B. ACCU-FLO Single Dome Flat Bottom Reservoir
The low-profile, flat-bottom design of this reservoir
eliminates the need for a formal burr hole, providing more
flexibility in positioning the reservoir, and allowing the
ventricular catheter to be revised without disturbing the
reservoir. Dual ventricular catheters can be attached at
the inlet tube by utilizing a three-way connector.
To flush or check the patency of the ventricular catheter,
occlude the distal catheter with transcutaneous finger
pressure. Depress the reservoir dome. Release finger
pressure from the distal catheter. Release the reservoir
dome. Repeat this motion rapidly several times to
increase the flow of CSF through the system. Failure
of the reservoir dome to depress easily can indicate
catheter blockage. To flush or check the patency of the
distal catheter, occlude the ventricular catheter. Depress
the reservoir dome, release finger pressure from the
ventricular catheter, then release the reservoir dome.
To inject fluid into the ventricles, occlude the distal
catheter with transcutaneous finger pressure. While
the catheter is depressed, inject desired fluid into the
reservoir dome, remove the needle, and depress the
reservoir dome. Release finger pressure from the distal
catheter. Release the reservoir dome. Alternately depress
the dome and distal catheter several times rapidly to
fully inject desired fluid. To inject distally, occlude the
ventricular catheter with transcutaneous finger pressure.
Inject fluid into the reservoir dome, remove needle, and
depress the reservoir dome. Release finger pressure
from the distal catheter. Release the reservoir dome.
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