.

Noa III
Infusion System

SERVICE MANUAL

0344

Manufacturer:
Caesarea Medical Electronics GmbH
23 Staufenburg st.
72805 Lichtenstein, Germany
International Toll Free: +800-323-575-00
Contact e-mail: Sales@cme-infusion.com
www.cme-infusion.com

EDITION 2 November 2009 Ref.: 100-092XN

The Noa III Infusion Pump

2
 Table of Contents
Introduction ……………………………………………………………………………. 4
Glossary ……………………………………………………………………………………. 5
Specifications ………………………………………………………………………..……. 6-7
Noa III Front view ……………………………………………………………………. 8-9
Noa III with Open Door ………………………………………………………….……. 10
The Charger ………………………………………………………………………….……. 11
Safety Precautions …………………………………………………………………………. 12-13
Alarm Conditions……………………………………………………………………..……. 14
Troubleshooting ……………………………………………………………………..……. 15-17
Info Mode …………………………………………………………………………………. 18
Stopping Pump Operation …………………………………………………………………. 19
Changing Fluid Container …………………………………………………………………. 20
Setting “Down Occlusion” ………………………………………………………..….……. 21
Locking ……………………………………………………………………………..……. 22
How to Lock ………………………………………………………………………………. 23-24
“Show Setting” ……………………………………………………………………………. 25-26
“Adjust Setting” ……………………………………………………………………..……. 27-28
“Technician Mode” ………………………………………………………………………… 29
Automatic calibration ……………………………………………………………………… 30
Volume calibration ………………………………………………………………………… 30
Automatic pressure calibration ……………………………………………………….……. 31
Pressure Setting ………………………………………………………..…………………… 31
Changing Current Program ………………………………………………………………… 32-33
Unpacking …………………………………………………………………………..……… 34
Loading the Administration Set ……………………………………………………………. 34
IV set Requirements – NoaSet ……………………………………………………….…… 35
NoaValve …………………………………………………………………………..……. 36
Priming Function. ……………………………………………………………….…….. .. 37
Noa III Operating ………………………………………………………………..……. 38
Pump Operation Test. ………………………………………………………….…………. 38
Air in Line Alarm Test. ……………………………………………………………..……. 39
Door Open Alarm Test. ……………………………………………………………..……. 40
Down Occlusion Alarm Test. ……………………………………………………………. 41
Charge Indicator Test. ……………………………………………………………………. 41
Basic Operation …………………………………………………………………..….……. 42-44
Hospital Service Procedures ………………………………………………………………. 45
Replacement of power fuses ………………………………………………………………. 45
Battery Protection fuse….. ………………………………………………………………. 45
Fuse Nominal (charger) ………………………………………………………………….. 46
Preventing Maintenance ………………………………………………………………….. 47-49
Cleaning and Storage ………………………………………………………………………. 50
Battery Operation. …………………………………………………………………………. 51
Testing Procedures …………………………………………………………………………. 52
Maintenance Flow Chart …………………………………………………………………. 53
Service Information ………………………………………………………………………. 54
Failure Identification ………………………………………………………………………. 54
Corrective actions ………………………………………………………………………. 55-60
Operational Checkout ……………………………………………………………………. 61-63
Limited Warranty …………………………………………………………………………. 64
Appendixes : A. Electronic Drawing
B. Mechanical Drawing
C. Pump – testing form

3
Introduction
This Manual Provides directions for setup and operation of the Noa III Pump

Noa III Features

The NOA III enteral pump is intended to control application of enteral nutrition.
The pump can be used for mobile patient with an integrated rechargeable battery,
or stationary with connection to main by a charger.
This Manual Provides directions for setup and operation of the NOA III Pump
 Small, light and compact pump.
 Multi RATE Rate Program
Programs: Infusion Rate: 1 to 500 ml/hr.
RATE/VOLUME Rate Over Volume Program
Infusion Rate: 1 to 500 ml/hr.
Volume: 1 to 9999 ml.

BOLUS Bolus Program

A set Dose delivered in set intervals.
Between Intervals the pump will keep the
tube open (KTO).

25 STEPS User can design a specific protocol, for drug

Delivery, which contains up to 25 steps.
Infusion Rate: 1 to 500 ml/hr.
Volume: 9999ml., For each step.
Accumulated Volume for all steps – up to 10
liters.
 Highly accurate fluid delivery. The piston mechanism ensures accurate
volume delivery over more than 24 hours using the same administration set
segment
 Operated with a customized safe administration set (optional)
 Rechargeable internal battery
 Can be clicked into a Charger, which is mounted on an IV pole
 Charger enables monitoring operation via telephone line (optional)
 Anti-free flow protection valve on the administration set (Optional)
 Silent operation

4
Glossary
Terms used in manual:

 Note: Essential operating procedure or condition.

 Caution: A precaution which, if not followed, could result in extensive

damage to the equipment.

 Warning A precaution, which, if not followed, can result in personal

injury or loss of life.

5
 Specifications
Pumping Mechanism: Piston Mechanism
Flow Rate: 1 to 500 ml/hr in 1ml increments
Total Infused Volume: 1 to 10,000 ml.
Total Time Setting 100 hours
Accuracy: ± 5%.
KTO rate: 1 to 5 ml/hr. (to be set)
Air Sensor: Ultrasonic, adjustable air bubble size
Maximum Pressure: 15 psi Adjustable (high/normal/low)
Power Supply: 110-240 VAC, 50/60 Hz. 0.12A
Battery: Li-Ion 7.2V, 1450 mA. (Rechargeable)
Battery Operation at 125 ml/hr 15 hours
Battery Charging: Automatic when clicked into the Charger
connected to an AC power source (4 hours)
Language: English or German
Alarms: Mechanical Error
Low & End Battery
Pump Unattended
Air in line
Down Occlusion
Door Open
Program End
Locking state
Acoustic buzzer level: Low to high – adjustable.
Dimensions: 112 x 89 x 32mm. (L x w x h).
Symbol Attention (Consult accompanying documents)

Surrounding Min. +150C Max. 350C. Humidity 85%.

6
 Specifications
Classification Type CF Equipment
(degree of protection against electrical shock)
Class IIb device (according to 93/42/EEC
Medical devices directive)
Housing: ABS (fire retardant)

Weight 280 gr. (without battery)

Electrical Safety Complies with:

IEC 601-1 (Medical Electrical Equipment Safety),
IEC601-2-24 (Infusion pumps and controllers),
IEC 601-1-4 (Programmable Electrical Medical
System), UL 2601- 1 and CAN/CSA C22.2 No
601.1.

Standards Manufacture in accordance to ISO 9001 and

EN 46001
CE marked (In accordance with the Medical
Devices Directive 93/42/EEC)

Special Information: Service reminder after 5000 hours.

Call off the last 256 events.
Nurse call with wire or wireless – LPS (optional)

7
 Noa III Front View

2
5

3
4
7

5 9

6
10
8

No. Description Function

1. Display Displays: Selected Infusion Rate, Total Time,
Volume To Be Infused and Volume Infused.

Rate 125 ml /h
Press OK for Volume

2. Arrow keys Increases / Decreases the infusion RATE,

TIME limit and VTBI.
Press the arrows keys consecutively for
individual unit changing. Press the arrow keys
continuously for sustain unit changing.

8
3. Syringe key Pressing Syringe key automatically primes
administration set.
Priming volume: 20 ml.

PRIME 10 ml

0 20

4. Info key Pressing Info key supplies information about

the pump and its programs.

5. START/ OK Key Starts pump operation and delivery.

Confirms selection and setting.
6. STOP/NO key  Silences an alarm condition and pauses
priming.
 Zeroes the displayed value during setting
 Press twice to return to previous screen
7 On/Off key Turn the pump on and off.
 To turn the pump on press until the
self-test screen appears
 To turn the pump off press until the
OFF graph is all black and a beep is
sounded.
8. Operation Led 
Flashing of the Led in green indicates that the
set program is running.
Red light indicates that the pump stopped.

9. Door Latch Opens the pump door.

Lift to open the door.

9
 Noa III–with open door

6 3

4
7

No. Description Function

1. Latch holder Holds the door closed when latch is in vertical

position.
2. Pressure sensor Detects downstream tubing restriction and
occlusion. Alarm level can be adjusted to suit
patient needs.
3. Tubing Guide Guide the administration set

4. Pressing Plate Connected to the door by 2 springs.

5. Pump door Covers the pressing plate.
6. Air sensor – front Ultrasonic air detector, which is mounted on the
front housing.
7 Air sensor - door Mounted on the door.
10
 The Charger

Noa III with drop sensor

No. Description Function 2

1. Release Handle Push to release the pump from the Charger.

11
Safety Precautions

 Warning !
To avoid possible personal injury or loss of life, observe the following:

 Note: Read the entire Operation Manual before using the pump, since the
text includes important precautions.
 Disconnect the Charger from the mains, prior to opening the casing.
Voltage present on internal components may cause severe shock or death
on contact. Only trained service personnel should open the pump cover.
 Before servicing pumps connected to mains via the Charger - remove
rings, watches, and other jewelry, which may present a shock / burn
hazard.
 To prevent a fire hazard, replace blown fuses on the Charger only with
fuses of the same type and rating (see fuse values on the Charger PCB).
 The equipment is not suitable for use in the presence of flammable
anaesthetic-air/ oxygen/nitrous oxide mixture.
 Watch your fingers / nails when opening the pump door.
To avoid possible injury to patient, observe the following:
 Warning Battery charging is enabled as long as the charger cord is
connected to the mains and the pump is in the charger.
Switching the pump off doesn’t disconnect it from the
mains. In order to disconnect from the mains, take the
charger cable out of the mains. In order to disconnect pump
from the mains, take it out of the charger.

 Note: To avoid battery damage do not leave the pump battery in a

temperature more than 500C

 Make sure the pump is attached securely to the Charger, which is

connected snugly to an IV pole.
 If the pump is dropped, return the pump for inspection by qualified
service personnel.
 Before operation, verify that administration set tubing is not kinked or

12
 occluded.
 This pump should be operated only with the NoaSet.
Use of administration sets other than the NoaSet may impair the
operation of the pump and the accuracy of the infusion.

Warning: The NoaSet is not suitable to use with Taxol.

 Note: The maximum volume that may be infused under SINGLE FAULT
CONDITION is 0.1 ml

 CAUTION To avoid possible damage to the equipment, observe the

following:

 Do not immerse the pump in liquids.

 Clean solution spills on the pump immediately. Use a damp
cloth or sponge. A cleaning disinfectant may be used. Wipe
thoroughly with a dry cloth.
 Do not clean pump with chemicals such as Xylene, Acetone or
similar solvents. These chemicals cause damage to plastic
components and paint.

Warning: Any adjustments, maintenance, or repair of the uncovered

pump while connected to the power should be avoided. If
necessary, these repairs should be carried out by skilled
technicians who are aware of the hazards involved.

Warning: The pump should be operated within a temperature range of

15C to 35C. and at up to 85% humidity

Warning: Do not operate the pump near high-energy radio-frequency

emitting equipment, such as electro-surgical cauterizing
equipment, and cellular telephones. False alarm signals may
occur.

13
Alarms Conditions
At any time, when the pump detects a problem, an alarm is activated and the
following will occur:

 An alarm message appears on the display, stating the cause of the alarm and
indicates instructions for continued use.

 An audible alarm sounds.

 The infusion stops.

Alarms
 Air in Line

 Door Open

 Down Occlusion

 Pump Unattended

 Low Battery

 End Battery

 Internal Malfunction

 End Program

 Missing Key

The “Troubleshooting Table” (on the next pages) describes the pump’s alarm
conditions and remedies.

14
 Troubleshooting
Description Result Possible Cause Remedy
Air in Line Infusion Air is present in Disconnect patient,
ceases administration set press the STOP/NO
Air in Line key and remove the air
from Administration
Clean air set, as described on
page 23. After flushing,
press the START/OK
key to resume the
program.
The roller clamp above the Open Roler clamp
pump is closed.
Door Open Infusion The door of the pump was Close Door
Door Open ceases not closed prior to operation

Close door The door has accidentally

opened during operation.
Down stream occlusion Infusion Roller clamp closed Open the Roller clamp
causing
Downhigh pressure on
Occlusion ceases Set kinked Straight out the set
pressure sensor Administration set loaded Reload administration
incorrectly set, as described on
Press STOP to mute page 21
Cannula blocked Change Cannula
**User may change Adjust pressure setting,
pressure setting as described on page 31

Pump
No key has been pressed No key was pressed for 2 Press the START/OK
for 2 minutes, during operation key
has been minutes.
setting
stopped
Pump Unattended

Press start key

15
 Troubleshooting
Description Result Possible Cause Remedy
If pump
Message displayed Message will be displayed as Connect to Mains
showing  30 minutes won’t be
connected long as the internal battery
left of battery operation to mains, voltage is less than 7.1v.
Low Battery battery will
be depleted
Connect to charger
End Battery Infusion Battery is depleted. Connect to Mains and
ceases The pump cannot be used wait 2 minutes before
End Battery before being connected to operating.
mains.
Connect to
charger
Program The program is set in No action required.
Pump is in lock-mode parameters second-level locking, which
can not be enables daily operation of
changed the set program, without the
Lock out ability to change parameters.

Infusion The pump will advise the Restart the pump. If the
A fatal error is detected
ceases user to send the pump for alarm does not stop
Error XXX service. See list of error at pack the pump
the end of this chart. properly, in its original
Send for Service packaging, and send it
for service.
Pump will
Program completed The program was completed Press the STOP/NO
turn to key to restart
End PROGRAM KTO mode
Press STOP to mute
KTO 5 ml/h KVO (Keep Vein Open)
program starts.
Press STOP to renew

16
Error code Error Description
10 Motor did not move for more than 120 seconds.
11 Pump can not operate at requested rate
12 Error on encoder channel 3
13 Encoder rotation time error.
15 Stack overflow
16 External timer communication error
17 Internal eeprom error
18 Thermometer communication error
19 Watch dog 2 failed test.
20 Rotating encoder channel 1error.
21 Rotating encoder channel 2 error.
23 Timer error.
24 Time comparison error.
25 AC power error.
29 Key pressed during power up test.
30 Error data reading from external memory – double check.
31 Error data reading from external memory – full check
sum.
32 Processor hardware reset.
34 ADC error.
40 Check sum error – data or processor.
52 60-minutes event in pumping mode
72 Antibolus reverse rotation

17
 Info Mode
The info Mode is divided into two groups.

a. The info key is pressed during operation.

b. The info key is pressed during data setting or stop.

info during operation

Display the total Volume To Be Infused and the VI ml VTBI
Infused Volume by pressing the info key once
during operation. The screen will be displayed for
10 seconds. 1 715 1111

Press the info key twice to display battery Battery Level

status.The screen will be displayed for 10 seconds.
Empty Full

Press the info key 3 times to display IV nutrition Temperature

set temperature. The screen will be displayed for
o
10 seconds.
+ 28 C
info during setting or STOP
Display the total Volume To Be Infused and the VI ml VTBI
Infused Volume by pressing the info key once The
screen will be displayed for 10 seconds.
1 715 1111

 Note:  INFUSED Volume will automatically reset to zero when pump

is switched OFF.

18
STOPING PUMP OPERATION
Press the STOP/NO key to stop the pump. STOP
This ceases pump operation and the display 2 min
showes STOP:
Press OK to start

Stop mode is limited to 5 min. After 5 min. Pump Unattended

an audiable alarm is sounded. Press
STOP/NO key again, to mute the alarm.
Press start key

From STOP switch the pump off by pressing

the ON/OFF key (continuously until the
OFF graph is all black and a beep is OFF
sounded).

 Note: The pump cannot be switched off during operation.

19
Changing The Fluid Container
Important: Use the technique dictated by the homecare provider
1. Ensure that pump is not infusing by placing pump in STOP mode or
turning pump OFF.
2. Remove empty bag / used container. Discard empty/used bag/container
according to manufacturer instructions.
3. Prepare new container as per homecare provider instructions and
insert spike into new container.
4. Squeeze drip chamber (if applicable) to fill approximately halfway
with fluid.
5. Restart infusion.

20
 Down Occlusion Setting:
1. Switch the pump on, by pressing ON/OFF key
ON
OFF
2. When the screen of Rate appears, press info key twice.

3. Use ARROW keys (2↑, 0↓) to scroll to "Adjust Volume Infused

Setting" option. Show Setting
=> Adjust Setting
4. Choose "Adjust Setting" with START/ OK key.

5. The option selected is “pressure level”. Adjust setting:

=> Pressure Level
Buzzer Level
6. Confirm with START/OK key.

7. Choose the desired pressure level, using the Pressure setting

arrow keys (2↑, 0↓). High 10 psi
Adjust ↑↓ & press OK

8. Press the START/OK key to store the parameter in the pump’s memory.

 Note: The following pressure parameters can be set:

Low = 7 psi

Normal = 14 psi

High = 21 psi

 Note: The selected pressure setting will remain in the pump’s memory
only until turning off (and then return to the default).

21
Locking
The Noa III enables the user to lock the programs, on three different
levels.

Level 1 (keys locking)

Level 2 (lock out program)

Level 3 (presetting maximal rates)

Level 1 – key locking

The Noa III keys locking function disables all but the info key, START/OK
(during setting mode) and STOP/NO (during operation mode) keys.

Level 2 – program locking

The Noa III has a unique option, which enables the user to lock out the
numeric keys, so that entered parameters, or set programs cannot be changed
once they are set.

This option is important, for example, when children are users, when there is a
danger that the child might play with the pump and unknowingly change the
program; or for home-care patients whom repeating the same program every
day, it's important to have a lock-out program, to prevent mistakes in setting.

Level 3 – maximal rate locking

The Noa III provides the option of setting a maximal rate in the technician
mode. The program rate can be adjusted up to a preset limit. For home patient
(mainly for TPN or PCA treatments), who must repeat the same program
daily, the option of adjusting the delivery regiment is very important.

22
How to Lock ?
Level 1 – key locking
Pressing continuously on the info key, untill the LOCK Mode
graph is all black and a beep is sounded will lock
the program.
OFF ON

A key will be shown on the right side of the display, indicating that the
program is first level locked.
Pressing continuously on the info key, untill the LOCK Mode
graph is all empty and a beep is sounded will
unlock the program.
OFF ON

Level 2 – program locking

Press info key twice, from stop or setting mode.
Use ARROW keys to scroll to "Adjust Setting" Volume Infused
option. Show Setting
=> Adjust Setting
Choose "Adjust Setting" with START/OK key.
Use ARROW keys to scroll to "More" and Buzzer level
confirm with START/OK key. => More …
Show Setting
Set technician Code (Code 13), and confirm with Technician
START/OK key.
Code 13
Use one of ARROW keys to change from OFF Lock Out
to ON. Confirm with START/OK key.
ON
Adjust ↑↓ & press OK

The default setting is “Lock Out - NO”.

Unlock in the same procedure.

23
 Level 3 – maximal rate locking
Set a maximal rates in the technician mode.
1 Press info key twice.
Use ARROW keys to scroll to "Adjust Setting" Volume Infused
option. Show Setting
=> Adjust Setting
2 Choose "Adjust Setting" with OK/START key.
Use ARROW keys to scroll to "More". Buzzer level
=> More …
Show Setting
3 Confirm with START/OK key.
4 Set technician Code (Code 21), using the Technician
2008
ARROW keys and confirm with START/OK
key. Code

5 Scroll through the setting parameters, using the Bolus Times/hour

ARROW keys, until the "Maximal Rate " option. => Maximal Rate
Confirm with START/OK key.
KTO Rate

6 Set the maximal rate, using the ARROW keys Maximal Rate
and confirm with START/OK key. 500.0 ml/h
Adjust ↑↓ & press OK

 Note: The default setting for maximal rate is 500 ml/h.

 Note: The selected Locking Option will remain in the pump’s

memory until changed by user.

24
 Show Setting
The program was designed to disable unauthourised user access to
technician settings.

Press info key twice.

Choose "Show Setting" to display all software Volume Infused

adjustable parameters. User may inspect all =>Show Setting
settings, but not change them.
Adjust setting

Scroll down the followung parameters on the Show Setting:

Show Setting mode: =>Battery Level
Lock Out

Show Setting Options

o. Setting Screen
Battery Level (Empty ↔ Full) Battery Level
Lock Out Option (ON/OFF) Lock Out
Time & Date display Time, Date
Tube Temperature Tube Temperature
Buzzer Level Buzzer Level
Pressure level (High/Normal/Low) Pressure level
Pressure Default Pressure Default
Selected Program Select Program
Display priming volume (different Priming Volume
than the 20 ml.default- up to 20 ml)
Display BOLUS rate (different than Bolus Rate
default)
Display no. of BOLUSES per Hour Bolus Times/hour
Maximal Rate setting Maximal Rate
Display KTO rate KTO Rate
Air bubbles size Air bubble Size
Program Language Language
Prime Test – future option Prime Test Option
Pump Serial Number Serial Number
Pump Production Date Production Date
Operation Time (in full hours) Operation Time

25
o. Setting Screen
Software Version Software Version
Volumetric Calibration Volume Calibration
Pressure Calibration - Delta Pressure Delta
Pressure Calibration - Cap Pressure CAp
EXIT EXIT

26
Adjust Setting
Choose "Adjust Setting" to display all software Volume Infused
adjustable parameters. Show Setting
=>Adjust Setting
Confirm with OK/START key.
See list of parameters that can be set on "Adjust Adjust Setting:
Setting" selection on the next page. => Pressure Level
Buzzer Level
The first 2 parameters, Pressure level and Buzzer level, can be adjusted using the
arrow keys.

Access to “More…” will required a code. Buzzer level

Use ARROW keys to scroll to "More". => More …
Show Setting
Confirm with START/OK key.
Set technician Code (Code 21), using the ARROW Technician
keys and confirm with START/OK key.
Code 2008

** For program locking (lock level 2) – set code 13

Scroll through the setting parameters, using the ARROW keys and change
them if necessary.

27
Adjust Setting Options
Screen no. Adjust Screen
A Lock Out Option (use Code 13 ) Lock Out
B Buzzer Level (use code 19) Buzzer Level
C Pressure level (use code 19) Pressure level
D More… More…
Use code 2008 to enter
1 Restart Pump Restart Pump
2 Pressure Default Pressure Default
3 Select Program Select Program
4 Setting priming volume Priming Volume
(up to 20 ml)
5 Setting BOLUS rate (different Bolus Rate
than default)
6 Settng no. of BOLUSES per Bolus Times/hour
Hour
7 Maximal Rate setting Maximal Rate
8 Setting KTO rate KTO Rate
9 Air bubble size Air bubble Size
10 Language Language
11 Prime Test – future option Prime Test Option
12 Set Time & Date Set Time & Date
13 History History

28
Technician Mode
To acess the technician mode, press the info key continuouslly while
switching the pump on (until “technitian code” screen is displayed). The
display will show the software version for 2 seconds and than the
technitian code screen.

Use code #19150 to enter technitian mode.

The pump will display all the parameters that can be set, calibrated or
tested. The technician can scroll down all these parameters using the
ARROWS keys.

no. Testing Screen

1. Input s/n and service date Serial Number
2. Display Volume & Pressure Manual
calibrations Calibration
3. Perform self test Main Self-test
4. Volumetric accuracy test Volume Test
5. Functions tests Manual Tests
5.1 Keypad Test Keypad Test
5.2 Display Display Test
5.3 Buzzer Sound Alarm Test
5.4 Door Door Sensor Test
5.5 Air Sensor Air Sensor Test
5.6 Temperature Temperature Test
5.7 Motor Motor&Encoder
Test
5.8 Pressure Pressure Sensor
Test
5.9 Exit Exit
6. Pressure Calibration Pressure Cal.
7. Volume Calibration Pressure
Calibration
8. Factory default Factory Setting
9. Reset c/s Reset Calibrations
10. Display total operation time Hour Counter
11. Restart Pump Restart Pump

29
 Automatic Calibration
The Noa III pump has many functions that allow the biomedical
department to specify the device to every department. To access those
functions a code is required (911).

Volume Calibration
1. Press continuously on the info key while switching the pump on. Hold pressed
the (i) info key until display will show the software version. After 5 sec. the
message on the display will change to code.

2. Technician
Using the numeric key set code 19150 and confirm
by pressing START/OK key. 19150
Code

3.
Use the arrow keys to scroll to “volume calibration” option and choose this
option, using the START/OK key.

4.
The display will instruct to prime the set. Load a
NoaSet and prime it (by pressing the syringe key
STOP
and confirming with start/ok. Prime tube
Press OK to continue.

5.
Use a bag with desalinate water. Prepare a Vol Autocalibration
container to infuse about 20 ml. Press the
START/OK key to start infusion. The display will
show rate and actual calibration, use the arrow 8.5 ml 21
keys to modify, press ok key when the calibration
figure is ok. Repeat this procedure for all rates
dispplayed.

6. INFUSCAL (TUV) DATA

Calibration equipment: We recomd using a COLLECTION SYSTEM
analytical scale , pc computer with Infuscal
(tuv) software..
7.
The pump will use the information of the actual delivery, and will calibrate its-
self automatically. User may check the volume calibration by choosing volume
test option.
30

1.
Automatic pressure calibration
1. Same as volume calibration select “Pressure Calibration “.
2. Load a NoaSet and primed it, with an “y” connection.
3. Connect a pressure gage, to one end of the “Y”. The display
will show the actual pressure.
4. With the pump’s door open allow the pump to set the
pressure value to 100, press ok key.
5. Close the pump’s door; press OK to confirm the zero level
pressure.
6. Increase the pressure level up to 14 PSI, pressing arrow up.
7. Press the OK once the pressure gage will show 14 PSI.
8. Increase pressure to 30 PSI, and confirm with OK key.
9. The pump will use these values to automatically calibrate
pressure. User may check setting by selecting pressure test
option.

Pressure Setting
On the adjust setting option user can select 3 pressure levels (see p. 21).

31
 Changing Current Program:
1. Switch the pump on (press until the self-test screen appears).

2. When the screen of Rate appears, press info key twice.

3. Use ARROW keys to scroll to "Adjust Setting" Volume Infused

option. Show Setting
=> Adjust Setting
4. Choose "Adjust Setting" with START/OK key.

5. Use ARROW keys to scroll to "More". Buzzer level

=> More …
Show Setting
6. Confirm with START/OK key.

7. Set technician Code (Code 2008), using the Technician

ARROW keys and confirm with START/OK
key. Code 2008
8. Scroll through the setting parameters, using the Pressure Default
ARROW keys, until the "Select Program " => Select Program
option. Confirm with START/OK key.
Priming Volume

9. Choose the required program, using the Select program:

ARROW keys, and confirm with the => RATE
START/OK key.
RATE/VOLUME
10. Chose “Restart Pump” Option and confirm with History
the START/OK key. => Restart Pump
Pressure Default

 Note: The selected program will remain in the pump’s memory until
changed by user.

32
 Note: User may change programs using the Short Way:

1. When switching the pump on, after a short Self R

A
RATE
Test, the pump will display the last selected
T
program for 5 seconds. PROGRAM
E
During this time press STOP/NO key
continuously for 10 seconds (Pressing any other
key will elapse the pump to the Rate screen).
2. The screen will show the “Program Select” Select program:
menu. => RATE
RATE/VOLUME

3. Choose the required program, using the ARROW keys, and confirm with
the START/OK key.

33
 Unpacking:
1. Carefully remove the pump and Charger from the box.
2. Make sure no items were damaged during shipment
3. Make sure you have the following items:
 Noa III enteral nutrition Pump
 Charger
 Battery Pack
 Power cord
 Operator’s Manual
 Carrying Bags (small / large, optional)

If any items are missing or damaged, contact your Noa III dealer.

Loading the Administration Set

 Note: Follow the Instructions supplied with the individual
administration set.
Use of any administration set, other than the NoaSet, may
impair the operation of the pump and the accuracy of the
Infusion.

1. Lift the door latch to open the pump’s door.

2. Insert the IV tubing into the tubing guide, following the direction flow label
located above the tubing slot. Insert the tubing from left to right, and avoid
stretching or pulling the tubing. Check key is located in correct position.
3. Ensure that the distal set is on the right hand side of the pump.
4. Close the pump’s door. Press on the door to close firmly, ensure that the latch
is correctly applied.

 Note: Ensure that the tubing is inserted completely into the pumping
channel.

34
IV Set Requirements
The Noa III pump should be operated only with the Noaset.

The Noaset administration set is supplied with an integrated valve (see

drawings below).

No Description Function
1 NOAset Spike Connects the administration set to solution
bag
2 NOAset drip chamber Displays infused drops, from the
administration bag to the patient
3 Administration Tubing 3x4.1 PVC free tubing
4 Valve luer lock male Connects the set to the administration set
connector cannula

 Warning: Do not operate the pump with any administration set, other
than the NoaSet. Using a different set may essentially
change the delivering rate.

35
NoaValve (Optional)
The NoaValve enhances pump functioning by:

1. Preventing free-flow in the event the set is detached from the pump,

2. Preventing free-flow in the event of a mechanical malfunction.

 Note: It is recommended to change the administration set every 24

hours to lessen incidence of bacteria formation.

The Piston mechanism of the pump maintains optimal accuracy

even if the same section of the administration set tubing (along
the inner door side of the pump) is used continuously for 24
hours.

36
Priming Function
Only the NOA III enteral Pump can prime the NOASet nutrition set.
Priming Function is used:
1. Before starting a program (see instruction below);
2. After air in line alarm, as follows:
 Press STOP/NO key to mute the alarm.
 Press the SYRINGE key to push air bubbles through.
 When priming completed press START/OK key to resume program.

NOTE: When switched on and loading an unprimed administration set, The pump
automatically enters prime option .

Priming operation
1. Switch on the pump using ON/OFF key. (Press until the self-test screen
appears). After a short self-test, the pump will display the program setting
and status followed by the last setting rate.
2. Press the SYRINGE key to prime the nutrition
set. PRIME
Press OK to start
3. Press the START/OK key to start priming.
4. The display will show a graph indicating the PRIME 10 ml
priming operation.

0 20

5. Once the priming is completed, the display will change back to the previous
screen the pump was in, before priming.

5. Press the START/OK key to display the volume; Pressing again the
START/OK key will start the program.

 Note: The priming program is performed at maximum rate (no less

than 600 ml/h). During priming the air in line alarm is disabled.

37
Noa III-Operating
Before attaching the Noa III to a patient, run the following tests to verify that all
indicators and alarms work properly.
When an alarm is activated the following will occur:
1. An alarm message will appear on the display.
2. An audible alarm will be sounded.
3. Infusion will cease.

Pump Operation Test:

1. Click the pump into a Charger connected to AC power.
Verify that the CHARGE indicator is on (on charger).
2. Load an administration set in the pump (as described on page 21).
3. Switch on the pump using the ON/OFF key (press until the ON
self-test screen appears). OFF

4. The pump will display "Self Test" followed by the program selected and its
status. During the self-test a long beep will be performed. This procedure
verifies that the pump’s acoustic and visual features are working properly.
After overview, the display will show the last rate setting.
5. Press the SYRINGE key to flush the
administration set. Prime
Press OK to start
6. Press the START/OK key to start flushing.
7. The display will show a graph indicating the FLUSH 2 ml
flushing operation.

0 4
8. When flushing is completed, wait without Pump Unattended
pressing any key. Verify that when two
minutes have passed without any key being
pressed an audible alarm is activated and a Press start key
“Pump Unattended” message appears on the
display.
9. Press the START/OK key to silence the alarm.

38
Air in Line - Alarm Test:
1. Lift the door latch to open the pump door. Insert a NoaSet in the tubing guide
of the pump.
2. Close the door. Press the door until a click is heard.
3. Set the infusion rate at 500ml/hr, using the Rate 500 ml/h
arrow keys.
Press OK for Volume
4. Set Volume at 20 ml. Volume 20 ml
Press OK to start
5. Press the START/OK key to start operation. Turn the drip chamber
(applicable to NoaSet only) upside down, to allow an air bubble greater than
5 mm to enter into the administration set.
6. AIR alarm will be activated as soon as the air
bubble enters the set segment located behind
Air in Line
the pump door.
Clean air

7. Press the STOP/NO key to turn the alarm off.

8. STOP appears on the display. STOP
2 min
Press OK to start

39
Door Open - Alarm Test:
1. Insert an administration set into the pump and flush it.
2. Set the infusion rate at 500ml/hr. Rate 500 ml/h
Press OK for Volume

3. Set Volume at 20 ml. Volume 20 ml

Press OK to start
3. Press the START/OK key to start operation.
4. Open the pump door.
5 Door Open alarm will be activated at once.
Door Open
Close door
6. Close the door.
7. STOP appears on the display. STOP
2 min
Press OK to start

40
Down Occlusion - Alarm Test:
1. Insert an administration set into the pump and flush it.
2. Set the infusion rate at 500ml/hr. Rate 500 ml/h
Press OK for Volume
3. Set Volume at 20 ml using the numeric Volume 20 ml
keyboard.
Press OK to start
4. Occlude the administration set (between the pump and the patient).
5. After 10 seconds Down Occlusion alarm will be Down Occlusion
activated (At a rate of 60 ml/hr the Down
Occlusion alarm will occur after 60 sec. at a rate Press STOP to mute
of 1 ml/hr after 13 min.)
6. Press STOP/NO key to silence the alarm.
7. STOP appears on the display. STOP
2 min
Press OK to start

 Note: The pressure threshold can be changed to suit patient need (see
Changing the current default Pressure Limit, page 31)

Charge Indicator Test:

1. Click the pump into the Charger, connect the Charger to the mains and check
on the Charger that the pump's battery is being charged (red led for charging
and green led if the battery is full). Disconnect the power cord from the AC
power outlet.
2. Verify that the CHARGE indicator is off.

3. Connect the power cord to the AC power outlet. Verify that the
CHARGE indicator on the Charger is on.

41
Basic Operation
The Noa III pump was designed for the Alternate Site market. The pump
can be used in a carrying bag or on an IV pole in the patient’s home.

Carrying bag:

Using IV pole (connected to a

charger):

42
Connection of Pump to IV Pole
1. Connect the NOAset to the feeding bag. Mount the bag on an IV pole.
2. Click the pump into the Charger. Mount the Charger on an IV pole.
3. Connect the Charger via a standard power cord to a grounded AC outlet.
4. Open the door of the pump and insert the nutrition set into the pump’s tubing
guide (as described on page 18)

5. Switch the pump ON using the ON/OFF key (press until the self-test screen
appears).

6. The program and status will appear on the V RATE/VOLUME

display for a few seconds. O
L
U PROGRAM
7. The first screen shows the last rate setting in Rate 500 ml/h
ml/h.
Press OK for Volume
 Note: Press the ARROW UP key to increase the units or the
ARROW DOWN key decreases the units. Press the
ARROW keys consecutively for individual unit changing. Press the
ARROW keys continuously for sustain unit changing.

8. Prime the nutrition set, using the SYRINGE key.

 NOTE:  “9999” can be changed to “0” by pressing the up arrow key.

9. Continue according to the relevant instructions for every program.
 Note: If the START/OK key is not pressed within two minute, a “Pump
Unattended” alarm appears on display. Press STOP/NO key to
stop the alarm. The display will show STOP.
10. Verify that infusion is proceeding normally before leaving the pump
unattended.
 Note: To change any parameter during operation, first press the STOP/NO
key. STOP appears on display. Use the ARROWS keys to Scroll
down the various settings. Set the desired Rate or VTBI and press
START/OK key to start operation. The pump’s memory retains all
parameters even if turned off.
43
 Portable Connection:
1. Connect the NOAset to the feeding bag.
2. Open the door of the pump and insert the nutrition set into the pump’s
tubing guide (as described in page 18)
3 Switch the pump ON using the ON/OFF key (press until the self-test screen
appears).
4. The program and status will appear on the V RATE/VOLUME
display for a few seconds. O
L
U PROGRAM
5. The first screen shows the last rate setting in Rate 500 ml/h
ml/h.
Press OK for Volume
 Note: Press the ARROW UP key to increase the units or the
ARROW DOWN key decreases the units. Press the
ARROW keys consecutively for individual unit changing. Press the
ARROW keys continuously for sustain unit changing.

6. Prime the nutrition set, using the SYRINGE key.

 NOTE:  “9999” can be changed to “0” by pressing the up arrow key.

7. Continue according to the relevant instructions for every program.
 Note: If the START/OK key is not pressed within two minute, a “Pump
Unattended” alarm appears on display. Press STOP/NO key to
stop the alarm. The display will show STOP.
8. Verify that infusion is proceeding normally before inserting the pump into the
carrying bag.
9. Insert the bag and pump into the carrying bag.

 Note: To change any parameter during operation, first press the STOP/NO
key. STOP appears on display. Use the ARROWS keys to Scroll
down the various settings. Set the desired Rate or VTBI and press
START/OK key to start operation. The pump’s memory retains all
parameters even if turned off.

44
Hospital Service Procedures
Introduction
This section contains a table describing preventing maintenance, which
should be performed on the Noa III Pump. The maintenance procedures
outline in this section may be performed in the hospital, or home care
provider, by the Biomedical department. If an abnormal condition occurs,
which is not correctable by performing the following procedures, remove
the device from service and troubleshoot in accordance to troubleshooting
table on p. 15-17, or return to service.

Replacement of power fuses

1. Remove the pump from charger.
2. Connect the charger to mains.
3. Check that the AC icon is displayed.
4. Remove the power cord from AC power outlet.
5. Separate the front and rear charger housing.
6. Remove the fuses from the fuse socket on the charger PCB,
and check, using an Ohmmeter, electrical continuity.
7. If necessary, replace with a new fuse of same value, type and
voltage.
8. Replace and tight fuses in the fuses housing, mount the fuses
housing cover.

Battery protection fuse

The battery protection fuse is located on the motor PCB of the pump (F1).
The nominal of the battery protection fuse is 1.2 A (slow blow).

1. Check electrical continuity of F1.

2. Replace if necessary with a new fuse of same value, type and
voltage.

45
Fuse –nominal (charger)
2 safety fuses, protecting the AC/DC converter are located on the charger
PCB.

The nominal requested values of the fuses are as follows:

F1 = 1A F2 = 1A

The AC to DC Converter is suitable for 220v and 110v as well.

46
 Preventing Maintenance
The following table presents a list of problems, check and correction to aid the
diagnostic of possible pump malfunction. Review this list whenever a condition exist
that does not appear to be normal. Perform the specified checks and corrections. If the
problem cannot be corrected, remove the pump from service and troubleshoot in
accordance to troubleshooting table, or return to service.

Function Test Remedy

The charging led does not Check the tightness of Press the power plug
illuminate when the charger is power plug into the firmly into the AC outlet.
connected to AC. AC outlet.
The red battery indication does not Check F1 on Replace fuse if required
illuminate while the pump is BGMotor
connected to charger AC Replace battery if
connected Check battery output required
The green battery indication does Check output of Replace battery if
not illuminate while the pump is battery required
connected to charger AC
connected after more than 5 hours
Missing Key Check set loading in Replace set if required.
the pump
Recalibrate pump
Check pressure pressure if required.
calibration
Battery output below 7.2V Check the charging If voltage below 8.4V
voltage. connect the pump to a
correct charger.
Check the device for
continuity.
Air alarm Check administration Position the tubing
set location properly in the pump.

Check roller clamp Open roller clamp

open

Check correct type of Replace with a correct

administration set administration set.
Battery charging led does not lit Check battery voltage Calibrate charger voltage
> 8.1V to output 8.1.

47
Schedule: at least every 12 month or as required
Check Action
Check pressure sensor Access technician mode, as described on p.
operation 29 and select pressure test option. Test
pressure sensor accordance with instruction.
If delta is less than 13, replace it.
Pressure Setting Access “Adjust setting”, as described on p.
27-28 and check pressure setting. Confirm
or change it.
Pressure calibration Refer to P. 31.
Check air sensor Check the air sensor output on UP, if pulse
from pick to pick is less than 360 mV
replace it.
Main Self Test Access technician mode, as described on p.
29 and select “Main Self Test”. The pump
will self test the following features:
a. pump keys – pass/fail
b. display – visual check of pick cells.
c. buzzer – all level setting
d. air sensor – pass/fail
e. door – open/closed
f. motor operation – pass/fail
Batteries Li-Ion 7.2V Check backup battery pack voltage.
Check battery output after 4 hours of
charging.
If the backup battery is not within
specification, replace it.
Battery capacity are 1450 mH should
operate more than 12 hours on a rate of 125
ml/h.
Display 122X32 Graphics Switch the pump ON, check all pick cells
illuminate.

Note: User may perform all pump functional testing in the “Adjust
setting” mode, selecting “main test”.

48
Schedule: at least once a month or as required
Check Action
Pump Housing Clean with an agent, as described on next
page. Replace any labels that are damaged.
Check that the plastic housing is completed.
Pressing plate If the pressing plate does not operate
smoothly, clean or replace.
Battery time Connect the pump to charger, connect
charger to AC outlet for 4 hours. Check that
after less than 4 hours the battery red
indication will change to green.

When charging battery (battery led is red)

Check that charging time is longer than 2
hours. Charging time indicates the battery
capacity. When charging time (from low
battery indication) to green led is shorter
than 2 hours, replace battery.
Power cord Replace the power cord if the pins are bent
or the isolation is damaged.
Safety (CF) Check ground resistance measures on the
charger clamp. If it is grater than 0.1 Ohm
check tightness of grounding screws. It
should be 100 micro amps or less using
UL2601 specified test methods (CF
classification).

49
Cleaning and Storage
Before the transfer of a pump to a new patient and periodically during use, clean
the pump by wiping over with a lint-free cloth lightly dampened with warm water
and a standard disinfectant / detergent solution.

Warning: Before cleaning always switch off and disconnect from the AC
power supply.

 CAUTION Do not clean pump with chemicals such as Xylene, Acetone or

similar solvents. These chemicals cause damage to plastic
components and paint.

If the pump is to be stored for an extended period it should be first cleaned and
the battery fully charged. Store in a clean, dry atmosphere at room temperature
and, if available, employ the original packaging for protection.

Once every 3 months during storage, carry out functional tests and ensure that the
battery is fully charged.

50
Battery Operation
The Noa III can operate on battery power, enabling operation when the patient is
being moved or during electrical power failure. When the pump runs on the
battery power, the AC icon is off. At full charge, the battery provides 9 hours
of operation at an infusion rate of 250ml/hr.
 Warning Don’t operate the pump on AC power if the battery is not
loaded in the pump for back up.

 Note: When the pump is not in use, click the pump into the Charger and
plug the system into an AC wall outlet (if possible) to charge
battery.

 Note: After the “end battery“ signal has been activated or following long
periods of storage, wait 2 minutes after the pump has been
connected to an AC power supply before operating.
There are two battery alarm conditions:
1. The pump will warn that the battery is low a
minimum of 30 minutes before the “end Low Battery
battery” alarm activates (when the battery
power reaches less than 7.1v). Connect to charger
2. After the “battery low” warnings, when the
battery power reaches less than 6.05v, the End Battery
pump will cease operation and the "end Connect to charger
battery" alarm will be activated.
 If the battery runs out, End Battery appears on the display. The pump stops
the infusion.
 From the "end battery" state the user cannot restart the pump, unless it has
been connected to mains.

 Caution: Leaving the battery in a discharged state for a long period of

time may damage the battery.
 Note: Whenever possible, use the pump connected to an AC power
supply via the charging unit. This preserves the battery power
supply for emergency use or for situations where the AC power
is not available.
 Note: Replace the battery once every four years.

51
Testing Procedures
Function Test
Pump housing Check that all parts are in place. Clean dirty
area with an agent, as specified on page 51.
Display and led test Switch the pump on, check that all pick cells
and operation led light.

Air sensor Check distance between sonsor door and front,

should be 2.2 mm (plus minus 0.1 mm).

Check pick to pick on JP4 – pin 1. Value

should be greater than 400 mV.

Perform air sensor test – on technician mode ,

use stiff set; when unprimed set is in the pump
– pump should display air massage and when
the set is primed pump should display liquid
massage.
Motor sensor Check using an oscilloscope motor maximal
reading value channel l on JP2 – pin 3. Rotate
manually the encoder and check sensor
position l (should be >4.5v) and zero (<0.4v).
Same for channel 2 on JP2 – pin 5
Same for channel 3 on JP2 – pin 7
5 V input Switch the pump on. Use an avometer to check
value on C14. Value should be between 4.9 to
5.1 v.
9 V input Switch the pump on. Use an avometer to check
value on U2– charger pcb. Value should be
between 9.2 to 8.8 v.
Door open detection Perform door open test – on technician mode.
Make sure pump display door open massage
when door open.
Air Alarm test Load a NoaSet into the pump. Locate the pump
after the injection port. Using a 5 ml syringe
insert in the set an air bubble of 2 ml - alarm
will be activated , once the air bubble enter in
the administration set located behind the
pump’s door.
NOTE: In technician mode via code 19150 , user can test operation of
keyboard, display, door sensor, air sensor, tube temperature, motor test
and pressure sensor test.
52
Maintenance Flow Chart

Receive pump with

suspected problem

Perform operation Checkout

Does device
perform YES
operational Place device
test in service
satisfactory?

Troubleshoot

Repair

Recalibrate

53
Service Information
While under warranty, service agreement (optional) or lease agreement,
the instrument must not be opened by unauthorized personnel.
Shipping cost of all units, returned for service or warranty, shall be paid
by the customer. The unit must be packed in its original packing or in
another container that will provide adequate protection during shipment.
To assure prompt return, the customer service department must be
notified before shipping any unit for repair. When calling product service,
please be prepared to provide the serial number of the device.
A brief written description of the problem should be attached to the
instrument when it is returned for service. .

Failure Identification
Specific errors, which may occur in the operation of Noa III pump, and
the remedy for each problem, are presented on the troubleshooting table.

On the technician mode, user may display the history of the pump, to
identify the pump failure. User can scroll through the last 256 events.
Press on the arrow up key to show the next event. The events are
displayed from the last to the first.

The displayed failure information can be used to determine the nature of

the failure and troubleshoot its cause.

It is essential to understand the problem and its cause. We recommend

that the technician do not start pump disassembly before understanding
the malfunction and its possible causes.

54
Corrective Actions
Disassembly and calibration
This section of the manual includes a list of tools and test equipment
required for maintenance, removing and placing subassemblies.

To ensure the device is operational , perform the operational checkout

(refer to p.62) completing any of the procedures in this section.

Tools and test equipment

The following tools and test equipment is required to perform the

procedures contained in this section. Since all fasteners on this device are
metric, ensure that all tools used are for metric fasteners. Tightening
torque on certain screws are specified in kg – cm and in lb for your
convenience. The values in – lb are approximate.

Test Equipment

 Digital voltmeter
 Oscilloscope
 Electronic Scale
 Electronic load device or a fixed 5 ohm , 20Wresistor with
variable load.
 Anti – static mat.
 Anti – static work surface.

Tools

 Phillips screwdiver, M3
 Normal screwdiver , M3
 Allen key 5 mm.
 forcett

When receiving a pump for maintaining; check the last alarms on the
History option in Adjust setting via code 901.

55
List of Decisions

When receiving a Noa III pump for service, the following decisions
should be made:

1. Is it a user mistake or pump malfunction.

2. Was the failure caused by the pump or by the administration
set.
3. Is the failure is in one the sensor (and define which one of
them) or one of boards (and define which one of them).

If one of the sensors failed replace it, if one of the pcb failed replace the
pc board. (refer to next page).

List of decisions What to do

1. User mistake
2.mistake caused by administration
set
3. Failure of pump
4. Failure of charger
6. Failure of mechanics
7. Failure of electronics
8. Failure f sensors: air, pressure,
temperature, motor
9. Failure of pcbs main motor
Train user refer to operation manual
Check set for correct type.
Perform Main self test
Replace charging pcb
Change the malfunction part
Change the relevant pcb
Replace the sensor
Replace pcb

56
Recording the configuration option setting

It is necessary to record the configuration option setting before beginning

maintenance procedures so that the device can be reconfigured properly
when maintenance is completed.

Caution : When the Real Time Clock battery, is disconnected or replaced,

all program settings will be reseted.

1. Enter the technician mode as described on page 29

2. Record all optional settings prior to any maintenance action.
3. Access the history mode , as described on page 27-28, make a note of
the last alarms and try to define the direction of the malfunction.

Disassembly / Assembly - Pump

Disassembly of the Noa III pump is limited to mechanical components. It

is recommended that electrical problems be corrected by replacing entire
pc board, either main pcb or motor, unless circumstances warrant
component repair . Use only the replacement parts list.
Please read all steps in the procedure before beginning. The procedures
are given in order of disassembly. Disassembly the device only as far as
required to complete repair. All fastening components such as screws,
washers and nuts used in the device are metric, be sure using metric tools
and replace only with metric components.

Disassembly / Assembly - Charger

Disassembly of the pump charger is limited to mechanical components. It

is recommended that electrical problems be corrected by replacing entire
pc board , unless circumstances warrant component repair . Use only the
replacement parts list.
Please read all steps in the procedure before beginning .The procedures
are given in order of disassembly. Disassembly the device only as far as
required to complete repair. All fastening components such as screws ,
washers and nuts used in the device are metric , be sure using metric tools
and replace only with metric components.

Caution; The device is sensitive to electrostatic discharge (esd) Always

wear a grounded wrist strap when performing maintenance on the device
to prevent damage to components.

57
Warning: When servicing the charging device , always make sure the
device is unplugged before disassembling . failure to do so can result in
personal injury and q or damage to the device.

Separation of Front and rear housing – pump

1. Turn the device off and place it face down on an anti- static mat or
work surface.
2. Remove the battery from the rear housing.
3. Remove the 4 mounting screws. Those 4 screws are connecting the
front and rear housing.
4. Stand the device and separate the front and rear housing, like
opening a book.
5. While the device is open, disconnect connector JP1 for full
separation of front and rear housing.
6. Reassemble the housing in the reverse order.
7. Be sure that the front and rear-housing surface are flush before
tightening.
8. Replace the 4 mounting screws and tighten them to 5 kg q cm with
a torque screwdriver.
9. After reassembling switch the pump ON and check that the Self test
is performed correctly.

Replacement of Pump Door

1. Open the security screws (M2 x 5 ) as shown on page 10 item 7.

2. Remove the air sensor door.
3. Push the door shaft from the air sensor side and remove it.
4. Pull the door and pressing plate out.
5.Separate the door, pressing plate and springs.
6.Perform the operation checkout as described on p. 62.
7. Reassemble the pump door in reverse order.

Replacement of Pump Assembly

1. Remove the pump door as described above.

2. Remove the flow direction label.
3. Open the hook screws (M2 x 2 ) and remove hook.
4. Open the 4 pumping block screws. Those screws tighten the
pumping block to the front housing.
5. Disconnect the motor connector on the main pcb.
6. Push the pumping block out by pushing the ` ears` of the pump
assembly.
58
7. Perform the operation checkout as described on p. 62.
8. Reassemble in reverse order

Remove of pressure sensor

4. Remove the pump door as described on p. 59.

5. Remove pump assembly as described on p. 59.
6. Remove pump handle (M2X2)
7. Remove screws s8,s10,s11 , that are tightening the pressure sensor
to the front housing.
8. Pull out the pressure sensor from its compartment.
9. Install replacement sensor and reinstall in the reverse order.
10. Perform the operation checkout as described on p. 62.

Replacement of Air sensor

Front housing Air sensor:

1. Separate the front and rear housing as described on p. 59.

2. Disconnect the air sensor connector JP4.
3. The air sensor is glued to the air housing. Use a screw driver and a
hammer to remove the air sensor.
4. The air sensor front was glued to a distance of 2.2 mm, replace the
sensor with a new one, check that the distance is correct and
perform air sensor testing, as described on p. 41
5. Glue the sensor at a distance of 2.2 mm (use a spacer to put
between the sensor to assure distance, until the glue is dry).
6. Perform the operation checkout as described on p. 62.

Door Air sensor:

1. Disconnect the air sensor door connector JP5.

2. Open the air sensor door screw.
3. Disconnect the 2pin female connector.
4. Remove the sensor
5. Install replacement and reassemble in reverse order.
6. Perform the operation check out procedure as described on p. 62.

Replacement of pump motor

1. Separate front and rear housing of the pump.

2. Remove the pump door as described on p. 59.
3. Remove pump assembly as described on p. 59.

59
4. Carefully place the pump assembly at a position in which the motor
plugs are up.
5. Remove nuts of the motor shaft.
6. Remove encoder and motor gear.
7. Open S14 and S15 and remove motor.
9. Install a new motor and reassemble in reverse order.
10. Perform the operation checkout as described on p. 62.

Replacement of pressing plate

1. Open security screws (M2X5).

2. Remove the air sensor door.
3. Push the door shaft from the air sensor side and remove it.
4. Pull the door and pressing plate out.
5. Separate the door, pressing plate and springs.
6. Reassemble the pump door in reverse order.
7. Perform the operation checkout as described on p. 62.

Replacement of PC Boards – motor and main

1. Separate front and rear housing of the pump.

2. Remove the pump door as described on p. 59.
3. Remove pump assembly as described on p. 59.
4. Carefully place the pump assembly at a position in which the motor
plugs are up.
5. Remove the screws that are holding the pcbs to the front housing.
(4 screws)
6. Remove pcbs.
7. Install a new motor or a new main pcb in reverse way.
8. Perform the operation checkout as described on p. 62.

Replacement of PC Board – charger

1. Separate front and rear housing of the charger – remove the screws
which connecting the two parts. (6 screws)
2. Remove pcb.
3. Install a new pcb in reverse way.
4. Perform the operation checkout as described on p. 62.

60
 Operational Checkout
Introduction

The operation checkout procedure in this section determines if the device

operates properly after it has been repaired. If the device fails any part of
the Operation Checkout, the fault must be corrected prior to placing the
device in service. Please become familiar with all the checkout
procedures before beginning.

The following test equipment is required to perform the Operational

Checkout procedure:

 NoaSet
 Solution container (distilled water, 0.9 sodium chloride ect)
 Precision Syringe
 Electronic Scale
 Oscilloscope

The flowchart on p. 54 illustrating the maintenance procedure of the

device. Once a problem has been isolated to a single assembly, the
assembly should be replaced in according with the disassembly procedure
provided on p. 58-61 .After repairing the device should be calibrated, as
described on p. 30-31.

When all maintenance procedures are completed, perform the Operational

Checkout as explained below.

Administration set Placement

To avoid possibility of fluid contacting the air sensor and pump

mechanism, the solution container should be spiked and set primed before
opening the pumps door. The container should also be placed low enough
to permit a loop in the tubing to the side of the device. Position the
container so that accidental spillage onto the device will be minimized.
Do not stretch the set when removing it from the packing or loading
it into the pump.

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62
 Functional Testing

Please become familiar with the device Operator’s Manual before

performing those tests. The procedures in this section are designed to
check the ability of the device to pump infusion prior to test the
effectiveness of its alarms. If pump fails to perform as described or stops
with a failure alarm – troubleshoot and repair (as described on p. 15-17)
before attempting to place the device in service.

1. Using a solution container and a NoaSet or a Microbore set.

2. Spike the solution container and fully prime the set. The priming
can be done only with the pump. Press the syringe key and confirm
with the START/OK key to start priming for the default setting
volume.
3. Remove container so that the fluid level is a minimum of 10’ (65
cm) above the top of the pump throughout the test. Make sure that
the tubing is clean and dry before placing it in the pump. Make sure
that the tubing is placed and seated properly in the guide channel.
Ensure that there is no slack in the tubing and that it is not
stretched, chinked or pinched before closing the pump door.
4. Load the administration set into the pump. Check that the key is
properly located in the pump. If excessive resistance is felt, check
that the set is located properly through the tubing guide. Never use
tools or excessive force to close the pump door.
5. Place the distal end of the administration set in a container or sink
to dispose the pump solution.

Note: In case the pump door cannot be opened, remove the door
label, and force the locker to open.

Self Test

Connect the pump to a charger and perform the following tests:

Switch the pump On using the on/off key. Check that the device performs
the following self-test:

a. The ac icon appears on the front panel of charger.

b. Check that all the pick cells on the display and the operation icon
illuminate.
c. The pump should activate a continues beep during self test, and
show on the display “Self Test”
63
d. Test the occlusion alarm on 10 psi, on setting down occlusion high.
e. Test the air sensor with a bubble greater than 50 micro liter

Primary Infusion Test

1. Set a flow rate of 100 ml/h. Press START/OK key to continue

to volume.
2. Set a volume of 10 ml.
3. Open the roller clamp
4. Press the START/OK key to start infusion.
5. If the pump stops with an alarm, refer to p. 15-17
(troubleshooting table).
6. Let the pump continue to the next step.
7. To reset the volume infuse, if the program was not completed,
press the info key. The volume infused will be displayed, press
the STOP/NO key to erase the volume infused.
8. To stop the infusion press the STOP/NO key.
9. To restart infusion press the START/OK key.
10. When the pump has delivered the selected volume, an audible
alarm is activated while the display will show “Program End”
and “KVO”
11. To stop the alarm, press the STOP/NO key.
12. Check that the pump is infusing the KVO rate.

Perform all operation tests – as described on p. 39-41

64
 LIMITED WARRANTY
The Noa III has been carefully manufactured from the highest quality components.

Caesarea Medical Electronics Ltd. (CME) guarantees the pump against defects in material and
workmanship for twelve (12) months from date of purchase by the original purchaser.

CME’s obligation, or that of its designated representative under this Limited Warranty, shall
be limited, at CME’s option, or that of its designated representative, to repairing or replacing
pumps, which upon examination, are found to be defective in material or workmanship. The
repair or replacement of any product under this Limited Warranty shall not extend the above-
mentioned Warranty period.

All repairs under this Limited Warranty should be undertaken only by qualified, trained
service personnel. In the event that a pump is found to be defective during the warranty period,
the purchaser shall notify CME or its designated representative within thirty (30) days after
such defect is discovered.

The defective pump should be sent immediately to CME or its designated representative for
inspection, repair or replacement. Mailing costs are the purchaser’s responsibility.

Material returned to CME or its designated representative should be properly packaged using
CME shipping cartons and inserts. Inadequate packaging may result in severe pump damage.

This Limited Warranty shall not apply to defects or damage caused, wholly or in part, by
negligence, spilt fluids, dropping of the pump, misuse, abuse, improper installation or
alteration by anyone other than qualified, trained personnel; or to damage resulting from
inadequate packaging in shipping the pump to CME or its designated representative.

If, after inspection, CME or its designated representative is unable to identify a problem, CME
or its designated representative reserves the right to invoice purchaser for such inspection.

This Limited Warranty is the sole and entire warranty pertaining to CME’s products and is in
lieu of and excludes all other warranties of any nature whatsoever, whether stated, or implied
or arising by operation of law, trade, usage or course of dealing, including but not limited to,
warranties of merchantability and warranties of fitness for a particular purpose. Purchaser
expressly agrees that the remedies granted to it under this limited warranty are purchaser’s sole
and exclusive remedies with respect to any claim of purchaser arising under this Limited
Warranty.

Managing Director

65