Troubleshooting & Alarms

For a full list of alarms and troubleshooting guidance, please see the CURLIN 6000 User Manual.

For all alarms except “INFUSION COMPLETE”, follow these instructions before proceeding to the RESOLUTION section below:

• To silence and exit Alarm/Alert screens, press the PAUSE key
• Press YES to RESUME, then resolve the alarm
• When ready to resume the infusion, press RUN to start the infusion.

Alarms, possible causes, and steps for resolution

• INFUSION COMPLETE
  Press PAUSE, attach new solution container, highlight REPEAT RX and press YES. The program will auto-scroll (or confirm each field by pressing YES). If therapy is complete, turn pump off.
• AIR-IN-LINE
  Press the PRIME key, then follow on-screen instructions to remove air from the tubing and IV bag. CAUTION: Disconnect set from patient’s access site before priming. Sets with in-line ASVs must be primed on the pump.
• DOWN OCCLUSION
  Down occlusions auto-correct when occlusion is resolved without the need to press PAUSE. Check the tubing from pump to patient’s IV site for cause, then correct obstruction per protocol. Consider changing the DN Occlu setting from LOW to HIGH (See OPTIONS section). Possible causes: kinked or clamped line, infiltrated/ positional IV site, viscous solution, small gauge catheter.
• UP OCCLUSION
  Check tubing from pump to IV bag for cause, then correct obstruction per protocol. Possible causes: glass container without vented spike adapter, line kinked in pump door, bag empty, bag not spiked properly.
• HIGH UP PRESSURE
  Check for excessive pressure on IV bag. Causes: uneven fluid distribution within lockbox or carrying pouch, object pressing on solution container.
• SET NOT INSTALLED
  Use only Curlin administration sets. Check that set is installed properly. Refer to Instructions for Use in set package or Installing Administration Set section in this guide. Possible causes: tab not removed from yellow Flow-Stop, blue guide pin or yellow flow-stop not properly seated in receptacles, no set installed.
• UNATTENDED
  The pump will alarm when left idle for 2 minutes. Press RUN to start the infusion or press OFF to power down the pump.
• REPLACE SET 3
  Replace set and prime if necessary. Possible causes: flattening of the soft pumping segment of the set due to overuse, use of a glass container without a vented spike adapter, excessive plunger stiction with syringe use.
• REPLACE SET 4
  Equalize the pressure in the set by priming (disconnect from the patient). Turn pump OFF then ON to reset the sensor prior to resuming the infusion.
• DOOR OPEN
  Check placement of the administration set and close pump door properly. See User’s Manual for instructions.
• EMPTY BATTERY
  Turn pump off by pressing the OFF key. Install 2 new batteries and turn pump back on.
• ERROR CODE
  If an error code occurs, turn pump off and consult provider or manufacturer.

For a full list of alarms and troubleshooting guidance, please see the CURLIN PainSmart User Manual.

For all alarms except “INFUSION COMPLETE”, follow these instructions before proceeding to the RESOLUTION section below:

• To silence and exit Alarm/Alert screens, press the PAUSE key
• Press YES to RESUME, then resolve the alarm
• When ready to resume the infusion, press RUN to start the infusion.

Alarms, possible causes, and steps for resolution

• INFUSION COMPLETE
  Press PAUSE, attach new solution container, highlight REPEAT RX and press YES. The program will auto-scroll (or confirm each field by pressing YES). If therapy is complete, turn pump off.
• AIR-IN-LINE
  Press the PRIME key, then follow on-screen instructions to remove air from the tubing and IV bag. CAUTION: Disconnect set from patient’s access site before priming. Sets with in-line ASVs must be primed on the pump.
• DOWN OCCLUSION
  Down occlusions auto-correct when occlusion is resolved without the need to press PAUSE. Check the tubing from pump to patient’s IV site for cause, then correct obstruction per protocol. Consider changing the DN Occlu setting from LOW to HIGH (See OPTIONS section). Possible causes: kinked or clamped line, infiltrated/ positional IV site, viscous solution, small gauge catheter.
• UP OCCLUSION
  Check tubing from pump to IV bag for cause, then correct obstruction per protocol. Possible causes: glass container without vented spike adapter, line kinked in pump door, bag empty, bag not spiked properly.
• HIGH UP PRESSURE
  Check for excessive pressure on IV bag. Causes: uneven fluid distribution within lockbox or carrying pouch, object pressing on solution container.
• SET NOT INSTALLED
  Use only Curlin administration sets. Check that set is installed properly. Refer to Instructions for Use in set package or Installing Administration Set section in this guide. Possible causes: tab not removed from yellow Flow-Stop, blue guide pin or yellow flow-stop not properly seated in receptacles, no set installed.
• UNATTENDED
  The pump will alarm when left idle for 2 minutes. Press RUN to start the infusion or press OFF to power down the pump.
• REPLACE SET 3
  Replace set and prime if necessary. Possible causes: flattening of the soft pumping segment of the set due to overuse, use of a glass container without a vented spike adapter, excessive plunger stiction with syringe use.
• REPLACE SET 4
  Equalize the pressure in the set by priming (disconnect from the patient). Turn pump OFF then ON to reset the sensor prior to resuming the infusion.
• DOOR OPEN
  Check placement of the administration set and close pump door properly. See User’s Manual for instructions.
• EMPTY BATTERY
  Turn pump off by pressing the OFF key. Install 2 new batteries and turn pump back on.
• ERROR CODE
  If an error code occurs, turn pump off and consult provider or manufacturer.

For a full list of alarms and troubleshooting guidance, please see the Infinity Operator's Manual.

• ER01 – ER99 Alarms
  Error codes: ER01, ER02, ER03, ER04, ER10, ER11, ER12, ER13, ER14, ER15, ER16, ER17, ER30, ER31, ER40, ER50, ER51, ER52, ER60, ER61, ER62, ER63, ER99Pump will sound a continuous beep and display will read ER followed by a two digit number or ERR followed by a letter to indicate a self-test has failed. WARNING: If an error occurs (ER01 – ER99 will appear in display), all settings and volume counters should be checked and verified before starting a feeding.To correct the problem.

  1. Was pump door open while pump was turned on or while running?

  YES / UNSURE: Turn pump off. Unload and reload delivery set cassette. Make sure door is closed securely, then turn pump back on.

  NO: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• LOAD SET Alarm
  Pump will sound a dual tone beep repeatedly and display will read LOAD SET. This alarm will sound when pump attempted to run with the set improperly loaded or missing.To correct the problem:1. Is door close securely?

  NO / UNSURE: Turn pump off. Unload and reload delivery set cassette. Make sure door is closed securely, then turn pump back on.

  YES: Continue to step 2.

  2. Is door cracked or tab on side of door broken?

  YES: If alarm continues, contact Moog Customer Service at 800.970.2337 to order a new door.

  NO: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• LOW BATT (Charging Problems)
  When 1 hour or less of battery life is available, display will flash LOW BATT every 3 seconds and pump will beep every 2 seconds to indicate battery is low and pump will soon stop running.To correct the problem:1. Is A/C adapter charger plugged into wall outlet and pump properly?

  NO / UNSURE: Check connections for both wall plug and pump adapter. Green indicator light on charger wall plug should be illuminated and pump display should have plug symbol with scrolling bars between E and F of fuel gauge. When pump is fully charged, bars will stop scrolling.

  YES: Continue to step 2.

  2. Is wall outlet functioning properly?

  NO / UNSURE: Plug another device into outlet to verify outlet is functioning properly.

  YES: Continue to step 3.

  3. Does charger adapter appear to have any damage?
  
  YES: Contact Moog Customer Service at 800.970.2337 to order a new charger.

  NO: Continue to step 4.

  4. Does charger port appear to have any damage including bent or missing pins?
  
  YES: Contact Moog Customer Service at 800.970.2337 to return pump for service.

  NO: Continue to step 5.

  5. Is Battery Symbol and E and F of fuel gauge flashing?

  Contact Moog Customer Service at 800.970.2337 to return pump for service.

• NO FLOW IN or NO FLOW OUT
  Pump will sound a dual tone beep repeatedly and display will read NO FLOW IN or NO FLOW OUT.NO FLOW IN alarm has occurred because pump has detected blockage in the set between pump and bag. NO FLOW OUT alarm has occurred because pump has detected blockage in the set between pump and patient.To correct the problem:

  1. Is delivery set tubing pinched, kinked, or clogged?

  YES: Check delivery set for obstructions or kinks in tubing. Correct blockage and resume feeding.

  NO: Continue to step 2.

  2. Is tab on inside of door broken?

  YES: Contact Moog Customer Service at 800.970.2337 to order a new door.

  NO: Continue to step 3.

  3. Is delivery set tubing pinched, kinked, or clogged?

  NO: Clean pressure sensor area with a cotton swab, soft cloth, or dampened sponge; or wash entire pump under running water. Do not use abrasive materials or harsh chemicals.

  YES: Continue to step 4.

  4. Are there visible signs of damage to pressure sensors area?

  YES: Contact Moog Customer Service at 800.970.2337 to return pump for service

  NO: Disconnect from patient and fill a new delivery set with food. Prime set and start pump. If alarm continues, contact Moog Customer Service at 800.970.2337 to return pump for assistance.

• NO FOOD
  Pump will sound a dual tone beep repeatedly and display will read NO FOOD. This alarm has occurred because pump has detected air in the tubing. It takes approximately 1 ml of air, which is approximately 5 inches (12.7 cm) in length entering the teal colored tubing to cause an alarm. If re-priming of the pump delivery set is required, it is advisable to disconnect the enteral adapter from the patient’s feeding tube while re-priming.To correct the problem:1. Is bag of pump delivery set empty?

  YES: Refill bag, re-prime delivery set and resume feeding.

  NO: Continue to step 2.

  2. Is air present in the tubing?

  YES: Has air been removed from bag of pump delivery set? If NO: Manually prime tubing by turning bag upside down, gently squeezing lower half of bag while pinching the teal colored tubing just below the drop symbol. Hold this position until all air is removed from bag and tubing. If YES: Press and hold the PRIME key to move the air in the tubing past pump delivery set cassette and resume feeding.

  NO: Continue to step 3.

  3. Is formula blenderized or aggressively mixed?

  YES: Let formula sit for 10-15 minutes before preparing pump delivery set for feeding. If foam is present in tubing, flush by priming pump delivery set either manually or with the pump and resume feeding.

  NO: Continue to step 4.

  4. Are air bubbles trapped inside the cassette?

  YES: Remove tubing from pump and manually prime tubing by turning bag upside down, gently squeezing lower half of bag while pinching the teal colored tubing just below the drop symbol. Hold this position until all air has passed through the teal segment of the tubing.

  NO: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• PUSH RUN TO FEED
  Pump will sound a dual tone beep repeatedly and display will read PUSH RUN TO FEED. This alarm has occurred because pump has been in pause mode for 2 minutes.To correct the problem: Press the RUN/ PAUSE key to silence alarm and place pump in pause mode again. Program and use pump or press the ON/OFF key to turn it off.

• SHUT DOOR
  Pump will sound a dual tone beep repeatedly and display will read SHUT DOOR. Note: This alarm is available only on select pumps. This alarm has occurred because the pump door was opened while pump was running.To correct the problem: Press the RUN/PAUSE key to silence alarm and place pump in pause mode then shut the door. Check door is latched securely. If door will not stay closed, check door latch and latch pocket on pump are not broken or cracked.

For a full list of alarms and troubleshooting guidance, please see the Infinity Orange Operator's Manual.

• ER01 – ER99 Alarms
  Error codes: ER01, ER02, ER03, ER04, ER10, ER11, ER12, ER13, ER14, ER15, ER16, ER17, ER30, ER31, ER40, ER50, ER51, ER52, ER60, ER61, ER62, ER63, ER99Pump will sound a continuous beep and display will read ER followed by a two digit number or ERR followed by a letter to indicate a self-test has failed. WARNING: If an error occurs (ER01 – ER99 will appear in display), all settings and volume counters should be checked and verified before starting a feeding.

  To correct the problem.

  1. Was pump door open while pump was turned on or while running?

  YES / UNSURE: Turn pump off. Unload and reload delivery set cassette. Make sure door is closed securely, then turn pump back on.

  NO: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• LOAD SET Alarm
  Pump will sound a dual tone beep repeatedly and display will read LOAD SET. This alarm will sound when pump attempted to run with the set improperly loaded or missing.To correct the problem:

  1. Is door close securely?

  NO / UNSURE: Turn pump off. Unload and reload delivery set cassette. Make sure door is closed securely, then turn pump back on.

  YES: Continue to step 2.

  2. Is door cracked or tab on side of door broken?

  YES: If alarm continues, contact Moog Customer Service at 800.970.2337 to order a new door.

  NO: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• LOW BATT (Charging Problems)
  When 1 hour or less of battery life is available, display will flash LOW BATT every 3 seconds and pump will beep every 2 seconds to indicate battery is low and pump will soon stop running.To correct the problem:

  1. Is A/C adapter charger plugged into wall outlet and pump properly?

  NO / UNSURE: Check connections for both wall plug and pump adapter. Green indicator light on charger wall plug should be illuminated and pump display should have plug symbol with scrolling bars between E and F of fuel gauge. When pump is fully charged, bars will stop scrolling.

  YES: Continue to step 2.

  2. Is wall outlet functioning properly?

  NO / UNSURE: Plug another device into outlet to verify outlet is functioning properly.

  YES: Continue to step 3.

  3. Does charger adapter appear to have any damage?
  
  YES: Contact Moog Customer Service at 800.970.2337 to order a new charger.

  NO: Continue to step 4.

  4. Does charger port appear to have any damage including bent or missing pins?
  
  YES: Contact Moog Customer Service at 800.970.2337 to return pump for service.

  NO: Continue to step 5.

  5. Is Battery Symbol and E and F of fuel gauge flashing?

  Contact Moog Customer Service at 800.970.2337 to return pump for service.

• NO FLOW IN or NO FLOW OUT
  Pump will sound a dual tone beep repeatedly and display will read NO FLOW IN or NO FLOW OUT.NO FLOW IN alarm has occurred because pump has detected blockage in the set between pump and bag. NO FLOW OUT alarm has occurred because pump has detected blockage in the set between pump and patient.

  To correct the problem:

  1. Is delivery set tubing pinched, kinked, or clogged?

  YES: Check delivery set for obstructions or kinks in tubing. Correct blockage and resume feeding.

  NO: Continue to step 2.

  2. Is tab on inside of door broken?

  YES: Contact Moog Customer Service at 800.970.2337 to order a new door.

  NO: Continue to step 3.

  3. Is delivery set tubing pinched, kinked, or clogged?

  NO: Clean pressure sensor area with a cotton swab, soft cloth, or dampened sponge; or wash entire pump under running water. Do not use abrasive materials or harsh chemicals.

  YES: Continue to step 4.

  4. Are there visible signs of damage to pressure sensors area?

  YES: Contact Moog Customer Service at 800.970.2337 to return pump for service

  NO: Disconnect from patient and fill a new delivery set with food. Prime set and start pump. If alarm continues, contact Moog Customer Service at 800.970.2337 to return pump for assistance.

• NO FOOD
  Pump will sound a dual tone beep repeatedly and display will read NO FOOD. This alarm has occurred because pump has detected air in the tubing. It takes approximately 1 ml of air, which is approximately 5 inches (12.7 cm) in length entering the orange colored tubing to cause an alarm. If re-priming of the pump delivery set is required, it is advisable to disconnect the enteral adapter from the patient’s feeding tube while re-priming.To correct the problem:

  1. Is bag of pump delivery set empty?

  YES: Refill bag, re-prime delivery set and resume feeding.

  NO: Continue to step 2.

  2. Is air present in the tubing?

  YES: Has air been removed from bag of pump delivery set? If NO: Manually prime tubing by turning bag upside down, gently squeezing lower half of bag while pinching the orange colored tubing just below the drop symbol. Hold this position until all air is removed from bag and tubing. If YES: Press and hold the PRIME key to move the air in the tubing past pump delivery set cassette and resume feeding.

  NO: Continue to step 3.

  3. Is formula blenderized or aggressively mixed?

  YES: Let formula sit for 10-15 minutes before preparing pump delivery set for feeding. If foam is present in tubing, flush by priming pump delivery set either manually or with the pump and resume feeding.

  NO: Continue to step 4.

  4. Are air bubbles trapped inside the cassette?

  YES: Remove tubing from pump and manually prime tubing by turning bag upside down, gently squeezing lower half of bag while pinching the orange colored tubing just below the drop symbol. Hold this position until all air has passed through the orange segment of the tubing.

  NO: Continue to step 5.

  5. Has the appropriate food type setting on the pump been selected for this feeding?

  NO: Pause pump and change food type by pressing FOOD TYPE key YES and either + or - to change between formula and human milk.

  YES: If alarm continues, contact Moog Customer Service at 800.970.2337 for assistance.

• PUSH RUN TO FEED
  Pump will sound a dual tone beep repeatedly and display will read PUSH RUN TO FEED. This alarm has occurred because pump has been in pause mode for 2 minutes.To correct the problem: Press the RUN/ PAUSE key to silence alarm and place pump in pause mode again. Program and use pump or press the ON/OFF key to turn it off.

• SHUT DOOR
  Pump will sound a dual tone beep repeatedly and display will read SHUT DOOR. Note: This alarm is available only on select pumps. This alarm has occurred because the pump door was opened while pump was running.To correct the problem: Press the RUN/PAUSE key to silence alarm and place pump in pause mode then shut the door. Check door is latched securely. If door will not stay closed, check door latch and latch pocket on pump are not broken or cracked.