Philips M3860A, M3861A manual ECG Analysis and Monitoring

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P hili ps Me dical Sy stems

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Step 2: ECG Analysis and Monitoring

Follow the instructions provided by the HeartStart FR2+ Defibrillator’s voice and screen prompts in the order indicated.

As soon as the FR2+ detects that the defibrillator pads are connected
properly, it automatically begins analyzing the patient’s heart rhythm. Do not
touch the patient during rhythm analysis. The M3860A FR2+ can display the
patient’s ECG on the screen. When the ECG display is enabled, the
patient’s heart rate is also displayed during background monitoring and when	3
the advanced mode is entered.	3

If no shock is advised, the 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. These instructions are repeated at the programmed Monitor Prompt interval (the default interval is one minute) while the FR2+ is monitoring the patient.

N O T E : CPR may interfere with background monitoring. During CPR, periodically pause for 15 seconds to check the patient and allow the FR2+ to analyze the patient’s heart rhythm without CPR artifact.

Monitoring continues until and unless the FR2+ detects a change in the patient’s heart rhythm that may be a shockable rhythm, detects interference with rhythm analysis, or is turned off.

If the FR2+ detects a potentially shockable heart rhythm while monitoring, it automatically goes back to analyzing the rhythm to see if a shock is advised.

If a shock is advised, the 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 that no one is touching the patient or the pads. While the FR2+ is charging, it continues to analyze the patient’s heart rhythm. If the rhythm changes and a shock is no longer appropriate, the FR2+ disarms. Voice and display prompts advise you what action to take.

N O T E : When the 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+.)

Using Your HeartStart FR2+

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Contents S T R U C T I O N S F O R U S E A R T S T a R T F R 2 + D E F I B R I L L a T O RHeartStart FR2+ Defibrillator I C K R E F E R E N C E C a R D Intentionally left blank A R T S T a R T F R 2 + M3860A, M3861A Defibrillator Device Tracking Contents Data Management and Review Clinical and Safety ConsiderationsSetup and Advanced Mode Features Appendices Accessories for the HeartStart FR2+Technical Specifications Glossary of Symbols and ControlsM3860A/M3861A Heartstart FR2+ Model M3860A Model M3861A What is the HeartStart FR2+?Introduction to the HeartStart FR2+ How Does the HeartStart FR2+ Work? When Is the HeartStart FR2+ Used?How Is the HeartStart FR2+ Supplied? M3860A/M3861A Heartstart FR2+ Overview Installing the BatteryPreparing Your HeartStart FR2+ for Use M3860A/M3861A Heartstart FR2+ Setting the Clock Running the Battery Insertion Selftest Press the upper Option button to activate the test Placing and Securing the HeartStart FR2+ M3860A/M3861A Heartstart FR2+ Using Your HeartStart FR2+ Preparation ECG Analysis and Monitoring Shock Delivery ECG Display for Ongoing Observation M3860A/M3861A Heartstart FR2+ Maintenance Daily Monthly Maintenance task/response After Using the HeartStart FR2+Operator’s checklist Cleaning the HeartStart FR2+Date Scheduled frequency Operators ChecklistBattery insertion selftest TestingM3860A/M3861A Heartstart FR2+ Hili ps Me dical Sy stems Test Feature Test descriptionDevice history Periodic selftestsBattery History Recommended action during an emergency Troubleshooting GuideStatus indicator summary Status indicator MeaningStatus Indicator Flashing Black Hourglass Symptom Possible cause Recommended actionSymptom Possible cause Symptom General troubleshootingFR2+ has been physically damaged M3860A/M3861A Heartstart FR2+ Indications Clinical and Safety ConsiderationsSafety Considerations Clinical ConsiderationsGeneral dangers, warnings, and cautions Safety level Possible shock or fire hazard, or explosionSafety level Possible improper device performance Defibrillation warnings and cautions Safety level Possible shock hazardSafety levels Possible ECG misinterpretation Monitoring cautions Maintenance cautionsSafety level Possible fire or shock hazard Non-protocol parameters Setup and Advanced Mode FeaturesSetup Overview Parameter Settings Default DescriptionAutomatic protocol parameters NSA action Manual override parameters Parameter Settings DefaultUsing Setup Features Revising setup Reviewing current setupReceiving setup Reading setup Sending and Receiving Clock SettingsUsing Advanced Mode Features Using the manual analyze feature Using the manual charge feature M3860A only M3860A/M3861A Heartstart FR2+ Recording data on a data card Data Management and ReviewRecording Incident Data Recording data in internal memoryM3860A/M3861A Heartstart FR2+ Reviewing data from internal memory Reviewing Incident DataReviewing data from a data card Data Management and Review M3860A/M3861A Heartstart FR2+ HeartStart Accessories Accessories for the HeartStart FR2+Suggested Additional Items Technical Specifications Waveform Parameters Category Nominal specificationsEnergy dose ECG Analysis System Controls and indicators Accessories Specifications Optional M3848A FR2+ rechargeable battery Optional M3854A data card Optional M3873A/M3874A FR2+ ECG assessment M3860A/M3861A Heartstart FR2+ Instructions for Use Glossary of Symbols and ControlsSymboldescription Symbol DescriptionSymbol Accessories Symbols YYYY-MM M3863A standard battery M3848A FR2+ rechargeable battery M3849A charger For the M3848A FR2+ rechargeable battery Printed on recycled paper Electrical input Electrical output M3873A/M3874A FR2+ ECG assessment module Symboldescription M3855A charger For the M3864A training & administration pack Glossary of Terms Defibrillator pads with the HeartStart FR2+ See defibrillator pads Running HeartStart Event Review Web software Charger M3860A/M3861A Heartstart FR2+ Index ECG analysis system description D-2 Index M3860A/M3861A Heartstart FR2+ Index M3860A/M3861A Heartstart FR2+ Hilip s Me dical Sy ste ms 8 6 0 9 1 9 0 0 Philips Medical Systems is partRoyal Philips Electronics