Codman AS 10 Manual Del Usuario página 25

Swelling or tenderness at
the pump site
Treatment performance
is erratic
Unable to inject bolus
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Pump or catheter Aspirate fluid at site
system leakage and verify contents
Infection at site Aspirate fluid at site
and verify contents
Foreign body rejection Aspirate fluid at site
phenomena and verify contents
Twiddler's Syndrome
Disease related Physician assessment
Intermittent kinking Use radiography to
of catheters verify catheter integrity
Extenuating circumstances Examine the patient history
to determine if the patient
has experienced high or low
altitudes, fevers, etc.
Incorrect needle used Check the needle to make
sure the bolus needle provided
is being used
The bolus needle is Check the needle position
positioned incorrectly
The bolus needle is damaged Inspect the bolus needle
or occluded
Pump is positioned incorrectly Use radiography to
check pump position and
catheter system
The catheter is bent or occluded Use radiography to check pump
position and catheter system
Appendix C: Troubleshooting
If aspiration contents show
pump leakage or catheter system
leakage, perform the following:
1. Perform radiography to determine
the source of the leak
2. Perform surgical revision on pump
or catheter system as required
Treat according to
aspiration contents
Treat according to
aspiration contents
Treat accordingly
Treat accordingly
Explain to patient the effects
of high and low altitude, fever,
etc. on pump performance
Use only the bolus needle
provided and retry
Hold needle perpendicular to
the pump and retry
If bolus needle is suspected to
be damaged or occluded, discard
and use a new bolus needle
Treat accordingly
Treat accordingly
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