Beruflich Dokumente
Kultur Dokumente
pls sYSTEM
| The Gold Standard | Cardiovascular | PLS System | 3 |
MAQUET Cardiovascular is a leader in providing innova- The extremely demanding requirements for prolonged
tive products for cardiac surgery, vascular interventions life support call for technology with outstanding features.
and cardiac and respiratory support to hospitals and clinics The Permanent Life Support (PLS) System from MAQUET
and the cardiac surgeons, interventional cardiologists, has been developed to support patients requiring prolonged
p erfusionists and other healthcare professionals who care respiratory and/or circulatory assistance with blood flows
for patients with cardiovascular disease. between 0.5 up to 7 l/min.
MAQUET Cardiovascular is focused on providing ECLS (Extracorporeal Life Support) with MAQUET’s
c linicians with future-oriented technology that fits into PLS System offers:
their daily pract ice and that improves the therapeutic L ess damage to blood components1,2 – no unnecessary
management of patients. MAQUET Cardiovascular continues parts and pieces that could obstruct the blood flow
to invest in the development of innovative technologies L ower risk of hemolysis and inflammation 3 – may help
and solutions that advance clinical practice, improve patient reduce costs
outcomes and enhance quality of life.
MAQUET – The Gold Standard.
| 4 | PLS System – Areas of Application | Cardiovascular |
In the catheter laboratory and cardiology department Emergency medical situations can benefit from the
the PLS System can be used to provide urgent circulatory availability and mobility of the PLS System. Certain patients
support with oxygenation in the event of sudden heart failure can benefit from the rapid restoration and stabilization of
thus preventing organ damage . Areas of application may
2
cardiopulmonary functions that ECLS can offer. The follow-
include: ing indications may be appropriate for using the PLS Sys-
Cardiogenic shock 2,4,6
tem:
A s stand-by or prophylactic support during high-risk PCI Anaphylactic shock 4
Cardiopulmonary assist after right heart infarction 6
Intoxication 6
A s a bridging system 6 (bridge to recovery, bridge to bridge, Severe hypothermia 4
bridge to decision), e.g. to treat myocarditis Barotrauma 5,6
»
c irculatory support can be transferred onto the PLS System
PLS has made priming easier in reducing
«
and moved to the intensive care unit easily 3. Also patients
from the emergency and trauma rooms who need treatment the volume, plus it is inexpensive.
in other hospital departments, e.g. for revascularization or
Hasse Karlsson
PTCA, can be placed on the PLS System and then moved to Per fusionist, Sahlgrenska University Hospital, Gothenburg, Sweden
the operating room, catheter laboratory or intensive care
unit. Areas of application may include:
Cardiogenic shock 2,4,6
Low cardiac output syndrome (LCOS) 6
Bridge to recovery, bridge to bridge, bridge to decision 6
| Cardiovascular | PLS System – References | 5 |
Knowledge database
References
References:
1 Bennett M. et al. Pump-induced haemolysis: a compari- 6 Puehler T. et al. Extracorporeal membrane oxygenation.
son of short-term ventricular assist devices. Perfusion Old instrument with a new look? Z Herz-ThoraxGefäßchir
2004; Vol. 19; (2): 107 – 111. (4) 2011; 25: 209-216
2 Yu K. et al. Clinical Evaluation of Two Different Extra
corporeal Membrane Oxygenation Systems: A Single
Center Report. Artif. Organs 2011; Vol. 35; (7): 736.
3 Schmid C. et al. Venovenous extracorporeal membrane
oxygenation for acute lung failure in adults. The journal
of Heart and Lung Transplantation 2011; 31 (1): 9 – 15.
4 Arlt M. et al. Extracorporeal membrane oxygenation in
»As the numbers on the waiting lists for
lung transplantation are steadily increasing,
severe trauma patients with bleeding shock. Resuscita- along with the waiting time, mechanical
tion 2010; 81 (7): 804 – 809 lung support by ECMO or artificial lung may
become important tools in the near future
«
5 Thiara APS. et al. Extracorporeal membrane oxygenation
support for 59 days without changing the ECMO circuit: to keep the respective patients alive.
a case of Legionella pneumonia. Perfusion 2009; Vol. 24;
Schmid C. et al.
(1): 45 – 47 The Journal of Hear t and Lung Transplantation, 2011; 31 (1): 14
| 6 | PLS System – Components | Cardiovascular |
The PLS-i Oxyg enator incorporates highly plasma re- The PLS Set Plus includes two additional connectors
sistant polym et hylpent ene (PMP) fibers with a modified with luer lock for hemofiltration or dialysis. The connectors
housing designed specifically for prolonged use. These tight have been incorporated between the oxygenator outlet
PMP fibers eliminate plasma leaks 2 and effectively prevent and pump inlet so that a CRRT device can be hooked up to
the formation of microbubbles. With an approval of 14 days the extracorporeal circuit.
continuous use, the need for oxygenator replacement is
s ignificantly reduced 2.
HIT Set PLS and HIT Set PLS Plus are specially designed
for use on patients who are susceptible to heparin-induced
The ROTAFLOW Centrifugal pump with its high biocom- thrombocytopenia. In combination with SOFTLINE coated
patibility is responsible for improved blood handling and HLS cannulae, there is an approval for 5 days.
lower levels of pump-induced hemolysis 1,2. This centrifugal
blood pump without any shaft or seals has a spinning rotor
with flow channels that move the incoming blood in rotary
motion, directing it through a spiral housing to the outflow
port. The one-point sapphire bearing and the low priming
volume combined with the spiral formed chamber ensures
gentle blood handling 1,2 and optim ized blood flow.
| Cardiovascular | PLS System – Cannulae & Accessories | 7 |
The HLS Cannulae from MAQUET connect the PLS Set SAFEGUARD 24 cm is a versatile access site manage-
to the patient’s blood vessels. These specially developed ment device that can be used following cannulation of the
cannulae can be safely and gently inserted into the veins femoral artery. SAFEGUARD’s hand-free pressure simplifies
and arteries – either percutaneously or by surgical cut-down. post-hemostasis management of access sites. SAFEGUARD
HLS Cannulae are made of biocomp atible polyurethane facilitates site assessment through the clear window without
and, like all other blood-carrying components of the PLS removing the device. It is a sterile dressing and can be used
Set, BIOLINE coated. Their thin walls ensure excellent flow to protect the site from contamination.
with minimal pressure drop. In order to guarantee a high
d eg ree of flexibility and kink resistance particularly in long- SAFEGUARD Pressure Assisted Device 24 cm
term use, all cannulae are wire reinforced. D elivers adjustable post-hemostasis compression and
enables immediate pressure adjustment
The HLS Cannulae are available in several outside Maintains consistent pressure on the site during patient
diameters (from 13 to 29 Fr.) and lengths (from 15 to 55 cm), recovery as well as patient positioning and transport
a llowing an individual selection based on the patient’s Facilitates site assessment through the clear window
needs. When used with a PLS Set from MAQUET, the HLS Is comfortable for the patient
Cannulae are designed for 14 days continuous use. Adheres to the patient while inflated regardless of
patient’s anatomy
MAQUET provides two special insertion kits for part i
cularly gentle percutaneous vascular access. These SAFEGUARD 24 cm reduces demands on the staff, maxi-
kits are fitted with guide wires of different lengths and fulfill mizes valuable resources, and enhances patient comfort.
the requirements of arterial and venous cannulation. Further
components of the insertion kits are multi-step dilators in four
different sizes, a puncture needle, a scalpel and a syringe.
This ensures that everything is at hand in emergencies.
| 8 | PLS System – Hardware | Cardiovascular |
Infusion pole
ROTAFLOW Console
EGB 40
Electronic Gas Blender
Medical isolating
transformer
| Cardiovascular | PLS System – Hardware | 9 |
The ROTAFLOW Console with the appropriate Emer- The Medical Isolating Transformer offers highest possible
gency Drive and the integrated Flow Bubble Sensor electrical safety for the connection of up to nine medical
provides consistent monitoring of the blood flow and guar- devices. The Transformer Kit is available in two versions
antees air bubble detection at an early stage. The device with different power supplies: 230 V and 115 V. For further
operates independently as a stand-alone console with its electrical safety, both workstations have an equipotential
own battery back-up and power supply. A battery capacity bonding pin.
of 90 minutes makes intra-hospital patient transport safe
and easy. Its compact design includes a display for all vital
information, at a glance.
Technical Data
PLS Set
Total priming volume 585 ml
Blood flow rate 0.5 – 7 l/min
PLS-i Oxygenator
Gas exchange surface area 1.8 m²
Heat exchange surface area 0.4 m²
Water connectors 1/2" Hansen coupling
Housing material Polycarbonate (PC)
Fiber material for gas exchange Polymethylpentene (PMP)
Fiber material for water flow Polyurethane ( TPU)
ROTAFLOW Console
RPM speed 0 – 5000 RPM
Resolution of display 0.01 l/min
Flow rate 0 – 9.9 l/min
Dimensions 180 x 380 x 240mm
Weight Approx. 15 kg
Ordering Information
Ar terial HLS Cannulae Shor t Code Order No. Ar terial HLS Cannulae Long Code Order No.
Sizes from 13 Fr. to 23 Fr. BE-PAS 1315 70105.3276 Sizes from 15 Fr. to 23 Fr.
BE-PAS 1515 70104.7280 BE-PAL 1523 70104.7285
BE-PAS 1715 70104.7281 BE-PAL 1723 70104.7286
BE-PAS 1915 70104.7282 BE-PAL 1923 70104.7287
BE-PAS 2115 70104.7283 BE-PAL 2123 70104.7288
BE-PAS 2315 70104.7284 BE-PAL 2323 70104.7289
Venous HLS Cannulae Shor t Code Order No. Venous HLS Cannulae Long Code Order No.
Sizes from 19 Fr. to 25 Fr. BE-PVS 1938 70104.7290 Sizes from 21 Fr. to 29 Fr. BE-PVL 2155 70104.7294
BE-PVS 2138 70104.7291 BE-PVL 2355 70104.7295
BE-PVS 2338 70104.7292 BE-PVL 2555 70104.7296
BE-PVS 2538 70104.7293 BE-PVL 2955 70104.7297
Percutaneous Inser tion Kit Code Order No. Percutaneous Inser tion Kit Code Order No.
for ART. HLS CANNUL AE, 100 cm PIK 100 70104.7384 for VEN. HLS CANNUL AE, 150 cm PIK 150 10104.7385
® MAQUET Eingetragenes Warenzeichen der MAQUET GmbH & Co. KG · Reg. MCV-BR-40000145-EN-05 · Copyright by MAQUET, Rastatt · 500 · 05/12 · Technische und konstruktive Änderungen vorbehalten.
For local contact:
Please visit our Website
www.maquet.com