Explanation of symbols on product or package labeling
Refer to the appropriate product for symbols that apply.
Open here
Do not reuse
Do not resterilize
2
STERILIZE
Do not use if package is damaged
Sterilized using ethylene oxide
-XX °C
-XX °F
EO
Consult instructions for use
Use by
Date of manufacture
Manufacturer
XX °C
Temperature limitation
XXX °F
Keep away from magnets
Serial number
STERILE
Conformité Européenne (European Conformity). This symbol means
that the device fully complies with AIMD Directive 90/385/EEC (NB
0123).
For USA audiences only
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EC
Authorized representative in the European community
REP
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Medtronic® and SynchroMed® are trademarks of Medtronic, Inc., registered in the U.S. and
other countries.
®
Prialt
is a registered trademark of Azur Pharma International Limited.
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Table of contents
Description 9
Package contents 10
Patient identification card 10
Device specifications 11
Device longevity 14
Flow rate accuracy 15
Measurement error 15
Fluid volume 15
Environmental conditions 16
Declaration of Conformity 18
Instructions for use 19
Preparing for pump implant 19
Sterile procedure 20
Emptying the pump 20
Preparing to fill the pump 21
Filling the pump 21
Priming the pump before implant (if applicable) 22
Replacing an implanted pump 22
Preparing the pump pocket 23
Refer to the indications, drug stability, and emergency procedures reference
manual for indications and related information.
Refer to the appropriate information for prescribers booklet for contraindications,
warnings, precautions, adverse events summary, individualization of treatment,
patient selection, use in specific populations, and component disposal.
Refer to the appropriate drug labeling for indications, contraindications, warnings,
precautions, dosage and administration information, and screening procedures.
! USA
Refer to the clinical summary booklet for information on the clinical study
results of the infusion system and adverse events summary.
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Implanting the pump 23
Programming the pump 24
Updating the patient record 26
Monitoring the patient 26
Refilling the pump or accessing the catheter access port 26
Technical support 27
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Description
The implantable Medtronic Model 8637 SynchroMed II programmable pump is part of an
infusion system that stores and delivers a prescribed drug to a specific site. The implanted
infusion system consists of a Model 8637 SynchroMed II pump and a catheter.
The catheter connects to the pump catheter port. The pump is anchored in the pump pocket
using the suture loops on the outside of the pump (Figure 1).
Reservoir fill port
Figure 1. Pump exterior view.
The drug is stored in the pump reservoir (Figure 2). Per a programmed prescription, the
drug moves from the pump reservoir, through the internal pump tubing, catheter port, and
catheter, to the infusion site. The catheter access port (CAP) allows injection of drug
directly into the implanted catheter for drug administration and diagnostic purposes. Drug
injected into the CAP bypasses the pump mechanism and goes directly through the
catheter port into the implanted catheter to the infusion site. The CAP allows entry of a 24gauge noncoring needle to prevent accidental injection during refill procedures (which use
the 22-gauge noncoring needle supplied in the refill kit).
The manufacturer and model code recorded on a radiopaque identifier are visible using
standard x-ray procedures.
Suture loop
Catheter access port
Catheter port
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