Smofkabiven Peripheral Caution For Usage

Precautions for disposal: Do not use if package is damaged.
Use only if the amino acid and glucose solutions are clear and colourless or slightly yellow and the lipid emulsion is white and homogenous. The contents of the three separate chambers have to be mixed before use, and before any additions are made via the additive port.
After separation of the peelable seals the bag should be inverted on a number of occasions to ensure a homogenous mixture, which does not show any evidence of phase separation.
For single use only. Any unused solution remaining after infusion should be discarded.
Compatibility: Only medicinal or nutrition solutions for which compatibility has been documented may be added to SmofKabiven Peripheral. Compatibility for different additives and the storage time of the different admixtures will be available upon request.
Additions should be made aseptically.
Instructions for use: 1. Removal of overpouch: To remove overpouch, hold the bag horizontally and tear from the notch close to the ports along the upper edge.
Then simply tear the long side, pull off the overpouch and discard it along with the oxygen absorber.
2. Mixing: Place the bag on a flat surface.
Roll up the bag tightly from the handle side towards the ports, firstly with the right hand and then applying a constant pressure with the left hand until the vertical seals are broken. The vertical peel seals open due to the pressure of the fluid.
The peel seals can also be opened before removing the overpouch.
Note: The liquids mix easily although the horizontal seal remains closed.
Mix the contents of the three chambers by inverting the bag three times until the components are thoroughly mixed.
3. Finalising the preparation: Place the bag on a flat surface again. Shortly before injecting the additives, break off the tamper-evident arrow flag from the white additive port.
Note: The membrane in the additive port is sterile.
Hold the base of the additive port. Insert the needle, inject the additives (with known compatibility) through the centre of the injection site.
Mix thoroughly between each addition by inverting the bag three times. Use syringes with needles of 18-23 gauge and a length of max. 40 mm.
Shortly before inserting the infusion set, break off the tamper evident arrow flag from the blue infusion port.
Note: The membrane in the infusion port is sterile.
Use a non-vented infusion set or close the air-inlet on a vented set.
Hold the base of the infusion port.
Push the spike through the infusion port.
The spike should be fully inserted to secure it in place.
Note: The inner part of the infusion port is sterile.
4. Hanging up the bag: Hang the bag up by the hole below the handle.