Total artificial heart: family discussion and support questions =============================================================== Yenra | Prepared September 19, 2026 Companion guide: https://yenra.com/artificial-heart/ Use this editable question sheet with your clinical team. It is a discussion aid, not a prescription or device operating instruction. Write down instructions supplied by the team; leave unknown answers blank and ask. Do not delay urgent care to complete it. Keep your completed copy privately. This file has no form submission or data collection. 1. Date, advanced heart-failure team and contact person: ____________________________________________________________ 2. Exact proposed device and treatment goal: ____________________________________________________________ 3. Why this option is being considered: ____________________________________________________________ 4. Other treatment options and their tradeoffs: ____________________________________________________________ 5. Transplant eligibility and what remains to be assessed: ____________________________________________________________ 6. Approved use or clinical trial; current information supplied: ____________________________________________________________ 7. Benefits, major risks and uncertainties explained by the team: ____________________________________________________________ 8. Expected hospital course and criteria for any discharge: ____________________________________________________________ 9. Named caregivers and training requirements: ____________________________________________________________ 10. Power, backup equipment and alarm training arrangements: ____________________________________________________________ 11. Medicines, monitoring and appointments: ____________________________________________________________ 12. Emergency contacts and where to seek help: ____________________________________________________________ 13. Travel, housing, financial and emotional support needs: ____________________________________________________________ 14. What happens if the treatment goal or transplant eligibility changes: ____________________________________________________________ Source context: questions accompany the linked Yenra guide and its primary references. The source relevant to your care or equipment must be checked by the responsible team. https://www.nhlbi.nih.gov/health/total-artificial-heart https://www.nhlbi.nih.gov/health/heart-treatments-procedures https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P030011 https://www.nhlbi.nih.gov/health/total-artificial-heart/what-to-expect https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?ID=P030011S020 https://www.nhlbi.nih.gov/health/total-artificial-heart/living-with