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Instructions for use: Ikus - Berlin Heart

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Preparing the components and materials<br />

7 Implantation: Preparation in the operating room<br />

7.1 Preparing the components and materials<br />

General<br />

• 500 ml sterile saline solution<br />

• 2 conical metal beakers<br />

• Disposable syringe 50 ml<br />

• Ligature (<strong>for</strong> de-airing nipples)<br />

• Shears<br />

• Towel clamp<br />

• Instruments and equipment as usual <strong>for</strong> open-heart surgery<br />

EXCOR components and accessories<br />

• Blood pump(s), each with a pump seal<br />

• One driving tube per blood pump<br />

• univentricular: Red driving tube<br />

• biventricular: One red driving tube and one blue driving tube<br />

• Inflow cannula(s) (atrial or apex cannula)<br />

• Outflow cannula(s)<br />

• Accessory set T00L-001 / T00L-002 (<strong>for</strong> blood pumps with tilting-disk valves / PU valves)<br />

• Pressure gauge set with pressure valve (T00L-001)/ membrane set (T00L-002)<br />

• De-airing set (2 x trocar, 2 x de-airing tube)<br />

• De-airing hammer<br />

• Tube attachment set (cable tie strap, cable tie pliers)<br />

Note<br />

• Selection of the blood pump(s): See“Overview: Ratio of body weight - pump size” on<br />

page 87.<br />

Recommendation<br />

• In addition, provide a sterile table to prepare the components.<br />

7.2 Unpacking the sterile components<br />

Warning!<br />

• Use only sterile components with intact sterile packaging (undamaged sterile package,<br />

unexpired <strong>use</strong>-by date)!<br />

• Only <strong>use</strong> blood pumps with intact aluminum-coated outer packaging.<br />

<strong>Instructions</strong><br />

1. Pump: Nonsterile person opens aluminum-coated outer packaging and removes<br />

double-sterile-packaged pump.<br />

2. Nonsterile person opens outer sterile package.<br />

3. Sterile person removes and opens inner sterile package and prepares components.<br />

7.3 Atrial cannulas with mandrin: Prepare the cannula<br />

Note<br />

• Atrial cannulas with mandrins are recommended <strong>for</strong> the cannulation of the left atrium.<br />

For the cannulation of the right atrium, a cannula with a mandrin is not required.<br />

1000002 Rev. 4.9.1 41

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