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Pain Control Pump

Things to Consider...
How does the Medtronic Pain-Control Pump relieve pain?
Are you a candidate for this therapy?
The Screening Trial - determine if you find pain relief before the implant
More about the Medtronic Pain-Control Pump
New Personal Therapy Manager (PTM)

How does the Medtronic Pain-Control Pump relieve pain?
Intrathecal drug delivery is designed to reduce pain by delivering pain medication to the intrathecal space surrounding the spinal cord. Because this therapy delivers pain medication directly to the receptors in the spinal cord, smaller doses of medication are required to gain relief.

The system consists of a pump and catheter, both of which are surgically placed under the skin. The pump is implanted in the abdominal area, just above or below the belt line. A thin, flexible tube, called a catheter, connects to the pump and is tunneled under the skin to the site where medication is to be delivered. The pump releases the medication at a set rate, and the medication flows from the pump, through the catheter to the site of delivery in the intrathecal space.

Are you a candidate for Medtronic Pain Therapies?
People with certain kinds of chronic pain may be candidates for intrathecal drug delivery therapy. The following criteria are used to determine whether or not intrathecal drug delivery is appropriate for chronic pain sufferers:

  • More conservative therapies have failed to adequately help the pain.
  • An observable pathology exists that is associated with the pain.
  • Further traditional surgical intervention is not indicated.
  • No serious untreated drug habituation for your pain condition exists.
  • Psychological evaluation and clearance for implantation have been received.
  • No medical issues exist that would present problems with doing the surgery.
  • The screening trial is successful.
  • Find a pain specialist in your area

Have Questions about the Pain-Control Pump? Start Here

The Pain-Pump Screening Trial

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After your doctor confirms that you are a candidate for a Medtronic intrathecal drug delivery system, he or she may decide to perform a screening test (also known as a "trial"). Participation in the trial allows your doctor to evaluate how well the therapy may work for you.

  • The objective of the trial is to determine your response to medication delivered into the intrathecal space.

During this trial, your doctor may choose one of two procedures.

  • Single injection: This procedure consists of a single injection of a small amount of medication into your spinal column. The injection is delivered with a needle and syringe and is similar to an epidural injection.
  • Continuous infusion: With this procedure, a continuous infusion of medication is delivered to the spine through a temporary, implanted catheter. One end of the catheter is placed in your spinal column and the other end attaches to an external pump. This trial takes place over several days and closely resembles the therapy delivered by the fully implantable Medtronic intrathecal drug delivery system.
  • The trial is usually conducted under local anesthesia.

More Pain Control Pump Information

The pump is implanted during a surgical procedure that may require a brief hospital stay.

  • Before the surgery, you and your doctor will decide where to position the pump for your comfort.
  • Your surgeon will form a pocket under your skin that is large enough to hold the pump. This incision is usually in the lower abdominal area.
  • A second incision is made over the area where one end of the catheter will be placed.
  • Once the pump and catheter are in place, the incisions are closed and the surgery is complete.

! Because the pump and catheter are surgically placed, surgical complications, such as infections, are possible.

Other potential surgical complications include bleeding, pain and discomfort around the implant site, and blood (known as "hematoma") or fluid (known as "seroma") in the pocket where the pump is implanted.

Surgery and Drug-Related Events
In addition to surgical complications, there is the potential that you may experience drug side effects, which may include:

  • Symptoms of drug overdose.
  • Symptoms of drug underdose.

Talk with your doctor about the potential side effects and complications associated with your medication and surgical procedure.

New Personal Therapy Manager (PTM)

PTM & Syncromed 2

If you experience any of the following, you may wish to consider asking your doctor about the Personal Therapy Manager (PTM):

  • You are involved in certain activities that cause an increase in your pain
  • You experience an increase in pain at unpredictable times
  • Your intermittent pain is inadequately relieved with oral medications
  • You are interested in becoming actively involved in your therapy

The PTM is a handheld device that works with your SynchroMed® II Infusion System. When you experience an increase in your pain, the PTM allows you to request an additional dose of medication from your SynchroMed pump. This additional dose is often referred to as a "bolus" dose of medication.

If you and your doctor agree that the PTM would be a valuable tool for you, your doctor will program your pump to allow you to give yourself a certain number of bolus doses per day. The pump and PTM have safety measures designed to help guard against overdose. Your doctor will program your pump to ensure you stay within your prescription limits.

The PTM allows you to become actively involved in your therapy and lets you control when additional doses of medication are delivered to help deal with unpredictable increases in your pain levels.

Talk with your doctor about whether the PTM is right for you.

“The PTM gives me freedom — freedom to go out of the house, freedom to interact with my family, freedom to have a better quality of life because my pain is controlled. Furthermore, I no longer have to take a handful of pain pills every day.” *
- Linda Benárd

“The PTM gives me control over my life and my pain. If I want to do something that I know is going to cause a spike in my pain, I give myself a dose of medicine before I go out. It keeps my pain under control and allows me to enjoy my activities.” *
-Guy Carlson

* Individual results may vary

Your doctor will work with you to help you select the system that is most appropriate for your needs.