Philips M3860A Instructions For Use
P OWE R T O SA VE A LIF E M 3860A, M 3861A Edition 10 HEARTSTART FR2 DEFIBRILL ATOR INSTRUCTIONS FOR USE
Philips Medical Sys tems Th e HeartStart FR2 Defibr illator Clockwise from top right. Battery . St andard long-life or rechar geab le ba ttery used to p ower th e FR2 . (Check l ocal regulations for disposal and r ecycling requ irements. ) On/ Off bu tton . T urns on the FR2 and starts voice a nd screen prompts. S econd press t urns off the FR2 . Status Indicator. Shows you t he readiness status of the FR2 . Display screen. Displays text prompts and in cident data. The F R2 M38 6 0A scree n also displays the patie ntâÂÂs E C G. Opti on bu tton s. Adjust the contrast of t he screen disp lay and control spec ial funct ions. Beeper port. Broad casts alert beeps wh en requi red. It is l ocated under the right ed ge of the FR2 . Infrared (IR) communicatio ns port. A special le ns, or âÂÂeye, â used to transfer da ta directly to or from another device. Data card port. Receptacle for data ca rd tray. Data card (opt ional). Used to store and review information about an incid ent, incl uding EC G and opti onal voice recording. Data c ard tra y . Special sleev e that hold s the da ta ca rd an d fits i nto the dat a card p ort to help sea l the FR2 against fluids. The tray should be ke pt installed in the FR 2 ev en if no data ca rd is used. Microp hone. Used optionally to record surrou nding audio during an incid ent. It is locat ed under th e right edge o f the F R 2 . Shoc k button. Con trols shock deliv ery . T he button f lashes whe n the HeartSt art FR2 is ready to deliver a shock. Speaker. Amplifies voice prompts during use o f the FR2 . Pads placement di agram. Illust rates correct pl acement o f pads. Diagrams are also shown on the defibril lator pad s. Defibrilla tor pads connec tor sock et. Rece ptacle for connector of the defibri llato r pads cabl e. An adj acent LED light flashes to show soc ket location and is covere d when connec tor is insert ed. Adult defibrillator pads. Self- adhesi ve pads wi th attac hed cable an d connect or . A B C D E F G H I J K L M N O P
Philips Medical Sy stems HEAR TST AR T F R2 DEFIBRILLATOR QU I C K REF ERENC E C A RD
Philips Medical Sy stems Intentiona lly left b lank.
Philips Medical Sy stems H E AR T STA RT FR 2 M3 8 6 0A, M3 8 61A Defibrillator INS TRUC TI ONS FOR USE Edit ion 10
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Instru ctions fo r Use Equipment specifications are subject to alteration without notice. All changes will be in compliance with regulations governing manufacture of medical equipment. Print ed in the U.S.A . Publication date: August 2003 Publication num ber: M38 60-919 00 Part num ber: 0111 20-0010 é 2003 Philips Electronics North America Corp. No part of this publication ma y be reproduced, transmitted, transcribed, stored i n a retrieval system or translated into any human or computer language in any form by any m eans without the consent of the copyright holder. Unauthorized copying of this publication ma y not only infringe copyright but also reduce the ability of Philips Medical Systems to provide accurate and up-to-date information to user s and operators alike . Philips Medical Systems reserves the right to make c hanges in specifications or to discontinue any product at any time without notice or obligation and will not be liable f or any consequences resulting from the use of this publication. Authorized E U Re presentative Philips Medizinsysteme B oeblingen GmbH Hewl ett-Packard Strasse 2 7 1034 Boeblingen, Germany ( 49) 7 031- 14-5151 CAUT IO N F E DE RAL LAW (USA) R ESTR I CT S TH I S D EVI C E T O SALE B Y O R ON THE ORDER OF A PH Y SICI AN . The HeartStart FR2 is design ed to be used only with Philips- approved accessories. The HeartStart F R2 may perform improperly if non-approved a ccessories are used. Device T racking In the U.S.A., this device is subject to trac king requirements by the manufacturer and distributors. If the defibrillator has been sold, donated, lost, s tolen, exported, or destroyed, notify Philips Medical Systems or your dist ributor . Device Ma nufacturer The HeartStart FR2 Defibrillator is manufactured by Philips Medical Systems, Seat tle, W ashington, USA .
1 Philips Medical Sy stems Contents 1 Introduction to the HeartStart FR2 What is the HeartSta rt FR2 ? ... ........................... ........................... ........ 1-1 When Is the HeartSta rt FR2 Used? .............................. ...................... 1-2 How Does the HeartStart FR2 Work? ........................................ ........ 1 -2 How Is the HeartStart FR 2 Supplied? ........................................ ........ 1 -3 2 Preparing Your HeartSta rt FR2 for Use Overview ............. ............................ ........................................ ...................... 2-1 Installing the Batte ry ............................................................. ...................... 2-1 Setting the Clock ............ ......................................... ........................... ........ 2-3 Running the Battery Insertion S elftest ................. ........................... ........ 2 -4 Placing and Securing the HeartStart FR2 .................................. ........ 2 -5 3 Using Your HeartStart FR2 Overview ............. ............................ ........................................ ...................... 3-1 Step 1: Pre paration ................................... ........................... ...................... 3-2 Step 2: EC G Analys is and Monit oring ........................................... ........ 3-3 Step 3: S hock Deliv ery ................ ........................... ........................... ........ 3-4 ECG Display for Ongoin g Observation ......................................... ........ 3-5 4 Maintaining, Testing, and Troubleshooting Your HeartStart FR2 Overview ............. ............................ ........................................ ...................... 4-1 Mainte nance ..................... ........................... ........................... ...................... 4 -1 After Using the HeartStart FR2 .......................... ........................... ........ 4-2 Cleanin g the H eartStart F R2 ................................................. ........ 4-3 OperatorâÂÂs che cklist ......................................... ........................... ........ 4-3 Testing ................. ............................ ........................................ ...................... 4-5 Battery in sertion selftest ...... ........................... ................................... 4-5 Periodic selftests .............................................. ................................... 4-9 Device history ........... ......................................... ........................... ........ 4-9 Battery History ....................... ........................................ ...................... 4-10 Troubleshootin g Guide .. ........................... ........................... ...................... 4-11 Status indicat or summary ............................... ........................... ........ 4-11 Recommen ded action during an emergency ................................ 4-11 Troubleshootin g during pati ent use ........................................ ........ 4-12 General t roubleshoot ing ................... ......................................... ........ 4-14
Philips Medical Sy stems 2 M3860A/M3861A HEARTSTART FR2 5 Clinical and Safety Considerations Clinical Con siderations ........................ ........................................ .............. 5 -1 Indications ........... ......................................... ........................... .............. 5-1 Contraindica tions .......................... ........................... ........................... 5-1 Safety C onsiderations ....................................... ........................... .............. 5-1 General dangers, warnings, an d cautions ....................... .............. 5 -2 Defibrillation warnings a nd cautions ...... ......................................... 5-4 Monitorin g cautions ................................... ......................................... 5-5 Mainte nance cau tions ............................................. ........................... 5-5 6 Setup and Advanced Mode Features Setup Overv iew .................................................. ........................... .............. 6-1 Non-protocol para meters ............ ........................... ........................... 6-1 Automatic protocol parame ters ............................ ........................... 6 -2 Manual o verride para meters .................... ......................................... 6-4 Using Setup Fe atures ............................... ......................................... 6-5 Reviewing cur rent setup ...................................................... .............. 6 -6 Revising se tup .................. ........................... ......................................... 6-6 Receivi ng setup ............................. ........................... ........................... 6-7 Reading setup ............................................. ......................................... 6-8 Sending and Recei ving Clock Settings ...................... ........................... 6-8 Using Advanced M ode Featu res .................... ......................................... 6-9 Using the manual a nalyze feature ...................................... .............. 6-10 Using the manual ch arge feature (M3 860A only) .......... .............. 6-11 7 Data Management and Review Overview ........ ........................... ......................................... ........................... 7-1 Recording Incident Da ta ...................... ........................................ .............. 7 -1 Recording data in int ernal memory ...................... ........................... 7-1 Recording data on a data card .. ........................... ........................... 7-1 Reviewing Inc ident Data ................................... ......................................... 7-3 Review ing data from internal memory ................. ........................... 7-3 Reviewing data from a data ca rd ............ ........................... .............. 7-4
Contents Philips Medical Sy stems Appendi ces 3 A Accessories for the HeartS tart FR2 HeartStart Ac cessories .......................................... ........................... ........ A-1 Suggested Additional Items .................... ......................................... ........ A-2 B Technical Specifications HeartStar t FR2 Defibrillator Spec ifications .................. ...................... B-1 Accessories Specific ations ..................... ......................................... ........ B-6 C Gloss ary of Sy mbols and Controls Instruction s for Use ....................... ........................................ ...................... C-1 Heart Start FR2 M3860A and M38 61A Defi brillat or Symbols and Controls .................. ........................................ ...................... C-1 Accessories Symbols ................... ........................... ................................... C-3 D Glossary of Terms Index
M3860A/M3861A HEARTSTART FR2 Philips Medical Sy stems Notes
1-1 Philips Medical Sy stems 1 1 Introduction to the HeartSt ar t F R2 What is the Hear tSt ar t F R2 ? The HeartStart F R2 Defibrillator (âÂÂF R2 âÂÂ) is an aut omated external defibrill ator. It is com pact, lightwe ight, po rta ble, a nd batt ery po wered. It is designed for simple an d reliabl e operation by a trained responder . NOTE : The HeartSt art F R2 is an enhanced version of the defibril lator previo usly sold as the Hearts tream F R2. The F R2 has all the feat ures of the F R2. Al l acces sories compatib le wi th the F R 2 ar e als o compa tible w ith the F R2 . How ever , the F R2 ha s some new feature s not pre sent in the FR2 and can be used wit h certain acce ssori es (label ed FR2 ) tha t are not comp atib le wit h the FR2. The FR2 has a St atus Indi cator that is alw ays ac tive, so you ca n tell at a glance if it is ready for use. The front panel of th e FR 2 has an On /Off butt on at the top a nd a Shock button at the bot tom. A display s creen in the center of the pane l provide s text pr ompts and in cident in format ion. V oice p rompts ar e prov ided t hroug h a spea ker locat ed at t he bas e of the FR2 . (See the diagram on th e inside fro nt cover fo r details.) The FR2 is avai lable in tw o models, the M3 86 0 A and the M3 8 61 A. They share a set of basi c feature s, det aile d in Cha pter 6. The prin ciple diff erenc es betwee n the t wo mo dels are i dentifi ed be low: NOTE : The FR 2 come s wit h a factory defau lt setu p tha t can be mo difi ed. (See Chapt er 6, â Setup and Adv anced M ode F eatu res, â for a des criptio n of setup defaul ts and options.) model M 3 86 0A model M3861A Configur able ECG display on scr een T ext prompt display on screen, no EC G display Confi gurable man ual c har ge in advanced mode No manual charge in advanced mode
M3860A/ M3861A HEA RTSTART FR2 1-2 Philips Medical Sy stems When Is the Hear tSt ar t F R2 Used? T he HeartS tart F R2 Def ibrillat or is used with di spos able d efibrilla tor pads applied to a person who is experienc ing the sy mptoms of su dden card iac arrest (SCA): lac k of respon siveness and lac k of breathing. D efibrillation should not be pe rformed on any one who is re sponsive or is breathin g. Infant/ child reduce d-ene rgy defi brillat or pads are av ailab le for us e with the F R2 on children un der the age of 8 or weighing les s than 55 pounds (25 kg). The FR2 is intende d for use by emergency care pers onnel who ha ve been speci fically tr ained in the ope r ation of the FR2 or who are qual ified by tr aining in B asi c Life Sup port (B LS), in Adv ance d Life Supp ort (ALS), or in other p hysician- autho rized e mergency medic al respon se. At the di scret ion of emer gency ca re pers onnel , the M386 0A FR2 with EC G display enabled can also be used wit h the FR2 ECG assessment module to di splay the rhy thm of a respons ive or breathing pa tient, regardl ess of age. The F R2 Def ibrilla tor used wi th the FR2 E CG asses sment modul e prov ides a non -diagno sti c display fo r atte nded pati ent moni tori ng. W hile connec ted to the F R2 EC G assessme nt module, th e FR 2 dis plays and evalua tes the pati ent's E C G and disa bles its s hock capability. How Does the Hear tSt art FR2 W ork? T he HeartS tart F R2 Defi brillato r is designed to provide external defibrill ation ther apy to someon e in cardia c arrest. Def ibrilla tion ther apy is the bes t availabl e wa y to treat a vari ety of poten tiall y fat al heart ar rhythmi as. The FR2 is extremel y easy to use. When connect ed to defi brilla tor pads that are p roperly ap plied to th e patien tâÂÂs bare chest, the F R2 : 1. prompts you to take specific actions, 2. autom aticall y analy zes t he pa tient's heart rhythm and ad vises you whether or not the rhythm is shockable, a nd 3. arms the Shock button, if appropriate, a nd instructs you to press it to deliv er a biphasic elect ric pulse designed to def ibril late the h eart. Det ailed instru ctions for u se are p rovided in Ch apter 3 .
Introduction to the HeartSt ar t FR2 1-3 Philips Medical Sy stems 1 How Is the HeartSt art F R2 Supplied? The HeartSt art F R2 Defibri llator is sup plied with a st andard long-lif e batte ry , two sets of adu lt defi brillator pa ds with int egrated cable an d connector, and a dat a card tr ay . Othe r acces sories, i ncludin g an F R2 rec hargeable bat tery , F R2 infant/c hild reduced-e nergy defibril lator pads , and (for M3 8 6 0A only, with E CG display en abled) a t hree-wire F R 2 E C G asses sment mo dule, are a vailable. See Appe ndix A for a li st of access ories and ot her re commende d supplie s.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
2-1 Philips Medical Sy stems 2 2 Preparing Y our Hear tStar t F R 2 for Use Overview There are a few bas ic steps to prep aring you r HeartSt art F R2 Defibril lator for us e: î Insta ll dat a card (option al). î Install a batt ery . î Set the clock in the F R2 (op tional). î Run the ba ttery ins ertion self test. î Place t he F R2 with re commen ded a ccesso ries i n a con venient location. The instruct ions p resente d here briefly des cribe th e normal sequ ence of preparatio n. It assumes that y ou are using a fresh battery, that the selftest passes, that y ou are no t using a da ta card, and that the f actory default settings will not be changed. E xception s to this seq uence are provide d elsew here in this ma nual. Instal ling the Battery T he HeartS tart F R2 Def ibrillat or is shippe d with a M38 63A standard, long-lif e batter y . The battery is enc losed in a gray plasti c case. There is a yellow la tch at one end th at holds the batter y in place w hen it is correc tly inst alled in th e FR 2 . (The optional M38 4 8A F R2 rechargeable battery is encl osed i n a blu e plast ic ca se and a lso ha s a y ellow l atc h. E xcept w here otherwise no ted, the following inf ormat ion applie s to both batter y type s.) Before in stalling the battery , make sure the defibrill ator pads are not connecte d to the F R2 . T o ins ta ll the batt ery: 1. Hold the b attery by the latch end and slide it into th e batt ery compartm ent at th e top of the F R2 . 2. Slide th e battery a ll the w ay into the openin g, until the la tch clicks into place. The latch will click into place only when the batt ery is inse rted correctly. CAU TI ON : Foll ow all in struc tions supplied with the HeartStart M3863A st andard b attery . Inst all the b attery be fore the inst al l-by date s hown on the batte ry .
M3860A/ M3861A HEA RTSTART FR2 2-2 Philips Medical Sy stems W h en t he battery is i nst alled, the F R2 au tomatica lly turn s on. The St atus Indicat or di splays a flas hing b lack hourgl ass. The Shock but ton lig ht and the indica tor light for th e defi brillat or pads co nnecto r socket turn on bri efly . T he disp lay scr een br ings up the main men u. From th is menu , you ca n start the F R2 ba ttery insert ion selfte st, review informati on from the la st time the F R2 w as used, or g o to the next scre en for other options. Information ab out the option al dat a card and the batt ery st atus is al so provid ed. (See Cha pter 7 , âÂÂD ata Managem ent and Review , â fo r details about r evie wing an incide nt and usin g a data card.) For t he M38 63A standard battery , a GOOD BA TTER Y message should be display ed. For the M38 48A F R2 rech argeable batt ery , a âÂÂfuel gaug eâ gr aphic illu str ates rema ining pow er . Throughout the rema inder of this man ual, the scree n displ ays illu str ated will be for the st anda rd battery unless oth erwise not ed. NOTE : T his scr een wi ll not be di splayed if the F R2 is connected to defibril lator pads (that are applied to the patien t) when the ba ttery i s inserted, and you wi ll not be able to acces s the menu ite ms. In addit ion, the b attery inserti on selfte st and periodi c automati c selftest s cannot run while the defibril lator pads are connec ted to the patie nt. Be sure to unplug the pads connector from the FR2 afte r each use. D o not store the FR2 with the pads connected. NOTE : T o move aro und the men us displ ayed, us e the Opti on butto ns as follow s: ⢠Press the LOWER Opti on butt on to move the hig hlight b ar from one item to a nothe r on the menu. ⢠Press the UPPER Optio n button t o select the high light ed item or to scroll throug h the setti ngs for that item. If you sele ct NEXT , the menu displ ayed l ets you r evie w the hist ory of the F R2 , revie w the history of th e battery being used , access s etup dat a, set the clock, or return to the fir st menu. (See Chapter 4, âÂÂMaint ainin g, T esting, and T roublesh ooting Y our HeartStart FR2 , â for details ab out the review options and Chapte r 6, âÂÂSetup a nd Advanced Mode Features, â for inform ation on the setu p option.)
Prepar ing Y our HeartStart FR2 for Use 2-3 Philips Medical Sy stems 2 NOTE : If you make no selectio n for 10 seconds, the selft est will autom ati cally run . If y ou want to se lect somet hing diffe rent from eit her of these menus, you must do so before the selftest begins, or remove and reinst all th e battery to bring up the main men u. Y ou can pre ss the O n/Off button at any time to turn off th e FR 2 an d return i t to st andby (ready f or use) mod e. T o us e the FR 2 , pr ess the On/Off button agai n. Setting the Clock It is re commende d that the first t ime you pr epare yo ur Heart Start FR2 Defibril lator for us e, you check the FR2 âÂÂs internal c lock to be sure it is set to the correc t date and local tim e. Y ou ca n rese t it if ne cessary . T o see the clock settings, select NEXT from th e first menu, wi thin 10 seconds of ins tal ling th e bat tery , and then select CLOCK . T o do this: 1. Press the low er Option butt on to move the highli ght bar to NEXT . 2. Press the upper Opti on butto n to bring up the NEXT screen . 3. Press the low er Option butt on to move the highli ght bar to CLOCK . 4. Press the upper Opti on butto n to bring up the CLOCK screen. Th e CLOC K screen displ ays the dat e and time cu rre ntly set in the i nterna l clock of the FR 2 . NOTE : T he date is displayed as day (DD), month (M M), and year (YY), as shown on the s creen. The time is di splayed us ing the 24-hou r internati onal clock. If no changes to th e clock settings are need ed, selec t RETURN and go bac k to the first menu. If the date a nd time are not correc t, there ar e two way s to set them: î Recei ve the cl oc k se ttin gs fr om ano ther FR2 or from a co mput er usi ng HeartS tart Event Revie wî sof tw are, * using the RE CEI VE TIME option. T his ma y be used t o sync hro nize th e cloc ks of seve ral FR2 s. Y ou can also send the cl oc k sett ings fr om one FR2 to ano ther one, us ing the SEND TIME option. See Ch apter 6, âÂÂS etup and Adva nced Mode F eatur es, â for instru ctio ns. î Manua lly set the date and th e time. * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 2-4 Philips Medical Sy stems T o manual ly set the clock: 1. Use the lower Opti on button to move the hi ghlight bar to th e part of the clock settin g you wa nt to change. 2. Press the up per Opti on button rep eatedl y to scroll throug h the setti ngs until y ou rea c h t he one you w ant. If you go p ast it, k eep scrolling until it comes u p ag ain. 3. Use th e lower Opt ion bu tton to select the nex t part y ou want to c han ge, and repeat t he process, until all parts of the date an d time ha ve been s et. 4. W h en you ha ve made all the c hanges, move the highligh t bar to RETURN and pres s the upper Opt ion button to go back to t he main menu screen. NOTE : New clock settings are used by the F R2 as soon as you s et them. The clock time display is update d each minute thi s screen is dis played. The clock seconds , altho ugh not disp layed , are set to 00 wh en you mov e the highlig ht bar out of the time setting s. NOTE : If the batt ery is removed from the F R2 for more tha n two hour s, the cloc k settings will be lost and must be reset. Running the Battery Insert ion Self test Except in an e merge ncy, it is re commende d that you run t his self test e very time y ou c hange the batt ery . Make sure the defibril lator pad s are not connec ted to the HeartSt art F R2 D efibri llator before runni ng the batte ry inserti on selfte st. The selftest has two parts. T he fi rst part a utomatica lly test s the F R2 circuitry. T he secon d part is inte rac tive and requires yo u to respond to prompts in orde r to make sure the displ ay , butt ons, ligh ts, speaker , and beepe r of the F R2 a re workin g prop erly. (See Chap ter 4, âÂÂMain tai ning, T esting, and T roubleshooti ng Y our HeartStart FR2 , â for details about this selftest.) T o ru n the selftest: 1. Make sur e the defibr illator pad s are not con nected to th e devi ce. 2. Insert the battery into the battery p ort. The first screen displayed has RUN SELFTEST highlighted.
Prepar ing Y our HeartStart FR2 for Use 2-5 Philips Medical Sy stems 2 3. Press the up per Opti on butto n to activat e the test. 4. OR make no sele ction fo r 10 seconds , and the s elftest will st art autom aticall y if the F R2 has bee n turned of f for at least 5 min utes. NOTE : If you connect def ibrillat or pads (t hat are appli ed to t he pa tient) to the FR2 during a bat tery insertion s elftest, the se lftest will stop a nd the FR2 will go t o its standby mode to be ready for u se. W h en the automati c part of t he selftes t is succ essfully complete d, the screen displays a message that the test has passed, and then automa tically starts the inter ac tive part of the selftes t. It is import ant to press the bu ttons and verify the indica tors to e nsure tha t the F R 2 will be ready for use. W h en t he entire self test is compl ete, the F R2 a utomatic ally turns off an d returns t o standby mode. In the standby mode, the Status Indi cator display s a flashing blac k h ourglass. T his me ans that the FR2 has passed its most recent s elf-tes t and is th erefore rea dy for use, s imply b y pressin g the On /Off button to tu rn it on. Placing and Securing the HeartSt art FR2 Place the H eartS tar t FR 2 Def ibrillat or in an acce ssibl e area wit h the St atus Indicato r easily vi sible. Us eful acces sories for p lacing a nd securin g the F R2 incl ude a carr ying ca se, whic h is suitable fo r use wit h a w all mo unt brac ket or defibr illator ca binet. ( See Appen dix A for a list of a ccessorie s.) NOTE : Do not store the FR2 with the d efibril lator pads atta ched. Do not open the p ads pack age until ready for us e. W i th th e bat tery ins ta lled a nd the F R2 stored in ap propria te env ironment al conditi ons, the FR 2 performs det aile d periodic selfte sts to m ake sure that it remains read y for use. (See A ppend ix B for the environ ment al stor age specifi cation s.) W h ile the F R2 is in the st andby mod e, the St atus Indi cator show s the flash ing black hourgla ss unles s the periodi c selftes ts detect a problem. If a problem is de tected, t he St atus Indicator w ill sh ow a flashing red X or a solid red X and the FR 2 will beep (âÂÂchirpâÂÂ) to alert you to th e need for troublesh ooting. (See C hapter 4, âÂÂMa inta ining, T e sting, a nd T roubles hooting Y our HeartSt art FR 2 , â for instructions.) GOOD BATTERY
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
3-1 Philips Medical Sy stems 3 3 Using Y our HeartSt ar t F R2 Overview This chapter d escribe s ho w to us e the Hear tSt art F R2 Defi brilla tor in a n emergenc y inciden t. Some gene r al things to remember a re: î T ry to rel ax and stay calm. Th e FR2 automati call y provide s appropri ate voice and display prompts t o guide you . î T he defibrillator pads must have g ood contact wi th the pat ientâ s ski n. The pads have a la yer of sticky , conduct ive gel be neath the p rotecti ve bac king. T o work effect ively , the g el must not be dried out. î It may b e neces s ary to dr y the p atientâÂÂs s kin or to clip or s have excessive chest hair to pr ovide good c ont act betwee n the defibril lator pads and the pa tientâÂÂs skin. The following p ages provid e step-by -step ins tructions for norm al use of the FR2 in an emer gency . (S ee Chapt er 4, âÂÂMai ntaining, T esting, a nd T roublesh ooting Y our H eartSt art F R2 , â for troubleshootin g tips.) IMPORTANT : Be sure to read the W arnings and Caut ions on the last page of this c hapt er . NOTE : T hese dire ctions apply to bot h the mode l M38 60A and the mode l M3 8 61A F R2 , exc ept where otherwi se noted.
M3860A/ M3861A HEA RTSTART FR2 3-2 Philips Medical Sy stems Step 1: Preparation Pre ss the On/Off button to turn on the H eartStart F R2 Defibr illator . Fol low the ins tructions pr ovided by the FR2 voice and scr een pr ompts in the or der indicated. Remove clothi ng from th e patient' s upper bo dy . W ipe moistur e from the patien t's skin and cli p or shave excessive chest hair, if necess ary . If the patient appears to be un der eigh t ye ars of ag e or 55 lbs (25 K g), use M3 8 7 0A F R2 infa nt/child red uced- energy de fibr illato r pads, if av ailabl e. If the ch ild appea rs older/la rger , use adul t defibri llator pads. DO NOT DELAY TREATME NT TO DETERMINE THE CH IL D â S EX ACT AGE/ WEIGHT. Open t he de fibrillat or pads pac k age. Ch ec k to see that th e pads and att ached cabl e and conne ctor are un damag ed. Pull off the protecti ve bac king from the defib rillator pads an d chec k that the gel has not dried out. If the pads are damage d or the ge l has dried out, use a n ew set of pads. Place eac h pad on the patient . Th e pads must be placed with the stic ky side on the pati entâÂÂs ski n. IMPO RT ANT : Refer to the d rawing on eac h pad for corr ect positioning . For adul t pati ents, one pa d goe s jus t belo w th e patie nt's r ight coll arbone, and t he ot her on e goe s over the pat ient âÂÂs ri bs in line with the armp it and belo w the left br east. For children und er eight yea rs old, one pad is cent ered on the chest betwee n the nippl es, and the ot her on the ba ck between the s capul ae (sh oulder b ones). Connect th e pads to the F R2 . Ins ert the defi brill ator pads co nnector firml y into the conn ector so cket. A fla shing li ght s hows you wher e the s ocket is located , at the top left of th e F R2 . O N ⢠O F F
Usin g Y ou r Hear t Sta r t FR2 3-3 Philips Medical Sy stems 3 Step 2: EC G Analysis and Monitoring Fol low the in structions p rovi ded by the Hear tStart FR2 DefibrillatorâÂÂs voice and sc reen promp ts in the orde r indicated. As soon as t he F R2 d etects that the def ibrilla tor pads are c onnect ed prope rly , it autom atica lly begi ns analyz ing th e patient âÂÂs hear t rhyt hm. Do not touc h the pat ient durin g rhy thm anal ysis. T he M386 0A FR2 ca n di splay the patien tâÂÂs E CG on the screen. When the E C G displ ay is enabl ed, the patie ntâÂÂs heart rate is also displ ayed durin g bac kground monitorin g and when the advanc ed mode is ent ered. If no shock is advised, the FR2 prov ides v oice an d screen prompts to tell you so. T he F R2 instru cts you t o perform CP R if neede d, and performs background mon itoring of the patie ntâÂÂs E C G wh ile you give ap propriat e care to the pati ent. These instr uctions are rep eated at the progr ammed Mo nitor Prompt in terval ( the d efault interva l is o ne mi nute) wh ile t he F R2 is monitoring the patient. NOTE : CP R ma y interfere with background monitor ing. During CP R, periodi cally pa use f or 15 sec onds to check the pa tient a nd allow the FR2 to analyz e the pati entâÂÂs hea rt rhythm without CP R art ifact. Monit oring conti nues until and un less th e FR 2 dete cts a change in the patientâÂÂs heart rhythm that may be a shocka ble rh ythm, de tects interfere nce with rhyth m an alysis , or i s t urned off. If the F R2 dete cts a pote ntially shockab le heart rhyt hm while monitorin g, it auto matical ly goes bac k to analyzin g the rhyt hm to see if a sho ck is adv ised. If a shock is advised, the FR2 char ges to prepare f or shock de livery . It gives th e voice warnings and sc reen prompts t o tell you t hat a sh ock is advised . Make sure th at no one is touching the patient o r the p ads. While the F R2 is charging, it con tinue s to analyze the p atientâÂÂs heart rhyth m. If the rhyth m c hanges and a sh ock is no long er app ropriate , the FR2 d i sarms. V oice a nd display prompt s advise y ou what action to take. NOTE : W hen the FR2 i s fully ch arged, you can di sarm it at an y time by pressin g the On /Off butt on to turn off the F R2 and retu rn it to st andb y mode. (See th e Defibrill ator di scussio n in Append ix B, âÂÂT echnical Specif ications , â for deta ils on dis arming the F R2 .)
M3860A/ M3861A HEA RTSTART FR2 3-4 Philips Medical Sy stems Step 3: Shock Delive ry Pre ss the Shock button to deliver the shock. IMPORTANT : Y ou must press the button f or a shoc k to be delivered. The Hear tStart FR2 D efibrillator w ill not automatically deli ver a shock. There are four w ays you ca n tell that the F R2 is read y to deliver a shock: î you hear a voic e prompt te lling you to deli ver a shock, î you see th e Sho ck button fla shing , î you hear a steady tone, and /or î you see a scre en prompt te lling you to pres s the or ange (Shock) button. After you press the Shock button, a voice prompt tells you the sh ock was delive red. T hen FR2 goes b ack to an alyzing the pati entâÂÂs hear t rhythm to see if the shock was succ essful. The F R2 contin ues to prov ide voice a nd text prompts to guide you t hrough additional shocks, if appropria te. NOTE : If you do not press the S hock button wi thin 30 seconds of bein g prompted, t he FR2 will di s arm itse lf and provi de a pa use. T he devic e will resume analyzi ng after 30 seconds or when the Resume Analyzi ng key is pressed. Pause for CP R. After the progra mmed number of shocks in a shoc k series are deliv ered, the F R2 a utomatica lly paus es for a prog ramme d amount of time to allow you to perform C P R. After the voice an d screen prompt s tell you that the F R2 h as paused , there a re no fu rther voice prompts during the rest of the paus e, so that you can pr ovide uninter rupte d patien t care. During th e pau se, the F R2 scre en show s a ba r that f ills in a s the pause t ime is used up. The scree n also shows how much time has gone by since the FR2 was turned on , * and how ma ny shoc ks ha ve been delivere d. The M3 8 60 A F R2 also displa ys the EC G, if ena bled, during this period. * The FR2 disp la ys el apse d ti me to a max imum o f 99: 59 minut es. If t he e laps ed ti me of use ext ends beyo nd this fi gure, the minute s are represe nted by âÂÂ??â but th e seconds are displayed. Howeve r , total elapsed time will be reco rded on an insta lled data card for later review with H eartSta rt Event Review dat a manage ment softw are.
Usin g Y ou r Hear t Sta r t FR2 3-5 Philips Medical Sy stems 3 EC G Display for Ongoing Observation At the di scret ion of emer gency ca re pers onnel , the M386 0A FR2 with E CG display en abl ed can also be used w ith the M3 87 3A/ M3 87 4 A FR 2 EC G assessment module . The F R2 used wit h the FR2 E CG assessment modu le provi des a non -diag nosti c EC G displa y of the pat ientâ s heart rhyth m for attend ed patien t monitoring . The syst em is intende d for use on a conscio us or breath ing p atient, rega rdless of a ge. W hile co nnected to the FR2 EC G assessment module, the FR2 's shock capa bility is disa bled, but the F R2 continues to evalua te the pat ient's E C G. The modu le is designe d for connec tion to E C G elect rodes per AA M I (M 387 3A) or I E C (M3 8 7 4A) col or convention . There are no known cont ra indicati ons to use of the F R2 EC G ass essment module. The moduleâÂÂs color ed lea dwires a re c onnect ed to E C G elect rodes, wh ich are the n placed on the patie ntâÂÂs bare chest, a nd the moduleâÂÂs device connector is inserted in the F R2 âÂÂs conne ctor socket. NOTE : It is not necess a ry to turn the F R2 Defibrilla tor off prior to connecti ng the E C G asses sment modu le. Once connecte d, th e F R2 d isplays and e valuat es the patient 's E C G (Lea d I I) . Follow all prompts from the F R2 . If a da ta card is used w hen the modu le is connec ted to the F R2 , all recorde d events can be vie wed usi ng HeartS t art Event Re view dat a mana gemen t softw are * on a personal computer. Check the patie nt if: î indicat ed by the observed ECG display , î the patient becomes unresponsive or stops breathing, or î the F R2 pr ompts IF NEEDED , ATTAC H DEFIBR ILLA TIO N PADS . If appro priate, un plug the EC G ass essme nt module fr om the F R2 , att ach the defi brilla tor pads to th e pati ent, and con nect th e defi brillat or pads to the FR 2 . V erify that the defibrillator pads are at least one (1) inch (2.5 cm) away f rom the EC G electrod es. The M3 8 7 3A/ M 387 4A FR 2 E C G asse ssment module cont a ins no latex rubber . It is reusable (see the e xpiration date on the modu le) and ca n be cleaned w ith a so ft cloth d ampened w ith any of the age nts recommen ded f or * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 3-6 Philips Medical Sy stems cleanin g the F R2 D efibril lator . (See Chap ter 4, âÂÂM aint ai ning, T es ting, a nd T roublesh ooting Y our H eartSt art F R2 . âÂÂ) WARN ING : During de fibr illation, a ir pockets be twee n the skin an d defibr illa tor pads can cause patie nt sk in bur ns. T o help p reven t air p oc kets, make sure def ibrillator p ads comple tely adhere to the skin. Do not use dried-out de fibrillator p ads. WARN ING : Do not let the de fibrillator pads t ouch each other or ot her E C G elec trodes, lead wires , dress ings, transd ermal p atc hes, et c. Suc h contact can caus e electric al arci ng and p atient sk in burns during defi brilla tion and may dive rt defi brillati ng curre nt aw ay from th e heart. WARN ING : Handling or tr a nsporting the patien t during hea rt rhythm analys is can caus e an incorre ct or dela yed diag nosis. If th e FR2 gives a SHOCK ADVISED prompt, ke ep the p atient as stil l as possi ble for at least 15 second s so the FR 2 can rec onfirm the rhyt hm analysi s before a shock is delivered. WARN ING : CP R rates significa ntly above 100 compressions per minut e can ca use in correct or del ayed ana lysis b y the F R2 . WARN ING : De fibri llati on cur rent ca n caus e operator o r bystander in jury . Do not touch the patient during defibr illati on. Do n ot allow the d efibri llator pads to to uc h any metal sur faces. Disco nnect the pads connect or from the FR2 before using any other de fibrillator . CAU TI ON : Aggr essive han dling of the pads in s tora ge or prior to use can damage the pads. Discard the defi brillator pads if th ey become d amaged.
4-1 Philips Medical Sy stems 4 4 Maintaining, T e sting, and T roubleshooting Y our Hea rtStart FR2 Overview This c hapte r provides inform ation on Hea rtSt art F R2 D efibrill ator maintena nce, de tailed descript ions of t he selftes ts, and a gu ide to troubleshootin g. Maintenance Mainte nance of the F R2 i s very simp le, but it is a very i mport ant fa ctor in i ts dependa bility. T h e F R2 performs man y maintena nce acti vities its elf. These include dail y and week ly selfte sts t o veri fy read iness for use and more detailed monthly selftests that also verify the shoc k w aveform delivery system. In addi tion, a det a iled self test i s run when ever a batter y is inst all ed in the F R2 . The FR2 req uires no ca libr ation or verifica tion of energ y deliver y . T he F R2 has no user-s ervic eable par ts. CAU TI ON : Improper maint enance ma y damage the F R2 or cause it to funct ion imprope rly . Main tain the FR2 only as des cribed in th is Us er's Guide or a s designat ed by your p rogram's Medical Di rector . CAU TI ON : Ele ctrical s hock hazard. Dan gerous high volt ages and curren ts are pres ent. Do not ope n the F R2 , remo ve its covers, or at tempt rep air . T here are no user -serv iceabl e com ponen ts in the FR2 . T h e FR2 s houl d be returned to an auth orized service center for repa ir . The following t a ble presen ts a schedule of s uggeste d mainte nance for the F R2 . Di fferent freque ncy interval s m ay be a pprop riate, d epend ing u pon th e enviro nment in which the F R2 is used . The required maint enance fre quency is at the discreti on of your progr amâÂÂs Medical Dire ctor .
M3860A/ M3861A HEA RTSTART FR2 4-2 Philips Medical Sy stems Af ter Using the HeartSt ar t F R2 After each use of the FR 2 , perfo rm the m aintena nce t asks desc ribed in th e ta ble abov e, as well as the fo llowing pos t-use checks before ret urning the FR 2 to se rvi ce : î Chec k the op eration of the FR2 by removing an d reinst alling the batte ry and runni ng the batte ry inserti on selfte st. NOTE : Per f o r m a ls o when replac ing expired def ibrillat or pads. î Chec k the ou tside of th e FR2 and the con nector soc ket for signs of dirt or cont am ination. If th e F R2 is dirty or conta minated , clean it accordi ng to t he gui delin es provid ed in this manual. î Check the da ta c a rd if one has been use d. If the dat a card has been used to record inc ident data, remove and replace it with a blan k dat a card. De liver th e recor ded da ta card to a ppropria te person nel acc ording to your loca l guide lines an d medica l protoco l. daily month ly mai ntena nce ta sk/res ponse î Check the Status Indicato r . If you see the flashing bl ack hourglass: The FR2 is ready to use. No action required. If you see anything other than a f lashing black hourglass, remove and reinst all the battery to run the selftest. ⢠If the selftest passes and the St atus Indicator shows the flashing blac k hourglass, the FR2 is ready to use. ⢠If the selftest fails, i nstall a new battery and run the selftest. If the selftest passes, the F R2 is ready to use. If the selftest fails, cont act Philips Medical Systems. î Check supp lies, accessories, and spar es for damage and expir ation dating. Do not use damaged or expired accessories. Replace them immediately . If a LOW BATTERY or REPL ACE BATTERY mess ag e is displayed: Replace the battery and run the selftests. DO NOT ATTEMPT TO CHA R G E THE M3863A FR2 ST ANDARD BATTERY . It is not rechargeable. The M3 84 8A FR 2 batte ry is recharge able. Rechar ge it, using the M38 4 9A Charger, for the FR2 rec harg eable batt ery only . î Check the outside of the F R2 and the connector socket for cracks or other signs of damage. If you see signs of damage: Cont act Philips Medical Systems for technical support.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-3 Philips Medical Sy stems 4 î Chec k the connector so c ket to make sure t hat defibril lator pads a re disconne cted from the FR 2 when it is not in use. î Chec k to make sure the data ca r d tray is installed, ev en if a dat a ca rd is no t being used. Clea ning th e Hear tSt art F R2 The outside of the F R2 , including the defibril lator pads conn ector socket, can be cle aned with a s oft cloth d ampened in on e of sever al app ropriate cleanin g agent s (see list belo w). The followin g guideli nes inclu de some importa nt reminders: î Do not immers e the F R2 in flui ds. î Make s ure a battery (or t he M3 8 6 4A trai ning & admin istr ation pack) and a data card t ray are install ed when cleani ng the FR2 , to keep f luids out of the device . î Do not use a br asive m aterials, c leaners , strong solve nts su c h as a cetone or aceto ne-based cleaners , or enzymat ic cleane rs. î Clean the FR 2 and the conn ector socket with a soft cloth dampene d with one of th e cleaning agents li sted be low . â Iso propyl alco hol (7 0% solutio n) âÂÂS o a p y w a t e r â Ch lorine bleach (30 ml/l w ater) â Ammon ia-base d cleane rs â Glutaraldeh yde-bas ed cle aners â Hydrogen peroxi de CAU TI ON : Do not immerse a ny portio n of the F R2 in w ater or oth er fluids. Do not allow fluids to enter the F R2 . Avoid spilling any fluid s on the F R2 or accesso ries. Spil ling flui ds into the F R2 may damag e it or present a fire or shock hazard. Do not steri lize the F R2 or accessories . Oper atorâ s ch eckli st T he c hecklist on t he fol lowin g page i s for your r efere nce. Y ou may want to phot ocopy it or use it as the basis for crea ting yo ur own chec klist. Inspect the FR 2 as sug gested in the mainten ance schedule a bove, or as speci fied by yo ur Medica l Director. W hen yo u use the Che cklist, fill in the sc heduled fr equenc y int ervals you w i ll be usi ng for y our m ainte nance inspecti ons. Check off each requiremen t as you compl ete it, make a n ote of any pro blems you foun d or co rrective a ction y ou took , and sign the form.
M3860A/ M3861A HEA RTSTART FR2 4-4 Philips Medical Sy stems OP E RA T OR'S CH ECK LI ST HeartS t art FR2 Model No .: _________ ________ _____Seri al No.: _________ _____ _________ ________ ___ HeartS tart F R2 Loc ation or V ehicle I D: ____ _________ ________ ______ ________ ______ ________ ______ date sc hedu led fre quenc y Hear tSt art F R2 Clean, no dirt or conta mination; no signs of damage Supplie s Av ailable ⢠T wo sets defibrillator pa ds, sealed, undamaged, within expiratio n date ⢠Ancillary supplies (hand towel, scissor s, r azor , pock et mask, gloves ) ⢠Spare M3 86 3A battery, within âÂÂInst all Beforeâ date ⢠Dat a car ds, undama ged, and spare data card tray St atus I ndic a tor Sho ws alt ern ating hourglass/square; selftest passed. Inspected by Signa ture or initia ls of op er ator completing the ma intenance inspection Remark s, Probl ems, Correctiv e Act ions
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-5 Philips Medical Sy stems 4 Te s t i n g T he Hea rtStart FR2 Defibr illat or ha s several ways of testin g itse lf a nd aler ting y ou i f it f inds a prob lem. In add ition to th e se lftest perfo rmed eac h time a ba ttery is in stalled , the FR2 also autom atica lly perfor ms per iodic selftests daily . NOTE : T he FR2 sel ftests a re desi gned to ch eck t hat th e FR2 is ready for use. Ho weve r , i n the event th at the FR2 has been dr opped or mishandl ed, it is rec ommended that the bat tery be re moved and rei nstalled to initiate a selftest. If the FR2 has visible signs of damage, cont act Philips Medical System s for technical supp ort. Battery insertion selftest As described in Ch apter 2, âÂÂPrepari ng Y our HeartSt art FR2 f or Use, â when you insert the batter y in the F R2 , be sure that ne ither th e defi brillat or pads nor the F R2 E C G assessm ent module are connect ed to the devic e. W h en you inse rt the batte ry , a menu is displ ayed and a two-part selft est will run unless you make another sel ection f rom the menu wi thin 10 second s. The selfte st include s an automa tic part a nd an inter act ive part. NOTE : Under cert a in circums tan ces, the behavior of you r FR 2 wi ll be different . For exa mple, t he me nu scre en will not appear wh en a batte ry is inserte d if: ⢠the def ibril lator pads are attac hed to a patien t, indicati ng that the F R2 is in co ntinued use, ⢠the F R 2 E C G a ssessmen t modul e is c onnect ed to the F R 2 , o r ⢠the batter y is c omple tely de pleted . The menu sc reen will be displa yed, but af ter 10 seconds th e F R2 wil l go to st andby mode if yo u make no selecti on and : ⢠less than five minut es have passed since the FR2 w as last used, indi cating that the F R 2 is sti ll in use. It is recommen ded that the full self test (incl uding th e inter acti ve portion) b e run under th e followin g circum st ances: î W h en the F R2 is first pu t into servic e and foll owing ea c h us e. î W h eneve r the battery is r eplaced. î W henever expired de fibrillator p ads are repla ced during pe riodic main tena nce. î W henever the defi brillator may have sustained phy sical damage.
M3860A/ M3861A HEA RTSTART FR2 4-6 Philips Medical Sy stems W h en you inst all the battery, the screen tells you whethe r or not a dat a card is inst alled . If so, a scree n mess age disp lays how much record ing time is lef t until the dat a ca rd is full. (S ee Ch apter 7 , â Dat a Mana gem ent and R eview, â for how to revie w the incid ent inform ation fr om the intern al memory o f the F R2 or from a da ta card, if on e is used.) NOTE : T he data card i s typi cally capable of storing a number of inci dents. Howeve r , i t is recomme nded t hat it be rep laced af ter every us e. In the u nlikely even t that the ca rd fil ls up duri ng an inci dent, no furth er data can be recorded, so it is im port ant for you to monitor th e CARD FULL IN ... infor matio n on this screen. Scre en cont rast can be adju sted durin g the b atter y inse rtio n selft est by usin g the Op tion bu ttons. If batt ery power i s low , repla ce the ba ttery. If a previous selftes t has fail ed, the screen displ ays a message that th e FR2 must pass a self test before b eing used. It is re commen ded that you al w ays h ave a spare ba ttery availa ble. Howe ver , if a screen display promp ts you to rep lace the ba ttery or the St atu s Indica tor shows a f lashing red X , but y ou do n ot ha ve a s pare battery , you ca n cont inue t o use the FR2 un til th e battery is compl etely deplete d. T his ma y be neces s ary in an emerg ency . NOTE : It is recomme nded th at the M3 84 8 A F R2 recharg eable ba ttery n ot be used as a spare or ba c kup batter y . NOTE : If you connect de fibrillato r pads (t hat are applied to the pat ient ) or the F R2 E C G as sessmen t modul e to the F R2 during a b attery i nsertion selftest, the selftest will stop and the F R2 will go to its standby mode to be ready for use. During the automati c part of the selftes t, the scree n displa ys a bar t hat fills i n as the te st continu es. W hen tha t part of the tes t is finish ed, the F R2 b eeps. The results of the se lftest are automat ically reco rded on the d at a card while the tests a re runnin g, if a dat a car d was inserted in th e F R2 prior to inst allin g the batt ery . If the automa tic part of the selft est fail s:
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-7 Philips Medical Sy stems 4 î T he screen displays a mess age that the selftest has failed . After a short time, an error code is displayed. W rite down the error code and cont act Philips Medica l Systems fo r technical s upport. î The Statu s Indica tor shows a fl ashing or solid red X . Repla ce the batt ery with a new battery and repeat the tes t. If the sec ond selfte st fails, con ta ct Philips Medica l Systems fo r technical su pport. If the automat ic part of the selftest passes: î The screen di splays a mess age th at the selftest pass ed, then b egins the inter acti ve part of th e test. The inter active part of the self test requires you to respond to prompts in orde r to ma ke sur e the d ispla y , buttons , li ghts, a nd spea ker o n the FR2 are worki ng prope rly . Screen promp ts guid e you th rough a series of ste ps in the in ter active part of the se lftest. S ome as k you to observe that a feature of the F R2 works properly. Others ask you to t ake cert ain ac tions â for ex am ple, to press a button. The scree n then disp lays a mess a ge showing that the bu ttonâÂÂs operatio n has bee n verifie d. If you do not press the butto n, or if you do but the but ton is no t worki ng, the scr een displ ays a me ssage that th e buttonâ s func tion i s not verifi ed. It is impor t ant to press the butto ns an d verify th e indica tors to ensu re that th e FR2 will be ready for use. If somet hing does not work correctly â for ex ample, if lights do not come on or you d o not hear bee ps whe n expect ed â make a note of the problem and cont act P hilips Medic al Syste ms for technical s upport . NOTE : Do no t use the F R2 un til all parts of the interactive selftest verify correct p erformance. Be sur e to note and report a ny proble ms you find.
M3860A/ M3861A HEA RTSTART FR2 4-8 Philips Medical Sy stems The follow ing t abl e d escribe s the parts of the F R2 t este d in t he inte ra ctive part of th e selfte st and any acti on you are ask ed to take. feature test des cription spe ak er Screen prompt : CHE CK SPEAKER SOUND (2 bee ps) > Lis ten for th e tw o beep s from the speak er . lights Screen pro mpt: CH ECK SHOCK BU TTON LIGHT AND PADS CONNE CTOR LIGH T > Check that the lig hts come on. option button s Screen pro mpt: PR ESS THE OPTI ON BUTTO NS > Press the b lue upper an d lower Option buttons and l isten for a be ep to conf irm eac h pres s. Lo ok at t he s creen t o be sure t he but ton pr esses have b een ve rified. display screen Screen prompt : CHE CK DISPLAY . ADJUST CONTRAST IF NEED ED > Chec k the test patt ern di splaye d on the sc reen. Adj ust the co ntrast if desired u sing the Opti on buttons. NOTE : Screen c ontr ast can be adjust ed at any tim e durin g the inter ac tive selftest by repeatedly press ing the appropriat e Option butt on until desired contr as t is achieve d. shock button Screen prompt : PR ESS THE SHOCK BUTTON > Press the S hock bu tton and listen f or a beep to confirm the press. No shock will be delivered when y ou press the Shock button during the test. > Look at th e screen to be su re the button press has been verif ied.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-9 Philips Medical Sy stems 4 When the interactive pa rt o f the battery inser tion self test is complete, the FR2 turns off and goes to sta n dby mode to be ready for use. If proper oper a tion of all fe atures ha s not been verified in the inte rac tive selftest, you may want t o rerun the battery insertion selftest. If a feature of oper ation can not be verif ied, cont act Phi lips Medi cal Sys tems for technical support. Periodi c selftests In a dditi on to the ba tte ry in serti on s elfte st, the FR2 automa tically p erforms periodic selftests (PST s). T hese daily , weekly , and extensive monthly selftests check many import ant fu nction s of the F R2 , incl uding bat tery capa city and internal circuitr y . If it detec ts a problem duri ng one of these p eriodic sel ftests, the FR 2 beeps a nd display s a flas hing re d X or a solid red X on th e Status I ndica tor . Device histo ry The FR2 s tores key informa tion abou t its history in internal memo ry . T o revi ew the hi sto ry of yo ur FR2 , sel ect NE XT from th e men u screen displa yed when you insert the battery, then select DEVICE HISTO RY from the next m enu di splayed . T he devi ce hi story infor mation is rea d from the int ernal memo ry of th e FR2 . It i nclud es: î USES â how many times the F R2 ha s been used (s hown in the le ft column of num bers) and the t ot al time in minutes i t has been u sed (shown in the rig ht column of numbers); î SHOCKS â the total num ber of sho ck s it has delivere d; î TRAINING â how man y times it has been used with the tr aining & admini str ation pa ck for tr ainin g (left colu mn) an d the t ot al time in minute s it has be en used for trai ning (right column ); and on/of f button Screen prompt : PR ESS THE ON /OFF BUTTON > Press th e On/Off butto n and lis ten for a beep to confir m press. > Look at th e screen to be su re the button press has been verif ied. T he scr een t hen di splay s a me ssage that the test i s com plete. feature test des cription
M3860A/ M3861A HEA RTSTART FR2 4-10 Philips Medical Sy stems î TESTS â how ma ny tes ts have been run. Four f igures a re show n: dail y (upper left), w eekly (uppe r right), a nd monthly (l ower left) periodi c selftests, and battery insertion self tests (lower right). î RE V â devi ce language , model, and s oftware revision. Battery Hi story Informati on about us e of the battery currently ins ta lled in you r FR 2 is also availa ble. T o review the history of the battery, select NEXT from the menu screen dis played wh en you ins ert the battery, then select BATTE RY HISTOR Y from the ne xt menu disp layed. The battery history inf ormation is read from the int ernal memory of the ba ttery . It i nclud es: î USE MINUTES â the tot al oper atin g time (in minutes ), includ ing selfte st time, for th is battery ; î CH ARG E S â the tot al nu mber of full defibri llation charge s that hav e been provided by this battery , includin g selftest charges; î BATTERY â a GOOD BATTERY (M3 8 63A ) or a fuel ga uge disp lay (M 3848A ) s ho wi ng 25 %, 50 %, 75 % or 1 00 %, or a LOW BATTERY or REPLACE BATT ERY message, as appr opriate . î ST ATUS â the current status of this ba ttery , display ed in a bi nary co de. Make a note of thi s code if technical s ervice is nee ded.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-11 Philips Medical Sy stems 4 T roubl eshooting Guide Status indicato r summary NOTE : Perform CP R (if nee ded) any time ther e is a dela y befo re the F R2 can be used . Recommen ded action du ring an emerge ncy If the st at us indicat or displ ays the fl ashing black hourglas s, follow a ll voice and screen prompts. The Hear tSt art F R 2 De fibrilla tor i s desi gned to con tinue working eve n if th e st atus ind icator di splay s a flashi ng red X, alth ough the de vice may not perform to all of i ts specifications. V oice and text prompts sh ould be followed whenev er the y are g iven. If for an y rea son yo u cannot hear voice promp ts duri ng use of the defib rill ator , period ically c hec k the device scr een for text prompts. NOTE : After com pleting emer gency use of the FR2 , if y ou are un able to clear t he pr oblem a s desc ribed in this T rou blesho oting sectio n, and the Sta tus Ind icator does not show the fl ashing black hourgla ss, cont act Phi lips Medica l System s for technical sup port. In the unlike ly event that the devic e become s unrespon sive during use: 1. cycle p ower (press the On/ Off butt on once, w ait on e second , then p ress it ag ain), or 2. remove a nd reinst all the battery (use a new M 38 63 A F R2 st andard batte ry , if avai lable, or a c harged M38 4 8A FR2 rec hargeable batt ery). stat us in dicator meani ng Flashing blac k hou rgla ss The FR2 passed the battery insertion self-test or the last periodic self-test and is therefore ready for use. Flashing red X accomp ani ed by a chir ping sound. A self-test error has occurred or the battery is low or depleted. Solid r ed X The battery is completely depleted or a self-test failure occurred.
M3860A/ M3861A HEA RTSTART FR2 4-12 Philips Medical Sy stems If neither of these action s clears the problem, do not us e the F R2 . Attend to the pati ent, provid ing C P R if need ed, until eme rgency med ical pe rsonnel arrive . T rouble shootin g during pati ent us e symptom possible ca use recom mended ac tion ST A TUS I N DICA TOR: F LAS H I NG R E D X Screen and voice prompts: LOW BATTERY Screen and voice prompts: R EPLACE BATT ERY NOW ⢠The energy remaining in the battery is low. ⢠The energy in the battery is nearly depleted. The FR2 will turn off if a new battery is not installed. ⢠Replace the battery with a new M3 86 3A F R2 st anda rd or a c harg ed M3848 A FR2 rechargeable ba ttery a s soon a s poss ible. ST A TUS I N DICA T OR: F LAS H I NG B LACK HOU R G LAS S Screen and voice prompts: APPLY PADS AND PR ESS PADS FIRMLY or PLUG IN CONNECTOR Or voice pr ompts: INSE RT CONNECTOR FIRM LY or PR ESS PADS FIR MLY TO PATIE NT ' S BARE CHE ST or POOR PADS CONTACT The defibrillator pads: ⢠are not properly applied to the patient, or ⢠are not making good cont act with the patient's bare chest because of moisture or ex cessive hair , or ⢠are touching eac h other . The defibrillator pads connector: ⢠is not firmly inserted in the co nnector sock et. ⢠Make sure that the defibrillator pads are sticking completely to the patientâÂÂs skin. ⢠If the pads are no t sticking, dry the patient's chest and shave or clip any excessive c hest hair . ⢠Reposition the pads. ⢠Make sure the pads connector is completely inserted in t he connector soc ket. If the prompt continues a fter you do these things, replace the pads. V oice and screen prompts: R EPLACE PA DS ⢠The defibrillator pads, cable, or connector may be damaged. ⢠The FR2 has detected a possible problem with the defibrill ator pads or pads cable. Replace the defibri llator pads with new defibrilla tor pads.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-13 Philips Medical Sy stems 4 V oice prompt s: ANALYZING INTERR UPTED or C ANNOT ANALYZE or STOP ALL MOT ION ⢠Th e patient is b eing moved o r jostled. ⢠Radio or electrical sources are interfering with ECG analysis. ⢠The environm ent is dry and movement around the patient is causing st atic electricity to i nterfere with EC G analys is. ⢠Stop CP R; do not to uc h the patient. Minimize patient motion. If the patient is being tr anspor ted, stop the vehicle if needed. ⢠Check for possible causes of radio and electrical interference and remove them from the area. ⢠Responders and byst anders should minimize motion, particularly in dry environments that can genera te static electricity . V oice and screen prompts: NO SHOCK DELIVE R ED The patient impedance is not appropriate for the F R2 to deliver a shock. ⢠Make sure the defibrillator pads are correctly positioned on the patient according to the diagr am on the back of the pads. ⢠Make sure the defibrillator pads connector is completely inserted in the connector socket. ⢠Press the defibrillator pa ds firmly to the pa tient's chest. ⢠Replace the defi brillator pads if necessary. V oice prom pt: SHOCK BUTT ON NOT PR ESSED Shock has been advised but not delivered within 30 secon ds. (FR2 has been disarm ed.) ⢠W hen next prompted, press the Shock button to deliver shock . symptom possible ca use recom mended acti on
M3860A/ M3861A HEA RTSTART FR2 4-14 Philips Medical Sy stems Gener al trouble shoot ing symptom poss ible ca use recomme nde d action St atus I ndic a tor: FLAS HING RED X Audio signa l: CH IR P IN G ⢠The energy remaining in the battery is low . ⢠The F R2 has been stor ed outside the recommended temperature r ange. ⢠An error has been detected as part of the self-test. ⢠The FR2 has been unable to perform its da ily self -tests . ⢠Replace battery with a new M3 8 63A F R2 s ta nd ard o r a charged M38 48A F R2 rechargeable ba ttery as soon as possible. ⢠Remove a nd reinstall the b attery and run a battery insertion self-test. A screen prompt will tell you if the F R2 has been stored outside the recommended temperature r ange. See Appendix B for recommended range. ⢠Remove a nd reinstall the b attery and perfo rm the battery i nserti on self-test. If it fails, install a new battery and repeat the test. If it fails again, do not us e the FR2 . ⢠Make sure defibr illator pads are not attached to the F R2 . St atus I ndic a tor: FLAS HING OR SOLI D RE D X Audio signa l: CH IR P IN G Screen pr o mpt (displayed for 1 0 seconds a t the end of a BIT , befo r e FR2 turn s off) : NOT REA DY FO R USE or SELFT EST FAI LED A test revealed a fai lure or error . The FR2 performs self-tests every tim e it is turned on, when a battery is inserted, and perio dically while it is in standby mode. ⢠Unplug the pads connector fro m the FR2 , i f connected. ⢠Remove a nd reinstall the b attery and chec k the results of the battery insertion self-test. If it fai ls, inst al l a new M38 63A FR2 stand ard battery or a c harged M3 84 8A F R 2 recharg eable battery and repeat the test. If it fails again, do not us e the FR2 . NO TE: Y ou can stop the tests and use the FR2 as soon as you see the Status In dicator change to th e flashi ng bla ck hourgl ass. S imply press the On /Off butt on to st op the test and put the FR2 into sta ndby mode. The FR2 is then ready for use.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-15 Philips Medical Sy stems 4 St atus I ndic a tor: SOLID RE D X Audio signa l: NONE ⢠The battery is missing or completely depleted. ⢠The training & administr ation pack is being used in the administr ation function (the solid red X is normal in this case) or has been left in the F R2 by mistake. ⢠A self-test detected a failure. ⢠Install a new M3863 A FR2 stand ard battery or a c harged M3 84 8A F R2 re chargeabl e battery in the FR2 and perform the battery insertion test (BIT). ⢠Remove the training & administration pack and install a battery . ⢠Remove a nd reinstall the b attery and perfo rm the battery i nserti on self-test. If it fails, install a new M38 63A FR 2 standar d battery or a charged M3 8 48 A FR2 rechargeable battery and repeat the test. If it fails again, do not use the F R2 . St atus I ndic a tor: SOLID RE D X Audio signa l: CH IR P IN G ⢠The training & administr ation pack is being used in the ADMINI STR ATION f unction and more than 10 minutes have passed without user interaction (button press or pads c ha nge). ⢠The training & administr ation pack is being used in the TRAINING function and more than 30 minutes have passed without user interaction (button press or pads c ha nge). ⢠T o continue using the tr aining & administration pack, press any button (except On/Off). ⢠T o return t he FR2 to standby mode, remove the Pack and install a battery . St atus I ndic a tor: NONE The FR2 has been physically damaged. ⢠Check for visible damage. Do not use the FR2 if i t appears to be damaged. ⢠Remove and reinstall the battery to perform the battery i nsertion self-test. If it fails, install a new M38 63A FR 2 standar d battery or a charged M3 8 48 A FR2 rechargeable battery and repeat the test. If it fails again, do not use the F R2 . symptom poss ible ca use recomme nde d action
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
5-1 Philips Medical Sy stems 5 5 Clinical and Safety Consi derations Clinical Considerations Indic ation s The HeartSt art F R2 is indicated for use on victims of sudden cardiac arrest exhibi ting the fol lowing signs: î Unresponsiveness î Absenc e of normal b reathing The HeartSt art F R2 is intended for use by pers onnel who have been tr ained in i ts ope r ation. The user s hould be qu alif ied b y tr ainin g in basic life suppor t, ad vanced life suppor t, or other physic ian-a uthori zed em ergency medical response. NOTE : At the discre tion of eme rgency ca re personnel , the M3 86 0A FR2 with ECG display en abled can also be us ed with the FR2 ECG assessment modul e to displ ay the rhythm of a responsive or b reathing pati ent, r egard less o f a ge. T here ar e no known cont raindica tions to u se of the FR2 EC G assessment module. Contrain dication s The HeartSt art F R2 is contr aindi cated for us e (shoul d not be used) on patients who show either of th e following signs: î Responsiveness î Presence of normal brea thing Safety Considerations Y ou shoul d be aw are of the s af ety concerns listed here when you us e the HeartS tart F R2 . R ead t hem care fully. Y o u will also see some of the se mess ages in othe r parts of th is manual. The mess age s are labele d Danger, W arnin g, or Caution. î DANGER â immediate hazards that will re sult in persona l injury o r death. î WARN ING â conditions , hazards, or uns afe pr actic es that can result in serious personal in jury or death .
M3860A/ M3861A HEA RTSTART FR2 5-2 Philips Medical Sy stems î CAU TI ON â con ditio ns, hazar ds, or unsafe practices that ca n result in minor personal injur y , damage to t he Hear tSt art F R2 , or loss of da ta stored in the device. THESE SAFETY CONSIDERATIONS ARE DIVIDED INTO FOUR GR OUPS: SAFETY CONCERNS ABOUT THE HEARTSTART FR2 IN GENERAL USE, DEFIBRILLATION, MONITORING , AND MAINTENANCE ACTIVITIES. T he dang ers, warning s, and caut ions li sted i n the foll owing tables app ly to both the mode l M386 0A and the mode l M3861A HeartStart FR2 , unless otherwise no ted. Gener al dangers, wa rnings , and caution s safety level possible shock or fire ha zard, or explosion DA NG E R THERE IS A POSSIBILITY OF EXPLOSION IF THE HEARTSTART FR2 IS USED IN T HE PRESENCE OF FLAMMABLE ANESTHETICS OR CONCENTRATED OXYGEN. D ANG E R THE HEARTSTART FR2 HAS NOT BE EN EVALUATED OR APPROVED FOR USE IN HAZAR DOUS LOCATIONS AS DEFINED IN THE NATIONAL EL ECTRICAL CODE (ARTIC LES 500-5 03). I N ACCOR DANCE WITH THE I EC CLASSIFICATIONS (SECTION 5.5.) , THE HEARTSTART F R2 IS NOT TO BE USED IN THE PRESENCE OF FLAMMABLE SU BST ANCE/AIR MIXTUR ES. DA NG E R DO NOT R ECHA RGE TH E M38 63A FR2 STANDAR D BATTERY . W AR N I NG Use the Hear tStart FR2 only as descri bed in this manu al. Imp ro per use of the Heart Start FR2 c an cause death or injur y . Do not pr ess the Shoc k button if the defibr illator pads ar e touchin g eac h other o r ar e open an d exposed. CAUT ION Hazard ous elec trical out put. T he Hea rtStart FR2 is f or us e only by qualifie d person nel. CAUT ION Do not immerse any porti on of the HeartSt art FR2 in water or oth er fluids. D o not allow fl uids to ent er the Heart Sta rt F R2 . Avoid spillin g any fluids on the Heart Sta rt F R2 or acce ssories . Spilli ng fluids into the HeartStart FR2 may damage it or presen t a fire or shock hazard. Do not ste rili ze the Heart Start FR2 or ac cesso ries.
Clinical a nd Safety C onsiderat ions 5-3 Philips Medical Sy stems 5 safety level possible im proper devi ce per formance WA R N I N G Pro longed o r aggre ssive CPR to a pati ent with de fibrillator p ads attached can damage the pads. R epl ace th e defibrillator pads if they ar e damaged du ring use or handli ng. W AR N I NG Using damaged or expi re d equipme nt or acces sories may cause the HeartStar t FR2 to per form i mpro perly , and/or injur e the p atient or the user . WA R N I N G CPR rates s ignificantly a bove 1 00 c ompr essions pe r minute can cau se inco rrect or delayed an alysis by the HeartS tart FR2 . W AR N I NG Poor electr ode pad-to-patient c ontact may res ult in a r elated defibrillato r prompt or other indication. Check all electrical and patient conn ections. CAUT ION The Heart Sta rt F R2 is des igned to be used only w ith Phil ips-a pproved acces sories. The Hear tSt art F R2 may p erform impr operly if non-ap proved ac cessor ies are used . CAUT ION F ollow all inst ruct ions suppl ied with the Heart Start defib rilla tor pads . Use the defi brillat or pads before the e xpira tion date shown on t he packa ge. Do not reuse th e defib rillat or pads. Disc ard them afte r use. CAUT ION Aggres sive ha ndling of the d efibrill ator pa ds in stor age or prior t o use ca n damage the pads. Discard the defi brillator pads if th ey become d amaged. CAUT ION F ollow all inst ructio ns suppl ied with th e M3863A F R2 standard bat tery . Inst all the bat tery before the expir ation date shown on the ba ttery . CAUT ION F ollow al l inst ruction s suppli ed with the M384 8A FR2 rec hargeable battery. Recharge using th e M3 8 49 A charger only. CAUT ION Do not use t he M3 8 4 9A charger on airc ra ft. CAUT ION T he HeartS tart F R2 was design ed to be sturdy an d reliable for many differ ent fie ld use c ondition s. How ever, excessivel y rough handl ing can result in damage to the HeartSt art FR2 o r its accessories. Inspect the unit an d acc essorie s per iodical ly accord ing t o instru ctions. CAUT ION Alter ati on of the fact ory default s etup of the FR 2 can affe ct its performanc e and should be performed under the a uthorization of your Medica l Directo r . Mo difi cations to device oper at ion result ing from chan ges to th e default sett ings should be sp ecifically covered in user tr aining.
M3860A/ M3861A HEA RTSTART FR2 5-4 Philips Medical Sy stems Defibril lation warnings an d cautions CAUT ION Use only Phi lips-app roved dat a card s. The HeartSt art F R2 may perform impro perly if non-appr oved acce ssori es are used. safety level poss ible elec trical inter feren ce with ECG monito ring WA R N I N G Radio-fr equency (R F) interfer ence fro m devices suc h as cellular phone s and two-way radios c an c a use im proper He artSt art F R2 operation. T he HeartStart F R2 should b e used at least 6 feet (2 meters) away fr om R F devices, as stated in accordance with E N 61 000-4-3:199 6. safety level possible im proper devi ce perform ance safety level possible shock hazard WA R N I N G Defibri llation curr ent c an cause ope rator o r bystander injury . Do not touc h the patient dur ing defibrillation. Disconnect the pads conne ctor from the HeartStart F R2 before using any oth er defibrilla tor . safet y leve ls possib le E CG m isinte rpretat ion WA R N I N G F or safety r easons, some v ery low-amplitu de or low- frequ ency heart rhythms may not be inte rpr eted by the He artSt art FR2 as shoc k able VF rhy thms. Also, some VT rhythms may not be inter pre ted as shoc k able rhythms. W AR N I NG Handlin g or trans porting t he patient during he art rh ythm analys is can cause an in corr ect or de layed dia gnosis . If the He artStart FR2 gi ves a SHOCK ADVISED prompt, keep the patient as still as possible for at least 15 second s so the He artStart FR2 can reconfi rm the rh ythm analysis before a shoc k is delivered.
Clinical a nd Safety C onsiderat ions 5-5 Philips Medical Sy stems 5 Monitori ng ca utions Mainten ance caut ions safet y leve ls poss ible burns and ineffe ctiv e ener gy WA R N I N G Do not allow the defibr illato r pads to touch each other or oth er EC G electr odes, lead wires , dr essings, tr ansdermal patc hes, etc. Suc h contact ca n cause electri c al ar cing and p atient skin bu rns during defibrillation and may also diver t the defibrillatio n current away fr om the heart. WAR N I NG During defibr illat ion, air po ckets betw een the ski n and defi brillat or pads c an cau se patien t skin burn s. T o help preven t air pockets, m ake sure defibrillator pads c ompletely adher e to the skin. Do not use dried ou t defibri llator pads . safety level poss ible pat ient injury CAUT ION The HeartSt art F R2 advance d mode âÂÂs MAN UAL CH A R G E featur e is intende d for use onl y by authori zed oper ato rs who have been speci fically tr ained in card iac rh ythm recogn ition a nd in defi brillat ion th er apy u sing manual c harge and sh ock delivery . safety level possib le misi nterpret ation of E CG rec ordings CAUT ION The L C D s creen on th e HeartS t art F R2 mo del M3 8 6 0A is in tended only for basic E C G rhyth m identif ication. The freq uency respo nse of the monitor screen is not intend ed to provide the resolution ne eded for diagnost ic and ST segment interpretation. safety level possible fire or sh ock hazard CAUT ION Elec trical shoc k hazard. Danger ous h igh vol tages and curre nts ar e present. D o not open the H eartSt art F R2 , remov e its covers, or att empt repair. T h ere are no us er-servic eable co mponents i n the HeartS tart F R2 . The HeartSt art F R2 should b e returne d to an author ized servic e center for repair.
M3860A/ M3861A HEA RTSTART FR2 5-6 Philips Medical Sy stems CAUT ION Improper main tenance ma y damage th e Heart Sta rt FR2 or cause it to func tion i mproper ly . Mai nt ain th e H eartSt art F R2 o nly a s des cribed in this User 's Guide or a s designat ed by yo ur program's Medical Di rector . safety level possible fire or sh ock hazard
6-1 Philips Medical Sy stems 6 6 Setup an d Advanced Mode Fe atures Setup Overview The âÂÂsetupâ of th e HeartSt art F R2 D efibrilla tor is made up of sever al programmable aspects, or par ameters, of FR2 o peration. Some setup par ameters govern spec ific fea tures tha t are not relate d to the pat ient care protocol, so me are used to def ine the autom atic patien t care protoc ol used by the F R2 , and some provide option s for manual override of the protocol duri ng use. The FR 2 comes w ith a fa ctory def ault setup desig ned to mee t the need s of most users . If desire d, your M edical Directo r can revise t he setu p. Even if no ch anges are made, h owever , it is a good idea t o understand the se tup of your F R2 and how t he dif ferent p ar amete r settin gs affec t the w ay the device works. Non-p rotoc ol par amet ers The par amet ers li sted in the follo wing t a ble e nable feat ures of FR 2 operati on that ar e not rela ted to th e patie nt trea tment protoco l. T he table describes eac h of these non-protocol parameters, lists the settings av ailable for it , and identif ies t he def ault set ting. parame ter setting s default descrip tion speaker vo lume 1, 2, 3, 4, 5, 6, 7 , 8 8 Sets volume of t he FR2 âÂÂs speaker. 1 is lowest; 8 highest. The speaker is used for voice pr ompts and the charge-done tone. rec ord v oi c e YES, N O NO Enables or dis ables the audio recording dur ing incident. V oice recording requires use of a data card. ECG display ( M38 60A on ly ) ON , OF F ON Enables (ON) or disa bles (O FF) E C G display on the screen. FR2 rhythm analysis does not require ECG display to be on. (EC G disp lay c ann ot be chang ed from def ault OF F f or M3861 A .) autosend P ST ON , OF F OF F Enables (ON) or disa bles (O FF) tr ansmission of the results of the FR2 âÂÂs periodic selftests (PST) from its infrared co mmunications port.
M3860A/ M3861A HEA RTSTART FR2 6-2 Philips Medical Sy stems Autom atic p rotoco l param eters The HeartSt art F R2 is designed to follow an aut omatic protocol that gu ides you throu gh pa tient t reatment with th e def ibrillat or . The defau lt set tings f or programmable parameters used in the automa tic protocol can be altered by your Medic al Director if desired. The setup par ame ters in the followin g ta ble are us ed to defin e the au tomatic patien t care protoc ol used by the FR 2 . Many of these par ame ters inter act with eac h ot her , so i t is very impor t ant to un ders t and how e ach paramet er affect s the protocol. The descri ption of each pa rame ter ide ntifi es any i nt e rac tin g p ara me t er s in b oldface type . para meter setting s default descript ion shoc k series 1, 2, 3, 4 3 Sets the number of shocks that must be delivered to activate an automatic CPR pause. The length of the CP R pause after completion of a Shock Series is defined by the CPR T imer setting. A new Shock Series begins when a shock is delivered: ⢠after the F R2 is turned on ⢠after the automatic C PR pa use, or ⢠after the Pause K ey (if enabled) has been pressed, or ⢠if the time since the previous shock exceeds the Prot ocol Ti meout setti ng. protoc ol time out (min utes ) 0.5, 1. 0, 1.5, 2.0, 2.5, 3.0, 3. 5, â (inf inite) 1.0 Sets the time interval used to deter mine if a delivered shock should be counted as part of the current Shoc k Series. CP R time r (min utes ) 0.5, 1.0, 1. 5, 2.0, 2.5, 3. 0 1.0 Sets the length of the C P R pause period* that automatically s t arts when: ⢠a Shock Series is completed; or ⢠the Pause Key (if enabled) is pressed; o r ⢠a No Shock Advised (N SA) decisio n is made, the N SA CP R pause is enabled, and the conditions for using the CP R Timer setting for the N SA CP R pau se period are met (see N SA Ac tion ). After the C PR pause, the F R2 returns to automatic rhyth m analysi s. * The CPR pause period is lengthened by 10 seconds to allow time for initia l voice promptin g.
Setup and Adva nced Mode Feat ures 6-3 Philips Medical Sy stems 6 NS A a ct io n (min utes ) MONITOR , 0.5, 1.0, 1. 5, 2.0, 2.5, 3. 0 MONITOR Sets how the F R2 behaves following a NO SHOC K ADVIS ED (N SA) decision: MONITO R â directs the FR2 to monitor the patientâÂÂs EC G following an N SA d ecision and to prompt the user peri odicall y to provid e CPR. The int erval f or CPR prompting is set by the Monitor Prompt Int erval . TIME SETTING â directs the FR2 to provide a C PR pause period fol lowing an N SA decision (N SA C P R Pause). ⢠If no shocks have been delivered in the cur rent Shock Series (e.g., the pa tientâÂÂs initial monitored rhythm is non-shockable), the length of the C P R pause is defined by the NSA A c t i on time setting. ⢠If shocks have been delivered in the current Shoc k Series (e.g., the N SA decision follows a shock), the length of the C P R pause is instead def ined by the CPR Time r setting. CPR prom pt LONG , SHORT LONG Sets the level of detail provided in the CP R reminder voice prompts provided at the co mpletion of a Shock Series . LONG â provides detailed coaching to check airw ay , breathing, and pul se before beginning CP R. SHORT â simply directs user to begin C P R if needed. moni tor prompt inter val (min utes ) 1.0, 1.5, 2. 0, 2.5, 3.0, â (infin ite) 1.0 Sets the interval for pa tient care prompts provided during FR2 monitoring o f the patientâÂÂs E CG following an NSA decision. Selection of â (infinite) means that no repeat prompting will be pr ovided during E CG monitori ng. para meter setting s default descript ion
M3860A/ M3861A HEA RTSTART FR2 6-4 Philips Medical Sy stems Manual overri de parameters The HeartSt art F R2 provides seve ra l way s of overriding the automa tic proto col. T he parameter s in t he fo llowin g table ar e used to en able di ffere nt kinds of manua l overrid e. parame ter setting s defaul t desc ripti on advan ced OFF , ANALYZE , CH AR G E OFF Enables or dis ables advanced mode entry for ALS or tiered-response systems. OFF â dis ables advanced mode fe atures. ANALYZE â enables user-ini tiated rhythm analysis a nd dis arm, a nd (M3 8 60 A only) auto matica lly tu rns on E C G display when advance mo de is entered. CHAR GE ( M38 60 A only) â in addition to enabling the analyze feature, enabl es user-initiated charging and disa rming. pau se ke y OFF , MONITOR , ALW AYS OFF Enables or dis ables user-initiated C PR p ause in the automatic protocol. The length of the pause is d efined by the CPR T imer setting. W hen an Advanced mode fea ture ( ANALYZE or CHARG E ) is e nabled and accessed, the Pause key is di s abled. OFF â dis ables availability of user -initiated pause. MONITOR â enables user-initiated pause only during FR2 monitoring of patient rhythm. ALW AYS â enables user-initiated pause any time except when the device is already paused. If enabled, the Pause Key is accessed by pressing the lower Option butto n in dica te d by a n arr ow on the FR2 display, as shown in the s ample screen:
Setup and Adva nced Mode Feat ures 6-5 Philips Medical Sy stems 6 Using Set up Features NOTE : T o move aro und the men us displ ayed, use the Opti on butto ns as follow s: ⢠Press the LOWER Opti on butt on to move the hig hlight b ar from one item to a nothe r on the menu. ⢠Press the UPPER Optio n button t o select the high light ed item or to scroll throug h the setti ngs for that item. The FR 2 comes w ith a fa ctory def ault setup desig ned to mee t the need s of most users . The setup feature of the F R2 lets you rev iew the curre nt setup of your Heart St art FR2 or install a revised setup if appropri ate. T o go to the SETUP menu: 1. Remove and re inst all t he batte ry to bring up t he first menu on the screen . NOTE : T his scr een wi ll not be displa yed if the F R2 is co nnecte d to defib rillator pa ds (tha t are applie d to the pa tient) wh en the ba ttery is inserte d, and y ou will not be able to a ccess t he menu items. In a ddition, the battery insertion selftest a nd periodic automatic se lftests cannot run while the defibrilla tor pads are connected . Be sure to unplug t he pads connector f rom the FR2 after ea ch use. D o not store the FR2 with the pads conne cted. res u me k e y ON , OFF OFF Enables ( ON ) or disable s ( OFF ) user-initiated interruption of the CP R pause and return to analyzing. If either the CPR T imer or the NS A A ct io n setting is programmed to 1.5 minutes or longer , the Resume Key setting is automatically enabled ( ON ). If enabled, the Resume Key is accessed by pressing the lower Option button indicated by an arrow on the FR2 display , as shown in the s ample screen: advanced use prompt inter val (min utes ) 0.5, 1. 0, 1.5, 2.0, 2.5, 3. 0 0.5 Sets the interval for âÂÂPress to Analyzeâ prompts provided during advanced mode o pera tion. parame ter setting s defaul t desc ripti on
M3860A/ M3861A HEA RTSTART FR2 6-6 Philips Medical Sy stems 2. W i thin 10 se conds of ins ta lling the b attery, press the lower Op tion button to mov e the highlight b ar to NEXT . 3. Press the up per Opti on butto n to select NEXT . 4. Press the low er Option butt on to move the highli ght bar to SETUP . 5. Press the up per Opti on butto n to bring up the SETUP menu. The SETU P menu allow s you to receive s etup direct ly from an other HeartSt art F R 2 or a computer running HeartSt art E vent Re view sof tw are, read setup from a dat a card, or review c urrent set up. Reviewing curren t setup A good wa y to unders tan d the setup of you r F R2 i s to re view th e setu p it curr entl y uses . 1. Selec t REVIEW SETUP from the SETUP menu. The first of a ser ies of REVIEW SETUP screens is displayed. 2. After revi ewing th e screen con tents, pr ess the upper O ption but ton to select NEXT and mov e to the nex t scree n. 3. The last screen allows you to select RETURN and go bac k to the SETUP menu. . Revising setup There are sever al w ay s to change the setup of your HeartS ta rt F R2 . All of them requi re use of produc ts or accessori es availabl e separ ately from Philips Medica l System s. î Use the M3 8 6 4A tr ain ing & adminis tr ation pack to enab le softw are within th e FR2 to modify its s etup. (Instru ctions are provided wi th the Pac k.) î Read a revised setup fr om a data card containi ng the se tup. (Inst ructions are pr ovided late r in this chapter.)
Setup and Adva nced Mode Feat ures 6-7 Philips Medical Sy stems 6 î Use the infr are d communic ations fea ture of the F R2 to receive the revised setup from anoth er FR2 . (Instruction s are provided later in this cha pt er.) î Use the infr are d communic ations fea ture of the F R2 to receive the revised s etup fr om a compute r running He artSt art Ev ent Review software . (Ins truct ions are pro vided with t he He artStart E vent Revie w software.) CAU TI ON : Alte ra tion of the fa ctory def ault setu p of the F R2 can affect its performanc e and should be performed under the a uthorization of your Medical Director . Modific ations to device op eration res ulting f rom ch anges to the defa ult setti ngs shoul d be speci fically covered in us er tr aining. See th e tables descri bing the various se tup parameters at the beginning of this c hapter and Appendi x D, âÂÂGlossary of T erms, â for definiti ons of set up items. Receiving set up This method uses the in fr ared commun icatio ns fe ature of the HeartS tart F R2 to recei ve setup dir ectly from o ne HeartS tart FR2 to anothe r (which must have t he traini ng & admin istration pac k ins t al led in i t) o r from a computer running He artSt art Event Review s oftw are. (See ins truction s provided with HeartSt art Ev ent Review .) T o rec eive setup from another F R2 , follo w these s teps: 1. Locate the infrared c ommuni cation s port o n eac h HeartS tart FR2 and line them up w ith one an other , so that the i nfr ared â eyeâ in each one has an uninte rrupted view of the âÂÂeye â in the oth er . (See the diagr am on th e inside fron t cover.) The two device s should be no more than 1 meter apart. 2. Make su re the â sendi ngâ FR2 has the training & adm inis tration pac k inst alled and is rea dy to send. (Se e the M3 8 6 4A tr ain ing & admi nist r atio n pack Refe rence Guide fo r instr uctio ns.) 3. Selec t RECEIVE SETU P from the set up menu: 4. A new screen comes up. Un til the two He artSt art F R2 dev ices are properly position ed, the screen displ ays READY TO RECEIVE and prompt s you to c heck t he send ing FR2 . 5. Setup da ta are autom atica lly transfer red as soon as the inf rared ports are c orrectly alig ned. 6. If you sele ct EXIT before th e tr ansfe r is complet e, the revise d setup wi ll not be re ceive d. W hen t he transf er is compl ete , the scre en on t he
M3860A/ M3861A HEA RTSTART FR2 6-8 Philips Medical Sy stems âÂÂreceivin gâ F R2 display s a SETU P COMPLETE message. Y our Heart Start FR2 immedia tely us es the ne w setup. Receivi ng setup from a comput er running H eartS tart Event Revie w softw are is di scusse d in th e dire ctions for us e provi ded wi th Hea rtStart Ev ent Re view software. Reading setu p T his method copies setup data from a data card to your HeartStart F R2 . T o read t he set up, foll ow thes e ste ps: 1. Insert the dat a card in the dat a card tr ay and in st all the lo aded tr a y into the da ta card slot in the F R2 . 2. Selec t READ SETUP from th e setup me nu. 3. A new screen comes up. If the F R2 cannot read the dat a card or cannot fi nd a valid setup on the dat a card, the screen d isplays a NO SETUP FILE error mess age. Otherwise, the F R2 begin s reading the setup i nforma tion from the dat a card immed iately. 4. If you sele ct EXIT before th e tr ansfe r is complet e, the revise d setup wi ll not be copie d. W he n the tr ansfer is finish ed, the screen display s a SETUP COMPLET E mess age. Y our F R2 immedia tely uses th e revised setup. Sending and Receiving Clock Settings T o synchronize the clock setting s of your HeartS ta rt F R2 with the cl ock of another F R2 or a computer run ning He artSt art Ev ent Revie w softw are, you can use th e infr ared commu nication s featur e. Instruct ions for synchroniz ing clock setting s using a com puter runni ng HeartS t art Event Re view are pro vided w ith the Hea rtSt art Even t Review software. T o tra nsfer clo c k set tings from one F R2 t o anothe r: 1. Remove and reinst a ll the batt ery of both F R2 device s to bring up the first menu scree n. 2. Selec t NEXT t o go to the secon d menu scree n. 3. Selec t CLOCK from the second men u screen. The CLOCK sc reen then comes u p. 4. Locate th e infr ared commun icatio ns port on each F R2 and line them up with one an other, so that the in fra red âÂÂeye â in each one has an
Setup and Adva nced Mode Feat ures 6-9 Philips Medical Sy stems 6 uninterru pted v iew of the âÂÂeyeâ in the other . (Se e the d iagr am on the bac k of the f irst page of this manu al.) T he two dev ices should be no more than 1 meter apa rt. 5. Selec t SEND TIME from the CL OCK screen on the âÂÂs endingâ HeartS tart FR 2 . 6. Selec t RECEIVE TIME fro m the CLOC K screen of the âÂÂrece ivingâ F R2 . 7 . A new screen come s up. Until the tw o FR2 devi ces are pro perly positione d, the scree n on the receiv ing F R2 disp lays READY TO RECEIVE and promp ts you to check the sending F R2 . T he screen on the se nding F R2 d isplays READY TO SEND and pro mpts you to check the r eceiving F R2 . 8. Cloc k setting s are au toma tical ly transfe rred as s oon as the inf rared ports are c orrectly alig ned. Using Advanced Mode Features The Heart Sta rt F R2 provid es an adva nced mo de t hat al lows re sponders who are appropriately tr ained to ov erride the programm ed FR2 protocol and t ake res ponsibil ity for cert ain as pects of th e oper atin g sequenc e used by the F R2 to trea t the pati ent. As desc ribed earlie r in this chapter, the factor y defaul t setup of the F R2 must be modified t o provide a ccess to advanc ed mode fe atures. This requires use of the adm inistr ation function of th e M3 8 64 A tra ining & admi nist r atio n pack. If you are an expert user a uthorized by your Me dical Direc tor to modify setu p, hold dow n both the Op tion butt ons while inst alling the tra ining & admini str ation pack in the F R2 , th en selec t SETU P . Then se lect MODIFY SETUP from the SETUP menu. S elect ADVANCE D from the third me nu of the MODI FY SETUP menu. Using the up per Opt ion button, scro ll through th e avai lable sett ings for ADVANCE D . The advanc ed mode opt ions available are base d on the FR 2
M3860A/ M3861A HEA RTSTART FR2 6-10 Philips Medical Sy stems model used . For the M38 6 0A, the us er can select ANA LYZE , CHA R G E , or OFF . For the M3 8 61A the user ca n select only ANAL YZE or OFF . (Det ailed directio ns for use are s upplied with the tr aining & adminis tra tion pack.) CAU TI ON : Al ter ation of th e factory d efault setu p of the F R2 can affe ct its performanc e and should be performed under the a uthorization of your Medical Dire ctor . Mo dification s to device oper ation resulting from c hanges to the defa ult setti ngs shoul d be speci fically covered in us er tr aining. CAU TI ON : The Heart Sta rt F R2 advance d modeâÂÂs MANUAL CHA RG E feature is intend ed for use on ly by autho rized ope r ators who have been specifi cally train ed in cardia c rhythm reco gnition and in defibr illation thera py using manual c harge and shoc k delivery . Th e ANALYZE f eatur e is p articul arly us eful f or orga nizat ions th at in clude responders who have B asic L ife Su pport (B LS) tr ain ing as well as more highly trained resp onders who ma y be ce rtified in A dvanced Life Su pport (ALS). In such situations, th e Medical D irector may set up a âÂÂtiered-responseâ system. The HeartStart FR 2 is specifically designed to provid e di fferent produc t feat ures a ppropriat e to eac h tier of re sponder . In a scena rio where a B L S respon der is the first o n the sc ene of a n incid ent, he or sh e is trained to tr eat th e patien t immedi ately â for example, to ch ec k for breat hing and responsiven ess; to a pply the defibrillat or pads and conn ect them to the He artSt art F R2 ; and to follow the voic e and text pr ompts provide d by the He artSt art F R2 in its automate d (AE D) mode. W hen a n AL S-tr ained responder a rrives, the B LS responder âÂÂhands offâ the pa tientâÂÂs care to the more hi ghly tr ained responder. Becaus e these seco nd-tier res ponde rs have adv anced tr a ining and develop ed clini cal skill s, they may be au thoriz ed to access the adva nced mode feature s of the HeartS ta rt FR 2 . These includ e user-ini tiated ana lysis and manual c h arge and disarm control. Using t he manua l analy ze feat ure The Manual Analyz e featu re is avai labl e in both the M 3 86 0A and th e M3 8 61A models , when ena bled in setup. T o enter the adv anced mode during use of an F R2 that has thi s feature enabled, press both Option but tons simu ltane ously. This brings up a screen that in cludes a hi ghlig hted lin e at the botto m, labe led ANALYZ E , with an arrowh ead po inting to t he lo wer Op tion button.
Setup and Adva nced Mode Feat ures 6-11 Philips Medical Sy stems 6 In the M3 8 61A HeartSt art F R2 , the pati entâÂÂs E C G is not dis playe d; in the M3 8 60 A, the disp lay inclu des the p atientâÂÂs E C G and heart r ate. Press the low er Option butt on ( ANALYZ E ) to in itiate rhythm analy sis by the FR2 . If a shoc k is advised , the FR2 au tomati cally c harges, an d prompt s you to press the Shoc k button. After shock delivery , the HeartSta rt F R2 returns to the advanced mode displa y and monito rs the pat ientâÂÂs heart rhy thm. If a poten tially s hockabl e rhythm is dete cted, t he te xt and voice prompt s ad vise yo u to PRESS ANALYZ E . NOTE : If you do not press the lower Op tion but ton (labeled ANA LYZE ) to initiate rhythm an alysis when prom pted, the HeartSt a rt F R2 does not anal yze and prompt if a shock is ad vised . It is imp ort ant th at you und ers tan d that en tering the a dvanced mod e ent ails ta king re sponsib ility f or the se func tions. If the rhythm anal ysis results in a Shock Advised de cision, the FR2 begins charg ing, prompts you to press th e Shoc k button, and displays a MANU AL DISARM option at the top of the scr een. If for any reas on you w ant to canc el the shoc k, press the upper O ption butt on to disarm th e FR2 . T o retur n to non -manu al, AED mode operatio n, tu rn the FR2 o ff by pre ssing the O n/Off bu tton . T hen turn the FR2 on by pr essin g the On/Of f butto n again . Using the manual charge f eature (M386 0A only) The manual charge fe ature is a vailable on ly in the M 38 6 0A , when ena bled in setup. T o enter the adv anced mode during use of a n FR2 that has this feature enabled, pres s both Option buttons si mu lta neousl y . This brings up a scree n that in cludes a hi ghlig hted lin e at the top, la beled MANU AL , with an arrowhead point ing to the uppe r Option button, an d another at the bottom, labele d ANAL YZE , with an arrowhea d poin ting to the low er Option button. W h en the adv anced mode is entered , display of the p atientâÂÂs E C G and hea rt r ate is automa tically in itiat ed. Pressing the low er Op tion bu tton ( ANALYZE ) provi des user-i nitiated rhy thm analysis as describe d above. Pressi ng the uppe r Option button ( MANU AL ) brings up a new screen.
M3860A/ M3861A HEA RTSTART FR2 6-12 Philips Medical Sy stems The highlig hted top line is la beled MANU AL CH AR G E , wit h an ar rowhead pointin g to the upper Op tion button. If the E C G display s hows that, in your expert clin ical jud gment, the pat ient has a shockable rhy thm, press the upper Opt ion button ( MANUAL CHA R G E ). The HeartSta rt F R2 w ill immediately charge for shock delivery. As soon as ch arging begi ns, the screen message c hanges to CHA R G I NG , STAND CLEAR , and the la bel for the a rrowhead poi nting to the upper Optio n button c hanges to MANUAL DISARM . T he FR2 beeps w hile it is c harging. W hen the beepin g chan ges to a continuou s to ne and t he S hock button light f lashe s, press the S hock button to deliv er a shoc k. However , if the ECG display shows that the patientâÂÂs rhythm has c han ged to a non -shocka ble rhythm , press the up per Opti on button to d is arm the Hea rtSt art F R2 . After shock delivery, the HeartSt art F R2 ret urns to the in itial adva nced mode scre en. T o re turn to non-ma nual, A E D m ode o per ation, turn th e F R2 off by pre ssi ng the On/O ff bu tton . Then turn the F R2 on by pres sing the On/Off button again.
7-1 Philips Medical Sy stems 7 7 Data Manage ment and Re view Overview The HeartSt art F R2 is desig ned to make it easy to man age inci dent dat a. Some info rmation is au tomatica lly stored in the interna l memory of the HeartStart FR2 . More det ailed data can be stored on a data card if desired. The incident inform ation st ored in t he Heart Sta rt F R2 âÂÂs i nternal me mory , or a sum mary o f the i nformatio n reco rded on the dat a card , can t hen be displayed on the Heart Start F R2 screen for review. In addition, HeartSt art Event Rev iew* soft wa re can be used on a personal computer to s tore and review the de tai led reco rded inf ormation f rom a d at a card. Recording Incident Data The HeartStart F R2 has two ways of rec ording information abou t an emergenc y inciden t so that it ca n be review ed afte r the incide nt: in intern al memory and on an optional dat a card. Recording da t a in inter nal memory Summary d at a for an inc ident is au tomatica lly reco rded in inter nal memo ry by the F R2 wh ile you a re usin g it. Recording da t a on a data card The M3 854 A dat a card ca n be used to store sever al hours of det ail ed incide nt data, in cluding event s and ECG. IMPORTANT NO TE : T o reco rd in cident data on a data ca rd, the data ca rd must be installed before you tu rn o n the FR2 . CAU TI ON : The FR 2 is des igned to be us ed only wi th Philips-a pprove d acces sori es. T he FR2 may perf orm i mproper ly if non-ap prove d acces sori es are u sed. * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 7-2 Philips Medical Sy stems T o inst all a dat a c ard : 1. Make s ure the dat a card i s clean and d ry . 2. Load the da ta ca rd into its pla stic tr ay , with the tra yâÂÂs âÂÂtong ueâ fitting over t he matching y ellow a rea on the da t a card. Th e label on the ca rd should face up. The label ha s an arrow in dicati ng which side to insert into the da ta card port. 3. Make sur e the F R 2 i s off (in st andb y mod e), or th at t he bat tery h as been re moved. 4. Hold th e loa ded tr ay by it s handl e and gent ly inse rt the tr a y into the da ta card port on the rig ht side of the F R2 . Pu sh the tr ay all the w ay into th e port until on ly the t ab remain s outside th e FR2 case. Do not f orce the tr ay into the po rt. If t he tr ay is hard to insert, re move i t and make s ure that the arrow label is face up and pointing t oward t he dat a card port. The dat a c ard will auto matically record incid ent da ta the next time the HeartS tart F R2 i s turne d on. T o avoid runni ng out of dat a card space duri ng an incide nt, it is recom mende d that eac h data ca rd be us ed to record th e information for only one incid ent and tha t it be replac ed after ea ch use of the F R2 . If you reco rd inform ation from more than one incid ent on a dat a card , it is import a nt t o revi ew h ow mu c h t ime i s le ft on the us ed d at a ca rd be fore recording a new inci dent. T o do th is, load th e dat a card in to the dat a card tr ay , insert the tr ay in th e FR 2 , then rem ove and rein st all the ba ttery . The first screen displayed shows how much recording time remains on the card. NOTE : Duri ng an i ncide nt, if for a ny reas on yo u turn off t he FR2 for le ss than five minutes, the F R 2 co nsiders this to be a âÂÂcontinu ed use â situa tion, and : ⢠the inform ation st ored a bout the in ciden t is saved, ⢠addi tional eve nts reco rded afte r the device is turned bac k on will be treated a s part of the sa me inci dent, a nd ⢠the selftest wi ll not autom aticall y run if the ba ttery is repla ced. IMPORTANT NO TE : Do not remove the b attery while incid ent da ta are being record ed to a dat a card . T o ensu re that no incident d at a are lost, tur n the FR2 off (re turn it t o standby mode) before repl acing th e battery .
Data Manageme nt and R eview 7-3 Philips Medical Sy stems 7 T o replace a dat a card: IMPORTANT : Y ou must turn the F R2 off (return it to st andby mode) before you remove the dat a card, to ensure tha t no incide nt dat a are lost. 1. Press th e On/Off button to turn off t he FR2 . Never replac e the data card unle ss the F R2 is tu rned off. 2. Remove the loaded da ta card tray by grasping i ts handle and pulli ng it out of the port. 3. Remove th e data card fro m the tray . 4. Give the data card t o the appropriat e person in your organi zation. 5. Becaus e it helps se al the F R2 a gainst mois ture, the d ata c ard tray should always be reinser ted into the por t of the FR2 . Either load a new dat a car d into t he tr a y and insert it, or insert t he em pty dat a card tr ay i nto the por t. Reviewing Incident Data Review ing dat a fr om in ternal memo ry Summ ary inf orma tion fr om th e la st inc ident that is st ored in th e int ernal memory o f the HeartSt art FR2 can be displayed on its screen for review. T o revi ew th is in format ion: 1. Remove the data card if one is installed and unplug the pads connector . 2. Remove an d reinst all th e batt ery . (Make sure you are using the gra y M38 63A FR2 standard batt ery or the blue M384 8A rec h argea ble battery, not the yellow tr ain ing & admin istr ation pa ck.) 3. Selec t REVIEW INCIDENT from the men u. A new scre en comes up . 4. Observe and record, if desired, the summa ry information displaye d on the sc reen: î how long th e inciden t recorded by the F R2 las ted, and î how many shocks were d eliver ed during the incident. This information s ta ys in the F R2 âÂÂs memory and can b e displaye d for review until the ne xt time the F R2 is used. At that ti me, the da ta from the new incide nt will be display ed.
M3860A/ M3861A HEA RTSTART FR2 7-4 Philips Medical Sy stems Reviewi ng data from a data card If a dat a card i s inst alled w hen the Hea rtSta rt FR 2 is t urned on for use during an inciden t, the HeartSt art F R2 a utomaticall y records det ailed informatio n on the data card. T o review this informa tion on the He artSta rt F R2 screen: 1. Make sure t he trai ning & adm inistrat ion pa ck is not inst al led. 2. Make s ure the dat a ca rd is inst alle d. Unp lug the pad s conne ctor . 3. Remov e and re inst all th e batt ery . 4. Selec t REVIEW INCIDENT from the men u. A new scre en comes up. This screen display s: î ELAPSED TIME â how long the incident recorded by the F R2 lasted, * î SHOC KS DELIVERED â h ow many shoc ks were delivered during the inciden t, and î FIRST SHOC KS AT â the times at which the first three shocks we re delivered. NOTE : If the dat a card does not cont ain eve nt data , only the su mmary inform ation from FR 2 interna l memory wi ll be d isplayed w hen R EVI E W I N C I DE NT is select ed. 5. T o review the e vents that occur red d uring the in cident , sel ect REVIEW EVENTS . A new screen comes up. This a nd following screens, accessed by sel ecting NEXT EVENTS , disp lay elap sed ti me informati on for criti cal acti viti es in us ing the FR2 . T hese incl ude: î POWER ON â when the FR2 was tu rned on, î PADS ON â when the de fibrill ator pad s were conn ected, î SHOCK ADVISED â when a shock was advised, î ARMED â when the FR2 charge d for shoc k delivery , î SHOCKED â w hen a sho ck w as d eli ver ed, î SHOCK ABO RTED â when a shock was aborted, î PAUSE FOR CPR â when a pause occurred î POWER OFF â when the FR2 was turn ed off * Th e FR2 display s elapsed time to a maximum of 99:59 minut es. If th e elapsed time of u se extend s beyond t his figure , the minu tes are represen ted by âÂÂ??â but the seconds are displayed. How ever , total elap sed time will be rec orded on an inst alled dat a card for later review with HeartS tart Event Review dat a managemen t software .
Data Manageme nt and R eview 7-5 Philips Medical Sy stems 7 Additi onal informatio n may be displ ayed if your FR2 is usi ng a revised setup allowin g adva nced mod e ope rati on. 6. T o review the f i rst six secon ds of the r ecord ed pr esenti ng ECG for t he inciden t, select REVI EW ECG . A new s creen comes up. This screen displa ys a three-s econd se gment of the prese nting ECG from t he inciden t. 7. S e l e c t NEXT ECG SEGMENT to review the s econd th ree-seco nd segmen t of the presen ting ECG . Data cards can be reused if desire d. Using a p ersonal comp uter runn ing HeartS tart Event Review s oftw are, y ou ca n copy the infor mation from a d at a card, t hen er ase the card and reus e it in the FR2 .
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
A-1 Philips Medical Sy stems A A Accessories for the Hear tSt ar t F R2 HeartSt art Accessories Acces sories fo r the HeartS tar t FR 2 av ailabl e separ ate ly from Phil ips Medica l System s includ e the follow ing: î Spare M3 86 3A FR2 st andard battery (recomme nded) î DP2/ D P6 adult def ibrillat or pads î M38 7 0A F R2 infa nt/c hild red uced-en ergy defibril lator pads î Spare M3 853A dat a ca rd tra y î M3 85 4A da t a card an d tr ay î M38 68A fabric car rying ca se î M3 8 69 A viny l carryi ng case î M3 85 7A w all moun t bra cket î M38 48A F R2 rec hargeab le battery * â î M 3849A c ha rg e r , f o r t he M3848A FR2 re c ha r ge a ble ba tt er y on ly ; incl udes powe r cord î 68-P C HA T fast response kit (pouch containing a pocket mask, a disposable razor , 2 pairs of gloves, a pair of paramedics scissors, and an absor bent w ipe) î M387 3 A/ M3 8 7 4A FR 2 EC G assessment module, for use only w ith an M3 8 60 A FR 2 config ured for E C G displa y , for connecti on to E CG electrod es per AAM I (M3 8 73A) or I E C (M3 8 7 4A ) conven tion â î M386 4A traini ng & a dminis tration pa ck î M3 855A charge r , for the tr ain ing & admi nistr ation p ack only; includ es power cord î PF E7 023D/ P F E7 024D defibrillat or cabinets î 0 7 -109 00 trai ning pads â¡ î Y C h ardshell w aterproof carrying c ase * The M3 8 4 8A FR 2 recha rge able ba ttery is de signe d for e nviro nmen ts in which the FR 2 Defibrillator is expected to see frequent use. T his battery is not designed for use in aircraft. It i s recomme nded th at this batter y not be used as a sp are or backu p batt ery and, due t o its shorter st andby life, that it not be used as t he primary or sp are battery in app lications where the FR2 Defibril lator is i nfrequen tly used, such as the home , commerci al business, or commercia l airlines en vironment s. â These p roducts can be used only with FR2 Defibrillators runni ng software version 1.5 or highe r . â¡ I M P ORT ANT: Never store tr aining pads w ith the defibrillator .
M3860A/ M3861A HEA RTSTART FR2 A-2 Philips Medical Sy stems Suggested Additional Items I t m a y b e u s e f u l t o k e ep so m e ad d it io n al i t e ms w it h y o ur H ea rt S t a r t F R 2 f o r use if need ed when an i ncident occurs . Some suggest ed su pplies include : î a pair of paramedicâÂÂs shears or scissors * î a disp os able r az or desi gned fo r removi ng chest hair * î a pocket mask or face s hield * î disposable gloves * î a towel or anti septic w ipes * î a source of oxygen Y our medic al director may have other requi rements fo r suppli es. * Conta ined in the fast response kit available from Philips Medical Systems
Philips Medical Sy stems B B-1 B T echnica l Spec ificat ions The specific ations fo r the HeartS ta rt FR 2 provid ed in this c hapt er apply to both the M 3 86 0A and M 3 861A, unless otherwise no ted. Addition al inform ation can b e found in th e T echnic al Refer ence Ma nual for the F R2 Defibril lator, located onlin e at w ww .medica l.philips .com. HeartSt ar t F R2 Defibrillator S pecifications Physical Environment al categor y nomi nal spe cifica tions Size 2.6" high x 8. 6" wide x 8.6" deep (6.6 cm x 21.8 cm x 21 .8 cm). We i g h t Approximately 4.7 lbs (2.1 kg) with M38 63A FR2 standa rd battery installed. Approxi mately 4.5 lbs (2 kg) with optional M384 8A FR2 rechargeable battery inst al led. categor y nominal specifica tions Operating T emperature and Hum idity 32ð to 122ð F (0ð to 50ð C). 0% to 95% relative humidity (non-condensing) . Standby T emperatur e and Hum idity 32ð t o 10 9ð F (0 ð to 43ð C). 0% to 75% relative humidity (non-condensing) . Applies to HeartSt art F R2 with batter y installed a nd stored with defibri llator pads. Altitu de Meets M I L-8 10E 5 00.3, Procedure I I (-500 feet to 15,000 feet). Shoc k/ Dro p Abuse To l e r a n c e Meets M I L-S TD-810E 516.4, Procedure IV (after a 1 meter drop to any edge, corner , or surface, in standb y mode). Vib rat io n Meets MI L-S TD-810E 514.4-1 7 . Sealing W i th data card tray a nd battery inst alled, meets I E C 529 class I P54. ESD Meets E N 61000-4-2: 199 8 Severity Level 4. EMI ( Ra d i a te d ) Meets E N 60 601-1-2 limits (1993), method E N 55011:199 8 Group 1 Level B.
M3860A/ M3861A HEA RTSTART FR2 B-2 Philips Medical Sy stems Defibrillat or EMI ( Im m u n it y ) Meets E N 60 601-1-2 limits (1993), method E N 61000- 4-3:1998 Level 2 (3 V/m and 10 V/m at 26 M Hz to 1 G Hz). Air cra ft: Meth od Meets RT CA/ D O-160D:1997 Section 21 (Category M - Charging). categor y nominal specifica tions categor y nominal specifica tions W avefo rm Pa ramet ers Biphasic trun cated exponent ial. W avefo rm paramet ers are aut omaticall y adjusted as a function of patient defi brillation impedance. In the diagr am at left , A is t he dur ation of phase 1 and B is the dur ati on of phase 2 of t he w aveform, C i s the i nterphase del ay , V p is t he peak voltage, and V f the final volt age. The HeartStart FR2 del ivers shocks to load impedances from 25 to 180 ohms. The duration of each phase of the w aveform is dynamically adjusted based on delivered charge, in order to compensa te for patient impedance variations, a s shown below: adult defibril lation load phas e 1 phas e 2 deliv ere d resistance (ohms) duration (ms) duration (ms) energy (J) 25 2.8 2.8 14 0 50 4.09 4.09 150 100 9.0 6.0 15 7 125 12.0 8.0 161 150 12.0 8.0 15 7 pediatric defibrilla tion (using M38 7 0A FR2 infant/c hild reduced-en ergy defibrillator pad s) load phas e 1 phas e 2 deliv ere d resistance (ohms) duration (ms) duration (ms) energy (J) 25 4 .1 4.1 35 50 5 . 8 3 . 8 48 100 7 .2 4.8 55 125 7 .2 4.8 54 150 9.0 6.0 55 NO TE: The values given are nominal. Because of the effec t of the M387 0A FR2 infant/child padsâ att enuation circu itry on the defibrilla torâÂÂs impeda nce compensa tion fe ature, t he actual phase du rations for a given load resis tance o n the table above could be those of an adjacent row .
T ech nica l Specificat ions B-3 Philips Medical Sy stems B Energ y Using adult defib rilla tor pads: 150 J nomin al into a 50 ohm lo ad. Using infant/child reduced-energy defibrillator pads: 5 0 J nominal into a 5 0 ohm load. S ample pediatric energy doses: age energy dose newborn 14 J /kg 1 year 5 J /kg 2 â 3 years 4 J /kg 4 â 5 years 3 J /kg 6 â 8 years 2 J /kg Doses indicated are based on C DC growth cha rts for the 5 0th percentile weights for boy s. * * National Center for Health St atistics in collabor ation with the National Ce nter for Chronic D isease Pr evention and Heal th Promoti on. CDC grow th c har ts: weight-for-age percentiles, revised and corrected November 28, 200 0. Atlanta, GA: Centers for Disease Control and Pr evention é 2000. Charge Co ntrol Controlled by Patient Analysis System for automated oper ation. Can be programmed f or manual initiation using advanced mode of the M38 6 0A. Charge Time from âÂÂShock Adv isedâ < 10 seconds typical, including confirming a nalysis. Charge time increases near end of battery service life. Shoc k-to-Shoc k Cycle T ime < 20 seconds typical, including ana lysis, in AE D mode. âÂÂCharge Com pleteâ Indicator Shock button flashes, audio tone sounds. Disa rm (AED mode) Once charged, the HeartStart F R2 will dis arm if: ⢠patientâÂÂs heart rhythm changes to non-shockable rhythm, OR ⢠a shock is not delivered within 30 seconds af ter the FR2 is armed, OR ⢠the P AUS E button (if enabled) is pressed, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrillator pad s are removed from the patient or the pa ds connector is disconnected from the F R2 . categor y nominal specifica tions
M3860A/ M3861A HEA RTSTART FR2 B-4 Philips Medical Sy stems E CG Analysis System Disarm (advan ced mode ) Once charged, the HeartStart F R2 will dis arm if: in advanced mode ANAL YZ E ⢠the manual dis arm button is pressed, OR ⢠a patientâÂÂs heart rhythm changes to non-shockable rhythm, OR ⢠a shock is not delivered within 30 seconds af ter the FR2 is armed, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrilla tor pads are remo ved from the patient, OR ⢠the pads connector is disconnected from the F R2 . in advanced m ode CHARG E (M38 60A only) ⢠the manual dis arm button is pressed, OR ⢠a shock is not delivered within 30 s after charging, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrilla tor pads are remo ved from the patient, OR ⢠the pads connector is disconnected from the F R2 . Shoc k Delivery V ector V ia adult defibri llator pads place d in the anterior-a nterior (Lead I I) position or via FR2 infant/child reduced-energy defibrillator pads pl aced in the anterior-posterior position. categor y nominal specifica tions categor y nominal specifica tions Fu nc ti on Evaluates impedance of defibr illator pads for proper contact with pati ent skin, and evaluates the EC G rhythm and si gnal quality to determine if a shoc k is appropriate. Protoc ols Fo llows pre-progr ammed settings to match local E M S guidelines or medical protocols. The settings can be modified using the setup options. Shoc kable Rhythms V entr icular fibrillation (VF) a nd certain ventri cular ta c hycardias, including ventricular flutter and polymorphic ventricular t achycardia (VT). The Hear tSt art FR2 uses multiple par ameters to determine if a rhythm is shockable. NO TE: For safe ty reas ons, some v ery lo w-amplitude or lo w-freque ncy rhythms may not be inter preted as shoc kable VF rhythms. Also, some VT rhythms may not be interpreted as shoc kable rhy thms. CPR rates sign ificantly above 100 compr essions per minute can ca use inco rrect o r delayed analysi s by the Heart Star t FR2 . Asystole On detection of asystole, pr ovides CP R prompt at pro grammed interva l.
T ech nica l Specificat ions B-5 Philips Medical Sy stems B Disp lay Cont rols and i ndic ator s Pacemaker Detec tion On detection of a pacemaker (in advanced mode or with M38 73A/M3 8 7 4A F R2 EC G assessment module), provides scr een display of PAC EMAK ER DETECTED alert. M3 86 0A includes pa cemaker artifact in E CG display. In both models, pacemaker artifact is removed from the si gnal for rhythm analysis. categor y nominal specifica tions categor y nominal specifica tions Monitor ed ECG Lead EC G information is received from adult defibrillator pads in anterior-anterior (Lead I I) position or fr om FR2 infa nt/child reduced-energy defibrillator pads in an te ri or -p os ter ior po s iti on . ( Disp lay ed on M3860A o nly .) ECG inf orm at ion c an a lso be dis pl aye d i n the M3860A usi ng th e FR2 ECG assessment m odule. N O T E : The ECG disp lay provided by the FR2 Defi brillator is not is not intended to p rovide diagnostic or ST segment interpret ation. Display Range ( M38 60A on ly ) Differen tial: ñ2 mV full scale, nominal. Screen T ype High-resolution liquid cr ystal di splay (L C D) with backlight. Screen Dimensions 2. 8" wid e x 2. 3" h igh (7 0 m m x 5 8 mm). Sweep Speed ( M38 60A on ly ) 23 mm/s nominal. ECG Display 3 second-segments displayed (M38 6 0A only). Fr eq uency Response (Ban dwidth ) Nondiagnostic rhythm monitor 1 Hz to 20 Hz (-3 dB), nominal. Sensitivi ty 1.16 cm/mV , nominal. Hear t Rate Disp laye d (Norm al Sin us Rhy thm) 30 to 300 bpm, upda ted each analysis period. Displ ayed (M38 60 A only) during monitoring and ad vanced modes. categor y nominal specifica tions L CD Screen High-resolution, backlighted L CD scr een, displays text mess ages and (model M3860 A o nl y) ECG.
M3860A/ M3861A HEA RTSTART FR2 B-6 Philips Medical Sy stems Accessories Spec ifications M3 86 3A F R2 stan dard ba ttery Control s On/Off button Shock but ton Option buttons LE D I n d ic a to r s Connector socket LE D, flashes to indicate socket location. LE D is c overed when defibrillator pad connector is properly inserted. Shoc k button LE D flashes when defibrilla tor is armed. Audio Speake r Provides voice pr ompts (volume is a djusta ble via Setup screen). Beeper Chirps when a selftest has failed. Provides various warning beep s during normal use. St atus I ndic a tor Status indicator L CD displays device readiness for use. Low Battery Detect ion Automatic during daily peri odic selftesting. Low Battery Indic at or Solid or flashing r ed X Sta tus Indicator on front panel; screen display LOW BATTERY or RE PLACE BATTERY w arning, as appropriate . categor y nominal specifica tions categor y nominal sp ecific ations Batte ry T ype 12 VDC, 4.2 Ah, lithium manganese dioxide. Disposabl e, long-life primary cell. Capac ity W hen new, a minimum of 300 shocks or 12 hours of operating ti me at 7 7ð F (25ð C). Shelf Life (prio r to inst all ation) T ypically , 5 year s from date of manufacture when s tored under standby environmental cond itions in original packaging. Standby Life (after installati on) T ypically , 5 year s. >4 years when stored under standby environmental conditions (battery installed, F R2 unused). St atus I ndic a tors Good battery: flashing black hourglass on the fr ont panel of the F R2 . Low battery: flashing red X on the front panel of the F R2 . Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 32ð to 10 9ð F (0 ð to 43ð C).
T ech nica l Specificat ions B-7 Philips Medical Sy stems B (Opti onal) M3848A FR2 recha rgeab le bat tery (Optio nal) M3849A c harger M387 0 A and D P2/ D P6 defi brillator pa ds categor y nominal specif ication s Batte ry T ype 11.3 VDC, 6.5 Ah, lithium i on. Rechargeable cell using the M38 4 9A charger . Capac ity W hen freshly charged and used at 7 7 ð F (25ð C) , p rovides a minimum of 80 (typically 100) shocks, or 3.5 hours (typically 5 hours) of EC G display time only , before recharging is indicated. St atus I ndic a tors Good battery: bar graph on display screen indicating r emaining power level. Low battery: flashing red X on the front panel of the F R2 (W hen low battery indicator appears, there is still enough energ y to deliver 9 shocks plus 15 minutes of E C G d ispl ay ti me). Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 32ð to 10 9ð F (0 ð to 43ð C). Standby Life (after installati on) 6 months when insta lled fully charged in a defibrillator labeled F R2 . categor y nomi nal spe cifica tions Applicatio n F or us e wi th M3848A FR2 re cha rgea bl e b att ery on ly . Power Requirements 100 to 240 V AC, 4 7 to 63 Hz, 3 0 W atts Envir onment al Requirements 32ð to 122ð F (0ð to 50ð C). 0% to 95% relative humidity (non-condensing) . Conformance T esting Inte rnat ional : E N 60 335 -1:19 94 Class 1 North Ameri ca: U L 1310 Class 2 categor y nomi nal spe cifica tions Pads, Cable, and Connector Disposabl e and self-adhesive. DP2/ DP6 adult defibrillator pads have a nominal active surface area of 100 cm 2 each and are provided in a sealed pac kage with an integrated 122 cm (4 8 inch), typical, cable and connector . M3 8 7 0A FR2 infant/child r educed-energy defibrillator pads have a nominal active surface area of 44 c m 2 each a nd are provided in a sealed pac kage with an integrated 122 cm (48 inch), typical, cable and connector incorpora ting attenuating electronics.
M3860A/ M3861A HEA RTSTART FR2 B-8 Philips Medical Sy stems (Optiona l) M3 854A da ta c ard (Optiona l) M38 64A t raining & ad ministrat ion pack (Optio nal) M3855A c harger Defibrill ator Pad Requirements Use only DP2/ D P6, M38 7 0A, M3 713A, and M3 716A defibrillator pads wi th the HeartStart FR2 . Place the pads o n the patient as illustr ated on each pad. categor y nomi nal spe cifica tions categor y nomi nal spe cifica tions Capac ity 8 hours of event and EC G dat a, or 6 0 minutes with voice recording. categor y nominal specifica tions Batte ry T ype 12 V , 1.1 Ah, nickel metal h ydride. Dispos able, rechargeable cell using the M3855A c harge r . Capac ity Provides 4 hours of operating time at 7 7 ðF (25 ðC). St atus I ndic a tors Low battery: flashing red X on the front panel of the F R2 . Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 50ð to 104ð F (10ð to 40ð C). categor y nomi nal spe cifica tions Applicatio n F o r us e wit h M 3864A tra ini ng & adm inis trat io n p ac k on ly . Power Requirements W i th appropriate po wer cord, a ny AC mains power input or i nverter-type power sources. Envir onment al Requirements 32ð to 113ð F (0ð to 45ð C ). 35% to 85% relative humidity (non-condensing). Conformance T esting Int erna tiona l: E N6 0335 -1: 19 94 Clas s I North Ameri ca: U L 1310 Class 2
T ech nica l Specificat ions B-9 Philips Medical Sy stems B (Optiona l) M3 8 7 3A/ M387 4A F R 2 E C G asse ssment module cate gory nomin al sp ecif icatio ns Applicatio n F or u se wi th th e FR2 M3860A wit h ECG di sp la y e nab led a nd r unning version 1.5 softwa re or higher (denoted by FR2 on the front panel o r rear label). L ength a nd W eight 100 inc hes (182 cm); ⤠1 lb. ( 2.2 kg). Operating T emperature and Humid ity 32ð to 122 ð F (0ð to 50ð C); 0% to 95% relative humidity (non-condensing). Storage T emperatu re and Humid ity 32ð to 109ð F (0ð to 43ð C). 0% to 75% relative humidity (non-condensing). Patient Lea d Wire Designation M3 8 7 3A ( AAM I) : M3 8 7 4A (I E C): pos iti ve le ad â red positi ve lea d â green negative lead â w hite negative lead â red reference lead â black. reference lead â yellow T y pical (Lead I I) Connectio n Lead I I vectors: pos iti ve â le ft leg negative â right a rm reference â left arm. Other limb vectors can be obt ained by differ ent electrode positions. Batte ry T ype 3 V , 1 Ah, poly-carbonmonofluoride lithium (LiC Fx). Non-replaceable dispos able primary cell. Service Life Ty p i c a l l y , 5 y e a r s . P erf orma nce with FR2 Defibrill ator Meets environmental speci fications cited for F R2 Defibrillator on page B1 through B2.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
C-1 Philips Medical Sy stems C C Glossary of Symbols and Con trols Instructions for Use He art Sta rt FR2 M 3860A an d M386 1 A Defibrillator Symbols and Controls Cont rol p anel and ba ck labe l symbol descript ion Meets the r equirements of the European medi cal device directives. Printed on recycled paper . symbol descript ion On/Off button. T ur ns the HeartStart FR2 on or off; disarms HeartStart F R2 , sto ps automatic self-test. W hen the optional training & administr ation pack is being used in the T r aining function, this button is used to select and exit training scripts. Shock button. Delivers shock to patient when the HeartSt art FR2 is charged. Upper a nd lower Option but tons. All ow yo u to m ove around in and select an i tem from a display menu, provide adjustment of dis play screen contrast. Defibrillation protection. Defibrillation protected, typ e B F patient connection. O N ⢠O F F
M3860A/ M3861A HEA RTSTART FR2 C-2 Philips Medical Sy stems HeartStart FR2 dis play scre en High v olt age. Refer to operating instructions. Meets the r equirements of the European medi cal device directives. This product has passed relevant s afety tests by C SA, a nationally recognized test lab. IP 54 W ith data card tr ay and battery inst alled, meets I EC 529 class I P54. symbol descrip tion HR XX X Heart rate. XX Number of shocks delivered. XX:XX Time. How much time (minutes:seconds) has passed since the HeartStart FR2 w as turned on. TE M P E RA TU R E T emperature. Recommended storage tempera ture range has been exceeded since the last battery insertion self-test. SE T U P Setup. Setup has been lost fr om memory; factory default setup is being used. Cont act Medical Director for revised setup. R EV: X XX X.X XXXX Software. The version of softw are used in your HeartStart FR2 . symbol descript ion
Glossary of Symbols and Controls C- 3 Philips Medical Sy stems C Sta tus indic ator Accessories Symbols M387 0 A and D P2/ D P6 defi brillator pa ds symbol descripti on Flashing black hourglass. Ready for use. Solid r ed X . Not ready for use. (See Chapter 4, âÂÂMaintaining, T esti ng, and T roubleshooting Y our Hear tStart FR2 . âÂÂ) Flashing red X . T roubleshooting requ ired. (See Chapter 4, âÂÂMaintaining, T esti ng, and T roubleshooting Y our Hear tStart FR2 . âÂÂ) symbol de scripti on These pads are disposable and a re for single patient use only. Pouc h contents: one pair of d efibrillator pads. Store the pads at temper atures between 0ð and 43ð C (32ð and 110ð F). Refer to operating instructions. Non-sterile. Thi s product does no t contain na tural rubber latex.
M3860A/ M3861A HEA RTSTART FR2 C-4 Philips Medical Sy stems Lot number . Use the pads before the date shown. Date format is YYYY -M M. CA UTI O N: Feder a l law (U SA) r estri cts t his dev ice t o s ale by or on th e order of a physician. Pad placement for adults. (D P2/ D P6) Fo r use with Philips Heartstream/ HeartStart and Laerda l HeartStart ForeRunner , FR, a nd FR2 AE Ds. ( DP2/ D P6) Not for use with Laerdal HeartSt art models 911, 1000, 2000, 3000. (DP2/ DP6) Pad placement for infants and children younger than 8 years or lighter than 55 pounds (25 K g). (M387 0A) Meets the requirements of the E M C directives. (DP2/ D P6) Meets the r equirements of the European medi cal device directives. (M3 8 7 0 A) Box contents = 1 pouch. (M387 0A) symbol de scripti on
Glossary of Symbols and Controls C- 5 Philips Medical Sy stems C M3 86 3A st anda rd ba ttery and M3848A FR2 re charge able b atter y Box contents = 2 pouches. (DP2) Box contents = 6 pouches. (DP6) Thi s s i de up . Fr agi le. Protect from mo isture. Printed on recycled paper . symbol descrip tion Do not crush. Do not expose to high heat or open flames. Do not incinera te. Do not m utilate or open. Insta ll before t he date show n on this label. Da te format i s MM - YY Y Y . symbol descrip tion 2 6
M3860A/ M3861A HEA RTSTART FR2 C-6 Philips Medical Sy stems M3 849A c harge r for the M 384 8A F R2 re chargeab le batte ry Refer to operating instructions. Lithium manganese diox ide battery chemistry (M3863A) Li thiu m io n ba tte ry c hemi str y (M 3848A ) 12 volts direct current output. Insert into F R2 in this direction. Meets the r equirements of the European medi cal device directives. Fr agi le. Protect from mo isture. Contains o ne battery . Printed on recycled paper . symbol description Refer to operating instructions. symbol descrip tion
Glossary of Symbols and Controls C- 7 Philips Medical Sy stems C High v olt age. Protect from mo isture. On/Off indicator . Charger sta tus indicator . Meets the r equirements of the EM C directives. This product has passed relevant s afety tests by C SA, a nationally recognized test lab. This pr oduct has been certified by t he Austral ian Communication Authority . Printed on recycled paper . Electrical input. Electrical output symbol description N11695 V00341
M3860A/ M3861A HEA RTSTART FR2 C-8 Philips Medical Sy stems M387 3A/ M3 8 7 4A FR2 EC G assessment m odule M3 86 4A trainin g & administ ration pack symbol descriptio n Use the cable and electrodes before the respective dates show n on this labe l. Ship and store the product within the temper ature ra nges sho wn. Place the electrodes as shown. Meets the requirements of the E M C directives. Lot number . Refer to oper ating instructions. Printed on recycl ed paper . symbol descrip tion Refer to operating instructions.
Glossary of Symbols and Controls C- 9 Philips Medical Sy stems C Do not crush. Do not expose to high heat or open flames. Do not incinera te. Do not m utilate or open. Nickel metal hydride battery chemistry . 12 volts direct current output. Insert into F R2 in this direction. Meets the r equirements of the EM C directives. Kit contains T r aining & Administration Pack, Instructions for Use, and set of tr aining pa ds. Ship and store the product within the t empera ture ranges shown. Thi s s i de up . Fr agi le. Protect from mo isture. symbol descrip tion
M3860A/ M3861A HEA RTSTART FR2 C-10 Philips Medical Sy stems M3 855A c harge r for the M 38 64A training & administ ration p ack) Printed on recycled paper . symbol description Refer to operating instructions. High v olt age. Protect from mo isture. On/Off indicator . Charger sta tus indicator . Meets the r equirements of the EM C directives. Electrical input. Electrical output Printed on recycled paper . symbol descrip tion
D-1 Philips Medical Sy stems D D Glo ss ar y of T erm s The terms listed in th is Glos sary a re defi ned in the con text of the Hear tSt art FR 2 an d it s us e . advanced mode ..................... A program mable treatm ent m ode that permits an authorized user to contro l when the F R2 sta rts rhythm a nalysi s and (model M 38 6 0A o nly) when to begin de fibrillator c harging f or shoc k delivery . AE D ..... ..................................... Automated e xternal defibrilla tor . AE D mo de ....... ........................ The standard F R2 treatme nt mode, with voice and screen prompts guiding the responder through con necting the defi brillator pad s, w aiting for rhythm anal ysis, and deliver ing a s hock if need ed. In th is mode , heart r hythm analys is and monitori ng, and shock dec ision and chargi ng for shoc k delivery are autom aticall y perfor med by the F R2 . ALS ...... ..................................... Advan ced Life Support. anal ysis ......................... .......... See â SMA RT analys is. â arrhy thm ia ..................... .......... An unhea lthy , often irregular, beating of the h eart. batte ry ............. ........................ Se e âÂÂstandard battery â and âÂÂrec hargeabl e battery . â BL S ................................. .......... Ba sic Life Support. contin ued use ........................ A condition in which use of the HeartSt art F R2 is interr upted for less than five m inutes (e.g ., for batt ery repla cement ). W h en the ba ttery is reinsert ed or the uni t is t urned on agai n, the informa tion s tored abou t the interrup ted inciden t is s aved, any addi tional eve nts reco rded after th e battery is reinst alle d are treate d as part of th e sa me incide nt, and the selftest d oes not autom aticall y run when the b attery is reinst alled . CP R time r ................................ A program mable period provided by the HeartSt art F R2 during which the resp onder can admi nister C PR. defi brill ation .................. .......... T ermin ation of c ardiac fibril lation by a pplying electri cal energy defi brill ation charge .... .......... Elect rical energy stored i n the capacito r of the HeartSt art F R2 as it arms for shock de livery . defi brill ation sh ock ...... .......... See â SMA RT biphasi c waveform. â defi brill ator pa ds .......... .......... The self-adhesive elec trode pads applied to the adult patientâÂÂs bare chest or pediatric (under 8 ye ars of age or less than 55 lb./25 kg) patien tâÂÂs bare chest and back, and us ed to detect th e pati entâÂÂs hea rt rhythm and tr ansfe r the
M3860A/ M3861A HEA RTSTART FR2 D-2 Philips Medical Sy stems defibr illation sho c k. Us e only D P2/ DP6 , M3 87 0A, M3 713A , and M3 716A defibril lator pads with the HeartStart FR2 . ECG ............. ........................... .. Ele ctrocardiogr am, a display or printou t of the electrical rhythm of the heart as detec ted throug h defibr illato r pads. event ........................................ An action recogn ized or performe d by the HeartSt art F R2 as a step in th e seque nce of using the d evice in an incide nt. Ex am ples in clude: appl ying th e pads and connec ting th em to the He artStart FR2 , analyzi ng hea rt rhyth m, deliver ing a shock, etc. fibrill ation ... ............................. A distu rbance of t he normal he art rhythm tha t results in chaotic, diso rganized activit y that cann ot effecti vely pu mp blood. V ent ricular fib rillatio n (fibrilla tion in the lower chambers of the heart ) is associated with sudde n cardiac arrest. hear t rh ythm (EC G) a nalys is .................. A system used by the FR 2 to deter mine if the patien tâÂÂs heart rhythm is shockable â vent ricular fibrilla tion (VF) or cert ain ven tricular t achycardias (VT s). See â SMART analysis. â HeartSt art Event Review ...... A dedicated data management softw are sy stem (formerly sold as CodeRunne r) for use with t he HeartS tart F R 2 . It is availabl e from Ph ilips Medical S ystems on CD or on the w orld wide web at http://w ww .medical.philips.c om/goto/eventrev iew . imp edanc e ............................ .. Elect rically , this is the t otal opposi tion offered by the body to the flow of the electrica l shock wave form de livered by the HeartSt art F R2 . The F R2 autom atically m onitors the e lectric al imp edance b etween the defibril lator pads pla ced on the patient âÂÂs bare s kin, and adj usts the sh ock waveform appropriatel y . inci dent .................................. .. The series of eve nts involved in treat ing a patient with the Hea rtSt art FR 2 . infr ared commu nic atio ns ............... A method of sending i nformation using a special part of th e light spectrum. It is used to tr ansmit infor mation to and fro m the H eartSt ar t FR 2 an d anoth er F R2 or a comp uter running HeartSt a rt Event Rev iew soft wa re. manu al charge ....... ................ A feature of th e advanced mode used by an authorized ALS-certified responder tha t allows th e user to arm the HeartSt art FR2 for shock delivery. manu al di sarm ....................... A feature of th e advanced mode used by an authorized ALS-certified respon der tha t al lows t he use r to dum p th e Hea rtSt art F R 2 charg e internal ly . monitoring .............................. A mode of background analysis to determine if patien t rhythm has changed to a shocka ble rhythm .
Glossary of T erms D- 3 Philips Medical Sy stems D non-shockable rhyth m ........................... ..... A heart rhythm th at the H eartSt art F R2 de termines is not a ppropriate for shock de livery . NS A ..... ..................................... No Shock Advised decision, ma de by the HeartSt art F R2 based on analys is of the pat ientâÂÂs hea rt rhythm. pace maker .............................. Exte rnal or implanted car diac pulse genera tor tha t stimulates the heart electroni cally. pad s ......................................... Se e âÂÂdefibrillator pads. â pau se .. ..................................... A defined peri od during which the HeartSt art F R2 does not perf orm rhythm anal ysis. pediat ric defibr illat ion .. .......... Defibrillation of a child under eight years of age or 55 lbs. (25 Kg). It is recomme nded that F R2 infant/child redu ced-ene rgy de fibrill ator pads be used fo r pediat ric patients . peri odic s elftes ts ................... Daily , weekly, and monthly tests a utomaticall y conducted by the F R2 when it is in the standby mode. T he tests monitor many key functions and par ameters of the F R2 , inc luding battery ca pacit y and the s tat e of its internal circuitr y . presenting ECG ...................... The heart rhyth m seen by the HeartSt art F R2 whe n it is first connected to the pa tient (v ia the defib rillator pads) and begins rhy thm anal ysis. prompt s ........... ........................ The voice commands and screen te xt used to gu ide the re sponder through use of the Hea rtSt art F R2 to treat the pa tient . protoc ol ................................... A sequ ence of opera tions perfo rmed by the HeartSt art F R2 to direc t patien t care in the AE D mode. protoc ol t imeo ut .................... A program mable interval between shoc ks, used by the HeartSt art F R2 to decide if th e shocks are part of the s ame shock series . read (d ata ) .............................. A feature of the Heart Start F R2 th at allows it to read setup dat a from a M3 85 4A da t a card. rec ei v e ( d at a ) ......................... A feature of the He artSta rt FR2 th at allows use of its infr ared (I R) commun ications port to rece ive r evised s etup and c lock settings direct ly fr om an other dev ice. re ch arge able ba ttery .............. The M3 8 48 A FR2 rec hargeabl e battery , used with the M3 8 4 9A charger only . rec ord v oi c e ............................ An option al feature of the HeartSt art F R2 that allo ws sound recording to a dat a card du ring use of th e devi ce in an incid ent. Acti vation o f this featu re requires rev ision of the HeartSt art F R2 âÂÂs d efault sett ings.
M3860A/ M3861A HEA RTSTART FR2 D-4 Philips Medical Sy stems rhythm a nalysis ...................... Se e â SMART analys is. â send (dat a) ........................... .. A featu re of the HeartSt art F R2 that allows use of its infr ared (I R) commun ications port to send dat a direct ly to anoth er FR2 or a compute r running HeartS t art Event Revi ew W eb softw are. sensitivi ty ... ............................. A me asure of t he ability of the HeartSta rt F R2 to re liably dete ct and identi fy shocka ble heart rhy thms. setup ........................ ................ The settings of all programma ble operati ng paramete rs of the HeartSt art F R2 . The factory de fault se tup can be modif ied us ing the M3 8 6 4A tr ain ing & administ rati on pack. shoc k series ......................... .. One or more shocks, each separated by no more tha n a preset time (programm ed Protocol Timeout). After completion of a shock series, the Heart Start FR2 auto mati cally pauses f or CPR. shoc kable rhythm .. ................ V en tricular fibrill ation a nd certa in ventric ular t achycardias associa ted with sudden cardiac arrest. shoc k waveform ................... .. See â SMA RT biphasi c waveform. â S MART anal ysis .................... .. The proprieta ry algorithm used by the F R2 to an alyze the patient âÂÂs heart rhythm and determin e wheth er a shock is advised . S MART bipha sic waveform ................. ........... T h e patented , low-energy de fibrillati on shock wavef orm used by the F R2 . It is an imp edance-c ompen sa ted biph asi c wa veform wi th 15 0 Jo ules, nomi nal, delive red to a 50 ohm load. W hen deli vered vi a F R2 infant/c hild redu ced-en ergy defibr illat or pad s, the ener gy is atte nuated to 50 Jou les, nominal. specific ity ................ ................ A me asure of t he ability of the HeartSta rt F R2 to re liably dete ct and identi fy non-shock able heart rhythms. standard bat tery .................... .. The M3 8 63A battery, 12 VD C, 4.2 Ah, lithi um manganese dioxide, dispos able , long-l ife pr imary cell. standby mode ........ ................ The operat ing mode of the HeartSt art F R2 when a battery has been inst alled, and the u nit is tu rned off and rea dy for u se when ne eded. S hown by flash ing black hourgla ss on the St atu s Indicator. status indic ator ...................... This is a spe cial window in th e uppe r right-ha nd corner of the front pa nel of the Heart Sta rt F R2 that lets you know the st atus of the d evice. sudden ca rdiac arrest ........................ ........... The sudden cessation of th e heartâÂÂs pumping rhythm.
Glossary of T erms D- 5 Philips Medical Sy stems D training & admin istration pa ck ..... ..... An optional accessory f or the F R2 that ena bles tr aining and adm inistr ative function s. The integr a l battery should be charge d only usin g the M3 855 A cha rg er. wavefo rm ...................... .......... See â SMA RT biphasi c waveform. â write (da ta) .............................. A f eature of t he HeartS tart FR 2 that allows it to reco rd setup in formation on a dat a car d.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
I-1 Philips Medical Sy stems INDE X Inde x A acce ssories addition al, recomm ended A- 2 adult defibrilla tor pads A- 1 available to order A- 1 charger for M3848A rech argeable batte ry A- 1 charge r for tra ining & admini stration pack A- 1 data c ard A- 1 data card tray A- 1 fabric carrying cas e A- 1 fast response kit A- 1 FR2 ECG assessment module A- 1 infant /child de fibrillato r pads A- 1 rech argeable batte ry A- 1 standard battery A- 1 training & ad minist ration pack A-1 vinyl c arryin g case A- 1 wall mou nt bracket A- 1 adult defibrilla tor pads A- 1 advan ced mode definiti on 6-4, D-1 feat ures 6-9 manual analy ze 6-10 manual ch arge 6-11, 6-12, D-2 manual disa rm 6-12, D-2 program mable se ttings 6-4 tiered-r espons e feature s 6-9 user qu alific atio ns 6-9 AE D mode, defini tion D-1 AE D, defini tion D-1 AL S, defini tion D-1 applyi ng to ch ild pati ent 3-2 arrhyt hmia, defini tion D-1 asystole detec tion B-4 autosen d PST definiti on 6-1 programmable settings 6-1 B batte ry descripti on 2-1, D-1 inserti on selfte st 2-4 replacin g during u se 4-5, 7-2 batte ry history descripti on of data 4-10 reviewin g 4-1 0 battery insertion self-test failur e 4-14 battery insertion selftest descripti on 2-4 interact ive 4-7 recording test result s 4-6 BL S, d e f i n i t i o n D-1 C calibr a tion 4-1 cautions, w arn ings, an d dangers 5-2 cha rg e disarming B-3, B-4 time from Shock Advised B-3 chir p in g 4-11 cleanin g FR2 ECG assessment module 3-5 agents to use 4-3 guide lines 4-3
M3860A/ M3861A HEA RTSTART FR2 I-2 Philips Medical Sy stems clock receiv ing sett ings 2-3, 6-8 sending setti ngs 6-8 setting indep endentl y 2-4 synchro nizing 2-3 contin ued use 4-5, 7-2, D-1 con tr a st, adj ust ing 4-8 cont rols and in dicator s specifi cation s B-5 controls and symbols C-1 CP R prompt definiti on 6-3 program mable se ttings 6-3 CPR ti m er definiti on 6-2, D-1 program mable se ttings 6-2 D dangers, warnings, and caut ions 5-2 data card reading setup 6-8 recommend ed use 4-6 recording time av ailable 4-6 removing 7-3 replacing 7-3 defibril lation c harge D-1 defibr illation ther ap y 1-2 defibril lation, defi nition D-1 defibril lator specifi cation s B-2 defibril lator pads applyi ng to adult patie nt 3-2 applyi ng to patie nt 3-2 check ing befo re use 3-2 connecti ng to the FR 2 3-2 damage du ring CPR 3-6 descripti on D-1 positioning corre ctly 3-2 specifi cation s B-7 device hist ory descripti on of data 4-9 reviewin g 4-9 disarming the FR 2 in ad vanced mode B-4 in AED mode B-3 manual 6-12, B-4 display scre en adju sting co ntras t 4-8 specifi cation s B-5 DP 2/DP 6 a du lt de f ib ri l la to r p ad s A- 1 E EC G analysi s see SMAR T analys is EC G analysis system descripti on D-2 EC G assessment module 3-5 ECG d is pla y definiti on 6-1 programmable s ettings 6-1 specifi cation s B-5 E CG , de finit ion D-2 event, d efinit ion D-2 F fibrill ation, defin ition D-2 flash ing black hourgla ss see Status Indicat or flash ing red X see Status Indicat or
Index I-3 Philips Medical Sy stems INDE X G glossary of terms D-1 of symbols and controls C-1 H heart rh ythms shockable B-4 H e a r t S t a r t M 3 870 A F R 2 infant/ child reduce d-en ergy defibril lator pads A- 1 hourgla ss St atus Ind icator C-2 how to inst all the b attery 2-1 how to remove th e dat a card 7-3 how to review battery history 4-1 0 how to review device hi story 4-9 how t o revi ew th e pres entin g ECG 7-5 how to run the bat tery insertion selftest 2-4 how to use th e advanced mode 6-9 How to use the M3 8 7 3A/ M3 8 7 4A EC G assessment module 3-5 I impeda nce autom atic adjus tment of s hock wavefo rm B-2 troubleshootin g 4-1 3 impeda nce, def inition D-2 incide nt data definition of data on data card 7-4 definition of i nternal memory da ta 7-3 reviewi ng from data c ard 7-4 reviewing f rom intern al memory 7-3 incident , definiti on D-2 indi cations and cont raindicati ons 1-2 , 5-1 infrar ed commun icati ons desc ript ion D-2 receiving setup 6-6 inst alling the battery 2-1 L LC D d i s p l a y see display screen M M3 8 48 A re chargeab le ba ttery A- 1 , B-7 M3849A ch ar ge r f or M3848A rec harge able batt ery A- 1 , B - 7 M3 85 4A d at a ca rd A- 1 , B - 8 M3 855A charge r for M3 8 64 A tr aining & ad ministr ation pack A- 1 , B - 8 M3 85 7A w all moun t br acket A- 1 M3 8 60 A and M3 8 61A F R2 , desc ript ion 1-1 M3 8 63A ba ttery A- 1 , B - 6 M3 8 64 A tra ining & admi nistr ati on pack A- 1 , B - 8 M3868A car ry in g cas e A- 1 M38 7 0A FR2 infa nt/c hild reduced- energy defi brillato r pads A- 1 , B - 7 M38 7 3A/ M387 4A E CG assessment module 3-5, A-1 , B-8 main menu 2-2 maintena nce after u sing the FR2 4-2 clea ning 4-3 daily s elftest s 4-1
M3860A/ M3861A HEA RTSTART FR2 I-4 Philips Medical Sy stems monthly self tests 4-1 operatorâÂÂs ch ecklist 4-3 recommend ed sched ule 4-1 manual mode see adv anced mod e monitoring, description D-2 N non-shock able rhythm s D-3 NS A a ct io n definiti on 6-3 program mable se ttings 6-3 NS A, de f in it i o n D-3 O On/Off bu tton, descript ion of u ses C-1 oper ating te mper ature B-1 Opti on butt ons descripti on of uses C-1 to adjust display screen c ontrast 4-8 P pacemaker definiti on D-3 detection B-4 pads place ment, adult an d pediatric 3-2 patie nt impedan ce B-2 pause f or CP R, descripti on 3-4 pause key definiti on 6-4 program mable se ttings 6-4 pause, de finit ion D-3 pause, time in dicati on 3-4 pedia tric defi brilla tion choosin g defibr illator pa ds 3-2 periodic sel ftests definiti on D-3 descripti on 4-9 freque ncy 4-1 Statu s Indi cator alert s 4-9 presen ting E C G definiti on D-3 descripti on 7-5 prompt interva l monitor settings 6-5 prompt interva ls adva nced u se se ttings 6-5 definiti on 6-5 prompts, definiti on D-3 protocol timeou t definiti on 6-2, D-3 programmable s ettings 6-2 protocol, definition D-3 R record voic e definiti on 6-1, D-3 programmable s ettings 6-1 recording i ncident da ta in inte rnal memo ry 7-1 replacin g batter y during u se 7-2 replacin g data card 7-3 responder qualif ications and trai ning 1-2 resume key definiti on 6-5 programmable s ettings 6-5 reviewin g inci dent d at a from data car d 7-4 from inte rnal mem ory 7-3
Index I-5 Philips Medical Sy stems INDE X rhyt hm analys is see SMART an alysis S safety co nsid erations 5-1 selftests batte ry inserti on 2-4 daily 4-1 monthly 4-1 periodic 2-5, 4- 1 sensitiv ity , defin ition D-4 setup definiti on D-4 reading setup 6-8 receiv ing set up 6-6 shock see SMART biphasi c waveform Shock but ton, descript ion of use C-1 shock seri es definiti on 6-2, D-4 program mable se ttings 6-2 shock waveform see SMART bip hasic wavef orm shocka ble rhythms D-4 SMA RT ana ly sis definiti on D-4 during CPR 3-6 specifi cation s B-4 SMART biphasic waveform definiti on D-4 energy deli vered B-3 shock de livery ve ctor B-4 shock waveform B-2 specifi cation B-2 solid red X see Status Indicato r speaker volume definiti on 6-1 programmable settings 6-1 specifi cation s batte ry B-6 controls an d indicators B-5 defibrill ator B-2 defibrilla tor pads B-7 display scre en B-5 ECG ana lysis performanc e B-5 ECG analysis sy stem B-4 enviro nmental B-1 physic al B-1 specifi city, definition D-4 standby mode, definiti on D-4 standby te mperatur e B-1 Sta tus In dicator descripti on D-4 flash ing bla ck hourglas s C-2 flash ing red X 4-1 2, C-2 in standby mode 2-5 solid red X C-2 sterili zati on 4-3 stor age co nditions B-1 sudden cardi ac arre st, de finit ion D-4 symbols on acces sory packag ing C-3 on battery C-4 on FR2 con trol panel and back label C-1 on FR2 display scr een C-2 on FR2 status indic ator C-2 on I nstru ctions for U se C-1 symbols and controls C-1
M3860A/ M3861A HEA RTSTART FR2 I-6 Philips Medical Sy stems T temper at ure operating B-1 standby B-1 tiered-r espons e feature s 6-9 tr aining & admin istr ation pack charge r A- 1 descripti on D-5 troubleshootin g 4-11 U user , qualif ications and tr ainin g 1-2 W wa rnings, ca utions, an d dangers 5-2 wav ef orm see SMART biphasi c waveform X X St atus Ind icator flash ing or solid 4-11 solid 4-11
Philips Medical Sy stems Intentiona lly left b lank.
P OWE R T O SA VE A LIF E 011120-0010 M3860-91900 Philips Medical Systems is part of Royal Philips E lectronic s Philips Med ical Systems US A Phil ips M edica l Syst ems 2301 Fifth Avenue, Suite 200 Seattle, W A 9 8121, USA (800) 263- 3342 Canada Phil ips M edica l Syst ems 281 Hill mount Road Markh am, O ntario L6C 2S3, Cana da (8 00) 29 1-67 43 Europa, Midt-ÃÂsten og Afrika Philips Medizinsysteme Boeblingen GmbH Hjerte- og o vervÃÂ¥kingssystemer Hewlett-Pac kard Str asse 2 71034 Bo eblingen, T yskland ( 49) 7 031-4 63-1 552 Latin-Amerika Phil ips M edica l Syst ems 1550 Sa wgra ss Corpor ate Park w ay , Suite 3 00 Sunrise, FL 33323, USA (954) 835- 266 0 Stilleha vslandene i Asia Philips Electronics Hong Kong Ltd. 30th Floor , Hopewell Centre 1 7 , Kennedy R oad, W anchai, Hong Kong (852) 28 21 588 8
Philips Medical Sys tems Th e HeartStart FR2 Defibr illator Clockwise from top right. Battery . St andard long-life or rechar geab le ba ttery used to p ower th e FR2 . (Check l ocal regulations for disposal and r ecycling requ irements. ) On/ Off bu tton . T urns on the FR2 and starts voice a nd screen prompts. S econd press t urns off the FR2 . Status Indicator. Shows you t he readiness status of the FR2 . Display screen. Displays text prompts and in cident data. The F R2 M38 6 0A scree n also displays the patie ntâÂÂs E C G. Opti on bu tton s. Adjust the contrast of t he screen disp lay and control spec ial funct ions. Beeper port. Broad casts alert beeps wh en requi red. It is l ocated under the right ed ge of the FR2 . Infrared (IR) communicatio ns port. A special le ns, or âÂÂeye, â used to transfer da ta directly to or from another device. Data card port. Receptacle for data ca rd tray. Data card (opt ional). Used to store and review information about an incid ent, incl uding EC G and opti onal voice recording. Data c ard tra y . Special sleev e that hold s the da ta ca rd an d fits i nto the dat a card p ort to help sea l the FR2 against fluids. The tray should be ke pt installed in the FR 2 ev en if no data ca rd is used. Microp hone. Used optionally to record surrou nding audio during an incid ent. It is locat ed under th e right edge o f the F R 2 . Shoc k button. Con trols shock deliv ery . T he button f lashes whe n the HeartSt art FR2 is ready to deliver a shock. Speaker. Amplifies voice prompts during use o f the FR2 . Pads placement di agram. Illust rates correct pl acement o f pads. Diagrams are also shown on the defibril lator pad s. Defibrilla tor pads connec tor sock et. Rece ptacle for connector of the defibri llato r pads cabl e. An adj acent LED light flashes to show soc ket location and is covere d when connec tor is insert ed. Adult defibrillator pads. Self- adhesi ve pads wi th attac hed cable an d connect or . A B C D E F G H I J K L M N O P
Philips Medical Sy stems HEAR TST AR T F R2 DEFIBRILLATOR QU I C K REF ERENC E C A RD
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Philips Medical Sy stems H E AR T STA RT FR 2 M3 8 6 0A, M3 8 61A Defibrillator INS TRUC TI ONS FOR USE Edit ion 10
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Instru ctions fo r Use Equipment specifications are subject to alteration without notice. All changes will be in compliance with regulations governing manufacture of medical equipment. Print ed in the U.S.A . Publication date: August 2003 Publication num ber: M38 60-919 00 Part num ber: 0111 20-0010 é 2003 Philips Electronics North America Corp. No part of this publication ma y be reproduced, transmitted, transcribed, stored i n a retrieval system or translated into any human or computer language in any form by any m eans without the consent of the copyright holder. Unauthorized copying of this publication ma y not only infringe copyright but also reduce the ability of Philips Medical Systems to provide accurate and up-to-date information to user s and operators alike . Philips Medical Systems reserves the right to make c hanges in specifications or to discontinue any product at any time without notice or obligation and will not be liable f or any consequences resulting from the use of this publication. Authorized E U Re presentative Philips Medizinsysteme B oeblingen GmbH Hewl ett-Packard Strasse 2 7 1034 Boeblingen, Germany ( 49) 7 031- 14-5151 CAUT IO N F E DE RAL LAW (USA) R ESTR I CT S TH I S D EVI C E T O SALE B Y O R ON THE ORDER OF A PH Y SICI AN . The HeartStart FR2 is design ed to be used only with Philips- approved accessories. The HeartStart F R2 may perform improperly if non-approved a ccessories are used. Device T racking In the U.S.A., this device is subject to trac king requirements by the manufacturer and distributors. If the defibrillator has been sold, donated, lost, s tolen, exported, or destroyed, notify Philips Medical Systems or your dist ributor . Device Ma nufacturer The HeartStart FR2 Defibrillator is manufactured by Philips Medical Systems, Seat tle, W ashington, USA .
1 Philips Medical Sy stems Contents 1 Introduction to the HeartStart FR2 What is the HeartSta rt FR2 ? ... ........................... ........................... ........ 1-1 When Is the HeartSta rt FR2 Used? .............................. ...................... 1-2 How Does the HeartStart FR2 Work? ........................................ ........ 1 -2 How Is the HeartStart FR 2 Supplied? ........................................ ........ 1 -3 2 Preparing Your HeartSta rt FR2 for Use Overview ............. ............................ ........................................ ...................... 2-1 Installing the Batte ry ............................................................. ...................... 2-1 Setting the Clock ............ ......................................... ........................... ........ 2-3 Running the Battery Insertion S elftest ................. ........................... ........ 2 -4 Placing and Securing the HeartStart FR2 .................................. ........ 2 -5 3 Using Your HeartStart FR2 Overview ............. ............................ ........................................ ...................... 3-1 Step 1: Pre paration ................................... ........................... ...................... 3-2 Step 2: EC G Analys is and Monit oring ........................................... ........ 3-3 Step 3: S hock Deliv ery ................ ........................... ........................... ........ 3-4 ECG Display for Ongoin g Observation ......................................... ........ 3-5 4 Maintaining, Testing, and Troubleshooting Your HeartStart FR2 Overview ............. ............................ ........................................ ...................... 4-1 Mainte nance ..................... ........................... ........................... ...................... 4 -1 After Using the HeartStart FR2 .......................... ........................... ........ 4-2 Cleanin g the H eartStart F R2 ................................................. ........ 4-3 OperatorâÂÂs che cklist ......................................... ........................... ........ 4-3 Testing ................. ............................ ........................................ ...................... 4-5 Battery in sertion selftest ...... ........................... ................................... 4-5 Periodic selftests .............................................. ................................... 4-9 Device history ........... ......................................... ........................... ........ 4-9 Battery History ....................... ........................................ ...................... 4-10 Troubleshootin g Guide .. ........................... ........................... ...................... 4-11 Status indicat or summary ............................... ........................... ........ 4-11 Recommen ded action during an emergency ................................ 4-11 Troubleshootin g during pati ent use ........................................ ........ 4-12 General t roubleshoot ing ................... ......................................... ........ 4-14
Philips Medical Sy stems 2 M3860A/M3861A HEARTSTART FR2 5 Clinical and Safety Considerations Clinical Con siderations ........................ ........................................ .............. 5 -1 Indications ........... ......................................... ........................... .............. 5-1 Contraindica tions .......................... ........................... ........................... 5-1 Safety C onsiderations ....................................... ........................... .............. 5-1 General dangers, warnings, an d cautions ....................... .............. 5 -2 Defibrillation warnings a nd cautions ...... ......................................... 5-4 Monitorin g cautions ................................... ......................................... 5-5 Mainte nance cau tions ............................................. ........................... 5-5 6 Setup and Advanced Mode Features Setup Overv iew .................................................. ........................... .............. 6-1 Non-protocol para meters ............ ........................... ........................... 6-1 Automatic protocol parame ters ............................ ........................... 6 -2 Manual o verride para meters .................... ......................................... 6-4 Using Setup Fe atures ............................... ......................................... 6-5 Reviewing cur rent setup ...................................................... .............. 6 -6 Revising se tup .................. ........................... ......................................... 6-6 Receivi ng setup ............................. ........................... ........................... 6-7 Reading setup ............................................. ......................................... 6-8 Sending and Recei ving Clock Settings ...................... ........................... 6-8 Using Advanced M ode Featu res .................... ......................................... 6-9 Using the manual a nalyze feature ...................................... .............. 6-10 Using the manual ch arge feature (M3 860A only) .......... .............. 6-11 7 Data Management and Review Overview ........ ........................... ......................................... ........................... 7-1 Recording Incident Da ta ...................... ........................................ .............. 7 -1 Recording data in int ernal memory ...................... ........................... 7-1 Recording data on a data card .. ........................... ........................... 7-1 Reviewing Inc ident Data ................................... ......................................... 7-3 Review ing data from internal memory ................. ........................... 7-3 Reviewing data from a data ca rd ............ ........................... .............. 7-4
Contents Philips Medical Sy stems Appendi ces 3 A Accessories for the HeartS tart FR2 HeartStart Ac cessories .......................................... ........................... ........ A-1 Suggested Additional Items .................... ......................................... ........ A-2 B Technical Specifications HeartStar t FR2 Defibrillator Spec ifications .................. ...................... B-1 Accessories Specific ations ..................... ......................................... ........ B-6 C Gloss ary of Sy mbols and Controls Instruction s for Use ....................... ........................................ ...................... C-1 Heart Start FR2 M3860A and M38 61A Defi brillat or Symbols and Controls .................. ........................................ ...................... C-1 Accessories Symbols ................... ........................... ................................... C-3 D Glossary of Terms Index
M3860A/M3861A HEARTSTART FR2 Philips Medical Sy stems Notes
1-1 Philips Medical Sy stems 1 1 Introduction to the HeartSt ar t F R2 What is the Hear tSt ar t F R2 ? The HeartStart F R2 Defibrillator (âÂÂF R2 âÂÂ) is an aut omated external defibrill ator. It is com pact, lightwe ight, po rta ble, a nd batt ery po wered. It is designed for simple an d reliabl e operation by a trained responder . NOTE : The HeartSt art F R2 is an enhanced version of the defibril lator previo usly sold as the Hearts tream F R2. The F R2 has all the feat ures of the F R2. Al l acces sories compatib le wi th the F R 2 ar e als o compa tible w ith the F R2 . How ever , the F R2 ha s some new feature s not pre sent in the FR2 and can be used wit h certain acce ssori es (label ed FR2 ) tha t are not comp atib le wit h the FR2. The FR2 has a St atus Indi cator that is alw ays ac tive, so you ca n tell at a glance if it is ready for use. The front panel of th e FR 2 has an On /Off butt on at the top a nd a Shock button at the bot tom. A display s creen in the center of the pane l provide s text pr ompts and in cident in format ion. V oice p rompts ar e prov ided t hroug h a spea ker locat ed at t he bas e of the FR2 . (See the diagram on th e inside fro nt cover fo r details.) The FR2 is avai lable in tw o models, the M3 86 0 A and the M3 8 61 A. They share a set of basi c feature s, det aile d in Cha pter 6. The prin ciple diff erenc es betwee n the t wo mo dels are i dentifi ed be low: NOTE : The FR 2 come s wit h a factory defau lt setu p tha t can be mo difi ed. (See Chapt er 6, â Setup and Adv anced M ode F eatu res, â for a des criptio n of setup defaul ts and options.) model M 3 86 0A model M3861A Configur able ECG display on scr een T ext prompt display on screen, no EC G display Confi gurable man ual c har ge in advanced mode No manual charge in advanced mode
M3860A/ M3861A HEA RTSTART FR2 1-2 Philips Medical Sy stems When Is the Hear tSt ar t F R2 Used? T he HeartS tart F R2 Def ibrillat or is used with di spos able d efibrilla tor pads applied to a person who is experienc ing the sy mptoms of su dden card iac arrest (SCA): lac k of respon siveness and lac k of breathing. D efibrillation should not be pe rformed on any one who is re sponsive or is breathin g. Infant/ child reduce d-ene rgy defi brillat or pads are av ailab le for us e with the F R2 on children un der the age of 8 or weighing les s than 55 pounds (25 kg). The FR2 is intende d for use by emergency care pers onnel who ha ve been speci fically tr ained in the ope r ation of the FR2 or who are qual ified by tr aining in B asi c Life Sup port (B LS), in Adv ance d Life Supp ort (ALS), or in other p hysician- autho rized e mergency medic al respon se. At the di scret ion of emer gency ca re pers onnel , the M386 0A FR2 with EC G display enabled can also be used wit h the FR2 ECG assessment module to di splay the rhy thm of a respons ive or breathing pa tient, regardl ess of age. The F R2 Def ibrilla tor used wi th the FR2 E CG asses sment modul e prov ides a non -diagno sti c display fo r atte nded pati ent moni tori ng. W hile connec ted to the F R2 EC G assessme nt module, th e FR 2 dis plays and evalua tes the pati ent's E C G and disa bles its s hock capability. How Does the Hear tSt art FR2 W ork? T he HeartS tart F R2 Defi brillato r is designed to provide external defibrill ation ther apy to someon e in cardia c arrest. Def ibrilla tion ther apy is the bes t availabl e wa y to treat a vari ety of poten tiall y fat al heart ar rhythmi as. The FR2 is extremel y easy to use. When connect ed to defi brilla tor pads that are p roperly ap plied to th e patien tâÂÂs bare chest, the F R2 : 1. prompts you to take specific actions, 2. autom aticall y analy zes t he pa tient's heart rhythm and ad vises you whether or not the rhythm is shockable, a nd 3. arms the Shock button, if appropriate, a nd instructs you to press it to deliv er a biphasic elect ric pulse designed to def ibril late the h eart. Det ailed instru ctions for u se are p rovided in Ch apter 3 .
Introduction to the HeartSt ar t FR2 1-3 Philips Medical Sy stems 1 How Is the HeartSt art F R2 Supplied? The HeartSt art F R2 Defibri llator is sup plied with a st andard long-lif e batte ry , two sets of adu lt defi brillator pa ds with int egrated cable an d connector, and a dat a card tr ay . Othe r acces sories, i ncludin g an F R2 rec hargeable bat tery , F R2 infant/c hild reduced-e nergy defibril lator pads , and (for M3 8 6 0A only, with E CG display en abled) a t hree-wire F R 2 E C G asses sment mo dule, are a vailable. See Appe ndix A for a li st of access ories and ot her re commende d supplie s.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
2-1 Philips Medical Sy stems 2 2 Preparing Y our Hear tStar t F R 2 for Use Overview There are a few bas ic steps to prep aring you r HeartSt art F R2 Defibril lator for us e: î Insta ll dat a card (option al). î Install a batt ery . î Set the clock in the F R2 (op tional). î Run the ba ttery ins ertion self test. î Place t he F R2 with re commen ded a ccesso ries i n a con venient location. The instruct ions p resente d here briefly des cribe th e normal sequ ence of preparatio n. It assumes that y ou are using a fresh battery, that the selftest passes, that y ou are no t using a da ta card, and that the f actory default settings will not be changed. E xception s to this seq uence are provide d elsew here in this ma nual. Instal ling the Battery T he HeartS tart F R2 Def ibrillat or is shippe d with a M38 63A standard, long-lif e batter y . The battery is enc losed in a gray plasti c case. There is a yellow la tch at one end th at holds the batter y in place w hen it is correc tly inst alled in th e FR 2 . (The optional M38 4 8A F R2 rechargeable battery is encl osed i n a blu e plast ic ca se and a lso ha s a y ellow l atc h. E xcept w here otherwise no ted, the following inf ormat ion applie s to both batter y type s.) Before in stalling the battery , make sure the defibrill ator pads are not connecte d to the F R2 . T o ins ta ll the batt ery: 1. Hold the b attery by the latch end and slide it into th e batt ery compartm ent at th e top of the F R2 . 2. Slide th e battery a ll the w ay into the openin g, until the la tch clicks into place. The latch will click into place only when the batt ery is inse rted correctly. CAU TI ON : Foll ow all in struc tions supplied with the HeartStart M3863A st andard b attery . Inst all the b attery be fore the inst al l-by date s hown on the batte ry .
M3860A/ M3861A HEA RTSTART FR2 2-2 Philips Medical Sy stems W h en t he battery is i nst alled, the F R2 au tomatica lly turn s on. The St atus Indicat or di splays a flas hing b lack hourgl ass. The Shock but ton lig ht and the indica tor light for th e defi brillat or pads co nnecto r socket turn on bri efly . T he disp lay scr een br ings up the main men u. From th is menu , you ca n start the F R2 ba ttery insert ion selfte st, review informati on from the la st time the F R2 w as used, or g o to the next scre en for other options. Information ab out the option al dat a card and the batt ery st atus is al so provid ed. (See Cha pter 7 , âÂÂD ata Managem ent and Review , â fo r details about r evie wing an incide nt and usin g a data card.) For t he M38 63A standard battery , a GOOD BA TTER Y message should be display ed. For the M38 48A F R2 rech argeable batt ery , a âÂÂfuel gaug eâ gr aphic illu str ates rema ining pow er . Throughout the rema inder of this man ual, the scree n displ ays illu str ated will be for the st anda rd battery unless oth erwise not ed. NOTE : T his scr een wi ll not be di splayed if the F R2 is connected to defibril lator pads (that are applied to the patien t) when the ba ttery i s inserted, and you wi ll not be able to acces s the menu ite ms. In addit ion, the b attery inserti on selfte st and periodi c automati c selftest s cannot run while the defibril lator pads are connec ted to the patie nt. Be sure to unplug the pads connector from the FR2 afte r each use. D o not store the FR2 with the pads connected. NOTE : T o move aro und the men us displ ayed, us e the Opti on butto ns as follow s: ⢠Press the LOWER Opti on butt on to move the hig hlight b ar from one item to a nothe r on the menu. ⢠Press the UPPER Optio n button t o select the high light ed item or to scroll throug h the setti ngs for that item. If you sele ct NEXT , the menu displ ayed l ets you r evie w the hist ory of the F R2 , revie w the history of th e battery being used , access s etup dat a, set the clock, or return to the fir st menu. (See Chapter 4, âÂÂMaint ainin g, T esting, and T roublesh ooting Y our HeartStart FR2 , â for details ab out the review options and Chapte r 6, âÂÂSetup a nd Advanced Mode Features, â for inform ation on the setu p option.)
Prepar ing Y our HeartStart FR2 for Use 2-3 Philips Medical Sy stems 2 NOTE : If you make no selectio n for 10 seconds, the selft est will autom ati cally run . If y ou want to se lect somet hing diffe rent from eit her of these menus, you must do so before the selftest begins, or remove and reinst all th e battery to bring up the main men u. Y ou can pre ss the O n/Off button at any time to turn off th e FR 2 an d return i t to st andby (ready f or use) mod e. T o us e the FR 2 , pr ess the On/Off button agai n. Setting the Clock It is re commende d that the first t ime you pr epare yo ur Heart Start FR2 Defibril lator for us e, you check the FR2 âÂÂs internal c lock to be sure it is set to the correc t date and local tim e. Y ou ca n rese t it if ne cessary . T o see the clock settings, select NEXT from th e first menu, wi thin 10 seconds of ins tal ling th e bat tery , and then select CLOCK . T o do this: 1. Press the low er Option butt on to move the highli ght bar to NEXT . 2. Press the upper Opti on butto n to bring up the NEXT screen . 3. Press the low er Option butt on to move the highli ght bar to CLOCK . 4. Press the upper Opti on butto n to bring up the CLOCK screen. Th e CLOC K screen displ ays the dat e and time cu rre ntly set in the i nterna l clock of the FR 2 . NOTE : T he date is displayed as day (DD), month (M M), and year (YY), as shown on the s creen. The time is di splayed us ing the 24-hou r internati onal clock. If no changes to th e clock settings are need ed, selec t RETURN and go bac k to the first menu. If the date a nd time are not correc t, there ar e two way s to set them: î Recei ve the cl oc k se ttin gs fr om ano ther FR2 or from a co mput er usi ng HeartS tart Event Revie wî sof tw are, * using the RE CEI VE TIME option. T his ma y be used t o sync hro nize th e cloc ks of seve ral FR2 s. Y ou can also send the cl oc k sett ings fr om one FR2 to ano ther one, us ing the SEND TIME option. See Ch apter 6, âÂÂS etup and Adva nced Mode F eatur es, â for instru ctio ns. î Manua lly set the date and th e time. * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 2-4 Philips Medical Sy stems T o manual ly set the clock: 1. Use the lower Opti on button to move the hi ghlight bar to th e part of the clock settin g you wa nt to change. 2. Press the up per Opti on button rep eatedl y to scroll throug h the setti ngs until y ou rea c h t he one you w ant. If you go p ast it, k eep scrolling until it comes u p ag ain. 3. Use th e lower Opt ion bu tton to select the nex t part y ou want to c han ge, and repeat t he process, until all parts of the date an d time ha ve been s et. 4. W h en you ha ve made all the c hanges, move the highligh t bar to RETURN and pres s the upper Opt ion button to go back to t he main menu screen. NOTE : New clock settings are used by the F R2 as soon as you s et them. The clock time display is update d each minute thi s screen is dis played. The clock seconds , altho ugh not disp layed , are set to 00 wh en you mov e the highlig ht bar out of the time setting s. NOTE : If the batt ery is removed from the F R2 for more tha n two hour s, the cloc k settings will be lost and must be reset. Running the Battery Insert ion Self test Except in an e merge ncy, it is re commende d that you run t his self test e very time y ou c hange the batt ery . Make sure the defibril lator pad s are not connec ted to the HeartSt art F R2 D efibri llator before runni ng the batte ry inserti on selfte st. The selftest has two parts. T he fi rst part a utomatica lly test s the F R2 circuitry. T he secon d part is inte rac tive and requires yo u to respond to prompts in orde r to make sure the displ ay , butt ons, ligh ts, speaker , and beepe r of the F R2 a re workin g prop erly. (See Chap ter 4, âÂÂMain tai ning, T esting, and T roubleshooti ng Y our HeartStart FR2 , â for details about this selftest.) T o ru n the selftest: 1. Make sur e the defibr illator pad s are not con nected to th e devi ce. 2. Insert the battery into the battery p ort. The first screen displayed has RUN SELFTEST highlighted.
Prepar ing Y our HeartStart FR2 for Use 2-5 Philips Medical Sy stems 2 3. Press the up per Opti on butto n to activat e the test. 4. OR make no sele ction fo r 10 seconds , and the s elftest will st art autom aticall y if the F R2 has bee n turned of f for at least 5 min utes. NOTE : If you connect def ibrillat or pads (t hat are appli ed to t he pa tient) to the FR2 during a bat tery insertion s elftest, the se lftest will stop a nd the FR2 will go t o its standby mode to be ready for u se. W h en the automati c part of t he selftes t is succ essfully complete d, the screen displays a message that the test has passed, and then automa tically starts the inter ac tive part of the selftes t. It is import ant to press the bu ttons and verify the indica tors to e nsure tha t the F R 2 will be ready for use. W h en t he entire self test is compl ete, the F R2 a utomatic ally turns off an d returns t o standby mode. In the standby mode, the Status Indi cator display s a flashing blac k h ourglass. T his me ans that the FR2 has passed its most recent s elf-tes t and is th erefore rea dy for use, s imply b y pressin g the On /Off button to tu rn it on. Placing and Securing the HeartSt art FR2 Place the H eartS tar t FR 2 Def ibrillat or in an acce ssibl e area wit h the St atus Indicato r easily vi sible. Us eful acces sories for p lacing a nd securin g the F R2 incl ude a carr ying ca se, whic h is suitable fo r use wit h a w all mo unt brac ket or defibr illator ca binet. ( See Appen dix A for a list of a ccessorie s.) NOTE : Do not store the FR2 with the d efibril lator pads atta ched. Do not open the p ads pack age until ready for us e. W i th th e bat tery ins ta lled a nd the F R2 stored in ap propria te env ironment al conditi ons, the FR 2 performs det aile d periodic selfte sts to m ake sure that it remains read y for use. (See A ppend ix B for the environ ment al stor age specifi cation s.) W h ile the F R2 is in the st andby mod e, the St atus Indi cator show s the flash ing black hourgla ss unles s the periodi c selftes ts detect a problem. If a problem is de tected, t he St atus Indicator w ill sh ow a flashing red X or a solid red X and the FR 2 will beep (âÂÂchirpâÂÂ) to alert you to th e need for troublesh ooting. (See C hapter 4, âÂÂMa inta ining, T e sting, a nd T roubles hooting Y our HeartSt art FR 2 , â for instructions.) GOOD BATTERY
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
3-1 Philips Medical Sy stems 3 3 Using Y our HeartSt ar t F R2 Overview This chapter d escribe s ho w to us e the Hear tSt art F R2 Defi brilla tor in a n emergenc y inciden t. Some gene r al things to remember a re: î T ry to rel ax and stay calm. Th e FR2 automati call y provide s appropri ate voice and display prompts t o guide you . î T he defibrillator pads must have g ood contact wi th the pat ientâ s ski n. The pads have a la yer of sticky , conduct ive gel be neath the p rotecti ve bac king. T o work effect ively , the g el must not be dried out. î It may b e neces s ary to dr y the p atientâÂÂs s kin or to clip or s have excessive chest hair to pr ovide good c ont act betwee n the defibril lator pads and the pa tientâÂÂs skin. The following p ages provid e step-by -step ins tructions for norm al use of the FR2 in an emer gency . (S ee Chapt er 4, âÂÂMai ntaining, T esting, a nd T roublesh ooting Y our H eartSt art F R2 , â for troubleshootin g tips.) IMPORTANT : Be sure to read the W arnings and Caut ions on the last page of this c hapt er . NOTE : T hese dire ctions apply to bot h the mode l M38 60A and the mode l M3 8 61A F R2 , exc ept where otherwi se noted.
M3860A/ M3861A HEA RTSTART FR2 3-2 Philips Medical Sy stems Step 1: Preparation Pre ss the On/Off button to turn on the H eartStart F R2 Defibr illator . Fol low the ins tructions pr ovided by the FR2 voice and scr een pr ompts in the or der indicated. Remove clothi ng from th e patient' s upper bo dy . W ipe moistur e from the patien t's skin and cli p or shave excessive chest hair, if necess ary . If the patient appears to be un der eigh t ye ars of ag e or 55 lbs (25 K g), use M3 8 7 0A F R2 infa nt/child red uced- energy de fibr illato r pads, if av ailabl e. If the ch ild appea rs older/la rger , use adul t defibri llator pads. DO NOT DELAY TREATME NT TO DETERMINE THE CH IL D â S EX ACT AGE/ WEIGHT. Open t he de fibrillat or pads pac k age. Ch ec k to see that th e pads and att ached cabl e and conne ctor are un damag ed. Pull off the protecti ve bac king from the defib rillator pads an d chec k that the gel has not dried out. If the pads are damage d or the ge l has dried out, use a n ew set of pads. Place eac h pad on the patient . Th e pads must be placed with the stic ky side on the pati entâÂÂs ski n. IMPO RT ANT : Refer to the d rawing on eac h pad for corr ect positioning . For adul t pati ents, one pa d goe s jus t belo w th e patie nt's r ight coll arbone, and t he ot her on e goe s over the pat ient âÂÂs ri bs in line with the armp it and belo w the left br east. For children und er eight yea rs old, one pad is cent ered on the chest betwee n the nippl es, and the ot her on the ba ck between the s capul ae (sh oulder b ones). Connect th e pads to the F R2 . Ins ert the defi brill ator pads co nnector firml y into the conn ector so cket. A fla shing li ght s hows you wher e the s ocket is located , at the top left of th e F R2 . O N ⢠O F F
Usin g Y ou r Hear t Sta r t FR2 3-3 Philips Medical Sy stems 3 Step 2: EC G Analysis and Monitoring Fol low the in structions p rovi ded by the Hear tStart FR2 DefibrillatorâÂÂs voice and sc reen promp ts in the orde r indicated. As soon as t he F R2 d etects that the def ibrilla tor pads are c onnect ed prope rly , it autom atica lly begi ns analyz ing th e patient âÂÂs hear t rhyt hm. Do not touc h the pat ient durin g rhy thm anal ysis. T he M386 0A FR2 ca n di splay the patien tâÂÂs E CG on the screen. When the E C G displ ay is enabl ed, the patie ntâÂÂs heart rate is also displ ayed durin g bac kground monitorin g and when the advanc ed mode is ent ered. If no shock is advised, the FR2 prov ides v oice an d screen prompts to tell you so. T he F R2 instru cts you t o perform CP R if neede d, and performs background mon itoring of the patie ntâÂÂs E C G wh ile you give ap propriat e care to the pati ent. These instr uctions are rep eated at the progr ammed Mo nitor Prompt in terval ( the d efault interva l is o ne mi nute) wh ile t he F R2 is monitoring the patient. NOTE : CP R ma y interfere with background monitor ing. During CP R, periodi cally pa use f or 15 sec onds to check the pa tient a nd allow the FR2 to analyz e the pati entâÂÂs hea rt rhythm without CP R art ifact. Monit oring conti nues until and un less th e FR 2 dete cts a change in the patientâÂÂs heart rhythm that may be a shocka ble rh ythm, de tects interfere nce with rhyth m an alysis , or i s t urned off. If the F R2 dete cts a pote ntially shockab le heart rhyt hm while monitorin g, it auto matical ly goes bac k to analyzin g the rhyt hm to see if a sho ck is adv ised. If a shock is advised, the FR2 char ges to prepare f or shock de livery . It gives th e voice warnings and sc reen prompts t o tell you t hat a sh ock is advised . Make sure th at no one is touching the patient o r the p ads. While the F R2 is charging, it con tinue s to analyze the p atientâÂÂs heart rhyth m. If the rhyth m c hanges and a sh ock is no long er app ropriate , the FR2 d i sarms. V oice a nd display prompt s advise y ou what action to take. NOTE : W hen the FR2 i s fully ch arged, you can di sarm it at an y time by pressin g the On /Off butt on to turn off the F R2 and retu rn it to st andb y mode. (See th e Defibrill ator di scussio n in Append ix B, âÂÂT echnical Specif ications , â for deta ils on dis arming the F R2 .)
M3860A/ M3861A HEA RTSTART FR2 3-4 Philips Medical Sy stems Step 3: Shock Delive ry Pre ss the Shock button to deliver the shock. IMPORTANT : Y ou must press the button f or a shoc k to be delivered. The Hear tStart FR2 D efibrillator w ill not automatically deli ver a shock. There are four w ays you ca n tell that the F R2 is read y to deliver a shock: î you hear a voic e prompt te lling you to deli ver a shock, î you see th e Sho ck button fla shing , î you hear a steady tone, and /or î you see a scre en prompt te lling you to pres s the or ange (Shock) button. After you press the Shock button, a voice prompt tells you the sh ock was delive red. T hen FR2 goes b ack to an alyzing the pati entâÂÂs hear t rhythm to see if the shock was succ essful. The F R2 contin ues to prov ide voice a nd text prompts to guide you t hrough additional shocks, if appropria te. NOTE : If you do not press the S hock button wi thin 30 seconds of bein g prompted, t he FR2 will di s arm itse lf and provi de a pa use. T he devic e will resume analyzi ng after 30 seconds or when the Resume Analyzi ng key is pressed. Pause for CP R. After the progra mmed number of shocks in a shoc k series are deliv ered, the F R2 a utomatica lly paus es for a prog ramme d amount of time to allow you to perform C P R. After the voice an d screen prompt s tell you that the F R2 h as paused , there a re no fu rther voice prompts during the rest of the paus e, so that you can pr ovide uninter rupte d patien t care. During th e pau se, the F R2 scre en show s a ba r that f ills in a s the pause t ime is used up. The scree n also shows how much time has gone by since the FR2 was turned on , * and how ma ny shoc ks ha ve been delivere d. The M3 8 60 A F R2 also displa ys the EC G, if ena bled, during this period. * The FR2 disp la ys el apse d ti me to a max imum o f 99: 59 minut es. If t he e laps ed ti me of use ext ends beyo nd this fi gure, the minute s are represe nted by âÂÂ??â but th e seconds are displayed. Howeve r , total elapsed time will be reco rded on an insta lled data card for later review with H eartSta rt Event Review dat a manage ment softw are.
Usin g Y ou r Hear t Sta r t FR2 3-5 Philips Medical Sy stems 3 EC G Display for Ongoing Observation At the di scret ion of emer gency ca re pers onnel , the M386 0A FR2 with E CG display en abl ed can also be used w ith the M3 87 3A/ M3 87 4 A FR 2 EC G assessment module . The F R2 used wit h the FR2 E CG assessment modu le provi des a non -diag nosti c EC G displa y of the pat ientâ s heart rhyth m for attend ed patien t monitoring . The syst em is intende d for use on a conscio us or breath ing p atient, rega rdless of a ge. W hile co nnected to the FR2 EC G assessment module, the FR2 's shock capa bility is disa bled, but the F R2 continues to evalua te the pat ient's E C G. The modu le is designe d for connec tion to E C G elect rodes per AA M I (M 387 3A) or I E C (M3 8 7 4A) col or convention . There are no known cont ra indicati ons to use of the F R2 EC G ass essment module. The moduleâÂÂs color ed lea dwires a re c onnect ed to E C G elect rodes, wh ich are the n placed on the patie ntâÂÂs bare chest, a nd the moduleâÂÂs device connector is inserted in the F R2 âÂÂs conne ctor socket. NOTE : It is not necess a ry to turn the F R2 Defibrilla tor off prior to connecti ng the E C G asses sment modu le. Once connecte d, th e F R2 d isplays and e valuat es the patient 's E C G (Lea d I I) . Follow all prompts from the F R2 . If a da ta card is used w hen the modu le is connec ted to the F R2 , all recorde d events can be vie wed usi ng HeartS t art Event Re view dat a mana gemen t softw are * on a personal computer. Check the patie nt if: î indicat ed by the observed ECG display , î the patient becomes unresponsive or stops breathing, or î the F R2 pr ompts IF NEEDED , ATTAC H DEFIBR ILLA TIO N PADS . If appro priate, un plug the EC G ass essme nt module fr om the F R2 , att ach the defi brilla tor pads to th e pati ent, and con nect th e defi brillat or pads to the FR 2 . V erify that the defibrillator pads are at least one (1) inch (2.5 cm) away f rom the EC G electrod es. The M3 8 7 3A/ M 387 4A FR 2 E C G asse ssment module cont a ins no latex rubber . It is reusable (see the e xpiration date on the modu le) and ca n be cleaned w ith a so ft cloth d ampened w ith any of the age nts recommen ded f or * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 3-6 Philips Medical Sy stems cleanin g the F R2 D efibril lator . (See Chap ter 4, âÂÂM aint ai ning, T es ting, a nd T roublesh ooting Y our H eartSt art F R2 . âÂÂ) WARN ING : During de fibr illation, a ir pockets be twee n the skin an d defibr illa tor pads can cause patie nt sk in bur ns. T o help p reven t air p oc kets, make sure def ibrillator p ads comple tely adhere to the skin. Do not use dried-out de fibrillator p ads. WARN ING : Do not let the de fibrillator pads t ouch each other or ot her E C G elec trodes, lead wires , dress ings, transd ermal p atc hes, et c. Suc h contact can caus e electric al arci ng and p atient sk in burns during defi brilla tion and may dive rt defi brillati ng curre nt aw ay from th e heart. WARN ING : Handling or tr a nsporting the patien t during hea rt rhythm analys is can caus e an incorre ct or dela yed diag nosis. If th e FR2 gives a SHOCK ADVISED prompt, ke ep the p atient as stil l as possi ble for at least 15 second s so the FR 2 can rec onfirm the rhyt hm analysi s before a shock is delivered. WARN ING : CP R rates significa ntly above 100 compressions per minut e can ca use in correct or del ayed ana lysis b y the F R2 . WARN ING : De fibri llati on cur rent ca n caus e operator o r bystander in jury . Do not touch the patient during defibr illati on. Do n ot allow the d efibri llator pads to to uc h any metal sur faces. Disco nnect the pads connect or from the FR2 before using any other de fibrillator . CAU TI ON : Aggr essive han dling of the pads in s tora ge or prior to use can damage the pads. Discard the defi brillator pads if th ey become d amaged.
4-1 Philips Medical Sy stems 4 4 Maintaining, T e sting, and T roubleshooting Y our Hea rtStart FR2 Overview This c hapte r provides inform ation on Hea rtSt art F R2 D efibrill ator maintena nce, de tailed descript ions of t he selftes ts, and a gu ide to troubleshootin g. Maintenance Mainte nance of the F R2 i s very simp le, but it is a very i mport ant fa ctor in i ts dependa bility. T h e F R2 performs man y maintena nce acti vities its elf. These include dail y and week ly selfte sts t o veri fy read iness for use and more detailed monthly selftests that also verify the shoc k w aveform delivery system. In addi tion, a det a iled self test i s run when ever a batter y is inst all ed in the F R2 . The FR2 req uires no ca libr ation or verifica tion of energ y deliver y . T he F R2 has no user-s ervic eable par ts. CAU TI ON : Improper maint enance ma y damage the F R2 or cause it to funct ion imprope rly . Main tain the FR2 only as des cribed in th is Us er's Guide or a s designat ed by your p rogram's Medical Di rector . CAU TI ON : Ele ctrical s hock hazard. Dan gerous high volt ages and curren ts are pres ent. Do not ope n the F R2 , remo ve its covers, or at tempt rep air . T here are no user -serv iceabl e com ponen ts in the FR2 . T h e FR2 s houl d be returned to an auth orized service center for repa ir . The following t a ble presen ts a schedule of s uggeste d mainte nance for the F R2 . Di fferent freque ncy interval s m ay be a pprop riate, d epend ing u pon th e enviro nment in which the F R2 is used . The required maint enance fre quency is at the discreti on of your progr amâÂÂs Medical Dire ctor .
M3860A/ M3861A HEA RTSTART FR2 4-2 Philips Medical Sy stems Af ter Using the HeartSt ar t F R2 After each use of the FR 2 , perfo rm the m aintena nce t asks desc ribed in th e ta ble abov e, as well as the fo llowing pos t-use checks before ret urning the FR 2 to se rvi ce : î Chec k the op eration of the FR2 by removing an d reinst alling the batte ry and runni ng the batte ry inserti on selfte st. NOTE : Per f o r m a ls o when replac ing expired def ibrillat or pads. î Chec k the ou tside of th e FR2 and the con nector soc ket for signs of dirt or cont am ination. If th e F R2 is dirty or conta minated , clean it accordi ng to t he gui delin es provid ed in this manual. î Check the da ta c a rd if one has been use d. If the dat a card has been used to record inc ident data, remove and replace it with a blan k dat a card. De liver th e recor ded da ta card to a ppropria te person nel acc ording to your loca l guide lines an d medica l protoco l. daily month ly mai ntena nce ta sk/res ponse î Check the Status Indicato r . If you see the flashing bl ack hourglass: The FR2 is ready to use. No action required. If you see anything other than a f lashing black hourglass, remove and reinst all the battery to run the selftest. ⢠If the selftest passes and the St atus Indicator shows the flashing blac k hourglass, the FR2 is ready to use. ⢠If the selftest fails, i nstall a new battery and run the selftest. If the selftest passes, the F R2 is ready to use. If the selftest fails, cont act Philips Medical Systems. î Check supp lies, accessories, and spar es for damage and expir ation dating. Do not use damaged or expired accessories. Replace them immediately . If a LOW BATTERY or REPL ACE BATTERY mess ag e is displayed: Replace the battery and run the selftests. DO NOT ATTEMPT TO CHA R G E THE M3863A FR2 ST ANDARD BATTERY . It is not rechargeable. The M3 84 8A FR 2 batte ry is recharge able. Rechar ge it, using the M38 4 9A Charger, for the FR2 rec harg eable batt ery only . î Check the outside of the F R2 and the connector socket for cracks or other signs of damage. If you see signs of damage: Cont act Philips Medical Systems for technical support.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-3 Philips Medical Sy stems 4 î Chec k the connector so c ket to make sure t hat defibril lator pads a re disconne cted from the FR 2 when it is not in use. î Chec k to make sure the data ca r d tray is installed, ev en if a dat a ca rd is no t being used. Clea ning th e Hear tSt art F R2 The outside of the F R2 , including the defibril lator pads conn ector socket, can be cle aned with a s oft cloth d ampened in on e of sever al app ropriate cleanin g agent s (see list belo w). The followin g guideli nes inclu de some importa nt reminders: î Do not immers e the F R2 in flui ds. î Make s ure a battery (or t he M3 8 6 4A trai ning & admin istr ation pack) and a data card t ray are install ed when cleani ng the FR2 , to keep f luids out of the device . î Do not use a br asive m aterials, c leaners , strong solve nts su c h as a cetone or aceto ne-based cleaners , or enzymat ic cleane rs. î Clean the FR 2 and the conn ector socket with a soft cloth dampene d with one of th e cleaning agents li sted be low . â Iso propyl alco hol (7 0% solutio n) âÂÂS o a p y w a t e r â Ch lorine bleach (30 ml/l w ater) â Ammon ia-base d cleane rs â Glutaraldeh yde-bas ed cle aners â Hydrogen peroxi de CAU TI ON : Do not immerse a ny portio n of the F R2 in w ater or oth er fluids. Do not allow fluids to enter the F R2 . Avoid spilling any fluid s on the F R2 or accesso ries. Spil ling flui ds into the F R2 may damag e it or present a fire or shock hazard. Do not steri lize the F R2 or accessories . Oper atorâ s ch eckli st T he c hecklist on t he fol lowin g page i s for your r efere nce. Y ou may want to phot ocopy it or use it as the basis for crea ting yo ur own chec klist. Inspect the FR 2 as sug gested in the mainten ance schedule a bove, or as speci fied by yo ur Medica l Director. W hen yo u use the Che cklist, fill in the sc heduled fr equenc y int ervals you w i ll be usi ng for y our m ainte nance inspecti ons. Check off each requiremen t as you compl ete it, make a n ote of any pro blems you foun d or co rrective a ction y ou took , and sign the form.
M3860A/ M3861A HEA RTSTART FR2 4-4 Philips Medical Sy stems OP E RA T OR'S CH ECK LI ST HeartS t art FR2 Model No .: _________ ________ _____Seri al No.: _________ _____ _________ ________ ___ HeartS tart F R2 Loc ation or V ehicle I D: ____ _________ ________ ______ ________ ______ ________ ______ date sc hedu led fre quenc y Hear tSt art F R2 Clean, no dirt or conta mination; no signs of damage Supplie s Av ailable ⢠T wo sets defibrillator pa ds, sealed, undamaged, within expiratio n date ⢠Ancillary supplies (hand towel, scissor s, r azor , pock et mask, gloves ) ⢠Spare M3 86 3A battery, within âÂÂInst all Beforeâ date ⢠Dat a car ds, undama ged, and spare data card tray St atus I ndic a tor Sho ws alt ern ating hourglass/square; selftest passed. Inspected by Signa ture or initia ls of op er ator completing the ma intenance inspection Remark s, Probl ems, Correctiv e Act ions
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-5 Philips Medical Sy stems 4 Te s t i n g T he Hea rtStart FR2 Defibr illat or ha s several ways of testin g itse lf a nd aler ting y ou i f it f inds a prob lem. In add ition to th e se lftest perfo rmed eac h time a ba ttery is in stalled , the FR2 also autom atica lly perfor ms per iodic selftests daily . NOTE : T he FR2 sel ftests a re desi gned to ch eck t hat th e FR2 is ready for use. Ho weve r , i n the event th at the FR2 has been dr opped or mishandl ed, it is rec ommended that the bat tery be re moved and rei nstalled to initiate a selftest. If the FR2 has visible signs of damage, cont act Philips Medical System s for technical supp ort. Battery insertion selftest As described in Ch apter 2, âÂÂPrepari ng Y our HeartSt art FR2 f or Use, â when you insert the batter y in the F R2 , be sure that ne ither th e defi brillat or pads nor the F R2 E C G assessm ent module are connect ed to the devic e. W h en you inse rt the batte ry , a menu is displ ayed and a two-part selft est will run unless you make another sel ection f rom the menu wi thin 10 second s. The selfte st include s an automa tic part a nd an inter act ive part. NOTE : Under cert a in circums tan ces, the behavior of you r FR 2 wi ll be different . For exa mple, t he me nu scre en will not appear wh en a batte ry is inserte d if: ⢠the def ibril lator pads are attac hed to a patien t, indicati ng that the F R2 is in co ntinued use, ⢠the F R 2 E C G a ssessmen t modul e is c onnect ed to the F R 2 , o r ⢠the batter y is c omple tely de pleted . The menu sc reen will be displa yed, but af ter 10 seconds th e F R2 wil l go to st andby mode if yo u make no selecti on and : ⢠less than five minut es have passed since the FR2 w as last used, indi cating that the F R 2 is sti ll in use. It is recommen ded that the full self test (incl uding th e inter acti ve portion) b e run under th e followin g circum st ances: î W h en the F R2 is first pu t into servic e and foll owing ea c h us e. î W h eneve r the battery is r eplaced. î W henever expired de fibrillator p ads are repla ced during pe riodic main tena nce. î W henever the defi brillator may have sustained phy sical damage.
M3860A/ M3861A HEA RTSTART FR2 4-6 Philips Medical Sy stems W h en you inst all the battery, the screen tells you whethe r or not a dat a card is inst alled . If so, a scree n mess age disp lays how much record ing time is lef t until the dat a ca rd is full. (S ee Ch apter 7 , â Dat a Mana gem ent and R eview, â for how to revie w the incid ent inform ation fr om the intern al memory o f the F R2 or from a da ta card, if on e is used.) NOTE : T he data card i s typi cally capable of storing a number of inci dents. Howeve r , i t is recomme nded t hat it be rep laced af ter every us e. In the u nlikely even t that the ca rd fil ls up duri ng an inci dent, no furth er data can be recorded, so it is im port ant for you to monitor th e CARD FULL IN ... infor matio n on this screen. Scre en cont rast can be adju sted durin g the b atter y inse rtio n selft est by usin g the Op tion bu ttons. If batt ery power i s low , repla ce the ba ttery. If a previous selftes t has fail ed, the screen displ ays a message that th e FR2 must pass a self test before b eing used. It is re commen ded that you al w ays h ave a spare ba ttery availa ble. Howe ver , if a screen display promp ts you to rep lace the ba ttery or the St atu s Indica tor shows a f lashing red X , but y ou do n ot ha ve a s pare battery , you ca n cont inue t o use the FR2 un til th e battery is compl etely deplete d. T his ma y be neces s ary in an emerg ency . NOTE : It is recomme nded th at the M3 84 8 A F R2 recharg eable ba ttery n ot be used as a spare or ba c kup batter y . NOTE : If you connect de fibrillato r pads (t hat are applied to the pat ient ) or the F R2 E C G as sessmen t modul e to the F R2 during a b attery i nsertion selftest, the selftest will stop and the F R2 will go to its standby mode to be ready for use. During the automati c part of the selftes t, the scree n displa ys a bar t hat fills i n as the te st continu es. W hen tha t part of the tes t is finish ed, the F R2 b eeps. The results of the se lftest are automat ically reco rded on the d at a card while the tests a re runnin g, if a dat a car d was inserted in th e F R2 prior to inst allin g the batt ery . If the automa tic part of the selft est fail s:
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-7 Philips Medical Sy stems 4 î T he screen displays a mess age that the selftest has failed . After a short time, an error code is displayed. W rite down the error code and cont act Philips Medica l Systems fo r technical s upport. î The Statu s Indica tor shows a fl ashing or solid red X . Repla ce the batt ery with a new battery and repeat the tes t. If the sec ond selfte st fails, con ta ct Philips Medica l Systems fo r technical su pport. If the automat ic part of the selftest passes: î The screen di splays a mess age th at the selftest pass ed, then b egins the inter acti ve part of th e test. The inter active part of the self test requires you to respond to prompts in orde r to ma ke sur e the d ispla y , buttons , li ghts, a nd spea ker o n the FR2 are worki ng prope rly . Screen promp ts guid e you th rough a series of ste ps in the in ter active part of the se lftest. S ome as k you to observe that a feature of the F R2 works properly. Others ask you to t ake cert ain ac tions â for ex am ple, to press a button. The scree n then disp lays a mess a ge showing that the bu ttonâÂÂs operatio n has bee n verifie d. If you do not press the butto n, or if you do but the but ton is no t worki ng, the scr een displ ays a me ssage that th e buttonâ s func tion i s not verifi ed. It is impor t ant to press the butto ns an d verify th e indica tors to ensu re that th e FR2 will be ready for use. If somet hing does not work correctly â for ex ample, if lights do not come on or you d o not hear bee ps whe n expect ed â make a note of the problem and cont act P hilips Medic al Syste ms for technical s upport . NOTE : Do no t use the F R2 un til all parts of the interactive selftest verify correct p erformance. Be sur e to note and report a ny proble ms you find.
M3860A/ M3861A HEA RTSTART FR2 4-8 Philips Medical Sy stems The follow ing t abl e d escribe s the parts of the F R2 t este d in t he inte ra ctive part of th e selfte st and any acti on you are ask ed to take. feature test des cription spe ak er Screen prompt : CHE CK SPEAKER SOUND (2 bee ps) > Lis ten for th e tw o beep s from the speak er . lights Screen pro mpt: CH ECK SHOCK BU TTON LIGHT AND PADS CONNE CTOR LIGH T > Check that the lig hts come on. option button s Screen pro mpt: PR ESS THE OPTI ON BUTTO NS > Press the b lue upper an d lower Option buttons and l isten for a be ep to conf irm eac h pres s. Lo ok at t he s creen t o be sure t he but ton pr esses have b een ve rified. display screen Screen prompt : CHE CK DISPLAY . ADJUST CONTRAST IF NEED ED > Chec k the test patt ern di splaye d on the sc reen. Adj ust the co ntrast if desired u sing the Opti on buttons. NOTE : Screen c ontr ast can be adjust ed at any tim e durin g the inter ac tive selftest by repeatedly press ing the appropriat e Option butt on until desired contr as t is achieve d. shock button Screen prompt : PR ESS THE SHOCK BUTTON > Press the S hock bu tton and listen f or a beep to confirm the press. No shock will be delivered when y ou press the Shock button during the test. > Look at th e screen to be su re the button press has been verif ied.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-9 Philips Medical Sy stems 4 When the interactive pa rt o f the battery inser tion self test is complete, the FR2 turns off and goes to sta n dby mode to be ready for use. If proper oper a tion of all fe atures ha s not been verified in the inte rac tive selftest, you may want t o rerun the battery insertion selftest. If a feature of oper ation can not be verif ied, cont act Phi lips Medi cal Sys tems for technical support. Periodi c selftests In a dditi on to the ba tte ry in serti on s elfte st, the FR2 automa tically p erforms periodic selftests (PST s). T hese daily , weekly , and extensive monthly selftests check many import ant fu nction s of the F R2 , incl uding bat tery capa city and internal circuitr y . If it detec ts a problem duri ng one of these p eriodic sel ftests, the FR 2 beeps a nd display s a flas hing re d X or a solid red X on th e Status I ndica tor . Device histo ry The FR2 s tores key informa tion abou t its history in internal memo ry . T o revi ew the hi sto ry of yo ur FR2 , sel ect NE XT from th e men u screen displa yed when you insert the battery, then select DEVICE HISTO RY from the next m enu di splayed . T he devi ce hi story infor mation is rea d from the int ernal memo ry of th e FR2 . It i nclud es: î USES â how many times the F R2 ha s been used (s hown in the le ft column of num bers) and the t ot al time in minutes i t has been u sed (shown in the rig ht column of numbers); î SHOCKS â the total num ber of sho ck s it has delivere d; î TRAINING â how man y times it has been used with the tr aining & admini str ation pa ck for tr ainin g (left colu mn) an d the t ot al time in minute s it has be en used for trai ning (right column ); and on/of f button Screen prompt : PR ESS THE ON /OFF BUTTON > Press th e On/Off butto n and lis ten for a beep to confir m press. > Look at th e screen to be su re the button press has been verif ied. T he scr een t hen di splay s a me ssage that the test i s com plete. feature test des cription
M3860A/ M3861A HEA RTSTART FR2 4-10 Philips Medical Sy stems î TESTS â how ma ny tes ts have been run. Four f igures a re show n: dail y (upper left), w eekly (uppe r right), a nd monthly (l ower left) periodi c selftests, and battery insertion self tests (lower right). î RE V â devi ce language , model, and s oftware revision. Battery Hi story Informati on about us e of the battery currently ins ta lled in you r FR 2 is also availa ble. T o review the history of the battery, select NEXT from the menu screen dis played wh en you ins ert the battery, then select BATTE RY HISTOR Y from the ne xt menu disp layed. The battery history inf ormation is read from the int ernal memory of the ba ttery . It i nclud es: î USE MINUTES â the tot al oper atin g time (in minutes ), includ ing selfte st time, for th is battery ; î CH ARG E S â the tot al nu mber of full defibri llation charge s that hav e been provided by this battery , includin g selftest charges; î BATTERY â a GOOD BATTERY (M3 8 63A ) or a fuel ga uge disp lay (M 3848A ) s ho wi ng 25 %, 50 %, 75 % or 1 00 %, or a LOW BATTERY or REPLACE BATT ERY message, as appr opriate . î ST ATUS â the current status of this ba ttery , display ed in a bi nary co de. Make a note of thi s code if technical s ervice is nee ded.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-11 Philips Medical Sy stems 4 T roubl eshooting Guide Status indicato r summary NOTE : Perform CP R (if nee ded) any time ther e is a dela y befo re the F R2 can be used . Recommen ded action du ring an emerge ncy If the st at us indicat or displ ays the fl ashing black hourglas s, follow a ll voice and screen prompts. The Hear tSt art F R 2 De fibrilla tor i s desi gned to con tinue working eve n if th e st atus ind icator di splay s a flashi ng red X, alth ough the de vice may not perform to all of i ts specifications. V oice and text prompts sh ould be followed whenev er the y are g iven. If for an y rea son yo u cannot hear voice promp ts duri ng use of the defib rill ator , period ically c hec k the device scr een for text prompts. NOTE : After com pleting emer gency use of the FR2 , if y ou are un able to clear t he pr oblem a s desc ribed in this T rou blesho oting sectio n, and the Sta tus Ind icator does not show the fl ashing black hourgla ss, cont act Phi lips Medica l System s for technical sup port. In the unlike ly event that the devic e become s unrespon sive during use: 1. cycle p ower (press the On/ Off butt on once, w ait on e second , then p ress it ag ain), or 2. remove a nd reinst all the battery (use a new M 38 63 A F R2 st andard batte ry , if avai lable, or a c harged M38 4 8A FR2 rec hargeable batt ery). stat us in dicator meani ng Flashing blac k hou rgla ss The FR2 passed the battery insertion self-test or the last periodic self-test and is therefore ready for use. Flashing red X accomp ani ed by a chir ping sound. A self-test error has occurred or the battery is low or depleted. Solid r ed X The battery is completely depleted or a self-test failure occurred.
M3860A/ M3861A HEA RTSTART FR2 4-12 Philips Medical Sy stems If neither of these action s clears the problem, do not us e the F R2 . Attend to the pati ent, provid ing C P R if need ed, until eme rgency med ical pe rsonnel arrive . T rouble shootin g during pati ent us e symptom possible ca use recom mended ac tion ST A TUS I N DICA TOR: F LAS H I NG R E D X Screen and voice prompts: LOW BATTERY Screen and voice prompts: R EPLACE BATT ERY NOW ⢠The energy remaining in the battery is low. ⢠The energy in the battery is nearly depleted. The FR2 will turn off if a new battery is not installed. ⢠Replace the battery with a new M3 86 3A F R2 st anda rd or a c harg ed M3848 A FR2 rechargeable ba ttery a s soon a s poss ible. ST A TUS I N DICA T OR: F LAS H I NG B LACK HOU R G LAS S Screen and voice prompts: APPLY PADS AND PR ESS PADS FIRMLY or PLUG IN CONNECTOR Or voice pr ompts: INSE RT CONNECTOR FIRM LY or PR ESS PADS FIR MLY TO PATIE NT ' S BARE CHE ST or POOR PADS CONTACT The defibrillator pads: ⢠are not properly applied to the patient, or ⢠are not making good cont act with the patient's bare chest because of moisture or ex cessive hair , or ⢠are touching eac h other . The defibrillator pads connector: ⢠is not firmly inserted in the co nnector sock et. ⢠Make sure that the defibrillator pads are sticking completely to the patientâÂÂs skin. ⢠If the pads are no t sticking, dry the patient's chest and shave or clip any excessive c hest hair . ⢠Reposition the pads. ⢠Make sure the pads connector is completely inserted in t he connector soc ket. If the prompt continues a fter you do these things, replace the pads. V oice and screen prompts: R EPLACE PA DS ⢠The defibrillator pads, cable, or connector may be damaged. ⢠The FR2 has detected a possible problem with the defibrill ator pads or pads cable. Replace the defibri llator pads with new defibrilla tor pads.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-13 Philips Medical Sy stems 4 V oice prompt s: ANALYZING INTERR UPTED or C ANNOT ANALYZE or STOP ALL MOT ION ⢠Th e patient is b eing moved o r jostled. ⢠Radio or electrical sources are interfering with ECG analysis. ⢠The environm ent is dry and movement around the patient is causing st atic electricity to i nterfere with EC G analys is. ⢠Stop CP R; do not to uc h the patient. Minimize patient motion. If the patient is being tr anspor ted, stop the vehicle if needed. ⢠Check for possible causes of radio and electrical interference and remove them from the area. ⢠Responders and byst anders should minimize motion, particularly in dry environments that can genera te static electricity . V oice and screen prompts: NO SHOCK DELIVE R ED The patient impedance is not appropriate for the F R2 to deliver a shock. ⢠Make sure the defibrillator pads are correctly positioned on the patient according to the diagr am on the back of the pads. ⢠Make sure the defibrillator pads connector is completely inserted in the connector socket. ⢠Press the defibrillator pa ds firmly to the pa tient's chest. ⢠Replace the defi brillator pads if necessary. V oice prom pt: SHOCK BUTT ON NOT PR ESSED Shock has been advised but not delivered within 30 secon ds. (FR2 has been disarm ed.) ⢠W hen next prompted, press the Shock button to deliver shock . symptom possible ca use recom mended acti on
M3860A/ M3861A HEA RTSTART FR2 4-14 Philips Medical Sy stems Gener al trouble shoot ing symptom poss ible ca use recomme nde d action St atus I ndic a tor: FLAS HING RED X Audio signa l: CH IR P IN G ⢠The energy remaining in the battery is low . ⢠The F R2 has been stor ed outside the recommended temperature r ange. ⢠An error has been detected as part of the self-test. ⢠The FR2 has been unable to perform its da ily self -tests . ⢠Replace battery with a new M3 8 63A F R2 s ta nd ard o r a charged M38 48A F R2 rechargeable ba ttery as soon as possible. ⢠Remove a nd reinstall the b attery and run a battery insertion self-test. A screen prompt will tell you if the F R2 has been stored outside the recommended temperature r ange. See Appendix B for recommended range. ⢠Remove a nd reinstall the b attery and perfo rm the battery i nserti on self-test. If it fails, install a new battery and repeat the test. If it fails again, do not us e the FR2 . ⢠Make sure defibr illator pads are not attached to the F R2 . St atus I ndic a tor: FLAS HING OR SOLI D RE D X Audio signa l: CH IR P IN G Screen pr o mpt (displayed for 1 0 seconds a t the end of a BIT , befo r e FR2 turn s off) : NOT REA DY FO R USE or SELFT EST FAI LED A test revealed a fai lure or error . The FR2 performs self-tests every tim e it is turned on, when a battery is inserted, and perio dically while it is in standby mode. ⢠Unplug the pads connector fro m the FR2 , i f connected. ⢠Remove a nd reinstall the b attery and chec k the results of the battery insertion self-test. If it fai ls, inst al l a new M38 63A FR2 stand ard battery or a c harged M3 84 8A F R 2 recharg eable battery and repeat the test. If it fails again, do not us e the FR2 . NO TE: Y ou can stop the tests and use the FR2 as soon as you see the Status In dicator change to th e flashi ng bla ck hourgl ass. S imply press the On /Off butt on to st op the test and put the FR2 into sta ndby mode. The FR2 is then ready for use.
Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2 4-15 Philips Medical Sy stems 4 St atus I ndic a tor: SOLID RE D X Audio signa l: NONE ⢠The battery is missing or completely depleted. ⢠The training & administr ation pack is being used in the administr ation function (the solid red X is normal in this case) or has been left in the F R2 by mistake. ⢠A self-test detected a failure. ⢠Install a new M3863 A FR2 stand ard battery or a c harged M3 84 8A F R2 re chargeabl e battery in the FR2 and perform the battery insertion test (BIT). ⢠Remove the training & administration pack and install a battery . ⢠Remove a nd reinstall the b attery and perfo rm the battery i nserti on self-test. If it fails, install a new M38 63A FR 2 standar d battery or a charged M3 8 48 A FR2 rechargeable battery and repeat the test. If it fails again, do not use the F R2 . St atus I ndic a tor: SOLID RE D X Audio signa l: CH IR P IN G ⢠The training & administr ation pack is being used in the ADMINI STR ATION f unction and more than 10 minutes have passed without user interaction (button press or pads c ha nge). ⢠The training & administr ation pack is being used in the TRAINING function and more than 30 minutes have passed without user interaction (button press or pads c ha nge). ⢠T o continue using the tr aining & administration pack, press any button (except On/Off). ⢠T o return t he FR2 to standby mode, remove the Pack and install a battery . St atus I ndic a tor: NONE The FR2 has been physically damaged. ⢠Check for visible damage. Do not use the FR2 if i t appears to be damaged. ⢠Remove and reinstall the battery to perform the battery i nsertion self-test. If it fails, install a new M38 63A FR 2 standar d battery or a charged M3 8 48 A FR2 rechargeable battery and repeat the test. If it fails again, do not use the F R2 . symptom poss ible ca use recomme nde d action
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
5-1 Philips Medical Sy stems 5 5 Clinical and Safety Consi derations Clinical Considerations Indic ation s The HeartSt art F R2 is indicated for use on victims of sudden cardiac arrest exhibi ting the fol lowing signs: î Unresponsiveness î Absenc e of normal b reathing The HeartSt art F R2 is intended for use by pers onnel who have been tr ained in i ts ope r ation. The user s hould be qu alif ied b y tr ainin g in basic life suppor t, ad vanced life suppor t, or other physic ian-a uthori zed em ergency medical response. NOTE : At the discre tion of eme rgency ca re personnel , the M3 86 0A FR2 with ECG display en abled can also be us ed with the FR2 ECG assessment modul e to displ ay the rhythm of a responsive or b reathing pati ent, r egard less o f a ge. T here ar e no known cont raindica tions to u se of the FR2 EC G assessment module. Contrain dication s The HeartSt art F R2 is contr aindi cated for us e (shoul d not be used) on patients who show either of th e following signs: î Responsiveness î Presence of normal brea thing Safety Considerations Y ou shoul d be aw are of the s af ety concerns listed here when you us e the HeartS tart F R2 . R ead t hem care fully. Y o u will also see some of the se mess ages in othe r parts of th is manual. The mess age s are labele d Danger, W arnin g, or Caution. î DANGER â immediate hazards that will re sult in persona l injury o r death. î WARN ING â conditions , hazards, or uns afe pr actic es that can result in serious personal in jury or death .
M3860A/ M3861A HEA RTSTART FR2 5-2 Philips Medical Sy stems î CAU TI ON â con ditio ns, hazar ds, or unsafe practices that ca n result in minor personal injur y , damage to t he Hear tSt art F R2 , or loss of da ta stored in the device. THESE SAFETY CONSIDERATIONS ARE DIVIDED INTO FOUR GR OUPS: SAFETY CONCERNS ABOUT THE HEARTSTART FR2 IN GENERAL USE, DEFIBRILLATION, MONITORING , AND MAINTENANCE ACTIVITIES. T he dang ers, warning s, and caut ions li sted i n the foll owing tables app ly to both the mode l M386 0A and the mode l M3861A HeartStart FR2 , unless otherwise no ted. Gener al dangers, wa rnings , and caution s safety level possible shock or fire ha zard, or explosion DA NG E R THERE IS A POSSIBILITY OF EXPLOSION IF THE HEARTSTART FR2 IS USED IN T HE PRESENCE OF FLAMMABLE ANESTHETICS OR CONCENTRATED OXYGEN. D ANG E R THE HEARTSTART FR2 HAS NOT BE EN EVALUATED OR APPROVED FOR USE IN HAZAR DOUS LOCATIONS AS DEFINED IN THE NATIONAL EL ECTRICAL CODE (ARTIC LES 500-5 03). I N ACCOR DANCE WITH THE I EC CLASSIFICATIONS (SECTION 5.5.) , THE HEARTSTART F R2 IS NOT TO BE USED IN THE PRESENCE OF FLAMMABLE SU BST ANCE/AIR MIXTUR ES. DA NG E R DO NOT R ECHA RGE TH E M38 63A FR2 STANDAR D BATTERY . W AR N I NG Use the Hear tStart FR2 only as descri bed in this manu al. Imp ro per use of the Heart Start FR2 c an cause death or injur y . Do not pr ess the Shoc k button if the defibr illator pads ar e touchin g eac h other o r ar e open an d exposed. CAUT ION Hazard ous elec trical out put. T he Hea rtStart FR2 is f or us e only by qualifie d person nel. CAUT ION Do not immerse any porti on of the HeartSt art FR2 in water or oth er fluids. D o not allow fl uids to ent er the Heart Sta rt F R2 . Avoid spillin g any fluids on the Heart Sta rt F R2 or acce ssories . Spilli ng fluids into the HeartStart FR2 may damage it or presen t a fire or shock hazard. Do not ste rili ze the Heart Start FR2 or ac cesso ries.
Clinical a nd Safety C onsiderat ions 5-3 Philips Medical Sy stems 5 safety level possible im proper devi ce per formance WA R N I N G Pro longed o r aggre ssive CPR to a pati ent with de fibrillator p ads attached can damage the pads. R epl ace th e defibrillator pads if they ar e damaged du ring use or handli ng. W AR N I NG Using damaged or expi re d equipme nt or acces sories may cause the HeartStar t FR2 to per form i mpro perly , and/or injur e the p atient or the user . WA R N I N G CPR rates s ignificantly a bove 1 00 c ompr essions pe r minute can cau se inco rrect or delayed an alysis by the HeartS tart FR2 . W AR N I NG Poor electr ode pad-to-patient c ontact may res ult in a r elated defibrillato r prompt or other indication. Check all electrical and patient conn ections. CAUT ION The Heart Sta rt F R2 is des igned to be used only w ith Phil ips-a pproved acces sories. The Hear tSt art F R2 may p erform impr operly if non-ap proved ac cessor ies are used . CAUT ION F ollow all inst ruct ions suppl ied with the Heart Start defib rilla tor pads . Use the defi brillat or pads before the e xpira tion date shown on t he packa ge. Do not reuse th e defib rillat or pads. Disc ard them afte r use. CAUT ION Aggres sive ha ndling of the d efibrill ator pa ds in stor age or prior t o use ca n damage the pads. Discard the defi brillator pads if th ey become d amaged. CAUT ION F ollow all inst ructio ns suppl ied with th e M3863A F R2 standard bat tery . Inst all the bat tery before the expir ation date shown on the ba ttery . CAUT ION F ollow al l inst ruction s suppli ed with the M384 8A FR2 rec hargeable battery. Recharge using th e M3 8 49 A charger only. CAUT ION Do not use t he M3 8 4 9A charger on airc ra ft. CAUT ION T he HeartS tart F R2 was design ed to be sturdy an d reliable for many differ ent fie ld use c ondition s. How ever, excessivel y rough handl ing can result in damage to the HeartSt art FR2 o r its accessories. Inspect the unit an d acc essorie s per iodical ly accord ing t o instru ctions. CAUT ION Alter ati on of the fact ory default s etup of the FR 2 can affe ct its performanc e and should be performed under the a uthorization of your Medica l Directo r . Mo difi cations to device oper at ion result ing from chan ges to th e default sett ings should be sp ecifically covered in user tr aining.
M3860A/ M3861A HEA RTSTART FR2 5-4 Philips Medical Sy stems Defibril lation warnings an d cautions CAUT ION Use only Phi lips-app roved dat a card s. The HeartSt art F R2 may perform impro perly if non-appr oved acce ssori es are used. safety level poss ible elec trical inter feren ce with ECG monito ring WA R N I N G Radio-fr equency (R F) interfer ence fro m devices suc h as cellular phone s and two-way radios c an c a use im proper He artSt art F R2 operation. T he HeartStart F R2 should b e used at least 6 feet (2 meters) away fr om R F devices, as stated in accordance with E N 61 000-4-3:199 6. safety level possible im proper devi ce perform ance safety level possible shock hazard WA R N I N G Defibri llation curr ent c an cause ope rator o r bystander injury . Do not touc h the patient dur ing defibrillation. Disconnect the pads conne ctor from the HeartStart F R2 before using any oth er defibrilla tor . safet y leve ls possib le E CG m isinte rpretat ion WA R N I N G F or safety r easons, some v ery low-amplitu de or low- frequ ency heart rhythms may not be inte rpr eted by the He artSt art FR2 as shoc k able VF rhy thms. Also, some VT rhythms may not be inter pre ted as shoc k able rhythms. W AR N I NG Handlin g or trans porting t he patient during he art rh ythm analys is can cause an in corr ect or de layed dia gnosis . If the He artStart FR2 gi ves a SHOCK ADVISED prompt, keep the patient as still as possible for at least 15 second s so the He artStart FR2 can reconfi rm the rh ythm analysis before a shoc k is delivered.
Clinical a nd Safety C onsiderat ions 5-5 Philips Medical Sy stems 5 Monitori ng ca utions Mainten ance caut ions safet y leve ls poss ible burns and ineffe ctiv e ener gy WA R N I N G Do not allow the defibr illato r pads to touch each other or oth er EC G electr odes, lead wires , dr essings, tr ansdermal patc hes, etc. Suc h contact ca n cause electri c al ar cing and p atient skin bu rns during defibrillation and may also diver t the defibrillatio n current away fr om the heart. WAR N I NG During defibr illat ion, air po ckets betw een the ski n and defi brillat or pads c an cau se patien t skin burn s. T o help preven t air pockets, m ake sure defibrillator pads c ompletely adher e to the skin. Do not use dried ou t defibri llator pads . safety level poss ible pat ient injury CAUT ION The HeartSt art F R2 advance d mode âÂÂs MAN UAL CH A R G E featur e is intende d for use onl y by authori zed oper ato rs who have been speci fically tr ained in card iac rh ythm recogn ition a nd in defi brillat ion th er apy u sing manual c harge and sh ock delivery . safety level possib le misi nterpret ation of E CG rec ordings CAUT ION The L C D s creen on th e HeartS t art F R2 mo del M3 8 6 0A is in tended only for basic E C G rhyth m identif ication. The freq uency respo nse of the monitor screen is not intend ed to provide the resolution ne eded for diagnost ic and ST segment interpretation. safety level possible fire or sh ock hazard CAUT ION Elec trical shoc k hazard. Danger ous h igh vol tages and curre nts ar e present. D o not open the H eartSt art F R2 , remov e its covers, or att empt repair. T h ere are no us er-servic eable co mponents i n the HeartS tart F R2 . The HeartSt art F R2 should b e returne d to an author ized servic e center for repair.
M3860A/ M3861A HEA RTSTART FR2 5-6 Philips Medical Sy stems CAUT ION Improper main tenance ma y damage th e Heart Sta rt FR2 or cause it to func tion i mproper ly . Mai nt ain th e H eartSt art F R2 o nly a s des cribed in this User 's Guide or a s designat ed by yo ur program's Medical Di rector . safety level possible fire or sh ock hazard
6-1 Philips Medical Sy stems 6 6 Setup an d Advanced Mode Fe atures Setup Overview The âÂÂsetupâ of th e HeartSt art F R2 D efibrilla tor is made up of sever al programmable aspects, or par ameters, of FR2 o peration. Some setup par ameters govern spec ific fea tures tha t are not relate d to the pat ient care protocol, so me are used to def ine the autom atic patien t care protoc ol used by the F R2 , and some provide option s for manual override of the protocol duri ng use. The FR 2 comes w ith a fa ctory def ault setup desig ned to mee t the need s of most users . If desire d, your M edical Directo r can revise t he setu p. Even if no ch anges are made, h owever , it is a good idea t o understand the se tup of your F R2 and how t he dif ferent p ar amete r settin gs affec t the w ay the device works. Non-p rotoc ol par amet ers The par amet ers li sted in the follo wing t a ble e nable feat ures of FR 2 operati on that ar e not rela ted to th e patie nt trea tment protoco l. T he table describes eac h of these non-protocol parameters, lists the settings av ailable for it , and identif ies t he def ault set ting. parame ter setting s default descrip tion speaker vo lume 1, 2, 3, 4, 5, 6, 7 , 8 8 Sets volume of t he FR2 âÂÂs speaker. 1 is lowest; 8 highest. The speaker is used for voice pr ompts and the charge-done tone. rec ord v oi c e YES, N O NO Enables or dis ables the audio recording dur ing incident. V oice recording requires use of a data card. ECG display ( M38 60A on ly ) ON , OF F ON Enables (ON) or disa bles (O FF) E C G display on the screen. FR2 rhythm analysis does not require ECG display to be on. (EC G disp lay c ann ot be chang ed from def ault OF F f or M3861 A .) autosend P ST ON , OF F OF F Enables (ON) or disa bles (O FF) tr ansmission of the results of the FR2 âÂÂs periodic selftests (PST) from its infrared co mmunications port.
M3860A/ M3861A HEA RTSTART FR2 6-2 Philips Medical Sy stems Autom atic p rotoco l param eters The HeartSt art F R2 is designed to follow an aut omatic protocol that gu ides you throu gh pa tient t reatment with th e def ibrillat or . The defau lt set tings f or programmable parameters used in the automa tic protocol can be altered by your Medic al Director if desired. The setup par ame ters in the followin g ta ble are us ed to defin e the au tomatic patien t care protoc ol used by the FR 2 . Many of these par ame ters inter act with eac h ot her , so i t is very impor t ant to un ders t and how e ach paramet er affect s the protocol. The descri ption of each pa rame ter ide ntifi es any i nt e rac tin g p ara me t er s in b oldface type . para meter setting s default descript ion shoc k series 1, 2, 3, 4 3 Sets the number of shocks that must be delivered to activate an automatic CPR pause. The length of the CP R pause after completion of a Shock Series is defined by the CPR T imer setting. A new Shock Series begins when a shock is delivered: ⢠after the F R2 is turned on ⢠after the automatic C PR pa use, or ⢠after the Pause K ey (if enabled) has been pressed, or ⢠if the time since the previous shock exceeds the Prot ocol Ti meout setti ng. protoc ol time out (min utes ) 0.5, 1. 0, 1.5, 2.0, 2.5, 3.0, 3. 5, â (inf inite) 1.0 Sets the time interval used to deter mine if a delivered shock should be counted as part of the current Shoc k Series. CP R time r (min utes ) 0.5, 1.0, 1. 5, 2.0, 2.5, 3. 0 1.0 Sets the length of the C P R pause period* that automatically s t arts when: ⢠a Shock Series is completed; or ⢠the Pause Key (if enabled) is pressed; o r ⢠a No Shock Advised (N SA) decisio n is made, the N SA CP R pause is enabled, and the conditions for using the CP R Timer setting for the N SA CP R pau se period are met (see N SA Ac tion ). After the C PR pause, the F R2 returns to automatic rhyth m analysi s. * The CPR pause period is lengthened by 10 seconds to allow time for initia l voice promptin g.
Setup and Adva nced Mode Feat ures 6-3 Philips Medical Sy stems 6 NS A a ct io n (min utes ) MONITOR , 0.5, 1.0, 1. 5, 2.0, 2.5, 3. 0 MONITOR Sets how the F R2 behaves following a NO SHOC K ADVIS ED (N SA) decision: MONITO R â directs the FR2 to monitor the patientâÂÂs EC G following an N SA d ecision and to prompt the user peri odicall y to provid e CPR. The int erval f or CPR prompting is set by the Monitor Prompt Int erval . TIME SETTING â directs the FR2 to provide a C PR pause period fol lowing an N SA decision (N SA C P R Pause). ⢠If no shocks have been delivered in the cur rent Shock Series (e.g., the pa tientâÂÂs initial monitored rhythm is non-shockable), the length of the C P R pause is defined by the NSA A c t i on time setting. ⢠If shocks have been delivered in the current Shoc k Series (e.g., the N SA decision follows a shock), the length of the C P R pause is instead def ined by the CPR Time r setting. CPR prom pt LONG , SHORT LONG Sets the level of detail provided in the CP R reminder voice prompts provided at the co mpletion of a Shock Series . LONG â provides detailed coaching to check airw ay , breathing, and pul se before beginning CP R. SHORT â simply directs user to begin C P R if needed. moni tor prompt inter val (min utes ) 1.0, 1.5, 2. 0, 2.5, 3.0, â (infin ite) 1.0 Sets the interval for pa tient care prompts provided during FR2 monitoring o f the patientâÂÂs E CG following an NSA decision. Selection of â (infinite) means that no repeat prompting will be pr ovided during E CG monitori ng. para meter setting s default descript ion
M3860A/ M3861A HEA RTSTART FR2 6-4 Philips Medical Sy stems Manual overri de parameters The HeartSt art F R2 provides seve ra l way s of overriding the automa tic proto col. T he parameter s in t he fo llowin g table ar e used to en able di ffere nt kinds of manua l overrid e. parame ter setting s defaul t desc ripti on advan ced OFF , ANALYZE , CH AR G E OFF Enables or dis ables advanced mode entry for ALS or tiered-response systems. OFF â dis ables advanced mode fe atures. ANALYZE â enables user-ini tiated rhythm analysis a nd dis arm, a nd (M3 8 60 A only) auto matica lly tu rns on E C G display when advance mo de is entered. CHAR GE ( M38 60 A only) â in addition to enabling the analyze feature, enabl es user-initiated charging and disa rming. pau se ke y OFF , MONITOR , ALW AYS OFF Enables or dis ables user-initiated C PR p ause in the automatic protocol. The length of the pause is d efined by the CPR T imer setting. W hen an Advanced mode fea ture ( ANALYZE or CHARG E ) is e nabled and accessed, the Pause key is di s abled. OFF â dis ables availability of user -initiated pause. MONITOR â enables user-initiated pause only during FR2 monitoring of patient rhythm. ALW AYS â enables user-initiated pause any time except when the device is already paused. If enabled, the Pause Key is accessed by pressing the lower Option butto n in dica te d by a n arr ow on the FR2 display, as shown in the s ample screen:
Setup and Adva nced Mode Feat ures 6-5 Philips Medical Sy stems 6 Using Set up Features NOTE : T o move aro und the men us displ ayed, use the Opti on butto ns as follow s: ⢠Press the LOWER Opti on butt on to move the hig hlight b ar from one item to a nothe r on the menu. ⢠Press the UPPER Optio n button t o select the high light ed item or to scroll throug h the setti ngs for that item. The FR 2 comes w ith a fa ctory def ault setup desig ned to mee t the need s of most users . The setup feature of the F R2 lets you rev iew the curre nt setup of your Heart St art FR2 or install a revised setup if appropri ate. T o go to the SETUP menu: 1. Remove and re inst all t he batte ry to bring up t he first menu on the screen . NOTE : T his scr een wi ll not be displa yed if the F R2 is co nnecte d to defib rillator pa ds (tha t are applie d to the pa tient) wh en the ba ttery is inserte d, and y ou will not be able to a ccess t he menu items. In a ddition, the battery insertion selftest a nd periodic automatic se lftests cannot run while the defibrilla tor pads are connected . Be sure to unplug t he pads connector f rom the FR2 after ea ch use. D o not store the FR2 with the pads conne cted. res u me k e y ON , OFF OFF Enables ( ON ) or disable s ( OFF ) user-initiated interruption of the CP R pause and return to analyzing. If either the CPR T imer or the NS A A ct io n setting is programmed to 1.5 minutes or longer , the Resume Key setting is automatically enabled ( ON ). If enabled, the Resume Key is accessed by pressing the lower Option button indicated by an arrow on the FR2 display , as shown in the s ample screen: advanced use prompt inter val (min utes ) 0.5, 1. 0, 1.5, 2.0, 2.5, 3. 0 0.5 Sets the interval for âÂÂPress to Analyzeâ prompts provided during advanced mode o pera tion. parame ter setting s defaul t desc ripti on
M3860A/ M3861A HEA RTSTART FR2 6-6 Philips Medical Sy stems 2. W i thin 10 se conds of ins ta lling the b attery, press the lower Op tion button to mov e the highlight b ar to NEXT . 3. Press the up per Opti on butto n to select NEXT . 4. Press the low er Option butt on to move the highli ght bar to SETUP . 5. Press the up per Opti on butto n to bring up the SETUP menu. The SETU P menu allow s you to receive s etup direct ly from an other HeartSt art F R 2 or a computer running HeartSt art E vent Re view sof tw are, read setup from a dat a card, or review c urrent set up. Reviewing curren t setup A good wa y to unders tan d the setup of you r F R2 i s to re view th e setu p it curr entl y uses . 1. Selec t REVIEW SETUP from the SETUP menu. The first of a ser ies of REVIEW SETUP screens is displayed. 2. After revi ewing th e screen con tents, pr ess the upper O ption but ton to select NEXT and mov e to the nex t scree n. 3. The last screen allows you to select RETURN and go bac k to the SETUP menu. . Revising setup There are sever al w ay s to change the setup of your HeartS ta rt F R2 . All of them requi re use of produc ts or accessori es availabl e separ ately from Philips Medica l System s. î Use the M3 8 6 4A tr ain ing & adminis tr ation pack to enab le softw are within th e FR2 to modify its s etup. (Instru ctions are provided wi th the Pac k.) î Read a revised setup fr om a data card containi ng the se tup. (Inst ructions are pr ovided late r in this chapter.)
Setup and Adva nced Mode Feat ures 6-7 Philips Medical Sy stems 6 î Use the infr are d communic ations fea ture of the F R2 to receive the revised setup from anoth er FR2 . (Instruction s are provided later in this cha pt er.) î Use the infr are d communic ations fea ture of the F R2 to receive the revised s etup fr om a compute r running He artSt art Ev ent Review software . (Ins truct ions are pro vided with t he He artStart E vent Revie w software.) CAU TI ON : Alte ra tion of the fa ctory def ault setu p of the F R2 can affect its performanc e and should be performed under the a uthorization of your Medical Director . Modific ations to device op eration res ulting f rom ch anges to the defa ult setti ngs shoul d be speci fically covered in us er tr aining. See th e tables descri bing the various se tup parameters at the beginning of this c hapter and Appendi x D, âÂÂGlossary of T erms, â for definiti ons of set up items. Receiving set up This method uses the in fr ared commun icatio ns fe ature of the HeartS tart F R2 to recei ve setup dir ectly from o ne HeartS tart FR2 to anothe r (which must have t he traini ng & admin istration pac k ins t al led in i t) o r from a computer running He artSt art Event Review s oftw are. (See ins truction s provided with HeartSt art Ev ent Review .) T o rec eive setup from another F R2 , follo w these s teps: 1. Locate the infrared c ommuni cation s port o n eac h HeartS tart FR2 and line them up w ith one an other , so that the i nfr ared â eyeâ in each one has an uninte rrupted view of the âÂÂeye â in the oth er . (See the diagr am on th e inside fron t cover.) The two device s should be no more than 1 meter apart. 2. Make su re the â sendi ngâ FR2 has the training & adm inis tration pac k inst alled and is rea dy to send. (Se e the M3 8 6 4A tr ain ing & admi nist r atio n pack Refe rence Guide fo r instr uctio ns.) 3. Selec t RECEIVE SETU P from the set up menu: 4. A new screen comes up. Un til the two He artSt art F R2 dev ices are properly position ed, the screen displ ays READY TO RECEIVE and prompt s you to c heck t he send ing FR2 . 5. Setup da ta are autom atica lly transfer red as soon as the inf rared ports are c orrectly alig ned. 6. If you sele ct EXIT before th e tr ansfe r is complet e, the revise d setup wi ll not be re ceive d. W hen t he transf er is compl ete , the scre en on t he
M3860A/ M3861A HEA RTSTART FR2 6-8 Philips Medical Sy stems âÂÂreceivin gâ F R2 display s a SETU P COMPLETE message. Y our Heart Start FR2 immedia tely us es the ne w setup. Receivi ng setup from a comput er running H eartS tart Event Revie w softw are is di scusse d in th e dire ctions for us e provi ded wi th Hea rtStart Ev ent Re view software. Reading setu p T his method copies setup data from a data card to your HeartStart F R2 . T o read t he set up, foll ow thes e ste ps: 1. Insert the dat a card in the dat a card tr ay and in st all the lo aded tr a y into the da ta card slot in the F R2 . 2. Selec t READ SETUP from th e setup me nu. 3. A new screen comes up. If the F R2 cannot read the dat a card or cannot fi nd a valid setup on the dat a card, the screen d isplays a NO SETUP FILE error mess age. Otherwise, the F R2 begin s reading the setup i nforma tion from the dat a card immed iately. 4. If you sele ct EXIT before th e tr ansfe r is complet e, the revise d setup wi ll not be copie d. W he n the tr ansfer is finish ed, the screen display s a SETUP COMPLET E mess age. Y our F R2 immedia tely uses th e revised setup. Sending and Receiving Clock Settings T o synchronize the clock setting s of your HeartS ta rt F R2 with the cl ock of another F R2 or a computer run ning He artSt art Ev ent Revie w softw are, you can use th e infr ared commu nication s featur e. Instruct ions for synchroniz ing clock setting s using a com puter runni ng HeartS t art Event Re view are pro vided w ith the Hea rtSt art Even t Review software. T o tra nsfer clo c k set tings from one F R2 t o anothe r: 1. Remove and reinst a ll the batt ery of both F R2 device s to bring up the first menu scree n. 2. Selec t NEXT t o go to the secon d menu scree n. 3. Selec t CLOCK from the second men u screen. The CLOCK sc reen then comes u p. 4. Locate th e infr ared commun icatio ns port on each F R2 and line them up with one an other, so that the in fra red âÂÂeye â in each one has an
Setup and Adva nced Mode Feat ures 6-9 Philips Medical Sy stems 6 uninterru pted v iew of the âÂÂeyeâ in the other . (Se e the d iagr am on the bac k of the f irst page of this manu al.) T he two dev ices should be no more than 1 meter apa rt. 5. Selec t SEND TIME from the CL OCK screen on the âÂÂs endingâ HeartS tart FR 2 . 6. Selec t RECEIVE TIME fro m the CLOC K screen of the âÂÂrece ivingâ F R2 . 7 . A new screen come s up. Until the tw o FR2 devi ces are pro perly positione d, the scree n on the receiv ing F R2 disp lays READY TO RECEIVE and promp ts you to check the sending F R2 . T he screen on the se nding F R2 d isplays READY TO SEND and pro mpts you to check the r eceiving F R2 . 8. Cloc k setting s are au toma tical ly transfe rred as s oon as the inf rared ports are c orrectly alig ned. Using Advanced Mode Features The Heart Sta rt F R2 provid es an adva nced mo de t hat al lows re sponders who are appropriately tr ained to ov erride the programm ed FR2 protocol and t ake res ponsibil ity for cert ain as pects of th e oper atin g sequenc e used by the F R2 to trea t the pati ent. As desc ribed earlie r in this chapter, the factor y defaul t setup of the F R2 must be modified t o provide a ccess to advanc ed mode fe atures. This requires use of the adm inistr ation function of th e M3 8 64 A tra ining & admi nist r atio n pack. If you are an expert user a uthorized by your Me dical Direc tor to modify setu p, hold dow n both the Op tion butt ons while inst alling the tra ining & admini str ation pack in the F R2 , th en selec t SETU P . Then se lect MODIFY SETUP from the SETUP menu. S elect ADVANCE D from the third me nu of the MODI FY SETUP menu. Using the up per Opt ion button, scro ll through th e avai lable sett ings for ADVANCE D . The advanc ed mode opt ions available are base d on the FR 2
M3860A/ M3861A HEA RTSTART FR2 6-10 Philips Medical Sy stems model used . For the M38 6 0A, the us er can select ANA LYZE , CHA R G E , or OFF . For the M3 8 61A the user ca n select only ANAL YZE or OFF . (Det ailed directio ns for use are s upplied with the tr aining & adminis tra tion pack.) CAU TI ON : Al ter ation of th e factory d efault setu p of the F R2 can affe ct its performanc e and should be performed under the a uthorization of your Medical Dire ctor . Mo dification s to device oper ation resulting from c hanges to the defa ult setti ngs shoul d be speci fically covered in us er tr aining. CAU TI ON : The Heart Sta rt F R2 advance d modeâÂÂs MANUAL CHA RG E feature is intend ed for use on ly by autho rized ope r ators who have been specifi cally train ed in cardia c rhythm reco gnition and in defibr illation thera py using manual c harge and shoc k delivery . Th e ANALYZE f eatur e is p articul arly us eful f or orga nizat ions th at in clude responders who have B asic L ife Su pport (B LS) tr ain ing as well as more highly trained resp onders who ma y be ce rtified in A dvanced Life Su pport (ALS). In such situations, th e Medical D irector may set up a âÂÂtiered-responseâ system. The HeartStart FR 2 is specifically designed to provid e di fferent produc t feat ures a ppropriat e to eac h tier of re sponder . In a scena rio where a B L S respon der is the first o n the sc ene of a n incid ent, he or sh e is trained to tr eat th e patien t immedi ately â for example, to ch ec k for breat hing and responsiven ess; to a pply the defibrillat or pads and conn ect them to the He artSt art F R2 ; and to follow the voic e and text pr ompts provide d by the He artSt art F R2 in its automate d (AE D) mode. W hen a n AL S-tr ained responder a rrives, the B LS responder âÂÂhands offâ the pa tientâÂÂs care to the more hi ghly tr ained responder. Becaus e these seco nd-tier res ponde rs have adv anced tr a ining and develop ed clini cal skill s, they may be au thoriz ed to access the adva nced mode feature s of the HeartS ta rt FR 2 . These includ e user-ini tiated ana lysis and manual c h arge and disarm control. Using t he manua l analy ze feat ure The Manual Analyz e featu re is avai labl e in both the M 3 86 0A and th e M3 8 61A models , when ena bled in setup. T o enter the adv anced mode during use of an F R2 that has thi s feature enabled, press both Option but tons simu ltane ously. This brings up a screen that in cludes a hi ghlig hted lin e at the botto m, labe led ANALYZ E , with an arrowh ead po inting to t he lo wer Op tion button.
Setup and Adva nced Mode Feat ures 6-11 Philips Medical Sy stems 6 In the M3 8 61A HeartSt art F R2 , the pati entâÂÂs E C G is not dis playe d; in the M3 8 60 A, the disp lay inclu des the p atientâÂÂs E C G and heart r ate. Press the low er Option butt on ( ANALYZ E ) to in itiate rhythm analy sis by the FR2 . If a shoc k is advised , the FR2 au tomati cally c harges, an d prompt s you to press the Shoc k button. After shock delivery , the HeartSta rt F R2 returns to the advanced mode displa y and monito rs the pat ientâÂÂs heart rhy thm. If a poten tially s hockabl e rhythm is dete cted, t he te xt and voice prompt s ad vise yo u to PRESS ANALYZ E . NOTE : If you do not press the lower Op tion but ton (labeled ANA LYZE ) to initiate rhythm an alysis when prom pted, the HeartSt a rt F R2 does not anal yze and prompt if a shock is ad vised . It is imp ort ant th at you und ers tan d that en tering the a dvanced mod e ent ails ta king re sponsib ility f or the se func tions. If the rhythm anal ysis results in a Shock Advised de cision, the FR2 begins charg ing, prompts you to press th e Shoc k button, and displays a MANU AL DISARM option at the top of the scr een. If for any reas on you w ant to canc el the shoc k, press the upper O ption butt on to disarm th e FR2 . T o retur n to non -manu al, AED mode operatio n, tu rn the FR2 o ff by pre ssing the O n/Off bu tton . T hen turn the FR2 on by pr essin g the On/Of f butto n again . Using the manual charge f eature (M386 0A only) The manual charge fe ature is a vailable on ly in the M 38 6 0A , when ena bled in setup. T o enter the adv anced mode during use of a n FR2 that has this feature enabled, pres s both Option buttons si mu lta neousl y . This brings up a scree n that in cludes a hi ghlig hted lin e at the top, la beled MANU AL , with an arrowhead point ing to the uppe r Option button, an d another at the bottom, labele d ANAL YZE , with an arrowhea d poin ting to the low er Option button. W h en the adv anced mode is entered , display of the p atientâÂÂs E C G and hea rt r ate is automa tically in itiat ed. Pressing the low er Op tion bu tton ( ANALYZE ) provi des user-i nitiated rhy thm analysis as describe d above. Pressi ng the uppe r Option button ( MANU AL ) brings up a new screen.
M3860A/ M3861A HEA RTSTART FR2 6-12 Philips Medical Sy stems The highlig hted top line is la beled MANU AL CH AR G E , wit h an ar rowhead pointin g to the upper Op tion button. If the E C G display s hows that, in your expert clin ical jud gment, the pat ient has a shockable rhy thm, press the upper Opt ion button ( MANUAL CHA R G E ). The HeartSta rt F R2 w ill immediately charge for shock delivery. As soon as ch arging begi ns, the screen message c hanges to CHA R G I NG , STAND CLEAR , and the la bel for the a rrowhead poi nting to the upper Optio n button c hanges to MANUAL DISARM . T he FR2 beeps w hile it is c harging. W hen the beepin g chan ges to a continuou s to ne and t he S hock button light f lashe s, press the S hock button to deliv er a shoc k. However , if the ECG display shows that the patientâÂÂs rhythm has c han ged to a non -shocka ble rhythm , press the up per Opti on button to d is arm the Hea rtSt art F R2 . After shock delivery, the HeartSt art F R2 ret urns to the in itial adva nced mode scre en. T o re turn to non-ma nual, A E D m ode o per ation, turn th e F R2 off by pre ssi ng the On/O ff bu tton . Then turn the F R2 on by pres sing the On/Off button again.
7-1 Philips Medical Sy stems 7 7 Data Manage ment and Re view Overview The HeartSt art F R2 is desig ned to make it easy to man age inci dent dat a. Some info rmation is au tomatica lly stored in the interna l memory of the HeartStart FR2 . More det ailed data can be stored on a data card if desired. The incident inform ation st ored in t he Heart Sta rt F R2 âÂÂs i nternal me mory , or a sum mary o f the i nformatio n reco rded on the dat a card , can t hen be displayed on the Heart Start F R2 screen for review. In addition, HeartSt art Event Rev iew* soft wa re can be used on a personal computer to s tore and review the de tai led reco rded inf ormation f rom a d at a card. Recording Incident Data The HeartStart F R2 has two ways of rec ording information abou t an emergenc y inciden t so that it ca n be review ed afte r the incide nt: in intern al memory and on an optional dat a card. Recording da t a in inter nal memory Summary d at a for an inc ident is au tomatica lly reco rded in inter nal memo ry by the F R2 wh ile you a re usin g it. Recording da t a on a data card The M3 854 A dat a card ca n be used to store sever al hours of det ail ed incide nt data, in cluding event s and ECG. IMPORTANT NO TE : T o reco rd in cident data on a data ca rd, the data ca rd must be installed before you tu rn o n the FR2 . CAU TI ON : The FR 2 is des igned to be us ed only wi th Philips-a pprove d acces sori es. T he FR2 may perf orm i mproper ly if non-ap prove d acces sori es are u sed. * HeartStart Event Review soft ware w as previ ously sold as Cod eRunner software.
M3860A/ M3861A HEA RTSTART FR2 7-2 Philips Medical Sy stems T o inst all a dat a c ard : 1. Make s ure the dat a card i s clean and d ry . 2. Load the da ta ca rd into its pla stic tr ay , with the tra yâÂÂs âÂÂtong ueâ fitting over t he matching y ellow a rea on the da t a card. Th e label on the ca rd should face up. The label ha s an arrow in dicati ng which side to insert into the da ta card port. 3. Make sur e the F R 2 i s off (in st andb y mod e), or th at t he bat tery h as been re moved. 4. Hold th e loa ded tr ay by it s handl e and gent ly inse rt the tr a y into the da ta card port on the rig ht side of the F R2 . Pu sh the tr ay all the w ay into th e port until on ly the t ab remain s outside th e FR2 case. Do not f orce the tr ay into the po rt. If t he tr ay is hard to insert, re move i t and make s ure that the arrow label is face up and pointing t oward t he dat a card port. The dat a c ard will auto matically record incid ent da ta the next time the HeartS tart F R2 i s turne d on. T o avoid runni ng out of dat a card space duri ng an incide nt, it is recom mende d that eac h data ca rd be us ed to record th e information for only one incid ent and tha t it be replac ed after ea ch use of the F R2 . If you reco rd inform ation from more than one incid ent on a dat a card , it is import a nt t o revi ew h ow mu c h t ime i s le ft on the us ed d at a ca rd be fore recording a new inci dent. T o do th is, load th e dat a card in to the dat a card tr ay , insert the tr ay in th e FR 2 , then rem ove and rein st all the ba ttery . The first screen displayed shows how much recording time remains on the card. NOTE : Duri ng an i ncide nt, if for a ny reas on yo u turn off t he FR2 for le ss than five minutes, the F R 2 co nsiders this to be a âÂÂcontinu ed use â situa tion, and : ⢠the inform ation st ored a bout the in ciden t is saved, ⢠addi tional eve nts reco rded afte r the device is turned bac k on will be treated a s part of the sa me inci dent, a nd ⢠the selftest wi ll not autom aticall y run if the ba ttery is repla ced. IMPORTANT NO TE : Do not remove the b attery while incid ent da ta are being record ed to a dat a card . T o ensu re that no incident d at a are lost, tur n the FR2 off (re turn it t o standby mode) before repl acing th e battery .
Data Manageme nt and R eview 7-3 Philips Medical Sy stems 7 T o replace a dat a card: IMPORTANT : Y ou must turn the F R2 off (return it to st andby mode) before you remove the dat a card, to ensure tha t no incide nt dat a are lost. 1. Press th e On/Off button to turn off t he FR2 . Never replac e the data card unle ss the F R2 is tu rned off. 2. Remove the loaded da ta card tray by grasping i ts handle and pulli ng it out of the port. 3. Remove th e data card fro m the tray . 4. Give the data card t o the appropriat e person in your organi zation. 5. Becaus e it helps se al the F R2 a gainst mois ture, the d ata c ard tray should always be reinser ted into the por t of the FR2 . Either load a new dat a car d into t he tr a y and insert it, or insert t he em pty dat a card tr ay i nto the por t. Reviewing Incident Data Review ing dat a fr om in ternal memo ry Summ ary inf orma tion fr om th e la st inc ident that is st ored in th e int ernal memory o f the HeartSt art FR2 can be displayed on its screen for review. T o revi ew th is in format ion: 1. Remove the data card if one is installed and unplug the pads connector . 2. Remove an d reinst all th e batt ery . (Make sure you are using the gra y M38 63A FR2 standard batt ery or the blue M384 8A rec h argea ble battery, not the yellow tr ain ing & admin istr ation pa ck.) 3. Selec t REVIEW INCIDENT from the men u. A new scre en comes up . 4. Observe and record, if desired, the summa ry information displaye d on the sc reen: î how long th e inciden t recorded by the F R2 las ted, and î how many shocks were d eliver ed during the incident. This information s ta ys in the F R2 âÂÂs memory and can b e displaye d for review until the ne xt time the F R2 is used. At that ti me, the da ta from the new incide nt will be display ed.
M3860A/ M3861A HEA RTSTART FR2 7-4 Philips Medical Sy stems Reviewi ng data from a data card If a dat a card i s inst alled w hen the Hea rtSta rt FR 2 is t urned on for use during an inciden t, the HeartSt art F R2 a utomaticall y records det ailed informatio n on the data card. T o review this informa tion on the He artSta rt F R2 screen: 1. Make sure t he trai ning & adm inistrat ion pa ck is not inst al led. 2. Make s ure the dat a ca rd is inst alle d. Unp lug the pad s conne ctor . 3. Remov e and re inst all th e batt ery . 4. Selec t REVIEW INCIDENT from the men u. A new scre en comes up. This screen display s: î ELAPSED TIME â how long the incident recorded by the F R2 lasted, * î SHOC KS DELIVERED â h ow many shoc ks were delivered during the inciden t, and î FIRST SHOC KS AT â the times at which the first three shocks we re delivered. NOTE : If the dat a card does not cont ain eve nt data , only the su mmary inform ation from FR 2 interna l memory wi ll be d isplayed w hen R EVI E W I N C I DE NT is select ed. 5. T o review the e vents that occur red d uring the in cident , sel ect REVIEW EVENTS . A new screen comes up. This a nd following screens, accessed by sel ecting NEXT EVENTS , disp lay elap sed ti me informati on for criti cal acti viti es in us ing the FR2 . T hese incl ude: î POWER ON â when the FR2 was tu rned on, î PADS ON â when the de fibrill ator pad s were conn ected, î SHOCK ADVISED â when a shock was advised, î ARMED â when the FR2 charge d for shoc k delivery , î SHOCKED â w hen a sho ck w as d eli ver ed, î SHOCK ABO RTED â when a shock was aborted, î PAUSE FOR CPR â when a pause occurred î POWER OFF â when the FR2 was turn ed off * Th e FR2 display s elapsed time to a maximum of 99:59 minut es. If th e elapsed time of u se extend s beyond t his figure , the minu tes are represen ted by âÂÂ??â but the seconds are displayed. How ever , total elap sed time will be rec orded on an inst alled dat a card for later review with HeartS tart Event Review dat a managemen t software .
Data Manageme nt and R eview 7-5 Philips Medical Sy stems 7 Additi onal informatio n may be displ ayed if your FR2 is usi ng a revised setup allowin g adva nced mod e ope rati on. 6. T o review the f i rst six secon ds of the r ecord ed pr esenti ng ECG for t he inciden t, select REVI EW ECG . A new s creen comes up. This screen displa ys a three-s econd se gment of the prese nting ECG from t he inciden t. 7. S e l e c t NEXT ECG SEGMENT to review the s econd th ree-seco nd segmen t of the presen ting ECG . Data cards can be reused if desire d. Using a p ersonal comp uter runn ing HeartS tart Event Review s oftw are, y ou ca n copy the infor mation from a d at a card, t hen er ase the card and reus e it in the FR2 .
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
A-1 Philips Medical Sy stems A A Accessories for the Hear tSt ar t F R2 HeartSt art Accessories Acces sories fo r the HeartS tar t FR 2 av ailabl e separ ate ly from Phil ips Medica l System s includ e the follow ing: î Spare M3 86 3A FR2 st andard battery (recomme nded) î DP2/ D P6 adult def ibrillat or pads î M38 7 0A F R2 infa nt/c hild red uced-en ergy defibril lator pads î Spare M3 853A dat a ca rd tra y î M3 85 4A da t a card an d tr ay î M38 68A fabric car rying ca se î M3 8 69 A viny l carryi ng case î M3 85 7A w all moun t bra cket î M38 48A F R2 rec hargeab le battery * â î M 3849A c ha rg e r , f o r t he M3848A FR2 re c ha r ge a ble ba tt er y on ly ; incl udes powe r cord î 68-P C HA T fast response kit (pouch containing a pocket mask, a disposable razor , 2 pairs of gloves, a pair of paramedics scissors, and an absor bent w ipe) î M387 3 A/ M3 8 7 4A FR 2 EC G assessment module, for use only w ith an M3 8 60 A FR 2 config ured for E C G displa y , for connecti on to E CG electrod es per AAM I (M3 8 73A) or I E C (M3 8 7 4A ) conven tion â î M386 4A traini ng & a dminis tration pa ck î M3 855A charge r , for the tr ain ing & admi nistr ation p ack only; includ es power cord î PF E7 023D/ P F E7 024D defibrillat or cabinets î 0 7 -109 00 trai ning pads â¡ î Y C h ardshell w aterproof carrying c ase * The M3 8 4 8A FR 2 recha rge able ba ttery is de signe d for e nviro nmen ts in which the FR 2 Defibrillator is expected to see frequent use. T his battery is not designed for use in aircraft. It i s recomme nded th at this batter y not be used as a sp are or backu p batt ery and, due t o its shorter st andby life, that it not be used as t he primary or sp are battery in app lications where the FR2 Defibril lator is i nfrequen tly used, such as the home , commerci al business, or commercia l airlines en vironment s. â These p roducts can be used only with FR2 Defibrillators runni ng software version 1.5 or highe r . â¡ I M P ORT ANT: Never store tr aining pads w ith the defibrillator .
M3860A/ M3861A HEA RTSTART FR2 A-2 Philips Medical Sy stems Suggested Additional Items I t m a y b e u s e f u l t o k e ep so m e ad d it io n al i t e ms w it h y o ur H ea rt S t a r t F R 2 f o r use if need ed when an i ncident occurs . Some suggest ed su pplies include : î a pair of paramedicâÂÂs shears or scissors * î a disp os able r az or desi gned fo r removi ng chest hair * î a pocket mask or face s hield * î disposable gloves * î a towel or anti septic w ipes * î a source of oxygen Y our medic al director may have other requi rements fo r suppli es. * Conta ined in the fast response kit available from Philips Medical Systems
Philips Medical Sy stems B B-1 B T echnica l Spec ificat ions The specific ations fo r the HeartS ta rt FR 2 provid ed in this c hapt er apply to both the M 3 86 0A and M 3 861A, unless otherwise no ted. Addition al inform ation can b e found in th e T echnic al Refer ence Ma nual for the F R2 Defibril lator, located onlin e at w ww .medica l.philips .com. HeartSt ar t F R2 Defibrillator S pecifications Physical Environment al categor y nomi nal spe cifica tions Size 2.6" high x 8. 6" wide x 8.6" deep (6.6 cm x 21.8 cm x 21 .8 cm). We i g h t Approximately 4.7 lbs (2.1 kg) with M38 63A FR2 standa rd battery installed. Approxi mately 4.5 lbs (2 kg) with optional M384 8A FR2 rechargeable battery inst al led. categor y nominal specifica tions Operating T emperature and Hum idity 32ð to 122ð F (0ð to 50ð C). 0% to 95% relative humidity (non-condensing) . Standby T emperatur e and Hum idity 32ð t o 10 9ð F (0 ð to 43ð C). 0% to 75% relative humidity (non-condensing) . Applies to HeartSt art F R2 with batter y installed a nd stored with defibri llator pads. Altitu de Meets M I L-8 10E 5 00.3, Procedure I I (-500 feet to 15,000 feet). Shoc k/ Dro p Abuse To l e r a n c e Meets M I L-S TD-810E 516.4, Procedure IV (after a 1 meter drop to any edge, corner , or surface, in standb y mode). Vib rat io n Meets MI L-S TD-810E 514.4-1 7 . Sealing W i th data card tray a nd battery inst alled, meets I E C 529 class I P54. ESD Meets E N 61000-4-2: 199 8 Severity Level 4. EMI ( Ra d i a te d ) Meets E N 60 601-1-2 limits (1993), method E N 55011:199 8 Group 1 Level B.
M3860A/ M3861A HEA RTSTART FR2 B-2 Philips Medical Sy stems Defibrillat or EMI ( Im m u n it y ) Meets E N 60 601-1-2 limits (1993), method E N 61000- 4-3:1998 Level 2 (3 V/m and 10 V/m at 26 M Hz to 1 G Hz). Air cra ft: Meth od Meets RT CA/ D O-160D:1997 Section 21 (Category M - Charging). categor y nominal specifica tions categor y nominal specifica tions W avefo rm Pa ramet ers Biphasic trun cated exponent ial. W avefo rm paramet ers are aut omaticall y adjusted as a function of patient defi brillation impedance. In the diagr am at left , A is t he dur ation of phase 1 and B is the dur ati on of phase 2 of t he w aveform, C i s the i nterphase del ay , V p is t he peak voltage, and V f the final volt age. The HeartStart FR2 del ivers shocks to load impedances from 25 to 180 ohms. The duration of each phase of the w aveform is dynamically adjusted based on delivered charge, in order to compensa te for patient impedance variations, a s shown below: adult defibril lation load phas e 1 phas e 2 deliv ere d resistance (ohms) duration (ms) duration (ms) energy (J) 25 2.8 2.8 14 0 50 4.09 4.09 150 100 9.0 6.0 15 7 125 12.0 8.0 161 150 12.0 8.0 15 7 pediatric defibrilla tion (using M38 7 0A FR2 infant/c hild reduced-en ergy defibrillator pad s) load phas e 1 phas e 2 deliv ere d resistance (ohms) duration (ms) duration (ms) energy (J) 25 4 .1 4.1 35 50 5 . 8 3 . 8 48 100 7 .2 4.8 55 125 7 .2 4.8 54 150 9.0 6.0 55 NO TE: The values given are nominal. Because of the effec t of the M387 0A FR2 infant/child padsâ att enuation circu itry on the defibrilla torâÂÂs impeda nce compensa tion fe ature, t he actual phase du rations for a given load resis tance o n the table above could be those of an adjacent row .
T ech nica l Specificat ions B-3 Philips Medical Sy stems B Energ y Using adult defib rilla tor pads: 150 J nomin al into a 50 ohm lo ad. Using infant/child reduced-energy defibrillator pads: 5 0 J nominal into a 5 0 ohm load. S ample pediatric energy doses: age energy dose newborn 14 J /kg 1 year 5 J /kg 2 â 3 years 4 J /kg 4 â 5 years 3 J /kg 6 â 8 years 2 J /kg Doses indicated are based on C DC growth cha rts for the 5 0th percentile weights for boy s. * * National Center for Health St atistics in collabor ation with the National Ce nter for Chronic D isease Pr evention and Heal th Promoti on. CDC grow th c har ts: weight-for-age percentiles, revised and corrected November 28, 200 0. Atlanta, GA: Centers for Disease Control and Pr evention é 2000. Charge Co ntrol Controlled by Patient Analysis System for automated oper ation. Can be programmed f or manual initiation using advanced mode of the M38 6 0A. Charge Time from âÂÂShock Adv isedâ < 10 seconds typical, including confirming a nalysis. Charge time increases near end of battery service life. Shoc k-to-Shoc k Cycle T ime < 20 seconds typical, including ana lysis, in AE D mode. âÂÂCharge Com pleteâ Indicator Shock button flashes, audio tone sounds. Disa rm (AED mode) Once charged, the HeartStart F R2 will dis arm if: ⢠patientâÂÂs heart rhythm changes to non-shockable rhythm, OR ⢠a shock is not delivered within 30 seconds af ter the FR2 is armed, OR ⢠the P AUS E button (if enabled) is pressed, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrillator pad s are removed from the patient or the pa ds connector is disconnected from the F R2 . categor y nominal specifica tions
M3860A/ M3861A HEA RTSTART FR2 B-4 Philips Medical Sy stems E CG Analysis System Disarm (advan ced mode ) Once charged, the HeartStart F R2 will dis arm if: in advanced mode ANAL YZ E ⢠the manual dis arm button is pressed, OR ⢠a patientâÂÂs heart rhythm changes to non-shockable rhythm, OR ⢠a shock is not delivered within 30 seconds af ter the FR2 is armed, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrilla tor pads are remo ved from the patient, OR ⢠the pads connector is disconnected from the F R2 . in advanced m ode CHARG E (M38 60A only) ⢠the manual dis arm button is pressed, OR ⢠a shock is not delivered within 30 s after charging, OR ⢠the On/Off button is pressed to turn off the FR2 , OR ⢠the defibrilla tor pads are remo ved from the patient, OR ⢠the pads connector is disconnected from the F R2 . Shoc k Delivery V ector V ia adult defibri llator pads place d in the anterior-a nterior (Lead I I) position or via FR2 infant/child reduced-energy defibrillator pads pl aced in the anterior-posterior position. categor y nominal specifica tions categor y nominal specifica tions Fu nc ti on Evaluates impedance of defibr illator pads for proper contact with pati ent skin, and evaluates the EC G rhythm and si gnal quality to determine if a shoc k is appropriate. Protoc ols Fo llows pre-progr ammed settings to match local E M S guidelines or medical protocols. The settings can be modified using the setup options. Shoc kable Rhythms V entr icular fibrillation (VF) a nd certain ventri cular ta c hycardias, including ventricular flutter and polymorphic ventricular t achycardia (VT). The Hear tSt art FR2 uses multiple par ameters to determine if a rhythm is shockable. NO TE: For safe ty reas ons, some v ery lo w-amplitude or lo w-freque ncy rhythms may not be inter preted as shoc kable VF rhythms. Also, some VT rhythms may not be interpreted as shoc kable rhy thms. CPR rates sign ificantly above 100 compr essions per minute can ca use inco rrect o r delayed analysi s by the Heart Star t FR2 . Asystole On detection of asystole, pr ovides CP R prompt at pro grammed interva l.
T ech nica l Specificat ions B-5 Philips Medical Sy stems B Disp lay Cont rols and i ndic ator s Pacemaker Detec tion On detection of a pacemaker (in advanced mode or with M38 73A/M3 8 7 4A F R2 EC G assessment module), provides scr een display of PAC EMAK ER DETECTED alert. M3 86 0A includes pa cemaker artifact in E CG display. In both models, pacemaker artifact is removed from the si gnal for rhythm analysis. categor y nominal specifica tions categor y nominal specifica tions Monitor ed ECG Lead EC G information is received from adult defibrillator pads in anterior-anterior (Lead I I) position or fr om FR2 infa nt/child reduced-energy defibrillator pads in an te ri or -p os ter ior po s iti on . ( Disp lay ed on M3860A o nly .) ECG inf orm at ion c an a lso be dis pl aye d i n the M3860A usi ng th e FR2 ECG assessment m odule. N O T E : The ECG disp lay provided by the FR2 Defi brillator is not is not intended to p rovide diagnostic or ST segment interpret ation. Display Range ( M38 60A on ly ) Differen tial: ñ2 mV full scale, nominal. Screen T ype High-resolution liquid cr ystal di splay (L C D) with backlight. Screen Dimensions 2. 8" wid e x 2. 3" h igh (7 0 m m x 5 8 mm). Sweep Speed ( M38 60A on ly ) 23 mm/s nominal. ECG Display 3 second-segments displayed (M38 6 0A only). Fr eq uency Response (Ban dwidth ) Nondiagnostic rhythm monitor 1 Hz to 20 Hz (-3 dB), nominal. Sensitivi ty 1.16 cm/mV , nominal. Hear t Rate Disp laye d (Norm al Sin us Rhy thm) 30 to 300 bpm, upda ted each analysis period. Displ ayed (M38 60 A only) during monitoring and ad vanced modes. categor y nominal specifica tions L CD Screen High-resolution, backlighted L CD scr een, displays text mess ages and (model M3860 A o nl y) ECG.
M3860A/ M3861A HEA RTSTART FR2 B-6 Philips Medical Sy stems Accessories Spec ifications M3 86 3A F R2 stan dard ba ttery Control s On/Off button Shock but ton Option buttons LE D I n d ic a to r s Connector socket LE D, flashes to indicate socket location. LE D is c overed when defibrillator pad connector is properly inserted. Shoc k button LE D flashes when defibrilla tor is armed. Audio Speake r Provides voice pr ompts (volume is a djusta ble via Setup screen). Beeper Chirps when a selftest has failed. Provides various warning beep s during normal use. St atus I ndic a tor Status indicator L CD displays device readiness for use. Low Battery Detect ion Automatic during daily peri odic selftesting. Low Battery Indic at or Solid or flashing r ed X Sta tus Indicator on front panel; screen display LOW BATTERY or RE PLACE BATTERY w arning, as appropriate . categor y nominal specifica tions categor y nominal sp ecific ations Batte ry T ype 12 VDC, 4.2 Ah, lithium manganese dioxide. Disposabl e, long-life primary cell. Capac ity W hen new, a minimum of 300 shocks or 12 hours of operating ti me at 7 7ð F (25ð C). Shelf Life (prio r to inst all ation) T ypically , 5 year s from date of manufacture when s tored under standby environmental cond itions in original packaging. Standby Life (after installati on) T ypically , 5 year s. >4 years when stored under standby environmental conditions (battery installed, F R2 unused). St atus I ndic a tors Good battery: flashing black hourglass on the fr ont panel of the F R2 . Low battery: flashing red X on the front panel of the F R2 . Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 32ð to 10 9ð F (0 ð to 43ð C).
T ech nica l Specificat ions B-7 Philips Medical Sy stems B (Opti onal) M3848A FR2 recha rgeab le bat tery (Optio nal) M3849A c harger M387 0 A and D P2/ D P6 defi brillator pa ds categor y nominal specif ication s Batte ry T ype 11.3 VDC, 6.5 Ah, lithium i on. Rechargeable cell using the M38 4 9A charger . Capac ity W hen freshly charged and used at 7 7 ð F (25ð C) , p rovides a minimum of 80 (typically 100) shocks, or 3.5 hours (typically 5 hours) of EC G display time only , before recharging is indicated. St atus I ndic a tors Good battery: bar graph on display screen indicating r emaining power level. Low battery: flashing red X on the front panel of the F R2 (W hen low battery indicator appears, there is still enough energ y to deliver 9 shocks plus 15 minutes of E C G d ispl ay ti me). Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 32ð to 10 9ð F (0 ð to 43ð C). Standby Life (after installati on) 6 months when insta lled fully charged in a defibrillator labeled F R2 . categor y nomi nal spe cifica tions Applicatio n F or us e wi th M3848A FR2 re cha rgea bl e b att ery on ly . Power Requirements 100 to 240 V AC, 4 7 to 63 Hz, 3 0 W atts Envir onment al Requirements 32ð to 122ð F (0ð to 50ð C). 0% to 95% relative humidity (non-condensing) . Conformance T esting Inte rnat ional : E N 60 335 -1:19 94 Class 1 North Ameri ca: U L 1310 Class 2 categor y nomi nal spe cifica tions Pads, Cable, and Connector Disposabl e and self-adhesive. DP2/ DP6 adult defibrillator pads have a nominal active surface area of 100 cm 2 each and are provided in a sealed pac kage with an integrated 122 cm (4 8 inch), typical, cable and connector . M3 8 7 0A FR2 infant/child r educed-energy defibrillator pads have a nominal active surface area of 44 c m 2 each a nd are provided in a sealed pac kage with an integrated 122 cm (48 inch), typical, cable and connector incorpora ting attenuating electronics.
M3860A/ M3861A HEA RTSTART FR2 B-8 Philips Medical Sy stems (Optiona l) M3 854A da ta c ard (Optiona l) M38 64A t raining & ad ministrat ion pack (Optio nal) M3855A c harger Defibrill ator Pad Requirements Use only DP2/ D P6, M38 7 0A, M3 713A, and M3 716A defibrillator pads wi th the HeartStart FR2 . Place the pads o n the patient as illustr ated on each pad. categor y nomi nal spe cifica tions categor y nomi nal spe cifica tions Capac ity 8 hours of event and EC G dat a, or 6 0 minutes with voice recording. categor y nominal specifica tions Batte ry T ype 12 V , 1.1 Ah, nickel metal h ydride. Dispos able, rechargeable cell using the M3855A c harge r . Capac ity Provides 4 hours of operating time at 7 7 ðF (25 ðC). St atus I ndic a tors Low battery: flashing red X on the front panel of the F R2 . Dead battery: solid red X on the front panel of the FR2 . Storage T emperatu re 50ð to 104ð F (10ð to 40ð C). categor y nomi nal spe cifica tions Applicatio n F o r us e wit h M 3864A tra ini ng & adm inis trat io n p ac k on ly . Power Requirements W i th appropriate po wer cord, a ny AC mains power input or i nverter-type power sources. Envir onment al Requirements 32ð to 113ð F (0ð to 45ð C ). 35% to 85% relative humidity (non-condensing). Conformance T esting Int erna tiona l: E N6 0335 -1: 19 94 Clas s I North Ameri ca: U L 1310 Class 2
T ech nica l Specificat ions B-9 Philips Medical Sy stems B (Optiona l) M3 8 7 3A/ M387 4A F R 2 E C G asse ssment module cate gory nomin al sp ecif icatio ns Applicatio n F or u se wi th th e FR2 M3860A wit h ECG di sp la y e nab led a nd r unning version 1.5 softwa re or higher (denoted by FR2 on the front panel o r rear label). L ength a nd W eight 100 inc hes (182 cm); ⤠1 lb. ( 2.2 kg). Operating T emperature and Humid ity 32ð to 122 ð F (0ð to 50ð C); 0% to 95% relative humidity (non-condensing). Storage T emperatu re and Humid ity 32ð to 109ð F (0ð to 43ð C). 0% to 75% relative humidity (non-condensing). Patient Lea d Wire Designation M3 8 7 3A ( AAM I) : M3 8 7 4A (I E C): pos iti ve le ad â red positi ve lea d â green negative lead â w hite negative lead â red reference lead â black. reference lead â yellow T y pical (Lead I I) Connectio n Lead I I vectors: pos iti ve â le ft leg negative â right a rm reference â left arm. Other limb vectors can be obt ained by differ ent electrode positions. Batte ry T ype 3 V , 1 Ah, poly-carbonmonofluoride lithium (LiC Fx). Non-replaceable dispos able primary cell. Service Life Ty p i c a l l y , 5 y e a r s . P erf orma nce with FR2 Defibrill ator Meets environmental speci fications cited for F R2 Defibrillator on page B1 through B2.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
C-1 Philips Medical Sy stems C C Glossary of Symbols and Con trols Instructions for Use He art Sta rt FR2 M 3860A an d M386 1 A Defibrillator Symbols and Controls Cont rol p anel and ba ck labe l symbol descript ion Meets the r equirements of the European medi cal device directives. Printed on recycled paper . symbol descript ion On/Off button. T ur ns the HeartStart FR2 on or off; disarms HeartStart F R2 , sto ps automatic self-test. W hen the optional training & administr ation pack is being used in the T r aining function, this button is used to select and exit training scripts. Shock button. Delivers shock to patient when the HeartSt art FR2 is charged. Upper a nd lower Option but tons. All ow yo u to m ove around in and select an i tem from a display menu, provide adjustment of dis play screen contrast. Defibrillation protection. Defibrillation protected, typ e B F patient connection. O N ⢠O F F
M3860A/ M3861A HEA RTSTART FR2 C-2 Philips Medical Sy stems HeartStart FR2 dis play scre en High v olt age. Refer to operating instructions. Meets the r equirements of the European medi cal device directives. This product has passed relevant s afety tests by C SA, a nationally recognized test lab. IP 54 W ith data card tr ay and battery inst alled, meets I EC 529 class I P54. symbol descrip tion HR XX X Heart rate. XX Number of shocks delivered. XX:XX Time. How much time (minutes:seconds) has passed since the HeartStart FR2 w as turned on. TE M P E RA TU R E T emperature. Recommended storage tempera ture range has been exceeded since the last battery insertion self-test. SE T U P Setup. Setup has been lost fr om memory; factory default setup is being used. Cont act Medical Director for revised setup. R EV: X XX X.X XXXX Software. The version of softw are used in your HeartStart FR2 . symbol descript ion
Glossary of Symbols and Controls C- 3 Philips Medical Sy stems C Sta tus indic ator Accessories Symbols M387 0 A and D P2/ D P6 defi brillator pa ds symbol descripti on Flashing black hourglass. Ready for use. Solid r ed X . Not ready for use. (See Chapter 4, âÂÂMaintaining, T esti ng, and T roubleshooting Y our Hear tStart FR2 . âÂÂ) Flashing red X . T roubleshooting requ ired. (See Chapter 4, âÂÂMaintaining, T esti ng, and T roubleshooting Y our Hear tStart FR2 . âÂÂ) symbol de scripti on These pads are disposable and a re for single patient use only. Pouc h contents: one pair of d efibrillator pads. Store the pads at temper atures between 0ð and 43ð C (32ð and 110ð F). Refer to operating instructions. Non-sterile. Thi s product does no t contain na tural rubber latex.
M3860A/ M3861A HEA RTSTART FR2 C-4 Philips Medical Sy stems Lot number . Use the pads before the date shown. Date format is YYYY -M M. CA UTI O N: Feder a l law (U SA) r estri cts t his dev ice t o s ale by or on th e order of a physician. Pad placement for adults. (D P2/ D P6) Fo r use with Philips Heartstream/ HeartStart and Laerda l HeartStart ForeRunner , FR, a nd FR2 AE Ds. ( DP2/ D P6) Not for use with Laerdal HeartSt art models 911, 1000, 2000, 3000. (DP2/ DP6) Pad placement for infants and children younger than 8 years or lighter than 55 pounds (25 K g). (M387 0A) Meets the requirements of the E M C directives. (DP2/ D P6) Meets the r equirements of the European medi cal device directives. (M3 8 7 0 A) Box contents = 1 pouch. (M387 0A) symbol de scripti on
Glossary of Symbols and Controls C- 5 Philips Medical Sy stems C M3 86 3A st anda rd ba ttery and M3848A FR2 re charge able b atter y Box contents = 2 pouches. (DP2) Box contents = 6 pouches. (DP6) Thi s s i de up . Fr agi le. Protect from mo isture. Printed on recycled paper . symbol descrip tion Do not crush. Do not expose to high heat or open flames. Do not incinera te. Do not m utilate or open. Insta ll before t he date show n on this label. Da te format i s MM - YY Y Y . symbol descrip tion 2 6
M3860A/ M3861A HEA RTSTART FR2 C-6 Philips Medical Sy stems M3 849A c harge r for the M 384 8A F R2 re chargeab le batte ry Refer to operating instructions. Lithium manganese diox ide battery chemistry (M3863A) Li thiu m io n ba tte ry c hemi str y (M 3848A ) 12 volts direct current output. Insert into F R2 in this direction. Meets the r equirements of the European medi cal device directives. Fr agi le. Protect from mo isture. Contains o ne battery . Printed on recycled paper . symbol description Refer to operating instructions. symbol descrip tion
Glossary of Symbols and Controls C- 7 Philips Medical Sy stems C High v olt age. Protect from mo isture. On/Off indicator . Charger sta tus indicator . Meets the r equirements of the EM C directives. This product has passed relevant s afety tests by C SA, a nationally recognized test lab. This pr oduct has been certified by t he Austral ian Communication Authority . Printed on recycled paper . Electrical input. Electrical output symbol description N11695 V00341
M3860A/ M3861A HEA RTSTART FR2 C-8 Philips Medical Sy stems M387 3A/ M3 8 7 4A FR2 EC G assessment m odule M3 86 4A trainin g & administ ration pack symbol descriptio n Use the cable and electrodes before the respective dates show n on this labe l. Ship and store the product within the temper ature ra nges sho wn. Place the electrodes as shown. Meets the requirements of the E M C directives. Lot number . Refer to oper ating instructions. Printed on recycl ed paper . symbol descrip tion Refer to operating instructions.
Glossary of Symbols and Controls C- 9 Philips Medical Sy stems C Do not crush. Do not expose to high heat or open flames. Do not incinera te. Do not m utilate or open. Nickel metal hydride battery chemistry . 12 volts direct current output. Insert into F R2 in this direction. Meets the r equirements of the EM C directives. Kit contains T r aining & Administration Pack, Instructions for Use, and set of tr aining pa ds. Ship and store the product within the t empera ture ranges shown. Thi s s i de up . Fr agi le. Protect from mo isture. symbol descrip tion
M3860A/ M3861A HEA RTSTART FR2 C-10 Philips Medical Sy stems M3 855A c harge r for the M 38 64A training & administ ration p ack) Printed on recycled paper . symbol description Refer to operating instructions. High v olt age. Protect from mo isture. On/Off indicator . Charger sta tus indicator . Meets the r equirements of the EM C directives. Electrical input. Electrical output Printed on recycled paper . symbol descrip tion
D-1 Philips Medical Sy stems D D Glo ss ar y of T erm s The terms listed in th is Glos sary a re defi ned in the con text of the Hear tSt art FR 2 an d it s us e . advanced mode ..................... A program mable treatm ent m ode that permits an authorized user to contro l when the F R2 sta rts rhythm a nalysi s and (model M 38 6 0A o nly) when to begin de fibrillator c harging f or shoc k delivery . AE D ..... ..................................... Automated e xternal defibrilla tor . AE D mo de ....... ........................ The standard F R2 treatme nt mode, with voice and screen prompts guiding the responder through con necting the defi brillator pad s, w aiting for rhythm anal ysis, and deliver ing a s hock if need ed. In th is mode , heart r hythm analys is and monitori ng, and shock dec ision and chargi ng for shoc k delivery are autom aticall y perfor med by the F R2 . ALS ...... ..................................... Advan ced Life Support. anal ysis ......................... .......... See â SMA RT analys is. â arrhy thm ia ..................... .......... An unhea lthy , often irregular, beating of the h eart. batte ry ............. ........................ Se e âÂÂstandard battery â and âÂÂrec hargeabl e battery . â BL S ................................. .......... Ba sic Life Support. contin ued use ........................ A condition in which use of the HeartSt art F R2 is interr upted for less than five m inutes (e.g ., for batt ery repla cement ). W h en the ba ttery is reinsert ed or the uni t is t urned on agai n, the informa tion s tored abou t the interrup ted inciden t is s aved, any addi tional eve nts reco rded after th e battery is reinst alle d are treate d as part of th e sa me incide nt, and the selftest d oes not autom aticall y run when the b attery is reinst alled . CP R time r ................................ A program mable period provided by the HeartSt art F R2 during which the resp onder can admi nister C PR. defi brill ation .................. .......... T ermin ation of c ardiac fibril lation by a pplying electri cal energy defi brill ation charge .... .......... Elect rical energy stored i n the capacito r of the HeartSt art F R2 as it arms for shock de livery . defi brill ation sh ock ...... .......... See â SMA RT biphasi c waveform. â defi brill ator pa ds .......... .......... The self-adhesive elec trode pads applied to the adult patientâÂÂs bare chest or pediatric (under 8 ye ars of age or less than 55 lb./25 kg) patien tâÂÂs bare chest and back, and us ed to detect th e pati entâÂÂs hea rt rhythm and tr ansfe r the
M3860A/ M3861A HEA RTSTART FR2 D-2 Philips Medical Sy stems defibr illation sho c k. Us e only D P2/ DP6 , M3 87 0A, M3 713A , and M3 716A defibril lator pads with the HeartStart FR2 . ECG ............. ........................... .. Ele ctrocardiogr am, a display or printou t of the electrical rhythm of the heart as detec ted throug h defibr illato r pads. event ........................................ An action recogn ized or performe d by the HeartSt art F R2 as a step in th e seque nce of using the d evice in an incide nt. Ex am ples in clude: appl ying th e pads and connec ting th em to the He artStart FR2 , analyzi ng hea rt rhyth m, deliver ing a shock, etc. fibrill ation ... ............................. A distu rbance of t he normal he art rhythm tha t results in chaotic, diso rganized activit y that cann ot effecti vely pu mp blood. V ent ricular fib rillatio n (fibrilla tion in the lower chambers of the heart ) is associated with sudde n cardiac arrest. hear t rh ythm (EC G) a nalys is .................. A system used by the FR 2 to deter mine if the patien tâÂÂs heart rhythm is shockable â vent ricular fibrilla tion (VF) or cert ain ven tricular t achycardias (VT s). See â SMART analysis. â HeartSt art Event Review ...... A dedicated data management softw are sy stem (formerly sold as CodeRunne r) for use with t he HeartS tart F R 2 . It is availabl e from Ph ilips Medical S ystems on CD or on the w orld wide web at http://w ww .medical.philips.c om/goto/eventrev iew . imp edanc e ............................ .. Elect rically , this is the t otal opposi tion offered by the body to the flow of the electrica l shock wave form de livered by the HeartSt art F R2 . The F R2 autom atically m onitors the e lectric al imp edance b etween the defibril lator pads pla ced on the patient âÂÂs bare s kin, and adj usts the sh ock waveform appropriatel y . inci dent .................................. .. The series of eve nts involved in treat ing a patient with the Hea rtSt art FR 2 . infr ared commu nic atio ns ............... A method of sending i nformation using a special part of th e light spectrum. It is used to tr ansmit infor mation to and fro m the H eartSt ar t FR 2 an d anoth er F R2 or a comp uter running HeartSt a rt Event Rev iew soft wa re. manu al charge ....... ................ A feature of th e advanced mode used by an authorized ALS-certified responder tha t allows th e user to arm the HeartSt art FR2 for shock delivery. manu al di sarm ....................... A feature of th e advanced mode used by an authorized ALS-certified respon der tha t al lows t he use r to dum p th e Hea rtSt art F R 2 charg e internal ly . monitoring .............................. A mode of background analysis to determine if patien t rhythm has changed to a shocka ble rhythm .
Glossary of T erms D- 3 Philips Medical Sy stems D non-shockable rhyth m ........................... ..... A heart rhythm th at the H eartSt art F R2 de termines is not a ppropriate for shock de livery . NS A ..... ..................................... No Shock Advised decision, ma de by the HeartSt art F R2 based on analys is of the pat ientâÂÂs hea rt rhythm. pace maker .............................. Exte rnal or implanted car diac pulse genera tor tha t stimulates the heart electroni cally. pad s ......................................... Se e âÂÂdefibrillator pads. â pau se .. ..................................... A defined peri od during which the HeartSt art F R2 does not perf orm rhythm anal ysis. pediat ric defibr illat ion .. .......... Defibrillation of a child under eight years of age or 55 lbs. (25 Kg). It is recomme nded that F R2 infant/child redu ced-ene rgy de fibrill ator pads be used fo r pediat ric patients . peri odic s elftes ts ................... Daily , weekly, and monthly tests a utomaticall y conducted by the F R2 when it is in the standby mode. T he tests monitor many key functions and par ameters of the F R2 , inc luding battery ca pacit y and the s tat e of its internal circuitr y . presenting ECG ...................... The heart rhyth m seen by the HeartSt art F R2 whe n it is first connected to the pa tient (v ia the defib rillator pads) and begins rhy thm anal ysis. prompt s ........... ........................ The voice commands and screen te xt used to gu ide the re sponder through use of the Hea rtSt art F R2 to treat the pa tient . protoc ol ................................... A sequ ence of opera tions perfo rmed by the HeartSt art F R2 to direc t patien t care in the AE D mode. protoc ol t imeo ut .................... A program mable interval between shoc ks, used by the HeartSt art F R2 to decide if th e shocks are part of the s ame shock series . read (d ata ) .............................. A feature of the Heart Start F R2 th at allows it to read setup dat a from a M3 85 4A da t a card. rec ei v e ( d at a ) ......................... A feature of the He artSta rt FR2 th at allows use of its infr ared (I R) commun ications port to rece ive r evised s etup and c lock settings direct ly fr om an other dev ice. re ch arge able ba ttery .............. The M3 8 48 A FR2 rec hargeabl e battery , used with the M3 8 4 9A charger only . rec ord v oi c e ............................ An option al feature of the HeartSt art F R2 that allo ws sound recording to a dat a card du ring use of th e devi ce in an incid ent. Acti vation o f this featu re requires rev ision of the HeartSt art F R2 âÂÂs d efault sett ings.
M3860A/ M3861A HEA RTSTART FR2 D-4 Philips Medical Sy stems rhythm a nalysis ...................... Se e â SMART analys is. â send (dat a) ........................... .. A featu re of the HeartSt art F R2 that allows use of its infr ared (I R) commun ications port to send dat a direct ly to anoth er FR2 or a compute r running HeartS t art Event Revi ew W eb softw are. sensitivi ty ... ............................. A me asure of t he ability of the HeartSta rt F R2 to re liably dete ct and identi fy shocka ble heart rhy thms. setup ........................ ................ The settings of all programma ble operati ng paramete rs of the HeartSt art F R2 . The factory de fault se tup can be modif ied us ing the M3 8 6 4A tr ain ing & administ rati on pack. shoc k series ......................... .. One or more shocks, each separated by no more tha n a preset time (programm ed Protocol Timeout). After completion of a shock series, the Heart Start FR2 auto mati cally pauses f or CPR. shoc kable rhythm .. ................ V en tricular fibrill ation a nd certa in ventric ular t achycardias associa ted with sudden cardiac arrest. shoc k waveform ................... .. See â SMA RT biphasi c waveform. â S MART anal ysis .................... .. The proprieta ry algorithm used by the F R2 to an alyze the patient âÂÂs heart rhythm and determin e wheth er a shock is advised . S MART bipha sic waveform ................. ........... T h e patented , low-energy de fibrillati on shock wavef orm used by the F R2 . It is an imp edance-c ompen sa ted biph asi c wa veform wi th 15 0 Jo ules, nomi nal, delive red to a 50 ohm load. W hen deli vered vi a F R2 infant/c hild redu ced-en ergy defibr illat or pad s, the ener gy is atte nuated to 50 Jou les, nominal. specific ity ................ ................ A me asure of t he ability of the HeartSta rt F R2 to re liably dete ct and identi fy non-shock able heart rhythms. standard bat tery .................... .. The M3 8 63A battery, 12 VD C, 4.2 Ah, lithi um manganese dioxide, dispos able , long-l ife pr imary cell. standby mode ........ ................ The operat ing mode of the HeartSt art F R2 when a battery has been inst alled, and the u nit is tu rned off and rea dy for u se when ne eded. S hown by flash ing black hourgla ss on the St atu s Indicator. status indic ator ...................... This is a spe cial window in th e uppe r right-ha nd corner of the front pa nel of the Heart Sta rt F R2 that lets you know the st atus of the d evice. sudden ca rdiac arrest ........................ ........... The sudden cessation of th e heartâÂÂs pumping rhythm.
Glossary of T erms D- 5 Philips Medical Sy stems D training & admin istration pa ck ..... ..... An optional accessory f or the F R2 that ena bles tr aining and adm inistr ative function s. The integr a l battery should be charge d only usin g the M3 855 A cha rg er. wavefo rm ...................... .......... See â SMA RT biphasi c waveform. â write (da ta) .............................. A f eature of t he HeartS tart FR 2 that allows it to reco rd setup in formation on a dat a car d.
Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2 Notes
I-1 Philips Medical Sy stems INDE X Inde x A acce ssories addition al, recomm ended A- 2 adult defibrilla tor pads A- 1 available to order A- 1 charger for M3848A rech argeable batte ry A- 1 charge r for tra ining & admini stration pack A- 1 data c ard A- 1 data card tray A- 1 fabric carrying cas e A- 1 fast response kit A- 1 FR2 ECG assessment module A- 1 infant /child de fibrillato r pads A- 1 rech argeable batte ry A- 1 standard battery A- 1 training & ad minist ration pack A-1 vinyl c arryin g case A- 1 wall mou nt bracket A- 1 adult defibrilla tor pads A- 1 advan ced mode definiti on 6-4, D-1 feat ures 6-9 manual analy ze 6-10 manual ch arge 6-11, 6-12, D-2 manual disa rm 6-12, D-2 program mable se ttings 6-4 tiered-r espons e feature s 6-9 user qu alific atio ns 6-9 AE D mode, defini tion D-1 AE D, defini tion D-1 AL S, defini tion D-1 applyi ng to ch ild pati ent 3-2 arrhyt hmia, defini tion D-1 asystole detec tion B-4 autosen d PST definiti on 6-1 programmable settings 6-1 B batte ry descripti on 2-1, D-1 inserti on selfte st 2-4 replacin g during u se 4-5, 7-2 batte ry history descripti on of data 4-10 reviewin g 4-1 0 battery insertion self-test failur e 4-14 battery insertion selftest descripti on 2-4 interact ive 4-7 recording test result s 4-6 BL S, d e f i n i t i o n D-1 C calibr a tion 4-1 cautions, w arn ings, an d dangers 5-2 cha rg e disarming B-3, B-4 time from Shock Advised B-3 chir p in g 4-11 cleanin g FR2 ECG assessment module 3-5 agents to use 4-3 guide lines 4-3
M3860A/ M3861A HEA RTSTART FR2 I-2 Philips Medical Sy stems clock receiv ing sett ings 2-3, 6-8 sending setti ngs 6-8 setting indep endentl y 2-4 synchro nizing 2-3 contin ued use 4-5, 7-2, D-1 con tr a st, adj ust ing 4-8 cont rols and in dicator s specifi cation s B-5 controls and symbols C-1 CP R prompt definiti on 6-3 program mable se ttings 6-3 CPR ti m er definiti on 6-2, D-1 program mable se ttings 6-2 D dangers, warnings, and caut ions 5-2 data card reading setup 6-8 recommend ed use 4-6 recording time av ailable 4-6 removing 7-3 replacing 7-3 defibril lation c harge D-1 defibr illation ther ap y 1-2 defibril lation, defi nition D-1 defibril lator specifi cation s B-2 defibril lator pads applyi ng to adult patie nt 3-2 applyi ng to patie nt 3-2 check ing befo re use 3-2 connecti ng to the FR 2 3-2 damage du ring CPR 3-6 descripti on D-1 positioning corre ctly 3-2 specifi cation s B-7 device hist ory descripti on of data 4-9 reviewin g 4-9 disarming the FR 2 in ad vanced mode B-4 in AED mode B-3 manual 6-12, B-4 display scre en adju sting co ntras t 4-8 specifi cation s B-5 DP 2/DP 6 a du lt de f ib ri l la to r p ad s A- 1 E EC G analysi s see SMAR T analys is EC G analysis system descripti on D-2 EC G assessment module 3-5 ECG d is pla y definiti on 6-1 programmable s ettings 6-1 specifi cation s B-5 E CG , de finit ion D-2 event, d efinit ion D-2 F fibrill ation, defin ition D-2 flash ing black hourgla ss see Status Indicat or flash ing red X see Status Indicat or
Index I-3 Philips Medical Sy stems INDE X G glossary of terms D-1 of symbols and controls C-1 H heart rh ythms shockable B-4 H e a r t S t a r t M 3 870 A F R 2 infant/ child reduce d-en ergy defibril lator pads A- 1 hourgla ss St atus Ind icator C-2 how to inst all the b attery 2-1 how to remove th e dat a card 7-3 how to review battery history 4-1 0 how to review device hi story 4-9 how t o revi ew th e pres entin g ECG 7-5 how to run the bat tery insertion selftest 2-4 how to use th e advanced mode 6-9 How to use the M3 8 7 3A/ M3 8 7 4A EC G assessment module 3-5 I impeda nce autom atic adjus tment of s hock wavefo rm B-2 troubleshootin g 4-1 3 impeda nce, def inition D-2 incide nt data definition of data on data card 7-4 definition of i nternal memory da ta 7-3 reviewi ng from data c ard 7-4 reviewing f rom intern al memory 7-3 incident , definiti on D-2 indi cations and cont raindicati ons 1-2 , 5-1 infrar ed commun icati ons desc ript ion D-2 receiving setup 6-6 inst alling the battery 2-1 L LC D d i s p l a y see display screen M M3 8 48 A re chargeab le ba ttery A- 1 , B-7 M3849A ch ar ge r f or M3848A rec harge able batt ery A- 1 , B - 7 M3 85 4A d at a ca rd A- 1 , B - 8 M3 855A charge r for M3 8 64 A tr aining & ad ministr ation pack A- 1 , B - 8 M3 85 7A w all moun t br acket A- 1 M3 8 60 A and M3 8 61A F R2 , desc ript ion 1-1 M3 8 63A ba ttery A- 1 , B - 6 M3 8 64 A tra ining & admi nistr ati on pack A- 1 , B - 8 M3868A car ry in g cas e A- 1 M38 7 0A FR2 infa nt/c hild reduced- energy defi brillato r pads A- 1 , B - 7 M38 7 3A/ M387 4A E CG assessment module 3-5, A-1 , B-8 main menu 2-2 maintena nce after u sing the FR2 4-2 clea ning 4-3 daily s elftest s 4-1
M3860A/ M3861A HEA RTSTART FR2 I-4 Philips Medical Sy stems monthly self tests 4-1 operatorâÂÂs ch ecklist 4-3 recommend ed sched ule 4-1 manual mode see adv anced mod e monitoring, description D-2 N non-shock able rhythm s D-3 NS A a ct io n definiti on 6-3 program mable se ttings 6-3 NS A, de f in it i o n D-3 O On/Off bu tton, descript ion of u ses C-1 oper ating te mper ature B-1 Opti on butt ons descripti on of uses C-1 to adjust display screen c ontrast 4-8 P pacemaker definiti on D-3 detection B-4 pads place ment, adult an d pediatric 3-2 patie nt impedan ce B-2 pause f or CP R, descripti on 3-4 pause key definiti on 6-4 program mable se ttings 6-4 pause, de finit ion D-3 pause, time in dicati on 3-4 pedia tric defi brilla tion choosin g defibr illator pa ds 3-2 periodic sel ftests definiti on D-3 descripti on 4-9 freque ncy 4-1 Statu s Indi cator alert s 4-9 presen ting E C G definiti on D-3 descripti on 7-5 prompt interva l monitor settings 6-5 prompt interva ls adva nced u se se ttings 6-5 definiti on 6-5 prompts, definiti on D-3 protocol timeou t definiti on 6-2, D-3 programmable s ettings 6-2 protocol, definition D-3 R record voic e definiti on 6-1, D-3 programmable s ettings 6-1 recording i ncident da ta in inte rnal memo ry 7-1 replacin g batter y during u se 7-2 replacin g data card 7-3 responder qualif ications and trai ning 1-2 resume key definiti on 6-5 programmable s ettings 6-5 reviewin g inci dent d at a from data car d 7-4 from inte rnal mem ory 7-3
Index I-5 Philips Medical Sy stems INDE X rhyt hm analys is see SMART an alysis S safety co nsid erations 5-1 selftests batte ry inserti on 2-4 daily 4-1 monthly 4-1 periodic 2-5, 4- 1 sensitiv ity , defin ition D-4 setup definiti on D-4 reading setup 6-8 receiv ing set up 6-6 shock see SMART biphasi c waveform Shock but ton, descript ion of use C-1 shock seri es definiti on 6-2, D-4 program mable se ttings 6-2 shock waveform see SMART bip hasic wavef orm shocka ble rhythms D-4 SMA RT ana ly sis definiti on D-4 during CPR 3-6 specifi cation s B-4 SMART biphasic waveform definiti on D-4 energy deli vered B-3 shock de livery ve ctor B-4 shock waveform B-2 specifi cation B-2 solid red X see Status Indicato r speaker volume definiti on 6-1 programmable settings 6-1 specifi cation s batte ry B-6 controls an d indicators B-5 defibrill ator B-2 defibrilla tor pads B-7 display scre en B-5 ECG ana lysis performanc e B-5 ECG analysis sy stem B-4 enviro nmental B-1 physic al B-1 specifi city, definition D-4 standby mode, definiti on D-4 standby te mperatur e B-1 Sta tus In dicator descripti on D-4 flash ing bla ck hourglas s C-2 flash ing red X 4-1 2, C-2 in standby mode 2-5 solid red X C-2 sterili zati on 4-3 stor age co nditions B-1 sudden cardi ac arre st, de finit ion D-4 symbols on acces sory packag ing C-3 on battery C-4 on FR2 con trol panel and back label C-1 on FR2 display scr een C-2 on FR2 status indic ator C-2 on I nstru ctions for U se C-1 symbols and controls C-1
M3860A/ M3861A HEA RTSTART FR2 I-6 Philips Medical Sy stems T temper at ure operating B-1 standby B-1 tiered-r espons e feature s 6-9 tr aining & admin istr ation pack charge r A- 1 descripti on D-5 troubleshootin g 4-11 U user , qualif ications and tr ainin g 1-2 W wa rnings, ca utions, an d dangers 5-2 wav ef orm see SMART biphasi c waveform X X St atus Ind icator flash ing or solid 4-11 solid 4-11
Philips Medical Sy stems Intentiona lly left b lank.
P OWE R T O SA VE A LIF E 011120-0010 M3860-91900 Philips Medical Systems is part of Royal Philips E lectronic s Philips Med ical Systems US A Phil ips M edica l Syst ems 2301 Fifth Avenue, Suite 200 Seattle, W A 9 8121, USA (800) 263- 3342 Canada Phil ips M edica l Syst ems 281 Hill mount Road Markh am, O ntario L6C 2S3, Cana da (8 00) 29 1-67 43 Europa, Midt-ÃÂsten og Afrika Philips Medizinsysteme Boeblingen GmbH Hjerte- og o vervÃÂ¥kingssystemer Hewlett-Pac kard Str asse 2 71034 Bo eblingen, T yskland ( 49) 7 031-4 63-1 552 Latin-Amerika Phil ips M edica l Syst ems 1550 Sa wgra ss Corpor ate Park w ay , Suite 3 00 Sunrise, FL 33323, USA (954) 835- 266 0 Stilleha vslandene i Asia Philips Electronics Hong Kong Ltd. 30th Floor , Hopewell Centre 1 7 , Kennedy R oad, W anchai, Hong Kong (852) 28 21 588 8