Arrow AutoCAT 2 Series Operating Manual page 177

Intra-aortic balloon pump iabp system
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8 . T r o u b l e s h o o t i n g
8 . 2 : T r o u b l e s h o o t i n g A l a r m s C l a s s I
AUTOMATIC RESPONSE ALARMS (Class I)
Problem
Operation Mode
High Baseline
AutoPilot
Operator
Large Helium Leak
AutoPilot
Operator
Automatic Response Alarms
8-16
Possible Cause(s)
Partially wrapped IAB
Balloon Too Large for the
Aorta
Kinked catheter
IAB has not exited
the sheath
Partially wrapped balloon Notify physician; aspirate
Overfill
Improper IAB position
IAB tubing disconnected
or IAB disconnected from
console
Quick connection on IAB
is not tightly connected
Leak at IAB connection or Verify tight connections at
in Tygon tubing between
console and catheter
insertion point.
Other helium leak
Corrective Actions
Notify physician; aspirate
IAB, if no blood is present
inject 50cc of air into the
balloon and aspirate and
remove syringe from
IAB connector.
Check BPW/AP
relationship. Decrease IAB
volume if indicated.
Find kink and straighten
out catheter.
Verify IAB is out of sheath.
Reposition IAB as needed.
IAB, if no blood is present
inject 50cc of air into the
balloon and aspirate
immediately.
Call Arrow International
for service
Verify IAB position and
reposition as needed.
Check all IAB connections
for leak. Reconnect and/or
tighten as needed.
Tighten quick connection
all driveline tubing
connection points.
Perform leak test. Replace
or repair IAB as needed.
Check for blood in tubing.
If blood is observed remove
and replace IAB. If no
blood is observed, perform
leak test.

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