•
During circulation, always carefully monitor the patient
blood condition and the oxygenator gas exchange
performance. If gas exchange performance
deteriorates, temporarily raise the gas flow rate to
flush the inside of the fiber and try to recover
performance.
The gas flow rate for flushing is 20 L / min, the time is
10 seconds. If the performance does not recover
immediately, it is considered to be caused by plasma
leak. Therefore, replace this product with a new one
without repeating the flush. A phenomenon called
wet lung may occur when water condensation occurs
inside fibers of microporous membrane oxygenators
with blood flowing exterior to the fibers. This may
occur when oxygenators are used for a longer period
of time.
Termination of BYPASS
1.
At the termination of circulation, clamp the arterial line (red) by
forceps etc. taking care that no back flow occurs. After that, stop
the pump by adjusting pump speed to 0.
2.
Immediately after stopping the pump, stop gas supply.
・
Do not supply gas while the circulation stops. When
gas is supplied in case of recirculation, check blood
gas pressure.
Excessive gas supply may cause low PaCO2,
alkalosis and blood damage.
・
When stopping circulation, be sure to clamp the
outlet of the pump and then stop the motor. Do not
clamp the venous line (blue) first.
・
Do not operate the pump for a long time with
its
outlet clamped. The temperature within the
pump may rise and increase blood damage.
・
After-load pressure higher than the pump's
outlet
pressure causes back flow. While circulation is
terminated, clamp both the arterial line (red)
and the venous line (blue).
CAUTIONS
Summary of Contents for CAPIOX EBS Circuit with X coating
Page 1: ...CAPIOX Emergency Bypass System Instructions for use...
Page 4: ...CAPIOX EBS Circuit with X coating Instructions for use...
Page 8: ...Structure Structure...
Page 25: ...EBS and X coating are trademarks of TERUMO CORPORATION 2019 XX...
Page 26: ...CAPIOX EBS Cannula Kit with X coating Instructions for use...
Page 29: ...CAPIOX Centrifugal Pump Controller SP 200 Instructions for use...
Page 175: ...Memo 146...
Page 176: ...147 Memo...