Berlin Heart EXCOR Pediatric VAD, Manual, Page: 131 / 250

Chapter 9 Implantation - surgical procedure
During implantation/ When replacing a blood pump
INSTRUCTION
1. Connect the cannula extensions (the connectors resp.) with the blood pump.
To do so, push the section of the cannula extension (the connector resp.) onto
the titanium connector of the blood pump. Prime the blood pump with the can­
nula extensions (with connectors resp.).
2. Connect the cannula extensions (the connectors resp.) with the cannulae. To
do so, push each cannula onto the titanium connectors of the cannula exten­
sion (of the connectors resp.) while flushing with sterile injectable saline solu­
tion.
3. Proceed according to context. See section 8.4: Moving the membrane to the
end-of-diastole position, page 112 and section 15.1: Replacing the blood
pump(s), page 195.
Without replacing a blood pump
INSTRUCTION
1. Push the free end of the cannula onto the titanium connector of the cannula
extension (of the connector resp.).
2. Flush the tube sections with sterile injectable saline solution.
3. Push the sections of tube, which are free of air, onto the titanium connectors of
the blood pump.
4. Proceed according to context. Act according to 15.1.2, page 196 and 15.1.3,
page 197 respectively but without replacing the blood pump.
Securing the connections
INSTRUCTION
1. Secure each connection between silicone tube and titanium connector with at
least 1 cable tie. See section 9.11: Securing the connections, page 130.
9.4 Access
INSTRUCTION
1. Median sternotomy. Make sure that there is absolutely no bleeding.
2. Insert standard cardiopulmonary bypass cannulae (bicaval cannulation).
3. Initiate extracorporeal circulation.
4. Place a vent in the left atrium, if necessary.
9.5 LV apex cannula
Refer to section 9.2: Use of the cannula tunneling tip, page 117.
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