PROMETRA® II PROGRAMMABLE PUMP
Page 16 of 38
d.
Empty the Drug Reservoir until there is no more fluid returning to the syringe barrel. (Refer to
Refill Kit Instructions for Use for further details on emptying the pump).
e.
After ensuring the Drug Reservoir is fully empty, program a Demand Bolus to deliver (0.03 mL x
concentration) over 2 minutes (this will not dispense drug since the Drug Reservoir is empty).
f.
Wait for the 2-minute Demand Bolus to complete before proceeding.
4.
Confirm Inlet / Outlet Valve Closure
a.
Attempt to aspirate the Drug Reservoir through the Refill Port. To aspirate, attach a sterile
syringe to the 22G non-coring needle used in Step 3c above.
b.
Pull a vacuum with the syringe for approximately 10 to 30 seconds to confirm Inlet / Outlet Valve
closure.
Warning: If any significant volume (>1ml) is retrieved, it may be indicative that the pump Inlet /
Outlet Valves are open, providing direct access to the catheter/cerebral spinal fluid; If so, DO NOT
proceed with the refill since the pump may not be operating properly. The pump may need to be
explanted and replaced.
For questions, Contact Flowonix Technical Solutions for assistance at: 855-356-9665.
5.
Refill The Drug Reservoir
a.
Proceed to refill the Drug Reservoir in accordance with the refill procedure defined in the
Refill Kit Instructions for Use.
b.
Confirm the correct prescription is programmed, or program a new prescription.
Warning: A period of observation should follow the Refill Procedure to closely monitor patients for
clinical symptoms of underdose or overdose based upon Infumorph’s prescribing information.
