121Surgical Implant and Explant of the HVAD® Pump
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Appendix
Reference
Guides
Alarms and
Emergencies
Patient
Management
Surgical
Implant and
Explant
Monitor
Peripherals
and
Accessories
HVAD
®
PumpOverviewIntroduction
6.5 HVAD
®
Pump Explant
At Transplant
1. Surgically expose the HVAD
®
Pump and sewing ring.
2. Place patient on cardiopulmonary bypass according to institutional guidelines.
3. Connect the controller to the monitor and turn off the HVAD
®
Pump.
4.
5.
6. Cut and remove the percutaneous driveline.
7. Remove the HVAD
®
Pump with the heart.
Myocardial Recovery/ Pump Exchange
1. Surgically expose the HVAD
®
Pump and sewing ring.
2. Place patient on cardiopulmonary bypass according to institutional guidelines.
3. Connect the controller to the monitor and turn off the HVAD
®
Pump.
4.
5.
6. Cut and remove the percutaneous driveline.
WARNING! At HVAD
®
Pump explant the percutaneous driveline is not sterile; therefore ensure that the
7.
8. Use the sewing ring wrench to loosen the sewing ring screw.
9. Remove the HVAD
®
Pump.
NOTE: During HVAD
®
necessary to excise tissue adjacent to the sintering potentially resulting in bleeding and/or air emboli.
10. For pump exchange, refer to “Left Ventricle (LV) Apex Cannulation” in section 6.4, “Surgical
Implant Procedure” (starting at step #6). For myocardial recovery, follow the steps below.
11. Repair the hole in the LV.
12. Close sternum and skin incision per routine.
13. Once HVAD
®
14. Place HVAD
®
Pump in 5% Formaldehyde for at least 2 days.
15. Allow the HVAD
®
Pump to thoroughly dry.
16. Follow the packaging instructions provided in the Explant Kit (provided by HeartWare)
and return the HVAD
®
Pump in the Explant Kit.
HeartWare, Inc.
Quality Assurance Department
14400 NW 60th Avenue
Miami Lakes, FL 33014 USA
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