Medtronic SYNCHROMED EL serie Gebrauchsanweisung Seite 40

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1. Select a Medtronic ®
in the pump shelf box.
2. Assemble all components listed in the appropriate refill kit instructions
for use.
Extreme pressure following activation of the reservoir valve may result in
pump damage or procedural delays.
To prevent activation of the reservoir valve:
• completely aspirate all contents of reservoir before filling,
• do not allow air into the pump's reservoir via an
open needle,
• do not exceed the specified pump reservoir volume of 10 or 18 ml,
and
• do not force fluid into the pump reservoir.
3. Identify pump model, reservoir size, and location of the center reservoir fill
port and side catheter access port (if present).
4. Confirm that the volume of prescribed fluid in the syringe does not exceed
the reservoir size (10 or 18 ml) of the pump.
5. Perform telemetry to check current pump status and determine the expected
volume of fluid remaining in the pump reservoir.
6. Program the appropriate new parameters (e.g., reservoir volume,
prescription, etc.) and perform telemetry to update the pump. Copy the
printout on standard paper and save for patient's record.
7. Prepare injection site by cleansing area with an agent such as
povidone-iodine.
8. Using sterile procedure, assemble the 22-gauge Huber-type needle, extension
tubing set, and clamp and empty 20 ml syringe.
9. Place template over pump, aligning edges of template with edges of pump
and side catheter access port (if present).
10. Insert needle through TEMPLATE CENTER HOLE and into the pump
septum and drug reservoir until the needle touches the needle stop (Figure
6). Excessive force will damage the needle tip and possibly the septum when
removed.
CAUTION: Be certain that you are accessing the center reservoir fill port
and not the side catheter access port. Fluoroscopy and a
glucose check of the aspirate (if not contraindicated) can be
used to aid location of the center reservoir fill port during
needle insertion. If you encounter resistance during needle
insertion, reassess needle placement. Do not force the needle;
use of excessive force in the center reservoir fill port or side
catheter access port may damage the needle tip.
Medtronic - Kerkrade / PARTNUMBER :
refill kit. Refer to the System Components Sheet packaged
7 WARNING 7
198076-036
Instructions for Use 31
SHEETNR. :