Kangaroo™ ePump Enteral Feeding Pump Frequently Asked Questions

Question Answer
What is VTBD? VTBD stands for “Volume To Be Delivered”. It is sometimes also referred to as “Dose”.
Can the Kangaroo™ ePump Enteral Feeding Pump compensate for bolus reduction caused by occlusion? At present, there is no enteral feeding pump on the market that is capable of compensating for bolus reduction after occlusion. If the pump experiences an occlusion or any other alarm, the user must assume that pump delivery will possibly be altered. The extent of the reduction will be determined by how long the pump experiences blockage and the rate it was set to deliver.
How long does it take to fully charge the battery? The Kangaroo™ ePump Enteral Feeding Pump can be used immediately by plugging it into the AC power source. While plugged into the power source and during operation, the pump is constantly charging. On average, it takes 8 hours to fully charge a depleted battery.
What is the life of the battery? The Kangaroo™ ePump Enteral Feeding Pump utilizes a NiMH battery, and when fully charged and operating at 125 ml/hr this battery can sustain the pump functions for 15 hours.
Can the Kangaroo™ ePump Enteral Feeding Pump calculate the amount of calories that will be delivered to the patient during a programmed or continuous delivery? Each brand or type of formula has a different caloric value. The Kangaroo™ ePump Enteral Feeding Pump can control the rate and duration of the delivery protocol with a high level of accuracy. To determine the caloric value delivered, the rate and duration information can be used along with the nutritional information of the solution to calculate how many calories have been delivered.
When utilizing the intermittent feed delivery option, how long does it take to deliver a bolus? The time to deliver a bolus feed is directly dependent on the programmed rate and quantity of solution delivery.
Does the Kangaroo™ ePump Enteral Feeding Pump have a “Resume Feeding” option? The Kangaroo™ ePump Enteral Feeding Pump will only recall user input settings such as Flow Rate or VTBD if the “Keep Settings” option is chosen. This pump cannot recall the volume delivered under a programmed VTBD if the pump has been powered off and then restarted. For example: If the pump is programmed to deliver a VTBD of 1000 ml and had delivered 500 ml when it was powered off, upon restarting the pump, it will ask the user to “Keep Settings” or “Clear Settings”. If the user chooses to “Keep Settings” the pump will reset the VTBD to deliver 1000 ml and not 500 ml (the remaining quantity of the VTBD). If the user chooses to “Clear Settings” all user input settings will default to zero.
Will the Kangaroo™ ePump Enteral Feeding Pump alarm if the patient vomits during an enteral feeding delivery? There are currently no feeding pumps on the market that are capable of detecting aspiration during enteral feeding. The clinician should always monitor patients for signs of aspiration.
To what extent can the Kangaroo™ ePump Enteral Feeding Pump be serviced in the hospital? The Kangaroo™ ePump Enteral Feeding Pump has been designed with the hospital Biomedical Engineer’s busy schedule in mind. The pump can have the battery, battery door, power cord, pole clamp, and protective blue door changed within the hospital facility. In addition, the Kangaroo™ ePump Enteral Feeding Pump can have the calibration verified within the hospital. All replacement parts are listed in the operation and service manual.
Can Biomedical Engineers perform service on the electronics portion of the Kangaroo™ ePump Enteral Feeding Pump? The Kangaroo™ ePump Enteral Feeding Pump has a modular board design. If a component fails, the associated board would need to be replaced. Because this pump has advanced software and minimal hardware, when a board is replaced, the pump must complete a full diagnostic check to verify all aspects of the software are operating properly. This diagnostic check is performed in a Covidien approved facility with proprietary software and hardware. This check allows the hospital Biomedical Department to verify calibration in the hospital.
What is AFF and how does it make the delivery sets safer? AFF stands for Anti Free-Flow and it is an integral component of every Kangaroo™ ePump Delivery Set. This feature prevents the bag from allowing the free flow of solution into the patient (similar to a gravity feed set) if the set becomes disconnected from the pump. This is safer for the patient because it prevents a possible overfeed situation that could lead to patient aspiration or other complications. In addition, it provides for easier set-up by the clinical staff and minimizes the potential for solution spill due to an open roller-clamp.
How does the Kangaroo™ ePump Enteral Feeding Pump sensor technology detect upstream flow conditions? The Kangaroo™ ePump Enteral Feeding Pump monitors the presence or absence of fluid to determine the flow condition of the feeding set. By monitoring for the absence of fluid, the pump can determine if the pump is experiencing either an upstream occlusion or an empty bag.
How does the Kangaroo™ ePump Enteral Feeding Pump sensor technology detect downstream flow conditions? The Kangaroo™ ePumpEnteral Feeding Pump determines if there is a downstream occlusion by performing a downstream occlusion procedure on an interval basis. The pump will perform this procedure every ten minutes unless an occlusion is detected. If an occlusion is detected, the pump will perform the procedure again in 30 seconds. If the pump determines that the occlusion is still present, it will perform the procedure a last time 30 seconds later. If this check confirms the occlusion, the pump will alarm. If any of these procedures determines there is not an occlusion, the pump will resume its standard 10 minute check cycle. The 3 tier check protocol referenced was implemented in the Kangaroo™ ePump Enteral Feeding Pump as a means to reduce false alarms due to the patient rolling over on the tubing or some similar condition. Another reason for the 10 minute cycle is to allow the pump time to build back-pressure and potentially dislodge minor occlusions before the pump interrupts the feeding regimen with a flow alarm.
What is the maximum viscosity rate that can be delivered by our feeding sets and not cause an occlusion pressure alarm? Due to the variability in viscosity of enteral nutrition formulas on the market (and homemade enteral nutrition solutions), the Kangaroo™ ePump Enteral Feeding Pump was tested against a wide range of solutions. This testing covered the major enteral nutrition solutions on the market and showed that this pump will deliver solutions with a viscosity of up to 58 cP without causing an occlusion pressure alarm.
Why is the Occlusion Pressure Alarm required? The occlusion pressure alarm is a key safety feature of the Kangaroo™ ePump Enteral Feeding Pump. This alarm indicates that the solution is not being delivered to the patient. If a tube blockage occurs while the pump attempts to deliver solution, then pressure will build in the line. Once the pressure in the line exceeds 15 psi the pump will detect a problem and alarm, notifying the clinical staff of a potential delivery issue. The value of 15 psi (along with the downstream occlusion check procedure) minimizes nuisance alarms, while still notifying the clinical staff of delivery issues in a timely manner.
Why do the new sets no longer have the Ice Pouch? With the advance of enteral feeding clinical data, there is considerable debate as to the value of delivering cold enteral nutrition. With that in mind, there has been limited market demand for enteral feeding sets with ice pouches for cooling the enteral nutrition. The current use for the ice pouch has been as a means to store the protective dust cover for the red step enteral feeding connector. The Kangaroo™ ePump has a storage location for this dust cover on the inside of the pump hand grip area; thus the ice pouch is no longer required.