ACROBAT V Vacuum Stabilizer
Provides local stabilization of a target vessel during off-pump coronary artery bypass.
The ACROBAT V Vacuum Stabilizer provides local stabilization of a target vessel during off-pump coronary artery bypass.
Designed for optimal stabilization and ease of use, this newest member of the ACROBAT family comes with a mount that is compatible with most adult sternotomy retractors, and has a 3-D swivel for exceptional control and reach. The ACROBAT V Vacuum Stabilizer offers strength and stability with anastomotic site visibility and access and features the maneuverability of our FlexLink technology on a stronger arm, our innovative tri-slot socket wrist for “toes-up” capability, and independent vacuum pods on malleable feet designed to conform to all contours of the heart.
The FlexLink Arm is designed for maximum strength with minimal bounce, while malleable feet with vacuum pods secure the heart in position
The FlexLink Arm and streamlined vacuum tubing offer 3-D flexibility for improved workspace access
A low profile design keeps the arm out of the way of the operative field
The multiple slots of the Tri-Slot Socket Wrist position difficult vessels in a “toes-up” position for maximum visibility of anastomotic targets
Clampless Beating Heart Surgery (OPCAB)
Today many people that have medical conditions such as diabetes, history of stroke, or poor physical health can undergo coronary artery bypass graft (CABG) surgery using a clampless approach (known as OPCAB) that may lower their risk for developing complications. In contrast to conventional bypass surgery, clampless beating heart bypass surgery uses local stabilization of the heart that allows the surgeon to sew the bypass graft while the heart still beats, reducing the risks associated with cardiopulmonary bypass and vessel clamping. The potential benefits of beating heart surgery may include1:
- Less trauma to the body, since the heart-lung machine is not used
- Fewer cognitive and neurological effects (for example, a stroke)
- Less risk of problems with memory
- Faster recovery rates
- Shorter hospital stays
- Fewer blood transfusions needed
Instructions for Use
Prior to use please see the complete 'Directions for Use' for more information on Indications, Contraindications, Warnings, Precautions, Adverse Events and Operator's Instructions. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.
Each ACROBAT V Vacuum Stabilizer System is intended for use during performance of cardiac surgical procedures through a sternotomy incision approach. The AccessRail Platform, in combination with an Activator Drive Mechanism, is used to spread the sternum, providing access and direct visualization to the thoracic cavity. The AccessRail Platform also allows for the organization of pericardial sutures. The stabilizer isolates and provides local immobilization of the target vessel on the beating heart.
Do not position the stabilizer foot over a coronary artery, newly infarcted or aneurysmal heart tissue.
Warnings and Precautions
Physicians should be properly trained to perform cardiac surgical procedures with Maquet instruments prior to use. As with all surgical retractors, care should be taken to use only as much retraction as necessary to provide adequate access and visualization. Perform the anastomosis only when the stabilizer foot is properly seated on the epicardium and adequate stabilization of the surgical site is achieved. When removing the stabilizer from the epicardium, care should be taken not to disrupt the anastomotic site. Take care not to adjust or move the AccessRail Platform while pericardial sutures are engaged in the platform. Suture holder features are designed for “0” size sutures. The Activator Drive Mechanisms are supplied non-sterile and must be cleaned and sterilized prior to each use. Never use saline solution for cleaning surgical instruments. Steam sterilization is recommended to sterilize the Activator Drive Mechanisms. Other methods of sterilization have not been demonstrated as effective and are not recommended. The maximum vacuum setting for the ACROBAT V Vacuum Stabilizer is 400 mmHg.
1 Puskas J, Cheng D, Knight J, et al. Off-pump versus conventional coronary artery bypass grafting. A meta-analysis and consensus statement from the 2004 ISMICS Consensus Conference. Innovations. 2005; 1:3-27