Abiomed Impella Manuel D'utilisation page 14

Alarm Messages, continued
Severity Alarm Header
Purge Volume Low
Surgical Mode Enabled
Transfer to Standard
Configuration
( Impella 2.5 and Impella CP)
Optical Sensor Not
Supported (Impella CP with
SmartAssist and Impella 5.5 with
SmartAssist)
Unexpected Controller
Shutdown
PURGE CASSETTE PROCEDURES
There are three procedures for maintaining the Impella Catheter purge
system:
• Change Cassette & Bag
• Change Purge Fluid Bag
• De-Air Purge System
Each procedure can be accessed using the PURGE MENU soft button. The
purge cassette procedures are discussed below.
CHANGE CASSETTE & BAG
The Purge Cassette may need to be replaced for extended use of the
Impella system.
Perform the following steps to change both the Purge Cassette and Purge
Fluid:
1.
Press PURGE MENU and select "Change Cassette & Bag" from
the menu.
2.
Select START to begin the cassette and fluid change process.
14
Action
1. Press the PURGE MENU soft key then select
Change Purge Fluid Bag.
2. Follow the instructions to change the purge fluid.
Impella pump stopped. Purge system running.
'Impella Stopped' alarm disabled.
To exit this mode start Impella pump.
Press the PURGE MENU soft key, then select
Transfer to Standard Configuration.
Placement and Suction Monitoring are Not Available.
1. Monitor Impella position with imaging.
2. Switch to Controller which supports optical
pressure sensor.
Switch to backup controller if condition persists.
3.
4.
5.
6.
7.
8.
9.
CHANGE PURGE FLUID BAG
Perform the following steps to change only the purge fluid.
1.
2.
3.
4.
Cause
There are 30 mL (in addition to 5% of the starting bag
volume) or fewer remaining in the purge fluid bag.
Surgical Mode has been enabled to silence "Impella
Stopped" alarm at P-0.
Follow instructions or press MUTE ALARM to clear
the alarm for 30 minutes.
The optical sensor is not supported with the current
version of the controller hardware.
The pump will still operate without placement or
suction monitoring.
Unexpected restart of controller due to software of
hardware failures.
When prompted by the controller, disconnect the luer from the
Impella catheter.
Note on Connecting Purge Tubing to the Catheter:
If included, remove and discard the y-connector and connect the
yellow luer on the purge tubing directly to the yellow check valve
on the Impella Catheter.
Open the Purge Cassette door by pressing the button on the left
side of the console. Remove and discard the old cassette and purge
fluid bag.
Open the new Purge Cassette. Spike the new purge fluid bag with
the new purge cassette tubing. Select NEXT to continue.
Insert the new purge cassette into the controller. Be sure to slide
the purge disc into place and extend the purge tubing through the
gap in the purge cassette door when you close the door.
Confirm the luer is disconnected. Press NEXT to proceed to prime
the purge cassette.
Update the purge fluid information.
a. To select the default purge fluid values displayed on the screen,
select CONFIRM.
b. To change the purge fluid information, select EDIT. Then use
the soft keys to navigate selections and edit values. Select
DONE to complete editing.
When Steps 1 through 8 are complete, connect the luer from the
new purge cassette to the Impella catheter.
Note on Purge Solution Bottles:
If the purge solution is supplied in bottles, open the vent on the
purge fluid spike and follow the same procedure as if supplied in
bags.
Press PURGE MENU and select "Change Purge Fluid Bag."
Select START to begin the purge fluid change process.
When prompted by the controller, remove the old purge bag
and replace by spiking the new purge fluid bag. Select NEXT to
advance to the next step.
Update the purge fluid information.
a. To select the default purge fluid values displayed on the screen,
select CONFIRM.
b. To change the purge fluid information, select EDIT. Then use
the soft keys to navigate selections and edit values. Select
DONE to complete editing.
User Manual