Arrow AutoCAT 2 Series Operating Manual page 197

Intra-aortic balloon pump iabp system
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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 . 2 : C a u t i o n s f o r t h e A u t o C A T
CAUTION
(page 4-12)
CAUTION
(page 5-6 and 6-6)
CAUTION
(pages 5-6 and 6-6)
CAUTION
(pages 5-9 and 6-9)
CAUTION
(pages 5-11 and 6-10)
CAUTION
(page 5-12)
CAUTION
(page 5-22)
Cautions for the AutoCAT
®
2 Series
9-8
®
2 S e r i e s
R wave deflation may result in hemodynamically late
deflation. Patient should be monitored when using this
timing method.
Do not use a 3 lead ECG cable or Phono to Nicolay slave
cables. The 3 lead ECG cable and Phono to Nicolay cables
will not work properly with the AutoCAT
Do not use electrodes after expiration date. Ensure proper
electrode contact.
If using Translucent electrodes check the expiration date.
Expired electrodes may cause excessive artifact or poor
ECG signal.
Do not use a 3 lead ECG cable or Phono to Nicolay slave
cables. The 3 lead ECG cable and Phono to Nicolay cables
will not work properly with the AutoCAT
Bedside monitors have different signal output
characteristics. A monitor with a delay of greater than 20
msec between the actual patient signal and the monitor
output should not be utilized. It may result in incorrect
timing. If a pacer spike is to be used or rejected for
triggering, ensure that the bedside monitor outputs the pacer
spike. Many monitors have pacer detection and output
disabled in the default configuration. Consult the
manufacturer for specific information regarding the bedside
monitor. When in doubt, use the direct signal connections
from the patient to the AutoCAT
performance.
The FiberOptix
sensor must be zeroed prior to placing the IAB
in the patient. Failure to zero the transducer may result in
inaccurate AP values. The non-zeroed FiberOptix
will be adequate for WAVE
should not be used for hemodynamic assessment of the patient.
When using the AutoCAT
®
2 WAVE
Fiber Optic AP Sensor, timing assessment should be done from the
IABP AP FiberOptix
waveform. AP waveforms from fluid filled
transducers have significant delays which will make timing appear
earlier than the FiberOptix
The AP FiberOptix
signal accuracy may be affected if the
sensor is used at altitudes above 10,000 ft. In the event that the
pump will be used above 10,000 ft., be prepared to switch to an
alternate AP source if the signal is lost or the accuracy is
reduced. Have a second AP source available in these situations.
®
2 series.
®
2 series.
2 Series for optimal
®
sensor signal
timing in the AutoCAT
2 WAVE
®
®
®
IABP with a FiberOptix
waveform.
but
®

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