Abiomed Impella 5.0 Gebrauchsanweisung Seite 14

Vascular Closure
When securing the repositioning
sheath, vascular closure may be
difficult in obese patients with
extensive adipose tissue.
Discard the Y Connector
Disconnect and discard the
Y connector from the purge
cassette tubing. For the Impella
®
5.0 System, the yellow luer on the
end of the purge tubing connects
directly to the yellow luer on the
Impella 5.0 Catheter.
®
12
6.
Turn the selector knob to increase the P-level from P-0 to P-2.
7.
Press the selector knob to select the new P-level.
8.
The catheter operation icon in the lower left corner of the screen begins rotating when the Impella
Catheter begins to operate.
9.
Increase the P-level to P-9 to confirm correct and stable placement. Evaluate the catheter position in the
aortic arch and remove any excess slack. The catheter should align against the lesser curvature of the
aorta rather than the greater curvature. Verify placement with fluoroscopy and with the placement signal
screen.
Impella 5.0 S/N: 123456
60
-20
1000
0
Impella Flow
5.0
5.2 Max
________________________
4.8 Min
10. Make sure there is no bleeding at the transition from the repositioning sheath to the femoral artery. Close
and dress the wound. Secure the repositioning sheath by suturing it to the skin using the blue suture
pads or a StatLock stabilization device on the sheath.
®
11. Attach the anticontamination sleeve to the sheath. Lock it in place by turning clockwise. Secure the
catheter by tightening the connected anchoring ring.
12. Carefully extend the anticontamination sleeve to maximum length and secure the end closest to the red
Impella plug by tightening the anchoring ring.
®
13. Reposition the catheter as necessary.
14. Select the lowest P-level that will enable you to achieve the flow rate necessary for patient support. You
can select one of ten P-levels (P-0 to P-9) for the Impella
CHANGE PURGE SYSTEM
Follow these steps to change both the purge cassette and purge fluid:
1. Press PURGE SYSTEM and select "Change Purge System" from the menu.
2. Open the purge cassette package. Disconnect and discard the Y connector from the end of the purge
tubing.
3.
Spike the fluid bag/bottle.
4. Select OK to deliver a bolus to the pressure reservoir so that the reservoir can maintain purge pressure
during the change. A progress bar shows the progress of the bolus. After the bolus is delivered, the
controller automatically proceeds to the next screen.
5.
Disconnect the yellow luer from the Impella
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.
The system automatically primes the purge cassette. A progress bar shows the progress of the priming.
Once the priming is complete, you are prompted to connect the purge tubing to the Impella
Catheter.
8. Connect the yellow luer on the end of the purge tubing to the yellow luer on the Impella
9. Purge system change is complete. Enter the purge fluid information and select OK.
2016-07-22 10:09
Placement
Signal
35/2
(17)
10 sec.
Current
800/690
(745)
10 sec.
Purge System
System Power
Purge Flow: 20.0 ml/hr
L/min Purge Pressure: 600 mmHg
100%
® 5.0 Catheter.
5.0 Catheter and remove the used purge cassette.
®
®
AIC SN: IC4186 V5.1
MUTE
ALARM
FLOW
CONTROL
(mmHg)
0.0
P-9 0.0
DISPLAY
Motor
(mA)
PURGE
SYSTEM
MENU
5.0
®
5.0 Catheter.
®
User Manual
5.0