Philips M3861A manuel d'utilisation

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Le mot vient du latin "Instructio", à savoir organiser. Ainsi, le manuel d’utilisation Philips M3861A décrit les étapes de la procédure. Le but du manuel d’utilisation est d’instruire, de faciliter le démarrage, l'utilisation de l'équipement ou l'exécution des actions spécifiques. Le manuel d’utilisation est une collection d'informations sur l'objet/service, une indice.

Malheureusement, peu d'utilisateurs prennent le temps de lire le manuel d’utilisation, et un bon manuel permet non seulement d’apprendre à connaître un certain nombre de fonctionnalités supplémentaires du dispositif acheté, mais aussi éviter la majorité des défaillances.

Donc, ce qui devrait contenir le manuel parfait?

Tout d'abord, le manuel d’utilisation Philips M3861A devrait contenir:
- informations sur les caractéristiques techniques du dispositif Philips M3861A
- nom du fabricant et année de fabrication Philips M3861A
- instructions d'utilisation, de réglage et d’entretien de l'équipement Philips M3861A
- signes de sécurité et attestations confirmant la conformité avec les normes pertinentes

Pourquoi nous ne lisons pas les manuels d’utilisation?

Habituellement, cela est dû au manque de temps et de certitude quant à la fonctionnalité spécifique de l'équipement acheté. Malheureusement, la connexion et le démarrage Philips M3861A ne suffisent pas. Le manuel d’utilisation contient un certain nombre de lignes directrices concernant les fonctionnalités spécifiques, la sécurité, les méthodes d'entretien (même les moyens qui doivent être utilisés), les défauts possibles Philips M3861A et les moyens de résoudre des problèmes communs lors de l'utilisation. Enfin, le manuel contient les coordonnées du service Philips en l'absence de l'efficacité des solutions proposées. Actuellement, les manuels d’utilisation sous la forme d'animations intéressantes et de vidéos pédagogiques qui sont meilleurs que la brochure, sont très populaires. Ce type de manuel permet à l'utilisateur de voir toute la vidéo d'instruction sans sauter les spécifications et les descriptions techniques compliquées Philips M3861A, comme c’est le cas pour la version papier.

Pourquoi lire le manuel d’utilisation?

Tout d'abord, il contient la réponse sur la structure, les possibilités du dispositif Philips M3861A, l'utilisation de divers accessoires et une gamme d'informations pour profiter pleinement de toutes les fonctionnalités et commodités.

Après un achat réussi de l’équipement/dispositif, prenez un moment pour vous familiariser avec toutes les parties du manuel d'utilisation Philips M3861A. À l'heure actuelle, ils sont soigneusement préparés et traduits pour qu'ils soient non seulement compréhensibles pour les utilisateurs, mais pour qu’ils remplissent leur fonction de base de l'information et d’aide.

Table des matières du manuel d’utilisation

  • Page 1

    P OWE R T O SA VE A LIF E M 3860A, M 3861A Edition 10 HEARTSTART FR2+ DEFIBRILL ATOR INSTRUCTIONS FOR USE[...]

  • Page 2

    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+.[...]

  • Page 3

    Philips Medical Sy stems HEAR TST AR T F R2+ DEFIBRILLATOR QU I C K REF ERENC E C A RD[...]

  • Page 4

    Philips Medical Sy stems Intentiona lly left b lank.[...]

  • Page 5

    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[...]

  • Page 6

    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 [...]

  • Page 7

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

  • Page 8

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

  • Page 9

    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[...]

  • Page 10

    M3860A/M3861A HEARTSTART FR2+ Philips Medical Sy stems Notes[...]

  • Page 11

    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[...]

  • Page 12

    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 [...]

  • Page 13

    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[...]

  • Page 14

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 15

    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[...]

  • Page 16

    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[...]

  • Page 17

    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[...]

  • Page 18

    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[...]

  • Page 19

    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[...]

  • Page 20

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 21

    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 [...]

  • Page 22

    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[...]

  • Page 23

    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 [...]

  • Page 24

    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 [...]

  • Page 25

    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 -[...]

  • Page 26

    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[...]

  • Page 27

    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 [...]

  • Page 28

    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[...]

  • Page 29

    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[...]

  • Page 30

    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 [...]

  • Page 31

    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[...]

  • Page 32

    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[...]

  • Page 33

    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[...]

  • Page 34

    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 .[...]

  • Page 35

    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[...]

  • Page 36

    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[...]

  • Page 37

    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 [...]

  • Page 38

    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[...]

  • Page 39

    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[...]

  • Page 40

    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[...]

  • Page 41

    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[...]

  • Page 42

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 43

    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[...]

  • Page 44

    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[...]

  • Page 45

    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[...]

  • Page 46

    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[...]

  • Page 47

    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 [...]

  • Page 48

    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[...]

  • Page 49

    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[...]

  • Page 50

    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[...]

  • Page 51

    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[...]

  • Page 52

    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 , [...]

  • Page 53

    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[...]

  • Page 54

    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[...]

  • Page 55

    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[...]

  • Page 56

    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[...]

  • Page 57

    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[...]

  • Page 58

    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[...]

  • Page 59

    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+ [...]

  • Page 60

    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[...]

  • Page 61

    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[...]

  • Page 62

    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[...]

  • Page 63

    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.[...]

  • Page 64

    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. [...]

  • Page 65

    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-[...]

  • Page 66

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 67

    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 [...]

  • Page 68

    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[...]

  • Page 69

    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[...]

  • Page 70

    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 [...]

  • Page 71

    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[...]

  • Page 72

    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[...]

  • Page 73

    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[...]

  • Page 74

    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[...]

  • Page 75

    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[...]

  • Page 76

    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 [...]

  • Page 77

    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[...]

  • Page 78

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 79

    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[...]

  • Page 80

    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[...]

  • Page 81

    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[...]

  • Page 82

    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 [...]

  • Page 83

    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[...]

  • Page 84

    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[...]

  • Page 85

    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[...]

  • Page 86

    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[...]

  • Page 87

    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 [...]

  • Page 88

    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.[...]

  • Page 89

    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[...]

  • Page 90

    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[...]

  • Page 91

    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’[...]

  • Page 92

    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[...]

  • Page 93

    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[...]

  • Page 94

    Philips Medical Sy stems M3860A/ M3861A HEA RTSTART FR2+ Notes[...]

  • Page 95

    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[...]

  • Page 96

    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[...]

  • Page 97

    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-[...]

  • Page 98

    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 [...]

  • Page 99

    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-[...]

  • Page 100

    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[...]

  • Page 101

    Philips Medical Sy stems Intentiona lly left b lank.[...]

  • Page 102

    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 [...]