3. Adjust blood flow rate, making sure that the blood level in the reservoir is adequate to prevent gaseous emboli passing to patient.
(When using CAPIOX RX Oxygenator with Hardshell Reservoir, refer to Fig.11, page 10 "Safety Margin".)
4. If the purge port is to be used, open the connected purge line.
CAUTION
Close purge line at termination of bypass.
TERMINATION OF BYPASS
Terminate extracorporeal circulation using normal procedure, taking note of the following warnings :
WARNINGS
• Before reducing blood flow rate, confirm that purge line (optional) is closed and that sampling line is also closed
with arterial side stopcock.
• Upon stopping pump, stop gas flow at once.
• If circulation is to be resumed, recirculation at a low flow rate is recommended. During recirculation, check blood
gas pressure. An excessive gas flow may cause low PaCO
OXYGENATOR REPLACEMENT
Always have a spare CAPIOX RX oxygenator for replacement if needed.
1. Set up and prime spare oxygenator as described in SET-UP section. (page 6)
2. When necessary, maintain a decreased patient temperature as prescribed by physician.
3. Double-clamp blood inlet and outlet tubing connected to new oxygenator, and cut the tubing between the two clamps. (See Fig.8)
4. Stop circulation, double-clamp venous and arterial line connected to old oxygenator, and cut the lines between the two clamps. (See Fig.8)
5. Replace old oxygenator with new one by connecting venous and arterial line to the connectors at blood inlet and outlet tubing of new
oxygenator. (See Fig.9)
CAUTIONS
• When no Arterial Filter or Bubble Trap is used, open recirculation line for debubbling.
• Band and secure all connections in the circuit.
6. Start circulation at a low flow rate.
7. Connect gas lines removed from old oxygenator module to the new module and start gas supply.
8. Connect water lines removed from old oxygenator module to the new module and start water supply. Check for leaks.
9. Connect the purge line of the new oxygenator to the luer port leading to the cardiotomy filter.
10. Connect sampling line of new oxygenator to venous side connecting site of old reservoir. (See Fig.10)
8
, alkalosis, or blood damage.
2