Using the Eclipse® Medicine Device

What is an 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. 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 and a clamp. How fast the Eclipse gives the medicine depends on the size of the balloon and the amount of medicine it holds.

You use the Eclipse device only one time, and then throw it away in the regular household trash.

Receiving medicine

Sometimes the St. Jude Pharmacy will provide your child’s Eclipse medicines, and you can pick them up at the Outpatient 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 to know who is supplying the medicine.

Storage

Where you store the Eclipse device depends on the type of medicine your child receives. You need to store some medicine 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).

Preparing to use the Eclipse

1. Clean your work area with an alcohol prep pad or other disinfectant.
2. Clean your hands with soap and water and dry well or use an alcohol-based liquid or foam hand cleaner.
3. 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 the syringe label for:
    • The name “0.9% Sodium Chloride Injection” on the syringe,
    • 5 mls of liquid in the syringe, and
    • The expiration date on the syringe that is still in the future.
• 1 syringe of heparin 10 units/ml (for IV use).
  • Check the heparin syringe label for:
    • The name “Heparin Lock Flush 10 USP units/ml” on the syringe,
    • 3 mls of liquid in the syringe, and
    • The 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
• Stretch mesh, fanny-pack, bum bag, or other carrying pouch (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 medicine dose or rate;
• For the medicine expiration date;
• For storage instructions; and
• To make sure the liquid in the Eclipse and the tubing is clear – not cloudy, discolored, or specked.

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 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 mesh or remove the Eclipse from the fanny pack or onesie.
• Remove tape from 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 connector

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

3. Clean connector

• 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 connector 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 connector.
• After the connector 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 connector.
• Attach the saline syringe to the connector.
• Unclamp the central line, and flush with saline with a pulsing motion as you were taught.
• Re-clamp the line. Then, remove the syringe.
• Do not lay down the central line.

5. Clean the connector again

• Using a Site Scrub, scrub with a twisting motion for 10 seconds and let dry for 5 seconds. If using an alcohol pad, wipe the end of the connector 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 connector.
• After the connector 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.
• Connect the tubing to the clean connector. (If you touch the end of the tubing, the Eclipse will need to be thrown away and the process starts over with a clean Eclipse).
• 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 is not 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 your primary clinic or the Infusion Center after hours 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:
  • Check the syringe 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:
  • Check the heparin syringe label for:
    • The name “Heparin Lock Flush 10 USP units/ml” on the syringe,
    • 3 mls of liquid in the syringe, and
    • The 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
• Stretch mesh, fanny-pack, bum bag, or other carrying pouch (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

• Holding the syringe upright, unscrew the blue cap.

• 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 connector on your child’s line.

4. Clean the connector

• 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 connector 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 connector.
• After the connector 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 your healthcare team taught you without laying down the connector.
• Attach the saline syringe to the connector. Unclamp the central line, and flush with saline with a pulsing motion as your healthcare team taught you.
• Clamp the line. Remove the saline syringe.

6. Clean the connector 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 connector 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 connector.
• After the connector 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 your healthcare team taught you without laying without laying down the connector.
• Attach the syringe to the connector. 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 connector 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 connector 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 connector.
• After the connector is clean, do not lay it down.

9. Cap the line

• Remove the cover from the disinfectant cap and attach the cap to the connector. Alcohol will spill from the cap, and your hand may get wet when you attach the cap to the connector. 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 your primary clinic during regular business hours or the Infusion Center 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 1-866-278-5833.