Agilent HeartStream M3860 User manual
User’s Guide
Agilent M3860A, M3861A Heartstream FR2
Semi-Automatic External Defibrillator (AED)
The HEARTSTREAM
M
FR2 AED
Clockwise from top right.
A
Battery. Disposable
battery pack used to
power the H
EARTSTREAM
FR2. (Check local
regulations for disposal
and recycling
requirements.)
B
On/Off button. turns
on the FR2 and starts
voice and screen prompts.
Second press turns off the
FR2.
C
Status Indicator.
This shows you the
readiness status of the
EARTSTREAM FR2.
H
D
Display screen.
Displays text prompts and
incident data. The
EARTSTREAM FR2
H
M3860A screen also displays the
patient’s ECG.
E
Option buttons. Adjust the
contrast of the screen display and
control special functions.
F
Beeper port. Broadcasts alert
beeps when required. It is located
under the right edge of the FR2.
G
Infrared (IR) communications
port. A special lens, or “eye,” used to
transfer data directly to or from
another device.
H
Data card port. Receptacle for
data card tray.
A
P
O
N
B
C
D
E
F
G
H
I
M
I
L
Data card (optional). Used to
store and review information about the
K
M
Speaker. Amplifies voice
prompts during use of the FR2.
J
incident, including ECG and optional
N
voice recording.
Pads placement diagram.
Illustrates correct placement of pads.
J
Data card tray. Special sleeve
that holds the data card and fits into
Diagrams are also shown on the back
of the defibrillation pads.
the data card port to help seal the FR2
O
against fluids. The tray should be kept
installed in the FR2 even if no data
card is used.
Defibrillator pads connector
port. Receptacle for connector of the
defibrillation pads cable. An adjacent
LED light flashes to show socket
K
Microphone. Used optionally to
record surrounding audio during an
location and is covered when
connector is inserted.
incident. It is located under the right
P
edge of the FR2.
Defibrillator pads assembly.
Self-adhesive pads with attached cable
L
Shock button. Controls shock
and connector.
delivery. The button flashes when the
EARTSTREAM FR2 is ready to deliver
H
a shock.
HEARTSTREAM FR2 AED
QUICK REFERENCE GUIDE
Notice
About This Edition
The information in this guide
applies to the Agilent Technologies
models M3860A and M3861A
H
EARTSTREAM FR2 semi-automatic
external defibrillator. This
information is subject to change
without notice.
Agilent Technologies shall not be
liable for errors contained herein or
for incidental or consequential
damages in connection with the
furnishing, performance, or use of
this material.
Edition History
Edition 4
Publication date: March 2000
Publication number: M3860-91900
Assembly number: 011120-0004
Printed in the U.S.A.
Agilent Technologies, Inc.
Copyright
Copyright © 2000
Agilent Technologies
Heartstream Operation
2401 Fourth Avenue, Suite 500
Seattle, WA 98121, USA
(206) 664-5000
This document may not be
photocopied, reproduced, or
translated to another language
without prior written consent of
Agilent Technologies.
Authorized
EU Representative:
Agilent Technologies GmbH
Health Care Solutions Group
Herrenberger Strasse 110-140
71034 Boeblingen, Germany
+49 7031-14-5151
CAUTION
FEDERAL LAW (USA)
RESTRICTS THIS DEVICE TO
SALE BY OR ON THE ORDER
OF A PHYSICIAN.
The H
EARTSTREAM FR2 is
designed to be used only with
Agilent Technologies-approved
accessories. The H
FR2 will perform improperly if
non-approved accessories are used.
EARTSTREAM
United States
Agilent Technologies, Inc.
Healthcare Solutions Group
Heartstream Operation
2401 Fourth Avenue, Suite 500
Seattle, Washington 98121-1436
(206) 664-5000
1-800-263-3342
Canada:
Agilent Technologies, Inc.
5150 Spectrum Way
Mississauga, Ontario L4W 5G1
(905) 206-4725
1-800-291-6743
Europe:
Agilent Technologies, Inc.
Healthcare Solutions Group
Herrenberger Strasse 110-140
71034 Boeblingen, Germany
(+49) 7031 14 5151
Medical Distribution:
Europe/Middle East/Africa
Agilent Technologies, Inc.
1217 Meyrin 1
Geneva, Switzerland
(+41) 22 780 4111
Latin America:
Agilent Technologies, Inc.
5200 Blue Lagoon Drive
Miami, FL 33126 USA
(305) 267-4220
Asia Pacific Headquarters:
Agilent Technologies, Inc.
24F Cityplaza One
1111 King’s Road
Taikoo Shing, Hong Kong
(+852) 3197 7777
www.agilent.com/healthcare
Contents
1 Introduction to the HEARTSTREAM FR2
What is the HEARTSTREAM FR2? ........................................................................................................1-1
When Is the H
How Does the H
How Is the H
2 Preparing Your HEARTSTREAM FR2 for Use
Overview .............................................................................................................................................2-1
Installing the Battery ...........................................................................................................................2-1
Setting the Clock .................................................................................................................................2-3
Running the Battery Insertion Selftest ................................................................................................2-4
Placing and Securing the H
3 Using Your HEARTSTREAM FR2
Overview .............................................................................................................................................3-1
Step 1: Preparation ..............................................................................................................................3-2
Step 2: ECG Analysis and Monitoring ................................................................................................3-3
Step 3: Shock Delivery ........................................................................................................................3-4
EARTSTREAM FR2 Used? .............................................................................................1-2
EARTSTREAM FR2 Work? .........................................................................................1-2
EARTSTREAM FR2 Supplied? .........................................................................................1-3
EARTSTREAM FR2 ....................................................................................2-5
4 Troubleshooting, Testing, and Maintaining Your HEARTSTREAM FR2
Overview .............................................................................................................................................4-1
Troubleshooting Guide ........................................................................................................................4-1
Status Indicator Summary .............................................................................................................4-2
Status Indicator Details .................................................................................................................4-3
Battery ...........................................................................................................................................4-5
Defibrillation Pads ........................................................................................................................4-6
Rhythm Analysis and Defibrillation .............................................................................................4-7
Testing .................................................................................................................................................4-8
Battery Insertion Selftest ..............................................................................................................4-8
Periodic Selftests ........................................................................................................................4-12
Device History ............................................................................................................................4-12
Battery History ............................................................................................................................4-13
Maintenance ......................................................................................................................................4-13
Maintenance Schedule ................................................................................................................4-13
Operator’s Checklist ...................................................................................................................4-15
Cleaning the H
EARTSTREAM FR2 ...............................................................................................4-17
i
Contents
5 Clinical and Safety Considerations
Clinical Considerations .......................................................................................................................5-1
Indications .....................................................................................................................................5-1
Contraindications ..........................................................................................................................5-1
Safety Considerations ..........................................................................................................................5-2
General Dangers, Warnings, and Cautions ...................................................................................5-2
Defibrillation Warnings and Cautions ..........................................................................................5-4
Monitoring Cautions .....................................................................................................................5-5
Maintenance Cautions ..................................................................................................................5-6
6 Setup and Advanced Mode Features
Setup Overview ...................................................................................................................................6-1
Non-Protocol Parameters ..............................................................................................................6-1
Automatic Protocol Parameters ....................................................................................................6-2
Manual Override Parameters ........................................................................................................6-4
Using Setup Features ...........................................................................................................................6-6
Reviewing Current Setup ..............................................................................................................6-6
Revising Setup ..............................................................................................................................6-7
Receiving Setup ............................................................................................................................6-8
Reading Setup ...............................................................................................................................6-8
Sending and Receiving Clock Settings ...............................................................................................6-9
Using Advanced Mode Features .......................................................................................................6-10
Using the Manual Analyze Feature ............................................................................................6-11
Using the Manual Charge Feature (M3860A only) ....................................................................6-12
7 Data Management and Review
Overview .............................................................................................................................................7-1
Recording Incident Data ......................................................................................................................7-1
Recording Data in Internal Memory .............................................................................................7-1
Recording Data on a Data Card ....................................................................................................7-1
Reviewing Incident Data .....................................................................................................................7-3
Reviewing Data from Internal Memory .......................................................................................7-3
Reviewing Data from a Data Card ................................................................................................7-4
ii
Contents
A Accessories for the HEARTSTREAM FR2
HEARTSTREAM Accessories ................................................................................................................A-1
Suggested Additional Items ...............................................................................................................A-1
B Technical Specifications
HEARTSTREAM FR2 AED Specifications ...........................................................................................B-1
Physical ........................................................................................................................................ B-1
Environmental ..............................................................................................................................B-1
Defibrillator ................................................................................................................................. B-2
ECG Analysis System ..................................................................................................................B-4
ECG Analysis Performance ......................................................................................................... B-4
Display .........................................................................................................................................B-5
Controls and Indicators ................................................................................................................B-6
Accessories Specifications .................................................................................................................B-6
M3863A Battery Pack Specifications ..........................................................................................B-6
H
EARTSTREAM Defibrillation Pads Specifications ...................................................................... B-7
(Optional) M3854A Data Card Specifications ............................................................................ B-7
C Differences between the FORERUNNER and the HEARTSTREAM FR2 AEDs
D Glossary of Symbols and Controls
E Glossary of Terms
Index
iii
Notes
iv
1 Introduction to the HEARTSTREAM FR2
What is the HEARTSTREAM FR2?
The HEARTSTREAM FR2 defibrillator (“FR2”) is a semi-automatic external
defibrillator (AED). It is compact, lightweight, portable, and battery powered.
It is designed for simple and reliable operation by a trained responder.
The H
EARTSTREAM FR2 has a Status Indicator that is always active, so you
can tell at a glance if it is ready for use. The front panel of the FR2 has an
On/Off button at the top and a Shock button at the bottom. A display screen in
the center of the panel provides text prompts and incident information. Voice
prompts are provided through a speaker located at the base of the FR2. (See
the diagram on the inside front cover for details.)
The H
EARTSTREAM FR2 is available in two models, the M3860A and the
M3861A. They share a set of basic features. In addition, the M3860A
provides optional screen display of the patient’s electrocardiogram (ECG) and
can be programmed to permit the advanced mode’s manual charge feature.
NOTE: The FR2 comes with a factory default setup that can be modified.
(See Chapter 6, Setup and Advanced Mode Features, for a description of
setup defaults and options.)
M3860A and M3861A HEARTSTREAM FR2 Defibrillator 1-1
When Is the HEARTSTREAM FR2 Used?
When Is the HEARTSTREAM FR2 Used?
The HEARTSTREAM FR2 is used with disposable HEARTSTREAM defibrillation
pads applied to a person who is experiencing the symptoms of sudden cardiac
arrest (SCA): lack of consciousness, lack of breathing, and lack of detectable
pulse. Defibrillation should not be performed on anyone who is conscious,
breathing, or has a detectable pulse.
The H
have been specifically trained in the operation of the H
who are qualified by training in Basic Life Support (BLS), in Advanced Life
Support (ALS), or in other physician-authorized emergency medical response.
The H
pediatric energy settings. In accordance with the recommendations of the
American Heart Association,
treat infant cardiac arrest, but standard operating procedures should be
followed in treating children over eight years of age.
EARTSTREAM FR2 is intended for use by emergency care personnel who
EARTSTREAM FR2 or
EARTSTREAM FR2 is not intended for administration of energy at
*
the HEARTSTREAM FR2 should not be used to
How Does the HEARTSTREAM FR2 Work?
The HEARTSTREAM FR2 is designed to provide external defibrillation therapy
to someone in cardiac arrest. Defibrillation therapy is the best available way
to treat a variety of potentially fatal heart arrhythmias.
The FR2 is extremely easy to use. When connected to defibrillation pads that
are properly applied to the patient’s bare chest, the H
1. prompts you to take specific actions,
2. automatically analyzes the patient's heart rhythm and advises you whether
or not the rhythm is shockable, and
3. arms the Shock button, if appropriate, and instructs you to press it to
deliver a biphasic electric pulse designed to defibrillate the heart.
Detailed instructions for use are provided in Chapter 3.
* Textbook of Advanced Cardiac Life Support. Dallas: AHA, 1997-99.
1-2 Introduction to the H
EARTSTREAM FR2:
EARTSTREAM FR2
How Is the HEARTSTREAM FR2 Supplied?
How Is the HEARTSTREAM FR2 Supplied?
The HEARTSTREAM FR2 is supplied with a battery pack, defibrillation pads
with integrated cable and connector, and a data card tray. Other accessories
are available. See Appendix A for a list of accessories and other
recommended supplies.
1
M3860A and M3861A H
EARTSTREAM FR2 Defibrillator 1-3
How Is the HEARTSTREAM FR2 Supplied?
Notes
1-4 Introduction to the H
EARTSTREAM FR2
2 Preparing Your HEARTSTREAM FR2 for Use
Overview
There are a few basic steps to preparing your HEARTSTREAM FR2 for use:
Install a battery.
Set the clock in the FR2 (optional).
Run the battery insertion selftest.
Place the FR2 with recommended accessories in a convenient location.
The instructions presented here briefly describe the normal sequence of
preparation. It assumes that you are using a fresh battery, that the selftest
passes, and that the factory default settings will not be changed. Exceptions to
this sequence are provided elsewhere in this User’s Guide.
Installing the Battery
The HEARTSTREAM FR2 is shipped with a M3863A battery pack. The battery
is enclosed in a gray plastic case. There is a yellow latch at one end that holds
the battery pack in place when it is correctly installed in the FR2. To install
the battery:
1. Hold the battery pack by the latch end and slide it into the battery
compartment at the top of the H
2. Slide the battery all the way into the opening, until the latch clicks into
place. The latch will click into place only when the battery is inserted
correctly.
CAUTI ON : Follow all instructions supplied with the HEARTSTREAM M3863A battery pack. Install the
battery before the expiration date shown on the battery.
M3860A and M3861A HEARTSTREAM FR2 Defibrillator 2-1
EARTSTREAM FR2.
Installing the Battery
When the battery is installed, the HEARTSTREAM FR2 automatically turns on.
The Status Indicator displays a flashing black hourglass. The Shock button
light flashes once, and the indicator light for the defibrillation pads connector
port comes on.
RUN SELFTEST
REVIEW INCIDENT
NO DATA CARD
GOOD BATTERY
NEXT
IN EMERGENCY
PRESS OFF TO QUIT
DEVICE HISTORY
BATTERY HISTORY
SETUP
CLOCK
RETURN
IN EMERGENCY
PRESS OFF TO QUIT
The display screen brings up the main menu. From this menu, you can start
the FR2 battery insertion selftest, review information from the last time the
FR2 was used, or go to the next screen for other options. Information about
the optional data card and the battery status is also provided. (See Chapter 7,
Data Management and Review, for details about reviewing an incident and
using a data card.)
NOTE: This screen will not be displayed if the defibrillation pads are connected to
the FR2 when the battery is inserted, and you will not be able to access the menu
items. In addition, the battery insertion selftest and periodic automatic selftests cannot
run while the defibrillation pads are connected. Be sure to unplug the pads connector
from the FR2 after each use. Do not store the FR2 with the pads connected.
NOTE: To move around the menus displayed, use the Option buttons as follows:
• Press the LOWER Option button to move the highlight bar from one item to
another on the menu.
• Press the UPPER Option button to select the highlighted item or to scroll through
the settings for that item.
The menu displayed if you select NEXT lets you review the history of the
FR2, review the history of the battery being used, access setup data, set the
clock, or return to the first menu. (See Chapter 4, Troubleshooting, Testing,
and Maintaining Your H
EARTSTREAM FR2, for details about the review
options and Chapter 6, Setup and Advanced Mode Features, for information
on the setup option.)
NOTE: If you make no selection for 10 seconds, the selftest will automatically run.
If you want to select something different from either of these menus, you must do so
before the selftest begins, or remove and reinstall the battery to bring up the main
menu. You can press the On/Off button at any time to turn off the FR2 and return it to
standby (ready for use) mode.
2-2 Preparing Your H
EARTSTREAM FR2 for Use
RUN SELFTEST
REVIEW INCIDENT
NO DATA CARD
GOOD BATTERY
NEXT
IN EMERGENCY
PRESS OFF TO QUIT
Setting the Clock
Setting the Clock
It is recommended that the first time you prepare your HEARTSTREAM FR2 for
use, you check the FR2’s internal clock to be sure it is set to the correct date
and local time. You can reset it if necessary.
To see the clock settings, select NEXT from the first menu, within 10 seconds
of installing the battery, and then select CLOCK. To do this:
1. Press the lower Option button to move the highlight bar to NEXT.
2. Press the upper Option button to bring up the NEXT screen.
3. Press the lower Option button to move the highlight bar to CLOCK.
4. Press the upper Option button to bring up the CLOCK screen.
2
DEVICE HISTORY
BATTERY HISTORY
SETUP
CLOCK
RETURN
IN EMERGENCY
PRESS OFF TO QUIT
CLOCK
RETURN
RECEIVE TIME
SEND TIME
07 / 09 / 00
DD / MM / YY
14 : 28
CLOCK
RETURN
RECEIVE TIME
SEND TIME
07 / 09 / 00
DD / MM / YY
14 : 28
The CLOCK screen displays the time and date currently set in the internal
clock of the H
NOTE: The date is displayed as day (DD), month (MM), and year (YY), as shown on
the screen. The time is displayed using the 24-hour international clock.
EARTSTREAM FR2.
If no changes to the clock settings are needed, select RETURN and go back to
the first menu. If the time and date are not correct, there are two ways to set
them:
Receive the clock settings from another HEARTSTREAM FR2 or from a
computer using C
ODERUNNER® software, using the RECEIVE TIME
option. This may be used to synchronize the clocks of several FR2s. You
can also send the clock settings from one FR2 to another one, using the
SEND TIME option. See Chapter 6, Setup and Advanced Mode Features,
for instructions.
Manually set the date and the time.
To manually set the clock:
1. Use the lower Option button to move the highlight bar to the part of the
clock setting you want to change.
2. Use the upper Option button to scroll through the settings until you reach
the one you want. If you go past it, keep scrolling until it comes up again.
M3860A and M3861A H
EARTSTREAM FR2 Defibrillator 2-3
Running the Battery Insertion Selftest
3. Use the lower Option button to select the next part you want to change,
4. When you have made all the changes, move the highlight bar to RETURN
NOTE: New clock settings are used by the FR2 as soon as you set them. The clock
time display is updated each minute this screen is displayed. The clock seconds,
although not displayed, are set to 00 when you move the highlight bar out of the time
settings.
NOTE: If the battery is removed from the FR2 for more than two hours, the clock
settings will be lost and must be reset.
Running the Battery Insertion Selftest
Except in an emergency, it is recommended that you run this selftest every
time you change the battery.
The selftest has two parts. The first part tests the FR2 circuitry and memory.
The second part is interactive and requires you to respond to prompts in order
to make sure the display, buttons, lights, speaker, and beeper of the
H
EARTSTREAM FR2 are working properly. (See Chapter 4, Troubleshooting,
Testing, and Maintaining Your H
selftest.)
and repeat the process, until all parts of the time and date have been set.
and press the upper Option button to go back to the main menu screen.
EARTSTREAM FR2, for details about this
To run the selftest:
RUN SELFTEST
REVIEW INCIDENT
NO DATA CARD
GOOD BATTERY
NEXT
IN EMERGENCY
PRESS OFF TO QUIT
1. Make sure the FR2 has not been in use for at least 5 minutes, and that the
defibrillation pads are not connected to the device.
2. Insert the battery into the battery port. The first screen displayed has RUN
SELFTEST highlighted.
3. Press the upper Option button to activate the test.
4. OR, make no selection for 10 seconds, and the selftest will start
automatically.
When the first part of the selftest is successfully completed, the screen
displays a message that the test has passed, and then automatically starts the
2-4 Preparing Your H
EARTSTREAM FR2 for Use
SELFTEST PASSED
REV: 01EM30 0201
NO DATA CARD
SN 000000001
IN EMERGENCY
PRESS OFF TO QUIT
Placing and Securing the HEARTSTREAM FR2
interactive part of the selftest. (See Chapter 4, Troubleshooting, Testing, and
Maintaining Your H
EARTSTREAM FR2, for details about the interactive part of
the test.)
When the selftest is complete, the H
EARTSTREAM FR2 automatically turns off
and returns to standby mode. The Status Indicator shows a flashing black
hourglass. In the standby mode, the FR2 is ready for use at any time, simply
by pressing the On/Off button to turn it on.
Placing and Securing the HEARTSTREAM FR2
Place the HEARTSTREAM FR2 in an accessible area with the Status Indicator
easily visible. Useful accessories for placing and securing the FR2 include a
carrying case, which is suitable for use with a wall mount bracket. (See
Appendix A for a list of accessories.)
With the battery installed and the FR2 stored in appropriate environmental
conditions, the H
make sure that it remains ready for use. (See Appendix B for the
environmental storage specifications.)
EARTSTREAM FR2 performs detailed periodic selftests, to
2
M3860A and M3861A H
While the FR2 is in the standby mode, the Status Indicator shows the flashing
black hourglass unless the periodic selftests detect a problem. If a problem is
detected, the Status Indicator will show a flashing red
X or a solid red X and
the FR2 will “chirp” to alert you to the need for troubleshooting. (See Chapter
4, Troubleshooting, Testing, and Maintaining Your H
EARTSTREAM FR2, for
instructions.)
EARTSTREAM FR2 Defibrillator 2-5
Placing and Securing the HEARTSTREAM FR2
Notes
2-6 Preparing Your H
EARTSTREAM FR2 for Use
3Using Your HEARTSTREAM FR2
Overview
This chapter describes how to use the HEARTSTREAM FR2 in an emergency
incident. Some general things to remember are:
Try to relax and stay calm. The HEARTSTREAM FR2 automatically
provides appropriate voice and display prompts to guide you.
The defibrillation pads must have good contact with the patient’s
skin. The pads have a layer of sticky, conductive gel beneath the
protective backing. To work effectively, the gel must not be dried out.
It may be necessary to dry the patient’s chest or to clip or shave
excessive chest hair to provide good contact between the
defibrillation pads and the patient’s skin.
The following pages provide step-by-step instructions for normal use of the
H
EARTSTREAM FR2 in an emergency. (See Chapter 4, Troubleshooting,
Testing, and Maintaining Your H
EARTSTREAM FR2, for troubleshooting tips.)
Be sure to read the Warnings and Cautions on the last page of this chapter.
NOTE: These directions apply to both the model M3860A and the model M3861A
HEARTSTREAM FR2, except where otherwise noted.
M3860A and M3861A HEARTSTREAM FR2 Defibrillator 3-1
Step 1: Preparation
Step 1: Preparation
O
•
F
N
F
O
Press the On/Off button to turn on the HEARTSTREAM FR2. Follow
the instructions provided by the FR2 voice and screen prompts in
the order indicated.
Remove clothing from the patient's chest. Wipe moisture from the patient's
chest and clip or shave excessive chest hair, if necessary.
Open the defibrillation pads package. Check to see that the pads and attached
cable and connector are undamaged. Pull off the protective backing from the
defibrillation pads and check that the gel has not dried out. If the pads are
damaged or the gel has dried out, use a new set of pads.
Place each pad on the patient. The pads must be placed with the sticky side on
the patient’s skin. IMPORTANT: Refer to the drawing on the back of each pad
for correct positioning. One pad goes just below the patient's right collarbone,
and the other one goes over the patient’s ribs in line with the armpit and below
the left breast.
Connect the pads to the H
connector firmly in the connector socket. A flashing light shows you where
the socket is located, at the top left of the H
EARTSTREAM FR2. Insert the defibrillation pads
EARTSTREAM FR2.
3-2 Using Your H
EARTSTREAM FR2
Step 2: ECG Analysis and Monitoring
Step 2: ECG Analysis and Monitoring
Follow the instructions provided by the HEARTSTREAM FR2 voice
and screen prompts in the order indicated.
As soon as the FR2 detects that the defibrillation pads are connected properly,
it automatically begins analyzing the patient’s heart rhythm. The
H
EARTSTREAM FR2 model M3860A also displays the patient’s ECG on the
screen.
If no shock is advised, the H
EARTSTREAM FR2 provides voice and screen
prompts to tell you so. The FR2 instructs you to perform CPR if needed, and
performs background monitoring of the patient’s ECG while you give
appropriate care to the patient.
No more voice prompts are given, until and unless the H
detects a change in the patient’s heart rhythm that may be a shockable
EARTSTREAM FR2:
rhythm, or
detects interference with rhythm analysis.
If the H
EARTSTREAM FR2 detects a potentially shockable heart rhythm, it
automatically goes back to analyzing the rhythm to see if a shock is advised.
If a shock is advised, the H
EARTSTREAM FR2 charges to prepare for shock
delivery. It gives the voice warnings and screen prompts to tell you that a
shock is advised, Make sure no one is touching the patient. While the
H
EARTSTREAM FR2 is charging, it continues to analyze the patient’s heart
rhythm. If the rhythm changes and a shock is no longer appropriate, the
H
EARTSTREAM FR2 disarms and dumps the charge. Voice and display
prompts advise you what action to take.
NOTE: When the HEARTSTREAM FR2 is fully charged, you can disarm it at any time
by pressing the On/Off button to turn off the FR2 and return it to standby mode. (See
the Defibrillator discussion in Appendix B, Technical Specifications, for details on
disarming the FR2.)
3
M3860A and M3861A H
EARTSTREAM FR2 Defibrillator 3-3
Step 3: Shock Delivery
Step 3: Shock Delivery
Press the Shock button to deliver the shock.
IMPORTANT: You must press the button for a shock to be delivered. The
H
EARTSTREAM FR2 will not automatically deliver a shock.
There are four ways you can tell that the H
EARTSTREAM FR2 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, or
you see a screen prompt telling you to press the orange (Shock)
button.
After you press the Shock button, a voice prompt tells you the shock was
delivered. Then H
rhythm to see if the shock was successful. The H
EARTSTREAM FR2 goes back to analyzing the patient’s heart
EARTSTREAM FR2 continues
to provide voice and text prompts to guide you through additional shocks, if
appropriate.
NOTE: If you do not press the Shock button within 30 seconds of being prompted,
the FR2 will disarm itself and provide a pause for CPR.
Pause for CPR. After the programmed number of shocks in a shock series are
delivered, the H
EARTSTREAM FR2 automatically pauses for a programmed
amount of time to allow you to perform CPR. After the voice and screen
prompts tell you that the FR2 has paused, there are no further voice prompts
during the rest of the pause, so that you can provide uninterrupted patient
care.
During the pause, the FR2 screen shows a bar that fills in as the pause time is
used up. The screen also shows how much time has gone by since the FR2
was turned on, and how many shocks have been delivered. The
H
EARTSTREAM model M3860A displays the ECG during this period.
3-4 Using Your H
EARTSTREAM FR2
Step 3: Shock Delivery
WARNING: Do not place the defibrillation pads on the patient’s chest and back
(anterior-posterior), unless directed by a physician. The algorithm used by the H
EARTSTREAM
FR2 has not been validated with anterior-posterior pads placement.
WARNING: Do not let the defibrillation 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: During defibrillation, air pockets between the skin and defibrillation pads can
cause patient skin burns. To help prevent air pockets, make sure defibrillation pads
completely adhere to the skin. Do not use dried out defibrillation pads.
WARNING: Handling or transporting the patient during heart rhythm analysis can cause an
incorrect or delayed diagnosis. If the H
keep the patient as still as possible for at least 15 seconds so the H
EARTSTREAM FR2 gives a SHOCK ADVISED prompt,
EARTSTREAM FR2 can
reconfirm the rhythm analysis before a shock is delivered.
3
M3860A and M3861A H
WA RN I N G :
CPR rates significantly above the American Heart Association guidelines of 100
compressions per minute can cause incorrect or delayed analysis by the HEARTSTREAM FR2.
WA RN I N G :
Defibrillation current can cause operator or bystander injury. Do not touch the
patient during defibrillation. Do not allow the defibrillation pads to touch any metal
surfaces. Disconnect the pads connector from the H
EARTSTREAM FR2 before using any other
defibrillator.
CAUTI ON : Aggressive handling of the pads in storage or prior to use can damage the pads. Discard
the defibrillation pads if they become damaged.
EARTSTREAM FR2 Defibrillator 3-5
Step 3: Shock Delivery
Notes
3-6 Using Your H
EARTSTREAM FR2
4 Troubleshooting, Testing, and Maintaining
Yo u r H
EARTSTREAM FR2
Overview
This chapter provides a guide to troubleshooting, detailed descriptions of the
FR2 selftests, and information on maintenance.
Troubleshooting Guide
The HEARTSTREAM FR2 has several ways of communicating with you if it
detects a problem during use. Depending on the nature of the problem, the
FR2 will use audible beeps, voice prompts, screen prompts, and/or its Status
Indicator.
The following tables describe FR2 responses to problems that may occur
during use, and provide recommendations for how to resolve them. Although
there is some overlap in the information presented, for ease of reference the
tables separately address the following types of issues:
Status Indicator Summary — a basic overview of FR2 usability based on
the states shown by the Status Indicator
Status Indicator Details — possible causes of various Status Indicator
signals and recommended actions
Battery — possible battery-related problems and recommended actions
Defibrillation Pads — possible defibrillation pads problems and
recommended actions
Analysis and Defibrillation — possible problems with rhythm analysis
and defibrillation and recommended actions
It is important to read this information carefully, so you can act quickly in an
emergency.
M3860A and M3861A HEARTSTREAM FR2 Defibrillator 4-1
Troubleshooting Guide
NOTE: Perform CPR (if needed) any time there is a delay before the HEARTSTREAM
FR2 can be used.
Status Indicator Summary
S TAT U S I N D I C ATO R RECOMMENDED ACTION DURING EMERGENCY
Flashing black
hourglass:
Flashing red X USE THE FR2. Follow the voice and screen prompts.
Solid red X The FR2 may not be usable.
USE THE FR2. Follow the voice and screen prompts.
The FR2 passed the battery insertion selftest or the last periodic selftest and is
ready for use.
If a blank screen or an error message is displayed:
1. Remove and reinstall the battery (or a spare battery, if required).
2. Run the battery insertion selftest until the flashing black hourglass appears.
3. Press the On/Off button.
4. Follow the voice prompts.
In some instances — for example, if the battery power is low and you do not have a
spare battery available — it may not be possible to clear the flashing red
return to the flashing black hourglass. Although the FR2 may not perform to its
specifications when it displays a flashing red
Therefore, in an emergency incident when there is no other defibrillator available,
it is recommended that you continue to use the FR2 when the Status Indicator
shows a flashing red
1. Remove and reinstall the battery (or a spare battery, if required).
2. Run the battery insertion selftest until the flashing black hourglass appears.
3. Press the On/Off button.
4. Follow the voice prompts.
X.
X, it is designed to continue working.
X and
If the error cannot be corrected, DO NOT USE THE FR2.
4-2 Troubleshooting, Testing, and Maintaining Your H
EARTSTREAM FR2
Troubleshooting Guide
S TAT U S I N D I C ATO R RECOMMENDED ACTION DURING EMERGENCY
None of the above The FR2 may not be usable.
1. Remove and reinstall the battery (or a spare battery, if required).
2. Run the battery insertion selftest until the flashing black hourglass appears.
3. Press the On/Off button.
4. Follow the voice prompts.
In this condition, the FR2 may not perform to its specifications. However, if voice
and screen prompts are present, it is likely that the device is usable despite the lack
of a Status Indicator.
Therefore, in an emergency incident when there is no other defibrillator available,
it is recommended that you continue to use the FR2.
After completing emergency use of the FR2, if you are unable to clear the problem as described in this
Troubleshooting section, and the Status Indicator does not show the flashing black hourglass, contact Agilent for
technical service.
STATUS
INDICATOR
Flashing
black
hourglass:
M3860A and M3861A H
OTHE R
SIGNAL
Audio signal:
chirping
Status Indicator Details
POSSIBLE CAUSE RECOMMENDED ACTIONS
• The Training & Administration
Pack is being used in the
TRAINING function and more
than 30 minutes have passed
without a button press.
EARTSTREAM FR2 Defibrillator 4-3
• To continue using the Training &
Administration Pack, press any button.
• To return the FR2 to standby mode,
remove the Pack and install a battery.
4
Troubleshooting Guide
STATUS
INDICATOR
Flashing
red X:
Flashing or
solid red X
OTHE R
SIGNAL
Audio signal:
chirping
Audio signal:
chirping
Screen prompt
(displayed for
10 seconds
before FR2
turns off):
NOT READY
FOR USE
or
SELFTEST
FAILE D
POSSIBLE CAUSE RECOMMENDED ACTIONS
• Battery power is low.
•The H
• An error has been detected as part
• The FR2 has been unable to
The HEARTSTREAM FR2 performs
selftests every time you turn it on or
insert a battery, and periodically
while it is in standby mode. A test
revealed a failure or error.
EARTSTREAM FR2 has been
stored outside the recommended
temperature range.
of the selftest.
perform its daily selftests.
• Remove and reinstall the battery and
run a battery insertion selftest. A
screen prompt will tell you if
H
EARTSTREAM FR2 has been stored
outside the recommended temperature
range. See Appendix B for
recommended range.
• Remove and reinstall the battery and
perform the battery insertion selftest. If
it fails, install a new battery and repeat
the test. If it fails again, do not use the
H
EARTSTREAM FR2.
• Make sure defibrillation pads are not
attached to the FR2.
• Unplug the pads connector from the
H
EARTSTREAM FR2, if connected.
• Remove and reinstall the battery and
check the results of the battery
insertion selftest. If it fails, install a
new battery and repeat the test. If it
fails again, do not use the
H
EARTSTREAM FR2.
NOTE: You can stop the tests and use the
H
EARTSTREAM FR2 as soon as you see the
Status Indicator change to the flashing
black hourglass. Simply press the On/Off
button to stop the test and put the FR2
into standby mode. The FR2 is then ready
for use.
4-4 Troubleshooting, Testing, and Maintaining Your H
EARTSTREAM FR2
Troubleshooting Guide
STATUS
INDICATOR
Solid red X None • The Training & Administration
Solid red X Audio signal:
None None •The HEARTSTREAM FR2 has been
OTHE R
SIGNAL
chirping
POSSIBLE CAUSE RECOMMENDED ACTIONS
Pack is being used in the
administration function; solid red
X is normal.
• The battery is missing or
completely depleted.
• A selftest detected a failure.
• The Training & Administration
Pack is being used in the
ADMINISTRATION function
and more than 10 minutes have
passed without a button press.
physically damaged.
• Remove the Training &
Administration Pack and install the
battery.
• Remove and reinstall the battery and
perform the battery insertion selftest. If
it fails, install a new battery and repeat
the test. If it fails again, do not use the
H
EARTSTREAM FR2.
• To continue using the Training &
Administration Pack, press any button.
• To return the FR2 to standby mode,
remove the Pack and install a battery.
• Check for visible damage. Do not use
the FR2 if it appears to be damaged.
• Remove and reinstall the battery to
perform the battery insertion selftest. If
it fails, install a new battery and repeat
the test. If it fails again, do not use the
H
EARTSTREAM FR2.
STATUS
INDICATOR
Flashing
red X:
M3860A and M3861A H
OTHE R
SIGNAL
Screen and
voice prompts:
LOW BATTERY
Battery
POSSIBLE CAUSE RECOMMENDED ACTION
The power remaining in the
EARTSTREAM FR2 battery is low.
H
EARTSTREAM FR2 Defibrillator 4-5
Replace the battery with a new
HEARTSTREAM battery as soon as
possible.
4
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