Chest Compression System
Instructions for Use
US version
100057-00 F, VALID FROM CO J2256
Important user information
All users must read and fully understand the entire Instructions for
Use before operating LUCAS™ Chest Compression System.
The Instructions for Use should always be easily accessible to the
users of LUCAS.
Always follow local and/or international guidelines for CPR when
using LUCAS.
The use of other medical equipment or drugs in conjunction with
external chest compressions may reduce the effect of
compressions. Always consult the instructions for use for other
equipment or drugs to check that they are appropriate to use in
conjunction with the treatment and compressions being
performed with LUCAS.
When LUCAS is used on a non intubated patient the device can
safely be stopped to allow intermittent manual ventilation. Switch
off the device by turning the ON/OFF knob to the Lock position,
ventilate and turn the ON/OFF knob back to the Active
position again. See Section 1.5 on page 7 for information about the
ON/OFF knob positions.
REQUIRED SKILLS
JOLIFE AB strongly recommends that LUCAS Chest Compression
System is only used by persons with basic medical skills
such as:
First responders, ambulance personnel, nurses, physicians or
medical staffs, who have:
• completed a CPR course according to the American Heart
Association or equivalent, AND
• received training in how to use LUCAS
LUCAS can only be bought by or on the order of a licensed medical
practitioner.
TRAD EMA RKS
LUCASTM is a trademark of JOLIFE AB.
DECLARATION OF CONFORMITY
LUCAS Chest Compression System complies with the
requirements of the European Medical Device 93/42/EEC. It is
marked with the CE-symbol:
MANUFACTURER, MAIN OFFICE
JOLIFE AB
Scheelev. 17
SE-223 70 LUND
Sweden
Tel: +46 46 286 50 00
www.jolife.com
www.lucas-cpr.com
DISTRIBUTOR, USA
Medtronic Emergency Response Systems
11811 Willows Road NE
P.O. Box 97006
Redmond, WA 98073-9706 USA
Tel: 425.867.4000
Fax: 425.867.4121
www.medtronic-ers.com
LUCAS Chest Compression System, Instructions for Use
ENGLISH (US)
Art. No. 100057-00 F, Valid from CO J2256
© Copyright J
OLIFE AB 2007. All rights reserved.
2
Table of Contents
IMPORTANT USER INFORMATION.......................................................................................... 2
1I
1.1 INTENDED USE ...............................................................................................................................5
1.2 CONTRAINDICATIONS..................................................................................................................5
1.3 LUCAS CHEST COMPRESSION SYSTEM...................................................................................5
1.4 LUCAS COMPONENTS .............................................................................................................. 6
1.5 ON/OFF-KNOB, POSITIONS ......................................................................................................7
1.6 DESCRIPTION................................................................................................................................8
1.7 SYMBOLS ON THE DEVICE........................................................................................................... 9
1.8 DELIVERED ITEMS ........................................................................................................................10
1.9 THE LUCAS TEAM.....................................................................................................................10
1.10 BACKGROUND ..............................................................................................................................11
1.11 CHEST COMPRESSIONS USING LUCAS....................................................................................11
1.12 SIDE EFFECTS ................................................................................................................................11
NTRODUCTION..............................................................................................................5
2WARNINGS AND PRECAUTIONS................................................................................. 12
2.1 ASSEMBLY....................................................................................................................................12
2.2 USING LUCAS CHEST COMPRESSION SYSTEM ....................................................................12
2.3 CONNECTION TO AIR SUPPLY................................................................................................... 13
2.4 ADJUSTING LUCAS TO THE PATIENT ..................................................................................... 13
2.5 HANDLING LUCAS CHEST COMPRESSION SYSTEM ............................................................ 13
3USING LUCAS ............................................................................................................14
3.1 ARRIVAL AT THE PATIENT .........................................................................................................14
3.2 UNPACKING AND CONNECTING THE AIR .................................................................................14
3.3 ASSEMBLY....................................................................................................................................16
3.4 ADJUSTMENT ...............................................................................................................................17
3.5 OPERATING LUCAS CHEST COMPRESSION SYSTEM ..........................................................18
3.6 DEFIBRILLATION ..........................................................................................................................19
3.7 TRANSPORTING THE PATIENT...................................................................................................19
3.8 CHANGING AIR SOURCES...........................................................................................................21
3.9 REMOVING LUCAS FROM THE PATIENT................................................................................22
4CARE AFTER USE......................................................................................................... 22
4.1 CLEANING ROUTINES.................................................................................................................22
4.2 ROUTINE CHECKS....................................................................................................................... 23
4.3 STORAGE .................................................................................................................................... 23
4.4 SERVICE ....................................................................................................................................... 23
5PACKING AWAY THE DEVICE .....................................................................................24
6T
A
WEEKLY CHECK AND CHECK AFTER USE, LUCAS............................................................................ 28
100057-00 F, ©JOLIFE AB 2007 3
LUCASTM CHEST COMPRESSION SYSTEM INSTRUCTIONS FOR USE
ECHNICAL SPECIFICATION....................................................................................... 25
PPENDIX A ......................................................................................................................... 28
APPENDIX B - LUCAS STABILIZATION STRAP................................................................ 29
INSTRUCTIONS FOR USE ..................................................................................................................... 29
1INTRODUCTION...........................................................................................................30
1.1 OVERVIEW ..................................................................................................................................30
1.2 CONTRAINDICATIONS............................................................................................................... 30
1.3 ASSOCIATED DOCUMENTATION ............................................................................................. 30
1.4 LUCAS STABILIZATION STRAP.............................................................................................. 30
1.5 DESCRIPTION .............................................................................................................................. 30
1.6 THE LUCAS TEAM..................................................................................................................... 31
2PREPARING LUCAS STABILIZATION STRAP FOR USE............................................ 32
3W
ARNINGS AND PRECAUTIONS ................................................................................32
3.1 USING LUCAS STABILIZATION STRAP ................................................................................. 32
4USING LUCAS STABILIZATION STRAP ................................................................... 33
4.1 INTRODUCTION...........................................................................................................................33
4.2 ATTACHING LUCAS STABILIZATION STRAP........................................................................33
5CARE AFTER USE......................................................................................................... 35
5.1 CLEANING ROUTINES ................................................................................................................ 35
5.2 ROUTINE CHECKS....................................................................................................................... 35
5.3 STORAGE .................................................................................................................................... 35
6PACKING AWAY THE STABILIZATION STRAP ..........................................................36
7T
A
WEEKLY CHECK AND CHECK AFTER USE, LUCAS STABILIZATION STRAP .................................. 37
ECHNICAL SPECIFICATION .......................................................................................36
PPENDIX C.......................................................................................................................... 37
4 100057-00 F, ©JOLIFE AB 2007
LUCAS
TM
CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
1 Introduction
1.1 INTENDED USE
LUCAS Chest Compression System is to be used for
performing external cardiac compressions on adult
patients who have acute circulatory arrest defined
as absence of spontaneous breathing and pulse, and
loss of consciousness.
LUCAS must only be used in cases where manual
chest compression would be used. LUCAS is only
intended for temporary use.
1.2 CONTRAINDICATIONS
Do NOT use LUCAS Chest Compression System in
the following cases:
• Too small adult patient: The suction cup is not
being completely compressed when it is lowered
as far as possible.
• Too large patient: The support legs of LUCAS
cannot be locked to the back plate without
compressing the patient.
• Patient is a child.
• Patient with traumatic injury (wounds resulting
from sudden physical injury or violence).
• Pregnant patients. The woman has to lie 10–15°
to one side to prevent vena cava syndrome
(impaired venous return to the heart as the
uterus compresses the inferior vena cava).
• If there is no indication that chest compression
is likely to help the patient.
1.3 LUCAS CHEST COMPRESSION SYSTEM
LUCAS is a portable device for external cardiac
compressions. It is stored and easily carried in a
backpack, giving the user free hands until the
device is needed.
The components of LUCAS are shown in the
illustration in Section 1.4.
100057-00 F, ©JOLIFE AB 2007 5
LUCASTM CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
1.4 LUCAS COMPONENTS
q
e
w
i
h
r
o
t
y
u
1. ON/OFF Knob
2. Hood
3. Patient strap
4. Release ring
5. Support leg
6. Claw lock
7. Back plate
8. Hose attachment
9. Bellows
10. Suction cup
11. Height adjustment handle
12. Air hose
13. LUCAS unique connector
14. Pressure pad
15. Upper part
s
a
g
f
d
6 100057-00 F, ©JOLIFE AB 2007
LUCAS
TM
CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
1.5 ON/OFF-KNOB,
POSITIONS
1. Adjust: The suction cup
can be adjusted to fit the
patient, using the height
adjustment handles.
2.
Lock: The compression
mechanism is locked.
This is used during
defibrillation and when
moving the patient.
3.
Active: This is the
operating position. When
LUCAS Chest
Compression System is
connected to an air supply of
specified capacity, it performs
compressions at a rate of about
100 per minute.
100057-00 F, ©JOLIFE AB 2007 7
LUCASTM CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
t
h
1.6 DESCRIPTION
1.6.1 MAIN PART S
LUCAS consists of an upper part (h) and a back
plate (
u). The back plate is placed underneath the
patient to form a support for the external chest
compressions.
The upper part contains a pneumatically driven
piston rod, which acts on the patient’s chest via a
pressure pad. The pressure pad is surrounded by a
suction cup.
u
j
The support legs (
to the back plate prior to starting compressions.
t) of the upper part are fastened
1.6.2 CONNECTION TO AIR SUPPLY
LUCAS is powered by compressed air from a wall
outlet or a cylinder. See Section 6 for specification
of air sources.
The air hose is permanently mounted on LUCAS,
and has a unique male connector at the open end.
A suitable pressure regulator is delivered with
LUCAS.
LUCAS requires no electrical supply and has no
conducting parts on the outside, except the hose
attachment, the claw lock bar, and the upper
attachment of the bellows.
1.6.3 LUCAS STABILIZATION STRAP
LUCAS Stabilization Strap (j) is an accessory
which is attached to LUCAS to prevent downward
movement of LUCAS during operation. Please see
Appendix B for instructions for use of LUCAS
Stabilization Strap
.
8 100057-00 F, ©JOLIFE AB 2007
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TM
CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
1.7 SYMBOLS ON THE DEVICE
Symbol/
Location
Meaning
Caution – see instructions for use. All
users must read the entire Instructions
for Use before operating LUCAS Chest
Compression System.
Year of manufacture.
WARNING – Crushing hazard. The
pressure pad and suction cup are drawn
into the bellows with high force when
LUCAS is connected to an air supply.
Keep all body parts away from the
suction cup, the bellows and the height
adjustment handles when connecting
the air hose, and during operation.
WARNING – Crushing hazard. Keep
your fingers away from the claw locks
when attaching the upper part to the
back plate.
Caution – Do not lift by the straps.
The straps are only intended for
securing the patient’s arms to LUCAS.
Place the suction cup immediately above
the end of the sternum, as indicated in
the figure. The suction cup should be
centred over the sternum.
Pull up the release rings to release the
support legs from the back plate.
100057-00 F, ©JOLIFE AB 2007 9
LUCASTM CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
q
1.8 DELIVERED ITEMS
Before using LUCAS Chest Compression System,
make sure that the following items are delivered:
1. LUCAS in carrying bag together with
Instructions for Use.
2. Pressure regulator.
3. LUCAS Stabilization Strap (packed in carrying
bag).
1.9 THE LUCAS TEAM
It is strongly recommended that qualified
personnel work in teams of two. This enables one
person to perform cardiopulmonary resuscitation
(CPR) while the other person unpacks LUCAS
Chest Compression System.
The Instructions for Use will refer to “The LUCAS
team” (Figure
have the required skills stated on page 2 .
q), consisting of two people who
10 100057-00 F, ©JOLIFE AB 2007
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LUCAS
CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
1.10 BACKGROUND
1.11 CHEST COMPRESSIONS USING LUCAS
The single most common cause of death in western
society is cardiovascular disease either on its own
or as a contributory factor.
There is only a short space of time after the heart
stops during which it is possible to reverse the
situation and restore spontaneous circulation.
If the heart is not started quickly, the two most
important organs, the heart and brain, will be
damaged by the lack of oxygen.
Effective chest compressions can restore
circulation to a level, which may be sufficient to
prevent heart and brain damage during a short
period of time.
For optimal results the compressions should be
performed in such a way that the rib cage is held
down for approximately half of the time, and
subsequently released for the remaining half of the
1
.
time
It is very difficult to perform manual chest
compressions effectively, even for experienced CPR
practitioners, and especially in a vehicle, moving
ambulance, during transport or when there is no
firm surface under the patient
2 3
.
In situations where it is possible to use LUCAS
Chest Compression System, many of the problems
with manual chest compressions can be
eliminated.
LUCAS works by pressing down very quickly on the
rib cage and holding it down for 50% of the period/
cycle.
When following normal routines for CPR, the use of
LUCAS has the following advantages over manual
chest compression:
• The device maintains consistent chest
compression over a long period of time.
• One person becomes free to provide other care.
• It is possible and safer for the user to give
effective chest compression even in a moving
vehicle.
1.12 SIDE EFFECTS
Bruising and soreness of the chest is common
during use of LUCAS External Cardiac Compressor.
The International Liaison Committee on
Resuscitation (ILCOR) states the following side
effects of CPR
4
:
1
American Heart Association Guidelines for Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care.
Circulation 2005;112: 24, Supplement; December 13, 2005.
2
Hightower D, Thomas SH, Stone CK et al. Decay in Quality of ClosedChest Compressions Over Time.
Ann Emerg Med 1995;26:300-303.
3
Sunde K, Wik L, Steen P A: Quality of Mechanical, manual Standard and
active compression-decompression CPR on the arrest site and during
transport in a manikin model. Resuscitation 1997;34:235-242.
• Rib fractures and other injuries are common but
acceptable consequences of CPR given the
alternative of death from cardiac arrest.
• After resuscitation, all patients should be
reassessed and re-evaluated for resuscitationrelated injuries.
4
2005 International Concensus on Cardiopulmonary Resuscitation and
Emergency Cardiovascular Care Science with Treatment
Recommendations. Resuscitation 2005;67:195.
100057-00 F, ©JOLIFE AB 2007 11
LUCASTM CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
2 Warnings and
precautions
Important
This section contains safety information. All users
must read this section before using LUCAS Chest
Compression System and observe the safety
information at all times during use.
2.2 USING LUCAS CHEST COMPRESSION SYSTEM
WARNING – IMPROPER USE
Improper use of the device can cause serious injury
to the patient and ineffective chest compressions.
J
OLIFE AB strongly recommends that the equipment
only be used by personnel who have undertaken
training in use and handling of LUCAS Chest
Compression System.
Sections 2.1 to 2.5 summarize warnings and
precautions during assembly and use of LUCAS
Chest Compression System.
Additional hazards are described in relevant
sections of the Instructions for Use. All users must
observe the safety information in
Cautions during use of LUCAS Chest Compression
System.
Warnings and
2.1 ASSEMBLY
WARNING – LETHAL PINCH HAZARD
If the air is connected during the assembly
procedure, and the
position, the compressions may seriously injure the
patient or create conditions leading to death of the
Always follow the described sequence of air
connection and assembly.
ON/OFF-knob is in the Active
patient.
Other personnel may assist those with the
necessary training in using LUCAS.
WARNING – DEVICE STATUS
If your LUCAS unit does not appear as in the
illustration in Section 1.4, or if the device does not
function in the same way as in training, or according
to specification:
Discontinue use and continue with manual chest
compressions.
WARNING – MALFUNCTION
If there is air leakage, interruption in compressions
or insufficient compressions, if the frequency is
wrong, or there is jarring, or there is something else
that cannot be classified as normal running:
Disconnect the air hose immediately, turn the
OFF
knob to Adjust and remove the device. Start
manual chest compressions.
ON/
Caution - Keep hose and connectors clean
The mechanical parts of LUCAS may be damaged if
sand or soil enters the air hose, resulting in reduced
performance.
Always keep the hose and connectors clean, do not
leave these parts on the ground.
WARNING – SUCTION CUP SLIDING ON GEL
If there is gel on the patient’s chest (e.g. from
ultrasound examination), the position of the suction
cup may change during use.
Remove any gel left before applying the suction cup.
WARNING – PATIENT INJURY OR DEATH
Do not leave the patient or device unattended while
LUCAS Chest Compression System is active.
12 100057-00 F, ©JOLIFE AB 2007
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LUCAS
CHEST COMPRESSION SYSTEM, INSTRUCTIONS FOR USE
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