ARJO HUNTLEIGH FLOWTRON UNIVERSAL User manual

Intermittent Pneumatic Compression System
User Manual
Flowtron®Universal

(i)
Contents
Description and Operating Principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Cautions & Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System Set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Garment Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
General Guidelines and Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
System Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
To Use One Garment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
To Use Different Garments on Each Limb. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Settings Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Connecting the Battery Pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Battery Pack in Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Checking the Status of the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Recharging the Battery Pack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Alternative Method of Charging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Warranty and Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Cleaning Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

(ii)

(iii)
General Safety
Before you connect the system pump to a mains socket, read carefully all the
installation instructions in Section 4 - System Set Up. The system has been designed
to comply with regulatory safety standards including:
• UL60601-1 & CAN/CSA C22.2 No 601-1
Precautions
For your own safety and the safety of the equipment, always take the following
precautions:
• Regularly check the system when in use, for pump operation and garment fit.
• Keep the pump away from sources of liquids and do not immerse in water.
• Do not expose the system, especially the garments, to naked flames, such as
cigarettes etc.
• Do not store the system in direct sunlight.
• Switch off the electrical supply to the pump by disconnecting the pump from the
mains socket before cleaning and inspection.
• Do not use hypercarbonate or phenolic based cleaning solutions.
• Ensure the system is clean and dry prior to storage.
• Only the pump and garment combination as indicated by Huntleigh Healthcare
should be used. The correct function of the product cannot be guaranteed if the
incorrect pump/garment combinations are used.
Safety Warnings
• Electrical equipment may be hazardous if misused. The pump's
case back should only be removed by authorised technical
personnel.
• Do not use the pump in the presence of flammable gases such
as anaesthetic agents.
• Make sure that the mains power cable is positioned to avoid
causing a trip or other hazard, and is clear of moving bed
mechanisms or other possible entrapment areas.
Caution
Electromagnetic compatibility (EMC). This product complies with
the requirements of applicable EMC Standards. The use of
accessories not specified by the manufacturer may result in
increased emissions by, or decreased immunity of, the equipment,
affecting its performance

(iv)

1
1. Description and Operating Principle
The Flowtron®Universal system is a non-invasive external intermittent pneumatic
compression system for reducing the incidence of Deep Vein Thrombosis (DVT).
The application of external pneumatic compression has two effects:
• Augments venous blood flow velocity, thereby reducing stasis.
• Enhances fibrinolytic activity to reduce the risk of early clot formation.
The system comprises of a pump that can be used in conjunction with an extensive
range of Huntleigh Healthcare inflatable garments, including foot, calf and thigh
length versions.
The system is designed to be simple and easy to operate.
The pump automatically adjusts to the correct therapy profile depending upon which
garment type (foot, calf or thigh length) is connected.
An optional battery pack is available which allows the pump to be used
independently of an AC power outlet.
Caution
Federal law restricts this device to sale by or on the order of a
physician.

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2. Clinical Applications
The primary application of the Flowtron Universal system is for the prevention of
Deep Vein Thrombosis. Depending on the garment type used, other clinical
applications are also appropriate.
The FG foot garment, in particular, has a wide range of clinical applications.
Full details for clinical applications are included in the packaging of every garment.
The type of garment used on an individual patient must be specified by a
physician.

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3. Cautions & Contraindications
Cautions 1. Proper garment application and connection to the
pump is essential.
2. Garments should be positioned in such a way that
they do not create any potential for constant
pressure points on the patient’s limb. Additional
care should be taken when placing the garments on
any deformed leg or foot, or on legs with significant
oedema.
3. Garments should be removed immediately if the
patient experiences tingling, numbness, or pain, and
the physician notified.
4. When used for DVT prevention, continuous
external pneumatic compression is recommended
until the patient is fully ambulatory. Uninterrupted
use of the Flowtron Universal system is
encouraged.
5. The Flowtron Universal system should be USED
WITH CAUTION on patients with:
• Insensitive extremities
• Diabetes
• Impaired circulation
• Fragile or impaired skin
Contraindications The Flowtron Universal system should NOT be used in
the following conditions:
1. Where an increase of fluid to the heart may be
detrimental.
2. Severe congestive cardiac failure.
3. Known or suspected acute deep vein thrombosis,
thrombophlebitis or pulmonary embolism.
4. On untreated, infected legs.

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4. System Set up
The Flowtron Universal system is simple to set up and operate. The pump does not
require any setting or adjustment of controls. It automatically senses the type of
garment connected and adjusts the therapy cycle accordingly.
Garment Application
Use the correct garment type as ordered by the patient’s physician.
For detailed instructions on correct fitting and use, carefully read and follow the
instruction provided with every garment set.
General Guidelines and Recommendations
• Only use Huntleigh Healthcare approved garments with the
Flowtron Universal system. Note: Non-Huntleigh garments will not function
properly with the system and should not be used.
• While using the system, the patient’s limbs should be checked during every
shift, and more often if the patient has known circulatory or skin problems, or
is diabetic.
• Note: Many patients are at risk for pressure ulcers on the heel. Use of the foot
garments does not negate the necessity for heel protection and proper skin
care.
• Clinical judgment should be used to determine if the patient’s skin condition
requires additional measures, such as use of a stockinette or padding, or if the
treatment should be discontinued and alternative modalities used.
• Huntleigh Healthcare, however, does not recommend the use of compression
stockings with its system. If these are ordered by the physician, the clinician
should ensure that the compression stockings are properly measured, applied
and worn by the patient. Any compression stocking used should be routinely
checked to ensure continued proper fit and application, in addition to assessing
the condition of the skin.

5
System Operation
Plug the pump into an electrical outlet. The pump will first go through a self-test
routine and then remain in until required for use.
Apply the prescribed Huntleigh Healthcare garment to the patient by carefully
following the instructions included in the garment packaging.
Connect the garments to the pump air tubing and ensure the connectors click into
place.
Run/Standby Button
LCD Display and
Function Buttons
Air Feed Tube
Connectors Power/Alarm
Indicators

6
Check that the connection and garment type are confirmed correctly on the display.
Typical garment options and therapy parameters
TO START, press the green RUN button on the pump. The green lights will
illuminate and therapy will begin.
(this example shows the pump running and the left garment inflated to 40 mmHg)
Refer to “Battery Operation” on page 13 when operating the pump under
battery power.
TO STOP press the green RUN button a second time. The green lights will go
out and therapy will stop.
Garment Type Inflation Pressure
(mmHg) Inflation Hold (seconds) Cycle (seconds)
Foot garments
e.g., FG100-200
130 3 30
Single chamber
garments
e.g., DVT10-40,60
40 12½ 60

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Recommended Checks:
• Check display symbols to confirm that the correct type of garment has been
connected.
• During garment inflation, check the display to confirm that the correct
pressure is being applied and that there are no fault messages appearing.
• Check that there are no kinks in the tubing.
• Check that the hoses and connectors do not cause the patient any discomfort.
• Regularly check that the garments remain correctly fitted to the patient.
To Use One Garment
When the pump is in standby (page 5 system operation) connect one garment to
either tubing outlet.
The display will confirm that only one garment is connected.
If a garment is disconnected while the pump is running, the system will alarm
Lo. If the single garment option is still required, simply press the RUN
button to reset the system and press RUN again to restart therapy.
If, at any time, a second garment is connected while the pump is running, the
pump will automatically change to two garment operation.

8
To Use Different Garments on Each Limb
It is possible to use different garment types on each limb (if prescribed by the
patient’s physician).
Simplyconnectthegarmentstoeithertubing outlet and the correct therapy cycle will
be administered.
Check on the display panel to confirm the garment types connected.

9
5. Settings Adjustment
The pump is configured to give the recommended therapy for each garment type and
does not require any setting by the clinician or nurse.
If the physician requires different therapy settings, limited changes can be made
through a service link. Contact your local Huntleigh sales representative for details.

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6. Troubleshooting
The Flowtron Universal pump features an audible and visual alarm. If a problem
occurs, the system will sense the fault and briefly flash a message on the display.
Ifthesame faultcontinuesfor 10 successiveinflations (upto10minutes), theaudible
alarm will sound, the red alarm lights flash and a message will appear on the display
until corrective action is completed. (The exception to this is an “F” fault, which will
alarm immediately.)
Alarm Cancel:
After a fault has been corrected, the alarm can be cancelled by two methods:
Press the RUN button twice, or until the green lights are lit and the pump is
running.
Refer to “Battery Operation” on page 13 when operating the pump under
battery power.
With the exception of a pump failure ( F ), correct the fault and allow the pump to
run until it senses a normal inflation; it will then reset itself.
Recommended Checks:
To confirm that the fault has corrected, watch the display for approximately one
minute. If the fault has not been corrected, a fault message will flash during that
time.
In addition, the pump will refuse to start if it does not recognize the attached garment.
Pump Display Problem Corrective Action
Lo Garment leak Garment Leak Check garment and replace if
faulty.
Lo Garment disconnected Garment disconnected Check and reconnect.
Lo Garment loosened Foot Garment has come off
patient during use Reapply foot garments to patient.
HI Tube kinked Hose kinked causing a blocked
tube Check hoses for kinks and obstructions.
FPump fault Pump failure Do not use pump, refer to
service.
Pump Display Problem Corrective Action
“None” or
“Standby Attach Garments” Pump will not start due to no garments connected or a non-
Huntleigh authorized garment
connected.
Connect an authorized
Huntleigh garment.

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7. Options
Pressing the option button will bring up a multi-choice menu of options.
The option can be set using a combination of the three soft function buttons on the
display.
Audio Alarm Volume
• Press the button,
• Use the arrow buttons to select
Audio Alarm volume.
• Press the button to display the volume setting controls.
• Use buttons to select either high or low volume setting.
• Press the button to confirm.
• The selected volume setting will remain in place during subsequent uses of the
pump.
Patient Hours Meter
• Press the button,
• Use the arrow buttons to select
Hours Run.
• Press the button to display the total hours run.
• Press the button again; the pump will revert to its previous state.
To Clear the Patient Hours Meter
• Press the button.
• Use the arrow buttons to select
Clear Hours.
• Press the button to clear the hours to 0.
• Press the button again to confirm
• The hours meter has been cleared.

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To Change The Language Shown on The Pump
Press the function button
adjacent to “Options”.
Use the arrow buttons to
highlight “Language”.
Press the button to confirm
Press the button to confirm
Use the arrow buttons to
scroll through the
available languages.
Press the button to confirm
Use the arrow buttons to
highlight ‘Exit’.
Press the button to confirm

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8. Battery Operation
When used with the optional battery pack, the system can be run independently of
AC power.
Typically, 6-8 hours of operation can be expected from a fully charged battery pack.
Connecting the Battery Pack
From the front of the pump, engage the pack on the runners and slide into place until
a click is heard.
To remove the pack, depress the latch at the rear of the unit and slide pack forward
and out.
Reset/Status Latch
Battery Pack

14
Battery Pack in Use
The battery pack will automatically take over powering the pump whenever the AC
cord is removed from the wall outlet.
When running under battery power, a battery symbol appears in the top right hand
corner of the display.
In order to maximize battery life, the power alarm indicators will not
illuminate when operating the AC600 under battery power. You may verify
therapy is, or is not, being provided via the LCD screen.
The amount of charge remaining in the battery pack is indicated by the black block
inside the battery symbol.
When the battery has only 5% of the charge remaining, the battery symbol will flash
and the remaining charge will be displayed as a percentage. Recharge the battery as
soon as possible.
Then, when the battery has 1% charge, the audible alarm will sound but the pump
will continue to run. When the battery has no charge left the pump will shut down
completely. Recharge the battery.
After use, disconnect the battery from the pump to maintain battery charge level. If
the pump is put into standby mode it will beep after 10 minutes of inactivity,
reminding you to either disconnect the battery or to plug the pump into an electrical
outlet.