Flocare Infinity Instruction Book and Guide

Setting up your pump – step by step

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Wash your hands before you start

You will need a new giving set, new feed and a syringe for water (as prescribed by your Dietitian) to flush the feeding tubes

Remove the giving set from its packaging

Setting up your pump

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IMPORTANT: Stand pack on flat surface before connecting

Hold pack at base of spout and pierce foil. Take care not to touch ENPlus set connector end or top of pack spout. Do not touch spike or foil seal

Setting up your pump (continued)

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Hang the pack / container of feed on the drip stand

If your giving set has a drip chamber, squeeze it until it is 1/3 full of feed. If there is no drip chamber, proceed to next step

Open pump door by pressing up on the lower part of door and lifting upwards (see arrows). Please make sure to pinch the catch on the door when closing

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Insert the giving set by placing looped section over the rotor wheel. Stretch to the right until the giving set slots in place. Close the pump door, pinching the catch as you close it. Flush feeding tube with sterile or cool boiled water

10 Check the position of the feeding tube if you have been advised to do so by your hospital

Programming your pump – step by step

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3 Press and hold the ON/OFF button until it beeps

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a. Wait for the word "VOLUME" to appear on the screen; the number above it is the previous amount of feed delivered during the last feed

VOLUME

4 b. Press the CLR button and release immediately. Pump will not beep

Programming your pump

Press and hold the fill set button until the word "fill set" appears. The machine will beep and begin to fill the giving set automatically. The feed will automatically stop close to the feeding set end. However you can watch the feed and when you want it to stop, press the fill set button again. To continue filling all the way to the end, press the fill set button for a further 2 seconds to start the flow again. If you are using a mobile giving set the machine will over fill the set. To avoid this please watch the flow and press the fill set button again to stop it from flowing The rate in ml/hr is now on screen. If necessary press + / – button to reach the desired rate

Programming your pump (continued)

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a. Now press the DOSE=VOLUME button. "CONT" will appear on screen. If it does not, press the CLR button for continuous feeding

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Press START and the word "run" will appear in the top right of the screen. If you wish to pause the feed, press the START/STOP button. To restart press START/STOP again

run

CONT b. To set a dose (total amount of feed), press + button to reach the desired amount. The pump will alarm and stop running when full dose has been delivered

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Connect giving set to feeding tube, open clamp if necessary

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When the feed has finished, turn off the pump and flush the feeding tube with water as prescribed by your Dietitian

If your feeding rate remains the same and if you have not set a specific dose. For example you feed continuously until the pack is finished. Please follow these 4 simple steps:

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Press ON/OFF button until it beeps

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Press the CLR button for continuous feeding

Press and hold the fill set button until the machine beeps and begins to fill the giving set

When set is filled, Press START and the word "run" will appear in the top right of the screen

run

Troubleshooting & pump alarms – step by step Important: No Power Supply Plug Symbol Visible while the pump is connected to the electrical supply

Power indicator light Reason

Light off

Light on

Solution

 oose wire or the plug adaptor pins have L moved

 heck that the part where the three pins are has C not become loose and separated from the main body of the adaptor. If this has happened, simply push back together so the top of the charger is totally flat (see above)

Troubleshooting & pump alarms

Troubleshooting & pump alarms (continued)

Important: No Power Supply (continued)

Reason

Solution

The charger is not connected to pump

 nsure the charger is fully pushed into the pump E (with grooves facing you as shown above)

The wall socket doesn't work

 ry connecting the plug to an alternative wall T socket

The adaptor is damaged

 ontact your Patient Care Freephone number to C replace the adaptor

or or

Troubleshooting & pump alarms (continued)

If your pump alarms, please follow the steps below:

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Read the screen

Press START/STOP to silence the alarm

See overleaf for a list of reasons why your pump is alarming and how to deal with each alarm

Troubleshooting & pump alarms (continued) Reason

NO SET

 he set is not fitted or is fitted T incorrectly or The pressure sensor is dirty Reason  oor is broken, cracked or not D closed

DOOR

Reason

PUSH START

 he pump has been paused T for 3 or more minutes

Solution  einsert the giving set as per R instructions Clean the sensors and reinsert cassette Solution  ake sure that the door is M closed Tape door to pump tightly to continue feeding and call your Patient Care Freephone number to arrange for a replacement Solution  y pressing the START/STOP B button to silence the alarm, a further 3 minute pause commences. When ready to restart feeding, press the START/STOP button

Troubleshooting & pump alarms (continued) Reason Air bubble in the giving set or The giving set is empty or

AIR

The air sensor is dirty or The giving set has been used for 24 hours or more or The end of the giving set has not fully pierced the foil Reason  he pump has administered T the dose

END OF DOSE

Solution  isconnect the giving set from D the feeding tube and place in a bowl. Press the FILL SET button until the air bubble has passed out of the giving set Replace the empty feeding reservoir and recommence feeding. You may have to refill the line by pressing FILL SET  lean the sensor area following C the cleaning guidelines  eplace the giving set with a R fresh one Solution  ress and hold the ON/OFF P button until it beeps and is powered off If the end of dose alarms inappropriately when no dose has been set, press the dose button and then press clr. Ensure that "cont" appears on the screen

Troubleshooting & pump alarms (continued) Reason

OCC IN

 he pump detected an T occlusion between the feed and the pump

 nsure there are no kinks in E the tubing, that clamps are not closed between the feed container and pump, and that the foil has been pierced

The sensor is dirty

Clean the sensor area

or

Caution DO NOT use the FILL SET function when there is a set occlusion as this may cause the pump to incorrectly calibrate

Solution

Reason  he pump detected an T occlusion between the pump and the patient

Solution If relevant, ensure clamp is open  nsure there are no kinks in E the giving set or feeding tube  nsure the three way tap is in E a straight line to allow feed to pass through

or

 lush the feeding tube to F ensure there is no blockage

OCC OUT

The sensor is dirty

 lean the sensor area (see C cleaning guidelines), reinsert the giving set in the pump and restart the pump

Troubleshooting & pump alarms (continued)

If you see the OCC alarm, you need to follow the below steps:

1. Press START/STOP button

2. Detach the feeding set

3. Solve the occlusion problem See other side

4. Re-insert the feeding set

5. Press START/STOP button

Troubleshooting & pump alarms (continued)

The most common set occlusions

Tube kinking

→

Narrow the tube, release kinking

Tube clogging →

Flush with mildly warm water using a 10 - 20 ml syringe

Stop cock closed

Open the stop cock

→

If you encounter persistent problems please contact Nutricia Medical on Freephone: 1800 22 1800 (ROI), 0800 169 5173 (NI)

Troubleshooting & pump alarms (continued) Reason

BATT

 he battery capacity is running T low. There is approx 1 hour of feeding left when a rate of 125 ml/hr is set

Reason The battery has failed

"BATT" "E" "F"

Solution  onnect the pump to the C electrical supply and charge for 6 hours. The pump can be used while connected to the electrical supply

Solution  ontact your Patient Care C Freephone number to arrange for the pump to be serviced

Troubleshooting & pump alarms (continued) Reason

LOCK

 he current feeding regimen T has been locked into the machine to prevent accidental changing of regimen

Reason The self test detected a fault

ERROR with a number, e.g. ERROR 12 or 13

Solution  lease see set up menu at the P end of this section Call your Patient Care Freephone number

Solution  ontact your Patient Care C Freephone number to arrange service of the pump

Set up menu – step by step

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Press and hold the ON/OFF button and the + button at the same time

The first item to appear in this menu is the alarm volume mode. To adjust the alarm to beep at high volume, press the + button or to adjust the alarm to beep at low volume, press the – button

If you are finished in the set up menu, press and hold the ON/OFF button for 2 seconds

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To continue with set up mode, press the fill set button; you are now in the keypad lock mode. To lock the keypad, press the + button, to unlock, press the – button

If you are finished in the set up menu, press and hold the ON/OFF button for 2 seconds

To continue with set up mode, press the fill set button again; you are now in the mute when done mode. To set the pump to alarm when the feed is finished, press the + button to set. To set the pump to remain on mute when the feed has finished, press the – button

Set up menu

Set up menu (continued)

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If you are finished in the set up menu, press and hold the ON/OFF button for 2 seconds

To continue with set up mode, press the fill set button again; you are now in the background light mode. To switch light on, press + button or to switch off, press – button

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If you are finished in the set up menu, press and hold the ON/OFF button for 2 seconds

To continue with set up mode, press the 10 fill set button again; you are now in the nurse call / PDMS mode. Please ignore this mode. If you are finished in the set up menu, press and hold the off button for 2 seconds

Cleaning guidelines for the Flocare Infinity pump – step by step Please Note:

✘ AVOID immersing pumps in water,

detergents or other fluids. Pumps may be wiped with a wet cloth and detergent and rinsed under running water.

✘ AVOID sterilising (autoclave, ETO, etc.)

and do not use cleaning chemicals such as Acetone, Benzene, Iodine, etc.

✘ AVOID storing the pump in extreme heat or cold (outside the range of -40ºC up to +50ºC).

Cleaning guidelines

Cleaning guidelines for the Flocare Infinity pump (continued)

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 efore Cleaning: B Avoid immersing pumps in water, detergents or other fluids. Pump may be wiped with a wet cloth and detergent and rinsed under running water Cleaning pump: The pump may be wiped with a wet cloth and general purpose detergent. Rinse clean under warm running water. Avoid immersing pump. If necessary, use a moist cotton bud to clean sensor area Drying pump: Shake pump to remove excess water and allow to air dry for approximately 30 mins or until completely dry Pumps in need of decontamination: These pumps should be dealt with according to your hospital policy. If you are at home, the pump must be put in a plastic bag before returning it to Nutricia Medical