Ross Companion Operating Manual

No. 54748–Purchase

No. 00084–Lease/Rent

Operating
Manual

For Enteral Use Only
Not for IV Use

CONTENTS

Pump Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Pediatric Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Special Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Illustrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Control Dial Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Visual Displays and Audio Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Pump/Charger Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Checking Pump Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Disinfectants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Ambulatory Transporter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

USER QUALIFICATIONS

The Ross Companion

®

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.

© 2001, 2004 Abbott Laboratories

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PUMP CHARACTERISTICS

®

The Ross Companion

Enteral Nutrition Pump is a volumetric infusion pump that uses
a specially designed administration set, including a cassette with bellows, to deliver
measured amounts of enteral formula. The pump operates on AC or battery power. The
fluid delivery system and safety alarms function when the pump is used by an
ambulatory patient or is mounted on a pole. The volume-monitoring device does not
depend on drop counting, so pump adapts well to patient activities.

The pump is controlled by a microprocessor (computer), providing accurate delivery
rates, easy-to-read displays, and simple controls. A charger unit with a power cord is
provided with each Companion Pump. The charger may be clamped to a feeding stand
or pole or positioned on a flat surface.

Additionally, the Companion Pump offers these features:

1. Accuracy to ±10% at rates of 5 to 300 mL/hr

2. 8-hour battery operation at 150 mL/hr, when fully charged

3. Alarms:

• OCCLUSION

• EMPTY FEEDING CONTAINER/MISSING OR IMPROPERLY LOADED

CASSETTE

• SELECT RUN

• LOW BATTERY

• RESET RATE

4. Fluid flow and fluid monitoring independent of pump position (no drop
counting)

5. Adjustable alarm volume for low or high setting

6. Flow rate selection of 5 to 300 mL/hr in 1-mL/hr increments

7. VOLUME FED accumulation display

8. User-friendly operating controls

9. Small and lightweight

10. Simple setup

11. Backlit visual display for easier viewing in a darkened room

12. Self-test capability

INDICATIONS FOR USE

The Ross Companion Enteral Nutrition Pump can be used for adult and pediatric
patients provided the patients can tolerate a feeding range within the pump’s
operational specifications. Those specifications are:

•The flow rate range is 5-300 mL/hr in 1-mL/hr increments

•The flow rate accuracy is ±10%

•Pumps against 24 psi nominal back pressure before no FLO alarm.

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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).

If the specifications are not appropriate for a given patient, the

®

Companion

Pump should not be used.

PEDIATRIC USE

Do not use this pump for feeding newborn infants or infants in a neonatal
intensive care unit (NICU). Enteral pumps have the potential to bolus-feed small

amounts, which is an important consideration in feeding volume-sensitive patients.
The Ross Companion Enteral Nutrition Pump should normally be used only for
children 12 months of age or older, and only if the rate of feeding is 25 mL/hr or
greater. In these patients, do not hang more volume of nutritional product than can be
tolerated as a bolus.

PRECAUTIONS

This pump is not for IV (intravenous) use.

Confirm proper placement and function of patient’s enteral feeding tube (nasogastric,
jejunostomy, gastrostomy, etc) and verify the following before initiating feeding:

1. Only

a Ross Companion®Pump set is being used.

2. Cassette is properly seated in pump.

3. When connected to AC power, the pump is fully seated in charger.

4. Flow rate is set at the prescribed mL/hr.

SPECIAL FEATURES

Small Size: The Companion Pump is small and lightweight. The pump weighs 1.5 lbs;
the charger weighs 2.5 lbs. With the Companion Ambulatory Transporter, a patient can
easily carry the pump and up to 500 mL of enteral formula during routine activities.

Position Independent: The Companion Pump fluid delivery and alarm systems
function when pump is in any position that might be customary for ambulatory use.

4

ROSS COMPANION®ENTERAL NUTRITION PUMP

Illustrations

Touch Pads

Select the numerical
value of flow rate from
5 to 300 mL/hr in 1-mL
increments.

Pump

Display Light

Press to temporarily
illuminate display panel
while on battery power.

Display Panel

Shows flow rate,
cumulative

VOLUME FED,
RUN indicator,

and visual expla­nation of all
intermittent
audio alarms.

Control Dial

Select pump
functions.

HI/LO Alarm
Volume

Select volume
of audio alarm.

Cassette Cavity

Using shape for
orientation, insert
cassette into pump
until seated.

Cassette
Release Latch

Press down to
release cassette
for removal.

Pump Set

Cassette With
Bellows

To Container

5

Adapter

Adapter
Cover

Charger

Carrying
Handle

Pump/Charger
Connector

Pump Release
Latch

Pole Clamp
Knob

Pole Clamp

Power Cord

6

Self-Test Procedure: Each time pump is turned on, the microprocessor initiates a
self-test procedure. Audio alarm, visual displays, and readout (8888) turn on for
5 seconds. If the self-test fails, F1 may appear. If this happens, DO NOT USE THE

PUMP; SERVICING IS REQUIRED.

Flashing Displays: Three flashing visual displays indicate the need for immediate

attention:

•EMPTY

•OCCL

•LOW BATTERY

CONTROL DIAL SETTINGS

POWER OFF Stops all pump functions. Battery charges in all control

dial settings when pump is plugged into AC power.

SET RATE Allows flow rate to be set (5 to 300 mL/hr in 1-mL

increments) by pressing the touch pads (arrow buttons).
No pumping action occurs in this mode.

RUN Only setting that activates pumping action. Visual display

shows flashing RUN and rate of flow in mL/hr.

HOLD Stops pumping action and silences audio alarm (if one

has occurred) without erasing previous commands or
memory functions. HOLD is used when correcting an
alarm condition, or whenever feeding is temporarily
interrupted (such as when connecting a new feeding
container).

VOLUME FED Stops pumping action and displays cumulative volume fed

in mL, since this value was last cleared. (NOTE: If
9999 mL is fed, numerical value turns to 0 and a new
accumulation begins.) To clear VOLUME FED, turn knob
to VOLUME CLEAR and wait for 4 beeps to sound.

VOLUME CLEAR Stops pumping action and automatically clears to zero any

accumulated numerical value of volume fed to that point.

NOTE: Pump activates flow only in RUN setting. Pump maintains memory in all
settings except POWER OFF and VOLUME CLEAR.

7

VISUAL DISPLAYS AND AUDIO ALARMS

VISUAL DISPLAYS

CONTROL VISUAL DISPLAY AUDIO ALARM
DIAL SETTING

POWER OFF None None

(Charge)

SET RATE Previous flow rate or None

(No pumping action) 000 mL/hr

RUN Numerical rate in None

mL/hr and RUN

HOLD Existing flow rate or None
(No pumping action) 000 mL/hr (Any previous

Visual alarm display audio alarm
remains visible (if one ceases)
occurred)

VOLUME FED Numerical value of None
(No pumping action) accumulated volume fed

in mL or 0000

VOLUME CLEAR Numerical value of None
(No pumping action) accumulated volume fed

is automatically cleared to
zero (0000 mL)

8