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Page 1: ...AMS 700 with MS Pump Penile Prosthesis Operating Room Manual English...
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Page 3: ...AMS 700 MS Pump 16 Prepare Preconnected MS Pump and Cylinders 17 Prepare Non Connected Cylinders 18 Prepare Reservoirs 18 Insert Cylinders 20 Implant Reservoir 21 Implant Pump 22 Complete Inflate Defl...
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Page 5: ...S Pump are totally implantable closed fluid filled system Figure 1 1 consisting of Two cylinders One pump One fluid reservoir The reservoir stores the fluid that fills and expands the penile cylinders...
Page 6: ...natomical length Pump The pump Figure 1 5 consists of Pump bulb Deflation button Three silicone kink resistant tubes KRT Internal lock out valve The MS pump is used with all types of AMS 700 Series cy...
Page 7: ...linder lengths 12 cm 15 cm 18 cm 21 cm 24 cm Rear Tip Extenders RTE kit contains two each 0 5 cm 1 0 cm 1 5 cm stackable 2 0 cm 3 0 cm 4 0 cm 5 0 cm 6 0 cm packed in their own tray Cylinders expand on...
Page 8: ...ts are configured as follows Pump and cylinders are available pre connected or unconnected Unconnected cylinder configuration has 18 cm of tubing Infrapubic pre connected package has 15 cm tubing conn...
Page 9: ...e the surgeon s implantation of the penile prosthesis For reprocessing information refer to the instructions manual provided with the tools The following non sterile AMS tools can be ordered from AMS...
Page 10: ...h MS Pump Accessory Kit for the AMS 700 with MS Pump Product Line contains the materials necessary for one implant procedure It includes Special Purpose Needles 9 9 Two 15 gauge disposable blunt needl...
Page 11: ...le labels on the side of the plastic trays contain the part and serial lot numbers This information is also listed on the Tyvek lid of the outer tray Prepare Hemostats Use the following procedure to c...
Page 12: ...e flushed with copious amounts of broad spectrum antibiotic Position the patient according to the physician s preferred surgical approach infrapubic or penoscrotal Surgical Approaches The following de...
Page 13: ...e strap tight like a bowstring Attach the penile strap at the 3 o clock and 9 o clock positions on the ring retractor Make a high scrotal incision move the incision onto the penis and do not let go Wh...
Page 14: ...ame procedure 2 Measure each corpus proximally and distally using the Furlow Insertion Tool or AMS Measuring Tool slightly stretching the penis during this process These measurements help the physicia...
Page 15: ...s the tubing is partially buried in the corpora using Method A has the potential to increase the likelihood of tubing compression or kinking which may reduce fluid flow If you believe the tubing is ki...
Page 16: ...he product pouch Those components that are labeled as being treated with InhibiZone Antibiotic Surface Treatment should not be submerged in sterile normal saline CAUTION Soaking antibiotic impregnated...
Page 17: ...mportant 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...
Page 18: ...notch Excessive pressure may damage the tubing permanently 7 For a cylinder treated with InhibiZone Antibiotic Surface Treatment place the cylinder onto an empty non covered sterile tray empty kidney...
Page 19: ...InhibiZone Antibiotic Surface Treatment place the reservoir onto an empty non covered sterile tray empty kidney basin or sterile Mayo stand the reservoir should not be submerged in saline CAUTION Soak...
Page 20: ...re pushing needle through glans The Furlow Insertion Tool should be in the ipsilateral corpora at the distal tip Note If you cross over through the intro cavernosal septum to contralateral side remove...
Page 21: ...into the other corporal body Implant Reservoir Reservoir Size Select the appropriate reservoir size based on cylinder length Refer to table in the Product Line Matrix section of this manual to determ...
Page 22: ...tubing 1 from tip of needle one notch only Note Do not allow excess tubing to lie on the reservoir Implant Pump 1 Use blunt dissection to form a pocket in the most dependent portion of the scrotum Fi...
Page 23: ...erection quality Note Check for placement of the cylinder tip any cylinder uckling kinking or disruption of the suture line or fluid leakage from the cylinder 5 Deflate to evaluate flaccidity CAUTION...
Page 24: ...ly completing the surrogate reservoir test connect the cylinders and the reservoir Refer to the instructions on making connections in this manual Connecting Tubing 1 Connect the component tubing using...
Page 25: ...placement through connector window 9 Firmly push other tubing to middle wall Check connector window to make certain both tubing ends are still touching middle walls of the connector 10 Place connecto...
Page 26: ...ats 3 Use a 22 gauge blunt tip needle to flush tubing ends Figure 4 22 with normal saline to remove particulate matter and air before connecting 4 Push tubing over ends of connector so that they meet...
Page 27: ...d adjust the volume if necessary 2 Before ending the procedure squeeze the deflation button to allow the cylinders to partially deflate so that some fluid still remains in the cylinders postoperativel...
Page 28: ...infection should be treated promptly with antibiotics Ask the patient about pain when cycling the device and observe the patient inflating and deflating the device If the patient is unable to inflate...
Page 29: ...omponent Preparation section of this manual Implant and fill the reservoir Pump If the pump for the AMS 700 LGX with MS Pump Preconnect AMS 700 CXR with MS Pump Preconnect or AMS 700 CX with MS Pump P...
Page 30: ...stats are off the tubing Be sure the pump is being deflated correctly The deflation button and the pump bulb might have been squeezed at the same time Try to resolve this issue by squeezing the sides...
Page 31: ...100 ml AMS 700 CX Inflates in girth 12 cm 15 cm 18 cm 21 cm Rear Tip Extender package contains 2 each of 0 5 cm 1 0 cm 1 5 cm stackable 2 0 cm 3 0 cm 4 0 cm 5 0 cm and 6 0 cm AMS 700 LGX Inflates in l...
Page 32: ...compared to those who received AMS 700 devices without the IZ treatment InhibiZone is contraindicated for patients Sensitive to rifampin rifampicin or tetracyclines With lupus erythematosus InhibiZon...
Page 33: ...33 Appendix continued indications contraindications warnings precautions and potential adverse events Rx Only...
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Page 36: ...s All rights reserved All trademarks are the property of the respective owners 92162622 01 2018 04 American Medical Systems Inc 10700 Bren Road West Minnetonka MN 55343 U S A US toll free 1 800 328 38...
