Boston Scientific AMS 700 Mode D'emploi page 13

Prepare the Reservoir
1. Attach a 15 gauge blunt tip needle to a 60 mL syringe and partially fill it with sterile
normal saline.
2. Hold the reservoir in the non-dominant hand and squeeze the air out of the reservoir.
3. Holding the reservoir, attach the partially filled syringe to the reservoir.
4. Use the partially filled syringe to aspirate all air from the reservoir (Figure 21).
Figure 21. Aspirate air
5. After the air has been removed, inject sterile normal saline (approximately 20 mL-30 mL)
without injecting an air bubble.
6. Using your thumb, press in on the side of the reservoir to form it into a bowl shape.
7. Aspirate all remaining saline and air out of the reservoir and into the syringe,
stopping when the syringe plunger encounters resistance and/or the reservoir
makes a flattened bowl shape. Leave the reservoir in the flattened bowl shape.
CAUTION: Do not over aspirate to prevent air from being drawn into the reservoir
through its semi-permeable silicone elastomer.
8. Holding the syringe plunger up with the thumb, clamp tubing (one notch only)
2.5 cm from the blunt needle tip using a blue shod mosquito hemostat. Remove the
15-gauge needle and syringe.
CAUTION: Do not advance the hemostat's ratchet more than one notch. Excessive
pressure may permanently damage the tubing.
9. For a reservoir treated with InhibiZone™, place the reservoir onto an empty sterile tray,
empty kidney basin, or sterile Mayo stand. Do not submerge the reservoir in saline.
CAUTION: Soaking InhibiZone impregnated devices in saline will cause the antibiotics
to diffuse off of the device into the solution. This will cause the solution to turn orange
and will reduce the concentration of antibiotics on the device.
10. For a non-InhibiZone treated reservoir, submerge the reservoir into a kidney basin
of sterile normal saline or of sterile normal saline mixed with an antibiotic solution.
Prepare the Nonconnected Cylinders
Attach the RTEs to the cylinders, if needed, twisting the RTEs onto the proximal end of
the cylinders to provide a tactile indication of a proper connection.
1. Attach a 15-gauge blunt tip needle to a 60 mL syringe that is partially filled with
sterile normal saline.
2. Hold the cylinder in the non-dominant hand and squeeze out the air.
3. Holding the cylinder, attach the partially filled syringe to the cylinder.
4. Use the partially filled syringe to aspirate all air from the cylinder, and then slowly
fill the cylinder with sterile normal saline (approximately 20 mL-30 mL) without
injecting an air bubble.
Figure 22. Fill the cylinder with the distal tip down
• Hold the cylinder from the proximal end with the distal tip down to allow the
distal portion of the cylinder to fill first (Figure 22).
• Inject sterile normal saline into the cylinder until it is rounded out.
• Aspirate all air from the cylinder with the syringe.
5. You may repeat this process once if needed to remove air from the cylinder.
6. Aspirate all sterile normal saline and air from the cylinder until it is flat, or until the
syringe plunger meets resistance.
CAUTION: Do not over aspirate to prevent air from being drawn into the cylinder
through its semi-permeable silicone elastomer.
7. Holding the syringe plunger up with your thumb, clamp the tubing (1 notch only)
2.5 cm from the needle tip using a blue shod mosquito hemostat. Remove the
15-gauge needle and syringe.
CAUTION: Do not advance the hemostat's ratchet more than one notch. Excessive
pressure may permanently damage the tubing.
8. For a cylinder treated with InhibiZone, place the cylinder onto an empty sterile tray,
empty kidney basin, or sterile Mayo stand. Do not submerge the cylinders in saline.
CAUTION: Soaking InhibiZone impregnated devices in saline will cause the antibiotics
to diffuse off of the device into the solution. This will cause the solution to turn orange
and will reduce the concentration of antibiotics on the device.
9. For a non-InhibiZone treated cylinder, submerge the cylinder in a kidney basin of
sterile normal saline or sterile normal saline mixed with an antibiotic solution.
10. Prepare the other cylinder in the same manner.
Prepare the Nonconnected MS Pump™
1. Partially fill a graduate with sterile normal saline.
2. Submerge the pump's three tubing ends into sterile normal saline (Figure 23).
3. Hold the pump so that the deflate mechanism is on top.
4. Squeeze the deflation button 1 time and release (Figure 23).
5. Make an initial hard, quick squeeze of the pump bulb and release. Allow the pump
bulb to completely fill with saline.
Figure 23. Squeeze the deflation button and release
Note: This step is important to lubricate the valves of the pump for further prepping.
Note: If saline does not appear in the pump bulb or if the bulb does not fully fill with saline,
squeeze the deflation button 1 time and release. This will reset the pump. Repeat Step 5.
This sequence may need to be repeated more than once to get the pump activated.
6. To allow the air to be expelled from the pump and tubing, continue to squeeze and
release the pump bulb 2-3 more times until no air bubbles appear in the graduate (these
squeezes can be softer). Let the pump bulb completely refill before each squeeze.
CAUTION: Do not squeeze the deflation button and the pump bulb at the same time.
7. With the tubing still in the saline, use 3 blue shod mosquito hemostats to clamp
(1 notch only) each of the 3 tubes 2.5 cm from the open end.
CAUTION: Do not advance the hemostat's ratchet more than one notch. Excessive
pressure will permanently damage the tubing.
8. For a pump treated with InhibiZone, place the pump onto an empty sterile tray,
empty kidney basin, or sterile Mayo stand. Do not submerge the pump in saline.
CAUTION: Soaking InhibiZone impregnated devices in saline will cause the antibiotics
to diffuse off of the device into the solution. This will cause the solution to turn orange
and will reduce the concentration of antibiotics on the device.
9. For a non-InhibiZone treated pump, submerge the filled pump into a kidney basin of
sterile normal saline or sterile normal saline mixed with an antibiotic solution.
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Black (K) ∆E ≤5.0