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Instructions for use: Ikus - Berlin Heart

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EXCOR standard <strong>for</strong>ms implantation record<br />

Appendix<br />

Please add the lot numbers of the <strong>use</strong>d EXCOR ® components to this list, and fax or send a copy of it<br />

to the <strong>Berlin</strong> <strong>Heart</strong> GmbH immediately after implantation (fax: + 49 (0)30. 8187-2737).<br />

Hospital/City: Date of implantation:<br />

Item<br />

EXCOR Blood Pumps with PU valves<br />

Lot-No.: Article number<br />

10 ml in/out Ø 6 mm P10P-001<br />

25 ml in/out Ø 9 mm P25P-001<br />

30 ml in/out Ø 9 mm P30P-001<br />

50 ml in/out Ø 12 mm P50P-001<br />

60 ml in/out Ø 12 mm P60P-001<br />

80 ml in/out Ø 12 mm<br />

EXCOR Blood Pumps with Tilting-disk valves<br />

P80P-001<br />

50 ml in/out Ø 12 mm P50M-001<br />

60 ml in/out Ø 12 mm P60M-001<br />

80 ml in/out Ø 12 mm P80M-001<br />

80 ml out/in Ø 12 mm (in/out exchanged) P80M-005<br />

80 ml in/out Ø 16 mm P80M-003<br />

80 ml out/in Ø 16 mm (in/out exchanged)<br />

EXCOR Apex Cannulas<br />

P80M-004<br />

Ø 5/3 mm, L 17.5 cm (Apex cannula <strong>for</strong> newborns, staged) C10A-030<br />

Ø 5 mm, L 22 cm (Apex cannula <strong>for</strong> infants) C14A-040<br />

Ø 6 mm, L 25 cm (Apex cannula <strong>for</strong> small children) C18A-020<br />

Ø 12/9 mm, L 27 cm (Apex cannula <strong>for</strong> children, staged) C22A-004<br />

Ø 12 mm, L 20 cm (Apex cannula, Hancock-connector) C21A-001<br />

Ø 12 mm, L 26,5 cm (Apex cannula, one-piece) C27A-001<br />

Ø 16 mm, L 33 cm (Apex cannula)<br />

EXCOR Atrial Cannulas<br />

C41A-050<br />

Ø 5/3 mm, L 15 cm (Atrial cannula <strong>for</strong> newborns, staged) C10V-030<br />

Ø 5 mm, L 20 cm, head 15 mm (Atrial cannula <strong>for</strong> infants) C15V-040<br />

Ø 6 mm, L 25 cm, head 19 mm (Atrial cannula <strong>for</strong> small children) C19V-020<br />

Ø 12/9 mm, L 28 cm, head 22 mm (Atrial cannula <strong>for</strong> children, staged) C22V-004<br />

Ø 12/9 mm, L 28 cm, head 25 mm (Atrial cannula <strong>for</strong> children, staged) C25V-004<br />

Ø 12 mm, L 33 cm, head 22 mm C22V-002<br />

Ø 12 mm, L 33 cm, head 26 mm C26V-002<br />

Ø 12 mm, L 33 cm, head 30 mm C30V-002<br />

Ø 12 mm, L 33 cm (Transmitral cannula, one-piece)<br />

EXCOR Arterial Cannulas<br />

C90T-001<br />

Ø 5/3 mm, L 15 cm (Arterial cannula <strong>for</strong> newborns, staged) C80G-031<br />

Ø 5 mm, L 13 cm (Graft-adapter cannula <strong>for</strong> infants) C00P-021<br />

Ø 5 mm, L 20 cm (Arterial cannula <strong>for</strong> infants) C80G-040<br />

Ø 6 mm, L 25 cm (Aterial cannula <strong>for</strong> small children) C80G-021<br />

Ø 12/9 mm, L 26 cm (Graft-adapter cannula <strong>for</strong> children, staged) C00P-004<br />

Ø 12/9 mm, L 28 cm, 85° (Aterial cannula <strong>for</strong> children, staged) C85G-004<br />

Ø 12/9 mm, L 28 cm, 60° (Aterial cannula <strong>for</strong> children, staged) C60G-004<br />

Ø 12 mm, L 33 cm, 60° C60G-002<br />

Ø 12 mm, L 33 cm, 85° C85G-002<br />

Ø 12 mm, L 26 cm (Graft-adapter cannula) C00P-001<br />

Ø 16/12 mm, L 36 cm, 85° (Arterial cannula, staged) C85G-050<br />

Ø 16 mm, L 26 cm (Graft-adapter cannula)<br />

Accessories<br />

C00P-050<br />

Accessory set Tilting-disk valves T00L-001<br />

Accessory set PU-valves T00L-002<br />

Driving tube, red Ø 6/8 mm, L 2 m L20H-002<br />

Driving tube, blue Ø 6/8 mm, L 2 m<br />

Connecting set <strong>for</strong> Cannulas<br />

L20H-003<br />

Ø 6/9 mm A06-009<br />

Ø 9/12 mm A09-012<br />

Ø 12/16 mm A12-016<br />

92 1000002 Rev. 4.9.1

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