This video describes basic interrogation and settings for
Intrathecal Baclofen Pumps.
Turn the programer on by sliding the power button on the left side.
(Ding)
Press the telemetry icon,
which is the second button then press SynchroMed II.
Press the Interrogate button.
Familiarize yourself with the pump orientation and landmarks.
Palpate for the pump's location
and then place the programming head
directly over the pump.
The green light on the programming head will blink
while telemetry is in progress.
The pump's status window will open first.
You can scroll through the window to view the important pump information.
Minimize the pump's status window by pressing the "X" in the upper right corner.
You can maximize the pump status window again by pressing the "arrow"
towards the bottom of the screen.
To change drug concentration or volume push the "Rx" button at the top.
If you are refilling the pump change the reservoir volume
to reflect the new volume that was instill.
To change the drug infusion rate, press the infusion mode tab
towards the top.
"Simple Continuous" mode infuses the drug
at a constant rate throughout the day.
In this example,
we will enter a total of 300 micrograms to be infused
over a 24 hour period.
"Flex" mode allows you to set a constant basal rate
and add boluses at specified times each day.
In this example, we will set the basal rate
at 20 micrograms per hour; but you can also set the basal rate
by selecting a total daily dose.
Next, we will add a boluses at 12 o'clock noon
of 30 micrograms
to be infused over 15 minutes.
Use the minimum rate if you want to essentially stop infusion.
It will continue to infuse at a very slow rate.
Note that stopping the pump completely risks that the pump may not restart.
If any changes were made, be sure to upload the new settings to the
pump. Select the summary tab at the top.
Review the new settings and select "Update Pump."
Print the new pump settings out any time changes are made.
Open the slider bar in the top left corner and select the printer icon.
Add the short report to the printer queue twice.
Line up the infrared sensors on the printer and on the interrogator
and it will start printing.
(Beep)
Use the alarms tab to show the volume at which the
low reservoir alarm goes off and the alarm intervals.
You can also select the tool kit tab at the top,
to test the alarms and see what they sound like.
(Alarm Sounds)
(Alarm Sounds Again)