Cardioplegia Circuit Products { CARDIOPLEGIA ADAPTERS}

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Cardioplegia Circuit Products { CARDIOPLEGIA ADAPTERS} Cardioplegia adapters are designed to permit customization of the cardioplegia circuit. Medtronic adapters can be used to connect multiple cardioplegia cannulae and/or vein graft cannulae to a single inlet source, switch between antegrade and retrograde delivery of cardioplegia, and provide the option for attaching a vent line to cardioplegia cannulae. Additional adapters are available to extend the length of the cardioplegia circuit, recirculate the cardioplegia solution, or provide an extension to the pressure monitoring line.

CARDIOPLEGIA ADAPTERS DLP Perfusion... 61 DLP Perfusion / Venting... 61 DLP Extension Line... 62 DLP Pressure Monitoring Extension Line... 62 DLP Straight Venting... 62 DLP Y Type Venting... 62 DLP Y Type Recirculating... 63 DLP Y Type Coronary Perfusion... 63 DLP Y Type Special... 64 DLP Y Type... 64 DLP Vein Graft Cannulae... 65 DLP Emergency Shunt Kit... 66 ARISS Perfusion Switches... 67 ARISS Accessories... 67 DLP Cardioplegia Management Set... 68 DLP Antegrade / Retrograde... 68 DLP Cardioplegia Adapter with Pressure Port... 68 DLP Multiple Perfusion Sets... 69

DLP Perfusion Adapters These adapters feature a barbed connector on one end and either a male luer or female luer on the other. Some models have a length of tubing between the barbed connector and luers. 2 in (5.1 cm) overall length Male luer 10007 1/4 in (0.64 cm) barbed connector 10008 3/8 in (0.95 cm) barbed connector 40 per carton 3.25 in (8.3 cm) overall length Tubing and female luer 10022 1/4 in (0.64 cm) barbed connector 40 per carton DLP Perfusion/Venting Adapter This adapter is a combination of Perfusion Adapter 10007 with an added high flow stopcock that allows for venting. This 3-way stopcock has a large bore inner diameter and has female and male luers on the ends. Male luer 13002 Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 61

DLP Extension Line Adapters These adapters feature soft (silicone-like) PVC tubing with or without a clamp and male and winged female luers on the ends. 10 in (25.4 cm) length Male and winged female luers 20 in (50.8 cm) length Male and winged female luers 11001 without clamp 11001G with clamp DLP Pressure Monitoring Extension Line Adapters These adapters feature combinations of male and female luers on the ends. 6 ft (1.8 m) overall length Male and female luers 25009 male x female luers 25010 male x male luers DLP Straight Venting Adapters These adapters have a male luer on one end and a 1/4 in (0.64 cm) connector on the other. Cardioplegia Line Vent Line Venting Y Adapter 10005 5 in (12.7 cm) overall length Aortic Root Cannula Male luer 10001 with vented 1/4 in connector 10001K with vented 1/4 in connector and clamp DLP Y Type Venting Adapters These adapters feature a male luer on the single leg. A female luer is on the cardioplegia inlet leg and a 1/4 in (0.64 cm) connector is on the venting leg. Male luer on single leg 10005* 10533 10534 7.5 in (19.1 cm) overall length with 3 in (7.6 cm) inlet leg and color coded clamps 15.5 in (39.2 cm) overall length with 11 in (28 cm) inlet leg and color coded clamps 8.5 in (21.6 cm) overall length with one-way valve in vent line and color coded clamps * When used with 10005 Venting Y Adapter, an Aortic Root Cannula can be used to vent the left heart. 62 Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

DLP Y Type Recirculating Adapters These adapters feature a soft Y that has a two leg option with 1/4 in (0.64 cm) connectors and venting capabilities or a three leg option that terminates with male luers. 8 in (20.3 cm) overall length Male luer on single leg 10003 color coded clamps 10003OS white clamps with color coded arrows 14.5 in (36.8 cm) overall length Female luer on single leg Y Type Coronary Perfusion Adapter 10004 10003S white clamps with color coded arrows DLP Y Type Coronary Perfusion Adapters These adapters feature a rigid Y with two legs in various lengths that terminate with male luers. High Flow Coronary Artery Ostial Cannulae 10004 10004D Female luer on single leg 10004 10004C 10004D 10700 10706 10710 3.5 in (8.9 cm) and 10 in (25.4 cm) legs and white clamps 2 in (5.1 cm) and 10 in (25.4 cm) legs and white clamps 6 in (15.2 cm) legs and white clamps 3.5 in (8.9 cm) and 10 in (25.4 cm) legs and color coded clamps 6 in (15.2 cm) soft, silicone-like PVC legs and white clamps 10 in (25.4 cm) soft, silicone-like PVC legs and white clamps Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage. 63

DLP Y Type Special Adapter This adapter features a rigid Y with four legs. One leg terminates in a male luer, one leg terminates in a 1/4 in (0.64 cm) connector, and two legs terminate in soft silicone tips with graduated steps to fit any vessel. 19 in (48.3 cm) overall length Female luer on single leg 10005S white clamps DLP Y Type Adapter This adapter is a combination of models 10004 and 10005 and features four legs. Two legs terminate in male luers, one terminates with a female luer, and the fourth terminates with a 1/4 in (0.64 cm) connector. 20.5 in (52.1 cm) overall length Combination with four legs 10005BH color coded clamps This adapter features a female luer on the cardioplegia inlet leg and a 1/4 in (0.64 cm) connector on the venting leg. 7.5 in (19.1 cm) overall length Male luer on single leg white clamps with 10005OS color coded arrows 64 Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage.

DLP Vein Graft Cannulae These products feature a soft silicone tip with graduated steps to fit any vessel. These tips are attached to Y adapters via tubing with clamps. The Y adapters terminate with a male luer. 25.5 in (63.5 cm) overall length Male luer on single inlet leg Y adapter with female luer and 10010 white clamp on male luer leg Y adapter with female luer and 10011 white clamp on single inlet leg and white clamp on male luer leg Y Type Venting Adapter Vein Graft Cannula Aortic Root Cannula The combination of a Vein Graft Cannula and an Aortic Root Cannula also provides a way to perfuse the aortic root and vein graft. In this case the vein graft must be held with the fingers and not tied. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 65

DLP Emergency Shunt Kit This product is 12 in (30.5 cm) in length and features a stopcock attached to a Y adapter with two legs including clamps and terminating with male luers. Kit Information 33234 1 each shunt 2 each 2 mm arteriotomy cannulae 2 each 3 mm arteriotomy cannulae 2 each 4 mm arteriotomy cannulae 1 each 14 ga IV catheter 5 kits per carton 66 Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage.

ARISS Perfusion Switches These products allow the surgeon or perfusionist to switch between antegrade and retrograde cardioplegia delivery. A table mounted version and pump mount version are available. The switches feature female luers on the inlet ports and male luers on the outlet ports. The table mount versions have pressure monitoring lines that run alongside the inlet and outlet ports. Outlet ports are color coded for easy identification. 13 in (33.0 cm) overall length Table mount models 13000 Unequal legs 13004 Equal legs 22.5 in (57.2 cm) overall length Pump mount model ARISS Accessories These products are for use with only the model 13051 ARISS Perfusion Switch. 13051 5 per carton for use with models 13055 & 13060 8 ft (2.44 m) overall length Perfusate delivery tubing set for use with model 13055 13051 5 per carton Mounting bracket for use with model 13060 13051 1 per carton Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 67

DLP Cardioplegia Management Set This product features soft tubing with three legs that terminate in male luers. The legs have varying lengths and are set in a mounting bracket with adhesive pads on the back. The red clamp leg has a length of 10 in (25.4 cm), the white clamp leg has a length of 20 in (50.8 cm), and the blue clamp leg has a length of 30 in (76.2 cm). Female luer on single leg 13003 color coded clamps DLP Antegrade/Retrograde Adapter This adapter features a large bore 3-way stopcock and male luers on the outlet ports. 26.5 in (67.3 cm) overall length Female luer on single leg 13001 DLP Cardioplegia Adapter with Pressure Port This adapter features a latex-free rubber septum to allow access for a pressure monitoring needle near the connection to the cardioplegia cannula. Locking male luer 15004 68 Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage.

DLP Multiple Perfusion Sets These products allow for simultaneous perfusion of the aortic root and up to three or more vein grafts. They feature inlet ports with male or female luers and clamps attached to an adapter that splits into four or more legs. These legs have color coded clamps for easy identification and terminate with male luers. Models with a vent line terminate in a 1/4 in (0.64 cm) connector. 12 in (30.5 cm) overall length Female luer on single inlet leg with 4 legs 4-3 in (7.6 cm) length legs with 14002 white clamps Female luer on single inlet leg with 4 legs 14000 14001 14003 14013 4-8 in (20.3 cm) length legs with 3 red clamps and 1 blue clamp 4-10 in (25.4 cm) length legs with red, blue, yellow, and white clamps Male luer on single inlet leg with 4 legs 4-10 in (25.4 cm) length legs with 14014 3 red clamps and 1 blue clamp 15 in (38.1 cm) overall length Female luer on single inlet leg with 4 legs 14000 1-3 in (7.6 cm) length leg with blue clamp 3-10 in (25.4 cm) length legs with red clamps Female luer on single inlet leg with 4 legs and vent line 14001 14017 14031 1-8 in (20.3 cm) length vented leg with red clamp on vent line 3-10 in (25.4 cm) length legs with red clamps 1-8 in (20.3 cm) length vented leg with stiff tubing and red clamp on vent line 3-10 in (25.4 cm) length stiff tubing and red clamps 1-12 in (30.5 cm) length vented leg with yellow clamp on vent line 3-10 in (25.4 cm) length legs with red clamps Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 69

DLP Multiple Perfusion Sets These products allow for simultaneous perfusion of the aortic root and up to three or more vein grafts. They feature inlet ports with male or female luers and clamps attached to an adapter that splits into four or more legs. These legs have color coded clamps for easy identification and terminate with male luers. 14006 14007 15 in (38.1cm) overall length Female luer on single inlet leg with 4 legs and 3 free flow vessel cannulae (model 30003) 1-3 in (7.6 cm) length leg with blue clamp 14007 3-10 in (25.4 cm) length legs with red clamps Female luer on single inlet leg with 4 legs and 3 one-way valve vessel cannulae (model 30001) 1-3 in (7.6 cm) length leg with blue clamp 14008 3-10 in (25.4 cm) length legs with red clamps Female luer on single inlet leg with 6 legs 1-3 in (7.6 cm) length leg with blue clamp 14006 5-10 in (25.4 cm) length legs with red clamps 70 Cardioplegia adapter devices are a combination of products that have their own indications, warnings, and cautions. Refer to those components individually. Cardioplegia adapter devices are not intended for use except as indicated. Use the lowest possible pressure to reduce risk of hemolysis or risk of vessel damage. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.