HVAD® System Written Exam for First Responders 1. Identify the HVAD® System components below by matching the picture with the name: a) HVAD® Pump b) Controller c) Battery Charger d) AC Adapter e) Battery Page 1 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders 2. Label the controller: _4__ Alarm Indicator _3__ Battery Indicator 1 _7__ Controller Display _6__ Scroll Button _1__ AC/DC Indicator _5__ Battery Indicator 2 _2__ Alarm Mute Button 3. Label the cable connections on the controller: _1_ Monitor Cable / Alarm Adapter _2_ Power Source Connection _4_ Power Source Connection _3_ Driveline Connection Page 2 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders Choose True or False 4. The patient may not have a palpable pulse. True False 5. The controller needs to be disconnected from the driveline before defibrillation or cardioversion. True False 6. There may be difficulty obtaining blood pressure readings. True False 7. The RED ALARM ADAPTER silences the “No Power” alarm and should only be attached to a controller that is no longer connected to a pump. True False 8. If the pump is not alarming it is safe to assume there is blood circulation. True False 9. Never give IV fluids to a patient with a VAD. True False 10. True False 11. When there is a controller failure alarm, the controller should be changed to the back-up controller. True False 12. When an alarm occurs, line one tells you which alarm is occurring, line two tells you what to do. True False The controller AC/DC indicator will be green if the AC adapter or DC adapter (car adapter) is powering the controller. 13. Place a check beside activities that will cause the HVAD pump to stop: Check all that apply ___ Disconnecting the AC adapter while only one fully charged battery remains connected to the system controller. __ Disconnecting both batteries at the same time. __ Disconnecting the driveline from the system controller. __ Unplugging the DC adapter without a back-up battery connected to the system controller. Page 3 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders 14. Put a check mark in front of the statements that are correct/true. Check all that apply. __ A back-up controller and batteries should be kept with the patient ___ __ Disconnecting both power sources from a patient will not stop the pump if you do it quickly Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) can be followed if required __ Care should be taken to not pull, twist or kink the patient’s driveline __ The patient and caregiver can be helpful in the management of the HVAD System equipment 15. Please put the steps below in the correct order (1-9) to demonstrate the sequence for changing the controller: 4 Pull back the white driveline cover from the original controller’s silver connector 1 Have the patient sit or lie down 5 Disconnect the driveline from the original controller (this will stop the pump) 7 Insert the red alarm adapter into the blue connector on the original controller 2 Place the new controller within easy reach 3 Connect back-up power sources to the new controller 9 Slide the white driveline cover up to cover new controllers silver connector 6 Connect the driveline to the new controller (this will restart the pump) 8 Disconnect both power sources from the original controller 16. Match the controller alarm type to the correct alarm indicator light: High Priority Alarms Flashing Yellow Medium Priority Alarms Flashing Red Low Priority Alarms Solid Yellow Page 4 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders 17. The following controller alarm display means that: ____ Battery 1 is at 25-49% capacity ___ Battery 1 is at < 24% capacity ____ Battery 1 is not connected 18. What does a controller with no message (blank display) but a continuous audible alarm mean? Check all that apply. ___ No power source to the controller ___ The pump has stopped ____ The pump is running ___ Power sources (battery/AC or DC adapter) should be connected immediately __ _ You should perform a controller exchange if the alarm condition did not resolve by connecting power sources Page 5 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders 19. Please indicate whether the statements are True or False using the information from the following controller screen: 1. Battery indicator 2 shows the battery is at 75 100% capacity True False 2. Battery indicator 1 shows the battery is at < 24% capacity True False 3. The controller is connected to AC power True False 4. The alarm displayed is a low priority alarm True False 5. The pump is being powered by battery 1 True False 20. What is the procedure to clear a resolved, inactive medium priority alarm from the display screen on the controller? ___ Hold down the alarm mute button for 5 seconds to clear the alarm ___ No action is needed, all alarms stop in 2 minutes ___ Change out the controller __ Press the scroll button to clear the alarm from the controller 21. Please place the following steps in the correct order to connect a charged battery to a controller: Page 6 of 7 GL1092 Rev01 11/14 HVAD® System Written Exam for First Responders _1__ Grasp the cable of the charged battery at the back end of the connector (leaving front end of connector free to rotate) _3__ Gently push (but DO NOT twist) the battery cable into the controller until it naturally locks into place; you should hear an audible click _4__ Confirm that the battery cable is properly locked on the controller by gently pulling the cable near the controller power connector _2__ Line up the solid white arrow on the connector with the white dot on the controller 22. The CONTROLLER DISPLAY gives pump information, example below: Please match the meaning of the items listed on the left: a) b) c) RPM ___b___ Power Watt ___c___ Blood flow L/min ___a___ Speed WARNING: Serious and life-threatening adverse events, including stroke, have been associated with use of this device. A user must fully consider the risks of this device with that of other treatment modalities before deciding to proceed with device implantation. For full prescribing information please see the Instructions for Use (IFU). The IFU can be found at www.heartware.com/clinicians/intructions-use. In the USA the HVAD system is intended for use as a bridge to cardiac transplantation in patients who are at risk of death from refractory end-stage left ventricular heart failure. CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician. Refer to the “Instructions for Use” for complete indications for Use, Contraindications, Warnings, Precautions, Adverse Events and Instructions prior to using this device. Page 7 of 7 GL1092 Rev01 11/14