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.
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HeartMate 3™ Left Ventricular Assist System
lObtain two charged batteries from patient’s
accessory bag or battery charger. The charge level
of each battery can be assessed by pressing the
button on the battery. Fully charged batteries will
display 5 lights. (Figures 1 and 2)
lCheck the power level on the batteries, replace
the battery with the fewest lights rst. Remove only
ONE battery from the clip by pressing the release
button on the clip to unlock the battery. (Figure 3)
lController will start beeping and flashing yellow
symbols and will read CONNECT POWER on the
front screen.
lInsert a new, fully charged battery into the empty
battery clip by aligning the RED arrows on the
battery and clip (Figure 4). The battery will click into
the clip. Gently tug on battery to ensure connection.
If the battery is properly secured, the beeping and
yellow flashing will stop.
lRepeat previous steps with the second battery and
battery clip.
System Controller
Changing Batteries
WARNING:Atleastonecontrollerpowercablemustbeconnectedtoapowersource
AT ALL TIMES. Do not remove both batteries at the same time or the pump will stop.
Thisguidedoesnotsupersedemanufacturerinstructions.
Figure 3
Figure 4
Figure 2Figure 1
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Troubleshooting HeartMate 3™ LVAS
l Contact the Implant Center for direction
when possible.
l Check alarm messages on controller
display screen.
lCheck if pump is running:
lAllow care providers trained on LVAD
emergencies to remain with the patient.
WhenthePumpHasStopped
lCheck modular cable connection,
driveline and power cable connections
to the controller. Fix any loose connections to restart the pump.
l If the pump does not restart and the patient is connected to batteries replace the current batteries
with a new, fully-charged pair. (see Changing Batteries section on previous page)
l If pump does not restart, change controllers if directed by implant center. (see Changing
Controllers on next page)
lBe sure to bring ALL of the patient’s equipment with them.
Alarms:EmergencyProcedures
Whenanalarmoccurs:
Ensure that a power source is connected to the
controller. Evaluate the patient for low flow - treat the
cause. Assess volume status, hypertension, arrhythmia,
right heart failure, etc.
HAZARDALARMS Continuous Audible Tone
Low Flow
:03
+
+
+
Call Hospital
Contact
:07
Connect
Driveline
:02
Connect
Power
Immediately
:05
+
Backup Battery
:01
Connect
Power
:04
Low
Battery
:06
+
Replace
Power
:02
Low
Battery
:06
+
Replace
Power
Immediately
:02
+ +
Low Battery
Power < 5 min.
remaining.
ADVISORY ALARMS Intermittent Audible Tone
Both power
cables are
disconnected.
Driveline
disconnected.
Pump flow is
< 2.5 lpm.
Pump is off. See above, when pump has stopped
Immediately replace batteries or switch to the Mobile
Power Unit.
Immediately connect to batteries or the Mobile
Power Unit.
Immediately reconnect Driveline to the controller.
Check modular cable connection.
+ +
A power cable
is disconnected.
Low Battery
Power <15 min.
remaining.
Reconnect the power cable to power.
Immediately replace batteries or switch to the Mobile
Power Unit.
Call VAD Coordinator at implant center for direction.
Check display for alarm type.
OR
Thisguidedoesnotsupersedemanufacturerinstructions.11

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ChangingtheSystemController
Step 1: Have the patient sit or lie down since the pump will
momentarily stop during this procedure.
Step 2: Place the replacement Controller within easy
reach,along with the batteries/battery clips. The
spare Controller is usually found in the patient’s
travel case.
Step 3: Attach the battery clips to the replacement
controller by lining up half circles, rmly pushing
together, and tightening connector nut. Insert the
batteries into the clips by aligning the RED arrows.
Step 4: On the back of the replacement controller,
slide the safety lock so the red release button
is fully visible. Repeat this step on the original
controller.
Step 5: Disconnect the drive-line from the original
controller by pressing the red release button and
pulling it out. The pump will stop and an alarm
will sound. Note: The alarm will continue until the
original controller is turned off. You can silence
the alarm by pressing the silence alarm button.
Gettingthereplacementcontrollerconnected
andthepumprestartedisthefirstpriority!
Step 6: Connect the replacement Controller by aligning the
WHITE ARROWS on the driveline and replacement
Controller and rmly pushing the driveline into the
replacement Controller. The pump should restart, if
not complete the following steps:
l Firmly press the Silence Alarm or Battery
Button to restart the pump.
l Check the power source to ensure that power
is going to the controller.
l Ensure the driveline is fully inserted into the
socket by gently tugging on the metal end.
DO NOT pull the driveline.
Step 7: After the pump restarts, slide the safety lock
on the new controller so the red release button
is fully covered. If unable to close the safety
lock into fully locked position, gently push the
driveline into the controller to ensure proper
connection. Retry to close safety lock.
Step 8: Disconnect power from the original Controller.
Step 9:
Hold down battery symbol for 5 full seconds for
complete shutdown of old controller.
Troubleshooting HeartMate 3™ LVAS
Step 3
Step 4 Step 7
Step 5
Step 6
Step 9
Thisguidedoesnotsupersedemanufacturerinstructions.
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