Pari Lamira Quick Start 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

2

Check 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.

2

Insert 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.

3

Insert 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.

4

Attach the Mouthpiece to your Handset
with the Blue Flap facing up.

5

Finally, 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.

3

4

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