PROMETRA® II PROGRAMMABLE PUMP
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9.
Once the catheter and lock are connected, if disconnection and reconnection are required, trim
2-3 cm of the catheter end to ensure a secure connection.
Caution: Always cut the catheter as close to the pump stem as possible to avoid excessive
stretching. Excessive stretching may damage the catheter.
10.
Place the pump in the subcutaneous pocket away from the incision line about 2.5 cm (1 in.)
beneath the skin surface. The pump should be positioned so that the Catheter Access septum is
medial. This allows the catheter a direct line to the spine and keeps this area away from the
ribs.
11.
Secure to the underlying fascia using one non-absorbable, monofilament suture per pump
suture hole. This will reduce the risk of pump migration and the possibility of the pump rotating
or flipping over.
12.
Verify that the catheter is not kinked or constrained by the pump sutures.
13.
After suturing the pump in the pocket, flush the wound with an appropriate antibiotic solution.
14.
Close the incision site so that the pump does not lie beneath the incision.
15.
Flush the paravertebral site with an appropriate antibiotic solution.
16.
Close the entry site making sure the catheter remains straight.
17.
Measure and record in the patient’s records the length of intrathecal catheter that was
trimmed off. This measurement is required to determine the volume of the implanted catheter.
18.
Calculate and record the implanted catheter length and volume:
Implanted Catheter Length (cm) = 110 cm – Trimmed Catheter Length (cm)
Implanted Catheter Volume (mL) = Implanted Catheter Length (cm) x 0.0026 mL/cm
Warning: Always measure and record the length of the trimmed portion of the catheter, and
calculate and record the implanted catheter length and volume. These calculations are
required to prevent under- or over-medication.
Patient Implant Card and Registration
Included with each Prometra II Programmable Pump package is a Patient Implant Tracking/Registration
Form. This pre-addressed form should be completed and returned to Flowonix Medical. Flowonix
Medical will use this information to create a record of the implant in their database. A copy should also
be placed in the patient’s implant records.
A patient guide and two patient implant cards are also provided for the patient. The patient implant
card contains information pertinent to the implanted Prometra II Programmable Pump. The implant
card should be carried by the patient at all times. A second card is provided for placement in their
glove box, to be given to a caregiver, or other easily accessible location.
Pump Explantation
The Prometra II Programmable Pump should only be explanted in accordance with the hospital
procedures. Explanted product is to be treated as a biohazard.
Warning: Prior to cremation, the pump should always be explanted. The pump will explode at high
temperatures.
