Table 4
Flushing Quantities
If reservoir
Then flush with this
volume is ...
amount of prescribed
drug solution ...
20 mL
3 mL
20 mL
10 mL
40 mL
3 mL
40 mL
10 mL
D. Set Up the O.R. Prep Kit for Filling
Refer to Figure 6 and follow Steps 1 through 6 to set up and prime the
components needed to fill the reservoir.
Required materials:
Drug solution (volume equal to reservoir capacity)
Components from the O.R. prep kit:
10 mL syringes (4)
filling needle (clear hub)
stopcock
connecting tube
filter
syringe-to-syringe luer connector
1.
Push in the plunger of each syringe before filling it with drug solution.
(Note: The 10 mL syringes are provided with their plungers pulled back
approximately 2 mL to facilitate sterilization.) Transfer 10 mL of the drug
solution into one of the 10 mL syringes provided, using the syringe-to-syringe
luer connector if needed. Expel the air from the syringe.
2.
Repeat Step 1 with the remainder of the drug solution and the 10 mL
syringes provided.
3.
Visually verify that there is no air bubble remaining in the 10 mL syringes.
4.
Connect one 10 mL syringe to the filter.
5.
To achieve this concentration
of drug solution (initial filling)
96%
6.
98%
98%
E. Fill the Reservoir
CAUTION: When performing Steps 2 and 3, use thumb pressure to keep the
99%
plunger under control. The contents of the reservoir are under pressure. Failure to
control the plunger may cause drug solution to spill.
Refer to Figure 6 and follow Steps 1 through 6 to fill the pump reservoir.
Required materials:
Components from the O.R. prep kit:
1.
2.
3.
4.
5.
6.
If the filter was not previously used to flush the residual volume, depress the
syringe plunger until drug solution exits the filter, then connect the filter to the
stopcock. With the stopcock open, expel air and approximately 2 mL liquid
from the needle to remove any liquid remaining from the components used
to empty the reservoir. Close the stopcock. Visually verify that there is no air
bubble remaining in the filling assembly. Proceed with the instructions in E. Fill
the Reservoir.
If the filter was used to flush the residual volume, the filter and other
components have already been primed with the drug solution. Close the
stopcock. Proceed with the instructions in E. Fill the Reservoir, beginning with
Step 2.
Components previously assembled and primed in D. Set Up the O.R. Prep Kit
for Filling:
filling needle (clear hub)
stopcock
connecting tube
filter
10 mL syringe
Additional 10 mL syringe(s) filled with drug in Section D.
Holding the needle perpendicular to the pump, puncture the central port.
Insert the needle until it contacts the needle stop.
While keeping your thumb on the plunger of the syringe, open the
stopcock. Inject the drug solution into the reservoir.
While controlling the syringe plunger with the thumb, close the stopcock.
Remove the empty syringe.
Attach the next drug-filled syringe to the filter. Follow Steps 2 and 3 to deliver
the drug to the reservoir. Repeat with all filled syringes until the prescribed
amount of drug has been injected.
Remove the filling needle from the central port. Discard only the filling needle
and the syringes. Retain the other components used to fill the reservoir.
Proceed to F. Prime the Bolus Channel with Sodium Chloride Solution.
15