Implanting The Pump - Medtronic SYNCHROMED EL serie Gebrauchsanweisung

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Implanting the Pump

The warmed, purged and filled pump is placed in a subcutaneous pocket after
the catheter has been positioned for correct therapeutic application.
1. Prepare subcutaneous pocket.
NOTE: To facilitate telemetry, palpation and refill, the pump must be
placed in the pocket no more than 2.5 cm (1 inch) below the
surface of the skin. The pump's raised reservoir fill port and
side catheter access port (if present) should be easy to palpate
after implantation.
2. Remove the warmed, purged, and filled pump from the water bath.
3. Connect the pump to the implanted catheter according to directions
provided with the catheter. Ensure that the connector is properly seated and
firmly attached.
CAUTION: Do not inject drug directly into the catheter or through the
side catheter access port to advance drug to the catheter tip;
this can result in a clinically significant or fatal drug overdose.
Refer to Appendix A, Calculating a Postoperative Priming
Bolus, for instructions on advancing the drug to the catheter
tip.
4. Place the pump into the prepared pocket so that:
• the pump lies less than 2.5 cm below the surface of the skin,
• the center reservoir fill port is anteriorly oriented and the raised center
reservoir fill port and side catheter access port (if present) are easy to
palpate after implantation,
• excess catheter tubing is secured well away from reservoir fill port and
side catheter access port (if present) with no kinking or twisting possible,
and
• no sutures will be in the skin directly overlying the reservoir fill port or
the side catheter access port (if present).
5. Suture the pump into the pocket with ligations made through the pouch or
metal suture loops to fascia or subcutaneous tissue.
6. Close the wound per normal procedure and apply dressings.
7. Following the implant procedure, when the patient is in recovery, program
the pump with the following parameters if not done previously:
Identification (patient's initials), Reservoir Volume (6 ml or 10 ml), Low
Reservoir Alarm (ENABLED), Alarm Volume (2 ml), Drug, Concentration,
Dosing Units, Low Battery Alarm (ENABLED), and Infusion Mode.
Medtronic - Kerkrade / PARTNUMBER :
Instructions for Use
198076-036 SHEETNR. :
29