Arrow AutoCAT 2 Series Operating Manual page 192

WARNING
(page 4-18)
WARNING
(page 5-2)
WARNING
(pages 5-5 and 6-5)
WARNING
(pages
5-13, 6-16 and 8-25)
WARNING
(page 5-13 and 6-16)
9 . O p e r a t i o n a l P r e c a u t i o n s , L i m i t a t i o n s a n d H a z a r d s
9 . 1 : W a r n i n g s f o r t h e A u t o C A T
The operator must continuously monitor the patient's
Arterial Pressure waveform whenever the deflation point is
set beyond 100%.
The operator must closely observe the effects of inflation
timing on deflation timing whenever the settings are altered.
Failure to do so may adversely impact the expected benefits
of counterpulsation and have serious clinical sequelae.
The AutoCAT 2 Series IABP System requires a trained
®
operator who has read and understands all sections of this
manual prior to using the AutoCAT
Only medical personnel trained in the use of IABP devices
and acting under a physician's orders should operate this
system.
DO NOT touch the IABP System during defibrillation. The
possibility of electric shock exists.
Be prepared to maintain IABP operation in critical situations
by having a backup IABP system and extra helium bottles
ready in case of system failure or helium depletion.
Be prepared to change Operations modes if the currently
selected Operation mode does not provide adequate assist.
Do not use solvents (e.g., acetone or other degreasing agents)
to prepare the skin. They may damage the IAB catheter or
other plastic components of the system.
If an IAB is suspected of being occlusive, do not reduce the
IAB volume to less than 2/3 of the balloon's capacity. To
prevent thrombus formation, pump the balloon at its
maximum capacity for five minutes every one to two hours. A
smaller IAB volume should be considered.
A properly coded balloon connector should be used with all
balloons, including those not manufactured by Arrow
International. Using a balloon connector coded for a volume
greater than that of the balloon can have serious clinical
consequences. Verify balloon volume prior to operating the
pump, as described in section 5.1.
If the balloon pressure waveform does not resemble a normal
or acceptable waveform, take immediate action to correct a
potentially unsafe condition. See Chapter 8 to troubleshoot
the problem.
® 2 S e r i e s
® 2 Series IABP System.
Warnings for the AutoCAT ® 2 Series
9-3