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Questions about Lamira?   Contact the Arikares Support Program at 1-833-ARIKARE (1-833-274-5273) 

 

    

  Safety Precautions 

 

Read all dangers and warnings before using. 

 

  

To reduce the risk of fatal injury from electrocution: 

 

Do not place or store the Lamira Nebulizer System near water or 

other liquid such as bathtub or sink.  Do not place or drop into water 

or other liquid.  Do not use while bathing. 

 

Do not reach for the Lamira Nebulizer System if it has fallen into 

water or other liquid.  Unplug right away.  Pick up the Lamira only 

after it has been unplugged. 

 

 

 

To reduce the risk of serious injury: 

 

The Lamira Nebulizer Handset (Handset) is for single patient use.  

Do not share your Handset with other people. 

 

The Handset is made just for ARIKAYCE.  Never use other 

medicine in the Handset.  Using other medicine in the Lamira 

nebulizer can result in severe injury or death. 

 

Read, understand and follow all warnings and instructions in these 

Instructions for Use before using the Lamira nebulizer. 

 

To reduce the risk of fire, burns and damage or malfunction of the 

Controller: 

 

Do not overload wall outlets or use extension cords. 

 

Keep all electrical cords away from heated surfaces. 

 

Do not spray liquids onto the housing of the Controller 

(Controller).  (See Section C: Getting Started) Liquid may cause 

damage to the electrical parts and could lead to a malfunction.  If 

liquids enter the Controller, contact the Arikares Support 

Program at 1-833-ARIKARE (1-833-274-5273). 

 

Do not insert any object into any opening on the Lamira. 

 

Do not operate where oxygen is being given in a closed 

environment such as an oxygen tent. 

 

Always unplug the Lamira right after using and before cleaning. 

 

Before use, check your Lamira for proper assembly.  All parts must 

be connected and firmly in place.  Use of an improperly assembled 

Lamira could decrease or stop the effectiveness of your treatment. 

 

Use only adapters and accessories that are made for the Lamira.  

Use of unapproved adapters or accessories can lead to improper 

administration, injury, leading to damage to the Controller. 

 

Never substitute the Handset for any other eFlow® Technology 

Handset such as Altera®, eRapid® or any other eFlow®. Never use 

the Lamira Aerosol Head (Aerosol Head) in any other eFlow® 

Technology Handset. This Aerosol Head has unique performance 

characteristics for ARIKAYCE. 

 

Never operate the Controller if it is improperly or incompletely 

assembled or damaged.  See Section K: Troubleshooting for more 

information about alerts that appear when the Lamira is improperly 

assembled or might be damaged. 

 

Never operate the Lamira if:  

 

It has damaged cords or plugs, 

 

it is not working properly, 

 

it has been dropped or damaged, 

 

the Controller has been exposed to liquids 

 

To reduce the risk of infection, illness, or injury from contamination, 

clean and dry all parts of the Handset after each use.  Follow the 

instructions in Section E to maintain and clean the Lamira. 

 

Cleaning the Handset properly will help prevent the Aerosol Head 

from clogging.  Replace the Aerosol Head with a new one after 7 

uses.  If the Aerosol Head becomes clogged, the aerosol mist will be 

reduced, which may increase your inhalation time of therapy.  If 

clogging occurs, use the instructions in Section F to clean the Aerosol 

Head. 

 

Cleaning the Handset and Aerosol Head only removes the medicine 

and saliva.  To reduce the risk of serious or fatal illness caused by 

contamination of the Handset, you must also disinfect the Handset 

and Aerosol Head after every cleaning.  See Section G for 

disinfection instructions. 

 

The Lamira contains small parts that may become a choking hazard 

to small children.  The Lamira Connection Cord (Connection Cord) 

also may become a strangulation hazard. 

 

Do Not allow pets, for example dogs or rodents, near the cables. 

 

Keep the Lamira out of reach of children. 

 

Keep the Handset level when in use.  Excessive tilting can cause the 

Controller to shut off leaving unused ARIKAYCE in the Medication 

Reservoir and resulting in incomplete dosing. 

 

Closely supervise use when the Lamira is used near children or the 

physically or mentally impaired. 

 

Do not use your Lamira while driving or in any situation which takes 

away your full attention. 

 

If the Lamira has been damaged or is not operating properly, contact 

the Arikares Support Program at 1-833-ARIKARE (1-833-274-5273). 

 

Do not take the Controller apart at any time.  There are no user 

serviceable parts inside the Controller.  Contact the Arikares Support 

Program at 1-833-ARIKARE (1-833-274-5273) for all Controller 

service needs. 

 

Do not modify this equipment without authorization from the 

manufacturer. 

 

Do not use the device in areas exposed to elevated electromagnetic 

or electrical radiation such as a MRI scanner or high frequency 

surgical equipment. 

 

Do not place near other medical devices during operation unless 

both devices are monitored constantly to make sure both are 

operating properly. 

 

Do not use within 12 inches (30 cm) of portable wireless 

communication devices such as cell phones or antenna cables or 

external antennas. 

 

Do not use near airplane or train control systems. Do not use aboard 

aircraft. 

 

Do not use the nebulizer near anti-theft systems and Radio 

Frequency Identification (RFID) readers, which are used in a wide 

variety of settings, including stores, libraries, and hospitals. Do not 

power on the nebulizer when passing through security screening 

or theft protection (RFID) systems at entrances or exits of stores, 

libraries or hospitals.  Note that some entrance and exit security 

systems are not visible. 

 
Technical electromagnetic compatibility data is available in table form 

upon request from PARI Pharma GmbH or on the Internet at 

https://www.pari.com/fileadmin/Electromagnetic-compatibility-4.pdf

     Danger 

     Warning 

Reference ID: 4327567

Summary of Contents for Lamira

Page 1: ...Reference ID 4327567...

Page 2: ...Lamira nebulizer Before using your Lamira nebulizer read and understand all the Instructions for Use and save them for future reference If you do not understand any part of these directions contact t...

Page 3: ...ion clean and dry all parts of the Handset after each use Follow the instructions in Section E to maintain and clean the Lamira Cleaning the Handset properly will help prevent the Aerosol Head from cl...

Page 4: ...a Handset to be used for 28 days until the next ARIKAYCE drug box arrives o 1 ARIKAYCE Quick Start Guide o 1 Instructions For Use Insert o 1 Full Prescribing Information Insert Step C2 Check your Lami...

Page 5: ...recommended to remove the batteries to reduce the risk of battery leakage Using the A C power supply The A C Power Supply will automatically adjust to the incoming voltage and will power the Controlle...

Page 6: ...r Mouthpiece Wipe with clean disposable paper towel 1 second per part Wipe to remove residual medicine and then dispose of paper towel in trash with solid waste Rinse Prior to first use and after each...

Page 7: ...ached to the mouthpiece as shown in the picture Your Handset including the Aerosol Head is not sterile Contamination and moisture may cause the growth of bacteria and the Aerosol Head can be affected...

Page 8: ...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 the...

Page 9: ...e from soap disinfect your Handset Step F10 Disinfect the Handset including the Aerosol Head after cleaning In addition to cleaning ARIKAYCE from your Handset you must also disinfect your Handset to r...

Page 10: ...Section F Step G2 Disinfect your Handset at the end of every day by boiling in distilled water To disinfect with boiling water boil the Handset parts including the Aerosol Head in a clean pot of disti...

Page 11: ...ater and dry them well H 2 Step H3 Open the Handset The Medication Reservoir and the Aerosol Chamber are attached using a hinge First gently pull up on the tab of the Medication Reservoir H 3 This wil...

Page 12: ...e Aerosol Head so that For Amikacin Liposome Inhalation Suspension is facing toward you and is at the top of the Aerosol Head H 5b Squeeze the two flexible plastic tabs together while inserting the me...

Page 13: ...Connection Cord by lining up the bottom of the Connector with the bottom of the Handset H 8a and pushing the Connection Cord upward against the rear underside of the Handset H 8b until you hear the pa...

Page 14: ...me throughout and well mixed I 1 Step I2 Lift orange cap from vial and throw away dispose of the orange cap I 2 Step I3 Grip metal ring on top of the vial Pull it down gently I 3 until 1 side breaks a...

Page 15: ...on the LCD display I 8a You will also hear 1 beep and the status light will turn green The Lamira is now On After treatment begins the treatment screen I 8b will replace the start screen I 8a and aero...

Page 16: ...change from dose to dose and may become longer unless the cleaning and maintenance instructions are followed See Maintaining Your Lamira Step I10 At the end of your treatment the following will happen...

Page 17: ...at the Controller has power Secondly make sure the Connection Cord is correctly attached Thirdly check to be sure that your Handset has been assembled properly Section H Lastly check to be sure that t...

Page 18: ...tart Controller 6 Flashing Lamira beeps 1x then beeps high low with the LED flashing and the LCD display flashing this symbol No ARIKAYCE detected Add ARIKAYCE If you have already added ARIKAYCE gentl...

Page 19: ...el gently tap Handset and restart Controller 16 The Lamira does not stop automatically after all ARIKAYCE is consumed Clean and disinfect the Aerosol Head If condition continues contact the Arikares S...

Page 20: ...imulation of label claimc 52 9 46 4 59 4 MMADd by NGIe m 4 45 4 38 4 52 GSDf 1 59 1 59 1 60 Respiratory Dose by NGI 5 m mg 327 1 316 5 337 6 Respiratory Fraction by NGI 5 m of delivered dose 55 6 53 8...

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