FreeGo Training Manual Oct 2020

For complete instructions for use and technical information refer to Abbott FreeGo® Pump Operator Manual supplied with your FreeGo® pump

FOR ENTERAL FEEDING ONLY

CONTENTS SET-UP What you need ____________________________________ 1 Set up the Abbott FreeGo ® table drip stand ________ 2

PREPARATION Prepare the Abbott FreeGo ® pump _________________3 Plug in and turn on _______________________________ 4

THE GIVING SET Familiarise yourself with the giving set_____________5

ATTACHING FEED Attach giving set to the Ready to Hang (RTH) container __________________________________7 Insert giving set cassette into pump and prime the giving set______________________________ 8

RATES & DOSAGES Summary of controls and functions ______________ 10 SET RATE and SET DOSE functions ______________ 11 Connect to the feeding tube and start feeding_______12

FEED VOLUME VOL FED and CLEAR VOL settings _______________13

CLEANING & CONTROLS Everyday care of your pump ______________________14

ALARMS & ALERTS OCCL ___________________________________________15 FEED EMPTY ___________________________________16 DOSE and BATTERY_____________________________17

PROBLEMS? Everyday care of your pump ______________________18

WHAT YOU NEED

ABBOTT FREEGO® PUMP with power lead

GIVING SET provided in a plastic bag

STAND to hold the feed

POLE CLAMP to attach the pump to the stand

FEEDS 1

SET UP THE TABLE DRIP STAND

Feed container hangs from the hook at the top of the stand

The stand is in two parts

Feed may be different from the one shown here

Depress the locking button and slide the parts together

Correct position of pump, feed and stand when assembled

Stand is correctly assembled when the locking button pops through the hole

2

PREPARE THE ABBOTT FreeGo® PUMP

Attach the pole clamp to the back of the pump by screwing it into the pole clamp socket

Attach power cord to pump

Ensure pole clamp is secured to stand and that the pump cannot move up or down

Align the green dot on the pole stand with the pole clamp screw

Hold the pump in place and tighten the clamp onto the pole by turning the black knob 3

PLUG IN AND TURN ON

Insert plug into wall socket and Switch on the power supply

When the pump is powered by the AC/mains a plug icon shows on the LCD and an LED light above the pump dial illuminates. These icons indicate the pump’s integral battery is being recharged. During recharging the LCD battery icon will scroll.

to illuminate when initially connected to the mains power supply. Fully-charged, the battery will allow the pump to work in the event of power failure or voluntary disconnection from the mains power supply. Please see page 17 for further details on how long the battery can power the pump.

If the battery has been fully depleted it may take up to 2 minutes for the green LED light 4

FAMILIARISE YOURSELF WITH THE GIVING SET

FEEDCAP ADAPTOR TWO-WAY TAP

PUMP INSERT PURPLE PRIME TAB PURPLE CASSETTE

ENFIT DUST COVER

ENFIT NECTOR CONNECTOR

BEFORE USING YOUR GIVING SET:

• Check the date on the packaging and do not use if out of date • Tear open the packaging from the top • Remove paper band and uncurl the giving set, taking care not to kink the tubing

IMPORTANT Giving sets can be clearly identified by their purple fittings. Do not use a giving set unless it has purple fittings.

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FEEDCAP ADAPTOR

PUMP INSERT

PURPLE PRIME TAB

PURPLE CASSETTE

TWO-WAY TAP

ENFIT CONNECTOR

(also known as medicines port or flushing port)

The ENFit connector has a tethered dust cover to keep it covered when not in use

6

ATTACH GIVING SET TO THE READY TO HANG (RTH) CONTAINER*

Check the date on the feed (do not use if out of date)

Shake the container gently

Unscrew the protective white cap, taking care not to touch the foil lid

Do not touch foil with your fingers and do not pierce it with scissors

Screw on the feedcap adaptor tightly. The built-in foil cutter will pierce the foil automatically

Hang the container upside down from the hook on the drip stand

* RTH is an abbreviation for ‘Ready to Hang’ (the rigid pre-filled plastic bottles containing your feed) 7

INSERT GIVING SET CASSETTE INTO PUMP AND PRIME THE GIVING SET

Open the pump door

Grasp the purple cassette body

Loop pump insert around wheel, stretching lightly

Gently pull down on the loop

Seat purple cassette into pump. Gently press the tubing to ensure it is fully seated in slots below the cassette

Close pump door. You will hear a click when the door has been closed properly

‘PRIMING’ will be displayed. Autopriming will stop when the priming volume has been reached. To stop the process, press and release the PRIME button Turn pump dial to SET RATE or SET DOSE

Press and hold the Prime button for 2 seconds, then release 8

SUMMARY OF CONTROLS AND FUNCTIONS OFF/CHRG Turns pump off (and will charge the battery if plugged in)

SET RATE Sets the amount of feed needed per hour

SET DOSE Amount to be fed. Set to INF DOSE if a specific dose is not required RUN Operates pump and delivers feed HOLD Pauses pump for 5 minutes. Pauses pump to a default time of 5 minuets, the hold time can be adjusted between 1 and 90 minutes) Use HOLD if you want to cancel an alarm or pause feeding VOL FED Shows the amount of feed administered CLEAR VOL Clears the accumulated volume that has been delivered and been stored in pump’s memory

ARROW KEYS

Used to increase or decrease dosage and rate of feed. They are also used to switch between settings on the LCD display and adjust the hold time between 1 and 90 min.

PRIME BUTTON Used to auto prime the system

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OPTIONS BUTTON Used to adjust alarm volume and back light intensity

SET RATE AND SET DOSE FUNCTIONS

Turn pump dial to SET RATE

Select flow rate by pressing the Up or Down arrows. Keeping an arrow depressed will cause the scroll rate to increase

Turn dial to SET DOSE

Set the desired dose by using the Up or Down arrows

If your healthcare professional tells you not to set a dose, depress the Down arrow until INF DOSE is displayed (pump will feed until the container is empty)

10

CONNECT TO THE FEEDING TUBE AND START FEEDING

Flush your feeding tube as directed. Remove dust cover. Connect ENFit giving set end to your feeding tube.

Turn the dial to RUN to start feeding. Four drop icons will scroll in the lower right hand corner of the display while feed is running.

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VOL FED AND CLEAR VOL SETTINGS VOL FED Lets you check how much accumulated feed you have delivered

Turn the dial to VOL FED and the display will indicate how much feed you have delivered

To continue feeding, turn the dial back to RUN

CLEAR VOL Resets VOL FED display to zero

To reset the VOL FED counter to zero, turn the dial to CLEAR VOL (the volume will clear after a 5 second count down on display)

To continue feeding, turn the dial back to RUN

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EVERYDAY CARE OF YOUR PUMP The pump should be cleaned every day after use and immediately after spills occur

Before cleaning make sure the pump is off. Switch off mains power and unplug from the wall socket and the pump

Wipe carefully and thoroughly with a soft damp cloth and warm soapy water

Do not submerge the pump or spray water or cleaning solution into the pump. For general disinfecting, use 10% solution of 5.25% sodium hypochlorite (household bleach), or 40% solution of ethyl alcohol, or 10% solution of phosphoric acid. When you have finished cleaning the pump, it should be reconnected so that the battery can continue charging

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ALARMS/ALERTS: OCCL SILENCING THE ALARM Turn dial to HOLD to silence the alarm OCCL

If the display shows OCCL INTO PUMP and an audio alarm sounds, the feed cannot be delivered due to a blockage between the feed container and the pump

If the display shows OCCL OUT OF PUMP and an audio alarm sounds there is a blockage between the pump and the patient

REMOVE THE GIVING SET FROM THE PUMP AND CHECK THE FOLLOWING • Is the giving set tubing bent or trapped anywhere? • Is the two-way tap in the feeding position? • Is the clamp open on your feeding tube (e.g. nasogastric/gastrostomy tube)? • Is your feeding tube blocked? To check, set the pump up ready to feed, disconnect the giving set from the feeding tube and RUN the pump into a suitable container. If feed comes out and there is no alarm,it means the pump and giving set are working normally, indicating that your feeding tube may be blocked (contact your healthcare professional) • If you still experience problems, telephone the Hospital2Home Freephone Helpline: 0800 0183799 (all calls are free from mobiles and landlines) • Please note : The FreeGo occlusion alarm is triggered by the accumulation of pressure in the feeding system. At very low flow rates (below 40ml/hr) it may take up to 10 minutes for the FreeGo pump to detect an occlusion. 14

ALARMS/ALERTS: FEED EMPTY FEED EMPTY The FEED EMPTY alarm occurs if air is detected in the giving set

IS THE BOTTLE EMPTY?

BOTTLE NOT EMPTY

BOTTLE EMPTY Replace bottle if required (it may be the end of the feeding period)

• Turn dial to HOLD to stop the audio alarm • Remove giving set from your enteral feeding tube • Prime any air out of the giving set • Securely re-attach the giving set to your enteral feeding tube • Turn dial to RUN to begin feeding Or… If you are done feeding: • Turn dial to OFF/CHRG. This message is displayed because pump was programmed to feed until container is empty (SET DOSE at INF DOSE). • Please Note: Feed delivered during priming is not captured in the “volume fed” display; as such, a small variation between the feed volume hung and “volume fed” display should be anticipated. 15

ALARMS/ALERTS: DOSE AND BATTERY DOSE DONE • DOSE DONE means that the dose you entered in SET DOSE is finished. This is normal • If you wish to feed until the container is empty, set the dose to INF DOSE by selecting SET DOSE and depressing the Down arrow until INF DOSE is displayed • If dose is set to INF DOSE this alarm will not alert

BATTERY

• BATT LOW BATTERY means that the pump’s internal battery needs recharging

• BATT BATT EMPTY means that the battery is depleted and the pump has stopped feeding

• Approximately 20 minutes of battery operation remain

• Connect to mains power

• Connect to mains power and continue feeding

• The display will indicate CHRG PLEASE WAIT until the pump is ready to use

• If CHRG PLEASE WAIT is displayed, please wait until PUMP READY TO USE is displayed • A fully charged battery will power the pump for about 24 hours at a feed rate of 125ml/h. The battery charges fully in about 6 hours

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TROUBLESHOOTING GUIDE Screen display

Possible cause

Action to take

ATTN PUMP ON HOLD

This means that hold time has elapsed

Turn dial to RUN to restart the pump

BATT BATT EMPTY

This means the pump battery is depleted and the pump has stopped working

Plug the power cord into a mains outlet and make sure the power is turned on. The display will indicate CHRG PLEASE WAIT until pump is ready to use

BATT LOW BATTERY

This means the pump battery is nearly empty and approximately 20 minutes of battery operation remain

Plug the power cord into a mains outlet and make sure the power is turned on

CHRG PLEASE WAIT

The battery charge is below the minimum level to operate and the pump cannot be used until minimum charge level is reached

No action to be taken. Pump is available for use when the display indicates PUMP READY TO USE

DIAL NOT SET

Pump dial is between two dial positions e.g. between RUN and HOLD

Turn the dial to the desired position directly aligning the two dots (on the dial and pump casing). Continue setting up and operating pump as normal

DOOR OPEN

This means the set door is open while feeding or priming the giving set

Turn dial to HOLD and close the set door. Turn dial to RUN to restart pump or attempt to prime the giving set again

DOSE DONE

This shows the pump has completed delivering the programmed dose

If you have finished feeding: turn dial to OFF/CHRG as the dose has been delivered (VOL FED has reached your set dose). Or, if there is more feed to deliver: turn dial to CLEAR VOL (after 5 seconds, volume will be cleared). Then turn dial to SET DOSE, and use the Up and Down arrows to set the remaining dose to be delivered. Turn dial to RUN to restart the pump

ER## SYSTEM FAIL

This indicates a pump malfunction

You should remove the pump from the patient immediately. Turn the dial to OFF/CHRG and contact Abbott

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