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The HVAD (inside the heart) transfers important information to the controller through the driveline. The driveline also brings power back to the pump to make the HVAD spin. The HVAD™ system assists a weakened left ventricle (LV) for patients in end-stage heart failure. Patients are supported by the HVAD™ pump and a suite of external components and are classified as either bridge to transplant or destination therapy. The goal of this document is to review important differences in the design of the HVAD and HeartMate 3 that are relevant to the medical management of patients supported with these devices, and to assess the technical aspects of an HVAD-to-HeartMate 3 exchange. The HeartWare HVAD System (Medtronic) is a durable implantable left ventricular assist device that has been implanted in approximately 20,000 patients worldwide for bridge to transplant and destination therapy indications. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. View and Download HeartWare HVAD patient manual online. HVAD medical equipment pdf manual download. The HeartWare TM HVAD TM System is an intrapericardial continuous-flow left-ventricular assist device with a centrifugal pump design capable of providing full cardiac support in patients with end-stage systolic heart failure. This page contains recommendations for both patients implanted with the HeartWare Ventricular Assist Device (HVAD) System and health care providers monitoring patients with HVAD Systems. LVAD therapy has been demonstrated to extend life, augment heart function, and improve quality of life in patients with advanced heart failure for whom the device is indicated.iv Worldwide, more than 16,000 patients have received the HVAD System since it was first approved in Europe in 2009. The Medtronic HVAD System is a ventricular assist device used in end-stage heart failure patients who are waiting for a heart transplant. This use is known as bridge-to-transplant.