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H e a r t S t a r t F R 2 + D e f i b r i l l a t o r
M3860A, M3861A
Edition 16


Table of Contents

   Also See for Philips HeartStart FR2+

   Summary of Contents for Philips HeartStart FR2+

  • Page 1 H e a r t S t a r t F R 2 + D e f i b r i l l a t o r I N S T R U C T I O N S F O R U S E M3860A, M3861A Edition 16...
  • Page 2 The HeartStart FR2+ Defibrillator Battery. Infrared (IR) communica- Shock button. Standard long-life or Controls tions port. rechargeable battery used to A special lens, or shock delivery. The button flashes power the FR2+. “eye,” used to transfer data when the HeartStart FR2+ is directly to or from another device.
  • Page 3 HeartStart FR2+ Defibrillator QUICK REFERENCE CARD...
  • Page 4 Intentionally blank.
  • Page 5 HeartStart FR2+ M3860A/M3861A Automated External Defibrillator INSTRUCTIONS FOR USE Edition 16 IMPORTANT NOTE: It is important to understand that survival rates for sudden cardiac arrest are directly related to how soon victims receive treatment. For every minute of delay, the chance of survival declines by 7% to 10%. Treatment cannot assure survival.
  • Page 6 Unauthorized copying of this publication US6299574, US5607454, US5803927, US5735879, may not only infringe copyright but also US5749905, US5601612, US6441582, US5889388, reduce the ability of Philips Medical Systems US5773961, US6016059, US6075369, US5904707, to provide accurate and up-to-date US5868792, US5899926, US5879374, US5632280, information to users and operators alike.
  • Page 7: Table Of Contents

    CONTENTS 1 INTRODUCTION TO THE HEARTSTART FR2+ Device description ..................1-1 Indications for use ..................1-1 Principles of operation ................1-2 2 GETTING STARTED Package contents ................... 2-1 Setup overview ....................2-1 Installing the data card ................. 2-1 Installing the battery and setting the clock ..........2-2 Running the Battery Insertion Test ............
  • Page 8 Testing ......................Battery insertion selftest ..............Device history ..................Battery History ..................Troubleshooting Guide ................Status indicator summary ..............Recommended action during an emergency ........Troubleshooting during patient use ..........4-10 General troubleshooting ..............4-12 5 SAFETY CONSIDERATIONS General dangers, warnings, and cautions ..........Defibrillation warnings and cautions ............
  • Page 9 7 DATA MANAGEMENT AND REVIEW Overview ......................7-1 Recording incident data ................7-1 Recording data in internal memory ..........7-1 Recording data on a data card ............7-1 Reviewing Incident Data ................7-2 Reviewing data from internal memory ..........7-2 Reviewing data from a data card ............
  • Page 10 APPENDICES A Accessories for the HeartStart FR2+ B Technical Specifications C Glossary of symbols and controls D Glossary of terms E CPR First Configuration Additional technical data required for European conformity Index...
  • Page 11: Introduction To The Heartstart Fr2

    INTRODUCTION TO THE HEARTSTART FR2+ DEVICE DESCRIPTION The HeartStart FR2+ Defibrillator (“FR2+”) is a compact, lightweight, portable, and battery powered automated external defibrillator designed for use by a trained responder to treat ventricular fibrillation (VF), the most common cause of sudden cardiac arrest (SCA). The FR2+ has a Status Indicator that is always active, so you can tell at a glance if it has passed its last selftest.
  • Page 12: Principles Of Operation

    To use the FR2+ on children under 8 years or 55 pounds (25 kg), apply FR2 Infant/child reduced-energy defibrillator pads, if available. Otherwise, apply the standard pads. WARNING: Performance of the SMART CPR AUTO1 and AUTO2 settings has not been established in patients under 8 years or 55 lb. (25 kg). See Appendix E for more information.
  • Page 13: Getting Started

    GETTING STARTED PACKAGE CONTENTS The HeartStart FR2+ Defibrillator is supplied with a standard long-life battery, two sets of adult defibrillator pads with integrated cable and connector, and a data card tray. Other accessories, including FR2 infant/child reduced-energy defibrillator pads, an FR2+ rechargeable battery, and (for M3860A only, with ECG display enabled) a three-wire FR2+ ECG assessment module, are available.
  • Page 14: Installing The Battery And Setting The Clock

    INSTALLING THE BATTERY AND SETTING THE CLOCK The HeartStart FR2+ Defibrillator is shipped with a standard, long-life battery. The battery is enclosed in a gray plastic case with a yellow latch at one end, designed to hold the battery in place when it is correctly installed. (The optional FR2+ rechargeable battery case is blue, and it also has a yellow latch.
  • Page 15: Running The Battery Insertion Test

    Use the lower Option button to move to any other date or time field to be changed, and repeat step 6. When all selections have been made, use the lower Option button to move the highlight bar to , then press the upper Option button to return RETURN to the second menu.
  • Page 16 NOTE: Be careful not to overpack the carrying case, to avoid placing inadvertent pressure on the control buttons. Do not store the FR2+ with the defibrillator pads attached. Do not open the pads package until ready for use. With the battery installed and the FR2+ stored in appropriate environmental conditions, the FR2+ performs detailed daily, weekly, and monthly selftests to check its readiness for use.
  • Page 17: Using The Heartstart Fr2

    USING THE HEARTSTART FR2+ OVERVIEW This chapter describes how to use the HeartStart FR2+ Defibrillator in an emergency. Some general things to remember are: • Try to relax and stay calm. The HeartStart FR2+ automatically provides voice and text prompts to guide you through each step of its use. •...
  • Page 18: Step 1: Preparation

    STEP 1: PREPARATION Press the On/Off button to turn on the HeartStart FR2+ Defibrillator. Follow the instructions provided by the FR2+ voice and text prompts. • Remove clothing from the patient's upper body. If needed, wipe moisture from the patient's skin and clip or shave excessive chest hair. •...
  • Page 19: Step 2: Ecg Analysis And Cpr Interval

    STEP 2: ECG ANALYSIS AND CPR INTERVAL Follow the instructions provided by the FR2+ Defibrillator’s voice and text prompts. 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.
  • Page 20: Step 3: Shock Delivery

    STEP 3: SHOCK DELIVERY First, 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 text prompts advise you what action to take.
  • Page 21: Ecg Display For Ongoing Observation

    NOTE:It is important to perform CPR for the entire duration of the CPR interval, until you hear the voice prompt telling you to stop CPR. ECG DISPLAY FOR ONGOING OBSERVATION At the discretion of emergency care personnel, the HeartStart FR2+ M3860A with ECG display enabled can also be used with the FR2+ ECG assessment module to provide a non-diagnostic ECG display of the patient’s heart rhythm for attended patient monitoring.
  • Page 22 IMPORTANT: Do not leave the module or defibrillator pads connected to the FR2+ when it is not in use. This will cause failure of the periodic selftest, which, unless corrected, will disable the FR2+ when it is next needed in an emergency. WARNING:During defibrillation, air pockets between the skin and defibrillator pads can cause patient skin burns.
  • Page 23: Maintaining, Testing, And Troubleshooting

    Do not open the FR2+, remove its covers, or attempt repair. There are no user-serviceable components in the FR2+. The FR2+ should be returned to Philips for repair. SUGGESTED MAINTENANCE SCHEDULE The following table presents a sample maintenance schedule for the FR2+.
  • Page 24: After Using The Heartstart Fr2

     Check the outside of the FR2+ and the connector socket for cracks or other signs of damage. If you see signs of damage: Contact Philips for technical support. AFTER USING THE HEARTSTART FR2+ After each use of the FR2+, in addition to the maintenance tasks described in...
  • Page 25: Cleaning The Heartstart Fr2

    • Check the data card if one has been used. If the data card has been used to record incident data, remove and replace it with a blank data card. Deliver the recorded data card to appropriate personnel according to your local guidelines and medical protocol.
  • Page 26: Operator's Checklist

    OPERATOR’S CHECKLIST The following checklist is for your reference. You may want to photocopy it or use it as the basis for creating your own checklist. OPERATOR'S CHECKLIST HeartStart FR2+ Model No.: ________________________ Serial No.: ________________________________ HeartStart FR2+ Location or Vehicle ID: ________________________________________________________ Date Scheduled frequency HeartStart FR2+...
  • Page 27: 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 Philips for technical support.
  • Page 28 Write down the error code and serial number. • 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 Philips for technical support.
  • Page 29 If something does not work correctly — for example, if lights do not come on or you do not hear beeps when expected — make a note of the problem and contact Philips for technical support. NOTE:Do not use the FR2+ if any parts of the interactive selftest indicate a problem.
  • Page 30: Device History

    DEVICE HISTORY The FR2+ stores key information about its history in internal memory. To review the history of your FR2+, select from the main menu screen NEXT displayed when you insert the battery, then select from the DEVICE HISTORY next menu displayed. The device history information includes: •...
  • Page 31: Troubleshooting Guide

    NOTE:After completing emergency use of the FR2+, if you are unable to clear the problem as described in this Troubleshooting section, and the Status Indicator does not show the flashing black hourglass, contact Philips for technical support.
  • Page 32: Troubleshooting During Patient Use

    In the unlikely event that the device becomes unresponsive during use: cycle power (press the On/Off button once, wait one second, then press it again), or remove and reinstall the battery (use a new FR2 standard battery, if available, or a charged FR2+ rechargeable battery). If neither of these actions clears the problem, do not use the FR2+.
  • Page 33 symptom possible cause recommended action Voice and text prompts: • The defibrillator pads, cable, or Replace the defibrillator pads with REPLACE PADS connector may be damaged. new defibrillator pads. • The FR2+ has detected a possible problem with the defibrillator pads or pads cable.
  • Page 34: General Troubleshooting

    GENERAL TROUBLESHOOTING symptom possible cause recommended action Status Indicator: • The energy remaining in the • Replace battery with a new FR2 FLASHING RED X battery is low. (Nine shocks remain standard or a charged FR2+ when the flashing red X first rechargeable battery as soon as Audio signal: appears.)
  • Page 35 symptom possible cause recommended action Status Indicator: A test revealed a failure or error. The • Unplug the pads connector from FLASHING OR SOLID FR2+ performs selftests every time it the FR2+, if connected. RED X is turned on, when a battery is •...
  • Page 36 symptom possible cause recommended action Status Indicator: • The Training & Administration Pack • To continue using the Training & SOLID RED X is being used in the Administration Pack, press any function and button (except On/Off). Audio signal: ADMINISTRATION more than 10 minutes have passed CHIRPING without user interaction (button...
  • Page 37: Safety Considerations

    SAFETY CONSIDERATIONS You should be aware of the safety concerns listed here when you use the HeartStart FR2+. Read them carefully. You will also see some of these messages in other parts of this manual. The messages are labeled DANGER, WARNING, or CAUTION.
  • Page 38 Poor electrode pad-to-patient contact may result in a related defibrillator prompt or other indication. Check all electrical and patient connections. CAUTION The HeartStart FR2+ is designed to be used only with Philips-approved accessories. The HeartStart FR2+ may perform improperly if non-approved accessories are used. CAUTION Follow all instructions supplied with the HeartStart defibrillator pads.
  • Page 39: Defibrillation Warnings And Cautions

    CAUTION Use only Philips-approved data cards. The HeartStart FR2+ may record improperly if a non-approved data card is used. Install empty data card after each use to avoid loss of data.
  • Page 40: Monitoring Cautions

    HeartStart FR2+, remove its covers, or attempt repair. There are no user- serviceable components in the HeartStart FR2+. The HeartStart FR2+ should be returned to Philips for repair. CAUTION Improper maintenance may damage the HeartStart FR2+ or cause it to function improperly.
  • Page 41: Configuration, Setup, And Advanced Mode Features

    NOTE: The configuration features discussed in this manual are for FR2 software version 1.7. Certain functions of this software are new or differ from previous software versions. Contact Philips for information on how to upgrade your FR2 or FR2+ to the latest software version.
  • Page 42: Automatic Protocol Parameters

    parameter settings default description ECG Out ON, OFF Enables (ON) or disables (OFF) ECG data transmission from the infrared communications port of the FR2+. ECG data can be sent even if ECG display is disabled or (M3861A) unavailable. NOTE: If ECG out is set to ON, autosend PST is automatically set to OFF. autosend PST No longer configurable.
  • Page 43 parameter settings default description NSA action MONITOR, Sets how the FR2+ behaves during ongoing care of patients not in a 0.5, 1.0, 1.5, (No Shock shockable rhythm. 2.0, 2.5, 3.0 MONITOR Advised action) — provides continuous background analysis of the non- (minutes) shockable rhythm.
  • Page 44 parameter settings default description CPR First Enables a Medical Director to configure the FR2+ to provide the AUTO1, opportunity for an interval of uninterrupted CPR prior to AUTO2, defibrillation. USER This parameter has been developed in response to research findings that some SCA patients —...
  • Page 45: Manual Override Parameters

    MANUAL OVERRIDE PARAMETERS The parameters in the following table are used to enable different kinds of manual override. parameter settings default description advanced OFF, Enables or disables advanced mode entry for ALS or tiered-response ANALYZE, systems. CHARGE OFF — disables advanced mode features. ANALYZE —...
  • Page 46: Using Setup Features

    parameter settings default description resume key ON, OFF Enables (ON) or disables (OFF) user-initiated interruption of CPR and patient care intervals and return to analyzing, by pressing the lower Option button indicated by an arrow on the FR2+ display. If either the CPR timer or the NSA action setting is programmed to 2.5 minutes or longer, the Resume Key setting is automatically enabled (ON).
  • Page 47: Reviewing Current Setup

    NOTE:This screen will not be displayed if the FR2+ is connected to defibrillator pads (that are applied to the patient) when the battery is inserted, and you will not be able to access the menu items. In addition, the battery insertion selftest and periodic automatic selftests cannot run while the defibrillator pads are connected.
  • Page 48: Revising Setup

    REVISING SETUP There are several ways to change the setup of your HeartStart FR2+. All of them require use of products or accessories available separately from Philips Medical Systems. Use the M3864A Training & Administration Pack to enable software within ...
  • Page 49: Reading Setup

    A new screen comes up. Until the two HeartStart FR2+ devices are properly positioned, the screen displays READY TO RECEIVE and prompts you to check the sending FR2+. Setup data are automatically transferred as soon as the infrared ports are correctly aligned.
  • Page 50: Using Advanced Mode Features

    Select CLOCK from the second menu screen. The CLOCK screen then comes up. Locate the infrared communications port on each FR2+ and line them up with one another, so that the infrared “eye” in each one has an uninterrupted view of the “eye” in the other. (See the diagram on the inside front cover.) The two devices should be no more than 1 meter apart.
  • Page 51 MODIFY SETUP from the SETUP menu. Select ADVANCED from the third menu of the MODIFY SETUP menu. Using the upper Option button, scroll through the available settings for ADVANCED. The advanced mode options available are based on the FR2+ model used. For the M3860A, the user can select ANALYZE, CHARGE, or OFF.
  • Page 52: Using The Manual Analyze Feature

    responder arrives, the BLS responder “hands off” the patient’s care to the more highly trained responder. Because these second-tier responders have advanced training and developed clinical skills, they may be authorized to access the advanced mode features of the HeartStart FR2+. These include user-initiated analysis as well as manual charge and disarm control.
  • Page 53: Using The Manual Charge Feature (m3860a Only)

    If the rhythm analysis results in a Shock Advised decision, the FR2+ begins charging, prompts you to press the Shock button, and displays a MANUAL DISARM option at the top of the screen. If for any reason you want to cancel the shock, press the upper Option button to disarm the FR2+.
  • Page 54 The FR2+ beeps while it is charging. When the beeping changes to a continuous tone and the Shock button light flashes, press the Shock button to deliver a shock. However, if the ECG display shows that the patient’s rhythm has changed to a non-shockable rhythm, press the upper Option button to disarm the HeartStart FR2+.
  • Page 55: Data Management And Review

    IMPORTANT NOTE:To record incident data on a data card, the data card must be installed before you turn on the FR2+. CAUTION:The FR2+ is designed to be used only with Philips-approved accessories. The FR2+ may perform improperly if non-approved accessories are used.
  • Page 56: Reviewing Incident Data

    and remove the card. Give it to the appropriate person in your organization. Either load a new data card into the tray or insert the empty data card tray into the port. NOTE: Because it helps seal the FR2+ against moisture, the data card tray should always be reinserted into the port of the FR2+.
  • Page 57: Reviewing Data From A Data Card

    Observe and record, if desired, the summary information displayed on the screen: • how long the incident recorded by the FR2+ lasted, and • how many shocks were delivered during the incident. This information remains in the FR2+’s memory and can be displayed for review until the next time the FR2+ is used.
  • Page 58 To review the events that occurred during the incident, select REVIEW EVENTS. A new screen comes up. This and following screens, accessed by selecting NEXT EVENTS, display elapsed time information for critical activities in using the FR2+. These include: • POWER ON —...
  • Page 59 FR2. All accessories compatible with the FR2 are compatible with the FR2+. However, the FR2+ can be used with certain accessories (labeled FR2+) that are not compatible with the FR2. Accessories for the HeartStart FR2+ available separately from Philips Medical Systems include the following: Batteries ...
  • Page 60 AED Signage  AED awareness placard, red [REF: 989803170901]  AED awareness placard, green [REF: 989803170911]  AED Wall Sign, red [REF: 989803170921]  AED Wall Sign, green [REF: 989803170931]  Fast Response Kit (pouch containing a pocket mask, a disposable razor, ...
  • Page 61 SUGGESTED ADDITIONAL ITEMS It may be useful to keep some additional items with your HeartStart FR2+ for use if needed when an incident occurs. Some suggested supplies include: a pair of paramedic’s shears or scissors  a disposable razor designed for removing chest hair ...
  • Page 62 NOTES...
  • Page 63: Technical Specifications

    The specifications for the HeartStart FR2+ provided in this chapter apply to both the M3860A and M3861A, unless otherwise noted. Additional information can be found in the Technical Reference Manuals for HeartStart Defibrillators, located online at HEARTSTART FR2+ DEFIBRILLATOR SPECIFICATIONS PHYSICAL...
  • Page 64 DEFIBRILLATOR category nominal specifications waveform parameters Biphasic truncated exponential. Waveform parameters are automatically adjusted as a function of patient defibrillation impedance. In the diagram at left, D is the duration of phase 1 and E is the duration of phase 2 of the waveform, F is the interphase delay (400 μs), and Ip is the peak current.
  • Page 65 category nominal specifications energy Using adult defibrillator pads: 150 J nominal (±15%) into a 50 ohm load. Using infant/child reduced-energy defibrillator pads: 50 J nominal (±15%) into a 50 ohm load. Sample pediatric energy doses: energy dose newborn 14 J/kg 1 year 5 J/kg 2 - 3 years...
  • Page 66 category nominal specifications disarm (advanced mode) Once charged, the HeartStart FR2+ will disarm if: in advanced mode ANALYZE • the manual disarm button is pressed, • a patient’s heart rhythm changes to non-shockable rhythm, • a shock is not delivered within 30 seconds after the FR2+ is armed, •...
  • Page 67 All other non-shockable requirement) rhythms a. From Philips Medical Systems ECG rhythm databases. b. American Heart Association (AHA) AED Task Force, Subcommittee on AED Safety & Efficacy. Automatic External Defibrillators for Public Access Use: Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance, Incorporation of New Waveforms, and Enhancing Safety.
  • Page 68 DISPLAY category nominal specifications monitored ECG lead ECG information is received from adult defibrillator pads in anterior-anterior (Lead II) position or from FR2 infant/child reduced-energy defibrillator pads in anterior-posterior position. (Displayed on M3860A only.) ECG information can also be displayed in the M3860A using the FR2+ ECG assessment module.
  • Page 69 category nominal specifications audio speaker Provides voice prompts (volume is adjustable via setup screen). beeper Chirps when a selftest has failed. Provides various warning beeps during normal use. status indicator Status indicator LCD displays device readiness for use. low battery detection Automatic during daily periodic selftesting and during use.
  • Page 70 category nominal specifications maintenance and calibration There are no periodic maintenance or calibration requirements that are necessary for continued airworthiness of the 989803136291 battery. For requirements for continued battery maintenance with respect to performance within the AED, please see airworthiness Chapter 4.
  • Page 71 M3870A AND 989803158211/989803158221 DEFIBRILLATOR PADS category nominal specifications pads, cable, and connector Disposable and self-adhesive. 989803158211/989803158221 adult defibrillator pads and M3870A FR2 infant/child reduced-energy defibrillator pads have a minimum active surface area of 85 cm each and are provided in a sealed package with an integrated 122 cm (48 inch), typical, cable and connector.
  • Page 72 (OPTIONAL) M3855A CHARGER category nominal specifications application For use with M3864A Training & Administration Pack only. power requirements With appropriate power cord, any AC mains power input or inverter-type power sources. storage/transport 32° to 113° F (0° to 45° C). temperature conformance testing International: EN60335-1:1994 Class I...
  • Page 73 GLOSSARY OF SYMBOLS AND CONTROLS The following table explains the symbols used on the HeartStart FR2+ Defibrillator, its accessories, and their packaging. symbol description On/Off button. Turns the HeartStart FR2+ on or off; disarms HeartStart FR2+, stops automatic selftest. When the optional Training & Administration Pack is being used in the Training function, this button is used to select and exit training scripts.
  • Page 74 symbol description Setup. Setup has been lost from memory; factory SETUP default setup is being used. Contact Medical Director for revised setup. REV: XXX X.X Software. The version of software used in your HeartStart FR2+. XXXX Flashing black hourglass. Ready for use. Solid red X.
  • Page 75 symbol description These pads are disposable and are for single patient use only. Pouch contents: one pair of defibrillator pads. Store the pads at temperatures between 0° and 50° C (32° and 122° F). Non-sterile. This product does not contain natural rubber latex. Lot number.
  • Page 76 For use with Philips Heartstream/HeartStart and Laerdal HeartStart ForeRunner, FR, FR2, and FR2+ AEDs. Not for use with Laerdal HeartStart models 911, 1000, 2000, 3000. (989803158211/989803158221) Pad placement for infants and children younger than 8 years or lighter than 55 pounds (25 Kg).
  • Page 77 symbol description Do not expose to high heat or open flames. Do not incinerate. Do not mutilate or open. Install before the date shown on this label. Date format is MM-YYYY. Lithium manganese dioxide battery chemistry (M3863A and 989803136291) Lithium ion battery chemistry (M3848A) Nickel metal hydride battery chemistry (Training &...
  • Page 78 symbol description Charger status indicator. Electrical input. Electrical output. Use the cable and electrodes before the respective dates shown on this label. Place the ECG electrodes as shown. Kit contains Training & Administration Pack, Instructions for Use, and set of training pads. Transportation requirements (refer to associated thermometer symbol).
  • Page 79: Glossary Of Terms

    GLOSSARY OF TERMS The terms listed in this Glossary are defined in the context of the HeartStart FR2+ and its use. advanced mode A programmable treatment mode that permits an authorized user to control when the FR2+ starts rhythm analysis and (model M3860A only) when to begin defibrillator charging for shock delivery.
  • Page 80 A suite of data management software applications for use by trained personnel to review and analyze FR2+ Defibrillator use on a patient. Information is available from Philips on the internet at impedance Electrically, this is the total opposition offered by the body to the flow of the electrical shock waveform delivered by the HeartStart FR2+.
  • Page 81 infrared communications A method of sending information using a special part of the light spectrum. It is used to transmit information to and from the HeartStart FR2+ and another FR2+ or a computer running HeartStart Event Review software. manual charge A feature of the advanced mode used by an authorized ALS-certified responder that allows the user to arm the HeartStart FR2+ for shock delivery.
  • Page 82 Quick Shock A feature of the FR2+ that provides a patient care pause-to-shock time of less than 10 seconds, typical, from end of a patient care pause to shock delivery. read (data) A feature of the HeartStart FR2+ that allows it to read setup data from a M3854A data card.
  • Page 83 specificity A measure of the ability of the HeartStart FR2+ to reliably detect and identify non-shockable heart rhythms. standard battery The M3863A battery, 12 VDC, 4.2 Ah, lithium manganese dioxide, disposable, long-life primary cell. standby mode The operating mode of the HeartStart FR2+ when a battery has been installed, and the unit is turned off and ready for use when needed.
  • Page 84 NOTES...
  • Page 85 Medical Director should consider the overall impact the selected setting would have on the SCA emergency response system, and train responders accordingly. If a system-wide change is desirable, software upgrades for existing FR2/FR2+ defibrillators are available from Philips. Other factors to be considered include: •...
  • Page 86 Based on a consideration of these factors, the Medical Director can configure the FR2+ to any of four CPR First settings: NO, SMART CPR AUTO1, SMART CPR AUTO2, and USER. These are defined in greater detail below. NO SETTING The NO setting means the FR2+ will not provide an initial CPR interval prior to defibrillation of a shockable rhythm.
  • Page 87 SMART CPR AUTO2. Provides immediate defibrillation for more than 80% shockable patients who are likely to achieve ROSC (less than 20% receive CPR first). Of those shockable patients who are unlikely to achieve ROSC, more than 60% will receive CPR first. USER SETTING The USER setting provides the responder with a means to manually initiate a CPR interval, based on either a patient assessment protocol or standing orders...
  • Page 88 NOTES...
  • Page 89 ADDITIONAL TECHNICAL DATA REQUIRED FOR EUROPEAN CONFORMITY ENVIRONMENTAL CONSIDERATIONS product information defibrillator The defibrillator contains electronic components. Dispose of it at an appropriate recycling facility in accordance with local regulations. battery The battery cells contain chemicals. Recycle the battery at an appropriate recycling facility in accordance with local regulations.
  • Page 90 ELECTROMAGNETIC EMISSIONS emissions test compliance electromagnetic environment – guidance RF CISPR 11 Group The FR2+ uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely Class B to cause any interference in nearby electronic equipment. The FR2+ is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies...
  • Page 91 Generally, AEDs are sometimes susceptible to interference generated by patient and/or responder motion in environments in which a high static electric field is present (e.g., low humidity, synthetic carpets, etc.). As a safety measure, Philips AEDs incorporate a patented method to sense possible corruption of the ECG signal by such interference and to respond by directing the user to stop all motion.
  • Page 92 NOTE 1. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2. The ISM (industrial, scientific and medial) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795 MHz; 13,553 MHz to 13, 567 MHz;...
  • Page 93 INDEX asystole detection B-5 autosend PST accessories definition 6-2 additional, recommended A-2 programmable settings 6-2 adult defibrillator pads A-1 available to order A-1 charger for M3848A rechargeable battery A-1 battery charger for Training & Adminis- battery insertion selftest 2-3 tration pack A-2 description 2-2 data card A-1 replacing during use 4-5...
  • Page 94 clock defibrillator pads receiving settings 6-9 applying to adult patient 3-2 sending settings 6-9 applying to child patient 3-2 setting 2-2 checking before use 3-2 connecting to the FR2+ 3-2 continued use 4-5 damage during CPR 3-6 controls and indicators description D-2 specifications B-6 positioning correctly 3-2...
  • Page 95 infrared communications description D-3 glossary receiving setup 6-8 of terms D-1 installing the battery 2-2 of symbols and controls C-1 installing the data card 2-1 heart rhythms non-shockable B-5 LCD display shockable B-4 see display screen hourglass status indicator C-2 how to install the battery 2-2 M3848A FR2+ rechargeable how to review battery history 4-8...
  • Page 96 maintenance pediatric defibrillation after using the FR2+ 4-2 choosing defibrillator pads 3-2 cleaning 4-3 providing CPR 3-1 daily selftests 4-1 periodic selftests monthly selftests 4-1 definition D-3 operator’s checklist 4-3 frequency 4-1 recommended schedule 4-1 status indicator alerts 4-7 manual mode presenting ECG see advanced mode definition D-3...
  • Page 97 reviewing incident data speaker volume from data card 7-3 definition 6-1 from internal memory 7-2 programmable settings 6-1 rhythm analysis specifications see SMART analysis controls and indicators B-6 defibrillator B-2 defibrillator pads B-9 display screen B-6 selftests ECG analysis performance B-6 battery insertion 2-3 ECG analysis system B-4 daily 4-1...
  • Page 98 user, qualifications and training 1-2 X status indicator flashing or solid 4-9 solid 4-9 warnings, cautions, and dangers 5-1 waveform see SMART Biphasic waveform Index-6...
  • Page 99 Intentionally blank.
  • Page 100 United States Philips Medical Systems 22100 Bothell Everett Highway Bothell, WA 98021-8431, USA (800) 263-3342 Canada Philips Healthcare, a Division of Philips Electronics Ltd. 281 Hillmount Road Markham, Ontario L6C 2S3, Canada (800) 291-6743 Europe, Middle East, and Africa Philips Medizin Systeme Boeblingen GmbH...

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