ifthe EZMODE feature is tured on the EZMODE icon will appear in the lower ight comer ofthe LCD next to the battery icon see Figure 9 See page 12 for EZMODE COMMUNICATION Press COMMUNICATION to activate the communication feature A check mark wil appear COMMUNICATION button to indicate that the feature is active Pressing the COMMUNICATION button again vill remove the check mark indicating that the feature off Ifthe COMMUNICATION feature is tumed on the COMMUNICATION icon wil appear in the lower right comer ofthe LCD next to the battery icon see Figure 23 Turing the COMMUNICATION feature on wil initiate data transfer of various pump settings status errors etc through the serial VO features desired please contact technical support for additional information Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Note IfEZMODE and the COMMUNICATION feature are both activated the cons for both features wil aerate Press DONE text the BioTech menu To re enter this menu screen power down the pump and then poner it up again and hold the top button as described above Section VI Performance Evaluation System Performance Tests A series oftests can be performed to verify pump performance tis recommended that the evaluation procedure be run atleast once per year or any time the pump is suspected of having i
25. e is reached Run Mode Pres RUN to immediately restart pump operation This will not be available if the Pump Set is removed during HOLD View History Not Available in E2NODE Pres HISTORY to access the HISTORY screen Use this screen to review feeding and flushing history See subsection More Options belowe for further information Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp v Flush Now Not Available in 20008 RUNING mole the pump an be vested immediately peta a fush fush on demand by pesing FLUSH NOW in the RUNNING menu input a desired fush 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 default but may be adjusted to the users desired volume The screen will appear as the standard Flush input screen as shown in Figure 128 or H8 Serting 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 retum to The RUNNING screen after 10 seconds if there sno input forthe flush volume stopping a FLUSH NOM before the set volume has been delivered is desired press FLUSH NOW and enter a volume of zero and pres ENTER The FLUSH NOW wil stop immediately and the pump wil return to the
26. e the hold to prime options to complete the priming described below Hold to Prime The hold to prime options allow for precise interactive contral af the priming proces Feed Only Pump Sets For Feed Only Pump Sets the sareen will appear as in Figure A Press and hold HOLD TO PRIME FEED until the feed ine has been primed down to the stepped end connector atthe end ofthe Pump Set Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp w Feed amp Flush Pump Sets forex a Flush Purp Sets the pawl appear asin Fie SB Fst pres and hold HOLD TO PRIME FLUSH to ime te fishing ine nd then prest and hold HOLD TO PRIME FEED to prime eed ine down to the stepped end connecoratthe end ofthe Pump Set Wa eed Fush Pump Set is used remember to fist press HOLD TO PRIME FLUSH unt the Rushing fuld has reached the vahe and then press HOLD TO PRIME FEED unti the feeding fuid has reached past the valve and down to the stepped end connector ithe feeding ines primed frst sequent priming af the ashing foree the air between ish selatan bag and vale into the main ine which already has been primed with enteral formula Re priming after Bag Empty A Pump Set bag that has been emptied wil rigger the FEED ERROR sen this condition the Pump Set bag can be reflled to the feeding but oriy after the Pump Set has been re primed To re prime the Pump Set do the following Disconnect the feeding ine from the patient
27. ery Nfe Waming The battery should be connected before using the pump Misalo recommended that the batery charge be topped off before bate nly operation td battery pak wll can whenever te pump is plugged rto a val oute lung sng use ofthe pump with A pwer Ex 19 Anew battery pack wil provide approximately 15 hours o service before needing tobe recharged Attaching Pole Clamp The Kangaroo Epump Enteral Feed and Fush Pump can be attached toa vertical pole using the Pole Camp induded with the pump The pole damp provides the ability to retain the power cord to prevent acidental cord removal or cord loss Simply place the NC Adapter Power cord into the U shaped groove located on the back of the pole damp as shown in Figure 3 and attach the pole damp tothe Kangaroo Epump Enteral Feed and Fush Pump Be sure not to pinch the cord ofthe WC poner adapter or the cord insulation when isang To attach the Pole Clamp to the Kangaroo ump Enteral Feed and Flush Pump align the hole on the Pole Camp with the mounting hole on the back ofthe pump Usea f 16 bolt to fasten together as shown in Fgue3 restraints preferred but use ofthe pole damp isnot desired a cord restraint clips provided with the Kangaroo Epump Feed and Flush Pump Using the pole damp mounting bol follow the pole damp assembly instruction to attach the cord dip Refer to Fig 3
28. es should perform desing Caution Do not immerse pump or A C power adapter in water or other deaning solution dean using a damp not wet doth or sponge Failure to follow the deaning 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 shok hazard fire hazard or damage to electrical components ofthe following events occur do not use the pump until it has ben propery deaned and serviced by personnel trained in servicing Kangaroo Epump Enteral Feed and Fush Pumps wetting ofthe pumps A C power adapter or leakage into the pump interior during cleanin spillage of large amounts of formula onto the pump exterior or any plage onto the A C power adapte General Cleaning Directions eningof Kangaroo Epump Enteral Feed and Flush Pumps must be performed as follows Caxton Disconnect pump from AC power source before deaning After deaning do not connect to AC power source tel pan ad 5 Amid detergent should be used for general cleaning For disinfection 10 hypochlorite solution alcohol or armorum hie based alates may be used Alow acess moisture to evaporate fon the cor prioro d AC Pouer Donat use strong such as Spray Nne phsoHer Hbicens or Vesta Sye or cleaners that contain honyated C11 aohols 2 Butogethanol Hexachlorophe
29. estart Mithe eror cannot be resolved press b POWER to stop operation ofthe pump and puta diferent pump into service Feed Error Adjustable Audible Volume The FEED ERROR screen appears when the enteral formula no longer being delivered because the bagis empty or because ofa dog between the pump and the bag Check the feed ine to find the occlusion causing the blockage Ifthe ocdusion cannot be cleared a new Pump Set prime it and restart the feeding Figure 28 ifthe eror stil cannot be resohed press POWER to stop operation ofthe pump and puta diferent pump into service Flush Error Adjustable Audible Volume The FLUSH ERROR screen appears when the flushing solution s no longer being delivered because the ush bg empty or because ofa clog between the pump and ash bag ek 8 efus inet And he wen causing the adage the eso cannot be ead 2 new Pump Set primet and restart the feeding gue 29 the enor sil annt be resolved press G POWER to stop operation ofthe pump and puta diferent pump into service Fes He seen Flow Error Adjustable Audible Volume a dog between the pump and the patient Check the line to find the ocdusion causing the blockage itoe eror amot be rene de hevale pocket n the Pump Set loading area or dampness oF dit which may bea cause for a false em ean and dry the valve packet Ifthe eror stil cannot be resolved lead a new Pump S
30. et prime and restart the feeding Figure 30 Ifthe east cannot be resolved press G POWER to stop operation ofthe pump and puta Rae 1e ferire different pump into servic Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Pump Set Disodged Error xed Audible Volume 3 The PUMP SET DISLODGED screen wil appear if the black ring retainer MISTIC isnot properly loadedin the MISTIC pocket in the Pump Set loading area heck and comectthe 4 positioning of the MISTIC retainer if possible Ifthe eror cannot be resolved load anew Pump 3 gt Set rime and restart the feeding Figure 31 Mithe eor cannot be resolved press POWER stop operation ofthe pump and puta diferent pumpinto service ee Pamp se Battery Low Adjustable Audible Volume The BATTERY LOW screen appears and the alarm beeps continuously when the battery needs nis miran to be recharged There is appronimately 15 minutes of battery remaining when this screen Hi ue Plug the A C power adapte in to begin recharging The pump will automaticaly retum to the Sita arva ro De o e ey val hae amu ese te pine polio avais Bgt hours of caring o required y dae the batey Sgt emerson muri ined Feeding Complete Ajustable Audible Volume 3 reeome The FEEDING COMPLETE information screen appears after completion of the programmed COMPLETE feng fue Pes Power Down to tum o
31. if the pump CONTINUE a reum tothe SET LOADED opening menu Figures 74 70 Pump Set Use gt 24 Hours Warnin 2 P 9 ie fein ols The Pump Set usage warning indicator wil blink on the RUNNING screen fa 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 an informational 2005 message and does not require action oy 2hs HOD gue34shows an example of the RUNNING screen where a Feed amp Rush Set has been in use for mare than 24 hours The informational warning indicator shows up in the upper left on the screen Ts gure 4 unning saen with Te MS of Pump Set age capped sn LED Array The pump status LED array on the upper right of the pump gives a quick visual indication ofthe pump status especially in darkened rooms Agree light status indicates normal pump operation yellow light status indicates an informational or warning situation for a low battery condition the pump in HOLDING mode ar one ofthe following errors HOLD ERROR FEED ERROR FLOW ERROR and FLUSH ERROR A red light status indicates a critical pump error The screen will show one ofthe following eror messages SYSTEM ERROR PUMP SET DISLODGED or ROTOR ERROR Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Section X Specifications and Symbols Specifications Electrical Equipment Kangaroo Epump Enter
32. ing history Service Serial VO port for data retrieval Uses replaceable rechargeable NIMH Battery Pack for 15 hours of backup power 2 Removable A C Power Adapter Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Feeding Set Storage Area Status line Input Settings Output Totais Battery Status Integrated Handle Pole Camp tachment Point NCAdapter Port Back Serial VO Port Figure 1A Kangaroo pump features front and rear views Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp igre angu Epp Pump indigna Section ll Safety and Warnings Caution US federal law restricts the sale ofthis device to physicians or to their direct representatives 1 Read this booklet thoroughly before using the Kangaroo Epump Enteral Feed and Flush Pump 2 Donotuse this device near fammable anesthetics 3 Disconnect power supply before deaning or servicing 4 Use only Kangaro pump Enteral Feed and Flush Pump A C Power Adapter with pump See Section XII Service Part Numbers for replacement of Power Adapter Use of an alternate consumer style A C power adapter may cause damage tothe charging drcuit and battery of the Kangaroo Epump feeding pump 5 Use only Kangaroo Epump Enteral Feed and Rush Pump Pump Sets with this device Pump not compatible with other Pump et 6 Forperfrmanc tests see Section VI
33. mproper performance The test procedure and certificate are included on the ser Manual CD asa separate document Certifying the Accuracy of Pump Flow Rate Use the folowing procedure to check the fow rate accuracy Perform testat rom temperature 22 C 2 C 2 F 3 F witha new Pump Set Fila new Feed Only Pump set bag with water to the S00 mL mark Loadthe Pump Set Suspend the Pump Set bag so that the bottom of the bag is 18 inches above the pump Make sure pump is plugged into A C power do not run test with battery poner Programa Continuous Mode feed rate see below for suggested example rates Run the pump for 15 minutes to achieve steady state operation Then begin collecting the water na calibrated measuring container such asa large capacity graduated indes for 30 minutes Note The amount of water collected in 30 minutes wil be half ofthe value programmed for the hourly fow rate within 10 or 05 ml whichever is larger RateSet Amount Expected in 30 Minutes mlm BILAL 150mlhr 67 SmLto82SmL the amount collected is outside the ange load a new Pump Set and re run the test procedure to confirm resus Epump Enteral Feed and Rush Pump with Pole Camp Section VII Cleaning Geaning 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 personne trained in the leaning of medical devic
34. ne Chiorhedidine Gluconate Subtiisins Sodium Teraborate Decahydrate ethanolamine or other similar ingredients because damage to the pump case housing can result Directions for Cleaning Pump Housing Refer to General Cleaning Directions before starting Gean outside surface with a damp not wet dah or sponge and keep pump in upright postion as much as possible Aoi excess moisture near pole damp area Donat alow deaning solution to enter the vertical vents in the housing underneath the handle Directions for Cleaning Pump A C Power Adapter Refer to General Cleaning Directions before starting Unless sling is observed the A C power cord should not be cleaned Ifdeaning ofthe power adapter is necessary unplug from outlet and wipe the exterior surfaces ofthe wall plug with a doth dampened with apro alcohol Caution Avoid exposing A C power adapter to excess moisture as this can lead to an electrical shock or fire hazard Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp n Directions for Cleaning Rotor Assembly Refer to General Cleaning Directions before starting Open the blue door endosing the Pump Set loading area Loosen rotor set screw with 5 64 2 mmi alen wrench and gently pull rotor of shaft Ater removing rotor awid getting any moisture in the otor shaft opening Cean rollers thoroughly with warm soapy water or isopropyl alcohol if necessary Besureall parts ofrotorare completely
35. o Epump Enteral Feed and Rush Pump with Pole Camp Note The output feed totals mL FED BOLUSES FED mL FLUSH can be dered at ny time and without dearing the input settings by doing the folowing Start the pump RUNNING Press HOLD Press CLEAR VOLUME Loading Pump Sets The Kangaroo Epump Enteral Feed and Flush Pump w l indicate LOAD A SET in the screens status ine ifa Pump Set is not installed A blinking icon of a Pump Set wil also apear n the pert comer ofthe screen Figure SA shows the screen for continuous feeding mode and Figure SB shows the een for intermittent feeding mode emiten feeding mode not available n EODD olkodaPunp Set follow the steps below 1 Open the blue transparent dor that endoses the rotor and Pump Set loading arez 2 Load the Pump Set by holding the finger tab on the valve and inserting the valve down into the Figure 6A 3 Grasp the MISTIC retainer end black ring retainer and wrap the tubing counterdocdewise around the rotor Avoid overstretching the silicone tubing Figure 6B 4 Carly puil the MISTIC retainer end upwards to position it over the slot on the right and then lower the retainer inlo the slot Figure 68 5 Pres down on the valves finger tab to ensure proper seating 6 Cose blue transparent door 7 Thebottom of the feed bad should be 18 inches from the top of the pump Kangaroo Epump Enteral Feed and
36. oor Screw if there any resistance whl securing the door recheck the wires to verify they are Properly routed through the wire slot Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp Notes Replacement Battery Packs re available from Covidien See Section XI Service Part Numbers The battery is packed partially charged Charge battery 6 hours prior to use off A C power To assure the safe and reliable operation ofthis pumping system do not attempt to operate without an approved battery pack installed in the pump Dispose of used battery cel in accordance with local and facility guidelines Keep away from children Warning se ofa battery pad not supplied by Covidien can be dangerous and voids all warranties and performance specifications The battery will charge continuously whenever the pump is plugged into a wall outlet Eight hours of charging is required to fully recharge the Battery Pack Section IX Error Warning Informational Screens and Troubleshooting For operational errors the Kangaroo Epump Enteral Feed and Fush Pump display will show the errar indicator icon vith specific information regarding the error condition and will sound the alam The following conditions will trigger error conditions and will activate audible and visible alarms Fed or lush containers are empty Fed or Fush tube becomes occluded between bag and pump Tbe becomes occluded between pump and patient
37. p Operation and Service Manual Covidien ris authorized dealer must perform Pump repairs 4 This Limited Warranty does not cover any Pump product or part that a has been operated inan unsuitable environment or used for purposes other than intended 0 has been subjected to unauthorized or non Covidien repair aruse of non ovidien supplied parts 0 has been altered misused abused or neglected 0 has been subjected to fre casualty or acident 8 suffers damage caused by Customers negligent acts or omissions of 40 suffers damage beyond normal wear and teat 5 For purposes ofthis Limited Warranty damage beyond normal wear and tear includes without imitation 6 Damage to housing LCD display overlay or power suppl 6 PCBA damage due to fuid ingress 0 Useofnon qualified power supply or battery or 8 Use ofunauthorized deaning fis fa Pup does not operate as warranted during the applicable warranty period iden may at its option and expense a repair or replace the defective part or Pump ar b refund to Customer the purchase price for the defective part or Pump 7 Dated proof af original purchase is required to process warranty cams Remora defacement ar alteration of seria Tot number eis ths Limited Waran 1 Shipping costs for Pumps being tuned to Covidien shal be bome by Customer Customer is responsible for proper packaging for etum shipment Loss or damage in tetur shipment to Covidien shall be at Customers risk 9 Covi
38. pump Enteral Feed and Flush Pump contains a imited numberof serviceable part Figur 37 User maintenance isto be performed oniy by appropriately qualified technical personnel Vist our web site at www covidien com Kangaroo pump US 382400 200 Main Door Be vansparent batterypack Battery Doo gt MPower Adapter Pole camp aue aes Epump Enteral Feed and Push Pump with Pole Camp EJ Section XIV Warranty Limited Warranty 1 Covidien warrants to the original purchaser Customer that this newly manufactured enteral feeding pump Pump or Pumps will be free of defects in materials and workmanship under normal use for three 3 years from the date of shipment fam Covidien This Limited Warranty as applied to Pump batteries and power cords is limited to one 1 year from the date of shipment from Covidien for al Pumps 2 This Limited Waray does not extend to routine maintenance of ung such as deaning nd al recommended Performance Tests set forth in his Pump Operation and Service Manal ih remain Yne sele responsibly of Customer of Castor to perform deaning routine maintenance and recommended performance testing on any Pump as outined in this Pump Operation Sd Serve Mantal may void s Lined Waranty 3 Customer agrees that with the exception of customer serviceable parts and troubleshooting steps outne in this Pum
39. rammed delivery of formula as long as atleast one flush had occurred during formula delivery LJ E he bol ES or Bs Fue ADUS ALUS ge Setting the sh pos Kangaroo Epump Enteral eed and Rush Pump with Pole Camp Intermittent Mode Adjust Bolus Nor Availabe in EZMODE Intermittent Mode Feeding For INTERMITTENT feeding mde he ADJUST BOLUS option s avalable ithe openi menus figure C fora Feed Oniy setor gue 70 fora Feed Phi Select NS opten to tie ezding pinnes fon E ADJUST BOLUS saten Poue DA EE Pes BOLUS RATE in Figure 13A to defne the ate of delen Press the buttons in Fure i8 to progam the delivery ate fon tod iinzenenso E seme ml h Press ENTER top button to edit the menu NUMBER OF BOLUSES in Figure 13A to def ne the tota number of boluses tobe delivered ess the buttons in Figure 13Cto program the numberof boluses up toa maximum of 9 Fes ENTER top button o eit the menu The number ofboluses can besetas zera in wich case the pump wil run until the supply is exhausted Pres VOLUME PER BOLUS n Figure 13At defne the Volume tobe 8 Press the buttons in Figure 130 to program the volume per bolus from 1 to 3000 ml in inaementsof1 ml Pres ENTER top button to enit the menu Tres BOLUS INTERVAL in Figure 1A to deine the time interval between stats of bolus ss delere ess the buttons in gre
40. ring formula delivery The Kangaroo Epump Enteral Feed and Flush Pump will only run when a Pump Set is propery loaded and the necessary feeding parameters have been programmed Fora Feed amp Flush Set the flushing parameters do not have to be set far the pump to begin operating If flushing parameters are set as zeros there wil be no flushing Mer the pump has been programmed press RUN to start operation Figure 15A shoves the RUNNING screen for continuous feeding with fushing The status ine wil indicate RUNNING and the droplet con wl move vertical yon the screen The green LED indicator wil be iluminate to give a quick visual indication of positive status ina darkened room The RUNNING screen shows the feed rate amount fed shin data ifa Fed amp Flush Pump Set is used and the remaining volume tobe delivered remaining VIBD The remaining VTED is shown next to the Y icon Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp 5 The RUN option can be selected from the flowing screens ifthe proper parameters are programmed and the Pump Set slated SETLOADED screens Figures 1 70 ADJUST FEED see continuous mode Figure 11A ADJUST LUSH screens Figure 12 HOLDING sens Figure A Faget Mime Fem Keep Tube Open KTO lot Available in NODS The Keep Tube Open KTO function within the Kangaroo pump Enteral Feed and Flush Pump wil help prevent a blockage ofthe feeding set by moving the feeding solu
41. rise where each process needs to be rumning at he same time The flashing process i assigned precedence over the feeding process for Feed amp Flush pump sets Flushing precedence means that a flush wil run to its end even ifa bolus delivery is scheduled to begin Italso means thata flush will interrupt a bolus feeding that is already in progress The feeding wil pick up where it was interrupted after the flushing rde is complete 1 therefore possible that the net feeding volume is reduced from What may be intended over a given time period Pres FLUSH VOLUME in Figure to define the volume per fush de Press the buttons in Figure 148 to program the flush volume fom 10 to 500 in increments of 1 mL Press ENTER top bution to exit the menu Press FLUSH INTERVAL in Figure 14A to define the time interval between starts of flushing Press the buttons in Figure 14C to program the time interval from 1 to 24 hoursin increments of 1 hour Press ENTER to exit the menu The pump wil automaticaly imit Bushing settings which exceed pump capabilities to deliver Caution The Kangaroo Epump Feed and Flush Pump flushes at a rate of 1960 mL hr 32 7 mL minute Use care when programming the fush volume so thatit matches the patients need Note The pump wil automatically flush an additional 25 ml of water after completing the programmed delivery of formula as long as atleast one flush had occurred du
42. ss and wil then extinguish Language Selection First Power Up Immediately afer powering up the pump for the frst ime the language option screen will appear Select the language using V buttons When the langage is selected push the PAA button to enter the language selection Aer the language selected the frst time the pump is powered up the language selection sareen wil not appear during future power up operations Should the language need to be changed after the initial power up t 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 lush setings were not eared and the setings are not locked in the Biotech Sareen the pump vil give the folowing 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 modifed if needed The feed volume totals mL FED Continuous Fed Mode or FED remet Feed Mode and mL FLUSH are also maintained CLEAR SETTINGS Select this option to reset all input feeding settings and the output feed totals to zero It will then be necessary to program all settings before running the pump The Biotech options settings wil not change The status ine of the pump wil then show LOAD A SET Figure 5 ithe Pump Set is already loade t vil show SET LOADED our Kangaro
43. tion periodically within the tube On regular intervals calculated from the pumps presently Programmed feed rate a small and dinicaly 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 can be activated via the RUNNING screen To activate the KTO feature press the input button to the left ofthe KTO icon SRS men red a a oe Le Me et te efr resuming the previously programmed feeding regimen Each press of the button willincement the Su meee le e gre r3 add exh carl buton pres wl cent ger ime steps up to a maximum of 240 minutes Another button push after 240 wilde the KTO back to 5 minutes No other input is needed to the countdown as the tme immediately counts after the incremental value is reached Lode Screen Feature ot Available in MODE The Kangaroo Epump Enteral Feed and Flush Pump can be set to RUN and then locked out from unauthorized use While the LOCK SETTINGS feature prevents only changes to thei Parameters the LOCK SCREEN feature villod out any button presses induding RUN or xcept power ofi Use LOCK SCREEN when the pump is running and there isa need to prevent tampering such as puting te pump moan unvana HOLD e RUNNING sucen ul sawa odo dae that no changes canbe made without unlocking the screen Tolodthesceen
44. u Kangaroo Epump Enteral Feed and Rush Pump with Pole Camp 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 angara kon Hops sts te sae executes out pressing buon at the end of The sequence n nder o access he Biotech Figure hoa the BioTech seen BioTech Screen Data SM isthe serial numberof the pump SIN shows the software version number in this pump FLASH shows the version number ofthe ash data installed in this pump CERT INTV indicates the number f times the pump has been powered on since certification BioTech Options Lock Settings Feature Program Locked Joc the settingsagainst unauthorized changes res LOCK SETTINGS to get he chet mark as shown in Figure 22 The settings can only be chan by LOCK Slot remont te ct ests anda nes ep de tenn PROGRAM LOCKED and wil pet alow acess to the parameters Fu 16 1 Thepump can be PRIMED orsetto RUN HOLD et when settings re locked anemia estes tated Pres EIMODE to activate the EZMODE feeding option check mark will appear next EZMODE button indicate that the feature active Pressing the EZMODE button again wil remove th
45. ur see subsection Battery Low In Section 0 When complete discharge occurs the pump automatically tum 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 arms System Eror RotorEmor Flow Enoe Feed Emor lt Pump Set Dislodged Emor Flush Error Hold or lt Battery Low arm Volume Minimum of70 dBA at 1 meter in maximum volume orientation Temperature ISRA Transport amp Storage Temperature 0 50 CZ 122 F 95 RH non condensing Type ot Protection Against ect shode Jass I 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 PKI Kangaroo Epump Enteral Feed and Push Pump with Pole Camp 2 Symbols on Pump and Accessories Thefllowing symbols are found on the pump or on the accessories such as the A C adapter Ti O m m mpm per SN SerialNumber tt REF Reorder number for the device uus L Cass Equipment degre of Do not use Kangaroo otecon against electrical ek mee 6 uuu 9 Pasting Slaton atten 625 Craton D feeding formula 0
46. vered remaining VTBD wil be displayed next to the icon on the lower right hand partion of the screen Figure 11 If the FEED VTBD is reprogrammed during a feeding from HOLDING mode die pump wil restart the feeding and deliver the entre volume ofthe new VTBD sting B L4 Pyare 11A Setting he Feed Rate Continuous Mode Flushing Not Available in 2009 For CONTINUOUS feeding mode witha Feed amp sh Set loaded the opening menu wil appear as shown in Figure 78 ress ADJUST FLUSH in Figure 7B to program the lusting parameters from the ADJUST FLUSH screen sown in Figure 12A Pres FLUSH VOLUME in Figure 12A to define the volume per fush occurrence Press the buttons in Figure 128 to program the sh volume fom 10 to 500 in increments of 1 mL Press ENTER top button to exit the menu Pres FLUSH INTERVAL in Figure 12A to define the time interval between starts of flushing Press the buttonsin Figure 12 to program the time interval from 11024 hours in increments of 1 hour Press ENTER button to exit the menu The pump wil automaticaly iit fusting settings which exceed pump capabilities to deliver Caution The Kangaroo Epump Enteral Feed and Flush Pump flushes at a rate of 1960 mL hr 327 mL minute Use care when programming the flush volume so thatit matches the patents need Note The pump wil automatically flush an additional 25 ml of water after completing the prog
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