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Note: Alternatively, the prepared reservoir may be placed in
the prevesical space through a small inguinal incision. Make a
defect in prevesical space under rectus muscle large enough to
accommodate reservoir without putting pressure on it. Then
insert the reservoir.
Fill Reservoir
2 . After implantation, flush the reservoir tubing with normal
saline using a 22-gauge blunt needle on the 10 cc syringe .
3 . Using the 60 cc syringe and 15-gauge blunt needle, fill the
reservoir with the appropriate amount of sterile, normal
saline . Generally, the amount of fluid should be equivalent
to the label of the reservoir (65 cc or 100 cc) . However, the
100 ml AMS Conceal Low Profile Reservoir can be filled up
to 100 ml to accomodate all cylinder sizes .
4 . Using the blue shod mosquito hemostat, re-clamp the
reservoir tubing 1” from tip of needle (one notch only) .
Note: Do not allow excess tubing to lie on the reservoir.
I
mplant
p
ump
1 . Use blunt dissection to form a pocket in the most dependent
portion of the scrotum
(Figures 4-16a and 4-16b
) .
2 . Insert the pump into the scrotal pocket .
3 . Apply Allis or Babcock clamps to pump tubing through scrotal
skin to hold pump in place
(Figure 4-17)
during remainder of
procedure .
4 . Ensure KRT length between the cylinders and pump fits
the patient’s anatomy . If using a non-connected system,
make connection between cylinder and pump . Refer to the
instructions on making connections in this manual . Both
Preconnect and non-connected KRT length can be adjusted
using the accessory kit .
Note: Extra tubing between the pump and cylinders may be
tucked within surrounding tissues on the AMS 700 LGX
Preconnect, AMS 700 CX Preconnect.
Figure 4-16a. Infrapubic: Bluntly Dissect
Figure 4-16b. Penoscrotal: Bluntly Dissect
Figure 4-17. Insert Pump
(Penoscrotal shown here)
Surgical Procedures
(continued)
Содержание 700 CX
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Страница 33: ...33 Appendix continued indications contraindications warnings precautions and potential adverse events Rx Only...
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