Cassette Change Disconnect Infusion Site 1. Disconnect the infusion set tubing from the catheter. 5. Press to silence the attention alarm. 6. Press to acknowledge the Pump delivery has stopped Attention Alarm. Refer to the instructions provided by your infusion set's manufacturer for guidance. You should consult with your specialty pharmacy about how often to change the catheter. Do not remove the pump from the used cassette until after you have disconnected the infusion set tubing from your body.
Cassette Change Disconnect Cassette from Pump and Dispose To avoid unintended medication delivery, disconnect from catheter before detaching the cassette from the pump. 2. You should hear a one beep tone coming from the pump. 1. Holding the cassette still, rotate the pump counterclockwise until the pump-bump is aligned with the Unlock symbol. 66 DKPI-09153-001-Rev. 1.
Cassette Change Keep dirt, lubricants and liquids away from all parts on the interior of the pump exposed during the cassette changing process. 4. Dispose of the used cassette and infusion set tubing and catheter (if removed) in the trash. Follow your infusion set’s instructions: 3. Separate the pump from the cassette. Avoid unnecessary contact with all parts on the interior of the pump exposed during the cassette changing process. DKPI-09153-001-Rev. 1.
Cassette Change Replace Pump Battery Avoid unnecessary contact with all parts on the interior of the pump exposed during the battery changing process. 2. Before removing the remote from the charging outlet, check that the charging light on the back of the remote is green. This indicates the battery in the bay is fully charged. 1. Turn the pump over and use the end of your finger to remove the battery from the pump. 68 DKPI-09153-001-Rev. 1.
Cassette Change 3. Open the clear cover and remove the fully charged battery from the battery bay. Alternatively, you can obtain a fully charged battery from the battery charger. 4. Insert the depleted pump battery into the back of the remote's battery bay. At the end of the day, remember to charge the remote with the inserted battery. Alternatively, you can insert the depleted pump battery into the battery charger to fully charge. DKPI-09153-001-Rev. 1.
Cassette Change Prepare Priming Aid You can use each pharmacy-filled cassette for up to three days. Replace the cassette when medication runs out or after three days. Do not use previously opened, expired or damaged disposable components. Doing so may lead to infection. Do not connect to infusion set catheter in the body until after a newly prepared cassette is attached to the pump. Connecting the cassette to the body before attaching the pump may lead to unintended delivery. 5.
Cassette Change Note the important areas of the priming aid and pharmacy-filled cassette assembly. 1. You will not need to follow the steps to fill the cassette with the amount displayed on the Remote for the Pharmacy-Filled cassettes. 2. Open the pharmacy-filled cassette package and remove the plastic clamshell. 3. Open the plastic packaging, ,remove the priming aid with pharmacy-filled cassette, and place the black side down on a flat surface. DKPI-09153-001-Rev. 1.
Cassette Change 4. Press down on the top of the priming aid until you hear a click. 72 5. Remove the cap from the Luer Lock connector. DKPI-09153-001-Rev. 1.
Cassette Change Connect and Prime Infusion Set 2. Open the infusion set package and remove the infusion set tubing. 1. The infusion set tubing should be changed whenever you are performing a Cassette Change. Obtain a new infusion set package. DKPI-09153-001-Rev. 1.
Cassette Change 3. Connect the infusion set to the cassette by twisting the Luer Lock connectors together. Do not insert the new infusion set catheter into your body until after you have prepared the new cassette and connected it to the pump. Inserting the infusion set catheter before connecting the cassette to the pump may lead to unintended delivery. 74 4.
Cassette Change Stop Priming and Remove Priming Aid 5. Watch for medication drops to appear at the end of the infusion set. Seeing the medication drops indicates the infusion set and cassette are primed. DKPI-09153-001-Rev. 1.4 1. As soon as you see the first drops from the infusion set tubing, rotate the priming aid counterclockwise to end the priming.
Cassette Change 2. Rotate counterclockwise until the tab on the priming aid becomes aligned with the Unlock symbol on the cassette. 76 3. Detach the priming aid from the cassette. 4. Place the cassette down on your workspace. 5. Wipe up medication residue that may have settled on top of the cassette during the filling process with an absorbent towel or cloth. DKPI-09153-001-Rev. 1.
Cassette Change 6. Wipe up any Remodulin medication residue with an absorbent towel or cloth and wash any areas that came in contact with Remodulin with soap and water. DKPI-09153-001-Rev. 1.4 7. Dispose of the priming aid in the trash. DO NOT dispose of the newly filled cassette.
Cassette Change Connect Cassette to Pump Do not connect the infusion set tubing to your catheter. 1. Before connecting the pump to the filled cassette, inspect the cassette and infusion set tubing for leaks. If you see any leaks replace the cassette and infusion set tubing. 2. Wipe up any medication residue with an absorbent towel or cloth and wash contacted areas with soap and water. 3. Also check to ensure the interfaces of the pump and cassette are free of dust, lint and debris. 78 4.
Cassette Change 5. Push down and rotate the pump clockwise to the Lock symbol. DKPI-09153-001-Rev. 1.4 6. Pump-bump should align with the infusion set tubing. 7. You should hear a series of beeps coming from the pump followed by a final confirmation beep.
Cassette Change Connect to Catheter On the remote a Self Test displays. 8. Allow the Self Test on the remote to complete. Do not connect the infusion set tubing to an inserted catheter before the pump completes the self tests. Doing so may cause an over delivery of medication resulting in harm. 80 1. Connect the infusion set tubing from the pump to the catheter. 2. Consult with your specialty pharmacy about how often you should change the catheter.
Cassette Change Start Delivery 1. To start medication delivery, press and hold the blue pump button, or on your remote, press to start delivery. 2. The pump will make a four-tone sound and delivery will start. DKPI-09153-001-Rev. 1.4 3. Confirm that the remote displays a green header indicating that the pump is delivering. 4. Check to make sure the displayed rate matches your prescribed rate.
Cassette Change Cassette Change Without Remote The Cassette Change is a step-by-step process for replacing the pump battery, the infusion set, and an empty cassette with a filled cassette. 1. Before you start, wash your hands with soap and water. Follow the step-by-step procedure in the order listed to ensure a safe and efficient replacement of the battery, infusion set, and cassette when the pump and remote are not in communication or the remote is OFF.
Cassette Change Supplies Needed for Cassette Change without Remote The following supplies are needed to complete a Cassette Change without your remote. Table 6: Components for Cassette Change Battery Charger and One Fully Charged Battery DKPI-09153-001-Rev. 1.
Cassette Change Table 7: Disposables for Cassette Change Disposable Kit Infusion Sets Use only one of the following Infusion Sets • Medtronic Quick-set Infusion Set (MMT-392, MMT393) • Medtronic Silhouette Infusion Set (MMT-373) • Smiths Medical Cleo 90 Infusion Set (21-7230-24, 21-7220-24) Always refer to your specific infusion set instructions. 84 DKPI-09153-001-Rev. 1.
1. Disconnect the infusion set tubing from the catheter. Refer to the instructions provided by your infusion set's manufacturer for guidance. You should consult with your specialty pharmacy about how often to change the catheter. Do not remove the pump from the used cassette until after you have disconnected the infusion set tubing from your body. Disconnecting the pump before you disconnect the infusion set tubing from your body could lead to unintended medication delivery. DKPI-09153-001-Rev. 1.
Cassette Change 2. You should hear the alarm tone coming from the pump. 3. Separate the pump from the cassette. Avoid unnecessary contact with all parts on the interior of the pump exposed during the cassette changing process. 4. Dispose of the used cassette and infusion set tubing and catheter (if removed) in the trash. Follow your infusion set’s instructions: • Keep dirt, lubricants and liquids away from all parts on the interior of the pump exposed during the cassette changing process.
Avoid unnecessary contact with all parts on the interior of the pump exposed during the battery changing process. 2. Before removing the remote from the charging outlet, check that the charging light on the back of the remote is green. This indicates the battery in the bay is fully charged. 1. Turn the pump over and use the end of your finger to remove the battery from the pump. DKPI-09153-001-Rev. 1.
Cassette Change 3. Open the clear cover and remove the fully charged battery from the battery bay. Alternatively, you can obtain a fully charged battery from the battery charger. 4. Insert the depleted pump battery into the back of the remote's battery bay. At the end of the day, remember to charge the remote with the inserted battery. Alternatively, you can insert the depleted pump battery into the battery charger to fully charge. 88 DKPI-09153-001-Rev. 1.
You can use each pharmacy-filled cassette for up to three days. Replace the cassette when medication runs out or after three days. Do not use previously opened, expired or damaged disposable components. Doing so may lead to infection. Do not connect to infusion set catheter in the body until after a newly prepared cassette is attached to the pump. Connecting the cassette to the body before attaching the pump may lead to unintended delivery. 5.
Cassette Change Note the important areas of the priming aid and pharmacy-filled cassette assembly. 1. You will not need to follow the steps to fill the cassette with the amount displayed on the Remote for the Pharmacy-Filled cassettes. 2. Open the pharmacy-filled cassette package and remove the plastic clamshell. 3. Open the plastic packaging, remove the priming aid with pharmacy-filled cassette, and place the black side down on a flat surface. 90 DKPI-09153-001-Rev. 1.
Cassette Change 4. Press down on the top of the priming aid until you hear a click. DKPI-09153-001-Rev. 1.4 5. Remove the cap from the Luer Lock connector.
Cassette Change Connect and Prime Infusion Set 2. Open the infusion set package and remove the infusion set tubing. 1. The infusion set tubing should be changed whenever you are performing a Cassette Change. Obtain a new infusion set package. 92 DKPI-09153-001-Rev. 1.
Cassette Change 3. Connect the infusion set to the cassette by twisting the Luer Lock connectors together. Do not insert the new infusion set catheter into your body until after you have prepared the new cassette and connected it to the pump. Inserting the infusion set catheter before connecting the cassette to the pump may lead to unintended delivery. DKPI-09153-001-Rev. 1.4 4.
Cassette Change Stop Priming and Remove Priming Aid 5. Watch for medication drops to appear at the end of the infusion set. Seeing the medication drops indicates the infusion set and cassette are primed. 94 1. As soon as you see the first drops from the infusion set tubing, rotate the priming aid counterclockwise to end the priming. DKPI-09153-001-Rev. 1.
Cassette Change 2. Rotate counterclockwise until the tab on the priming aid becomes aligned with the Unlock symbol on the cassette. DKPI-09153-001-Rev. 1.4 3. Detach the priming aid from the cassette. 4. Place the cassette down on your workspace. 5. Wipe up medication residue that may have settled on top of the cassette during the filling process with an absorbent towel or cloth.
Cassette Change 6. Wipe up any Remodulin medication residue with an absorbent towel or cloth and wash any areas that came in contact with Remodulin with soap and water. 96 7. Dispose of the priming aid in the trash. DO NOT dispose of the newly filled cassette. DKPI-09153-001-Rev. 1.
Cassette Change Connect Cassette to Pump without Remote Do not connect the infusion set tubing to your catheter. 1. Before connecting the pump to the filled cassette, inspect the cassette and infusion set tubing for leaks. If you see any leaks replace the cassette and infusion set tubing. 2. Wipe up any medication residue with an absorbent towel or cloth and wash contacted areas with soap and water. 3. Also check to ensure the interfaces of the pump and cassette are free of dust, lint and debris.
Cassette Change 5. Push down and rotate the pump clockwise to the Lock symbol. 98 6. Pump-bump should align with the infusion set tubing. 7. You should hear a series of beeps coming from the pump followed by a final confirmation beep. When the beeps stop, the pump and cassette are ready. DKPI-09153-001-Rev. 1.
1. Connect the infusion set tubing from the pump to the catheter. 2. Consult with your specialty pharmacy about how often you should change the catheter. Refer to your infusion set’s instructions for steps on how to insert the infusion set’s catheter into your body. DKPI-09153-001-Rev. 1.4 Cassette Change Connect to Catheter Start Delivery without Remote 1. To start medication delivery, press and hold the blue pump button. 2. The pump will make a four-tone sound and delivery will start.
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129 Remote Audio 130 Contact your specialty pharmacy for assistance with any of the menu function instructions.
Menu Functions Main Menu Return to Previous Menu The Main Menu provides access to the following features: During any navigation through the menu functions you can press the Side Button to return back to the previous menu screen. • Change Cassette • Change Rate • Stop/Start Delivery • History • Setup 1. Press the side button to display the remote’s Main Menu. 2. Use the up and down arrows through the list. 3. Press 102 Within any of the menus you can scroll down to Return and press .
Cell phones, Bluetooth devices, RFID readers, and Wi-Fi equipment may affect the communication between the Pump and Remote or interrupt operation of the Pump. Keep the Pump and Remote at least 0.8 m [3 ft] away from these items. See Table 28 on page 223 and See Table 30 on page 226 for more information. Menu Functions Change Rate 1. Press the Side Button to wake up the remote. Use the remote to set or adjust the pump’s delivery rate to match your prescribed dosage.
Menu Functions Your delivery rate and the hours remaining on the cassette display. The Main Menu displays. to highlight Change 3. Use the down arrow Rate, then press 2. Unlock the screen by pressing each front button from left to right. 104 . The delivery rate is the amount of medication the pump will deliver per hour of use. DKPI-09153-001-Rev. 1.
Menu Functions Programming the incorrect delivery rate of medication can lead to errors in the dose rate of medication that can lead to harm. Programming should be performed with the direction from your Healthcare Provider. 6. If the delivery rate is incorrect, press it or press 7. Press 4. Use the up and down arrows change your prescribed rate. 5. Press to edit to cancel the rate change. to confirm the new rate. to to continue. DKPI-09153-001-Rev. 1.
Menu Functions After confirming the new delivery rate, the remote will display a Sending request to the Pump... message and you will hear a four-tone delivering sound coming from the pump. 106 The remote’s home screen will appear displaying the new delivery rate. DKPI-09153-001-Rev. 1.
Cell phones, Bluetooth devices, RFID readers, and Wi-Fi equipment may affect the communication between the Pump and Remote or interrupt operation of the Pump. Keep the Pump and Remote at least 0.8 m [3 ft] away from these items. See Table 28 on page 223 and See Table 30 on page 226 for more information. DKPI-09153-001-Rev. 1.4 1. Press the Side Button to wake up the remote.
