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Instructions for use: Ikus - Berlin Heart

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Fig. 11 Recommended cannula exit sites (e. g. BVAD with LV apex cannulation)<br />

Transcutaneous tunnel and cannula tunneling tip<br />

8 Surgery<br />

Changes:<br />

• The chapter has been supplemented.<br />

Cannula tunneling tip<br />

WARNING<br />

1 Aorta<br />

2 Pulmonary artery<br />

3 Right atrium<br />

4 Apex<br />

5 Median line<br />

6 Sternal line<br />

7 Parasternal line<br />

8 Medioclavicular line<br />

9 Possible transcutaneous tunnel <strong>for</strong><br />

LV apex cannulation (depending<br />

on the size of the patient's heart)<br />

Use the cannula tunneling tip in every possible case. If the cannula<br />

has to be tunneled with the aid of a tube clamp: proceed as described<br />

below. Otherwise the cannula may be damaged.<br />

The cannula tunneling tip is a sterile single-<strong>use</strong> product and is supplied with each<br />

cannula in the appropriate size. Exception: cannulae with � 5 mm. Cannula tunneling<br />

tips of both sizes are enclosed with staged cannulae.<br />

Fig. 12 Available sizes of the cannula tunneling tip<br />

1 16 mm<br />

2 12 mm<br />

3 9 mm<br />

4 6 mm<br />

14/28 1000095x14 Rev. 8<br />

1<br />

2<br />

3<br />

4

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