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CAUTION: Do not advance the hemostat’s ratchet more than one notch. Excessive pressure will damage the
tubing permanently.
8 . For a pump treated with InhibiZone Antibiotic Surface Treatment, place the pump onto an empty sterile tray, empty
kidney basin or sterile Mayo stand- the pump should not be submerged in saline .
CAUTION: Soaking antibiotic impregnated devices in saline will cause the antibiotics to diffuse off 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
antibiotic solution until the surgeon is ready to implant the pump .
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ump
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ylInders
The AMS 700 CX Preconnect, CXR Preconnect and LGX Preconnect Penile Prosthesis cylinders and respective pumps
are provided already connected . The only connection required of the surgeon is between the pump and reservoir .
Once the surgeon has determined the proximal and distal lengths of the corpora cavernosa, choose the appropriate
preconnect cylinder and pump from inventory .
The following instructions outline the preparation of the device to ensure that the air is removed from the cylinders and
pump before the surgeon connects the reservoir .
1 . Partially fill a graduate with sterile, normal saline .
2 . Submerge the single, black color-coded tubing from the pump into sterile normal saline .
3 . Hold the pump so the deflate mechanism is on top .
4 . Squeeze the deflation button 1 time and release .
5 . Make an initial hard, quick squeeze of the pump bulb . Saline should appear in the pump bulb .
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 reinflate, press the deflation button 1 time
and release. This will reset the pump. Repeat Step 5. This sequence may be required more than once to get the pump
activated.
6 . Following the initial squeeze, continue to squeeze and release the pump bulb until the cylinders are rounded and the
pump bulb is hard to squeeze . Let the pump bulb completely refill before each squeeze .
7 . Squeeze the deflation button for 2-4 seconds to allow the air to be expelled from the components; Note: no air
bubbles in graduate .
8 . Repeat steps 6 and 7 until all the air is removed from the system—that is, no bubbles are noted in the graduate
during deflation .
9 . Squeeze the cylinders to remove the remaining saline from the cylinders .
CAUTION: Do not squeeze the deflation button and the pump bulb at the same time.
10 . Using a blue shod mosquito hemostat, clamp (1 notch only) the black tubing 1 inch from the end .
CAUTION: Do not advance the hemostat’s ratchet more than one notch. Excessive pressure will damage the
tubing permanently.
11 . For components treated with InhibiZone Antibiotic Surface Treatment place the empty
(air removed and no fluid) cylinders and pump onto an empty, non-covered sterile tray,
empty kidney basin or sterile Mayo stand—components should not be submerged in saline .
CAUTION: Soaking antibiotic impregnated devices in saline will cause the antibiotics to diffuse off the device
into the solution. This will cause the solution to turn orange and will reduce the concentration of antibiotics
on the device.
For a non-InhibiZone treated components, submerge the empty cylinders and filled pump into a kidney basin of sterile
normal saline or antibiotic solution until the surgeon is ready to implant the cylinders .
Surgical Procedures
(continued)