Philips HEARTSTART Скачать руководство пользователя

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H e a r t S t a r t D e f i b r i l l a t o r

O W N E R ’ S M A N U A L
Guide to Set Up, Operation, Maintenance, and Accessories

M5066A

Edition 7

Содержание HEARTSTART

Страница 1: ...H e a r t S t a r t D e f i b r i l l a t o r O W N E R S M A N U A L Guide to Set Up Operation Maintenance and Accessories M5066A Edition 7 ...

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Страница 3: ...flashes during rhythm analysis and is on when a shock is advised as a reminder that no one should be touching the patient Shock Button When instructed by the HeartStart to deliver a shock press this flashing orange button Infrared IR Communications Port This special lens or eye is used to transfer HeartStart data directly to or from a computer Speaker When the device is being used its voice instru...

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Страница 5: ...Philips Medical Systems HeartStart Defibrillator M5066A QUICK REFERENCE ...

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Страница 7: ...al rates for sudden cardiac arrest are directly related to how soon victims receive treatment For every minute of delay the chance of survival declines by 7 to 10 Defibrillation cannot assure survival In some victims the underlying problem causing the cardiac arrest is simply not survivable despite any available care O W N E R S M A N U A L ...

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Страница 9: ...and operators alike Authorized EU representative Philips Medizin Systeme Boeblingen GmbH Hewlett Packard Strasse 2 71034 Boeblingen Germany 49 7031 463 2254 CAUTION Federal law USA restricts this device to sale by or on the order of a physician The Philips HeartStart Defibrillator is designed to be used only with Philips approved accessories The HeartStart may perform improperly if non approved ac...

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Страница 11: ...e HeartStart 2 1 Recommended accessories 2 3 3 Using the HeartStart Overview 3 1 STEP 1 PULL the green handle 3 2 STEP 2 PLACE the pads 3 3 STEP 3 PRESS the Shock button 3 3 Treating infants and children 3 4 When emergency medical services arrive 3 6 4 After using the HeartStart After each use 4 1 HeartStart data storage 4 1 5 Maintaining the HeartStart Routine Maintenance 5 1 Periodic checks 5 1 ...

Страница 12: ...ICES A Accessories for the HeartStart B Glossary of terms C Glossary of symbols controls D Warnings and precautions E Technical information F Configuration G Testing and troubleshooting H Additional technical information required for European conformity ...

Страница 13: ...ale or female anywhere at any time Many victims of SCA do not have warning signs or symptoms VF is a chaotic quivering of the heart muscle that prevents it from pumping blood The only effective treatment for VF is defibrillation The HeartStart treats VF by sending a shock across the heart so it can start beating regularly again Unless this is successful within the first few minutes after the heart...

Страница 14: ...See Appendix A for information on ordering accessories National and local requirements Check with your local health department to see if there are any national or local requirements about owning and using a defibrillator For more information Contact your local Philips representative for additional information about the HeartStart They will be happy to answer any questions you may have and to provi...

Страница 15: ... and optional accessories for the HeartStart are also available from Philips See Appendix A for a description of these items Setting up the HeartStart Setting up the HeartStart Defibrillator is simple and quick 1 Remove the HeartStart from its packaging 2 Remove a new SMART Pads Cartridge from its package To replace a used cartridge or insert a different cartridge first locate the latch at the top...

Страница 16: ...run a self test when the battery is inserted Press the Shock button when instructed When the self test is over the defibrillator will report the result and tell you to push the green On Off button in case of an emergency Do not push the green button unless this is an actual emergency Then the defibrillator will turn off and go to standby mode The green Ready light will be blinking to show the Hear...

Страница 17: ...dical Services can be alerted as fast as possible in the event of a possible SCA If possible keep the spare SMART Pads Cartridge and other accessories with the defibrillator in the carry case if one is used for quick access when needed In general treat the HeartStart as you would any piece of electronic equipment such as a computer Be sure to store the defibrillator according to its specifications...

Страница 18: ...ads contact Philips has a Fast Response Kit with all these items See Appendix A for details If you may need to defibrillate an infant or a child under 25 kg 55 pounds or 8 years old it is recommended that you order the Infant Child SMART Pads Cartridge available separately When the Infant Child Pads Cartridge is installed in the HeartStart the HeartStart automatically reduces the defibrillation en...

Страница 19: ...rdiopulmonary resuscitation CPR if needed until the HeartStart is available If the patient is an infant or child first perform CPR then call for emergency medical services EMS before you apply the HeartStart See special section on treating infants and children on page 3 5 Check the immediate environment for flammable gases Do not use the HeartStart in the presence of flammable gases such as an oxy...

Страница 20: ...e hard cover from the pads cartridge and set it aside Remain calm and follow the HeartStart s instructions The HeartStart starts by directing you to remove all clothes from the patient s chest If necessary rip or cut off the clothing to bare the person s chest You can also turn on the HeartStart Defibrillator by pressing the green On Off button 55 lb s 25 kg ...

Страница 21: ...f the liner Place the pad on the patient s bare skin exactly as shown in the picture on the pad Press the pad down firmly Then repeat this with the other pad Be sure the pads have been removed from the liner before placing them Where to place pads on adults and children over 25 kg 55 pounds or 8 years old anterior anterior Where to place pads on infants or children under 25 kg 55 pounds or 8 years...

Страница 22: ...rtStart tells you it is safe to touch the patient and instructs you to perform CPR if needed If CPR is not needed for example if the patient is moving or regaining consciousness follow your local protocol until emergency medical personnel arrive Then the HeartStart invites you to press the flashing blue i button for CPR Coaching if desired For CPR Coaching Press the flashing blue i button during t...

Страница 23: ...l the new cartridge slide the bottom end of the cartridge into the recess then press in the cartridge until the latch clicks into place Be sure the green handle is pressed down firmly The HeartStart will tell you that Infant Child pads have been inserted then it will turn off to be ready for use Pull the green handle to start the rescue Remove all clothing from the upper body to bare both the ches...

Страница 24: ...d place the pads as illustrated on the pads anterior anterior Make sure the pads do not overlap or touch each other When emergency medical services arrive When Emergency Medical Services EMS personnel arrive to care for the patient they may decide to apply another defibrillator to allow monitoring of the patient The SMART Pads should be removed from the patient prior to using another defibrillator...

Страница 25: ...ll movement and remind you not to touch the patient If the artifact continues for more than 30 seconds the HeartStart will pause briefly to allow you to deal with the source of the noise then resume analysis The HeartStart will not deliver a shock unless you press the flashing orange Shock button If you do not press the Shock button within 30 seconds after the defibrillator tells you to it will di...

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Страница 27: ...est to check the operation of the defibrillator When the test is complete check that the green Ready light is blinking 4 Return the HeartStart to its storage location so it will be ready for use when needed HeartStart data storage The HeartStart automatically stores data about its last clinical use in its internal memory The stored data can be conveniently transferred to a personal computer or a h...

Страница 28: ...actually in use Removing the battery erases the summary data for the last use Last use data stored in internal memory include ECG recordings a maximum of 15 minutes following pads application the HeartStart s status entire incident the HeartStart s rhythm analysis decisions entire incident the elapsed time associated with stored events entire incident The HeartStart automatically stores informatio...

Страница 29: ...rtStart without a pads cartridge installed the defibrillator will start chirping and the i button will start flashing For directions on changing the pads cartridge see Chapter 2 Setting up the HeartStart The HeartStart runs daily self tests As long as the green Ready light is blinking it is not necessary to test the defibrillator by initiating a battery insertion self test This uses battery power ...

Страница 30: ...t s green Ready light is your guide to knowing if the defibrillator is ready for use If the Ready light is blinking The HeartStart has passed the battery insertion self test and the last periodic self test and is therefore ready for use If the Ready light is solid The HeartStart is in use or running a self test If the Ready light is off the HeartStart is chirping and the i button is flashing A sel...

Страница 31: ...et mask a disposable razor 2 pairs of gloves a pair of paramedic s scissors and an absorbent wipe REF 68 PCHAT Data Management Software HeartStart Configure PDA software REF 989803143041 HeartStart CaseCapture PDA software REF 989803143051 HeartStart Review Express Connect REF 861311 option A01 HeartStart Event Review single PC license REF M3834A HeartStart Event Review organization wide license R...

Страница 32: ... REF M5090A Infant Child Training Pads Cartridge REF M5074A Infant Child Training Replacement Pads REF M5094A Infant Child Pads Placement Guide REF 989803139281 HeartStart HS1 and FR2 Instructor s Training Toolkit NTSC REF M5066 89100 or PAL REF M5066 89101 HeartStart Trainer REF M5085A Internal Manikin Adapter REF M5088A External Manikin Adapter 5 pack REF M5089A ...

Страница 33: ...artment on the back of the defibrillator Caution light A triangular light on the front of the HeartStart Defibrillator that flashes during rhythm analysis and is on solid when a shock is advised as a reminder not to touch the patient configuration The settings for all operating options of the HeartStart Defibrillator including treatment protocol The factory default configuration can be modified by...

Страница 34: ...ctrum It is used to transmit information between the HeartStart Defibrillator and a computer running HeartStart Event Review software NSA No Shock Advised a decision made by the HeartStart Defibrillator that a shock is not needed based on analysis of the patient s heart rhythm NSA pause A pause provided by the HeartStart Defibrillator following an NSA decision The pause can be configured to a stan...

Страница 35: ... used rhythm analysis See SMART analysis Shock button An orange button with a lightning bolt symbol on it located on the front of the HeartStart Defibrillator The Shock button flashes when a shock is advised You must press the button for the shock to be delivered shockable rhythm A heart rhythm that the HeartStart Defibrillator determines is appropriate for defibrillation such as ventricular fibri...

Страница 36: ...HeartStart Defibrillator standby mode The operating mode of the HeartStart Defibrillator when a battery has been installed and the unit is turned off and ready for use when needed Shown by blinking green READY light standard NSA pause See NSA pause sudden cardiac arrest SCA The sudden stopping of the heart s pumping rhythm accompanied by loss of consciousness absence of respiration and lack of a p...

Страница 37: ...the i button while it is flashing during a patient care pause provides CPR Coaching pressing it while it is flashing and the defibrillator is chirping provides troubleshooting guidance Pressing it until it beeps at other times provides summary information about the defibrillator s last clinical use and device status Caution light Flashes during rhythm analysis and is on but not flashing when a sho...

Страница 38: ...e battery to high heat or open flames Do not incinerate the battery Do not mutilate the battery or open the battery case Class 9 miscellaneous dangerous goods Symbol required on outer packaging by freight carrier regulations to identify shipments containing lithium batteries Install the battery in the defibrillator before the date MM YYYY shown on the associated label Do not expose to moisture Han...

Страница 39: ...re for single patient use only Cartridge contents one set of two defibrillation pads Store the pads at temperatures between 0 and 43 C 32 and 110 F This product is not sterile This product does not contain natural rubber latex Meets the requirements of the European electromagnetic compatibility directive 89 336 EEC Pads intended for use on infant or child under 8 years or 55 pounds 25 Kg Expiratio...

Страница 40: ...s HEARTSTART M5066A Serial number Lot number Federal law USA restricts this device to sale by or on the order of a physician Dispose of in accordance with your country s requirements Printed on recycled paper symbol description ...

Страница 41: ... burn the battery or it may explode or catch fire fluids Do not let fluids get into the HeartStart Avoid spilling any fluids on the HeartStart or its accessories Spilling fluids into the HeartStart may damage it or cause a fire or shock hazard Do not sterilize the HeartStart or its accessories accessories Using damaged or expired equipment or accessories may cause the HeartStart Defibrillator to p...

Страница 42: ... directions skin burns Do not let the pads touch each other or other electrodes lead wires dressings medicine patches etc Such contact can cause electrical arcing and skin burns during a shock and may also divert the electrical current away from the patient s heart During a shock air pockets between the skin and pads can cause skin burns To help prevent air pockets make sure pads stick well to the...

Страница 43: ... battery and pads cartridge installed category specifications temperature and relative humidity Operating battery and pads cartridge installed 32 to 122 F 0 to 50 C 0 to 95 RH non condensing Standby battery and pads cartridge installed 50 to 109 F 10 to 43 C 10 to 75 RH non condensing Storage shipping with battery and pads cartridge 4 to 140 F 20 to 60 C for up to 2 days 0 to 85 RH non condensing ...

Страница 44: ...indicators Ready light green blinks when the defibrillator is in standby mode ready for use solid when the defibrillator is being used i button blue flashes when information is available on solid during patient care pause Caution light flashes when the defibrillator is analyzing comes on solid when the defibrillator is ready to deliver a shock Shock button orange flashes when the defibrillator is ...

Страница 45: ...e of the waveform is dynamically adjusted based on delivered charge in order to compensate for patient impedance variations as shown below adult defibrillation load phase 1 phase 2 peak delivered resistance Ω duration ms duration ms current A energy J 25 2 8 2 8 65 128 50 4 5 4 5 40 150 75 6 25 5 0 30 155 100 8 0 5 3 24 157 125 9 65 6 4 21 159 150 11 5 7 7 18 160 175 12 0 8 0 16 158 pediatric defi...

Страница 46: ...ge complete indicator Shock button flashes audio tone sounds shock to shock cycle time 20 seconds typical including analysis patient care pause to shock time Quick Shock 8 seconds typical from end of patient care pause to shock delivery disarm AED mode Once charged the defibrillator will disarm if the patient s heart rhythm changes to non shockable rhythm a shock is not delivered within 30 seconds...

Страница 47: ...cy rhythms may not be interpreted as shockable VF rhythms Also some VT rhythms usually associated with circulation will not be interpreted as shockable rhythms non shockable rhythms SMART Analysis is designed to detect non shockable rhythms as defined by AHA AAMI DF 80 See following table On detection of any non shockable rhythm the HeartStart prompts user to perform CPR if needed pacemaker detect...

Страница 48: ... rhythm asystole 100 specificity 95 meets AAMI DF80 requirement 92 non shockable rhythm all other non shockable rhythmsc 450 specificity 95 meets AAMI DF80 requirement 88 a From Philips Medical Systems Heartstream ECG rhythm databases b American Heart Association AHA AED Task Force Subcommittee on AED Safety Efficacy Automatic External Defibrillators for Public Access Use Recommendations for Speci...

Страница 49: ...ars when stored and maintained according to directions provided in this Owner s Manual training life Supports 10 hours of use in training mode category specifications adult pads Disposable adhesive defibrillation pads with a nominal active surface area of 85 cm2 each provided in a snap in cartridge with an integrated 54 137 1 cm typical cable infant child pads Disposable adhesive defibrillation pa...

Страница 50: ...orted municipal waste Collect such electronic waste separately and dispose of it at an appropriate recycling facility according to your country s regulations battery The battery cells contain chemicals The chemistry used in each battery is identified by a symbol on the label symbols are defined in the defibrillator User s Guide Instructions for Use Owner s Manual Recycle the battery at an appropri...

Страница 51: ...t products is available online at http www medical philips com goto eventreview Device options The following table includes the features of HeartStart Defibrillator operation that are not related to patient treatment parameter settings default default description speaker volume 1 2 3 4 5 6 7 8 8 The volume of the HeartStart s speaker is set to 8 highest auto send periodic self test PST data On Off...

Страница 52: ...ach time a shock is delivered During the protocol pause the HeartStart does not perform rhythm analysis The length of the protocol pause after a shock series is completed is determined by the protocol pause timer setting shock series interval minutes 1 0 2 0 infinity 1 0 A delivered shock must occur within 1 minute of the previous shock to be counted as part of the current shock series NOTE This p...

Страница 53: ... actual duration of the pause may differ slightly from the timer setting NSA pause type Standard NSA pause HeartStart does not perform rhythm analysis during the NSA pause SMART NSA pause HeartStart con ducts background monitoring during the SMART NSA pause If a poten tially shockable rhythm is detected HeartStart termi nates the SMART NSA pause and resumes rhythm analysis SMART NSA pause During a...

Страница 54: ...ch the patient and to begin CPR CPR3 Instructs the user to begin CPR and to press the i button for CPR Coaching CPR4 Instructs the user that it is safe to touch the patient to begin CPR and to press the i button for CPR Coaching CPR4 Instructs the user that it is safe to touch the patient to begin CPR and to press the i button for CPR Coaching The CPR reminder voice instructions provided at the be...

Страница 55: ...aching compression ventilation ratio for infants and children when an infant child pads cartridge is installed NOTE if this parameter is configured to NO CPR Coaching will always be compressions only when an infant child pads cartridge is installed CPR Coaching compression ventilation ratio 30 2 adult and 30 2 infant child 30 2 adult and 15 2 infant child 15 2 adult and 15 2 infant child 30 2 adul...

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Страница 57: ...urely It is recommended that you run the battery insertion self test only when the defibrillator is first put into service after each time the defibrillator is used to treat a patient when the battery is replaced when the defibrillator may have been damaged If you need to use the defibrillator in an emergency while you are running a battery self test pull the SMART Pads cartridge handle to stop th...

Страница 58: ...have been removed from the liner the pads should not be touching the patient s clothing The pads are not properly applied to the patient The pads are not making good contact with the patient s bare chest because of moisture or excessive hair The pads are touching each other The pads may not have been removed from the liner or may be on the patient s clothing Make sure that the pads are sticking co...

Страница 59: ...an generate static electricity Check for possible causes of radio and electrical interference and turn them off or remove them from the area the shock was not delivered The pads may not be making good contact with the patient s skin The pads may be touching each other The pads may be damaged Press the pads firmly to the patient s chest Make sure the adhesive pads are correctly positioned on the pa...

Страница 60: ...tructed Make sure the pads cartridge is properly installed with the hard cover in place See Chapter 5 Maintaining the HeartStart for directions on installing the pads cartridge Remove the training pads cartridge and replace it with an Adult or Infant Child Pads Cartridge Remove the battery for five seconds then reinstall it to start the battery insertion self test If it fails insert a new battery ...

Страница 61: ... in such an environment Electromagnetic emissions emissions test compliance electromagnetic environment guidance RF CISPR 11 Group 1 Class B The HeartStart uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The HeartStart is suitable for use in all establishments including domestic establ...

Страница 62: ...AEDs are sometimes susceptible to interference generated by patient and or responder motion in environments in which a high static electric field is present e g low humidity synthetic carpets etc As a safety measure Philips AEDs incorporate a patented method to sense possible corruption of the ECG signal by such interference and to respond by directing the user to stop all motion In these cases it...

Страница 63: ...ve the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 The ISM industrial scientific and medial bands be...

Страница 64: ... considerations The defibrillator contains electronic components Dispose of it at an appropriate recycling facility The battery cells contain chemicals Recycle the battery at an appropriate recycling facility The used pads may be contaminated Cut them off and dispose of them properly Recycle the remaining cartridge components at an appropriate recycling facility Shock cycle timing The HeartStart Q...

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Страница 70: ... Road Markham Ontario L6C 2S3 800 291 6743 Europe Middle East and Africa Philips Medizin Systeme Boeblingen GmbH Cardiac and Monitoring Systems Hewlett Packard Strasse 2 71034 Boeblingen Germany 49 7031 463 2254 Latin America Philips Medical Systems 1550 Sawgrass Corporate Parkway Suite 300 Sunrise FL 33323 USA 954 835 2660 Asia Pacific Philips Electronics Hong Kong Ltd 30th Floor Hopewell Centre ...

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