PressureWire™ Aeris™ Features and Benefits 1 Best Practice – True FFR Integration Utilize existing equipment Hemodynamic recording systems can be upgraded to a fully integrated, wireless measurement system for Fractional Flow Reserve (FFR). Instant access Improves cath lab workflow and simplifies the FFR procedure by eliminating the need for standalone instrumentation and time consuming setup. No cables PressureWire Aeris’ radio technology eliminates cables crossing the sterile field barrier, limiting movements, which improves maneuverability of the wire. 2 PressureWire Aeris - Benefits 1. Utilize existing equipment PressureWire Aeris and Integrated FFR • Utilizes existing hardware installation with existing screens, controls and front-end modules. • All FFR results are displayed on the existing cath lab and control room screens. • Requires only an FFR software upgrade and one PressureWire Receiver on the cath lab table rail. No additional permanent cabling is required. 3 PressureWire Aeris - Benefits 2. No cables required PressureWire Aeris and Integrated FFR • The secure, wireless connection between PressureWire Aeris and PressureWire Receiver eliminates cables crossing the sterile field barrier. • Simplifies the procedure and improves wire handling. 4 PressureWire Aeris - Benefits 3. Familiarity means easy to use PressureWire Aeris and Integrated FFR • All FFR calculations and display are in the same familiar recording system environment that the staff uses for every case, every day. • The amount of extra training required for the FFR upgrade is very small. 5 PressureWire Aeris - Benefits 4. All results in the patient archive PressureWire Aeris and Integrated FFR All FFR results and hemodynamic information are stored in the existing hemodynamic archive, with all other data including angiographic images, for a complete patient record. 6 PressureWire Aeris 5. True FFR Integration reduces complexity PressureWire Aeris and Integrated FFR With all FFR calculation performed in the hemodynamic recording system, there is no need to connect and balance AO and ECG signals with another system. 7 PressureWire Aeris 6. Use any IVUS system PressureWire Aeris and Integrated FFR • This FFR solution can be installed in any cath lab with a hemodynamic recording system that is FFR compatible, regardless of which IVUS system the cath lab has or may invest in in the future. • The FFR upgrade may be installed in cath labs with existing Volcano s5iTM Imaging System. 8 PressureWire Aeris Overview Hydrophilic 0.014” (0.36 mm) pressure guidewire with a pressure transducer 3 cm from the tip and a detachable battery-operated transmitter. Wireless, secure radio connection with PressureWire™ Receiver. Used for FFR measurement. There is no need to exchange PressureWire for a guidewire for placement of stents and balloons. Available in 175 cm and 300 cm (US only). Both guidewire and transmitter are single use and are disposed of using standard cath lab protocol for contaminated material. Hydrophilic coated 0.014” pressure guidewire Detachable PressureWire Transmitter PressureWire Receiver 9 PressureWire Transmitter Battery-operated, disposable (contaminated material) Communicates via radio with PressureWire Aeris Automatically zeroes pressure when turned on Do not turn off the transmitter while inside the body, as this would require removal from the body and re-zeroing Normal battery operating time: 3 hours Turn cap counter-clockwise 90° to remove guidewire Transmitter 10 PressureWire Transmitter - Light Indicators Light Indicator 11 Cause Green steady light Transmitter on Green pulsating light Normal operation Pulsation proportional to blood pressure Yellow steady light PressureWire disconnected from transmitter. Re-insert PressureWire firmly into transmitter Green pulsating light & yellow slow blinking light Battery level low: • Finish procedure or exchange PressureWire Aeris Yellow fast blinking light Error: Possible cause • Calibration error • Battery level too low for operation • Internal error Attempt restart by removing PressureWire from body and turn the transmitter off and on again No light • Not turned on • Battery dead PressureWire Receiver Radio receiver for pressure from PressureWire Aeris. Connects directly to a free pressure port in the hemodynamic recording system. PressureWire Receiver is mounted permanently on the horizontal cath lab table rail or on a vertical instrument pole. Pressure and FFR measurement is displayed on existing screens of recording system in control room and in cath lab. PressureWire Receiver is powered by the recording system front end and requires no extra connection or battery. PressureWire Receiver Recording system front end PressureWire Aeris P2 P1 AO-transducer 12 Hemodynamic recording system PressureWire Receiver “Plus” button • Increase pressure offset by +1 mmHg or increase reference level output in Refout mode “Connect” button • Press once to connect to PressureWire Aeris • Press and hold >3 s to enter Refout mode • In Refout mode, press once to exit “Minus” button • Decrease pressure offset by -1 mmHg or decrease reference level output in Refout mode 13 PressureWire Receiver - Light Indicators Light Indicators + - 14 + - Cause Yellow steady light At startup: Unit power on and self test passed During measurement: Wire disconnected from transmitter or lost connection to PressureWire Aeris Green blinking light Connect mode – searching for connection to PressureWire Aeris Green steady light Established connection to PressureWire Aeris receiving pressure Incremental green lights Reference pressure level output (Refout). • Press plus/minus to change level: 0-2040-100-200 mmHg Plus or minus indicators steady blue Positive or negative pressure offset added to PressureWire Aeris pressure Green steady light & yellow blinking light PressureWire Aeris battery level low • Finish procedure or exchange PressureWire Aeris Yellow blinking light Internal error • Attempt restart by disconnecting then reconnecting PressureWire Receiver from cath lab recording system Radio Technology PressureWire Aeris utilizes advanced radio technology to ensure a stable and secure communication and avoid disturbing other systems. 1. 2. 3. 4. 5. PressureWire Transmitter and PressureWire Receiver lock to each other at calibration using a unique identification code. PressureWire Receiver stores the last connected PressureWire Aeris in its memory. In the event of power failure PressureWire Receiver resumes communication. Uses “Frequency Hopping Spread Spectrum” technology (FHSS), to avoid interference with or disturbance from other systems in the cath lab. Transmits using very low radio power. PressureWire Transmitter . . . 400 hops/s 15 PressureWire Receiver 79 channels Rx Only Please review the Instructions for Use prior to using these devices for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use. Product referenced is approved for CE Mark. PressureWire is designed, developed and manufactured by St. Jude Medical Systems AB. PressureWire Aeris, RADI, ST. JUDE MEDICAL, the nine-squares symbol and MORE CONTROL. LESS RISK. are registered and unregistered trademarks and service marks of St. Jude Medical, Inc. and its related companies. ©2011 St. Jude Medical, Inc. All rights reserved Volcano s5i™ Imaging System is a trademark of Volcano Corporation.