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FR2. EARTSTREAM Display screen. Displays text prompts and incident data. The EARTSTREAM M3860A screen also displays the Data card (optional). Used to Speaker. Amplifies voice patient’s ECG. store and review information about the prompts during use of the FR2. incident, including ECG and optional Option buttons.
Contents 1 Introduction to the H EARTSTREAM What is the H FR2? ......................1-1 EARTSTREAM When Is the H FR2 Used? .....................1-2 EARTSTREAM How Does the H FR2 Work? ..................1-2 EARTSTREAM How Is the H FR2 Supplied? ..................1-3 EARTSTREAM 2 Preparing Your H FR2 for Use EARTSTREAM Overview .............................2-1...
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Reading Setup ..........................6-8 Sending and Receiving Clock Settings ....................6-9 Using Advanced Mode Features .......................6-10 Using the Manual Analyze Feature ....................6-11 Using the Manual Charge Feature (M3860A only) ..............6-12 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...
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Contents A Accessories for the H EARTSTREAM Accessories ........................A-1 EARTSTREAM Suggested Additional Items .......................A-1 B Technical Specifications FR2 AED Specifications ................... B-1 EARTSTREAM Physical ............................B-1 Environmental ..........................B-1 Defibrillator ..........................B-2 ECG Analysis System ........................B-4 ECG Analysis Performance ......................B-4 Display ............................
FR2 is available in two models, the M3860A and the EARTSTREAM M3861A. They share a set of basic features. In addition, the M3860A provides optional screen display of the patient’s electrocardiogram (ECG) and can be programmed to permit the advanced mode’s manual charge feature.
When Is the H FR2 Used? EARTSTREAM When Is the H FR2 Used? EARTSTREAM The H FR2 is used with disposable H defibrillation EARTSTREAM EARTSTREAM pads applied to a person who is experiencing the symptoms of sudden cardiac arrest (SCA): lack of consciousness, lack of breathing, and lack of detectable pulse.
FR2 is supplied with a battery pack, defibrillation pads EARTSTREAM with integrated cable and connector, and a data card tray. Other accessories are available. See Appendix A for a list of accessories and other recommended supplies. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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How Is the H FR2 Supplied? EARTSTREAM Notes Introduction to the H EARTSTREAM...
The latch will click into place only when the battery is inserted correctly. CAUTION: Follow all instructions supplied with the H M3863A battery pack. Install the EARTSTREAM battery before the expiration date shown on the battery. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Installing the Battery When the battery is installed, the H FR2 automatically turns on. EARTSTREAM The Status Indicator displays a flashing black hourglass. The Shock button light flashes once, and the indicator light for the defibrillation pads connector port comes on. The display screen brings up the main menu.
2. Use the upper Option button to scroll through the settings until you reach DD / MM / YY 14 : 28 the one you want. If you go past it, keep scrolling until it comes up again. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Running the Battery Insertion Selftest 3. Use the lower Option button to select the next part you want to change, and repeat the process, until all parts of the time and date have been set. 4. When you have made all the changes, move the highlight bar to RETURN and press the upper Option button to go back to the main menu screen.
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Status Indicator will show a flashing red X or a solid red X and the FR2 will “chirp” to alert you to the need for troubleshooting. (See Chapter 4, Troubleshooting, Testing, and Maintaining Your H FR2, for EARTSTREAM instructions.) M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
FR2, for troubleshooting tips.) EARTSTREAM Be sure to read the Warnings and Cautions on the last page of this chapter. NOTE: These directions apply to both the model M3860A and the model M3861A FR2, except where otherwise noted. EARTSTREAM M3860A and M3861A H...
Step 1: Preparation Step 1: Preparation Press the On/Off button to turn on the H FR2. Follow EARTSTREAM 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.
As soon as the FR2 detects that the defibrillation pads are connected properly, it automatically begins analyzing the patient’s heart rhythm. The FR2 model M3860A also displays the patient’s ECG on the EARTSTREAM screen.
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 model M3860A displays the ECG during this period. EARTSTREAM Using Your H...
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Disconnect the pads connector from the H FR2 before using any other EARTSTREAM defibrillator. CAUTION: Aggressive handling of the pads in storage or prior to use can damage the pads. Discard the defibrillation pads if they become damaged. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Step 3: Shock Delivery Notes Using Your H EARTSTREAM...
Defibrillation Pads — possible defibrillation pads problems and recommended actions Analysis and Defibrillation — possible problems with rhythm analysis and defibrillation and recommended actions It is important to read this information carefully, so you can act quickly in an emergency. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Troubleshooting Guide NOTE: Perform CPR (if needed) any time there is a delay before the H EARTSTREAM FR2 can be used. Status Indicator Summary STATUS INDICATOR RECOMMENDED ACTION DURING EMERGENCY USE THE FR2. Follow the voice and screen prompts. Flashing black hourglass: The FR2 passed the battery insertion selftest or the last periodic selftest and is ready for use.
Administration Pack, press any button. black chirping TRAINING function and more hourglass: • To return the FR2 to standby mode, than 30 minutes have passed remove the Pack and install a battery. without a button press. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Troubleshooting Guide STATUS OTHER POSSIBLE CAUSE RECOMMENDED ACTIONS INDICATOR SIGNAL • Battery power is low. • Remove and reinstall the battery and Flashing Audio signal: run a battery insertion selftest. A red X: chirping • The H FR2 has been EARTSTREAM screen prompt will tell you if stored outside the recommended...
INDICATOR SIGNAL The power remaining in the Replace the battery with a new Flashing Screen and FR2 battery is low. battery as soon as red X: voice prompts: EARTSTREAM EARTSTREAM possible. LOW BATTERY M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Troubleshooting Guide STATUS OTHER POSSIBLE CAUSE RECOMMENDED ACTION INDICATOR SIGNAL No power remains to continue using Replace the battery with a new battery Flashing Screen and the H FR2. If you do immediately. red X voice prompts: EARTSTREAM not replace the battery, the REPLACE FR2 turns off.
• Replace the defibrillation pads if necessary. Shock has been advised but not • When next prompted, press the Shock Voice prompt: delivered within 30 seconds. (FR2 button to deliver shock. SHOCK has been disarmed.) BUTTON NOT PRESSED M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Testing Testing The H FR2 has several ways of testing itself and alerting you if EARTSTREAM it finds a problem. In addition to the selftest performed each time a battery is installed, the H FR2 also automatically performs periodic EARTSTREAM selftests daily.
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Write down the error code and contact SN 000000001 Agilent Technologies for technical service. 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, do not use the H FR2.
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— for example, if lights do not come on or you do not hear beeps when expected — you should make a note of the problem and contact Agilent Technologies, Heartstream Operation. NOTE: Do not use the H...
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Press the On/Off button and listen for a beep to confirm press. Look at the screen to be sure the button press has been verified. The screen then displays a message that the test is complete. M3860A and M3861A H FR2 Defibrillator 4-11...
Testing When the interactive part of the battery insertion selftest is complete, the FR2 turns off and goes to standby mode to be ready for use. EARTSTREAM If proper operation of all features has not been verified in the interactive selftest, you may want to rerun the battery insertion selftest.
CAUTION: Improper maintenance may damage the H FR2 or cause it to function EARTSTREAM improperly. Maintain the H FR2 only as described in this User's Guide or as designated by EARTSTREAM your program's Medical Director. M3860A and M3861A H FR2 Defibrillator 4-13 EARTSTREAM...
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Maintenance CAUTION: Electrical shock hazard. Dangerous high voltages and currents are present. Do not open the H FR2, remove its covers, or attempt repair. There are no user-serviceable EARTSTREAM components in the H FR2. The H FR2 should be returned to an authorized EARTSTREAM EARTSTREAM service center for repair.
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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. M3860A and M3861A H FR2 Defibrillator 4-15 EARTSTREAM...
Maintenance OPERATOR'S CHECKLIST FR2 Model No.: ________________Serial No.: _________________________________ EARTSTREAM FR2 Location or Vehicle ID: ________________________________________________ EARTSTREAM DATE SCHEDULED FREQUENCY EARTSTREAM Clean, no dirt or contamination; no signs of damage Supplies Available Two sets defibrillation pads, sealed, • undamaged, within expiration date Ancillary supplies (hand towel, •...
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FR2. Avoid spilling any fluids on the H FR2 or EARTSTREAM EARTSTREAM accessories. Spilling fluids into the H FR2 may damage it or present a fire or shock EARTSTREAM hazard. Do not sterilize the H FR2 or accessories. EARTSTREAM M3860A and M3861A H FR2 Defibrillator 4-17 EARTSTREAM...
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Maintenance Notes 4-18 Troubleshooting, Testing, and Maintaining Your H EARTSTREAM...
Contraindications The H FR2 is contraindicated for use (should not be used) on EARTSTREAM patients who show any of the following signs: Consciousness Presence of breathing Presence of detectable pulse M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
FR2 in (1) general use, (2) defibrillation, (3) EARTSTREAM monitoring, and (4) maintenance activities. The dangers, warnings and cautions listed in the following tables apply to both the model M3860A and the model M3861A H FR2, unless EARTSTREAM otherwise noted.
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H EARTSTREAM FR2. CAUTION The H FR2 is designed to be used only with Agilent Technologies-approved EARTSTREAM accessories. The H FR2 will perform improperly if non-approved accessories are used. EARTSTREAM...
Medical Director. Modifications to device operation resulting from changes to the default settings should be specifically covered in user training. CAUTION Use only Agilent Technologies-approved data cards. The H FR2 will perform EARTSTREAM improperly if non-approved accessories are used.
POSSIBLE MISINTERPRETATION OF ECG RECORDINGS CAUTION The LCD screen on the H FR2 model M3860A is intended only for basic ECG rhythm EARTSTREAM identification. The frequency response of the monitor screen is not intended to provide the resolution needed for diagnostic and ST segment interpretation.
Safety Considerations Maintenance Cautions SAFETY LEVEL POSSIBLE FIRE OR SHOCK HAZARD CAUTION Electrical shock hazard. Dangerous high voltages and currents are present. Do not open the FR2, remove its covers, or attempt repair. There are no user-serviceable components EARTSTREAM in the H FR2.
5, 6, 7, 8 The speaker is used for voice prompts and the charge-done tone. YES, NO Enables or disables the audio recording during use. RECORD VOICE Voice recording requires use of a data card. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
DESCRIPTION ON, OFF Enables (ON) or disables (OFF) ECG display on the screen. ECG DISPLAY (M3860A only) FR2 rhythm analysis does not require ECG display to be on. ON, OFF Enables (ON) or disables (OFF) transmission of the results AUTOSEND PST of the FR2’s periodic selftests (PST) from its infrared...
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CPR pause is defined by the CPR Timer setting. Otherwise (e.g., the patient’s initial monitored rhythm is non-shockable), the length of the CPR pause is defined by the NSA Action time setting. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
OFF — disables advanced mode features. ANALYZE — enables user-initiated rhythm analysis and disarm, and (M3860A only) turns on ECG display. CHARGE (M3860A only) — in addition to enabling the analyze feature, enables user-initiated charging and disarming. Setup and Advanced Mode Features...
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0:43 RESUME ANALYZING > 0.5, 1.0, 1.5, Sets the interval for “Press to Analyze” prompts provided ADVANCED USE 2.0, 2.5, 3.0 during advanced mode operation. PROMPT INTERVALS (minutes) M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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.
See the tables describing the various setup parameters at the beginning of this chapter. Also, see Appendix E, Glossary of Terms, for definitions of setup items. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Using Setup Features Receiving Setup This method uses the infrared communication feature of the H EARTSTREAM FR2 to receive setup directly from one H FR2 to another (which EARTSTREAM must have the Training & Administration Pack installed in it) or from a computer running C software.
7. A new screen comes up. Until the two H FR2 devices are EARTSTREAM READY TO RECEIVE properly positioned, the screen on the receiving FR2 displays READY CHECK SENDER TO RECEIVE and prompts you to check the sending FR2. The screen on M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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 or CHARGE. For the M3861A the user can select only ANALYZE. (Detailed directions for use are supplied with the Pack.)
Using the Manual Analyze Feature 0:43 ANALYZE > This feature is available in both the M3860A and the M3861A models. To enter the advanced mode, press both Option buttons simultaneously. This brings up a screen that includes a highlighted line at the bottom, labeled ANALYZE with an arrowhead pointing to the lower Option button.
To return to non-manual, AED mode operation, turn the FR2 off then back on, by pressing the On/Off button twice. Using the Manual Charge Feature (M3860A only) The manual charge feature is available only in the M3860A, and it automatically includes display of the patient’s ECG. To enter the advanced MANUAL >...
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After shock delivery, the H FR2 returns to the initial advanced EARTSTREAM mode screen. To return to non-manual AED mode operation, turn the FR2 off then back on, by pressing the On/Off button twice. M3860A and M3861A H FR2 Defibrillator 6-13 EARTSTREAM...
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Using Advanced Mode Features Notes 6-14 Setup and Advanced Mode Features...
M3854A data cards can be used to store several hours of detailed incident data, including events and ECG. IMPORTANT: To record incident data on a data card, the data card must be installed before you turn on the H FR2. EARTSTREAM M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Recording Incident Data 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 To install a data card: 1. Make sure the data card is clean and dry.
4. Observe and record, if desired, the summary information displayed on the SUMMARY INFORMATION screen: ELAPSED TIME: 3:18 how long the incident recorded by the FR2 lasted, and SHOCKS DELIVERED: how many shocks were delivered during the incident. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
Reviewing Incident Data This information stays in the H FR2’s memory and can be EARTSTREAM displayed for review until the next time the H FR2 is used. At EARTSTREAM that time, the data from the new incident will be displayed. Reviewing Data from a Data Card If a data card is installed when the H FR2 is turned on for use...
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Data cards can be reused if desired. Using a personal computer running software, you can copy the information from a data card then UNNER erase the card and reuse it in the H FR2. EARTSTREAM M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Reviewing Incident Data Notes Data Management and Review...
B Technical Specifications The specifications for the H FR2 provided in this chapter apply EARTSTREAM to both the M3860A and M3861A, unless otherwise noted. FR2 AED Specifications EARTSTREAM Physical CATEGORY NOMINAL SPECIFICATIONS 2.6" high x 8.6" wide x 8.6" deep (6.6 cm x 21.8 cm x 21.8 cm).
Duration (ms) Duration (ms) Energy (J) 4.09 4.09 12.0 12.0 150 J nominal into a 50 ohm load. Energy Controlled by Patient Analysis System for semi-automatic operation. Can be Charge Control programmed for manual initiation using Advanced Mode of the M3860A.
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• the defibrillation pads are removed from the patient or the pads connector is disconnected from the FR2. in advanced mode CHARGE (M3860A only) • the MANUAL DISARM button is pressed, OR • a shock is not delivered within 30 s after charging , OR •...
Asystole On detection of a pacemaker (in advanced mode only), provides screen display of Pacemaker Detection PACEMAKER DETECTED alert, and M3860A includes pacemaker artifact in ECG display. In both models, pacemaker artifact is removed from the signal for rhythm analysis.
Controls and Indicators CATEGORY NOMINAL SPECIFICATIONS High-resolution, backlighted LCD screen, displays text messages, and, for model LCD Screen M3860A only, ECG. On/Off button Controls Shock button Option buttons Connector socket LED, flashes to indicate socket location. LED is covered when LED indicators defibrillation pad connector is properly inserted.
Requirements (Optional) M3854A Data Card Specifications CATEGORY NOMINAL SPECIFICATIONS 4 hours of event and ECG data, or 30 minutes with voice recording. Capacity M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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NOTE: In the following table, where the name of a feature has been changed from the name used in the F literature, the new FR2 name is UNNER shown in quotation marks. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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UNNER EARTSTREAM THREE MODELS TWO MODELS ECG display with optional manual ECG display, programmable M3860A 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.
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VC1, typically 26 minutes), and ECG data, or 30 minutes with using clock on card. voice), using FR2’s internal clock. No on-screen review of presenting On-screen review of presenting ECG Data display Data display ECG. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Allow you to move around in and select Upper and lower Option buttons an item from a display menu, provide adjustment of display screen contrast. Defibrillation protected, type BF patient Defibrillation protection connection. High voltage. Refer to operating instructions. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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FR2 Display Screen Symbols EARTSTREAM SYMBOL DESCRIPTION Heart rate. HR XX Number of shocks delivered. How much time (minutes:seconds) has XX:XX passed since the H EARTSTREAM was turned on. Recommended storage temperature TEMPERATURE range has been exceeded since the last automatic self-test.
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Do not incinerate the battery. Do not mutilate the battery or open the battery case. Install the battery in the H EARTSTREAM FR2 before the date shown on this Install Before label. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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FR2 and its use. EARTSTREAM 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. AED ......Semi-automatic external defibrillator.
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Continued Use .... A condition in which use of the H FR2 is interrupted for less EARTSTREAM than five minutes (e.g., for battery replacement). When the battery is reinserted or the unit is turned on again, the information stored about the interrupted incident is saved, any additional events recorded after the battery is reinstalled are treated as part of the same incident, and the selftest does not automatically run when the battery is reinstalled.
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No Shock Advised decision, made by the H FR2 based on EARTSTREAM analysis of the patient’s heart rhythm. Pacemaker ....External or implanted cardiac pulse generator that stimulates the heart electronically. Pads ......See Defibrillation Pads. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Pause ......A defined period during which the H FR2 does not perform EARTSTREAM rhythm analysis. Periodic Selftests ..Daily, weekly, and monthly tests automatically conducted by the FR2 when it is in the standby mode. The tests monitor many of key functions and parameters of the FR2, including battery capacity and the state of its internal circuitry.
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FR2 that lets you know the status of the device. EARTSTREAM Sudden Cardiac Arrest ......The sudden cessation of the heart’s pumping rhythm, accompanied by loss of consciousness, absence of breathing, and lack of a pulse. M3860A and M3861A H FR2 Defibrillator EARTSTREAM...
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Training & Administration Pack .. An optional accessory for the FR2 that enables training and administrative functions. Waveform ....See SMART Biphasic Waveform Write (Data)....A feature of the H FR2 that allows it to record setup information EARTSTREAM on a data card.
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Index battery history CPR timer description of data 4-13 definition 6-3, E-2 accessories reviewing 4-13 programmable settings 6-3 additional, recommended A-1 battery insertion selftest available to order A-1 description 2-4 battery A-1 failure 4-4 battery charger for Training & dangers, warnings, and cautions 5-2 interactive 4-9 Administration Pack A-1 data card...
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Index how to review device history 4-12 M3860A FR2, description 1-1 how to review the presenting ECG M3861A FR2, description 1-1 ECG analysis M3863A battery see S analysis MART how to run the battery insertion specifications B-6 ECG analysis system selftest 2-4 M3864A Training &...
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Index patient impedance B-2 definition 6-5 specification B-2 programmable settings 6-5 pause for CPR, description 3-4 solid red X reviewing incident data see Status Indicator pause key from data card 7-4 definition 6-5 speaker volume from internal memory 7-3 programmable settings 6-5 definition 6-1 rhythm analysis programmable settings 6-1...
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Index waveform see S biphasic waveform MART temperature user, qualifications and training 1-2 operating B-1 standby B-1 tiered-response features 6-10 X Status Indicator voice prompts, withheld during flashing 4-4 Training & Administration Pack rhythm analysis 3-3 flashing or solid 4-4 battery charger A-1 solid 4-5 description E-6...