DO YOU KNOW...

Using the Eclipse® medicine device

 

The Eclipse® medicine device is an easy, safe, and portable way for you to give IV (by vein) medicines at home or away from the hospital. You use the Eclipse device only one (1) time, and then throw it away in the regular household trash.

The Eclipse device is a balloon-shaped container with tubing attached. The balloon holds the medicine you will give. The tubing is also filled with medicine and is ready to connect to your child’s IV. You will see a small filter built into the tubing as well as a clamp. How fast the Eclipse gives the medicine depends on the size of the balloon and the amount of medicine it holds.

Eclipse device

Receiving the medicine

Sometimes the St. Jude Pharmacy will provide your child’s Eclipse medicines, and you can pick them up at the Outpatient (ACU) pharmacy window. At other times, a home infusion company will deliver the medicines to where you are staying. Always check with your pharmacist or nurse so you will know who is providing the medicine.

Storage

Where you store the Eclipse device depends on the type of medicine your child receives. You need to store some medicines in the refrigerator. Other medicines need to be stored in a dry place and not in the refrigerator. This information will be printed on the medicine label.

If you need to store your child’s medicine in the refrigerator, the temperature should be 36 degrees F to 46 degrees F (2 degrees C to 8 degrees C)

  • You should take the Eclipse device out of the refrigerator about 30 minutes before giving it to your child. Do not warm the Eclipse device by placing it in the sun, oven, microwave, or any other heat source. Do not use the Eclipse device while bathing, showering, or swimming.

Preparing to use the Eclipse

Clean your work area with an alcohol prep pad or other disinfectant.

Clean your hands with soap and water and dry well, or use an alcohol-based liquid or foam hand cleaner. See "Do you know ... Clean hands."  Then, gather your supplies and place them on your work area.

Supplies needed

  • Eclipse device
  • 2 syringes of sterile sodium chloride (saline for IV use). Check label for:
    • The name “0.9% Sodium Chloride Injection” on the syringe,
    • 5 mls of liquid in the syringe, and
    • An expiration date on the syringe that is still in the future.
  • 1 syringe of heparin 10 units/ml (for IV use). Check label for:
    • The name “Heparin Lock Flush 10 USP units/ml” on the syringe.
    • 3 mls of liquid in the syringe, and
    • An expiration date on the syringe that is still in the future.
  • 1 disinfectant cap
  • 5 Site Scrubs® (If  you do not have Site Scrubs, use 5 alcohol prep pads)
  • Medical tape, if needed to secure the line
  • X-span® mesh (use as a onesie if your child is a baby or T-shirt if your child is a toddler)

Check the Eclipse device

Before each dose, check the Eclipse device:

  • For your child’s name and for the correct medical record number, if available;
  • For the name of the medicine ordered by the doctor;
  • For the dose or rate;
  • For the expiration date;
  • For storage instructions; and
  • To make sure the liquid in the Eclipse and the tubing is clear – not cloudy, discolored, or specked.

If the liquid in the Eclipse or in the tubing is cloudy, discolored, or speckled do not infuse (give) the liquid. Throw the liquid away along with the Eclipse, and contact your home infusion nurse right away. This would be the person who provided you with the medicine.

Do not use the Eclipse if you think the balloon or tubing is leaking or damaged.

Only use the supplies and the Eclipse one time. After use, throw away the supplies and Eclipse in the regular trash.

Starting the infusion

  • Put your child in a safe place where you can easily reach the central line and the Eclipse device.
  • Clean your hands for 15–20 seconds with the soap and water or alcohol-based hand cleaner. Use paper towels to dry your hands. Then, use the paper towels to turn off the faucets.
  • Take off the old X-span mesh and untape the central line as needed.

1. Prepare the saline syringe

  • Remove the cap from the saline syringe as you were taught without touching the inside of the cap or the tip of the syringe. Set the cap down so the inside is facing up.
  • Holding the syringe upright, pull back on the plunger of the syringe. Look for any large air pockets, and thump out the bubbles. Slowly, push the air out of the syringe and stop when the top of the plunger is at the 5ml mark. Place the cap back on the syringe. Be careful not to touch the inside of the cap or the tip of the syringe. The saline flush can now be laid down on the table and is ready to use.

2. Clean the Clave®

  • Open 2 site-scrubs and place them on the clean work area.
  • On your child’s line, remove the disinfectant cap from the Clave.

3. Clean Clave

  • Using a Site Scrub, scrub with a back and forth motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the Clave 8 seconds on the top and 8 seconds around the rim in the grooves and let dry for 15 seconds.
  • Do not blow on or fan the Clave.
  • After the Clave is clean, do not lay it down.

4. Flush the line with saline

  • With your free hand, pick up the saline syringe and remove the cap as you were taught without laying down the Clave.
  • Attach the saline syringe to the Clave. Unclamp the central line, and flush with saline with a pulsing motion as you were taught. Re-clamp the line. Then, remove the syringe.

5. Clean the Clave again

  • Using a Site Scrub, scrub with a back and forth motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the Clave 8 seconds on the top and 8 seconds around the rim in the grooves and let dry for 15 seconds.
  • Do not blow on or fan the Clave.
  • After the Clave is clean, do not lay it down.

6. Start the infusion

  • Remove the cap from the end of the Eclipse tubing, but do not touch the end of the tubing. Then, connect the tubing to the cleaned Clave. (If you touch the end of the tubing, the eclipse will need to be thrown away.
  • Unclamp the Eclipse tubing and unclamp the central line to start giving your child the medicine. The medicine will start going into your child’s line as soon as the clamp on the Eclipse device and the clamp on your child’s line are opened.
  • Place the Eclipse device in a carrying pouch or your child’s pocket. If your child will not be moving around a lot, leave it beside your child while the medicine goes into the line.
  • The Eclipse device is finished giving medicine when the balloon is empty and flat.

Medicine side effects

All medicines have side effects. Some are mild and some are more severe. Please refer to the Patient Medication sheet you received when your child’s medicine was first delivered. If you have questions or concerns that your child might be having an allergic reaction, stop the infusion and call the Medicine Room at 901-595-2441.

Call 911 if your child has a medical emergency and needs help right away.

Ending the infusion

Put your child in a safe place where you can easily reach the central line and the Eclipse device.

Clean your work area with an alcohol prep pad or other disinfectant.

Clean your hands with soap and water and dry well, or use an alcohol-based liquid or foam hand cleaner. Then, gather your supplies and place them on your clean work area.

Supplies needed

  • 1 syringe of sterile sodium chloride (saline for IV use). Check label for:
    • The name “0.9% Sodium Chloride Injection” on the syringe,
    • 5 mls of liquid in the syringe, and
    • An expiration date on the syringe that is still in the future.
  • 1 syringe of heparin 10 units/ml for IV use. Check label for:
    • The name “Heparin Lock Flush 10 USP units/ml” on the syringe.
    • 3 mls of liquid in the syringe, and
    • An expiration date on the syringe that is still in the future.
  • 1 disinfectant cap
  • 3 Site Scrubs (If you do not have Site Scrubs, you may use 3 alcohol prep pads)
  • Medical tape, if needed to secure the line
  • X-span® mesh (use as a onesie if your child is a baby or T-shirt if your child is a toddler)

1. Prepare the saline syringe

  • Remove the cap from the saline syringe as you were taught without touching the inside of the cap or the tip of the syringe. Set the cap down so the inside is facing up.
  • Holding the syringe upright, pull back on the plunger of the syringe. Look for any large air pockets, and thump out the bubbles. Slowly, push the air out of the syringe and stop when the top of the plunger is at the 5ml mark. Place the cap back on the syringe. Be careful not to touch the inside of the cap or the tip of the syringe. The saline syringe can now be laid down on the table. It is ready to use.

2. Prepare the heparin syringe

  • Remove the cap from the heparin syringe as you were taught without touching the inside of the cap or the tip of the syringe. Set the cap down so the inside is facing up
  • Holding the syringe upright, pull back on the plunger of the syringe. Look for any large air pockets, and thump out the bubbles. Slowly, push the air out of the syringe and stop when the top of the plunger is at the 3 ml mark. Place the cap back on the syringe, being careful not to touch the inside of the cap or the tip of the syringe. The heparin syringe can now be laid down on the table. It is ready to use.

3. End the infusion

  • Open 3 Site Scrubs and place them on the clean work area.
  • Close the clamp on the Eclipse device.
  • Clamp your child’s central line.
  • Clean your hands with soap and water and dry well, or use an alcohol-based liquid or foam hand cleaner.
  • Remove the Eclipse tubing from the Clave on your child’s line.

4. Clean the Clave

  • Using a Site Scrub, scrub with a back and forth motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the Clave 8 seconds on the top and 8 seconds around the rim in the grooves and let dry for 15 seconds.
  • Do not blow on or fan the Clave.
  • After the Clave is clean, do not lay it down.

5. Flush the line with saline

  • With your free hand, pick up the saline syringe and remove the cap as you were taught without laying down the Clave.
  • Attach the saline syringe to the Clave. Unclamp the central line, and flush with saline with a pulsing motion as you were taught.
  • Clamp the line. Remove the saline syringe.

6. Clean the Clave again

  • Using a Site Scrub, scrub with a back and forth motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the Clave 8 seconds on the top and 8 seconds around the rim in the grooves and let dry for 15 seconds.
  • Do not blow on or fan the Clave.
  • After the Clave is clean, do not lay it down.

7. Flush the line with heparin

  • With your free hand, pick up the heparin syringe and remove the cap as you were taught without laying down the Clave.
  • Attach the syringe to the Clave. Unclamp the central line, and flush the line with most of the heparin. When the plunger reaches the 1ml mark on the syringe, do a steady push to finish the flush, while holding pressure on the plunger, clamp the central line. This helps keep the line open and free from blood.
  • Remove the heparin syringe.

8. Clean the Clave again

  • Using a Site Scrub, scrub with a back and forth motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the Clave 8 seconds on the top and 8 seconds around the rim in the grooves and let dry for 15 seconds.
  • Do not blow on or fan the Clave.
  • After the Clave is clean, do not lay it down.

9. Cap the line

  • Remove the cover from the disinfectant cap and attach the cap to the Clave. Alcohol will spill from the cap, and your hand may get wet when you attach the cap to the Clave. This is OK. You may now lay down the line.
  • Loop the line, and put on X-span mesh if your child is an infant or toddler.
  • Throw the empty Eclipse and syringes into the regular trash.
  • Clean your hands again.

Problems and troubleshooting

Stop the infusion and call the Medicine Room or your home infusion nurse right away if:

  • The Eclipse or tubing begins to leak during the infusion;
  • The infusion stops before all the medicine is given;
  • The IV site becomes red or swollen; or
  • You see leaking or drainage from the IV site.

Questions?

To learn more about using the Eclipse medicine device, talk to your child’s doctor, pharmacist, or nurse. In the local area, call 901-595-3300. If you are outside the Memphis area, dial toll-free 1-866-2STJUDE (1-866-278-5833).


 

This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

St. Jude complies with health care-related federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Call 1-866-278-5833 (TTY: 1-901-595-1040).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-278-5833 (TTY: 1-901-595-1040).

تنبيه: إذا كنت تتحدث باللغة العربية فيمكنك الاستعانة بخدمات المساعدة اللغوية المتوفرة لك مجانا. .يرجى الاتصال بالرقم. 5833-278-866-1  (الهاتف النصي: 1040-595-901-1).