Abbott HeartWare Manual de usuario

EMS Guide

Medtronic HVAD

This guide is produced by ICCAC – The International Consortium of Circulatory Assist

Clinicians. The ICCAC is the professional society for MCS Clinicians throughout the

world. It has been vetted by experts in MCS, Air Medical Transport, and Emergency

Services. It should not replace the device operating manual as a primary source of

information.

JANUARY 2016

Patient Management For VADs

1. Assess the patients airway and intervene per your protocol.

2. Auscultate Heart Sounds to determine if the device is functioning and

 whattypeofdeviceitis.Ifitiscontinuousowdevice,youshouldhear

a “whirling sound”.

3. Assess the device for any alarms.

4. Look on controller usually found around the waist of the patient and to

see what color tag and device it is.

5. Match the color on the device tag to the EMS Guide.

6. Intervene appropriately based on the type of alarm, tag (device) and

EMS Guide.

7. Start Large Bore IV.

8. Assessvitalsigns–UseMeanBPwithDoppler–withtherstsoundyou

hear is the Mean Arterial Pressure (MAP).

9. If no Doppler, use the Mean on the non invasive blood pressure machine.

10. Transport to closest VAD center. Call the number on the device to

get advice.

11. Bring all of the patients equipment.

12. Bringthesignicantotherifpossibletoactasaexpertonthedevicein

the absence of consciousness in the patient.

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DRIVELINE CONNECTION

To Connect to Controller:

lAlign the two red marks and push together. An audible

click will be heard conrming proper connection.

(Figure A)

lThe Driveline Cover must completely cover the

Controller’s silver driveline connector to protect against

static discharge. (Figure B)

lNOTE: an audible click should be heard when

connecting the Driveline or Driveline extension to the

controller. Failure to use the Driveline Cover may cause

an Electrical Fault Alarm.

HeartWare®Ventricular Assist System

Emergency Operation

Figure A Figure B

Controller

CONNECTING POWER TO CONTROLLER

ToConnectaChargedBattery:

lGrasp the cable of the charged battery at the back end

of the connector (leaving front end of connector free to

rotate)

lLine up the solid white arrow on the connector with the

white dot on the Controller.

lGently push (but DO NOT twist) the battery cable into the

Controller until it naturally locks into place; you should

hear an audible click.

lConrm that the battery cable is properly locked on the

controller by gently pulling the cable near the controller

power connector.

lDO NOT force the battery cable

into the controller connector

without correct alignment

as it may result in damaged

connectors .

TO DISCONNECT A DEPLETED BATTERY

lMake sure there is a fully charged battery available to

replace the depleted one.

lDisconnect the depleted battery by turning the connector

sleeve counterclockwise until it stops.

lPull the connector straight out from the controller.

January2015

ALARM ADAPTER

l Used to silence the internal NO POWER ALARM.

l ShouldonlybeusedonacontrollerthatisNOTconnectedtoa 

patient’s pump.

l Must be inserted into the blue connector of the original controller

after a controller exchange BUT before the power sources are

disconnected or the NO Power alarm will sound for up to two hours.

Battery

test

button

Battery

Charge

Indicator

Monitor

Power

Source

Power

Source

Driveline

Battery

Charge

Indicator

CONTROLLER BATTERY

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HeartWare®Ventricular Assist System

Emergency Operation

Step 4

Step 3

Step 6

Step 10

Step 9

STEPS TO EXCHANGE THE CONTROLLER

Step 1: Have the patient sit or lie down.

Step 2: Place the new controller within easy reach.

Step 3: Connect back-up power sources (batteries or AC

Power) to the new controller.

lConrm that the power cables are properly

locked on the controller by gently pulling on the

cable near the connector.

 lA “Power Disconnect” alarm will activate if a

second power source is not connected to the

new controller within 20 seconds of controller

power up

 lA “VAD Stopped” alarm will activate if the pump

driveline is not connected to the new controller

within 10 seconds - this alarm will resolve once

the pump driveline is connected

Step 4: Pull back the white driveline cover from the

original controller’s silver connector.

Step 5: Disconnect the driveline from the original

controller by pulling the silver connector away

from the controller. Do not disconnect by pulling

on the driveline cable. A “VAD Stopped”

alarm may activate. Don’t panic. You can silence

the alarm after restarting the pump, which is the

priority.

Step 6: Connect the driveline to the new controller (align

the two red marks and push together). If the “VAD

Stopped” alarm was active on the new controller, it

will now resolve.

Step 7: The pump should restart. Verify the pump is

working (RPM, L/min, Watts).

Step 8: IF THE PUMP DOES NOT RESTART, CALL FOR

MEDICAL ASSISTANCE IMMEDIATELY.

Step 9: Insert the Alarm Adapter into the blue connector

on the original controller.

 lDisconnect both power sources from the

original controller.

 lThe controller will be turned off and all alarms

silenced.

Step 10: Slide the white driveline cover up to cover new

controller’s silver connector.

Step 11: Contact the VAD Center or Implanting hospital

for a new backup controller.

January2015

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HeartWare®Ventricular Assist System

Troubleshooting

January2015

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