Covidien Kangaroo User manual

KangarooTM
Connect Enteral Feeding Pump
Operator Manual

Thank you for purchasing the Kangaroo™ Connect enteral feeding pump system.
With proper care, this system will provide you with years of precision service.
Table of Contents
Section 1 Pump Overview.................................................................................3
Section 2 Safety and Warnings.........................................................................6
Section 3 User Interface....................................................................................7
Section 4 Symbols .............................................................................................9
Section 5 System Setup
Attaching the Power Adapter ....................................................................................... 10
Using the Pole Clamp tube support guide ............................................................... 11
Installing the Wireless Communications Hub (WCH) ........................................... 11
Installing a WiFi/Ethernet Module (WiFi module)................................................... 12
Section 6 User Screens
Preparing for a feed........................................................................................................... 13
Cassette loading sequence............................................................................................. 13
Priming the pump.............................................................................................................. 14
Entering feed rate settings.............................................................................................. 14
More options........................................................................................................................ 15
How to Lock/Unlock the input screen........................................................................ 15
Section 7 Certification of Performance/Calibration
Manual Certification.......................................................................................................... 16
Section 8 Cleaning.......................................................................................... 17
Section 9 Alarms and Troubleshooting
Feed Set Usage.................................................................................................................... 18
Setting Locked .................................................................................................................... 18
Feed Complete.................................................................................................................... 19
Feed Incomplete................................................................................................................. 19
Pump Inactive...................................................................................................................... 19
Low Battery........................................................................................................................... 19
Feed Bag Empty.................................................................................................................. 20
Rotor Stuck ........................................................................................................................... 20
Patient Tube Blocked ........................................................................................................ 20
Supply Tube Blocked......................................................................................................... 20
Cassette Dislodged............................................................................................................ 21
Cassette Error....................................................................................................................... 21
Dead Battery ........................................................................................................................ 21
System Error ......................................................................................................................... 21
Section 10 Specifications................................................................................. 22
Section 11 Customer Service........................................................................... 24
Section 12 Maintenance
Wireless Charging Hub Button...................................................................................... 25
Power Adapter..................................................................................................................... 25
Pole Clamp Latch Clip Kit ................................................................................................ 25
Cassette Latch Clip Kit...................................................................................................... 25
Section 13 Service Part Numbers.................................................................... 26
Section 14 Warranty......................................................................................... 27
Section 15 Electromagnetic Conformity Declaration.................................... 28
Section 16 Glossary of Terms........................................................................... 32
Appendix A Accuracy Graphs ............................................................................ 33
Appendix B Explanation of Alarms................................................................... 38
Appendix C Fluid/Occlusion Detection Overview ........................................... 39

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Table of Contents
Features:
• Magnetic feeding set identification system to ensure a match between the
pump’s user interface and feeding set type
• State of the art STOP (Safety Threshold Overflow Protection) valve automatically
prevents free flow conditions, even when feeding set is unloaded from the pump
• Audible alarm to indicate errors or feeding set loading conditions
• Pump orientation-independent design eliminates need for drip chamber on
feeding set
• Sensor technology detects both upstream and downstream flow conditions
• Continuous feed and dose feed capability
• Auto-prime feature reduces the need for time-consuming manual priming
• “Keep Tube Open”(KTO) feature
• View previous 72 hours of feeding history
• 17 Languages
• ~24 hour battery life at 125 mL/hr (using Power Save and Airplane Mode)
• If enabled, unique wireless technology allows for:
- Remote troubleshooting for user support
- Future software upgrades and new features
- Long term historical trending to better meet patient needs
The Kangaroo Connect enteral feeding pump is a portable rotary peristaltic enteral feeding pump, intended to provide enteral nutrition to
a patient. It can be programmed to provide patients with continuous, dose, or bolus feeding when used with Kangaroo Connect feeding
sets. The feeding pump and its standard accessories (the AC power adapter, feeding set and pole clamp) are considered medical electrical
equipment. The pump may also be used with additional optional accessories like the Kangaroo Connect car charger and either a Kangaroo
Connect wireless communication hub (WCH) or a Kangaroo Connect WiFi/Ethernet communications module (WiFi module). The pump used in
conjunction with one or more of these optional accessories comprises the medical electrical equipment system. All components in the system
are suitable for use within the patient environment.
The Kangaroo Connect enteral feeding pump is intended for hospital and acute care settings, as well as for long term and home care use. It is
intended to be used in both stationary and ambulatory conditions.
The Kangaroo Connect pump can be used for both adult and pediatric patients, age infant and above, provided the patient can tolerate the
flow rates and accuracy level of the pump. Not for use with neonates.
Use only commercially available pre-packed or commercially prepared feeding solutions prescribed by a licensed health care provider,
dietician or nutritionist. Do not use homemade blenderized or liquidized foods or other non-prescribed, noncommercially available
feeding solutions.
1. Soft Keys
Press a key to select the option that appears next to it
on the screen.
2. Flow Indicator (Droplet)
Moving droplet flowing down the screen shows that
the pump is running.
3. Power Button
Press once to power on.
Press and hold to power off.
4. Power Source
Shines a green light when the pump is connected to
AC power.
5. Pump Rotor
The circular black wheel
that drives fluid through the feeding set.
6. Pump Status
●= Warning Alarm
●= Notice or Caution Alarm
●= Standby or Feeding
7. Cassette
The feeding set component that attaches to
the pump.
Section 1 – Pump Overview
User Interface:
• Large, color LCD display
• Step-by-step prompts and animated illustrations to
guide pump operation
• “Stoplight”LED array visually indicates pump status in a
bright or darkened room
Ergonomics:
• Quiet pump operation
• Compact, lightweight design
• Tabletop, bed rail or IV pole mounting
• Simple, one-handed loading of pump cassette
• Pump is designed for cleaning under running water
• Rubberized casing for better grip
• Pole clamp can detach from either pump or WCH without
removing from IV pole
1
34 5
6
7
2

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Wireless Features
The wireless feature of the Kangaroo Connect pump is initially disabled unless
activated by a specific type of feeding set. Through the use of a wireless enabled
Kangaroo Connect pump and a communications hub, clinicians will be provided
with the ability to acquire and display nutritional delivery data from the pump
within a website called the Kangaroo Connect Portal.
The wireless technology used within the Kangaroo Connect pump and
communications hub is built on the IEEE 802.15.4 standard which transmits in
the ISM band (2.4GHz). A patented combination of short range and long range
wireless provides seamless wireless capability for the pump.
The following are required in order to utilize the wireless capability of the
Kangaroo Connect Pump:
1. Kangaroo Connect pump with short range wireless chip (located in but
initially disabled in ALL Kangaroo Connect pumps)
2. Either a:
• Kangaroo Connect wireless communication hub (WCH) with 3G wireless
capability, or
• Kangaroo Connect WiFi/Ethernet communications module (WiFi
module) with WiFi/Ethernet capability
3. Kangaroo Connect ENtelliSet Feeding Set (designed to enable the short
range wireless chip in the pump when loaded in the pump)
4. Internet access
Wireless Quality of Service
The wireless communication feature of the Kangaroo Connect pump was
designed to add multiple features and benefits without compromising pump
safety. In the event of an intermittent or failed wireless connection, the pump
feeding operation is designed to work independently of any wireless connection
and will continue to operate normally and safely. Therefore, the patient can be
confident their pump will continue to work properly even if there is a wireless
delay, loss of signal, or wireless failure. The communication system is designed
to take advantage of the time when a connection is available and wait for a
connection to be restored when it is not. The pump will store data for up to 30
days, for upload when a connection is available. As the pump is designed to be
ambulatory, loss of wireless capability is expected to be a common occurrence.
The Kangaroo Connect pump wireless system has an acceptable latency of 25
seconds for message exchanges. (Typical latency is approximately 5 seconds.)
However, this latency is not a concern because the data is not being used in
real time. Since the pump confirms that all transmitted data is received by the
Kangaroo Connect Portal before it is deleted, any data not acknowledged will
be resent at a later time within the 30 day window. Considering the acceptable
latency and a low signal priority on the network, the following table shows the
network access time required by the pump to prevent any loss of stored data
based on the probability of network data loss:
Probability of Network Data Loss Network Access Time Required (Hours)
Probability of Network Data Loss Network Access Time Required (Hours)
0% 6.3
10% 6.9
20% 7.8
30% 8.9
40% 10.4
50% 12.5
60% 15.6
70% 20.8
80% 31.3
90% 62.5
Wireless Safety
The following pump features were specifically designed
to ensure patient safety related to use of the wireless
communication feature:
1. The pump only provides alarms directly from the
pump to a user/ clinician. The pump does not provide
real time communication of alarms though the
wireless communications feature, but rather logs
historical alarm events. This prevents confusion as to
how the pump alarms (only through the pump itself)
and prevents the condition where loss of wireless
connection could cause a missed alarm.
2. The pump is designed to operate independently of any
wireless communications, allowing it to continue to
provide safe and effective enteral nutrition to a patient.
Therefore, the patient can be confident their pump will
continue to work properly even if there is a wireless
delay, loss of signal or wireless failure.
3. The wireless data communicated by the pump is
encrypted for patient security and protection. No
confidential patient information is communicated
from the pump to internet, so privacy remains intact
and secure.
4. With medical device hacking being a heightened
concern, this pump has been designed from the
ground up to prevent wireless intrusions seen on older
medical devices. This pump was tested to the latest
standard of penetration testing to help safeguard
against possible intrusions.
System Configuration / Operation
No additional system configuration is required to operate
the wireless communication feature. Refer to Section 5 –
System Setup for instructions on how to install the WCH or
WiFi module.
Operating Distances and Ranges
For the wireless capability to work properly, the pump must
be within 300 feet of the WCH or WiFi module with direct
line of sight. Obstructions such as walls and doors will
reduce this range. Strength of the wireless signal between
the pump and WCH or WiFi module can be determined by
looking at the wireless icon on the pump screen.
Wireless Coexistence
Wireless coexistence testing has been performed on the
wireless communication feature of the Kangaroo Connect
pump. Testing established on the intended environment
included multiple sources of possible interference such as
Wi-Fi connections, Bluetooth devices, cellular connections,
cordless phones, and microwaves, with no degradation
of signal noted. Should a coexistence issue be suspected,
turn off or relocate any other electronic devices located
near the pump or WCH or WiFi module which might
generate interference.

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Wireless Communication Delay
In the event of an unexpected wireless disruption:
1. Move the pump closer to the WCH or WiFi module
2. Reduce or remove obstructions between the pump
and WCH or WiFi module. Having direct line of sight
between the pump and WCH or WiFi module is
important to a good wireless signal.
The pump will store its data waiting for the system to come
back online for a maximum of 30 days while the pump is
disconnected from the communication system. Data older
than 30 days will be deleted from the pump to conserve
data storage resources on the pump. Once communication
is restored, the pump will send the backlogged data (up to
30 days) to the Kangaroo Connect Portal.
Wireless Security
The wireless communications of the pump are designed
to utilize a multitude of methods to protect data in every
stage of the communication pathway. In addition to the
use of a proprietary communications data protocol, the
serial number assigned to each pump is encoded both at
rest and while in transit. Pump data is encrypted at the
pump before transmission to the WCH or WiFi module. At
the WCH or WiFi module, the data is decrypted and then
re-encrypted via AES before transmission to the Kangaroo
Connect Portal.
Wireless Features

Kangaroo™ Connect Enteral Feeding Pump | 6
Table of Contents
Section 2 — Safety and Warnings
Note to healthcare personnel who provide training to lay operators or lay
responsible organizations:
Be sure to include all of the Warnings below when providing training to lay
operators, especially in a Home Care Environment. Lay users should be instructed
to contact Customer Service if there is a change in the performance of the pump,
WCH or WiFi module. Additionally, Lay Operators should be instructed on proper
cleaning procedures to avoid hazards such as electric shock. Lay users should
also be trained on inappropriate environments for use (e.g. bathtub) of the pump,
WCH or WiFi module. For guidance on training, please contact Customer Service.
General warnings
1. Caution: Read this booklet thoroughly before using the pump.
2. Caution: Federal (USA) law restricts this device to sale by or on the order of
a physician.
3. Danger: Strangulation Hazard. Avoid leaving power adapter cord, feeding set
tubing or other choking hazards where infants or young children can become
caught. If these objects get wrapped around a child’s neck, strangulation and
death can occur.
4. Danger: Explosion Hazard. Do not use the pump, WCH or WiFi module in the
presence of flammable anesthetics. Flammable anesthetics can ignite due to
a spark within the unit, which could result in fire or explosion.
5. Danger: The pump, WCH or WiFi module, and disposable feeding set all
contain small parts which could become detached and pose a choking
hazard. Some of these components could be inhaled or swallowed by a small
child, toddler, or infant, which could result in suffocation and death. Keep all
small components out of reach of small children.
6. Use only Kangaroo connect feeding sets with this device. This pump is
designed to be incompatible with other feeding sets. Danger: Use of other
feeding sets with this pump can create hazardous situations, including free-
flow conditions that can result in overfeeding, underfeeding, formula in the
lungs, and death to a patient.
7. Warning: Do not modify this equipment without authorization of the
manufacturer. Modification of any devices or accessories can result in
physical hazards including delayed therapy, over delivery, under delivery,
electrocution, and fire. These hazards could result in patient injury or death.
8. Warning: Not for intravenous use. Do not use for intravenous infusion
into a patient. Intravenous infusion of enteral fluids can result in serious
complications up to and including death.
9. Warning: This enteral feeding pump should only be used for patients who
can tolerate the flow rates and accuracy levels delivered by the pump.
Neonates may require higher accuracy rates than specified for this enteral
feeding pump. Delivery of fluid to patients who cannot tolerate the pump
accuracy can result in over or under delivery with the possibility of aspiration.
10. Warning: The use of non-commercially prepared or other non-prescribed
feeding formulas is not appropriate for use with the Connect Pump.
Formulas made in blender present variability of unknown ingredients and
inconsistency regarding the degree of mixing. Therefore these homemade
formulas cannot be adequately tested to validate their usage with this
enteral feeding pump. Use ONLY commercially available pre-packed or
commercially prepared feeding solutions prescribed by a licensed health care
provider, dietician or nutritionist. DO NOT USE HOMEMADE BLENDERIZED
OR LIQUIDIZED FOODS OR OTHER NON-PRESCRIBED, NON-COMMERCIALLY
AVAILABLE FEEDING SOLUTIONS.
11. Warning: The pump, WCH and WiFi module should not be used with
additional multiple socket-outlets or extension cords. The use of multiple
socket-outlets or extension cords will compromise electrical safety and/or
increase the risk of electrical shock.
12. Caution: The power adapter cord, feeding set tubing,
and pump accessories may cause a tripping hazard.
Avoid leaving wires, cords, or tubing in a pathway
where a person could trip on them and sustain
an injury.
13. Caution: Do not store the pump, WCH, WiFi module,
power adapter or car charger at temperatures >50ºC
(122ºF). This can damage the equipment sensors,
which will prevent the pump from operating under
normal conditions.
14. Caution: Avoid using accessories, detachable parts
and materials with the pump, WCH and WiFi module
that are not recommended in this manual. Use only
approved Kangaroo Connect accessories with the
pump, WCH and WiFi module. Failure to use Covidien
accessories could result in damage to the pump or
physical injury.
15. Caution: Use the pump, WCH and WiFi module only as
directed in this user manual. Do not interconnect this
device with other devices or modify the equipment
in any way outside of the recommendations in this
manual. Failure to comply could result in incorrect
delivery of formula to the patient and could result in
damage to the pump, WCH and WiFi module.
16. Caution: Always disconnect the power adapter before
cleaning or servicing. Failure to do this could result
in electric shock to the user performing the cleaning
function. In some cases, electric shock can be fatal.
17. Caution: Ensure buzzer hole is unobstructed during
normal operation so as to allow clear recognition of
alarm. Inability to hear the alarms could pose a serious
risk to the patient, since the operator may not hear a
critical alarm.
18. Caution: This pump, WCH and WiFi module is
not intended to be used in MRI environments or
in the presence of strong magnetic fields. Do not
use this device in any areas with strong magnetic
fields. The pump, WCH and WiFi module contain
metal components which could cause unintended
movement. This unexpected movement could cause
harm due to falling objects or collisions.
19. Caution: There are significant hazards associated with
accidental misconnections with other infusion devices,
which could lead to patient harm or death.
For more information about hazards and risk reduction
strategies associated with misconnections, see
the following:
The Joint Commission
Sentinel Event Alert
Issue 36 - April 13, 2006
20. Use only the supplied power adapter to charge your
feeding pump, WCH or WiFi module. See Section
13 – Service Part Numbers for replacement of power
adapter and the associated part number.
21. For pump certification, see Section 7 - Certification
of Performance. For other integrity checks, consult
with a qualified Biomedical Technician or contact the
manufacturer (Section 11 - Customer Service).

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Table of Contents
Section 2 — Safety and Warnings
22. For service or for technical information, please contact
Customer Service (Section 11).
23. Do not open the pump, WCH or WiFi module, as there
are no user-serviceable parts inside. Opening may affect
function of device and voids the warranty.
24. Cleaning frequency and practices must be consistent
with institutional policy for cleaning of non-sterile
devices. See Section 8 - Cleaning, for instructions on
cleaning the pump.
25. See icon descriptions in Section 3 - User Interface and
Section 4 - Symbols for additional safety information.
26. This device is designed and tested to minimize the
effects of uncontrolled electromagnetic interference
and other types of interference from external sources.
Avoid use of other equipment that may cause erratic
operation or degradation in the performance of this
device. Electromagnetic interference could make the
display unreadable or prevent the pump from being
able to feed.
27. Do not use feeding solutions or formula other than that
prescribed by a qualified physician, nurse, registered
dietician, or other licensed practitioner.
28. For optimal accuracy, the top of the starting volume of
formula should be 10 inches above the top of the pump.
Do not reuse feeding sets.
29. Should feeding sets require rinsing, it is recommended
that the feeding sets be rinsed while they are loaded in
the pump.
30. The feeding set should be replaced after 24 hours from
initiation of feeding. This ensures that the system is
operating within specified parameters and prevents
bacterial growth that could be a hazard to the patient.
31. Do not clean the pump, WCH, WiFi module, or the
accessories while these items are plugged into an
electrical outlet. Clean only as recommended in
this manual. Failure to clean in accordance with
this manual could result in damage or failure of the
pumping system.
32. Do not use the pump for delivery of any fluids or
substances that are not enteral solutions prescribed by
qualified medical personnel.
33. Used feeding sets should be disposed of in accordance
with current hospital procedure or local disposal
guidelines. For disposal of the pump, WCH, WiFi module,
be sure to contact local authorities to determine the
proper method of disposal of these items, keeping in
mind that the pump contains a rechargeable Lithium-
Ion battery.
34. The pump and WCH is designed to be used outdoors
for short periods of time (no more than 24 hours).
Leaving these devices outdoors for extended periods of
time (exceeding 24 hours) can result in damage and/or
fading of the pump and WCH.
35. This device is designed for use on a conventional IV pole. As with any
medical device, it is possible for the weight of the pump and/or WCH
to cause the IV pole to tip over. This could result in injury to a patient
or operator. When attaching the pump and/or WCH to the IV pole, take
precautions to ensure the IV pole remains stable while in use.
36. This enteral feeding system was designed to meet IEC 60601-1 safety
standards. For clarification purposes, the feeding set is considered an
Applied Part and has been tested and evaluated accordingly.
37. The rear label is intended to provide tamper protection and liquid ingress
protection. Do not use the pump if the rear label contains puncture marks
or looks like it has been removed and replaced. Pump functionality cannot
be guaranteed.
38. The Kangaroo Connect WCH and WiFi/Ethernet Module are not intended to
be ambulatory.
Battery pack warnings
1. Caution: The battery cells used in this device may present a fire or chemical
hazard if mistreated. Do not disassemble, heat above 60ºC (140ºF), or
incinerate. Avoid exposing the battery pack to heat or fire since a fire or
explosion hazard could result.
2. The pump and WCH utilize a medical grade power supply adapter
specifically designed for use only with this pump’s Lithium-Ion battery
charging circuit. Caution: Use of an alternate consumer style power adapter
or DC car adapter may cause damage to the charging circuit and battery of
the pump.
3. The pump contains a rechargeable lithium-ion battery. When disposing of
the pump unit, be sure to discard this equipment in a manner consistent
with institutional policy for expired battery operated equipment.
4. The stated battery life is approximate. Performance of the battery may
degrade due to excessive temperatures, frequent recharging, and
other factors.
5. Avoid using battery packs from other providers. Only Covidien pump
battery packs are approved for use in this pumping system.
6. After extended periods of storage, it may be necessary to charge
and discharge the cells or batteries several times to obtain
optimum performance.

Kangaroo™ Connect Enteral Feeding Pump | 8
Table of Contents
Section 3 — User Interface
1. Title Bar
The Title Bar tells current running
status of the pump.
2. Moving Droplet
Vertically moving droplet shows
the pump is delivering fluid and is
working normally.
1
2
1. Set Usage > 24 Hrs
Indicator shows if the feeding set
has been in use for more than the
recommended 24 hrs.
2. Lock Settings
Shows if the pump settings
have been locked out to
prevent tampering.
3. Airplane Mode
When Airplane Mode symbol is
showing, indicates that the wireless
function is disabled.
4. Battery Charge Status
Shows the percentage of charge
remaining on the pump battery.
1 2 3 4
Auto Priming Progress Indicator
When auto priming, the bar will
progress to show auto prime feature
is active.
Brightness Level Indicator
Indicates the brightness level for
the pump’s LCD color screen’s
backlighting. The brightness setting
can be adjusted using the + or
- buttons.
1. Alarm Acknowledged Indicator
Pressing this button will temporarily
silence the alarm.
2. Pressing this button reactivates a
previously acknowledged alarm.
3. Wireless Signal Strength
1.
2.
3.

Kangaroo™ Connect Enteral Feeding Pump | 9
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Symbol Definition Symbol Definition Symbol Definition
Non-sterile Keep Dry
Identification of a substance
that is not contained or present
within the product or packaging.
This product does not contain
natural rubber latex.
China RoHS (reduction of
hazardous substances)
Authorized representative in the
European Community
Federal (USA) law restricts this
device to sale by or on the order
of a physician
Dispose of as Electrical and
Electronic Waste Catalog number
DEHP free
XX12345
Ul recognized component
certification symbol Manufacturer
Do not use if package is opened
or damaged Li-ion
Lithium Ion Battery Use
by Use by or expiration date
Consult instructions for use Caution for indoor use only Batch code
Caution, consult
accompanying documents Type BF applied part Serial Number
Follow instructions for use.
Symbol appears blue on device. Class II Equipment Date of manufacture
MR unsafe (magnetic resonance) 21 Protection against fluid
ingress: Drip-proof Power Symbol
Feed 26 Water Jet resistant Network Connection
Do not use for greater
than 24 hours 0Not water resistant ZigBee™* wireless
32°F
0°C
122°F
50°C Temperature limitations Non-ionizing
electromagnetic radiation Cellular Signal Strength
-13°F
-25°C
122°F
50°C Avoid temperature extremes NRTL Mark
Keep away from sunlight 0123 CE Mark
Section 4 — Symbols

Kangaroo™ Connect Enteral Feeding Pump | 10
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Important Note: The basic Kangaroo Connect enteral feeding setup consists
of the pump, AC power adapter, feeding set and pole clamp. If necessary, the
car charger may be used to supplement the AC power adapter. The pump
can provide remote communications if one of the wireless accessories (either
the WCH or WiFi module) is installed along with the pump, and a Kangaroo
Connect ENtelliSet Feeding Set is being used. The pump and WCH or WiFi
module, along with feeding sets and accessories need to be installed and put
into service in accordance with the information provided by this manual and
accompanying documents.
Attaching the power adapter
The pump may be charged directly or through use of the WCH.
1. The pump can be charged directly.
a. Plug the power adapter into the power adapter port located on the left
side of the pump (Fig. 1). Plug the other end of the power adapter into
a nearby A/C outlet. Or if using the car charger power adapter, plug the
cylindrical connector into the car charger port.
b. Check to see that the A/C Indicator Light is on to confirm that the
pump is receiving power.
c. Since the pump batteries are shipped with less than full charge, be
sure to charge the pump for a minimum of 7 hours before initial use.
2. The WCH is designed to serve as a docking station to re-charge the pump
batteries. Quick disconnection is facilitated with the clearly visible eject
button located on the left side of the WCH.
Note: The WCH uses the same power adapter that is provided with the pump.
To re-charge the pump in this configuration, simply:
1. Place the WCH on a tabletop surface or attach to pole clamp.
2. Plug the pump power adapter into the port on the back of the WCH (Fig. 2).
3. Slide the pump from right to left into the WCH until you hear a click (Fig 3).
The WCH is designed to automatically latch the pump to the base when the
pump is fully seated in the base.
4. Check to see that the Power Indicator Light is on to confirm that the pump
is receiving power from the wall outlet. See page 3, number 4, to find the
location of the A/C Indicator Light.
5. Since the pump batteries are shipped with less than full charge, be sure to
charge the pump for a minimum of 7 hours before initial use.
6. Since the WCH also provides wireless capability to the pump, check that the
wireless module is activated by looking through the window on the back of
the wireless communications hub (WCH). Confirm that the Power icon in the
window is lit up. Reference Section 5 for icon descriptions and pictures.
The Kangaroo Connect enteral feeding pump and WCH can be attached to a
vertical pole using the pole clamp which is included with the pump. The pole
clamp can easily retain the pump or the WCH. This can be done using the “slide
and click” attachment feature located on the back of the pump (Fig. 4).
To attach the pole clamp to an IV pole, place the inside elbow of the clamp
against the IV pole. Turn the knob to tighten the pole clamp against the IV pole.
Turn the knob hard enough so the pole clamp does not slide down the pole.
Next, rotate the plastic latch plate of the pole clamp so that the “slide and click”
feature looks like an upside down letter “U”. Once this step is complete, you are
ready to attach the pump or WCH to the pole clamp.
Section 5 — System Setup
Fig. 1
Fig. 2
Fig. 3

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Section 5 — System SetupSection 5 — System Setup
Hold the pump and place the back face of the pump against the flat portion of
the pole clamp latch plate. Slide the pump to the right until the pump hits the
latch plate guide. Keeping contact with the guide, slide the pump downward
until you hear a positive “click”. This indicates that the pump has been properly
seated. To remove the pump, gently pull upward on the pump until it “pops”
upward off the latch plate (Fig 5).
Follow the same procedure as above for attachment of the WCH to the pole
clamp. The pole clamp is designed to work universally with either the pump or
the WCH (Fig. 5 and Fig. 6).
Note: The plastic retention plate is designed to be rotated in 90 degree
increments to allow attachment to a horizontal tabletop surface or a horizontal
bed rail. This rotation is done by grasping the latch plate and twisting until the
latch plate “pops” into the next angled position.
If assistance is needed in setting up, using, or maintaining the pump, please
contact Customer Service for additional support.
Using the Pole Clamp tube support guide
The Pole Clamp tube guide is designed as an additional support for the tubing.
To install the tube into the tube guide, complete the following steps:
1. Ensure the Cassette is properly loaded.
2. Select the tube that goes to the patient (tube exiting the right side of
the cassette).
3. Press the tubing into the tube guide creating a loop above the pump
(see fig. 6).
4. Ensure that the loop has sufficient length to make a gradual curve.
Installing a Wireless Communications Hub (WCH)
The WCH is designed to work with the Kangaroo Connect pole clamp and
Kangaroo Connect power adapter that are packaged with the pump. The WCH
may also be powered using the Kangaroo Connect car charger. If it is desired
to have the WCH powered or attached independent from the pump, contact
Customer Support to order additional accessories.
Note: The Kangaroo Connect WCH is not intended to be ambulatory.
To Install the WCH, complete the following steps:
1. Remove packaging materials from the WCH.
2. Place the WCH on a tabletop surface or affix to the pole clamp.
3. Plug power adapter into wall outlet.
4. Plug the keyed end of the power adapter into the back of the WCH.
5. Look through the transparent window on the back of the WCH to confirm
its operating status. Reference the table in this section for icon descriptions
and pictures.
a. The power indicator should be lit up to indicate that power is being
supplied to the WCH.
b. The signal strength indicator should be yellow or green to indicate
presence of a cellular signal. If the signal strength indicator is not lit,
reposition the WCH to a location with a better cellular signal.
c. The Zigbee indicator should be flashing green. If the Zigbee
indicator is not green, relocate the pump closer to the WCH.
d. The network indicator should be solid green. This light indicates
when the WCH has a good network connection. If this light is not
green, reposition the WCH until a green light is achieved.
Fig. 6
Fig. 5
Fig. 4

Kangaroo™ Connect Enteral Feeding Pump | 12
Table of Contents
Section 5 — System Setup
Installing a WiFi/Ethernet Module
The WiFi/Ethernet module shall be packaged with its own AC power adapter,
CAT5 cable and Gateway quick start guide. Follow the directions provided in the
quick start guide to connect and configure the WiFi module for use.
Note: The Kangaroo Connect WCH is not intended to be ambulatory.
Indicator Light Light
Symbol
Indicator
Light Status
WCH
State
Power Light Off WCH does not
have power
Solid Green WCH is
receiving power
ZigBee™* Light Off Radio Disabled
Blinking Green
(Slow)
Ready to connect
to pump
Cellular Signal
Strength
Off No Signal
Solid Yellow Adequate signal
Solid Green Good signal
Network Light Off Powered Off
Blinking Yellow
(slow)
Powered ON, no
network link
Blinking Yellow
(fast)
Network link,
no IP address
Solid Yellow IP address assigned
Blinking Green
(slow)
Attempting a
connection to
the server
Blinking Green (fast) Server found,
authenticating
Solid Green Connected to
the server
Alternating
between Green
and Yellow
Cannot connect
to server
If assistance is needed in setting up, using, or maintaining the wireless
communications hub (WCH or WiFi module), please contact Customer Service for
additional support.

Kangaroo™ Connect Enteral Feeding Pump | 13
Table of Contents
Section 6 — User Screen
The pump comes with the following default setting:
Default Settings Settings
Continuous (Rate) Mode On
Screen Brightness Level 3 of 4
Feed Rate 0 mL/hr
Preparing for a feed
Step 1: Ensure the cassette portion of the feeding set is not loaded on the pump.
Step 2: Press the Power button to power up the pump.
Step 3:
If you have used the pump
previously, your last settings
were automatically retained
for you. Press Keep Settings
to keep the settings from the
last feeding, otherwise, press
Clear Settings.
Step 6:
10”
(25.4 cm)
Hang the feeding set bag
or fluid container so the
starting volume of fluid is
10” (25.4 cm) above the top
of the pump as shown.
Step 4:
Upon power up, you will see
the Load Set screen. Press
More Options to adjust pump
preferences -OR- Press Adjust
Rate to input feeding settings
prior to loading the set -OR-
Load a feeding set on the pump
to continue.
Step 7:
The Set Loaded screen
will confirm that pump
has correctly identified the
feeding set. You will now be
ready to prime the feeding
set. Press the Prime button
to continue.
Step 5:
To load the cassette portion of
the feeding set onto the pump,
follow the animated instructions
on the screen.
Cassette Loading Sequence
1 32 4

Kangaroo™ Connect Enteral Feeding Pump | 14
Table of Contents
Section 6 — User Screen
Entering feed rate settings
Step 11
Upon completion of the prime, the
Ready to Feed screen will appear.
Press Adjust Rate to enter the
feeding rate.
Step 12
Press the + OR – buttons to increase
or decrease the rate. Push and hold
on either button to accelerate the
numbers. Press OK when finished.
Step 13
The screen should now say Ready
to Feed. Press the Start button to
begin feeding. Once started, you
must press the Pause button to
change the feed rate.
Priming the pump
Step 8
Once you press the Prime button,
you will see the screen above. Note
the warning on the screen, fill the
feeding container/bag with feeding
solution, then press Auto Prime.
Auto Prime will automatically
prime the feeding set. If desired,
Hold to Prime can be used instead
for a manual prime.
Note: When using Hold to Prime
feature; Feed Bag Empty, Patient
Tube Blocked and Supply Tube
Blocked alarms are disabled.
Step 9
The pump will show an animated
timing sequence indicating the
prime is in process. Wait for the
priming to complete.
Step 10
Once the Auto Prime is complete,
the feeding solution will stop short
of the feeding set connector. To
“top off”, press and hold the Hold
to Prime button. To continue with
pump set-up, press Done.
Note: Due to the head pressure of the formula within the feeding set bag, the tube may fill with fluid up to and including
the cassette. In this case, the Auto Prime feature will not function and Manual Prime will have to be used to prime
the set.

Kangaroo™ Connect Enteral Feeding Pump | 15
Table of Contents
Section 6 — User Screen
More Options (Clear Amount Fed, History, Airplane Mode, Brightness)
To access the features of Clear Amount
Fed, Airplane Mode, View History, Adjust
Brightness, or Prime Pump, press the More
Options button. Use the arrow keys to
highlight the feature you want to activate. Once
highlighted, press the Select button to activate
the highlighted feature. Hit the Back button to
resume feeding.
The following is a summary of each feature:
• Clear Amount Fed = Resets the feeding counter to zero for starting a new patient or a new feeding
• View History = Allows the user to retrieve the last 72 hours of pump history
• Airplane Mode = Allows the user to disable the wireless connectivity of the pump
• Adjust Brightness = Allows the user to configure the brightness of the display backlight
• Prime Pump = Allows the user to prime the pump after initial setup.
How to lock/unlock the input screen
The pump allows the user to lock the input screen to prevent accidental button presses during portable use. This is especially helpful when
transporting the pump in a backpack.
To use the Lock Screen option, press
and hold the Lock Screen button for
5 seconds. A countdown will appear to
show how long to hold the button.
Once activated, a Lock symbol will appear
on the Feeding screen, showing that the
buttons are disabled.
To disable the Lock Screen so the buttons
can be re-activated, press and hold the
Unlock Screen button for 5 seconds.
When pressing the Unlock Screen
button, a countdown will once again
appear to indicate how long to hold
the button.
The screen should then appear as
seen above. The buttons will now
be re-enabled.

Kangaroo™ Connect Enteral Feeding Pump | 16
Table of Contents
Section 7 — Certification of Performance/Calibration
The pump does not require periodic calibration. It is recommended to conduct a performance test every 2 years, or as recommended by facility
protocol. The certification procedure requires access to the Biomed Menu and should be performed by appropriate personnel.

Kangaroo™ Connect Enteral Feeding Pump | 17
Table of Contents
Section 8 — Cleaning
Caution: The pump, WCH, WiFi module and power adapters are not designed
to be immersed underwater. Do not immerse the pump, WCH, WiFi module
or power adapters in water or other cleaning solutions. Failure to follow the
cleaning procedures described herein could result in hazards to users, patients,
and clinicians. As with any A/C powered electrical device, care must be taken to
prevent liquid from entering the pump, WCH and WiFi module to avoid electrical
shock hazard, fire hazard, or damage to electrical components.
Caution: Disconnect pump, WCH and WiFi module from A/C power source
before cleaning. After cleaning, do not connect to an A/C power source until
thoroughly dry.
If any of the following events occur, do not use the pump, WCH and WiFi
module until it has been properly cleaned and dried. For assistance, please
contact Customer Service:
• Wetting of the power adapter
• Leakage into the pump interior
• Leakage into the WCH Interior
• Leakage into the WiFi module interior
General cleaning directions
Cleaning Chemicals:
A mild, common dish washing liquid detergent should be used for
general cleaning. This detergent should be used with a 20:1 ratio water to
detergent mixture.
Wipe down the pump with a paper towel moistened with the cleaning solution,
removing all visible soil. Use a brush to remove soil from hard to reach crevices.
Caution: The use of cleaners and disinfectants other than the ones
described in the instructions for use may cause significant damage to the
pump, WCH or WiFi module and may void warranty.
Cleaning Frequency:
It is recommended that the pump and WCH be cleaned after each feeding set
use for a minimum duration of 30 seconds, to prevent bacterial contamination
of the pump. Further, failure to clean the pump can interfere with the function of
the pump rotor, which can increase the occurrence of errors and warning alarms.
See below for methods for cleaning each component.
Directions for Cleaning the WCH:
• Refer to General Cleaning Directions before starting.
• Clean the outside surface with a damp cloth or sponge using a
mild detergent.
• Caution: Washing the WCH under running water or through
submersion will result in damage to the unit! The WCH is designed to a
water resistance of IP21 per the IEC 60529 standard, which does not allow for
submersion in water or under a running faucet.
Directions for Cleaning pump Housing
• Refer to General Cleaning Directions before starting.
• Clean outside surface with a damp cloth or sponge using a mild detergent.
• For difficult to clean areas, it is permissible to wash the pump under running
water. Avoid submerging the pump or washing with high pressure nozzles,
which exceeds the water proof rating of the pump. The pump casing has
a water proof rating of“water jet resistant”. This allows for washing under
running water or wiping with a damp cloth.
Directions for Cleaning Power Adapter and
WiFi Module
• Refer to General Cleaning Directions before starting.
• Unless soiling is observed, the power adapter and WiFi
Module should not be cleaned.
• If cleaning of the power adapter or WiFi Module is
necessary, unplug and wipe the exterior surfaces with a
cloth dampened with isopropyl alcohol.
• Allow excess moisture to evaporate prior to use.
• Caution: Washing the power adapter or WiFi
module with a wet cloth, under running water, or
through submersion will result in damage to the
unit! The power adapter and WiFi module are rated
IPX0, which means they are not water resistant.
Caution: Avoid exposing the power adapter or WiFi
module to excess moisture, as this can lead to an
electrical shock or fire hazard.
Preventative maintenance
This pump may be periodically tested to assure proper
functioning and safety. Testing may be done at the user’s
Biomedical Engineering Department, an outside service, or
by Covidien Factory Service.
To arrange for Covidien Factory Service in the US, call
1-800-448-0190. In Canada, call 1-877-664-8926. Outside
of the US and Canada, please contact your local Customer
Service for more information.
If a pump malfunctions, please contact your Covidien
Representative or call Customer Service for instruction.
General disinfection directions
Disinfection chemicals:
The pump and the WCH can be disinfected by wetting their
surfaces with a 10:1 water and chlorine bleach mixture. To
wet the devices, use at least two bleach wetted lint-free
wipes and wipe as necessary to maintain visual wetness.
Visual wetness should be maintained for a minimum
duration of 10 minutes for the pump, and a minimum
duration of 1 minute for the WCH.
Repeated disinfection with this solution can damage the
plastic housings.
Disinfection frequency:
It is necessary to clean and disinfect the pump and WCH
after each use when these devices are used for multiple
patients. This is to prevent spreading bacteria, viruses, and
other germs between patients that interact with the same
pump and WCH.

Kangaroo™ Connect Enteral Feeding Pump | 18
Table of Contents
Section 9 — Alarms and Troubleshooting
LED Indicator Lights
The pump status LED Indicator lights on the upper right of
the pump provides a quick visual indication of the pump
status, especially in darkened rooms.
A solid green light indicates the pump is feeding.
A blinking green light indicates the pump is ready for
operation but not feeding.
A solid yellow light indicates an informational notice.
A blinking yellow light indicates a caution.
A blinking red light indicates a critical warning.
See the information below for detailed descriptions of
each warning. If an unexpected operation or event occurs
while using the pump, please report any findings to
Customer Service.
Caregiver Alarm Notification
All alarms are intended to be heard by operators that
are within hearing range of the pump buzzer. The pump
buzzer is located on the back of the pump. The pump is
designed so the alarm can be heard within the patient’s
room, at a minimum. The display and LED alarm indicators
are intended to be seen by an operator within the room,
facing the front of the pump. Since audible alarms are
limited by distance, it is recommended that the operator
conduct a check to determine at what distance the alarm
can still be heard.
Note: Going outside of the patient’s room may make
hearing the alarms more difficult.
Verifying functionality of the
alarm system
The best method to confirm the proper functionality of
the alarm system is to run a Performance Certification
cycle (See Section 7: Certification of Performance). Another
quick test that can be performed to confirm audibility and
function of alarms is:
1. Load a new feeding set onto the pump
2. Leave the feeding set empty!
3. Run Auto Prime
4. Once the pump begins priming, it will detect a Feed
Bag Empty condition and alarm
5. Confirm that the audible alarm, color display,
and colored LEDs all properly indicate a Feed Bag
Empty condition
Caution: To allow proper operation of audible alarms,
avoid blocking or obstructing the series of buzzer
holes located in the back of the pump.
How to temporarily silence/clear the alarm
The alarms cannot be permanently silenced or muted. However, by pressing
the Silence Alarm button, the alarm audio can be temporarily silenced for two
minutes. After two minutes, the alarm audio will restart. To re-engage the audio
alarm before the two minutes is up, press the Bell button. This will restart the
audible alarm and end the temporary pause of the alarm.
Feeding Set Usage > 24 Hours Condition
LED indicator: Solid Green
The feeding set usage indicator is a reminder that will appear on the bottom
of the FEEDING screen if a Feeding Set has been used for 24 or more hours
(hours actually running). It is recommended to replace feeding sets after this
length of usage. This icon is only an informational message and does not require
immediate action.
Settings locked Notification
LED indicator: blinking green
The SETTINGS LOCKED screen will appear if the Lock Settings feature has
been activated in the Biotech Mode. By design, no settings can be changed
while the pump is in this state. To disable the Lock Settings, you must disable
this feature in the Biotech mode.

Kangaroo™ Connect Enteral Feeding Pump | 19
Table of Contents
FEED COMPLETE Notification
LED Indicator: blinking green
The FEED COMPLETE screen will appear if a Dose or Bolus feeding meets the
specified amount. In the pictures above, you will see two different screens that
may appear in this case. The screen on the top shows a completed Dose. The
screen on the bottom shows a completed Bolus. Note that during continuous
feeds (no dose, no bolus), you will not receive a feeding complete notification.
Since this is only a notification and not an alarm, no beep will sound to avoid
disturbing the patient. If a sound indication is desired, you can enable feed
complete audio in the More Options menu.
Press Done to clear the notification.
FEED INCOMPLETE Notification
LED Indicator: blinking green
The FEED INCOMPLETE screen will appear if a Dose or Bolus feeding is
interrupted prior to completion of the allocated amount. In the pictures,
you will see two different screens that may appear in this case. The screen
on the top shows an Incomplete Dose. The screen on the bottom shows an
Incomplete Bolus.
Press Resume Dose or Resume Boluses to continue feeding from the current
pump state. This often is needed if the pump was temporarily interrupted and
the user wants to complete the feed that they started with. If needed, press
Restart Bolus or Restart Dose if you are beginning a new, full feeding regimen.
PUMP INACTIVE Alarm
The pump inactive error screen will appear if the pump has
been without input for more than 10 minutes.
Press Continue to return to the previous screen.
Detection of this alarm condition may take up to ten
minutes to occur under normal operating conditions.
LOW BATTERY Alarm
LED Indicator: solid yellow
The LOW BATTERY screen appears and the alarm beeps
continuously when the battery needs to be recharged.
There is approximately 30 minutes of battery life remaining
when this screen appears
Plug the power adapter in to a wall outlet to begin
charging. The pump will automatically return to the screen
that was active prior to the error. The battery will charge
continuously whenever the pump is plugged into a wall
outlet. The pump will continue to operate normally while
the battery in the pump is recharging. 7 hours of charging
is required to fully recharge the battery pack.
If this screen appears while the power adapter is plugged
in to the pump, check to make sure the power adapter plug
is pushed all the way in so it fully inserted into the side of
the pump.
If this screen appears while the pump is attached to
the WCH, check to make sure the power adapter plug is
pushed all the way in so is fully inserted into the back of
the WCH and ensure that the pump is fully seated into the
base to resume charging the pump.
Detection of this alarm condition may take up to 30
minutes to occur under normal operating conditions.
Section 9 — Alarms and Troubleshooting

Kangaroo™ Connect Enteral Feeding Pump | 20
Table of Contents
Section 9 — Alarms and Troubleshooting
FEED BAG EMPTY Alarm
LED Indicator: blinking yellow
The FEED BAG EMPTY screen appears when the enteral
formula is no longer being delivered because the bag is
empty. Large amounts of foam or bubbles in the feeding
solution can also be a cause for this alarm. Check the bag
to see if it is empty and re-fill the bag as required. If the bag
still contains feeding solution, remove cassette and check
the bag side tubing for excessive foam or bubbles. Clear
bubbles from line and reload the feeding set or replace
with a new feeding set.
Detection of this alarm condition may take up to 130
minutes to occur at 1 mL/hr.
Detection of this alarm condition may take up to 5 minutes
to occur at flow rates greater than 50 mL/hr.
If the error still cannot be resolved, press the Power button
to stop operation of the pump and put a different pump
into service.
ROTOR STUCK Alarm
LED Indicator: blinking yellow
The ROTOR STUCK error screen appears when the pump
detects an unusual amount of resistance to the rotation
of the rotor. (The rotor is the black circular wheel attached
to the motor that rotates to move fluid through the
feeding set). This error is typically attributed to formula
or contaminant build-up on the rotor shaft, which can be
corrected by cleaning the rotor. In rare circumstances, this
problem could be due to a faulty motor/gearbox assembly.
Detection of this alarm condition may take up to 31 minutes
to occur at 1 mL/hr.
Detection of this alarm condition may take up to 1 minute
to occur at flow rates greater than 50 mL/hr.
If cleaning of the rotor and rotor shaft does not resolve this
error, press Power Off to stop operation of the pump and
put a different pump into service.
PATIENT TUBE BLOCKED Alarm
LED Indicator: blinking yellow
The PATIENT TUBE BLOCKED error screen appears when the feeding solution is
no longer being delivered because of a clog between the pump and the patient.
If the error cannot be resolved, remove the cassette from the pump. Check the
line to find and clear the blockage. While the cassette is removed, clean and dry
the sensor pocket on the right side of the pump. Re-load the feeding set onto
the pump, which could clear the error. If the error still cannot be resolved, load a
new pump set, prime it, and press Continue to restart the feeding.
Detection of this alarm condition may take up to 95 minutes to occur at 1 mL/hr.
Detection of this alarm condition may take up to 3 minutes to occur at flow rates
greater than 50 mL/hr.
If the error still cannot be resolved, press the Power button to stop operation of
the pump and put a different pump into service.
SUPPLY TUBE BLOCKED Alarm
LED Indicator: blinking yellow
The SUPPLY TUBE BLOCKED screen will appear if there is a blockage,
obstruction, or kinked tubing between the feeding bag and the pump. Check
the tubing between the bag and the pump to see if cause of the blockage can
be located and cleared. If the error cannot be fixed, remove the blocked pump
set and load a new pump set onto the pump.
Detection of this alarm condition may take up to 350 minutes to occur at 1 mL/
hr.
Detection of this alarm condition may take up to 9 minutes to occur at flow rates
greater than 50 mL/hr.
If the error still cannot be resolved, press the Power button to stop operation of
the pump and put a different pump into service.