AngioDynamics C3 WAVE User manual

CONNECT /CAPTURE /CONFIRM
C 3 WAVE
QUICK REFERENCE GUIDE

C 3 WAVE
QUICK REFERENCE GUIDE
No evident
P wave changes
indicates catheter
is not in acceptable
position
A downward
deflection edge
of P wave indicated
the catheter is
entering the RA
A P wave at
its max height
will indicate the
catheter is in the
lower 1/3 of the SVC
A biphasic
P wave indicated
the catheter is in
the RA
An inverted
P wave indicated
catheter is
approaching the
right ventricle
FPO — need hi res
Pulled from Word doc.
Need to replace here and in #6309
P-Wave and Catheter Placement
“Position the tip of a CVAD in the lower segment of the superior vena cava
at or near the CAJ for adults and children” (INS 2016)
1Alexander M. Infusion Standards. Journal of Infusion Nursing. 2016;39(4):181-182.

C 3 WAVE
QUICK REFERENCE GUIDE
Bluetooth®Pairing
HUB BLUETOOTH®PAIRING
Press and hold the power button for about 8 seconds.
The blue power LED will flash rapidly to indicate that the
hub has erased pairing information.
On the new iPad®go to Settings & Support
and press the “Pair” icon under Hub Serial #
On the hub press and hold the power button for 2 seconds
until the blue LED begins to flash slowly.
On the iPad®press the area marked “Chest Hub”.
This will pair the hub with the iPad®.
You can verify that the hub has paired correctly
by checking that the serial numbers match.
REMOTE BLUETOOTH®PAIRING
Press and hold all four arrow buttons for about 5 seconds.
This will remove all pairing information from the remote.
On the new iPad®go to Settings & Support
and press the “Pair” icon under Remote Serial #
On the remote press any button and
the blue remote LEDs will begin to flash slowly.
On the iPad®press the area marked “Remote”.
This will pair the remote with the iPad®.
You can verify that the remote has paired correctly
by checking that the serial numbers match.

C 3 WAVE
QUICK REFERENCE GUIDE
Warning Screen Pop-Ups
WARNING CONDITION PERSISTENCE SCREENSHOT
PICC Lead Off PICC lead disconnected from the patient.
App in "internal mode".
Skippable -
cleared by pressing "Dismiss"
ECG Lead Off ECG lead disconnected from the patient. Skippable -
cleared by pressing "Dismiss"
Internal System Error I2C bus failure Unskippable -
cleared by power cycling the device
Charger Error Battery charger failure Unskippable -
cleared by removing and re-inserting
the DC power connector
Internal Power Error 3.3V power rail goes below 3.1V Unskippable -
cleared by power cycling the device
Hub Disconnected Wireless connection with the hub is lost Unskippable -
cleared by reconnecting the hub

C 3 WAVE
QUICK REFERENCE GUIDE
Warning Screen Pop-Ups
WARNING CONDITION PERSISTENCE SCREENSHOT
Hub Low Battery Hub battery is below 50% Skippable -
cleared by pressing “Dismiss”
Hub Critical Battery Hub battery is below 20% Skippable -
cleared by pressing “Dismiss”
Remote Low Battery Remote battery level is below 50% Skippable -
cleared by pressing “Dismiss”
Remote Critical Battery Remote battery level is below 20% Skippable -
cleared by pressing “Dismiss”
Hub Charging Hub is charging via charging base
or power supply
Unskippable -
cleared by unplugging or removing hub
from charging base
Informational
Message:
“…confirm entry…”
Low [Grey] Confirm selected action, such as
“Finish Case”, or “Delete File” N/A

C 3 WAVE
QUICK REFERENCE GUIDE
Troubleshooting
PROBLEM CAUSE SOLUTION
Hub will not power on Battery fully discharged Charge the hub
Power button not held long enough Press and hold the power button for 2 - 5 seconds
until the button begins to flash
Hub is charging and connected
to the app for a procedure
Charge the hub and remove it from the charger
before going into the app to start a procedure
Hub will not turn off Power button not held long enough Press and hold the power button for 2 - 5 seconds
until the button begins to flash
Hub will not connect Hub is off Press and hold the power button for 2 - 5 seconds
Not in a procedure The hub and remote only connect on a new procedure
Hub not paired See “Pairing Hub with App” for instructions
Bluetooth®turned off In the iPad settings screen make sure that Bluetooth®is on
Hub will not charge –
no charge LED
Hub power connector not inserted Make sure the hub power connector is securely inserted
Power adapter not plugged into the wall Make sure the power adapter is plugged into the wall
Outlet does not have power Make sure AC power is present at the outlet
Hub not seated on the charging cradle Make sure the hub is fully seated in the charging cradle
Hub will not charge –
solid red charge LED
Batteries over-discharged If the LED shows solid red when charging replace the batteries
No batteries present Verify that approved medical grade batteries have been installed

C 3 WAVE
QUICK REFERENCE GUIDE
PROBLEM CAUSE SOLUTION
Remote will not power on Batteries drained Replace batteries
Remote powers on
but will not connect
(continuous flashing)
Remote not paired See “Pairing Remote with App” for instructions
Not in a procedure The hub and remote only connect on a new procedure
Bluetooth®turned off In the iPad settings screen make sure that Bluetooth®is on
No ECG signal (with a
warning message E205)
ECG lead disconnected Check that each ECG lead is connected to the hub
and to an ECG pad
ECG pads loose Check that the ECG pads are firmly attached to the patient
Poor quality ECG or
PICC signal
Old ECG pads Replace with new ECG pads
Mismatched ECG pads Make sure the ECG pads are from the same package
and are placed at the same time
Misplacement of pads Verify that the pads have been placed in the correct location
Improper skin preparation Clean the ECG placement location with an alcohol pad
before placing the electrodes
Bad skin to electrode contact When applying ECG pads press firmly against the patient
to ensure good contact between the electrode and the skin
Troubleshooting

C 3 WAVE
QUICK REFERENCE GUIDE
PROBLEM CAUSE SOLUTION
No PICC signal
(with a warning
message E202)
ECG lead disconnected Check that each ECG lead is connected to the hub
and to an ECG pad
ECG pads loose Check that the ECG pads are firmly attached to the patient
PICC lead disconnected Check that the ECG pads are firmly attached to the patient
Poor blood contact Flush the PICC and wait about 30 seconds for signal capture
No PICC or ECG Signal
(no warning message)
Hub incorrectly paired Exit the app and open the iPad settings. Select Bluetooth®and
under “My Devices” press the next to each item marked “Chest
hub”. Select “Forget Device” for each item. On the hub press and
hold the power button until it flashes rapidly (about 8 seconds).
Re-pair the hub (see “Pairing the Hub” for instructions).
ECG Wave Inverted Leads connected to pads in correctly Verify that each lead is connected to the correct pad
Leads connected to hub incorrectly Verify that each lead is connected to the correct port on the hub
Unable to print Cannot find the printer wireless access point
in the iPad settings
See “Configuring the Printer” for instructions
Cannot find the printer in the app print menu Make sure that the iPad is connected to the printer.
Wait 60 seconds and attempt to print again.
Troubleshooting

C 3 WAVE
QUICK REFERENCE GUIDE C 3 WAVE QUICK REFERENCE GUIDE
PROBLEM CAUSE SOLUTION
iPad/App slow or crashing Insufficient battery Plug the printer into a wall outlet or charge the battery
No paper Insert a label roll into the printer
Failed to retrieve printer status Verify that a compatible printer is connected. Power cycle the printer
Charging circuit error
(E206) displayed
Overheating error Allow the printer to cool down for 15 minutes
Paper jam Open the lid and clear the paper jam
Replace paper cassette while printing. Check that the label has been loaded correctly and
that the printer has paper
Internal system error
(E201) displayed
Feeding error or end of paper Check that the label has been loaded correctly and that
the printer has paper
Internal power error
(E208) displayed
Please load the label roll (DK-2205) Insert a label roll into the printer
US AND INTERNATIONAL DISTRIBUTORSHIPS
800-772-6446
8AM-7PM EST, MON-FRI
Customer Service: Option 2
Clinical Specialists: Option 5
Hardware Services: Option 6
INTERNATIONAL DIRECT MARKETS
[phone]
8AM-5PM EST, MON-FRI
Customer Service: Option 1
Troubleshooting

800-772-6446
8AM-7PM EST, MON-FRI
Customer Service: Option 2
Clinical Specialists: Option 5
Hardware Services: Option 6
[phone]
8AM-5PM EST, MON-FRI
Customer Service: Option 1
USA > 14 Plaza Drive, Latham, NY 12110 > tel: [phone] or 518-798-1215 > fax: [phone]
International > Haaksbergweg 75 (Margriettoren), 1101 BR, Amsterdam Z-O > The Netherlands
tel: [phone] > fax: [phone]
www.angiodynamics.com
AngioDynamics, Inc. and the AngioDynamics logo are trademarks and/or registered trademarks of AngioDynamics, Inc., an affiliate or
subsidiary. C3 Wave and the C3 Wave logo are trademarks and/or registered trademarks of AngioDynamics VA LLC. All other trademarks
are property of their respective owners. © 2020 AngioDynamics VA LLC. GL/VA/MS/30 (v1.0) 01/2020
INTENDED USE/ INDICATIONS FOR USE: The C3 Wave System is indicated for use in the positioning of Peripherally Inserted Central Catheters
(PICC). The C3 Wave provides real-time catheter tip location information by displaying changes in the patient’s cardiac electrical activity. The
C3 Wave is indicated for use as an alternative method to chest X-ray or fluoroscopy confirmation of PICC tip placement in adult patients.
NOTE: Limiting, but not contraindicated, situations for this technique are patients where cardiac rhythms may change presentation of the
P-Wave:
• Atrial fibrillation
• Atrial flutter
• Severe tachycardia
• Pacemaker-driven rhythm
• Chronic obstructive
pulmonary disorder (COPD)
Such patients are easily identified prior to PICC insertion. Use of an additional confirmation method is necessary to confirm catheter tip location.
WARNINGS: The C3 Wave
™
System works with the normal sinus rhythm of the heart. Do not rely on ECG signal detection for catheter tip
positioning when interpretation of the external or intravascular ECG P-wave is difficult. For example, when: • P-wave is not present • P-wave
is not identifiable • P-wave is intermittent •Place ECG adhesive electrodes carefully at locations indicated in these Instructions for Use and
ensure good skin-electrode contact. Failure to do so may cause unstable ECG waveforms and/or ECG waveforms that are not described in these
Instructions for Use • All components in the accessory pack are single use items. Do not reuse or reprocess • Monitor catheter tip placement
during insertion procedure and verify catheter tip location placement using your institutions’ guidelines. • Failure to verify catheter placement
may result in serious trauma or fatal complications. • Inspect package and product prior to use to verify that no damage has occurred during
shipping. • Reuse or reprocessing may compromise the structural integrity of the device and/or lead to device failure which, in turn, may
result in patient injury, illness or death. • Reuse or reprocessing may also create a risk of contamination of the device and/ or cause patient
infection or cross- infection, including, but not limited to, the transmission of infectious disease(s) from one patient to another. • Contamination
of the device may lead to injury, illness or death of the patient. • After use, dispose of product and packaging in accordance with hospital,
administrative and/or local government policy.
Refer to Directions for Use and/or User Manual provided with the product for complete Instructions, Warnings, Precautions, Possible Adverse
Effects and Contraindications. Observe all instructions for use prior to use. Failure to do so may result in patient complications.
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician.
IMPORTANT RISK INFORMATION
Consult your AngioDynamics representative for country specific product availability.