Philips M3860A manuale d’uso

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+.[...]

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 [...]

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? ........................................ ...[...]

Philips Medical Sy stems 2 M3860A/M3861A HEARTSTART FR2+ 5 Clinical and Safety Considerations Clinical Con siderations ........................ ........................................ .............. 5 -1 Indications ........... ......................................... ........................... .............. 5-1 Contraindica tions .............[...]

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+ Defibril[...]

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 (“F R2+”) 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 H[...]

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 [...]

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 ha[...]

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:  Insta ll dat a card (option al).  Install a batt ery .  Set the clock in the F R2+ (op tional).  Run the ba ttery ins ertion self test.  Place t he F R2+ w[...]

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 t[...]

Prepar ing Y our HeartStart FR2+ for Use 2-3 Philips Medical Sy stems 2 NOTE : If y ou make no se lection for 1 0 seconds, the selftest 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 o[...]

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[...]

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 con nect defi brillator pa ds (t hat a re appli ed t o t[...]

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:  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 .  T [...]

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&apo[...]

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+ Defibrillator’s 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 [...]

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 [...]

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 -[...]

M3860A/ M3861A HEA RTSTART FR2+ 3-6 Philips Medical Sy stems cleanin g the F R2+ D efibril lator . (See Chap ter 4, “M aint ai ning, T es ting, a nd T roublesh ooting Y our H eartSt art F R2+. ”) 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 revent air p[...]

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 [...]

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 :  Chec k the op eration of the FR2+ by removing an d reinst alling t[...]

Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2+ 4-3 Philips Medical Sy stems 4  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.  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[...]

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 [...]

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[...]

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 , “Dat a Ma nagem ent and R eview, ” for how to revie w the incid en[...]

Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2+ 4-7 Philips Medical Sy stems 4  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.  The Statu s Indica tor shows a fl ashing o[...]

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 t est descr iption 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 .[...]

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[...]

M3860A/ M3861A HEA RTSTART FR2+ 4-10 Philips Medical Sy stems  TESTS — h ow man y tests have been run. Four fig ures ar e shown: daily (upper left), w eekly (uppe r right), a nd monthly (l ower left) periodi c selftests, and battery insertion self tests (lower right).  RE V — device lan guage, model, an d software revision. Battery Hi sto[...]

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 needed ) any time there is a de lay 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 [...]

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 poss ible cause recom mended ac tion ST A TUS I N DICA TOR: F LAS H I[...]

Maintaining, T esting, and T roubleshooting Y our HeartSt ar t FR2+ 4-13 Philips Medical Sy stems 4 V oice prompt s: ANALYZING INTER RUPTED 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 patien[...]

M3860A/ M3861A HEA RTSTART FR2+ 4-14 Philips Medical Sy stems Gener al trouble shoot ing symptom p ossible cause 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 dete[...]

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 l[...]

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:  Unresponsiveness  Absenc e of normal b reathing The HeartSt art F R2+ is intended for use by pers onnel who have been tr ai[...]

M3860A/ M3861A HEA RTSTART FR2+ 5-2 Philips Medical Sy stems  CAU TI ON — con ditio ns, hazar ds, or unsafe practices t hat 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 GEN[...]

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 Prolon ged or aggr essive CPR to a patient wi th defibr illator pads 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 r[...]

M3860A/ M3861A HEA RTSTART FR2+ 5-4 Philips Medical Sy stems Defibril lation warnings an d cautions CAUT ION Us e only Philip s-appr oved dat a cards. The HeartSt art FR 2+ may pe rform 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) int[...]

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 n ot allow the de fibrill ator pa ds to touch each other or other EC G electr odes, lead wires , dr essings, tr ansdermal patc hes, etc. Suc h contact ca n cause [...]

M3860A/ M3861A HEA RTSTART FR2+ 5-6 Philips Medical Sy stems CAUT ION Imp roper main tenance ma y damage th e HeartSt art F R2+ 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[...]

6-1 Philips Medical Sy stems 6 6 Setup an d Advanced Mode Fe atures Setup Overview The “setup” 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 in[...]

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 a[...]

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 — directs the FR2+ to monitor the patient’s EC G following an N SA d ecision and to prompt the user peri odicall y to pr[...]

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 sett ings de fault descrip tio n advan ced OFF , ANALYZE , [...]

Setup and Adva nced Mode Feat ures 6-5 Philips Medical Sy stems 6 Using Set up Features NOTE : T o move aroun d the menus di splay ed, use th e Option but tons as follow s: • Press the LOWER Option bu tton to move the highli ght bar fro m one item to a nothe r on the menu. • Press the UPPER Opti on butto n to sele ct the hi ghlight ed item or t[...]

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 b[...]

Setup and Adva nced Mode Feat ures 6-7 Philips Medical Sy stems 6  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.)  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[...]

M3860A/ M3861A HEA RTSTART FR2+ 6-8 Philips Medical Sy stems “receivin g” F R2+ display s a SETU P COMPLETE mes s age. 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 sof[...]

Setup and Adva nced Mode Feat ures 6-9 Philips Medical Sy stems 6 uninterru pted v iew of the “eye” 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 th e CL OCK screen on the “sen ding” Hea rtStart FR 2+ . 6. Selec t RECEIV[...]

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 : Alter ati on of the fact ory defau lt[...]

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 ent’s E C G is not dis playe d; in the M3 8 60 A, the disp lay inclu des the p atient’s E C G and heart r ate. Press the low er Option butt on ( ANALYZ E ) to i nitiate rhyth m analy sis by the FR2+. If a shoc k is advised , the FR2+ [...]

M3860A/ M3861A HEA RTSTART FR2+ 6-12 Philips Medical Sy stems The highlig hted top line is la beled MANU AL CHA R G E , with an arrowhe ad 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 HeartSt[...]

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 Hear[...]

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 y’s “tong ue” fitting over t he matching y ellow a rea on the da t a card. T he la bel on th e card should face up. The label ha s an arrow i[...]

Data Manageme nt and R eview 7-3 Philips Medical Sy stems 7 T o replace a dat a card: IMPORTANT : Y ou must t urn the F R2+ off (re turn 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.[...]

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. [...]

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 fo r the inciden t, select RE VIEW ECG . A new screen com es up. This screen displa ys a three-[...]

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:  Spare M3 86 3A FR2 st andard battery (recomme nded)  DP2/ D P6 adult def ibrillat or pads  M38 7 0A F R2 infa nt/c hild [...]

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 :  a pair of paramedic’s shears or scissors *  a disp os able r[...]

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.phil[...]

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 spe cificati ons categor y nominal spe [...]

T e chnica l Specificat ions B-3 Philips Medical Sy stems B Energ y Using adu lt defibr illator pads: 150 J nomina l into a 50 ohm load . Using infant/child reduced-energy defibrillator pads: 5 0 J nominal into a 5 0 ohm load. S ample pediatric energy doses: age ener gy dose newborn 14 J /kg 1 year 5 J /kg 2 − 3 years 4 J /kg 4 − 5 years 3 J /k[...]

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 patient’s heart rhythm changes to non-shockable rhythm, OR • a shock is not delivered within 30 seconds af te[...]

T e chnica 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 PA CEMA KER DETE CTED alert. M3 86 0A includes pa cemaker artifact in E CG display. In both models, p[...]

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 f[...]

T e chnica 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 nomin al spec ification 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 use[...]

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 [...]

T e chnica l Specificat ions B-9 Philips Medical Sy stems B (Optiona l) M3 8 7 3A/ M387 4A FR 2+ E C G asse ssment module cate gory nom inal s pecif icat ions Applicatio n Fo r use wi th th e FR2 + M3860A wi th ECG di sp la y e na ble d an d 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[...]

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 descr iption Meets the r equirements of the European medi cal device directives. Printed on recycled paper . symbol descr iption On/Off button. T[...]

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 i th data card tray a nd battery inst all[...]

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 descri ption Flashing black hourglass. Ready for use. Solid r ed X . Not ready for use. (See Chapter 4, “Maintaining, T esti ng, and T roubleshooting Y our Hear tStart FR2 +. ”) Flashing red[...]

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 [...]

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 f[...]

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 equirem[...]

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 Communi[...]

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 descrip tion 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 sho[...]

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 [...]

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 descr iption 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.[...]

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) wh[...]

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 .......................... ................ Electrocardiogr am, a display or printout of the ele ctrical rhythm of the he art as detec ted throug h defibr illat[...]

Glossary of T e rms 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 ient’[...]

M3860A/ M3861A HEA RTSTART FR2+ D-4 Philips Medical Sy stems rhythm a nalysis ...................... See “ SMART an alysis . ” 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 E[...]

Glossary of T e rms D- 5 Philips Medical Sy stems D training & admin istration pa ck .......... An option al 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 “ SMA RT biphasi c waveform[...]

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[...]

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 tting[...]

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-[...]

M3860A/ M3861A HEA RTSTART FR2+ I-4 Philips Medical Sy stems monthly self tests 4-1 operator’s 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 [...]

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-[...]

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[...]

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 [...]