Berlin Heart EXCOR Pediatric VAD, Manual, Page: 127 / 250

Chapter 9 Implantation - surgical procedure
9.2 Use of the cannula tunneling tip
The cannula tunneling tip is a sterile disposable product and is supplied with each
cannula. Sizes available: see section Fig. 9-3: Available sizes of cannula tunneling
tips, page 117. Staged cannulae are supplied with 2 different tunneling tips.
INSTRUCTION
1. Push the cannula tunneling tip firmly into the distal end of the cannula.
2. Advance the forceps through the subcostal incision and the cannula tunnel
into the mediastinum, so that the cannula tunneling tip can be gripped.
3. Use the forceps to firmly grip the flat end piece, pull it through the cannula tun­
nel and the skin incision and position it.
4. Carefully remove the tunneling tip from the cannula by bending it back and
forth.
Refer to the respective cannula type as described in section 9.3: Cannulae, cannula
extension set and connecting set, page 117 to section 9.7: Arterial cannula(e),
page 126 of the instruction for use to determine the sequence of cannulae
anastomosis and tunneling.
12 mm 9 mm 6 mm
Fig. 9-3 Available sizes of cannula tunneling tips
1
1
2
1
2
3 Dressing forceps
Cannula tunnelling tip
Cannula
3
Fig. 9-4 Use of cannula tunneling tip
9.3 Cannulae, cannula extension set and connecting set
To avoid damages of cannulae careful attention should be paid to the following safety
precautions.
The use of the cannula extension set / of the connecting set involves further safety
precautions. See section 9.3.2: Instructions for Use: Cannula extension set and
connecting set, page 119.
WARNING
The Cannula Tunneling Tip (provided with each cannula) should be
used during implantation of the EXCOR system.
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