kENDALL KANGAROO ePump Operation And Service Manual

kENDALL

KANGAROO ePump

™

Enteral Feeding Pump

tyco

/ Healthcare

Enteral Feeding Pump — Operation and Service Manual

Nutripompe — Manuel d’utilisation et d’entretien

Pumpe für die enterale Ernährung — Betriebs- und Serviceanleitung

Pompa di alimentazione enterale — Manuale operativo e di manutenzione

Bomba para alimentación enteral — Manual de operación y servicio

Enteral matningspump — Användar- och servicemanual

Enterale voedingspomp — Handleiding voor bediening en onderhoud

Bomba de alimentação entérica — Manual de funcionamento e assistência

Enteraalinen ravitsemuspumppu — Käyttö- ja huolto-opas

Pumpe til enteral ernæring — Betjenings- og servicehåndbog

Αντλία εντερικής σίτισης — Εγχειρίδιο λειτουργίας και σέρβις

Pumpa pro enterální výživu — Provozní a servisní příručka

Enterális táplálópumpa — Kezelési és karbantartási kézikönyv

Насос для энтерального питания — Руководство по эксплуатации и техническому обслуживанию

Pompa żywienia dojelitowego — Instrukcja obsługi i serwisowania

Enteral Besleme Pompası — Operasyon ve Servis Kılavuzu

Enteral ernæringspumpe — Bruker- og vedlikeholdshåndbok

Operation and Service Manual

See Instructions

0123

Rx

ONLY

™ Trademark of Tyco Healthcare Group LP or its aﬃ liate.

™*SPRAY-NINE

is a

t

rademark of

Spray-Nine Corporation.

rademark of Spray-Nine Corporation.rademark of

™*

PHISOPHEX

is a

t

rademark of

Smith Kline Beecham Corp.

rademark of Smith Kline Beecham Corp.rademark of

™*

HIBICLENS

is a

t

rademark of

Tubifoam Ltd.

rademark of Tubifoam Ltd.rademark of

™*

VESTA-SYDE

is a

t

rademark of

Steris, In

rademark of Steris, Inrademark of

c.

TYCO HEALTHCARE GROUP LP

•

MANSFIE

L

D, MA 02048

MADE I

N

U.S.A.

•

0

50

3

28

PRODUCT INFORMATION

I

N U.S. 1-800-962-9888

•

www.TycoHealthcare.com

EC REP: TYCO HEALTHCARE U.K. LTD

•

GOSPORT,

PO13 0AS, U.K.

SWISS DISTRIBUTOR: TYCO HEALTHCARE SWITZERLAND LTD.

ROOSTRASSE 53, POSTFACH CH-8832, WOLLER

AU SWITZERLAND

182388

�

Thank you for purch

asing the

KANGAROO

e

P

ump

™

Enteral Feeding P

ump.

With proper care, this device will provide you with years of precision service.

TABLE OF CONTENTS

Page

Section I —

General Information

..........................................................................................

5

Section II

—

Safety and Warnings

..................................................................................................

7

Section III —

Icon Identification

...........................................................................................

8

Section IV —

Initial Setup

Attaching the A/C Adapter Power Cord

........................................................................................................

9

Battery Setup

..............................................................................................................................................

9

Attaching Pole Clamp

................................................................................................................................

1

0

Secti

on V —

Instructions for Use

Quick Start

.................................................................................................................................................

1

General Startup

.........................................................................................................................................

1

2

Placement/Mounting

..........................................................................................................................

1

2

A/C Power Operation

...........................................................................................................................

1

2

Battery Power Operation

......................................................................................................................

1

2

Power On/Off

.....................................................................................................................................

Power On/Off ..................................................................................................................................... Power On/Off

1

2

Language Selection, First Power Up

.......................................................................................................

1

2

Keep

or Clea

r Prior Pump Settings

.........................................................................................................

1

2

Loading Pump Sets

....................................................................................................................................

1

3

Prime Pump

..............................................................................................................................................

1

4

Auto Priming

......................................................................................................................................

1

5

Hold-To-Prime

...................................................................................................................................

1

5

Re-priming after Bag Empty

.................................................................................................................

Re-priming after Bag Empty .................................................................................................................Re-priming after Bag Empty

1

5

Selecting Continuous or Intermittent Feed Mode

......................................................................................

1

6

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Enteral Feeding

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English English

TABLE OF CONTENTS

Page

Continuous Mode (Adjust Feed)

.................................................................................................................

16

Continuous Mode Feeding

...................................................................................................................

1

6

Continuous Mode Flushing

...................................................................................................................

1

7

Intermittent Mode (Adjust Bolus)

..............................................................................................................

18

Intermittent Mode Feeding

...................................................................................................................

18

Intermittent Mode Feeding -

Bolus Max

.................................................................................................

Bolus Max .................................................................................................Bolus Max

19

Intermittent Mode Flushing

..................................................................................................................

19

Run

...................................................................................................................................................

2

0

Hold

..................................................................................................................................................

Hold .................................................................................................................................................. Hold

2

1

Flush Now

.........................................................................................................................................

Flush Now ......................................................................................................................................... Flush Now

2

More Options

.............................................................................................................................................

2

3

Buzzer Alarm Volume

.........................................................................................................................

2

3

History

..............................................................................................................................................

History .............................................................................................................................................. History

2

3

Language Selection

.............................................................................................................................

2

3

Continuous/Intermittent Mode

.............................................................................................................

2

3

BioTech Menu

............................................................................................................................................

2

4

Accessing the BioTech Screen

................................................................................................................

2

4

BioTech Screen Data

............................................................................................................................

2

4

Lock Settings Feature (Program Locked)

.................................................................................................

2

4

Lock Screen Feature

...................................................................................................................................

2

5

Section VI — Re

-Certification of

Performance

System Performance Re-Certification

........................................................................................................

2

5

Certifyi

ng the Accuracy of

Pump Flow Rate

...............................................................................................

2

6

Section VII — Cleaning

.......................................................................................................................

2

6

Section VIII — Battery Replacement

..........................................................................................

28

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TABLE OF CONTENTS

Page

Se

ction

IX — Error/War

n

ing/Informational Screens and Troubleshooting

System Error

..............................................................................................................................................

29

Hold Error

..................................................................................................................................................

3

0

Rotor Error

.................................................................................................................................................

3

1

Feed Error

..................................................................................................................................................

3

1

Flush Error

.................................................................................................................................................

3

1

Flow Error

..................................................................................................................................................

3

2

Pump Set Dislodged Error

..........................................................................................................................

3

2

Battery

Low

...............................................................................................................................................

3

Feeding Complete

.....................................................................................................................................

3

Pump Set Use >24 Hours Warning

............................................................................................................

3

LED Array

...................................................................................................................................................

3

4

Section X

—

Specifications

and Symbols

Specifications

............................................................................................................................................

3

4

Symbols on Pump and Accessories

............................................................................................................

3

6

Section

XI

—

Customer Service

......................................................................................................

3

7

Section X

II — Maintenance

Side Door Enclosing Pump Set Loading Area

.............................................................................................

3

7

Battery Pack

..............................................................................................................................................

38

Battery Door

..............................................................................................................................................

38

Power Cord

................................................................................................................................................

38

Pole Clam

p

................................................................................................................................................

38

Section X

III —

S

ervice Part Numbers

..........................................................................................

38

Section XIV —

Warranty

....................................................................................................................

38

Section XV —

Electromagnetic Conformity Declaration

....................................................

39

Section XVI —

AccuSystem

√

............................................................................................................

4

0

English English

5

Enteral Feeding

Pump

English English

Section I –

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 & Flush Sets.

User Interface:

• Intuitive user interface

• Large, backlit LCD display

• Step-by-step prompts to guide programming and operation

• “Stoplight” LED array

visually

indicate

s

pump status in a bright or darkened room

Ergonomics:

• Quiet operation

• Compact, aesthetic design

• Tabletop usage or IV pole mounting

• Simple loading of Pump Sets

• Transparent side door to protect Pump Set

• Integrated handle for easy transport

Features:

• MISTIC (Magnetic Intelligent Set Type Identification Connector) Feed-Only vs. Feed & Flush Set identification system to

ensure match between the pump’s user interface and Pump Set type

• Automatic Anti-Free-Flow (AFF) System

• Audible alarm to indicate errors or Pump Set loading conditions

• Attitude-independent design eliminates need for drip chamber on pump set

• Sensor technology detects both upstream and downstream flow conditions

• Continuous feed, intermittent feed, and flush capability

• Auto-prime feature reduces the need for time-consuming manual priming

• Hold feature with programmable restart

• Stores previous 72 hours of feeding and flushing history

Service:

• Serial I/O port for data retrieval and software updates

• Uses replaceable, rechargeable NiMH Battery Pack for 15 hours of backup power

• Removable Power Cord

• Removable Pole Clamp

6

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Figure 1A. KANGAROO ePump features, front and rear views.

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7

Enteral Feeding

Pump

English English

Section II — Safety and Warnings

CAUTION:

U.S. federal law restricts the sale of this device to physicians or to their direct representatives.

1. Read this booklet thoroughly before using the KANGAROO ePump enteral feeding pump.

2. Do not use this device near flammable anesthetics.

3. Disconnect power supply before cleaning or servicing.

4. 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.

5. Use only KANGAROO ePump

enteral feeding pump

Pump Sets with this device. Pump is not

compatible with other

Pump Sets.

6. For re-certification, see Section VI - Re-certification of

Performance.

For

other integrity checks,

consult with a

qualified Biomedical technician or contact the manufacturer

(Section XI -

Customer Service).

7. F

or service or for te

chnical information, please contact Custom

er Service (Section XI).

8. Do not open the

main housing, as there are no user-serviceable part

s inside. Opening

may affect function of device

and voids the warranty.

To replace battery, see Se

ction VIII.

9.

Disp

ose of old battery-powered electronic equipment in a manner consistent with institutional policy for expired

equipment disposal.

10. Cleaning frequency and pr

actices 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

.

Figure 1B

. KANGAROO ePump Pump Set loading area

.

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8

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11. See icon descriptions in Section III-Icon Identification and Section X - Specifications and Symbols for additional safety

information.

12. T

his device is designed to minimize the effects of uncontrolled electromagnetic int

e

rference and other types of

interference from external sources. Avoid use of other equipment that may cause erratic operation or degradation i

n

the performance of this device.

13.

WARNING:

The DB9 serial I/O port (see Figure 1A) is intended only for use by the manufacturer.

Any accessory equipment that can be connected to the DB9 Serial I/O 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 national standard.

• Under no circumstances should the certified accessory be used while the pump is in use for enteral feeding of a

patient.

14.

CAUTION

:

This enteral feeding pump should only be used for patients who can tolerate the flow rates and accuracy

levels delivered by the pump. Premature infants may require higher accuracy rates than specified for this enteral

feeding pump.

Section III –

Icon Identification

Run Mode

Vertically-moving droplet in

RUNNING

screen indicates Run

RUNNING screen indicates Run RUNNING

mode.

Battery Symbols

• Full charge

• 2/3 or less charge

• 1/3 or less ch

arge

• Very low battery (15 minutes max.

)

Auto Priming Indicator

When auto priming, the bar will progress

to show auto prime feature is active.

Volume Setting

Indicates alarm volume setting.

9

Enteral Feeding

Pump

English English

Erro

r Indicator

Pump operations are stopped

until the error is resolved.

Information Indicator

This indicates information only,

and does not require any

immediate action.

Section IV

—

Initial Setup

Attaching the A/C Adapter Power Cord

Plug the Power Cord into the A/C Adapter Port on the back of the pump. See Figure 1A to locate port on pump. Make

note

of the location of the pins and tab on the plug to properly orient the plug.

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 knocked out. To remove the connector, grasp the outer sliding

sleeve member and pull. Do not detach the connector by pulling on the cord only.

Battery

Setup

The battery pack is fully charged before shipping, and is left unconnected to optimally preserve battery life.

WARNING:

The battery should be connected before using the pump.

It is also recommended that the battery charge be “topped off” before battery-only operation is utilized. The battery pack

will charge continuously whenever the pump is plugged into a wall outlet, including during normal use of the pump with

A/C power.

Eight hours of charging is required to fully recharge the battery pack.

A new battery pack will provide approximately 15 hours of service before needing to be recharged.

Figure 2. Alignment of

A/C Adapter plug with

pump’s adapter port.

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10

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Attaching Pole Clamp

The KANGAROO ePump

enteral feeding pump

can be attached to a vertical pole using the Pole Clamp, included with the

pump.

To attach the Pole

Clamp to the KAN

GAR

OO ePump

enteral feeding pump

, align the hole on the Pole Clamp with the

m

ounting hole on the back

of the pump. U

se a 3/8” - 16 bolt to fasten together, as shown in Figure 3.

Figure 3. Attaching and using the Pole Clamp.

11

Enteral Feeding

Pump

English English

Section V —

Instructions For Use

Quick Start

1. Press

POWER

on lower, right-hand corner of control panel.

2. Open blue door enclosing Pump Set loading area.

3. To load Pump Set (refer to Figure 4):

• Grasp finger tab on valve and insert into left pocket (1).

• Grasp black ring retainer and gently stretch tubing around rotor (2). Pull up on retainer and insert into right pocket

(3).

• Press down on finger tab to ensure that valve is fully seated.

• Close blue door.

(

Note:

display status line should read

SET LOADED

).

4. To automatically prime the pump, press

4

PRIME PUMP

and

4

AUTO PRIME

. For Feed & Flush sets, auto priming

will prime both lines.

5. To directly control pump priming, press

4

PRIME PUMP

and then press and hold the

HOLD TO PRIME

button(s)

4

. If a Feed & Flush Set is used, remember to first press

4

HOLD TO PRIME FLUSH

until the flushing

fluid has reached the valve, and then press

4

HOLD TO PRIME FEED

until the feeding fluid has reached past the

valve and down to the distal end connector.

6. Use buttons

4

on left side of LCD to set the feeding parameters. Set flushing parameters if a Feed & Flush Set is

loaded. The continuous or intermittent feed mode selection is made under the

MORE

options menu.

7. Press

4

RUN

when ready to start. The screen will display

RUNNING

.

8. To stop, press

4

HOLD

or press and hold the

P

OWER

button.

or press and hold the

Figure 4.

Installation of

Pump Set.

1

3

2

Black Ring

Retainer

(MISTIC)

Finger

Tab

Valve

Rotor

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General Startup

Placement/Mounting

There are two recommended placement methods for the KANGAROO ePump

enteral feeding pump

.

• Attached to a vertical IV pole via the Pole Cla

mp peripheral device, included with the pump.

• Placed feet down on any horizontal surface.

A/C Power Operation

Plug the KANGAROO ePump

enteral feeding pump

into an A/C power outlet for normal operation. When the pump is

not plugged in, or if A/C po

wer is interrupted, a built-in rechargeable battery will run the pump.

Battery Power Operation

If A/C power is not available to the pump, or if A/C power is interrupted, the pump will automatically operate on backup

battery power. The built-in battery recharges any time the pump is plugged into an outlet.

A fully-charged, new battery will supply 15 hours of backup power at 125 ml/hr before requiring recharging. Contact

Customer Service, Section XI, to replace the Battery Pack if battery life degrades.

Power On/Off

To power up the pump, press the

P

OWER

button on the lower right of the front panel. To power down the pump,

press and hold the

P

OWER

button until the pump display turns off.

Langu

age 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 (

È

Immediately after powering up the pump for the first time, the language option screen will appear. Select the language

È

Immediately after powering up the pump for the first time, the language option screen will appear. Select the language

) or (

Í

Immediately after powering up the pump for the first time, the language option screen will appear. Select the language

Í

Immediately after powering up the pump for the first time, the language option screen will appear. Select the language

) buttons. When the language is selected, push the fifth button (

Á

) 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 16).

Keep

or Clear Prior Pump Settings

Immediately after powering up the pump, if the prior feed or flush settings were not cleared and the settings are not

locked in the BioTech Screen, the pump will give the following two options:

KEEP SETTINGS

- Select this option to start with the same settings that were most recently programmed into the

pump. Any of the previously-programmed settings can be modified, if needed. The feed volume totals, “

mL FED

”

(Continuous Feed Mode) or “

BOLUSES FED

” (Intermittent Feed Mode) and

“

mL

F

LUSH

”

are also maintained.

CLEAR SETTINGS

- Select this option to reset all input feeding settings and the output feed totals to zero. It will then

be necessary to program all settings before running the pump.

Note:

The

output feed totals (“

m

L FED

,

” “

,” “,

BOLUSES FED

,” “

mL FLUSH

”) can be cleared at any time, and without

clearing the

input settings, by doing the following

:

•

Start the pump

RUNNING

•

Press

4

HOLD

•

Press

4

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

A SET (Figure 5), or, if the Pump Set is already loaded, it will showA SET

SET LOADED

(Figure 7).

SET LOADED (Figure 7).SET LOADED

To power up the pump, press the

press and hold the

13

Enteral Feeding

Pump

English English

Loading Pump Sets

The KANGAROO ePump

enteral feeding pump

will indicate

LOAD A SET

in the screen’s status line if a Pump Set is not

LOAD A SET in the screen’s status line if a Pump Set is not LOAD A SET

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.

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 Pump Set by holding the finger tab on the valve, and inserting the valve down into the slot on the left.

(Figure 6A)

3. Grasp the MISTIC retainer end (black ring retainer) and wrap the tubing counterclockwise around the rotor.

(Figure 6B)

4. Carefully pull the MISTIC retainer end upwards to position it over the slot on the right, and then lower the retainer

into the slot. (Figure 6B)

5. Press down on the valve’s finger tab to ensure proper seating.

6. Close blue transparent door.

Figure 5A.

LOAD A SET

opening menu

LOAD A SET opening menu LOAD A SET

screen for Continuous

Feeding mode.

Figure 5B.

LOAD A SET

opening menu

LOAD A SET opening menu LOAD A SET

screen for Intermittent

Feeding mode.

Figure 6A.

Figure 6B.

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14

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The display should read

SET LOADED

and will show one of the following opening menus, depending on the type of

SET LOADED and will show one of the following opening menus, depending on the type of SET LOADED

Pump Set detected, and whether continuous or intermittent feeding mode has been selected.

Prime Pump

The KANGAROO ePump

enteral feeding pump

may be primed automatically with a single button push, including the

flushing line if a Feed & Flush Set is loaded. The pump can also be primed in a more interactive method using the hold-

to-prime feature.

After a Pump Set has been loaded and the status line shows

SET LOADED

, press

4

PRIME PUMP

in the opening menu

(Figure 7) to get one of the

PRIME PUMP

menus shown in Figure 8.

PRIME PUMP menus shown in Figure 8. PRIME PUMP

Figure 7A. Opening menu

for Continuous Feed mode

with a Feed-Only set.

Figure 7B. Opening menu

for Continuous Feed mode

with a Feed & Flush set.

Figure 7C. Opening menu

for Intermittent Feed mode with a

Feed-Only set.

Figure 7D. Opening menu

for Intermittent Feed mode

with a Feed & Flush set.

Figure 8A. PRIME PUMP

menu for Feed-Only set.

Figure 8B. PRIME PUMP

menu for Feed & Flush set.

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Enteral Feeding

Pump

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Auto Priming

The

AUTO PRIME

option will be available if the pump senses that the currently installed Pump Set was not previously

primed, and that there is no fluid in the line near the rotor. If auto-priming is desired, press and release

4

AUTO PRIME

to automatically prime the line(s). For Feed & Flush Pump Sets, the auto prime feature will automatically prime both

lines, starting with the flush line.

Press

4

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 COMPLETE and will no longer show the AUTO PRIME COMPLETE

AUTO PRIM

E

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

4

HOLD TO PRIME FEED

until the

feed line has been primed down to the stepped end connector at the end of the Pump Set.

Feed & Flush Pump Sets

For Feed & Flush Pump Sets, the display will appear as in Figure 8B. First press and hold

4

HOLD TO PRIME FLUSH

to

prime the flushing line, and then press and hold

4

HOLD TO PRIME FEED

to prime the feed line down to the stepped

end connector at the end of the Pump Set.

If a Feed & Flush Pump Set is used, remember to first press

4

HOLD TO PRIME FLUSH

until the flushing fluid has

reached the valve, and then press

4

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:

• Disconnect the feeding line from the patient

• Refill the bag

• Press

4

CONTINUE

to begin the pump

RUNNING

• Press

4

HOLD

• Press

4

ADJUST SETTINGS

• Press

4

PRIME PUMP

• Press

4

HOLD TO PRIME

to prime the line(s)

Pump Sets should not be reused after 24 hours of initial usage.

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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 & Flush sets). Select this option to program the feeding parameters from the

ADJUST

FEED

screen, Figure 10A.

Press

4

FEED RATE

in Figure 10A to define the rate of delivery. Press the

4

buttons in Figure 10B to program the rate

from 1 to 400 in increments of 1 ml/hr. Press

4

ENTER

(top button) to exit the menu.

Press

4

FEED VTBD

in Figure 10A to define the Volume To Be Delivered. Press the

4

buttons in Figure 10C to

program the volume from 1 to 3000 ml in increments of 1 ml. Press

4

ENTER

(top button) to exit the menu. If the

FEED VTBD

is set to zero, the pump will run until the supply is exhausted.

NOTE:

When a

FEED VTBD

is set, the remaining volume to be delivered (remaining VTBD) will be displayed next to

the v icon on the lower right-hand portion of the screen (Figure 10A). If the

FEED VTBD

is reprogrammed during

a feeding, from

HOLDING

mode, the pump will restart the feeding and deliver the entire volume of the new VTBD

HOLDING mode, the pump will restart the feeding and deliver the entire volume of the new VTBD HOLDING

setting.

Figure 9A.

MORE OPTIONS

menu.

MORE OPTIONS menu.MORE OPTIONS

Figure 9B.

SELECT MODE

menu for

SELECT MODE menu for SELECT MODE

continuous or intermittent mode

selection.

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

4

MORE

on the opening menu, shown in Figures 5 or 7,

to access the

MORE OPTIONS

menu, Figure 9A.

MORE OPTIONS menu, Figure 9A. MORE OPTIONS

The

MORE

option is available either before a Pump Set has been loaded (Figure 5) or after the Pump Set is loaded (Figure

7). See subsection “More Options” for information on the other options in the

MORE OPTIONS

menu.

MORE OPTIONS menu.MORE OPTIONS

Select

4

CONTINUOUS/

INTERMITTENT

under the

MORE OP

TIONS

menu, Figure 9A

. Then press

4

CONTINUOUS

MODE

or

4

INTERMITTENT MODE

from the

SELECT MODE

menu, Figure 9B. Press

SELECT MODE menu, Figure 9B. PressSELECT MODE

4

DONE

to

exit.

17

Enteral Feeding

Pump

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Figure 10A.

ADJUST FEED

menu.

ADJUST FEED menu.ADJUST FEED

Figure 10B. Setting the Feed Rate.

Figure 10C. Setting the Feed

Volume to be Delivered.

Continuous Mode Flushing

Fo

r

CONTINUOUS

feeding mode with a Feed & Flush Set loaded, the opening menu will appear as shown in

Figure

7B. Press

4

ADJUST FLUSH

in Figure 7B to program the flushing parameters from the

ADJUST FLUSH

screen,

shown in Figure 11A.

Press

4

FLUSH VOLUME

in Figure 11A to define the volume per flush occurrence. Press the

4

buttons in Figure 11B

to program the flush volume from 10 to 500 in increments of 1 ml. Press

4

ENTER

(top button) to exit the menu.

Press

4

FLUSH INTERVA

L

i

n Figure 11A to define the time interval between starts of flushing. Press

the

4

buttons

in Figure 11C to program the time interval from 1 to 24 hours in increments of 1 hour. Press

4

ENTER

(top button) to

exit the menu.

The pump will automatically limit flushing settings which

exceed pump capabilities

to deliver.

CAUTION:

The KANGAROO ePump enteral feeding pump flushes at a rate of 1960 mL/hr (32.7 mL/minute). Use care

when programming the flush volume so that it matches the patient’s need.

NOTE:

The pump will automatically flush an additional 25 ml of water after completing the programmed delivery of

formula, as long as at least one flush had occ

urred during formula delivery.

Figure 11A.

ADJUST FLUSH

menu, continuous mode.

Figure 11B. Setting the Flush

Volume.

Figure 11C. Setting the Flush Time

Interval.

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Intermittent Mode (Adjust Bolus)

Intermittent Mode Feeding

For

INTERMITTENT

feeding mode, the

ADJUST BOLUS

option is available in the opening menus (Figure 7C for

a Feed-Only set or Figure 7D for a Feed & Flush set). Select this option to program the feeding parameters from the

ADJUST BOLUS

screen, Figure 12A.

ADJUST BOLUS screen, Figure 12A. ADJUST BOLUS

Press

4

BOLUS RATE

in Figure 12A to define the rate of delivery.

Press the

4

buttons in Figure 12B to program the delivery rate from 1 to 400 in increments of 1 ml/hr.

Press

4

ENTER

(top button) to exit the menu.

Press

4

NUMBER OF BOLUSES

in Figure 12A to define the total number of boluses to be delivered.

Press the

4

buttons in Figure 12C to program the number of boluses, up to a maximum of 99.

Press

4

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

4

VOLUME PER BOLUS

in Figure 12A to define the Volume to be delivered in each bolus.

Press the

4

buttons in Figure 12D to program the volume per bolus from 1 to 1000 ml in increments of 1 ml.

Press

4

ENTER

(top button) to exit the menu.

Press

4

BOLUS INTERVAL

in Figure 12A to define the time interval between starts of bolus deliveries.

Press the

4

buttons in Figure 12E to program the time interval between starts of bolus deliveries from 1 to 24 hours in

increments of 1 hour. Press

4

ENTER

(top button) to exit the menu.

The pump will automatically limit bolus settings which

exceed pump capabilities

to deliver. For example, a bolus

delivery volume of 200 mL cannot be made once per hour if a rate of 150 mL/hr is already programmed. In this case,

the maximum volume allowed would be 150 mL.

NOTE:

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.

19

Enteral Feeding

Pump

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Figure 12A.

ADJUST BOLUS

menu.

Figure 12B. Setting the Bolus Rate.

Figure 12C. Setting the Number of

Boluses.

Figure 12D. Setting the volume per

Bolus.

Figure 12E. Setting the time interval

between starts of bolus.

Intermittent Mode

Feeding – Bolus

Max

The

BOLUS

MAX

option can be used to deliver a bolus at a high rate, similar to gravity feeding

MAX option can be used to deliver a bolus at a high rate, similar to gravity feeding MAX

.

Press

4

BOLUS

MAX

in the

BOLUS RATE

menu, Figure 12B, to program the

BOLUS MAX

mode.

The feeding rate

for

BOLUS MAX

is 999 mL/hr

BOLUS MAX is 999 mL/hrBOLUS MAX

.

is 999 mL/hr. is 999 mL/hr

Intermittent Mode Flushing

For

INTERMITTENT

feeding mode with a Feed & Flush Set, the opening menu, shown in Figure 7D, will show

the

ADJUST FLUSH

option. Press

4

ADJUST FLUSH

in Figure 7D to program the flushing parameters from the

ADJUST FLUSH

screen, Figure 13A.

ADJUST FLUSH screen, Figure 13A. ADJUST FLUSH

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Note:

The nature of two interm

ittent

processes,

periodic bolus feeding and periodic flushing, is such that occasional

conflicts can arise where each process need

s

to

be running at the same time.

T

he flushing process is assigned precedence

over the feeding process for Feed & Flush pump sets. “Flushing precedence” means that a flush cycle will run to its end

even if a bolus delivery is scheduled to begin. It also means that a flush cycle will interrupt a bolus feeding cycle that

is already in progress. The feeding cycle will pick up where it was interrupted after the flushing cycle is complete. It is

therefore possible that the net feeding volume is reduced from what may be intended, over a given time period.

Press

4

FLUSH VOLUME

in Figure 13A to define the volume per flush cycle. Press the

4

buttons in Figure 13B to

program the flush volume from 10 to 500 in increments of 1 ml. Press

4

ENTER

(top button) to exit the menu.

Press

4

FLUSH INTERVAL

in Figure 13A to define the time interval between starts of flushing. Press the

4

buttons in

Figure 13C to program the time interval from 1 to 24 hours in increments of 1 hour. Press

4

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 occ

urred during formula delivery.

R

un

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 & 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

4

RUN

to start operation. Figure 14 shows the

RUNNING

screen for

RUNNING screen for RUNNING

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 & Flush Pump Set is used, and the

remaining volume to be delivered (remaining VTBD). The remaining VTBD is shown next to the v icon.

Figure 13A.

ADJUST FLUSH

menu, intermittent mode.

Figure 13B. Setting the Flush

Volume.

Figure 13C. Setting the Flush Time

Interval.

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kENDALL KANGAROO ePump Operation And Service Manual

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