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Instructions for use: Ikus - Berlin Heart

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INSTRUCTION<br />

The sequence of anastomosis and tunneling will change depending on the type of<br />

cannula. See section 8.2 ff. of the instructions <strong>for</strong> <strong>use</strong>.<br />

Fig. 13 Handling the cannula tunneling tip<br />

Tunneling cannula with the aid of a tube clamp<br />

WARNING<br />

INSTRUCTION<br />

WARNING<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 />

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

Using the connecting set<br />

8 Surgery<br />

1. Firmly slide the cannula tunneling tip onto the end of the cannula.<br />

2. Advance the dressing <strong>for</strong>ceps through the subcostal incision and the cannula<br />

tunnel into the mediastinum until the end of the cannula tunneling tip can be<br />

gripped.<br />

3. Use the dressing <strong>for</strong>ceps to firmly grip the flat end of the cannula tunneling tip,<br />

pull it through the cannula tunnel and the incision and position it.<br />

4. Pull the cannula tunneling tip carefully out from the cannula. In doing so, slighly<br />

bend the cannula tunneling tip to and fro.<br />

1. Attach tube clamps at the distal end of the cannula.<br />

2. Pull the cannula through the transcutaneous exit site.<br />

3. Cut of and dispose of the clamped cannula section.<br />

Changes:<br />

• The chapter has been supplemented.<br />

1 Dressing <strong>for</strong>ceps<br />

2 Cannula tunneling tip<br />

3 Cannula<br />

Secure each of the connections with 1 cable tie. Otherwise the<br />

connections may loosen and the patient may lose blood as a result.<br />

1000095x14 Rev. 8 15/28

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