Freego Manual 1x3n7

Abbott FreeGo pump ®

Training Manual

Freedom for life

2

Contents

Section 1 Set-up

2 Preparation

3 The giving set

Page What you need

1

Set up the Abbott FreeGo ® table drip stand

2

Prepare the Abbott FreeGo ® pump

3

Plug in and turn on

4

Familiarise yourself with the giving set

4 Attaching feed Attach giving set to the Ready to Hang (RTH) container Insert giving set cassette into pump and prime the giving set 5 Rates & dosages

5– 6 7 8– 9

Summary of controls and functions

10

SET RATE and SET DOSE functions

11

Connect to the feeding tube and start feeding

12

6 Feed volume

VOL FED and CLEAR VOL settings

13

7 Cleaning & controls

Everyday care of your pump

14

8 Alarms & alerts

OCCL

15

FEED EMPTY

16

DOSE and BATTERY

17

9 Problems? 10 Pump accessories Appendix

Troubleshooting guide

18 –20

Abbott FreeGo ® portable backpack

22–23

Abbott FreeGo accessories ®

Feed details Important numbers

FOR ENTERAL FEEDING ONLY

24 25–26

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

Feed

1

Set up the Abbott FreeGo® table drip stand

1. The stand is in two parts

2. Depress the locking button and slide the parts together

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

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

Feed may be different from the one shown here

4. Correct position of pump, feed and stand when assembled

2

1

Prepare the Abbott FreeGo® pump

5. Attach power cord to pump

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

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

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

9. Ensure stand is secured to the pole clamp and that the pump cannot move up or down 3

Plug in and turn on 2

10. Insert plug into wall socket

11. S witch on the power supply

12. W hen 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. It may take up to 2 minutes for the green LED light to illuminate if the battery is depleted. 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

4

Familiarise yourself with the giving set Purple prime tab

Pump insert

Feedcap adaptor

Two-way tap

Purple cassette

Feeding adaptor

Before using your giving set: 13. C heck the date on the packaging and do not use if out of date 14. F ind the V-notch at the top of the packaging and tear open 15. R emove paper band and uncurl the giving set, taking care not to kink the tubing 16. T wist on the feeding adaptor (with clear plastic end cover) to the end of the giving set tubing

IMPORTANT Giving sets can be clearly identified by their purple fittings. Do not use a giving set unless it has purple fittings. 5

3 Feedcap adaptor

Pump insert

Purple prime tab

Purple cassette

Two-way tap (also known as medicines port or flushing port)

Feeding adaptor

6

Attach giving set to the Ready to Hang (RTH) container*

17. C heck the date on the feed (do not use if out of date)

18. S hake the container gently

19. U nscrew the protective white cap, taking care not to touch the foil lid

20. D o not touch foil with your fingers and do not pierce it with scissors

21. S crew on the feedcap adaptor tightly. The built-in foil cutter will pierce the foil automatically

22. H ang 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 The giving set can be primed (filled) using:

(A) THE AUTOPRIME FUNCTION NOTE: The end cover of the feeding adapter needs to be removed prior to priming the set.

23. Open the pump door

24. Grasp the purple cassette body

25. Loop pump insert around wheel, stretching lightly

26. Gently pull down on the loop

27. Seat purple cassette 28. Close pump door. You will hear a into pump. Gently click when the press the tubing door has been to ensure it is fully closed properly seated in slots below the cassette

‘PRIMING’ will be displayed. Autopriming will stop when the priming volume has been reached. 29. Turn pump dial to SET RATE or SET DOSE

To stop the process, 30. Press and hold the PRIME button press and release the PRIME button for 2 seconds, then release

8

4

(B) MANUAL PRIMING

NOTE: The end cover needs to be removed prior to priming the set.

23. G ently push the purple prime tab on the feeding set cassette against the tubing

24. S teadily apply pressure until the feed begins to flow (there is no need to use a pumping action)

25. C ompletely fill the set by allowing the feed to expel air from the tubing

26. O pen the door on the pump

27. G rasp the purple cassette body

28. L oop the pump insert around the wheel, stretching lightly

29. G ently pull down on the loop

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

31. C lose the pump door. You will hear a click when it has been closed properly

9

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. Use HOLD if you want to cancel an alarm or pause feeding

VOL FED Shows the amount of feed istered

CLEAR VOL Clears the accumulated volume that has been delivered and been stored in pump’s memory

ARROW KEYS

PRIME BUTTON Used to auto prime the system

OPTIONS BUTTON Used to adjust alarm volume and back light intensity

Used to increase or decrease dosage and rate of feed. They are also used to switch between settings on the LCD display

10

5

SET RATE and SET DOSE functions

32. T urn pump dial to SET RATE

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

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)

34. T urn dial to SET DOSE

35. S et the desired dose by using the Up or Down arrows

11

Connect to the feeding tube and start feeding

NOTE: The end cover needs to be removed prior to priming the set.

36. F lush your feeding tube as directed, then remove end-cover from giving set

37. C onnect giving set to your feeding tube. Use the feeding adaptor if required

6

38. T urn 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

12

VOL FED and CLEAR VOL settings VOL FED Lets you check how much accumulated feed you have delivered

39. T urn the dial to VOL FED and the display will indicate how much feed you have delivered

40. T o continue feeding, turn the dial back to RUN

CLEAR VOL Resets VOL FED display to zero

42. T o continue feeding, turn the dial back to RUN

41. T o 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)

13

Everyday care of your pump

The pump should be cleaned every day after use and immediately after spills occur

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

44. W ipe carefully and thoroughly with a soft damp cloth and warm soapy water

7 45. T he pump is water resistant and can be rinsed under running water. Make sure that you dry the pump properly

46. W hen you have finished cleaning the pump, it should be reconnected so that the battery can continue charging

WARNING – CLEAN THE OUTSIDE OF THE PUMP ONLY 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. 14

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 ( your healthcare professional) • If you still experience problems, telephone the Hospital2Home Freephone Helpline: 0800 0183 799

15

Alarms/alerts: FEED EMPTY FEED EMPTY

The FEED EMPTY alarm occurs if air is detected in the feeding set

Is the bottle empty?

Bottle not empty

Bottle empty

• Turn dial to HOLD to stop the audio alarm

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

• Remove feeding set adapter from your enteral feeding tube • Prime any air out of the feeding set • Securely re-attach the feeding set to your enteral feeding tube • Turn dial to RUN to begin feeding

8

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).

16

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 30 minutes of battery operation remain

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

• Connect to mains power and continue feeding • 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 84ml/h. The battery charges fully in about 6 hours

17

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 30 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 feeding set

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

9

18

Troubleshooting guide

Screen display

Possible cause

Action to take

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 Abbott Nutrition

FEED EMPTY

This means that air has been detected in the feeding set

If you are just beginning a feeding: • Open the door. Gently press the tubing to ensure it is fully seated in slots below the cassette. Close the door firmly. Or… If there is more food to deliver: • Turn dial to HOLD to stop the audio alarm • Remove feeding set adapter from your enteral feeding tube • Refer to INSTRUCTIONS FOR USE to prime the air out of the feeding set • Securely re-attach the feeding 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).

LOCK PUMP LOCKED

Lock-out disables the SET RATE, SET DOSE and CLEAR VOL dial settings, as well as the pump’s prime features

19

Turn dial to SET RATE or SET DOSE. Deactivate the lock by pressing the Up and Down arrows simultaneously. Repeat these steps to reactivate the pump

Troubleshooting guide

Screen display

Possible cause

Action to take

NO CASSETTE

This means that either there is no cassette installed or that the cassette was installed incorrectly when attempting to run pump or prime giving set

Turn dial to HOLD and insert cassette correctly and close set door. Turn dial to RUN to start pump, or attempt to prime the feeding set again

OCCL INTO PUMP

Flow has stopped due to blockage between the feed container and the pump, or between the pump and the patient

Turn control dial to HOLD. Remove feeding set from pump. Clear obstruction; check for kinked tubing or empty container. Reinstall feeding set. If this alarm appears during priming, attempt to prime the set again, then connect the feeding adaptor to the enteral feeding tube. Turn dial to RUN to begin feeding

PUMP READY TO USE

The battery charge has reached the minimum level to operate and the pump can now be used

Turn dial to any position to clear message. Confirm all settings are accurate. Turn dial to RUN to continue feeding

– HOLD MINUTES

This display counts down the remaining time the pump will be on hold

Turn dial to HOLD. If desired, adjust the HOLD timer to any duration (in 1 minute intervals), between 1 to 90 minutes by using the Up and Down arrows

or OCCL OUT OF PUMP

If you have any problems setting up your Abbott FreeGo ® pump and feeding system, please telephone the Hospital2Home Freephone Helpline: 0800 0183 799 20

10

Pump accessories

21

Abbott FreeGo® portable backpack • Backpacks are available for adults and children to carry the Abbott FreeGo® system • They are available in three colours Abbott FreeGo Adult Backpack / Carry Bag (S405) - Black (S530) - Red (S532) - Blue Abbott FreeGo Paediatric Backpack / Carry Bag (S404) - Black (S531) - Red (S533) - Blue

• Both backpacks will hold the 500ml RTH containers and 200ml/220ml plastic bottles. The adult backpack will also hold the 1000ml and 1500ml RTH containers

22

Abbott FreeGo® portable backpack Using the Abbott FreeGo® system in the backpack 1. S et up your pump and giving set as normal. Then push the pump into the padded in the backpack, making sure you haven’t caught the giving set tubing behind it

2. P osition your feed bottle in the backpack as indicated by the printed lines and secure in place with the Velcro straps and the looped elastic

3. Secure the tubing using the Velcro and coil any excess tubing

4. F asten the zip allowing the tubing to move freely out of the bottom of the backpack

5. C onnect the giving set to the feeding tube. Open the lower pocket and set the pump to run

6. T he back can be positioned so the backpack will stand upright

If you need further information about portable backpacks, please your healthcare professional or call the Hospital2Home Freephone Helpline: 0800 0183 799 23

Abbott FreeGo® accessories Standard pole clamp (S406)

Adjustable angle pole clamp (S415)

Table drip stand (S407)

24

Feed details Patient’s name

Name of feed

Feeding RATE: Feed (1st container, ml/h)

Feed (2nd container, ml/h)

Feeding DOSE: (total volume to be given, ml)

Make and description of feeding tube:

Other information:

25

Important numbers Dietitian:

Other healthcare professional:

Hospital2Home Freephone Helpline

0800 0183 799 Other:

26

Notes

27

28

Hospital2Home Freephone Helpline: 0800 0183 799 Abbott FreeGo® is a ed trade mark of Abbott Laboratories Ltd. Further information is available from Abbott Nutrition, Abbott House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire SL6 4XE. www.abbottnutrition.co.uk Date of preparation: August 2012 © 2012 Abbott Laboratories Ltd. RXANI120296

Freedom for life