Abiomed Automated Impella Controller Manual Del Usuario página 7

Figure 1.7
9.
When the controller detects that the luer is connected, it
automatically begins priming the purge lumen.
10. Once the purge cassette is primed and the luer is connected,
the controller automatically advances to the next screen.
11. The first step on the next screen prompts you to enter the
purge fluid information.
ENTER PURGE FLUID DATA
1. After confirming that fluid is exiting the Impella Catheter, enter the
purge fluid information.
Figure 1.8
2.
To select the default values displayed on the screen, press the
ACCEPT soft button. This will select those values and automatically
advance to the next screen. Note: The default purge fluid values
will be the purge fluid values from the last Case Start performed on
the Automated Impella Controller.
3. To change the purge fluid information, press the EDIT soft buttons,
scroll to the appropriate item and push the selector knob to select
it or use the white arrow soft buttons. Then scroll through the
values and push the selector knob or press SELECT to make a new
selection. Press the DONE button to finish editing. The controller
will use the default values if no other selections are made.
• Purge fluid can be set to 50 mL, 100 mL, 250 mL, 500 mL, or
1000 mL.
• Glucose (Dextrose) concentration can be set to 5%, 10% or 20%.
• Heparin concentration can be set to 0 IU/ml, 5 IU/ml, 6.25 IU/ml,
10 IU/ml, 12.5 IU/ml, 20 IU/ml, 25 IU/ml, 40 IU/ml, 50 IU/ml.
Impella CP with SmartAssist
® ®
INSERTING THE IMPELLA CATHETER
NOTE – Proper surgical procedures and techniques are the
responsibility of the medical professional. The described
procedure is furnished for information purposes only. Each
physician must evaluate the appropriateness of the procedure
based on his or her medical training and experience, the type of
procedure, and the type of systems used.
If the Impella Catheter is used in the OR as part of open heart surgery,
manipulation may be performed only at the access site. Direct manipulation
of the catheter assembly through the aorta or ventricle may result in serious
damage to the Impella Catheter and serious injury to the patient.
When using a pigtail diagnostic catheter with side holes, ensure that the
guidewire exits the end of the catheter and not the side hole. To do so,
magnify the area one to two times as the guidewire begins to exit the pigtail.
During placement of the Impella Catheter, take care to avoid damage to the
inlet area while holding the catheter and loading the placement guidewire.
1.
Confirm purge fluid is exiting the Impella Catheter.
2. Obtain access to the femoral artery.
3.
Insert a 5–8 Fr dilator over the 0.035 guidewire (provided) to pre-
dilate the vessel.
4.
Remove the 5–8 Fr dilator over the 0.035 guidewire. Predilate the
artery with the appropriate dilator prior to inserting the sheath.
While inserting the introducer, hold the shaft of the introducer to
slide it into the artery.
Figure 1.9
5. Administer heparin. When the ACT is greater than or equal to 250
seconds, remove the dilator.
6.
Prior to catheter insertion, flush the introducer
7.
Insert a diagnostic catheter (Abiomed recommends a 6 Fr AL1
or Multipurpose without side holes or 4–5 Fr pigtail with or
without side holes) over a 0.035 inch diagnostic guidewire into the
introducer and advance it into the left ventricle.
Figure 1.10
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