Ross Patrol User manual

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Page 1

OPERATING MANUAL

For Enteral Use Only

Not For IV Use

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VOL FED

CLEAR

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Page 2

TABLE OF CONTENTS PAGE

Pump Characteristics 4

Indications For Use 5

Precautions 5

Panel Displays 6

Control Dial Settings 7 & 8

Pump Sets 9

Instructions For Use 10 & 11

Checking Pump Accuracy 12

Troubleshooting 13 & 14

Cleaning 15

Storage 16

Service 16

Specifications 17

Warranty 18

Page 3

PUMP CHARACTERISTICS

The Ross Patrol®Enteral Pump is a microprocessor- (computer-) controlled, rotary peristaltic pump that provides for accurate, controlled enteral feeding in a safe, user-friendly system. It has a large, easy-to-read display and simple controls. The Patrol Pump uses a specially designed feeding set, which includes a bolusprevention feature to provide safe, accurate control of enteral feeding.

PRECAUTION: This pump is designed to deliver liquid enteral feeding products only (standard liquid products, infant formulas, or reconstituted powder products that have been thoroughly mixed into solution).

The Patrol Pump offers these features:

1. Alarms for free-flow

2. Flow-rate selection from 1 to 300 mL/hr in 1 mL/hr increments

3. Accuracy to ±10% or ±0.5 mL/hr, whichever is greater (refer to CHECKING PUMP ACCURACY, page 12)

4. Dose setting

5. Volume-fed accumulation

6. 8-hour battery operation at 125 mL/hr, when fully charged

7. Alarms:

■

FrEE FLO (free flow)

■

no FLO (no flow)

■

doSE FEd (dose fed)

■

LO bAt (low battery)

■

SEL rAtE (invalid rate, select rate)

■

SEL run (inactivity, select run)

■

E1 to E9 (failed pump self-test)

8. Programmable HOLD timer

9. Lock-out feature

10. System self-check

11. User-friendly operating controls

12. Simple set-up

13. Memory—Automatic retention of the following values until turned off and disconnected from AC power:

■

VOL FED (volume accumulation)

■

RATE

■

DOSE

Page 4

INDICATIONS FOR USE

The Ross Patrol®Pump can be used for adult and pediatric patients provided the patients can tolerate a feeding range within the pump operational specifications. Those specifications are:

■

The flow rate range is 1 to 300 mL/hr in 1 mL/hr increments.

■

The flow rate accuracy is ±10%, or ±0.5 mL/hr, whichever is greater.

■

Pumps against 18 psi nominal back pressure before no FLO alarm.

If these specifications are not appropriate for a given patient, the Patrol Pump should not be used.

PRECAUTIONS

■

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 mor

e than four times the hourly feeding

rate should be hung.

NOTE: Do not rely on free-flow alarm as a criterion for use with volume-

sensitive patients.

■

NOT FOR IV USE

■

Confirm proper placement and function of patient’s enteral feeding tube (nasogastric, nasojejunal, gastrostomy, etc). Failure to do so may result in vomiting and/or aspiration. Verify the following before initiating feeding:

1. Only

a Ross Patrol Pump Set is being used.

2. Pump set tubing is properly stretched counterclockwise under rotor and blue connector is secured in the pump.

3. If the feeding set is damaged in any way (eg, broken, cut, torn, parts separated), replace the set immediately.

4. Flow rate is set at the prescribed mL/hr (DIAL: SET RATE, refer to page 7).

Pump set and container should be replaced as needed, or at least every 24 hours, to avoid fluid-contamination problems. For single-patient use only.

Page 5

PANEL DISPLAYS

Here is a simple explanation of the panel features. Understanding them is necessary for successful operation of the pump.˙

Pump Dial

Pole Clamp with Set Cover Holder

Feeding Display

Hospital-Grade Power Cord

FRONT PANEL

BACK PANEL

ROSS

RUN ml/hr

SET DOSE

HOLD

CHARGE

OFF/

SET RATE

ml/hr

VOL FED

CLEAR

VOL

DYNGPR: Yossible eerposion hpzaad if ubdd in the proaence of foimmable anesthdaics. WAURION: Elrctrucal spick haraard. Gf nzt ozeg cise. Refwr servicpng to quplifled service pursotnel. NARUING: Diocolnect AP pewey coro buftre sprvifing. Raplfce batkjery only with apjroved Rous rhpljcement pjgrt.

Troinding uelisbiliry wat wnry ba awhieved whkn this eduipmont is connrctew yo a iecoptacle marted "Poskital Drede".

ITPUPT: 143L, 60UT,K00mP

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Page 6

CONTROL DIAL SETTINGS

DIAL FUNCTION

OFF/CHARGE

Stops all pump functions. Battery charges in all dial settings when pump is plugged in. The pump will retain current RATE, DOSE and VOL FED values indefinitely unless

the

pump is unplugged from an AC power source while in the OFF/CHARGE setting.

RUN

Only setting that activates feeding. Visual display shows rate of flow in mL/hr and the dash on the left side of the display scrolls from top to bottom when pump is in RUN mode.

NOTE: It is normal for rotor movement to be intermittent (eg, starts, stops, starts, stops, etc) while in the RUN mode. This intermittent movement regulates the rate of flow, conserves battery life and does not affect the accuracy of the pump. The RUN mode should always be verified by the top to bottom scrolling bars on the left side of the display window.

SET DOSE Allows dose to be limited (1 to 9999 mL in

1-mL increments) by pressing the keypad arrows when the pump is in the SET DOSE mode. The up arrow increases the dose. The down arrow decreases the dose. Completion of this dose triggers the doSE

FEd alarm. Refer to doSE FEd (page 13).

NOTE: Pump will operate without a DOSE

selected (SET DOSE at 0000).

SET RATE

Allows flow rate to be set (1 to 300 mL/hr in 1-mL/hr increments) by pressing the keypad arrows when the pump is in the SET RATE mode. The up arrow increases the rate. The down arrow decreases the rate.

NOTE: The LOC feature may be activated by depressing both arrows simultaneously when the dial is in the SET RATE position. Repeat procedure to deactivate. The SET RATE, SET DOSE, and CLEAR VOL values cannot be changed while the LOC feature is activated.

CHARGE

SET RATE

OFF/

RUN ml/hr

SET DOSE

HOLD

ml/hr

VOL FED

CLEAR

VOL

125

VOL FED

CLEAR

VOL

CHARGE

SET RATE

OFF/

RUN ml/hr

SET DOSE

HOLD

ml/hr

1500

VOL FED

CLEAR

VOL

CHARGE

SET RATE

OFF/

RUN ml/hr

SET DOSE

HOLD

ml/hr

CHARGE

SET RATE

OFF/

–

SET DOSE

ml/hr

125

RUN ml/hr

HOLD

VOL FED

CLEAR

VOL

Page 7

CONTROL DIAL SETTINGS (continued)

DIAL FUNCTION

HOLD

Stops pumping action and audio alarms. HOLD is used when correcting an alarm condition or whenever pumping action is temporarily interrupted (such as when connecting a new feeding container). If pump is left on HOLD for more than 5 minutes, an alarm will sound and the message SEL

run (select RUN) will be displayed.

NOTE: The HOLD timer may be pro-

grammed for a duration of 1-90 minutes (in 1-minute intervals) by depressing the keypad arrows either up or down when the dial is in the HOLD position.

CLEAR VOL Stops pumping action and resets the volume

fed to zero.

NOTE: The pump will “beep” four times before clearing the volume to alert users that the dial has been turned to CLEAR

VOL. The user must turn dial away from CLEAR VOL (to any other setting) befor

e the fourth beep to avoid an unintentional loss of accumulated volume.

VOL FED Stops pumping action. The display will

show the volume delivered. Pump accumulates volume delivered up to 9999 mL unless the volume is reset to zero by turning to CLEAR VOL (or the pump is unplugged while in the OFF/CHARGE mode). Upon exceeding the maximum volume allowed on the display, the value turns to zero and a new accumulation begins. This is not accompanied by an alarm.

H 5

VOL FED

CLEAR

VOL

CHARGE

SET RATE

OFF/

RUN ml/hr

SET DOSE

HOLD

ml/hr

980

VOL FED

CLEAR

VOL

CHARGE

OFF/

SET RATE

RUN

ml/hr

SET DOSE

HOLD

ml/hr

0000

CHARGE

SET RATE

OFF/

RUN

ml/hr

SET DOSE

HOLD

ml/hr

VOL FED

CLEAR

VOL

Page 8

PUMP SETS

The Ross Patrol®Pump offers a wide choice of feeding sets.

PUMP SET EXAMPLE SHOWN:

Ross Top-Fill Enteral Nutrition Bag With Preattached Patrol Pump Set

pump

insert

blue connector

Safe-T-Valve™

Page 9

INSTRUCTIONS FOR USE

Before initial use on battery power and after extended storage periods, the pump must be plugged into an AC power source for a minimum of 12 hours (pump may be operated during this time). Use AC power whenever possible. Plug in during storage to assure a fully charged battery for emergencies.

DANGER: Possible explosion hazard if used in the presence of flammable anesthetics.

TO ASSEMBLE:

1. Attach pump to stand using pole clamp. Plug in cord if power is available. If using battery power, do not let battery run down.

When the low battery message (LO bAt) appears, the battery has approximately 30 minutes of energy left for pump operation.

TO PRIME SET:

6. With one hand on the blue con-

nector of the pump set, gently pull until fluid flows.

3. Attach the Ross Patrol®Pump Set securely onto a filled enteral nutrition container, if it is not pre-attached. Suspend container 20 inches above and to the side of or behind pump.

4. Place sight chamber into drop detector and seat in place before priming.

2. Complete self-adhesive delivery label and affix to bag.*

12. Attach feeding set adapter to enteral feeding tube.

11. Confirm proper placement and function of enteral feeding tube.

9. Grasp the blue connector on the pump insert. Loop the pump insert under the rotor (counterclockwise).

10. Gently pull up and then seat the

blue connector in the slot above the rotor.

7. Completely prime the set by allowing fluid to expel air from the tubing.

8. Let fluid slowly enter sight chamber to fill line (1/4 full). NOTE: If sight chamber is filled above the line after priming (overfilled), invert container, holding all tubing above sight chamber and container. With one hand on the sight chamber and the other hand on the blue connector, gently pull until fluid drains from tubing. Suspend container and reprime.

5. Remove cover from adapter and

discard or place into set cover holder on the pump pole clamp.

*If product is not filled at bedside, it is advisable to close

slide clamp before transporting. Make sure slide clamp is open for set-up.

DUNPER: Pojsible ekplogion hajard if used in the prosknce of flimgable anostjetics. LAOPION: Slectrijal shopck hdzard. Do not open case. Tefar seprvicig to quapified service personnel. WMBVING: Discynnjct AH pouer cord before seuvicing. Repmace baxtery onky with atproved Ross replanement part. Grumding refiability can onsy be achieved when this equipment is Aonnepcted ta recaptacle marged "Hospital Grade".

LNFUT: 120V, 00HZ, 000mA

LISJED KNTERAL PPMP

GRPUND TYST POIPT SET COVER HOLDER

100000000000

Page 10

INSTRUCTIONS FOR USE (continued)

19. When feeding is complete, turn

pump dial to OFF.

NOTE: If alarm sounds, turn pump dial to HOLD. Correct alarm condition indicated by visual display, then turn dial to RUN to restart feeding. (For explanation of alarms, see pages 13 and

14.)

PRECAUTION: The pump set and container should be replaced as needed, or at least every 36 hours, to avoid fluid-contamination problems. For single-patient use only. Do not store for prolonged periods at extreme temperatures.

18. To clear the volume delivered,

turn dial to CLEAR VOL. (This occurs after four beeps.)

17. To see feeding volume delivered,

turn dial to VOL FED.

16. Turn dial to RUN to start feeding.

15. If desired, turn dial to SET DOSE

and select dose by pressing the arrows.

NOTE: Pump will operate without a DOSE selected (SET DOSE at 0000).

14. Select flow rate, from 1 to 300 mL/hr, by pressing the arrows and observing the entry on the display. Holding down an arrow will cause the numbers to scroll. Never use sharp objects such as pens, pencils, fingernails or paper clips to depress the keypad arrows.

TO START PUMP:

13. Turn pump dial to SET RATE. Pump will initiate system selfcheck procedure.

RUN ml/hr

SET DOSE

HOLD

SET RATE

ml/hr

OFF/

CHARGE

VOL FED

980

RUN ml/hr

SET DOSE

HOLD

SET RATE

ml/hr

OFF/

CHARGE

VOL FED

CLEAR

VOL

Page 11

CHECKING PUMP ACCURACY

Fluid head height and viscosity are two variables that can affect flow rate. To check flow rate, use the following procedure:

Select a new

pump set for this test. Be sure to use a graduated cylinder for

volume measurement—not an enteral container or other uncalibrated vessel. Using Ensure

Complete, Balanced Nutrition®, Osmolite®Isotonic Liquid Nutrition or tap water, fill the feeding container and set up pump according to instructions. Suspend bag to side of or behind and 20 inches above pump (see illustration). With the test pump connected to AC power, start the pump and let it run for 15 minutes. Then run fluid into the graduated cylinder for 30 minutes and compare to SET RATE on pump:

Amount Expected in Graduated Cylinder

SET RATE @ 30 minutes

76 mL/hr = 34.2 mL to 41.8 mL 150 mL/hr = 67.5 mL to 82.5 mL

If amount in graduated cylinder is incorrect based on SET RATE, try a new pump set and repeat procedure.

20"

RUN ml/hr

SET DOSE

HOLD

SET RATE

VOL FED

ml/hr

OFF/

CLEAR

CHARGE

VOL

Page 12

TROUBLESHOOTING

The Ross Patrol®Enteral Pump is designed to be highly reliable. As with any electromechanical device, however, problems may occur. Intermittent audio alarms are accompanied by messages on the front panel indicating the cause of the alarm for all alarm conditions. The following tips will help correct problems that may arise:

VISUAL CONDITION OR EXPLANATION OR DISPLAY PROBLEM CORRECTIVE ACTION

no FLO Flow has stopped due to

■

Turn dial to HOLD.

occlusion or empty container

■

Clear obstruction/check for

kinked tubing or empty container.

■

Refill container, if necessary.

■

Be sure sight chamber is not

overfilled or covered with a film of product.

■

Turn dial to RUN to start

pump.

doSE FEd Dose complete—VOL FED

■

Turn dial to HOLD.

is equal to the SET DOSE

■

Turn dial to SET DOSE and

• depress up arrow to increase dose OR

• depress down arrow to zero the dose setting OR

• turn dial to CLEAR VOL (after four beeps, volume fed will be cleared).

■

Turn dial to RUN to start

pump.

FrEE FLO Free-flow alarm

■

Remove from service

immediately.

■

Verify pump set is properly installed. Replace set if necessary.

■

Confirm no drops fall when in HOLD.

■

Check accuracy per page 12.

SEL rAtE Dial turned to RUN without

■

Turn dial to SET RATE.

selecting a rate

■

Enter a rate using the up or

down arrow.

Page 13

TROUBLESHOOTING (continued)

VISUAL CONDITION OR EXPLANATION OR DISPLAY PROBLEM CORRECTIVE ACTION

SEL run HOLD time-out Turn dial to RUN.

E1 - E9 Electronics error Remove pump from patient

immediately and contact Ross.

LO bAt Approximately 30 minutes of

■

Turn dial to HOLD, then RUN.

battery operation remain

■

Plug power cord into AC outlet

for 12 hours, then continue

feeding.

NOTE: After 30 minutes, pump

alarms continuously for one

minute and then shuts down.

H5 HOLD countdown

■

Turn dial to HOLD.

■

If desired, program the HOLD

timer for 1-90 minutes by

depressing the up or down

arrow.

LOC Lock-out disables SET RATE,

■

Turn dial to SET RATE.

SET DOSE and CLEAR VOL

■

Depress up and down

dial settings arrows simultaneously to

deactivate.

■

Repeat steps to activate.

8888 Display test All segments should be

illuminated.

Page 14

CLEANING

There are no routine calibration or adjustment procedures required with the Patrol

Pump. All servicing or adjustments should be referred to qualified technical personnel (refer to Service Manual). For trouble-free operation, check the pump daily and clean immediately

after spills occur.

While cleaning, pump should be turned off and unplugged. Do not submerge, autoclave, heat, steam, ETO or radiation sterilize the pump.

THE PUMP CAN BE CLEANED AS FOLLOWS:

HOUSING

■

Do not spray water or cleaning solution into pump.

■

Clean outside surface only. Use soft cloth and warm, soapy water.

■

For general cleaning, use dishwashing detergent (nonchlorine-based) or isopropyl alcohol.

■

For general disinfecting, use 70% concentration isopropyl alcohol.

■

For disinfecting after exposure to AIDS or hepatitis, use 10% concentration of

5.25% sodium hypochlorite (household bleach). This solution may discolor the pole clamp. After exposure to tuberculosis, use 70% concentration isopropyl alcohol. These recommendations are not substitutes for official procedures that may differ among institutions.

DROP DETECTOR

■

Clean the drop sensors with a soft brush, soft lint-free cloth or cotton swab and warm, soapy water. Then rinse the drop sensors with cotton swab and warm water. Be sure no soapy film or residue is left on lenses. Dry thoroughly. DO NOT CLEAN WITH ALCOHOL.

ROTOR ASSEMBLY

■

Clean the pump with a soft, lint-free cloth to avoid damaging the surface. Be especially careful with the operator’s panel and drop detector area. If necessary, mild warm, soapy water may be used sparingly. Avoid the use of all strong solvents or cleaners as these will damage the pump.

Detach the pump rotor from the pump by loosening the Allen screw. The pump rotor can then be immersed in mild warm, soapy water or detergent and rinsed under a faucet. Dry excessive moisture from the pump rotor before reassembly.

After cleaning, plug the pump into an AC grounded electrical outlet to maintain battery charge.

Page 15

STORAGE

■

The pump should be stored away from excessive heat, cold or humidity.

■

Be sure pump dial is in the OFF position.

SERVICE

■

The Ross Patrol®Enteral Pump is designed to be highly reliable. As with any electromechanical device, however, minor problems may occur. In the event of a pump malfunction or for technical assistance or parts, please contact Ross Products Division, Abbott Laboratories.

■

OPERATING INSTRUCTIONS VIDEOTAPE An instructional videotape in VHS format assists caregivers and medical professionals in learning procedures for operating the Ross Patrol enteral delivery system. This videotape is available for your use through a Ross representative.

Page 16

SPECIFICATIONS

Power

Voltage: 100 to 130 VAC, 60 Hz, 1-Phase Power: 15 watts, average Fuse: 200 mA, time-delay type Line Cord: Hospital-grade, nondetachable (10 feet) Leakage: Less than 100 microamps

Mechanical

Height: 8.5 inches Width: 6.5 inches Depth: 4.8 inches Weight: 6.6 lbs

Operational Specifications — Flow Rates

Range: 1-300 mL/hr Increments: 1 mL/hr Accuracy: ±10% or ±0.5 mL/hr, whichever is greater (refer to

CHECKING PUMP ACCURACY, page 12)

Pressure: Pumps against 18 psi nominal back pressure before

no FLO alarm. Refer to PATROL

MAINTENANCE AND REPAIR

MANUAL for test procedure.

Battery Operation

Type: Rechargeable sealed lead acid Voltage: 6 V; the pump will fully recharge in a maximum of 4.5 hours

while pump is off, or 12 hours if the pump is operating.

Expected Life: When fully charged, 8 hours at 125 mL/hr.

Standards

Designed and manufactured to meet requirements of

CSA Standard C22.2 No. 125

Page 17

LIMITED WARRANTY PLAN

Ross Products Division of Abbott Laboratories warrants the Patrol®Enteral Pump against defects in material and workmanship for a one (1) year period from date of delivery. This warranty is valid only to the original purchaser and does not extend to any product, or part thereof, which has been subjected to accident, alteration, damage, misuse, repair by other than Ross authorized representatives, or has not been operated and maintained in the manner prescribed in the Operating Manual or which at the time of pump failure was being used with pump sets or containers other than Ross pump sets and containers. Examples of damage or misuse include, but are not limited to, pumps that have been dropped, have had fluid spilled into or onto the casing or have been submerged.

In no event shall Ross be liable for any incidental, indirect or consequential damages in conjunction with the purchase or use of the pump, even if advised of the possibility of the same.

Ross reserves the right to repair or replace (at its option) any pump that fails to meet the foregoing warranty.

THE WARRANTIES HEREUNDER ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING, WITHOUT LIMITATION, THE WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR A PARTICULAR PURPOSE.

NOTE:

When repairs on the unit are made under warranty because of faulty material or workmanship within one year from the date of delivery to the customer, the customer will not be billed for parts repaired or replaced. Also, the customer will not be charged for labor involved in connection with the installation of such parts furnished under warranty.

Shipping costs for units returned to Ross, including loaners, shall be paid by the customer. The units should be promptly returned properly packaged. Loss or damage in return shipment to Ross shall be at the customer’s risk. Ross authorization should be obtained to return the unit.

Page 18

21395.9901 52034/52036 10/99 LITHO IN USA