PROMETRA® II PROGRAMMABLE PUMP
Page 31 of 38
5.
Program a 0.3 mg over 16 minute demand bolus and immediately submerge the pump and
modified extension set tubing in the heated sterile saline bath.
6.
Confirm that fluid in the extension set tubing is advancing approximately 2-5mm every 8
seconds with the actuation of the valves. Ensure that the fluid movement is pulsatile and not
due to thermal expansion.
7.
If fluid is not observed after performing the “Alternate Priming Technique” call Customer Care
department for further instructions
855-356-9665
.
Warning: Please note that the bolus must be completed or if not completed, canceled prior to
attaching pump to catheter to avoid medication advancement into the catheter. Do not
cancel prior to 11 minutes to ensure fluid pathway is fully primed.
Implantation of the Intrathecal Catheter
1.
Implant the Intrathecal Catheter as per the Prometra Programmable Infusions Systems
Intrathecal Catheter IFU
.
Implantation of the Prometra II Programmable Pump
1.
USE STERILE TECHNIQUE
. Always inspect and aseptically prepare the site according to standard
practice.
2.
Form a subcutaneous pocket using standard technique ensuring snug fit for the pump. Do a trial
placement to verify that the pocket is large enough to accommodate the pump and that the
pump does not lie beneath the incision.
Warning: Implant the pump 2.5 cm (1 in.) or less under the skin. Deeper implants could
interfere with septum access or programming.
3.
Create a subcutaneous tunnel using the Tunneler.
4.
Push the catheter onto the tunneler until it stops, then turn catheter clockwise until it is fully
threaded onto the tunneler.
5.
Insert the tunneler at the paravertebral incision site and advance the tunneler tip to the pump
pocket site. If necessary, use a second tunneling procedure with a temporary exit in the plane
of the midaxillary line.
Warning: Do not puncture the skin or thoracic wall with the tip of the tunneler
.
