Abiomed Impella 5.0 Manual Del Usuario página 6

ACCESSORIES
Component
4
Description
The white connector cable connects the
Impella 5.0 Catheter to the Automated
®
Impella Controller. Clips on the cable are
used to secure the purge tubing to the
cable.
• The socket at the black end of the cable
connects to the red Impella Catheter
plug.
• The white plug at the opposite end
of the cable is inserted into the blue
catheter plug on the front of the
Automated Impella Controller.
The silicone plugs may be attached to the
shaft of the Impella 5.0 Catheter to aid in
inserting the catheter.
The 0.018 inch, 260 cm guidewire is
used for the placement of the Impella 5.0
Catheter only.
The Impella Axillary Insertion kit facilitates
placement of the Impella 2.5,
5.0, or Impella CP Catheter via the
®
axillary artery. It contains a 23 Fr diameter
x 6 cm length peel-away introducer and
two (2) graft locks used to attach a graft
onto the introducer. (Note: Only one
graft lock is required when used with the
recommended Hemashield Platinum graft;
a back-up is provided.) The kit is packaged
with an 8 Fr silicone-coated lubrication
dilator. It is recommended to be used in
conjunction with a 10 mm diameter x 20
cm length Hemashield Platinum graft.
Hospital Provided:
Dextrose solution (typically 5% glucose in
water with 50 IU/mL of heparin) is used
as the purge fluid through the Impella 5.0
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.)
STARTUP
SUPPLIES NEEDED
• Automated Impella Controller
• Impella 5.0 Catheter and accessories
®
• Diagnostic catheter (AL1 or MP without side holes or pigtail without
side holes)
• 500 cc bag of glucose solution in water for purge solution (5%
recommended; 5% to 20% acceptable) with 50 IU heparin/mL
• 10 mm x 20 cm Dacron vascular graft (if using Axillary Insertion kit;
Hemashield Platinum graft recommended)
• 8 mm x 20 cm Dacron vascular graft (optional for femoral insertion of
Impella 5.0)
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 below.
INSERT PURGE CASSETTE
1.
Open the purge cassette package onto the sterile field.
2. If included, remove and discard the Y connector. Secure the yellow
luer connector 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 molded compartment on the front of
the controller. Follow the diagram on the inside of the purge cassette
door for proper placement.
8.
Slide the purge disc into the slot to the right of the purge cassette
until it snaps into place. The controller will automatically begin
priming the purge cassette.
Note: The instructions for inserting the purge disc appear if the disc is
not snapped into place within 3 seconds of inserting the purge disc.
User Manual