HeartWare Ventricular Assist System Patient Manual page 2

Please read this entire manual before using the HeartWare® Ventricular Assist System
outside of the hospital. It is not safe to use the system away from trained professionals
until you understand the information in this manual.
CONTACT INFORMATION
All problems should be promptly reported to medical or technical personnel. Before you leave
the hospital, add names and contact information below. It is very important to keep this
information available in case something happens to you or to your HeartWare® System.
TECHNICAL ASSISTANCE FOR HEARTWARE® VENTRICULAR ASSIST SYSTEM
_______________________ _______________
Name
_______________________ _______________
Name
MEDICAL ASSISTANCE
_______________________ _______________
Name
_______________________ _______________
Name
AMBULANCE
_______________________ ________________
Company
IMPORTANT
Office
Office
Office
Office
Phone Number
_______________ _____________
Pager
_______________ _____________
Pager
_______________ _____________
Pager
_______________ _____________
Pager
Mobile
Mobile
Mobile
Mobile