Nutricia flocare Infinity User manual

This information is intended for patients of carers
of those who have been prescribed tube feeds by
a Healthcare Professional.
Flocare Pump Instruction
Book & Guide
Unrivalled Accuracy
Advanced Simplicity

Flocare Pump Instruction Book & Guide 2
Contents
STEP BY STEP:
3 Setting up your pump
5 Programming your pump
8 Troubleshooting & pump alarms
19 Set up menu
21 Cleaning guidelines
24 Nutricia Homeward Contact

Flocare Pump Instruction Book & Guide 3
STEP BY STEP SETTING UP YOUR PUMP
Wash your hands before you start.
Set up the equipment using a clean work
area.
You will need a new
giving set, new feed
and a syringe for water
(as prescribed by your
Dietitian) to flush the
feeding tubes.
Remove the giving set from its packaging.
Avoid touching any internal part of the feed
container, giving set or feeding tube with
your hands.
Important: Stand pack/
bottle on flat surface
before connecting.
Hold pack/bottle at
base of spout/cap and
attach the giving set to
the cross spike and lock
into place. Take care
not to touch the set
connector end or top
of pack/bottle. Do not
touch spike.

Flocare Pump Instruction Book & Guide 4
SETTING UP YOUR PUMP STEP BY STEP (continued)
Hang the pack / bottle or container of
feed on the drip stand.
Open pump door by
pressing up on the lower
part of door and lifting
upwards (see arrows).
Insert the giving set by
placing looped section
over the rotor wheel
& stretch to the right
until the giving set slots
in place. Close the pump
door, pinching the catch
as you close it.
Check the position of the feeding tube and
flush feeding tube with sterile or cooled
boiled water as advised by your healthcare
professional.
During feeding and for at least one hour
after, it is important to position yourself at
an angle of at least 30ounless otherwise
specified by your healthcare professional.

Flocare Pump Instruction Book & Guide 5
Press and hold the On/
O button until it beeps.
a) Wait for the word
‘VOLUME’ to appear
on the screen; the
number above it is
the previous amount
of feed delivered.
b) Press the CLR
button (short press).
The screen will change
to display ml/h.
The rate in
ml/hr is now
on screen. If
necessary press
the +/- button to
reach the desired rate.
a) Now press the Dose = Vol
button, ‘CONT’ will
appear on screen. If it
does not, press CLR
button for continuous
feeding. NOTE: It is safer
to set a dose by following
step b) below
b) To set a dose (total
amount of feed), press
+ button to reach the
desired amount.
STEP BY STEP PROGRAMMING YOUR PUMP
VOLUME
CONT

Flocare Pump Instruction Book & Guide 6
PROGRAMMING YOUR PUMP STEP BY STEP (continued)
Press and hold FILL SET
until the pump beeps.
To stop fill cycle press
FILL SET again.
DO NOT OVERFILL.
Connect giving set to feeding
tube, open clamp if applicable.
Press the Start/Stop
button and the word
‘RUN’ will appear in the
top right of the screen.
If you wish to pause
the feed, press the
Start/Stop button.
To restart press the
Start/Stop button again.
The pump will alarm and stop running
when the full dose has been delivered.
When the feed has finished, turn o the
pump, disconnect the giving set from the
feeding tube and flush the feeding tube
with water as prescribed by your Dietitian.

Flocare Pump Instruction Book & Guide 7
If your feeding rate remains the same and if you have not set a specific dose:
For example you feed continuously until the pack/bottle is finished. Please follow these 6 simple steps:
Press the On/O
button until it beeps.
Press the CLR button.
Press and hold the Fill Set
button until the machine
beeps and begins to fill
the giving set.
Connect giving set to feeding
tube, open clamp if applicable.
When set is filled, press
the Start button and the
word ‘RUN’ will appear in
the top right of the screen.
When the feed has finished, turn o
the pump, disconnect the giving set from
the feeding tube and flush the feeding
tube with water as prescribed by your
Dietitian.

Flocare Pump Instruction Book & Guide 8
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP
No Power Supply
Light on
REASON SOLUTION
Loose wire or the plug adaptor
pins have moved.
Plug Symbol - visible while
the pump is connected to
the electrical supply
Power indicator light Light o Light on
Check that the part where the three pins are has not
become loose and separated from the main body of the
adaptor. If this has happened, simply push back together so
the top of the charger is totally flat (see above).

Flocare Pump Instruction Book & Guide 9
REASON SOLUTION
The charger is not connected to
the pump.
The wall socket doesn’t work.
The adaptor is damaged.
Ensure the charger is fully pushed into the pump (with
grooves facing you as shown above).
Try connecting the plug to an alternative wall socket.
Contact your Nutricia Homeward Freephone number to
replace the adaptor.

Flocare Pump Instruction Book & Guide 10
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP (continued)
Why your Pump Alarms & How to Stop it
Read the screen.
Press the Start/Stop button which will
silence the alarm for 3 minutes.
See overleaf for a list of reasons why your
pump is alarming and how to deal with
each alarm.

Flocare Pump Instruction Book & Guide 11
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP (continued)
Why your Pump Alarms & How to Stop it
REASON
The set is not fitted or is fitted
incorrectly.
The pressure sensor is dirty.
Door is broken, cracked or not
closed.
The pump has been paused
for 3 or more minutes.
SOLUTION
Reinsert the giving set as per instructions.
Clean the sensors and reinsert cassette.
Make sure that the door is closed.
Tape door to pump tightly to continue feeding
and call your Nutricia Homeward Freephone
number to arrange for a replacement.
By pressing the Start/Stop button to
silence the alarm, a further 3 minute pause
commences. When ready to restart feeding,
press the Start/Stop button.
DOOR
PUSH
START
NO SET

Flocare Pump Instruction Book & Guide 12
REASON
Air Bubble in the giving set.
The bag of feed is empty.
The air sensor is dirty.
The giving set has been used
for 24 hours or more.
The end of the giving set has
not fully pierced the foil.
The pump has administered
the dose.
SOLUTION
Disconnect the giving set from the feeding tube
and hold over a clean container. Press the FILL
SET button until the air bubble has passed out of
the giving set. Press FILL SET to stop, reattach to
feeding tube and press START.
If further feeding is required, replace the empty
pack/bottle of feed and recommence feeding. If
you need to refill the giving set with feed, follow
solution instructions for ‘‘air bubble in the giving
set’’. If required dose delivered, switch o pump
and discard feed and giving set as per training.
Clean the sensor area following the cleaning
guidelines.
Replace the giving set with a fresh one.
Press and hold the ON/OFF button until it
beeps and is powered o
If the END OF DOSE alarms inappropriately
contact Nutricia Homeward to speak to a nurse
(numbers on rear of book)
AIR
END OF
DOSE

Flocare Pump Instruction Book & Guide 13
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP (continued)
Why your Pump Alarms & How to Stop it
REASON
The pump detected an
occlusion between the feed and
the pump.
The sensor is dirty.
The pump detected an
occlusion between the pump
and the patient.
The sensor is dirty.
Occ out (repeated) can also
indicate terminal error needing
replacement.
SOLUTION
Ensure there are no kinks in the tubing, that
clamps are not closed between the feed
container and pump, and that the foil has
been pierced.
Clean the sensor area.
If relevant, ensure clamp is open.
Ensure there are no kinks in the giving set or
feeding tube.
Flush the feeding tube to ensure there is no
blockage.
Clean the sensor area (see cleaning guidelines),
reinsert the giving set in the pump and restart
the pump.
Pump replacement.
OCC IN
OCC
OUT
CAUTION
Do not use the
Fill Set function
when there is a
set occlusion as
this may cause the
pump to incorrectly
calibrate.

Flocare Pump Instruction Book & Guide 14
How to Stop the OCC Alarm
Press the Start/
Stop button.
Detach the
feeding set.
Solve the
occlusion
problem.
(see next page)
Re-insert the
feeding set.
Press the Start/
Stop button.

Flocare Pump Instruction Book & Guide 15
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP (continued)
How to Stop the OCC Alarm
The most common set occlusions:
TUBE KINKING
Squeeze tube to release kinking.
TUBE CLOGGING
If there is a blockage in the
giving set, a new giving set will
be needed. If blockage is in
feeding tube, flush feeding tube
with warm water using a
10 - 20ml syringe.
* see details on reverse of book
ANY PROBLEMS
OR DIFFICULTIES
Please call your
Nutricia Homeward
Freephone number*

Flocare Pump Instruction Book & Guide 16
REASON
The battery capacity is running
low. There is approx. 1 hour
of feeding left when a rate of
125ml/hr is set.
The battery has failed.
SOLUTION
Connect the pump to the electrical supply and
charge for 6 hours. The pump can be used while
connected to the electrical supply.
Contact your Nutricia Homeward Freephone
number to arrange for the pump to be serviced.
BATT
BATT
‘E’ ‘F’
Battery Failure

Flocare Pump Instruction Book & Guide 17
TROUBLESHOOTING & PUMP ALARMS STEP BY STEP (continued)
Why Your Pump Alarms & How to Stop it
The current feeding regimen
has been locked into the
machine to prevent accidental
changing of regimen.
The self test detected a fault.
Please look up Set Up menu at the end
of this section.
Call your Nutricia Homeward Freephone
number.
Contact your Nutricia Homeward Freephone
number to arrange for the pump to be serviced.
LOCK
ERROR
XY
REASON SOLUTION
ERROR with a number
e.g. ERROR 12

Flocare Pump Instruction Book & Guide 18
STEP BY STEP SET UP MENU
Press and hold the On/O
button and the +button
at the same time.
The first item to appear in
this menu is the
alarm
volume mode . To adjust the
alarm to beep at high
volume, press the + button
or to adjust the alarm to
beep at low volume, press
the – button.
If you are finished, press
and hold the On/O
button for 2 seconds.
To continue with set up
mode, press the Fill Set
button; you are now in the
keypad lock mode . To lock
the keypad, press the + button,
to unlock, press the – button.
If you are finished, press
and hold the On/O
button for 2 seconds.
To continue with set up
mode, press the Fill Set
button again; you are now
in the
mute when done
mode . To set the pump to alarm when the
feed is finished, press the + button. To set
the pump to remain on mute when the feed
has finished, press the - button.

Flocare Pump Instruction Book & Guide 19
SET UP MENU STEP BY STEP (continued)
If you are finished, press
and hold the On/O
button for 2 seconds.
To continue with set up
mode, press the Fill Set
button again; you are now
in the
background light
mode .
To switch light on, press
the + button or to switch
o, press the – button.
If you are finished, press
and hold the On/O
button for 2 seconds.
To continue with set up
mode, press the Fill Set
button, you are now in
the
nurse call / PDMS
mode . Please ignore this
mode.
If you are finished, press
and hold the On/O
button for 2 seconds.

Flocare Pump Instruction Book & Guide 20
11
Unrivalled Accuracy
Advanced Simplicity