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It also describes all adjustable and measurable parameters by the system, defined maneuvers, alarms and briefly all capabilities of the SHOOKA AED. Observance of this manual is a prerequisite for proper operation and assures patient and operator’s safety.
ARNINGS AND SAFETY INFORMATION 1-4 D ............................ 7 EVICE ABELS AND YMBOLS 1-5 G ..........................8 UARANTEE AND RESPONSIBILITIES OVERVIEW OF SHOOKA AED ..........................9 2-1 D ..............................9 EFIBRILLATION 2-2 D ................................. 9 EVICE VIEWS ACCESSORIES ..............................12 3-1 B ................................
SHOOKA is manufactured based on CPR guideline of AHA revised in 2010. SHOOKA provides an internal automated self-test and indicates the device is ready to use or not. SHOOKA operates with disposable battery and detects low battery condition and produces related prompts for battery exchanging.
➢ Make sure there is no direct contact between user and patient during shock. ➢ Do not use SHOOKA AED in the presence of flammable gases or anesthetics. Turn off gas source or move source away from patient during defibrillation. Do not defibrillate in an oxygen-enriched atmosphere.
Device Labels and Symbols Table 1: Symbols Waste equipment is disposed of in compliance with environmental requirements Compliance with CE standard requirements Under 12.5 mm diameter protection from particles and vertically dripping water have IP22 no harmful effect when the enclosure is tilted at an angle up to 15°...
BF-type applied parts European representative Dangerous voltage Guarantee and responsibilities The manufacturer will not take any responsibility if operator: • Misuses the device • Fails to follow operating instructions • Disregards any warning or technical information • Modifies the device in any way •...
SHOOKA provides two operation modes: 1- Rescue mode: This is default operation mode of the device when it turns ON. In this mode AED provides rescue measures. SHOOKA could be configured as fully automated or semi-automated which could be decided by customer requirement.
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Back view Top View Pad Storage Area USB Port Speaker Battery Pack Table 3: Controls Title Description Status indicator Indicate the last self-test status ON/OFF key Used for turning device on or off Child key This button set AED for child mode. In semi-automatic versions, this button is used to deliver shock to patient after hearing appropriate voice alarm.
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In management mode, touch screen provides required control menu for configuration of the device. PAD connector PAD connection Battery placement Battery placement USB Connector USB connection for export data...
Table 4: Accessories Manufacturer Part Accessory Manufacturer Number Adult PAD FIAB F7958W Child PAD FIAB F7958P Battery Pack SAADAT P41021 Battery SHOOKA uses non-chargeable lithium-ion manganese Dioxide battery (LiMnO2) pack for operation. Install battery pack according to below steps:...
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Warning ➢ Lithium manganese dioxide battery packs are non-rechargeable. Do not attempt to recharge the battery pack, it may result in fire or explosion. ➢ Do not immerse battery pack in water or other liquids It may result in fire or explosion.
Pads SKOOKA AED always has a connected pad. If the pad is not compatible with patient (Adult/child) change the pad with suitable pad according to below steps: • Adult Connect adult pad as picture below: Figure 2: Adult pad placement •...
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Warning ➢ To prevent possible cross-contamination and inappropriate shock delivery, single-use accessories (such as pads) should not be reused. ➢ Pay attention to expiration date of the accessories and avoid using outdated accessories. ➢ When using Child pad, the Child mode will be selected automatically. ➢...
➢ The AED must be operated by trained rescuers. ➢ Be sure battery is installed and pad’s cable is connected. When SHOOKA is turned on in rescue mode, operators should follow below sequences: Table 5: AED mode user prompts Step...
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Step Action Result (Audio prompt will be repeated after 4 seconds) AED determines that patient has a shockable rhythm or not: If rhythm is shockable plays: After ANALYZING, AED SHOCK ADVISED decides whether a shock is needed DON’T TOUCH PATIENT If rhythm is not shockable Plays: SHOCK NOT ADVISED According to previous step:...
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Step Action Result Perform CPR (Audio prompt will be repeated each 30 seconds) CPR Remaining Time MINUTE: SECOND After 30 Pushes, Give Two Breaths (Visual prompt GIVE 2 RESCUE BREATHS ANALYZING HEART RHYTHM, DON’T TOUCH PATIENT Wait until AED determines (Audio prompt) next step AED determine next action according to...
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➢ Do not move the AED during analysis. Moving the AED during analysis may affect the ECG signal resulting in an inappropriate shock or no shock advised decision. Do not touch the patient or the AED during analysis. ➢ Before using this defibrillator, disconnect all equipment that is not defibrillator- protected from the patient.
5 AED Management Mode SHOOKA provides management mode for device configuration, self-test, data transferring and updates. Warning ➢ Approved supplier must change the AED setting. ➢ In case the cross symbol is pressed in management mode, the device will autosave the data and changes and AED will be turn off.
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Figure 5: Date/Time page Following changes can be done in this page: • Calendar: Solar or Christian calendars can be selected • Date: date can be adjusted by arrow buttons • Time: time can be adjusted by arrow buttons Language: English or Persian language can be selected AED Mode: Semi or Full mode can be selected.
• Verify case has no physical problem (broken...) • Verify additional accessories are available SELF-Test SHOOKA provides self-test in order to verify device is ready to use or not. These tests verify the following features: • Self-test include: 1- Battery charge...
Troubleshooting In the following table, issues which could be happen to SHOOKA AED and relative actions are described: Table 6: Troubleshooting Issue Action Status indicator shows X when AED is OFF: Turn on the AED and wait until automated self-test is completed.
Periodic inspection There is a periodic inspection procedure for the AED which is done every 1 years after sale by the company. All critical components are tested in this procedure and malfunctioning ones will be replaced. Warning Do not open unit, remove casing or attempt to repair. Dangerous high voltages and ➢...
Thus, there is no need for cleaning and disinfecting, • Do not sterilize the SHOOKA AED and its accessories. • Do not wipe the display with dry cloth. It might cause scratch.
8 Technical Specifications Table 8: Specifications Disposable Battery Chemistry LiMnO2 voltage Battery 5Ah, 200 defibrillator discharges at maximum energy (200J) or 5 hours of capacity continuous ECG Monitoring Shelf-life 5 years Environment Operating 0° to 50° C Temperature Storage -30° to 70° C Temperature Humidity 10 to 95% relative humidity...
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Defibrillator Electrode ECG Protected Circuitry Analyzing Time < 10s UART Communication with Mother Board Communication UART Communication with HV Board Time required for device to get ready at maximum energy from Less than 40s Power ON for all battery conditions Time required for device to get ready at maximum energy from Less than 30s...
Appendix 1_ Rectilinear Biphasic Waveform SHOOKA uses rectilinear biphasic waveform which reduces peak current of the shock. Below table shows the energy characteristics for different energy and loads. Table 8: Delivered energy for different loads Selected Energy Load Child Adult...
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Figure 7: 200J Shock Current waveform Figure 8: 150J Shock Current waveform Figure 9: 120J Shock Current waveform...
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Figure 10: 85J Shock Current waveform Figure 11: 70J Shock Current waveform Figure 12: 50J Shock Current waveform...
SA for each ECG waveform segment was compared to the databases reference annotations or treatment recommendation by similar device. The main ECG database used to verify the performance of the SHOOKA automatic external defibrillator for SA is named the PhysioNet Test Set. In addition, the ECG database named Simulator Test Set was used to provide shockable and Non-shockable ECG segments for verification purposes.
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Performance Report is provided in accordance with AHA recommendations and IEC requirements for reporting performance data for a rhythm recognition detector. A. Acquisition and Annotation Methodology This section includes recording methods, rhythm source, rhythm selection criteria, annotation methods, and annotation criteria for the databases. PhysioNet Test Set The PhysioNet Test Set includes 5891 ECG segments gathered from a variety of sources.
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Also included rhythms with pacemaker pulses. C. Shock Algorithm Performance Report The results of tests with the Simulator and PhysioNet Test Sets in the SHOOKA automatic external 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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Non-Shockable 300 total 5270 total >99% (Specificity) >96% 4123 >95% (Specificity) >97% Other QRS 1118 >95% (Specificity) >92% Asystole Intermediate Report Only Same as Zoll Fine VF Report Only AED Pro Other VT...
➢ It is suggested to use another sensitive device in distance with the AED. Guidance and manufacturer's declaration – SHOOKA emissions The SHOOKA is intended for use in the electromagnetic environment specified below. The customer or the user of the SHOOKA, should assure that it is used in such an environment.
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Guidance and manufacturer's declaration – electromagnetic immunity The SHOOKA is intended for use in the electromagnetic environment specified below. The customer or the user of the SHOOKA should assures that it is used in such an environment.