Baxter Elastomeric Pumps - CAPCA

1 BaxterElastomericPumpsCLINICIAN GUIDEP ortfolio Overview: Baxter Elastomeric Pumps are non-electronic medication Pumps designed to provide ambulatory infusion is delivered to the patient as the Elastomeric balloon consistently deflates and gently pushes solution throughthe IV tubing and into the catheter/port. The Elastomeric technology promotes patient recovery and improves patient quality of life by allowing ambulatory treatmentwithout the inconvenience of programming, power sources or alarms. Baxter offers twodifferent Elastomeric Pumps that operate using the same base technology: Infusors: Offer duration infusion times from 12 hours to 7 days.

2 Designed for ambulatory infusion of: Infusional Chemotherapy, Pain Management & Chelation Therapy. Available in a variety of volumes and flow rates. Multi-rate and Patient Control Module (PCM) formats available. SV Infusors (other than SV1 2C1701KP) flow within +/- the labelled flow rate. LV & SV1 Infusors flow within +/- 10%of the labelled flow rate.*Please refer to Package Insert or the Consider These 5 Conditions section of this booklet, as someenvironmental factors can affect the accuracy of the above flow rate : Offer duration infusion times from 30 minutes to 5 hours. Designed for ambulatory infusion of: Antibiotic & Antiviral medications.

3 Available in a variety of volumes and flow rates. Flow within +/- 15%of the labelled flow rate.*Please refer to Package Insert or the Consider These 5 Conditions section of this booklet, as someenvironmental factors can affect the accuracy of the above flow rate Volume (SV) Devices:Small Elastomeric Reservoirs that can hold 105 to 130 ml of Volume (LV) Devices: Large Elastomeric Reservoirs that can hold 275 to 300 ml of Large Volume (XLV) Devices:Extra large Elastomeric Reservoirs that can hold 550 ml of : Infusional Chemotherapy Pain Management Continuous Peripheral Nerve Block (CPNB) Continuous Wound Infusion (CWI) Antibiotic/Antiviral Therapy ( Cystic Fibrosis,Osteomyelitis, HIV) Iron ChelationAdministration Routes: Intravenous (IV) Intra-arterial Subcutaneous Epidural* Baxter Elastomeric Pumps are safe to use on all central accesslines, including Features & Benefits.

4 Ambulatory Design No Cords, Outlets, Batteries or IVPoles Lightweight & discreet design Single-use disposable Latex-Free Silent Operation No programming required Built-in flow regulator eliminates rate manipulation Easy to UseThe Baxter Elastomeric Pump offers patients a medicationdelivery system that is comfortable, portable and adaptableto both their therapy and lifestyle OverviewThe Infusor System Bottle TopCode Description Nominal +Nominal Flow NominalMaximumUnits /ColourResidual VolumeRateDelivery TimeVolumeCaseJACKSON DEVICES(SMALL VOLUME)2C1073 KJP Half Day Infusor60 ml + ml5 ml / hr12 hours65 ml122C1071 KJP Single Day Infusor48 ml + ml2 ml / hr1 day65 ml122C1075 KJP Two Day Infusor96 ml + ml2 ml / hr2 days105 ml12S2C1083 KJP Infusor for Desferioxamine 48 ml + ml1 ml / days65 ml122C1080 KJP Multi-day Infusor60 ml + ml / hr5 days65 ml122C1082 KJP Seven Day Infusor84 ml + ml / hr7 days95 ml12 SMALL VOLUME INFUSORS2C1702 KPInfusor SV 296 ml + 1 ml2 ml / hr2 days130 ml122C1701 KPInfusor SV 196 ml + 1 ml1 ml / hr4 days130 ml12 MULTI-RATE INFUSORS2C1154 KPInfusor SV 1, 2, 396 ml + 1 ml1, 2.

5 3 ml / hr96-48-32 hours130 ml122C1155 KPInfusor LV 2, 3, 5240 ml + 3 ml2, 3, 5 ml / hr120-80-48 hours300 ml12 REGIONAL ANALGESIA MULTI-RATE INFUSOR WITH PREATTACHED PATIENT CONTROL MODULE2C1811 KInfusor LV 5, 7, 12240 ml + 3 ml5, 7, 12 ml / hr48, 34, 20 hours300 ml6 LARGE VOLUME INFUSORS2C1063 KPInfusor LV 10240 ml + 3 ml10 ml / hr1 day300 ml122C1156 KPInfusor LV 7272 ml + 3 ml7 ml / hr39 hours300 ml122C1009 KPInfusor LV 5240 ml + 3 ml5 ml / hr48 hours300 ml122C1008 KPInfusor LV 2240 ml + 3 ml2 ml / hr5 days300 ml122C1087 KPInfusor LV ml + 3 ml / hr7 days300 ml12 BASAL / BOLUS INFUSORS2C1955 KJP Basal / Bolus Infusor** mlBasal mlMaximum 5 days65 ml12 Bolus 2 ml2C1976 KJBasal / Bolus Infusor** mlBasal 2 mlMaximum 2 days96 ml6 Bolus 2 ml** Must be used with Patient Control Module2C1079 KPCM mL122C1067 KPCM mL62C1100 Belt

6 Bag6 Residual VolumeDiagram 11 Winged Luer Cap protects the opening and stops the flow Luer Lock Connector at the end of the tubing attaches theInfusor/Intermate to the Flow Restrictor controls the infusion rate of the Tubing is kink-resistant and carries the medication from thedevice into the patient's Balloon Reservoir holds the Progression Lines may be horizontal or v ertical on the plastichousing. These show you the progress of the Fill Port Cap protects the Infusor/Intermate DeviceLarge Volume InfusorSmall Volume INFORMATION PRACTICAL GUIDANCEThe following factors will further impact delivery timeEnsure that patients are provided and instructed on accompanying patient guide The Infusor System2 The Infusor flow rate is mostaccurate with a diluent solutionof 5% Infusor filled with SodiumChloride (NaCl) as a diluent will flow~10% faster than labelled viscosity of the solution may be affected bythe temperature of the solution (drug &/or diluent)

7 ,and the concentration of the solution therebyimpacting the flow ensure an accurate flow rate, the access system should be 22 GAUGEor larger when using catheter smaller than 22 gauge will decreasethe labelled flow that patient s catheter is patent beforeconnecting flow rate is mostaccurate when filled to thelabelled nominal flow fasterthan labelled flowrate if UNDERFILLED (filled to < 81%of optimal fill volume).Infusors flow faster if underfilled. Use aseptic technique throughout the context of a surgical procedure, do not placethe Infusors into a sterile field. The fluid path issterile whereas the outside of the device is connected to the patient s catheter/port,instruct the patient to keep the top of the Infusoras close to the level of the Luer Lock Connectoras possible.

8 Provide a carrying case to assist patients inmeeting this rate is most accurate whenthe balloon reservoir and the LuerLock Connector are at the rate can decrease ~ cm if the balloon reservoir isbelow the Luer Lock rate can increase ~ per cm if the balloon reservoir isabove the Luer Lock THESE 5 CONDITIONSKeep Luer Lock Connector at a constanttemperature during NOT expose Infusor to extreme heat or Infusor is refrigerated, remove it from therefrigerator and allow the device to reach roomtemperature prior to use.* How to achieve the correct temperature during infusion:A temperature of C or 92 F is achieved whenthe Luer Lock Connector is taped to a central( ) location on the patient s skin.

9 * A temperature of C or 88 F is achieved whenthe Luer Lock Connector is taped to a peripheral(ie. limbs) location on the patient s skin.*The Infusor flow rate is mostaccurate at C or 92 F.*Flow rate will decrease ~ per1 C decreasein rate will increase ~ per 1 C increasein temperature.*Half Day Infusor (2C1073 KJP), LV10 Infusor (2C1063KP) and (2C1087KP) Infusor are designed tooperate at optimum flow rate whenLuer Lock Connector is at C or88 INFORMATION PRACTICAL GUIDANCEThe Intermate SystemCONSIDER THESE 5 CONDITIONS61 The Intermate flow rate is mostaccurate at C or 70 rate will decrease ~ per1 C decreasein rate will increase ~ per 1 C increasein Intermate at a constant temperature NOT expose Intermate to extreme heat orforced re-warming.

10 If Intermate is refrigerated, remove it from therefrigerator and allow the device to reach roomtemperature prior to that the Intermate remains close to thebody and at room temperature (approx. C or70 F) while in use. 2 The Intermate flow rate is mostaccurate with a diluent solutionof Sodium Chloride (NaCl).An Intermate filled with 5% Dextroseas a diluent will flow ~10% slowerthan labelled viscosity of the solution may be affected bythe temperature of the solution (drug &/or diluent),and the concentration of the solution therebyimpacting the flow ensure an accurate flow rate, theaccess system should be 18 GAUGEor larger when using an catheter smaller than 18 gauge will decreasethe labelled flow that patient s catheter/port is patent beforeconnecting flow rate is mostaccurate when filled to thelabelled nominal flow fasterthan labelledflow rate if UNDERFILLED (filled to < 81% of optimal fill volume).