Prepare the ACCUFUSER® for use

CAUTION: Use aseptic technique when preparing the ACCUFUSER® pump and catheter(s) for use.

1. Determine what medication and volume has been prescribed for this patient.
2. Fill the 5 mL syringe from the catheter pack with local anesthetic, and then use it to prime the catheter(s). If using Curlin Saturation Catheters, look for beading at the catheter fenestrations.
   
3. If using dual catheters, attach the Y-connector.
   
4. Save enough local anesthetic (approx 10 mL) to fill the 5 mL syringe for use in bolusing the catheter after closing is complete.
5. Use the remaining local anesthetic to fill the 60 mL syringe from the catheter pack. This will be used to fill the pump.
6. Close the tubing clamp on the pump and remove the luer cap from the fill port on the tubing.
   
7. Connect the filled syringe to the fill port and inject the local anesthetic into the pump reservoir.
   
8. Repeat the filling procedure until the reservoir contains the desired volume.
9. Replace the luer cap on the fill port.
10. Open the tubing clamp, remove the luer cap from the tubing distal end, and let the pump prime the tubing.
    
11. To prime the bolus button, press down fully on the button to expel air and allow the medication chamber to begin refilling. After a few minutes, press down on the bolus button again to expel any remaining air.
    
12. Once fluid begins to drip from the distal end of the tubing, the pump is ready to be connected to the patient. Clamp the tubing and replace the distal luer cap. It is recommended that the pump be connected to the patient after scrub is broken and the drapes removed.

Insert and Secure the Catheter in the Surgical Site

Prior to placement: Uncoil the catheter(s) and have ready for use. Also have the introducer(s) provided in the catheter pack ready for use. Adhesive suture strips and transparent dressing are provided in the catheter pack for use after closing.

1. Insert the split sheath introducer 2 to 5 cm from the incision/trocar site.
   
2. Remove the needle from the split sheath introducer.
   
3. Thread the catheter through the split sheath introducer.
   
4. Hold the catheter inside the incision while removing the split-sheath introducer completely out of the skin. Important: Always place the catheter under direct visualization before closing the wound.
   
5. Break apart the T-handle and peel away the sheath while leaving the catheter in place.
   
6. After closing is complete, bolus the catheter(s) with approx. 5 mL of local anesthetic and place a luer cap on the catheter hub.
   
7. Secure the catheter near the insertion site using the adhesive suture strips provided in the catheter pack.
8. Coil the catheter two to three times and secure it with additional adhesive suture strips.
9. Cover the insertion site and the coiled catheter with the transparent dressing provided in the catheter pack. Note: If catheter transparent dressing will be covered by tape from the incisional dressing, cover the transparent dressing with 4 x 4 in. gauze to prevent the catheter from possibly becoming dislodged.
   
10. After breaking scrub and removing the drapes, connect the pump to the catheter.