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Instructions for use: Ikus - Berlin Heart

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2 General product in<strong>for</strong>mation<br />

2.1 Use in accordance with the intended applications<br />

2.2 Indications<br />

Use in accordance with the intended applications<br />

EXCOR is a ventricular assist device designed <strong>for</strong> human <strong>use</strong>. It can be <strong>use</strong>d <strong>for</strong><br />

univentricular (LVAD or RVAD) or biventricular support. Atrial or ventricular cannulation<br />

is possible.<br />

EXCOR must only be operated with EXCOR components (see page 88) and with<br />

observance of the indications, contraindications and instruction manual.<br />

EXCOR with <strong>Ikus</strong> is designed exclusively <strong>for</strong> stationary <strong>use</strong> in a clinic. In patients who<br />

show stable hemodynamic parameters and are supported by blood pumps of the sizes<br />

60 ml and/or 80 ml, <strong>Ikus</strong> can be replaced by EXCOR mobile driving system Excor.<br />

In doing so, the indications, contraindications and intended applications of EXCOR<br />

mobile driving system Excor must be observed.<br />

The EXCOR blood pumps and EXCOR cannulas are disposable products.<br />

Acute or chronic, conservatively uncontrollable cardiac insufficiency of different genesis<br />

in stages III or IV according to NYHA with an expected short-term to long-term support<br />

requirement.<br />

2.3 Contraindications<br />

• Signs of infection which do not correspond to a sepsis-like syndrome<br />

• Sepsis<br />

• Advanced multiorgan failure<br />

2.4 Possible objectives of the therapy<br />

Bridge-to-Transplant (BTT)<br />

In patients who are already listed <strong>for</strong> a transplant and <strong>for</strong> whom a conservative<br />

medication-based treatment is no longer possible, the system can bridge the waiting<br />

time until the transplant.<br />

Bridge-to-Recovery (BTR)<br />

By means of relief, the myocardium should be able to recover to the extent that the<br />

EXCOR VAD can be explanted after the individual treatment duration.<br />

Destination therapy (DT)<br />

In patients <strong>for</strong> whom a contraindication to transplant exists, a long-term, open-end<br />

mechanical circulatory support should be achieved.<br />

2.5 Manufacturer’s warranty<br />

• EXCOR blood pumps: Max. duration of <strong>use</strong>: 500 days; recommended duration of <strong>use</strong>:<br />

one year<br />

• EXCOR cannulas: With appropriate treatment, no time restriction<br />

• Batteries: six months<br />

• <strong>Ikus</strong>, with exception of the batteries: If the prescribed maintenance cycles are observed,<br />

two years<br />

The warranty is valid only when it is stored as prescribed and <strong>use</strong>d as directed, and when<br />

the packaging is intact. This applies in particular to all sterile packages as well as the<br />

aluminum-coated outer packaging of the blood pump.<br />

If an ambient temperature of 30 °C is exceeded in running operation, the maintenance<br />

interval is reduced to 3 months.<br />

1000002 Rev. 4.9.1 5

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