199245 Operating Manual:CMPT-10266-0109

199245 Operating Manual:CMPT-10266-0109 10/28/09 5:16 PM Page 1
ENTERAL DELIVERY SYSTEM
Operating Instructions
For Model Number
9522041 / 199245
COMPAT SelectFlo®
Enteral Delivery Pump
and Memory
SYSTÈME D’ALIMENTATION ENTÉRALE
SISTEMA DE ADMINISTRACIÓN ENTERAL
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:16 PM Page 1
1
Table of Contents
Índice
MC
COMPAT SelectFlo Enteral Delivery Pump
NOT FOR PARENTERAL USE
INTENDED EXCLUSIVELY FOR ENTERAL TUBE
FEEDING FORMULAS.
NE PAS UTILISER POUR L’ALIMENTATION
PARENTÉRALE
À UTILISER EXCLUSIVEMENT AVEC LES
PRÉPARATIONS POUR ALIMENTATION ENTÉRALE PAR
SONDE.
®
Section
Page
Introduction
Controls
Operating Instructions
Alarms/Indicators
Troubleshooting
Specifications
Symbols on Pumps and Accessories
Self Test
Factory Service
Safety and Warnings
Limited Warranty
Cleaning
COMPAT® Enteral Delivery System
3
4
6
9
10
11
12
13
13
13
14
14
15
For More Information
Contact your local Nestlé HealthCare Nutrition Sales
Representative or call Customer Service from anywhere in the
U.S. and Canada 1-877-338-4238.
Monday–Friday 8:00 a.m.–4:30 p.m. Central Standard Time
Pump is not intended for neonatal use.
Caution: Federal law restricts this device to sale
by or on the order of a licensed healthcare
practitioner.
Page
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19
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23
24
25
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Página
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199245 Operating Manual:CMPT-10266-0109 10/28/09 5:16 PM Page 2
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:16 PM Page 3
Introduction
3
The COMPAT SelectFlo® Enteral Delivery Pump is an easy to use, portable pump for
the administration of all enteral feeding solutions. Key features of this device include:
• Latched Door
Reduces the likelihood of
accidental dislodgement of sets
and enables immediate detection
of a free flow condition.
• Ease of Maintenance
The fire resistant plastic case and
sealed control panel prevent fluid
leakage and allow cleaning with
any mild soap.
• Automatic Priming
Frees up nurse to perform other
bedside duties.
• Easily Understood Alarms
Low Battery, Set Error and
Flow Error for detecting empty
container or occluded line.
• Ease of Use
Feeding parameters are easily
displayed.
• Versatility
Formula Rate adjustable in
1 mL/hr increments from 1–295.
• Lightweight and Portable
The unit is 5.1 pounds, and can
clamp to any IV pole.
• 2 1/2 Minute Hold Alarm
• Low Occlusion Pressure
20 p.s.i. maximum occlusion
allows for safe use with any
enteral feeding tube.
• Volume Delivered
For ease of tracking what has
been administered when continuous feeding is desired, or over
several feedings when intermittent feeding is necessary.
• Memory Retention
of Infusion Rate and
Volume Delivered even after
unit is turned off. Settings are
automatically recalled when the
pump is turned back on.
• Adjustable Alarm Volume
• Built-in Pole Clamp
• Luer Adapter Cap Holder
• Serviceability
Self-diagnostic mode allows for
complete circuitry check when
the pump is turned on.
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:16 PM Page 4
Controls
Keypad Controls
Function Indicator Displays
1.
ON, applies power to unit.
9.
2.
OFF, turns power off except
to battery charger.
3.
VOL. DEL., press to display
volume of formula delivered.
4.
CLEAR, clears volume delivered to “0”.
5.
p increases flow rate when
pressed and held.
11. LOW BAT, indicates when
the battery charge is below
performance level.
6.
q decreases flow rate when
pressed and held.
12. Display panel, indicates selected
parameter.
7.
FILL, automatically fills
the administration set with
formula.
8.
START/STOP, alternately starts
and stops the pump and
silences the alarm.
12
9
10
11
13
14
1
7
3
5
4
6
2
8
4
RUNNING/STOPPED, green
RUNNING light indicates the
pump is delivering formula. Red
STOPPED light indicates the
pump is stopped.
10. AC, indicates the unit is
plugged into an AC outlet.
13. RATE, green RATE light
indicates that the number
in the display panel is the
feeding rate.
14. VOLUME DELIVERED, green
VOLUME DELIVERED light
indicates that the number in
the display is the amount of formula delivered.
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 5
Controls (cont.)
5
15. Flow Sensors and Drip
Chamber Guide
19
16. Tubing Guide
17. Drip Chamber Brackets
18. Rotary Peristaltic Pump
Mechanism
15
16
25
24
19. Door Latch
20. Door
17
21. Luer Adapter Cap Holder
22. Power Cord
23
18
24. Pole Clamp
21
20
23. Alarm Volume Control
22
25. Directions (side panel also)
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 6
Operating Instructions
DIAGRAM 1
Open pump door by pushing, then
pulling door latch, insert pump set
drip chamber into drip chamber
bracket.
DIAGRAM 2
Assemble silicone tubing
around rotor.
DIAGRAM 3
Insert pump adapter into bridge
and place tubing into tubing guide.
Close door.
6
DIAGRAM 4
Press ON to activate pump.
Press p (FASTER) or q
(SLOWER) until the desired
setting is displayed. Clear
Volume Delivered if
necessary.
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7
Operating Instructions (cont.)
Plug power cord into a 120 VAC,
60 Hz. three wire grounded outlet.
Assemble Delivery Set
1. Open pump door by pushing/pulling
door latch.
2. Prepare and hang the delivery
set from an IV pole.
3. Insert delivery set drip chamber
into drip chamber guide (roller
clamp should be closed)
(Diagram 1).
4. Assemble silicone tubing around
the rotor (Diagram 2).
DIAGRAM 5
Completely assembled pump set.
5. Insert pump adapter into bridge
and place tubing into tubing guide
(Diagram 3).
6. Close pump door.
Check Pump Settings
1. Press ON—alarm will sound
....
briefly and display 8 8 8 8. The pump
has memory, and will scroll through
the parameters and display the previous settings. It will return to flashing the Infusion Rate (Diagram 4).
2. Check the Infusion Rate. To
change, press p (FASTER) or q
(SLOWER) until desired rate is displayed.
3. Check Volume Delivered. Press VOL
DEL. until Volume Delivered is indicated on the display panel. If
desired, this can be reset to zero by
pressing CLEAR.
Auto Filling
1. Open the roller clamp on the
SelectFlo delivery set. Remove the
luer adapter cap from the delivery
set, and place the cap in the luer
adapter cap holder available on the
pump.
2. Press the FILL key for automatic
priming of the delivery set. The
display will show the word FILL,
and the rotor will begin to turn to
indicate the unit is priming. Fill the
entire line. The prime cycle takes
approximately 2 minutes. The
pump will audibly alarm and flash
the infusion rate when filling is
complete. (Note: Automatic filling
may result in a small amount of formula being expelled beyond the
luer adapter on the delivery set.)
Gravity Fill
1. Follow steps 1–3 listed under
Assemble Delivery Set.
2. Next, remove adapter cap
from the delivery set, and place the
cap in the adapter holder available
on the pump. Open the roller clamp
and fill the entire line with formula.
Close the roller clamp.
3. Proceed to steps 4–6 under
Assemble Delivery Set.
4. Complete steps 1–3 under Check
Pump Settings.
Begin Feeding
1. Connect the delivery set to the
patient’s feeding tube.
2. Press START/STOP to start the
pump.
3. OFF will turn off the pump at any
time (Infusion Rate and Volume
Delivered are retained).
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 8
Operating Instructions (cont.)
How to Modify Pump Settings
To change the Infusion Rate
To clear Volume Delivered
1. Press START/STOP to stop
the pump.
Volume Delivered is primarily
intended to monitor formula
delivered when intermittent
feedings are required.
2. Enter a new infusion rate by
pressing p (increase) or q
(decrease) until the desired rate
is displayed.
1. Press START/STOP to stop the
pump if running.
2. Press VOL DEL until Volume
Delivered light is lit.
3. Press CLEAR.
8
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9
Alarms/Indicators
Note
AC
Flow Error (FLO Err)
Pressing the START/
STOP key after the
alarm condition is identified will silence the
alarm and return pump
to hold mode.
Indicates the pump is operating on
electrical power. The pump should be
left plugged into an AC outlet whenever practical. No audible alarm will
sound.
Under these conditions the pump stops, an alarm sounds and is displayed as
‘FLO Err’. One of the following conditions may apply:
Corrective Action
Possible Condition
1. Refill container or start new
1. Feeding container is empty
administration set
2. An occlusion has caused
delivery to stop
2. Identify point of occlusion
3. Drip chamber is overfilled
3. Insert new administration set
4. Drip chamber walls are
4. Manipulate chamber to clear
severely coated with formula
drops in sensor path
5. Sensors in drip chamber
5. Clean sensor with
bracket need cleaning
isopropyl alcohol
6. Drip chamber is improperly
6. Reposition drip chamber
placed
Running/Stopped
Indicates the status of the pump.
Low Battery (LOW BAT)
This is activated when the battery is
run down. After 15 minutes, this light
will flash, an audible alarm will sound
and the pump will stop. Whenever the
LOW BAT light is on, the pump should
be plugged into an AC outlet, and
normal feeding may continue. To avoid
degrading battery life it is important
not to run down the battery. The battery recharges anytime the pump is
connected to an AC outlet, regardless
of whether the pump is running.
No Set (no SEt)
Hold error (hoLd Err)
If the door is not closed and latched
securely, no set is loaded on the
pump, or a proper COMPAT
SelectFlo® set is not used, the alarm
message ‘no SEt’ will be displayed.
Correct by loading an appropriate
COMPAT SelectFlo delivery set,
close and latch the door, and press
START/STOP.
If pump is left on hold and START/
STOP is not pressed within 2 1/2
minutes, this alarm will be activated
and ‘hoLd Err’ will be displayed.
Press START/STOP button twice to
extend the hold for another 2 1/2
minutes; or press once to restart the
feeding pump.
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 10
Troubleshooting
COMPAT® Enteral Delivery Pumps
are reliable electromechanical
devices. As with any mechanical
device, problems may occur. The
following tips will help you correct
the minor in-service problems that
may arise.
SITUATION
10
TROUBLESHOOTING GUIDE
POSSIBLE CAUSE
SOLUTION
• Low battery
• Battery charge is below
alarm activated
performance level
• Plug cord into AC outlet
• (LOW BAT)
illuminated
• (FLO Err)
• Feeding container is empty
• Replace or refill feeding
container
• Occlusion is restricting flow
• Identify point of occlusion
and free up
- Pump Set
• kinked tubing
• blocked tubing
• closed roller clamp
- Feeding tube
- Feeding container
• Drip chamber not properly
placed in pump
• Reposition drip chamber
• Drip chamber walls coated
with formula drops or
condensation in sensor path
• Manipulate chamber to clear
drops or condensation in
sensor path
• Flow sensors housing need
cleaning
• Clean with cotton swab dampened with isopropyl alcohol
alarm activated
• (hold Err) Pump • Pump is on hold for more
is left on hold
than 2 1/2 minutes
• Press START/STOP button
• (No SEt) Alarm • Door not closed and latched
activated
• Examine tubing for proper
placement, close door
• Wrong set is used
• Load an appropriate set
•Set is not properly in place
• Assemble tubing properly
around pump rotor. Close and
latch door
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Specif ications
Type of Device . . . . . . . . . . . . . . .
Mechanism . . . . . . . . . . . . . . . . . . .
Infusion Rate . . . . . . . . . . . . . . . .
Accuracy . . . . . . . . . . . . . . . . . . . . .
Occlusion Pressure . . . . . . . . . .
Battery . . . . . . . . . . . . . . . . . . . . . . .
.......................
.......................
.......................
.......................
.......................
.......................
.......................
.......................
Dimension . . . . . . . . . . . . . . . . . . .
Weight . . . . . . . . . . . . . . . . . . . . . . . .
Case Material . . . . . . . . . . . . . . . .
Power Requirement . . . . . . . . .
Operating Temperature . . . . .
...............................
Storage Temperature . . . . . . . .
...............................
Volumetric enteral feeding pump
Rotary Peristaltic
1–295 mL/hr in 1 mL increments
± 10% of selected flow rate
Does not exceed 20 p.s.i.
Sealed lead acid
Rechargeable
Automatically recharges when
connected to an AC outlet
Recharge time is 12 hours from
complete discharge to full recharge
Operating time is 10 hours at
100 mL/hour (fully charged battery)
(Charge unit fully every 6 months)
6.4" High x 6.4" Wide x 5.0" Deep
5.1 pounds
Fire and impact resistant plastic
120V
, 187 mA, 60 Hz
10o– 40oC (50o– 104oF)
75% R.H. non-condensing
0o– 50oC (32o– 122oF)
95% R.H. non-condensing
Type of Protection Against Electrical Shock
......................
Class 1, Internally Powered Equipment
Degree of Protection Against Electrical Shock
....................
Type BF
Degree of Protection Against Ingress of Fluids
....................
Ordinary Equipment – IPX0
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 12
Symbols on Pump and Accessories
12
The following symbols may be found on the pump:
Refer to Accompanying Documents
Alternating Current
Type BF Protection (degree of protection against electrical shock—there is
no conductive connection to the patient)
Medical Electrical Equipment
1) Classified with respect to electrical shock, fire and mechanical hazards
in accordance with UL60601-1
2) Classified with respect to electrical shock, fire, mechanical and other
specified hazards in accordance with CAN/CSA C22.2 No. 601.1
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13
Self Test
The major functions of the pump
may be tested by the following steps:
1. Turn the pump on by pressing the
ON key.
....
2. 8 8 8 8 will be displayed immediately. While this is displayed,
press and simultaneously hold
the p and q keys for 4 seconds.
3. After 4 seconds, an audible alarm
will sound, and the screen will
display ‘teSt’ momentarily, and
....
then all eights ( 8 8 8 8).
4. The pump rotor should begin to
turn. To test the visual alarms,
press either CLEAR, p, q, FILL,
VOL DEL, or START/STOP.
When any of these keys are
pressed or the sensor is momentarily blocked, all visual alarm
indicators should light, an audible alarm will sound, and the
rotor will halt momentarily.
5. Any failure indicates a service
check should be performed. See
the Factory Service section for
instructions on where to send
the pump.
6. Turn the pump off by pressing
the OFF key.
Factory Service
In the event a pump requires
servicing, contact your Nestlé
HealthCare Nutrition Sales
Representative or call Customer
Service for instructions from anywhere in the U.S. and Canada at
1-877-338-4238. All service work
should be performed by authorized
personnel only. Unauthorized
repairs void warranty (see section
on limited warranty).
Safety and Warnings
NOT FOR PARENTERAL USE
INTENDED EXCLUSIVELY FOR
ENTERAL TUBE FEEDING
FORMULAS.
Do not use this device near
flammable anesthetics, it is a
possible explosion hazard.
This device is designed to minimize
the effects of uncontrolled electromagnetic interference and other
types of interference from external
sources. Avoid use of other equipment that may cause erratic operation or degradation in the perfor-
mance of this device.
If the integrity of the external protective conductor in the installation
is in doubt, equipment shall be
operated from its internal electrical
power source.
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14
Limited Warranty
Nestlé HealthCare Nutrition warrants the COMPAT® Enteral Feeding
Pump against defects in material
and workmanship under normal use
and service for a period of one (1)
year 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,
abuse, alteration, misuse, or which
has not been operated and maintained in accordance with prescribed instructions. This warranty
shall not apply if the product has
been repaired by anyone other than
an authorized service representative
of Nestlé HealthCare Nutrition.
Nestlé HealthCare Nutrition reserves
the right to repair or replace (at its
option) any pump which fails to
meet the foregoing warranty.
This warranty is in lieu of all other
warranties expressed or implied
including, without limitation, warranties of merchantability and of
fitness for a particular purpose.
Cleaning
Caution
Disinfecting
Always disconnect the pump from
the AC outlet before cleaning to
avoid electric shock hazard.
If it is necessary to disinfect the entire
pump, the following is recommended:
Using a cloth or sponge, clean the
pump housing and rotor regularly
with warm soapy water. (Prolonged
exposure to alcohol, household
detergents or strong cleansers can
result in damage to pump housing.)
Clean drip sensors with cotton
swabs and isopropyl alcohol.
General Disinfectants
Cidex®
pHisohex®
Hibiclens®
Isopropyl alcohol
AIDS and Hepatitis Disinfectants
10% concentration of 5.25% sodium
hypochlorite (household bleach)
Tuberculosis Disinfectants
70% concentration of
isopropyl alcohol
After application of these disinfecting agents, allow to air dry. It should
be noted that these recommendations should not be substituted for
official procedures that may differ
among institutions. To determine
the proper procedure in a particular
institution, contact the Infection
Control Department.
Do not autoclave. Do not immerse
pump in cleaning solutions.
Delivery sets are for single use only.
Do not clean and reuse.
Cidex®, pHisohex® and Hibiclens® are trademarks of their respective companies
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 15
15
COMPAT ® Enteral Delivery System
COMPAT ® Pumps
9517455 / 199235
9522041 / 199245
9521437 / 199255
Compat® Enteral Delivery Pump with Dose Limit
Compat SelectFlo® Portable Pump featuring Latched Door
Compat DualFlo® Enteral Delivery Pump with Hydration Feature
COMPAT ® Delivery Sets
Gravity Sets
9516074 / 199216
1000 mL Twist Cap Vinyl Bag with Gravity Set
For use with the 9517455 / 199235 Compat® pump and 9522041 / 199245 Compat SelectFlo® pump
9521433 / 199507
Pump Set with in line “Y” Adapter and Piercing Spike
9519810 / 199547
Pump Set with in line “Y” Adapter and 1000 mL Vinyl Bag
9519805 / 199312
500 mL Baggle Semi-Rigid Container with Pump Set
9522610 / 199707
SpikeRight™ Piercing Spike with in line “Y” Adapter and preattached Pump Set
For use with the 9521437 / 199255 Compat DualFlo® pump
9521429 / 199407
DualFlo Piercing Spike and 1000 mL Vinyl Water Bag
9521430 / 199447
DualFlo 1000 mL Formula Vinyl Bag and 1000 mL Vinyl Water Bag
9521434 / 199607
DualFlo with SpikeRight™ Piercing Spike and 1000mL Vinyl Water Bag
For More Information
Call your Nestlé HealthCare Nutrition Sales Representative or Customer Service at 1-877-338-4238.
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 16
Introduction
16
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17
1.
9.
2.
3.
4.
5.
12
9
10
11
13
6.
7.
14
1
7
3
5
4
6
2
8.
8
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18
15
16
25
24
17
20. Porte
23
18
21
20
22
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20
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21
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22
AC
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23
GUIDE DE DÉPANNAGE
Situation
• Installez un dispositif approprié
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24
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25
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27
Nettoyage
Attention
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28
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29
• Alarma de espera de 2 1/2
Minutos
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 30
1.
9.
2.
3.
VOL. DEL. (Volumen administrado), al presionarlo se visualiza el volumen administrado
de fórmula.
12
9
10
11
4.
CLEAR (Borrar), borra el volumen administrado y lo vuelve a
“0.”
5.
13
14
1
6.
7.
8.
7
3
5
4
6
2
30
8
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 31
Controles (cont.)
31
15
16
25
24
17
23
18
21
20
22
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32
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33
199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 34
1. Presione START/STOP para
detener la bomba.
34
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35
Nota
AC
Falta de equipo (no SEt)
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36
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37
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38
Corriente alterna
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39
Seguridad y advertencias
NO APTA PARA USO
PARENTERAL
PARA USO EXCLUSIVO CON
FÓRMULAS DE ALIMENTACIÓN
ENTERAL POR SONDAS.
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41
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199245 Operating Manual:CMPT-10266-0109 10/28/09 5:17 PM Page 43
Nestlé HealthCare Nutrition, Inc.
Minnetonka, MN 55343-9420 USA
U.S. Toll Free 1-877-DEVICE-8
www.nestlenutrition.com/us
Except as noted, trademarks are owned by
Société des Produits Nestlé, S.A., Vevey, Switzerland.
CMPT-10266-0909
SN1027 REV. E