Set Up - SORIN GROUP D902 LILLIPUT 2 Mode D'emploi

Oxygénateur à membrane à fibres creuses microporeuses avec échangeur thermique intégré dans le module d'oxygénation
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  • FRANÇAIS, page 13
For further information and/or in case of complaint contact SORIN GROUP
ITALIA or the authorised local representative.
Federal law (U.S.A.) restricts this device to sale by or on the order of a
physician.
E. SET UP
1) POSITION THE HOLDER
Position the LILLIPUT holder on the pump structure by means of the clamp at the
upper end of the extension arm.
For more information on the holder set up, refer to the instructions for use for the
holder.
2) PREPARE THE HOLDER
Remove the black plastic cover from the water distributor.
Turn the lever to "OPEN" position.
3) FIXING THE OXYGENATOR TO THE HOLDER
Sterility is guaranteed only if the sterile packaging is not wet, opened,
damaged or broken. Do not use the device if sterility cannot be
guaranteed.
Check the expiry date on the label attached. Do not use the device after
the date shown.
The device must be used immediately after opening the sterile packaging.
The device must be handled aseptically.
Remove the device from the sterile packaging.
Carry out a visual inspection and carefully check the device before use.
Transport and/or storage conditions other than those prescribed may
have caused damage to the device.
Do not use solvents such as alcohol, ether, acetone, etc.: as contact may
cause damage to the device.
Do not allow halogenated liquids such as Halothane and Fluothane to
come into contact with the polycarbonate housing of the device. This
could cause damage which may compromise the integrity and proper
functioning of the device.
Locate the LILLIPUT, taking care to insert the white water distributor of the holder
into the heat exchanger. The oxygenator must be locked into place using the
marker guides on the two red knobs. Turn the lever to "CLOSE" position. The
LILLIPUT is now correctly set up.
4) THERMOCIRCULATOR SET UP
Connect the water tubes to the holder by means of the female Hansen connectors
SORIN GROUP ITALIA code 9028.
The use of different connectors from those indicated may cause
resistance inside the circuit and reduce the efficiency of the heat
exchanger.
The water temperature at the heat exchanger inlet must not exceed 42 °C
(108 °F). -The water pressure in the heat exchanger must not exceed 300
KPa (3 bar / 44 psi).
5) CHECKING THE HEAT EXCHANGER
Check the heat exchanger by recirculating water inside the heat exchanger for a
few minutes. The integrity of the housing is guaranteed if there are absolutely no
leaks from the water compartment.
6) CIRCUIT CONNECTIONS
All connections downstream of the pump must be secured by means of ties.
Versions with SOFT VENOUS RESERVOIR (fig. 1)
VENOUS LINE: it is possible to connect a venous line of 1/4" or
3/16" to the connector indicated on the venous reservoir as "VENOUS RETURN"
(ref. 3).
CARDIOTOMY LINE: it is possible to connect the cardiotomy 1/4" or 3/16" line to
the soft venous reservoir connector indicated as "CARDIOTOMY RETURN" (ref.
5).
The line connecting the cardiotomy to the venous reservoir must form a U-shaped
trap located at least 5 cm below the venous reservoir, such that the U prevents air
entering the venous reservoir from the cardiotomy.
The cardiotomy must be able to be easily raised or lowered to allow for variations
in haemodynamic state.
4
(fig. 4)
(fig. 4)
(fig. 4)
ARTERIAL LINE: remove the red cap on the oxygenator arterial outlet (ref. 15) in
order to connect a 1/4" or 5/16" line.
PUMP LINE: the pump segment should be set up between the venous reservoir
outlet connector (ref. 16) and the oxygenator venous inlet connector (ref.12)
taking account of the direction of rotation of the pump.
VENOUS PURGE LINE: remove the protective cap and connect the male luer
end of the venous reservoir purge line (ref. 1) to a female luer located on the
suction line (this connection must be made on the "negative pressure" side of the
line). To find the best position, rotate the venous reservoir.
Version with RIGID VENOUS RESERVOIR (fig. 2)
VENOUS LINE: it is possible to connect a venous line of 3/8" or 1/4" to the
connector indicated on the venous reservoir as "VENOUS INLET" (ref. 3) (by
means of the suitable adapter provided with the device).
ARTERIAL LINE: remove red cap on the oxygenator arterial outlet (ref. 15) to
connect a 1/4"-5/16" line.
PUMPE LINE: The pump segment should be set up between the rigid venous
reservoir outlet connector (ref. 16) and the oxygenator venous inlet connector (ref.
12) taking account of the direction of rotation of the pump.
Version with SOFT and RIGID VENOUS RESERVOIR
If at the end of the bypass blood recovery is envisaged, set up an "ON-OFF"
manifold (with female and male luer lock connections) between the male luer
lock of the oxygenating module recirculation line and the venous reservoir
used. Open the "ON-OFF" manifold (position "ON").
If at the end of the bypass blood recovery is envisaged, disconnect the male
luer lock of the recirculation line and set up an "ON-OFF" manifold (with
female and male luer lock connections) between the recirculation line and
the "CARDIOTOMY RETURN" female luer connector on the venous reservoir.
Open the "ON-OFF" manifold (position "ON").
Version OXYGENATING MODULE only (fig. 3)
ARTERIAL LINE: remove the red cap on the oxygenator arterial outlet (ref. I) in
order to connect a 1/4"-5/16" line.
PUMP LINE: the pump segment should be set up between the venous reservoir
outlet connector and the oxygenator venous inlet connector (ref. F) taking account
of the direction of rotation of the pump.
OXYGENATING MODULE PURGE LINE: remove the protective cap and connect
the male luer end (ref. B) to a female luer filtered inlet on the cardiotomy.
OXYGENATING MODULE RECIRCULATION LINE: remove the protective cap
and connect the male luer end (ref. A) to a female luer placed on the venous
return line.
If at the end of the bypass blood recovery is envisaged, set up an "ON-OFF"
manifold (with female and male luer lock connections) between the male luer
lock of the oxygenating module recirculation line and the venous reservoir
used. Open the "ON-OFF" manifold (position "ON").
ARTERIAL SAMPLING LINE: remove the protective cap from the luer
connection placed near the arterial outlet (ref. L). Attach to it the male luer of an
arterial sampling line.
Male luers not supplied with SORIN GROUP ITALIA products may damage
the one-way valve placed inside the oxygenator arterial sampling luer. When
connecting, make a visual check that the male luer does not reach as far as
the one-way valve.
7) SAMPLING MANIFOLD
Versions with SOFT (fig. 1) and RIGID (fig. 2) VENOUS RESERVOIR
It is possible to remove the LILLIPUT manifold from its position and mount it on
the appropriate holder (D 712). The tube coil attached to the manifold allows it to
be repositioned to a range of approximately 1 metre. Check that the selector
switch (ref. 9) is in the "OFF" position.
) CONNECTING THE TEMPERATURE PROBES (fig. 1, 2 and 3)
8
The connection for the arterial temperature probe (red - ref. 14 and H) is
positioned next to the arterial outlet, whilst the venous probe site (blue - ref. 13
and G) is at the side of the venous inlet. SORIN GROUP ITALIA temperature
probes have code 9026.
9) RECIRCULATION AND PURGE LINES
Versions with SOFT VENOUS RESERVOIR (fig. 1)
Check that the white clamp positioned on the recirculation line between the
LILLIPUT arterial outlet and the venous reservoir is open.
Version with RIGID VENOUS RESERVOIR (fig. 2)
Check that the clamp positioned on the recirculation line between the LILLIPUT
arterial outlet and the rigid venous reservoir is open.
GB - ENGLISH

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