Instructions for use: Ikus - Berlin Heart
Instructions for use: Ikus - Berlin Heart
Instructions for use: Ikus - Berlin Heart
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10 Explantation<br />
10.1 Bridge-to-Transplant (BTT)<br />
Bridge-to-Transplant (BTT)<br />
Note<br />
• When planning and timing the transplantation, be aware that massive adhesions may<br />
exist in the transplant recipient.<br />
Removing the donor organ<br />
Recommendation<br />
• Leave a sufficiently long segment of the aorta and pulmonary artery on the donor organ<br />
so that it is possible to do without the sections applied through the cannula anastomosis.<br />
Switch off the <strong>Ikus</strong><br />
<strong>Instructions</strong><br />
1. Supply the patient via the HLM.<br />
2. In the monitoring program, select the option “Drive off”, then confirm with .<br />
3. Confirm the decision in the dialog window with or . The system stops operating<br />
immediately and writes an operating log.<br />
4. Pull the driving tube(s) out of the connector(s). To do so, grab the plug by the ribbed<br />
plug body and pull it out of the connector.<br />
5. Seal the driving tube connection sockets with seal plugs.<br />
6. Wait until the log has been prepared. When the message “Switch off drive at the key<br />
switch” appears, exit the monitoring program with , then confirm the decision in<br />
the dialog window with or .<br />
7. In the start menu, select “End” (), then switch off the laptop.<br />
8. When the batteries are completely charged (see below), switch off the <strong>Ikus</strong>. In addition,<br />
set the key switch to OFF [O].<br />
Warning!<br />
• The power switch (mains power switch) on the <strong>Ikus</strong> must always remain on ON/EIN -<br />
even when the <strong>Ikus</strong> is switched off! The only exception is battery mode: Be<strong>for</strong>e switching<br />
to battery mode, move the power switch (mains power switch) to the OFF/Aus [O]<br />
position. Immediately after restoring the power connection, move the power switch back<br />
to the ON/Ein [I] position.<br />
Caution!<br />
• Always follow the sequence described above. Always switch off the <strong>Ikus</strong> at the key switch.<br />
• Only switch off the <strong>Ikus</strong> when the batteries are completely charged. To do so, leave the<br />
<strong>Ikus</strong> switched on until all the yellow LEDs light up. Then switch off the <strong>Ikus</strong> at the key<br />
switch.<br />
Remove the VAD cannulas<br />
<strong>Instructions</strong><br />
1. Disconnect the cannulas.<br />
2. Disconnect the pump from the cannulas.<br />
3. Remove the cannulas. Stitch over the insertion sites on the atrium.<br />
The following steps correspond to those of a primary orthotopic transplantation.<br />
1000002 Rev. 4.9.1 61
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