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Instructions for use: Ikus - Berlin Heart

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8.4.2 Anastomosing the outflow cannula(s)<br />

Aorta<br />

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

Anastomosis of the aortal cannula<br />

Pulmonary artery<br />

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

Cannulation of the pulmonary artery<br />

8.5 If necessary: Shorten the cannulas<br />

If necessary: Shorten the cannulas<br />

1. Clamp off the aorta ascendens tangentially and open it<br />

longitudinally in a stretch appropriate to the cannula<br />

diameter. Stagger the incision up to 45° dextrolaterally.<br />

2. Anastomize the cannula with ten Teflon-backed,<br />

double-rein<strong>for</strong>ced individual U-sutures (monofilament<br />

threads, e.g. 4-0 EB) (alternatively with a continuous<br />

suture).<br />

3. De-air the cannula and close it underneath the<br />

anastomosis with a tube clamp.<br />

1. Open the pulmonary artery longitudinally in a stretch<br />

appropriate to the cannula diameter.<br />

2. Anastomize the cannula with ten Teflon-backed,<br />

double-rein<strong>for</strong>ced individual U-sutures<br />

(monofilament threads, e.g. 4-0 EB) (in clear<br />

conditions, alternatively with a circulating suture).<br />

3. De-air the cannula and close it underneath the<br />

anastomosis with a tube clamp.<br />

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

1. Cut the cannula to the desired length. Cut perpendicular to the cannula axis and ensure<br />

a straight cut.<br />

2. Ensure that the length of both cannulas corresponds: The cannulas must be connected<br />

to the pump without tension.<br />

Recommendation<br />

• To shorten the cannulas, <strong>use</strong> the cutting tool available from <strong>Berlin</strong> <strong>Heart</strong> GmbH<br />

(see page 88).<br />

1000002 Rev. 4.9.1 49

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