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Abiomed Impella RP Manuals
Manuals and User Guides for Abiomed Impella RP. We have
1
Abiomed Impella RP manual available for free PDF download: Instructions For Use & Clinical Reference Manual
Abiomed Impella RP Instructions For Use & Clinical Reference Manual (97 pages)
with the Automated Impella Controller Circulatory Support System
Brand:
Abiomed
| Category:
Medical Equipment
| Size: 6 MB
Table of Contents
Table of Contents
4
Instructions for Use
1
Introduction
6
1 Indications, Contraindications, and Potential Adverse Events
7
Indications (United States)
8
Contraindications (United States)
8
Potential Adverse Events (United States)
9
2 Warnings and Cautions
10
Warnings
11
Cautions
13
3 The Impella® Rp Catheter and Automated Impella® Controller
15
Overview
16
Figure 3.1 Impella RP Catheter in the Heart
16
RP Catheter and Automated Impella
16
Controller
16
Impella® RP Catheter
17
Reusable System Components
17
Single-Use System Components
17
System Configuration
17
Impella ® Rp Catheter
18
Differential Pressure Sensor
19
Automated Impella Controller
20
Figure 3.4 Automated Impella Controller - Front View
20
Purge Cassette
21
Figure 3.5 Purge Cassette
21
Table 3.2 Purge Cassette Components
22
Accessories
23
Figure 3.6 White Connector Cable
23
Figure 3.7 Introducer Kit
23
Figure 3.8 0.025 Inch, 260 CM Placement Guidewire
23
Figure 3.9 Dextrose Solution
24
Figure 3.10 Automated Impella Controller Cart
24
4 Using the Automated Impella ® Controller
25
4 Using the Automated Impella Controller
25
Overview
26
Automated Impella ® Controller Features
26
Controller Features – Front View
26
Figure 4.2 Automated Impella ® Controller Features - Side Views
28
Automated Impella ® Controller Display
30
Figure 4.3 Automated Impella ® Controller Display Elements
30
Placement Screen
33
Figure 4.4 Placement Screen
33
Placement Signal Waveform
33
Purge Screen
34
Figure 4.5 Purge Screen
34
Motor Current Waveform
34
Infusion History
35
Purge Flow
35
Purge Pressure
35
Mobile Operation
36
Figure 4.6 Infusion History Screen
36
Rp Catheter®
37
5 Using the Automated Impella Controller with the Impella Rp Catheter
37
Startup
38
Supplies Needed
38
Figure 5.1 Automated Impella ® Controller Power Switch
39
Turning on the Automated Impella ® Controller
39
Figure 5.2 Automated Impella ® Controller Startup Screen
40
The Startup Screen
40
Case Start
41
Figure 5.3 Initial Case Start Screen
41
Figure 5.4 Inserting the Purge Cassette into the Automated Impella Controller
42
Insert Purge Cassette
42
Connect the Connector Cable
43
Figure 5.5 Inserting the Catheter Plug into the Connector Cable
43
Figure 5.6 Snapping Plastic Clip to Connector Cable
43
Figure 5.7 Priming the Impella Purge Lumen
44
Figure 5.8 Connecting the Luer to the Impella RP Catheter
44
Enter Purge Fluid Data
45
Figure 5.9 Entering Purge Fluid Information
45
Figure 5.10 Connecting the Purge Tubing to the Connector Cable
46
Figure 5.11 Impella RP System Configuration
46
Impella ® RP System Configuration
46
Secure the Purge Tubing
46
Inserting the Impella RP Catheter
47
Inserting the Impella ® Rp Catheter
47
Positioning and Starting the Impella ® Rp Catheter
49
RP Catheter
49
Figure 5.12 Maximum Performance Level
49
Use of the Repositioning Sheath and the 23 Fr Peel-Away Introducer
50
Performance Levels
51
Suction
51
Purge Cassette Procedures
52
Figure 5.13 Disconnecting the y Connector from the Purge Cassette Tubing
52
Change Purge System
52
Change Purge Fluid
53
Change Purge Cassette
54
De-Air Purge System
54
Troubleshooting the Purge System
55
Low Purge Pressure
55
Purge System Open
56
High Purge Pressure
56
Purge System Blocked
56
Patient Weaning
57
Removing the Impella RP Catheter
57
6 Clinical Experience
58
Pivotal Clinical Study Design - RECOVER RIGHT
59
Inclusion and Exclusion Criteria
59
Accountability of Cohort
61
Figure 6.1 Study Flow Schematic
61
Statistical Considerations
61
Study Organization
61
Study Population Demographics and Baseline Characteristics
62
Procedural, Support and Hemodynamic Characteristics
63
Primary Endpoint Results
65
Secondary Effectiveness Endpoint Results
65
Secondary Safety Endpoint Results
65
Figure 6.3 LVAD Flow Changes from Baseline to On-Support
66
Figure 6.4 Use of Inotropes During Impella RP Support
67
Other Relevant Clinical Findings
67
Figure 6.5 Right Ventricular Function Changes
68
Trial Conclusions
68
7 Automated Impella® Controller Alarms
70
7 Automated Impella Controller Alarms
70
Alarms Overview
71
Alarm Levels
71
Figure 7.1 Alarm Window
72
Alarm Display
72
Mute Alarm Function
72
Alarm Message Summary
73
8 General System Information
77
Terminology, Abbreviations, and Symbols
78
Symbols
78
Terminology and Abbreviations
78
Automated Impella® Controller Electrical Specifications
80
Automated Impella® Controller Mechanical Specifications
80
Equipment Design
81
Equipment Classifications
82
Federal Communications Commission (FCC) Notice
82
Electromagnetic Compatibility
83
Transport between Hospitals
87
Guidelines for Patient Transport
87
Important Transport Considerations
87
Slave Monitor Connection
88
FAA Advisory
88
Transport Within the Hospital
88
Alarm Delay Information
89
Figure 8.1 Automated Impella ® Controller Patient Environment
89
Patient Environment
89
Impella® Rp Catheter Parameters
90
White Connector Cable
90
Cleaning
91
Returning an Impella® Rp Catheter to Abiomed (United States)
91
Storing the Automated Impella Controller
91
Appendices
92
Appendix A: Automated Impella Controller Menu Structure
93
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