Anesthesia
Clinical Value of TAP
TAPSYSTEM™ is indicated for the treatment of cardiac condition disorders that require alteration of rate or rhythm and for the alteration of rate as required for certain diagnostic studies.
Specific indications include:
- Temporary Pacing – Used for increasing heart rate for diagnostic or theraputic purposes.
- Overdrive & Burst Pacing – Short duration (less than 30 seconds), high rate (up to 1200 bpm) pacing intended to interrupt a reentry type arrhythmia such as atrial flutter or supraventricular (reciprocating) tachycardia.
Other Indications For Using The TAPSYSTEM™:
- Hemodynamic Management
- Cardiac Disease
- On beta blockers
- History of Bradycardia
- Open Heart
- Carotid Endarterectomies
- MIDCAB
- Total Hips
- Neurosurgery
- Laparoscopy Surgery
- Plastic & Reconstructive Surgery
Using TAPSYSTEM™
CardioCommand’s TAPSCOPE provides the monitoring features of a standard esophageal stethoscope (heartsounds, core temperature), with additional options of atrial pacing for intraoperative management of hemodynamic (when connected to the 2-A Stimulator) and recording of esophageal ECG (connected to EC-View™ adaptor).
Theory of Operations
The Model 2A generates cardiac stimulation pulses which are administered to the patient’s heart via the TAPSCOPE 550, an 18 Fr esophageal stethoscope with bipolar pacing electrodes. All circuitry is contained on a single printed circuit board mounted behind the front control panel. When the power switch is toggled to ON, DC power from 2 D-cell batteries is applied to a power regulation circuitry, a DC-DC converter, and a rectangular pulse forming circuit with a constant current output stage whose amplitude can be varied over a broad range of load impedances.