5.13
Impella
®
RP with the Automated Impella
®
Controller
USE OF THE REPOSITIONING SHEATH AND THE 23 FR
PEEL-AWAY INTRODUCER
1.
Flush the sidearm of the repositioning sheath located on the catheter shaft.
2.
Attach a stopcock and flush the repositioning sheath prior to advancing the sheath.
3.
Apply manual pressure above the puncture site and remove the 23 Fr peel-away
introducer completely from the vein over the catheter shaft.
4.
Grasp the two wings and bend back until the valve assembly comes apart. To do this,
first stretch then snap the flexible valve mechanism that temporarily holds the two
wings together. Continue to peel the two wings until the introducer is completely
separated from the catheter shaft.
5.
Place two dead-end caps on the repositioning sheath stopcock to prevent further
usage. The sideport should not be used to give medication or draw blood because the
blood could potentially clot. Pressure bags should not be connected to the sideport
of the repositioning sheath. If a pressure bag is connected, the sideport must have an
infusion pump or flow limiting valve in place to control the amount of fluid administered
to the patient.
6.
Slide the repositioning sheath over the catheter shaft and advance it into the femoral
vein to the yellow eyelet.
7.
Make sure there is no bleeding at the transition from the repositioning sheath to the
femoral vein. Close and dress the wound.
8.
Secure the yellow section of the repositioning sheath by suturing it to the skin using the
provided eyelet.
9.
Attach the anticontamination sleeve to the yellow section of the repositioning sheath.
Lock the anchoring ring in place by turning it clockwise. Secure the catheter shaft in
place by tightening the connected anchoring ring.
10.
Carefully extend the anticontamination sleeve to maximum length and secure the end
closest to the blue Impella plug by tightening the anchoring ring.
11.
Reposition the catheter as necessary.
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