Arrow ACAT™ 2 Wave® Intra Aortic Balloon Pump
Features:
Converts the highly accurate arterial pressure from the fiber
optic IAB catheter, FiberOptix™ series, to Aortic Flow on
a beat-to-beat basis. Proprietary WAVE™ technology
automatically inflates IAB to coincide with aortic valve
closure. In the presence of an arrhythmia, initiates real-
time, automatic R-wave deflation. Aortic Flow timing
delivers the first truly intra-beat timing system based on
individual patient physiology and virtually eliminating
timing errors no matter how erratic the arrhythmia is. 2
modes of operation: Operator & AutoPilot™. One button
start-up. Full color display with fast inflation and deflation
speeds. Bellows / Stepper motor pneumatics with no
maintenance required. Automatic scaling of ECG and
pressures. Bright, clean display of all parameters, included
assisted and unassisted pressures.
Typical Manufacturer’s Picture
Specifications
Design
• FiberOptix™ capable: AP signal transmitted at speed of light
• Proprietary WAVE® algorithm
• Proprietary Aortic Flow Timing Method
• AutoPilot™ mode of operation
• Microprocessor-based system architecture
• Modular system consisting of display/control module and pneumatic drive unit
• Proprietary deflation timing management
Electrical
• AC requirements: 90–264 VAC 47–63 Hz
• Typical power consumption: 245 watts
• Maximum power consumption: 420 watts
• Battery operating time: 90 minutes minimum with full charge; 180 minutes with optional
second battery
• Typical battery recharging time: 80% in 4 hours from full discharge; Recharge to 80%
indicated by yellow light
Mechanical Dimensions
• Control module with monitor: 10" high (25.4 cm) x 13.75" wide (35 cm) x 2" deep (5 cm)
• Pneumatic drive unit: 31.5" high (80 cm) x 13.5" wide (34.3 cm) x 21" deep (53.3 cm)
166 Highland Park Dr. Bloomfield, CT 06002 U.S.A.
Tel: (860) 218-2575 Fax: (860) 218-2565 Email:
[email protected]Rev 1 9/09
Mechanical Weight
• Control module: 5 lbs (2.3 kg)
• Pneumatic unit for AutoCAT 2 WAVE®: 95.5 lbs (42.4 kg)
• Total weight for AutoCAT 2 WAVE: 100.5 lbs (44.7 kg)
• Total weight for AERO™ Series: 91.5 lbs (40.7 kg)
Pneumatics
• Drive system: Stepper motor-driven bellows
• Drive gas: USP-grade helium
• Helium tank: Disposable canister (500 psi) or refillable (2000 psi) cylinder— US Approval;
(2900 psi) cylinder—European Approval
• Pumping volume: 0.5cc to 50cc, adjustable in 0.5cc increments
• Counterpulsation rate: 40 to 200 pulsations/minute
• Assist ratio options
Condensation Removal
• Thermoelectric system removes moisture continuously from pneumatic system without
interrupting counterpulsation
System Modes
• AutoPilot: Automatically selects ECG/AP signal, sources, trigger mode, and timing method as
well as timing settings; Automatically changes settings to optimize assist; Proprietary software
sets timing to correspond to individual patient needs
• Operator: Allows user control of most pump functions
Trigger Modes
• ECG (PATTERN, PEAK, AFIB): Microprocessor-based R-waveform trigger detection
algorithms
• Pacer (VPACE, APACE): Low level (skin) ECG input
• Pulse width 0.1 to 0.5 ms and pulse amplitude => +5 to +700 mV
• Pulse width => 0.5 to 2 ms and pulse amplitude =>+2 to +700 mV High level (monitor) input
• Pulse width 0.1 to 2 ms and pulse amplitude => 1 V
• AV pacer detection is <250 msec between pacer pulses
• Arterial pressure (AP): Microprocessor-based waveform trigger detection algorithm
• Internal: Default to 80 bpm; adjustable 40 to 120 bpm
• Filtering: Diathermy, 30 Hz low pass
General Trigger Selection Criteria (AutoPilot Mode)
ECG TRIGGER MODES:
• PATTERN: HR <130 bpm no arrhythmia
• PEAK: HR >130 bpm or arrhythmia detected and arrhythmia timing OFF*
• AFIB: Any HR with arrhythmia detected*
• VPACE: Single or dual pacer (<250 msec apart) and no QRS or AP waveform detected
• APACE: Single pacer with R-wave >100 msec later. Transition only AP TRIGGER MODE:
• No ECG signal or noisy ECG signal
*Based upon deflation timing management.
166 Highland Park Dr. Bloomfield, CT 06002 U.S.A.
Tel: (860) 218-2575 Fax: (860) 218-2565 Email:
[email protected]Rev 1 9/09
Inflation/Deflation Timing Methods
INFLATION TIMING METHODS:
• Aortic Flow: Proprietary WAVE algorithm sets the timing intra-beat on average 1 ms of aortic
valve closure1
• Predictive: AP waveform analysis to set inflation
• Weissler: ECG only, inflation timing based on systolic time intervals
DEFLATION TIMING METHODS:
• R-wave: Real-time deflation on R-wave
• Predictive: Deflation set to occur just prior to next systolic rise
• Weissler: ECG only, deflation timing based on diastolic intervals
MANUAL:
• User set inflation and deflation timing in Operator Mode
Inflation/Deflation Timing Limits (Operator Mode)
• ECG: Inflation, 20%–80% of R-R interval; Deflation, 30%–120% of R-R interval
• AP: Inflation, 0–35% of peak systole-peak systole interval; Deflation, 35%–75% of peak
systole-peak systole interval
• AFIB Trigger Mode: Inflation 80 to 430 ms after R-wave trigger event; Deflation on R-wave
Display
• Type: Color LCD flat screen
• Channels: Three-channel multicolor waveforms
° ECG: Green trace with white highlight on assisted portion
° AP: Red trace calibrated for direct reading of AP, white highlight on assisted portions when in
Operator Mode
° Balloon pressure: Blue trace calibrated in mm Hg and displayed continuously
• Timing reference display: Numerical timing settings in both operating modes as well as a bar
graph displaying inflate/deflate events in Operator Mode
• Cursor: Measurement of AP and balloon pressure waveforms
Alphanumeric Data
• Patient hemodynamics: Heart rate, AP—systolic, augmented, diastolic, and mean arterial. When
in 1:2 or lower assist ratio the assisted values are displayed in white and the unassisted values are
displayed in yellow
• Displayed parameters: ECG source and gain state, alarm status with timer, ON Battery
indication, operation mode selection, AP alarm parameter and limit, timing settings, helium tank
level, arrhythmia detection, and timing status
• Operations status: Operational mode, trigger mode, helium tank gauge, alarm/battery charge
status, balloon volume
• Diagnostic alarm/help messages: Preprogrammed troubleshooting prompts/help
Strip Chart Recorder
• Recorder: Dual-channel dot matrix: Dot density 400 dots/inch, 25 mm/s
• Waveforms: ECG, AP, or balloon pressure (one or two recorded)
166 Highland Park Dr. Bloomfield, CT 06002 U.S.A.
Tel: (860) 218-2575 Fax: (860) 218-2565 Email:
[email protected]Rev 1 9/09
• Alphanumeric: Operational mode, trigger mode, ECG lead/source, AP source, AP alarm status,
timing settings, assist ratio, balloon volume, timing method, arrhythmia status, alarm condition,
date, time, patient hemodynamics
Display Freeze
• Freezes approximately 7 seconds of patient data on screen
Patient Signal Inputs
• ECG: 5 lead skin cable (I, II, III, aVR, aVL, aVF and V); High level monitor input (0 to 5 V)
• AP: Fiber optic signal input from LightWave™ IAB Catheter (WAVE); AP transducer
(Spectramed or equivalent), 50 mV/V/cm Hg; High-level monitor input (1 V = 100 mm Hg)
Note: Additional system specifications are available from Arrow upon request.
Soma Technology, Inc. acknowledges all registered trademarks of manufacturers’ listed.
The technical data given in this publication are for general information and are subject to change
without notice.
166 Highland Park Dr. Bloomfield, CT 06002 U.S.A.
Tel: (860) 218-2575 Fax: (860) 218-2565 Email:
[email protected]Rev 1 9/09