Cardinal Health Kangaroo OMNI

Asset Type

Feeding Pump

Manufacturer

Cardinal Health

Model

Kangaroo OMNI

What This Guide Helps With

This guide helps troubleshoot Flush Error alarms on the Cardinal Health Kangaroo OMNI feeding pump. This alarm may occur when the pump detects a flush delivery problem caused by an empty flush bag, kinked tubing, clog, cassette issue, improper priming, or a flush occlusion condition.

A Flush Error can interrupt ordered flush delivery and may affect hydration, tube patency, medication delivery plans, or feeding workflow if not corrected promptly.

Step-by-Step Troubleshooting

Ensure Patient Safety First

• If the Kangaroo OMNI is connected to a patient and a Flush Error alarm is active, do not repeatedly clear the alarm without checking the flush path.
• Pause use as appropriate and confirm clinical staff is aware of the alarm.
• Make sure the patient is not dependent on a pump that cannot deliver ordered flushes.
• If continued therapy is needed and the issue cannot be quickly corrected, move the patient to a known-good feeding pump.

Verify the Reported Alarm and Behavior

• Confirm the display shows Flush Error.
• Ask staff when the alarm occurs, such as during a programmed flush, immediately after starting a flush, after bag replacement, after tubing or cassette loading, or intermittently during normal operation.
• Check whether the pump is still feeding normally or whether both feed and flush functions are affected.
• Confirm whether the alarm clears temporarily and then returns.

Understand What the Alarm Means

• Treat the alarm as a possible flush-path restriction or empty-source condition.
• Common causes include an empty flush bag, clogged flush tubing, kinked tubing between the flush bag and pump, improper priming, cassette loading issues, or contamination near the occlusion sensor region.
• Remember that the pump may take up to about 1 minute to detect this condition, so the problem may have been present briefly before the alarm appeared.

Check the Flush Bag

• Inspect the flush bag and confirm it contains enough fluid.
• If the flush bag is empty or nearly empty, refill or replace it according to clinical policy.
• Press Continue after correcting the condition.
• If the alarm clears, verify normal pump operation before returning the device to service.

Inspect the Flush Tubing Path

• Trace the tubing from the flush bag to the pump.
• Check for kinks, closed clamps, pinched tubing, tubing caught in the pump, pole, door, bedrail, or bag hanger, visible clogging, dried residue, or improper routing.
• Correct any restriction found.
• Confirm the tubing is open, routed correctly, and free of visible obstruction.

Verify Flush Tubing Was Properly Primed

• Confirm the flush tubing is primed and free of air or blockage.
• If using a feed/flush set, prime the flush tubing before the feed tubing.
• Disconnect the patient before priming.
• Prime the flush line as needed before the next flush.

Check Cassette Seating and Loading

• Stop the pump according to facility procedure and inspect the cassette.
• Remove and reload the cassette.
• Make sure the cassette is seated correctly and the tubing is not twisted, stretched, or pinched.
• Confirm the cassette loads smoothly and the pump recognizes the set properly.

Clean and Dry the Occlusion Sensor Region

• Remove the cassette.
• Inspect the occlusion sensor area for moisture, formula, residue, or debris.
• Clean and dry the occlusion sensor region according to facility-approved cleaning practices.
• Reload the cassette and restart testing.

Replace the Feeding Set if Needed

• If the flush bag is full, tubing is open, the line is primed, and the cassette area is clean, replace the feeding set.
• Use a compatible Kangaroo OMNI feeding set.
• Prime the flush tubing first when using a feed/flush set, then prime the feed tubing.
• Restart the pump and confirm whether the Flush Error returns.

Test With a Known-Good Setup

• Use a known-good flush bag, compatible feeding set, and properly primed tubing.
• Run a controlled flush test while disconnected from any patient.
• If the alarm does not return, the issue was likely related to the bag, tubing, priming, cassette loading, or disposable set.
• If the alarm returns with a known-good setup, suspect a pump-side sensing or occlusion detection issue.

If the Problem Persists

If the Flush Error continues after confirming the flush bag is filled, tubing is not kinked, the line is properly primed, the cassette is correctly loaded, the occlusion sensor area is clean and dry, and the feeding set has been replaced, external and common causes have been ruled out.

At that point, the persistent alarm may indicate a pump-side sensing or occlusion detection problem.

Remove the pump from service, label it Out of Service, and send it for bench evaluation or repair.

Use a different pump for patient care.

Clinical Use Tip

Never troubleshoot a Flush Error alarm on an active patient. Move the patient to a backup device first if continued feeding or flushing is needed.

Do not prime flush or feed tubing while connected to the patient. Disconnect the patient before priming and avoid relying on a feeding pump that has an unresolved Flush Error alarm.

Work Order Documentation (CCR Method)

CCR = Complaint, Cause, Resolution

Complaint

What was reported by the clinical staff.

Example:
"Kangaroo OMNI feeding pump reported with Flush Error alarm during programmed flush. Staff stated flush would not complete."

Cause

What was observed during troubleshooting.

Example:
"Flush bag and tubing path inspected. Flush tubing was found kinked between the flush bag and pump, preventing proper flush delivery."

Resolution

What action was taken.

Example:
"Corrected tubing position, verified flush bag volume, primed flush tubing with patient disconnected, and confirmed flush completed without alarm. Device returned to service."

Helpful Details to Include (If Known)

• Alarm behavior
• Accessories swapped
• Power behavior
• Environmental factors
• Indicator lights
• Final device status

Final Thought

A Flush Error should be approached as a real delivery-path problem until proven otherwise. Start with patient safety, verify the alarm, check the flush bag and tubing, confirm proper priming, inspect the cassette and sensor area, and replace the disposable set before suspecting the pump.

If the alarm persists after external causes are ruled out, remove the pump from service and document the findings clearly.

That is successful troubleshooting.