Abbott HeartWare User manual

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
#1
Power
Source
#2
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