It contains clinical and technical considerations to guide healthcare professionals in their use of the Impella® Controller with the Impella ® 2.5 Catheter. Impella® Controller with Impella® 2.5 I IntroductIon PurPose of Manual This Instructions for Use manual is designed for healthcare professionals. The Impella 2.5 and Impella® Controller perform life-sustaining Pump Position . Motor Current (A) Display - Placement . Purge Flow Initials Infusion Rate (mL/hr) on bottom mid screen at all times. EuroIntervention 2017;13:851–7. Instructions for Use. The Impella ® 2.5 L V A S consists of t he Impella ® 2.5 cath- eter, control consol e, power supply , and Braun Vista TM infusion pump (B. Braun Medical Inc., Bethlehem, P A) 7 Flow (L/min) on bottom L of screen at all times. - Rapid infusion of appropriate crystalloid solution may be required to … impella rp ® system with the automated impellacontroller ™ instructions for use & clinical reference manual (united states only) rx only abiomed, inc. Abiomed, Inc. Danvers, MA (Accessed 25 May 2020) Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). Display - Placement . The U.S. Food and Drug Administration (FDA) has granted Impella its highest level of approval as safe and effective. Axillary Insertion of the Impella ® 2.5, 5.0, or Impella CP ® Catheter 76 Figure 5.26 Introducer, Graft Lock, and Hemashield Platinum Graft (Graft Not Supplied) IMPELLA CP INTRODUCER Hemostatic Peel-Away Introducer System with Infusion Sideport. Anti-Xa Heparin Infusion **NO BOLUS** aseline APIXN1 >20, RIVAR1 >25, or HIXA >0.7 Initiate Provider Managed PTT Heparin Infusion **NO BOLUS** CAUTION if APIXN1 >200, RIVAR1 >200, or HIXA >1.1 Monitor APIXN1, RIVAR1, or HIXA levels at least daily Anticipate 24 (consider every 6-12 hr levels for If ACT less than 160 Increase heparin by 100 units/hour Impella heart pumps provide the unique benefit of unloading the heart while providing coronary perfusion and end organ perfusion. - Controller may reduce motor speed if a low volume state exists. Titration orders. ... nursing must complete the mobility screen prior to rehab evaluation. - Low CVP could precipitate a suction alarm. Impella is a family of medical devices used for temporary ventricular support in patients with depressed heart function. Safe and Effective . The Impella pumps up to 5 liters per minute of blood from the left ventricle to the ascending aorta, increasing cardiac output, augmenting coronary artery perfusion, and actively decompressing the left ventricle, thus increasing the potential for myocardial recovery. The Impella 2.5 is a percutaneously placed partial circulatory assist device that is increasingly being used in high-risk coronary interventional procedures to provide hemodynamic support. Some versions of the device can provide left heart support during other forms of mechanical circulatory support including ECMO and Centrimag.. Purge Pressure (mmHg) Display -Purge . The Impella 2.5 is able to unload the left ventricle rapidly and effectively and increase cardiac output more than an intra-aortic balloon catheter can. To pump blood the Impella must have enough blood in the ventricle to prevent suction and support Impella flow.