Pain Managementfor Plastic Surgery

Instruments

The information presented in this brochure isintended to demonstrate the breadth of Strykerproduct offerings. Always refer to the package insert,product label and/or user instructions before usingany Stryker product. Products may not be availablein all markets. Product availability is subject to theregulatory or medical practices that govern individ-ual markets. Please contact your Stryker representa-tive if you have questions about the availability ofStryker products in your area.

Products reference with ™ designation are trade-marks of Stryker. Products referenced with ® desig-nation are registered trademarks of Stryker.

Literature Number: 9100-001-025 Rev.NoneDino/P.S.

Copyright © 2006 Stryker Printed in USA

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Joint Replacements

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EMS Equipment

Stryker PainPumps®

The most trusted namein portable pain relief

Ordering InformationPainPump1

500-120-025 120 mL Pump with 2.5" ExFen Catheter (2.08 mL/hr)

500-120-050 120 mL Pump with 5.0" ExFen Catheter (2.08 mL/hr)

500-166-025 120 mL Pump with Y-connector and (2) 2.5" ExFen Catheters (1.66 mL/hr)

500-166-050 120 mL Pump with Y-connector and (2) 5.0" ExFen Catheters (1.66 mL/hr)

501-140-025 270 mL Pump with 2.5" ExFen Catheter (4.16 mL/hr)

501-140-050 270 mL Pump with 5.0" ExFen Catheter (4.16 mL/hr)

501-416-025 270 mL Pump with Y-connector and (2) 2.5" ExFen Catheters (4.16 mL/hr)

501-416-050 270 mL Pump with Y-connector and (2) 5.0" ExFen Catheters (4.16 mL/hr)

PainPump2

525-125 250 mL Pump with Standard and 2.5" ExFen Catheters

525-155 250 mL Pump with Standard and 5.0" ExFen Catheters

525-025 250 mL Pump with Y-connector and (2) 2.5" ExFen Catheters

525-050 250 mL Pump with Y-connector and (2) 5.0" ExFen Catheters

540-155 400 mL Pump with Standard and 5.0" ExFen Catheters

540-025 400 mL Pump with Y-connector and (2) 2.5" ExFen Catheters

540-050 400 mL Pump with Y-connector and (2) 5.0" ExFen Catheters

Miscellaneous Items

500-300 Small Carrying Case for PainPump1

575-375 Large Carrying Case for PainPump2

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Reduces the use of narcotics allowing fora decrease in negative side effects suchas nausea, vomiting and constipation

A fivefold decrease in oral/intravenouspain medication may decrease the lengthof hospital stay, prescription drug costsand overall expenses

In a 2003 study published by theAmerican Society of Plastic Surgeons,immediate autologous breast reconstruc-tion patients with Pain Pump cathetersreported avg. pain unit scores of 1.6 +1.7, compared with 6.7 + 7.2 in a controlgroup1

Offers continuous and “instant” pain relief—relief doesn’t “wear off” as it can with narcotics

Padded carrying case facilitates comfort and ambulation

Bolus capability allows patient interaction in pain management

Physician has ability to adapt flowrate/duration to patient needs

Versatile enough to be used for most open incision surgical applications

Cost-effective & Dependable• Competitively priced despite added technology• Pumps can be purchased on contract for pricing

incentives with other disposable Stryker products• Access Mediquip Outsourcing Program (when applicable)• Reimbursement service

Stryker PainPumps are:

Safe & Convenient• Stryker PainPumps have a self-contained

reservoir with protective outer shell• Tubing set doesn’t need to be taped to

patient’s skin for accurate infusion• Latex-free and disposable• Padded carrying case for comfort and ambulation• 24-hour patient hotline

Flexible• Multiple reservoir capacities,

infusion rates and catheter lengths accommodate various surgical applications

• Stryker’s full product line is unmatched by any competitor in the market

Easy to Understand• Stryker PainPump1 has outside markings for easily

visible measurement; patient can see it is working • Stryker PainPump2 is completely programmable

but very simple for patient and staff to use• Clinicians will always know the status of an

infusion and amount of medication delivered

Stryker’s superior PainPump technology decreasesthe need for narcotics, reduces side effects and encourages

earlier ambulation in post-surgical plastics patients.

Bolus feature helpsinvolve patient in

pain managementand minimize the

use of narcotics forbreakthrough pain

PainPump1

PainPump2Sample Protocol

PainPump2• 400 ml, 2-site tubing, 5.0"

ExFen catheters• 4 ml/hr, 2 ml bolus, 10 minute

lockout• REF 540-50• Local Anesthetic Used:

Marcaine (Bupivacaine) 0.25%Naropin (Ropivacaine) 0.50%

PainPump1 Equivalent• 270 ml, 2-site tubing, 5.0"

ExFen catheters• 4.16 ml/hr• REF 501-416-50*

“The majority of my patients opt for the PainPump and experience a greatercomfort level and a reduction in adverse side effects. The Stryker PainPumpis a great product. It's really changed my practice.”

– Richard W. Dabb, M.D., plastic surgeon, York Hospital, York Pennsylvania

BREAST AUGMENTATION/ABDOMINOPLASTY SPECIFICS

These diagrams show the PainPump placement techniques in breast augmentation andabdominoplasty of Richard W. Dabb, M.D., plastic surgeon at York Hospital/ Apple HillMedical Center.

Catheter Placement for Breast Augmentation2-site: Catheters should be placed in the pocket, sub-muscle, before the implants.Approach transaxillary at upper pole of implant.Other Information: Incisions and blocks (intercostal) are performed w/ 0.25% Marcaine w/ Epi prior to incision.

Catheter Placement for Abdominoplasty2-site: Lateral cutaneous stick with catheters brought under pedicle. Drain inferior.Other Information: Incision lines and intercostals blocks done prior to incision.

Tips: Always prime the catheter. A 15-20 ml bolus is strongly recommended after thecatheters have been placed for breast augmentations and abdominoplasties.

IMPORTANT NOTICEThe information provided in this guide is provided only as an example for guidance. Specific dosages and technique should bedetermined by the physician based on the expertise, experience, and preference of the physician and the particular circum-stances of the individual patient’s case. This information is not intended to be, and should not be construed as, the specificrecommendation of Stryker. Please refer to the instructions-for-use provided with Stryker PainPump product for important infor-mation regarding the safe and effective use of the product.

Footnotes1Baroody M, Tameo MN, Dabb RW. "Efficacy of the PinPump Catheter in Immediate Autologous Breast Reconstruction." Surg. 114 (4): 895-898, 2004.

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