119Surgical Implant and Explant of the HVAD® Pump
10
9
8
7
6
5
4
3
2
1
Appendix
Reference
Guides
Alarms and
Emergencies
Patient
Management
Surgical
Implant and
Explant
Monitor
Peripherals
and
Accessories
HVAD
®
PumpOverviewIntroduction
6.4 Surgical Implant Procedure (continued)
Driveline Placement (continued)
CAUTION: The driveline connector is made of nickel-
coated brass which may cause a rash in patients with a
nickel allergy.
CAUTION: ALWAYS be aware of the position of the
driveline to avoid damage by surgical instruments and
needles during HVAD
®
Pump implantation and/or re-
operation.
Once the tunneling path has been made, screw the
driveline cap on to the tunneling rod tip, as shown in
Figure 110. Ensure that the two-piece driveline cap
has not separated and remains tightly fastened.
Pull the driveline through the tunneling path
once it is secured to the tunneling tool.
NOTE: Failure to follow instructions on protecting the driveline connector or improper use of the driveline
cap could result in contamination or damage to the connector and electrical fault alarms could occur.
Disconnect the tunneling rod from the driveline cap. Do not remove the driveline cap until it is
time to connect the driveline to the controller. Make sure to protect the driveline connector from
contamination during this time. Prior to removing the driveline cap, put on clean, dry gloves. To
remove the driveline cap, unscrew the outer sleeve and pull back on the grooved part of the
that the connector is dry and clean before attaching to the controller. If the driveline connector
with a clean cloth. Attach the driveline to the controller and slide the driveline cover forward to
completely cover the controller’s silver driveline connector. After the driveline is connected to
the controller, the driveline cover is on, and the pump has started, immobilize the driveline at the
exit site with retaining sutures.
WARNING!
driveline cap from the driveline, unscrew the outer sleeve, then pull back on the grooved part of the
connector.
De-airing Procedure
1. Start ventilation.
2. Be sure that all IV catheters and pressure monitoring lines are closed to the atmosphere to
reduce the possibility of air entering the heart and pump.
3.
4.
®
Pump and the
Figure 110: Driveline cap attachment
to tunneler
Driveline
(under skin)
Driveline may
be placed to
exit on left or
right side of
body
Driveline cap