Filling The Pump; Replacing An Implanted Pump - Medtronic SYNCHROMED II Manuel D'implantation

Filename Date Time
UC200xxxxxx EN
4.6 x 6.0 inches (140 mm x 197 mm)
▪
The pump reservoir capacity is 20 mL or 40 mL. Because some sterile water remains
in the pump reservoir, the final concentration of drug varies based on the fill method.
Table 4. Expected concentration of drug in pump reservoir based on fill method
Pump reservoir
capacity
8637-20
8637-40
3. If you are rinsing the pump reservoir before filling, rinse and discard the appropriate
volume based on the fill method shown in Table 4.

Filling the pump

1. Attach the filter to the syringe containing the prescribed fluid.
2. Attach the needle to the syringe containing the prescribed fluid and filter, and purge the
air from the fluid pathway.
3. Read the actual fill volume in the syringe.
4. Insert the needle into the reservoir fill port, and inject the prescribed fluid slowly into the
pump reservoir.
5. If the reservoir valve is activated before the pump is filled completely, discontinue
injection, remove the needle from the reservoir fill port, and return to "Emptying the
pump" on page 16, step 4.
6. When filling is complete, remove the needle from the reservoir fill port.
7. Flush the catheter access port using a 24-gauge noncoring needle and a syringe filled
with 1 to 2 mL of saline (or a heparinized solution for vascular applications, if not
contraindicated).
a. Gently insert the needle into the catheter access port until the needle touches the
metal needle stop.
b. Inject fluid into the catheter access port until fluid is observed at the catheter port.
c. Remove the needle from the catheter access port.
8. If implanting a new pump, go to "Preparing the pump pocket" on page 18.

Replacing an implanted pump

1. Remove the suture at the catheter connector and disconnect the implanted pump from
the implanted catheter. To avoid damage to the pump connector, leave the connector
attached to the catheter.
Note: If you are replacing a SynchroMed EL Model 8626, 8626L, 8627, or 8627L
Implantable Pump, interrogate the replaced pump for catheter volume information that
may be stored in the pump. If you are replacing a SynchroMed II Model 8637 Implantable
M221311A028 Rev A
Template version: 03-03-2010
Filling without Rinsing with
rinsing 3 mL of drug
93%
97%
Medtronic Confidential
ImplantManual.xsl - IPGTemplate.fm
Rinsing with
10 mL of drug
98% 99%
99% 100%
8637 2009-10 English 17
2009-10