Zevex Infinity Orange User manual

OPERATOR’S MANUAL
Small Volume
Enteral Feeding Pump

© Copyright 2008 ZEVEX Incorporated
i
TABLE OF CONTENTS
Page
TABLE OF CONTENTS ........................................................................................ i
PRODUCT OVERVIEW ...................................................................................... iii
INDICATIONS FOR USE .................................................................................... iii
LIST OF WARNINGS AND CAUTIONS ............................................................. iv
Warnings ......................................................................................................... iv
1. PUMP COMPONENTS .................................................................................... 1
Innity Orange Small Volume Enteral Feeding Pump .................................... 1
Keypad ............................................................................................................. 3
Display ............................................................................................................. 4
Disposable Set ................................................................................................. 5
Symbols ........................................................................................................... 6
2. DIRECTIONS FOR USE .................................................................................. 7
Priming and Loading the Disposable Set ........................................................ 7
Operating the Pump
A Single Feeding Example ......................................................................... 10
The Battery .................................................................................................... 14
Running on Battery Power ......................................................................... 14
Charging the Battery .................................................................................. 15
User Preference Settings ............................................................................... 16
ALARMS, MESSAGES, AND INDICATIONS ................................................... 19
TROUBLESHOOTING GUIDE .......................................................................... 26
CLEANING ........................................................................................................ 29
ACCESSORIES ................................................................................................. 30
SPECIFICATIONS ............................................................................................. 33
IMPORTANT PEDIATRIC CONSIDERATIONS ................................................ 35
ADDITIONAL TECHNICAL INFORMATION ..................................................... 36
WARRANTY ...................................................................................................... 38
LIST OF FIGURES ............................................................................................ 39
WHO TO CALL .................................................................................................. 42
INDEX ................................................................................................................ 43

Innity®Orange™Operator’s Manual ii

© Copyright 2008 ZEVEX Incorporated
iii
PRODUCT OVERVIEW
The Innity® Orange™ is a rotary peristaltic enteral feeding pump designed to de-
liver programmed doses of enteral nutrition solutions at selectable rates. It is easy
to use with a simple user interface and keypad. ZEVEX technology allows an ac-
curacy rate of +/- 5% and the ability to safely operate in any orientation. The Innity
Orange system includes a complete line of Di(2-ethylhexyl)phthalate (DEHP) - free
pump delivery sets with automatic free-ow protection.
The Innity Orange is designed for both hospital and alternate care use. It is
durable, water resistant, and easily carried in a ZEVEX carry pack. The Innity
Orange’s size, weight, accuracy, and portability promote and support health im-
proving physical activity.
INDICATIONS FOR USE
The Innity Orange enteral feeding pump is a rotary peristaltic pump designed to
deliver programmed doses of enteral nutrition solutions at selectable rates.

Innity®Orange™Operator’s Manual iv
LIST OF WARNINGS AND CAUTIONS
Warnings
4 Use ONLY feeding solutions prescribed by the responsible physician, regis-
tered dietitian, registered nurse, or other licensed practitioner.
4 Use ONLY Innity brand disposable sets to ensure proper uid delivery. Oth-
ers will not deliver the correct dose, may allow dangerous free-ow conditions,
and may generate hazardous uid pressures which may activate occlusion
alarms at unpredictable pressures.
4 Low ow rates, combined with high dose settings may exceed the life of the
disposable set. The disposable set must be replaced every 24 hours to main-
tain delivery accuracy, allow proper air and occlusion sensing, and prevent
growth of bacteria. DO NOT PROGRAM RATE AND DOSE COMBINATIONS
WHICH EXCEED A 24 HOUR FEED REGIMEN.
4 The battery capacity is an approximation. If you are unsure that enough ca-
pacity remains for your intended use, recharge it.
4 To avoid electrical shock, never clean pump with charger plugged into an
outlet or when pump is on.
4 Make sure the Innity AC Adapter/Charger is completely dry before plugging
into an electrical outlet.
4 Do not use Innity Orange enteral feeding pump for delivery of non-enteral
solutions. Serious injury may result.
4 If an error occurs (ER01 - ER99 will appear in display), all settings and vol-
ume counters should be checked and veried before starting a feeding.
4 Prior to starting the pump, conrm rate, dose, and food type are programmed
as prescribed to avoid an unsafe feeding condition.

© Copyright 2008 ZEVEX Incorporated
v
Cautions
4 Federal law (U.S.A.) restricts this device to sale by or on the order of a physi-
cian, registered dietitian, registered nurse, or other licensed practitioner.
4 Dispose of Innity Orange Disposable Sets properly, as required by local law.
4 If any leaks are detected in the disposable set, stop pump operation and
disconnect set from patient and replace with a new disposable set.
4 Care should be used when manually priming delivery set to ensure cassette
is not damaged by excess force.
4 Do not overload carry packs with personal items. Pump function may be af-
fected by kinked or pinched tubing and/or unintentional button presses.

Innity®Orange™Operator’s Manual vi

1. PUMP COMPONENTS
1
1. PUMP COMPONENTS
Innity Orange Small Volume Enteral Feeding Pump
1. Door
2. Pump Wheel
3. Display
4. Upstream Pressure Sensor
5. Air Sensor
6. Downstream Pressure Sensor
7. Receptacle for Cassette
8. Keypad
1
3
4
5
6
7
8
2
Figure 1-1 Pump: Front
© Copyright 2008 ZEVEX Incorporated

Innity®Orange™Operator’s Manual 2
1. PUMP COMPONENTS
Innity Orange Small Volume Enteral Feeding Pump
1. Pump Instruction Label
2. Speaker
3. Receptacle for Pole Clamp
4. Serial Number Label
5. Charger/Power Connector
1
Figure 1-2 Pump: Rear
2
3
4
5

1. PUMP COMPONENTS
© Copyright 2008 ZEVEX Incorporated
3
Keypad
Press ON/OFF key for 1.5 seconds to
either turn Innity Orange on or off.
Press and hold PRIME key to rapidly
ll disposable set with uid. Release
key to stop.
Press RUN/PAUSE key to start or
pause pump, or to clear an alarm.
Press FOOD TYPE key to display and
select type of food to be delivered (formula or human milk).
Press VOL/TOTAL key once to display volume delivered for current
feeding. Press key again to display total cumulative volume delivered in
all feed cycles since total volume was last cleared.
Press RATE/DOSE key to transition between rate and dose settings.
Press CLEAR key to reset displayed function to its minimum value.
Press and hold for three seconds to clear rate, dose, and volume deliv-
ered to minimum values at the same time.
Press + key to increase displayed feed function. Press and hold key to
increase value rapidly.
Press - key to decrease displayed feed function. Press and hold key to
decrease value rapidly.
NOTE: The following keys only function when pump is in pause mode:
PRIME, CLEAR, +, and -.
Figure 1-3 Keypad Layout

Innity®Orange™Operator’s Manual 4
1. PUMP COMPONENTS
Display
The display includes large alphanumeric char-
acters, as well as smaller symbols and words.
All segments and symbols on the display are
shown in Figure 1-4.
Settings and messages are displayed in large
alphanumeric characters (Figure 1-5).
When the large alphanumeric characters dis-
play numbers, one of the smaller words below
the characters indicates which function is be-
ing displayed (Figure 1-6).
The run symbol indicates pump is in run mode
(Figure 1-7).
The wall plug symbol indicates the charger
is plugged in, and connected to a live power
outlet. The battery symbol indicates pump is
running on battery power only. The fuel gauge
symbol indicates how much battery charge
remains (Figure 1-8).
NOTE: When operating on A/C power the dis-
play light will remain on. When operating on
battery power the display light will automati-
cally turn off 10 seconds after the last key is
pressed. If you would prefer the light to turn off
when connected to an outlet, you can change
the pump light setting to OFF. See the User
Preference Settings section (Page 16) for in-
structions to change this setting.
Figure 1-4 Display Segments
Figure 1-5 Alphanumeric
Characters and Units
Figure 1-6 Setting Indicators
Figure 1-7 Run Indicators
Figure 1-8 Power Indicators

1. PUMP COMPONENTS
© Copyright 2008 ZEVEX Incorporated
5
Disposable Set
The only disposable sets approved for use with Innity Orange pump are:
4 Innity Orange 100 ml Bag Set - Order Number INF0100
4 EnteraLite Innity 500 ml Bag Set - Order Number INF0500
4 EnteraLite Innity 1200 ml Bag Set - Order Number INF1200
4 EnteraLite Innity Spike Set - Order Number INF0010
1. Cassette
2. “ ” Symbol
3. Downstream Tubing
4. Upstream Tubing
5. 100 ml, 500 ml, or 1200 ml Feeding Bag
6. Barbed Enteral Adapter
7. Adapter Protective Cover
8. Spike Protective Cover
9. Spike
Figure 1-10 Innity Brand Spike Set
8
9
Figure 1-9 Innity Brand 100 ml, 500 ml, or 1200 ml Bag Set
1 3
45
6
7
2

Innity®Orange™Operator’s Manual 6
1. PUMP COMPONENTS
Symbols
Brief instructions for operation of pump as
well as a brief explanation of each alarm
message which pump may communi-
cate are printed on the label attached
to pump. These are not intended to be
used in place of the Operator’s Manual.
They are simply a quick reference guide.
Please read the Operator’s Manual be-
fore operating the Innity Orange.
The bag symbol is printed on pump door over
port where upstream tubing enters pump.
The patient symbol is printed on pump
door over port where downstream tubing
exits pump.
EN 60601-1 Type BF degree of protec-
tion against electrical shock. No electrical
connection to patient. Drop from any
angle from height of 3 feet shall not dam-
age pump operation.
IEC 529 degree of protection against
water entering the enclosure. Water jets
from any direction shall have no effect.
This symbol is printed on pump delivery
sets. It indicates only one patient should
use each disposable set.
This symbol is printed on pump delivery
sets. It indicates pump delivery sets are
made with materials that do not contain
the plasticizer DEHP.
This symbol is printed on pump delivery
sets. It indicates pump delivery sets
should be replaced every 24 hours.
Consult
Accompanying
Documents
Figure 1-11 Consult
Accompanying Documents
Figure 1-12
Feeding Bag Connection
Figure 1-13 Patient Connection
Figure 1-14
TYPE BF Shock Protection
Figure 1-16 Single Patient Use
Figure 1-17 DEHP-free
Figure 1-15 IEC 529
IPX5
Figure 1-18
Replace Every 24 Hours

2. DIRECTIONS FOR USE
© Copyright 2008 ZEVEX Incorporated
7
2. DIRECTIONS FOR USE
Recommendation for First Use:
Since battery may not be fully charged when pump is rst received, it is recom-
mended that battery be charged for 6 hours prior to operating on battery power
(see Page 15 for additional information).
Priming and Loading the Disposable Set
Step 1:
4If you are using the spike set with a vented
bottle or pre-lled bag:
Remove protective cover from spike, and
insert spike into spike adapter of formula con-
tainer (Figure 2-1).
4If you are using the 100 ml, 500 ml, or 1200
ml disposable set:
Hold bag upright and pour in feeding solution
(Figure 2-2). Close cap securely.
NOTE: Blenderized or aggressively mixed solutions
may have foam. If using this type of solution, allow
it to sit for 10 to 15 minutes before pouring into bag.
This will reduce the chance of an alarm due to air
in the tubing.
Step 2:
Remove protective cover from barbed adapter. If
using pole clamp, protective cover may be inserted
into the receptacle on back of clamp (Figure 2-3).
NOTE: If set is to be used with a carry pack, all air
must be removed from bag and tubing. Continue
to step 3 for instructions on removing air. If set
is to be hung above pump, i.e. on an IV pole, you
may skip to step 4.
Figure 2-1 Spike Container
Figure 2-2 Fill Bag
Figure 2-3 Remove Cover from
Barbed Adapter / Place Cover
on Pole Clamp
Cover Receptacle

Innity®Orange™Operator’s Manual 8
2. DIRECTIONS FOR USE
Step 3:
Turn bag upside down and
gently squeeze. Tilt bag as
needed to keep air at tubing
port (Figure 2-4).
Step 4:
Gently pinch orange colored
tubing below “ ” symbol.
Hold this position until air is
removed from tubing. Gently
squeeze bag at same time to
assist uid ow. If uid does
not ow, pinch pressure may
be too strong. (Figure 2-5).
NOTE: Inside the orange
colored tubing, below the “ ”
symbol is the in-line occlud-
er. The in-line occluder is the
built-in anti free-ow valve.
By pinching tubing gently,
the tubing moves away from
the in-line occluder allowing
uid to ow (Figure 2-6). It is
important to only pinch the
tubing below the “ ” symbol to avoid damaging the in-line occluder.
NOTE: Be extremely careful to pinch tubing using only the at, soft part of your
nger. Do not use ngernails when pinching tubing; doing so may puncture the
delivery set (Figure 2-7). If you suspect that the delivery set has been punctured,
please discard and use a new set
NOTE: Air may also be removed from tubing using the pump prime feature. See
step 7 for instructions on using the pump prime feature.
Figure 2-4 Squeeze Bag Figure 2-5 Pinch Tubing
Figure 2-6 Tubing
Segment Being Pinched
Figure 2-7 Tubing Segment
Being Punctured by
Fingernail

2. DIRECTIONS FOR USE
© Copyright 2008 ZEVEX Incorporated
9
Step 5:
Loop silicone tubing around pump wheel stretching
lightly. Seat cassette into pump (Figure 2-8). Close
pump door (Figure 2-9).
NOTE: If 1200 ml set is to be used with Mini Back-
pack, load set into back section of pack and thread
cassette through port in bottom corner of pack prior
to loading cassette into pump.
Step 6:
Press and hold ON/OFF key for 1.5 seconds to
turn pump on. While pump runs through a self test,
display will light and an audible alarm will sound
as pump displays the nine digit serial number three
digits at a time for one second each. The display
will then show the letter ‘N’ followed by a number,
which is the software revision.
Next, all segments of display will be shown for 2
seconds. Verify all display segments and sym-
bols are active.
The self test is complete and pump will then display
last programmed rate and will be in pause mode.
If any air is still in the tubing, continue to Step 7 to
use pump prime feature.
Step 7:
Press and hold PRIME key. Alarm will sound once
and pump will begin pumping at the maximum rate of 332 ml/hr. Display will read
“TO STOP LET GO” (Figure 2-10). Once all air is removed from tubing, release
key. Pump will stop, display will revert to last programmed rate, and pump will be
in pause mode.
Figure 2-8 Seat Cassette
Figure 2-9 Close Pump Door
Figure 2-10 Priming Indication

Innity®Orange™Operator’s Manual 10
2. DIRECTIONS FOR USE
Operating the Pump
A Single Feeding Example
If you want to deliver 50 ml of enteral feeding solution at a rate of 100 ml/hr and
then stop the pump:
Key Sequence for “A Single Feeding Example”
Step 1:
Prepare the disposable set with enteral feeding solution as described in the Prim-
ing and Loading the Disposable Set instructions (Page 7).
Step 2:
Hang feeding bag or container so that the bottom of bag is at or above the level
of the pump door.
OR - If an Innity brand carry pack is to be used, load pump and feeding bag
into the proper compartments, securing pump, bag and tubing with the pack’s
straps (Page 31).
Step 3:
Turn pump on by pressing the ON/OFF key. After running
the self test, display will show last programmed rate.
Step 4:
Press the + or - key to change the rate to 100 ml/hr.
Hold down either key to change rapidly (Figure 2-11).
Step 5:
Press the RATE/DOSE key to display dose. Press the
+ or - key until a dose of 50 ml is displayed (Figure
2-12).
FORM ULA
100 ml/hr 50 ml
Figure 2-12 Program Dose
to 50 ml
Figure 2-11 Program Rate
to 100 ml/hr
HUMNMILK

2. DIRECTIONS FOR USE
© Copyright 2008 ZEVEX Incorporated
11
Step 6
Conrm food type to be delivered (formula or human milk) before starting pump
by pressing the FOOD TYPE key. Press the + or - key to change between formula
and human milk.
Step 7
Connect barbed adapter to the patient’s enteral feeding tube.
Step 8
Press the RUN/PAUSE key. Pump will begin run-
ning. Display will show programmed rate and the arcs
around the run symbol will rotate (Figure 2-13).
While pump is running, the following may be viewed
by pressing the appropriate key: rate, dose, and food
type.
To view the amount delivered in the current feeding,
press the VOL/TOTAL key (Figure2-14). This counter
will reset to 0 when the previously programmed dose
has been completed and a new feeding is started.
This counter will also reset to 0 if a feeding is inter-
rupted and rate or dose is changed, or if the pump is
turned off and then back on again.
To view the amount delivered over the course of sev-
eral feedings press the VOL/TOTAL key a second
time. Display will read TOTL then the amount. This
counter never resets itself. It can only be reset by the
user (Figure 2-15).
While pump is running, the settings cannot be changed and the Prime feature is
disabled.
If you want to stop pump at any time, press the RUN/PAUSE key. Display will show
rate, and pump will be in pause mode. Pump will save the memory of where it was in
the feeding before being paused. Or, turn pump off by pressing the ON/OFF key.
Figure 2-15 Total Amount
Delivered
Figure 2-13 Pump is
Running
Figure 2-14 Amount
Currently Delivered

Innity®Orange™Operator’s Manual 12
2. DIRECTIONS FOR USE
To restart pump when in paused mode, press the RUN/PAUSE key. The pump will
restart the feeding at the point where it was paused.
NOTE: If pump is turned off and turned back on again, the volume delivered coun-
ter resets to 0 and food type resets to formula. Rate, dose, and food type must be
conrmed before restarting the pump with a new feeding.
NOTE: Any changes to pump settings (except food type) during a feeding cycle
will cause pump to start a new feeding; it will not start where it left off. Rate, dose,
and food type must be conrmed by viewing each parameter before restarting the
pump.
Feeding Completion:
When the dose has been completely delivered, pump
will stop running, and display will read DOSE DONE.
Pump will be in a pause mode until it is turned off or
feeding is restarted. To clear DOSE DONE, press and
hold the ON/OFF key for 1.5 seconds to turn pump off,
or press the RUN/PAUSE key to put pump in pause
mode. Adjustments to settings can be made at this
time, or press the RUN/PAUSE key a second time to
start another feeding using same rate, dose, and food
type settings. Conrmation of rate, dose, and food
type is required before beginning another feeding.
If you would prefer the alarm to sound when the dose is complete, you can change
the pump dose complete alarm setting to BEEP WHEN DONE. See the User Pref-
erence Settings section (Page 16) for instructions to change this setting. When set
to BEEP WHEN DONE, the pump will stop at the end of the feeding, beep intermit-
tently, and display will read DOSE DONE (Figure 2-16). To silence alarm when the
dose is complete, press and hold the ON/OFF key for 1.5 seconds to turn pump
off, or press the RUN/PAUSE key to put pump in pause mode.
Figure 2-16 DOSE DONE

2. DIRECTIONS FOR USE
© Copyright 2008 ZEVEX Incorporated
13
Next Feeding:
Turn pump on. Previous settings for rate and dose will be saved in memory. Con-
rm that rate, dose, and food type are correct by viewing each parameter, making
necessary adjustments, and restarting the pump with a new feeding.
NOTE: If pump is turned off and turned back on again, the volume delivered coun-
ter resets to 0 and food type resets to formula. Rate, dose, and food type must be
conrmed before restarting the pump with a new feeding. If dose and food type
are not viewed prior to pressing the RUN/PAUSE key, pump will alarm and display
CON FIRM DOSE AND FOOD TYPE.
NOTE: Rate, dose, and food type settings can be locked so that changes cannot
be made. See the User Preference Settings section (Page 16) for instructions to
change these settings.