NOTE: Refer to the ON-Q* Pump instructions for use for information
on filling the pump and other usage instructions.
PRIMING THE ADMINISTRATION SET
Use Aseptic Technique
CAUTION: Do not remove the red tab until the tubing is
completely primed. Up to a 5 ml bolus of air may be delivered
if not primed correctly.
1. Lay the ONDEMAND* device on flat surface with the red tab label
side up (Figure A).
2. Open clamp and remove tubing cap to begin priming. Do not
discard tubing cap.
3. When all air has been removed from the entire tubing and fluid
is observed at end of luer lock (approximately 4 minutes), the
administration set is primed.
4. Replace tubing cap until ready for use.
5. Remove the red tab by pulling straight out (Figure B). It is
important to remove red tab completely and ensure it does not
break (Figure C). The ONDEMAND* bolus device will begin to fill.
WARNING: Do not pull the red tab upwards as
breakage could occur (Figure C). If red tab is not removed
or breaks while removing, continuous delivery will occur.
This delivery may be significantly greater than the Total
Flow Rate (bolus + basal).
6. The device is now ready to use; however a complete bolus dose
won't be available until the labeled refill time has elapsed. The
orange indicator should be at the top level (Figure D).
STARTING THE INFUSION
1. Connect tubing to patient's catheter. Make sure connection is
secure and clamp is open.
2. The patient or clinician should give a bolus as soon as possible
after the infusion has started to ensure the bolus device is
working properly. The bolus button should pop up within a few
minutes and the orange indicator should begin to move towards
the top.
BOLUS ACTIVATION
1. Press down on button until it locks into place (Figure E).
2. Bolus will be delivered and ONDEMAND* device will begin to refill.
3. The orange indicator shows how much medication is in the bolus
device (Figure D).
4. The next full bolus will be available when orange indicator is at
the top level.
5. Pressing the bolus button prior to the end of the refill time will
result in a partial bolus dose.
WARNING: If the bolus button will not latch, close
the clamp. Continuous medication delivery may be
occurring. This delivery may be significantly greater than
the Total Flow Rate.
Note: It is normal that it will not latch within 30 minutes of
pressing the bolus button.
WARNING: If the button does not pop back up within
30 minutes, check position of orange indicator:
1. If orange indicator is in the bottom position, close the clamp.
Continuous medication delivery may be occurring which can
be significantly greater than the Total Flow Rate.
or
2. If orange indicator is in the top position, something may be
impeding the flow. Check for tubing kinks, closed clamp or
patency of connected devices such as catheter or unvented
filter (verify patency) according to your standard protocol.
TECHNICAL SPECIFICATIONS
Do not fill less than the labeled fill volume or exceed the
maximum fill volume. See Table 1.
Total Flow Rate refers to bolus + basal, which is the infusion rate
per hour. See Table 2 for information on the Total Flow Rate based
on different bolus refill times.
Warning: Bolus is deliverable on demand. To reduce
potential adverse effects, medication dosing should be
based on the Total Flow Rate.
TABLE 1: MAXIMUM FILL VOLUME
Labeled
Maximum Fill Vol
Fill Vol
270 ml
400 ml
TABLE 2: TOTAL FLOW RATE
The ONDEMAND* device is available in either 30 or 60 minute refill
times as labeled on the device. Refill time is approximately linear.
Bolus
Dose
5 ml
5 ml
Retained
Vol
335 ml
≤ 9 ml
550 ml
≤ 15 ml
Refill
Total Flow Rate
Time
10 ml/hr +
30 min
Basal Rate
5 ml/hr +
60 min
Basal Rate
5