Abiomed Automated Impella Controller Manual De Usuario página 29

Figure 25. Pulling Catheter Additional 3 cm
8. Tighten the Touhy-Borst valve to lock the Impella catheter in
place. Press the DONE soft button to continue.
Figure 26. Tightening Tuohy-borst Valve
9. Press the DONE soft button to exit the repositioning guide. Ramp
up slowly to the preferred P-level after exiting the guide.
Figure 27. Repositioning Complete
Automated Impella Controller with SmartAssist
IMPELLA CP WITH SMARTASSIST
®
WITH SMARTASSIST COMPLETELY IN AORTA
If the Impella CP with SmartAssist Catheter or the Impella 5.5. with
SmartAssist is completely in the aorta, the following alarm appears:
Impella Position in Aorta
In this situation, the placement screen appears, as shown in Figure 28
below.
Figure 28. Impella CP SmartAssist Position in Aorta
Actions to take:
1. Reduce the P-level to P-2 until imaging is available.
2.
Under fluoroscopic or echocardiographic guidance, determine the
Impella Catheter position.
3.
Return to preferred P-level and confirm positioning with
imaging.
IMPELLA 2.5 OR IMPELLA CP CATHETER COMPLETELY
IN THE AORTA OR INLET AND OUTLET AREAS IN
VENTRICLE AND OPEN PRESSURE AREA IN AORTA
If the Impella 2.5 or Impella CP Catheter is completely in the aorta or if the
inlet and outlet areas are in the ventricle and the open pressure area is in
the aorta, the following alarm appears:
Impella Position Wrong
In this situation, the Placement Screen appears, as shown in Figure 29.
Figure 29. Impella CP Catheter Completely in the Aorta or Inlet and
Outlet Areas in Ventricle and Open Pressure Area in Aorta
(similar for Impella 2.5)
®
AND IMPELLA 5.5.
®
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