Abiomed Automated Impella Controller Manual Del Usuario página 5

IMPELLA CATHETER
®
The Impella Catheter is an intravascular microaxial blood pump. The
Impella CP with SmartAssist delivers up to a maximum flow rate of
®
4.3 liters of blood per minute from the left ventricle into the aorta.
Catheter Shaft
Clear Sidearm
Reaccess Sheath
Red Impella
Plug
Figure 1.2
PURGE CASSETTE
Do not use saline in the purge system.
The purge cassette delivers rinsing fluid to the Impella Catheter. The purge
fluid (typically 5% glucose solution in water with heparin) flows from
the purge cassette through the catheter to the microaxial blood pump
to prevent blood from entering the motor. When the purge cassette is
properly installed in the Automated Impella Controller, the Abiomed
is upright and facing you.
If included, remove and discard the Y Connector from the tubing when
setting up the Impella CP with SmartAssist
®
on the end of the purge tubing directly to the yellow luer on the Impella
Catheter.
Supply Line
Purge Cassette
Y Connector
Figure 1.3
Impella CP with SmartAssist
®
Pigtail
Inlet Area
Radiopaque Marker
Easy Outlet
Guide Lumen
Area
Cannula
Fiber
Optic
Sensor
Motor Housing
Check
Valve
Pressure
Reservoir
Infusion Filter
logo
®
. Connect the yellow luer
®
Purge Fluid Spike
Purge Tubing Purge Disc
Yellow Luer
Connector
®
ACCESSORIES
Component Descriptions
The Impella CP with SmartAssist
® ®
access for the Impella CP with SmartAssist
®
The 0.018 inch, 260 cm placement guidewire is
used for the placement of the catheter. The
guidewire has a radiopaque, shapable tip.
These alternative guidewires have been tested and
approved for use with the Impella System: Boston
Scientific Platinum Plus™ ST 0.018 in, and Boston
Scientific V-18 Control Wire™ ST 0.018 in.
Hospital Provided:
Glucose solution (typically 5% glucose in water with 50 IU/
mL of heparin) is used as the purge fluid through
the Impella Catheter.
The Automated Impella Controller cart holds the
Automated Impella Controller. The cart has wheels for
easy transport of the controller and a storage basket.
(For more information, including assembly instructions,
refer to the Automated Impella Controller
cart instructions for use.)
PRE-SUPPORT EVALUATION
Before initiating the procedure, evaluate the patient for factors that
may prevent successful placement of the Impella Catheter. Use imaging
technology to examine the patient's vasculature and femoral access site.
An echo assessment of the left ventricle is also recommended to rule
out left ventricular thrombus, mechanical aortic valves, or severe aortic
insufficiency. If the patient has a tortuous iliac artery, consider using the
provided 25cm sheath for insertion. The Impella Catheter can also be
inserted surgically.
introducer kit is used to gain arterial
Catheter. It contains:
®
• Two 14 Fr (13 cm and 25 cm)
peel-away introducers—with
hemostatic valve for tight fit
around components
and single-step "break-away"
configuration
• 8 Fr, 10 Fr, 12 Fr, and 14 Fr
dilators—easy to insert and remove
with soft design for atraumatic
approach into femoral artery
• 0.035 inch stiff access guidewire
3