Abiomed Impella 2.5 Manual Del Usuario página 7

Component Description
The Impella CP
arterial access for the Impella CP Catheter.
It contains:
• 14 Fr x 13 cm peel-away introducer—
with hemostatic valve for tight fit around
components and single-step "break-away"
configuration
• 8 Fr, 10 Fr, 12 Fr, and 14 Fr dilators —easy
to insert and remove with soft design for
atraumatic approach into femoral artery
• 0.035 inch stiff access guidewire
The 0.018 inch, 260 cm placement guidewire
is used for the placement of the catheter. The
guidewire has a radiopaque, shapable tip.
These alternative guidewires have been tested
and approved for use with the Impella System:
Boston Scientific Platinum Plus™ ST 0.018 in,
and Boston Scientific V-18 Control Wire™ ST
0.018 in.
Hospital Provided:
Glucose solution (typically 5% glucose in water
with 50 IU/mL of heparin) is used as the purge
fluid through the Impella Catheter.
The Automated Impella Controller cart holds
the Automated Impella Controller. The cart
has wheels for easy transport of the controller
and a storage basket. (For more information,
including assembly instructions, refer to the
Automated Impella Controller cart instructions
for use.)
PRE-SUPPORT EVALUATION
Before initiating the procedure, evaluate the patient for factors that
may prevent successful placement of the Impella Catheter. Use imaging
technology to examine the patient's vasculature and femoral access site. An
echo assessment of the left ventricle is also recommended to rule out left
ventricular thrombus, mechanical aortic valves, or severe aortic insufficiency.
If the patient has a tortuous iliac artery, consider using the 25cm sheath
for insertion which is available separately. The Impella Catheter can also be
inserted surgically.
Impella 2.5 ® and Impella CP ®
introducer kit is used to gain
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Circulatory Support Systems
STARTUP
SUPPLIES NEEDED
• Automated Impella Controller
• Impella Catheter Set-up and Insertion kit
• Diagnostic catheter (AL1 or MP without side holes or pigtail with or
without side holes)
• 5–8 Fr introducer (and 10 Fr dilator for the Impella 2.5
• Standard 0.035" x 175 cm J-tip guidewire
• Standard IV infusion set
• Normal saline flush solution with pressure bag
• 500 cc bag of glucose solution for purge solution (5% recommended;
5% to 20% acceptable) with 50 IU heparin/mL
Note: If the purge solution is supplied in bottles, open the vent on the
purge fluid spike and follow the same procedure as if supplied in bags.
CASE START
If you miss a step in the process of setting up the Impella Catheter, or if
you exceed the amount of time allowed to complete a step, the Automated
Impella Controller will display additional instruction screens for continuing
the setup process for some steps.
For the steps discussed below, all shaded steps require sterile technique.
CASE START
1. Press the START NEW CASE soft button from the startup screen
or plug in a new Impella Catheter. "Case Start" can also be selected
by pressing the MENU soft key.
2. The controller displays the screen shown above.
INSERT PURGE CASSETTE
1.
Open the purge cassette package onto the sterile field.
2. Secure the red and yellow luers on the purge tubing to the sterile field.
3.
Pass the purge cassette and spike off the sterile field.
4. Spike the glucose bag/bottle.
5. Press the NEXT soft button to continue.
6. Open the purge cassette door by pressing the release on the left
side of the controller. Insert the purge cassette into the Automated
Impella Controller
7.
Insert the purge cassette into the compartment on the front of the
controller. Follow the diagram on the inside of the purge cassette
door for proper placement.
Catheter)
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