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Abiomed Impella RP User Manual

Abiomed Impella RP
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Impella
®
RP
with the Automated Impella
®
Controller
Circulatory Support System
INSTRUCTIONS FOR USE
& CLINICAL REFERENCE MANUAL
(United States only)
Humanitarian Device. Authorized by Federal law (USA) to provide circulatory
assistance for up to 14 days in pediatric or adult patients with a body surface
area ≥1.5 m
2
who develop acute right heart failure or decompensation following
left ventricular assist device implantation, myocardial infarction, heart transplant,
or open-heart surgery. The effectiveness of this device for this use has not been
demonstrated.

Table of Contents

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Abiomed Impella RP Specifications

General IconGeneral
BrandAbiomed
ModelImpella RP
CategoryMedical Equipment
LanguageEnglish

Summary

Indications, Contraindications, and Adverse Events

Indications (United States)

Specifies approved uses for the Impella RP System in pediatric and adult patients.

Contraindications (United States)

Lists conditions where the Impella RP device should not be used.

Potential Adverse Events (United States)

Lists potential complications associated with the Impella RP system.

Warnings and Cautions for Impella RP Use

Warnings

Alerts users to situations that could cause death or serious injury.

Cautions

Alerts users to situations that may cause equipment malfunction or damage.

Impella RP System Warnings

General Warnings

Covers training, fluoroscopy, sterility, disposal, MRI, and defibrillation precautions.

Specific Warnings

Addresses retrograde flow, saline use, system damage, and flammable anesthetics.

Impella RP System Safety Precautions

EMC and Transport Precautions

Details precautions regarding electromagnetic compatibility and transport.

Catheter Handling Precautions

Advises on avoiding overinsertion and torquing the catheter.

Impella RP System Cautions

Catheter Handling Cautions

Emphasizes careful handling to prevent catheter damage and specifies correct accessories.

System Operation Cautions

Covers purge cassette replacement time, heat exposure, and battery charging.

Additional Impella RP System Cautions

Backup Equipment Recommendation

Advises having backup equipment available in case of device failure.

Insertion Site Caution

Warns against using the left femoral vein due to potential manipulation issues.

Impella RP Catheter and Controller Components

Overview of the Impella RP System

Impella RP System Components and Configuration

Impella RP Catheter Details

Impella RP Catheter Components and Sensors

Automated Impella Controller Functions

Impella RP Purge Cassette

Purge Cassette Component Details

Impella RP System Accessories

Impella RP System Accessories (Continued)

Using the Automated Impella Controller

Automated Impella Controller Front View Features

Automated Impella Controller Front Features (Table)

Automated Impella Controller Side View Features

Automated Impella Controller Side Features (Table)

Automated Impella Controller Display Elements

Automated Impella Controller Display Elements (Continued)

Automated Impella Controller Display Areas

Impella Controller Placement Screen

Placement Screen Overview

Displays real-time data including placement and motor current waveforms.

Placement Signal Waveform

Explains the pressure measurement waveform and its scaling.

Impella Controller Motor Current and Purge Screens

Motor Current Waveform Details

Describes the motor current waveform and its scaling.

Purge Screen Data

Displays purge system data like flow rate and pressure.

Impella Controller Purge and Infusion Screens

Purge Flow and Pressure Details

Explains how purge flow rate and pressure are displayed.

Infusion History Screen

Displays infusion volume and amounts of heparin and dextrose.

Impella Controller Infusion History and Mobile Operation

Infusion History Screen Example

Shows an example of the infusion history screen.

Mobile Operation Guidance

Details operating the controller on battery power.

Using the Impella RP System

Impella RP System Startup

Turning On the Automated Impella Controller

Automated Impella Controller Startup Screen

Impella RP System Case Start

Sensitive Medical Device Precautions

Highlights precautions for handling the sensitive Impella RP Catheter.

Starting the Setup Procedure

Explains how to start the setup procedure via the MENU or plugging in the catheter.

Initial Case Start Screen

Shows the screen displayed after selecting "Case Start".

Inserting the Impella RP Purge Cassette

Purge Cassette Insertion Steps

Provides step-by-step instructions for inserting the purge cassette.

Shaded Steps and Discarding Y Connector

Highlights sterile technique steps and Y connector disposal.

Connecting the Impella RP Controller Cable

Connecting the Catheter Plug

Details how to connect the catheter plug to the connector cable.

Snapping Plastic Clip

Explains the importance of snapping the plastic clip for tube kinking prevention.

Connecting Cable to Controller

Guides on connecting the connector cable to the Automated Impella Controller.

Priming the Impella RP Purge Lumen

Purge Lumen Priming Process

Describes the controller prompting and progress of purge lumen priming.

Connecting Luer to Impella RP Catheter

Guides on connecting the purge tubing to the catheter.

Entering Impella RP Purge Fluid Data

Purge Fluid Information Entry

Details entering purge fluid volume, dextrose, and heparin concentrations.

Default and Custom Purge Fluid Settings

Explains how to select default or custom purge fluid settings.

Securing Purge Tubing and System Configuration

Securing Purge Tubing

Instructs on connecting purge tubing to the white connector cable.

Impella RP System Configuration Diagram

Illustrates the correct setup of the Impella RP System.

Inserting the Impella RP Catheter

Surgical Procedure Note

Notes that surgical procedures are the responsibility of the medical professional.

Insertion Safety Precautions

Lists safety precautions during catheter insertion.

Catheter Insertion Steps

Provides detailed steps for inserting the catheter into the femoral vein.

Impella RP Catheter Insertion and Positioning

Catheter Loading and Stabilization

Details loading the catheter onto the guidewire and stabilizing it.

Advancing Catheter and Positioning

Guides on advancing the catheter through the valve and positioning.

Use of Fluoroscopy for Placement

Emphasizes fluoroscopy for accurate placement confirmation.

Positioning and Starting the Impella RP Catheter

Retrograde Flow Warning

Warns about retrograde flow at specific performance levels.

Placement Signal and Operation

Describes the placement signal and operation initiation.

Setting Maximum Performance Level

Guides on increasing performance level to P9 for stable placement.

Repositioning Sheath and Introducer Use

Repositioning Sheath Flushing

Details flushing the sidearm and sheath.

Removing the Peel-Away Introducer

Instructs on removing the introducer completely.

Securing the Sheath and Sleeve

Guides on securing the sheath and anticontamination sleeve.

Impella RP Performance Levels

Performance Level Options

Explains the ten performance levels (P0-P9) and their flow rates.

Understanding Suction Issues

Addresses suction issues and how to resolve them by adjusting performance levels.

Impella RP Purge Cassette Maintenance

Purge Cassette Replacement Time

Emphasizes completing purge cassette replacement within 2 minutes.

Purge System Maintenance Procedures

Lists the four main procedures for maintaining the purge system.

Changing the Purge System (Cassette & Fluid)

Details steps to change both the purge cassette and fluid.

Changing Impella RP Purge Fluid

Steps for Changing Purge Fluid

Provides instructions for changing only the purge fluid.

Flushing the Purge Cassette Fluid

Suggests flushing fluid when changing dextrose concentration.

Purge Cassette Procedures: Changing and De-airing

Changing the Purge Cassette

Explains when and how to replace the purge cassette.

De-airing the Purge System

Guides on removing air from the purge system.

Troubleshooting Low Purge Pressure

Low Purge Pressure Alarm

Details actions for the "Purge Pressure Low" alarm.

Resolving Low Purge Pressure

Provides steps for leaks, fluid concentration, and cassette replacement.

Troubleshooting Purge System Open and Blocked

Purge System Open Alarm

Explains the "Purge System Open" alarm and its causes.

High Purge Pressure and Blocked System

Covers alarms for high purge pressure and blocked systems.

Patient Weaning and Catheter Removal

Automated Impella Controller Alarms

Impella Controller Alarm Overview

Impella Controller Alarm Display and Muting

Impella Controller Critical Alarms Summary

Impella Controller Critical Alarms (Continued)

Impella Controller Serious Alarms Summary

Impella Controller Advisory Alarms Summary

Impella Controller Mechanical Specifications

Electromagnetic Compatibility (EMC) Information

EMC Immunity Guidance

EMC Emissions and RF Guidance

RF Separation Distances Table

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