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CARDIOCOMMAND, INC.

Transesophageal Pacing & Recording
Cardiology Products
Cardiac Stimulation with the Esophageal Stethoscope

Transesophageal Systems for Management of Cardiac Disease, Transesophageal Cardiac Stimulator and Bipolar Esophageal Catheter and Esophageal Stethoscope with Bipolar Electrodes for Cardiac Stimulation


CardioCommand takes advantage of the anatomical proximity between the esophagus and left atrium for minimally invasive pacing and monitoring of the heart. Our transesophageal systems are safe, easy-to-use and provide unique options for management of cardiac disease

  • Non-exercise cardiac stress testing in less time and with less risk of dysrhythmia as compared to dobutamine.
  • Radionuclide or echocardiography exams that would be difficult with conventional exercise testing.
  • Differential diagnosis of complex arrhythmias with amplified P-wave of the esophageal ECG.
  • Anti-tachycardia (``overdrive``) pacing for cardioversion of supraventricular tachycardia (SVT) or atrial flutter.
  • Induction of SVT or flutter to evaluate atrial vulnerability or efficacy of anti-arrhythmia therapies (drugs, ablation).
  • Temporary atrial pacing for patients with bradycardia, hypotension or sick sinus syndrome (SSS).
  • Esophageal electrophysiology and temporary atrial pacing in infants and children with a 5 French catheter (Tapcath).




Transesophageal Systems for Cardiac Disease

TRANSESOPHAGEAL CARDIAC STIMULATOR MODEL 7A WITH PREAMPLIFIER MODEL 3 FOR ECG RECORDING

CardioCommand Model 3 Recording Preamplifier

Electrical
Amplifier:   Input impedance greater than 500k ohms at 10 Hz, Differential input gain of 2

Physical
Size:
2.375`` (6 cm) high x 6.375`` (16.2 cm) deep x 5.125`` (13 cm) wide
Weight:
1 lb (0.45 kg) without batteries
Material:
Impact-resistant ABS plastic enclosure

Power Supply
Battery:
9-volt (2). The unit should operate normally for 3 years with fully charged batteries at the specified operating conditions.
Warning:
Use of batteries other than those specified by the manufacturer may result in the device not operating within the stated specifications.

CardioCommand Model 7A Transesophageal Cardiac Stimulator

Electrical
Pulse AMPLITUDE:  Continuously variable, 0-40 mA
Pulse DURATION:    Continuously variable rectangular pulse, 0-10 ms
Pacing RATE:          Continuously variable  60-300 BPM (X1), 120-600 BPM (X2)
Load impedance:     Constant current at impedances up to 4k ohms at 20 mA.
Rate Limit:                  343 BPM (runaway protection).
Mode of operation in the presence of sensed interference: Shutdown.
Accuracy:                    ± 10 % of full scale.

Physical
Size:
2.63`` (6.7 cm) high x 7.75`` (19.7 cm) deep x 8.13`` (20.6 cm) wide
Weight:
2.25 lbs (1 kg)
Material:
Impact-resistant ABS plastic enclosure

Power Supply

Battery type:
9-volt (4). The unit should operate normally for 24 hours with fully charged batteries at the specified operating conditions. The device should operate normally for 2 hours upon activation of the ``low battery`` indicator.
Warning:

Use of batteries other than those specified by the manufacturer may result in the device not operating within the stated specifications.


BIPOLAR ESOPHAGEAL PACING/RECORDING CATHETERS

CardioCommand Product Specifications Pacing/Recording Esophageal Catheters

TAPSCOPE 210TM

Electrode configuration:
Bipolar, stainless steel
Wiring:
26 AWG copper
Size:
10 French, length 96 cm
Electrode length:
10 mm
Electrode spacing:
20 mm center-to-center
Stylet:
Stainless steel (optional, 210-S)
Catheter material:
USP Medical Grade Class VI PVC
Catheter printing:
Depth of insertion from teeth (cm)
Packaging:
1 device/pouch, 10 pouches/carton


TAPCATH 205TM



Electrode configuration:
Bipolar, stainless steel
Wiring:
Copper
Size:
5 French, length 100 cm
Electrode length:
3.5 mm
Electrode spacing:
13 mm center-to-center
Stylet:
Stainless steel
Catheter material:
USP Medical Grade PVC
Catheter markings:
Depth of insertion from teeth (cm)
Packaging:
1 device/pouch, 5 pouches/carton




Transesophageal Cardiac Stimulator

Bipolar Esophageal Catheters

TAPSYSTEMTM Model 2-A Stimulator with TAPSCOPETM Esophageal Stethoscope

CardioCommand`s TAPSCOPE provides the monitoring features of a standard esophageal stethoscope (heartsounds, core temperature), with additional options of atrial pacing for intraoperative management of hemodynamic (when connected to the 2-A Stimulator) and recording of esophageal ECG (connected to EC-ViewTM adaptor).

Operation of the Esophageal Stethoscope

CardioCommand Model 2A TAPSYSTEM
The Model 2A generates cardiac stimulation pulses which are administered to the patient`s heart via the TAPSCOPE 550, an 18 Fr esophageal stethoscope with bipolar pacing electrodes. All circuitry is contained on a single printed circuit board mounted behind the front control panel. When the power switch is toggled to ON, DC power from 2 D-cell batteries is applied to a power regulation circuitry, a DC-DC converter, and a rectangular pulse forming circuit with a constant current output stage whose amplitude can be varied over a broad range of load impedances. Hospital Biomedical Engineers requiring a complete Model 2A Service Manual (including circuitry schematics and parts list) should contact CardioCommand Customer Service at 1-800-231-6370.

Model 550 TAPSCOPE
18 French esophageal stethoscope with MA100 Series Thermistor and bipolar electrodes for connection to Model 2A Stimulator (cardiac pacing) or to EC-View Adaptor (ECG recording). Esophageal catheter has markings indicating Depth of Insertion of electrodes from the lips (cm). Each single-use, disposable TAPSCOPE is individually pouched. 25 units are shipped per carton.

EC-View ECG Adaptor
When the TAPSCOPE is not used for pacing, the bipolar electrodes can be used for monitoring of the esophageal ECG using the EC-View Adaptor. Two snap contacts allow attachment of standard ECG leads for connection with ECG monitors or other recording devices. Adaptors are individually pouched and shipped as single units.

2A Pole Mount
Metal frame for attaching Model 2A TAPSYSTEM to hospital pole.




Stimulator with Esophageal Stethoscope

Esophageal Stethoscope with Bipolar Electrodes
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