Codman MedStream Manual Del Usuario página 13

INSTRUCTIONS FOR USE
Required Equipment and Supplies
Assemble the following items.
Sterile items
MedStream Pump, which includes:
Pump
Pump catheter
O.R. prep kit, which includes:
Catheter connector and strain relief sleeve
Filling needles, clear hub (2)
Filter, 0.2 micron
Syringe-to-syringe luer connectors (2)
One-way stopcock
50 mL collection syringe with TYVEK lid
10 mL syringes (4)
Connecting tube
Bolus needles, purple hub (2)
No. 0 silk suture
10 mL syringe (2)
Intraspinal catheter
Prescribed drug solution –
volume to equal the capacity of the pump drug reservoir
plus 3 mL to 10 mL to flush the residual volume of the pump (optional)
Preservative-free sterile solution of 0.9% sodium chloride –
5 mL for priming the bolus channel
Nonsterile items
MedStream Control Unit
PUMP PREPARATION PROCEDURES
A trained medical professional must prepare the pump. Perform the clean
procedures before preparing the patient for surgery. Perform the sterile procedures
while the patient is being prepared for surgery.
CLEAN PROCEDURES
Use a MedStream Control Unit that has already been set up in accordance with
the MedStream Programming Guide.
1. Do not remove the pump from its sterile packaging. Examine the
temperature indicator that is located in the bottom of the pump box, beneath
the sterile pump package. If a " " appears in the window in the indicator's
yellow label, go to Step 2. If an "X" appears in the window, do not use the
pump. Contact your local Codman representative to secure a replacement.
2. Place the pump, in its sterile packaging, on a non-metallic flat surface and use
the control unit to interrogate the pump and initiate the pump internal check.
Refer to the MedStream Programming Guide for step-by-step instructions.
CAUTION: Do not implant the pump if the pump beeps after the internal check.
A short beep of the pump every 30 seconds indicates an internal pump failure.
STERILE PROCEDURES
CAUTION: Use sterile technique to perform all steps in the pump
preparation procedures that follow.
Aseptically deliver the pump to a sterile surface. Complete these steps while
the patient is being prepared for surgery and implant the intraspinal catheter,
if necessary.
A. Attach the Pump Catheter
Note: If the physician chooses to use the CODMAN Intraspinal Catheter and connect
it directly to the pump outlet, omit this procedure and go to B. Empty the Reservoir.
1. Gently push the pump connector end of the pump catheter onto the pump
outlet with a twisting motion (see Figure 4).
2. Ensure that the groove of the connector is completely seated in the groove of
the pump outlet.
3. Use No. 0 silk suture material to tie the catheter securely to the pump outlet.
The suture must lie in the groove of the connector.
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