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Trends In Healthcare :. The Use Of Artificial Heart Devices To Treat Heart Disease Presented By: Justine Lighthall. Objectives. Describe different device types of devices Define the types of therapy the Artificial Heart Device is used for.

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Trends in healthcare

Trends In Healthcare:

The Use Of Artificial Heart Devices To Treat Heart Disease

Presented By:

Justine Lighthall


Objectives

Objectives

  • Describe different device types of devices

  • Define the types of therapy the Artificial Heart Device is used for.

  • Identify disease processes that rely on the use of the device.

  • State Statistics regarding the Artificial Heart Device

  • Explain how the device works


Objectives cont

Objectives cont.

  • Identify hardware and software parts of the artificial heart device.

  • Describe Information System

  • Describe advantages and disadvantages of the Artificial Heart Device

  • Identify Ethical Issues


Objectives cont1

Objectives Cont.

  • State Informatics Competencies

  • Describe the functions and responsibilities of Informatics nurse

  • Trend summary


Device types

Device Types

  • Thoratec

  • Ventra assist

  • Heart Mate 1

  • Heart Mate 2

  • Abiomed


Types of therapy

Types of Therapy

  • Destination Therapy: When one is not a candidate for transplant.

    • Non- Functional from CVA

    • Does not wish to be Transplanted

  • Bridge To Transplant: Temporary until listed and called for Transplantation.

    • Heart failure to severe to wait for heart transplant.

  • Recovery: Heart function is returned

    • Post-Partum

    • Viral Infections


Statistics

Statistics

  • Heart Failure is the leading cause of death

    • An estimated sixty-two million people are suffering from congestive heart failure

  • FDA: Food and Drug Administration

    • FDA has approved a partial artificial heart.

    • FDA approval in April 2008 as a bridge-to-transplantation (BTT) treatment option for patients


Lvad hardware

LVAD Hardware

  • Internal Components

    • Inflow Cannula from left ventricle

    • Pump

    • Outflow Cannula to the Aorta

  • External Components

    • Battery Pack

    • Systems Controller

    • Driveline


Ventra assist device

Ventra assist Device

The Basics of Heart Failure received February 20, 2009 from www.amyshah.com/.../the-basics-of-heart-failure/


Lvad hardware1

LVAD Hardware

Mechanical 'artificial hearts' can remove need for transplant by returning heart to normal. Retrieved February 20, 2009 from www1.imperial.ac.uk/medicine/news/p60211/


Trends in healthcare

Final Medicare Decision Provides Maximum Reimbursement to Hospitals for CardioWestâ„¢ temporary Total Artificial Heart. Retrieved February 20, 2009 from www.syncardia.com/newsroom/cmsfinal050608.php


Lvad software

LVAD Software

  • Each company has their own system software

    • Ventraview

  • Each software has similar components

    • Ability to record memory

    • Projects a constant flow of heart function

    • Stores a database of numbers pertaining to function of VAD


  • Components of software

    Components of Software

    • Flow

    • Speed

    • Pulsatile Index

    • Memory


    Usability of software

    Usability of Software

    • Efficient in maintaining patients lives

    • Provides satisfaction

    • Easy for patients to learn and control

    • Minimal error


    Information system

    Information System

    • The LVAD disseminates data to a control panel

    • Data is displayed on an LCD screen

    • The data describes the function of the heart and the device.


    Information system1

    Information System

    • The Information System provides data for health care personnel

      • Physicians

      • Nurses

      • Engineers

      • Patients

        • The Information System describes function of the heart and device setting

          • Pump output

          • Speed

          • Power

          • PI

          • OI


    Functions of information system

    Functions of Information System

    • Provide data that is used to treat the patient

    • Describes how the pump is working

    • Ability to record alarms


    Information system data standards

    Information System Data Standards

    • The FDA ( Food and Drug Administration)

    • JCAHO ( Joint Commission )

    • Intermacs

    • IRB ( Institutional Review Board )


    Advantages

    Advantages

    • Advantages for an Artificial Heart Device

      • Used for treatment of end-stage heart failure.

      • Used in assistance while waiting for heart transplant.

      • Used for temporary use while waiting for heart recovery.


    Disadvantages

    Disadvantages

    • Risk for major complications

      • Death

      • Stroke

      • Renal Failure

      • DVT/PE

      • Debilitation


    Ethical issues

    Ethical Issues

    • Criteria

      • Age

      • Socio- economic status

      • Social Support

      • Transplantation


    Informatics competencies

    Informatics Competencies

    • Specialized VAD classes must be completed by all health care professionals.

    • Written test must be completed

    • Clinical experience and orientation

    • Demonstration of ability to care for the patient a VAD


    Functions and responsibilities of informatics nurse

    Functions and Responsibilities of Informatics Nurse

    • Assessment of patient with VAD

    • Ability to identify complications of device

    • Utilizes knowledge on hardware and software of VAD


    Summary

    Summary

    • State of the Art technology

    • Augmentation of ventricles

    • Dissemination of Knowledge

    • User friendly

      Hamby. 2007


    References

    References

    • Meadows , Michelle (2005). Artificial Heart Helps People Awaiting Transplants. Retrieved April 19, 2009, from Food and Drug Administration Web site: www.fda.gov/fdac/features/2005/

    • James, Bonnie (2009). Continuous flow heart pumps are wave of the future: expert. Retrieved April 19, 2009, from Thoratec Website: www.thoratec.com

    • 2009,feb 20). Left Ventricular Assist Device . Retrieved April 19, 2009, from American Heart Association Web site: www.americanheart.org

    • (1999-2007). LVAD Anatomy. Retrieved April 19, 2009, from Mechanical Circulatory Support System Web site: http://www.columbiasurgery.org


    References cont

    References cont.

    • (2009). Interagency Registry for Mechanically Assist Circulatory Support. Retrieved April 19, 2009, from Intermacs Web site: www.intermacs.org

    • (2003). New Device Approval. . Retrieved April 19, 2009, from U.S Drug and Food Administration. Web site: http://www.fda.gov

    • 2006 July 18). Artificial Hearts . Retrieved April 19, 2009, from CHF Patients Web site: http://www.chfpatients.com

    • 2009 April 2). Artificial Hearts . Retrieved April 19, 2009, from Cardiowest Web site: http://www.syncardia.com/


    References cont1

    References cont.

    • Ventricular Assist Device (VAD) Certification. Retrieved April 19, 2009, from Ventricular Assist Device Web site: www.jointcommission.org

    • Institutional Review Board. Retrieved April 23, 2009, from Artificial Heart Device Web site: http://www.irb.pitt.edu/

    • Hamby, Robert (2007). Ventricular Assist Device


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