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Without an Incision:

Percutaneous Procedures for Diagnosis & Treatment

Chapter 11
Implantable Morphine Pump
These pumps are implanted inside the skin. The physician can refill the pump by directing a needle through the skin and into the port in the center of the pump. The catheter running away from the pump is placed inside the spinal fluid space. The pump rate can be controlled by an external telemetry device.  SyncrhoMed illustrations with permission of Medtronic,  Inc.