User's Manual

Pump implantation
59
16. Remove the IN2 syringe and prepare for aspiration without expelling any
fluid. Obtain a vacuum by pulling back on the plunger until it locks. Press the
lock into the plunger groove to be sure it is firmly secured.
17. Reenter the Pump fill port with the stopcock closed.
18. Open the stopcock and withdraw 2 mL in order to activate the negative
pressure safety feature of the Pump. Close the stopcock and remove the
syringe.
19. Weigh the IN2 syringe to calculate the Pump refill amount. Subtract the
weight after the fill and 2 mL withdrawal from the weight before the fill and
record the difference on the Implant Worksheet.
Measure stroke volume
1. Place the PPC in the sterile bag. Enter the Supervisor Mode. The screen
displays “PUMP REFILL”. Press ACT until the “SET REFILL AMOUNT”
screen appears. When filling the Pump for the first time, set the
“EXTRACTED AMOUNT” to zero. Otherwise, enter the amount of insulin
extracted. Then use the  and  buttons to enter the refill amount from the
Implant Worksheet. Program the Pump.
2. Again, enter the Supervisor Mode and program “STOP PUMP”. From the
screen “PUMP STOPPED”, press SEL. “PUMP STOPPED” will begin
flashing. Press both the  and  buttons at the same time, until the screen
changes to the password screen. Reenter the password and the screen will
change to “PUMP REFILL.” Press SEL to reach the “PRIMING” screen.
“NO” will be flashing. Use the  and  buttons to select “YES,” then press
ACT. When the word “CONFIRM” is highlighted, press ACT again. Place
the PPC near the Pump to complete the communication process. Record the
time the priming bolus was initiated on the implant worksheet.
3. Listen for five beeps and observe that fluid is being pumped from tubing
attached to the Pump outlet.
4. Attach the 18 gauge needle (from the 3 ml syringe filled with RINSE
BUFFER) to the plastic tubing from the Pump outlet.
5. Remove the 3 ml syringe and fill the needle hub.