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Intrathecal Pump Refills

How is the intrathecal (IT) pump refilled?

As the medication is depleted from the reservoir of intrathecal pump, it requires replacement. This necessitates a refill procedure, which is commonly performed at Atlas Pain Care, Coimbatore.

Pump refills are done in a sterile environment and are not usually painful. Following infiltrating local anaesthetic, a needle will be inserted into the skin over the centre of the pump. We occasionally put a small mark at the port site to make it easier for us to locate the centre of the pump. The medication remaining in the pump will be removed before the new medication is injected.

The needle is then removed gently. Finally, using a computer program, your pump will be updated with the information of your new medication. The medication may be titrated up or down depending on your symptoms and evaluation by the physician. Your pump will alarm if the medication volume is low (a beeping sound once an hour similar to a low battery alarm). So be aware of your refill schedule.

How often will IT pump need to be refilled?

Refills are generally required every 2-3 months but sometimes sooner. Refill appointments cannot be missed. Missing your refill appointment can lead to pain medication withdrawal symptoms.

Please read our FAQ section to know more about the do's and don'ts prior to and after the procedure.