Trends In Healthcare :

1. Trends In Healthcare: The Use Of Artificial Heart Devices To Treat Heart Disease Presented By: Justine Lighthall

2. 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

3. 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

4. Objectives Cont. • State Informatics Competencies • Describe the functions and responsibilities of Informatics nurse • Trend summary

5. Device Types • Thoratec • Ventra assist • Heart Mate 1 • Heart Mate 2 • Abiomed

6. 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

7. 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

8. LVAD Hardware • Internal Components • Inflow Cannula from left ventricle • Pump • Outflow Cannula to the Aorta • External Components • Battery Pack • Systems Controller • Driveline

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

10. 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/

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

12. 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

13. Components of Software • Flow • Speed • Pulsatile Index • Memory

14. Usability of Software • Efficient in maintaining patients lives • Provides satisfaction • Easy for patients to learn and control • Minimal error

15. 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.

16. 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

17. Functions of Information System • Provide data that is used to treat the patient • Describes how the pump is working • Ability to record alarms

18. Information System Data Standards • The FDA ( Food and Drug Administration) • JCAHO ( Joint Commission ) • Intermacs • IRB ( Institutional Review Board )

19. 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.

20. Disadvantages • Risk for major complications • Death • Stroke • Renal Failure • DVT/PE • Debilitation

21. Ethical Issues • Criteria • Age • Socio- economic status • Social Support • Transplantation

22. 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

23. 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

24. Summary • State of the Art technology • Augmentation of ventricles • Dissemination of Knowledge • User friendly

25. 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

26. 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/

27. 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/