Medtronic Intersept 1351 Gebrauchsanweisung Seite 12

Warning: Ensure aseptic technique is used during all stages of setup and use of this device.
Warning: Before removing the device from the packaging, inspect the packaging and product for damage. If the packaging or product is damaged,
do not use, as the sterility of the device may have been compromised and performance may be affected.
2. Place the cardiotomy reservoir in an Intersept cardiotomy reservoir holder.
Note: The cardiotomy reservoir should be mounted high enough (30.5 cm to 91.5 cm [12 in to 36 in]) above the oxygenator or venous reservoir to
ensure adequate gravity flow. Adjust the height as necessary during priming and perfusion.
3. To vent the reservoir, remove the yellow vented cap on the 0.6 cm (0.25 in) access port labeled VENT/VACUUM prior to use. A spare yellow
nonvented luer connecting cap has been placed on the side of the unit for your convenience. If the cap is used as a luer connection site, ensure that
the opening is complete and free of debris after twisting the top off of the cap.
Warning: Be sure the vent port is open and vented. Failure to properly vent the port could result in air being introduced into the bypass circuit,
causing serious injury or death to the patient.
Note: Do not open unused access ports.
4. Remove the protective cap from the outlet port at the bottom of the cardiotomy reservoir. Attach an appropriate length of 1.0 cm (0.39 in) ID tubing
from the outlet port on the cardiotomy reservoir to the cardiotomy return port on the oxygenator inlet or venous reservoir.
5. Remove the universal cap from one of the suction access ports. Connect a 0.6 cm (0.25 in) ID cardiotomy suction line to the suction access port.
Repeat this procedure for additional suction lines.
8.2 Operating room - postbypass chest drainage conversion
This procedure applies to Model 1351 only.
The Intersept filtered cardiotomy reservoir may be converted after bypass to an autotransfusion system to recover blood from the chest. Autotransfusion
may be initiated after the patient reaches the intensive care unit, final setup is completed, and the hourly drainage rate is established.
To convert the Intersept filtered cardiotomy reservoir to an autotransfusion system:
1. Remove the device from the packaging carefully to ensure a sterile fluid pathway.
Warning: Ensure aseptic technique is used during all stages of setup and use of this device.
Warning: Before removing the device from the packaging, inspect the packaging and product for damage. If the packaging or product is damaged,
do not use as sterility of the device may have been compromised and/or performance may be affected.
2. Place the reservoir in a holder on an IV pole, subthoracic to the patient, until ready for transfer to the ICU/CCU.
3. Using aseptic technique, carefully remove tubing from suction access ports (Figure 2, number 3 or Figure 3, number 3). Seal 3 of these ports with
sterile (0.6 cm [0.25 in] ID) occluding plugs.
4. Remove tubing (if applicable) or the universal cap from the nonfiltered prime port (Figure 2 or Figure 3, number 9).
5. Attach sterile 0.6 cm (0.25 in) ID tubing to form a shunt between the 1 remaining unplugged suction access port and the nonfiltered prime port
(Figure 2 or Figure 3, number 9).
6. Convert the 1.0 cm (0.39 in) ID outlet port to 0.3 cm (0.12 in) ID infusion tubing (Figure 2 or Figure 3, number 6) to permit connection to standard
intravenous tubing for reinfusion.
7. Attach sterile 0.6 cm (0.25 in) ID tubing and a sterile 0.6 x 1.0 cm (0.25 x 0.39 in) connector to a filtered prime port (Figure 2 or Figure 3,
number 1 or 2). Plug the unused port.
8. Attach the chest drainage blood tubing from the chest to the 0.6 x 1.0 cm (0.25 x 0.39 in) connector on the filtered prime port (Figure 2 or Figure 3,
number 1 or 2).
9. Using sterile tubing, connect the vent/vacuum port (Figure 2 or Figure 3, number 7) on the top of the unit to a vacuum source with approximately
11 mmHg to 15 mmHg of regulated vacuum.
Important: Use of a water seal device is recommended in all chest drainage cases.
8.3 Intensive care unit
This section applies to Model 1351 only.
1. Remove the device from the packaging carefully to ensure a sterile fluid pathway.
Warning: Ensure aseptic technique is used during all stages of setup and use of this device.
Warning: Before removing the device from the packaging, inspect the packaging and product for damage. If the packaging or product is damaged,
do not use as sterility of the device may have been compromised and/or performance may be affected.
2. Attach the cardiotomy reservoir holder to an IV pole and place the cardiotomy reservoir in the holder. Place the infusion pump (Figure 2, number 5 or
Figure 3, number 5) on an IV pole.
3. Adjust the level of the cardiotomy reservoir to a subthoracic level. Maintain the cardiotomy reservoir at a subthoracic level to facilitate chest tube
drainage.
4. Connect the chest tube drainage line (Figure 2 or Figure 3, number 8) to the chest drainage port.
5. Record the amount of drainage in the cardiotomy reservoir. Continually monitor drainage to determine the hourly drainage rate.
6. Using sterile tubing, connect the vent/vacuum port (Figure 2 or Figure 3, number 7) on the top of the unit to a vacuum source with approximately
11 mmHg to 15 mmHg of regulated vacuum.
7. Assure that all unused inlet ports on the cardiotomy reservoir are covered with airtight caps.
8. As soon as the cardiotomy reservoir contains 50 mL of chest tube drainage, set up and prime the infusion pump tubing per the standard procedure.
9. Monitor the hourly rate of drainage.
10. Refer to the infusion pump manufacturer's instructions for infusion of cellular fluids.
11. Autotransfuse drainage collected in the cardiotomy reservoir on an hourly basis after assessment of the hourly drainage rate and the hemodynamic
status of the patient.
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