Handleiding Philips M3861A HeartStart FR2+ Defibrillator

Handleiding

M3860A, M3861A

Edition 15

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INSTRUCTIONS FOR USE

PHILIPS MEDICAL SYSTEMS

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Battery. Standard long-life or

rechargeable battery used to

power the FR2+.

On/Off button. Turns on the

FR2+ and starts voice and text

prompts. Second press turns off

the FR2+.

Status Indicator. Shows you

the readiness status of the FR2+.

Display screen. Displays text

prompts and incident data. The

FR2+ M3860A screen also displays

the patient’s ECG.

Option buttons. Adjust the

contrast of the screen display and

control special functions.

Beeper port. Broadcasts

alert beeps when required. It is

located under the right edge of the

FR2+.

Infrared (IR) communica-

tions port.

A special lens, or

“eye,” used to transfer data

directly to or from another device.

Data card port. Receptacle

for data card tray.

Data card (optional). Used

to store and review information

about an incident, including ECG

and optional voice recording.

Data card tray. Special sleeve

that holds the data card and fits

into the data card port to help seal

the FR2+ against fluids. The tray

should be kept installed in the FR2+

even if no data card is used.

Microphone. Used optionally

to record surrounding audio

during an incident. It is located

under the right edge of the FR2+.

Shock button. Controls

shock delivery. The button flashes

when the HeartStart FR2+ is ready

to deliver a shock.

Speaker. Amplifies voice

prompts during use of the FR2+.

Pads placement diagram.

Illustrates correct placement of

adult pads. Diagrams are also shown

on the defibrillator pads.

Defibrillator pads

connector socket.

Receptacle for

connector of the defibrillator pads

cable. An adjacent LED light flashes

to show socket location and is

covered when connector is

inserted.

Defibrillator pads. Self-

adhesive pads with attached cable

and connector. (Adult pads

shown.)

A

B

C

D

E

F

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PHILIPS MEDICAL SYSTEMS

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PHILIPS MEDICAL SYSTEMS

Intentionally blank.

3-4

PHILIPS MEDICAL SYSTEMS

HEARTSTART FR2+ M3860A/M3861A

Step 3: Shock delivery

First, make sure that no one is touching the patient or the pads. While the FR2+ is

charging, it continues to analyze the patient’s heart rhythm. If the rhythm changes

and a shock is no longer appropriate, the FR2+ disarms. Voice and text prompts

advise you what action to take.

There are four ways you can tell that the defibrillator is ready to deliver a shock:

• you hear a voice prompt telling you to deliver a shock,

• you see the Shock button flashing,

• you hear a steady tone, and/or

• you see a text prompt telling you to press the orange (Shock) button.

Press the Shock button to deliver the shock.

IMPORTANT: You must press the button for a shock to be

delivered. The HeartStart FR2+ Defibrillator will not automatically

deliver a shock. This safety feature allows you to verify that the

patient is clear before a shock is delivered.

NOTE:If you do not press the Shock button within 30 seconds of being

prompted, the HeartStart FR2+ will disarm itself and provide a pause. It will

resume analyzing heart rhythm after 30 seconds or when the Resume

Analyzing key is pressed.

After you press the Shock button, a voice prompt tells you the shock was

delivered. Then the FR2+ pauses to allow you to perform CPR. The duration of

this CPR interval is determined by the CPR Timer setting.

CPR Interval

After telling you that it has paused, the FR2+ gives no more voice prompts during

the CPR interval, so that you can provide uninterrupted patient care. During the

CPR interval, the FR2+ screen shows a bar that fills in as the CPR interval is used

up. The HeartStart FR2+ M3860A also displays the ECG, if enabled, during this

period.

NOTE:It is important to perform CPR for the entire duration of the CPR

interval, until you hear the voice prompt telling you to stop CPR.

3-5

PHILIPS MEDICAL SYSTEMS

3

ECG display for ongoing observation

At the discretion of emergency care personnel, the HeartStart FR2+ M3860A with

ECG display enabled can also be used with the M3873A/M3874A FR2+ ECG

assessment module to provide a non-diagnostic ECG display of the patient’s heart

rhythm for attended patient monitoring. The system is intended for use on a

conscious or breathing patient, regardless of age. While connected to the FR2+

ECG assessment module, the FR2+'s shock capability is disabled, but the FR2+

continues to evaluate the patient's ECG. There are no known contraindications to

use of the FR2+ ECG assessment module.

The module is designed for connection to ECG electrodes per AAMI (M3873A) or

IEC (M3874A) color convention. The module’s colored leadwires are connected

to ECG electrodes, which are then placed on the patient’s bare chest, and the

module’s device connector is inserted in the FR2+’s connector socket.

NOTE:It is not necessary to turn the FR2+ Defibrillator off prior to

connecting the ECG assessment module.

Once connected, the HeartStart FR2+ displays and evaluates the patient's ECG

(Lead II). Follow all prompts from the defibrillator. If a data card is used when the

ECG assessment module is connected, all recorded events can be viewed using

one of the Event Review data management software products.

Check the patient if:

• indicated by the observed ECG display,

• the patient becomes unresponsive or stops breathing, or

• the FR2+ prompts

IF NEEDED, ATTACH DEFIBRILLATION PADS.

If appropriate, unplug the ECG assessment module from the FR2+, attach the

defibrillator pads to the patient, and connect the defibrillator pads to the FR2+.

Verify that the defibrillator pads are at least one (1) inch (2.5 cm) away from the

ECG electrodes.

3-6

PHILIPS MEDICAL SYSTEMS

HEARTSTART FR2+ M3860A/M3861A

WARNING:During defibrillation, air pockets between the skin and

defibrillator pads can cause patient skin burns. To help prevent air pockets,

make sure defibrillator pads completely adhere to the skin.

WARNING:Do not let the defibrillator pads touch each other or other ECG

electrodes, lead wires, dressings, transdermal patches, etc. Such contact can

cause electrical arcing and patient skin burns during defibrillation and may

divert defibrillating current away from the heart.

WARNING:Handling or transporting the patient during heart rhythm analysis

can cause an incorrect or delayed diagnosis. If the FR2+ gives a

SHOCK ADVISED

prompt, keep the patient as still as possible for at least 15 seconds so the

HeartStart FR2+ can reconfirm the rhythm analysis before a shock is delivered.

WARNING:CPR rates significantly above 100 compressions per minute can

cause incorrect or delayed analysis by the FR2+. Under certain circumstances,

this may result in a prompt to stop all movement so that the device can

confirm rhythm analysis.

WARNING:Defibrillation current can cause operator or bystander injury. Do

not touch the patient during defibrillation. Do not allow the defibrillator pads

to touch any metal surfaces. Disconnect the pads connector from the FR2+

before using any other defibrillator.

CAUTION: Aggressive handling of the pads in storage or prior to use can

damage the pads. Discard the defibrillator pads if they become damaged.

CAUTION: Do not place the pads directly over an implanted pacemaker or

defibrillator. A noticeable lump with a surgical scar should indicate its position.

PHILIPS MEDICAL SYSTEMS

4-1

4

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Maintenance

Maintenance of the FR2+ is very simple, but it is a very important factor in its

dependability. When in standby mode (with the battery installed), the FR2+

performs many maintenance activities itself. These include daily and weekly

selftests to verify readiness for use and more detailed monthly selftests that also

verify the shock waveform delivery system. In addition, each time the FR2+ is first

turned on, it executes a selftest. Further, a detailed battery insertion selftest is run

whenever a battery is installed in the FR2+.

The FR2+ requires no calibration or verification of energy delivery. The FR2+ has

no user-serviceable parts.

CAUTION:Improper maintenance may damage the FR2+ or cause it to

function improperly. Maintain the FR2+ only as described in these Instructions

for Use or as designated by your program's Medical Director.

CAUTION:Electrical shock hazard. Dangerous high voltages and currents are

present. Do not open the FR2+, remove its covers, or attempt repair. There

are no user-serviceable components in the FR2+. The FR2+ should be returned

to Philips for repair.

Suggested maintenance schedule

The following table presents a sample maintenance schedule for the FR2+.

Different frequency intervals may be appropriate, depending upon the

environment in which the FR2+ is used. The required maintenance frequency is at

the discretion of your program’s Medical Director.

4-2

PHILIPS MEDICAL SYSTEMS

HEARTSTART FR2+ M3860A/M3861A

After using the HeartStart FR2+

After each use of the FR2+, in addition to the maintenance tasks described in the

table above, perform the following post-use checks before returning the FR2+ to

service:

• Check the operation of the FR2+ by removing and reinstalling the battery and

running the battery insertion selftest.

• Check the outside of the FR2+ and the connector socket for signs of dirt or

contamination. If the FR2+ is dirty or contaminated, clean it according to the

guidelines provided in this manual.

daily monthly maintenance task/response

 Check the Status Indicator.

If you see the flashing black hourglass: The FR2+ is ready to use.

No action required.

If you see anything other than a flashing black hourglass, remove

and reinstall the battery to run the selftest.

• If the selftest passes and the Status Indicator shows the

flashing black hourglass, the FR2+ is ready to use.

• If the selftest fails, install a new battery and run the selftest. If

the selftest passes, the FR2+ is ready to use. If the selftest

fails, contact Philips Medical Systems.

• If the selftest does not run, check to be sure that there is no

pads connector installed in the FR2+.

 Check supplies, accessories, and spares for damage and

expiration dating.

Do not use damaged or expired accessories. Replace them

immediately.

If a LOW BATTERY or REPLACE BATTERY message is

displayed: Replace the battery and run the selftest.

• Do not attempt to charge the M3863A FR2 standard battery.

It is not rechargeable.

• The M3848A FR2+ battery is rechargeable. Recharge it, using

the M3849A Charger only.

 Check the outside of the FR2+ and the connector socket

for cracks or other signs of damage.

If you see signs of damage: Contact Philips for technical support.

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