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Abiomed Impella 2.5 User Manual

Abiomed Impella 2.5
211 pages
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Impella
®
2.5, 5.0, LD and Impella CP
®
INSTRUCTIONS FOR USE
& CLINICAL REFERENCE MANUAL
(United States only)
Impella Ventricular
Support Systems
for Use During Cardiogenic Shock

Table of Contents

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Abiomed Impella 2.5 Specifications

General IconGeneral
BrandAbiomed
ModelImpella 2.5
CategoryMedical Equipment
LanguageEnglish

Summary

1 INDICATIONS, CONTRAINDICATIONS, AND POTENTIAL ADVERSE EVENTS

Indications for Impella Systems

Details the approved uses for Impella 2.5, CP, 5.0, and LD catheters in the US.

Contraindications for Impella Systems

Lists conditions where Impella System use is contraindicated, including specific patient factors.

Potential Adverse Events

Lists potential adverse events associated with Impella System use.

2 WARNINGS AND CAUTIONS

Warnings

Alerts to situations that can cause death or serious injury during Impella System use.

Cautions

Indicates situations where equipment may malfunction, be damaged, or cease to operate.

3 THE IMPELLA® CATHETER AND AUTOMATED IMPELLA® CONTROLLER

Overview of Impella System Components

Provides a general overview of the Impella Catheter and Automated Impella Controller.

Impella Catheter Description

Describes the components and features of the Impella Catheter models.

Automated Impella Controller

Details the functions and features of the Automated Impella Controller.

Purge Cassette

Explains the function and components of the Impella Purge Cassette.

Impella System Accessories

Lists and describes accessories used with the Impella Catheter and Controller.

4 USING THE AUTOMATED IMPELLA® CONTROLLER

Automated Impella Controller Features

Details the front and side features of the Automated Impella Controller.

Home Screen Navigation

Describes the elements and information displayed on the Impella Controller Home Screen.

Placement Screen and Waveforms

Explains the Placement Screen for monitoring real-time operating data and waveforms.

Purge Screen Monitoring

Describes the Purge Screen for monitoring purge system data.

5 USING THE AUTOMATED IMPELLA® CONTROLLER WITH THE IMPELLA® CATHETER

Pre-Support Patient Evaluation

Outlines factors to evaluate before Impella Catheter placement.

System Startup Procedures

Details the steps for initiating the Impella System startup.

Impella Case Start Procedures

Guides through the initial steps for starting an Impella case.

Impella 2.5 Catheter Insertion (Wired)

Provides instructions for wired insertion of the Impella 2.5 Catheter.

Impella CP Catheter Insertion

Details the procedure for inserting the Impella CP Catheter.

Implanting and Starting the Impella LD Catheter

Describes the surgical implantation and startup of the Impella LD Catheter.

Troubleshooting the Purge System

Provides steps to resolve issues related to the Impella purge system.

Patient Weaning from Impella

Offers guidance on weaning patients from Impella support.

Removing the Impella Catheter

Outlines procedures for removing Impella 2.5, 5.0, and CP catheters.

Explanting the Impella LD Catheter

Details the procedure for explanting the Impella LD Catheter.

6 CLINICAL EXPERIENCE

Cardiac Shock After Acute Myocardial Infarction

Presents clinical data for Impella use in patients with AMI-induced cardiogenic shock.

Safety and Effectiveness Results

Summarizes key safety and effectiveness findings from clinical studies.

Summary of Supplemental Clinical Information

Provides additional data from Impella registries and literature reviews.

Cardiac Shock After Open Heart Surgery

Presents clinical data for Impella use in post-cardiac surgery patients.

7 PATIENT MANAGEMENT TOPICS

General Patient Care Considerations

Provides essential guidelines for ongoing patient care with Impella.

Echocardiography for Impella Catheter Positioning

Explains using echocardiography to assess Impella Catheter position.

Understanding and Managing Impella Catheter Position Alarms

Details how to interpret and manage Impella Catheter position alarms.

Suction Management

Describes causes and actions for Impella Catheter suction alarms.

Hemolysis Management

Provides guidance for managing hemolysis during Impella support.

Pressure Sensor Drift and Failure

Addresses troubleshooting for pressure sensor issues in Impella 5.0/LD.

Transferring Impella Controller

Outlines the procedure for transferring Impella support to a new controller.

Emergency Shutdown Procedure

Details the steps for an emergency shutdown of the Impella controller.

8 AUTOMATED IMPELLA® CONTROLLER ALARMS

Alarms Overview and Levels

Explains the alarm system, its levels, and indicators.

Alarm Display and Mute Function

Describes how alarms are displayed and how to mute them.

Impella Controller Alarm Message Summary

Provides a summary of alarm messages, their causes, and actions.

9 GENERAL SYSTEM INFORMATION

Terminology, Abbreviations, and Symbols

Defines key terms, abbreviations, and symbols used in the manual.

Automated Impella Controller Specifications

Provides mechanical and electrical specifications for the controller.

Electromagnetic Compatibility

Details EMC requirements and guidance for the Impella Controller.

Transport Between Hospitals

Offers guidelines for transporting patients with the Impella system.

Impella Catheter Parameters

Lists key parameters and dimensions for Impella Catheters.

APPENDICES

Appendix A: Impella System Limited Service Warranty

Provides warranty information for the Impella System in the US.

Appendix B: Abiomed-Approved Guidewires and Introducers

Lists approved guidewires and introducers for Impella 2.5 and CP.

Appendix C: Automated Impella Controller Menu Structure

Outlines the structure of the Automated Impella Controller menu system.

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