2). Throw the cap away.
b.
If you have the Diluent syringe with the gray screw top: Unscrew the top counter clockwise (to the left) (See Figure B3). Throw the top away.
Remove the 22G 1½ inch needle from the package. Use the fold in the package to peel back the plastic cover (See Figure C). Leave the plastic cap on the needle.
Push the open end of the needle onto the end of the Diluent syringe (See Figure D). Twist the needle clockwise (to the right) until it stops turning
When the needle is tightly in place, put the Diluent syringe and needle on your work surface.
Step 3: Mix GATTEX powder with Diluent.
Remove the green cap from the GATTEX vial. Throw away the green cap.
Find the gray rubber seal on top of the vial (See Figure E).
Use an alcohol swab pad to clean the gray rubber seal (See Figure F).
Do not touch the gray rubber seal after you clean it.
Pick up the Diluent syringe with the needle attached.
Remove the plastic cap that covers the needle (See Figure G). Throw the cap away.
Hold the vial between thumb and index (pointer) finger (See Figure H). Be careful not to touch the gray rubber seal.
Push the needle down through the center of the gray rubber seal.
Slowly push down on the plunger of the Diluent syringe. Empty all the Diluent into the GATTEX vial.
Leave the needle and Diluent syringe in place.
Gently tap the barrel of the Diluent syringe with a finger (See Figure I).
Make sure all the Diluent has gone into the GATTEX vial.
Remove the Diluent syringe and needle from the GATTEX vial. Let the vial sit for about 30 seconds.
Do not put the needle cap back on the needle.
Dispose of the Diluent syringe and needle in your sharps disposal container.
After 30 seconds, place the vial between the palms of your hands. Gently roll the vial for about 15 seconds (See Figure J).
Do not shake the vial.
Do not touch the gray seal. If you do, clean it again with a new alcohol pad.
Let the vial stand on your work surface for about 2 minutes.
Step 4: Check the mixed GATTEX.
After 2 minutes, look at the vial of GATTEX. The liquid in the vial should be clear and colorless to pale yellow, and should not have any particles in it.
If there is any powder in the vial that did not dissolve, gently roll the vial between your hands for 15 seconds more.
Do not shake the vial.
Check the vial again for anything that did not dissolve.
Do not use the vial if there is anything in it that did not dissolve. Start from the beginning of this Instructions for Use to prepare a new vial. Use a new GATTEX vial, new Diluent syringe, and a new needle.
Step 5: Draw up your dose of GATTEX.
Remove the plastic dosing syringe from the package. Use the fold in the package to peel back the plastic cover (See Figure K).
Remove the needle cap from the dosing syringe (See Figure L).
Throw the needle cap away. Do not touch the needle or allow it to touch anything.
Carefully pull back on the plunger to the line that matches the dose prescribed by your healthcare provider.
Use one hand to hold the vial steady. Use your other hand to insert the needle straight down into the middle of the gray rubber seal on the GATTEX vial (See Figure M). You may feel some resistance as the needle passes through the rubber seal.
Gently push down the plunger until all of the air has gone from the syringe into the vial.
Turn the GATTEX vial and syringe upside down (See Figure N).
Hold the GATTEX vial with one hand.
Slowly pull back the plunger of the dosing syrin
