Flexiflo QUANTUM User Manual
17558.7910 #50598/#50596 FAN 7116
430-00730-007 LITHO IN USA
No. 50596–Purchase
No. 50598–Lease/Rent
FLEXIFLO®QUANTUM
™
Enteral Pump
OPERATING MANUAL
For Enteral Use Only
Not For Parenteral Use
Rev. 1/97
®
3
PUMP CHARACTERISTICS
The FLEXIFLO®QUANTUM™Enteral Pump is a microprocessor-(computer-) controlled
pump that provides for accurate, controlled enteral feeding in a safe, user-friendly
system. The Quantum Pump is a volumetric pump that uses a specially designed
feeding set, which includes a cassette that delivers measured amounts of enteral
product. As an optional feature, the Quantum Pump will flush the feeding set and
indwelling feeding tube each hour with a 25-mL flush.
PRECAUTION: This pump is designed to deliver only a liquid enteral feeding product
(standard liquid product, infant formula or reconstituted powder product that has
been thoroughly mixed into solution).
The Quantum Pump offers these features:
1. Automatic priming (no manual priming is necessary)
2. Automatic flush feature
3. Dose setting
4. Protection against overdelivery:
•
Motor speed is continuously monitored
•
Senses malfunctions that could result in gravity flow
5. Volume-fed accumulation displays for enteral product and flush solution
6. Flow-rate selection from 1 to 300 mL/hr in 1 mL/hr increments
7. Accuracy to ± 10% (refer to CHECKING PUMP ACCURACY, page 13)
8. 8-hour battery operation at 125 mL/hr, when fully charged
9. Alarms:
•
OCCLUSION
•
EMPTY
•
DOSE COMPLETE
•
TURN TO RUN
•
LOW BATTERY
•
DOOR/CASSETTE
•
SET RATE
10. System self-check
11. Adjustable alarm volume
12. User-friendly operating controls
13. Simple setup (one-hand cassette loading)
14. Memory—Automatic retention of the following values until turned off and
disconnected from AC power:
•
FEED and FLUSH volume accumulations (VOL FED)
•
SET RATE
•
SET DOSE values
TABLE OF CONTENTS PAGE
Pump Characteristics 3
Pediatric Use 4
Precautions 4
Panel Displays 5
Control Dial Settings 6 & 7
Automatic Prime 8
Pump Sets 9 & 10
Instructions For Use 11 & 12
Checking Pump Accuracy 13
Trouble-Shooting 14 & 15
Cleaning 16
Storage 17
Service 17
Flexiflo Quantum Enteral Delivery System 17
Specifications 18
Limited Warranty 19
USER QUALIFICATIONS
© 1997 Ross
The Flexiflo Quantum Enteral Pump is for use at the direction of or under the supervision of licensed physicians, and by licensed or certified health care professionals who
are trained in the use of the pump and the administration of enteral fluids.
5
PANEL DISPLAYS
Here is a simple explanation of the panel displays. Understanding
them is necessary for successful operation of the pump.
FRONT PANEL
BACK PANEL
BOTTOM VIEW
4
PEDIATRIC USE
Because the Flexiflo® Quantum™ Pump (when FLUSH sets are used in the Optional
FLUSH MODE) will deliver at least 600 mL of additional fluid (flush solution) per day on
continuous feeding, the FLUSH sets must NOT be used for feeding infants
under 12 months of age. In addition, use of the FLUSH feature in all pediatric
patients 12 months of age or older must be carefully evaluated: A physician,
who has training in pediatrics, must take into account the effect of this additional
volume on intestinal tolerance and overall fluid balance of the individual patient and
should, accordingly, determine the maximum amount of flush solution to be hung.
CAUTION
The Quantum Pump can be used on pediatric patients provided the patients can tolerate
a feeding range within the pump operational specifications. Those specifications are:
•
The flow rate range of the Quantum Pump is 1-300 mL/hr in 1 mL increments.
•
The flow rate accuracy of the pump is ± 10% (see page 13 of the Quantum
operating manual for checking pump accuracy).
•
The mean occlusion pressure limit of the Quantum Pump is 15 PSI.
If these specifications are not appropriate for a given patient, the Quantum
Pump should not be used.
All enteral pumps have the potential to bolus-feed or overdeliver, which is an important
consideration in feeding volume-sensitive patients. In these patients, a volume of
product no more than four times the hourly feeding rate should be hung.
PRECAUTIONS
Caution should be exercised in the use of this pump in the Automatic Flush
Mode for patients with volume sensitivity or fluid restriction (ie, cardiac,
renal, pulmonary or pediatric patients). For such patients, the Feed Only
Mode (using the system without automatic flush feature) may be desired.
NOT FOR PARENTERAL USE
Confirm proper placement and function of patient’s enteral feeding tube (nasogastric,
jejunostomy, gastrostomy, etc). Failure to do so may result in vomiting and/or aspiration. Verify the following before initiating feeding:
1. A Quantum Pump Set is being used.
2. Cassette is properly seated in pump and door is closed.
3. Flow rate is set at the prescribed mL/hr.
4. Before putting pump in RUN mode, be sure line clamps are fully open.
5. If a pump set with flush bag is used, be sure both line clamps are closed during
setup and when the door on the pump is open. Otherwise, the fluids will mix.
For optimum operation, observe the following precautions: Low level electrical
emissions are commonly observed when fluids are administered using an enteral feeding pump. The emissions observed with the QUANTUM pump may create artifacts on
voltage sensing equipment such as ECG, EMG, and EEG monitoring devices if the
monitoring device is not operating correctly or has loose or defective connections to its
sensing electrodes. These artifacts may be mistaken as actual physiologic signals, and
may vary at a rate that is associated with the delivery rate set on the pump. To determine if the abnormality in the monitoring device is caused by the QUANTUM pump,
set the pump so it is temporarily not delivering fluid. Disappearance of the artifact
indicates it was probably caused by the pump. Proper setup and maintenance of the
monitoring device should eliminate the artifact.
FLASH
FEEDING Display
Pump Dial
FLUSH Display
Blue Lever
Light will
when pump is in
RUN mode
HI/LO AUDIO Alarm
Pole Clamp
Ground Test Point
HOSPITAL-GRADE
POWER CORD
BATTERY ACCESS
DOOR
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