Samaritan PAD Manual
Contents
1. PAD for they have any occasion to use any of our pro cracks or other signs of damage Contact your ducts even if therapy is not delivered as part distributor or HeartSine Technologies of the incident This information is vital to the immediately if any damage is found continued development and constant improve ment we strive for in the treatment of sudden 4 Check the exterior of the samaritan PAD for cardiac arrest dirt or contamination If needed clean device with approved cleaning products TROUBLESHOOTING Use i i Prag 5 Check supplies accessories and spares for Check expiry date of your Pad Pak Change the Pad Pak damage or expiration Replace immediately if any damage or expiration is found Contact your local HeartSine approved dealer gt if expiry date has been exceeded If the status indicator is still not flashing 6 Install a new Pad Pak Before installing the kl new PadPak check that its expiration date a warning message is heard when samaritan Pad has not been exceeded is turned on or If for any reason you have suspicions that your PAD is not working correctly contact your authorised HeartSine dealer or HeartSine directly for support support heartsine com 16 PAD User Manual WARNINGS AND PRECAUTIONS The samaritan PAD must be used by a person trained The Pad Pak must be used on patients over 8 years in its use old The Pediatric Pak must be used on patients less th2. Basic PAD CAB 02 Wall Bracket samaritan PAD PAD CAB 03 Vehicle Mount USA UK TRAINING SYSTEMS amp LITERATURE TRN SYS 05 PAD Training System AHA ERC 2000 2005 Guidelines TRN ACC 01 Replacement Battery Charger TNR ACC 02 Trainer Pads set of 10 TNR ACC 03 Trainer Pads set of 25 a Order Fax 44 2890939401 OR contact your authorised HeartSine Distributor 19 Worldwide Headquarters HeartSine Technologies Inc 105 Terry Drive Newtown PA 18940 USA Tel 1 215 860 8100 Fax 1 215 860 8192 Authorised Distributor Manufactured by HeartSine Technologies Ltd Canberra House 203 Airport Road West Belfast BT3 9ED Northern Ireland Tel 44 0 28 9093 9400 Fax 44 0 28 9093 9401 samaritan PAD MODEL 300P TECHNICAL DATA SHEET a HeartSine Technologies SAMARITAN PAD FEATURES LED Status Data Port Indicator Action SHOCK Arrows p Button i OK to PADS TM F ZO Touch DISPLAY placement i Cy Indicator Visual Prompts indicator i Nap Pee hoe Attach Pads Stand Clear Perform CPR ey Shock Now Self tests Pass Ready State ee a i Indicators Do not Z E Low battery voice prompt at least 10 Touch Boe discharges remaining audible prompt Indicator alerts user of electrode disconnect j service icon stops flashing if self tests Speaker a Button fail no battery or when service required PAD Pak cartridge expiration date Voice icon prompts Extensive voice and icon prompts guide
3. HeartSine Technologies Inc HeartSine Technologies Ltd 105 Terry Drive Canberra House Newtown 203 Airport Road West PA 18940 USA Belfast BT3 9ED Northern Ireland Tel 1 215 860 8100 Tel 44 0 28 9093 9400 Fax 1 215 860 8192 Fax 44 0 28 9093 9401 support heartsine com www heartsine com
4. CPR Guidelines Performing Defibrillation Step by Step Introduction 15 After Using the PAD Troubleshooting Warnings Incident Notification Glossary Abbreviations Product List www heartsine com PAD User Manual RA OD OD OD oo ooo 01 CO CO CO CO CO CO NI NN aa 0O OO Icons used in this manual S NOTE a NN 1 a O O WARNING d NN A i VOICE PROMPT gt S A a CO CO CO TO DO HeartSine Technologies SAMARITANE PAD SAM300P CONFIGURATION HeartSine Technologies provides you with a fully configureable samaritan amp PAD system to allow you to comply with your chosen SCA treatment protocol Our current device is configured to be compliant with the 2005 version of the AHA ERC guidelines on Cardiopulmonary Resuscitation CPR and Emergency Cardiovascular Care ECC You should have been trained in the appropriate version of the AHA ERC guidelines and the use of your device configuration Contact HeartSine or your authorised HeartSine distributor for further information AHA ERC 2005 CHILDREN 2 vd 1 Shock LABEL 120 sec CPR Pause 150J 150J 200J CHILDREN 1 Shock 120 sec CPR Pause 50J 50J 50J CPR GUIDELINES 2005 VERSUS 2000 In December 2005 both the American Heart Association AHA and the European Resuscitation Council ERC in collaboration with the International Liaison Committee on Resuscitation ILCOR released new guidelines for Cardiopulmonary Resuscitation CP
5. occasion to use your samaritan PAD or if you require any further information on the samaritan PAD its accessories or any other products please contact us ABBREVIATIONS CPR Cardiopulmonary resuscitation CPR D Cardiopulmonary resuscitation Defibrillation SCA Sudden cardiac arrest VF Ventriculary Fibrillation BLS Basic Life Support ACLS Advanced Cardiac Life Support PAD User Manual PRODUCT LIST SELECTION PAD DEVICES PAD BAS 05 PAD Basic Life Saver System AHA ERC 2005 Guidelines PAD DAT 05 PAD with Data Management Package AHA ERC 2005 Guidelines PAD FIR 05 PAD First Responder AHA ERC 2005 Guidelines PAD TRN 05 PAD with Trainer Kit AHA ERC 2005 Guidelines DISPOSABLES PAD PAK 01 Pad Pak ADULT Cartridge PAD PAK 02 Pad Pak PEDIATRIC Cartridge DATA MANAGEMENT amp ACCESSORIES PAD ACC 01 USB Cable with SAVER EVO Software CD ROM amp License PAD ACC 02 USB Data Download Cable PAD ACC 03 SAVER EVO Software SAVER Software CD ROM amp License PAD ACC 04 Triangular Wall Sign AED Wall Sign Includes Triangular Wall Mount PAD ACC 09 PAD Prep Kit PAD ACC 16 Resuscitation Bag with O Connection and Adult Mask TRANSPORT amp CASES PAD BAG 01 Soft Carrying Case PAD BAG 02 Hard Carrying Case Pelican Yellow Hard Case with Foam Insert PAD BAG 03 First Responder Rucksack PAD CODRA Rucksack Red Light Version PAD BAG 04 Professional Rescuer Rucksack PAD CODRA EMC PAD CAB 01 Rescue Cabinet with Alarm
6. once every 5 seconds WHEN TO REPLACE THE PAD PAK The battery lifetime in use can be up to 6 hours monitoring or 30 shocks or a combination of both A Pad Pak in the stand by mode inserted into the PAD has a shelf life indicated by the expiration date typically 3 5 years from manufacture Replace ment of the battery and defibrillation pack must be carried out if gt the expiry date of the Pad Pak has been exceeded When the Pad Pak has been used it is a single gt use item it must be replaced with a new Pad Pak cartridge If the status indicator on the PAD is not flashing you may need to replace the Pad Pak For diagnosis of the reason for status indicator is not flashing please refer to the troubleshooting section of this manual HOW TO REPLACE A PAD PAK Take the replacement Pad Pak from its protective bag Remove the old Pad Pak which is to be replaced Slide the replacement Pad Pak into the slot on the underside of the samaritan PAD until it clicks 4 Push the Pad Pak firmly to ensure it is fully inserted Check status indicator If the Pad Pak has been inserted correctly Status Indicator flashes approximately every 5 seconds If necessary inform relevant safety officer or person responsible for maintenance of the PAD Update the relevant records to show the date that the replacement Pad Pak was placed into service Dispose of the old Pad Pak MAINTE
7. AD cannot deliver a shock unless the electrodes are applied to someone whose heart is in need of a shock Your HeartSine dealer will have trained you in the particular SCA treatment protocol you have chosen In all cases follow the audio and visual i x prompts given by your PAD E See Warnings and Precautions for more details a www heartsine com 15 HeartSine Technologies AFTER USING THE PAD After using your samaritan PAD HeartSine Technologies 7 After installation of the new Pad Pak Check recommend you perform the following actions the Status Indicator If the Status Indicator is not 8 flashing refer to the troubleshooting section of 1 Use Saver EVO software to download ns this manual If the problem persists contact information about the therapy performed and HeartSine or your local approved dealer for store appropriately If you do not have Saver technical support software please contact your dealer who can arrange for the incident to be downloaded 8 Turn on the PAD and verify that the PAD operates in the correct manner i e audible 2 Remove the used Pad Pak from your prompt Call for medical assistance can be samaritan PAD and dispose of in a suitable heard Turn off the PAD manner For recommended disposal methods please refer to section Pad Pak disposal 9 Contacting HeartSine after use At HeartSine we like to hear from our customers whenever 3 Check the exterior of the samaritan
8. NANCE HeartSine recommends users perform regular maintenance checks A suggested maintenance check would be 1 Check the Status Indicator If the Status Indicator is not flashing a problem has been detected Refer to the troubleshooting section of this manual 2 Check the expiration date of the Pad Pak currently REE inserted into the PAD If the Pad Pak has z Unti exceeded its use by date remove it from the Dec 2008 PAD and replace with a new Pad Pak Lot No Contact your local authorised HeartSine 143 distributor for replacements 3 Check supplies accessories and spares for damage or expiration Replace any accessories found to be damaged or that have exceeded their expiration date 4 Check the exterior of the samaritan amp PAD for cracks or other signs of damage Contact your authorised HeartSine distributor if any damage is found 5 Check that trained responders are aware of the PADs location and that it is easily accessible for those Responders at all times 6 Ensure all trained responders have up to date training for both CPR and AED use For recommended retraining intervals please consult the organisation or body used to provide the Training STATUS INDICATOR The samaritan PAD includes a status indicator This is an indicator which will flash approximately once every five seconds When itis flashing itis an indication that the PAD is ready for use If this indicator is not flashing then th
9. Peel the electrodes from the chest to expose bare skin atic Ft liner For Pediatric use or for use on patients between 1 8 years old or lt 55 kg please remove Adult Pad Pak and Apply pads to patient s bare insert Pediatric Pad Pak if available Refer to chest as shown in picture operating instructions for Pediatric Pad Pak supplied with that unit If not available AHA ERC guidelines A suggest to continue to defibrillate if required using the and apply them to the bare chest Adult configured system as illustrated on the electrodes To safeguard against interference you must operate the PAD at least 2 m 6 feet away from all RF devices and other susceptible equipment i Press pads firmly to patient s Alternatively switch off equipment affected by bare skin A or causing the electromagnetic interference 12 PERFORMING DEFIBRILLATION Place the electrodes on the patients chest as indicated below Sternum and Apex electrode pads are clearly identified on the respective electrodes Press the electrodes firmly to the patient s bare chest to ensure proper contact is made Placement of the pads is critical Strict observance of pad positioning instruc tions as indicated on the labelling and in training is essential Failure in pad adhesion may hinder effectiveness of therapy or cause excessive skin burns A to the patient if a therapeutic shock is applied STEP 6 When the electrode pads are attached correc
10. Q HeartSine Technologies H017 001 300 0 ENGLISH Information in this document is subject to change without notice and does not represent a commitment on behalf of HeartSine Technologies No part of this manual may be reproduced or transmitted in any form or by any means electrical or mechanical including photocopying and recording for any purpose without the express written permission of HeartSine Technologies Copyright 2007 HeartSine Technologies All rights reserved samaritan is a registered trademark of HeartSine Technologies Saver EVO and SCOPE are trademarks of HeartSine Technologies All other trademarks and registered trademarks are the property of their respective owners ABOUT THIS EDITION The information in this manual applies to the HeartSine Technologies samaritan PAD automatic external defibrillator Information in this document is subject to change without notice and does not represent a commitment on behalf of HeartSine Technologies TABLE OF CONTENT Available PAD Configuration SAM300P configuration Introduction Sudden Cardiac Arrest Heart Rhythm Detecting Fibrillation Intended Users Training Your Samaritan PAD Unpacking Your PAD PAD Features Please Note Preparing for Use Installation Where to Store Your PAD Self Test Replace the Pad Pak Maintenance Status Indicator Soft Carry Case Cleaning How to Use the PAD Pre Defibrillation Action CPR Fundamentals
11. R and Emergency Cardiovascular Care ECC These 2005 guidelines superseded the previous guidelines released in 2000 and contained several changes to the recommended procedures for both CPR and automatic external defibrillation While the AHA ERC 2005 guidelines are based on the latest research and represent what is believed to be best practice by both the AHA and ERC both organisations state that the 2000 guidelines continue to offer safe therapy for patients suffering from Sudden Cardiac Arrest SCA Main changes in defibrillation therapy from 2000 to 2005 Treat ventricular fibrillation pulseless ventricular tachycardia VF VT with a single shock followed by immediate resumption of CPR 2 ventilations and 30 compressions Do not reassess the rhythm or feel for a pulse After 2 min of CPR 5 cycles of 30 2 check the rhythm and give another shock if indicated The recommended initial energy for biphasic defibrillators is 150J 200J Give second and subsequent shocks at 150J or greater The 2000 guidelines recommended up to 3 shocks followed by 1 minute of CPR 15 compressions to 1 ventilation Further details can be found on the AHAand ERC websites The samaritan PAD manufactured in 2006 can be factory set to perform to the AHA ERC 2005 orthe AHA ERC 2000 guidelines as required by users INTRODUCTION The HeartSine samaritan PAD is an automatic external defibrillator AED used for the fast delivery of defibrillation electric shock thera
12. an 8 years old The samaritan PAD has the capability to deliver therapeutic electrical shocks The electrical shock can Proper placement of the samaritan PAD pads is cause serious harm to either operators or bystanders critical Strict observance of pad positioning Caution must be taken to ensure that neither the instructions as indicated on the labelling and in A operators nor bystanders touch the patient when a training is essential Care must be taken to ensure shock is to be delivered pads are adhered to the patients skin properly Air pockets between the adhesive pad and skin must be To safeguard against interference you must operate eliminated Failure in pad adhesion may hinder the samaritan PAD 2 meters 6 feet away from all RF effectiveness of therapy or cause excessive skin devices and other susceptible equipment burns to the patient if a therapeutic shock is applied Alternatively switch off equipment affected by or A Reddening of the skin may appear after use this is A causing Electromagnetic Interference normal The samaritan PAD has been designed to work on Periodic checks of this device must be undertaken to unconscious non responding patients If the patient is A ensure among other things that the samaritan PAD responsive or conscious do not use the samaritan is not damaged in any way A PAD to provide treatment The Pad Pak is a single use item and must be Touching the patient during the analysis phase of re
13. are trained by a competent training organisation in both CPR and PAD use prior to placing of a samaritan PAD into service CPR GUIDELINES 2005 CALL 911 112 get AED glial Watch feel listen 2 Breaths 30 Compressions PAD User Manual PERSON NOT RESPONSIVE Quick Card User Instruction NO SIGNS OF LIFE Adress person amp shake on shoulder Engage other people to help you and alternate CPR 4 OPEN THE AIRWAY CHECK FOR BREATHING 2 breaths if necessary PERFORM CPR until an AED is available OR arrival of emergency physician If AED AVAILABLE switch ON amp follow instructions 4 ANALYSIS SHOCK DECISION YES NO 4 4 DELIVER SHOCK CONTINUE CPR FOR 2 MINUTES 5 CYCLES Alternate with second person after one cycle or 2 minutes www heartsine com 11 a HeartSine Technologies PERFORMING DEFIBRILLATION ar Call for medical assistance ar Grip the SECOND GREEN Tab of Pad Pak and PULL STEP 2 Lay the PAD on a flat surface STEP 3 STEP 5 Remove clothing to expose the patient s chest If the patient has an excessively hairy chest shave the area where the electrodes are about to be applied gt Press ON OFF Button and open the GREEN Tab of the soft carry case The samaritan PAD is activated and you hear the audio prompts Adult patient or Child patient Wy rd Peel pads from liner CALL for medical assistance Remove clothing from patients
14. d e trained in its operation It is highly recommended that any potential SSS eS www heartsine com 5 HeartSine Technologies YOUR SAMARITAN SAM300P UN PACKING YOUR SAMARITAN PAD Open the outer box remove the PAD and all accessories Fill out the Warranty Registration card and send to HeartSine Technologies Read this User Manual Review the product training materials USA Ensure all potential users are suitably trained Place the HeartSine samaritan PAD into service PLEASE NOTE HeartSine Technologies or the authorised distributor are not obliged to carry out service repairs under warranty if 1 Unauthorized modifications have been made to the device 2 Non standard components are used 3 The user has not used the device in accordance with the indications for use or the instructions provided in this manual 4 The serial number of the apparatus is removed defaced misused or altered 5 The device electrodes or batteries are stored or used operationally outside of environmental specifications 6 Pad Pak packaging is not returned Any claims made under warranty must be directed via your dealer from whom the device was originally purchased The dealer before carrying out service under warranty requires evidence of purchase The product must be used in accordance with the user manual and for the purpose for which it was intended If you have a query please contact support Hea
15. ere is a problem with your samaritan PAD If this is the case please refer to the trouble shooting section for further guidance and fault finding advice This is an indicator which will flash once every five seconds When it is flashing it is an indication that the PAD is ready for use SAMARITAN PAD SOFT CARRY CASE The samaritan PAD and samaritan PAD soft carry case have been designed to allow the rescuer to use the samaritan PAD without having to open the carry case BACK Clear window for quick start card www heartsine com PAD User Manual A clear plastic cover protects the samaritan PAD while allowing the rescuer to operate the unit If your PAD is stored in the soft carry case it is not necessary to remove it from the case to operate it Pull GREEN Tab to expose electrodes package CLEANING YOUR PAD To clean the samaritan PAD wipe the device with a soft cloth that has been dampened by one of the following gt Soapy water gt Isopropyl alcohol 70 solution Do not immerse any part of the PAD in water or any type of fluid Contact with fluids may seriously damage the device or cause fire or shock hazard with abrasive materials cleaners or Do not clean the samaritan PAD A solvents HeartSine Technologies HOW TO USE THE PAD The HeartSine samaritan PAD is designed for the treatment of sudden cardiac arrest SCA It should only be used to treat someone who may be a vic
16. f the condition can be per formed prior to seeking the advice of a physician In order to properly diagnose this condition HeartSine recommends that all potential 7 users of the samaritan PAD as a minimum are fully trained in cardiopulmonary resuscitation CPR basic life support BLS and in particular the use of an Automated External Defibrillator specifically the PAD It is also recommended that this training be kept up to date by means of regular refresher courses as and when recommended by your training provider If potential users of the PAD are not trained in these techniques contact your HeartSine dealer or HeartSine directly either of whom can arrange for training to be provided Alternatively contact your local government health department for information on certified training organisations in your region a ee The samaritan PAD must be used by a person trained in its use Included with this packaging are training materials to help familiarize people trained in the use of AEDs with the operation of the PAD There is limited published data on defibrillators used by minimally trained rescuers in the home It is not clear what safety issues may occur from defibrillator use in such an environment e Check with local government health department for Information about any requirements associated with ownership and use of a defibrillator in the region where it is to be use
17. illation pads are the electrodes that are connected to the patient s chest in order to administer therapy Electromagnetic Interference Electromagnetic interference is radio interference that may Cause erroneous operation of electronic equipment Impedance Measurement Impedance measurement is a check that is performed to check the integrity of PAD patient contact samaritan PAD SAM300P The PAD is a semi automatic device used for the delivery of external defibrillation therapy to resuscitate victims of SCA who are unresponsive are not breathing or without life signs Saver EVO Software Saver is software that can be used in conjunction with the PAD and a USB cable It can retrieve and view information about therapy delivered using the samaritan PAD Also Saver software can be used to configure the PAD SCOPE SCOPE stands for Self Compensating Output Pulse Envelope Waveform This is the biphasic technology developed by HeartSine that is incorporated into the samaritan PAD 18 Sinus Rhythm Sinus Rhythm is the normal electrical rhythm by which the heart muscle contracts and expands to create blood flow around the body Ventricular Fibrillation Is a life threatening heart rhythm that is treatable with the therapy using the samaritan PAD MORE INFORMATION A copy of the detailed samaritan PAD user manual is available online at www heartsine com or can be requested on CD USA If you have had any
18. n cardiac arrest a na nn nnnnnnnnnEnNnnnNmEnNEEnEEnENnENNEENMEEMEMENENO E E ERROR RER ER RRR DETECTING FIBRILLATION The electrical rhythm by which the heart muscle contracts can be detected and used for medical diagnosis and the resulting reading is called an Electrocardiogram ECG The PAD has been designed to analyse a patients ECG in order to detect ventricular fibrillation VF in the heart If ventricular fibrillation VF is detected the samaritan PAD will deliver a carefully engineered electrical shock designed to stop the chaotic electrical activity experienced within the heart muscle during SCA This may allow the victim s heart to return to a normal sinus rhythm INTENDED USERS The samaritan PAD is intended for use by those who have been PAD User Manual user receives training in cardiopulmonary resuscitation aah emergency cardiovascular care ECC and or the use o specifically the use of the samaritan PAD Many training organi zations offer a course that combines CPR and defibrillator CPR D use Course lengths and detail covered vary but most basic courses can be completed in one day For information on how to get training i ei your local authorised distributor or HeartSine Technologies directly an AED TRAINING SCA is a condition requiring immediate emergency medical interven 7 tion This intervention due to the nature o
19. nd Edition 2001 Radiated Emissions CISPR11 1997 1A 1999 A2 2001 Group 1 Class B Electrostatic Discharge Immunity EN61000 4 2 1995 8KV A1 1998 A2 2000 RF Immunity EN61000 4 3 1996 80 MHz 2 5 GHz 10V m A1 1998 A2 2000 Magnetic Field Immunity EN61000 4 8 1993 3 A m A1 2000 Aircraft RTCA DO 160D 1997 Section 21 Category M Falling height 1 meter EVENT DOCUMENTATION Type Internal memory Memory Capacity 45 minutes of ECG full disclosure and event incident recording Playback Capabilities Custom USB cable directly connected to PC and SAVER EVO Windows based data review software MATERIALS USED PAD SAM300P ABS Santoprene Printed circuit board with electronic components PAD CARTRIDGE Battery Lithium Manganese Dioxide Housing ABS Electrodes Hydrogel Silver Aluminium and Polyester E www heartsine com Combined electrode and battery cartdrige PAD PAK Shelf Life Check Expiration Date typically 3 5 years from manufacture Weight 0 44 Ibs 0 2kg Size 3 93in x 5 24in x 94in 10cm x 13 3cm x 2 4cm BATTERY Type Lithium Manganese Dioxide LiMnO2 18V 0 8 Amp Hrs Capacity gt 30 shocks at 200J or 6 hours of continuous monitoring ADULT ELECTRODES Standby Life 3 5 year from manufacture date Electrodes Samaritan disposable defibrillation pads are supplied as standard with each device Placement Anterior lateral e Gel Area 100 cm2 Worldwide Headquarters Manufactured by
20. placed after each use or if pouch that seals treatment can cause interference with the diagnostic defibrillation pads has been broken compromised in process Avoid contact with the patient while analysis A any way If damage is suspected the Pad Pak must is being carried out The device will instruct you when A it is safe to touch the patient It has been determined that the samaritan PAD is safe to use in conjunction with oxygen mask delivery systems However due to the danger of explosion it is strongly advised that the samaritan PAD should not INCIDENT NOTIFICATION be used in the vicinity of explosive gases This As a user of an automated external defibrillator it is essential that A includes flammable anaesthetics or concentrated you inform HeartSine of any incident where your PAD is sus oxygen pected to have caused a death serious injury or illness If you have any suspicions that this is the case inform HeartSine directly or through your authorised HeartSine dealer www heartsine com 17 HeartSine Technologies GLOSSARY Pad Pak The Pad Pak is a tray that fits into the samaritan PAD This pack contains the defibrillation electrodes and the battery that supplies power to the samaritan PAD Pull the green tab to access the defibrillation pads Biphasic Shock A biphasic shock is an electrical current that is passed through the heart firstly in one direction and then in another Defibrillation Pads Defibr
21. py to resuscitate victims of sudden cardiac arrest SCA SUDDEN CARDIAC ARREST SCA Sudden cardiac arrest is a condition in which the heart suddenly stops pumping effectively due to a malfunction of the heart s elec trical system Often victims of SCA have no prior warning signs or symptoms SCA can also occur in people with previously diagnosed heart conditions Survival for an SCA victim depends on immediate cardio pulmonary resuscitation CPR The use of an external def ibrillator within the first few minutes of collapse can greatly improve the patients chances of survival Heart attack and SCA are not the same though sometimes a heart attack can lead to a SCA If you are experiencing symptoms of a heart attack pain pressure shortness of breath squeezing feeling in chest or elsewhere in the body seek emergency medical attention immediately ee HEART RHYTHM The normal electrical rhythm by which the heart muscle contracts to create blood flow around the body is known as Normal Sinus Rhythm NSR Ventricular Fibrillation VF caused by chaotic electrical sig nals in the heart is often the cause of SCA but an electrical shock can be administered to re establish normal sinus rhythm This treat ment is called defibrillation The samaritan PAD is a device design ed to automatically detect ventricular fibrillation VF and perform defibrillation on victims of sudde
22. re no one is touching the patient When you are certain that no one is touching the patient press the shock button to deliver the therapy The samaritan PAD will only administer a Follow the voice prompts until the shock if it is needed emergency services arrive PAD User Manual ee eo AHA ERC 2005 configuration 4 It is safe to touch the patient id Begin CPR immediately Use the metronome sound from the PAD for compression rate the unit emits a tone corresponding to 100 beats per minute to current AHA ERC guidelines Note too that the OK TO TOUCH Icon flashes at the same rate for additional guidance The PAD will remain in CPR mode for 2 minutes After 2 minutes of CPR you will hear the following audible prompt The PAD will then return to Step 6 Ensure no one is in contact with the patient and proceed as before NOTE USER AND BYSTANDER SAFETY NOTE PERFORMING CPR Do not touch the patient while the PAD is analysing or defibril When performing CPR watch and listen to the PAD The OK to o Ape Nn EDE CE touch indicator will flash The PAD will emit 100 beeps per minute as a guide to CPR 100 is the recommended rate to perform compressions under AHA ERC 2005 guidelines As long as the defibrillator is used according to the directions and no one is in contact with the patient when the Shock button is pressed there is no risk of harm to the rescuer or bystanders The samaritan P
23. rtSine com for assistance SAMARITAN PAD FEATURES LED Status Indicator Data Port SHOCK Button Action Arrows gt PADS A placement indicator Do not Touch Indicator ON OFF Speaker Punon PAD Pak cartridge expiration date 7 year PAD warranty 3 5 year PAD PAK expiry from date of manufacture Data Port Optional Data Management Package pe Saver EVO Software amp USB Cable PAD User Manual PREPARING YOUR SAMARITANE SAM300P FOR USE PAD PAK INSTALLATION INSTALL 3 The Pad Pak includes the battery and defibrillation electrodes in one cartridge See expiry date for both on label Place the samaritan PAD into its Soft Carry Case For alternative transport cases ask HeartSine or your distributor INSTALL 1 J INSTALL 4 i Remove Pad Pak from its packaging Put into a wall case or safe visible location Place the PAD and the Pad Pak on i a flat surface Wall cases differ in some oS a countries Ask HeartSine or Push Pad Pak into the opening and your authorised distributor listen for the click sound to ensure it is properly inserted Once the Pad Pak is installed properly the PAD STATUS INDICATOR will begin to WHERE TO STORE YOUR PAD blink every 5 seconds Do not open Pad Pak tray or open defibrillation pads ce protective packaging until the time of emergency use when they are applied to a patient The PAD sho
24. the user through the operation sequence 7 year PAD warranty 3 year PAD PAK shelf time after manufacturing date Languages Contact HeartSine our your authorised HeartSine dealer PHYSICAL Size 8 0in x 7 25in x 1 9in 20cm x 18 4cm x 4 8cm Weight 2 4 Ibs 1 1 kg including Pad Pak Battery DEFIBRILLATOR Waveform SCOPE self compensating output pulse envelope Biphasic waveform Optimized biphasic waveform compensates energy slope and envelope for patient impedance a a SS Ss Sse ee PAD TECHNICAL OVERVIEW PAD TECHNICAL OVERVIEW Energy Selection Pre configured factory settings for escalating energy are AHA ERC 2005 ADULT 1 Shock 150J 2 Shock 150J 3 Shock 200J PAEDIATRIC 1 Shock 50J 2 Shock 50J 3 Shock 50J PATIENT ANALYSIS SYSTEM Method Evaluates patient s ECG signal quality electrode contact integrity and patient impedance to determine if defibrillation is required Sensitivity Specificity Meets AAMI DF80 2003 requirements ENVIRONMENTAL Operating Temp 0 C to 50 C 32 F to 122 F Storage Temp 10 C to 50 C 14 F to 122 F Relative Humidity 5 to 95 non condensing Water Resistance IEC 60529 EN 60529 IP56 Altitude 0 to 15 000 feet 0 4 575 meters Shock MIL STD 810F Method 516 5 Procedure I 40G s Vibration MIL STD 810F Method 514 5 Category 4 Truck Transportation US Highways Category 7 Aircraft Jet 737 amp General Aviation Exposure EMC EN 60601 1 2 Seco
25. tim of a SCA and is D gt unresponsive to stimulus gt not breathing gt gt exhibiting no signs of life If the person is unresponsive but you are unsure that they have suffered from a SCA begin CPR When appropriate apply the defibrillator and follow the audible instructions The PAD will only administer a shock if it is needed A voice prompt will tell you A when to press the shock button to administer defibrillation therapy The samaritan PAD should not be A used on someone who is responsive when shaken or breathing normally PRE DEFIBRILLATION ACTION Prior to using a PAD it is advised to perform the following checks and actions in order to prepare the patient Remove clothing to expose bare chest If excessively hairy shave hair from areas to which defibrillation pads are to be applied Ensure that the patient chest is dry If necessary dry chest area gt Ensure no rescuer or bystander are in contact with the patient while the PAD is assessing the patients heart rhythm or while defibrillation shock is being applied CPR FUNDAMENTALS The following is a brief overview of the fundamentals of CPR for lay rescuers as advised by both the American Heart Association AHA and the European Resuscitation Council ERC in their 2005 published Guidelines for CPR and ECC This is intended only as a quick reference for trained CPR providers HeartSine recommend that all potential users of the samaritan PAD
26. tly to the patient you will hear the audio prompt ig Assessing heart rhythm if Do not touch the patient ug Stand clear of patient The do not touch indicator below on the PAD will be illuminated www heartsine com A NOTE id PAD User Manual Touching the patient during the analysis phase of treatment can cause interference with the diagnostic process Avoid contact with the patient while analysis is being carried out The device will instruct you when it is safe to touch the patient Follow audio guidance Do not touch patient or allow any others to touch the patient while the PAD is analyzing After completion of analysis the PAD will advise you of treatment recommended Care must be taken to keep the patient still A moving patient can lead to incorrect delayed or less effective diagnosis and therapy 13 HeartSine Technologies PERFORMING DEFIBRILLATION STEP 7 If the patient requires a therapeutic shock the PAD will start to charge In such a scenario you will hear the following prompts i Shock advised ig Stand clear of patient The samaritan PAD delivers electrical shocks which can cause serious harm to operators and bystanders Caution must be taken to ensure no one is in contact with the patient when a shock is delivered STEP 8 When the PAD has charged to the required level you will hear the audio prompt The shock button will be flashing c Press Shock button now Ensu
27. uld be kept in a convenient central area Place it near a telephone so that the rescuer can call Emergency Medical Services and retrieve the PAD without wasting time Some important points to remember when storing b gt Store the PAD in a suitable location for easy INSTALL 2 CHECK DEVICE is working optimally access p PUSH the ON Button Ensure you can ae ae A where hear the voice prompts g P i 45 od Adult patient or Child patient gt Do store the PAD in a clean and dry environment K CALL for medical assistance Make all necessary arrangements to ensure that the device is accessible at all times Inform any possible users of the gt Switch OFF by pressing the Button location of the samaritan PAD www heartsine com 7 HeartSine Technologies PREPARING YOUR PAD FOR USE SELF TEST The samaritan PAD includes an automatic self test which is performed on a weekly basis The self test program will run automatically and requires no user interaction Upon completion of self test the PAD will emit a beep The self test program will test your PAD and ascertain if its basic functions are running Self test is not able to determine if the battery and defibrillation pads currently inserted in samaritan PAD are within their use by date E You must remember to check the expira tion date on the Pad Pak regularly Check that the PAD status indicator can be A seen easily Ensure that it is flashing SE approximately
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