Agilent Technologies Heartstream FR2 User Manual
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Agilent Technologies Heartstream FR2 User Manual

Semi-automatic external defibrillator
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Agilent Heartstream FR2
M3860A, M3861A
Agilent Technologies

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  • Page 1 Agilent Heartstream FR2 M3860A, M3861A Agilent Technologies...
  • Page 2 User’s Guide Agilent M3860A, M3861A Heartstream FR2 Semi-Automatic External Defibrillator (AED)
  • Page 3 EARTSTREAM The H Clockwise from top right. Battery. Disposable battery pack used to EARTSTREAM power the H FR2. (Check local regulations for disposal and recycling requirements.) On/Off button. Turns on the FR2 and starts voice and screen prompts. Second press turns off the FR2.
  • Page 4 FR2 AED EARTSTREAM QUICK REFERENCE GUIDE PATIENT IS UNRESPONSIVE, NOT BREATHING, WITHOUT A PULSE TURN ON FOLLOW PROMPTS PRESS SHOCK BUTTON IF INSTRUCTED...
  • Page 5 About This Edition Copyright CAUTION The information in this guide Copyright © 2000 FEDERAL LAW (USA) RESTRICTS applies to the Agilent Technologies Agilent Technologies THIS DEVICE TO SALE BY OR ON models M3860A and M3861A Heartstream Operation THE ORDER OF A PHYSICIAN.

  • Page 6: Table Of Contents

    Contents EARTSTREAM 1 Introduction to the H EARTSTREAM What is the H FR2? ........................1-1 EARTSTREAM When Is the H FR2 Used? .....................1-1 EARTSTREAM How Does the H FR2 Work? ....................1-2 EARTSTREAM How Is the H FR2 Supplied? ....................1-2 EARTSTREAM 2 Preparing Your H FR2 for Use Overview ..............................2-1 Installing the Battery ..........................2-1...
  • Page 7 Contents 5 Clinical and Safety Considerations Clinical Considerations ..........................5-1 Indications ............................5-1 Contraindications ..........................5-1 Safety Considerations ..........................5-2 General Dangers, Warnings, and Cautions ..................5-2 Defibrillation Warnings and Cautions .....................5-4 Monitoring Cautions ...........................5-5 Maintenance Cautions ........................5-5 6 Setup and Advanced Mode Features Setup Overview ............................6-1 Non-Protocol Parameters ........................6-1 Automatic Protocol Parameters .......................6-2 Manual Override Parameters ......................6-4...
  • Page 8 Contents EARTSTREAM A Accessories for the H B Technical Specifications UNNER EARTSTREAM C Differences between the F and the H FR2 AEDs D Glossary of Symbols and Controls E Glossary of Terms F Clinical Summary Index...
  • Page 9 Contents Notes...

  • Page 10: Introduction To The Heartstream Fr2

    EARTSTREAM 1 Introduction to the H EARTSTREAM What is the H FR2? EARTSTREAM The H FR2 defibrillator (“FR2”) is a semi-automatic external defibrillator (AED). It is compact, lightweight, portable, and battery powered. It is designed for simple and reliable operation by a trained responder. EARTSTREAM The H FR2 has a Status Indicator that is always active, so you can tell at...

  • Page 11: How Does The Heartstream Fr2 Work

    How Does the H EARTSTREAM FR2 Work? EARTSTREAM The H FR2 is intended for use by emergency care personnel who have EARTSTREAM been specifically trained in the operation of the H FR2 or who are qualified by training in Basic Life Support (BLS), in Advanced Life Support (ALS), or in other physician-authorized emergency medical response.

  • Page 12: Preparing Your Heartstream Fr2 For Use

    EARTSTREAM 2 Preparing Your H FR2 for Use Overview EARTSTREAM There are a few basic steps to preparing your H FR2 for use: Install a battery. Set the clock in the FR2 (optional). Run the battery insertion selftest. Place the FR2 with recommended accessories in a convenient location. The instructions presented here briefly describe the normal sequence of preparation.

  • Page 13: Setting The Clock

    Setting the Clock The display screen brings up the main menu. From this menu, you can start the FR2 battery insertion selftest, review information from the last time the FR2 was used, or RUN SELFTEST go to the next screen for other options. Information about the optional data card and REVIEW INCIDENT NO DATA CARD the battery status is also provided.
  • Page 14 Setting the Clock Press the lower Option button to move the highlight bar to NEXT. DEVICE HISTORY Press the upper Option button to bring up the NEXT screen. BATTERY HISTORY Press the lower Option button to move the highlight bar to CLOCK. SETUP CLOCK Press the upper Option button to bring up the CLOCK screen.

  • Page 15: Running The Battery Insertion Selftest

    Running the Battery Insertion Selftest Running the Battery Insertion Selftest Except in an emergency, it is recommended that you run this selftest every time you change the battery. Make sure the defibrillation pads are not connected to the FR2 before running the battery insertion selftest. The selftest has two parts.
  • Page 16 EARTSTREAM Placing and Securing the H NOTE: Do not store the FR2 with the defibrillation pads attached. Do not open the pads package until ready for use. With the battery installed and the FR2 stored in appropriate environmental EARTSTREAM conditions, the H FR2 performs detailed periodic selftests, to make sure that it remains ready for use.
  • Page 17 Placing and Securing the H EARTSTREAM Notes EARTSTREAM Preparing Your H FR2 for Use...

  • Page 18: Eartstream Hfr2

    EARTSTREAM 3 Using Your H Overview EARTSTREAM This chapter describes how to use the H FR2 in an emergency incident. Some general things to remember are: EARTSTREAM Try to relax and stay calm. The H FR2 automatically provides appropriate voice and display prompts to guide you. The defibrillation pads must have good contact with the patient’s skin.

  • Page 19: Step 1: Preparation

    Step 1: Preparation Step 1: Preparation EARTSTREAM Press the On/Off button to turn on the H FR2. Follow the instructions provided by the FR2 voice and screen prompts in the order indicated. Remove clothing from the patient's chest. Wipe moisture from the patient's chest and clip or shave excessive chest hair, if necessary.

  • Page 20: Step 2: Ecg Analysis And Monitoring

    Step 2: ECG Analysis and Monitoring Step 2: ECG Analysis and Monitoring EARTSTREAM Follow the instructions provided by the H FR2 voice and screen prompts in the order indicated. As soon as the FR2 detects that the defibrillation pads are connected properly, it EARTSTREAM automatically begins analyzing the patient’s heart rhythm.

  • Page 21: Step 3: Shock Delivery

    Step 3: Shock Delivery Step 3: Shock Delivery Press the Shock button to deliver the shock. IMPORTANT: You must press the button for a shock to be delivered. The EARTSTREAM FR2 will not automatically deliver a shock. EARTSTREAM There are four ways you can tell that the H FR2 is ready to deliver a shock: you hear a voice prompt telling you to deliver a shock,...
  • Page 22 Step 3: Shock Delivery WARNING: Do not place the defibrillation pads on the patient’s chest and back EARTSTREAM (anterior-posterior). The algorithm used by the H FR2 has not been validated with anterior-posterior pads placement. WARNING: Do not let the defibrillation pads touch each other or other ECG electrodes, lead wires, dressings, transdermal patches, etc.
  • Page 23 Step 3: Shock Delivery Notes EARTSTREAM Using Your H...

  • Page 24: Maintaining, Testing, And Troubleshooting Your Heartstream Fr2

    4 Maintaining, Testing, and Troubleshooting EARTSTREAM Your H Overview EARTSTREAM This chapter provides information on H FR2 maintenance, detailed descriptions of the selftests, and a guide to troubleshooting. Maintenance Maintenance Schedule EARTSTREAM Maintenance of the H FR2 is very simple, but it is a very important EARTSTREAM factor in its dependability.
  • Page 25 FR2 and the connector socket for cracks or other signs of damage. If you see signs of damage: • Contact Agilent Technologies for technical support. ✰ Check the data card if one has been used. If the data card has been used to record incident data: •...

  • Page 26: Cleaning The Heartstream Fr2

    Maintenance After Monthly MAINTENANCE TASK/RESPONSE Daily Each Use ✰ Check the connector socket to make sure that defibrillation pads are EARTSTREAM disconnected from the H FR2 when it is not in use. ✰ Check to make sure the data card tray is installed, even if a data card is not being used.
  • Page 27 Maintenance Check off each requirement as you complete it, make a note of any problems you found or corrective action you took, and sign the form. OPERATOR'S CHECKLIST EARTSTREAM FR2 Model No.: _________________________Serial No.: ___________________________________________ EARTSTREAM FR2 Location or Vehicle ID: __________________________________________________________________ DATE SCHEDULED FREQUENCY EARTSTREAM...

  • Page 28: Testing

    However, in the event that the FR2 has been dropped or mishandled, it is recommended that the battery be removed and reinstalled to initiate a selftest. If the FR2 has visible signs of damage, contact Agilent Technologies for technical support. Battery Insertion Selftest...
  • Page 29 The Status Indicator shows a flashing or solid red X. Replace the battery with a new battery and repeat the test. If the second selftest fails, contact Agilent Technologies for technical support. SELFTEST PASSED If the automatic part of the selftest passes: REV: XXX X.X XXXX...
  • Page 30 Testing Screen prompts guide you through a series of steps in the interactive part of the EARTSTREAM selftest. Some ask you to observe that a feature of the H FR2 works properly. Others ask you to take certain actions — for example, to press a button. The screen then displays a message showing that the button’s operation has been verified.
  • Page 31 Testing TEST DESCRIPTION FEATURE Lights Screen prompt: CHECK SHOCK BUTTON LIGHT AND PADS CONNECTOR LIGHT Check that the lights come on. Option Buttons Screen prompt: PRESS THE OPTION BUTTONS Press the upper and lower Option buttons and listen for a beep to confirm each press.

  • Page 32: Periodic Selftests

    Testing If proper operation of all features has not been verified in the interactive selftest, you may want to rerun the battery insertion selftest. If a feature of operation cannot be verified, contact Agilent for technical support. Periodic Selftests In addition to the battery insertion selftest, the FR2 automatically performs periodic selftests (PSTs).

  • Page 33: Troubleshooting Guide

    Troubleshooting Guide CHARGES — the total number of full defibrillation charges that have been provided by this battery, including selftest charges; BATTERY — a GOOD BATTERY, LOW BATTERY or REPLACE BATTERY message, as appropriate, and STATUS — the current status of this battery, displayed in a binary code. Make a note of this code if technical support is needed.

  • Page 34: Status Indicator Summary

    Troubleshooting Guide Status Indicator Summary RECOMMENDED ACTION DURING EMERGENCY STATUS INDICATOR Flashing black USE THE FR2. Follow the voice and screen prompts. hourglass The FR2 passed the battery insertion selftest or the last periodic selftest and is ready for use. Flashing red X USE THE FR2.

  • Page 35: Status Indicator Details

    Troubleshooting Guide RECOMMENDED ACTION DURING EMERGENCY STATUS INDICATOR None of the above The FR2 may not be usable. 1. Remove pads, if connected, and remove and reinstall the battery. 2. Run the battery insertion selftest. If the selftest passes and the flashing black hourglass appears and/or SELFTEST PASSED is displayed, turn off the device by pressing the On/Off button.
  • Page 36 If it fails, install a new battery and repeat the test. If it fails again, contact Agilent Technologies for technical support. • Make sure defibrillation pads are not attached to the FR2.
  • Page 37 • Remove and reinstall the battery to perform the battery insertion selftest. If it fails, install a new battery and repeat the test. If it fails again, contact Agilent Technologies for technical support. EARTSTREAM 4-14 Maintaining, Testing, and Troubleshooting Your H...

  • Page 38: Battery And Training & Administration Pack

    Troubleshooting Guide Battery and Training & Administration Pack OTHER STATUS POSSIBLE CAUSE RECOMMENDED ACTION SIGNAL INDICATOR Flashing Screen and • The power remaining in the FR2 • Replace the battery with a new red X voice prompts: battery or Training and battery or the Training &...

  • Page 39: Rhythm Analysis And Defibrillation

    Troubleshooting Guide OTHER SIGNAL POSSIBLE CAUSE RECOMMENDED ACTION Voice prompts: The defibrillation pads are not • Make sure that the defibrillation pads PRESS PADS FIRMLY TO making good contact with the are sticking completely to the PATIENT'S BARE CHEST patient's bare chest. patient’s skin.
  • Page 40 Troubleshooting Guide OTHER SIGNAL POSSIBLE CAUSE RECOMMENDED ACTION Voice and screen prompts: The patient impedance is not • Make sure the defibrillation pads are NO SHOCK DELIVERED appropriate for the FR2 to deliver a correctly positioned on the patient. biphasic shock. •...
  • Page 41 Troubleshooting Guide Notes EARTSTREAM 4-18 Maintaining, Testing, and Troubleshooting Your H...

  • Page 42: Clinical And Safety Considerations

    5 Clinical and Safety Considerations Clinical Considerations Indications EARTSTREAM The H FR2 is indicated for use on victims of sudden cardiac arrest exhibiting all of the following signs: Unresponsiveness Absence of breathing Absence of detectable pulse EARTSTREAM The H FR2 is intended for use by personnel who have been trained in its operation.

  • Page 43: Safety Considerations

    Safety Considerations Safety Considerations You should be aware of the safety concerns listed here when you use the EARTSTREAM FR2. Read them carefully. You will also see some of these messages in other parts of this User’s Guide. The messages are labeled Danger, Warning, or Caution.
  • Page 44 H FR2. EARTSTREAM CAUTION The H FR2 is designed to be used only with Agilent Technologies-approved accessories. The EARTSTREAM FR2 will perform improperly if non-approved accessories are used. CAUTION Follow all instructions supplied with the H EARTSTREAM defibrillation pads.

  • Page 45: Defibrillation Warnings And Cautions

    Safety Considerations Defibrillation Warnings and Cautions POSSIBLE SHOCK HAZARD SAFETY LEVEL WARNING Defibrillation current can cause operator or bystander injury. Do not touch the patient during defibrillation. Do not allow the defibrillation pads to touch any metal surfaces. Disconnect EARTSTREAM the pads connector from the H FR2 before using any other defibrillator.

  • Page 46: Monitoring Cautions

    Safety Considerations Monitoring Cautions POSSIBLE MISINTERPRETATION OF ECG RECORDINGS SAFETY LEVEL EARTSTREAM CAUTION The LCD screen on the H FR2 model M3860A is intended only for basic ECG rhythm identification. The frequency response of the monitor screen is not intended to provide the resolution needed for diagnostic and ST segment interpretation.
  • Page 47 Safety Considerations Notes Clinical and Safety Considerations...

  • Page 48: Setup And Advanced Mode Features

    6 Setup and Advanced Mode Features Setup Overview EARTSTREAM The “setup” of the H FR2 AED is made up of several programmable aspects, or parameters, of FR2 operation. Some setup parameters govern specific features that are not related to the patient care protocol, some are used to define the automatic patient care protocol used by the FR2, and some provide options for manual override of the protocol during use.

  • Page 49: Automatic Protocol Parameters

    Setup Overview SETTINGS DEFAULT DESCRIPTION PARAMETER AUTOSEND PST ON, OFF Enables (ON) or disables (OFF) transmission of the results of the FR2’s periodic selftests (PST) from its infrared communications port. ECG OUT ON, OFF Enables (ON) or disables (OFF) ECG data transmission from the infrared communications port of the FR2.
  • Page 50 Setup Overview SETTINGS DEFAULT DESCRIPTION PARAMETER CPR TIMER 0.5, 1.0, 1.5, Sets the length of the CPR pause period* that automatically (minutes) 2.0, 2.5, 3.0 starts when: • a Shock Series is completed; or • the Pause Key (if enabled) is pressed; or •...

  • Page 51: Manual Override Parameters

    Setup Overview SETTINGS DEFAULT DESCRIPTION PARAMETER MONITOR 1.0, 1.5, 2.0, Sets the interval for patient care prompts provided during PROMPT 2.5, 3.0, FR2 monitoring of the patient’s ECG following an NSA   =(infinite) INTERVAL decision. Selection of (infinite) means that no repeat (minutes) prompting will be provided during ECG monitoring.
  • Page 52 Setup Overview SETTINGS DEFAULT DESCRIPTION PARAMETER PAUSE KEY OFF, Enables or disables user-initiated CPR pause in the MONITOR, automatic protocol. The length of the pause is defined by ALWAYS the CPR Timer setting. When an Advanced mode feature (ANALYZE or CHARGE) is enabled and accessed, the Pause key is disabled.

  • Page 53: Using Setup Features

    Using Setup Features Using Setup Features NOTE: To move around the menus displayed, use the Option buttons as follows: • Press the LOWER Option button to move the highlight bar from one item to another on the menu. • Press the UPPER Option button to select the highlighted item or to scroll through the settings for that item.

  • Page 54: Revising Setup

    Using Setup Features REVIEW SETUP REVIEW SETUP REVIEW SETUP NEXT RETURN NEXT SPEAKER VOLUME ADVANCED SHOCK SERIES RECORD VOICE PROTOCOL TIMEOUT 1.0 CPR PROMPT LONG ECG DISPLAY PAUSE KEY MONITOR RESUME KEY PROMPT INTERVALS AUTOSEND PST CPR TIMER MONITOR ECG OUT ADVANCED USE NSA ACTION MONITOR...

  • Page 55: Reading Setup

    Using Setup Features EARTSTREAM Make sure the “sending” H FR2 has the Training & Administration SETUP EARTSTREAM Pack installed and is ready to send. (See the M3864A H RETURN Training & Administration Pack Reference Guide for instructions.) RECEIVE SETUP READ SETUP Select RECEIVE SETUP from the setup menu: REVIEW SETUP EARTSTREAM...

  • Page 56: Sending And Receiving Clock Settings

    Sending and Receiving Clock Settings Sending and Receiving Clock Settings EARTSTREAM To synchronize the clock settings of your H FR2 with the clock of RUN SELFTEST UNNER another FR2 or a computer running C software, you can use the infrared REVIEW INCIDENT communication feature.
  • Page 57 Using Advanced Mode Features in the FR2, then select SETUP. Then select MODIFY SETUP from the SETUP menu. Select ADVANCED from the third menu of the MODIFY SETUP menu. ADMINISTRATION SETUP MODIFY SETUP RETURN RETURN SETUP RECEIVE SETUP ADVANCED CLOCK READ SETUP CPR PROMPT LONG...

  • Page 58: Using The Manual Analyze Feature

    Using Advanced Mode Features Using the Manual Analyze Feature The Manual Analyze feature is available in both the M3860A and the M3861A models, when enabled in setup. To enter the advanced mode during use of an FR2 that has this feature enabled, press both Option buttons simultaneously.
  • Page 59 Using Advanced Mode Features Pressing the lower Option button (ANALYZE) provides user-initiated rhythm MANUAL CHARGE> analysis as described above. Pressing the upper Option button (MANUAL) brings up a new screen. The highlighted top line is labeled MANUAL CHARGE, with an arrowhead pointing to the upper Option button.

  • Page 60: Data Management And Review

    EARTSTREAM be installed before you turn on the H FR2. EARTSTREAM CAUTION: The H FR2 is designed to be used only with Agilent Technologies-approved EARTSTREAM accessories. The H FR2 may perform improperly if non-approved accessories are used. EARTSTREAM M3860A and M3861A H...
  • Page 61 Recording Incident Data To install a data card: Make sure the data card is clean and dry. Load the data card into its plastic tray, with the tray’s “tongue” fitting over the matching yellow area on the data card. The label on the card should face up. The label has an arrow indicating which side to insert into the data card port.

  • Page 62: Reviewing Incident Data

    Reviewing Incident Data Give the data card to the appropriate person in your organization. Because it helps seal the FR2 against moisture, the data card tray should EARTSTREAM always be reinserted into the port of the H FR2. Either load a new data card into the tray and insert it, or insert the empty data card tray into the port.
  • Page 63 Reviewing Incident Data FIRST SHOCKS AT — the times at which the first three shocks were delivered. NOTE: If the data card does not contain an events file, only the summary information from FR2 internal memory will be displayed when REVIEW INCIDENT is selected.
  • Page 64 Your medical director may have other requirements for supplies. * Contained in the Fast Response Kit available from Agilent Technologies. EARTSTREAM M3860A and M3861A H FR2 Defibrillator...
  • Page 65 Accessories Notes...
  • Page 66 B Technical Specifications EARTSTREAM The specifications for the H FR2 provided in this chapter apply to both the M3860A and M3861A, unless otherwise noted. EARTSTREAM FR2 AED Specifications Physical NOMINAL SPECIFICATIONS CATEGORY Size 2.6" high x 8.6" wide x 8.6" deep (6.6 cm x 21.8 cm x 21.8 cm). Weight Approximately 4.7 lbs (2 kg) with battery installed.
  • Page 67 EARTSTREAM FR2 AED Specifications NOMINAL SPECIFICATIONS CATEGORY Meets EN 61000-4-2:1998 Severity Level 4. EMI (Radiated) Meets EN 60601-1-2 limits (1993), method EN 55011:1998 Group 1 Level B. EMI (Immunity) Meets EN 60601-1-2 limits (1993), method EN 61000-4-3:1998 Level 2. Aircraft: Method Meets RTCA/DO-160D:1997 Section 21 (Category M - Charging).
  • Page 68 EARTSTREAM FR2 AED Specifications NOMINAL SPECIFICATIONS CATEGORY “Charge Complete” Shock button flashes, audio tone sounds. Indicator EARTSTREAM Disarm (AED mode) Once charged, the H FR2 will dump the charge if: • if patient’s heart rhythm changes to non-shockable rhythm, OR •...
  • Page 69 (specificity >95%) for adult defibrillation rhythms a. From Agilent Technologies Heartstream Operation ECG rhythm databases. b. American Heart Association (AHA) AED Task Force, Subcommittee on AED Safety & Efficacy. Auto- matic External Defibrillators for Public Access Use: Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance, Incorporation of New Waveforms, and Enhancing Safety.
  • Page 70 EARTSTREAM FR2 AED Specifications Display NOMINAL SPECIFICATIONS CATEGORY Monitored ECG Lead ECG information is received from defibrillation pads in anterior-anterior (Lead II) position. (Displayed on M3860A only.) Display Range Differential: +/-2 mV full scale, nominal. (M3860A only) Screen Type High-resolution liquid crystal display (LCD) with backlight. Screen Dimensions 2.8"...
  • Page 71 Accessories Specifications NOMINAL SPECIFICATIONS CATEGORY Status Indicator Status indicator LCD displays device readiness for use. Low Battery Detection Automatic during daily periodic self-testing. Solid or flashing red X Status Indicator on front panel; screen display LOW Low Battery Indicator BATTERY or REPLACE BATTERY warning, as appropriate. Accessories Specifications M3863A Battery Pack Specifications NOMINAL SPECIFICATIONS...
  • Page 72 UNNER C Differences between the F EARTSTREAM and the H FR2 AEDs Overview UNNER If your organization is currently using the F AED and has recently EARTSTREAM purchased new H FR2 AEDs, you will find that the two devices are very similar, but the FR2 provides additional functionality.
  • Page 73 Comparison with ForeRunner UNNER EARTSTREAM THREE MODELS TWO MODELS M3860A ECG display with optional manual ECG display, programmable mode (manual charge and discharge). advanced mode options (analysis on demand, or both analysis and ECG display, no manual mode. charge/disarm on demand). No ECG display, no manual mode.
  • Page 74 D Glossary of Symbols and Controls EARTSTREAM FR2 Symbols and Controls SYMBOL DESCRIPTION EARTSTREAM EARTSTREAM On/Off button. Turns the H FR2 on or off; disarms H FR2, stops automatic self-test. When the optional Training & Administration Pack is being used in the Training function, this button is used to select and exit training scripts.
  • Page 75 Symbols and Controls EARTSTREAM FR2 Display Screen Symbols SYMBOL DESCRIPTION HR XXX Heart rate. Number of shocks delivered. EARTSTREAM XX:XX Time. How much time (minutes:seconds) has passed since the H was turned on. Temperature. Recommended storage temperature range has been exceeded since TEMPERATURE the last automatic self-test.
  • Page 76 Symbols and Controls M3863A Battery Pack Symbols SYMBOL DESCRIPTION Do not crush the battery. Do not expose the battery to high heat or open flames. Do not incinerate the battery. Do not mutilate the battery or open the battery case. EARTSTREAM Install the battery in the H FR2 before the date shown on this label.
  • Page 77 Symbols and Controls Notes...
  • Page 78 FR2. BLS ........Basic Life Support. UNNER ......A dedicated data management software system from Agilent Technologies for use EARTSTREAM with the H FR2. EARTSTREAM Continued Use ......
  • Page 79 Glossary of Terms Defibrillation ......Termination of cardiac fibrillation by applying electrical energy EARTSTREAM Defibrillation Charge .... Electrical energy stored in the capacitor of the H FR2 as it arms for shock delivery. Defibrillation Pads ....The self-adhesive electrode pads applied to the patient’s bare chest and used to detect the patient’s heart rhythm and transfer the defibrillation shock.
  • Page 80 Glossary of Terms Non-Shockable EARTSTREAM Rhythm ......... A heart rhythm that the H FR2 determines is not appropriate for shock delivery. EARTSTREAM NSA ........No Shock Advised decision, made by the H FR2 based on analysis of the patient’s heart rhythm. Pacemaker ......
  • Page 81 Glossary of Terms EARTSTREAM Setup ........The settings of all programmable operating parameters of the H FR2. The EARTSTREAM factory default setup can be modified using the H M3864A Training & Administration Pack. Shock Series ......One or more shocks, each separated by no more than a preset time (programmed EARTSTREAM Protocol Timeout).
  • Page 82 SMART Biphasic AEDs to conventional monophasic in out-of-hospital emergency resuscitation situations. Background Agilent Technologies conducted an international, multicenter, prospective, randomized clinical study to assess the effectiveness of the SMART Biphasic waveform in out-of-hospital sudden cardiac arrests (SCAs) as compared to monophasic waveforms.
  • Page 83 Clinical Summary The 150 J SMART Biphasic waveform defibrillated 98% of VF patients in the first series of three shocks or fewer compared with 69% of patients treated with monophasic waveform shocks. Outcomes are summarized as follows: SMART Biphasic Patients Monophasic Patients P Value Number (%)
  • Page 84 Index battery history CPR timer description of data 4-9 definition 6-3, E-1 accessories reviewing 4-9 programmable settings 6-3 additional, recommended A-1 battery insertion selftest available to order A-1 description 2-4 battery A-1 failure 4-13 battery charger for Training & dangers, warnings, and cautions 5-2 interactive 4-6 Administration Pack A-1 data card...
  • Page 85 Index how to review battery history 4-9 how to review device history 4-9 M3854A data card A-1 ECG analysis MART analysis how to review the presenting ECG M3855A battery charger A-1 ECG analysis system M3857A wall mount bracket A-1 description E-2 how to run the battery insertion M3860A FR2, description 1-1 selftest 2-4...
  • Page 86 Index replacing battery during use 7-2 specifications B-3 replacing data card 7-2 MART biphasic waveform pacemaker clinical data F-1 definition E-3 responder definition E-4 detection B-4 qualifications and training 1-2 energy delivered B-2 patient impedance B-2 resume key shock delivery vector B-3 definition 6-5 pause for CPR, description 3-4 shock waveform B-2...
  • Page 87 Index tiered-response features 6-9 symbols on battery D-3 Training & Administration Pack warnings, cautions, and dangers 5-2 on display screen D-2 battery charger A-1 EARTSTREAM FR2 D-1 on H waveform description E-4 MART biphasic waveform symbols and controls D-1 troubleshooting 4-10 X Status Indicator temperature user, qualifications and training 1-2...

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M3860aM3861a

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