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99512-000734, 99512-000735, 99512-000736, 99512-000738, 99512-000740, 99512-000742, 99512-000743, 99512-000744, 99512-000746, 99512-000747, 99512-000748, 99512-000750 Physio-Control or its affiliates own, use, or have applied for the following trademarks or service marks: LIFEPAK, LIFENET, LUCAS, QUIK-STEP, LIFELINKcentral, cprCOACH, cprINSIGHT, Shock Advisory System, SAS, and ClearVoice.
General Dangers and Warnings ....................19 Symbols ........................... 22 Chapter 3 Getting Started Unpacking and Inspecting Your LIFEPAK CR2 Defibrillator ........... 27 Where to Locate Your LIFEPAK CR2 Defibrillator ..............29 Controls, Indicators, and Labels ....................30 Chapter 4 Using the Defibrillator Warnings and Cautions ......................
Indications for Use The LIFEPAK CR2 defibrillator is indicated for use on patients 1 year of age or older in cardiopulmonary arrest. The patient must be unresponsive (unconscious), not breathing normally, and showing no signs of circulation (for example, no pulse, no coughing, or no movement).
User In this manual, the person giving aid to a patient in cardiac arrest. Used interchangeably with 'responder'. Ventricular fibrillation A life-threatening chaotic heart rhythm. Ventricular tachycardia Rapid heart rhythm originating in the ventricle. LIFEPAK CR2 Defibrillator Operating Instructions...
Chapter 1 | Introduction About the LIFEPAK CR2 Defibrillator The LIFEPAK CR2 defibrillator is designed for indoor and outdoor use in a stationary environment. Fully automatic and semi-automatic models are available. After the electrode pads are applied, the fully automatic model evaluates the heart rhythm and, if a shockable rhythm is detected, delivers a shock without any responder assistance.
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About the LIFEPAK CR2 Defibrillator Capabilities and Features The following paragraphs introduce specific features found in the defibrillator. Readiness Indicator The Readiness indicator flashes every 6 seconds to indicate the defibrillator is ready for use. If the defibrillator needs attention, the Readiness indicator does not flash and an alert tone sounds every 15 minutes.
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AED Locator If a LIFEPAK CR2 defibrillator is moved from its established location and has a cellular connection to LIFELINKcentral AED Program Manager or LIFENET System, an email notification is sent.
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(including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 in) to any part of the LIFEPAK CR2 defibrillator, including cables specified by Physio- Control. Shorter distances may result in compromised performance.
Do not recharge battery Lithium manganese dioxide battery Defibrillation protected, type BF applied part Recommended storage temperature range 15° to 25°C (59° to 77°F) Recommended transport temperature range -30° to 60°C (-22° to 140°F) Keep away from sunlight LIFEPAK CR2 Defibrillator Operating Instructions...
Chapter 3 Getting Started This chapter provides an orientation to the LIFEPAK CR2 defibrillator and describes how to prepare the defibrillator for use. The defibrillator must be set up in accordance with these instructions. Unpacking and Inspecting Your LIFEPAK CR2 Defibrillator ............27 Where to Locate Your LIFEPAK CR2 Defibrillator ..............
Physio-Control Customer Support. Keep this information in a safe place for future reference. 4. Check the serial number label in the battery compartment to confirm whether the defibrillator has wireless (Wi-Fi or cellular) capability. See About the LIFEPAK CR2 Defibrillator (on page 13) for details.
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6 seconds through a small hole located on top of the lid. A flashing Readiness indicator means the LIFEPAK CR2 defibrillator is ready for use. 9. Check the speaker. Open the lid and confirm that the voice prompts are audible. Do not respond to the voice prompts at this time.
Each time you open the lid, the defibrillator turns on and battery power is reduced. Where to Locate Your LIFEPAK CR2 Defibrillator The defibrillator should be placed in a high-visibility, frequently-traveled area. This could include a location near existing emergency equipment, such as fire extinguishers and first-aid kits.
See LIFELINKcentral AED Program Manager (on page 43) or LIFENET System (on page 59) for more information. Battery Insert the LIFEPAK CR2 lithium battery into the battery compartment compartment until it clicks into place. The serial number label is located in the battery compartment. To view the serial number, remove the battery.
For a complete list of voice instructions, see Voice Prompts. Basic Steps for Using the LIFEPAK CR2 Defibrillator Responding to a cardiac emergency using the defibrillator involves these basic steps. Tap the patient's shoulder and shout. A person in cardiac arrest will not respond.
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• The patient begins breathing regularly or moving • Emergency medical personnel arrive and tell you to stop. Do not remove the pads or disconnect them from the defibrillator unless emergency medical personnel instruct you to do so. LIFEPAK CR2 Defibrillator Operating Instructions...
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3. The QUIK-STEP electrode tray must be replaced after it is opened, even if the electrodes were not used. If you do not have a spare electrode tray, contact your Physio-Control representative or local authorized distributor to order a new electrode tray.
Training should be repeated every 2 years. Training videos for the LIFEPAK CR2 defibrillator are available on the Physio-Control website at www.physio-control.com. These short videos provide information about using and maintaining the defibrillator.
If your organization does not have a LIFENET System account, a LIFELINKcentral AED Program Manager account was set up for you when you ordered your LIFEPAK CR2 AED. Use the instructions in this chapter to manage your AED using LIFELINKcentral AED Program Manager.
This information can help emergency responders prepare for arrival. If your LIFEPAK CR2 defibrillator has a Wi-Fi or cellular connection to LIFELINKcentral AED Program Manager, Physio-Control may collect system diagnostic information from your device.
Wi-Fi and cellular ® capability. Physio-Control recommends that all LIFEPAK CR2 defibrillators with Wi-Fi capability be set up with a Wi-Fi network, even if the defibrillator also has cellular capability. Your Wi-Fi network settings must be loaded into the defibrillator so it can connect to the Wi-Fi network.
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9. If you have another AED to set up, click . Otherwise, CONFIGURE ANOTHER LIFEPAK CR2 click CLOSE 10. Initiate a wireless connection to test the Wi-Fi settings and connection, as described in Initiating Wireless Connection (on page 49). LIFEPAK CR2 Defibrillator Operating Instructions...
If you hear , this means the AED is not ready for a cardiac emergency. DEVICE NOT READY Continue with the rest of the wireless setup. When you are finished, contact Physio-Control Customer Support for assistance. • If you pressed both buttons but did not hear the...
AED to the cellular network. If possible, move the AED installation and try again. If you need assistance, contact Physio-Control Customer Support. See the customer support contact list included with the device for region-specific phone numbers.
Micro-B. An appropriate USB cable is provided with the defibrillator. Note: For LIFEPAK CR2 defibrillators with Wi-Fi capability, the USB connection is also used to load your Wi-Fi network settings into the AED. See Setting Up Wi-Fi (on page 47) for more information.
Manager account, check the AED status as described below. If the status is not , contact READY your local Physio-Control representative or local authorized distributor for assistance. 1. Log in to your LIFELINKcentral account. 2. Go to the page and verify that the status of your device says in green.
Software with USB Connection (on page 56). Updating Setup Options or Software with Wireless Connection Note: Any updates you specify will be applied to all LIFEPAK CR2 devices at your site. 1. Specify Updates 1. Log in to your LIFELINKcentral account using your logon credentials.
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6. After the updates are complete, you will hear and the Readiness indicator POWERING OFF should begin flashing. If the Readiness indicator does not flash, contact Physio-Control Customer Support for assistance. Note: If the AED used a Wi-Fi connection to download the updates and also has cellular capability, it will test the cellular connection before it turns off.
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This method can also be used on devices with wireless capability, if desired. • Any updates you specify will be applied to all LIFEPAK CR2 devices at your site. 1. Log in to your LIFELINKcentral account using your logon credentials.
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LIFELINKcentral account. 9. After LIFENET Device Agent is installed and running, you will be instructed to connect the LIFEPAK CR2 defibrillator to the computer using the USB cable that was provided with the AED, or an appropriate equivalent. 10. Once the connection is established, the AED will download any updates you have specified in your LIFELINKcentral account.
Readiness (on page 77). • If you need assistance, contact Physio-Control Customer Support or your local authorized distributor. See the customer support contact list provided with the device for region-specific phone numbers, or go to www.physio-control.com. LIFEPAK CR2 Defibrillator Operating Instructions...
If your organization does not have a LIFENET System account, a LIFELINKcentral AED Program Manager account was set up for you when you ordered your LIFEPAK CR2 AED. Use the instructions in the preceding chapter to manage your AED using LIFELINKcentral AED Program Manager.
Physio-Control may collect system diagnostic information from your device. This information will be used to optimize device quality. The LIFEPAK CR2 defibrillator can connect to LIFENET System using a Wi-Fi, cellular, or USB connection to the internet. Note: The micro-USB port is to be used by authorized users only. The micro-USB port does not provide power and should not be connected to other devices, such as mobile phones or other USB connected products.
Wi-Fi and cellular ® capability. Physio-Control recommends that all LIFEPAK CR2 defibrillators with Wi-Fi capability be set up with a Wi-Fi network, even if the defibrillator also has cellular capability. Your Wi-Fi network settings must be loaded into the defibrillator so it can connect to the Wi-Fi network.
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9. If you have another AED to set up, click . Otherwise, CONFIGURE ANOTHER LIFEPAK CR2 click CLOSE 10. Initiate a wireless connection to test the Wi-Fi settings and connection, as described in Initiating Wireless Connection (on page 65). LIFEPAK CR2 Defibrillator Operating Instructions...
If you hear , this means the AED is not ready for a cardiac emergency. DEVICE NOT READY Continue with the rest of the wireless setup. When you are finished, contact Physio-Control Customer Support for assistance. • If you pressed both buttons but did not hear the...
AED to the cellular network. If possible, move the AED installation and try again. If you need assistance, contact Physio-Control Customer Support. See the customer support contact list included with the device for region-specific phone numbers.
USB cable is provided with the defibrillator. Note: For LIFEPAK CR2 defibrillators with Wi-Fi capability, the USB connection is also used to load your Wi-Fi network settings into the AED. See Setting Up Wi-Fi (on page 63) for more information.
AED status as described below. If the status is not READY contact your local Physio-Control representative or local authorized distributor for assistance. 1. Log in to your LIFENET System account. 2. Pull down the tab.
SOFTWARE VERSION d. Select the set of setup options you want to start with: • Import from the settings in a current LIFEPAK CR2 device • Import from an existing profile in LIFENET System •...
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6. After the updates are complete, you will hear and the Readiness indicator POWERING OFF should begin flashing. If the Readiness indicator does not flash, contact Physio-Control Customer Support for assistance. Note: If the AED used a Wi-Fi connection to download the updates and also has cellular capability, it will test the cellular connection before it turns off.
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SOFTWARE VERSION d. Select the set of setup options you want to start with: • Import from the settings in a current LIFEPAK CR2 device • Import from an existing profile in LIFENET System •...
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LIFENET System account. 10. After LIFENET Device Agent is installed and running, you will be instructed to connect the LIFEPAK CR2 defibrillator to the computer using the USB cable that was provided with the AED, or an appropriate equivalent. 11. Once the connection is established, the AED will download any updates you have specified in your account.
Readiness (on page 77). • If you need assistance, contact Physio-Control Customer Support or your local authorized distributor. See the customer support contact list provided with the device for region-specific phone numbers, or go to www.physio-control.com. LIFEPAK CR2 Defibrillator Operating Instructions...
The implementation of recurring safety inspections (STK) on medical devices is in Germany and Austria governed in paragraph 6 of the medical devices operator ordinance (MPBetreibV). Physio-Control does not recommend the STK for the LIFEPAK CR2 defibrillator (§6 MPBetreibV – part 1). Verifying Readiness for Devices with Wireless Access The device performs automatic self-tests daily, weekly, monthly, and every time you turn it on.
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10 seconds. If you miss these time limits, the AED proceeds as it would during a cardiac arrest. To try again, close and reopen the lid. Possible Loss of Power During Patient Care Replace the battery immediately when the defibrillator indicates the battery is low. LIFEPAK CR2 Defibrillator Operating Instructions...
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Possible Skin Burns and Ineffective Energy Delivery Electrode pads that are dried out or damaged may cause electrical arcing and patient skin burns during defibrillation. Do not pull the red handle to open the electrodes until immediately before use. LIFEPAK CR2 Defibrillator Operating Instructions...
Follow the guidelines described in this section to help maximize battery life and performance. Use only Physio-Control batteries designed for use with the LIFEPAK CR2 defibrillator. Do not use any other batteries. If the Readiness indicator is not flashing, the battery may be low. For information about determining whether the battery is low, see Maintaining a State of Readiness (on page 77).
Clean the carrying case with a damp cloth or sponge. A scrub brush may be useful for heavily soiled spots. Mild soap or degreasing cleansers may helpful for tough stains. LIFEPAK CR2 Defibrillator Operating Instructions...
Contact authorized service personnel for repair. Service Life The expected service life of the LIFEPAK CR2 defibrillator is 8 years. Recycling Information Recycle the device and its accessories at the end of their useful life. Do not dispose of this product or its batteries in the unsorted municipal waste stream. Any batteries must be removed from the device and disposed of separately before disposing of the device.
LIFEPAK CR2 Trainer carry case 11260-000048 Warranty Information To obtain a detailed warranty statement, contact your local Physio-Control representative or go to www.physio-control.com. Note: If the tamper-proof label shown below is broken or missing, the warranty may be void. LIFEPAK CR2 Defibrillator Operating Instructions...
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CPR is being performed. The cprINSIGHT Analysis Technology can be set to be . When this feature is turned on, the voice prompts change so the user is instructed to continue CPR during analysis. LIFEPAK CR2 Defibrillator Operating Instructions...
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Long-Term Storage 15° to 25°C (59° to 77°F) Temperature Short-Term Storage -30° to 60°C (-22° to 140°F) for up to 1 week Temperature Altitude -382 to 4572 meters (-1253 to 15,000 feet) above sea level LIFEPAK CR2 Defibrillator Operating Instructions...
This prospective, double-blinded, randomized clinical trial compared the first shock efficacies of Physio-Control ADAPTIV 200 J biphasic truncated exponential (BTE) waveform, 130 J BTE and 200 J monophasic damped sine shocks (MDS) in the electrophysiology lab, delivered from modified LIFEPAK 7 defibrillators (an early defibrillator cleared under 510(k) K810154, but modified to have the same BTE waveform as the LIFEPAK CR Plus and the LIFEPAK EXPRESS).
LIFEPAK EXPRESS AEDs. Methods First responders were equipped with either a Physio-Control LIFEPAK 500 MDS or BTE (ADAPTIV biphasic waveform) AED in a random fashion. Patients in VF received BTE or MDS first shocks of 200 J. The ECG was recorded for subsequent analysis continuously. The success of the first shock as a primary endpoint was removal of VF and required a return of an organized rhythm for at least two (2) QRS complexes, with an interval of <5 seconds, within 1 minute after...
Methods The LIFEPAK CR2 defibrillator delivers the same waveform when treating adults and children, although the amplitude of the pulses reflects the lower energy settings. The Killingsworth article describes testing with shocks generated by the LIFEPAK 12 defibrillator/monitor which delivers shocks with a waveform like the shocks generated by the LIFEPAK CR2 defibrillator.
This study demonstrates that, with the biphasic waveform employed by the LIFEPAK 12 defibrillator/monitor and the LIFEPAK CR2 defibrillator, there is a large safety factor between the dose needed to defibrillate, and the dose that would cause harm.
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The device is unable to detect that electrodes are Check electrode tray connection connected. The battery is low and should be replaced as soon as Replace battery possible. The device has discharged the defibrillation energy and is Recharging recharging. LIFEPAK CR2 Defibrillator Operating Instructions...
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Call service The device has detected an issue that requires assistance from authorized service personnel. Contact your local Physio-Control representative or local authorized distributor for assistance. Wi-Fi not configured Wi-Fi settings in the device have not been configured. See Connecting with Wi-Fi (on page 50) for more information.
Appendix D | Defibrillator Setup Options Setup Options The LIFEPAK CR2 defibrillator has several operating settings (setup options). The setup options include defibrillation energy sequences, CPR protocols, and language settings. These setup options are described in this appendix. For instructions about changing setup options using LIFELINKcentral AED Program Manager, see Updating Setup Options and Software (on page 54).
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Defibrillation Energy Settings. If Flexible Energy is turned off, the energy levels escalate as specified in Defibrillation Energy Settings, regardless of the heart rhythm analysis decision between defibrillation shocks. The choices are LIFEPAK CR2 Defibrillator Operating Instructions...
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Shock Advisory System test sets. Physio-Control Test Set The Physio-Control Test Set includes ECG segments gathered from a variety of sources. The test set includes both adult and pediatric ECG segments, ECGs from the standard anterior-lateral (AL, AA) defibrillation electrode placement, ECGs from anterior-posterior (AP) defibrillation electrode placement, and ECGs from patients who have a pacemaker.
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C. Summary Shock Advisory System Performance Report The results of tests with the SAS and Physio-Control test sets in the LIFEPAK CR2 defibrillator are shown below in the context of requirements from IEC 60601-2-4 and the recommendations from the American Heart Association.
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(GOAL) Shockable (Sensitivity) Coarse VF >90% Rapid VT, pulseless >75% Nonshockable (Specificity) >95% Normal Sinus Rhythm >99% Other QRS >95% Asystole >95% Intermediate Fine VF Report Only >40% shocked Other VT Report Only >20% shocked LIFEPAK CR2 Defibrillator Operating Instructions...
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The motion may be caused by a rescuer’s interventions. To reduce the risk of inadvertently shocking a rescuer, the motion alert prompts the rescuer to move away from the patient. This will stop the motion and ECG analysis will proceed. LIFEPAK CR2 Defibrillator Operating Instructions...
Appendix E | Shock Advisory System and cprINSIGHT Analysis Technology cprINSIGHT Analysis Technology Performance The cprINSIGHT Analysis Technology in the LIFEPAK CR2 defibrillator was verified by inputting specific ECG waveform segments through the electrode connector, and recording the decision of 'shock' or 'no shock.' The 'shock' or 'no shock' decision made by the cprINSIGHT Analysis...
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C. Summary cprINSIGHT Analysis Technology Performance Report The results of tests with the cprINSIGHT Analysis Technology test sets in the LIFEPAK CR2 defibrillator are shown below in the context of requirements from IEC 60601-2-4 and the recommendations from the American Heart Association. The recommendations from the American Heart Association and the IEC 60601-2-4 reporting requirements are based on "artifact-free"...
Table 10 Guidance and Manufacturer’s Declaration - Electromagnetic Emissions The LIFEPAK CR2 defibrillator is intended for use in the electromagnetic environment specified below. The customer or the user of the LIFEPAK CR2 defibrillator should ensure that it is used in such an environment.
Table 11 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The LIFEPAK CR2 defibrillator is intended for use in the electromagnetic environment specified below. The customer or the user of the LIFEPAK CR2 defibrillator should ensure that it is used in such an environment.
Table 12 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The LIFEPAK CR2 defibrillator is intended for use in the electromagnetic environment specified below. The customer or the user of the LIFEPAK CR2 defibrillator should ensure that it is used in such an environment.
Wireless Specifications Wireless Specifications Table 13 Wireless Specifications The LIFEPAK CR2 defibrillator meets the following specifications for wireless transmission and reception, in accordance with IEC 60601-1-2. IEEE Protocol Center Modulation Bandwidth Effective Effective 802.11 Frequency Type (MHz) Radiated Radiated (MHz)
Appendix F | Electromagnetic Compatibility Guidance Cellular Specifications Table 15 Cellular Specifications The LIFEPAK CR2 defibrillator meets the following specifications for cellular transmission and reception, in accordance with IEC 60601-1-2. Wireless Frequency Modulation Bandwidth Effective Effective Protocol (MHz) Type Radiated...
A. Acquisition and Annotation Methodology • cprINSIGHT™ Analysis Technology • 14 112, 117 About Automated External Defibrillators • 11 About the LIFEPAK CR2 Defibrillator • 13 Accessories, Supplies, and Training Tools • 84 Additional Features for Connected Devices • Defibrillation Clinical Summaries • 91 Defibrillation Procedure •...
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Text Conventions • 4 Training Resources • 40 QUIK-STEP™ Defibrillation Electrodes • 14 Troubleshooting tips • 40, 58, 74 Radio Equipment Directive • 123 Unpacking and Inspecting Your LIFEPAK CR2 Readiness Indicator • 14 Defibrillator • 27 LIFEPAK CR2 Defibrillator Operating Instructions...
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Warranty Information • 84 What to Do After Emergency Medical Personnel Arrive • 39 What to Do After Using Your Defibrillator • 39 Where to Locate Your LIFEPAK CR2 Defibrillator • 29 Wi-Fi Communications • 126 Wi-Fi, Connecting with • 47 Wireless Specifications •...
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Physio-Control is now part of Stryker. For further information, please call Physio-Control at 1.800.442.1142 or visit www.physio-control.com Physio-Control, Inc. 11811 Willows Road NE P.O. Box 97006 Redmond, WA 98073-9706 USA Tel 425.867.4000 Fax 425.867.4121 www.physio-control.com Physio-Control, Inc. 11811 Willows Road NE, Redmond, WA 98052 USA Stryker European Operations B.V.
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