Philips HeartStart OnSite M5066A, HeartStart OnSit M5066A Owner's Manual
Philips HeartStart
OnSite AED Manual
Get an original copy of the Philips HeartStart OnSite AED
Manual for manufacturer information about service,
available accessories and how to use and maintain your
device.
HeartStart OnSite Defibrillator
OWNER’S MANUAL
Guide to Set Up, Operation, Maintenance, and Accessories
M5066A
Edition 14
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PHILIPS MEDIC AL SYSTEMS
A
top
top
B
A
Pads Cartridge Handle.
Pull the handle to turn on the
HeartStart and remove the
cartridge’s hard cover.
B
Ready Light. This green light
tells you the readiness of the
HeartStart.
PHILIPS MEDIC AL SYSTEMS
Blinking: standby mode
(ready for use)
Solid: in use
Off: needs attention
(HeartStart
“chirps” and
i-button flashes)
C
On/Off Button. Press this
green button to turn on the
HeartStart. To turn off the
HeartStart, press the green button
again and hold it down for one (1)
second.
front view
back view
The HeartStart OnSite Defibrillator M5066A
D
Information Button. This
“i-button” flashes blue when it
has information you can access by
pressing it. It also flashes at the
beginning of a patient care pause
when CPR coaching is enabled.
E
Caution Light. This triangular
light flashes during rhythm
analysis and is on when a shock is
advised, as a reminder that no one
should be touching the patient.
F
Shock Button. When
instructed by the HeartStart to
deliver a shock, press this flashing
orange button .
G
Infrared (IR)
Communications Port.
This
special lens, or “eye,” is used to
transfer HeartStart data directly to
or from a computer.
H
Speaker. When the device is
being used, its voice instructions
come from this speaker.
I
Beeper. The HeartStart
“chirps” through this beeper to
alert you when it needs attention.
J
SMART Pads Cartridge. This
disposable cartridge contains selfadhesive pads with attached cable.
Shown with adult pads cartridge.
K
SMART Pads Cartridge
Slide the latch to the right
Latch.
to release the pads cartridge for
replacement.
L
Battery. The non-
rechargeable battery is inserted in
a recess on the back of the
HeartStart.
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PHILIPS MEDIC AL SYSTEMS
HeartStart OnSite Defibrillator
QUICK REFERENCE
PHILIPS MEDICAL SYSTEMS
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PHILIPS MEDICAL SYSTEMS
HeartStart OnSite
M5066A
Automated External Defibrillator
OWNER’S MANUAL
Edition 14
IMPORTANT NOTE:
It is important to understand that survival rates for sudden cardiac arrest
are directly related to how soon victims receive treatment. For every
minute of delay, the chance of survival declines by 7% to 10%.
Treatment cannot assure survival. In some victims, the underlying problem
causing the cardiac arrest is simply not survivable despite any available care.
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PHILIPS MEDICAL SYSTEMS
About this edition
The information in this guide applies to the
model M5066A HeartStart OnSite Defibrillator.
Its technical contents apply to all models
in the HeartStart HS1 family of defibrillators,
including the HeartStart, the HeartStart OnSite,
and the HeartStart Home defibrillator. This
information is subject to change. Please
contact Philips at www.philips.com/productdocs
or your local Philips representative for
information on revisions.
Device tracking
In the U.S.A., this device is subject to tracking
requirements by the manufacturer and distributors. If
the defibrillator has been sold, donated, lost, stolen,
exported, or destroyed, notify Philips Medical Systems
or your distributor.
Device manufacturer
Philips Medical Systems
22100 Bothell Everett Highway
Bothell, WA 98021-8431, USA
Edition history
Edition 14
Publication date: March 2015
Publication #: 453564543841
Notices
© 2015 Koninklijke Philips N.V.
All rights reserved.
Specifications are subject to change without
notice.
Trademarks are the property of Koninklijke
PHILIPS MEDICAL SYSTEMS
Philips N.V. or their respective owners.
Authorized EU representative
Philips Medizin Systeme Boeblingen GmbH
Hewlett-Packard Strasse 2
71034 Boeblingen, Germany
(+49) 7031 463-2254
Caution
The Philips HeartStart Defibrillator is designed
to be used only with Philips-approved
accessories. The HeartStart may perform
improperly if non-approved accessories are
used.
Patents
This product is manufactured and sold under one or
more of the following United States patents:
US5611815, US5632280, US5650750, US5773961,
US5776166, US5800460, US5803927, US5868792,
US5879374, US5889388, US5891046, US5891049,
US5899926, US5902249, US5904707, US5951598,
US6016059, US6047212, US6075369, US6185458,
US6230054, US6287328, US6299574, US6317635,
US6356785, US6417649, US6441582, US6553257,
US6556864, US6662056, US6871093, US7463922,
US7489972, US7689278, US7715913, US7822488,
US8086306, US8209008, US8335562, USRE43050,
and other patents pending.
For Technical Support
If you need technical support, please contact your local
Philips representative by calling the regional number on
the back cover of this manual, or go to
www.philips.com/AEDsupport.
To download additional copies of this manual, go to
www.philips.com/productdocs.
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PHILIPS MEDICAL SYSTEMS
PHILIPS MEDIC AL SYSTEMS
CONTENTS
1 INTRODUCTION TO THE HEARTSTART ONSITE
Description ....................................................................................................... 1-1
Sudden cardiac arrest .................................................................................... 1-1
Indications for use .......................................................................................... 1-1
Implementation considerations ................................................................... 1-2
For more information .................................................................................... 1-2
2 SETTING UP THE HEARTSTART ONSITE
Package contents ............................................................................................. 2-1
Setting up the OnSite ..................................................................................... 2-1
Recommended accessories .......................................................................... 2-3
3 USING THE HEARTSTART ONSITE
Overview .......................................................................................................... 3-1
STEP 1: PULL the green handle ................................................................... 3-2
STEP 2: PLACE the pads ............................................................................... 3-3
STEP 3: PRESS the Shock button ................................................................ 3-4
Treating infants and children ........................................................................ 3-5
When emergency medical services arrive ................................................ 3-6
4 AFTER USING THE HEARTSTART ONSITE
After each use .................................................................................................. 4-1
OnSite data storage ........................................................................................ 4-3
5 MAINTAINING THE HEARTSTART ONSITE
Routine maintenance ..................................................................................... 5-1
Periodic checks ................................................................................................ 5-1
Cleaning the OnSite ....................................................................................... 5-2
Disposing of the OnSite ................................................................................ 5-2
Ready Light troubleshooting tips ................................................................ 5-2
Troubleshooting a chirping HeartStart ...................................................... 5-3
i
APPENDICES
A Accessories for the HeartStart OnSite
B Glossary of terms
C Glossary of symbols/controls
D Warnings and precautions
E Technical information
F Configuration
G Testing and troubleshooting
H Additional technical information required for European conformity
PHILIPS MEDIC AL SYSTEMS
ii
PHILIPS MEDIC AL SYSTEMS
1
1 INTRODUCTION TO THE HEARTSTART ONSITE
DESCRIPTION
The Philips HeartStart OnSite Defibrillator M5066A (“OnSite”) is part of the
Philips HeartStart HS1 family of automated external defibrillators (AEDs). Small,
lightweight, and battery powered, the OnSite is designed for simple and reliable
operation.
SUDDEN CARDIAC ARREST
The OnSite is used to treat ventricular fibrillation (VF), a common cause of
sudden cardiac arrest (SCA), and certain ventricular tachycardias (VTs). SCA is
a condition that occurs when the heart unexpectedly stops pumping. SCA can
occur to anyone – infant, child, adult, male or female – anywhere, at any time.
Many victims of SCA do not have warning signs or symptoms.
VF is a chaotic quivering of the heart muscle that prevents it from pumping
blood. The only effective treatment for VF is defibrillation. The OnSite treats VF
by sending a shock across the heart, so it can start beating regularly again.
Unless this is successful within the first few minutes after the heart stops
beating, the victim is not likely to survive.
INDICATIONS FOR USE
The OnSite should be used to treat someone you think may be a victim of SCA.
A person in SCA:
• does not respond when shaken, and
• is not breathing normally.
If in doubt, apply the pads. Follow the voice instructions for each step in using
the defibrillator.
1-1
IMPLEMENTATION CONSIDERATIONS
Check with your local health department to see if there are any national or local
requirements about owning and using a defibrillator. The OnSite AED is one
part of a well-designed emergency response plan. Recognized resuscitation
councils recommend that emergency response plans include physician oversight
and training in cardiopulmonary resuscitation (CPR).
Several national and local organizations offer combined CPR/AED training.
Philips r
ecommends that you train on the device you will be using. Contact your
Philips representative for information, or visit us online at www.philips.com/
AEDservices to learn about certified training and web-based refresher training
(offered in select areas) available through Philips AED Services.
NOTE: Training accessories are available for practicing use of the AED. See
Appendix A for information.
FOR MORE INFORMATION
Contact your local Philips representative for additional information about the
OnSite. We will be happy to answer any questions you may have and to provide
you with copies of the clinical summaries of several key studies using Philips
automated external defibrillators.
*
PHILIPS MEDIC AL SYSTEMS
1-2
Technical information about all Philips HeartStart automated external
defibrillators is also available online at www.philips.com/productdocs in the
Technical Reference Manuals for HeartStart Automated External Defibrillators.
* Clinical summaries also include ForeRunner and FR2 Defibrillators.
2 SETTING UP THE HEARTSTART ONSITE
PHILIPS MEDIC AL SYSTEMS
PACKAGE CONTENTS
Check the contents of the HeartStart OnSite Defibrillator M5066A box to be
sure it contains:
• 1 HeartStart OnSite Defibrillator
• 1 battery M5070A, pre-installed
• 1 Adult SMART Pads Cartridge M5071A, containing one set of adhesive
defibrillation pads, pre-installed
• 1 Quick Reference Guide
• 1 Owner’s Manual
• 1 HeartStart Quick Setup Guide
• 1 inspection log/maintenance booklet with plastic storage sleeve and
maintenance tags
If you have purchased the OnSite Ready-Pack configuration, the OnSite is
installed in a carry case, which also contains a spare adult SMART Pads
Cartridge.
Training materials and optional accessories for the HeartStart are also available
from Philips. See Appendix A for information.
*
2
SETTING UP THE HEARTSTART ONSITE
Setting up the OnSite is simple and quick. The HeartStart Quick Setup Guide
provides illustrated instructions for setup, which is described in detail below.
1. Remove the OnSite from its packaging. Check that the battery and pads cartridge are installed.
* In Japan, the defibrillator comes with a different style of maintenance tag and
inspection log/maintenance booklet.
† If the battery and pads are not installed, or if you wish to install an infant/child
SMART Pads Cartridge, follow the directions in Chapter 4, “After Using the
HeartStart” to install the pads and battery.
†
2-1
NOTE: To prevent the pads’ adhesive gel from drying out, do not open the
hard cover or film seal of the cartridge until you need to use the pads.
2. Pull out and discard the green Setup tab.
3. The OnSite will automatically run a self-test. Press
the Shock button when instructed. Be sure to let
the self-test run all the way to completion. When
Setup
the self-test is over, the OnSite will report the
result, and tell you to push the green On/Off
button in case of an emergency. (Do not push the
green button unless this is an actual emergency.)
Then the OnSite will turn off and go to standby
mode.* The green Ready light will be blinking to
show the OnSite is ready for use.
4. Install the OnSite in its carry case, if it is not pre-installed. Ensure that the
Quick Reference Guide† is face up in the clear plastic window on the inside
of the carry case. Philips recommends that you store a spare pads cartridge
and spare battery with your OnSite. If you are using a standard carry case,
there is an area in the upper lid of the case, under the flap, to store a spare
adult SMART Pads Cartridge or an infant/child SMART Pads Cartridge and a
spare battery.
‡
PHILIPS MEDIC AL SYSTEMS
2-2
NOTE: Do not store anything in the defibrillator carry case that it is not
designed to accommodate. Store all objects in their intended location in the
case.
* As long as a battery is installed, turning the OnSite “off” puts it into standby mode,
which means that it is ready for use.
† The illustration on the cover of the Quick Reference Guide is a 3-step guide to
using the OnSite. Detailed illustrated directions are inside, for reference in an
emergency, or if you are hearing impaired or using the OnSite where it is hard to
hear the voice instructions.
‡ See Chapter 4, “After Using the HeartStart OnSite,” for directions on how to replace
the battery in the OnSite.
5. Use the maintenance
EXP.
DATE
09/2010
D
*
provided to record
tag
the expiration date of
the installed pads
cartridge. If you have a
spare pads cartridge
and spare battery,
record the pads
expiration date and
battery install-by date
on the maintenance tag.
EXP.
09/2010
DATE
INSTL. DATE
EXP.
09/2010
EXP.
09/2010
DATE
DATE
INSTALL
08-2011
BEFORE
EXPIRATION
DATE
EXPIRATION
12/2010
DATE
EXPIRATION
12/2010
DATE
12/2010
INSTALL
BEFORE
08-2011
EXPIRATION
DATE
12/2010
EXP. DATE
EXP. DATE
2
PHILIPS MEDIC AL SYSTEMS
6. The maintenance tag
and inspection log/
maintenance booklet
should be kept with
your HeartStart.
Adhere the plastic
storage sleeve
*
for the
booklet to the AED wall
Inspection Log / Maintenance Tips
Vérifier la mallette de transport
Tragetasche überprüfen
Controleer draagtas
Comprobar maleta de transporte
Controllare la valigetta
ኊዀዙዘዙኖትኞኄአኌሼቮ
1
INSTL. DATE
EXP. DATE
EXP. DATE
2
1
INSTL. DATE
EXP. DATE
Inspection Log / Maintenance Tips
Vérifier la mallette de transport
EXP. DATE
Tragetasche überprüfen
Controleer draagtas
Comprobar maleta de transporte
Controllare la valigetta
ኊዀዙዘዙኖትኞኄአኌሼቮ
2
mount or cabinet and
store the booklet in it for ready reference.
7. Store the OnSite in its carry case in accordance with your site’s emergency
response protocol. Typically, this will be in a high-traffic area that is easy to
access, convenient for checking the Ready light periodically, and easy to
hear the alarm chirp if the battery power gets low or the OnSite needs
attention. Ideally, the location will be near a telephone, so the Emergency
Response Team or Emergency Medical Services can be alerted as fast as
possible in the event of a possible SCA.
In general, treat the OnSite as you would any piece of electronic equipment,
such as a computer. Be sure to store the OnSite according to its specifications.
See Appendix E for details. As long as a battery and a pads cartridge are
installed, the green Ready light should be blinking to show that the OnSite has
passed its most recent self-test and is therefore ready to use.
* In Japan, the defibrillator comes with a different style of maintenance tag and
inspection log/maintenance booklet.
2-3
NOTE: Always store the OnSite with a pads cartridge and a battery installed,
so it will be ready to use and can perform daily self-tests. Training pads
should be stored separately from the OnSite to avoid confusion during a use.
RECOMMENDED ACCESSORIES
It is always a good idea to have a spare battery and a spare pads set. Other
things that are useful to keep with the OnSite include:
• scissors — for cutting the victim’s clothes if needed
• disposable gloves — to protect the user
• a disposable razor — to shave the chest if hair prevents good pads
contact
• a pocket mask or face shield — to protect the user
• a towel or absorbent wipes — to dry the victim's skin for good pads
contact
Philips has a Fast Response Kit with all these items. See Appendix A for
information.
If you may need to defibrillate an infant or a child under 25 kg (55 pounds) or 8
years old, it is recommended that you order the infant/child SMART Pads
cartridge, available separately. When the Infant/Child Pads cartridge is installed
in the OnSite, the OnSite automatically reduces the defibrillation energy to an
energy level more appropriate for infants and children. In addition, if optional
CPR Coaching is selected, the OnSite provides coaching appropriate for infants
and children. Directions for using the infant/child SMART Pads cartridge are
provided in Chapter 3, “Using the HeartStart OnSite.”
PHILIPS MEDIC AL SYSTEMS
2-4
3 USING THE HEARTSTART ONSITE
IMPORTANT NOTE: Be sure to read the Reminders section at the end of this
chapter as well as the warnings and precautions in Appendix D.
OVERVIEW
PHILIPS MEDIC AL SYSTEMS
If you think someone is in SCA, act quickly and calmly. If someone else is available,
ask him or her to call for emergency medical assistance while you get the
OnSite. If you are alone, follow these steps:
• Call your emergency services provider.
• Quickly get the OnSite and bring it to the victim’s side. If there is any
delay in getting the defibrillator, check the patient and perform
cardiopulmonary resuscitation (CPR) if needed until the OnSite is
available.
• If the patient is an infant or child, first perform CPR, then call for
emergency medical services (EMS) before you apply the OnSite. See
special section on treating infants and children on page 3-5.
• Check the immediate environment for flammable gases. Do not use the
OnSite in the presence of flammable gases, such as an oxygen tent.
However, it is safe to use the OnSite on someone wearing an oxygen
mask.
There are three basic steps to using the OnSite to treat someone who may be in
sudden cardiac arrest:
1. PULL up the handle on the SMART Pads Cartridge.
2. PLACE the pads on the patient’s bare skin.
3. PRESS the flashing Shock button if instructed.
3
The following pages provide details about each step.
3-1
STEP 1: PULL THE GREEN HANDLE
Turn on the OnSite by pulling the SMART Pads Cartridge’s green handle.*
Remove the hard cover from the pads cartridge and set it aside. Remain calm
and follow the OnSite’s instructions.
55+ lbs / 25+ k g
The OnSite starts by directing you to remove all clothes from the patient’s
chest. If necessar
y, rip or cut off the clothing to bare the person’s chest
PHILIPS MEDIC AL SYSTEMS
3-2
* You can also turn on the OnSite by pressing the green On/Off button.
STEP 2: PLACE THE PADS
Pull the tab at the top of the pads cartridge to peel off the film seal. Inside are
two adhesive pads on a plastic liner. Remove the pads from the cartridge.
Peel one pad off the liner. Place the pad on the patient’s bare skin, exactly as
shown in the picture on the pad. Press the pad down firmly. Then repeat this with
the other pad. Be sure the pads have been removed from the liner before placing
them.
Where to place pads on adults and children over
25 kg/55 pounds or 8 years old (anterior-anterior).
3
PHILIPS MEDIC AL SYSTEMS
Where to place pads on infants or children under
25 kg/55 pounds or 8 years old (anterior-posterior).
3-3
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