Halyard ON-Q ONDEMAND, Instructions For Use Manual

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ON-Q* Pump with ONDEMAND* Bolus Button
Instructions for Use
Important Information
Please read the entire document before operating
the ON-Q* device. Follow all instructions carefully to
ensure the safety of patient and/or user.
User information
• For 24-hour Product Support, call 1-800-444-2728 or
+1-949-923-2400 (English only).
• Visit www.halyardhealth.com or contact your sales
representative for the latest product information and
Technical Bulletins, including but not limited to:
• Use of ON-Q* Pump in Magnetic Resonance (MR)
environment
• Latex Sensitivity
• Continuous Infusion in Pediatric Patients
• Use of ON-Q* Pump in Hand and Foot Surgery
Volume and Flow Rate Selection
• What We Know About Chondrolysis Today
• Perioperative Autologous Blood Transfusions
• USP 797
• Effect of Storage Times on Flow Rate on Pre-filled
ON-Q* Elastomeric Pumps
• Patient Guidelines
Warning
Bolus is deliverable on demand. To reduce potential
adverse effects, medication dosing should be based
on the Total Flow Rate.
• Total Flow Rate refers to bolus + basal rate. To
reduce potential adverse effects, medication dosing
should be based on the Total Flow Rate.
• Due to risk of ischemic injury, vasoconstrictors
such as epinephrine are not recommended for
continuous infusions for the following routes of
administration: intraoperative site, perineural and
percutaneous (excluding epidural).
• Medications or fluids must be administered per
instructions provided by the drug manufacturer.
Physician is responsible for prescribing drug based
on each patient’s clinical status (such as age, body
weight, disease state of patient, concomitant
medications, etc.).
• There is no alarm or alert when flow interruption
occurs, therefore, life-supporting medications
whose usage may cause serious injury or death
due to stoppage or under-delivery are not
recommended for infusion with the ON-Q* device.
• There is no indicator of pump infusion status,
therefore, use caution where over-delivery of
medications could result in serious injury or death.
• Epidural infusion of analgesics is limited to uses
of indwelling catheters specifically designed for
epidural delivery. To prevent infusion of drugs not
indicated for epidural use, do not use IV set with
additive ports. It is strongly recommended that
devices used for administration of medication via
epidural routes be clearly differentiated from all
other infusion devices.
• To avoid complications, use the lowest flow rate,
volume and drug concentration required to produce
the desired result. In particular:
• Avoid placing the catheter in the distal end of
extremities (such as fingers, toes, nose, ears,
penis, etc.) where fluid may build up as this may
lead to ischemic injury or necrosis.
• Avoid placing the catheter in joint spaces.
Although there is no definitive established
causal relationship, some literature has shown
a possible association between continuous
intra-articular infusions (particularly with
bupivacaine) and the subsequent development
of chondrolysis.
• Avoid tight wrappings which can limit blood
supply or fluid diffusion.
• To prevent continuous over-delivery of medication
significantly greater than the Total Flow Rate, close
the clamp if any of the following conditions occur:
• The red tab is not removed or breaks while
removing.
• The orange bolus refill indicator is not near the
top at all times except within 60 minutes of
pressing the bolus button.
• The bolus button will not latch except within
30 minutes of pressing the bolus button.