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Chapter 9 Implantation - surgical procedure
9.10 Removing the de-airing needle
WARNING
When removing the de-airing needle, never pull on the de-airing tube,
but on the de-airing needle itself.
Before removing the de-airing needle, be sure that the de-airing tube is
secured to the de-airing needle. IMPORTANT: Once the de-airing
needle has been removed it cannot be re-inserted.
NOTICE
Do not remove the de-airing needle until all air is removed, the blood
pump is running, all parameters have been adjusted and the chest has
been closed. (see section 7.2.10: Checking the parameters when the
pump is started and adjusting them, page 103).
INSTRUCTION
1.
Cut the suture material between the
1
2
de-airing needle and the de-airing
nipple (see image 1 in Fig. 9-14,
page 130). IMPORTANT: Leave the
ligature around the de-airing nipple
(see image 2 in Fig. 9-14,
2.
Pull the de-airing needle out of the
de-airing nipple.
After the patient has been weaned from the CPB and the proper function of the
EXCOR is established, the connections of the driving tubes and cannulae to the blood
pump(s) have to be secured.
9.11 Securing the connections
Fig. 9-14
Removing the de-airing needle
WARNING
All connections have to be secured by at least 1 cable tie. 2 cable ties
may be used. Exception: connection between drive line and drive line
connector of the blood pump: 1 cable tie only!
INSTRUCTION
1.
Pick up the Tube connecting set.
2.
Secure the following connections:
•
inflow cannula on the connector of pump / cannula extension set / connect
ing set
•
outflow cannula on the connector of pump / cannula extension set / con
necting set
•
cannula extension set / connecting set on the connector of the pump
•
drive line on the drive line connector (1 cable tie only!)
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Summary of Contents for EXCOR Pediatric VAD
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