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Abiomed Impella 5.0 Gebrauchsanweisung Seite 18

Kreislaufunterstützungssystem
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Change Purge Fluid to
Obtain Accurate Purge
Values
To get accurate purge values after
changing to a backup controller,
perform the Change Purge Fluid
procedure and replace the purge
fluid bag.
Questions or Concerns?
Contact the local Abiomed
team or call the 24 hour clinical
support line at 1-800-422-8666.
Alarms That Resolve On
Their Own
The audible indicator will shut off
if an alarm condition is resolved
before you press MUTE ALARM.
The visual message, however,
will continue to be displayed,
with the alarm header on a gray
background, for 20 minutes or
until you press MUTE ALARM.
This allows you to identify the
alarm that occurred.
16
TRANSFERRING FROM THE AUTOMATED IMPELLA
CONTROLLER TO A NEW AUTOMATED IMPELLA
CONTROLLER
A backup Automated Impella
Controller should be available at all times when a patient is on support. In the event
®
that the controller fails, follow the steps below to transition the Impella
1.
Confirm that the backup controller is powered on and ready.
2.
Press PURGE SYSTEM on the original controller, select Change Purge Fluid, and complete the step to
bolus the purge system. (Do NOT flush the purge fluid from the cassette.)
3.
Disconnect the yellow luer connector from the Impella
cassette. ("Purge System Open" alarm will sound.)
4.
Transfer the purge cassette and purge solution from the original controller to the backup controller.
5.
Reconnect the yellow luer connector to the Impella
6.
Remove the white connector cable from the original controller and plug it into the catheter plug on the
front of the backup controller.
7.
Once the Impella
5.0 Catheter is connected to the backup controller, wait for a message to appear on
®
the screen asking you to confirm re-starting the Impella
level.
8.
Press OK within 10 seconds to confirm restarting the Impella
performance level.
9.
If the message to restart the Impella
Impella
5.0 Catheter using the FLOW CONTROL soft button.
®
PATIENT MANAGEMENT CHECKLIST FOLLOWING TRANSFER OF SUPPORT
After transferring patient support to or from the Automated Impella
patient management checklist items:
1.
Confirm Impella
5.0 Catheter placement using echocardiography.
®
2.
Tighten the Tuohy-Borst valve (tighten all the way to the right) on the Impella
catheter migration.
ALARMS OVERVIEW
The Automated Impella
Controller monitors various functions to determine whether specific operational parameters
®
are within expected limits. When a parameter goes outside of its specified limits, the controller sounds an alarm
tone and displays an alarm message that can be viewed on the display screen on the front of the controller. The
alarm tone indicates the severity of the alarm. The alarm message on the display screen is color-coded for severity
and provides details on the cause of the alarm and how to resolve the alarm.
ALARM LEVELS
Alarms are divided into three levels of severity:
• Advisory (white)
• Serious (yellow)
• Critical (red)
Category
Description
Advisory
Notification
Serious
May become harmful or
life-threatening if not addressed
immediately
Critical
Immediately harmful or
life-threatening
* Sound pressure of audible alarm indicators is >80 dBA
MUTE ALARM FUNCTION
Pressing the MUTE ALARM button on the upper right of the Automated Impella
silence the audible alarm indicator for 2 minutes (for red or yellow alarms) or 5 minutes (for white advisory alarms).
When an alarm is silenced, the words "MUTE ALARM" next to the button are replaced by the mute alarm indicator,
a crossed-out bell icon.
®
5.0 Catheter to the backup controller.
5.0 Catheter to release the pressure in the purge
®
®
5.0 Catheter.
®
5.0 Catheter at the previously set performance
®
5.0 Catheter at the previously set
®
5.0 Catheter does not appear within 30 seconds, restart the
Controller, perform each of the following
®
Audible Indicator*
1 beep every 5 minutes
3 beeps every 15 seconds
10 beeps every 6.7 seconds
®
®
®
®
5.0 Catheter to prevent
Visual Indicator
Alarm header on white
background
Alarm header on yellow
background
Alarm header on
red background
Controller display screen will
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