Administering ARIKAYCE®
This section will help you understand the functionality of the Controller included with the Lamira Nebulizer System. Knowing
how to operate Lamira will help you communicate with the prescribing physician about key
points regarding operation of Lamira.
The Controller has an On/Off button, an LED status light, and an LCD display. The LCD
display and status light, as well as a “beeping” sound, will help guide patients through
their treatment. As you will see in an upcoming section in this eMagazine,
Troubleshooting Potential Problems, they can also help patients solve problems when the
device is not operating properly.
The Controller should be
placed on a clean, flat, and stable surface. It is important for patients to
sit in a relaxed, upright position and to hold the Handset level throughout the
duration of the treatment.
Select each of the topics below to reveal operational instructions and the corresponding audio and visual cues patients will receive while using their Lamira.
Operating Lamira
To begin treatment, sit in a relaxed, upright position. Press and hold the On/Off button for 2 to 3 seconds until the start screen appears on the LCD screen.
(Start screen)
You will hear 1 "beep."
The status light will turn green. The Lamira is now On.
(Treatment)
After treatment begins, the treatment screen will replace the start screen and aerosol mist will begin to flow.
Inhalation Technique
Insert the Mouthpiece by placing it on top of your bottom lip and tongue. Close your lips around the Mouthpiece. Take slow, deep breaths, then breathe normally in and out through the Mouthpiece until your treatment is complete.
Correct Technique
Incorrect Technique
Hold the Handset level throughout your treatment. If the Handset is held at an angle over 45 degrees, the following will occur.
The status light will show 2 green lights.
The Controller will shut down after 30 seconds. If this occurs, hold the Handset level and press the On/Off button to restart your treatment.
Pausing Treatment
Lamira can be stopped at any time during operation by pressing/holding the On/Off button for 3 seconds.
The LCD screen will go from On to Pause.
You will hear a 5-beep alarm tone.
The status light will flash red-green.
Resuming Treatment
To resume treatment while in pause mode, press the On/Off button for 1 full second.
The Controller will run for up to 20 minutes. If treatment is not complete after 20 minutes, press the On/Off button to continue treatment.
Completing Treatment
The amount of time to nebulize ARIKAYCE® should take 14 minutes but could take up to 20 minutes. It is also important to note that the time may vary from dose to dose and may become longer unless the cleaning and maintenance instructions are followed. Refer to the section, Disassembling, Cleaning and Disinfecting the Lamira Nebulizer System, for more information.
At the end of treatment, the following will occur:
Lamira will “beep” 2 times.
The status light will flash red 2 times.
The Dose Complete Checkmark will appear briefly on the screen.
The Controller will automatically shut off.
Check the Medication Reservoir by removing the Medication Cap to make sure the full dose was completed. If more than a few drops remain, replace the Medication Cap and press the On/Off button to complete your dose.
The Handset should be cleaned and disinfected after each use. Patients should be instructed to change their Aerosol Head after 7 uses and to clean and disinfect it before they use it for the first time.
To view a video segment on administering ARIKAYCE®, select the icon.