Coviden Kangaroo - Troubleshooting

Kangaroo™ Console | 40
Troubleshooting
Issue Actions
Unable to see images. 1. Read all warnings and precautions prior to tube insertion.
2. Explain procedure to the conscious patient. Prepare supplies —ENFit syringe, feeding tube water, wipes, and stethoscope.
3. Position patient in accordance with facility protocol for feeding tube placement.
4. To estimate insertion depth, use the tube to measure the distance from the tip of the patient’s nose to the earlobe and from the earlobe to the xiphoid process for gastric
placement. Add approximately 10 (ten) inches (25 cm) for intestinal placement. Spontaneous transpyloric passage of the tip often occurs within 24 to 48 hours.
5. Passage of the feeding tube through the nasal passage into the stomach can be facilitated by using a stylet.
6. Activate the Hydromer coating on the tip of the tube by submerging the weight assembly in water for at least 5 seconds.
7. Choose the most patent nare and insert the feeding tube with the stylet (if the stylet is used). Once in place, do not manipulate or pull the stylet back and forth within
the feeding tube. When the tube has reached the oropharynx encourage the patient to swallow. Giving sips of cool or room temperature water may assist the passage of
thetube.
8. Confirm tube position per institutional protocol. Supportive confirmation includes auscultation of the upper left quadrant during injection of air using a syringe and
aspiration of gastric contents. Placement confirmation may be confirmed with a stylet secured within the tube. These tubes are equipped with a radiopaque material for
facilitating radiological (X-ray or fluoroscopic) confirmation.
Warning: If there is uncertainty of the tube’s distal location after institutional placement verification methods have been performed, confirmation by X-ray should
beconsidered.
9. Once the tube position has been confirmed, the stylet is then removed by gentle traction. Tape the tube securely, avoiding pressure on the nares.
10. Disconnect the feeding tube from the interface cable prior to feedings. Enteral feedings may begin by filling the enteral feeding bag, purging the tubing of air, and
connecting it to the feeding tube.
No live feed from
camera
1. Check connections on both sides of the interface cable. Ensure that everything is plugged in correctly and securely.
2. Advance the feeding tube forward or backward a few inches.
3. If feeding tube tip is estimated to be in the stomach or small bowel, try insufflation, then flush tube with water using syringe.
4. If feeding tube is estimated to be located prior to the stomach or small bowel, remove, wipe, and try again.
5. If problem still persists, adhere to blind placement procedure.
Battery dies
duringplacement
Confirm all components are securely and properly connected.
Connect power adapter to console and AC outlet.
Console is
notfunctioning
Press and hold the power button for 10 seconds. The console will shut down. Wait 30 seconds, then press the power button to turn it back on.
If problem persists, check battery level.
Section VI: Additional Kangaroo Feeding Tube with IRIS Technology Information