Instructions for use: Ikus - Berlin Heart
Instructions for use: Ikus - Berlin Heart
Instructions for use: Ikus - Berlin Heart
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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