After Your Procedure

After Your Procedure

Once the Prometra® drug delivery system has been implanted and is filled with medication, it will begin delivering pain medication to you.

Note that it may take time – up to a few weeks – before you see the potential benefits of drug delivery therapy. Your doctor may begin reducing or eliminating your other pain medications during this initial period and will give you instructions on how to care for the incisions after the surgery. It is also normal to feel some tenderness or discomfort around the pump and catheter right after the surgery; it is part of the usual healing process.

If you notice severe swelling, pain, or redness around the incisions, alert your doctor.

Your doctor may prescribe medication to ease the pain from the surgery. You may also be asked to wear an elastic binder around your abdomen for additional comfort as you heal.

In general, your doctor may recommend that you avoid strenuous activities such as lifting, bending and twisting until healing is complete.

Over time, any tenderness around the pump and catheter will subside, and you will become less aware of the system itself. Once healed, the surgical sites need no special care.

Important: If you need an MRI:

In the future, you may require an MRI or Magnetic Resonance Imaging procedure. It is important that you alert your physician that you have an implanted Prometra pump. 

You can undergo an MRI with your implanted Prometra Pump, provided your doctor and MRI technician follow certain scanning conditions.  Always alert your doctor and technician well in advance of your MRI. Read more information about MRI with an implanted Prometra pump. 

After your procedure, you will be provided with a patient ID card and MRI bracelet, and these items should be kept with you at all times. Both the patient ID card and MRI bracelet provide important information about your Prometra pump to health care professionals. Provide a copy of your patient ID card to your physician and MRI technician prior to receiving an MRI. In an emergency situation, your MRI bracelet will provide information about your implanted Prometra pump and direct the medical professionals treating you on how to find detailed MRI safety information. Your MRI bracelet should be worn at all times and your patient ID card should be kept in your wallet or purse near your driver’s license or other forms of identification. 

Prometra Patient Guide MRI Information

WARNING: FAILURE TO EMPTY THE PUMP PRIOR TO EXPOSURE TO MRI ENVIRONMENT COULD RESULT IN DRUG OVERDOSE THAT COULD LEAD TO SERIOUS PATIENT INJURY OR DEATH.

Avoid powerful magnets, such as MRI without first seeing your pump management doctor. Strong magnetic fields, such as those created in Magnetic Resonance Imaging (MRI) devices may cause the valves of the pump to open, resulting in the immediate discharge of the contents of the pump and catheter into your body which could result in a fatal overdose.

If an MRI is required, your doctor MUST completely empty your pump of all medication prior to the MRI. Your doctor may arrange for another method of pain relief while there is no medication in your pump.

Pump performance has not been established for MRI scanners at fields other than 1.5 T (Tesla). You should not have an MRI in any scanner other than a 1.5 T scanner under the conditions listed on your implant card.

You should inform your doctor who manages your pump if you are going to have an MRI. Your doctor will recommend whether or not an MRI is appropriate for you and ensure that your pump has been properly emptied and programmed to zero (0) flow prior to the procedure.

Make sure to inform the MRI technician that you have an implanted Prometra programmable pump prior to entering an MRI scanner. To make this easy for you, a medical bracelet and implant card have been provided to you. These both have the phone number (855-356-9665) to call before an MRI scan to obtain the safe scanning conditions.

Your implant card and medical bracelet should be with you at all times. You will be asked at the MRI facility to remove all jewelry and your medical bracelet prior to entering an MRI scanner. Remember your medical bracelet, like other jewelry, contains metal and could cause burns where it contacts your skin. Thus, these should be removed prior to scanning.

During an MRI, you may notice a warming sensation around the pump or feel a tingling sensation. If the warming or tingling sensation is uncomfortable to you, the MRI should be stopped and the settings adjusted to reduce or eliminate the sensation.

During an MRI, you may also notice a slight tugging sensation at the pump. An elastic wrap can be used to reduce the tugging sensation.

Additionally, the metal in the pump will cause the MRI image to be distorted in the area around the pump. The MRI should be adjusted to minimize the image distortion.

After the MRI, your doctor will confirm the status of your pump and may require close monitoring after refilling the pump with medication to ensure the pump is operating properly.

It is recommended that you register the MRI conditions under which your implant can be scanned safely with the MedicAlert Foundation (www.medicalert.org).

Prometra II Patient Guide MRI Information

During an MRI procedure, your pump may stop delivering drug. Your doctor may arrange for another method of pain relief while there is no medication in your pump. After your MRI procedure, your doctor must perform a reset procedure to return the pump to its programmed flow rate.

Pump performance has not been established for MRI scanners at fields other than 1.5T (Tesla). You should not have an MRI in any scanner other than a 1.5T scanner under the conditions listed on your implant card.

You should inform your doctor who manages your pump if you are going to have an MRI. Your doctor will recommend whether or not an MRI is appropriate for you and ensure that your pump is reset and programmed after the MRI procedure is complete.

Make sure to inform the MRI technician that you have an implanted Prometra II programmable pump prior to entering an MRI scanner. To make this easy for you, an implant card has been provided to you. This has the phone number (855-356-9665) to call before an MRI scan to obtain the safe scanning conditions. Your implant card should be with you at all times.

During an MRI, you may notice a warming sensation around the pump or feel a tingling sensation. If the warming or tingling sensation is uncomfortable to you, the MRI should be stopped and the settings adjusted to reduce or eliminate the sensation.

During an MRI, you may also notice a slight tugging sensation at the pump. An elastic wrap can be used to reduce the tugging sensation.

Additionally, the metal in the pump will cause the MRI image to be distorted in the area around the pump. The MRI should be adjusted to minimize the image distortion.

After the MRI, your doctor will reset your pump using a procedure similar to a drug refill visit, and may require close monitoring to ensure the pump is operating properly.

It is recommended that you register the MRI conditions under which your implant can be scanned safely with the MedicAlert Foundation (www.medicalert.org).