Instructions for use: Ikus - Berlin Heart

More documents

Recommendations

Info

Standard form: Blood pump replacement Appendix 13.8 Standard form: Blood pump replacement Warning! • Replace the pump under sterile conditions! • When connecting the blood pump(s), pay attention to the arrows on the inflow and outflow stubs. These show the blood flow direction. • If the left blood pump is replaced in biventricular mode, the right pump must also be stopped for the duration of the replacement to prevent overloading of the pulmonary circulation (risk of pulmonary edema). Cautionary measure • Sedate your patient slightly and administer a heparin bolus. Material • 1 Blood pump of appropriate type and size • 1 driving tube (red or blue) • 1 accessory set (for blood pumps with PU valves or tilting-disk valves) • 1 tube attachment set from accessory set (cable tie strap, cable tie pliers) • or connecting set (may be necessary if the replacement pump has a larger volume than the pump to be replaced) What OK Prepare the replacement pump: Bring the membrane into the end diastolic position, situate the de-airing needle, rinse and fill the pump with sterile saline solution. Fit the new driving tube onto the driving tube connector of the pump. Lay out the pump. The titanium connectors face upward. Lay out the pump. The titanium connectors face upward. Bring the patient into the Trendelenburg position. Carefully cut through the cable tie strap on the inflow and outflow cannula of the faulty pump. Immediately check the cannulas for integrity. If necessary, log on to the monitoring program: Enter the user number and password, then confirm with . In the monitoring program, select the option “Drive pause”, then confirm with . Confirm the decision in the dialog window with or . The Ikus stops. As soon as the pump has stopped, disconnect the cannulas underneath the faulty pump and slide them off the pump. Check the cannulas for deposits. If necessary, remove the deposits carefully. Pull the driving tube of the faulty pump out of the connector. To do so, grab the plug by the ribbed plug body and pull it out of the connector. Close the connector on the Ikus that has become free with the seal plug. Moisten the free cannula ends with sterile saline solution. Ensure that they are absolutely free of air. Connect the prepared replacement pump to the cannulas. The view “Operating mode” appears in the monitoring program. Select Univentricular or biventricular, then confirm the desired operating mode with . In biventricular mode, the view “Pump size and singlestep mode” follows. In univentricular mode, the connector seal test follows first, ad then the view “Pump size and single-step mode”. If the backup pump is larger than the pump to be replaced: Adjust the parameter pump size! Pull the seal plug out of the connector. When replacing the left pump: red marked connector; when replacing the right pump: blue marked connector! Insert the plug of the new driving tube into the connector that has become free. The plug snaps audibly into place. Check that the plug is firmly seated. To do so, pull the plug above the ribbed plug body. Never pull on the tube! Loosen the tube clamps on the cannulas. In the monitoring program, move the cursor to the single-step mode field. Confirm “Step left” or “Step right” with to trigger a single-step. With , trigger additional individual steps until the pump is completely de-aired. If the pump is completely de-aired: Remove the de-airing needle. When replacing the left pump: In the monitoring program, move the cursor to “Step right”, then confirm with . Move the cursor to OK, then confirm with . The system restarts with the set parameters. Observe the pump filling. If necessary, adjust the parameters. Secure all the connections with cable tie straps. 98 1000002 Rev. 4.9.1
13.9 Additional information: Laptop Panasonic CF29 Additional information: Laptop Panasonic CF29 Warning! • The laptop is supplied without an internal battery and must not be upgraded under any circumstances. The laptop is ready to use as soon as the Ikus is switched on at the main switch. If the Ikus main switch is switched off, the laptop also cannot be operated further. Please always adhere to the following procedure: • Switching on: Always switch on the Ikus at the key switch first before switching on the laptop. • Switching off: Always shut down the laptop first before switching off the Ikus at the key switch. If you do not do this, data loss may occur in the .log file. The .log file is important for service. 1000002 Rev. 4.9.1 99
Page 1:
EXCOR ® VAD with Stationary Drivin
Page 4 and 5:
ii 1000002 Rev. 4.9.1
Page 6 and 7:
4.6.4 Battery mode.................
Page 8 and 9:
9.1.1 Example: Anticoagulation ther
Page 10 and 11:
13.3.2 Ikus: connection panel .....
Page 12 and 13:
INDEX Driving units 88 DT, Destinat
Page 14 and 15:
INDEX System has reached maximum ca
Page 16 and 17:
2 1000002 Rev. 4.9.1
Page 18 and 19:
Risks and adverse effects Important
Page 20 and 21:
Operator obligations General produc
Page 22 and 23:
Disposal General product informatio
Page 24 and 25:
EXCOR cannulas Description: Blood p
Page 26 and 27:
EXCOR accessories Description: Bloo
Page 28 and 29:
Displays and operating elements Des
Page 30 and 31:
Operating modes Description: Statio
Page 32 and 33:
Safety Description: Stationary Driv
Page 34 and 35:
Start menu Instructions for use: Ik
Page 36 and 37:
Fundamentals of the monitoring prog
Page 38 and 39:
Stop the blood pumps, switch off th
Page 40 and 41:
Switching between mains power and b
Page 42 and 43:
Routine start test in the event of
Page 44 and 45:
Packaging and transport Instruction
Page 46 and 47:
Preparations outside of the operati
Page 48 and 49:
Intraoperative drive management Sta
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Postoperative drive management Star
Page 56 and 57:
Pump with PU valve Implantation: Pr
Page 58 and 59:
De-air the pump Implantation: Prepa
Page 60 and 61:
Apex cannula(s) Implantation - Surg
Page 62 and 63: Outflow cannula(s) Implantation - S
Page 64 and 65: Connect the pumps to the cannulas I
Page 66 and 67: After the operation Implantation -
Page 68 and 69: Postoperative anticoagulation thera
Page 70 and 71: Antibiotic therapy Intensive care a
Page 72 and 73: Regular inspection of blood pump(s)
Page 74 and 75: Regular inspection of blood pump(s)
Page 76 and 77: Weaning (Bridge-to-Recovery, BTR) E
Page 78 and 79: Batteries discharged; battery mode
Page 80 and 81: Do not operate the driving unit wit
Page 82 and 83: FATAL: Battery failure! Inform Serv
Page 84 and 85: No internal communication Error mes
Page 86 and 87: System 3 is faulty Error messages a
Page 88 and 89: Error messages during the start tes
Page 90 and 91: Replace the blood pump(s) Detecting
Page 92 and 93: Restart the Ikus Detecting and elim
Page 94 and 95: Connect the patient to the replacem
Page 96 and 97: Failure of the power supply or both
Page 98 and 99: Battery fuse Detecting and eliminat
Page 100 and 101: Overview: Product range and combina
Page 102 and 103: Overview: Product range and combina
Page 104 and 105: Symbols Appendix Diastolic pressure
Page 106 and 107: EXCOR standard forms implantation r
Page 108 and 109: Standard form: EXCOR pump log Appen
Page 110 and 111: Standard form: EXCOR emergency log
Page 114 and 115: Additional information: Laptop Pana
Page 116 and 117: Electromagnetic immunity - Part 1 E
Page 118 and 119: Recommended protection distances EM
Page 120 and 121: Explanations About these instructio
Page 122 and 123: Table of contents First page.......
Page 124 and 125: Safety information 1 Important safe
Page 126 and 127: Warranty 2.5 Manufacturer's warrant
Page 128 and 129: � New transport crate 5.8 Packagi
Page 130 and 131: 8. Check that the manual pump is fi
Page 132 and 133: 17. Secure the latches with cable t
Page 134 and 135: Fig. 11 Recommended cannula exit si
Page 136 and 137: WARNING When using a connecting set
Page 138 and 139: Securing the connections 8.8 Securi
Page 140 and 141: If necessary: correct the settings
Page 142 and 143: Guidelines for anticoagulation ther
Page 144 and 145: Replacing the driveline 11.5.1 Repl
Page 146 and 147: Emergency pulse mode Changes: • T
Page 148: Discontinuation of the mandrin 13.1
show all

Instructions for use: Ikus - Berlin Heart

Create successful ePaper yourself

Delete template?

Save as template?