Terumo CAPIOX EBS Circuit with X coating, Instructions For Use Manual

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heparinized saline
hen, remove the
gh the plastic
e wire to move.
ot to make mistake.
ned.
injection or sampling is required, pull out only the
guide wire and perform the required procedure by
using the dilator hub (Figure 7).
When only the cannula is indwelled,
forwarding the cannula may damage the
wall of the vessel. Special caution should
be taken for this.
17. Upon completing insertion of the arterial and venous
cannulas, connect the connector of the cannula to
the circuit for the extracorporeal circulation (Figure 8-
1, Figure 8-2) and remove bubbles remaining in the
connector from the circuit side by using a syringe.
¡Pay attention not to kink the cannula
and the circuit when they are
connected. Otherwise, blood flow will
not be secured and the cannula and the
circuit may be damaged.
¡Do not mistake the arterial line (pump
outlet) and the venous line (pump inlet),
when the arterial and venous cannulas
and the arterial and venous lines are
connected.
18. Confirm the position of the tip of the cannula by X-
ray, and fix the cannula to the skin so that it cannot
be moved or come off.
Pay attention not to kink the cannula
when it is fixed. Otherwise, blood flow
will not be secured and the cannula may
be damaged.
19. After opening the clamp of the venous line and the
forceps on the venous cannula (blue) (Figure 9-1-[1],
Figure 9-2-[1]), open the clamp of the arterial line and
the forceps on the arterial cannula (red) (Figure 9-1-
[2], Figure 9-2-[2]). Then start circulation by operating
at the circuit side (Figure 9-1, Figure 9-2). For
procedures and steps on extracorporeal circulation,
follow the instructions described in the Instructions
for Use of circuit.
In case that a centrifugal pump is used for
extracorporeal circulation, do not run it
with the venous line clamped. It results in
negative pressure inside of the pump,
which may produce bubbles in blood.
In case that a centrifugal pump is used for
extracorporeal circulation, do not
unclamp the forceps on the clamping
tube of the arterial cannula until an
adequate outlet pressure of the pump has
been reached. Otherwise, back flow of
the blood will occur due to the patient's
● While holding the cannula, slowly pull out the guide wire and the
dilator. When they are pulled out to the point of the clamping tube
of the cannula, clamp it with a forceps not to spill blood (Figure 7).
Caution
Do not perform the manipulation with a forceps at any other
parts than the clamping tube. Or, the cannula may be damaged.
Red label
Circuit side
Blue label
Tighten the
screw ring
tight.
Arterial line
Blue label
Venous line
Red label
Figure 8-1 Case of lock connector
Cannula side
Circuit side
Cut of the
connector
Red label
Arterial line
Red label
Blue label
Venous line
Blue label
Figure 8-2 Case of connection tube
Cannula side
Circuit side
Red label
Blue label
Open [2]
Open [1]
Arterial
cannula Venous
cannula
Figure 9-1 Case of lock connector
Cannula side
Circuit side
Red label Blue label
Open [2]
Open [1]
Arterial
cannula Venous
cannula
Figure 9-2 Case of connection tube
Cannula side
Guide wire
Cannula
Dilator
of connection tube
Dilator hub
of connection tube
Guide wire
(8Fr.)
Caution
Warning
Caution
Caution
Warning