GETINGE GROUP Maquet CARDIOSAVE IABP, Quick Reference Manual

Page 1: ...IAB Insertion CARDIOSAVE IABP Operation Quick Reference Guide Note This is an abbreviated guide For complete instructions refer to IAB Instructions for Use and CARDIOSAVE Operating Instructions...

Page 2: ...factors such as torso length should be considered when selecting the appropriate balloon size SENSATION and SENSATION PLUS 6 5 5 4 to 6 0 162cm 183cm 5 0 to 5 4 152cm 162cm 5 0 152cm 5 4 taller 162cm...

Page 3: ...ing the IAB Catheter MEGA and LINEAR IAB Catheter Firmly attach one way valve to male luer fitting of IAB catheter Apply a 30cc vacuum Remove syringe while keeping one way valve in place Remove stylet...

Page 4: ...exit of guidewire Insert vessel dilator over guidewire tapered end first then remove Remove IAB catheter from T handle by pulling STRAIGHT out to avoid damaging it Do not dip wipe or handle membrane...

Page 5: ...cision at exit of guidewire Insert introducer dilator into sheath hub and twist lock in place to secure Advance IAB catheter through sheath using short strokes until correct placement is achieved then...

Page 6: ...er lumen Attach a standard arterial pressure monitoring apparatus Remove one way valve from IAB catheter Connect IAB catheter s male luer fitting to female luer fitting of catheter extender Connect ma...

Page 7: ...n plus and sensation iab catheter Firmly attach one way valve to male luer fitting of IAB catheter Apply a 30cc vacuum Remove syringe while keeping one way valve in place Remove stylet then manually f...

Page 8: ...ver guidewire tapered end first then remove Remove IAB catheter from T handle by pulling STRAIGHT out to avoid damaging it Do not dip wipe or handle membrane prior to insertion Advance IAB catheter in...

Page 9: ...r into sheath hub and twist lock in place to secure Remove IAB catheter from T handle by pulling STRAIGHT out to avoid damaging it Do not dip wipe or handle membrane prior to insertion 1 2 8 7 6 5 7Fr...

Page 10: ...catheter extender to Pneumatic Module of IABP Insert fiber optic sensor connector into IABP s sensor input receptacle until it clicks Connection to IABP Remove guidewire and aspirate 3cc of blood from...

Page 11: ...itial Set up Open helium tank if not already opened Press POWER button to turn IABP ON 1 2 Connect fiber optic sensor connector for Maquet Datascope fiber optic IAB Connect pressure cable for conventi...

Page 12: ...lly purges and fills IAB Automatically performs an in vivo calibration Automatically selects most appropriate lead and trigger Automatically sets inflation and deflation timing Verify Aug Alarm is set...

Page 13: ...tion of assist 1 2 2 1 2 1 1 2 1 2 He Inflated Deflated Balloon Pressure 116 Aug Alarm Augmentation IAB Frequency 1 1 106 mmHg mmHg Pressure 130 80 30 Arterial Source Fiber Optic 102 52 84 MEAN Inflat...

Page 14: ...fine tune deflation timing Automatic management of irregular rhythms Automatic in vivo calibration when using a Maquet Datascope fiber optic IAB Operator selects most appropriate lead and trigger sour...

Page 15: ...Off Max Augmentation IAB Frequency 1 2 1 3 1 1 Sources Auto Default 20 II Direct ECG Pressure Pacer Detection Pressure Threshold Thresholds Default Internal Pacer A Pacer V AV Pressure ECG Trigger Aut...

Page 16: ...efault 20 II Direct ECG Pressure Pacer Detection Pressure Threshold Thresholds Default Internal Pacer A Pacer V AV Pressure ECG Trigger Auto Semi Auto OPERATION MODE Hold 2 Sec Semi Auto Calibrate Pre...

Page 17: ...ular rhythm when an adequate R Wave is not present A fixed pressure threshold can be manually set while in Semi Auto operation mode Pacer V AV Trigger event is the Ventricular pacer spike Typically us...

Page 18: ...inflates at onset of diastole when aortic valve closes Displaces blood causing an increase in aortic pressure Benefits Increases coronary artery perfusion Increases mean arterial pressure How it works...

Page 19: ...tic notch Appears as a sharp V Ideally diastolic augmentation rises above systole Deflation Occurs just prior to systolic ejection Results in a reduction in assisted end diastolic pressure Results in...

Page 20: ...se in LVEDV LVEDP PCWP Increased left ventricular wall stress or afterload Aortic regurgitation Increased MVO2 demand Late Inflation Inflation of IAB markedly after closure of aortic valve Waveform ch...

Page 21: ...e of rise of assisted systole is prolonged Diastolic augmentation may appear widened Physiologic Effects Sub optimal coronary perfusion Potential for retrograde coronary and carotid blood flow Angina...

Page 22: ...low through inner lumen is recommended If inner lumen becomes damped Aspirate and discard 3cc of blood If unable to aspirate blood consider inner lumen clotted cap lumen provide alternate pressure sou...

Page 23: ...elium tank knob from Holder and 3b Attach to left end of helium tank then fully turn clockwise to close Slowly loosen yoke T handle counter clockwise some helium may escape Remove helium tank Slowly o...

Page 24: ...2 own 1 2 1 2 min 5 2 2 1 He 112 Aug Alarm Off IAB Frequency 1 1 Off option A stay with green 3 Battery 2 has less than 30 minutes of charge remaining Low Battery message is displayed own 1 1 min 5 1...

Page 25: ...ing the Battery Slide battery OUT Battery is approximately 100 charged 2 1 1 Turn knob to remove battery from Battery Bay While holding battery in bay turn knob to lock battery in place Slide charged...

Page 26: ...ent s hemodynamic status Alarm limit set too high Press AUG ALARM key decrease limit Probable Cause Corrective Action IAB disconnected Attach IAB catheter Helium tank is closed Open helium tank Helium...

Page 27: ...theter Restriction IAB Disconnected Probable Cause Corrective Action Restriction in IAB catheter or tubing Relieve restriction if possible press START Membrane has not completely unfolded Manually inf...

Page 28: ...at least 10 minutes Verify whether it is appropriate to resume pumping Probable Cause Corrective Action A helium loss has been detected in IAB circuit If blood observed STOP pumping Prepare for remov...

Page 29: ...te and flush arterial pressure line If problem persists switch operation mode to SEMI AUTO verify TRIGGER SOURCE adjust timing resume pumping Sustained heart rate is less than 30 BPM or greater than 1...

Page 30: ...Attempt calibration by press ing CALIBRATE PRESSURE key for 2 seconds while IABP is assisting Probable Cause Corrective Action A non scheduled calibra tion update has been intentionally postponed beca...

Page 31: ...ascope IABP that supports the fiber optic IAB If replacement IABP is not available provide alternate A P source i e radial Contact Maquet Service for Fiber Optic Sensor Module repair Probable Cause Co...

Page 32: ...ia detected Consider removing IAB consider insertion via opposite limb IAB inner lumen flush line Pressure waveform damped if using a conventional IAB Aspirate inner lumen If line patent flush for 15...

Page 33: ...uet Datascope Corp recommends Sufficient supply of fully charged batteries for use during transport Use of the Transport Power Supply for AC operation during transport Verifying internal helium reserv...

Page 34: ...ab handle and slowly slide console out Release latch located below pump console ensure wheels are locked 4a Push button to release pop up mount 4b Pull UP pop up mount to lock in place Tilt Transport...

Page 35: ...ease button Grab handle and slowly slide console into Hospital Cart until it locks into place Note An audible click will be heard when console is locking into cart To ensure console was successfully i...

Page 36: ...crease in altitude Autofill Condition Helium Used Pump is powered off powered on and IAB fill performed to restart therapy 6 Autofill cycles IAB disconnected and reconnected and IAB fill performed to...

Page 37: ...ng to back of Maquet Datascope IABP Set up Maquet Datascope IABP per abbreviated instructions on page 11 of this Quick Reference Guide Connecting a Maquet Datascope IAB IABP to an Arrow IABP Transferr...

Page 38: ...TEST key Using a non locking luer cap tightly plug Pneumatic Module outlet when message PLEASE PLUG IAB PORT appears on Touchscreen in INSTRUCTIONS field STATUS field will display pneumatic tests that...

Page 39: ...Priority Alarm Medium Priority Alarm Technical Alarm Doppler Fiber Optics Cable Protective Earth Ground Trainer Patient Monitor Patient Blood Pressure ECG Vent Low Priority Alarm Fiber optic cable Inh...

Page 40: ...07430 USA Phone 1 201 995 8700 or 1 800 777 4222 Maquet Medical Systems USA 45 Barbour Pond Drive Wayne NJ 07470 USA Phone 1 888 880 2874 www maquet com http ca maquet com Getinge Group is a leading...