ABIOMED 0034-4590 AbioCor HandHeld Monitor User Manual working draft with FCC Notice PCE Manual

ABIOMED Inc. AbioCor HandHeld Monitor working draft with FCC Notice PCE Manual

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0034 4590 User Manual

Users Manual

AbioCorImplantable Replacement Heart SystemPATIENT-CARRIED ELECTRONICS MANUAL®®

AbioCorImplantable Replacement Heart SystemPATIENT-CARRIED ELECTRONICS MANUALABIOMED, Inc.22 Cherry Hill DriveDanvers, MA 01923 USA978-777-8411 (fax)clinical@abiomed.com (email)www.abiomed.comN. America: 800-422-8666 (24-Hour Emergency Hotline)or 978-777-5410July 2004Document No. 0034-0980-00016 Rev. 1 DRAFT®

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 ABIOMED, Inc.ContentsGlossary...............................................................G.1IntroductionAbout this Manual.................................................1Manual Overview..................................................1Definitions of Special Terms..................................21Warnings and PrecautionsAbioCor System Warnings.................................1.1Patient-Carried Electronics (PCE) Warnings......1.3AbioCor System Precautions.............................1.3Patient-Carried Electronics (PCE) Precautions..1.52 PCE OverviewWhat is the Patient-Carried Electronics(PCE)?...............................................................2.1Parts of the PCE................................................2.2PCE Battery Bag................................................2.3PCE Batteries....................................................2.5Battery Cable.....................................................2.6External TET......................................................2.7PCE Control Module..........................................2.7Battery Charger..................................................2.8AC Power Adapter.............................................2.93 Basic PCE OperationPCE Control Module Functions..........................3.2Battery Bag Switch and Indicators......................3.3Charging Batteries.............................................3.5Getting the PCE Ready for Use..........................3.7Changing a Pair of PCE Batteries....................3.10Calibrating Batteries.........................................3.12Connecting the AC Power Adapter...................3.13Cleaning the PCE.............................................3.14

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. © 20044 Transferring Support Between the Consoleand the PCETransferring Support from the Console to the PCE...4.2Transferring to the PCE if You Usethe Same TET....................................................4.2Transferring to the PCE if You Usea Different TET...................................................4.5Transferring Support from the PCE to the Console...4.9Transferring to the Console if You Usethe Same TET....................................................4.9Transferring to the Console if You Usea Different TET.................................................4.135 PCE AlarmsWhat are the PCE Alarms?......................................5.1PCE Battery Bag Alarms..........................................5.2PCE Control Module Alarms.....................................5.3Appendix: Federal Communications Commission(FCC) Notice.......................................................A.1FiguresFigure 2.1: Using the PCE.....................................2.1Figure 2.2: Parts of the PCE..................................2.2Figure 2.3: PCE Battery Charger...........................2.3Figure 2.4: AC Power Adapter...............................2.3Figure 2.5: PCE Battery Bag with BatteriesInstalled...............................................2.4Figure 2.6: PCE Battery.........................................2.5Figure 2.7: PCE Control Module with TET..............2.7Figure 2.8: PCE Battery Charger...........................2.8Figure 2.9: AC Power Adapter for the PCE............2.9Figure 3.1: PCE Control Module Panel..................3.2Figure 3.2: Location of the Battery ChargeIndicator...............................................3.5Figure 3.3: Battery Charger Status Lights..............3.6Figure 3.4: Installing the PCE Batteries..................3.8Figure 3.5: Plugging the Battery Cable into thePCE Control Module............................3.8

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 ABIOMED, Inc.Figure 3.6: Plugging the TET into the PCEControl Module....................................3.9Figure 3.7: Changing Batteries............................3.10Figure 3.8: Connecting the AC Power Adapter....3.13Figure 4.1: Installing Batteries in the Battery Bag..4.2Figure 4.2: Plugging the Battery Cable into thePCE Control Module............................4.3Figure 4.3: Silencing the TET Alarm......................4.3Figure 4.4: Console TET Unplugged......................4.3Figure 4.5: Silencing Console Alarms....................4.3Figure 4.6: Connecting the TET to the PCEControl Module....................................4.4Figure 4.7: Console Power Panel After Transferto PCE.................................................4.4Figure 4.8: Testing PCE Alarms............................4.4Figure 4.9: Checking the Heart Alarm Light...........4.4Figure 4.10:Putting the Console on Standby...........4.5Figure 4.11:Installing Batteries in the Battery Bag..4.5Figure 4.12:Plugging the Battery Cable into thePCE Control Module............................4.6Figure 4.13:Removing the Console TET.................4.6Figure 4.14:Console TET Unplugged......................4.6Figure 4.15:Silencing Console Alarms....................4.6Figure 4.16:Connecting the TET to the PCEControl Module....................................4.7Figure 4.17:Silencing the PCE TET Alarm..............4.7Figure 4.18:Checking the Console Power Panel.....4.8Figure 4.19:Testing PCE Alarms............................4.8Figure 4.20:Checking the Heart Alarm Light...........4.8Figure 4.21:Putting the Console on Standby...........4.8Figure 4.22:Bringing the Console out of Standby....4.9Figure 4.23:Silencing Console Alarms....................4.9Figure 4.24:Checking the RF CommunicationsSignal................................................4.10Figure 4.25:Silencing the PCE TET Alarm............4.10Figure 4.26:Connecting the TET to the Console...4.11Figure 4.27:Checking TET Alignment and Poweron Console Power Panel...................4.11Figure 4.28:Removing the PCE Batteriesfrom the Battery Bag..........................4.12

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. © 2004Figure 4.29:Charging the Used Batteries..............4.12Figure 4.30:Bringing the Console out ofStandby..............................................4.13Figure 4.31:Checking the RF CommunicationsSignal.................................................4.13Figure 4.32:Silencing the PCE TET Alarm............4.14Figure 4.33:Connecting the TETto the Console....................................4.14Figure 4.34:Checking TET Alignment and Poweron Console Power Panel....................4.15Figure 4.35:Removing the PCE Batteriesfrom the Battery Bag..........................4.15Figure 4.36:Charging the Used Batteries..............4.16Figure 5.1: PCE Control Module Panel..................5.1TablesTable 3.1: PCE Battery Bag Panel...........................3.4Table 3.2: Battery Charger Status Lights..................3.7Table 5.1: PCE Battery Bag Alarms..........................5.2Table 5.2: PCE Control Module Alarms....................5.3

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 G.1 ABIOMED, Inc. Glossary GlossaryAbioCor ReplacementHeart battery-powered system that takes the place of thenatural heart to keep the blood flowing normallythrough the bodyalternating current (AC) normal household electrical powercardiopulmonaryresuscitation (CPR) first-aid technique that uses pressure against the chestto restore the operation of a natural heartConsole specialized computer that powers and controls theAbioCor SystemExternal TranscutaneousEnergy Transfer coil (TET) silicone ring containing a coil of wire; transfers energyfrom the Console to the implanted components of theAbioCor Systemheart rate number of times per minute the Replacement Heartpumps bloodimplanted placed inside your body by a surgeonImplanted Battery AbioCor component that provides power to theImplanted Controller and the Replacement HeartImplanted Controller AbioCor component that manages the heart rate andstroke volume of the Replacement Heart to provide theneeded blood flowImplanted TranscutaneousEnergy Transfer coil (TET) AbioCor component that receives electrical energythrough your skin from the External TET to keep yourAbioCor System chargedmagnetic resonanceimaging (MRI) diagnostic technique that produces images of the insideof the body using electromagnetic energyPatient-Carried Electronics(PCE) portable system that provides battery power to theimplanted AbioCor System through an External TET

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. G.2 © 2004 Glossaryprecaution information that alerts you to situations that carry a riskof minor injury to you, or situations in which theAbioCor Replacement Heart may malfunction or bedamagedReplacement Heart the AbioCor component that is implanted in your chestto pump blood to your lungs and other parts of yourbodyRF radiofrequency; the type of communications signalused by the AbioCor SystemRF CommunicationsModule external AbioCor component that sends data betweenthe Console and the AbioCor Implanted Controllerthrough the implanted RF AntennaTET transcutaneous energy transfer coil (implanted andexternal); transfers power from the Console to theimplanted AbioCor Systemwarning information that alerts you to situations that can causedeath or serious injury

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 1 ABIOMED, Inc. Introduction IntroductionThe AbioCor Replacement Heart is a battery-powered system forpatients with heart failure or another serious heart disease. It takesthe place of your natural heart to keep the blood flowing normallythrough your body.The Patient-Carried Electronics (PCE) is a portable system thatprovides power to the implanted AbioCor System. It allows you tokeep your AbioCor Replacement Heart working smoothly whileyou are away from the AbioCor Console.About this ManualThis manual will help you understand how to use the PCE safelyand comfortably.Manual OverviewAfter you read this introduction, take a moment to browse throughthis manual, so you’ll know where to find the information youneed.• Section 1 (Warnings and Precautions) lists importantprecautions to avoid potential safety problems and ensure thatyou get the best results from your AbioCor System.• Section 2 (PCE Overview) describes the parts of thePatient-Carried Electronics (PCE).• Section 3 (Basic PCE Operation) tells how to use the PCEand how to charge, replace, and calibrate Batteries. It also tellshow to clean the system.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2 © 2004 Introduction• Section 4 (Transferring Support Between the Consoleand PCE) tells how to transfer support from the AbioCorConsole to the PCE when you want to be away from theConsole and how to transfer support from the PCE back to theConsole.• Section 5 (PCE Alarms) describes the alarms you might seeand hear when you are using the PCE.Definitions of Special TermsThis manual may use words that are new to you. Those terms areprinted in bold type (like this) and listed in alphabetical order inthe Glossary at the front of this manual. The Glossary also includesabbreviations used in this manual.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 1.1 ABIOMED, Inc. 1 Warnings and Precautions 1 Warnings and PrecautionsThis section contains two kinds of information.• Warnings alert you to situations that can cause death orserious injury. The word “WARNING” and the symbol appear before warning messages.• Precautions alert you to situations that carry a risk of minorinjury to you, or situations in which the AbioCor ReplacementHeart may malfunction or be damaged. The word “CAUTION”and the symbol appear before precaution messages.AbioCor System WarningsWARNING: Call your doctor or clinic immediately if the AbioCor SystemConsole stops working.If the Console stops working, connect the Patient-Carried Electronics (PCE)to provide power immediately.The AbioCor Replacement Heart will work for only about 30 minutes usingits Implanted Battery power. After that, your AbioCor Replacement Heartmust be connected to the Console or PCE for power. Otherwise, it will stopworking, resulting in death.WARNING: If the External TET is removed, the AbioCor System runs onits Implanted Battery power, which only lasts for about 30 minutes.When the Implanted Battery runs down, the AbioCor System will slowdown, lowering your blood pressure. This might make you feel dizzy orfaint. If the Implanted Battery runs down completely, the AbioCor Systemwill stop working, resulting in death.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 1.2 © 2004 1 Warnings and PrecautionsWARNING: Never undergo a magnetic resonance imaging (MRI)procedure.The strong magnetic energy produced by an MRI machine may cause theAbioCor System components to give you an electric shock. An MRI mayalso damage the AbioCor System’s electronics.WARNING: Never administer cardiopulmonary resuscitation (CPR) to aperson who has an AbioCor Replacement Heart.CPR will not work with an AbioCor Replacement Heart, and may cause life-threatening bleeding.WARNING: Never travel in any airplane.WARNING: Never travel to an altitude that is more than 2,500 feet higheror lower than the location at which the AbioCor Replacement Heart wasimplanted.If emergency air transportation is needed, tell the pilot about the 2,500-footrestriction.Changes in air pressure caused by altitude changes may cause the AbioCorReplacement Heart to work incorrectly, resulting in death or serious injury.WARNING: Do not allow anything metal (such as jewelry, keys, metalbuttons, or zippers) to remain within 3 inches of the AbioCor TET when it isattached to your chest. Metal objects will become hot.WARNING: If you have an X-ray, the technician may put a lead shieldingapron over your chest.Put a thick pad (a Styrofoam® block or a folded towel at least 3 inches thick)between the AbioCor TET and the lead shielding apron, or remove the TETfor a short time during the X-ray.Without a thick pad, the AbioCor System components may get hot during theX-ray, causing a risk of a skin burn.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 1.3 ABIOMED, Inc. 1 Warnings and PrecautionsPatient-Carried Electronics (PCE) WarningsWARNING: When using the PCE, you must always have at least one of thefollowing backup units available within 10 minutes:• a PCE Battery Bag and 2 pairs of fully-charged Batteries• a fully-charged AbioCor ConsoleIf the PCE fails and no backup unit is available, the AbioCor System may stopworking, resulting in death.WARNING: If the PCE Temperature alarm stays on for more than 1 minute,transfer AbioCor System control immediately to a backup PCE or the Console.This warning indicates that the PCE is overheated and may malfunction.AbioCor System PrecautionsCAUTION: Do not bend forward deeply from the waist. This posture might beuncomfortable because of the location of the Implanted Battery and ImplantedController in your abdomen.Bending forward may also affect the blood flow to your upper body, whichmay cause a momentary fainting spell.CAUTION: Do not clean the TET, Radiofrequency (RF) CommunicationsModule, or cables with disinfectants that contain oxidizers such as iodine(Betadine® or similar disinfectants), hydrogen peroxide, hypochlorite (chlorinebleach), permanganate, or chromate.These cleaners may break down the outer coverings of these AbioCorcomponents.CAUTION: Do not clean the TET, RF Communications Module, or cableswith cleaners that may stain the surfaces you are cleaning.This staining may hide the breakdown of the outer coverings of these AbioCorcomponents.CAUTION: Do not allow any liquids (including water) to come in contact withany electrical connector pins.Contact with liquid may cause corrosion or electrical malfunction.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 1.4 © 2004 1 Warnings and PrecautionsCAUTION: Keep a TET that is connected to the Console at least 1 foot awayfrom any other TET (for example, the PCE TET.)This precaution prevents potential damage to the TET’s electronics.CAUTION: Never place a TET that is connected to the PCE or Console on ametal surface.The TET may become overheated, causing a fire hazard.CAUTION: Disconnect the TET from the Console when it is not in use (forexample, when you are using the PCE.)This precaution reduces the risk that the TET will be damaged by accidentallycoming in contact with metal surfaces.CAUTION: Keep the Console away from sources of electromagneticradiation (EMR) such as cell phones, 2-way radios, or appliances with electricmotors if you observe signs of interference (for example, static on the phoneor radio or on the AbioCor Console screen).These devices may interfere with the AbioCor's communications system.Patient-Carried Electronics (PCE) PrecautionsCAUTION: Never try to disassemble the PCE Control Module, Battery Bag,or Batteries.You may damage the PCE and cause it to operate incorrectly.CAUTION: Always have 2 power sources connected to the PCE to ensurethat you will be able to see and hear alarms if they occur. These powersources can be:• 2 pairs of Batteries• 1 pair of Batteries and an AC Power Adapter.CAUTION: Never remove Batteries while they are supplying power to thePCE.You may damage the PCE and cause it to operate incorrectly.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 1.1 ABIOMED, Inc. 1 Warnings and PrecautionsCAUTION: Never cover the PCE with clothing.Covering the PCE may cause it to overheat and operate incorrectly.CAUTION: Never block the PCE’s cooling vents.Blocking the cooling vents may cause the PCE to overheat and operateincorrectly.CAUTION: Never use a PCE Battery that has been dropped. It may notwork correctly.If you drop a PCE Battery, mark it DO NOT USE and return it to your doctoror clinic.CAUTION: Never submerge any part of the PCE in liquid.Liquids will severely damage the PCE and cause it to operate incorrectly.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 2.1 ABIOMED, Inc. 2 PCE Overview 2 PCE OverviewWhat is the Patient-Carried Electronics (PCE)?The Patient-Carried Electronics (PCE) is a portable system thatprovides battery power to the implanted AbioCor System throughthe External TET. The PCE is carried in a nylon Battery Bag thatyou can wear over your shoulder. The PCE allows you to bemobile, away from the Console, for extended periods of time.Like the Console, the PCE monitors your AbioCor System, usinglights and sounds to tell you if there is a problem with the system.Figure 2.1 shows how the PCE is used.Figure 2.1 Using the PCE

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2.2 © 2004 2 PCE OverviewParts of the PCE The PCE includes the following parts, which are shown in Figures2.2, 2.3, and 2.4.• Battery Bag• Batteries (2 pairs)• Battery cable• External TET• PCE Control Module• Battery Charger• AC Power Adapter• Handheld Monitor (not shown; described in a separate manual)Figure 2.2 Parts of the PCE

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 2.3 ABIOMED, Inc. 2 PCE OverviewFigure 2.3 PCE Battery ChargerFigure 2.4 AC Power AdapterPCE Battery BagThe PCE Battery Bag holds 2 pairs of PCE Batteries and theBattery control electronics. The Battery Bag, which weighs about10 pounds with the Batteries in place, has a shoulder strap so youcan carry it easily. It has mesh pouches on the outside to hold thePCE Control Module, extra length of TET Cable, and other smallitems. Plastic cardholders inside the top cover can be used to keepemergency phone numbers close at hand.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2.4 © 2004 2 PCE OverviewCAUTION: Never cover the PCE with clothing.Covering the PCE may cause the PCE to overheat and operateincorrectly.CAUTION: Never block the PCE’s cooling vents.Blocking the cooling vents may cause the PCE to overheat andoperate incorrectly.Figure 2.5 shows the inside of the PCE Battery Bag with the zippertop opened.Figure 2.5 PCE Battery Bag with Batteries InstalledThe functions of the Battery Bag switch and indicators areexplained in Section 3 of this manual.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 2.5 ABIOMED, Inc. 2 PCE OverviewPCE BatteriesThe PCE holds 2 pairs of Batteries—a total of 4 Batteries.Each pair of Batteries provides power for the AbioCor’s implantedcomponents for about one hour. After that, you should switch toanother set of Batteries and charge the used ones.Information later in this manual tells you how to replace andrecharge the Batteries.Store Batteries in a dry location, out of direct sunlight, that doesnot exceed 100° F.Batteries must be used in matched pairsBatteries operate in matched pairs, and they must always be usedtogether.You can tell which Batteries go together in 2 ways:• the number on the top edge of the Battery; both Batteries in apair have the same number• the serial number on the flat side of each Battery; bothBatteries in a pair have the same serial number, except that oneends in A and the other ends in B. For example, one pair ofBatteries may have the serial numbers 003000A and 003000B.Figure 2.6 shows the serial number on the side of the Battery.Figure 2.6 PCE Battery

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2.6 © 2004 2 PCE OverviewBattery charge statusYou can see whether a Battery is charged by checking the chargeindicator on the flat side of the Battery, near the serial number(Figure 2.6). Press the Charge Status button below the ChargeIndicator. If all 4 indicator lights do not turn on, the Battery needsto be charged.If the charge on the pair of Batteries that you are using in the PCEis low, the Battery status alarm on the PCE Control Module willlight. When this happens, switch to the other pair of Batteries rightaway.You use the Battery charger to recharge the Batteries. Refer to“Charging Batteries” in Section 3 of this manual.CAUTION: Never use a PCE Battery that has been dropped. Itmay not work correctly.If you drop a PCE Battery, mark it DO NOT USE and return it toyour doctor or clinic.Battery CableThe Battery Cable connects the PCE Control Module to the PCEBattery Bag. One end of the Battery Cable is permanentlyconnected to the Battery Bag; the other end plugs into the PCEControl Module (in either the top or bottom socket).To plug the Battery Cable into the PCE Control Module or tounplug it, hold the connector with your fingers over the arrows onthe connector sleeve. Pull back the connector sleeve. Do not pullon the cord.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 2.7 ABIOMED, Inc. 2 PCE OverviewExternal TETThe External TET plugs into the PCE Control Module as shown inFigure 2.7. You can use the same 5-foot or 11-foot TETs with thePCE as you use with the Console. Cover the TET connector withthe cap provided when the TET is not in use.Figure 2.7 PCE Control Module with TETPCE Control ModuleThe PCE Control Module (Figure 2.7) is a separate unit that isconnected to the Battery Bag by the Battery Cable. It can also beconnected directly to AC Power through the AC Power Adapter.The PCE Control Module does two main things:• It converts Battery energy or AC power into energy that can betransmitted to the AbioCor System’s implanted parts throughthe TET.• It notifies you about alarms for the PCE or for any of theAbioCor System’s implanted parts.Refer to Section 5 of this manual for more information aboutthe PCE Alarms.The functions of the PCE Control Module are explained inSection 3 of this manual.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2.8 © 2004 2 PCE OverviewBattery ChargerCAUTION: Never remove Batteries while they are supplyingpower to the PCE.You may damage the PCE and cause it to operate incorrectly.The Battery Charger holds 5 pairs of Batteries, so you can alwayshave enough fresh Batteries available. It plugs into a standard ACelectrical power plug.Normal charge time is 6 hours. You can charge Batteries in 3hours, however, by using only the left-hand slot of each 2-bay unitof the Charger. This works because each pair of Batteries ischarged one at a time, starting with the left side of the chargingunit bay.Always keep your Battery Charger plugged in, and keep anyBatteries that are not in your PCE charged so they are ready whenyou need them.Figure 2.8 shows the Battery Charger.Figure 2.8 PCE Battery Charger

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 2.9 ABIOMED, Inc. 2 PCE OverviewAC Power AdapterIf you are going to be away from the Console, but in a place wherestandard AC power is available (for example, at home or at afriend’s house), you can connect your PCE to standard AC powerusing the AC Power Adapter. This ensures a steady source ofpower to the PCE while saving Batteries.CAUTION: Always have 2 power sources connected to the PCEto ensure that you will be able to see and hear alarms if they occur.These power sources can be:• 2 pairs of Batteries• 1 pair of Batteries and an AC Power AdapterThe PCE’s AC Power Adapter has 2 power cords:• One connects the Adapter to an AC power source (wall plug)• The other connects the Adapter to the PCE Control Module (ineither the upper or lower socket).The light on the front of the AC Power Adapter shows when it isplugged into AC power. Figure 2.9 shows the AC Power Adapter.Figure 2.9 AC Power Adapter for the PCE

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 2.10 © 2004 2 PCE OverviewThe AC Power Adapter has vents and a cooling fan inside. Keepthe vents uncovered to ensure that the AC Power Adapter does notbecome overheated.The AC Power Adapter also has a handle to make it easy for you totake it with you when you move about.When the AC Power Adapter is being used, the AC Powerselection indicator on the PCE Control Module is lighted.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.1 ABIOMED, Inc. 3 Basic PCE Operation 3 Basic PCE OperationWARNING: When using the PCE, you must always have at leastone of the following backup units available within 10 minutes:• a PCE and 2 pairs of fully-charged Batteries• a fully-charged AbioCor ConsoleIf a PCE problem alarm condition persists for more than 1 minute,exchange the PCE for one of these backup units.If the PCE fails and no backup unit is available, the AbioCor Systemmay stop working, resulting in death.This section of the manual explains how to use the PCE.Information includes:• PCE Control Module functions• Battery Bag switch and indicators• charging batteries• getting the PCE ready for use• changing a pair of PCE batteries• calibrating batteries• connecting the AC Power Adapter• cleaning the PCE

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.2 © 2004 3 Basic PCE OperationPCE Control Module FunctionsFigure 3.1 shows the PCE Control Module’s panel.Figure 3.1 PCE Control Module PanelHere is what the PCE Control Module panel button and lights areused for:• Alarm silence buttonPress this push-button switch to temporarily turn off an audiblealarm while you are resolving the cause of the alarm. If you areunable to resolve the alarm after 2 minutes, it will sound again.• TET alarmThe light indicates that the PCE TET is out of alignment withthe Implanted TET. Reposition the PCE TET; when the lightturns green, alignment is OK.• Heart alarmThe light indicates that there is an alarm condition on theImplanted Replacement Heart, Implanted Controller, orImplanted Battery. Go to the Console or use the HandheldMonitor to find out what is wrong. If a setting needs to bechanged, use the Console.• Temperature alarmThe light indicates that the temperature inside the PCE is toohot.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.3 ABIOMED, Inc. 3 Basic PCE OperationBe sure that the PCE is in an open area, out of the sun, and thatthe cooling vents on the side of the Battery Bag are not coveredby a coat or blocked by anything around them.WARNING:If a PCE temperature alarm condition persists for more than1 minute, transfer control from the overheated PCE to a backupPCE or the Console.If the PCE fails and no backup unit is available, the AbioCorSystem may stop working, resulting in death.• Battery alarmThe light indicates that the charge on the selected pair ofBatteries is low. Switch to the other pair of Batteries or connectthe PCE’s AC Power Adapter.Replace the low Batteries with freshly charged ones as soon aspossible, so you always have spares ready.• Battery selection indicatorThe light indicates which pair of Batteries is being used.Use the switch on the top of the PCE Battery Bag to select theother pair of Batteries.• AC power selection indicatorThe light indicates that the PCE is using AC Power to operate.Battery Bag Switch and IndicatorsTable 3.1 tells what the switch and indicator lights on the PCEBattery Bag panel do.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.4 © 2004 3 Basic PCE OperationTable 3.1 PCE Battery Bag PanelIcon or picture and name What it doesBattery pairselectionswitchFlip the switch to 1 or 2 to select the pair of Batteries to beused.Battery pairselectionlightThe light indicates which Battery pair has been selected foruseIndicatorlight: Batterypair 1 inplaceThe light indicates that both Batteries in pair 1 are correctlyseated in the PCE Battery Bag.This light DOES NOT indicate whether the batteries arecharged.Indicatorlight: Batterypair 2 inplaceThe light indicates that both Batteries in pair 2 are correctlyseated in the PCE Battery Bag.This light DOES NOT indicate whether the batteries arecharged.PCE VoltageandTemperatureAlarmsThe light between the triangle icon and thermometerindicates a problem in the PCE Battery Bag. The light maybe red or yellow.A RED light indicates a serious PCE Battery Bag powerproblem. Connect the AC Power Adapter right away.A YELLOW light indicates that the PCE has overheated.Be sure that the PCE is in an open area, out of the sun, andthat the cooling vents on the side of the Battery Bag are notcovered by clothing or blocked by anything around them.WARNING: When using the PCE, you must always have atleast one of the following backup units available within 10minutes:• a PCE Battery Bag and 2 pairs of fully-charged Batteries• a fully-charged AbioCor ConsoleIf the light stays YELLOW or RED for more than 1 minute,exchange the PCE for one of these backup units.If the PCE fails and no backup unit is available, the AbioCorSystem may stop working, resulting in death.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.5 ABIOMED, Inc. 3 Basic PCE OperationCharging BatteriesBefore you can use the PCE, you need to charge its Batteries.PCE Batteries are used and charged in matched pairs. You shouldcharge Batteries after any period of use to ensure that you alwayshave enough fresh Batteries.To see if a Battery needs to be charged, push the Charge Statusbutton below the Charge Indicator on the Battery. (See Figure 3.2.)If all 4 lights do not come on, the Battery needs to be charged.Figure 3.2 Location of the Battery Charge IndicatorTo charge Batteries:1. Plug the Charger’s power cord into an AC outlet.2. Insert the Batteries into the pairs of slots in the BatteryCharger, with the connector edge down.3. Confirm that the Charger’s status lights turn on— one light foreach bay. See Figure 3.3 for the location of the status lights(one light on each 2-Battery bay of the charger), and Table 3.2for the meaning of the Status light conditions.4. When the Batteries are fully charged, as indicated by solidgreen charging status lights, they are ready to use.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.6 © 2004 3 Basic PCE OperationFigure 3.3 Battery Charger Status LightsTable 3.2 explains the Charger status lights—what the differentcolors mean and what flashing means.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.7 ABIOMED, Inc. 3 Basic PCE OperationTable 3.2 Battery Charger Status LightsStatus Light Condition What It MeansOff No Battery, orBattery is not firmly seated in the chargingbay.Solid green Battery is fully charged and ready to beremoved.Solid yellow The bay of the charging unit is in Standbymode because the Battery in the other bayhas not finished charging.Flashing green Battery is charging.Note: Each 2-bay charging unit charges 1Battery at a time. The left bay is chargedfirst.Flashing yellow The batteries are in the process of beingrecalibrated (discharged and recharged)Flashing green andyellow Battery recalibration is completeFlashing red A failure has occurred during charging.Do not use the Battery.Mark the Battery, “Do Not Use” and returnit to your Health Care Provider.Getting the PCE Ready for UseThe PCE comes pre-assembled in the Battery Bag. To use the PCEfor the first time, follow this procedure.1. Install 2 matched pairs of freshly charged Batteries into thePCE Battery Bag. Confirm that the Batteries are seatedcorrectly by checking the 2 “Battery pair in place” indicatorlights on the Battery Bag, between the Batteries. (Figure 3.4)

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.8 © 2004 3 Basic PCE OperationFigure 3.4 Installing the PCE Batteries2. Plug the Battery Cable on the Battery Bag into the PCEControl Module as shown in Figure 3.5.Figure 3.5 Plugging the Battery Cable into thePCE Control Module

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.9 ABIOMED, Inc. 3 Basic PCE Operation3. Plug the TET into the PCE Control Module as shown inFigure 3.6.Figure 3.6 Plugging the TET into the PCE Control Module4. Secure the PCE Control Module in the mesh pouch on the frontof the Battery Bag (not shown) by closing the Velcro®fasteners.CAUTION: Never place a TET that is connected to the PCE orConsole on a metal surface.The TET may become overheated, causing a fire hazard.CAUTION: Keep a TET that is connected to the Console at least1 foot away from any other TET (for example, the PCE TET.)This precaution prevents potential damage to the TET’selectronics.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.10 © 2004 3 Basic PCE OperationChanging a Pair of PCE BatteriesCAUTION: Never remove Batteries while they are supplyingpower to the PCE.You may damage the PCE and cause it to operate incorrectly.Change Batteries (in matched pairs) when either one of thefollowing occurs:• the PCE Battery alarm light is lit on the PCE Control Module• the Batteries have been in use for 90 minutesTo change a pair of Batteries:1. Open the top cover of the PCE Battery Bag (Figure 3.7).Figure 3.7 Changing Batteries

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.11 ABIOMED, Inc. 3 Basic PCE Operation2. Flip the Battery Pair Selector switch in the PCE Battery Bag tothe opposite position to select the other pair of Batteries. Forexample, if you were using Battery Pair 1, flip the switch toselect Battery Pair 2.3. Remove the used Batteries from the Battery Bag and placethem in the Battery Charger. If the Charger is not available, setthe Batteries aside for later charging.4. Obtain a pair of freshly charged Batteries.5. Confirm that the Batteries are a matched pair, by matching thenumbers on the top ends of the Batteries and checking theserial numbers. The serial numbers should be the same, exceptthat one should end in A and the other in B.6. Insert the pair of Batteries into the PCE Battery Bag with theconnector ends down. Confirm that the Batteries are seatedcorrectly by checking the 2 Battery status lights on the BatteryBag panel between the Batteries (Figure 3.7).7. Close the top cover of the Battery Bag.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.12 © 2004 3 Basic PCE OperationCalibrating BatteriesTo ensure that the Charge Indicator on each Battery is alwaysaccurate, all Batteries should be recalibrated (discharged andrecharged) once a month.To recalibrate PCE Batteries:1. Plug the Battery Charger into an AC Power source (wall plug).2. Insert one Battery in each of the five left-hand slots of theBattery Charger. (Leave the right-hand slots empty.)3. Press the arrow on the front of each Battery Charger bay,where it says, “Press to recalibrate.”4. The Battery Charger fully discharges all the Batteries, resetstheir Charge Indicators to zero, and then charges the Batteriesup again. The status lights on the front of the Battery Chargerflash yellow during this time.5. When the status light on the Battery Charger starts to blinkyellow and green, the Battery calibration process is complete.Take the calibrated Batteries out of the Battery Charger.6. Put five more Batteries into the left-hand slots and repeat thecalibration process until all your Batteries are calibrated.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 3.13 ABIOMED, Inc. 3 Basic PCE OperationConnecting the AC Power AdapterCAUTION: Always have 2 power sources connected to the PCEto ensure that you will be able to see and hear alarms if they occur.If you are using the AC Power Adapter, have one pair of chargedBatteries in place in the PCE.To connect the AC Power Adapter (Figure 3.8):Figure 3.8 Connecting the AC Power Adapter1. Plug the AC Power Adapter’s power cord into an electricaloutlet. Be sure the light on the AC Power Adapter is on toconfirm that the power is on.2. Plug the other Power Adapter cable into the unused BatteryCable socket on the outside of the PCE Control Module. (Youcan use either the top or bottom connector socket.)3. Check the AC Power selection indicator on the PCE Controlmodule to be sure that AC Power is in use. If the light is noton, check the power connections.Note: Using the AC Power Adapter does not recharge the Batteriesthat are in the PCE. They must be recharged in the BatteryCharger.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 3.14 © 2004 3 Basic PCE OperationCleaning the PCECAUTION: Never submerge any part of the PCE in liquid.Liquids will severely damage the PCE and cause it to operateincorrectly. CAUTION: Do not allow any liquids (including water) to come incontact with any electrical connector pins.Contact with liquid may cause corrosion or electrical malfunction.CAUTION: Do not clean the TET, Radiofrequency (RF)Communications Module, or cables with disinfectants that containoxidizers such as iodine (Betadine® or similar disinfectants),hydrogen peroxide, hypochlorite (chlorine bleach), permanganate,or chromate.These cleaners may break down the outer coverings of theseAbioCor components.CAUTION: Do not clean the TET, RF Communications Module,or cables with cleaners that may stain the surfaces you arecleaning.This staining may hide the breakdown of the outer coverings ofthese AbioCor components.Cleaning the PCE Battery Bag and Control Module1. Unplug the AC Power Adapter from the PCE, if it isconnected.2. Wipe the PCE Battery Bag and PCE Control Module with asoft cloth moistened with a mild detergent solution.Cleaning the PCE TET and all CablesWipe the TET and Cables with a soft cloth slightly moistened withisopropyl (rubbing) alcohol.Note: ABIOMED recommends that you clean the TET every day.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.1 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE 4 Transferring Support Between theConsole and the PCEWARNING: When using the PCE, you must always have at least one of thefollowing backup units available within 10 minutes:• a PCE and 2 pairs of fully-charged Batteries• a fully-charged AbioCor ConsoleIf the PCE fails and no backup unit is available, the AbioCor System maystop working, resulting in death.CAUTION: Always have 2 power sources connected to the PCE to ensurethat you will be able to see and hear alarms if they occur. These powersources can be:• 2 pairs of Batteries• 1 pair of Batteries and an AC Power AdapterCAUTION: Never cover the PCE with clothing.Covering the PCE may cause it to overheat and operate incorrectly.CAUTION: Never block the PCE’s cooling vents.Blocking the cooling vents may cause the PCE to overheat and operateincorrectly.CAUTION: Keep a TET that is connected to the Console at least 1 footaway from any other TET (for example, the PCE TET.)This precaution prevents potential damage to the TET’s electronics.CAUTION: Never place a TET that is connected to the Console on a metalsurface.The TET may become overheated, causing a fire hazard.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.2 © 2004 4 Transferring Support Between the Console and the PCETransferring Support from the Console to the PCEWhen you want to use the PCE instead of the Console, follow thestep-by-step procedure listed below. These procedures will ensurethat the PCE works correctly to provide energy to your implantedAbioCor Replacement Heart.There are two different procedures:• one procedure for using the same TET with the PCE as you usewith the Console• another procedure for changing TETs when you transfersupport to the ConsoleTransferring to the PCE if You Use the Same TETIf you want to use the same TET with the PCE as with theConsole, follow this procedure.1Insert 2 pairs of fully-charged Batteries intoslots in the Battery Bagas shown in Figure 4.1.• Be sure that theBattery pair indicatorlights between theBattery slots in thePCE Battery Bag(Figure 4.1) turn onwhen the Batteries arein place.• If the indicator lightsdo not turn on, be surethe Batteries areplugged securely intoplace. Figure 4.1 Installing Batteries in the Battery Bag

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.3 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE2Plug the BatteryCable on the BatteryBag into the PCEControl Module asshown in Figure 4.2.Figure 4.2 Plugging the Battery Cable into the PCEControl Module3When the PCE TETalarm sounds, pressthe Silence Alarmbutton on the PCEControl Module(Figure 4.3)The TET alarm lightwill turn on; this isnormal. Figure 4.3 Silencing the TET Alarm4Figure 4.4Console TETUnpluggedFigure 4.5Silencing ConsoleAlarmsUnplug the TET from the Console.• Do not remove the TET or the DuoDerm patch fromyour chest.• The “TET Unplugged” symbol appears on the Consolescreen (Figure 4.4) and the TET alarm sounds. This isnormal.Press the Console alarm silence button (Figure 4.5).

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.4 © 2004 4 Transferring Support Between the Console and the PCE5Plug the TETconnector into thePCE Control Moduleas shown inFigure 4.6.The TET alarm lighton the PCE ControlModule will turngreen.Note: The TET isnow powered; keep itaway from metalsurfaces. Figure 4.6 Connecting the TET to the PCE ControlModule6Figure 4.7 ConsolePower Panel AfterTransfer to PCELook at the Implanted Battery section of the ConsolePower Panel.The Implanted Battery icon should be fully filled in withgray without a halo around it (Figure 4.7).This tells you that the Implanted Battery is not theprimary source of power for the Replacement Heartbecause the PCE is providing power.7Figure 4.8Testing PCE AlarmsFigure 4.9Checking the HeartAlarm LightOn the Console keypad, press the Test PCE alarm button(Figure 4.8). The alarm panel displays the followingmessage:Testing PCE alarm. You should now hear your PCEalarm buzzer. If you do not, call your Health CareProvider.Be sure the Heart alarm light on the PCE Control Moduleturns on (Figure 4.9) and the buzzer sounds.If you do not hear the PCE alarm, move the RFCommunications Module so it is near your abdomen overthe Implanted Controller.If the alarm does not sound, use a new PCE ControlModule.If the alarm still does not sound, call your health careprovider.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.5 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE8Figure 4.10Putting theConsole onStandbyPress the Console standby mode button (Figure 4.10) to putthe Console into standby mode. This will quiet the Consolealarms. The Console display shows the following message:Enter standby mode? Only place the Console into standbymode if no one is supported by it! Press the Consolestandby button again to enter standby mode.Press the standby mode button a second time to confirmthat you want to put the Console on standby.The Console display screen becomes black, with thestandby icon showing in the corner, to tell you the Consoleis in standby mode.Transferring to the PCE if You Use a Different TETIf you want to change TETs when you transfer support to the PCE,follow this procedure.1Insert 2 pairs of fully-charged Batteries intoslots in the Battery Bagas shown in Figure 4.11.• Be sure that theBattery Pair in Placeindicator lightsbetween the Batteryslots in the PCEBattery Bag (Figure4.2) turn on when theBatteries are in place.• If the indicator lightsdo not come on, besure the Batteries areplugged securely intoplace. Figure 4.11 Installing Batteries in the Battery Bag

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.6 © 2004 4 Transferring Support Between the Console and the PCE2Plug the Battery Cableon the Battery Bag intothe PCE Control Moduleas shown in Figure 4.12.The PCE TET alarm willsound; this is normal.Press the PCE alarmsilence button (Figure4.17, below) to quiet thealarm.Figure 4.12 Plugging the Battery Cable into thePCE Control Module3Figure 4.13 Removingthe Console TETUnplug the TET from the Console (Figure 4.13). Besure to keep the Console TET at least 1 foot awayfrom the PCE TET.Remove the TET from the DuoDerm Patch on yourchest.4Figure 4.14 ConsoleTET UnpluggedFigure 4.15 SilencingConsole AlarmsThe “TET Unplugged” symbol appears on theConsole screen (Figure 4.14) and the Console TETalarm sounds. This is normal.Press the Console alarm silence button (Figure 4.15).Do the next steps within 2 minutes to minimize theamount of time that the Implanted Battery isdischarging.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.7 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE5Plug the PCE TETconnector into thePCE Control Moduleas shown inFigure 4.16.Note: The TET isnow powered; becareful to keep itaway from metalsurfaces.Figure 4.16 Connecting the TET to the PCE ControlModule6Place the PCE TETon your chest.Look at the TETalarm light on thePCE Control Module(Figure 4.17); whenthe light goes off, theTET is correctlyaligned.Secure the TET withthe Velcro strips onthe DuoDerm patch.Figure 4.17 Silencing the PCE TET Alarm

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.8 © 2004 4 Transferring Support Between the Console and the PCE7Figure 4.18Checking theConsole PowerPanelLook at the Implanted Battery section of the ConsolePower Panel.The Implanted Battery icon should be fully filled in withgray without a halo around it (Figure 4.18).This tells you that the Implanted Battery is not the primarysource of power for the Replacement Heart because thePCE is providing power.8Figure 4.19Testing PCEAlarmsFigure 4.20Checking theHeart Alarm LightOn the Console keypad, press the Test PCE alarm button(Figure 4.19). The alarm panel displays the followingmessage:Testing PCE alarm. You should now hear your PCE alarmbuzzer. If you do not, call your Health Care Provider.Be sure the Heart alarm light on the PCE Control Moduleturns on (Figure 4.20) and the buzzer sounds.If you do not hear the PCE alarm, move the RFCommunications Module so it is near your abdomen overthe Implanted Controller.If the alarm still does not sound, use a new PCE ControlModule.If the alarm still does not sound, call your health careprovider.9Figure 4.21Putting theConsole onStandbyPress the Console standby mode button (Figure 4.21) to putthe Console into standby mode. This will quiet the Consolealarms. The Console display shows the following message:Enter standby mode? Only place the Console into standbymode if no one is supported by it! Press the Consolestandby button again to enter standby mode.Press the standby mode button a second time to confirmthat you want to put the Console on standby.The Console display screen becomes black, with thestandby icon showing in the corner, to tell you the Consoleis in standby mode.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.9 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCETransferring Support from the PCE to the ConsoleWhen you want to use the Console instead of the PCE, follow thestep-by-step procedures listed below.There are two different procedures:• one procedure for using the same TET on the Console as youused on the PCE• another procedure for changing TETs when you transfersupport to the Console.Transferring to the Console if You Use the Same TETIf you want to use the same TET with the Console as with thePCE, follow this procedure.1Figure 4.22Bringing theConsole out ofStandbyFigure 4.23SilencingConsoleAlarmsPress the standby button on the Console (Figure 4.22) tobring the Console out of standby mode.If Console alarms sound, use the Alarm Silence button(Figure 4.23) to quiet them.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.10 © 2004 4 Transferring Support Between the Console and the PCE2Figure 4.24Checking the RFCommunicationsSignalPlug the RF Communications Module into the Console, if itis not already connected.Position the RF Communications Module to get a good RFcommunications signal.Open the RF panel on the Console. Look for green arcs toshow that the RF signal is strong in both directions (Figure4.24). If the signal is not strong, move the RFCommunications Module to improve the signal.Do the next step within 2 minutes to minimize the amount oftime that the Implanted Battery is discharging.3Unplug the TETfrom the PCEControl Module.The PCE TETalarm will turn redand the buzzer willsound. Press thealarm silencebutton to quiet thealarm(Figure 4.25).Do not remove theTET from yourchest yet.Figure 4.25 Silencing the PCE TET Alarm

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.11 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE4Plug the TETinto the ConsoleTET connector(Figure 4.26)Figure 4.26 Connecting the TET to the Console5Figure 4.27Checking TETAlignment andPower onConsolePower PanelOpen the Power panel. Using Figure 4.27 as a reference,• Be sure the TET is aligned correctly (a green TET in thecenter section of the panel)• Be sure the system is receiving power from the Console(there is no halo around the Implanted Battery icon).

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.12 © 2004 4 Transferring Support Between the Console and the PCE6Open the topcover of thePCE BatteryBag (Figure4.28).Remove thePCE Batteries.Figure 4.28 Removing the PCE Batteries from theBattery Bag7Be sure theBattery Chargeris plugged in.Place the PCEBatteries in theBattery Charger(Figure 4.29).Figure 4.29 Charging the Used Batteries

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.13 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCETransferring to the Console if You Use a Different TETTo transfer support from the PCE to the Console if you want to usea different TET with the Console, follow this procedure.CAUTION: Keep a TET that is connected to the Console at least1 foot away from any other TET (for example, the PCE TET.)This precaution prevents potential damage to the TET’selectronics.CAUTION: Never place a TET that is connected to the Consoleon a metal surface.The TET may become overheated, resulting in a fire hazard.1Figure 4.30Bringing the Consoleout of StandbyPress the standby button on the Console (Figure4.30) to bring the Console out of standby mode.2Figure 4.31Checking the RFCommunicationsSignalPlug the RF Communications Module into theConsole, if it is not already connected.Position the RF Communications Module to get agood RF communications signal.Open the RF panel on the Console. Look for greenarcs to show that the RF signal is strong in bothdirections (Figure 4.31). If the signal is not strong,move the RF Communications Module to improvethe signal.Do the next step within 2 minutes to minimize theamount of time that the Implanted Battery isdischarging.

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.14 © 2004 4 Transferring Support Between the Console and the PCE3Remove the PCE TET from your chest. Do not remove the DuoDerm patch.Unplug the TET from the PCE Control Module.4Place the Console TET on your chest.Secure it with the Velcro strips on the DuoDerm patch.5The PCE TETalarm will lightand the buzzerwill sound.Press the alarmsilence buttonto quiet thealarm (Figure4.32).Figure 4.32 Silencing the PCE TET Alarm6Plug theConsole TETinto the ConsoleTET connector(Figure 4.33)Figure 4.33 Connecting the TET to the Console

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 4.15 ABIOMED, Inc. 4 Transferring Support Between the Console and the PCE7Open the Power panel. UsingFigure 4.34 as a reference:• Be sure the TET is alignedcorrectly (a green TET inthe center section of thepanel) Reposition the TETon your chest if the TET isnot correctly aligned.• Be sure the system isreceiving power from theConsole (there is no haloaround the ImplantedBattery icon). Figure 4.34 Checking TET Alignmentand Power on ConsolePower Panel8Open the top cover of the PCEBattery Bag (Figure 4.35).Remove the PCE Batteries.Figure 4.35 Removing the PCE Batteriesfrom the Battery Bag

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 4.16 © 2004 4 Transferring Support Between the Console and the PCE9Be sure theBattery Chargeris plugged in.Place the PCEBatteries in theBattery Charger(Figure 4.36).Figure 4.36 Charging the Used Batteries

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 5.1 ABIOMED, Inc. 5 PCE Alarms 5 PCE AlarmsWhat are the PCE Alarms?The PCE Control Module monitors the AbioCor System’simplanted components and the PCE Batteries to ensure that all theparts of the system are working correctly.If a problem is detected, the PCE Control Module turns on analarm indicator light and sounds an alarm.To quiet the alarm temporarily, press the Alarm silence button onthe PCE Control Module. (See Figure 5.1.) If you are unable toresolve the alarm within 2 minutes, it will sound again.Figure 5.1 PCE Control Module Panel

Patient-Carried Electronics (PCE) Manual AbioCor® Implantable Replacement HeartABIOMED, Inc. 5.2 © 2004 5 PCE AlarmsPCE Battery Bag AlarmsTable 5.1 lists the PCE Battery Bag alarms that you can see on thepanel inside the PCE Battery Bag and the actions you should takeif they occur.WARNING: When using the PCE, you must always have at leastone of the following backup units available within 10 minutes:• a PCE Battery Bag and 2 pairs of fully-charged Batteries• a fully-charged AbioCor ConsoleIf the PCE fails and no backup unit is available, the AbioCorSystem may stop working, resulting in death.Table 5.1 PCE Battery Bag AlarmsIcon Name Description What to DoThe light between thetriangle icon andthermometer indicates aproblem in the PCEBattery Bag.The light may be red oryellow.A RED light indicates aserious Battery Bag powerproblem.Connect the AC Power Adapterright away.If the light stays RED for more than1 minute, exchange the PCEsystem for a new unit.PCE BatteryBag PowerandTemperatureAlarmsA YELLOW light indicatesthat the PCE hasoverheated.Be sure that the PCE is in an openarea, out of the sun, and that thecooling vents on the side of theBattery Bag are not covered by acoat or blocked by anything aroundthem.If the light stays YELLOW for morethan 1 minute, exchange the PCEfor a backup unit.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 5.3 ABIOMED, Inc. 5 PCE AlarmsPCE Control Module AlarmsThe alarms displayed by the PCE Control Module are explained inTable 5.2.Table 5.2 PCE Control Module AlarmsIcon Name Description What to DoTET alarm The red light indicates that thePCE TET is out of alignmentwith the Implanted TET orunplugged.An alarm sound is also heard.Reposition the PCE TET.If the light turns green, alignmentis OK.Heart alarm The light indicates that there isan alarm condition on theImplanted Replacement Heart,Implanted Controller, orImplanted Battery.An alarm sound is also heard.Use the Handheld Monitor orposition the RF CommunicationsModule over the ImplantedController and look at the Consoledisplay to see what is wrongIf a setting needs to be changed,use the Console.Temperaturealarm The light indicates that thetemperature inside the PCEControl Module is too hot.An alarm sound is also heard.WARNING:If a PCE temperature alarmcondition persists for more than1 minute, transfer control fromthe overheated PCE to abackup PCE or the Console.If the PCE fails and no backupunit is available, the AbioCorSystem may stop working,resulting in death.Be sure that the PCE is in anopen area, out of the sun.Be sure that the cooling vents onthe side of the PCE ControlModule are not covered by a coator blocked by anything aroundthem.If the PCE remains overheated formore than 1 minute (indicated bythe temperature alarm lights andsound), transfer control from theoverheated PCE to a backup PCEor the Console.Battery alarm The light indicates that thecharge on the selected pair ofBatteries is low.An alarm sound is also heard.Switch to the other pair ofBatteries or connect theAC Power Adapter.Replace the low Batteries withfreshly charged ones as soon aspossible.

AbioCor® Implantable Replacement Heart Patient-Carried Electronics (PCE) Manual© 2004 A.1 ABIOMED, Inc. AppendixAppendix: Federal CommunicationsCommission (FCC) NoticeAbioCor Components NoticeAbioCor Console This device complies with Part 18 of theFCC Rules.PCE Control Module This device complies with Part 18 of theFCC Rules.RF CommunicationModule This device complies with part 15 of theFCC Rules. Operation is subject to thefollowing two conditions: (1) This devicemay not cause harmful interference, and(2) this device must accept anyinterference received, includinginterference that may cause undesiredoperation. Changes or modifications notexpressly approved by ABIOMED Inc.could void the user’s authority to operatethe device.Handheld Monitor This device complies with part 15 of theFCC Rules. Operation is subject to thefollowing two conditions: (1) This devicemay not cause harmful interference, and(2) this device must accept anyinterference received, includinginterference that may cause undesiredoperation. Changes or modifications notexpressly approved by ABIOMED Inc.could void the user’s authority to operatethe device.Implantable Controller This device complies with part 15 of theFCC Rules. Operation is subject to thefollowing two conditions: (1) This devicemay not cause harmful interference, and(2) this device must accept anyinterference received, includinginterference that may cause undesiredoperation. Changes or modifications notexpressly approved by ABIOMED Inc.could void the user’s authority to operatethe device.

ABIOMED, Inc.22 Cherry Hill DriveDanvers, MA 01923 USA978-777-8411 (fax)clinical@abiomed.com (email)www.abiomed.comN. America: 800-422-8666 (24-Hour Emergency Hotline)or 978-777-5410®