Abbott Heartmate 3 User Manual

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1. Can I do CPR?
Yes, in the right clinical scenario. Chest compressions may pose
a risk of dislodgement - use clinical judgment. If compressions
are administered, conrm function and positioning of the pump.
2. Canthepatientbedefibrillatedwhileconnectedtothe
device?
Yes you can debrillate, and you do not have to disconnect
anything.
3. Canthispatientbeexternallypaced?
Yes.
4. Whattypeofalarmoccursinalowowstate?
A red heart alarm indication and steady audio alarm will sound
if less than 2.5 lpm. Can give a bolus of normal saline and
transport to a VAD center.
5. CanIchangethespeedofthedevice?
No, it is a xed speed.
6. Doesthepatienthaveapulsewiththisdevice?
Likely they will not because it is a continuous flow device,
however some patients may have a pulse.
7. Whatareacceptablevitalsignparameters?
MAP 70 - 90 mm Hg with a narrow pulse pressure.
HeartMate 3™ Left Ventricular Assist System
FAQs
lPump has “articial pulse” created
by rapid speed changes in the
pump. This can be heard when
auscultating the heart and differs
from other continuous flow devices.
lMay not be able to obtain cuff
pressure (continuous flow pump).
lPump connected to driveline
exiting patient’s abdominal area
and is attached to controller which
runs the pump.
lPump does not affect ECG.
lAll ACLS drugs may be given.
lA pair of fully charged batteries
lasts up to 17 hours.
lAny emergency mode of
transportation is ok. These
patients are permitted to fly.
lAvoid pulling, twisting, or kinking
the driveline when strapping the
patient to a stretcher.
lBe sure to bring ALL of the
patient’s equipment with them.
Figure 1
Thisguidedoesnotsupersedemanufacturerinstructions.
The HeartMate 3™ LVAD has a modular cable connection near the
exit site of the driveline (Figure 1). This allows a damaged driveline
to be quickly replaced (if damage is external).
l When disconnecting a driveline, NEVER use the modular cable
connection.
l If the modular cable requires replacement, it must be done at and
by the implanting center. Patients are not given a backup modular
cable.
l If the connection is loose, a yellow line at the connection will be
showing. If the line is visible, turn the connector in the locked
direction. It will ratchet and stop turning once tight.
9

Abbott Heartmate 3 Specifications

General

Device Type	Left Ventricular Assist Device (LVAD)
Flow	Up to 10 L/min
Pump Size	Compact
Indication	Bridge-to-transplant, destination therapy
Intended Use	To provide mechanical circulatory support
Power Source	External battery or AC adapter
Pump Type	Centrifugal
Material	Titanium and biocompatible materials
Certification	CE Mark, FDA Approved
Biocompatibility	Yes, designed for long-term implantation
Pulsatility	Designed to provide a more physiologic flow pulsatility
Connectivity	Wireless monitoring via System Monitor

Summary

HeartMate 3 LVAS General Information and FAQs

Patient Care Scenarios

Addresses CPR, defibrillation, pacing, low flow alarms, pulse, and vital signs for LVAS patients.

Device Features and Safety

Explains artificial pulse, driveline connection, and modular cable for the HeartMate 3 LVAS.

HeartMate 3 LVAS System Controller and Battery Operation

System Controller Components Overview

Identifies key parts of the HeartMate 3 LVAS system controller, including buttons and displays.

Changing HeartMate 3 LVAS Batteries

Provides a detailed, step-by-step guide for safely replacing the device's batteries.

HeartMate 3 LVAS Alarm Troubleshooting

Emergency Procedures for LVAS Alarms

Outlines immediate actions when the HeartMate 3 LVAS generates alarms or the pump stops.

HeartMate 3 LVAS Hazard and Advisory Alarms

Details specific hazard and advisory alarms and their corresponding troubleshooting steps.

HeartMate 3 LVAS System Controller Replacement

Step-by-Step Controller Replacement

Comprehensive guide for replacing the HeartMate 3 LVAS system controller.

Securing the New System Controller

Instructions for properly locking the replacement controller and checking driveline connection.