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GETINGE GROUP Maquet CARDIOSAVE IABP Quick Reference Manual

Iab insertion, iabp operation
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IAB Insertion / CARDIOSAVE
Quick Reference Guide
IABP Operation
®
Note: This is an abbreviated guide.
For complete instructions, refer to IAB
Instructions for Use and CARDIOSAVE
Operating Instructions.

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February 5, 2025

How do I order extra 0.025 wire for the IABP?

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Summary of Contents for GETINGE GROUP Maquet CARDIOSAVE IABP

  • Page 1 IAB Insertion / CARDIOSAVE IABP Operation ® Quick Reference Guide Note: This is an abbreviated guide. For complete instructions, refer to IAB Instructions for Use and CARDIOSAVE Operating Instructions.
  • Page 2 | 2 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist IAB SIZING INTRA-AORTIC BALLOON Intra-aortic Balloon NEW SIZING GUIDE Reference Sizing Guide < 5'0" 5'0" to 5'4" 5'4" to 6'0" 5'4" & taller (< 152cm) (152cm - 162cm) (162cm - 183cm) (≥...
  • Page 3 IAB SIZING MEGA and LINEAR IAB Catheter ® ® Preparing the IAB Catheter Firmly attach one-way Apply a 30cc vacuum. Remove syringe while Remove stylet, then manually valve to male luer fitting keeping one-way valve flush inner lumen with 3-5cc of IAB catheter.
  • Page 4 MEGA & LINEAR | 4 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist INSERTION MEGA and LINEAR IAB Catheter Sheathless Insertion Insert needle at 45˚ angle Make small incision at Insert vessel dilator over Spread tissue at incision or less, then insert 0.025" exit of guidewire.
  • Page 5 MEGA and LINEAR IAB Catheter Sheathed Insertion Insert needle at 45˚ angle Make small incision at Insert introducer dilator Advance sheath over or less, then insert 0.025" exit of guidewire. into sheath hub and twist guidewire into artery (0.06cm) guidewire. lock in place to secure.
  • Page 6 MEGA & LINEAR | 6 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist INSERTION MEGA and LINEAR IAB Catheter Pressure Monitoring Set-Up Remove guidewire and Manually flush inner Attach a standard arterial aspirate 3cc of blood lumen with 3-5cc of flush pressure monitoring from inner lumen.
  • Page 7 SENSAtION PLuS and SENSAtION IAB Catheter ® ® Preparing the IAB Catheter Firmly attach one-way Apply a 30cc vacuum. Remove syringe while Remove stylet, then manually valve to male luer fitting keeping one-way valve flush inner lumen with 3-5cc of IAB catheter. in place.
  • Page 8 SENSATION PLUS & | 8 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist SENSATION INSERTION SENSAtION PLuS and SENSAtION IAB Catheter Sheathless Insertion Insert needle at 45˚ angle Make small incision at Insert vessel dilator over Spread tissue at incision or less, then insert guide- exit of guidewire.
  • Page 9 SENSAtION PLuS and SENSAtION IAB Catheter Sheathed Insertion Insert needle at 45˚ angle Make small incision at Insert introducer dilator Advance sheath over or less, then insert guide- exit of guidewire. into sheath hub and twist guidewire into artery wire (7.5Fr./8Fr. IAB: 0.025" lock in place to secure.
  • Page 10 SENSATION PLUS & | 10 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist SENSATION INSERTION SENSAtION PLuS and SENSAtION IAB Catheter Pressure Monitoring Set-Up Note: With SENSATION PLUS, a reliable pressure signal may be obtained via the inner lumen, if needed. Remove guidewire and Manually flush inner Attach a standard arterial...
  • Page 11 CARDIOSAVE Initial Set-up Connect ECG cable. Connect fiber-optic sensor connector for Maquet/ Datascope fiber-optic IAB. Press POWER button to turn IABP ON. Connect pressure cable for conventional IAB. Open helium tank (if not already opened). Connect IAB. | 11 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist CARDIOSAVE SET-UP...
  • Page 12 | 12 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist CARDIOSAVE SET-UP Initial Set-up using a Maquet/Datascope Fiber-optic IAB (continued) Lead: Auto - II Rate Trigger: ECG Source: Fiber-Optic Pressure Arterial mmHg (84) MEAN Inflation Deflation Auto Augmentation Balloon Pressure mmHg Inflated Verify Aug.
  • Page 13 Lead: Auto - II Rate Initial Set-up using a Conventional IAB (continued) Trigger: ECG Pressure Source: Fiber-Optic mmHg Arterial (84) MEAN In ation De ation Auto Augmentation Balloon Pressure mmHg In ated Lead: Auto - II Rate Aug Alarm Trigger: ECG IAB Frequency Source: Fiber-Optic Pressure...
  • Page 14 CARDIOSAVE | 14 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist OPERATION CARDIOSAVE Operation Modes Auto Operation Mode • Automatic lead and trigger selection • Automatic and continuous inflation and deflation timing management - User has ability to fine-tune deflation timing •...
  • Page 15 CARDIOSAVE Monitor Display and touchscreen Lead: Auto - II Rate OPERATION MODE Semi Calibrate Semi Standby Standby Auto Start Start Start Auto Auto Auto Pressure Auto Hold 2 Sec. Trigger: ECG Trigger Trigger Sources Sources IAB Frequency IAB Frequency Augmentation Augmentation Timing Timing...
  • Page 16 CARDIOSAVE | 16 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist OPERATION CARDIOSAVE Lock Screen Feature OPERATION MODE OPERATION MODE Semi Semi Calibrate Semi Semi Calibrate Auto Standby Standby Start Start Start Standby Standby Auto Auto Auto Auto Auto Star t Start Start Auto...
  • Page 17 CARDIOSAVE triggers Triggering CARDIOSAVE Triggers • A Trigger is the signal that CARDIOSAVE uses to identify the beginning of the next cardiac cycle Trigger event is the R-Wave • When CARDIOSAVE recognizes the trigger event, • Trigger of choice when an adequate R-Wave is present it will deflate the balloon if not already deflated •...
  • Page 18 CARDIOSAVE | 18 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist OPERATION theory of Counterpulsation therapy Inflation: increases supply of oxygen Deflation: decreases demand for oxygen to the myocardium. by the left ventricle. How it works How it works • Balloon inflates at onset of diastole •...
  • Page 19 timing Timing refers to the positioning of inflate and deflate points on Diastolic the arterial pressure waveform. Augmentation Proper IABP Timing Unassisted Assisted Systole Systole Inflation • Occurs at the dicrotic notch • Appears as a sharp “V” • Ideally diastolic augmentation rises above systole Deflation Unassisted End...
  • Page 20 CARDIOSAVE | 20 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist OPERATION timing Errors Early Inflation Physiologic Effects Diastolic • Potential premature closure Inflation of IAB prior to aortic valve Augmentation of aortic valve closure. • Potential increase in Unassisted Waveform characteristics Assisted Systole...
  • Page 21 timing Errors Early Deflation Physiologic Effects Diastolic • Sub-optimal coronary perfusion Premature deflation of IAB during Augmentation diastolic phase. • Potential for retrograde coronary Assisted and carotid blood flow Waveform characteristics Systole • Angina may occur as a result of •...
  • Page 22 CARDIOSAVE | 22 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist OPERATION Proper Care of Inner Lumen • Minimize length of pressure tubing • Use only low compliance pressure tubing • Elevate flush bag at least 3’ (91.44cm) above transducer •...
  • Page 23 Changing the Helium tank Grasp both sides of Grasp helium tank and Remove helium tank Slowly loosen yoke Remove helium tank. Replace washer, helium tank panel and slowly slide drawer out. knob from Holder and T-handle counter- if available. Pull out to open. Attach to left end clockwise (some helium of helium tank, then...
  • Page 24 only shows temporarily only shows temporarily only shows temporaril CARDIOSAVE | 24 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist (84) (84) (84) OPERATION MEAN MEAN MEAN Aug Alarm Aug Alarm eflation ug Alarm R-Wave R-Wave Viewing Battery Status on Monitor Display (examples) B Frequency: IAB Frequency: IAB Frequency:...
  • Page 25 Viewing Battery Status on Battery Note: Each LED represents a charge of approximately 20%. Battery is approximately 100% charged. Changing the Battery Turn knob to remove Slide battery OUT. Slide charged battery IN. While holding battery in battery from Battery Bay. bay, turn knob to lock battery in place.
  • Page 26 | 26 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist TROUBLESHOOTING Alarms Augmentation Below Limit Set Autofill Failure Probable Cause Corrective Action Probable Cause Corrective Action Hemodynamic status has IAB disconnected. Attach IAB catheter. Attempt to optimize patient’s changed: ↑HR, ↓SV, ↓MAP. hemodynamic status.
  • Page 27 Alarms IAB Catheter Restriction IAB Disconnected Probable Cause Corrective Action Probable Cause Corrective Action IAB catheter or extender Reattach IAB, press START. Restriction in IAB Relieve restriction tubing is disconnected. catheter or tubing. if possible, press START. Membrane has not Manually inflate and deflate completely unfolded.
  • Page 28 | 28 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist TROUBLESHOOTING Alarms Prolonged Time in Standby Gas Loss in IAB Circuit check tubing for blood Probable Cause Corrective Action Probable Cause Corrective Action IABP has been in Verify whether it is appropriate A helium loss has been detected If blood observed - STOP pumping.
  • Page 29 Alarms Unable to Update Timing Probable Cause Corrective Action Poor waveform quality. Check cable connections. Verify transducer was not left vented, if in use. If transducer is in use, aspirate and flush arterial pressure line. If problem persists, switch operation mode to SEMI- AUTO, verify TRIGGER SOURCE, adjust timing, resume pumping.
  • Page 30 | 30 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist TROUBLESHOOTING Alarms Unable to Calibrate Fiber-Optic Sensor Fiber-Optic Sensor Calibration Postponed Probable Cause Corrective Action Probable Cause Corrective Action A non-scheduled calibra- Assess patient to determine if Patient’s pulse pressure is When patient’s pulse pressure tion update has been a brief pause in assist would...
  • Page 31 Alarms Fiber-Optic Sensor Module Failure Fiber-Optic Sensor Failure Probable Cause Corrective Action Probable Cause Corrective Action There has been a failure If a fiber-optic IAB is NOT in There is a failure in Unplug Fiber-Optic Sensor of the internal Fiber-Optic use, continue normal IABP communication of the Connector and reconnect.
  • Page 32 | 32 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist TROUBLESHOOTING Patient Assessment Assessment Corrective Action Radial pulses Insertion site Pedal pulses Radial pulses Check position of IAB. Left radial pulse weak or left arm ischemia. Insertion site Apply pressure, ensure Excessive bleeding from distal flow.
  • Page 33 Portable Operation Maquet/Datascope Corp. recommends: • Sufficient supply of fully charged batteries for use during transport. • Use of the Transport Power Supply for AC operation during transport. • Verifying internal helium reservoir is full when using the Transport System. •...
  • Page 34 TRANSPORT | 34 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist CONSIDERATIONS Removing Pump Console from the Cart Release latch located Grab handle and slowly Grab handles located Push button to release below pump console slide console out. on top and front of pop-up mount.
  • Page 35 (84) MEAN eflation R-Wave Inserting the Pump Console into the Hospital Cart Augmentation mmHg 2 min Squeeze latch below Squeeze latches located Squeeze latches and attach Push and hold button on console handle. Push straight below Monitor and lift to display mount, then to unlock monitor mount.
  • Page 36 TRANSPORT | 36 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist CONSIDERATIONS Helium use from Internal Reservoir The internal helium reservoir contains sufficient helium to provide Effects of altitude changes during air approximately 36 fill cycles at full capacity. With every Autofill, transportation helium will be depleted in the following approximate amounts: For proper operation during air transport, IABP...
  • Page 37 Connecting an Arrow IAB/IABP Connecting a Maquet/Datascope to a Maquet/Datascope IABP IAB/IABP to an Arrow IABP Transferring Facility Transferring Facility • This patient will have an Arrow IAB connected to an Arrow IABP • This patient will have a Maquet/Datascope IAB connected to a Maquet/ Datascope IABP •...
  • Page 38 PNEUMATIC MODULE | 38 | IAB Insertion / CARDIOSAVE Operation Cardiac Assist LEAK TEST Pneumatic Module Leak test This test measures pneumatic leak rate(s) of the Pneumatic Module and is recommended to be performed before or after each IABP use. WARNING: Pneumatic Module Leak Test MUST NOT be performed with the pump connected to a patient’s IAB.
  • Page 39 Direct Current (DC) On / O Direct Current (DC) SYMBOL DISCRIPTION SYMBOL DISCRIPTION On / O Trainer Doppler On / O DOPPLER Doppler DOPPLER Alarm o /inhibited Doppler DOPPLER Doppler Direct Current (DC) DOPPLER Direct Current (DC) On / O Fiber Optics Cable On / O Fiber Optics Cable...
  • Page 40 Phone: 1 888 880 2874 www.maquet.com http://ca.maquet.com Getinge Group is a leading global provider of products and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences. We operate under the three brands of ArjoHuntleigh, Getinge and Maquet. ArjoHuntleigh focuses on patient mobility and wound management solutions.

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