P700 enternal syringe pump instruction booklet

important safety precautions users The pump should only be operated by healthcare professionals and carers who have been trained in the functions and indications of the pump. The pump is suitable for the delivery of enteral feeds in hospitals but may also be used domestically under the supervision of a healthcare professional.

connections It is important to check the pump, syringe and any extension lines are corrected fitted to an enteral feeding device only, normally a nasogastric tube, before the pump is operated. It is also important to check all connections between syringe, set and tube are secure. The correct gastric position of the feeding tube should also be confirmed before every feed delivery.

syringes The only syringes which will operate in this pump are marked “MEDICINA” and are supplied by Medicina Ltd or its authorised distributors. All other syringes are not recognised by sensors on the pump and will not function. It is also important to check the automatic visual syringe size light on the pump and confirm that this matches the size of the syringe used. All syringes may be used up their maximum volume except the PE60 60 ml syringe which has a maximum volume of 50mls only. All syringes are single use only . The syringe and set should not be connected to the patient until the pump is ready, as an incorrectly fitted syringe has the potential to deliver uncontrolled siphoned feed to the patient. Syringes, pumps and sets are all latex free and DEHP free.

operation The pump should only be operated under the following environmental conditions +5°C to +40°C and an atmospheric pressure of 86-106 kPA and a relative humidity of 20%-90%. The pump should also be stored in a dry place and care should be taken not to drop or vibrate the pump.

electrical The pump should only be operated using a standard AC power supply 100240V @ 50-60Hz using the authorised power cord. The power cord should be protected from bending and any heat source. It should be discarded if it becomes damaged in any way. The pump should be unplugged when not in use. The pump should only be operated using the battery for transfers and only until the low battery alarm sounds. The battery should then be recharged.

maintenance The pump should be cleaned in line with hospital policies or with a damp cloth or an alcohol type wipe (75% alcohol) No other chemicals should be used to clean the pump. The pump should not be repaired or opened by anyone other than authorised Medicina Staff. This will void the warranty. All defective pumps should be returned to Medicina Ltd or to an authorised service centre or distributor. The pump should be stored in dry conditions when not in use.

general description The P700 enteral syringe pump has been designed to deliver small volumes of enteral feeds, accurately and safely, using oral enteral syringes. The pump is indicated for the delivery of enteral nutritional support in small volumes to neonates and paediatric patients. The pump is part of a complete range of equipment which has been carefully put together to maximise patient safety. The non-IV compatible syringes, feeding tubes and accessories provide a comprehensive feeding system.

An important feature of the pump is that only “MEDICINA” syringes will operate in the pump. All other syringes are incompatible. Many current syringe pumps can accommodate both enteral and intravenous syringes. This poses a serious risk of hazard to the patients because Intravenous syringes can be accidentally filled with enteral feeds and connected to central lines. These misconnections are not possible with the use of this pump because the lines and syringes which it uses cannot be connected to central lines. This offers a unique additional safety feature for enterally fed patients.

The P700 enteral syringe pump is a volumetric device, which offers greater accuracy, particularly at low flow rates and small volumes. A host of sensors monitor the delivery, providing comprehensive visual and auditory alarms. Although the pump is simple to use, the electronics are as sophisticated as more expensive intravenous syringe pumps. Users will find the P700 pump easy to use and it will safely and accurately provide the nutritional support needed by their patients .

P700 Quick Guide

5mls

10mls

20mls

60mls

45.0

+ -

AC

mls/hr

mls/hr

C

P700 Basic Controls

Syringe size indicators

Dislocation Barrel

Displays

Dislocation Plunger

50.00

Rate

Volume Infusion

100.00

Power Fast

Indicator lights Battery level and charge

AC Power on

Slow

Rate

Alarms

Functions

Operation Securing the pump Select suitable position for the operation of the pump before inserting the power cable. The pump should be used in a horizontal position either on a table or on a drip stand. A pole clamp is provided with the pump. The black plate is pulled out and clicked into position. The screw is used to secure the pump to the drip stand.

Caution Never mount the pump so high on the drip stand that is becomes unbalanced or unstable.

Power When the pump is secured the power cable should be plugged into the mains supply at the rear of the pump. Press the power button for 2 seconds and the AC Power status light should come on. The battery level status light also shows the level of charge in the battery. The pump will then self test all the circuits and all lights will flash once before the pump is ready to use, press pause during set up. The pump is turned off by pressing the power key for 2 seconds.

45.0

C

2sec

45.0

2sec

C

Syringe installation Caution Only “MEDICINA” single use syringes may be used in this pump.

C

A suitable syringe for the volume to be delivered is selected and connected to an extension set. All connections should be checked. Both are then primed aseptically either by using the syringe or the purge button. To insert the syringe into the pump the syringe clamp is pulled out and rotated. The syringe barrel flanges are inserted into the grooves on the clutch by pushing the clutch levers and the plunger flanges are inserted into the syringe drive mechanism. The drive mechanism should be adjusted so it is tight on the syringe plunger. It is important to check that the automatic syringe size indicator light matches the syringe size.

Caution the 60ml syringe PE60 has a maximum volume of 50mls and cannot be fitted into the pump with a higher volume than 50mls.

Set Delivery Parameters The rate of delivery is set with the rate adjuster buttons. The adjustments can only be made when the pause button has been depressed. Rates are locked during delivery. Delivery rates start at 0.5mls/Hour up to 100mls/Hour in 0.5ml increments for all sizes of syringes.

20 fast

slow

45.0

C

Volume delivery and delivery units

45.0

The pump records the total volume delivered in 24hrs, by pressing the delivery button and checking the display. The volume delivered can also be limited by selecting ∑mls and the Rate buttons to set the limit. Upon start up the display reads 0.00. To reset the rate buttons can be used to clear any accumulated volume.

000.0 fast

slow

Start Delivery Caution it is important to check the pump syringe and any extension line are correctly fitted to an enteral feeding device only, normally a nasogastric tube, before the pump is operated. It is also important to check all connections between syringes, sets and tubes are secure. The correct gastric position of the feeding tube should also be confirmed before every feed delivery.

The delivery is started by pressing the start button and stopped by pressing the pause button. The delivery operation light will flash from right to left depending on the speed of delivery. The rate is locked during delivery but the accumulated volume and preset volume can be checked by selecting those functions. At the end of the feed the pump will alarm ‘over’, press stop and note volume delivered in that episode of feeding and or the accumulated volume over 24hrs.

Summary SECURE PUMP POWER ON PRIME SYRINGE CHECK CONNECTIONS INSTALL SYRINGE SET RATE AND DELIVERY VOLUME LIMIT CONFIRM NASOGASTRIC TUBE POSITION START DELIVERY ALARM ‘OVER’ THEN PAUSE

45.0

45.0

C

C

C

Alarms

The following auditory and visual alarms are displayed by 0 the pump. All can be silenced by pressing the silence button.

C

BATTERY When the power cord is removed the battery alarm will sound and three light will flash to show that thpump is being operated with the battery only. When the battery becomes low, the alarm will sound and one of the battery lights will flash. When the battery is exhausted the alarm will sound and all three lights willl flash.

AC power When this light is on the pump is connected to the mains power supply.

NEARLY EMPTY / FINISHED This alarm will sound and flash when the delivery is almost over with less than 1ml left to be delivered. This alarm will sound and flash when the feed has been completely delivered.

OCCLUSION This alarm sounds and lights up if the line becomes occluded. The occlusion should be identified and removed then the feed can recommence. The occlusion pressures are fixed for the average range of enteral feeds.

SYRINGE DISCONNECTION When the plunger becomes disconnected the pump alarms and flashes the light on the plunger on the syringe indicator lights. When the syringe barrel becomes disconnected the pump alarms and flashes the light above the barrel on the syringe indicator lights.

OPERATION ERROR

ERR

ERR This alarm will sound and flash the err message when the pump is not being operated correctly.

ALARM SOUND REMINDER The pump will alarm to remind users every 2 minutes in the pause mode as a reminder to reset or re-commence the feed. This will also occur on start up if the feed is not started. Silence will also last 2 minutes.

Disposable Syringes & sets The following single use syringes and sets may be used with the Syringe pump P700

Medicina Syringes

Super Lock Syringes (Larger connector) 1ml

1ml

Ref: MD01

Ref: PE01 medicines only

medicines only

2.5ml

2.5ml

Ref: PE25 medicines only

Ref: MD25 medicines only

5ml

5ml

Ref: PE05

Ref: MD05

10ml

10ml

Ref: PE10

Ref: MD10

20ml

20ml

Ref: PE20

Ref: MD20

60ml

Ref: PE60 30ml

Ref: MD30 60ml

Ref: MD60

Caution the 60ml syringe PE60 and ML60 have a maximum volume of 50mls and cannot be fitted into the pump with a higher volume than 50mls.

Enteral Extension Sets 150cm long 150cm long

Ref: MF150Y

Ref: MF150 150cm long

Ref: EP150

150cm long 75cm long

Ref: MF075 75cm long

Ref: EP075

Ref: MM150Y

Pumps & Accessories Pump The P700 pump includes a clamp to fit to a drip stand, an instruction booklet and a mains lead.

Pump

ref: P700

Power Lead

Accessories Replacement power cords, instruction booklets and a DVD training guide are also available.

Instruction Booklet Power Lead

ref: P5INS

ref: PL01

DVD Training Guide

ref: P5DVD

Maintenance

Caution The pump should be cleaned in line with hospital policies or with a damp cloth or an alcohol type wipe (75% alcohol) No other chemicals should be used to clean the pump. The pump should not be repaired or opened by anyone other than authorised Medicina Staff. This will void the warranty. All defective pumps should be returned to Medicina Ltd or to an authorised service centre or distributor.

Routine Maintenance The pump should be kept clean in line with hospital policies. The battery should be kept charged before storage and at least 3 monthly intervals. The power cord should be inspected for damage at least once per year. The functions of the pump can be tested using the Medicina test procedure, which can be obtained from Medicina Ltd or its authorised distributor. Test intervals will be in line with local hospital policies. Caution If the AC light does not illuminate with the AC power on the fuse in the plug should be replaced. If it still does not illuminate the pump fuse may need replaced. The pump should be returned to Medicina Ltd or its authorised distributor.

Caution Pump batteries should be replaced after 5 years by returning the pump to to Medicina Ltd or its authorised distributor.

warranty Medicina Ltd warrants that each new enteral syringe pump and accessories are free from defects in material and workmanship under normal use and service for a period of 12 months from the date of deliver by Medicina Ltd or its authorised distributor to the original purchaser. If any product requires repair during the warranty period the purchaser should communicate directly with Medicina Ltd or its authorised distributor. Except as provided in this warranty . repairs or replacement will be at the expense of Medicina Ltd. Loss or damage in return shipment will be at the purchasers risk. Medicina Ltd or its authorised distributor will in no event be liable for any incidental, indirect or consequential damages in connection with the purchase or use of any Medicina products. This warranty applies to the original purchaser only.

This warranty does not apply to any subsequent owner or holder of the product. This warranty shall not apply to, and Medicina Ltd. or its authorised distributor shall not be responsible for, any loss or damage arising when the product has been repaired or altered ,effecting its stability or reliability, by any unauthorised person. Or if the product is subjected to misuse, accident or negligence , improperly maintained or used in any way other than in accordance with these written instruction. This warranty is in lieu of all other warranties, express or implied, and of all obligations or liabilities of Medicina Ltd. Medicina Ltd disclaims all other warranties, express or implied, including any warranty of merchantability or fitness for a particular purpose.

Specification

Syringes

5,10, 20, 60 ml Medicina Enteral Syringes

Flow rate

0.5– 100 mL/h (specified value.0.5 – 100 ml/hr, @ 0.5 ml/hr increment) 60 ml syringe 0.5 – 100 ml/hr (0.5 ml/hr increment) 20 ml syringe 0.5 – 100 ml/hr (0.5 ml/hr increment) 10 ml syringe 0.5 – 100 ml/hr (0.5ml/hr increment) 5ml syringe 100 ml/hr 60 ml syringe 100 ml/hr 20 ml syringe 100 ml/hr 10 ml syringe 100 ml/hr 5 ml syringe Accuracy including syringe: within ±2% Dedicated software Medicina syringes. 0.5– 100 ml (0.5–100 ml,0.5 ml step) 24hr volume (0-1000 ml, 0.5 ml increm) 0.5– 100 ml (0.5– 100 ml, 0.5ml step) 24hr volume (0-1000 ml, 0.5 ml increm) FIXED TBA (@500±100 mmHg(66.7±13.3 kPa) or 0.68±0.13 kgf/cm

Purge rate

Accuracy of flow rate (Nominal value) Display of volume delivered Setting of delivery limit Occlusion detection Alarms

‘OCCLUSION’, ‘NEARLY EMPTY’, ‘FINISH’, ‘SYRINGE DISLOCATED’, ‘PLUNGER/CLUTCH DISENGAGED’, ‘BATTERY LOW’, ‘BATTERY EXHAUSTED’, ‘POWER CABLE DISCONNECTED’, ‘FLOW RATE OVER LIMIT’, ‘VOLUME OVER LIMIT’, ‘SYSTEM ERROR’, ‘NON-OPERATION TIME OVER’

Power

AC110~220V ±10%, 50~60 Hz ±1 Hz. NiMH battery: DC12 V Continuous operation time of battery: over 4 hours when battery is recharged for 12 hours. Ambient temperature: 5- 40 °C, Relative humidity 20% to 80% Ambient temperature: -40 to 55 °C, Relative humidity: 95% Class I and internal power supply: Type CF, (CE0120) IPX4 2.25kg (with clamp base) 306mm x 135mm x 127mm

Operation conditions Storage conditions Electricity /safety class Water proof level Weight Dimensions FUNCTIONS Specify syringe size automatically Identify syringe size automatically Occlusion alarm Auto-reduce impact dose after occlusion AC and internal power indication KVO flow rate

Fast rate Purge “Purge” button activate safe protection Flow rate setting button lock Delivered volume inquiry Dose limit setting 500 history records