Amsino PUGGLE User manual

Quick Reference Guide
Enteral Feeding Pump

2
Icon Explanations
Description of LCD screen icons and sections:
1. Notication header
«Lock rate and volume» mode is activated
The «Intermittent» mode is activated (not shown)
The keypad is locked (see section 4.3)
Indicates battery charge level
11:09PM Clock
2. Activity information
The text «Running» and the ashing «Play» symbol on
the screen, plus the solid green LED light on the case (not
shown in this illustration) indicate that feeding is in progress.
3. Upper part of the screen
Displays the parameters programmed for the feeding (ow rate and volume to be administered).
4. Lower part of the screen
Displays time left and volume administered.
5. Action option
To pause the feeding, press and hold the multifunction button [ ] until the green progress bar
lls entirely.
Running
125 mL/h 1000 mL
Hold to pause
450 mL
4 h24 min
Rate
Time left
Total
Total Fed
11:09PM 1.
2.
3.
4.
5.
Icons Explanation
The ow rate: In mL/h, from 1 to 400 mL/h
The volume programmed: Programmed in mL, from 1 to 9,999 mL
The volume administered: In mL, since the launch of the feeding
Time left: Time remaining before the end of feeding
Flashing symbol: Indicates the pump is operating
Battery symbol: Indicates the battery’s charge level and/or charging status
When pump is running, the following icons will be displayed:

3
Starting Up
1
Open pump cover. Place the silicone
loop around the rotor and make sure the
cassette is in the right direction.
Push the cassette in the middle of the
pins with your thumb and make sure the
cassette is well positioned between the two
black pins.
Guide both tubes down, in line with their
respective slots.
Close the pump cover, then place the
adapter into the designated slot.
Remove the protective cap from the distal
connector (end of downstream tube that
goes on the patient’s feeding tube).
Launch automatic priming (see step 3).
Connect the tubing to the patient enteral
feeding tube and program the pump.
Installation of the Tubing
Turn on the PUGGLE™ pump by holding the
on/off button [ ] until a beep is heard.
2
Switching on the Pump
Menu

4
After 1 min. 25 sec., priming is completed or
after pressing the multifunction button [ ].
Restart prime by pressing if needed.
4
Priming Complete
Tubing Priming
3
2 steps to launch priming:
- Press : Prime message appears.
- Press multifunction button [ ]:
Launch prime.
easymoov6
Enteral feeding pump for ambulatory
1.Placement of the tubing
Open the door, place the silicone loop
around the rotor and make sure the
cassette is in the right direction.
Press to secure the cassette between the
black pins.
Guide the tubing from the cassette down to
secure into their respective slots.
Close the cover then place the adapter into
the slot.
Menu
Switch on and prime the tubing
Switch on the pump by pressing and
prime tubing by pressing .
Disconnect patient then press to prime.
Check tubing is correctly primed
Restart prime by pressing if needed
or program nutrition by pressing then
connect the tubing to the patient.
Prime tubing
before starting
nutrition
Program nutrition
Prime
11:09PM
Disconnect
Patient
Prime
11:09 PM
Restart prime
Prime stopped
Check tubing is
correctly primed
Program nutrition
11:09PM
Restart prime
Prime stopped
Check tubing is
correctly primed
Program nutrition
11:09PM
2.Prime of the tubing
1 2
1 2
easymoov6
Enteral feeding pump for ambulatory
1.Placement of the tubing
Open the door, place the silicone loop
around the rotor and make sure the
cassette is in the right direction.
Press to secure the cassette between the
black pins.
Guide the tubing from the cassette down to
secure into their respective slots.
Close the cover then place the adapter into
the slot.
Menu
Switch on and prime the tubing
Switch on the pump by pressing and
prime tubing by pressing .
Disconnect patient then press to prime.
Check tubing is correctly primed
Restart prime by pressing if needed
or program nutrition by pressing then
connect the tubing to the patient.
Prime tubing
before starting
nutrition
Program nutrition
Prime
11:09PM
Disconnect
Patient
Prime
11:09 PM
Restart prime
Prime stopped
Check tubing is
correctly primed
Program nutrition
11:09 PM
Restart prime
Prime stopped
Check tubing is
correctly primed
Program nutrition
11:09 PM
2.Prime of the tubing
1 2
1 2
Starting Up

5
Adjust flow rate
- - -
mL/h
Value must be larger than zero
11:09PM
Adjust flow rate
125
mL/h
Next
11:09PM
Select volume option
Enter
volume
Use
entire bag
11:09PM
Adjust volume
500
mL
Next
11:09PM
1
Press and to adjust ow rate from 1 to 400 mL/h, then press the multifunction button [ ].
Press to use entire bag. Press to set the volume to be delivered. This value must be from 1 to
9,999 mL. Then press the multifunction button [ ].
Review the feeding parameters (with or without a programmed volume). Then press the
multifunction button [ ].
Press the multifunction button [ ] to start the feeding.
<<Simplified>> Mode
2
The following parameters may be modied
when the pause mode is activated in
simplied mode:
The ow rate
The volume programmed
Press and hold the multifunction button
[ ] key for 3 seconds and the progress bar
lls up (green bar at the bottom of
the screen).
Press the button to access the ow
rate screen.
<<Pause>> Mode
Using the Pump
Running
125 mL/h
Hold to pause
11:09PM
Running
125 mL/h 500 mL
Hold to pause
0 mL
4 h00 min
Rate
Time left
Total
Total Fed
11:09PM
Change rate or volume
Resume nutrition
Paused
0 mL
125 mL/h 500 mL
4 h00 min
Rate Total
Total Fed
11:09PM
Time left

6
Alarms and Troubleshooting
Issue Solution
Low battery
Less than 30 min
remaining
Dismiss notice
11:09PM
Charge the battery by connecting the AC adapter to
the pump and power source.
Running
Low battery
Less than 30 min
remaining
Dismiss notice
11:09PM
- Wait until the end of the feeding, or;
- Pause the pump to modify the feeding settings, or;
- Switch the pump off
Solid yellow LED - Low priority alert

7
Alarms and Troubleshooting
Issue Solution
Switch the pump off or press the multifunction
button [ ] to program a new feeding.
Relaunch pause or resume feeding.
In case of an unexpected «Air» alarm, check that the
tubing is properly positioned in its slot, disconnect
from patient, then launch another automatic prime.
Flashing yellow LED - Medium priority alarm

8
Alarms and Troubleshooting
Issue Solution
Charge the battery by connecting the AC adapter to
the pump and power source.
Note: After plugging into the power supply, the
user has to restart the feeding by pressing the
multifunction button [ ].
X
Release upstream occlusion.
Make sure the tubing is positioned correctly.
If there is an occlusion between the pump and the
patient, release the occlusion and ensure that the
branch of the cassette is empty.
If alarm is not resolved, check that the cassette is
positioned correctly between the two black pins and
that there is no presence of feeding solution between
the two black pins.
If the alarm is still not resolved, replace the tubing.
Flashing red LED - High priority alarm

9
Alarms and Troubleshooting
Issue Solution
Contact customer service or your healthcare provider.
Contact customer service or your healthcare provider.
Contact customer service or your healthcare provider.
Flashing red LED - High priority alarm

10
Alarms and Troubleshooting
Issue Solution
Power indicator light
remains off. Request a new AC adapter.
Issue Solution
Continuous beeping
sound. Contact customer service or your healthcare provider.
Flashing red LED - High priority alarm
Other alarms

11
Technical Information
Cleaning instructions:
• Before any cleaning operation, unplug the pump from power source.
• For general cleaning, use a solution of warm water and a mild dishwashing detergent.
• To remove all visible soil, wipe down the pump with a non-abrasive paper towel, sponge, or
soft cloth moistened with the cleaning solution.
• To remove soil from hard to reach crevices, use a soft brush.
• It is recommended that the pump be cleaned to eliminate stains and soils after each
tubing use or at least every day.
• A cleaning is also necessary when the pump is allocated to a new patient.
Battery:
Charging time: 2.5 hours
Autonomy: 20h at 125 ml/h
Memory:
Specic values and modes: 24h
For further information, please refer to the instructions for use.
Contact Amsino’s customer service if you have additional questions:
Amsino International, Inc., Customer Service
708 Corporate Center Drive, Pomona, CA 91768
800.632.6746 • [e-mail]

EN-US-2021-5-10-QRG
Product(s) described may not be licensed or available for sale in all countries. Please see the Instructions
for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and
precautions. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Ofce
and certain other countries. © Copyright 2021, Amsino International, Inc. All rights reserved.
Amsino International, Inc.
708 Corporate Center Drive, Pomona, CA 91768 • Amsino.com
Phone: [phone] • Fax: [phone] • Email: [e-mail]