Preparing The Pump Pocket - Medtronic SYNCHROMED II 8637 Manual De Implantación

Filename Date Time
UC200xxxxxx EN
4.6 x 6.0 inches (140 mm x 197 mm)
Pump, interrogate the replaced pump for catheter volume information. Enter the catheter
volume information into the clinician programmer.
2. If not replacing the catheter, slowly aspirate 1 to 2 mL of fluid from the catheter using a
1-mL tuberculin syringe. Leave the syringe in place to avoid CSF loss. Aspirating directly
from the catheter clears the catheter of drug and confirms catheter patency.
Note: Conditions might exist under which the catheter is not patent or is not aspirated.
If the catheter is not patent it must be replaced. Refer to the technical manual packaged
with the catheter for catheter replacement instructions.
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Warning: During vascular applications, do not aspirate blood through the catheter
access port or catheter. Blood sampling or aspiration through the catheter access
port is contraindicated in vascular applications. Residual blood from aspiration or
blood sampling can occlude the catheter or pump and inhibit drug delivery,
resulting in a loss of or change in therapy, which may lead to a return of underlying
symptoms, drug withdrawal symptoms, or a clinically significant or fatal drug
underdose, and require surgical revision or replacement.
3. Continue the implant with one of the two following procedures:
▪
If the catheter has been replaced or aspirated, proceed to "Implanting the pump"
on page 19.
▪
If the catheter has not been replaced and has not been aspirated, use a priming
bolus of 0.300 mL to fill the pump tubing with drug before connecting the catheter
and implanting the pump. Refer to the programming guide packaged with the
programmer software for information on how to calculate and program this bolus. The
pump internal tubing prime must be complete before attaching the catheter to the
pump. If not, drug present in the catheter is bolused into the intrathecal space.
Proceed to "Implanting the pump" on page 19.
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Warnings:
▪
If this is a pump replacement and the catheter has not been replaced and has
not been aspirated, the pump tubing should be primed before connecting the
catheter and implanting the pump. Do not program a postoperative priming
bolus after the catheter has been connected to the pump. Programming a
postoperative priming bolus in this situation can result in a clinically significant
or fatal overdose.
▪
Use the catheter length recorded at implant or catheter revision when
calculating catheter volume. The actual implanted catheter length and catheter
model number are required to accurately calculate catheter volume. A
universal value does not exist that can be used as a substitute for this
knowledge. An inaccurate calculation of the catheter volume can result in a
clinically significant or fatal drug underdose or overdose.

Preparing the pump pocket

Prepare the subcutaneous pocket using an incision in the lower abdomen.
18 English 8637 2009-10
2009-10
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