Abiomed Impella Manuel D'utilisation page 12

Alarm Messages - continued
Severity Alarm Header
Purge Pressure Low
Purge Pressure Low
(when Flight Mode enabled)
Purge System Blocked
Purge System Failure
Purge System Failure
(when Flight Mode enabled)
Purge System Open
Purge System Open
(when Flight Mode enabled)
Retrograde Flow
Battery Comm. Failure
Battery Level Low
Battery Temperature
High
Complete Procedure
Controller Error
Defective Purge
Cassette
Impella Catheter Not
Supported
Impella Defective
Impella Flow Low
Impella Outflow
Blocked
Impella Position Wrong
Impella Stopped
Controller Failure
Placement Signal Not
Reliable
(Impella 2.5 and Impella CP)
12
Action
1. Check purge system tubing for leaks.
2. Increase concentration of dextrose in the purge solution.
3. Press the Purge Menu soft key then select Change
Cassette and Bag.
1. Check the purge system tubing for leaks.
2. Upon arrival at receiving hospital, notify managing team to
address alarm condition once Flight Mode is disabled.
1. Check all purge system tubing for kinks or blockages.
2. Decrease concentration of dextrose in the purge solution.
1. Replace Purge Cassette. Press the Purge Menu soft key,
then select Change Cassette and Bag.
2. Switch to backup controller.
Upon arrival at receiving hospital, notify managing team to
address alarm condition once Flight Mode is disabled.
1. Check the purge system tubing for open connections or
leaks.
2. Press the Purge Menu soft key then select Change
Cassette and Bag.
1. Check the purge system tubing for open connections or
leaks.
2. Upon arrival at receiving hospital, notify managing team to
address alarm condition once Flight Mode is disabled.
Check for high afterload pressure.
Plug controller into AC power.
Plug controller into AC power.
1. Check controller for blocked air vents.
2. Switch to backup controller.
1. Follow the steps on the screen or
2. Exit the procedure
Switch to backup controller.
Replace Purge Cassette. Press the Purge Menu soft key,
then select Change Cassette and Bag.
1. Replace Impella with supported catheter.
2. Contact Abiomed Service to upgrade Impella Controller.
Do not use Impella. Replace Impella.
1. Check for suction.
2. Check for high afterload pressure.
1. Confirm Impella position with imaging.
2. Pull Impella back 2 cm.
1. Confirm Impella position with imaging.
2. Pull Impella back 2 cm.
Attempting to restart catheter.
Locate backup controller.
Placement Monitoring and Suction are suspended.
1. Monitor patient hemodynamics.
2. Monitor Impella position with imaging.
3. Check the patient cable for kinks.
Cause
Purge pressure has dropped below 300 mmHg with
the purge flow ≥30 mL/hr for 30 seconds or longer.
Purge pressure has dropped below 300 mmHg with
the purge flow ≥30 mL/hr for 30 seconds or longer.
Purge flow has dropped below 1 mL/hr.
Kinked or blocked purge connecting tube.
Kinked or blocked purge lumen in Impella Catheter.
There is a problem with the purge cassette or purge
unit driver.
There is a problem with the purge cassette or purge
unit driver.
Purge pressure has dropped below 100 mmHg for
20 seconds or longer.
Purge pressure has dropped below 100 mmHg for
20 seconds or longer.
Retrograde flow detected at high motor speed.
Loss of communication to the battery.
Battery has 50% remaining capacity.
Battery temperature is greater than 50°C and less
than or equal to 60°C.
User has not responded to a de-air or purge
procedure screen for more than 1 minute or a
transfer to standard configuration screen for more
than 5 minutes.
There is a problem with the controller electronics.
There is a problem with the purge cassette
hardware.
The Impella Catheter is not supported to operate
with the current version of controller software and/
or hardware.
There is a problem with the Impella Catheter
electronics.
While Auto Mode is enabled, avg. flow is:
• <1.0 L/min. for Impella 2.5
• <2.5 L/min for Impella CP or Impella CP with
SmartAssist for more than 10 seconds.
Flow to Impella Catheter outlet area obstructed.
Controller has detected that the Impella Catheter is
in the wrong position, with the outlet area too close
to the aortic valve.
Impella Catheter has stopped and controller is
attempting to automatically restart the catheter.
There is a problem with the Impella Catheter sensor
signal.
User Manual