Vascular Applications; Postimplant Clinician And Patient Information - Medtronic SYNCHROMED EL serie Gebrauchsanweisung

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The side catheter access port (if present) is designed to allow entry of a 25-gauge
(or smaller) needle.
Use of excessive force in the center reservoir fill port or side catheter access port
may damage the needle tip.
When refilling the pump with a vesicant drug, care must be taken to prevent
spillage or leakage of the drug into adjacent tissue.
Do not overpressurize the side catheter access port when injecting fluids. Small
syringes can generate very high fluid pressure. Except when clearing a catheter
occlusion (page 37), syringes smaller than 10 ml should not be used for side
catheter access port injections when catheter patency is questionable.

Vascular Applications

Be familiar with Clearing a Catheter Occlusion (page 37); catheter occlusion may
inhibit drug delivery.
During periods of nontherapy, the pump should be emptied of the drug, filled
with saline or an appropriate heparinized solution and programmed to a
continuous flow rate of not less than 0.096 ml/day to maintain vascular catheter
patency. Do not stop the pump during periods of nontherapy.
For vascular applications, flush the catheter through the side catheter access port
(if present) after every use and/or a minimum of once per month.
Physicians prescribing anticoagulant therapy to maintain vascular catheter
patency must be familiar with the indications, contraindications, warnings,
dosage, and method of administration described in the drug labeling.
If the presence of blood is suspected in the side catheter access port or catheter,
flush the system with a minimum of 10 ml of saline. A heparinized solution may
be used if not contraindicated.

Postimplant Clinician and Patient Information

It is imperative that clinicians and patients are aware of the following
information:
• For those patients who are prone to cerebrospinal fluid (CSF) leaks,
special procedures to prevent and reduce CSF leaks should be considered,
such as an abdominal binder, bedrest, or pressure dressing.
• Clinicians suspecting infections evidenced by, but not limited to,
erythema, drainage, hyperemia, fever, swelling, and localized pain, should
perform appropriate diagnostic procedures and intervention.
• Clinicians must avoid using diathermy near the implanted pump. Heat
from diathermy can damage the pump or cause under- or overinfusion.
• Clinicians must avoid exposing the pump to radiation therapy. Exposure
to therapeutic radiation will damage the electronic circuitry, causing
cessation of function.
• Clinicians must avoid exposing the pump to lithotripsy. The effects of
exposure to lithotripsy are unknown.
Medtronic - Kerkrade / PARTNUMBER :
Precautions
198076-036 SHEETNR. :
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