Amsino AMSure SENTINEL ENF1004K User manual

SENTINEL®
ENTERAL FEEDING PUMP
USER TRAINING PACKET
Visit us at www.amsino.com

2
TABLE OF CONTENTS
Section
Page
I. Sentinel Enteral Feeding Pump In-service Video
DVD (inside front cover of binder) ……………………………
3
II.
Sentinel Enteral Feeding Pump and Sets –Safety Features &
Benefits ………………………………………………………………….
4
III.
Pump Components (Front & back photos with parts labeled) …..
5
IV.
Set Installation ………………………………………………………….
6
V.
Pump Programming
Step by Step Programming Guide ………..………………….
Programming Quick Reference (back pocket of binder)
7-10
VI.
Troubleshooting Guide ……………………………………………….
11
VII.
Proficiency Test ………………………………………………………..
12
VIII.
Frequently Asked Questions ………………………………………...
13
IX.
Key Contacts (for technical questions, customer service, etc.)....
14
X.
Support Materials
AMSure Enteral Feeding Systems sell sheet
Sentinel Enteral Feeding Pump Operating Manual
AMSure Enteral sets IFUs
Set Spike/Container Compatibility Guide
Enteral Set Cross Reference

3
SECTION I: SENTINEL ENTERAL FEEDING PUMP IN-SERVICE VIDEO (DVD)

4
SECTION II: SENTINEL PUMP AND SETS KEY FEATURES & BENEFITS
Pump
Large, dual display shows infusion rate and
volume delivered simultaneously
Patented drop detection technology minimizes
nuisance alarms
Advanced memory keeps settings until manually
erased
Clear audible & visual alarms
Easy to use
1. Press ON to turn on pump
2. UP or DOWN to set infusion rate
3. Press RUN to begin feeding
Sets
New ENFit connector does not allow connectivity
with any non-enteral connectors
Purple anti-IV spikes compatible with Abbott &
Nestle safety ports*
IV warning tag
Latex-free
*See Set Spike/Container Compatibility Guide (at
back of manual)
AMSure®Enteral Feeding Pump Sets
ENF1004K
Spike Set with ENFit connector &
transition connector
ENF1200K
1200 mL bag pump set with ENFit
connector & transition connector
ENF500K
500 mL bag pump set with ENFit
connector & transition connector
Also available:
ENFit Gravity Sets
Full line of irrigation syringes, kits & trays –flat top and thumb ring piston

5
SECTION III: PUMP COMPONENTS
Front
Back
CAP HOLDER
INFUSION RATE
DISPLAY
VOLUME INFUSED
DISPLAY
ROTOR
VISUAL INDICATORS
TUBING HOOK
DROP SENSOR
SET LOCATOR
SHELF
KEYPAD

6
SECTION IV: SET INSTALLATION
1. Close roller clamp and insert
and seat drip chamber.
2. Open roller clamp and expel
air from tubing.
3. Close roller clamp.
4. Pull tubing under rotor.
7. Seat tube adapter into locator
shelf.
5. Wrap tubing behind tubing retainer.
6. Open roller clamp.

7
SENTINEL® ENTERAL FEEDING
PUMP
Programming Guide
•Refer to Operating Manual for detailed instructions
•See also Programming Directions on the pump

8
1
2
3
Set Infusion Rate
(Left Display)
Set Dose Limit
(Right Display)
1
2
3
4
Adjust Infusion Rate
(Left Display)
1
2
3
1
2
3
4
Adjust Dose Limit
(Right Display)
Check Dose Limit
(Right Display)
1
2
3
Check Accumulated Volume
Delivered (Right Display)
1
2
3
1. Press ON. Alarm
will sound. Right
display will flash.
2. Press UP or DOWN
until desired
infusion rate is
displayed on left.
3. Press RUN/STOP to
begin feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press SET. dos Set
will display on left.
3. Press UP or DOWN
until desired dose
limit is displayed on
right.
4. Wait 5 seconds -
Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press UP or DOWN
until desired
infusion rate is
displayed on left.
3. Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press SET. dos Set
will display on left.
3. Press UP or DOWN
until desired dose
limit is displayed on
right.
4. Wait 5 seconds -
Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press SET. Dose
Limit will display on
right.
3. Wait 5 seconds -
Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press DOSE CHECK.
tot will display on
left. Accumulated
volume delivered
will display on right.
3. Wait 5 seconds -
Press RUN/STOP to
resume feeding.

9
Reset Volume Delivered
(current dose) to Zero
1
2
3
Reset Accumulated
Volume Delivered to Zero
2
1
3
4
Reset Volume Delivered
(current dose) & Dose Limit
to Zero & Infusion Rate to 5
1
2
3
Change Display Brightness
AND
Hold for 5 seconds
2
SIMULTANEOUSLY PRESS
Change Alarm Volume
2
AND
Hold for 5 seconds
SIMULTANEOUSLY PRESS
SIMULTANEOUSLY PRESS
AND
1
Lock/Unlock Keypad
1. Press RUN/STOP.
Right display will
flash.
2. Press CLEAR. Hold
for 3 beeps. Right
display will reset to
zero.
3. Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press CLEAR. Hold
for 7 beeps. Left
display will reset to
5, right display will
reset to zero.
3. Press RUN/STOP to
resume feeding.
1. Press RUN/STOP.
Right display will
flash.
2. Press DOSE CHECK.
tot will display on
left. Accumulated
volume delivered will
display on right.
3. Press CLEAR. Hold
for 3 beeps. Right
display will reset to
zero.
4. Wait 5 seconds -
Press RUN/STOP to
resume feeding.
1
1. Press RUN/STOP.
Right display will
flash.
1
While pump is running
1. Press RUN/STOP.
Right display will
flash.

10
ALARMS & INDICATORS
OCC/EMP
→Pathway occluded
→Container empty
→Drip chamber improperly installed, or
→Pump inactive for over 2½ minutes
DOSE COMP
→Dose limit has been reached.
(4 beeps, flashing indicator, 2½ minute repeats)
FLO FAST
→Tubing not on rotor, or
Drop sensor blocked over 6 seconds.
(Loud 3 tone beep)
LOW BAT →Low battery. Plug into AC outlet
1
3
2
To Reset Alarms
1. Press RUN/STOP
2. Correct alarm condition
3. Press RUN/STOP to resume feeding

11
SECTION VI: TROUBLESHOOTING GUIDE
SITUATION
POSSIBLE CAUSE
SOLUTIONS
Battery light flashes. After
15 minutes, pump stops,
displays flash, & alarm
beeps.
Battery charge level is low.
Plug cord into AC outlet for 10
hours for full recharge.
OCC/EMP alarm
activates. Pump stops,
alarm sounds, displays
flash.
1. Container is empty.
2. Occlusion is restricting flow
3. Drip chamber not properly
placed in locator shelf;
drops not being sensed
4. Pump is on standby
(STOP) more than 2 ½
minutes.
1. Replace or refill.
2. Find point of occlusion: kinked
tubing or closed roller clamp in
pump set; feeding tube;
container.
3. Place properly.
4. Press RUN/STOP or OFF
Alarm sounds when
attempting rate change.
Pump does not stop.
UP, DOWN, or CLEAR will
only work when pump has
been stopped.
Press RUN/STOP once. Change
rate. Press RUN/STOP again to
restart.
DOSE COMP alarm
sounds. Displays flash.
Pump has delivered set dose.
Increase dose limit. Press
RUN/STOP. Pump will run until
dose is complete again.
If feeding has been completed,
press RUN/STOP then OFF. If
feeding incomplete, set the dose
limit to zero.
FLO FASt alarm sounds.
Displays flash.
1. Pump set is dislodged.
Tubing is off the rotor.
2. Drop sensor blocked due
to formula on drip chamber
walls.
3. Drop sensor blocked due
to overfilled drip chamber.
1. Stop excess flow. Check set
placement on rotor. Restart
pump.
2. Clear drip chamber or replace
pump set.
3. Invert and reinstall drip
chamber

12
SECTION VII: PROFICIENCY TEST
SENTINEL®ENTERAL FEEDING PUMP PROFICIENCY TEST
NAME ________________________________________________ DATE ___________
FACILITY _____________________________________________________________________
CITY, STATE ___________________________________________________________________
PART A: DEMONSTRATE THESE PUMP/SET SETUP STEPS
Task Satisfactory Completion
(initial)
1. Load the set into the pump and prime the line ________________
2. Set the infusion rate at 50 mL/hour and the dose at 450 mL ________________
3. View total accumulated volume then reset it to 0 ________________
4. Change infusion rate to 75 mL/hour and the dose to 750 mL ________________
5. Clear the volume delivered and dose limit, and reset infusion rate to 5 ________________
PART B: ANSWER THESE QUESTIONS
1. Why do the AMSure Enteral Feeding Sets have ENFit connectors?
_______________________________________________________________________________
2. Can a non-AMSure set be used on the pump? [Circle either YES or NO]
3. Name 3 things that the “OCC/EMP” alarm could indicate.
________________________________________________________________________________
________________________________________________________________________________
4. What is the alarm that signals the dose limit has been reached?
___________________________
5. What steps can you take to resolve an excess flow (“FLO FASt” alarm), if it occurs?
________________________________________________________________________________
________________________________________________________________________________
Trainer/Facility Manager Signature of Successful Completion

13
SECTION VIII: FREQUENTLY ASKED QUESTIONS
1. How can I clean the Sentinel®Enteral Feeding Pump?
Clean the pump housing with warm soapy water and a damp cloth or sponge. Clean the
drop sensor parts with soft cotton swabs dipped in isopropyl alcohol. Do not use cleaners
that will degrade polycarbonate.
2. What are the minimum and maximum flow rates?
5 –295 mL/hr in 1 mL increments.
3. What is the dose accuracy?
+/- 10% of selected flow rate with AMSure®sets.
4. What are the dimensions of the pump?
H: 19 cm (7.48 inches)
W: 23 cm (9.06 inches)
D: 13 cm (5.12 inches)
5. What is the weight of the pump?
2.45 kg (5.4 lbs)
6. Can I use a non-AMSure set on the pump?
No. To assure patient safety and accuracy of the pump delivery only a validated AMSure set
can be used on the Sentinel Enteral Feeding pump.
7. Does the pump retain its memory in a power failure or when the unit is turned off?Yes
8. Can I infuse water with the Sentinel pump?
Yes. The Sentinel Enteral Feeding Pump is designed to work with all liquid nutrition
formulas and water. It has a patented system to recognize fluid drops and to minimize false
alarms caused by soiled drip chambers.
9. What is the battery life of the pump?
6 hours minimum at 125 mL/hr
10. Is there a pause button on the pump?
To pause the pump, simply press RUN/STOP button and the pump will notify you every 2 ½
minutes that it is not running.
11. Why do the AMSure Enteral Feeding Sets have ENFit connectors?
This is designed to help prevent the set from inadvertently being connected to non-enteral
connectors.
12. When a programmed dose limit is reached, how many beeps does the pump alarm
signal?
The alarm will signal 4 beeps and the indicator will flash “DOSE COMP. This repeats every
2½ minutes

14
SECTION IX: KEY CONTACTS
Orders/Customer Service ………………………………………….Amsino [phone]
Sets Technical Information ………….…………………………….Amsino [phone]
Pump Technical Information ………………….……… ALCOR Scientific [phone]
Warranty/Repair ………………………………………. ALCOR Scientific [phone]

15
1
2
3
Set Infusion Rate
(Left Display)
Set Dose Limit
(Right Display)
1
2
3
4
Adjust Infusion Rate
(Left Display)
1
2
3
1
2
3
4
Adjust Dose Limit
(Right Display)
Check Dose Limit
(Right Display)
1
2
3
Check Accumulated Volume
Delivered (Right Display)
1
2
3
Sentinel® Enteral Feeding Pump Quick Reference
Refer to Operating Manual for detailed instructions
See also Programming Directions on the pump

16
Sentinel® Enteral Feeding Pump Quick Reference
Refer to Operating Manual for detailed instructions
See also Programming Directions on the pump
Reset Volume Delivered
(current dose) to Zero
1
2
Hold for 3 beeps
3
Reset Accumulated
Volume Delivered to Zero
2
1
3
Hold for 3 beeps
4
Reset Volume Delivered
(current dose) & Dose Limit
to Zero & Infusion Rate to 5
1
2
Hold for 7 beeps
3
Alarms & Indicators
Reset Alarms
OCC/EMP
→Pathway occluded
→Container empty
→Drip chamber improperly installed, or
→Pump inactive for over 2½ minutes
DOSE COMP
→Dose limit has been reached.
(4 beeps, flashing indicator,
2 ½ minute repeats)
FLO FAST
→Tubing not on rotor, or
→Drop sensor blocked over 6 seconds.
(Loud 3 tone beep)
LOW BAT
→Low battery. Plug into AC outlet
1
3
2
Correct alarm condition
EN-US-2017-08-16C