Due to an industry-wide shortage of IV solution/IV fluid mini-bags, your facility may be experiencing a backorder of these items. We continue to work with manufacturers to address all shortages and to source substitute or alternate products when available.
Viable Alternative for IV Solution/IV Mini-bags
During this market shortage, we are offering the Homepump Eclipse* Elastomeric Pump as a possible sustitute product for IV solution/IV mini-bags.
What is the Homepump Eclipse Elastomeric Pump?
The Homepump Eclipse is a disposable, single-use infusion pump that is filled with medication, and is suitable for a variety of different medications. It operates without gravity or a power supply, making it completely portable, compact and lightweight.
How does it work?
The Homepump Eclipse consists of a balloon type, elastomeric membrane which holds the medication. The rate is controlled by restrictive tubing. The balloon provides the pressure to automatically infuse the medication at a preset flow rate. The rate delivers within ±15% of the labeled flow rate when used according to manufacturer’s recommendations.
How the Homepump Eclipse works as an alternative to IV mini-bags:
- Utilize larger IV solutions to fill individual Eclipse pumps; for example:
- A one liter bag of NaCl could be used to fill 20 individual 50mL or 10 individual 100mL Eclipse pumps
- The filled pumps can then be used to deliver pre-meds, supplements such as iron, drugs, etc.
Recognizing the potential for patient care challenges that can come with a significant reduction in supply of IV bags, Virginia Cancer Specialists (VCS), located near Washington DC, proactively worked with their vendor of elastomeric pumps to find a solution to ensure safe, effective patient care through an ongoing shortage. This included introducing new approaches to care using a disposable, portable infusion system (the Halyard Health Homepump Eclipse*) to provide chemotherapy and pre-medications to their patients allowing them to minimize disruption to their facility and continue the care for patients.
VCS has viewed, first hand, the benefits of the Eclipse with certain chemotherapy and pre-meds and plans to continue using it post-shortage. — Maria Garcia RN, OCN, Director of Clinical Operations, Virginia Cancer Specialists
Halyard Eclipse Elastomeric Pumps
Preparing & Using the Homepump Eclipse Elastomeric Pump
The Homepump Eclipse is used primarily for short-term infusions such as antibiotics. Depending on the size of the pump, infusions will last from 15 minutes to 5 hours.
- Ensure clamps are open (Homepump Eclipse device tubing as well as on patient’s access device)
- Check to make sure tubing is free of kinks
- Ensure the Homepump Eclipse pump operates at the correct temperature:
- Pump must be at room temperature before infusion
- Pump and tubing must be outside patient’s clothing
Fill volumes & delivery times
Use the chart below to determine the appropriate fill volume per system model to achieve the desired delivery time. Information is also provided on retained volume for each system model. CAUTION: The delivery times are approximate.
- Filling the pump more than the nominal fill volume decreases flow rate
- Filling the pump less than nominal fill volume increases flow rate
- Do not fill the pump less than the minimal or more than the maximum fill volume specified on the chart
- Wait 4 hours after filling to start the infusion. Using the Homepump Eclipse System immediately after filling may increase the flow rate
Homepump Eclipse System Fill Volumes
|Nominal Fill Volume (mL)||50||100||250||150||400|
|Nominal Flow Rate (mL/hr)||50||200||175||250||200|
|Maximum Fill Volume (mL)||65||125||335||335||550|
|Retained Volume (mL)||≤ 3||≤ 3||≤ 8||≤ 8||≤ 10|
Time to reach room temperature
|Refrigerator to Room Temp (hr)||7||8||12||12||15|
|Freezer to Room Temp (hr)||12||16||25||25||29|
Homepump Eclipse System Delivery Times for Partial or Overfill Volume
Approx. Delivery Time
Fill Volume (mL)
Frequently asked questions
Are there any medications that cannot be given in the Homepump System?
The Homepump* System is not indicated for blood or blood products, total parenteral nutrition (TPN) lipids or fat emulsions. Certain solutions may be incompatible with the PVC used in the administration set. Consult drug package insert and other available sources of information for a more thorough understanding of possible incompatibilities.
What is the filter size?
The Homepump* products include an inline 1.2 micron particulate and 0.02 micron air eliminating filter.
Is there any way to remove an air bubble from inside the Homepump device?
It is not uncommon to have a small air bubble in the Homepump* device after filling. The air should be eliminated by the in line air eliminating filter.
What is the material in the elastomeric membranes?
The outer layer of the pumping chamber is composed of natural rubber latex. The inner membrane, which comes in contact with the drug, is a synthetic thermoplastic elastomer. This material is chemically inert, highly drug compatible and USP Class VI tested.
Can the Homepump System be used on patients with latex sensitivity?
There is no latex in the fluid pathway and the PVC bag that covers the membranes eliminates the risk of contact dermatitis. Testing has been conducted on the latex layer of the Homepump System to determine whether any latex proteins were extracted during the infusion. Based on current test methods available today, no latex proteins were detected during normal infusion. For more information, refer to the Latex Sensitivity Technical Bulletin.
There are inherent risks in all medical devices. Please refer to the product labeling for Indications, Cautions, Warnings and Contraindications. Failure to follow the product labeling could directly impact patient safety. Physician is responsible for prescribing and administering medications per instructions provided by the drug manufacturer. Refer to www.halyardhealth.com for product safety Technical Bulletins.
Unless otherwise noted, the recommendations in this document were obtained from Halyard. Be advised that information contained herein is intended to serve as a useful reference for informational purposes only and is not complete clinical information. This information is intended for use only by competent healthcare professionals exercising judgment in providing care. McKesson cannot be held responsible for the continued currency of or for any errors or omissions in the information.
The product information contained in this document, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers, not McKesson Medical-Surgical or its affiliates (“McKesson”) and have not been independently verified by McKesson. McKesson is not responsible for errors or omissions in the product information.
The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Caution should be exercised when using or purchasing any products from McKesson’s online or print documents by closely examining the product packaging and the labeling prior to use.
Due to product changes, information listed in this document is subject to change without notice. This information is placed solely for your convenience in ordering and McKesson disclaims all responsibility for its completeness and accuracy, whether or not the inaccuracy or incompleteness is due to fault or error by McKesson.
*All trademarks and registered trademarks are the property of their respective owners.