RMS Precision Flow Rate Tubing™
HIgH-Flo Subcutaneous Safety Needle Sets™
FREEDOM60® Sub-q Administration Step-by-Step Video
Watch this 6-minute training video of a home sub-q infusion demonstration.View FREEDOM60®
FreedomEdgeTM Sub-q Administration Step-by-Step Video
Watch this 6-minute training video of a home sub-q infusion demonstration.View FreedomEdge®
Antibiotic Home Infusion Solutions
RMS syringe infusion systems allow antibiotic infusion anywhere, by anyone. These revolutionary systems make IV antibiotic infusion easier than ever for patients and providers.Learn More
Upcoming Training Events
June 14, 2018
Freedom Systems Training for Pharmacists – 6/14/18
NOTE: time shown in EST
This 45-minute WebEx™ session covers all the basics of the FREEDOM60® & FreedomEdge® Syringe Infusion Systems and introduces new key tools and concepts. We will be discussing how your options with the RMS Home Infusion product line can give your sub-q patients better outcomes – with focus on our RMS Tubing Calculator.
June 21, 2018
Freedom Systems Training for Nurses/Healthcare Providers – 6/21/18
NOTE: time shown in EST
This 45 minute WebEx™ session will explain how to get the best results with the FREEDOM60® and FreedomEdge® Syringe Infusion Systems from the start and minimize patient dropout.
What will be covered:
- pump preparation and operation
- using the calculator to determine the right flow rate for your patients
- choosing the right needle length and more
- open question & answer session
- Enhancing Responsiveness through Stakeholder Feedback
- Impact of the FREEDOM60® on acceptance of SCIg therapys
- Infusion Pump Design For SCIg
- Patient IVIg to SCIg Case Study
- Patient Driven SCIg Administration
- Impact of Needle Sets on Patient Infusion Site Reactions
- Impact of a Subcutaneous Infusion Set
- Use of a Portable Syringe Infusion System for Antibiotic Infusions
- Drug Leakage - Swedish Study
- Needle Length - Swedish Study
- Defining the Flow Rate
- Selecting the Right Infusion Device
- Secrets in Finding the Best Infusion Sites
- Impact of Selected Sub-q Needle Sets
- Clinicians Infusion Check List for Successful SCIg
- Dry vs. Wet Priming Study by Diplomat
Patient using HIgH-Flo Subcutaneous Safety Needle Sets™
Just finished my weekly sub-q with your wonderful needles and other supplies! They are amazing! I was told at a conference to try HIgH-Flo because they were sharper and consistent…well they are! I will not change now! I don’t dread the stick and the tubes flow the best! Thanks again for all your hard work … Continued
Patient using FREEDOM60®
“Your products make the infusion as pleasant an experience as possible. The Freedom pump is so simple to use, you can’t mess it up. Thanks!” -Gregg C.
Patient using FREEDOM60®
“I absolutely love the FREEDOM60 pump – it’s super easy to use and it comes with a pouch so you can take it with you and move around! Also love the HIgH-Flo subq needle sets – less pain with insertion and they come with brand name Tegaderm! Thank you for the awesome products!” -Christina B.
We want to hear from you!
Tell us about your experience using our products, and you can see it here on our website!
Frequently Asked Questions
What needle sizes are available? What length is recommended?
RMS offers HIgH-Flo Subcutaneous Safety Needle Sets™ in 4mm, 6mm, 9mm, 12mm, and 14mm needle lengths.
Needle length should be selected according to how much sub-q tissue a patient has. 9mm needles tend to work well with average sized patients; while 6mm needles may be needed for very thin people and children. Similarly, larger patients may require 12 or 14mm needles. Patients should work with their health care provider to determine their best length.
Our needles are 26 gauge (a measurement of needle thickness). We make thin-walled 26g needles to minimize pain and still allow high flow rates with viscous drugs. We struck the balance between speed and comfort.
For special applications, we do also offer a 24g needle in 6mm, 9mm and 12mm lengths. Call us to discuss 24g needles.
What are the best infusion sites?
If you are a patient, your healthcare provider will help you determine the best sites for needle insertion.
The most common infusion site is the abdomen or stomach. The upper buttocks or hips (outside of iliac crest), the outer side of the thighs, and the back of the upper arms are also sometimes used.
These sites are better to use because they have a layer of fat just below the skin to accept drug more easily, but not many nerves - which makes infusing those places more comfortable than other parts of the body.
Whether and when to rotate infusion sites should be a subject for discussion with your healthcare provider. You may achieve better results by periodically returning to sites that have worked well in the past. However, some find that repeated use of the same sites interferes with perfusion of medication.
How do I prime the needles? Should I use the slide clamp?
We recommend the patient follow the steps in our Patient Information Guide, but be sure to use the complete protocol supplied by the healthcare provider. It may take some practice to master the technique.
Some key points:
• Keep needles dry.
• Use the pump to prime to about two inches short of the needle butterflies.
• Stop flow by turning the pump off and winding the knob back one full turn.
• The slide clamp is intended for emergencies only (not priming).
What do I do if I see red or pink in the tubing lines while checking for blood return?
Be sure to reference the complete protocol supplied by your healthcare provider or drug product manufacturer.
In our Patient Information Guide we suggest that if you see blood return, clamp the flow to that site. Patients can contact their home healthcare provider to determine if the dose can safely be run using the remaining sites. If so, continue. If not, remove all needles, attach a new needle set, and start over beginning with the priming step.
Why is my infusion time longer than I expected?
There are a few likely causes:
1) Administration may be slow based on how well medication is absorbed through your tissue. If this is your first time with sub-q, it may take longer than expected because your body may need to create space in the subcutaneous layers in order to infuse in the time desired.
2) If you are using the FreedomEdge™, confirm that you are using the correct size syringe. 30ml syringes flow about 20% slower than 20ml syringes using the same Precision flow rate tubing.
3) It is best to avoid placing needles near areas of scar tissue, or on top of muscle.
4) Slow flow can be a sign of blocked or small diameter needles.
5) It is also possible you may need more sites, longer needles or a faster flow rate tubing set.
What could cause drug to leak at the infusion sites?
First, patients should contact their home health care provider, and confirm that none of their supplies have changed. Additionally, leaking drug could be caused by:
• excessive movement
• a needle length that is too short
• a site with too little subcutaneous tissue
• too much volume in an individual site
• over-saturation of the sites, due to too fast a flow rate
When in doubt, or to address leaking and irritation, select the next longest needle and a slower flow rate for more positive outcomes. You can also try more sites or different sites if issues continue. More sites and longer needles might also help allow faster infusions in the future.
How do I minimize pain or site reactions during an infusion?
Many patients successfully infuse using HIgH-Flo needle sets and the following tips:
• Be sure to insert your subcutaneous needles dry. IgG or alcohol on the needles tends to irritate the skin.
• Ensure that the needles you are using are long enough to reach your sub-q layers, but not so long as to hit muscle.
• Ask your provider about trying a slower rate tubing set, especially for your first few infusions.
• Think about site location. If you have been having difficulty with rotating sites, you may want to return to the sites that work best for you. Talk with your provider about your options.
What about pain on insertion?
Under the guidance of their clinical team, patients report the highest success with carefully selected sites. Make sure to match the length of the needle to the depth of the site.
We recommend that you use HIgH-Flo needles and that the tip of the needle does not come in contact with anything before insertion. Needle tip damage can contribute to patient pain and may be invisible to the naked eye.
A high quality needle, which is kept dry during priming and inserted smoothly and quickly at 90°, also helps ensure the best results.
Is longer tubing available? Do you have extension sets?
For patients who want a longer length between the pump and their sites, we offer a 24” extension set. The extension set uses standard luers, made to fit between the Precision tubing and HIgH-Flo needle set. The extension has a negligible effect on flow performance and residual volume.
What does the F-number on the tubing sets mean? Why is the flow rate faster than the tag when I bench test the pump?
The tag number on RMS Precision Flow Rate Tubing™ set is an Item Number specific to the RMS infusion pumps. In some cases, when infusing water-consistency fluids at lower rates, it may be equivalent to flow rate. The numbering system originated from the design of our proprietary fluid testing system. Please do not try to correlate the tag numbers to normal bench testing results. If you are using the FREEDOM60® pump and would like more information on the flow tag, flow rate performance or bench test procedures, see page 10 of the FREEDOM60® Instructions For Use. If using the FreedomEdge™, see page 10 of the FreedomEdge™ Instructions For Use or call RMS.
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