Implanting The Pump - Medtronic SYNCHROMED II 8637 Manual De Implantación

Filename Date Time
UC200xxxxxx EN
4.6 x 6.0 inches (140 mm x 197 mm)
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Caution: Select a location in the lower abdomen that is:
▪
away from bony structures (eg, 3 to 4 cm) to minimize discomfort at the pump site.
▪
away from areas of restriction or pressure to minimize the potential for skin erosion
and patient discomfort.
▪
a minimum of 20 cm away from another programmable device to minimize telemetry
interference and incorrect or incomplete programming.
▪
in an area accessible to the patient for proper operation of a patient control device
(if applicable).
In the pediatric population, care must be taken to select an appropriate location by taking
into consideration:
▪
available body mass.
▪
presence of ostomies.
▪
growth and development.

Implanting the pump

1. Connect the implanted catheter to the pump by pushing the pump connector onto the
catheter port and suturing.
2. Place the filled pump into the prepared pocket.
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Cautions:
▪
Implant the pump no more than 2.5 cm from the surface of the skin in order to
maintain access to the reservoir and catheter access ports. Implantation of
the pump is contraindicated if the pump can not be implanted 2.5 cm or less
from the surface of the skin.
▪
Place the pump in the prepared pocket so:
–
the reservoir fill port is anteriorly oriented and the reservoir fill port and
catheter access port will be easy to access after implant.
–
no sutures to the skin will be directly over the reservoir fill port or the
catheter access port.
–
the catheter is not kinked or twisted and is secured well away from the
pump ports.
Improper component placement can result in inaccessible pump ports,
inadequate drug delivery, component damage, or procedural delays, and
require surgical revision or replacement.
3. Suture the pump in the subcutaneous pocket using the following steps:
a. Suture first to the fascia in the bottom of the subcutaneous pocket.
b. Use these two sutures and the lower suture loops on the pump to draw the pump
into the pocket.
c. Tie the sutures.
M221311A028 Rev A
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8637 2009-10 English 19
2009-10