Philips M3861A, M3860A manual Shock Delivery

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3-4

Step 3: Shock Delivery

Press the Shock button to deliver the shock.

I M P O R T A N T : You must press the button for a shock to be delivered. The

HeartStart FR2+ Defibrillator will not automatically deliver a shock.

There are four ways you can tell that the 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, and/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 FR2+ goes back to analyzing the patient’s heart rhythm to see if the shock was successful. The FR2+ continues to provide voice and text prompts to guide you through additional shocks, if appropriate.

N O T E : If you do not press the Shock button within 30 seconds of being prompted, the FR2+ will disarm itself and provide a pause. The device will resume analyzing after 30 seconds or when the Resume Analyzing key is pressed.

Pause for CPR. After the programmed number of shocks in a shock series are delivered, the 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 M3860A FR2+ also displays the ECG, if enabled, during this period.

*The FR2+ displays elapsed time to a maximum of 99:59 minutes. If the elapsed time of use extends beyond this figure, the minutes are represented by “??” but the seconds are displayed. However, total elapsed time will be recorded on an installed data card for later review with HeartStart Event Review data management software.

P hili ps Me dical Sy stems

M3860A/M3861A HEARTSTART FR2+

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Contents A R T S T a R T F R 2 + D E F I B R I L L a T O R S T R U C T I O N S F O R U S EHeartStart 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 Clinical and Safety Considerations Setup and Advanced Mode FeaturesData Management and Review Accessories for the HeartStart FR2+ Technical SpecificationsGlossary of Symbols and Controls AppendicesM3860A/M3861A Heartstart FR2+ What is the HeartStart FR2+? Introduction to the HeartStart FR2+Model M3860A Model M3861A When Is the HeartStart FR2+ Used? How Does the HeartStart FR2+ Work?How Is the HeartStart FR2+ Supplied? M3860A/M3861A Heartstart FR2+ Installing the Battery Preparing Your HeartStart FR2+ for UseOverview M3860A/M3861A Heartstart FR2+ Setting the Clock Running the Battery Insertion Selftest Placing and Securing the HeartStart FR2+ Press the upper Option button to activate the testM3860A/M3861A Heartstart FR2+ Using Your HeartStart FR2+ Preparation ECG Analysis and Monitoring Shock Delivery ECG Display for Ongoing Observation M3860A/M3861A Heartstart FR2+ Maintenance After Using the HeartStart FR2+ Daily Monthly Maintenance task/responseCleaning the HeartStart FR2+ Operator’s checklistOperators Checklist Date Scheduled frequencyTesting Battery insertion selftestM3860A/M3861A Heartstart FR2+ Hili ps Me dical Sy stems Feature Test description TestPeriodic selftests Device historyBattery History Troubleshooting Guide Status indicator summaryStatus indicator Meaning Recommended action during an emergencySymptom Possible cause Recommended action Status Indicator Flashing Black HourglassSymptom Possible cause General troubleshooting SymptomFR2+ has been physically damaged M3860A/M3861A Heartstart FR2+ Clinical and Safety Considerations Safety ConsiderationsClinical Considerations IndicationsSafety level Possible shock or fire hazard, or explosion General dangers, warnings, and cautionsSafety level Possible improper device performance Safety level Possible shock hazard Safety levels Possible ECG misinterpretationDefibrillation warnings and cautions Maintenance cautions Monitoring cautionsSafety level Possible fire or shock hazard Setup and Advanced Mode Features Setup OverviewParameter Settings Default Description Non-protocol parametersAutomatic protocol parameters NSA action Parameter Settings Default Manual override parametersUsing Setup Features Reviewing current setup Revising setupReceiving setup Sending and Receiving Clock Settings Reading setupUsing Advanced Mode Features Using the manual analyze feature Using the manual charge feature M3860A only M3860A/M3861A Heartstart FR2+ Data Management and Review Recording Incident DataRecording data in internal memory Recording data on a data cardM3860A/M3861A Heartstart FR2+ Reviewing Incident Data Reviewing data from internal memoryReviewing data from a data card Data Management and Review M3860A/M3861A Heartstart FR2+ Accessories for the HeartStart FR2+ HeartStart AccessoriesSuggested Additional Items Technical Specifications Category Nominal specifications Waveform ParametersEnergy 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+ Glossary of Symbols and Controls SymboldescriptionSymbol Description Instructions for UseSymbol 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 Philips Medical Systems is part Royal Philips Electronics8 6 0 9 1 9 0 0