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Shockwave IVL User Manual

Shockwave IVL
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LBL 61876 rev. E, March 2018 EN 1
OPERATOR’S MANUAL
Intravascular Lithotripsy (IVL)
Generator and Connector Cable
LBL 61876 Rev E / Revision Date: March 2018
Contents
1.
Introduction ............................................................................................................................................................ 2
1.1 The IVL Generator - How Supplied .................................................................................................................................................................. 2
1.2 Required Devices and Procedure Supplies for Use with the IVL Generator .............................................................................................................. 2
1.3 Device Description ....................................................................................................................................................................................... 2
1.4 Intended Use/Indication for Use ..................................................................................................................................................................... 2
2. Safety Information .................................................................................................................................................. 2
2.1 Terms ........................................................................................................................................................................................................ 2
2.2 Contraindications ......................................................................................................................................................................................... 2
2.3 Dangers ..................................................................................................................................................................................................... 2
2.4 Warnings .................................................................................................................................................................................................... 2
2.5 Cautions ..................................................................................................................................................................................................... 3
3. Product Orientation ................................................................................................................................................. 3
3.1 IVL Generator - Front View ............................................................................................................................................................................ 3
3.2 Control and Indicator Functions ...................................................................................................................................................................... 4
3.3 Front Panel Connectors ................................................................................................................................................................................. 4
3.4 IVL Connector Cable ..................................................................................................................................................................................... 4
3.5 IVL Generator Rear View ............................................................................................................................................................................ 4
4. Product Use and Therapy Delivery .......................................................................................................................... 5
4.1 Additional Usage Information ......................................................................................................................................................................... 6
5. Installation ............................................................................................................................................................. 7
5.1 IV Pole Mounting .......................................................................................................................................................................................... 7
5.2 Connecting to Line Power .............................................................................................................................................................................. 9
5.3 Charging the Internal Battery ......................................................................................................................................................................... 9
5.4 Environment Conditioning.............................................................................................................................................................................. 9
5.5 Generator Inspection and Test ....................................................................................................................................................................... 9
6. Maintenance .......................................................................................................................................................... 10
6.1 Daily Maintenance .......................................................................................................................................................................................10
6.1.1 Charging and Testing the Internal Battery .............................................................................................................................................. 10
6.1.2 Testing the IVL Generator .................................................................................................................................................................... 11
6.1.3 Inspecting the IVL Generator ............................................................................................................................................................... 11
6.1.4 Cleaning the IVL Generator .................................................................................................................................................................. 11
6.2 Monthly Maintenance ...................................................................................................................................................................................11
6.3 Other Maintenance ......................................................................................................................................................................................12
6.4 Product Useful Life ......................................................................................................................................................................................12
7. Troubleshooting .................................................................................................................................................... 12
8. Appendix A: Electromagnetic Compatibility Guidance ........................................................................................... 13
9. Appendix B: Symbols ............................................................................................................................................. 14
10. Appendix C: Specifications .................................................................................................................................... 15
10.1 Appendix C1: General Specifications ..............................................................................................................................................................15
10.2 Appendix C2: Performance Specifications ........................................................................................................................................................15
NOTE: This Operator’s Manual provides information required for proper operation of the IVL Generator and IVL Connector Cable. Replacement IVL Connector Cables are
available from Shockwave Medical, Inc. Refer to the applicable IVL Catheter Instructions for Use (IFU) for patient treatment information.
To Be Used Exclusively with the Shockwave Medical IVL System.
TEXT CONVENTIONS: Throughout these operating instructions, special text characters (for example, CAPITAL LETTERS such as ON, CATH, SYS) are used to indicate
controls, connectors and lighted annunciators.

Questions and Answers:

Shockwave IVL Specifications

General IconGeneral
Device TypeIntravascular Lithotripsy (IVL) System
ManufacturerShockwave Medical
Regulatory ApprovalsFDA approved, CE marked
Mechanism of ActionEmploys sonic pressure waves to fracture calcified plaque
Balloon MaterialSemi-compliant balloon
Sheath Compatibility6F
Energy DeliveryPulsatile sonic pressure waves
Power SourceExternal generator
CompatibilityCompatible with standard guidewires
TechnologyShockwave lithotripsy

Summary

Safety Information

2.2 Contraindications

Outlines conditions under which the IVL system should not be used.

2.3 Dangers

Highlights immediate hazards that could result in serious injury or death.

2.4 Warnings

Details potential hazards that may cause serious personal injury or death.

2.5 Cautions

Identifies practices that could lead to minor injury or equipment damage.

Product Use and Therapy Delivery

Step 1 - Turn the Generator On

Instructions for powering on the IVL Generator and initial system check.

Step 2 - Confirm Battery Capacity

Procedure to verify adequate battery charge before use.

Step 3 - Check Diagnostics

Steps to ensure the generator's diagnostic systems are functioning correctly.

Step 4 - Connect IVL Connector Cable

Guide for connecting the IVL Connector Cable to the generator.

Step 5 - Prepare IVL Catheter for Use

Instructions for preparing the IVL Catheter according to its IFU.

Step 6 - Connect IVL Catheter

Steps for connecting the IVL Catheter to the Connector Cable.

Step 7 - Position the IVL Catheter

Guidance on properly positioning the IVL Catheter within the patient.

Step 8 - Activate the IVL Generator

Procedure to activate the generator and prepare for therapy delivery.

Step 9 - Deliver Therapy

Detailed steps for delivering lithotripsy therapy using the IVL system.

Step 10 - Pause Period / Resume Therapy

Information on how the system manages therapy pauses and resuming treatment.

Step 11 - IVL Catheter End of Life

How the system indicates and handles the end of the IVL Catheter's useful life.

Step 12 - IVL Catheter Replacement

Instructions for safely disconnecting and replacing an IVL Catheter.

Installation

5.5 Generator Inspection and Test

Procedures for inspecting and testing the generator before clinical use.

Maintenance

Troubleshooting

Appendix A: Electromagnetic Compatibility Guidance

Appendix C: Specifications