Boston Scientific Maestro 4000, Maestro 3000 Connection Manual

CONNECTIONS GUIDE

EP-305104-AA MAR2015

CONNECTIONS GUIDE

1 Cheat Sheet Connections

2 Blazer™ II/Blazer Prime™ 4mm

2.1 Maestro 4000™

2.2 Maestro 3000

™

3 Blazer™ II / Prime™ XP 8/10 mm

3.1 Maestro 4000™

3.2 Maestro 3000

™

4 Chilli II

™

4.1 Maestro 4000™

4.2 Maestro 3000

™

5 Blazer™ Open-Irrigated

5.1 Maestro 4000™

5.2 Stockert

5.3 IBI

6 IntellaTip MiFi™ XP

6.1 Maestro 3000™ set up

6.2 Maestro 4000™ set up

6.3 Maestro 3000™/4000™ with EnSite™ Velocity™

6.3.1 Basic EnSite™ Velocity™

6.3.2 Advanced EnSite™ Velocity™

6.4 Connection Guide & IBI 18

6.5 Connection Guide & Stockert

3

4

4

6

6

6

5

5

7

9

10

12

13

17

15

18

CONNECTIONS GUIDE

8 Maestro 3000™ guide

9 CircuCool™ Instructions

10 Maestro 4000™

10.1 Controller Setup

10.2 Troubleshooting Guide

10.3 Diagnostic Messages Card

10.4 Operational Messages Card

11 MetriQ™

11.1 Set up

11.2 Messages Card

21

27

33

35

37

39

41

43

CONNECTIONS GUIDE

8 Maestro 3000™ guide

9 CircuCool™ Instructions

10 Maestro 4000

™

10.1 Controller Setup

10.2 Troubleshooting Guide

10.3 Diagnostic Messages Card

10.4 Operational Messages Card

11 MetriQ

™

11.1 Set up

11.2 Messages Card

20

26

32

34

36

38

40

42

CATHETER GENERATOR CONNECTOR

MAX

POWER

GROUND PAD

UNITS

GROUND PAD CABLE

ADAPTER PUMP TUBING SET

FLUID INFUSION SPEED (ml/mi n)

no RF/< 30 W/30-50 W

FLUID FOR

INFUSION

MAESTRO 3K 651/613 100 1 Valley lab directly to gen - - - -
MAESTRO 4K 651/613 100 1 Valley lab directly to gen - - - -
STOCKERT 115^^ 100 1 39D82X0** - - - -
IBI1500T 1684TH*+613/651 100 1 Valley lab directly to gen - - - -
MAESTRO 3K 651/613 150 2 Valley lab directly to gen - - - -
MAESTRO 4K 651/613 150 2 Valley lab directly to gen - - - -
STOCKERT 115^^ 100 2 39D82X0**+ E0507B^ - - - -

IBI1500T 1684TH*+613/651 150 2 Valley lab directly to gen - - - -

MAESTRO 3K 620 150 2 Valley lab directly to gen - - - -
MAESTRO 4K 620 150 2 Valley lab directly to gen - - - -
STOCKERT 620+115^^ 100 2 39D82X0**+ E0507B^ - - - -
IBI1500T 1684TH*+620 150 2 Valley lab directly to gen - - - -
MAESTRO 3K 681 50 1 Valley lab directly to gen CIRCUCOOL 352104 36 (fi xed) 5% Dextrose
MAESTRO 4K 681 50 1 Valley lab directly to gen CIRCUCOOL 352104 36 (fi xed) 5% Dextrose

STOCKERT - - - - - - -

MAESTRO 3K - - - - - - -

MAESTRO 4K 671 50 1 Valley lab directly to gen METRIQ 117 2/17/30 saline
STOCKERT 691 50 1 39D82X0** COOLFLOW 116 or BW tubing set 2/17/30 saline
IBI 1500T 100-339 ADAPTOR + 691 50 1 Valley lab directly to gen COOL POINT SJ tubi ng set 2/17/30 saline

*Provided by SJM
**Provided by BW
^Provided by Covidien
^^115 is BSC reference, also provi ded by BW with their own reference (16384)

BLAZER II/PRIME
4 mm

BLAZER II/PRIME XP
8/10 mm

MIFI XP

CHILLI II

BLAZER OI

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a
physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device.
Information for the use only in countries with applicable health authority product registrations.

Maestro 4000™ Cardiac Ablation System

Connection Guide

Maestro 4000™ Controller to:
Blazer™ II XP Catheter
Blazer Prime™ XP Catheter

Maestro 4000

™

Controller to:
Blazer™ II Temperature Ablation Catheter
Blazer™ II Temperature Ablation Catheter
Blazer Prime™ Temperature Ablation Catheter

Power

Power

Temp

Average

Maximum

Clear

Control

Panel

Power

Temp

Impedance

Impedance

Time

Counter

TotalTime

Mem

Mem

Mem

Mem

Mem

1

2

3

4

5

View

Settings

Temperature

RF Power Control

Generator Ren

RPM

TM

Indiff

erent

Electrode

Indifferent
Electrode

STD/XP

Ground Pad

M004 354 0

Ground Pad

M004 354 0

Cable: Pod to Recorder

M004 653S 0

Cable: Pod to Catheter

M004 651 0 or M004 613 0

Power

Power

Temp

Average

Maximum

Clear

Control

Panel

Power

Temp

Impedance

Impedance

Time

Counter

Total

Time

Mem

Mem

Mem

Mem

Mem

1

2

3

4

5

View

Settings

Temperature

RF Power Control

Generator Ren

RPM

TM

Indifferent

Electrode

Indifferent

Electrode

STD/XP

Cable: Pod to Recorder

M004 653S 0

Ground Pad

M004 354 0

Cable: Pod to Catheter

M004 651 0 or M004 613 0

Maestro 4000™

Cardiac Ablation System

Connection Guide

Maestro 4000™ Controller to:
Chilli II™ Cooled Ablation Catheter

Cable: Pod to Recorder

M004 653S 0

Cable: Pod to Catheter M004 681 0

Ground Pad

M004 354 0

Tubing Kit

M004 352104 0

Power

Power

Temp

Average

Maximum

Clear

Control

Panel

Power

Temp

Impedance

Impedance

Time

Counter

Total

Time

Mem

Mem

Mem

Mem

Mem

1

2

3

4

5

Vie

w

Settings

Temperature

RF P

ower Control

Generator Ren

RPM

TM

Indifferent
Electrode

In

d
iff
e
re

n
t

E

le
c
tro
d

e

TP

Sterile, normal (0.9%), heparinized

(1 u heparin/ml) saline

MetriQ™ Irrigation Pump

Tubing Set

M004 117 0

Blazer Open Irrigated

Ablation Catheter

Blazer OI Pod to Catheter

Cable M004 671 0

Ground Pad

M004 354 0

Communication Cable

M004 661 0

All ci ted trademar ks are the prop erty of t heir respe ctive owners. C AUTION : The law res tricts t hese devices to sales b y or on the
order o f a physicia n. Indicat ions, cont raindications, war nings and instructions for u se can be foun d in the prod uct labeli ng
suppli ed with each de vice. Inf ormation f or the use only i n countries w ith applica ble healt h authority produ ct regis trations.

EP-2 5270 4-AA JU N2014 Pr inted in Ge rmany by medicalvisio n.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2215EA

Maestro 4000™ Controller to:
Blazer

™

Open-Irrigated Ablation Catheter

Maestro 3000 Controller to:
Blazer™ II Temperature Ablation Catheter
Blazer™ II HTD Temperature Ablation Catheter
Blazer Prime™ HTD Temperature Ablation Catheter

Maestro 3000 Controller to:
Blazer™ II XP Temperature Ablation Catheter
Blazer Prime™ XP Temperature Ablation Catheter

Ground Pad
M004 354 1

Cable: Pod to Catheter

M004 651 0 or M004 613 0

Cable: Pod to Recorder

M004 653S 0

Cable: Pod to Recorder

M004 653S 0

Ground Pad

M004 354 1

Ground Pad
M004 354 1

Cable: Pod to Catheter

M004 651 0 or M004 613 0

Maestro 3000 Controller to:
Chilli II™ Cooled Ablation Catheter

Cable: Pod to Recorder

M004 653S 0

Ground Pad
M004 354 1

Cable: Pod to Catheter M004 681 0

Tubing Kit

M004 352104 0

Maestro 3000™ Cardiac Ablation System

6

Maestro 3000™

Cardiac Ablation System

Blazer™ Open-Irrigated Ablation Catheter with
Compatible Generator and Pump

Product illustrations designed by Boston Scientific, not actual photos.

The Blazer Open-Irrigated Ablation Catheter has been tested and verified to operate safely with the
Stockert Radiofrequency Generator and Biosense Webster CoolFlow® Irrigation Pump. Data on file.

Sterile, normal (0.9%),

heparinized (1 u heparin/ml) saline

Stockert

Radiofrequency

Generator

Global Port Digital

ECG Connection Cable

Stockert

Global Port

Serial Computer

Interface Cable D-type

Biosense Webster

CoolFlow Irrigation Pump

Biosense Webster

CoolFlow Irrigation

Tubing Set

Blazer

™

Open-Irrigated

Ablation Catheter

Model 691 Cable

EGM Connection

Cable

Dispersive Indifferent Patch

Biosense Webster

Stockert CoolFlow

Pump Interface Cable

CoolFlow is a trademark of Cordis Corporation.

The Blazer™ Open-Irrigated Ablation Catheter requires a generator, pump and tubing system
able to deliver 1W to 50W of power and irrigation flow to the catheter cooling lumen of
2ml/min during standby and 17-30 ml/min during RF delivery.

Blazer™ Open-Irrigated

Ablation Catheter

with Compatible Generator and Pump

Irrigation Flow Recommendations

The Stockert Radiofrequency Generator Operation:

• Select Catheter Type ‘THERMO-COOL’

• Confirm the ‘CoolFlow Cut-Off’ is set to 50° C (generator default)

• Set the initial power level to 15-20W

• Maximum power of 50W

• Power may be increased by 5-10W increments as needed

Power (W) Irrigation Flow Rate (ml/min)

Mapping/

Standby

0 2

Ablation

≤ 30

17

31-50 30

The Blazer™ Open-Irrigated Ablation Catheter requires a generator, pump and tubing system
able to deliver 1W to 50W of power and irrigation flow to the catheter cooling lumen of
2ml/min during standby and 17-30 ml/min during RF delivery.

Blazer™ Open-Irrigated Ablation Catheter with
Compatible Generator and Pump

• Initiate a higher flow rate (17ml/min) up to 5 seconds prior to start of RF delivery. Maintain high
flow 2-5 seconds after RF delivery terminates and then adjust accordingly.

• The application of RF energy must not be initiated until the increase in irrigation flow rate is
confirmed by at least a 2º C decrease.

© 2010 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2156EA

www.bostonscientific-international.com

Valleylab is a trademark of Covidien AG Corporation.
CoolFlow is a trademark of Cordis Corporation.

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a
physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device.
Information for the use only in countries with applicable health authority product registrations.

PSST IC 6390 Printed in Germany by medicalvision.

9

Irrigation Flow Recommendations

The Stockert Radiofrequency Generator Operation:

• Select Catheter Type ‘THERMO-COOL’

• Confirm the ‘CoolFlow Cut-Off’ is set to 50° C (generator default)

• Set the initial power level to 15-20W

• Maximum power of 50W

• Power may be increased by 5-10W increments as needed

Power (W) Irrigation Flow Rate (ml/min)

Mapping/

Standby

0 2

Ablation

≤ 30

17

31-50 30

The Blazer™ Open-Irrigated Ablation Catheter requires a generator, pump and tubing system
able to deliver 1W to 50W of power and irrigation flow to the catheter cooling lumen of
2ml/min during standby and 17-30 ml/min during RF delivery.

Blazer™ Open-Irrigated Ablation Catheter with
Compatible Generator and Pump

• Initiate a higher flow rate (17ml/min) up to 5 seconds prior to start of RF delivery. Maintain high
flow 2-5 seconds after RF delivery terminates and then adjust accordingly.

• The application of RF energy must not be initiated until the increase in irrigation flow rate is
confirmed by at least a 2º C decrease.

Blazer™ Open-Irrigated

Ablation Catheter

with Compatible Generator and Pump

BlazerTM Open-Irrigated
Ablation Catheter - Connectivity to IBI generator

MedFact Connect
Adapter Cable

Blazer OI
Connector cable

Blazer OI
Catheter Model

IBI Generator Model

Catalog Number 100-339

M0046910 EPT9620K2 (Large)

EPT9620 (Standard)
EPT9620N4 (Asymmetric)

1500T11

Adaptor List Price € 300 per box (€ 150 each), 2 nonsterile units per box, minimum order 1 box

BlazerTM Open-Irrigated
Ablation Catheter - Connectivity to IBI generator

MedFact Connect
Adapter Cable

Blazer OI
Connector cable

Blazer OI
Catheter Model

IBI Generator Model

Catalog Number 100-339

M0046910 EPT9620K2 (Large)

EPT9620 (Standard)
EPT9620N4 (Asymmetric)

1500T11

Adaptor List Price € 300 per box (€ 150 each), 2 nonsterile units per box, minimum order 1 box

© 2013 Boston Scientic Corporation
or its afliates. All rights reserved.
DINEP2201EB

www.bostonscientific-international.com

All cited trademarks are the property of their respective owners.
CAUTION: The law restricts these devices to sales by or on the order
of a physician. Indications, contrain-dications, warnings and instructions
for use can be found in the product labeling supplied with each device.
Information for the use only in countries with applicable health
authority product registrations.

EP-197002-AB OCT 2013 Printed in Germany by medicalvision.

Contact Information:

Phone: [phone]
Email: of[e-mail]

Blazer™ Open-Irrigated

Ablation Catheter

Connectivity to IBI generator

IntellaTip MiFi™ XP

System Set Up

Step 1. Connecting the Catheter to the Filter Module and Pod with the M0046200 Cable

a. Connect yellow cable plug into the port marked “Catheter Cable” on the Filter Module
b. Connect the red cable plug into the center port marked “STD/XP on the Pod
c. Connect the black cable plug into the IntellaTip MiFi XP Catheter

Step 2. Connecting the Filter Module to the Recording System with the M004 653S 0 Cable

a. Connect the M004 653S 0 Cable cable plug into the green port marked “Recording

System” on the Filter Module. Connect the second M004 653S 0 Cable to Pod

b. Connect the 3 Mini Electrodes (ME’s) via the three pins D, 2, and 3 to the Catheter

Pin Connection Box. Pin 4 is not used.

Step 3. Connecting the Pod to the Recording System with the M004 653S 0 Cable

a. Connect the M004 653S 0 Cable plug to the Pod
b. Connect the conventional bipoles via the pins 1, 2, 3 and 4 to the Catheter Pin

Connection Box

Step 4. Connecting the Pod to the Filter Module

a. Connect the shrouded pin-end (2mm shrouded pin) of Reference Cable to the port marked “Reference Cable” on the Filter Module
b. Connect the 2 prong plug end of the Reference Cable to the Dispersive Indifferent Patch (DIP) port on the Pod
c. Connect the DIP to the 2-prong socket end of the Reference Cable
d. Connect 1 additional DIP directly to the remaining port marked “Indifferent Electrode” on the Pod

CATHETER PIN CONNECTION BOX

Cable M004 653S 0

(Yellow)

Cable:

Dispersive Indifferent Patch
(Commercially Available)

IntellaTip MiFi Filter Module

(Green)

(2mm Shrouded Pin)

IntellaTip MiFi XP Cable

Maestro 3000 Cardiac Ablation Controller

Cable:

Dispersive Indifferent Patch

(Commercially Available)

RF Ablation Pod

IntellaTip MiFi XP Catheter

Reference Cable:

Step 3

Filter Module to RF Pod

(Black)

(Red)

Step 1

Step 2

Step 4

M004 653S 0

M004 21860T 0

M004 3636 0

M004 620 0

M004 653S 0

M004 1212 0

11

IntellaTip MiFi™ XP

Temperature Ablation Catheter

System Set Up

Unparalleled Clarity

Filter Module

Reference Cable

Catheter Cable

IntellaTip MiFi™ XP

Temperature Ablation Catheter Product Specification

Bidirectional Curve Options

Standard Radius Curve

Large Radius Curve (K2)

Asymmetrical-4 Curve (N4)

Electrode Configuration: Quadripolar
Electrode Spacing: 2.5 mm
Indicated for use with an 8.5F sheath

Catheter Model No. Shaft Size Tip Size Curve Style Cable Model No.

M004 EPM4500 0 7F 8F/8 mm (straight) Standard M004 620 0

M004 EPM4500K2 0 7F 8F/8 mm (straight) Large M004 620 0

M004 EPM4500N4 0 7F 8F/8 mm (straight) Asymmetric-4 M004 620 0

M004 EPM4790 0 7F 8F/10 mm (straight) Standard M004 620 0

M004 EPM4790K2 0 7F 8F/10 mm (straight) Large M004 620 0

M004 EPM4790N4 0 7F 8F/10 mm (straight) Asymmetric-4 M004 620 0

Cables and Accessories

Model No. Description

M004 1212 0 Filter Module (reference cable included)

M004 3636 0 Reference Cable from Filter Module to Pod (32 in)

M004 620 0 Cable from Catheter to Pod and to Filter Module (10 ft)

M004 653S 0 Cable from Filter Module or Pod to Recorder (2 required)

7 F = 2.33 mm 8 F = 2.66 mm 8.5 F = 2.83 mm

IntellaTip MiFi™ XP Temperature Ablation Catheter

Unparalleled Clarity

Valleylab is a trademark of Covidien AG Corporation.

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order
of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with
each device. Information for the use only in countries with applicable health authority product registrations.

Information contained herein is for distribution outside the U.S. only. Illustrations for information purposes – not indicative of actual
size or clinical outcome.

EP177405-AA AUG13 Printed in Germany by medicalvision.

Filter Module

Reference Cable

Catheter Cable

IntellaTip MiFi™ XP

Temperature Ablation Catheter Product Specification

www.bostonscientific-international.com

© 2013 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2200EA

Bidirectional Curve Options

Standard Radius Curve

Large Radius Curve (K2)

Asymmetrical-4 Curve (N4)

Electrode Configuration: Quadripolar
Electrode Spacing: 2.5 mm
Indicated for use with an 8.5F sheath

Catheter Model No. Shaft Size Tip Size Curve Style Cable Model No.

M004 EPM4500 0 7F 8F/8 mm (straight) Standard M004 620 0

M004 EPM4500K2 0 7F 8F/8 mm (straight) Large M004 620 0

M004 EPM4500N4 0 7F 8F/8 mm (straight) Asymmetric-4 M004 620 0

M004 EPM4790 0 7F 8F/10 mm (straight) Standard M004 620 0

M004 EPM4790K2 0 7F 8F/10 mm (straight) Large M004 620 0

M004 EPM4790N4 0 7F 8F/10 mm (straight) Asymmetric-4 M004 620 0

Cables and Accessories

Model No. Description

M004 1212 0 Filter Module (reference cable included)

M004 3636 0 Reference Cable from Filter Module to Pod (32 in)

M004 620 0 Cable from Catheter to Pod and to Filter Module (10 ft)

M004 653S 0 Cable from Filter Module or Pod to Recorder (2 required)

7 F = 2.33 mm 8 F = 2.66 mm 8.5 F = 2.83 mm

IntellaTip MiFi™ XP Temperature Ablation Catheter

IntellaTip MiFi™ XP

Temperature Ablation Catheter

Product Specification

Maestro 4000™
Cardiac Ablation System

IntellaTip MiFi™ XP Temperature Ablation Catheter - System Setup

Maestro 4000 Controller to:
IntellaTip MiFi XP Catheter

Step 1. Connecting the Catheter to the Filter Module and Pod with the M004 620 0 Cable

a. Connect yellow cable plug into the port marked “Catheter Cable” on the Filter Module
b. Connect the red cable plug into the center port marked “STD/XP” on the Pod
c. Connect the black cable plug into the IntellaTip MiFi XP Catheter

Step 2. Connecting the Filter Module to the Recording System with the M004 653S 0 Cable

a. Connect the M004 653S 0 Cable cable plug into the green port marked “Recording

System”
on the Filter Module. Connect the second M004 653S 0 Cable to Pod

b. Connect the 3 Mini Electrodes (ME’s) via the three pins D, 2 and 3 to the Catheter Pin

Connection Box. (Pin 4 is not used)

Step 3. Connecting the Pod to the Recording System with the M004 653S 0 Cable

a. Connect the M004 653S 0 Cable plug to the Pod
b. Connect the conventional bipoles via pins 1, 2, 3 and 4 to the Catheter Pin Connection Box

Step 4. Connecting the Pod to the Filter Module

a. Connect the shrouded pin-end (2mm shrouded pin) of Reference Cable to the port marked “Reference Cable” on the

Filter Module
b. Connect the 2 prong plug end of the Reference Cable to the Dispersive Indifferent Patch (DIP) port on the Pod
c. Connect the DIP to the 2-prong socket end of the Reference Cable
d. Connect 1 additional DIP directly to the remaining port marked “Indifferent Electrode” on the Pod

CATHETER PIN CONNECTION BOX

Cable M004 653S 0

(Yellow)

Cable: M004 653S 0

Dispersive Indifferent Patch
(Commercially Available)

IntellaTip MiFi Filter Module
M004 1212 0

(Green)

(2mm Shrouded Pin)

IntellaTip MiFi XP Cable

M004 620 0

Cable: M004 653S 0

Dispersive Indifferent Patch

(Commercially Available)

RF Ablation Pod

M004 4010 0

IntellaTip MiFi XP Catheter

Reference Cable:

Step 3

Filter Module to RF Pod
M004 3636 0

(Black)

(Red)

Step 1

Step 2

Step 4

Maestro 4000 Cardiac Ablation Controller

Maestro 4000™

Cardiac Ablation System

IntellaTip MiFi™ XP Temperature Ablation Catheter - System Setup

Step 1. Connecting the IntellaTip MiFi XP Conventional Bipoles as a standard ablation catheter

a. Connect Dispersive Surface Electrode(s) to the Velocity EPT GenConnect Module.

b. Connect M004 620 0 Cable to the Filter Module (yellow plug) and the Velocity EPT GenConnect (red plug) .

c. Connect the M004 620 0 Cable (black plug) into the IntellaTip MiFi XP Ablation Catheter.

d. Connect Dispersive Interconnect Cable (SJM 100010915) to the Maestro Pod Dispersive Pad Inputs.

e. Connect Catheter Interconnect Cable (SJM 100010397) to the Maestro Pod Catheter Input.

f. Connect the M004 653S 0 Cable into the Pod. Pin out conventional Bipoles into the Pin Connection Box.

Step 2. Connecting the IntellaTip MiFi XP Mini Electrodes as a separate diagnostic catheter

a. Connect the M004 653S 0 Cable plug into the green port marked “Recording System” on the Filter Module.

Connect the pins to the Catheter Pin Connection Box.

b. Pin out the Mini Electrodes (MEs) - D, 2 and 3. Pin 4 is not used, but can be plugged into any unused channel.

c. Do Not Connect the Reference Cable (M004 3636 0) when using the EnSite Velocity System.

(Green)

(Black)

(Yellow)

Velocity EPT GenConnect

Catheter Pin Connection Box

Pannel on the front

of the Amplifier

IntellaTip MiFi Filter Module
M004 1212 0

IntellaTip MiFi XP Catheter

Maestro 3000 Cardiac

TM

Ablation Controller

RF Ablation Pod

M004 21860T 0

Dispersive Indifferent Patch
(Commercially Available)

IntellaTip MiFi XP Cable
M004 620 0

M004 653S 0

Cable: Filter Module
to Recorder

(Red)

Cable: Pod to Recorder

M004 653S 0

Do Not Connect the Reference Cable

IntellaTip MiFi™ XP Ablation Catheter

Basic Set Up with Ensite™ Velocity™ Cardiac Mapping System

IntellaTip MiFi™ XP

Ablation Catheter

Basic Set Up with Ensite™ Velocity™ Cardiac Mapping System

In catheter set up mode

unclick the Mini Electrodes

Disable visualization

on the Mini Electrodes

A

Step 3. Defining the IntellaTip MiFi XP Ablation Catheter Parameters

a. The IntellaTip MiFi Catheter should be defined as both an ablation (ABL) and diagnostic (MIFI) catheter in the

Catheter Set Up Screen.

b. Input waveforms: D-2, 2-3 and 3-D, for the IntellaTip MiFi XP Ablation Catheter Mini Electrodes.

NAME ABL MIFI

Electrodes

4 3

Type:

Ablation Diagnostic

Diameter:

8 Fr

(2.67 mm)

8 Fr

(2.67 mm)

Distal Length:

8/10 mm 1 mm

Electrode Length:

1.27 mm 1 mm

Electrode Spacing:

2.5-2.5-2.5 1-1

IntellaTip MiFi™ XP Ablation Catheter

Basic Set Up with Ensite™ Velocity™ Cardiac Mapping System

In catheter set up mode

unclick the Mini Electrodes

Disable visualization

on the Mini Electrodes

A

Step 3. Defining the IntellaTip MiFi XP Ablation Catheter Parameters

a. The IntellaTip MiFi Catheter should be defined as both an ablation (ABL) and diagnostic (MIFI) catheter in the

Catheter Set Up Screen.

b. Input waveforms: D-2, 2-3 and 3-D, for the IntellaTip MiFi XP Ablation Catheter Mini Electrodes.

NAME ABL MIFI

Electrodes

4 3

Type:

Ablation Diagnostic

Diameter:

8 Fr

(2.67 mm)

8 Fr

(2.67 mm)

Distal Length:

8/10 mm 1 mm

Electrode Length:

1.27 mm 1 mm

Electrode Spacing:

2.5-2.5-2.5 1-1

IntellaTip MiFi™ XP Ablation Catheter

Basic Set Up with Ensite™ Velocity™ Cardiac Mapping System

www.bostonscientific.eu

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2227EA

IntellaTip MiFi XP is a registered trademark of Boston Scientific or its affiliates. All other trademarks are property of their respective owners.

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a physician.
Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the
use only in countries with applicable health authority product registrations.

Information not intended for distribution in France.

EP-283103-AA DEC2014 Printed in Germany by medicalvision.

IntellaTip MiFi™ XP

Ablation Catheter

Basic Set Up with Ensite™ Velocity™ Cardiac Mapping System

IntellaTip MiFi™ XP Ablation Catheter

Advanced Set Up with Ensite™ Velocity™ Cardiac Mapping System

Step 1. Connecting the IntellaTip MiFi XP Conventional Bipoles as a standard ablation catheter

a. Connect Dispersive Surface Electrode(s) to the Velocity EPT GenConnect Module.
b. Connect M004 620 0 Cable to the Filter Module (yellow plug) and the Velocity EPT GenConnect (red plug).
c. Connect the M004 620 0 Cable (black plug) into the IntellaTip MiFi XP Catheter.
d. Connect Dispersive Interconnect Cable (SJM 100010915) to the Maestro Pod Dispersive Pad Inputs.
e. Connect Catheter Interconnect Cable (SJM 100010397) to the Maestro Pod Catheter Input.
f. Connect the M004 653S 0 Cable into the Pod. Pin out conventional Bipoles into the Pin Connection Box

Step 2. Connecting the IntellaTip MiFi XP Mini Electrodes as a separate diagnostic catheter

a. Connect the M004 653S 0 Cable plug into the green port marked “Recording System” on the Filter Module.

Connect the pins to the Catheter Pin Connection Box.
b. Pin out the Mini Electrodes (MEs) - D, 2 and 3. Pin 4 is not used, but can be plugged into any unused channel.
c. Do Not Connect the Reference Cable (M004 3636 0) when using the EnSite Velocity System.

Step 3. Defining the IntellaTip MiFi XP Catheter Parameters

a. The IntellaTip MiFi Catheter should be defined as both an ablation (ABL) and diagnostic (MIFI) catheter in the

Catheter Set Up Screen.
b. Input waveforms: D-2, 2-3 and 3-D, for the IntellaTip MiFi XP Catheter Mini Electrodes.

(Green)

(Black)

(Yellow)

Velocity EPT GenConnect

Catheter Pin Connection Box

Pannel on the front

of the Amplifier

IntellaTip MiFi Filter Module

M004 1212 0

IntellaTip MiFi XP Catheter

Maestro 3000 Cardiac Ablation Controller

RF Ablation Pod

M004 21860T 0

Dispersive Indifferent Patch
(Commercially Available)

IntellaTip MiFi XP Cable
M004 620 0

M004 653S 0

Cable: Filter Module
to Recorder

(Red)

Cable: Pod to Recorder

M004 653S 0

NAME ABL MIFI

Electrodes

4 3

Type:

Ablation Diagnostic

Diameter:

8 Fr

(2.66 mm) 8 Fr (2.66 mm)

Distal Length:

8/10 mm 1 mm

Electrode Length:

1.27 mm 1 mm

Electrode Spacing:

2.5-2.5-2.5 1-1

IntellaTip MiFi™ XP

Ablation Catheter

Advanced Set Up with Ensite™ Velocity™ Cardiac Mapping System

IntellaTip MiFi XP is a registered trademark of Boston Scientific or its affiliates.
All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order
of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with
each device. Information for the use only in countries with applicable health authority product registrations.

Information contained herein is for distribution outside the U.S. only. Illustrations for information purposes – not indicative of actual
size or clinical outcome.

EP-238913-AA APR2014 Printed in Germany by medicalvision.

www.bostonscientific-international.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2206EA

IntellaTip MiFi™ XP Ablation Catheter

Advanced Set Up with Ensite™ Velocity™ Cardiac Mapping System

Enable visualization

on the Mini Electrodes

Before mapping, create a model with the Conventional Bipoles

Mapping with Mini Electrodes Point by Point Data Review

a) In the Collection Control Panel under

“Roving Source” select MIFI and ALL

b) Ensure to click “show all roving waves”

c) In the Filters Control Panel select

the desired filter settings

In catheter set up mode verify

the Mini Electrodes are selected

A

B

C D

Select the highest voltage Mini
Electrode pair for each collection location

IntellaTip MiFi™ XP

Ablation Catheter

Advanced Set Up with Ensite™ Velocity™ Cardiac Mapping System

Mifi XP with SJM IBI T1500 T9

IntellaTip MiFi XP

620 cable

3636 cable

First 354 ValleyLab ground pad

SJM IBI
T1500 T9

SJM 1684 TH
Adaptor cable*

653S cable

*Must be ordered directly through SJM by the hospital. Cannot be
provided by BSC.

Second 354 ValleyLab
ground pad

18

IntellaTip MiFi™ XP

Temperature Ablation Catheter

with SJM IBI T1500 T9

Step 3. Connecting the Generator to the Recording System with the M004 653S 0 Cable

Step 4. Connecting the Generator to the Filter Module

Step 1. Connecting the Catheter to the Filter Module and Pod with the M00 4620 0 Cable

a. Connect the black 620 cable plug into the IntellaTip MiFi XP Ablation Catheter
b. Connect the red 620 cable with the 115 cable
c. Connect the red 115 cable to the front port marked “Catheter” on the generator
d. Connect the yellow 620 cable plug into the port marked “Catheter Cable” on the Filter Module

Step 2. Connecting the Filter Module to the Recording System with the M004 653S 0 Cable

a. Connect the M004 653S 0 Cable plug into the green port marked “Recording System”

on the Filter Module. Connect the second M004 653S 0 Cable to Pod

b. Connect the 3 Mini Electrodes (ME’s) via the three pins D, 2, and 3 to the Catheter Pin

Connection Box. Pin 4 is not used.

a. Connect the M004 653S 0 Cable plug to the Generator
b. Connect the conventional bipoles via the pins 1, 2, 3 and 4 to the Catheter Pin Connection Box

a. Connect the shrouded pin-end (2mm shrouded pin) of Reference Cable to the port marked “Reference Cable” on the front

of the Filter Module

b. Connect the 2 prong plug end of the Reference Cable to the Dispersive Indifferent Patch (DIP)
c. Connect the 2 prong plug end of the Reference Cable to 39D82X Reference cable (required with Valley Lab DIP)
d. Connect the 39D82X Reference cable to the front of the Generator with ‘Blue’ plug which has the DIP symbol

CATHETER PIN CONNECTION BOX

Cable M004 653S 0

Global Port
Digital ECG

Connection Cable

Stockert

Global Port

Serial Computer

Interface Cable D-type

EGM Connection

Cable

ValleyLab

Ground Pad

M004 354 0

Stockert EP-Shuttle

Radiofrequency Generator

IntellaTip MiFi™ XP Cable

M004 620 0

IntellaTip MiFi™ XP Cable

M004 115 0

IntellaTip MiFi™ XP

Ablation Catheter

Cable: Filter Module to Recorder

M004 653S 0

Reference Cable

M004 3636 0

Reference Cable

M004 39D82X 0

IntellaTip MiFi™ XP Filter Module

M004 1212 0

Cable: M004 653S 0

Step 2

(Red)

(Yellow)

(Green)

Reference Cable:
Filter Module to RF Pod
M004 3636 0

Step 4

IntellaTip MiFi XP Cable
M004 620 0

Step 1

Cable:
M004 653S 0

Step 3

In order to connect 2 ValleyLab® Ground Pads, adaptor EO5O7B (provided by Covidien) is needed.

IntellaTip MiFi™ XP
Temperature Ablation Catheter

System Set Up with Stockert EP-Shuttle RF Generator

IntellaTip MiFi™ XP

Temperature Ablation Catheter

System Set Up with Stockert EP-Shuttle RF Generator

IntellaTip MiFi XP Ablation Catheter is indicated for use with an 8.5F (2.83 mm) sheath.
All IntellaTip MiFi XP Ablation Catheters are 110 cm in length; distal shaft length is approximately 11 cm.

Unparalleled Clarity

Filter Module

Reference Cable

Catheter Cable

Bidirectional

Curve Options

Standard Radius Curve Large Radius Curve (K2) Asymmetric 4 Curve (N4)

Valleylab is a trademark of Covidien AG Corporation.

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a physician.
Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use
only in countries with applicable health authority product registrations. Information contained herein is for distribution outside the U.S only. Illustrations for
information purposes – not indicative of actual size or clinical outcome.

EP_300901_AA MAR2015 Printed in Germany by medicalvision.

www.bostonscientific-international.com

© 2015 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2234EA

Catheter Model No. Shaft Size Tip Size Curve Style Cable Model No.

M004 EPM4500 0 7F (2.33 mm) 8F (2.66 mm) /8mm (straight) Standard M004 620 0

M004 EPM4500K2 0 7F (2.33 mm) 8F (2.66 mm) /8mm (straight) Large M004 620 0

M004 EPM4500N4 0 7F (2.33 mm) 8F (2.66 mm) /8mm (straight) Asymmetric 4 M004 620 0

M004 EPM4790 0 7F (2.33 mm) 8F (2.66 mm) /10mm (straight) Standard M004 620 0

M004 EPM4790K2 0 7F (2.33 mm) 8F (2.66 mm) /10mm (straight) Large M004 620 0

M004 EPM4790N4 0 7F (2.33 mm) 8F (2.66 mm) /10mm (straight) Asymmetric 4 M004 620 0

M004 115 0 is a Boston Scientific UPN for this cable, also available by Biosense Webster as reference number 16384.
In order to connect 2 ValleyLab® Ground Pads, adaptor EO5O7B (provided by Covidien) is needed.

Cables and Accessories

Model No. Description

M004 115 0 Stockert Cable to Blazer EPT Thermistor

M004 620 0 Catheter Cable to Pod and to Filter Module (10 ft)

M004 653S 0 Catheter Cable from Filter Module or Pod to recorder (2 required)

M004 1212 0 Filter Module (reference cable included)

M004 3636 0 Reference Cable from Filter Module to Pod (32 in)

System Set Up with Stockert EP-Shuttle RF Generator

IntellaTip MiFi™ XP
Temperature Ablation Catheter

IntellaTip MiFi™ XP

Temperature Ablation Catheter

System Set Up with Stockert EP-Shuttle RF Generator

Maestro 3000™

Cardiac Ablation System

Set Up and Trouble-Shooting Guide

Note: This Guide is not intended to replace the Operators Manual.

Thoroughly review the Manual before installing or operating this system.
Installation diagrams are shown in the Maestro 3000™ Cardiac Ablation System Operators Manual.

1) Connect a Hospital Grade power

cord from the rear panel of the
Controller to a properly grounded
AC wall outlet designated “Hospital
Grade” or “Hospital Only.”

2) Connect patient monitoring

system cable to the recording
system to display ablation
parameters or to a computer,
if GUI software is installed.

3) Optional: If the optional

footswitch is being used,
connect it to the back panel
of the Controller.

4) Connect recording system

cable (Model 653S) to the back
of the Pod.

5) Connect the Pod cable to

the”Isolated Patient Connector”
socket of the Controller front panel.

6) Receive the DIP electrode

cable(s) from the sterile field.

Maestro 3000™ Controller Front Panel Maestro 3000™ Controller Rear Panel

Pod
Cable

On/Off
Switch

Power
Cord

Remote
Control

Patient Monitoring System

Footswitch

Maestro 3000™

Cardiac Ablation System

Set Up Guide

7) Install one DIP electrode (or two,

if using a high power catheter) into
either (or both) of the “Indifferent
Electrode” receptacles on the front
of the Pod.

8) Receive the Catheter Cable from

the sterile field.

9) Connect Catheter Cable to the

front of the Pod.

10) Optional: If the Remote Control

Unit is used, connect a Hospital
Grade power cord from the Remote
Control Unit to a properly grounded
AC wall outlet designated “Hospital
Grade” or “Hospital Only.”

11) Optional: If the optional Remote

Control Unit is used, connect the
Remote Control cable to the back
panel of the Controller.

12) Optional: If the Remote

Control Unit is used, connect
the cable from the Controller
to the rear panel of the Remote
Control Unit.

13) Turn on the Controller by pressing

the power switch on the front panel of
the Controller to the “I” position.

Maestro 3000™

Cardiac Ablation System

Maestro 3000™ Controller

Maestro 3000™ Pod

Maestro 3000™ Remote Control Unit

Maestro 3000™

Cardiac Ablation System

Set Up Guide

Alphanumeric
Display Window

Maestro 3000™ System

Diagnostic Codes

The Maestro 3000™ Cardiac Ablation System will display diagnostic codes during
STANDBY and DELIVER modes of operation. The code will appear in the Alphanumeric
Display Window, located on the front panel of the System as shown above. Below is a
description of the various diagnostic codes and the action to be taken to clear the code.
These and complete operating instructions may be found in the Operators Manual.

Display Description Action

D01-Low Impedance Displayed impedance below the low Check all connections.

impedance threshold of 50Ω
for a standard catheter and 25Ω
when using a high power catheter.

D02-High Impedance Displayed impedance above the Check application of
impedance setting (150Ω – 300Ω). DIP electrode. Check all

connections. Remove
and inspect catheter.

D03-Limit Exceeded V > 1.1 x V

max

or I > 1.1 x I

max

Restart System.

or P > 1.2 x P

max.

Contact Boston
Scientific if error
recurs.

D04-Temp Above Set Point Displayed temperature is greater than Check set temperature.
set point by at least 5°C
for more than four seconds.

D05-Excessive Temperature Displayed temperature greater than 95°C Check catheter.
for more than one second or measured Reduce power and/or
temperature exceeds setting in set temperature.
Power Control mode.

Maestro 3000™

Cardiac Ablation System

Trouble-Shooting Guide

Display Description Action

D06-Sensor Failure Input temperature <20°C +/- 2°C Replace Catheter.
Replace Catheter or >120°C +/- 5°C

(bad temp sensor or reference).

D07-Temp Out Of Range Attempt to enter RF Power On mode Ensure correct Catheter
with a measured temperature outside the positioning. Check
rangeof 19.5°C to 43.5°C or less than 30 measured temperature
seconds have elapsed since last ablation in READY mode.
and the temperature is above the set point.

D08-Check Pod Missing or bad pod connection. Check connections.

Restart system. Call Boston
Scientific if error recurs.

D09-Replace Catheter Invalid catheter ID. Replace Catheter.
Invalid ID

D10-Check Remote There is a communications problem Restart system. Check
Control Panel between the Remote Control Unit connections. If error recurs,

and the Controller. disconnect Remote Control

Unit and contact
Boston Scientific.

M01-Limited Output TEMPERATURE MODE: Maximum Check DIP electrode
power is not sufficient to achieve the placement and
desired temperature. However ablation application prior to
will continue. continued delivery.
POWER MODE: Maximum temperature
is reached. RF power will be titrated
down by the generator to avoid
excessive temperature.
HIGH Impedance

Maestro 3000™

Cardiac Ablation System

Trouble-Shooting Guide

© 2006 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2096EA

Maestro 3000™ Cardiac Ablation System

Model Number Description

M004 21000TC 0 Maestro 3000™ Controller

M004 21870T 0 Maestro 3000™ Pod
M004 21880 0 Maestro 3000™ Remote Control Unit (Optional)

Cables and Accessories

Model Number Description

M004 SVGA25 0 Remote Control Unit Cable, 7.5 m (25 ft)
M004 SVGA50 0 Remote Control Unit Cable, 15.0 m (50 ft)
M004 SVGA75 0 Remote Control Unit Cable, 22.5 m (75 ft)
M004 681 0 Maestro 3000™ Pod to Chilli II™ Cable
M004 21600 0 Maestro 3000™ Pod to PAM Cable
M004 653S 0 Maestro 3000™ Pod to Recorder Cable
M004 651 0 Maestro 3000™ Pod to Blazer™ Cable
M004 354 0 Indifferent Electrode
M004 21840 0 RF Ablation System Foot Switch (Optional)

Important: Cable to be ordered from EPMedSystems:

43-1684-0015 Cable Assembly, EP WorkMate with RPM™

Combination Catheter Interface Module to
Maestro 3000™ Pod

Power Cords

Model Number Description Length

M004 ITPWRCORD 0 Powercord for use in Italy 250 cm
M004 SWPWRCORD 0 Powercord for use in Switzerland 250 cm
M004 UKPWRCORD 0 Powercord for use in the UK 250 cm
M004 3536010 20 Powercord - Generic Europe 250 cm

Maestro 3000™

Cardiac Ablation System

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a
physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device.
Information for the use only in countries with applicable health authority product registrations.

PSST IC 3261 Printed in the UK by Comevent/Applemed. MAY 2006

Ordering Information

Chilli II™

Cooled Ablation Catheter

CircuCool™

Fluid Circulation Pump

Set Up and Trouble-Shooting Guide

1) Connect the Model 2071 TTT Box

to the Model 822T APM™ Device.

2) Turn the knob on the front of the

CircuCool Pump counterclockwise
until loose and open the front of
the occlusion bed.

3) Lift the latch handle and open

the occlusion bed.

4) Using sterile technique, hold the

catheter lumens on the bottom and
connect and tighten the luers to
the catheter luers.

5) Using sterile technique, connect

the sterile cable to the catheter.

6) Hand off the tubing set

to someone in a non-sterile field.

7) Hand off the catheter cable to

someone in a non-sterile field.

8) Connect catheter cable to

the TTT Box (model 2071).
Turn on the TTT Box;
verify “on” light is illuminated.

9) Insert the hard Peristaltic

tubing into the lower portion
of the occlusion bed.

CircuCool™

Fluid Circulation Pump

Set Up Guide

10) Slide the hard Peristaltic tubing

into the upper slot of the occlusion
bed. Make sure the Peristaltic
tubing is inside the occlusion bed.

11) Close the occlusion bed latch.

Make sure that the burette chamber
is not distorted by the holder.

12) Close the door. Push the knob

in and turn it clockwise until snug.
Ensure the burette chamber and
pulse dampener are in their slots.

13) Using a syringe, place 30cc of

sterile normal saline 0.9% or D5W,
into the burette chamber.

14) Check that the blue float seal is

floating, then turn on the pump.

15) As the system circulates,

the fluid level will drop. When it
drops by 10cc, add an additional
10cc of sterile normal saline 0.9%
or D5W.

The unit is ready to use.

16) Caution: Perform system integrity check. Always prime the

tubing prior to inserting the catheter into the patient.

CircuCool™

Fluid Circulation Pump

Set Up Guide

Pump does not turn on

• Check that Power Cord is plugged into wall

• Check that Power Cord is connected properly to the back of the pump

• Check that Power Cord is not frayed or damaged

• Ensure that occlusion bed cover knob is engaged and tightened

• Ensure that occlusion bed latch is engaged

Lack of cooling effect or temperature is increasing

• Check tubing for leaks

• Check that tubing is not kinked or occluded

• Check catheter connection with tubing

• Check blue oat seal in burette (should be oating)

• Check the TTT box (model 2071) is turned on

• Check batteries of TTT box (model 2071) - may need to be replaced (2 each-9 volt)

• The TTT box (model 2071) may be faulty and may need to be replaced

• Check all cable connections

• The catheter sensor may be faulty, the catheter may need to be replaced

CircuCool™

Fluid Circulation Pump

Trouble-Shooting Guide

Tubing is leaking

• Ensure catheter to tubing kit Luer tting is correctly connected

• Replace tubing set for all other leaks

There is fluid in burette, but no return fluid is seen dripping back into burette chamber

(you may see an impedance rise)

• Check that the tubing is not kinked or occluded

• Check that the catheter shaft is not kinked

Blue float seal is stuck on bottom of burette chamber

• Turn pump off rst

• Open the occlusion bed latch slightly, this should release the oat seal

• Check for leaks

• Ensure there is ~10 cc of uid in burette chamber when pump is on

“Knocking” sound

(Note: Pump makes a continuous audible churn, this is normal)

• Ensure tubing set is pulled taut inside the occlusion bed

• If knocking continues, change the tubing set

CircuCool™

Fluid Circulation Pump

Trouble-Shooting Guide

© 2006 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2084EB

All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a
physician. Indications, contraindications, warnings and instructions for use can be found in the product labelling supplied with each device.
Information for the use only in countries with applicable health authority product registrations.

PSST IC 3086 Printed in the UK by Comevent/Applemed. JULY 2006

Chilli II™ Cooled Ablation Catheters

Catheter Length 110cm, Shaft 7.5F (2.5mm), Electrode Spacing 2.5mm, Quadripolar

Model Number Curve Option Distal Shaft Length Distal Tip Ø (F) / Length (mm)

M004 EPT9031 0 Standard Standard 7F/4mm (2.33mm)

M004 EPT9031K2 0 Large (K2) Standard 7F/4mm (2.33mm)
M004 EPT9031N4 0 Asymmetric (N4) Standard 7F/4mm (2.33mm)

CircuCool™ Fluid Circulation Pump

Model Number Description

M004 8005 0 CircuCool™ Fluid Circulation Pump
M00435 2104 0 CircuCool™ Tubing Set

Accessories

Model Number Description

Accessories for use with Maestro 3000™ Cardiac Ablation System

M004 21000TC 0 Maestro 3000™ Controller
M004 21870T 0 Maestro 3000™ Pod
M004 681 0 Cable to connect Chilli II™ Catheter to

Maestro 3000™ Pod

Accessories for use with EPT-1000XP™ Cardiac Ablation System

M004 805XP 0 EPT-1000XP™ Generator
M004 EPT822T 0 APM High Power
M0046 2062 0 Cable for Chilli II™ Catheter
M004 2071 0 Thermocouple to Thermistor Translator

Universal Accessories

M004 613 0 Extension Thermistor Cable
M004 651 0 Standard Thermistor Cable
M004 354 0 Indifferent Electrode
M004EPT6 2031 0 Adaptor for Osypka

and Medtronic Generators

M004EPT6 2068 0 Adaptor for Stockert Generator

CircuCool™

Fluid Circulation Pump

Chilli II™

Cooled Ablation Catheter

Ordering Information

Maestro 4000™ Cardiac Ablation System

Controller Setup Guide

Note: This Guide is not intended to replace the Maestro 4000 Operator’s Manual. Thoroughly review the manual before
installing or operating this system. Complete installation diagrams are shown in the manual. Not all components shown in
this setup guide will be used with every system.

Maestro 4000 Controller Front Panel Maestro 4000 Controller Back Panel

Power Cord

Pod

Cable

On/Off

Switch

Pump Remote VolumeFoot Switch

Recording System

1) Connect EP Recording sys-

tem cable to the back panel
of the Controller.

5) Optional: If a Remote Con­trol Unit is used, connect the
Remote Control cable to the
Remote Connector.

2) Connect a Hospital Grade
power cord from the rear
panel of the Controller to
properly grounded AC wall
outlet designated “Hospital
Grade” or “Hospital Only”.

3) Optional: If the optional
footswitch will be used, con­nect it to the Foot Switch
Cable Connector.

4) Optional: If a MetriQ

™

Pump is used, connect the
Pump cable to the Peristal­tic Pump Connector.

7) Connect the cable from
the Controller to the rear of
the Remote Control Unit.

6) Optional: If a Remote Con­trol Unit is used, connect a
Hospital Grade power cord
from the Remote Control Unit
to a properly grounded AC
wall outlet designated “Hospi­tal Grade” or “Hospital Only”.

8) Connect the recording
system cable (model 653S)
to the back of the Pod.

Maestro 4000™ Cardiac Ablation System

Controller Setup Guide

11) Attach Dispersive Pad
electrodes to the “Indifferent
Electrode” receptacles on the
front of the Pod.

14) To prepare a MetriQ

™

Pump for use, follow the in-
structions in the MetriQ Pump
Setup Guide.

12) Receive the 671 catheter
cable from the sterile field.

15) Turn on the Controller
by pressing the Main power
switch on the front panel to
the “I” position.

13) Connect the 671 catheter
cable to the front of the Pod.

9) Connect the Pod cable to
the “Isolated Patient Connec-
tor” socket on the Controller
front panel.

10) Receive the Dispersive
Pad electrode cable(s) from
the sterile field. Two are
required for a high-power
catheter, one for other
catheters.

All ci ted trademarks ar e the propert y of their respect ive owners. CAUTION: Th e law restrict s these devices to sales by or on t he
order o f a physician. Indications , contraindicat ions, warnings and ins tructio ns for use can be found in t he product labelin g
supplied wit h each device. Infor mation for the use only in cou ntrie s with ap plicable h ealth au thori ty product regist rations.

EP-2 5260 1-AA J UN20 14 Printed in Germany by medicalvision.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2208EA

11) Attach Dispersive Pad
electrodes to the “Indifferent
Electrode” receptacles on the
front of the Pod.

14) To prepare a MetriQ

™

Pump for use, follow the in­structions in the MetriQ Pump
Setup Guide.

12) Receive the 671 catheter
cable from the sterile field.

15) Turn on the Controller
by pressing the Main power
switch on the front panel to
the “I” position.

13) Connect the 671 catheter
cable to the front of the Pod.

9) Connect the Pod cable to
the “Isolated Patient Connec­tor” socket on the Controller
front panel.

10) Receive the Dispersive
Pad electrode cable(s) from
the sterile field. Two are
required for a high-power
catheter, one for other
catheters.

Maestro 4000™ Cardiac Ablation System

Troubleshooting Guide for APC Mode

PUMP DOES NOT TURN ON

• Check that AC cord is plugged into wall.

• Check that AC cord is connected properly to pump.

• Check that cord is not frayed or damaged.

• If pump has power the green power light will be lit.

TUBING IS LEAKING

• Ensure catheter to tubing kit Luer connection is tight.

• Replace tubing set for all other leaks.

SYSTEM DELIVERS RF IMMEDIATELY WITHOUT WAITING FOR PRE-RF FLOW

• Check the pump display; it should read “Automatic”. If not, refer to the next section.

• Check the setting for PRE-RF delay on the pump.

PUMP AND MAESTRO ARE CONNECTED AND POWERED ON, BUT PUMP DOESN’T SHOW “AUTOMATIC”

• Check to make sure an OI catheter is connected to the Pod and the Maestro display is not showing a message.

• Tighten the connections at each end of the communications cable between the Maestro 4000 and MetriQ Pump.

• Check Maestro for “D12” error. If Error is displayed, press RF Power to clear.

• If the previous actions don’t resolve the problem, use the Mains switches on the pump and Maestro to power

them off and back on.

PUMP BUBBLE DETECTOR TRIGGERS WITH NO VISIBLE BUBBLES.

• Check the tubing for blemishes where it goes through bubble detectors.

• Remove catheter from patient and purge catheter.

• Check Saline bag. If empty replace.

• Reinsert catheter in patient.

PULSING SENSATION AT THE CATHETER

• Insure tubing set is not pulled taut.

Maestro 4000™ Cardiac Ablation System

Troubleshooting Guide for APC Mode

OCCLUSION SENSOR TRIGGERS, BUT SALINE FLOWS FREELY FROM THE TIP.

• Open the pump door completely.

• Pull the tubing out of the bubble detectors on either side of the pump head. Gently stretch the cable and reinsert into

the bubble detectors. LEDs for both detectors should be green and tubing should be straight where it passes over the
occlusion sensor.

PUMP REMAINING VOLUME LEVEL DOESN’T MATCH AMOUNT IN SALINE BAG

• Open pump menu and check that the selected bag size matches the actual size.

• If “Start New Case” was selected at startup, but bag was not replaced after previous session; or bag was replaced

and “Continue Previous Case” was selected, the volume remaining will be incorrect.

• “New Saline Bag” was selected from the menu, but saline bag was not changed.

PRE-RF OR POST-RF TIME DIFFERENT THAN EXPECTED

• Open pump menu and check the POST-RF and PRE-RF settings.

PUMP ALARM IS INAUDIBLE OR TOO LOUD

• Open pump menu and increase or decrease the volume level. The level will be saved for future sessions.

CATHETER NOT RECOGNIZED. (OI CATHETER IS ATTACHED, BUT MAESTRO SAYS “FINDING CATHETER…”)

• Check connections at both ends of catheter cable.

• Check cable number printed on the catheter cable. If it does not read “671” replace the cable with a 671 cable.

• Replace existing 671 cable with a new 671 cable.

• Replace OI catheter.

• Replace Pod.

RED LIGHT IN THE BUBBLE DETECTOR DOES NOT TURN FROM RED TO GREEN

• Gently stretch the tubing and push into slot on bubble detector.

• Close and latch door to push tubing into place. Open door again to check that LEDs have turned green.

• Check the tubing for blemishes where it passes through bubble detectors. Replace tubing if it has blemishes.

PUMP IS UNRESPONSIVE OR ERROR MESSAGE ON PUMP CANNOT BE CLEARED

• If the Maestro is displaying an error, clear the error on the Maestro, then clear the pump error.

• This may occur if pump is powered on with the catheter in the patient. Remove the catheter from patient,

clear the error, enable standby flow and re-insert catheter.

• If the above steps don’t clear the error use the power switch on the back of the pump to
turn the pump off and back on. If a procedure is in process select “Continue Previous
Case “ from the start-up menu.

• Resume procedure.

All ci ted trad emarks ar e the property o f their respective owners. CAUT ION: The la w restricts t hese devi ces to sales by or on the
order o f a physici an. Indica tions, contraindications, war nings and instructions f or use can be found in the p roduct lab eling
supplied with each device . Information f or the use only in coun tries w ith appl icable heal th author ity pr oduct reg istra tions.

EP-2 5260 2-AA JU N2014 Printed in German y by medical vision.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2209EA

Maestro 4000™ Cardiac Ablation System

Maestro Diagnostic Messages

Measured impedance below the low impedance
threshold of 25 Ω when using a high power
catheter, or 50 Ω for all other catheters.

• Press RF Power button to clear the Diagnostic
code.

• Check all connections while monitoring the
real-time Impedance on the alphanumeric
display.

• Replace components that appear damaged.

• Resume RF delivery once the real-time

Impedance value is above the Low Impedance
threshold.

Measured Impedance value is above the user
defined set point between 150Ω to 300Ω.

Press RF Power button to clear the Diagnostic
code. Ensure that the Impedance set point is above
the appropriate Impedance value. Check the real­time Impedance display. If not below desired set
point go through the following steps:

1. Ensure that the in-vivo catheter is connected
to the appropriate extension cable – a list of
catheter to cable pairings can be found in the
catheter DFU.

2. Check all connections while monitoring real­time Impedance on the alphanumeric display.
Begin with connections outside the sterile
field (DIP connection to POD, extension Cable
to POD). Finally verify good patient to DIP
Electrodes surface contact.

3. If unsuccessful then replace components one
at a time with new components. (catheter
extension cable, DIP electrodes, POD if
available, catheter).

Diagnostic Codes are displayed on the Alphanumeric Display. They indicate a condition that must be investigated before proceeding.
If the Maestro is delivering RF energy when a diagnostic condition occurs, RF Delivery is terminated. To clear a Diagnostic Code,
resolve the problem, then press the RF Power Button. Some diagnostic codes will require that the error be cleared prior to resolving
the issue (eg. Low/High Impedance) in order to monitor the real time display. Below is a sampling of codes and corrective actions.
All codes and complete operating instructions are in the Maestro Operator’s Manual.

Alphanumeric Display

D01-LOW IMPEDANCE

D02-HIGH IMPEDANCE

The Voltage, Current or Power has exceeded maximum
values.

• Restart Maestro 4000.

• If error recurs and only 1 DIP electrode is in use,

apply a 2nd Electrode to patient.

• Contact Boston Scientific.

Measured catheter tip temperature is at least 5°C
greater than the set point for more than 4 seconds.

• Press RF Power button to clear the Diagnostic
code.

• Verify normal body temperature reading from the
in vivo catheter.

• Verify that an appropriate Temperature set point,
Power set point and Control Mode is selected for
the desired catheter.

• Restart the Maestro 4000 using the main switch.

• Ensure that the POD is not covered, has adequate

ventilation and is not exposed to heat or cold
sources.

Measured catheter tip temperature greater than 95°C
for more than one second, or measured temperature
exceeds set point temperature in Power Control mode.

• Press RF Power button to clear the Diagnostic
code.

• Verify normal body temperature reading from the
in-vivo catheter.

• Verify that an appropriate Temperature set point,
Power set point and Control Mode is selected for
the desired catheter.

• Restart the Maestro 4000 using the main switch.

• Ensure that the POD is not covered, has adequate

ventilation and is not exposed to heat or cold
sources.

D03-LIMIT EXCEEDED

D04-TEMP ABOVE SET POINT

D05-EXCESSIVE TEMPERATURE

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Maestro 4000™ Cardiac Ablation System

Maestro Diagnostic Messages

Measured Catheter Tip temperature is either less than
15°C or greater than 95°C. (This code may also be dis-

played when a catheter is disconnected from the pod.)

• Press RF Power button to clear the Diagnostic
code.

• Ensure that the catheter is in-vivo before connect­ing the extension cable.

• Verify normal body temperature reading from the
in-vivo catheter.

• Restart the Maestro 4000 using main power
switch.

• Ensure that the POD is not covered, has adequate
ventilation and is not exposed to sources of either
heat or cold.

RF delivery was attempted when the measured temp­erature is greater than either 43°C or the temperature
set point (whichever is lower), within 30 seconds of
the previous RF delivery.

• Press RF Power button to clear the Diagnostic
code.

• Ensure that the catheter is in-vivo before connect­ing the extension cable.

• Verify normal body temperature reading from the
in-vivo catheter.

• Verify that an appropriate Temperature set point,
Power set point and Control Mode are selected for
the desired catheter.

• If temperature changes with agitation, replace
suspected components one at a time.

• Restart the Maestro 4000 using the main power
switch.

• Ensure that the POD is not covered, has adequate
ventilation and is not exposed to sources of either
heat or cold.

The Maestro 4000 detects an issue with the pod
connection.

• Press RF Power button to clear the Diagnostic code.

• Disconnect the catheter extension cable from the POD.

• Power down the Maestro 4000 using the main

power switch.

• Verify that the POD Cable is connected correctly
to the front of the Maestro 4000 Patient Isolated
Connector.

• Ensure that there are no kinks or tight loops in the
cable. Switch on the Maestro 4000 using main
power switch and allow Self Test to complete.
Once Self Test is complete and “Finding (cont...)

D06-TEMP OUT OF RANGE [15C-95C]

D07-TEMPERATURE TOO HIGH

D08-CHECK POD

Cause:

Action:

Cause:

Action:

• (Cont...) Catheter” is displayed on the screen,
connect the catheter extension cable to the POD.
The Maestro 4000 should then return to a Ready/
Standby state, displaying both real-time tempera­ture and impedance. If this does not resolve the
issue, replace the POD.

Generator doesn’t recognize catheter ID.

• Press RF Power button to clear the Diagnostic
code.

• Replace catheter cable.

• If error recurs replace catheter.

• If error recurs replace pod.

There is a communications problem between the
Remote and Maestro 4000 or the Remote was discon­nected or connected during RF.

• Check cable and connections between the Maestro
4000 and Remote, tightening the thumb screws on
the connectors. Replace cable or Remote if dam­age is suspected.

A diagnostic condition occurred on the MetriQ or there
is a communication error between the Maestro 4000
and the MetriQ.

• Resolve problem on pump and clear the diagnos­tic condition there, then press RF Power to clear
the error on the Maestro 4000.

• Check the communications cable connections
between the Maestro 4000 and MetriQ. Tighten
thumb screws on the connectors.

• Replace the communications cable if damage is
suspected.

D08-CHECK POD (Cont.)

D10-INVALID CATHETER ID

D11-CHECK REMOTE

D12-CHECK PUMP

Cause:
Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

All ci ted trademarks are t he property of the ir respec tive ow ners. C AUTION: The law rest ricts t hese devices t o sales by or on the
order o f a physician. Indica tions, co ntrain dications , warnings and instructions for use can be found in the product l abeling
supplied with e ach device. Information for the use onl y in countri es with applicable h ealth au thority produ ct regis trations .

EP-2 5260 3-AA J UN20 14 Print ed in Germany by medical vision.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2210EA

Maestro 4000™ Cardiac Ablation System

Maestro Operational Messages

This message is displayed in temperature control mode
when the delivered power reaches the power set point
value. It indicates that the temperature set point cannot
be reached at the current power level.

• Reduce temperature set point or increase power
set point, as appropriate.

Maestro 4000 limits the amount of current through a
single dispersive pad to prevent burns to the patient.
This message is displayed periodically while power
is limited. The limit may be reached if a high power
catheter is used with a single dispersive pad.

• If using a high-powered catheter with a single
Dispersive Indifferent Patch (DIP), add a 2nd DIP if
additional power is required.

• Monitor the real-time impedance display. If imped-

ance is below the expected range, replace compo­nents one at a time with new components. (catheter
extension cable, DIP electrodes, POD if available,
catheter).

This message indicates a higher than expected imped­ance. Higher than typical impedance measurements
may indicate a faulty DIP application or failure of an
electrical lead.
Check real-time Impedance value. If it’s above expected
impedance go through the following steps:

1. Ensure that the in-vivo catheter is connected to the
appropriate extension cable – a list of catheter-to­cable pairings can be found in the catheter’s DFU.

2. Check all connections while monitoring real-time
impedance on the alphanumeric display. Begin
with connections outside the sterile field (DIP
connection to POD, extension Cable to POD). Verify
good patient to DIP Electrodes surface contact.

3. If unsuccessful, then replace components one at
a time with new components. (catheter extension
cable, DIP electrodes, POD if available, catheter)

This message indicates a normal condition. It is
displayed during an open-irrigated ablation sequence
while the pump delivers fluid at the ablation flow rate
during pre-RF and post-RF delay.

• Wait for MetriQ Pump to complete pre-RF delay
or post-RF delay (or adjust the delay duration on
MetriQ Pump as appropriate).

This message is displayed when RF power is requested
but the MetriQ’s menu is open (when Maestro 4000 is
operating with MetriQ Pump in Automatic mode). RF
delivery is prevented until the pump menu is closed.

• Close the pump menu before requesting RF Power
delivery.

This message indicates a normal condition. It is dis­played if RF power is requested and the time setting
has not been changed from the default 0 seconds.

• Adjust time setting to an appropriate value
before requesting RF delivery.

This message indicates a normal condition. It is dis­played when RF power is requested but the power
setting has not been changed from the default 0 Watts.

• Adjust power setting to an appropriate value
before requesting RF delivery.

Operational Codes are displayed on the Alphanumeric Display. Operational Codes explain Maestro 4000 behavior or indicate a non­hazardous condition that may require action. Below is a sampling of codes and suggested actions. A complete description of all codes
and complete operating instructions are in the Maestro 4000 Operator’s Manual.

Alphanumeric Display

M02-POWER LIMITED, POWER SETTING M04-POWER LIMITED, HIGH IMPEDANCE (Cont.)

M05-WAIT FOR PUMP

M03-POWER LIMITED, LOW IMPEDANCE

M04-POWER LIMITED, HIGH IMPEDANCE

M06-CLOSE PUMP MENU

M07-SET TIME

M08-SET POWER

Cause:

Action:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Maestro 4000™ Cardiac Ablation System

Maestro Operational Messages

This message indicates a normal condition. It is displayed
when RF power is requested for a non-OI catheter but
the temperature setting has not been changed from the
default.

• Adjust temperature setting to an appropriate value
before requesting RF delivery.

Communication has been interrupted between the
Maestro and Pump while the Maestro is in STANDBY
mode. When the Maestro 4000 and MetriQ are con­nected and have an OI catheter attached, they oper­ate in Automatic mode. In this state the pump will
display “Automatic” at the top of the display screen.
If they become disconnected, the system will switch
to manual mode and the pump will display “Manual”.
In manual mode the Maestro 4000 and MetriQ Pump
operate independently. The Maestro 4000 will not
wait for the pump to start ablation flow before deliver­ing RF Power to the catheter.
If the message is displayed while the communications
cable is connected, do the following:

1. Check the cable connections between the
Maestro 4000 and MetriQ Pump. Tighten the
thumb screws on the connectors.

2. Replace the communications cable.

The default Power/Temperature mode for non-OI cath­eters is Temperature mode. If Power mode is selected
instead, the Maestro reduces power by 50% and dis­plays this message when the temperature exceeds the
temperature set point.

• Verify that power-control mode is the desired
mode of operation.

• Decrease the power setting and/or increase the
temperature setting as appropriate.

M09-SET TEMPERATURE M11-RF REDUCED 50%, MAX TEMP REACHED

M10-RECONNECT PUMP

Cause:

Action:

Cause:

Action:

Cause:

Action:

This message indicates a normal condition. It is displayed
when RF power is requested for a non-OI catheter but
the temperature setting has not been changed from the
default.

• Adjust temperature setting to an appropriate value
before requesting RF delivery.

Communication has been interrupted between the
Maestro and Pump while the Maestro is in STANDBY
mode. When the Maestro 4000 and MetriQ are con-
nected and have an OI catheter attached, they oper-
ate in Automatic mode. In this state the pump will
display “Automatic” at the top of the display screen.
If they become disconnected, the system will switch
to manual mode and the pump will display “Manual”.
In manual mode the Maestro 4000 and MetriQ Pump
operate independently. The Maestro 4000 will not
wait for the pump to start ablation flow before deliver-
ing RF Power to the catheter.
If the message is displayed while the communications
cable is connected, do the following:

1. Check the cable connections between the
Maestro 4000 and MetriQ Pump. Tighten the
thumb screws on the connectors.

2. Replace the communications cable.

The default Power/Temperature mode for non-OI cath-
eters is Temperature mode. If Power mode is selected
instead, the Maestro reduces power by 50% and dis-
plays this message when the temperature exceeds the
temperature set point.

• Verify that power-control mode is the desired
mode of operation.

• Decrease the power setting and/or increase the
temperature setting as appropriate.

M09-SET TEMPERATURE M11-RF REDUCED 50%, MAX TEMP REACHED

M10-RECONNECT PUMP

Cause:

Action:

Cause:

Action:

Cause:

Action:

All ci ted trademarks are the propert y of their res pective owner s. CAU TION: T he law res tricts t hese dev ices to sales by or on th e
order o f a physician. Indications, contraindica tions, warnings and instructions for use can be foun d in the product labeling
supplied wit h each device. Information for the use only in countries wit h applicab le healt h authority product r egist ratio ns.

EP-2 5260 4-AA JUN2014 Prin ted in Ger many by medicalvi sion.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2211EA

Note: This Guide is not intended to replace the MetriQ Operator’s Manual. Thoroughly review the manual before
installing or operating the MetriQ Pump. Complete installation diagrams are shown in the manual.

Sterile

Field

1) Connect the power cord to the back of
the MetriQ Pump.

4) Use the power switch on the back of the
MetriQ Pump to power it on.

7) Open the MetriQ Pump door completely.
Gently stretch the tubing and insert it ac­cording to the diagram on the inside of the
door.

10) Connect the tubing to the heparinized
saline (0.9%) irrigation source.

3) Connect the other end of the cable Gen­erator to Pump or Remote to the Peristaltic
Pump port on the back of the Maestro 4000.

6) Receive the tubing from inside the sterile
field.

2) Connect the MetriQ Pump to Maestro
4000 cable, Generator to Pump or Remote.

5) Note: Select one and press Enter.
Starting a New Case resets dispensed and
infused fluid volumes to 0ml. Continuing
Previous Case retains previous volumes.

8) Close the door and wait for the MetriQ
Pump to finish calibration.

Start New Case YES

Continue Previous Case: NO

Automatic Mode

2

17

30

2000

mL remaining

PLEASE WAIT

IN PROGRESS

CALIBRATION

11) Purge the tubing and
catheter to remove air
bubbles. Bubbles may be
purged manually or with the

PURGE

button. Press and
hold the Purge button to
deliver 60 ml/min of saline
flow. Release to stop flow.

9) Use the menu buttons to modify settings
or press a memory button to select saved
settings.

To save settings, press down the
memory button until the LED light
flashes green and generator makes
a tone.

Maestro 4000™ Cardiac Ablation System

MetriQ™ Pump Setup Guide

Maestro 4000™ Cardiac Ablation System

MetriQ™ Pump Setup Guide

Select the size of the saline bag (500mL, 1000mL,
1500mL or 2000mL).

Press to open and
close menu, and to
abort changes.

Press to select item
and accept changes.

Move through menu and adjust settings.

Select the point at which the Low Fluid warning will be
triggered (OFF, 0, 100, 200, 300, 400, 500 mL).

Select the volume measurement to be displayed on the
front panel, Infused, Remaining or Dispensed.*

Select YES to reset the Volume Remaining to the current
setting for Saline Bag Size. Selecting NO has no effect.

Change the Pre-RF and Post-RF ablation flow delays
(Pre-RF=1-15 sec, Post-RF=0-15 sec).

Select YES to reset the dispensed and infused irrigation
fluid volumes to 0. Selecting NO has no effect.

If catheter tip temperature fails to drop by this amount
during Pre-RF delay, the generator will not deliver RF
(may be set from 0° to 5°C).**

Set the volume for audible alarms and tones. This setting
is retained when MetriQ Pump is shut off. (1-5 loudest)

When Maestro 4000 power exceeds this point, MetriQ
Pump will switch from LOW ABLATION FLOW to HIGH

ABLATION FLOW ( 1W to 50 Watt).

SILENCE ALARM: Stops Alarm from beeping temporarily.

Alarm LED continues flashing.

CLEAR MESSAGE: Press to clear alarm

when problem has been resolved.

Menu Settings

Alarms

Saline Bag Size: 2000 mL

Fluid Vol. Display: Remaining

New Procedure? YES

Loudness: 3

Low Fluid Warning: 100 mL

New Saline Bag? YES

Min. Temp.Drop: 5 deg. C

To Trigger Hi Flow: 30 Watts

Pre-RF Delay: 2 sec

Post-RF Delay: 4 sec

Select the size of the saline bag (500mL, 1000mL,
1500mL or 2000mL).

Press to open and
close menu, and to
abort changes.

Press to select item
and accept changes.

Move through menu and adjust settings.

Select the point at which the Low Fluid warning will be
triggered (OFF, 0, 100, 200, 300, 400, 500 mL).

Select the volume measurement to be displayed on the
front panel, Infused, Remaining or Dispensed.*

Select YES to reset the Volume Remaining to the current
setting for Saline Bag Size. Selecting NO has no effect.

Change the Pre-RF and Post-RF ablation flow delays
(Pre-RF=1-15 sec, Post-RF=0-15 sec).

Select YES to reset the dispensed and infused irrigation
fluid volumes to 0. Selecting NO has no effect.

If catheter tip temperature fails to drop by this amount
during Pre-RF delay, the generator will not deliver RF
(may be set from 0° to 5°C).**

Set the volume for audible alarms and tones. This setting
is retained when MetriQ Pump is shut off. (1-5 loudest)

When Maestro 4000 power exceeds this point, MetriQ
Pump will switch from LOW ABLATION FLOW to HIGH

ABLATION FLOW ( 1W to 50 Watt).

SILENCE ALARM: Stops Alarm from beeping temporarily.

Alarm LED continues flashing.

CLEAR MESSAGE: Press to clear alarm

when problem has been resolved.

Menu Settings

Alarms

Saline Bag Size: 2000 mL

Fluid Vol. Display: Remaining

New Procedure? YES

Loudness: 3

Low Fluid Warning: 100 mL

New Saline Bag? YES

Min. Temp.Drop: 5 deg. C

To Trigger Hi Flow: 30 Watts

Pre-RF Delay: 2 sec

Post-RF Delay: 4 sec

* Infused is the tot al amount of heparinized saline (0 .9%) pumped wh ile the ca theter is in the pa tient . Dispensed includes the

infused volume plus heparinized saline (0.9%) pumped when the catheter is outside the patient.

** T his is a safety feature to ensure the MetriQ Pump is properly cooling t he cathe ter tip.

All ci ted trademarks are the propert y of their respect ive owners. CAU TION : The law res trict s these devices to sales by or on the
order o f a physician. Indications , contr aindications, w arnings and instructions for use can be found in the product labeli ng
supplied wit h each device. Infor mation for the us e only in countries with applicable health authority pr oduct registrations .

EP-25 2702-A A JUN20 14 Prin ted in Germany by medicalvis ion.

www.bostonscientific.com

© 2014 Boston Scientific Corporation
or its affiliates. All rights reserved.
DINEP2213EA

Maestro 4000™ Cardiac Ablation System

MetriQ™ Pump Messages

This message indicates that a bubble has been detected
in the tubing.

• Remove the catheter from the patient. Check saline
bag leve and replace if necessary. Check drip
chamber level and adjust if necessary. Press CLEAR

MESSAGE. Press and hold the PURGE button until air

bubbles have been purged from the system. Press

STANDBY FLOW to resume pump operation. Return

the catheter to the patient and resume procedure.

Indicates pressure above expected levels during both
purge and non-purge flow. This can indicate a blockage
in the tubing or catheter.

• Inspect tubing for kinks or defects. Replace if
necessary. Remove the catheter from the patient. If
occlusion appears to be in the catheter, replace the
catheter. Press CLEAR MESSAGE. Press and hold

PURGE button until air has been purged from the new

catheter and/or tubing, then press STANDBY FLOW
to resume pump operation. Return the catheter to the
patient (if appropriate) and resume procedure.

The temperature drop detected at the catheter tip during
Pre-RF delay is less than the Min. Temp. Drop setting.

• Press CLEAR MESSAGE. Adjust the Min. Temp.
Drop and Pre-RF delay menu items, or adjust flow
rate, if appropriate. Check tubing set and catheter
for poor connections or leaks. Correct connections as
appropriate. If leaking continues, replace catheter or
tubing set.

• Check drip chamber for indication of flow. If no flow
and the pump head is turning, the catheter may be
occluded and the pump occlusion sensor inoperative.

• Replace the catheter and pump. Press STANDBY

FLOW to resume pump operation. Return the

catheter to the patient (if appropriate) and resume
procedure.

The pump door has come unlatched during fluid flow,
or force is applied to open the door during flow.

• Do not try to open the door during flow. If
open, close and latch the door. Press the CLEAR

MESSAGE button. Press the STANDBY FLOW but-

ton to resume pump operation.

Displayed if the RF generator detects the catheter is in
the patient and the pump is not running in STANDBY
or ablation flow.

• Remove catheter from patient and press the

PURGE button (if appropriate). Press the
STANDBY FLOW button. Press the CLEAR
MESSAGE button. Return the catheter to the

patient and resume the procedure.

Indicates the pump has lost communication with the
RF generator or catheter during ablation flow.

• Check the Pump to RF Generator Cable.
Reconnect the catheter cable to the Pod. Press
the CLEAR MESSAGE button.

This diagnostic error indicates that the measured
pump speed is ≤ 85% or ≥ 120% of the calculated
nominal speed based on the flow rate setting during
Standby or Ablation flow.

• Open door completely and inspect the tubing set.
Reinstall the tubing set. Install a new tubing set if
the set appears damaged or defective. Press CLEAR

MESSAGE.

MetriQ displays messages on the Alphanumeric Display as shown to the left. Below is a sampling of codes
and corrective actions. More complete information can be found in the MetriQ Operator’s Manual.

Diagnostic Messages

Diagnostic messages stop the flow of fluid and indicate a condition that must be investigated before proceeding. To clear the message,
first resolve the problem, then press CLEAR MESSAGE. A diagnostic message on the MetriQ will cause “D12-CHECK PUMP” on the
Maestro 4000. The errors must be cleared on both devices before an ablation can be performed. Clear the pump error first.

P01 - BUBBLE DETECTED

P03 – NO TEMP DROP (Cont.)

P04 - COVER OPEN

P02 - OCCLUSION DETECTED

P03 – NO TEMP DROP

P05 - CHECK STANDBY FLOW

P06 - COMM ERROR

P07 - PUMP SPEED ERROR

Cause:

Action:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Alphanumeric Display

Maestro 4000™ Cardiac Ablation System

MetriQ™ Pump Messages

Pump is under control of the Maestro 4000™. This
mode is entered when the Maestro 4000 and pump are
powered on and communicating; and an open-irrigated
(OI) catheter is connected.

• No action required.

Maestro 4000 has a diagnostic error, or pump lost com­munication with Maestro during RF delivery.

• Check the Maestro 4000 for a diagnostic error and
resolve the error according to the Maestro 4000
Operator manual. If there is no error and Maestro
4000 is delivering RF energy when this message
is displayed, check connection of the communica­tion cable between the MetriQ and Maestro 4000.
Tighten thumbscrews on connectors.

After the power on self-test is complete, the Pump
will prompt the user to select “Start New Case” or
“Continue Previous Case”

• Select “Continue Previous Case” to keep the previ­ous dispensed and infused volume levels. Note: If

the saline bag size is smaller than 2000 mL you
must also reset the bag size through the menu.
Otherwise the remaining volume will be incorrect.

The pump door is open and a Standby, Low, High or
Purge flow button was pressed. (This message has the

same text as P04, but is only displayed when there is
no flow).

• Close the door, then press the desired flow button.

If door is already closed it may not be completely
latched. Twist the door knob to the right.

Pump lost communication with the Maestro 4000. This
could occur if the communications cable is not securely
attached to both devices. It will also occur if the
Maestro 4000 has a Safe state error. This message is
only displayed if the pump is in Automatic Mode when
the error occurs.

• Check the Maestro 4000 for errors. Refer to the
Maestro 4000 manual to resolve generator errors.

• If message is displayed while the communications
cable is connected, do the following:

1. Check the cable connections between the
Maestro 4000 and MetriQ. Tighten thumb screws
on the connectors.

2. Replace the communications cable.

Displayed if the Pump is not under control of a Maestro

4000. The pump will also be in manual mode if the
pump and Maestro 4000 are connected, but an OI cath­eter is not attached to the Maestro 4000.

• If you intend to operate the pump in automatic
mode, but the pump shows “Manual Mode”,
first check to make sure the OI catheter and pod
are securely connected. Next check the cable as
described under “GENERATOR DISCONNECTED”

The fluid remaining in the saline bag is below the menu
setting for “Low Fluid Warning”.

• Check bag to verify saline volume. User error may
cause a discrepancy between actual and calcu­lated. If low, press the stop button to stop flow.
Change saline bag. Then go to menu and set the
parameter “New Saline Bag” to Yes.

After the power on self-test, the Pump will prompt the
user to select “Start New Case” or “Continue Previous
Case”

• Select “Start New Case” to reset the dispensed
and infused volume levels to zero.

An unrecoverable error has occurred on the pump.
Pump enters SAFE mode and ignores all input.

• Record the error number, power off the pump and
contact BSC field service for further assistance.

Tubing is not loaded correctly.

• Open the pump door. Check that the tubing “stops”
are in the recesses on either side of the pump
head.

Automatic Mode Manual Mode

SALINE VOL. LOW < XXX ML

Start New Case

SYSTEM FAULT

TUBING NOT LOADED

CHECK GENERATOR

Continue Previous Case

COVER OPEN

GENERATOR DISCONNECTED

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:
Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Cause:

Action:

Operational Messages

Operational messages explain MetriQ™ Pump behavior or indicate a non-hazardous condition. Not all operational messages are listed here.
For a description of all messages see the Operator’s Manual.

All ci ted trademar ks are the prop erty of t heir respective o wners. C AUTION : The law res tricts t hese devices t o sales by or on the
order o f a physicia n. Indications, co ntrain dicatio ns, warni ngs and instr uctions fo r use can be fou nd in the pro duct labeling
supplied with e ach device. I nformat ion for the u se only in co untries with ap plicable he alth aut hority p roduct regis tration s.

EP-2 52701-AA JUN2014 P rinted in Ger many by medical vision.

www.bostonscientific.com

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or its affiliates. All rights reserved.
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