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TransMedics OCS Two modes: Working mode Resting mode ‣ Unloaded- Resting mode (Retrograde fashion) PA → OCS → Ao → CA → CS → RA → PA ‣Loaded- Working mode (Antegrade fashion) PA → OCS → LA → LV → Ao → CA → CS → RA → PA
Equipments • Synthesis Hard Shell Venous Reservoir (open) ‐ Max cardiotomy flow rate 4LPM ‐ Max reservoir volume 4300 ml ‐ Min reservoir volume 300 ml ‐ integral pressure valve +5.3/‐175 mmHg ‐ 1 screen(40μm) & 2 depths filters ‐ Connections: venous return ½”, venous reservoir outlet‐oxyg. oxyg. Inlet‐ arterial outlet 3/8”.
Page 1 and 2: Case Report 10/08/2009 Case Reports
Page 3 and 4: Heart Failure • 5 million people
Page 5 and 6: TransMedics edcs OCS (Organ Care Sy
Page 7 and 8: OCS • Portable platform insures t
Page 9 and 10: TransMedics/ Perfusion Module LA/Ao
Page 11 and 12: Priming Solution 500 mL Mannitol 12
Page 13: TransMedics OCS/schematic diagram L
Page 17 and 18: Equipments (continue) • Capdiople
Page 19 and 20: Patient’s Information PMH ‐ NID
Page 21 and 22: Patient’s Information PPM/AICD LV
Page 23 and 24: • Allergies NKDA …Patient’s I
Page 25 and 26: Prime/Meds 1L RL, 1 L Hextend 12.
Page 27 and 28: Pre CPB… ‣ 300pm 3:00 pm. Pt ca
Page 29 and 30: Pre CPB… ‣ Pre‐op TEE: EF 25
Page 31 and 32: Pre CPB……
Page 33 and 34: On CPB… ‣ Harvest team in OR. H
Page 35 and 36: Video 2 Transmedics OCS
Page 37 and 38: Explanted LVAD (Thoratec heartmate
Page 39 and 40: ON CPB… ATH cardioplegia/adenosi
Page 41 and 42: PA Anastomosis Ao root vent Asc. Ao
Page 43 and 44: Weaning from CPB… ‣ Difficulty
Page 45 and 46: Drugs ON CPB… ‣ 80 mcg/cc of Ne
Page 47 and 48: Final Measurements/Comments Pump u
Page 49 and 50: POD # 1 Pt returned to OR & chest w
Page 51: •Quand on ne sait pas, on a peur
Page 54: THANK YOU…

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