enteral feeding pump - home - sparrow health system feeding pump tyco/ healthcare enteral feeding...

kENDALLKANGAROO ePump™

Enteral Feeding Pump

tyco/ Healthcare

Enteral Feeding Pump — Operation and Service ManualNutripompe — Manuel d’utilisation et d’entretienPumpe für die enterale Ernährung — Betriebs- und ServiceanleitungPompa di alimentazione enterale — Manuale operativo e di manutenzioneBomba para alimentación enteral — Manual de operación y servicioEnteral matningspump — Användar- och servicemanualEnterale voedingspomp — Handleiding voor bediening en onderhoudBomba de alimentação entérica — Manual de funcionamento e assistênciaEnteraalinen ravitsemuspumppu — Käyttö- ja huolto-opasPumpe til enteral ernæring — Betjenings- og servicehåndbogΑντλία εντερικής σίτισης — Εγχειρίδιο λειτουργίας και σέρβιςPumpa pro enterální výživu — Provozní a servisní příručkaEnterális táplálópumpa — Kezelési és karbantartási kézikönyvНасос для энтерального питания — Руководство по эксплуатации и техническому обслуживаниюPompa żywienia dojelitowego — Instrukcja obsługi i serwisowaniaEnteral Besleme Pompası — Operasyon ve Servis KılavuzuEnteral ernæringspumpe — Bruker- og vedlikeholdshåndbok

Operation and Service Manual

See Instructions0123

RxONLY

™ Trademark of Tyco Healthcare Group LP or its affiliate.

™*SPRAY-NINE is a trademark of Spray-Nine Corporation.™*PHISOPHEX is a trademark of Smith Kline Beecham Corp.™*HIBICLENS is a trademark of Tubifoam Ltd.™*VESTA-SYDE is a trademark of Steris, Inc.

TYCO HEALTHCARE GROUP LP • MANSFIELD, MA 02048MADE IN U.S.A. • © 2005 TYCO HEALTHCARE GROUP LPALL RIGHTS RESERVED • 050328PRODUCT INFORMATION IN U.S. 1-800-962-9888 • www.TycoHealthcare.comEC REP: TYCO HEALTHCARE U.K. LTD • GOSPORT, PO13 0AS, U.K. SWISS DISTRIBUTOR: TYCO HEALTHCARE SWITZERLAND LTD. ROOSTRASSE 53, POSTFACH CH-8832, WOLLERAU SWITZERLAND

182388

Thank you for purchasing the KANGAROO ePump™ Enteral Feeding Pump. With proper care, this device will provide you with years of precision service.

TABlE OF CONTENTS 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 ................................................................................................................................10

Section V — Instructions for Use Quick Start .................................................................................................................................................11

General Startup .........................................................................................................................................12

Placement/Mounting ..........................................................................................................................12

A/CPowerOperation ...........................................................................................................................12

BatteryPowerOperation ......................................................................................................................12

PowerOn/Off .....................................................................................................................................12

LanguageSelection,FirstPowerUp .......................................................................................................12

KeeporClearPriorPumpSettings .........................................................................................................12

Loading Pump Sets ....................................................................................................................................13

Prime Pump ..............................................................................................................................................14

AutoPriming ......................................................................................................................................15

Hold-To-Prime....................................................................................................................................15

Re-primingafterBagEmpty .................................................................................................................15

Selecting Continuous or Intermittent Feed Mode ......................................................................................16

3Enteral Feeding Pump2 KANGAROO ePump™

English English© 2005 Tyco Healthcare Group LP


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Continuous Mode (Adjust Feed) .................................................................................................................16

ContinuousModeFeeding ...................................................................................................................16

ContinuousModeFlushing ...................................................................................................................17

Intermittent Mode (Adjust Bolus) ..............................................................................................................18

IntermittentModeFeeding ...................................................................................................................18

IntermittentModeFeeding-BolusMax .................................................................................................19

IntermittentModeFlushing ..................................................................................................................19

Run ...................................................................................................................................................20

Hold ..................................................................................................................................................21

FlushNow..........................................................................................................................................22

More Options .............................................................................................................................................23

BuzzerAlarmVolume .........................................................................................................................23

History ..............................................................................................................................................23

LanguageSelection .............................................................................................................................23

Continuous/IntermittentMode .............................................................................................................23

BioTech Menu ............................................................................................................................................24

AccessingtheBioTechScreen ................................................................................................................24

BioTechScreenData ............................................................................................................................24

LockSettingsFeature(ProgramLocked) .................................................................................................24

Lock Screen Feature ...................................................................................................................................25

Section VI — Re-Certification of Performance System Performance Re-Certification ........................................................................................................25

Certifying the Accuracy of Pump Flow Rate ...............................................................................................26

Section VII — Cleaning .......................................................................................................................26

Section VIII — Battery Replacement ..........................................................................................28

© 2005 Tyco Healthcare Group LP



Section IX — Error/Warning/Informational Screens and Troubleshooting System Error ..............................................................................................................................................29

Hold Error ..................................................................................................................................................30

Rotor Error .................................................................................................................................................31

Feed Error ..................................................................................................................................................31

Flush Error .................................................................................................................................................31

Flow Error ..................................................................................................................................................32

Pump Set Dislodged Error ..........................................................................................................................32

Battery Low ...............................................................................................................................................33

Feeding Complete .....................................................................................................................................33

Pump Set Use >24 Hours Warning ............................................................................................................33

LED Array ...................................................................................................................................................34

Section X — Specifications and Symbols Specifications ............................................................................................................................................34

Symbols on Pump and Accessories ............................................................................................................36

Section XI — Customer Service.......................................................................................................37

Section XII — Maintenance Side Door Enclosing Pump Set Loading Area .............................................................................................37

Battery Pack ..............................................................................................................................................38

Battery Door ..............................................................................................................................................38

Power Cord ................................................................................................................................................38

Pole Clamp ................................................................................................................................................38

Section XIII — Service Part Numbers ..........................................................................................38

Section XIV — Warranty ....................................................................................................................38

Section XV — Electromagnetic Conformity Declaration ....................................................39

Section XVI — AccuSystem√ ............................................................................................................40

English English© 2005 Tyco Healthcare Group LP


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Section I – General Information

TheKANGAROOePumpenteralfeedingpumpisasimple-to-use,precisionenteralfeedingpump.Itiseasilyprogrammedtoprovidepatientswitheithercontinuousorintermittentfeeding,andcanprovideautomaticflushingcapabilitywhenusedwithKANGAROOePumpFeed&FlushSets.

User Interface:•Intuitiveuserinterface•Large,backlitLCDdisplay•Step-by-steppromptstoguideprogrammingandoperation•“Stoplight”LEDarrayvisuallyindicatespumpstatusinabrightordarkenedroom

Ergonomics:•Quietoperation•Compact,aestheticdesign•TabletopusageorIVpolemounting•SimpleloadingofPumpSets•TransparentsidedoortoprotectPumpSet•Integratedhandleforeasytransport

Features:•MISTIC(MagneticIntelligentSetTypeIdentificationConnector)Feed-Onlyvs.Feed&FlushSetidentificationsystemto

ensurematchbetweenthepump’suserinterfaceandPumpSettype•AutomaticAnti-Free-Flow(AFF)System•AudiblealarmtoindicateerrorsorPumpSetloadingconditions•Attitude-independentdesigneliminatesneedfordripchamberonpumpset•Sensortechnologydetectsbothupstreamanddownstreamflowconditions•Continuousfeed,intermittentfeed,andflushcapability•Auto-primefeaturereducestheneedfortime-consumingmanualpriming•Holdfeaturewithprogrammablerestart•Storesprevious72hoursoffeedingandflushinghistory

Service:•SerialI/Oportfordataretrievalandsoftwareupdates•Usesreplaceable,rechargeableNiMHBatteryPackfor15hoursofbackuppower•RemovablePowerCord•RemovablePoleClamp



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



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Section II — Safety and Warnings

CAUTION:U.S.federallawrestrictsthesaleofthisdevicetophysiciansortotheirdirectrepresentatives.1. ReadthisbookletthoroughlybeforeusingtheKANGAROOePumpenteralfeedingpump.2. Donotusethisdevicenearflammableanesthetics.3. Disconnectpowersupplybeforecleaningorservicing.4. UseonlyKANGAROOePumpenteralfeedingpumpPowerCord(withbuilt-inA/Cadapter)withpump.SeeSection

XIII-ServicePartNumbersforreplacementofPowerCord.5. UseonlyKANGAROOePumpenteralfeedingpumpPumpSetswiththisdevice.Pumpisnotcompatiblewithother

PumpSets.6. Forre-certification,seeSectionVI-Re-certificationofPerformance.Forotherintegritychecks,consultwitha

qualifiedBiomedicaltechnicianorcontactthemanufacturer(SectionXI-CustomerService).7. Forserviceorfortechnicalinformation,pleasecontactCustomerService(SectionXI).8. Donotopenthemainhousing,astherearenouser-serviceablepartsinside.Openingmayaffectfunctionofdevice

andvoidsthewarranty.Toreplacebattery,seeSectionVIII.9. Disposeofoldbattery-poweredelectronicequipmentinamannerconsistentwithinstitutionalpolicyforexpired

equipmentdisposal.10. Cleaningfrequencyandpracticesmustbeconsistentwithinstitutionalpolicyforcleaningofnon-steriledevices.See

SectionVII-Cleaning,forinstructionsoncleaningtheKANGAROOePumpenteralfeedingpump.

Figure 1B. KANGAROO ePump Pump Set loading area.



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11. SeeicondescriptionsinSectionIII-IconIdentificationandSectionX-SpecificationsandSymbolsforadditionalsafetyinformation.

12. Thisdeviceisdesignedtominimizetheeffectsofuncontrolledelectromagneticinterferenceandothertypesofinterferencefromexternalsources.Avoiduseofotherequipmentthatmaycauseerraticoperationordegradationintheperformanceofthisdevice.

13.WARNING: TheDB9serialI/Oport(seeFigure1A)isintendedonlyforusebythemanufacturer. AnyaccessoryequipmentthatcanbeconnectedtotheDB9SerialI/Oport,andwhichdoesnotcomplywiththe

equivalentsafetyrequirementsofthisequipment,mayleadtoareducedlevelofsafetyofthepump.Whileuseofthepump’sDB9portisnotrecommendedforcustomers,thefollowingshouldbeconsideredintheeventthatthecustomerdecidestoconnecttothisport:

•Theaccessoryisspecificallycertifiedascomplyingwiththesafetyrequirementsforaccessoriesusedwiththepump,whereasthesafetycertificationoftheaccessoryhasbeenperformedinaccordancetotheappropriateIEC60601-1and/orIEC60601-1-1harmonizednationalstandard.

•Undernocircumstancesshouldthecertifiedaccessorybeusedwhilethepumpisinuseforenteralfeedingofapatient.

14. CAUTION:Thisenteralfeedingpumpshouldonlybeusedforpatientswhocantoleratetheflowratesandaccuracylevelsdeliveredbythepump.Prematureinfantsmayrequirehigheraccuracyratesthanspecifiedforthisenteralfeedingpump.

Section III – Icon Identification

Run Mode

Vertically-movingdropletinRUNNINGscreenindicatesRunmode.

Battery Symbols•Fullcharge•2/3orlesscharge•1/3orlesscharge

•Verylowbattery(15minutesmax.)

Auto Priming Indicator Whenautopriming,thebarwillprogresstoshowautoprimefeatureisactive.

Volume Setting

Indicatesalarmvolumesetting.



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Error IndicatorPumpoperationsarestoppeduntiltheerrorisresolved.

Information IndicatorThisindicatesinformationonly,anddoesnotrequireanyimmediateaction.

Section IV — Initial Setup

Attaching the A/C Adapter Power Cord

PlugthePowerCordintotheA/CAdapterPortonthebackofthepump.SeeFigure1Atolocateportonpump.Makenoteofthelocationofthepinsandtabontheplugtoproperlyorienttheplug.

Theconnector,whichattachestothebackofthepump,hasaspring-loadedlockingsleevethatlocksintothepump,thushelpingtopreventtheconnectorfrombeingaccidentallyknockedout.Toremovetheconnector,grasptheouterslidingsleevememberandpull.Donotdetachtheconnectorbypullingonthecordonly.

Battery Setup

Thebatterypackisfullychargedbeforeshipping,andisleftunconnectedtooptimallypreservebatterylife.

WARNING: Thebatteryshouldbeconnectedbeforeusingthepump.

Itisalsorecommendedthatthebatterychargebe“toppedoff”beforebattery-onlyoperationisutilized.Thebatterypackwillchargecontinuouslywheneverthepumpispluggedintoawalloutlet,includingduringnormaluseofthepumpwithA/Cpower.Eighthoursofchargingisrequiredtofullyrechargethebatterypack.

Anewbatterypackwillprovideapproximately15hoursofservicebeforeneedingtoberecharged.

Figure 2. Alignment ofA/C Adapter plug withpump’s adapter port.



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Attaching Pole Clamp

TheKANGAROOePumpenteralfeedingpumpcanbeattachedtoaverticalpoleusingthePoleClamp,includedwiththepump.

ToattachthePoleClamptotheKANGAROOePumpenteralfeedingpump,aligntheholeonthePoleClampwiththemountingholeonthebackofthepump.Usea3/8”-16bolttofastentogether,asshowninFigure3.

Figure 3. Attaching and using the Pole Clamp.



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Section V — Instructions For Use

Quick Start

1.PressPOWERonlower,right-handcornerofcontrolpanel.

2.OpenbluedoorenclosingPumpSetloadingarea.

3.ToloadPumpSet(refertoFigure4):

• Graspfingertabonvalveandinsertintoleftpocket(1).

• Graspblackringretainerandgentlystretchtubingaroundrotor(2).Pulluponretainerandinsertintorightpocket(3).

• Pressdownonfingertabtoensurethatvalveisfullyseated.

• Closebluedoor.

(Note:displaystatuslineshouldreadSET LOADED).

4.Toautomaticallyprimethepump,press4PRIME PUMPand4AUTO PRIME.ForFeed&Flushsets,autoprimingwillprimebothlines.

5. Todirectlycontrolpumppriming,press4PRIME PUMPandthenpressandholdtheHOlD TO PRIMEbutton(s)4.IfaFeed&FlushSetisused,remembertofirstpress4HOlD TO PRIME FlUSHuntiltheflushingfluidhasreachedthevalve,andthenpress4HOlD TO PRIME FEEDuntilthefeedingfluidhasreachedpastthevalveanddowntothedistalendconnector.

6. Usebuttons4onleftsideofLCDtosetthefeedingparameters.SetflushingparametersifaFeed&FlushSetisloaded.ThecontinuousorintermittentfeedmodeselectionismadeundertheMOREoptionsmenu.

7.Press4RUNwhenreadytostart.ThescreenwilldisplayRUNNING.

8.Tostop,press4HOlDorpressandholdthePOWERbutton.

Figure 4. Installation of Pump Set.

1 3

2

Black RingRetainer(MISTIC)

FingerTab

Valve

Rotor



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General Startup

Placement/MountingTherearetworecommendedplacementmethodsfortheKANGAROOePumpenteralfeedingpump. •AttachedtoaverticalIVpoleviathePoleClampperipheraldevice,includedwiththepump. •Placedfeetdownonanyhorizontalsurface.

A/C Power OperationPlugtheKANGAROOePumpenteralfeedingpumpintoanA/Cpoweroutletfornormaloperation.Whenthepumpisnotpluggedin,orifA/Cpowerisinterrupted,abuilt-inrechargeablebatterywillrunthepump.

Battery Power OperationIfA/Cpowerisnotavailabletothepump,orifA/Cpowerisinterrupted,thepumpwillautomaticallyoperateonbackupbatterypower.Thebuilt-inbatteryrechargesanytimethepumpispluggedintoanoutlet.

Afully-charged,newbatterywillsupply15hoursofbackuppowerat125ml/hrbeforerequiringrecharging.ContactCustomerService,SectionXI,toreplacetheBatteryPackifbatterylifedegrades.

Power On/OffTopowerupthepump,pressthePOWER buttononthelowerrightofthefrontpanel.Topowerdownthepump,pressandholdthePOWERbuttonuntilthepumpdisplayturnsoff.

language Selection, First Power UpImmediatelyafterpoweringupthepumpforthefirsttime,thelanguageoptionscreenwillappear.Selectthelanguageusingthe(È)or(Í)buttons.Whenthelanguageisselected,pushthefifthbutton(Á)toenterthelanguageselection.Afterthelanguageisselectedthefirsttimethepumpispoweredup,thelanguageselectionscreenwillnotappearduringfuturepowerupoperations.Shouldthelanguageneedtobechangedaftertheinitialpowerup,itcanbechangedthroughthe“MORE OPTIONS”menu(seeFigure16).

Keep or Clear Prior Pump SettingsImmediatelyafterpoweringupthepump,ifthepriorfeedorflushsettingswerenotclearedandthesettingsarenotlockedintheBioTechScreen,thepumpwillgivethefollowingtwooptions:

KEEP SETTINGS-Selectthisoptiontostartwiththesamesettingsthatweremostrecentlyprogrammedintothepump.Anyofthepreviously-programmedsettingscanbemodified,ifneeded.Thefeedvolumetotals,“ml FED”(ContinuousFeedMode)or“BOlUSES FED”(IntermittentFeedMode)and“ml FlUSH”arealsomaintained.

ClEAR SETTINGS-Selectthisoptiontoresetallinputfeedingsettingsandtheoutputfeedtotalstozero.Itwillthenbenecessarytoprogramallsettingsbeforerunningthepump.

Note: Theoutputfeedtotals(“ml FED,”“BOlUSES FED,”“ml FlUSH”)canbeclearedatanytime,andwithoutclearingtheinputsettings,bydoingthefollowing: •StartthepumpRUNNING •Press4HOlD •Press4ClEAR VOlUME

ThestatuslineofthepumpwillthenshowLOAD A SET(Figure5),or,ifthePumpSetisalreadyloaded,itwillshowSET LOADED(Figure7).



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loading Pump Sets

TheKANGAROOePumpenteralfeedingpumpwillindicate LOAD A SETinthescreen’sstatuslineifaPumpSetisnotinstalled.AblinkingiconofaPumpSetwillalsoappearintheupperleftcornerofthescreen.Figure5AshowsthescreenforcontinuousfeedingmodeandFigure5Bshowsthescreenforintermittentfeedingmode.

ToloadaPumpSet,followthestepsbelow:

1.OpenthebluetransparentdoorthatenclosestherotorandPumpSetloadingarea.2.LoadthePumpSetbyholdingthefingertabonthevalve,andinsertingthevalvedownintotheslotontheleft.

(Figure6A)3.GrasptheMISTICretainerend(blackringretainer)andwrapthetubingcounterclockwisearoundtherotor.

(Figure6B)4.CarefullypulltheMISTICretainerendupwardstopositionitovertheslotontheright,andthenlowertheretainer

intotheslot.(Figure6B)5.Pressdownonthevalve’sfingertabtoensureproperseating.6.Closebluetransparentdoor.

Figure 5A. LOAD A SET opening menu screen for Continuous Feeding mode.

Figure 5B. LOAD A SET opening menu screen for Intermittent Feeding mode.

Figure 6A. Figure 6B.



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ThedisplayshouldreadSET LOADEDandwillshowoneofthefollowingopeningmenus,dependingonthetypeofPumpSetdetected,andwhethercontinuousorintermittentfeedingmodehasbeenselected.

Prime PumpTheKANGAROOePumpenteralfeedingpumpmaybeprimedautomaticallywithasinglebuttonpush,includingtheflushinglineifaFeed&FlushSetisloaded.Thepumpcanalsobeprimedinamoreinteractivemethodusingthehold-to-primefeature.

AfteraPumpSethasbeenloadedandthestatuslineshowsSET LOADED,press4PRIME PUMPintheopeningmenu(Figure7)togetoneofthePRIME PUMPmenusshowninFigure8.

Figure 7A. Opening menufor Continuous Feed modewith a Feed-Only set.

Figure 7B. Opening menufor Continuous Feed modewith a Feed & Flush set.

Figure 7C. Opening menufor Intermittent Feed mode with a Feed-Only set.

Figure 7D. Opening menufor Intermittent Feed modewith a Feed & Flush set.

Figure 8A. PRIME PUMPmenu for Feed-Only set.

Figure 8B. PRIME PUMPmenu for Feed & Flush set.



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Auto PrimingTheAUTO PRIMEoptionwillbeavailableifthepumpsensesthatthecurrentlyinstalledPumpSetwasnotpreviouslyprimed,andthatthereisnofluidinthelineneartherotor.Ifauto-primingisdesired,pressandrelease4AUTO PRIMEtoautomaticallyprimetheline(s).ForFeed&FlushPumpSets,theautoprimefeaturewillautomaticallyprimebothlines,startingwiththeflushline.Press4STOPtocancelAUTO PRIME.Whenauto-primingiscompleted,thestatuslinewillshowAUTO PRIME COMPLETEandwillnolongershowtheAUTO PRIMEoption.Besurethattheline(s)arefullyprimed.Ifnot,usethehold-to-primeoption(s)tocompletethepriming,asdescribedbelow.

Hold-to-PrimeThehold-to-primeoptionsallowforpreciseinteractivecontroloftheprimingprocess.

Feed-Only Pump Sets ForFeed-OnlyPumpSets,thescreenwillappearasinFigure8A.Pressandhold4HOlD TO PRIME FEEDuntilthefeedlinehasbeenprimeddowntothesteppedendconnectorattheendofthePumpSet.

Feed & Flush Pump SetsForFeed&FlushPumpSets,thedisplaywillappearasinFigure8B.Firstpressandhold4HOlD TO PRIME FlUSHtoprimetheflushingline,andthenpressandhold4HOlD TO PRIME FEEDtoprimethefeedlinedowntothesteppedendconnectorattheendofthePumpSet.IfaFeed&FlushPumpSetisused,remembertofirstpress4HOlD TO PRIME FlUSHuntiltheflushingfluidhasreachedthevalve,andthenpress4HOlD TO PRIME FEEDuntilthefeedingfluidhasreachedpastthevalveanddowntothesteppedendconnector.Ifthefeedinglineisprimedfirst,subsequentprimingoftheflushinglinewillforcetheairbetweentheflushsolutionbagandvalveintothemainline,whichalreadyhasbeenprimedwithenteralformula.

Re-priming after Bag EmptyAPumpSetbagthathasbeenemptiedwilltriggertheFEED ERRORscreen.InthisconditionthePumpSetbagcanberefilledtocontinuethefeeding,butonlyafterthePumpSethasbeenre-primed.Tore-primethePumpSet,dothefollowing:•Disconnectthefeedinglinefromthepatient•Refillthebag•Press4CONTINUEtobeginthepumpRUNNING•Press4HOlD•Press4ADJUST SETTINGS•Press4PRIME PUMP•Press4HOlD TO PRIMEtoprimetheline(s)

PumpSetsshouldnotbereusedafter24hoursofinitialusage.



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Continuous Mode (Adjust Feed)

Continuous Mode Feeding

ForCONTINUOUSfeedingmode,theADJUST FEEDoptionisavailableintheopeningmenus(Figure7AforFeed-OnlysetsorFigure7BforFeed&Flushsets).SelectthisoptiontoprogramthefeedingparametersfromtheADJUST FEED screen,Figure10A.

Press4FEED RATEinFigure10Atodefinetherateofdelivery.Pressthe4buttonsinFigure10Btoprogramtheratefrom1to400inincrementsof1ml/hr.Press4ENTER(topbutton)toexitthemenu.

Press4FEED VTBDinFigure10AtodefinetheVolumeToBeDelivered.Pressthe4buttonsinFigure10Ctoprogramthevolumefrom1to3000mlinincrementsof1ml.Press4ENTER(topbutton)toexitthemenu.IftheFEED VTBDissettozero,thepumpwillrununtilthesupplyisexhausted.

NOTE:WhenaFEED VTBDisset,theremainingvolumetobedelivered(remainingVTBD)willbedisplayednexttothevicononthelowerright-handportionofthescreen(Figure10A).IftheFEED VTBDisreprogrammedduringafeeding,fromHOLDINGmode,thepumpwillrestartthefeedinganddelivertheentirevolumeofthenewVTBDsetting.

Figure 9A. MORE OPTIONS menu. Figure 9B. SELECT MODE menu for continuous or intermittent mode selection.

Selecting Continuous or Intermittent Feed Mode

TheKANGAROOePumpenteralfeedingpumpcanbeprogrammedtofeedcontinuouslyorintermittently.

Thecontinuousfeedingmodewilldelivertheenteralnutritionatasteadyrate,eitheruntiltheprogrammedvolumehasbeendeliveredoruntilthesupplyhasbeenexhausted.TheIntermittentfeedingmodedeliversbolusesofenteralnutritionatprogrammedtimeintervals.Thebolusvolumeandfeedratearealsoprogrammed.

Toselectcontinuousfeedmodeorintermittentfeedmode,press4MOREontheopeningmenu,showninFigures5or7,toaccesstheMORE OPTIONSmenu,Figure9A.

TheMOREoptionisavailableeitherbeforeaPumpSethasbeenloaded(Figure5)orafterthePumpSetisloaded(Figure7).Seesubsection“MoreOptions”forinformationontheotheroptionsintheMORE OPTIONSmenu.

Select4CONTINUOUS/INTERMITTENTundertheMORE OPTIONS menu,Figure9A.Thenpress4 CONTINUOUS MODE or4INTERMITTENT MODEfromtheSELECT MODEmenu,Figure9B.Press4DONEtoexit.



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Figure 10A. ADJUST FEED menu. Figure 10B. Setting the Feed Rate. Figure 10C. Setting the Feed Volume to be Delivered.

Continuous Mode Flushing

ForCONTINUOUSfeedingmodewithaFeed&FlushSetloaded,theopeningmenuwillappearasshowninFigure7B.Press4ADJUST FlUSHinFigure7BtoprogramtheflushingparametersfromtheADJUST FLUSHscreen,showninFigure11A.

Press4FlUSH VOlUMEinFigure11Atodefinethevolumeperflushoccurrence.Pressthe4buttonsinFigure11Btoprogramtheflushvolumefrom10to500inincrementsof1ml.Press4ENTER(topbutton)toexitthemenu.

Press4FlUSH INTERVAlinFigure11Atodefinethetimeintervalbetweenstartsofflushing.Pressthe4buttonsinFigure11Ctoprogramthetimeintervalfrom1to24hoursinincrementsof1hour.Press4ENTER(topbutton)toexitthemenu.

Thepumpwillautomaticallylimitflushingsettingswhichexceedpumpcapabilitiestodeliver.

CAUTION: TheKANGAROOePumpenteralfeedingpumpflushesatarateof1960mL/hr(32.7mL/minute).Usecarewhenprogrammingtheflushvolumesothatitmatchesthepatient’sneed.

NOTE: Thepumpwillautomaticallyflushanadditional25mlofwateraftercompletingtheprogrammeddeliveryofformula,aslongasatleastoneflushhadoccurredduringformuladelivery.

Figure 11A. ADJUST FLUSHmenu, 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 INTERMITTENTfeedingmode,theADJUST BOlUSoptionisavailableintheopeningmenus(Figure7CforaFeed-OnlysetorFigure7DforaFeed&Flushset).SelectthisoptiontoprogramthefeedingparametersfromtheADJUST BOLUSscreen,Figure12A.

Press4BOlUS RATEinFigure12Atodefinetherateofdelivery.

Pressthe4buttonsinFigure12Btoprogramthedeliveryratefrom1to400inincrementsof1ml/hr.Press4ENTER(topbutton)toexitthemenu.

Press4NUMBER OF BOlUSESinFigure12Atodefinethetotalnumberofbolusestobedelivered.

Pressthe4buttonsinFigure12Ctoprogramthenumberofboluses,uptoamaximumof99.

Press4ENTER(topbutton)toexitthemenu.Thenumberofbolusescanbesetaszero,inwhichcasethepumpwillrununtilthesupplyisexhausted.

Press4VOlUME PER BOlUSinFigure12AtodefinetheVolumetobedeliveredineachbolus.

Pressthe4buttonsinFigure12Dtoprogramthevolumeperbolusfrom1to1000mlinincrementsof1ml.

Press4ENTER(topbutton)toexitthemenu.

Press4BOlUS INTERVAlinFigure12Atodefinethetimeintervalbetweenstartsofbolusdeliveries.

Pressthe4buttonsinFigure12Etoprogramthetimeintervalbetweenstartsofbolusdeliveriesfrom1to24hoursinincrementsof1hour.Press4ENTER(topbutton)toexitthemenu.

Thepumpwillautomaticallylimitbolussettingswhichexceedpumpcapabilitiestodeliver.Forexample,abolusdeliveryvolumeof200mLcannotbemadeonceperhourifarateof150mL/hrisalreadyprogrammed.Inthiscase,themaximumvolumeallowedwouldbe150mL.

NOTE:IftheNUMBER OF BOlUSESisreprogrammedduringafeeding(fromHOLDmode),thepumpwillrestartthebolusfeedingandwilldeliverallthebolusesasdefinedbythenewsetting.



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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

TheBOlUS MAXoptioncanbeusedtodeliverabolusatahighrate,similartogravityfeeding.

Press4BOlUS MAX intheBOlUS RATEmenu,Figure12B,toprogramtheBOlUS MAXmode.

ThefeedingrateforBOlUS MAXis999mL/hr.

Intermittent Mode Flushing

ForINTERMITTENTfeedingmodewithaFeed&FlushSet,theopeningmenu,showninFigure7D,willshowtheADJUST FlUSHoption.Press4ADJUST FlUSHinFigure7DtoprogramtheflushingparametersfromtheADJUST FLUSHscreen,Figure13A.



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Note:Thenatureoftwointermittentprocesses,periodicbolusfeedingandperiodicflushing,issuchthatoccasionalconflictscanarisewhereeachprocessneedstoberunningatthesametime.TheflushingprocessisassignedprecedenceoverthefeedingprocessforFeed&Flushpumpsets.“Flushingprecedence”meansthataflushcyclewillruntoitsendevenifabolusdeliveryisscheduledtobegin.Italsomeansthataflushcyclewillinterruptabolusfeedingcyclethatisalreadyinprogress.Thefeedingcyclewillpickupwhereitwasinterruptedaftertheflushingcycleiscomplete.Itisthereforepossiblethatthenetfeedingvolumeisreducedfromwhatmaybeintended,overagiventimeperiod.

Press4FlUSH VOlUMEinFigure13Atodefinethevolumeperflushcycle.Pressthe4buttonsinFigure13Btoprogramtheflushvolumefrom10to500inincrementsof1ml.Press4ENTER(topbutton)toexitthemenu.

Press4FlUSH INTERVAlinFigure13Atodefinethetimeintervalbetweenstartsofflushing.Pressthe4buttonsinFigure13Ctoprogramthetimeintervalfrom1to24hoursinincrementsof1hour.Press4ENTERtoexitthemenu.

Thepumpwillautomaticallylimitflushingsettingswhichexceedpumpcapabilitiestodeliver.

CAUTION: TheKANGAROOePumpenteralfeedingpumpflushesatarateof1960mL/hr(32.7mL/minute).Usecarewhenprogrammingtheflushvolumesothatitmatchesthepatient’sneed.

NOTE: Thepumpwillautomaticallyflushanadditional25mlofwateraftercompletingtheprogrammeddeliveryofformula,aslongasatleastoneflushhadoccurredduringformuladelivery.

Run

TheKANGAROOePumpenteralfeedingpumpwillonlyrunwhenaPumpSetisproperlyloadedandthenecessaryfeedingparametershavebeenprogrammed.ForaFeed&FlushSet,theflushingparametersdonothavetobesetforthepumptobeginoperating.Ifflushingparametersaresetaszeros,therewillbenoflushing.

Afterthepumphasbeenprogrammed,press4RUNtostartoperation.Figure14showstheRUNNINGscreenforcontinuousfeedingwithflushing.ThestatuslinewillindicateRUNNING,andthedropleticonwillmoveverticallyonthescreen.ThegreenLEDindicatorwillbeilluminatedtogiveaquickvisualindicationofpositivestatusinadarkenedroom.

TheRUNNINGscreenshowsthefeedrate,amountfed,flushingdataifaFeed&FlushPumpSetisused,andtheremainingvolumetobedelivered(remainingVTBD).TheremainingVTBDisshownnexttothevicon.

Figure 13A. ADJUST FLUSHmenu, intermittent mode.

Figure 13B. Setting the Flush Volume.

Figure 13C. Setting the Flush Time Interval.



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Figure 14. RUNNING mode screen for continuous feed mode.

Hold

Pumpoperationcanbepausedbypressing4HOlDwhileitisRUNNING,suchasinFigure14.ThestatuslinewillindicateHOLDINGandtheyellowLEDindicatorwillbelituptogiveaquickvisualindicationofaninformationalstatusinadarkenedroom.

Note:thepump’salarmwillsoundifithasbeenleftHOlDINGfor10minuteswithoutfurtherinput.Itcanbeprogrammedtoautomaticallyrestartafteraspecifiedtimeperiodbypressingthe4RESUME IN ___ MIN.button.

TherearefiveoptionsavailableduringHOLDING.SeeFigures15Aand15B.

TheRUNoptioncanbeselectedfromthefollowingscreens,iftheproperparametersareprogrammedandthePumpSetisloaded:

•SET LOADEDscreens(Figure7)

•ADJUST FEEDscreen,continuousmode(Figure10A)

•ADJUST FLUSHscreens(Figure11A,13A)

•HOLDINGscreens(Figure15)

Figure 15A. HOLDING mode options, continuous feeding mode.

Figure 15B. HOLDING mode options, intermittent feeding mode.



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Clear Volume Fed

Press4ClEAR VOlUME tore-zerotheoutputfeedtotals“ml FED,”“BOlUSES FED,”and“ml FlUSH.”

Adjust Settings

Press4ADJUST SETTINGStoreturntooneoftheopeningmenusshowninFigure7,thusallowinganysettingtobemodified.IfthePumpSethasbeenremovedaftergoingintoHOlD,theopeningmenuwillshowLOAD A SET,asseeninFigure5.

Resume After Specified Time Interval

Press4RESUME IN __ MINtoimmediatelyinputatimeinminutesinwhichtoresumeoperation.Eachpressof4RESUME IN __ MINwillincrementtheresumetimeby5-minuteincrements,upto30minutes.After“30”isreached,eachadditionalbuttonpresswillincrementinlargertimesteps,uptoamaximumof240minutes.Anotherbuttonpushafter240willcyclethe“resumein”timebacktozero.Nootherinputisneededtostartthecountdown,asthetimeimmediatelycountsdownaftertheincrementalvalueisreached.

Run Mode

Press4RUNtoimmediatelyrestartpumpoperation.ThisoptionwillnotbeavailableifthePumpSetisremovedduringHOlD.

View History

Press4HISTORYtoaccesstheHISTORYscreen.Usethisscreentoreviewfeedingandflushinghistory.Seesubsection“MoreOptions”belowforfurtherinformation.

Flush Now

DuringtheRUNNINGmode,thepumpcanbedivertedtoimmediatelyperformaflush(flushondemand)bypressing4FlUSH NOWintheRUNNINGmenu.SeeFigure14.When4FlUSH NOWispressed,thescreenwillpromptforthevolumetobeimmediatelyflushed,andwillshowthepreviouslyprogrammedflushvolumeasdefault.ThescreenwillappearasthestandardFlushinputscreenasshowninFigure11B(or13B).SettingtheFlUSH NOWflushingvolumeistemporaryandwillnotchangethemain/periodicflushingvolumepreviouslyprogrammed.If4FlUSH NOWispressedbyaccident,thescreenwillreturntotheRUNNINGscreenafter10seconds,ifthereisnoinputfortheflushvolume.



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Figure 16. MORE OPTIONS menu.

Figure 17. Feed and Flush totals for up to 72 hours of previous history, excluding data from the current hour.

More OptionsPress4MOREinoneoftheopeningmenus,Figures5or7,toaccesstheMORE OPTIONSscreen,Figure16.

language Selection

Press4lANGUAGESintheMORE OPTIONSmenutochangethepreferredlanguageforthescreeninterface.

Continuous/Intermittent Mode

Press4CONTINUOUS/INTERMITTENTintheMORE OPTIONSmenutoaccesstheSELECT MODEmenu,Figure9B.Usethismenutoselectbetweencontinuousfeedingmodeandintermittentfeedingmode.Seesubsection“SelectingContinuousorIntermittentFeedMode”formoreinformation.

Press4DONEintheMORE OPTIONSmenutoexitthemenu.

Buzzer Alarm Volume

Press4BUZZERintheMORE OPTIONSmenutoaccesstheBUZZERscreenandincreaseordecreasethealarmbuzzervolume.Thealarmwillbeaudibleasthevolumesettingischanged.Thissetsthevolumelevelforanywarningorerrorthatmayoccurwiththepump.CriticalerrorsofSYSTEM ERROR and PUMP SET DISlODGEDwillalwaysusethemaximumvolumesetting.

History

Press4HISTORYintheMORE OPTIONSmenutoaccesstheHISTORYscreen.Pressthe4buttonsinFigure17tosetthetimehistoryofinterest.ThetotalsofFEED mlandFlUSH mlwillbeshownfortherequestedhistorytime.

WARNING:Amaximumof72hoursofpasthistorycanberetrieved,excludingdatafromthecurrenthour.



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BioTech Screen Data

SNistheserialnumberofthepump.

SWshowsthesoftwareversionnumberinthispump.

FlASHshowstheversionnumberoftheflashdatainstalledinthispump.

CERT INTVindicatesthenumberoftimesthepumphasbeenpoweredonsincethelastre-certification.SeeSectionVIfordetailsofre-certifyingthepump.

lock Settings Feature (Program locked)

To“lock”thesettingsagainstunauthorizedchanges,press4lOCK SETTINGStogetthecheckmark,asshowninFigure18.Thesettingscanonlybechangedagainbypressing4lOCK SETTINGStoremovethecheckmark. Ifthesettingsarelockedandachangeisattempted,thescreenwillindicatePROGRAM lOCKED,andwillnotallowaccesstotheparameters,Figure19.

ThepumpcanbePRIMEDorsettoRUN,HOlD,etc.whensettingsarelocked.

Press4DONEtoexittheBioTechmenu.Tore-enterthismenuscreen,powerdownthepumpandthenpoweritupagainandholdthetop4button,asdescribedabove.

BioTech MenuTheBioTechscreenwillshowtechnicalinformationaboutthepump,andhasalockfeaturetolockthePumpSettingsagainstunauthorizedchanges.

Accessing the BioTech Screen

TogettheBioTechscreen,pressthepowerbuttontostartthepump,andpressandholdthetop4buttonwhilethestartupsequence(Kangarooicon“hops”acrossthescreen)executes.Youmustbepressingthetop4buttonattheendofthesequenceinordertoaccesstheBioTechmenu.Figure18showstheBioTechscreen.

Figure 18. BioTech screen, with Pump Settings “locked” against unauthorized changes.



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lock Screen Feature

TheKANGAROOePumpenteralfeedingpumpcanbesettoRUNandthenlockedoutfromunauthorizeduse.WhilethelOCK SETTINGSfeaturepreventsonlychangestotheinputparameters,thelOCK SCREENfeaturewilllockoutanybuttonpresses,includingRUNorHOlD,exceptpoweroff.

UselOCK SCREENwhenthepumpisrunningandthereisaneedtopreventtamperingsuchasputtingthepumpintoanunwantedHOlD.TheRUNNINGscreenwillshowapadlocktoindicatethatnochangescanbemadewithoutunlockingthescreen.

Tolockthescreen,usethefollowingprocedurewhilethepumpisinRUNNINGmode:

•Pressandholdthesecond4buttonfromthetopforatleast2seconds,andthenreleaseit.

•Pressandholdthethird4buttonfromthetopforatleast2seconds,andthenreleaseit.

•Pressandholdthesecond4buttonagainforatleast2seconds.

Tounlockthescreen,usethesameprocedureabove.

Section VI – Re-Certification of Performance

System Performance Re-CertificationAseriesofself-diagnosticcheckscanberuntore-certifypumpperformance.Itisrecommendedthatthisre-certificationprocedureberunatleastonceperyear,oranytimethepumpissuspectedofhavingimproperperformance.SeeSectionXIII-ServicePartNumbersfororderingnewRe-CertificationPumpSets.

Figure 19. Program locked screen, which indicates the pump is in lOCK SETTINGS mode.

Figure 20. Padlock indicates pump is in lOCK SCREEN mode.



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LoadtheRe-CertificationPumpSet.ThepumpwillautomaticallyrecognizetheRe-CertificationPumpSetandgivebriefinstructionstoinitiatetheself-diagnosticprocedure.Followtheinstructionsandreviewthepass/failinformationattheendofthetest.

Certifying the Accuracy of Pump Flow RateUsethefollowingproceduretochecktheflowrateaccuracy:

• Performtestatroomtemperature22°C±2°C(72°F±3°F)withanewPumpSet.

• FullyfillanewFeed-OnlyPumpsetbagwithwater.

• LoadthePumpSet.

• SuspendthePumpSetbagsothatthebottomofthebagis18inchesabovethepump.

• MakesurepumpispluggedintoA/Cpower(donotruntestwithbatterypower).

• ProgramaContinuousModefeedrate(seebelowforsuggestedexamplerates).

• Runthepumpfor15minutestoachievesteadystateoperation.

• Thenbegincollectingthewaterinacalibratedmeasuringcontainer,suchasalarge-capacitygraduatedcylinder,forexactly30minutes.

NOTE:Theamountofwatercollectedin30minuteswillbehalfofthevalueprogrammedforthehourlyflowrate,within±10%,or0.5ml,whicheverislarger.

RateSet AmountExpectedin30Minutes

75mL/hr 33.7mLto41.3mL

150mL/hr 67.5mLto82.5mL

Iftheamountcollectedisoutsidetherange,loadanewPumpSetandre-runthetestproceduretoconfirmresults.

Section VII — Cleaning

Cleaningshouldbeperformedasneeded. Itmayalsobedesireabletodefinecleaningintervalsbasedonknowledgeoftheenvironment inwhichthepumpisused. Onlypersonneltrainedinthecleaningofmedicaldevicesshouldperformcleaning.CAUTION: Do not immerse pump or power cord in water or other cleaning solution; clean using a damp (not wet) cloth or sponge. Failure to follow the cleaning procedures described herein could result in hazards to users. As with any AC powered electrical device, care must be taken to prevent liquid from entering the pump to avoid electrical shock hazard, fire hazard, or damage to electrical components.Ifanyofthefollowingeventsoccur,DONOTUSEthepumpuntilithasbeenproperlycleanedandservicedbypersonneltrainedinservicingKANGAROOePumpenteralfeedingpumps: • wettingofthepump’spowercordorleakageintothepumpinteriorduringcleaning. • spillageoflargeamountsofformulaontothepumpexterior,oranyspillageontothepowercord.



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General Cleaning Directions

CleaningofKANGAROOePumpenteralfeedingpumpsmustbeperformedasfollows:

CAUTION: Disconnect pump from AC power source before cleaning. After cleaning, do not connect to AC power source until pump and power cord are thoroughly dry.

• Amilddetergentshouldbeusedforgeneralcleaning.Ifnecessary,thepumpmaybecleanedwitha10:1waterandhypochlorite mixture, however, repeated cleaning with this solution can damage the plastic pump case. Isopropylalcohol,appliedwithadamp(notwet)cottonswab,maybeusedforcleaningdifficult-to-reachareas,however, itshouldbeusedsparinglybecauserepeatedcleaningmaydamagethecase.

• DONOTUSEstrongcleanerssuchasSpray-Nine™*,Phisohex™*,Hibiclens™*,orVesta-Syde™*becausedamagetothepumpcasehousingcanresult.

Directions for Cleaning Pump Housing

• RefertoGeneralCleaningDirectionsbeforestarting.

• Clean outside surface with a damp (not wet) cloth or sponge and keep pump in upright position as much aspossible.

• Avoidexcessmoisturenearpoleclamparea.

• Donotallowcleaningsolutiontoentertheverticalventsinthehousing,underneaththehandle.

Directions for Cleaning Pump Power Cord


• Unlesssoilingisobserved,thepowercordshouldnotbecleaned.

• Ifcleaningofthepowercordisnecessary,unplugfromoutletandwipetheexteriorsurfacesofthewallplugwithaclothdampenedwithisopropylalcohol.

CAUTION:Avoid exposing power cord to excess moisture, as this can lead to an electrical shock or fire hazard.

Directions for Cleaning Rotor Assembly


• OpenthebluedoorenclosingthePumpSetloadingarea.

• Loosenrotorsetscrewwith5/64”(2mm)allenwrenchandgentlypull rotoroff shaft. After removingrotor,avoidgettinganymoistureintherotorshaftopening.

• Cleanrollersthoroughlywithwarmsoapywater,orisopropylalcoholifnecessary.

• Besureallpartsofrotorarecompletelydrybeforeputtingitbackontoshaft.

• Toreplacerotor,alignsetscrewonhubofrotorwiththeflattenedsectionoftheoutputshaft.

• Pushrotorintoplaceandtightensetscrew(Donotovertighten).



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Preventative MaintenanceThispumpmustbeperiodicallyre-certifiedtoassureproperfunctioningandsafety.Therecommendedserviceintervalisat leastonceperyear.Re-certificationmaybedoneattheuser’sBiomedicalEngineeringDepartment,anoutsideservice,orbyTycoHealthcareGroupLPFactoryService.ToarrangeforTycoHealthcareGroupLPFactoryService,call1-800-448-0190.InCanada,call1-877-664-TYCO(8926)Ifapumpmalfunctions,pleasecontactyourTHGLPRepresentativeorcallCustomerServiceforinstruction.

Section VIII — Battery Replacement

SeeFigure21anddothefollowingtoreplacetheBatteryPack: • Powerdowntheunit. • LoosentheBatteryDoorscrew,onbackofpump. • OpenBatteryDooranddisconnectwireharness.Asmallstraight-bladedscrewdrivermaybeneededtodisconnect

theconnectortab. • SlideBatteryPackoutofcompartment. • SlideanewBatteryPackintocompartmentwithwireharnessextendingout. • Alignconnectorwithredwireatupperright. • Pushconnectorinuntilproperlylatched. • Tuckwiresintoslotbetweenconnectorandbatterytoinsurewiresarenotpinched.Re-tightenBatteryDoorscrew.

Note:ReplacementBatteryPacksareavailablefromTycoHealthcare/KendallCo.(SeeSectionXIII-ServicePartNumbers).

WARNING:USEOFABATTERYPACKNOTSUPPLIEDBYTYCOHEALTHCARE/KENDALLCANBEDANGEROUSANDVOIDSALLWARRANTIESANDPERFORMANCESPECIFICATIONS.Thebatterywillchargecontinuouslywheneverthepumpispluggedintoawalloutlet.EighthoursofchargingisrequiredtofullyrechargetheBatteryPack.

Figure 21. Installation of Battery Pack.



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Section IX — Error/Warning/Informational Screens and Troubleshooting

Foroperationalerrors,theKANGAROOePumpenteralfeedingpump displaywillshowtheerrorindicatoricon,withspecificinformationregardingtheerrorcondition,andwillsoundthealarm.

The following conditions will trigger error conditions and will activate audible and visible alarms: •FeedorFlushcontainersareempty •FeedorFlushtubebecomesoccludedbetweenbagandpump •Tubebecomesoccludedbetweenpumpandpatient •Batterylow(alarmbeepscontinuously,about15minutesbeforeshut-off) •UnitisleftinHOLDmodelongerthan10minuteswithoutinput •PumpSettubingisimproperlyloadedaroundtherotor •Systemerrors,seebelow •Feedingcomplete •TheMISTICconnectorisremovedduringAUTOPRIMINGorRUNNING

TheError,Warning,andInformationScreensaredescribedbelow:

System ErrorThesystemerrorscreenisthemostgeneralformoferror,Figure22.TheonlywaytoexitfromaSystemErroristopowerdown.NoCONTINUEoptionisallowedbecauseoftheseverityoftheerror.Anerrornumberisalsodisplayedonthescreen,forreferencepurposes.ThisnumbershouldbereportedwhencallingtheCustomerServiceSupportLine.

Error # Related Sub-system 0 Internaltimerstopped. 1 FlashChipmissingORversionincompatible. 2 Toomanygraphicscreensinmemory. 4 NevergotaADCISRformotorcurrent. 5 NevergotaADCISRforbatterylevel. 6 NevergotaADCISRforbatterytemperature. 7 NevergotaADCISRforUltrasonicUpstreamOcclusionorBag-Emptychecks. 8 NevergotaADCISRforUltrasonicduringDownstreamOcclusion. 9 RS232CommunicationsTransmit. 10 FlashWriteError. 11 FlashReadError. 12 StopcockTimeOut. 13 TimeOutforBuzzerTest



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Error # Related Sub-system

14 TimeOutduringdownstreamocclusioncheck,nevergotRotorOn3=0.Mayblowfuse.

20 CouldnotfindStopCockFlushPositionduringprimeroutine.

21 CouldnotfindStopCockFeedPositionduringprimeroutine.

22 MotorErrorduringTubingAutoLoad.

23 MotorFailsafeTimeOutError.Possibledamagedgearboxencoderorflexcable.

33 MotorControlFailure.

50 GraphicDisplayError-TimeoutduringGDStatusCheckfunction.

51 GraphicDisplayError-TimeoutduringGDAutoModeDataWriteCheckfunction.

52 GraphicDisplayError-TimeoutduringGDWriteBytesfunction.

Turnthepoweroffandbackontotrytocleartheerror.Iftheerrorcannotberesolvedinatimelymanner,pressPOWERtostopoperationofthepumpandputadifferentpumpintoservice.

Hold ErrorTheHOlD ERRORscreenwillappearifthepumphasbeeninactive,withoutinput,formorethan10minutes.Seesubsection“Hold”fordescriptionofHOLDINGmode.

Press4CONTINUEtoreturntothepreviousscreen.Wheresettingscanbeadjusted,thepumpcanbesettorunimmediately,orthepumpcanbesettoruninaspecifiednumberofminutes.SeeFigure15toseetheoptionsontheHOLDINGmenuscreen.

Iftheerrorcannotberesolved,press POWERtostopoperationofthepumpandputadifferentpumpintoservice.

Figure 22. General System Error screen. See Customer Service section.

Figure 23. Hold Error screen.



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Rotor ErrorTheROTOR ERRORscreenappearsduringRUNNINGorPRIMING,whenthepumphasdetectedanunusualoperatingconditionfortherotor.SeeFigure24.TheROTOR ERRORgenerallyresultsfromaproblemwiththePumpSettubingaroundtherotor.

CheckthatthePumpSetisnotdamaged,andre-loadthetubingaroundtherotorasdescribedinsubsection“LoadingPumpSets”.Press4CONTINUEtorestart.

Iftheerrorcannotberesolved,pressPOWERtostopoperationofthepumpandputadifferentpumpintoservice.

Feed ErrorTheFEED ERRORscreenappearswhentheenteralformulaisnolongerbeingdeliveredbecausethebagisemptyorbecauseofaclogbetweenthepumpandthebag.Checkthefeedlinetofindtheocclusioncausingtheblockage.Iftheocclusioncannotbecleared,loadanewPumpSet,primeit,andrestartthefeeding.

Iftheerrorstillcannotberesolved,pressPOWERtostopoperationofthepumpandputadifferentpumpintoservice.

Flush ErrorTheFlUSH ERRORscreenappearswhentheflushingsolutionisnolongerbeingdeliveredbecausetheflushbagisemptyorbecauseofaclogbetweenthepumpandflushbag.Checktheflushlinetofindtheocclusioncausingtheblockage.Iftheocclusioncannotbecleared,loadanewPumpSet,primeit,andrestartthefeeding.

Figure 24. Rotor Error screen.Re-load the set tubing and press CONTINUE.

Figure 25. Feed Error screen.



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Flow Error

TheFlOW ERRORscreenappearswheneitherthefeedingortheflushingsolutionisnolongerbeingdeliveredbecauseofaclogbetweenthepumpandthepatient.Checkthelinetofindtheocclusioncausingtheblockage.Iftheerrorcannotberesolved,checkthevalvepocketinthePumpSetloadingareafordampnessordirt,whichmaybeacauseforafalseerror.Cleananddrythevalvepocket.Iftheerrorstillcannotberesolved,loadanewPumpSet,primeit,andrestartthefeeding.


Pump Set Dislodged Error

ThePUMP SET DISlODGEDscreenwillappeariftheblackringretainer(MISTIC)isnotproperlyloadedintheMISTICpocketinthePumpSetloadingarea.CheckandcorrectthepositioningoftheMISTICretainerifpossible.Iftheerrorcannotberesolved,loadanewPumpSet,primeit,andrestartthefeeding.

Iftheerrorcannotberesolved,pressPOWERtostopoperationofthepumpandputadifferentpumpintoservice.

Figure 26. Flush Error screen.

Figure 27. Flow Error screen.

Figure 28. Pump Set Dislodged Error screen.



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Battery low

TheBATTERY lOWscreenappearsandthealarmbeepscontinuouslywhenthebatteryneedstoberecharged.Thereisapproximately15minutesofbatteryliferemainingwhenthisscreenappears.

Plugthepowercordintobeginrecharging.Thepumpwillautomaticallyreturntothescreenthatwasactivepriortotheerror.Thebatterywillchargecontinuouslywheneverthepumpispluggedintoawalloutlet.Eighthoursofchargingisrequiredtofullyrechargethebatterypack.

Feeding Complete

TheFEEDING COMPlETEinformationscreenappearsaftercompletionoftheprogrammedfeeding.Press4POWER DOWN toturnoffthepump.Press4CONTINUEtoreturntotheSET LOADEDopeningmenu,Figure7.

Pump Set Use >24 Hours Warning

ThePumpSetusagewarningindicatorwillblinkontheRUNNINGscreenifaPumpSethasbeenusedfor24ormorehours.ItisrecommendedtoreplacePumpSetsafterthislengthofusage.Thisiconisonlyaninformationalmessageanddoesnotrequireaction.

Figure31showsanexampleoftheRUNNINGscreen,whereaFeed&FlushSethasbeeninuseformorethan24hours.Theinformationalwarningindicatorshowsupintheupperleftonthescreen.

Figure 29. Battery low error screen. Indicates that the battery must be recharged immediately.

Figure 30. Feeding Complete notification screen.

Figure 31. Running screen with the > 24 HRS of Pump Set Usage indicator in upper left of the screen.



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Section X — Specifications and Symbols

Specifications

Ul listing

Type Infusion DeviceVolumetric

Pumping MechanismRotaryPeristaltic

Pump SetsKANGAROOePumpMISTICFeed-OnlySetorFeed&FlushSetFeeding Formula Delivery Rate1-400ml/hrin1mlincrementsFeeding Formula VTBD1-3000mlin1mlincrements

Bolus Volume1-1000mlin1mlincrements

Number of Boluses1-99

Bolus Interval1-24hoursin1-hourincrements

Medical Electrical Equipment

KANGAROOePump™EnteralFeedingPump

(1)Classifiedwithrespecttoelectricalshock,fire,andmechanicalhazardsinaccordancewithUL60601-1.

(2)Classifiedwithrespecttoelectricalshock,fire,mechanicalandotherspecifiedhazardsinaccordancewithCAN/CSAC22.2No.601.1

lED Array ThepumpstatusLEDarrayontheupperrightofthepumpgivesaquickvisualindicationofthepumpstatus,especiallyindarkenedrooms.

Agreenlightstatusindicatesnormalpumpoperation.

Ayellowlightstatusindicatesaninformationalorwarningsituationforalowbatterycondition,thepumpinHOLDINGmode,oroneofthefollowingerrors:HOlD ERROR,FEED ERROR,FlOW ERROR,andFlUSH ERROR.

Aredlightstatusindicatesacriticalpumperror.Thescreenwillshowoneofthefollowingerrormessages:SYSTEM ERROR,PUMP SET DISlODGED,or ROTOR ERROR.



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Flushing Solution Dose Range10-500mlin1mlincrementsFlushing Solution Interval Range1-24hrin1hrincrements

Accuracy±10%or0.5ml/hr,whicheverislarger,withbagat46cm(18”)abovepump,atroomtemperature22°C±2°C(72°F±3°F),usinganewpumpsetwithlessthantherecommended24hoursofmaximumusage.

Occlusion Pressure15psi(103kPa)Maximum

DimensionsHeight:16.8cm(6.6”)Width:16.3cm(6.4”)Depth:11.7cm(4.6”)

Weight1.1kg(2.4lbs),1.2kg(2.7lbs)withpoleclamp

MaterialHousing:ABS/PolycarbonateblendPumpSetDoor:Polyester/Polycarbonateblend

PowerUseACadapterforwalloutletusage.Pumpoperateson9VDC,1.5Amps.

Battery New,fullychargedNiMHBatteryPackdelivers≥15hrsat100ml/hrfeedrate.Approximately15minutespriortocompletebatterydischarge,alowbatteryalarmwilloccur(seesubsection“BatteryLow”inSectionIX).Whencompletedischargeoccurs,thepumpwillautomaticallyturnitselfoff.

Thebatterywillchargecontinuouslywheneverthepumpispluggedintoawalloutlet.Eighthoursofchargingisrequiredtofullyrechargethebatterypack.

Alarms• SystemError• FlowError• PumpSetDislodgedError• HoldError• RotorError• FeedError• FlushError• BatteryLow

Alarm VolumeMinimumof70dBAat1meterinmaximumvolumeorientation



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Symbols on Pump and AccessoriesThe following symbols are found on the pump or on the accesories, such as the A/C adapter.

Refer to Accompanying Documents

Type BF Protection (Degree of protection against electrical shock - there is no conductive connection to the patient)

Manufacturing Date Code

Serial Number

Reorder number for the devicelocated on the carton label

Alternating Current

Class II Equipment (degree of protection against electrical shock), Double Insulated

Direct Current (DC)

Drip Proof (Degree of protectionagainst ingress of fluids)

CE Mark – EuropeanCommunity Certification

Power Button

Buttons for Selecting Screen Prompts

Power Source9V DC 1.5 Amp

DB9 Serial I/OCommunication Port(Certification and Programming)

Caution: For indoor use only

Functional Ground

Do not use Kangaroo ePump Feeding Sets for greater than 24 hours

Do not use if unit package is open or damaged

Flushing Solution

Feeding Formula

See Kangaroo ePump Manual for Feeding Set loading instructions

VDE in Europe

UL in USA and Canada

Japanese Certification

Maximum operating pressure 103 kPa

Assure that the white cap and red stepped connector are securely tightened

Operating Temperature 10°-40°C(50°-104°F)75%R.H.non-condensing

Storage Temperature 0°-50°C(32°-122°F)95%R.H.non-condensing

Type of Protection Against Electrical Shock ClassII,Internally-poweredEquipment

Degree of Protection Against Electrical Shock TypeBF

Mode of Operation Continuousorprogrammedintermittentoperation

Degree of Protection Against Ingress of Fluids Drip-proof-IPX1

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

2. Grasp black ring retainer and gently stretch tubing around rotor

3. Pull up on retainer and insert into right pocket



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Section XI — Customer ServiceThecircuitryoftheKANGAROOePumpenteralfeedingpumpisnotcustomerserviceable.Inparticular,electronicassemblyreworkbynon-authorizedKANGAROOePumpenteralfeedingpumptechnicianswilllikelyaffectaccuracy.Certainreplacementitems,aslistedinSectionXIII-ServicePartNumbers,areavailablefromtheservicecenterslistedbelow.

AllservicepersonnelmustbeproperlytrainedandqualifiedwithoperationoftheKANGAROOePumpenteralfeedingpump.Improperservicemayimpairoperationofthepump.

Return for Repair

1. CallCustomerServiceforanAuthorizedReturnNumberandshippinginstructions,usingtheappropriatephonenumberbelow:

2.Packtheinstrumentcarefullyandshiptheinsuredparcelto:

United States TycoHealthcareGroupLP 98.6FaichneyDrive Watertown,NY13601 1-800-448-0190or(315)788-5246

U.K. Service Center (Outside of U.S. and Canada) TycoHealthcareGroupLP 20GarryduffRoad Ballymoney,BT537AP +44-28276-61719

Section XII — MaintenanceForgeneralmaintenanceissuesnotdiscussedbelow,contactCustomerService(SectionXI).

WARNING:Donotopenthemainhousing,astherearenouser-serviceablepartsinside.Openingofdevicemayaffectfunctionofdeviceandvoidsthewarranty.

Thefollowingmaintenanceitems/partscanbereplacedbythecustomerontheKANGAROOePumpenteralfeedingpump.SeeSectionXIIIforServicePartNumbersandSectionXIforcontactingCustomerService.

Side Door enclosing Pump Set loading area

ToreplacetheSideDoor,seeFigure32anddothefollowing:

1.PlacetopDoorHingeontotheTopHingePin.

2.Carefullypressdownonthebottomofthedoortospreadthedoorhingesapart.

3.PlacethebottomDoorHingeontotheBottomHingePin.

Canada TycoHealthcareCanada 7300Trans-Canada Pointe-Claire,Québec,Canada,H9R1C7 1-877-664-8926or(514)698-1220

TopHingePin

Top Door Hinge

Lower Door Hinge

Lower HingePin

Figure 32. Blue Door Replacement.



English EnglishBattery PackSeeSectionVIIIforfullinstructionsonreplacingBatteryPack.Duringlong-termnon-usageorstorage(greaterthan9months)ofthepump,batterydischargeanddeactivationmaytendtooccur.Itisrecommendedthatthebatterybedisconnectedduringthistime.Thebatterymayneedtobechargedanddischargedseveraltimestorestoreoptimalcapacity.

Battery DoorToreplaceBatteryDoor,seeFigure33anddothefollowing: 1.AligntheBatteryDoorHingeswiththelonghingepins. 2.Snapthehingesontothehingepins. 3.Screwdownthedoortoholdinplace.

Power CordSeeSectionIVforinitialsetup,includingPowerCordattachment.

Pole ClampSeeSectionIVforinitialsetup,includingattachmentofthePoleClamptothepump.

Section XIII – Service Part Numbers

Toplaceanorderforparts,oriftechnicalassistanceisrequired,callcustomerservice.TheKANGAROOePumpenteralfeedingpumpcontainsalimitednumberofserviceableparts.Usermaintenanceistobeperformedonlybyappropriatelyqualifiedtechnicalpersonnel.Visitourwebsiteat:www.TycoHealthcare.com

(1) KANGAROOePump . . . . . . . . . . . . . . . (US)382400 ........................ (International)482400(2) MainDoor(Bluetransparentdoor) . . . . F31877WT(3) BatteryPack . . . . . . . . . . . . . . . . . . . . . . F010484WT(4) BatteryDoor(withScrew) . . . . . . . . . . .F31878WT PowerCord(withA/CAdapter) . . . . . . . . . . 382491(5) PoleClamp . . . . . . . . . . . . . . . . . . . . . . . . . . 382492 ElectricalPlugs(Setof4). . . . . . . . . . . . . . . 382493 Re-CertificationPumpSet. . . . . . . . . . . . . . . 776150

Section XIV – Warranty

lIMITED WARRANTY:Kendall,aTycoHealthcareGroupLPcompany,warrantstotheoriginalpurchaser(“Customer”)thatthisproductwillbefreeofdefectsinmaterialsandworkmanship,undernormaluse,forone(1)yearfromthedateoforiginalpurchasefromKendalloritsauthorizeddistributor.Ifthisproductdoesnotoperateaswarrantedaboveduringtheapplicablewarrantyperiod,Kendallmay,atitsoptionandexpense,replacethedefectivepartorproductwithacomparablepartorproduct,repairthedefectivepartorproduct,or,ifneitherreplacementnorrepairisreasonablyavailable,refundtoCustomerthepurchasepriceforthedefectivepartorproduct.Datedproofoforiginalpurchasewillberequired.Kendalldoesnotassumeanyliabilityforlossarisingfromunauthorizedrepair,misuse,neglect,oraccident.Removal,defacement,oralterationofseriallotnumbervoidswarranty.Kendalldisclaimsallotherwarranties,expressedorimplied,includinganyimpliedwarrantyofmerchantabilityorfitnessforaparticularpurposeorapplicationotherthanasexpresslysetforthintheproductlabeling.

1

3

2

Figure 34. User Serviceable Parts.

4

5

Figure 33. Battery Door Replacement.


Section XV – Electromagnetic Conformity Declaration

TheKANGAROOePumpenteralfeedingpumphasbeenbuiltandtestedaccordingtoUL60601-1,E181931CSA-C22.2No.601.1-M90,andEN60601-1-2Standards.

TheKANGAROOePumpenteralfeedingpumpisintendedforuseintheelectromagneticenvironmentspecifiedbelow.Theuserofthepumpshouldassurethatitisusedinsuchanenvironment.

Emissions Test Compliance Electromagnetic Environment - Guidance

RFemissions

(CISPR11) Group1

RFemissions

(CISPR11) ClassB

Harmonicemissions (IEC61000-3-2) ClassA

Voltagefluctuations/flickeremissions (IEC61000-3-3) Complies

RadiatedDisturbanceImmunity (EN60601-1-2/IEC61000-4-3:2002) Complies

ConductedDisturbanceImmunity (EN60601-1-2/IEC61000-4-6:2001) Complies

PowerFrequencyMagneticFieldImmunity (EN60601-1-2/IEC61000-4-8:2001) Complies

VoltagedipsandsagsImmunity (EN60601-1-2/IEC61000-4-11:2001) Complies

ElectricalFastTransient/BurstsImmunity (EN60601-1-2/IEC61000-4-4:2001) Complies

ElectrostaticDischargeImmunity (EN60601-1-2/IEC61000-4-2:2001) Complies

SurgeImmunity (EN60601-1-2/IEC61000-4-5:2001) Complies


English English

TheKANGAROOePumpusesRFenergyonlyforitsinternalfunction.Therefore,itsRFemissionsareverylowandarenotlikelytocauseanyinterferenceinnearbyelectronicequipment.

TheKANGAROOePumpissuitableforuseinallestablishments,includingdomesticestablishmentsandthosedirectlyconnectedtothepubliclow-voltagepowersupplynetworkthatsuppliesbuildingsusedfordomesticpurposes.


40 KANGAROO ePump™

English

Section XVI – AccuSystem√

TheKANGAROOePumpisareliableandaccurateenteralfeedingdevice.ThereasonfortheaccuracyoftheKANGAROOePumpenteralfeedingpumpisthedesign,controlledcalibrationmethods,andstringentmanufacturingcontrols.OneofthemostcriticalfunctionalpartsoftheKANGAROOePumpenteralfeedingplatformistheAccuSystem√feedingsetproducedbyTycoHealthcare.ThefunctionalityoftheKANGAROOePumpAccuSystem√feedingsetisextremelyimportantformaintainingqualityandalsoforallowingtheaccuratedeliveryofnutritionandhydration.

ThereasontheKANGAROOePumpenteralfeedingpumpandtheKANGAROOePumpAccuSystem√feedingsetshavesatisfiedourcustomers’expectationsisduetotheintegrationofthesetwopartsduringthemanufacturingprocess.TheKANGAROOePumpAccuSystem√feedingsetmanufacturingprocessparametersaretightlycontrolledatTycoHealthcaretominimizevariationandproduceconsistentandreliableproducts.Thespecialgradesofthermoplasticmaterialsarealsotightlycontrolled,andarespecificallychosentodeliverconsistentqualityandaccurateflowdeliverywiththeKANGAROOePumpenteralfeedingpump.ThefactorycalibrationandfinaldeterminationofanacceptableKANGAROOePumpenteralfeedingpumpisdependentontheuseofacceptableTycoHealthcareKANGAROOePumpAccuSystem√feedingsets.TheuseofgenericfeedingsetsorotherfeedingsetsnotproducedbyTycoHealthcareisnotsupportedorsanctionedbyTycoHealthcare.TheuseofunauthorizedKANGAROOePumpfeedingsetscouldjeopardizetheaccuracyoftheKANGAROOePumpenteralfeedingpump.CheckyourfeedingsetfortheAccuSystem√logotobecertainthatyourKANGAROOePumpenteralfeedingpumpwilldeliveraccuratelyeverytimeitisutlized.
