Cardiohelp System
Extracorporeal life support
wherever you need it
This document is intended to provide information to an international audience outside of the US.
The world’s leading
ECLS System
Your choice for
heart-lung support
With critically ill or injured patients, there’s no
time for delay. That’s why Getinge has long been
committed to advancing ECLS technology.
As one of the world’s leading manufactur- We put patients first
ers of heart-lung machines and related For more than a century, Getinge and its
components, we understand the impact well-known brands – such as Maquet –
that a portable extracorporeal life sup- have put patients first. It’s why we remain
port (ECLS) system can have committed to close clinical relationships
on patient outcomes. that identify real-world healthcare chal-
lenges, and address them with cost-
A broad range of indications effective, clinically relevant solutions.
The Cardiohelp System is a small and
lightweight heart-lung support system.
Although extracorporeal life support
provided by the Cardiohelp System is not
a therapy itself, it acts as a bridge for
recovery or transplantation. This gives
caregivers more time to optimize the
patient’s therapy while easing the body’s
workload.
It can be used for a wide range of indi
cations in intensive care, emergency
medicine, cardiology, and cardiac surgery.
CARDIOHELP SYSTEM 3
Gentle extracorporeal circulation
Giving the organs time to heal
A multi-functional system
The Cardiohelp System is a compact heart-lung support Highly portable, the Cardiohelp System can be rapidly
system suitable for all indications requiring extracorporeal deployed for transport of patients requiring respiratory
circulation for cardiopulmonary support. It can be used for and / or circulatory support.
up to 30 days in cases of myocardial or respiratory failure.
Cardiohelp Adjustment of
Emergency Drive Holder flow and speed
Battery pack for at least 90 min
The protective frame
protects the Cardiohelp
Control panel: Device against crushing
user-friendly touchscreen
“Alarm outlet” connection, USB port type A and
e. g., ward call USB port type B
Main power supply: together
with the DC device socket, the “Emergency mode”
Cardiohelp device can be used button
with common voltages and
currents worldwide.
Equipotential bonding DC device socket
connection
4 CARDIOHELP SYSTEM
A cost-effective resource
As hospitals face increasing cost pressures, it’s crucial of treatment, making it a cost-effective solution for
to invest in cost-effective technologies that can be used hospitals or transport.
by multiple departments. With the Cardiohelp System,
patients can remain on the same system for the duration
Venous probe to measure venous
oxygen saturation, hemoglobin,
hematocrit, and venous temperature
Connection for
Connections for
internal sensors
four external pressure sensors
(pressure, arterial
temperature)
Standard slide rail Connection for
bubble sensor
Pump drive Connection for two
external temperature
sensors
Connection for level sensor
Connection for Connection for battery
flow / bubble sensor calibration unit
CARDIOHELP SYSTEM 5
One system
Multiple treatment options
The Cardiohelp System can support cardiac and / or Veno-venous life support provides respiratory assistance
pulmonary function using either veno-venous or veno- for lung disorders. Support can be extended to complete
arterial ECLS. substitution of the organ function.
Veno-arterial life support is used with patients whose When paired with optimized ventilation techniques, the
hearts are not adequately supporting their circulation Cardiohelp System provides adaptable treatment for a
or patients who have arrested. variety of conditions.
Application Respiratory and Respiratory assist Cardiac surgery and intervention
cardiac assist
Disposable HLS Set Advanced 5.0 HLS Set Advanced 5.0 MECC-i Set Cardiac
HLS Set Advanced 7.0 HLS Set Advanced 7.0 Intervention Set
Place ICU / CathLab / ER / OR ICU / ER / OR OR / Hybrid OR CathLab / Hybrid OR
Fields of • Respiratory failure • Acute respiratory • Coronary artery • Elective high risk
application with cardiac impair- distress syndrome bypass grafting PCI
ment (ARDS) surgery (CABG)
• O ther elective
• Circulatory failure • Pulmonary • Aortic valve cardiac inter
with respiratory embolism replacement (AVR) ventions
impairment
• Septic shock • Pre- and post-
• Cardiogenic shock operative heart-
• B
ridge to lung lung support
• Myocardial transplant
infarction
• Resuscitation
• B
ridge to transplant
Duration of use Up to 30 days* Up to 30 days* Up to 6 hours Up to 6 hours
Flow HLS 5.0: 0.5–5.0 l/min HLS 5.0: 0.5–5.0 l/min 0.5–7 l/min 0.5–7 l/min
HLS 7.0: 0.5–7.0 l/min HLS 7.0: 0.5–7.0 l/min
Transport Air / ground Air / ground - -
v-a ECLS v-v ECLS MECC
* HLS Set Advanced in combination with HLS Cannulae with
Bioline Coating can be used for up to 30 days in CE region.
6 CARDIOHELP SYSTEM
The Cardiohelp System
The fully equipped Sprinter Cart XL
Infusion pole (height-adjustable)
Gas blender
Handle for pulling
and pushing
Cardiohelp Emergency
Drive on holder
Medical gas supply
Top shelf kit
(height-adjustable)
Emergency Kit HU 35 Heater Unit
Medical isolating transformer
with fixation system
Equipotential
bonding pin
Electrically
conductive wheels
with parking brakes
CARDIOHELP SYSTEM 7
HLS Set Advanced
Combining a low damage blood pump
with a highly efficient gas module
When a patient’s heart or lungs are failing, they need safe
and effective cardiopulmonary support to avoid hypoxic injury.
The right technology can ease the body’s workload, pro- The HLS Set Advanced is available in different versions:
viding support both at the bedside and during transport.
HLS Set Advanced 5.0 accommodates a blood flow of up
Improved safety for critically ill patients to 5 l/min and HLS Set Advanced 7.0 accommodates a
blood flow of up to 7 l/min. Both HLS Set Advanced have a
The HLS Set Advanced, with the HLS Module Advanced biocompatible Bioline Coating.
as its core component, is a state-of-the-art oxygenator
providing circulatory and / or respiratory extracorporeal life For patients who are susceptible to heparin-induced
support (ECLS). It expands therapy applications with a thrombocytopenia a set with Softline Coating is available,
continuous use for veno-venous or veno-arterial extra- the HIT Set Advanced 5.0 and HIT Set Advanced 7.0.
corporeal support up to 30 days*.
Integrated monitoring technology helps to improve
patient safety and handling of the device in a high risk
setup.
The core of the HLS Set Advanced, the HLS Module
Advanced
The core is an integrated low-trauma centrifugal pump.
With the HLS Set Advanced, patient safety is integrated
into the system. Multiple sensors measures important
blood parameters, including:
• Venous oxygen saturation (SvO₂)
• Hematocrit (Hct)
• Hemoglobin (Hb)
• Venous temperature (T Ven)
Integrated sensors provide continuous measurement:
• Venous pressure
• Arterial pressure
• Internal pressure (measured between centrifugal
pump and gas module)
• Arterial temperature
Flow Bubble Sensor (FBS) for bubble detection and for
reducing the risk of embolisms.
* HLS Set Advanced in combination with HLS Cannulae with
Bioline Coating can be used for up to 30 days in CE region.
8 CARDIOHELP SYSTEM
HLS Set Advanced
Benefits at a glance
Safety Usability
• Integrated noninvasive sensor tech- • Quick and easy set-up and priming
nology minimizes the hazards of air for routine and rapid deployment in
embolism, stagnant zones, clotting emergency situations.
and cavitation from external pressure
sensors. There are no pressure lines • The sterile packaging contains all the
that need flushing. necessary components and tubing.
• Rapidly detect cannulae misplace- • An integrated heat exchanger
ment and kinking by monitoring helps to precisely manages tempera-
pressure changes with Cardiohelp. ture.
• Various sensors reduce the risk of em- • Color-coded tubing supports safe
bolism caused by air entering the cir- patient connection.
cuit and helps to early recognize • Provided as a standard set it allows
formation of clots. for consistent trainings of users,
• Low priming volume minimizes familiarity with the product in any
hemodilution. situation and routine handling.
• Changing a component or set always • With Cardiohelp and HLS Set
represents a risk for the patient. The Advanced, patients can be safely
HLS set was developed for up to 30 transported between hospitals.
days continuous use.
CARDIOHELP SYSTEM 9
Cardiac Intervention
Short term support - a life-saving decision
Supporting patients during high-risk percutaneous
cardiac interventions
When treating patients with high-risk PCI, the physician
should take into account a 7 - 10% risk of acute hemody-
namic instability; this almost always leads to the need for
urgent circulatory support 1. Cardiac assist devices can
be used to regain stability and to support the patient as
quickly and effectively as possible.
Background:
• Rising numbers of cardiac interventions are occur-
ring, especially in older and sicker patients 2, 3, 4
• Increasingly complex cardiac interventions occur
after the introduction of new stent variations (e.g.
drug eluting or dissolving stents) and evolving tech-
nologies (e.g. minimally invasive valve-replacement) 5
• Increased need for, and acceptance of circulatory
support during high-risk PCI 1, 6, 7 or valve replacement.
1 B
riguori C et al. Elective versus provisional intra-aortic balloon pumping in ULMS. 5 D
ardas P et al. ECMO as a bridge to high-risk rotablation of heavily calcified coro-
Am. Heart J. 2006; 152 (3): 565-572 nary arteries.
Herz. 2012; 37 (2): 225-30
2 V
ainer J et al. Elective high-risk percutaneous coronary interventions supported
by extracorporeal life support. 6 B
agai J et al. Efficacy and safety of percutaneous life support during high-risk per-
Am. J. Cardiol. 2007; 99 (6): 771-3 cutaneous coronary intervention, refractory cardiogenic shock and in-laboratory
cardiopulmonary arrest.
3 A
nastasiadis K et al. Successful high-risk percutaneous coronary intervention J. Invasive Cardiol. 2011; 23 (4): 141-7
with the use of minimal extracorporeal cirulation system.
Catheter Cardiovasc Interv. 2012; 80 (5): 845–9 7 W
ebb DP et al. Novel multi-functional life support system.
J. Extra Corpor. Technol. 2010; 42 (3): 232-4
4 T
sao et al. Extracorporeal membrane oxygenation-assisted primary percutaneous
coronary intervention may improve survival of patients with acute myocardial in-
farction complicated by profound cardiogenic shock.
J. Crit. Care. 2012; 27 (5): 530.e1-530.e11
10 CARDIOHELP SYSTEM
Cardiac Intervention Set
Benefits at a glance
• First standardized tubing set for ECLS • Low priming volume minimizes
during high-risk PCI hemodilution
• Designed to be used for up to 6 hours • Connection of external pressure
this set can serve as a back-up measurement and arterial tempera-
solution to cover the phase of highest ture is possible
risk of instability and take over full
support if necessary • Integrated centrifugal pump and heat
exchanger for precise temperature
• Quick and easy set-up and priming management
for fast deployment in emergency
situations
Catheter Laboratory / Hybrid OR / Shock Room (Possible scenarios, decision by physician)
Acute myocardial infarction (AMI) Ongoing Elective or acute high risk PCI,
and / or advanced stage of acute heart cardiopulmonary valve intervention,
failure or cardiogenic shock resuscitation (CPR) electro-physiological treatments
Guideline conforming therapy (e.g.
fluid supply, catecholamines)
Is the patient stable? Risk stratification
Yes No
High Medium Low
risk risk risk
IABP
Yes Stable?
Elective Standby Standby
support primed unprimed
No
Extracorporeal Life Support
HLS Set Advanced Cardiac Intervention Set
Cardiac Intervention
According to ESC and ACC / AHA guidelines
CARDIOHELP SYSTEM 11
Avalon Elite
Bi-Caval Dual Lumen Catheter
Reduce patient trauma with a single
cannulation site for extracorporeal life support.
The Avalon Elite Bi-Caval Dual-Lumen Catheter permits
for single site cannulation into the patient’s internal
jugular vein. This facilitates patient extubation and
mobilization, increases patient comfort and improving
patient outcomes.
The Avalon Elite Bi-Caval Dual-Lumen Catheter is the
world’s first single site, kink resistant, veno-venous
device designed to enable optimal extracorporeal life
support. It matches the body’s natural flow ratios by
simultaneously removing deoxygenated blood from both
the superior vena cava (SVC) and inferior vena cava (IVC),
and returning oxygenated blood to the right atrium (RA).
Advantages Characteristics:
• A broad range of sizes for all patient types: neonatal, • Wire-reinforced catheter with a one-piece, dual lumen
pediatric or adult construction.
• Radiopaque to assist in catheter insertion and • The Catheter consists of two separate lumina, this
placement allows for both venous drainage and reinfusion of
• Constructed with an unique material that combines blood during extracorporeal life support procedures.
the durability of polyurethane with the flexibility and • The product is offered in a range of sizes to address
biocompatibility of silicone varying patient size requirements.
12 CARDIOHELP SYSTEM
HLS Cannulae
Up to 30 days* of VV and VA access
Reliable and minimally traumatic solution for vascular access.
HLS cannulae can be inserted percutaneously or
through surgical cut-down, offering reliable veno-venous
or veno-arterial connection of peripheral vessels to the
extracorporeal circuit.
HLS cannulae is also available with Bioline Coating
(heparin-albumin coating) for improvement of the
physical surface properties of products for the
extended respiratory and / or circulatory support.
* HLS Set Advanced in combination with HLS Cannulae with
Bioline Coating can be used for up to 30 days in CE region.
Exceptional performance characteristics: Easy to use:
• Reinforced with a flat wire for the thinnest wall and • Locking mechanism keeps introducer in place
highest flow rates. during insertion
• Reinforced side holes for reduced kinking risk • Optimized transition between introducer
and cannula tip
• Versions with Bioline Coating for extended respiratory
and / or circulatory support. • Depth marks to control insertion depth, a
stop ring to define maximum insertion depth
• Extended application time of 30 days in combination
with a PLS Set (Bioline Coating) or HLS Set* • Selectively hardened proximal cannula body,
reduces the risk of kinking after insertion
CARDIOHELP SYSTEM 13
The portable
life support system
– anytime, anywhere
The Cardiohelp System can be easily and rapidly
deployed at the bedside or in the field, offering
patients portable, seamless heart-lung support.
It is effective in all forms of patient transport, including intra-hospital transport
between departments, or inter-hospital transport by helicopter or ambulance.
The portable system enables adequate patient oxygen supply and CO₂ reduction
for efficient organ perfusion.
Key features include:
• Secure installation in any ambulance or helicopter
• Integrated lithium-ion batteries provide at least 90 minutes of
operating time when fully charged
• The Cardiohelp Transport Guard provides additional stability
and crash protection
A broad variety of transport-specific accessories are available, including mobile
holder and base plate for secure fixation of the device.
Cardiohelp with additional transport guard Trolley transport system
15
MCP_BR_10005_EN_3 · 2019-07-29 · © Maquet Cardiopulmonary GmbH · Getinge is a registered Trademark. Maquet Cardiohelp, Avalon Elite, Bioline Coating are a registered Trademark by Maquet Cardiopulmonary GmbH · Subject to modifications
Benefits at a glance:
A proven life support system
• Ideal for use in multiple settings in the ICU, OR, • Individual alarms, warning limits, and interventions
CathLab, Hybrid OR, and the emergency room assure safety during use
• Compact and functional design provides flexibility • The back-up system offers a 90 min battery supply
and easy handling when fully charged, and an emergency drive
• The touchscreen user interface allows intuitive control
even in emergency situations
• Integrated sensor technology enables continuous
monitoring of patients blood parameters, pressures
and bubble detection
Getinge is a global provider of innovative solutions for operating rooms, intensive care units, sterilization departments and
for life science companies and institutions. Based on our firsthand experience and close partnerships with clinical experts,
healthcare professionals and medtech specialists, we are improving the everyday life for people – today and tomorrow.
This document is intended to provide information to an international audience outside of the US. The products in this brochure
may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.
Manufacturer · Maquet Cardiopulmonary GmbH · Kehler Str. 31 · 76437 Rastatt · Germany · +49 7222 932-0
www.getinge.com
