Pump and Cassette Care Video - Transcript
TEXT ON-SCREEN and narrator:
This video is not intended to substitute for the training provided by your health care professional. Be sure to talk to your doctor if you have any questions or concerns about using your pump, Duopa, or your health condition.
The Duopa pump can only be used with Duopa medication cassettes. See the Patient Instructions For Use and Prescribing Information for information on using your pump. Please see the Important Safety Information for Duopa included in this video.
TEXT ON-SCREEN:
Pump and Cassette Care
How to care for the pump and cassettes used with Duopa
Narrator:
This video will show you how to care for the pump and cassettes used with Duopa.
TEXT ON-SCREEN:
About Duopa
TEXT ON-SCREEN and narrator:
Duopa (carbidopa and levodopa) is a prescription medicine used for treatment of advanced Parkinson’s disease. Duopa contains 2 medicines, carbidopa and levodopa.
The Duopa system uses a tube to administer (carbidopa and levodopa) enteral suspension directly to your intestine. A cassette containing the medication is attached to a portable pump. The pump connects to the stomach tube used to deliver the medication.
TEXT ON-SCREEN:
Pump Care: Changing Batteries
Ensure the pump is stopped
WARNING! Always have new replacement batteries available. If power is lost, Duopa will not be delivered
If a gap is present anywhere between the battery door and the pump housing, the door is not properly attached.
If the battery door becomes detached or loose, the batteries will not be properly secured; this could result in loss of power and Duopa will not be delivered.
WARNING! If the pump is dropped or hit, the battery door or tabs may break. Do not use the pump if the battery door or tabs are damaged
No rechargeable NiCad or NiMH batteries
Narrator:
Let’s start with changing the pump’s batteries. Before you start, here is some important safety information to keep in mind: ensure that the pump is stopped before you attempt to change the batteries. Always have new replacement batteries on hand, because if the pump is not powered, Duopa will not be delivered.
If a gap is present anywhere between the battery door and the pump housing, the door is not properly attached. If the battery door becomes detached or loose, the batteries will not be properly secured; this could result in loss of power and Duopa will not be delivered.
If the pump is dropped or hit, the battery door or tabs may break. If these parts are damaged, do not use the pump—the batteries may not be secured, which can result in loss of power, and Duopa will not be delivered.
The Duopa pump uses double A alkaline batteries. Do not use rechargeable NiCd or nickel metal hydride NiMH batteries. Do not use carbon zinc (“heavy duty”) batteries. They do not provide enough power for the pump to operate correctly.
TEXT ON-SCREEN:
Change batteries same time every week
Narrator:
Here’s a recommendation: change both batteries on the same day and at the same time every week.
TEXT ON-SCREEN:
Change batteries immediately
Narrator:
You’ll know when the batteries are low, because the display will read “LowBat” and a 3-tone alarm will sound every 5 minutes. If this happens, change the batteries right away. Here’s how:
TEXT ON-SCREEN:
Not a real patient
Dispose of used batteries in an environmentally safe manner, and according to any regulations that may apply
Listen for beep
If pump does not beep, check that batteries are in correctly
WARNING! If a gap is present anywhere between the battery door and the pump housing, the door is not properly latched, and the batteries will not be properly secured
Do not store the pump for prolonged periods of time with the batteries installed. Battery leakage could damage the pump
Narrator:
First, ensure the display of the pump reads “STOPPED”.
Next, push and hold the arrow button while sliding the battery door until it comes completely off the pump.
Remove the used batteries and dispose of them in an environmentally safe manner and according to any regulations that may apply. Install the new batteries. Listen for the beep that means the pump is powered. If you do not hear this beep, or if the display does not turn on, check that the batteries are put in correctly.
Finally, slide the battery door back into its original closed position. Be sure the battery door is properly latched to ensure the batteries are secure. If a gap is present anywhere between the battery door and the pump housing, the door is not properly latched. If the battery door becomes detached or loose, the batteries will not be properly secured; this could result in loss of power, and Duopa will not be delivered.
You are now ready to use the pump.
If your Duopa pump is not being used on a daily basis for a period of time, remove the batteries before storing. Battery leakage during storage could damage the pump.
TEXT ON-SCREEN:
Proper Pump Care
Narrator:
Now let’s discuss how to properly care for your pump. First, some important safety information.
TEXT ON-SCREEN:
The pump should only be operated between 36°F and 104°F, and should not be exposed to humidity levels below 20% or above 90%.
Clean with damp cloth
Do not use harsh cleaners
Do not allow liquid to soak into pump
This could damage the pump
The pump is NOT waterproof
Contact your doctor or call 1-844-386-4968 if pump does not work properly
Narrator:
The pump should only be operated between 36°F and 104°F, and should not be exposed to humidity levels below 20% or above 90%.
It’s important to not store the pump with a Duopa cassette attached. When the pump is not in use, store it in a safe place.
If the pump needs to be cleaned, wipe it with a damp cloth. Do not clean the pump with acetone or plastic solvents or harsh cleaners, and never soak the pump in cleaning fluid or water or allow any liquid to leak into the pump, keypad, or battery compartment. The pump is not waterproof.
If the pump is dropped or hit, check the pump for damage. If it is damaged, not working, or not staying on, call your doctor or 1-844-386-4968 immediately—do not use the pump and don’t try to fix it yourself.
TEXT ON-SCREEN:
Cassette Care
Store cassettes in refrigerator (36°F to 46°F)
Do NOT heat or thaw in microwave
Use cassette within 16 hours
Do not reuse cassettes
Narrator:
Here are some important things to remember about Duopa cassettes. They should be stored in a refrigerator set between 36°F and 46°F and should never be put in the freezer. Keep the cassettes in their closed carton to protect them from light. Always check the expiration date on the cassette before using. Do not use a cassette that is cracked, leaking, or past its expiration date. If you see any of these things with a cassette, contact DuoConnect at 844-386-4968.
Before using a Duopa cassette, let it sit at room temperature for 20 minutes after removing it from the refrigerator. Once the cassette has been removed from the refrigerator, it should be used within 16 hours. If not used, discard the cassette as directed by your specialty pharmacy. Used Duopa cassettes should not be reused, even if gel remains.
USE
DUOPA (carbidopa and levodopa) enteral suspension is a prescription medicine used for treatment of advanced Parkinson’s disease. DUOPA contains two medicines: carbidopa and levodopa.
IMPORTANT SAFETY INFORMATION
What is the most important safety information I should know about DUOPA?
- Stomach and intestine (gastrointestinal) problems and problems from the procedure you will need to have to receive DUOPA (gastrointestinal procedure-related problems) may occur. Some of these problems may require surgery and may lead to death.
- Serious side effects may include: a blockage of your stomach or intestines (bezoar); stopping movement through intestines (ileus); drainage, redness, swelling, pain, feeling of warmth around the small hole in your stomach wall (stoma); bleeding from stomach ulcers or your intestines; inflammation of your pancreas (pancreatitis); infection in your lungs (pneumonia); air or gas in your abdominal cavity; skin infection around the intestinal tube, pocket of infection (abscess), or infection in your blood (sepsis) or abdominal cavity may occur after surgery; stomach pain, nausea, or vomiting. - Tell your healthcare provider right away if you have any of the following symptoms of stomach and intestine problems and gastrointestinal procedure-related problems: stomach (abdominal) pain; constipation that does not go away; nausea or vomiting; fever; blood in your stool; or a dark tarry stool.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using DUOPA with certain other medicines, including medications for high blood pressure, MAO inhibitors, antipsychotics, metoclopramide, isoniazid, and iron or vitamin supplements, may cause serious side effects. High-protein foods may affect how DUOPA works. Tell your healthcare provider if you change your diet.
DUOPA may cause serious side effects. Talk to your doctor before starting DUOPA and while on DUOPA if you have had or have any of these:
- Falling asleep during normal daily activities without warning. DUOPA may cause you to fall asleep while you are doing daily activities such as driving, which may result in an accident. This can happen as late as one year after starting DUOPA. Do not drive or operate machinery until you know how DUOPA affects you. Tell your healthcare provider if you take medicines that can make you sleepy, such as sleep medicines, antidepressants, or antipsychotics.
- Low blood pressure when you stand or sit up quickly. After you have been sitting or lying down, stand up slowly to help reduce dizziness, nausea, sweating, or fainting until you know how DUOPA affects you.
- Seeing, hearing, or feeling things that are not real (hallucinations).
- Unusual urges. Some people taking medicines for Parkinson’s disease, including DUOPA, have reported urges such as excessive gambling, compulsive eating, compulsive shopping, and increased sex drive.
- Depression and suicide. DUOPA can cause or worsen depression. Pay close attention to changes in your mood, behavior, thoughts, or feelings. Call your healthcare provider right away if you feel depressed or have thoughts of suicide.
- Uncontrolled sudden movements (dyskinesia). If you have new dyskinesia or your dyskinesia gets worse, tell your healthcare provider. This may be a sign that your dose of DUOPA or other Parkinson’s medicines may need to be adjusted.
- Progressive weakness or numbness or loss of sensation in the fingers or feet (neuropathy).
- Heart attack or other heart problems. Tell your healthcare provider if you have experienced increased blood pressure, a fast or irregular heartbeat, or chest pain.
- Abnormal blood tests. DUOPA may cause changes in certain blood tests, especially certain hormone and kidney function blood tests.
- Worsening of the increased pressure in your eyes (glaucoma). The pressure in your eyes should be checked after starting DUOPA.
Do not stop using DUOPA or change your dose unless you are told to do so by your healthcare provider. Tell your healthcare provider if you develop withdrawal symptoms such as fever, confusion, or severe muscle stiffness.
The most common side effects of DUOPA include: complications of tubing placement procedure, swelling of legs and feet, nausea, high blood pressure (hypertension), depression, and mouth and throat pain.
Please see the full Prescribing Information including Medication Guide for additional information about DUOPA. Talk to your healthcare provider if you have questions.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.