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Stryker LUCAS 3 v3.1, Руководство по эксплуатации

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LUCAS 3 orientation guide  

41

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PAUSE compressions for ECG analysis

✓

If shock is indicated, defibrillate during LUCAS compressions
or during pause, according to your local protocols

•

Defibrillation can be performed while the LUCAS device operates

✓

You can apply the defibrillation electrodes before or after the LUCAS device 
has been put in position

✓

Make sure pads or wires are not under the suction cup

✓

Perform the defibrillation according to the instructions from the manufacturer 
of the defibrillator

✓

After defibrillation, make sure that the position of the suction cup is correct. 
If necessary, adjust the position

Defibrillation 

Содержание LUCAS 3 v3.1

Страница 1: ...LUCAS 3 orientation guide 1 Orientation guide LUCAS 3 v3 1 chest compression system ...

Страница 2: ...UCAS 3 orientation guide 2 All operators must read the complete Instructions for Use before operating the LUCAS chest compression system This PowerPoint does not replace the Instructions for Use document ...

Страница 3: ...erican Heart Association guidelines and the European Resuscitation Council guidelines LUCAS can be used in a wide variety of situations and settings on the scene during patient movement during transportation in road and air ambulances hospitals and catheterization laboratories LUCAS chest compression system ...

Страница 4: ...LUCAS 3 orientation guide 4 Minimize pauses in chest compressions Depth 2 0 2 4 inches Rate 100 120 per min Full chest recoil Avoid excessive ventilation 30 2 or 10 per min AHA ERC Guidelines 2015 ...

Страница 5: ...ed the device will operate according to its factory default settings which are identical to LUCAS 3 v3 0 and LUCAS 2 v2 2 The training application steps and user interface remains the same as LUCAS 3 and LUCAS 2 devices Important user information Setup options LUCAS 3 v3 1 ...

Страница 6: ...e of pulse Loss of consciousness LUCAS must only be used in cases where chest compressions are likely to help the patient The LUCAS device is intended for use as an adjunct to manual CPR when effective manual CPR is not possible e g during patient transport extended CPR fatigue insufficient personnel Intended use ...

Страница 7: ...chest Too small patient If LUCAS alerts with 3 fast signals when lowering the suction cup and you cannot enter the PAUSE mode or ACTIVE mode Too large patient If you cannot lock the LUCAS upper part to back plate without compressing the patient s chest Always follow local and or international guidelines for CPR when you use the LUCAS chest compression system Contraindications ...

Страница 8: ...rom cardiac arrest After resuscitation all patients should be reassessed and reevaluated for resuscitation related injuries Apart from the above skin abrasions bruising and soreness of the chest are common during the use of the LUCAS chest compression system Side effects 1 2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recomme...

Страница 9: ...als when lowering the suction cup and you cannot enter the PAUSE mode or ACTIVE mode A maximum chest width of 17 7 inches Too large patient If you cannot lock the LUCAS upper part to back plate without compressing the patient s chest The use of the LUCAS device is not restricted by patient weight Patient parameters ...

Страница 10: ...LUCAS 3 orientation guide 10 Weight 180 lbs Height 6 ft Weight 330 lbs Height 6 ft 5 in Weight 320 lbs Height 5 ft 10 in LUCAS fits large patients ...

Страница 11: ... 1 Brodal Syversen K Souvannasacd E Renger R Validating the LUCAS mechanical chest compression fit specifications The American Journal of Emergency Medicine Volume 37 Issue 2 February 2019 Pages 371 373 2 Rubertsson S Lindgren E Smekal D et al Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out of hospital cardiac arrest The LINC Rando...

Страница 12: ...tains the proprietary and rechargeable LUCAS battery and the compression mechanism with the disposable suction cup A stabilization strap which helps secure the position of the device in relation to the patient A back plate which is positioned underneath the patient as a support for the external chest compressions A carrying case ...

Страница 13: ...rt leg 10 Support leg strap part of the Stabilization Strap 11 Neck strap part of the Stabilization Strap 12 Back plate 13 Claw locks 14 Car Power cable 15 Power supply cord 16 Power supply 17 External battery charger 18 Carrying case 19 Charger port access 20 Transparent top window 21 Upper part 22 Pressure pad 23 Vent holes Applied part according to IEC 60601 1 ...

Страница 14: ...s ACTIVE 30 2 Battery indicator TRANSMIT data Alarm Indicator Fully charged Battery charge too low Battery overheat End of battery service life Low battery approx 10 minutes of operating capacity remain 2 3 charged 1 3 charged High priority alarm User interface MUTE alarm when device operates Check battery charge when OFF ...

Страница 15: ...ttery rechargeable Capacity 3300mAh typical 86 Wh Battery runtime 45 minutes typical Charge External power supply Input 100 240VAC Charge time in LUCAS device 2 hrs External battery chager Charge time 4 hrs Car power cable Voltage current 12 28VDC Power ...

Страница 16: ... guide 16 Charge device in carrying case Convenient battery charge access port Open up flap on back Connect LUCAS device to external power through case Note Pack LUCAS device with the DC input facing the case charge port ...

Страница 17: ...er at a glance Quickly check your battery charge status Top window Note Position the LUCAS device in the right direction inside the bag LUCAS DC input facing the case charge port Press MUTE to see charge level LUCAS device in OFF mode ...

Страница 18: ...LUCAS 3 orientation guide 18 Light and compact Easy to clean Reflective sticker Big handholds Easy to open zipper Adjustable shoulder straps Hard carrying case ...

Страница 19: ...guide 19 Inside the hard carrying case In the carrying case compartment between the LUCAS support legs you may put optional accessories such as the external power supply a charged spare LUCAS battery and extra suction cups ...

Страница 20: ...ntation guide 20 LUCAS is mostly radiotransluscent with the exception of the hood and piston allowing for projections at multiple angles Simulated drawing depicting radiotranslucency of LUCAS LUCAS in the cath lab ...

Страница 21: ...LUCAS 3 orientation guide 21 LUCAS 3 back plate oblique view LUCAS 3 back plate AP view Multiple back plate options Allows for angiography during CPR ...

Страница 22: ...p AutoFit QuickFit manual Ventilation number of prompts pause duration chest rise Timer continuous or CPR timer Transmit data send and revice data after the event Optional setup options Configure LUCAS 3 v3 1 device behavior via your LUCAS account on LIFENET System ...

Страница 23: ...120 Preset a fixed rate 102 111 120 min Preset various rates 102 111 120 min toggle ACTIVE key s to change rate on the fly Preset fixed depth 1 8 2 1 inches Compressions rate and depth Setup option LUCAS 3 v3 1 Note bold brown values are factory default settings ...

Страница 24: ...ch span factory default setting AutoFit full automatic adjustment to the chest Note Training instructions remain the same lower suction cup manually and look for correct position on chest Suction cup start position Setup option LUCAS 3 v3 1 Note bold brown values are factory default settings Demo AutoFit ...

Страница 25: ...n Audible alerts ON OFF Ventilation pause 0 3 1 5 sec Allow for chest rise during ventilation ON OFF Pressure pad release 10mm o During PAUSE o During ventilation pauses in ACTIVE modes o At every compression in ACTIVE modes Ventilation during CPR Setup option LUCAS 3 v3 1 Note bold brown values are factory default settings Demo Audible ventilation alert in ACTIVE continuous mode ...

Страница 26: ... Set up 1 15 min in 1 min increments CPR timer measures time only in ACTIVE modes Continuous timer measures time independent of operation mode Note bold brown values are factory default settings Timers Setup option LUCAS 3 v3 1 Demo Audible timer alert in ACTIVE continuous mode ...

Страница 27: ...igured to meet local protocols The data can be transmitted using Bluetooth or Wi Fi Push the TRANSMIT data key to send device data and receive new configurations To transmit Make sure the LUCAS device is powered OFF Push the TRANSMIT data key Transmit data Send and receive data after the event ...

Страница 28: ...d if LUCAS device is in range of a known Wi Fi network The TRANSMIT key is pressed LUCAS must be in power OFF mode Can be set up to occur automatically when device is idle and charging optional opt in Device administrator email will automatically receive report others have to be added Post event reporting Send and receive data after the event ...

Страница 29: ...LUCAS 3 orientation guide 29 Marketing piece to support how to define setup on LUCAS device Defining setup options Marketing material GDR 3336793 ...

Страница 30: ...LUCAS 3 orientation guide 30 Basic orientation use and handling of LUCAS ...

Страница 31: ...n guide 31 Immediately start manual CPR Uninterrupted high quality CPR is related to good patient outcomes Work in teams to minimize interruptions to manual CPR before and during LUCAS application Arrival at the patient ...

Страница 32: ... OFF to start self test and power up the LUCAS device The device will be ready and in ADJUST mode Rescuer 2 Provide manual CPR 1 Power On LUCAS Note If you let the LUCAS device stay in ADJUST mode it will power off automatically after 5 minutes You may need to power ON the device again ...

Страница 33: ...entation guide 33 Rescuer 1 LUCAS operator Pause manual CPR briefly Put the back plate under the patient immediately below the armpits Rescuer 2 Assist back plate placement Resume manual CPR 2 Place the back plate ...

Страница 34: ...rms straight out i e crucifix position In large patients move the patient s arms up towards the head to get adipose tissue out of the way Lift the patient s upper body a small distance or roll the patient from side to side when placing the back plate Coordinate the application to minimize interruptions to manual chest compressions Position the back plate ...

Страница 35: ...LUCAS 3 orientation guide 35 Position the back plate ...

Страница 36: ... Pull the release rings once to open claw locks then let go of the rings Stop manual CPR briefly while attaching the upper part to the back plate Listen for click sound Pull up once to ensure attachment Rescuer 2 Continue manual CPR as long as possible Help attach the upper part ...

Страница 37: ... suction cup down and adjust the position if needed Rescuer 1 LUCAS operator Push down the suction cup The lower edge of suction cup should be immediately above the end of the sternum Adjust if necessary stay in ADJUST mode Rescuer 2 Assist ...

Страница 38: ...UCAS 3 orientation guide 38 Rescuer 1 LUCAS operator Push PAUSE to lock start position Push ACTIVE continuous or ACTIVE 30 2 to start compressions Rescuer 2 Assist 5 Lock position and start compressions ...

Страница 39: ...n strap helps secure the correct position Make sure that LUCAS is positioned correctly on the patient s chest during the whole resuscitation effort Note Delay the application of the LUCAS stabilization strap if this prevents or delays any medical treatment of the patient 6 Apply stabilization strap ...

Страница 40: ... guide 40 Use the patient straps to facilitate patient transportation Make sure that IV access is not obstructed when using patient straps Do not lift LUCAS by the patient straps Move the patient Secure the patient s arms ...

Страница 41: ...ile the LUCAS device operates You can apply the defibrillation electrodes before or after the LUCAS device has been put in position Make sure pads or wires are not under the suction cup Perform the defibrillation according to the instructions from the manufacturer of the defibrillator After defibrillation make sure that the position of the suction cup is correct If necessary adjust the position De...

Страница 42: ... one person supporting the patient s head even with stabilization strap in place CPR during transport 2 Those at the patient s side will lift with one hand beneath the claw locks of the back plate keeping fingers clear of the claw locks while the other hand lifts patient s leg ...

Страница 43: ...LUCAS can be active while you lift and move the patient if LUCAS and the patient are safely positioned on the transportation device LUCAS stays in the correct position and angle on the patient s chest If necessary adjust the position of the suction cup ...

Страница 44: ...interruptions to a minimum while changing the battery Push PAUSE to temporarily stop the compressions Remove battery Insert fully charged battery Push ACTIVE continuous or ACTIVE 30 2 to start compressions again Smart Restart LUCAS remembers the settings and start position for 60 seconds Exchange battery during operation Smart Restart ...

Страница 45: ... Connect the power adapter to the DC input on the side of the LUCAS device Connect the power adapter power supply or car power cable to appropriate power outlet 100 240V or 12 28VDC The battery must always be installed for the LUCAS device to operate even when powered by the external power supply Connect to external power supply ...

Страница 46: ...al chest compressions Immediately start manual compressions After use remove the LUCAS device Push ON OFF for 1 second to stop mechanical chest compressions Remove the stabilization strap and patient s straps Pull the release rings and remove the upper part Remove the back plate if the condition of the patient allows Remove the device from the patient Remove LUCAS from the patient ...

Страница 47: ...tion strap and the LUCAS device and resume manual chest compressions immediately Examples of other reasons for the high priority alarm Temperature is too high Compression pattern outside limits Hardware error If LUCAS does not operate properly Remove the stabilization strap and device Start manual chest compressions immediately High priority alarm ...

Страница 48: ...LUCAS 3 orientation guide 48 For troubleshooting indications and alerts during normal operation refer to Chapter 8 of the LUCAS 3 Instructions for Use Troubleshooting ...

Страница 49: ...LUCAS 3 orientation guide 49 Maintenance care after use and preparations for next use ...

Страница 50: ...configured to meet local protocols The data can be transmitted using Bluetooth or Wi Fi Push the TRANSMIT data key to send device data and receive new configurations To transmit Make sure the LUCAS device is powered OFF Push the TRANSMIT data key Optional send and receive data after the event ...

Страница 51: ... and discard the suction cup Mount new suction cup Remove patient and stabilization straps and clean separately Clean device Remove and recharge battery Refer to Chapter 6 of the LUCAS 3 Instructions for Use After use of the LUCAS device ...

Страница 52: ...ter with a mild cleaning agent or disinfectant agent 70 isopropyl alcohol solution 45 isopropyl alcohol with added detergent Quaternary ammonium compound 10 bleach Peracetic peroxide acid solutions Follow the handling instructions from the manufacturer of the disinfectant Cleaning routines ...

Страница 53: ...completeness e g new suction cup patient straps and stabilization strap attached Check battery level press when device is in OFF mode Power ON LUCAS by pushing ON OFF wait for self test to be performed Power OFF LUCAS by pushing ON OFF again Refer to Chapter 7 1 of the LUCAS 3 Instructions for Use Maintenance routine checks ...

Страница 54: ...ical training on LUCAS please visit lucas cpr com web_training lucas3 Basic orientation use and handling onthe LUCAS device with a theoretical test Train to apply the LUCAS device hands on and do a performance evaluation Platform available in multiple languages ...

Страница 55: ...LUCAS 3 orientation guide 55 Thank you for your attention ...

Страница 56: ...LUCAS 3 orientation guide 56 ...

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