Medical Procedure: Refill Kit for Implantable Infusion Pump (A4220)

Name of the Procedure:

• Common Name: Refill Kit for Infusion Pump
• Medical Term: Implantable Infusion Pump Refill

Summary

This procedure involves refilling the medication reservoir of an implanted infusion pump, a device that delivers precise amounts of medication directly to a specific area in the body. It is typically done as a routine maintenance procedure to ensure continuous and effective medication delivery.

Purpose

The refill kit for an implantable infusion pump is used to:

• Manage chronic pain
• Administer chemotherapy
• Treat severe spasticity
• Deliver other medications that require precise, continuous delivery to targeted areas. The primary goal is to maintain the efficacy of the infusion therapy and avoid disruption in medication delivery.

Indications

• Chronic pain conditions such as cancer-related pain or severe neuropathic pain
• Severe spasticity due to conditions like multiple sclerosis or spinal cord injury
• Specific medical conditions requiring continuous targeted medication

Preparation

• Patients may be instructed to fast for a few hours before the procedure if a sedative will be used.
• Normal medication routines should be followed unless directed otherwise by a healthcare provider.
• Prior to the procedure, assessments like blood pressure and pulse rate may be conducted.

Procedure Description

1. The healthcare provider will locate the refill port of the implanted infusion pump.
2. The refill kit, which includes sterile needles, syringes, and medication, will be prepared.
3. Using sterile techniques, the provider will insert a needle into the refill port.
4. The old medication (if present) will be aspirated before the new medication is injected.
5. The exact amount of medication is administered, ensuring no air bubbles are present.
   • The procedure often involves the use of imaging tools like fluoroscopy to ensure correct needle placement.
   • Sedation is generally not required, but local anesthesia may be applied to minimize discomfort.

Duration

• The procedure typically takes about 20 to 40 minutes.

Setting

• This procedure is commonly performed in an outpatient clinic, physician’s office, or a hospital setting.

Personnel

• Physician (often a pain management specialist)
• Nurse or medical assistant
• Radiologist (if imaging is used)

Risks and Complications

• Infection at the insertion site
• Bleeding or bruising
• Discomfort or pain during the procedure
• Rarely, improper needle placement leading to medication leakage or pump malfunction
• Management of complications may involve additional medical intervention

Benefits

• Regular refills ensure continuous and effective medication delivery
• Patients can expect their symptoms to be managed more consistently
• Benefits are usually realized immediately following the refill

Recovery

• Patients can typically resume normal activities immediately post-procedure
• Care involves keeping the insertion site clean and monitoring for signs of infection
• Follow-up appointments usually scheduled based on the specific medication delivery schedule

Alternatives

• Alternative treatments may include oral medications or external infusion pumps.
  • Pros of alternatives: Less invasive, lower immediate procedural risks
  • Cons of alternatives: May not provide the same level of precise, continuous medication delivery, potentially less effective for certain conditions

Patient Experience

• Patients might experience slight discomfort during needle insertion.
• Most describe the sensation as a mild pinch or pressure.
• Post-procedure, minor soreness or bruising at the needle site may occur.
• Pain management options include local anesthesia during the procedure and over-the-counter pain relief if necessary post-procedure.

This markdown outlines the key aspects of the medical procedure for refilling an implantable infusion pump. Proper consultation with a healthcare provider is essential to address individual concerns and conditions.