Maintaining Balloon Pumping - Arrow AutoCAT 2 Series Operating Manual

Maintaining Balloon Pumping

The AutoCAT ® 2 Series AutoPilot
and detects and tracks arrhythmia's. In most cases, maintaining balloon pumping
consists simply of monitoring IABP functions and responding to alarms.
• Check each of the following at least once an hour:
• ECG leads: ECG electrodes should be changed at least every three days or per
hospital policy to prevent the gel from drying out.
• Timing: AP waveform indicates optimum inflation and deflation points.
• Balloon inflation volume: If the balloon volume has been decreased to less than 70%
of the full volume for any reason, pump the balloon at maximum volume for at least
five minutes every one to two hours.
• Balloon pressure: Normal or acceptable waveform is displayed.
• Hemodynamic data: Check data displayed on the LCD.
• Helium supply: LCD bar graph display shows at least l00psi.
• Alarms: No alarms are displayed on LCD.
• Respond to alarms as soon as possible. Safe IABP operation requires
that you:
• Give immediate attention to alarms that stop pumping
• Follow the corrective steps specified in the alarm message
• Save the recorder strip (if available) to aid in diagnostic troubleshooting
• Maintain the alarms in the ALARMS ON condition
• Press the ALARM RESET control key to acknowledge the alarm and silence
the audio tone
NOTE: All Class 1 alarms must be reset before pumping can be re-initiated.
Automatic Signal Selection and switching in AutoPilot
When AutoPilot ™ is selected the AutoCAT
alternate signal sources and/or trigger modes to maintain counterpulsation. The
AutoCAT ® 2 IABP system will automatically resume pumping when Autopilot is selected
under the following conditions:
1. The pump is in Operator mode and an ECG or AP trigger loss alarm occurs.
AutoPilot ™ is selected by the user and is able to select an alternate signal
source and correct the trigger loss condition. The alarm will be reset in this
case and pumping will resume.
2. The pump is in Operator mode and an ECG lead fault alarm occurs.
AutoPilot is selected by the user and is able to select an alternate ECG lead
™
or signal source and correct the lead fault condition. The alarm will be reset
in this case and pumping will resume.
™ mode automatically adjusts to heart rate variations
® 2 Series IABP will automatically switch to
5 . O p e r a t i n g P r o c e d u r e s
5 . 1 : O p e r a t i n g I n s t r u c t i o n s
™

Maintaining Balloon Pumping

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