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Thoratec HEARTMATE II User Manual

Thoratec HEARTMATE II
548 pages
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Instructions for Use
Thoratec Corporation 6035 Stoneridge Drive, Pleasanton, CA 94588
(925) 847-8600, Fax: (925) 847-8574, HeartLine
â„¢
: (800) 456-1477, www.thoratec.com
Thoratec Corporation continually strives to provide the highest quality products for mechanical circulatory support. Specications may change without notice.
Therefore, please refer to the HeartMate II Instructions for Use shipped with the HeartMate II for the most current information regarding indications, contraindications,
and cautions. HeartMate II, Thoratec, and the Thoratec logo are registered trademarks and HeartLine is a trademark of Thoratec Corporation.
©2017 Thoratec Corporation. 10006960.C 12/2017
Featuring the Mobile Power Unit

Table of Contents

Other manuals for Thoratec HEARTMATE II

Questions and Answers:

Thoratec HEARTMATE II Specifications

General IconGeneral
BrandThoratec
ModelHEARTMATE II
CategoryMedical Equipment
LanguageEnglish

Summary

Preface

1 Introduction

Understanding Warnings and Cautions

Explains the meaning and format of warnings and cautions in the manual to ensure safe system operation.

Overview of HeartMate II System

Describes the HeartMate II system, its components, and how it functions to support the left ventricle.

Indications for Use

Details the approved uses of the HeartMate II LVAS for patients with end-stage left ventricular failure.

Contraindications

Identifies patients for whom the HeartMate II LVAS is not recommended due to contraindications.

Adverse Events

Lists potential adverse events associated with the use of the HeartMate II LVAS, ordered by frequency.

Pre-Use Requirements

Outlines the necessary understanding, training, and prerequisites for using the HeartMate II LVAS.

Equipment Overview

Introduces the main parts of the HeartMate II system and useful accessories, with brief descriptions.

Required, Backup, and Optional Components & Equipment

Lists components and equipment required, backup, and optional for implantation and ICU transfer.

Principles of Operation

Explains how the HeartMate II LVAD generates flow based on pump speed and differential pressure.

Explanation of Parameters

Explains parameters like Speed, Power, Flow, and Pulsatility Index (PI) that are monitored during system operation.

2 System Operations

HeartMate II Left Ventricular Assist Device Overview

Provides an overview of the HeartMate II LVAD, its axial flow rotary pump, and its connection to the native circulation.

System Controller Overview

Describes the System Controller as a computer that controls and monitors system operation, sending signals to the LVAD.

The Backup System Controller

Explains the purpose and handling of the backup System Controller, which is identical to the running one.

3 Powering the System

Power Overview

Describes the system's power sources: Power Module, Mobile Power Unit, and HeartMate 14 Volt Lithium-Ion batteries.

Using the Power Module

Explains the function of the Power Module for clinical use and its required components for connection.

Using the Mobile Power Unit

Describes the Mobile Power Unit's function for home or clinical use when the patient is stationary or sleeping.

Using HeartMate 14 Volt Lithium-Ion Batteries

Explains how to use battery power for greater patient mobility and the components required for operation.

Switching Power Sources

Provides instructions on how to switch between the Power Module, Mobile Power Unit, and battery power sources.

Battery Charger Overview

Describes the Battery Charger's design for charging, calibrating, and testing HeartMate 14 Volt Lithium-Ion batteries.

4 System Monitor

Overview of the System Monitor

Explains the System Monitor's role in displaying system performance and allowing parameter/setting changes.

System Monitor Setup

Details the steps for setting up the System Monitor for use with the Power Module.

System Monitor Interface

Describes the touch-screen interface, accessible screens, and communication icon for the System Monitor.

Clinical Screen

Describes the Clinical screen, the default display showing primary operating parameters and command buttons.

Settings Screen

Used to monitor parameters, change speed settings, and manually stop the pump, displaying system status and alarms.

Alarms Screen

Shows the status of all Hazard and Advisory alarms, including messages, parameters, and command buttons.

5 Surgical Procedures

Surgical Considerations

Describes preimplant, implant, and explant procedures for the HeartMate II LVAS, including important warnings.

Equipment and Supplies Required for Implant

Lists sterile and additional equipment and supplies required for the HeartMate II LVAS implant procedure.

Preimplant Procedures

Details preimplant procedures, including warnings and cautions for handling components and preparing the surgical field.

Implant Procedures

Illustrates the proper orientation of the LVAD and describes the implantation configuration.

Postimplant Procedures

Describes procedures to follow after implantation, including patient transfer, backup system programming, and monitoring.

Device Explant

Details the process for explanting the Left Ventricular Assist Device, including warnings and required equipment.

6 Patient Care and Management

Postoperative Patient Care

Provides essential warnings and considerations for proper postoperative care of patients supported by the HeartMate II LVAS.

Ongoing Patient Assessment and Care

Covers patient assessment, including pump function, vital signs, and potential risks like hypovolemia and infection.

Unique Treatment Options and Important Clinical Considerations

Discusses considerations for MRI, external chest compressions, and right heart failure in HeartMate II patients.

Using the Shower Bag

Explains how to use the Shower Bag to protect system components from water during showering.

Using the Stabilization Belt

Details how to use the HeartMate Stabilization Belt to immobilize the driveline and reduce exit site trauma.

Wearing and Carrying the System Components

Describes various wearable accessories for comfortably and securely holding or carrying system components.

Preparing for Sleep

Provides instructions for patients on connecting to power modules and immobilizing the driveline before sleeping.

Ongoing System Assessment and Care

Emphasizes driveline protection from damage and outlines guidelines for its care and inspection.

Educating and Training Patients, Families, and Caregivers

Lists essential topics for training patients, families, and caregivers on system operation, care, and emergency response.

7 Alarms and Troubleshooting

System Controller Alarms

Details patient-resolvable vs. clinician-resolvable alarms, their display locations, and common causes.

Power Module Alarms

Lists Power Module alarm conditions, their visual and audio indicators, and recommended responses.

Mobile Power Unit Alarms

Describes Mobile Power Unit alarms, including illuminated symbols and sounds, and how to resolve them.

Battery Charger Alarms

Details battery-related and charger-related advisory messages on the Battery Charger display panel.

Guidelines for Power Cable Connectors

Provides instructions on correctly connecting and disconnecting power cable connectors to avoid damage.

What Not To Do: Driveline and Cables

Highlights actions to avoid with driveline and cables to prevent damage and ensure system function.

8 Equipment Storage and Care

Storage and Transport

Outlines acceptable environmental conditions for packaged storage and transport of system components.

Cleaning and Maintenance

Provides guidelines for cleaning and maintaining system components, including the System Controller, power cables, and driveline.

Product Disposal

Details specific product disposal considerations for various HeartMate equipment and batteries according to regulations.

A Summary of Clinical Studies

Bridge-to-Transplantation (BTT) Study Overview

Summarizes the primary objective, design, and patient population of the HeartMate II BTT Primary Study Cohort.

Destination Therapy (DT) Study Overview

Details the objective, design, and patient population of the HeartMate II LVAS as a destination therapy device.

Post-Approval Studies

Describes the Post-Approval Study (PAS) conducted to assess the commercial use of HeartMate II as a BTT indication.

Adverse Events

Presents the incidence of serious adverse events observed in the HeartMate II LVAS study by cohort and event type.

B Technical Specifications

HeartMate II LVAS Implant Kit (Sealed) Specifications

Lists dimensions, volumes, blood contacting surfaces, construction, and performance data for the implant kit.

Sterile HeartMate II System Controller Specifications

Details active functions, operating modes, monitoring functions, alarm sound pressure levels, dimensions, weight, and product life.

11 Volt Lithium-Ion Backup Battery Specifications

Provides performance data, dimensions, weight, and product life for the 11 Volt Lithium-Ion backup battery.

Power Module Specifications

Lists active functions, monitoring functions, alarm SPL, power requirements, fuse rating, dimensions, weight, and product life.

Power Module Patient Cable Specifications

Describes the type, function, length, and product life of the Power Module patient cable.

Mobile Power Unit Specifications

Provides active functions, monitoring functions, alarm SPL, power requirements, dimensions, cable length, weight, and product life.

HeartMate 14 Volt Lithium-Ion Battery Specifications

Lists performance data, dimensions, weight, and product life for the HeartMate 14 Volt Lithium-Ion batteries.

14 Volt Lithium-Ion Battery Clip Specifications

Provides dimensions and product life for the 14 Volt Lithium-Ion Battery Clip.

HeartMate Wearable Accessories Kit Specifications

Details the components, function, compatibility, strength, color, size, and product life of the Wearable Accessories Kit.

HeartMate Stabilization Belt Specifications

Describes the type, function, compatibility, strength, color, sizes, and product life of the Stabilization Belt.

HeartMate Travel Bag Specifications

Provides type, function, compatibility, strength, color, size, and product life for the Travel Bag.

D Safety Testing and Classification

Safety Testing and Classification

Lists safety standards and declarations for the HeartMate II LVAS, including UL, IEC, EN, and CAN/CSA standards.

Testing and Classification: Power Module

Details compliance with safety standards and guidance for electromagnetic emissions for the HeartMate Power Module.

Testing and Classification: Mobile Power Unit

Details compliance with safety standards and guidance for electromagnetic emissions for the Mobile Power Unit.

Testing and Classification: Battery Charger

Lists safety standards and guidance for electromagnetic emissions for the Battery Charger.

Testing and Classification: HeartMate 14 Volt Lithium-Ion Batteries

Details compliance with safety standards and guidance for electromagnetic emissions for the HeartMate 14 Volt Lithium-Ion Batteries.

E Symbols

Description of Labeling Symbols

Provides descriptions for general symbols found on HeartMate II components, accessories, and packaging.

Specific 14 Volt Lithium-Ion Battery Symbols

Describes symbols related to charging and product use dates for 14 Volt Lithium-Ion batteries.

Specific 11 Volt Lithium-Ion Backup Battery Symbols

Describes symbols related to backup battery use by date.

Specific System Controller Symbols

Refers to symbols on the System Controller user interface for operational status and information.

Specific Mobile Power Unit Symbols

Refers to symbols on the Mobile Power Unit user interface for operational status and alarms.

Specific Power Module Symbols

Describes symbols for Monitor, Power ON/OFF, Fuse Rating, Direct Current, Rechargeable Battery, and Battery Check.

Specific System Monitor Symbols

Describes symbols for Power OFF, Power ON, and Input connections on the System Monitor.

F Safety Checklists

Daily Safety Checklist

Provides a checklist of daily tasks to ensure the proper operation and safety of the HeartMate II system components.

Sleep Checklist

Lists checks for electrical connections, power sources, System Controller placement, and bedside items before sleep.

Weekly Safety Checklist

Details weekly inspections of equipment, cables, batteries, charger, and accessories for damage or wear.

Monthly Safety Checklist

Includes reviewing alarms, checking battery expiration dates, and verifying manufacture dates of batteries.

Six Month Safety Checklist

Covers backup System Controller maintenance and patient skill evaluation for core tasks.

Yearly Safety Checklist

Focuses on scheduled inspection and cleaning of Power Module and Battery Charger by trained personnel.

As-Needed Safety Checklist

Covers cleaning exit sites, batteries, and the Battery Charger as needed, and replacing worn equipment.

Clinic Visit Safety Checklist

Guides checks on system operation, emergency handling, and patient/caregiver demonstration of core skills.

G Conversion Patients

Considerations for Patients Converted from Previous Models of System Controllers to the Pocket System Controller

Discusses training needs, differences in alarm presentation, and the 'feel' of connections for patients converting to the Pocket System Controller.

H Survey

Glossary

Abbreviations

Lists abbreviations used in the HeartMate II Left Ventricular Assist System manual and their meanings.

Terms

Provides definitions for key terms and concepts related to the HeartMate II Left Ventricular Assist System.

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