EuroIntervention 2017;13:851–7. 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) Purge Pressure (mmHg) Display -Purge . 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. It contains clinical and technical considerations to guide healthcare professionals in their use of the Impella® Controller with the Impella ® 2.5 Catheter. Motor Current (A) Display - Placement . 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 To pump blood the Impella must have enough blood in the ventricle to prevent suction and support Impella flow. Purge Flow Initials Infusion Rate (mL/hr) on bottom mid screen at all times. - Rapid infusion of appropriate crystalloid solution may be required to … The Impella 2.5 and Impella® Controller perform life-sustaining Some versions of the device can provide left heart support during other forms of mechanical circulatory support including ECMO and Centrimag.. Display - Placement . Impella is a family of medical devices used for temporary ventricular support in patients with depressed heart function. - Controller may reduce motor speed if a low volume state exists. Flow (L/min) on bottom L of screen at all times. 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. impella rp ® system with the automated impellacontroller ™ instructions for use & clinical reference manual (united states only) rx only abiomed, inc. Safe and Effective . Titration orders. Instructions for Use. 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. Impella® Controller with Impella® 2.5 I IntroductIon PurPose of Manual This Instructions for Use manual is designed for healthcare professionals. IMPELLA CP INTRODUCER Hemostatic Peel-Away Introducer System with Infusion Sideport. - Low CVP could precipitate a suction alarm. 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 ... nursing must complete the mobility screen prior to rehab evaluation. Pump Position . 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). 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. The U.S. Food and Drug Administration (FDA) has granted Impella its highest level of approval as safe and effective.