FLEXIBILITY, PRECISION, AND CONSISTENT CONDUCTION BLOCK
With the bipolar Cardioblate® BP2 Surgical Ablation Device, positioning the electrodes at the ablation site has never been easier:
- The flexible, malleable electrodes can be rotated through 300° and can be conformed to address even the most challenging cardiac anatomy.
- The sleek, tapered 7 cm active electrodes facilitate placement.
- Irrigated electrodes efficiently transmit RF energy to cardiac tissue, resulting in transmural lesions and consistent conduction block.
This device inspires surgeons with the confidence of knowing that they can consistently achieve transmurality and true conduction block, time after time.
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FLEXIBILITY, PRECISION, AND CONSISTENT CONDUCTION BLOCK
The Cardioblate® LP Irrigated Surgical Ablation Device's lower electrode profile provides easy access to challenging cardiac anatomy through a smaller incision.
- The sleek electrodes reduce the amount of dissection required.
- A flexible neck provides a clear line of sight to the ablation site and optimal positioning for virtually all required lesions.
- An extended neck makes traversing anatomical structures around the ablation site easier.
- The 7 cm pre-curved rigid electrodes can be rotated through 300° and feature blunt tips for safe electrode placement.
This device inspires surgeons with the confidence of knowing that they can consistently achieve transmurality and true conduction block.
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MAPPING, ABLATION, PACING AND SENSING DEVICE CONFIRMATION
With over 50 years of cardiac rhythm management experience, Medtronic is committed to using our expertise to develop tools that will enhance your surgical ablation procedures.
The Cardioblate MAPS device integrates cardiac rhythm diagnostics and surgical ablation technologies in one simple-to-use device.
Map
Stimulate
Apply high frequency stimulation (HFS) to areas around the pulmonary vein/atrial junction to identify sites that may contribute to various cardiac arrhythmias.
Ablate
Target Sites
The Cardioblate MAPS device allows you to destroy the sites identified through HFS with cardiac ablation.
Pace
Lesion Assessment: Pacing
- Establish atrial capture by pacing from the area to be isolated.
- Once the isolation lesion has been created, pace with the Cardioblate MAPS device from the same location as before to attempt atrial capture.
- Conduction block is proven if atrial capture is not obtained (no corresponding atrial rate change as established initially).
Sense
Lesion Assessment: Sensing
Monitor atrial electrogram (EGM) pre and post-ablation to confirm entrance block.
- Before creating the isolation lesion, monitor atrial EGM in the area to be isolated.
- After the lesion has been created, monitor atrial EGM on both sides of the lesion for comparison to each other and those measured previously.
- Conduction block is proven by absence or reduction of electrical activity in the area isolated by the ablation lesion when compared to atrial activity outside that area.
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SURGICAL PACING AND MAPPING TOOL
CONFIRMATION
Cardioblate® Detect® tool enables analysis of cardiac electrical activity and confirmation of conduction block with temporary pacing and sensing during surgical ablation procedures.
Pacing
- Establish atrial capture by pacing from the area to be isolated.
- Once the isolation lesion has been created, pace with the Cardioblate MAPS device from the same location as before to attempt atrial capture.
- Conduction block is proven if atrial capture is not obtained (no corresponding atrial rate change as established initially).
Sensing
Monitor atrial electrogram (EGM) pre and post-ablation to confirm entrance block.
- Before creating the isolation lesion, monitor atrial EGM in the area to be isolated.
- After the lesion has been created, monitor atrial EGM on both sides of the lesion for comparison to each other and those measured previously.
- Conduction block is proven by absence or reduction of electrical activity in the area isolated by the ablation lesion when compared to atrial activity outside that area.
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REACH AND CONSISTENT CONDUCTION BLOCK
The Cardioblate® Irrigated RF Monopolar Surgical Ablation Pens offer the unique advantages of irrigated ablation technology:
- Low impedance path allowing energy to be driven further into the tissue for a deeper lesion.
- Facilitates transfer of the RF energy, for pen oscillation over the tissue without applying pressure.
- Minimizes tissue charring.
The Cardioblate® XL Surgical Ablation Pen
- 20 cm monopolar shaft designed for cardiac ablation procedures on difficult-to-access tissue. It is especially useful for:
- Small thoracotomy approaches.
- Larger or "barrel-chested" full sternotomy patients.
- Extended length shaft is reinforced for added stability yet is fully malleable, so it can be conformed to meet virtually any anatomical challenge.
- Gray color reduces glare during procedures
The Cardioblate® Standard Surgical Ablation Pen
- Malleable shaft allowing surgeons to shape device to reach all areas of the atria
- Ergonomic hand-held design
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REAL-TIME FEEDBACK, REAL-TIME POWER
Delivering precise, irrigated RF energy based on tissue requirements is key to achieving transmurality and consistent conduction block. Irrigation facilitates conduction between the RF probe and cardiac tissue, resulting in an efficient transfer of energy. The lightweight, portable Cardioblate® 68000 generator is the foundation on which the Medtronic Cardioblate System is built.
The Cardioblate 68000 generator is easy to setup and use. Its advanced dose-response algorithm ensures transmural lesions that consistently result in conduction block.
- Dose-response algorithm customizes energy delivery based on tissue impedance to achieve reliable, reproducible transmurality.
- Audible tones and touch screen messages notify user of ablation status, transmurality, and other critical information.
- Touch screen operation for adjusting ablation parameters.
- Color LCD screen folds into case for storage and flips open on hinge for different viewing angles.
- Troubleshooting steps available via touch screen messages.
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