Sensis FFR with Volcano SmartMap System

Sensis FFR with Volcano SmartMap® System Interventional Radiography: Cardiac Pressure Signal Scheme Ex  The FFR feature must be preconfigured on Scheme FFR the Sensis hemodynamic system by Signal Site Frequency Ran ... Notch Refer Wire P1 AO 0 - 10 Hz X X Signal Siemens applications. P2 Site P3 Enter Site P4 RCA 0 - 10 Hz x ×  The Aortic pressure (Proximal pressure - FFR Assignments Pa) is configured for (Channel A), C Prodmal/FER Refererice o Dista/FER Pressure Wire  Volcano Pressure Wire (Distal pressure - Pd) Delete Signal Affect All is configured for (Channel D) on the Erequency Range 0 - (H2) Hz Notch tableside mounted Hemomed Pod. OK Cancel Rename Scheme Delete Scheme 1. Select the FFR hemodynamic mode, either Setup or Workflow support. Setup Workflow Support FFR |FFR 2. Connect the Volcano SmartMap® Instrument to (Channel D) on the tableside mounted Hemomed Pod 3. Connect the pressure guide wire to the tableside mounted SmartMap® Instrument. The SmartMap® Instrument SMART MAP display will indicate five messages RUNNING Pressure Guild Wire System  Warming up  Zeroing  Wait  Auto Zero  Running If necessary the pressure wire can be balanced at this time on the Sensis hemodynamic system. (Pressure Balance should be performed with the pressure guide wire outside the body and remain in the spiral dispenser per manufacture recommendation). 4. Insert the pressure wire into the guide catheter, and positioned just outside the distal end of the guiding catheter. 5. Click "Accept" in the open Equalize dialog box. NOTE: both Pa and Pd pressures should be the same. Equalize Pd, Pa SIEMENS siemens.com/healthineers Healthineers Job Aid | Sensis FFR with Volcano SmartMap® System Effective Date: 09/08/2016| Quality HOOD0516200555801 6. Click "Accept" in the open Equalize dialog box. Equalize Pressures X NOTE: both Pa and Pd pressures should be the same. Offset is 9.34 mmHg 7. Advance the Pressure guide wire distal to the target To equalize again, click Reject. lesion, per manufacture recommendation. 8. Induce hyperemia per protocol. Accept Reject 9. Click the "START FFR" icon located at bottom of the Sensis screen to start an elapsed timer and begin recording both the mean Pa Start FFR pressure value, and the mean Pd pressure value. 10. Click the "STOP FFR" icon located at the bottom of the Sensis screen, at the end of induced hyperemia. Stop FFR The Sensis will display the measured FFR result and stop the elapsed timer. 11. You can accept the result by clicking "OK". This will FFR Event Properties X create an FFR event stored in the Sensis database. General | Specific FFR 0.63 12. Or you can press "Cancel" and then manually Duration (mm:ss) 01:29 adjust (click and drag) the vertical FFR marker line (Pa-Pd) 35 mmHg located on the screen. A new FFR result appears. Site Mean P1:Pa AO Enter Site 95 mmHg P2:Pd RCA Enter Site 60 mmHg Export Waveform Print OK Cancel Siemens Healthineers Services Page 2 of 4 Job Aid | Sensis FFR with Volcano SmartMap® System Effective Date: 09/08/2016| Quality HOOD0516200555801 All measured FFR parameters and waveform events are stored in the Sensis database and can be printed out in a report. Patient Applications Edit View Acquire Input Tools Options He Review Real Time Zero RCA LCA LCX OM DIA TEST. FFR Calculate Workflow Support Hemodynam ... P 05:13:38 PM FFR Pd 60 Pa 95 Current condition Pd/Pa 0.63 1. Rest RCA AO 0+ 200 200 RCA 200 180 180 160 160 FFR 0.63 140 140 120 100 80 40 40 20 20 O O Condition 1. Rest Cardiac Output Sito SIA |DN EM |02 Sat Site SIA DN EM 02 Sat| |Valve/Sit. |Difference |Gradient Area Events Results Siemens Healthineers Services Page 3 of 4 Job Aid | Sensis FFR with Volcano SmartMap® System Effective Date: 09/08/2016| Quality HOOD0516200555801 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright @ Siemens Healthcare GmbH ...... ........... 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