Hao AVJ

1) Determine whether you're using Celcius or not. If the physician wants a His cloud, you'll need to use a non-celcius catheter (4mm or ST most likely), and you'll utilize a typical ablation setup complete with carto patches. Ignore the instructions below and proceed as you would for a normal ablation.

However, if the physician will be using Celcius, there are a few steps out of the norm:

1) Skip the Carto patches. You still need the PIU powered on to get the 12 lead EKG signals, but no need for patches or the toilet seat magnet. 2) Track down the appropriate catheter and cable. As of November 2019, Dr. Hao prefers 8mm celcius, and Dr. Hongo prefers 4mm celcius. The 8mm celcius catheter and cable both have a green tag on them, the 4mm catheter and cable both have a red tag. 3) Locate and connect the "ECG connection cable" - it's a nonsterile cable usually found in the bottom shelf of the Pyxis where most of our catheters/cables (Lasso, pentaray, etc) are stored. It has a green tip, a black cable body, and 4 pins - black/green/blue/red. This will plug into the green port on the smartablate, and pins 1-4 on the teal pinbox that's plugged into Block "A" in the Pruka Amp. 4) unplug the cable that's plugged into "Catheter 1" on smartablate, and let it hang closeby. The sterile Celcius cable coming off the catheter will plug directly into this port. 5) select the Celcius protocol on Pruka. Scroll to the page that shows the appropriate ablation signal. 6) After the case, make sure the cable that had been plugged into Catheter 1 (originating from "RF generator" port in PIU gets reconnected.