Pari Lamira User manual

ARIKAYCE Quick Start Guide
1-833-ARIKARE (1-833-274-5273)
Additional information, including a video, is available at ARIKAYCE.com
Lamira™ Nebulizer System for ARIKAYCE®
Before using your Lamira Nebulizer System, please be sure you read
and understand the detailed information in the full Instructions for Use
that comes with the Lamira Nebulizer System.
If you do not understand any part of the instructions, contact
Arikares Support Program 1-833-ARIKARE (1-833-274-5273)
before using the Lamira Nebulizer System.
*See the full prescribing information for ARIKAYCE
for information about the limited population.

Choose your power supply and get it ready.
a. 4 “AA” batteries or
b. A/C Power Supply
•Plug the A/C Power Supply into the Controller.
•Plug the A/C Power Supply into the wall outlet.
Do not insert the A/C Power into the front of the Controller.
A. Getting Started
1
Gather your ARIKAYCE medicine.
The ARIKAYCE 28-day kit contains:
4
2Check to make sure you have all the necessary
parts for your Lamira™ Nebulizer System.
You will also need the following supplies:
•Clear liquid soap for cleaning the
Handset and Aerosol Head
•Distilled water for disinfecting the
Handset and Aerosol Head
3
Store your ARIKAYCE medicine refrigerated until expiration date on vial. Do not freeze.
28 vials (1 vial each day) of
ARIKAYCE (7 in each weekly box)
4 Lamira
Aerosol Heads
(1 in each
weekly box) Inside the Weekly Box (4 weekly boxes in each kit)
1 Quick Start
Guide
1 Instructions
for Use
insert
1 Full
Prescribing
Information
insert
1 Lamira
Nebulizer
Handset
Carrying Case
Controller
A/C Power
Supply
a.
b.
or
“AA” Batteries
Connection Cord
Spare Aerosol
Head
Medication Cap
Aerosol
Chamber
Spare
Lamira
Nebulizer
Handset
Blue
Valve
Mouthpiece
Medication
Reservoir

Clean and disinfect your Handset and Aerosol Head before you use it for the irst time.
When you receive your Handset and Aerosol Head, they will not be sterile. Cleaning and disinfecting
your Handset and Aerosol Head is important to reduce the risk of infection, illness, and contamination.
Cleaning the Handset and Aerosol Head
Before First Use
Reminder: Clean the Handset and Aerosol Head before irst use.
a. Take apart (disassemble)
the Handset for cleaning.
b. Rinse each of the
parts under warm
running tap water
for 10 seconds.
Rinse the Aerosol
Head for 10 seconds
on each side.
c. Clean all Handset parts
by adding a few drops
of clear liquid dish soap
and warm tap water to a
clean tub or bowl. Cover
the Handset parts in the
warm soapy water and
soak for 5 minutes,
shaking them periodically.
Then rinse them thoroughly
under warm running tap water.
Disinfecting the Handset and Aerosol Head
Before First Use
Reminder: Disinfect the Handset and
Aerosol Head before irst use.
a. Be sure your Handset and
Aerosol Head are clean
before you disinfect.
b. Boil the Handset parts,
including the Aerosol Head,
in a clean pot of distilled
water for a full 5 minutes.
c. Air dry on a lint-free towel.
When fully dry, wrap up the
parts in a lint-free towel for
storage. You can put them
together again just before
taking your next
treatment.
1
!
B. Cleaning and Disinfecting Your Handset
and Aerosol Head Before First Use
2
b.
10 sec.
5 min.
b.
5 min.
c.
c.

After the Aerosol Head has been used
7 times, throw away (dispose of) and replace
with a new one during the cleaning process.
1
C. Assembling Your Handset
Wash your hands with
soap and water, and
dry them well.
2Insert the Blue Valve.
• Open the Handset by gently pulling up
on the tab of the Medication Reservoir.
• Insert the Blue Valve so that it rests
on top of the Aerosol Chamber with
the 2 valve laps
facing down.
3Insert the Aerosol Head.
• Grasp the Aerosol Head by the 2 lexible
plastic tabs on each side. Be sure the text
is facing toward you and is at the top of
the Aerosol Head.
• Squeeze the 2 lexible plastic tabs together
while inserting the Aerosol Head into the
Medication Reservoir.
• Close the Handset when you are done.
Do not touch the silver part of the
Aerosol Head at any time.
4Attach the Mouthpiece to your Handset
with the Blue Flap facing up. 5Finally, attach the Handset to the Controller.
A. Attach the Connection Cord to the Handset.
a1. Line up the bottom of the Connector
with the bottom of the Handset.
a2. Push upward against the
Handset until you hear the
pieces snap together.
B. Connect the Connection
Cord to the Controller.
Ta b
3
Blue Valve
Aerosol
Head
2
B.
A.
“Snap”
a1.
a2.

Check that your treatment has ended.
• The Lamira Nebulizer System will beep 2 times.
• The LED light will lash red 2 times.
• A Checkmark will briely appear on the screen.
• The Controller will automatically shut off.
• Remove the Medication Cap and check the
Medication Reservoir to make sure that
no more than a few drops of ARIKAYCE
remains. If ARIKAYCE remains, replace
the Medication Cap, press the On/Off
button, and complete your dose.
D. Taking ARIKAYCE
a. Lift the orange cap from the vial.
c. Pull the metal band from around
the vial top in a circular motion
until it comes off completely.
b. Grip the metal ring on top of the
vial and pull it down gently until
1 side breaks away from the vial.
How to open the ARIKAYCE vial
Your ARIKAYCE should be at room temperature before use to make sure that your Lamira
Nebulizer System operates properly. Do not use other medicines in your Handset.
Bring ARIKAYCE to room temperature by removing it from the refrigerator at least
45 minutes before use. Do not use if your ARIKAYCE has been frozen.
Sit in a relaxed,
upright position.
• Press and hold
down on the On/Off
button for a few
seconds to turn
the Lamira™ on.
• Mist will begin
to low.
1
2
Get your ARIKAYCE ready.
• Place the Handset on a clean, flat, stable surface.
• Shake the ARIKAYCE vial well for at least 10 to
15 seconds, until the medicine looks the same
throughout and well mixed.
a. Open the vial and pour the ARIKAYCE into
the Medication Reservoir. See instructions for
how to open the ARIKAYCE vial on the right
b. Attach the Medication Cap. d. Carefully remove the
rubber stopper.
34
Orange Cap
Metal
Ring
Metal
Band
Rubber
Stopper
Insert the Mouthpiece and
take slow, deep breaths.
• Then, breathe normally in and out
through the Mouthpiece until your
treatment is complete.
• Treatment should take about 14 minutes
but could take up to 20 minutes.
For any issues you may have with your Lamira Nebulizer
System, see Section K – Troubleshooting of the full
Instructions for Use that comes with your medicine.
Be sure to hold
the Handset level
throughout the
treatment.
Shake
at least
10-15 sec.
Metal
Ring
b.
a.

Cleaning the Handset and Aerosol Head
Reminder: Clean the Handset and Aerosol Head immediately
after each use.
a. Disconnect your Handset from the Connection Cord, then
take apart (disassemble) the Handset for cleaning.
b. Gently wipe away any drops of medicine from the
Medication Reservoir, Aerosol Chamber, and Mouthpiece
before rinsing, to reduce antibiotics added to water systems.
Use only plain, dry paper towels or wipes. Do not use
towels or wipes that have any chemicals added to them
such as alcohol, lotion, or baby wipes.
Be careful not to harm the parts. Do not wipe Aerosol Head.
Throw away paper towels by disposing in trash with solid waste.
c. Rinse each of the parts under
warm running tap water for
10 seconds. Rinse the Aerosol
Head for 10 seconds
on each side.
d. Clean all Handset parts by adding
a few drops of clear liquid dish soap
and warm tap water to a clean tub
or bowl. Cover the Handset parts in
the warm soapy water and soak for
5 minutes, shaking them periodically.
Then rinse them thoroughly under
warm running tap water.
E. Cleaning Your Lamira Handset
and Aerosol Head After Use
Immediately after each use, the Handset and Aerosol Head should be rinsed, cleaned, and disinfected.
Disinfecting the Handset and Aerosol Head
Reminder: Disinfect the Handset and
Aerosol Head every day.
a. Be sure your Handset and Aerosol Head
are clean before you disinfect.
b. Boil the Handset parts, including
the Aerosol Head, in a clean pot of
distilled water for a full 5 minutes.
c. Air dry on a lint-free towel. When
fully dry, wrap up the parts in a
lint-free towel for storage.
You can put them
together again just
before taking your
next treatment.
Cleaning Your Controller and Connection Cord
• To reduce the risk of electric shock, disconnect
all connections before cleaning.
• Clean the Controller housing and Connection Cord
as needed with a soft, clean, damp cloth.
Do not place the Controller unit under water.
Do not allow liquid or moisture to get inside
the Controller.
1
3
c.
10 sec.
5 min.
d.
5 min.
b.
c.
2
Cleaning and disinfecting your Handset and Aerosol Head is important to reduce the risk of infection, illness, and contamination.

Lamira Nebulizer System manufactured by:
PARI Respiratory Equipment, Inc.
2412 PARI Way
Midlothian, VA 23112
© 2018 Insmed Incorporated. All Rights Reserved. Insmed and ARIKAYCE
are trademarks of Insmed Incorporated. All other trademarks referenced
herein are the property of their respective owners.
PP-ARIK-US-00353
10/18