De-Air Purge System - Abiomed Automated Impella Controller Manual De Usuario

PURGE CASSETTE PROCEDURES
There are three procedures for maintaining the Impella Catheter purge
system:
• Change Cassette & Bag
• Change Purge Fluid Bag

• De-Air Purge System

Each procedure can be accessed using the PURGE MENU soft button.
The purge cassette procedures are discussed below.
CHANGE CASSETTE & BAG
The Purge Cassette may need to be replaced for extended use of the
Impella system.
Perform the following steps to change both the Purge Cassette and Purge
Fluid:
1. Press PURGE MENU and select "Change Cassette & Bag" from
the menu.
2. Select START to begin the cassette and fluid change process.
Figure 6. Disconnecting the Y Connector from the Purge Cassette
Tubing
3.
When prompted by the controller, disconnect the luer from the
Impella catheter.
Note on Connecting Purge Tubing to the Catheter:
If included, remove and discard the Y-connector and connect the
yellow luer on the purge tubing directly to the yellow check valve
on the Impella Catheter.
4.
Open the Purge Cassette door by pressing the button on the left
side of the console. Remove and discard the old cassette and
purge fluid bag.
5.
Open the new Purge Cassette. Spike the new purge fluid bag with
the new purge cassette tubing. Select NEXT to continue.
6.
Insert the new purge cassette into the controller. Be sure to slide
the purge disc into place and extend the purge tubing through the
gap in the purge cassette door when you close the door.
7.
Confirm the luer is disconnected. Press NEXT to proceed to prime
the purge cassette.
8. Update the purge fluid information.
a. To select the default purge fluid values displayed on the screen,
select CONFIRM.
b. To change the purge fluid information, select EDIT. Then use
the soft keys to navigate selections and edit values. Select
DONE to complete editing.
9. When Steps 1 through 8 are complete, connect the luer from the
new purge cassette to the Impella catheter.
Automated Impella Controller with SmartAssist
CHANGE PURGE FLUID BAG
Note on Purge Solution Bottles:
If the purge solution is supplied in bottles, open the vent on the
purge fluid spike and follow the same procedure as if supplied in
bags.
Perform the following steps to change only the purge fluid.
1. Press PURGE MENU and select "Change Purge Fluid Bag."
2.
Select START to begin the purge fluid change process.
3. When prompted by the controller, remove the old purge bag
and replace by spiking the new purge fluid bag. Select NEXT to
advance to the next step.
4.
Update the purge fluid information.
a. To select the default purge fluid values displayed on the screen,
select CONFIRM.
b. To change the purge fluid information, select EDIT. Then use
the soft keys to navigate selections and edit values. Select
DONE to complete editing.
5. When prompted by the controller, disconnect the luer from the
Impella Catheter. The controller will automatically prime the
tubing, which will flush the fluid from the last bag out of the purge
cassette tubing.
a. To skip the flush, select SKIP PRIME.
Note:
The instructions to disconnect the luer and to automatically
prime the tubing only occurs if the user changed the purge fluid
dextrose or heparin concentrations.
6. When prompted by the controller, connect the yellow luer from the
purge cassette to the Impella catheter.
Note on Priming Purge Cassette and Disconnecting Luers:
The system only prompts you to remove luers to prime and flush
tubing if the heparin or dextrose concentrations were changed or
air was detected. You can only select SKIP PRIME if no air was
detected.
DE-AIR PURGE SYSTEM
Perform the following steps to de-air the purge system:
1. Press PURGE MENU and select "De-Air Purge System."
Note on De-Air Procedure:
You may run the de-air procedure after changing the dextrose
concentration to decrease the amount of time it takes for a change
to occur.
2. Select START to begin the de-air process.
3.
Make sure that the purge fluid bag is NOT empty or inverted and
that the tubing is NOT kinked. Select NEXT to continue.
4.
Disconnect the purge tubing from the Impella Catheter.
5. Confirm that no air remains in the purge tubing. If air remains,
press BACK to repeat the air removal process.
6. Connect the purge tubing to the luer on the Impella Catheter to
complete the de-air procedure.
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