Cardiac Surgery

 

TME 

OSYPKA Temporary Myocardial Leads (TME, pacing wires) are designed for temporary elektrodypacing (max. 30 days) of patients after open chest cardiac surgery. OSYPKA TME are attached to the outside of the cardiac atrium or atria, and/or the ventricle(s). With the thoracic needle on the opposite end of the pacing wire the lead is led through the chest to the outside of the patient. Fixation at the cardiac tissue can be performed with several types of fixation, according to operator preference either with a small cardiac needle or by suturing with suture material.

For pediatric cardiac surgery patients OSYPKA offers special KINDER TME, in which the heart needle has a smaller diameter than with adult TME. For neonates and infants OSYPKA offers especially atraumatic BABY TME with an ultra-thin litz wire (0.3 mm diameter instead of 0.45 mm) and very small heartand thorax-needles.

Cardiac stimulation with OSYPKA TME can be carried out via the right and/or left atrium (bi-atrial pacing), and the right ventricle, or both ventricles (CRT/ biventricular stimulation). For optimal stimulation parameters we recommend the following external pacemakers by OSYPKA: PACE 101 H (single chamber), PACE 203 H (dual chamber), and PACE 300 (triple chamber for biventricular pacing/CRT).

Special Features of all TME:

  • Fracture-resistant braided wire
  • Patented adapter system with 2 mm pins (color-coded electrodes for easy reference) or, alternatively, TME with already integrated connectors
  • CONFIX (direct connection to an external pacemaker or extension cable)
  • Optionally with PE tubing protection
  • Excellent threshold values
  • Safe fixation characteristics
  • Excellent sensing
  • 60 cm to 220 cm lengths available
  • Custom wires optional
  • CRT pacing with the world’s first external triple chamber pacemaker

PACE 101 H –pase101h External Demand Pacemaker

The PACE 101 H provides reliable and effective temporary stimulation for:

  • Arrythmia and cardiac conduction disorders
  • Bradycardia after cardiac surgery
  • Pacemaker implant or replacement procedures

Special Features:

  • Dial setting of parameters
  • Protected collets for pins of 0.9-2.0 mm diameter
  • Long-life battery (1000 h)
  • Battery monitoring with acoustic and optical warning
  • Basic rate up to 180 ppm for pediatric application
  • High rate stimulation by doubling or quadruplicating the stimulation rate to terminate atrial tachycardia

pace203h

PACE 203 H – The PACE 203 H provides reliable and effective temporary stimulation for:

  • Arrythmia and cardiac conduction disorders
  • Bradycardia after cardiac surgery
  • Pacemaker implant or replacement procedures

Special Features:

  • Handy design
  • Easy and quick operation with knobs and push buttons
  • Automatic functions for AV-Delay, PVARP, MTR, and sensitivity
  • Atrial trigger also in DDD mode
  • Electrode surveillance in case of short circuit and interruption
  • Display illumination (can be switched off optionally)
  • Safe against cross talk and defibrillator shock
  • Settings can be stored
  • Display of measured AV-Delay
  • Display of statistic of sensing and pacing events

PACE 300 
pace300_

The external pacemaker PACE 300 is designed for the cardiac resynchronisation therapy with one atrial and two independent ventricular channels. The available trigger modes and the adjustable interventricular stimulation delay provide a resynchronisation option of both ventricles for different heart diseases. The following scheme illustrates the potential application fields of the PACE 300.

Special Features:

  • Variable setting of AV- and VV-Delay
  • Stimulation Impedance measurements in all channels
  • Automatic adjustment of A and V sensitivity possible
  • “Pause” function for quick determination of patients‘ heart function
  • Logical programming and surface structure as with OSYPKA PACE 203 H
  • Saving of most recent setting
  • Wall outlet power supply possible

TB / TUA / TUA VDD / TUS / HELIOS™ cewnik

OSYPKA offers a comprehensive array of products for all temporary pacing needs in the fields of interventional adult and pediatric cardiology. Pacing leads are available in different diameters and with varying stiffness. Ideal placement and steerability is achieved through a stylet-driven design in some models. Depending on the catheter type, OSYPKA temporary pacing catheters are especially suited for:

  • Pre- and postoperative stimulation
  • Support during pacemaker implantation/exchange
  • Rapid pacing during TAVI, valvuloplasty
  • Long-term stimulation (max. 30 days) of patients, e.g. with PM pocket infection
  • Mapping during electrophysiological procedures
  • Reference electrode for 3D Mapping
  • Emergency stimulation

OSYPKA pacing leads are directly or via an OSYPKA extension cable compatible with all commonly used external pacemakers, especially in connection with the external OSYPKA pacemakers Pace 101 H (single chamber), Pace 203 H (dual chamber) and OSYPKA PACE 300 (triple chamber for biventricular pacing/CRT).

Balon VACS: VACS® II / VACS® III
vacs

Percutaneous Transluminal Valvuloplasty (PTV) Catheter

The VACS® dilatation catheter is a PTV Balloon Catheter with a coaxial shaft construction and a non-compliant balloon which can easily be placed over a guide wire.

The low balloon profi le of the VACS® II balloon catheter allows the use of smallest introducers. The VACS® III is a particularly high pressure balloon catheter due to a reinforced balloon segment.