AED Superstore HeartStart FRx User manual

Philips
HeartStart FRx
Trainer Manual
Get an original copy of the Philips HeartStart FRx Trainer
Operators Guide for manufacturer information about service,
available accessories and how to use and maintain your
device.

861306
Edition 5
HeartStart FRx Trainer
INSTRUCTIONS FOR USE

PHILIPS MEDICAL SYSTEMS
INTENTIONALLY BLANK

HeartStart FRx Trainer
861306
INSTRUCTIONS FOR USE
Edition 5

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PHILIPS MEDICAL SYSTEMS
About this edition
The information in this guide applies to the
HeartStart FRx Trainer 861306. This information is
subject to change. Please contact Philips at
www.philips.com/productdocs or contact your local
Philips representative for information on revisions.
Edition history
Edition 5
Publication date: June 2010
Publication #: 012904-0005
Copyright
© 2010 Philips Electronics North America Corp.
No part of this publication may be reproduced,
transmitted, transcribed, stored in a retrieval system
or translated into any human or computer language
in any form by any means without the consent of the
copyright holder.
Unauthorized copying of this publication may not
only infringe copyright but also reduce the ability of
Philips Medical Systems to provide accurate and up-
to-date information to users and operators alike.
Device manufacturer
Philips Medical Systems, Seattle, WA, 98121-1825,
USA
Trademarks
Little Anne CPR Manikin and Resusci Anne CPR
Manikin are trademarks or registered trademarks of
Laerdal Medical.

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PHILIPS MEDICAL SYSTEMS
HEARTSTART FRX TRAINER 861306
CONTENTS
Intended use ........................................................................................... 2
Features ................................................................................................... 2
Overview ................................................................................................ 3
HeartStart Trainer Kit Contents ................................................ 5
Optional Accessories .................................................................... 6
Setup.......................................................................................................... 7
Installing ore Replacing the Batteries ........................................ 7
Connecting or Replacing the Training Pads II .......................... 7
Repacking the Training Pads II .................................................... 8
Using the Manikin Adapters ......................................................... 8
Selecting a Training Scenario .............................................................. 10
Running a Training Scenario ............................................................... 10
Standard Training Scenarios ............................................................... 11
Trainer Performance during Use ....................................................... 15
Changing the Default Trainer Configuration .................................. 16
Troubleshooting .................................................................................... 17
Environmental Considerations ........................................................... 19

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PHILIPS MEDICAL SYSTEMS
INTENDED USE
The HeartStart FRx Trainer is designed to prepare emergency
responders to use the FRx automated external defibrillator (AED). The
HeartStart FRx Trainer cannot be used to deliver defibrillation treatment.
The FRx Trainer provides a variety of simulations, or training scripts, to
help responders become familiar with the FRx defibrillator and allow
them to practice the basic skills necessary to use the defibrillator in an
emergency. The default Trainer configuration can be adjusted to meet
local protocol requirements.
The FRx Trainer is supplied with one set of HeartStart Training Pads II
[REF: 989803139271] and an External Manikin Adapter [REF: M5089A.]
FEATURES
• The HeartStart FRx Trainer provides simulated shock delivery. It has
no high-voltage capabilities, ensuring safety during training.
• The HeartStart FRx Trainer is designed for use with HeartStart
Training Pads II and training manikins when equipped with the
External Manikin Adapter M5089A provided with the Trainer. The
FRx Trainer and Training Pads II can also be used with Laerdal
training manikins when equipped with an Internal Manikin Adapter
M5088A, available separately from Philips.
• Reusable HeartStart Training Pads II are available in a kit
(REF: 989803139271). The kit contains one set of Training Pads II
in a reusable training pads case, an adult pads placement guide,
Instructions for Use of the training pads, and an illustrated guide.
Replacement training pads (REF: 989803139291) are available for
use with the Training Pads II case.
• The HeartStart FRx Trainer and Training Pads II can also be used
with an Infant/Child Pads Placement Guide and an Infant/Child Key,
available separately from Philips, for training in pediatric defibrillation.

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• The HeartStart FRx Trainer has eight training scenarios that simulate
realistic sudden cardiac arrest episodes. See “Standard Training
Scenarios” for scenario descriptions. These scenarios are compatible
with training programs developed by nationally recognized responder
programs.
• The HeartStart FRx Trainer is powered by four standard AA alkaline
batteries.
WARNING: Do not store the Trainer with your defibrillator, or where
it could be confused with a defibrillator during an emergency.
OVERVIEW
The HeartStart FRx Trainer is designed to look similar to the HeartStart
FRx Defibrillator. However, the yellow center label identifies it as a
training device. In addition, some of the FRx defibrillator’s features are
either inactive in the FRx Trainer or behave differently from their
counterparts in the Trainer. The FRx Trainer’s physical features are
described below.
back

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PHILIPS MEDICAL SYSTEMS
A TRAINING PADS CONNECTOR PORT. The Training Pads II
connector is inserted in this port.
B INFANT/CHILD KEY SLOT. The Infant/Child Key, available
separately, is inserted into this slot to simulate a defibrillation
scenario for an infant or child under 8 years old or 55 pounds.
C ON LIGHT. The FRx Trainer's green ON light is on solid when the
Trainer is on, and off otherwise. (In the FRx Defibrillator, the green
Ready light blinks when the defibrillator is in standby mode.)
D ON/OFF BUTTON. To turn on the FRx Trainer, press this green
button. To turn off the Trainer, press and hold the button down for
one (1) second.
E INFORMATION-BUTTON. In the FRx Trainer, this blue “i-button”
flashes when scenario selection is available and at the beginning of a
patient care pause when CPR Coaching is available.
F PADS ICONS. The pads icons flash as a guide to pads placement
during the training scenario. They turn off as soon as the pads are
placed.
G CAUTION LIGHT. This light flashes during rhythm analysis and is on
solid when a shock is advised, as a reminder that no one should be
touching the patient.
H SHOCK BUTTON. This orange button flashes when the FRx Trainer
advises you to deliver a shock; press the Shock button to deliver the
simulated shock.
I INFRARED (IR) COMMUNICATIONS PORT. This feature is not
active in the FRx Trainer. (In the FRx Defibrillator, this feature is used
for data transfer.)
J SPEAKER. When the device is being used, its voice instructions
come from this speaker.

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PHILIPS MEDICAL SYSTEMS
K BATTERY COMPARTMENT DOOR. This door is lifted off in order
to install or replace batteries. The Trainer is powered by four
disposable AA alkaline cells inserted in the recess on the back of the
unit. (The FRx Defibrillator is powered by a custom battery pack.)
L CONFIGURATION SWITCHES. Located inside the battery
compartment well, these switches allow you to alter certain Trainer
parameter settings. See “Configuring the FRx Trainer” for details.
(The FRx Defibrillator does not have these switches.)
The HeartStart Training Pads II are provided in a gray case with a yellow
label to distinguish them from the HeartStart SMART Pads II case, which
has a gray label. The Training Pads II wires also have a red “NOT FOR
CLINICAL USE” flag around the pad wires near the connector plug.
WARNING: Do not store your Training Pads II with your FRx
defibrillator, or where it could be confused with defibrillator pads
during an emergency. Do not put the training pads on a person.
HEARTSTART FRX TRAINER KIT CONTENTS
The FRx Trainer 861306 includes one each of the following:
• HeartStart FRx Trainer
• HeartStart Training Pads II
• HeartStart FRx Trainer carry case
• HeartStart FRx Defibrillator Quick Reference Guide
• HeartStart FRx Trainer Instructions for Use
• External Manikin Adapter
Check with your medical director or Emergency Medical Services
provider for additional training requirements, protocols, and materials.

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PHILIPS MEDICAL SYSTEMS
OPTIONAL ACCESSORIES
The following accessories are available from Philips separately:
• FRx Trainer Instructions for Use [REF: 989803139401]
• HeartStart Training Pads II (kit containing one set of Training Pads II
in training pads case, adult pads placement guide, Instructions for
Use, and illustrated guide) [REF: 989803139271]
• Replacement Training Pads II (pair of training pads on disposable liner
for use in training pads case provided with HeartStart Training Pads
II) [REF: 989803139291]
• Adult pads placement guide [REF: M5090A]
• Infant/Child pads placement guide [REF: 989803139281]
• Infant/Child Key [REF: 989803139311]
• HeartStart FRx Defibrillator Instructor's Training Toolkit (NTSC)
[REF: 989803139321]
• HeartStart FRx Defibrillator Instructor’s Training Toolkit (PAL)
[REF: 989803139331]
• HeartStart FRx Defibrillator Training DVD (NTSC)
[REF: 989803139341]
• HeartStart FRx Defibrillator Training DVD (PAL)
[REF: 989803139351]
• External Manikin Adapter, 5 pack [REF: M5089A]
• Internal Manikin Adapter [REF: M5088A]
• Replacement FRx Trainer carry case [REF: 989803139531]

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PHILIPS MEDICAL SYSTEMS
SETUP
INSTALLING OR REPLACING THE BATTERIES
The HeartStart Trainer is powered by four AA alkaline batteries (not
included). To install or replace the batteries, follow the steps below:
1. Press the latch on the battery compartment door on the back of the
FRx Trainer. Lift off the door and set it aside.
2. Remove the old batteries and recycle or dispose of in accordance
with your local regulations.
3. Insert four new AA alkaline batteries into the recess, oriented as
illustrated in the battery holder.
4. Replace the battery compartment door and press down to ensure
the latch holds it in place.
NOTE: It is recommended that you replace all four batteries at the
same time.
CONNECTING OR REPLACING THE TRAINING PADS II
To connect the Training Pads II to the FRx Trainer, simply plug the
Training Pads II connector into the connector port of the FRx Trainer. Be
sure the connector clicks into place.
When the original training pads have reached the end of their service life,
you can order Replacement Training Pads for the training pads case.
To install replacement training pads in the reusable training pads case,
remove and discard the old pads from the case. Open the Replacement
Training Pads II package and remove each training pad from the
disposable liner. Repack the replacements pads in the reusable case
according to the following directions.

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PHILIPS MEDICAL SYSTEMS
REPACKING THE TRAINING PADS II
1. Firmly press one pad into each side of the open training pads case.
2. Untwist the pads wires if necessary.
3. Coil the pads wires inside the case with the connector plug exiting
through the hole in the pads case.
USING THE MANIKIN ADAPTERS
To simulate the patient, use the Training Pads II on a CPR training
manikin equipped with a disposable External Manikin Adapter M5089A
or an Internal Manikin Adapter M5088A. Alternatively, you can use a
Laerdal Resusci Anne training manikin equipped with Laerdal Link
technology and an adapter available at most electronics stores. Contact
Philips for information.
INSTALLING THE EXTERNAL MANIKIN ADAPTER
The M5089A External Manikin Adapter is provided with the FRx Trainer.
It can be applied to any training manikin as illustrated in steps 1 and 2
below. (When the manikin is used in training, Training Pads II should be
placed as shown in step 3 below.)
NOTE: The M5089A External Manikin Adapter has a limited service
life. You can order replacement sets of five adapters.
Applying the External Manikin Adapter M5089A to an adult manikin.

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PHILIPS MEDICAL SYSTEMS
INSTALLING THE INTERNAL MANIKIN ADAPTER
The Internal Manikin Adapter M5088A, sold separately, works with
Laerdal Little Anne CPR and Laerdal Resusci Anne CPR Manikins.
To install the Internal Manikin Adapter on a Laerdal Little Anne CPR or
Laerdal Resusci Anne CPR Manikin, follow the steps below:
1. Remove the skin from the manikin.
2. Peel off the liner from the adhesive backing of the Internal Manikin
Adapter.
3. Place the Internal Manikin Adapter sections in the appropriate
locations on the underside of the manikin’s skin. See the Instructions
for Use provided with the Internal Manikin Adapter for detailed
placement illustrations.
4. Replace the manikin skin.
5. Using the Trainer in a practice trial, check that the Internal Manikin
Adapter is located appropriately to teach proper pad placement.
Installing the Internal Manikin Adapter M5088A with the Laerdal Resusci Anne.

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PHILIPS MEDICAL SYSTEMS
SELECTING A TRAINING SCENARIO
1. Make sure the pads connector is plugged in and the FRx Trainer is
turned off. (Press and hold the On/Off button if necessary to turn off
the Trainer.)
2. Press the flashing i-button once. The FRx Trainer will tell you how to
select a scenario.
3. Press the i-button again to have the FRx Trainer identify the current
training scenario. If you want to use this scenario, briefly press the
On/Off button to run the scenario immediately.
4. To select a different scenario, press the flashing blue i-button to
scroll through each of the eight scenarios in sequence. When you
reach the scenario number you want, briefly press the On/Off button
to run the scenario immediately. Or, to simply select the scenario
without running it, press and hold the On/Off button until the
Trainer turns off, or wait for 10 seconds and it will automatically turn
off.
The FRx Trainer will run the selected scenario every time until the
batteries are replaced or until a different scenario is selected. The
Trainer defaults to Scenario 1 each time the batteries are installed.
RUNNING A TRAINING SCENARIO
To run the selected training scenario, treat the FRx Trainer exactly as you
would the FRx Defibrillator.
1. Press the green On/Off button to turn on the FRx Trainer.
2. To practice defibrillation of an infant or child under 8 years or 55
pounds (25 kg), insert the Infant/Child Key in the Trainer’s Infant/
Child Key slot.
NOTE: Inserting or removing the Infant/Child Key during a scenario
will restart the scenario.
3. Follow the FRx Trainer’s voice instructions.

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PHILIPS MEDICAL SYSTEMS
4. If using a clothed manikin, remove the clothing as instructed.
5. Open the Training Pads II case and peel off one pad.
NOTE: Avoid touching the pad’s adhesive gel, because this may cause
the Trainer to begin analysis prematurely.
6. Place the pad on the manikin.
Press the pad down firmly.
Then peel and place the other
pad.
7. Continue to follow the FRx
Trainer’s instructions for
remainder of scenario.
8. When the scenario has been completed, or to stop a scenario in
process, press and hold the On/Off button until the FRx Trainer
turns off.
9. To repeat the same scenario, repack the pads as described in
“To repack the Training Pads II.” Then begin again by pressing the
green On/Off button. To select a different scenario, press the i-
button.
NOTE: If battery power is depleted, the FRx Trainer will say REPLACE
BATTERY. The FRx Trainer will continue to operate for a short time.
Replace the batteries as soon as possible to ensure correct Trainer
behavior.
STANDARD TRAINING SCENARIOS
The FRx Trainer provides eight training scenarios. When the Trainer
directs you to press the Shock button, the scenario will not advance
unless the button is pressed. When the Trainer detects a non-shockable
rhythm, it instructs you to provide CPR if needed.
In the Trainer scenarios, “conversion” means a change from a shockable
to a non-shockable rhythm.

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The legend below identifies the symbols used on the rear label of the FRx
Trainer and in the following scenario descriptions.
NOTE: The shock series can be configured to either one or three
shocks. If configured for the default one-shock series, the Trainer
provides a pause after each shock.
SYMBOL MEANING
(Simulated) shockable rhythm detected by Trainer.
(Simulated) non-shockable rhythm detected by
Tr a i n e r.
(Simulated) pads problem detected by Trainer.
SCENARIO DESCRIPTION SCENARIO DETAILS
Scenario 1
Shockable rhythm detected,
one shock needed for
conversion
• Trainer detects a shockable
rhythm, instructs user to deliver
a shock.
• Trainer detects a non-shockable
rhythm.
Scenario 2
Shockable rhythm detected,
multiple shocks needed for
conversion
• Trainer detects a shockable
rhythm, instructs user to deliver
one shock if configured for a
one-shock series, or three
shocks if configured for a three-
shock series.
• Trainer detects a shockable
rhythm, instructs user to deliver
a shock.
• Trainer detects a non-shockable
rhythm.


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Scenario 3
Troubleshooting pads, one
shock needed for conversion
• Trainer detects poor pad
contact, repeats pads placement
instructions.
• After one pad is removed and
reapplied, Trainer detects a
shockable rhythm, instructs user
to deliver a shock.
• Trainer detects a non-shockable
rhythm.
Scenario 4
Shockable rhythm detected,
conversion, return to
shockable rhythm, conversion
• Trainer detects a shockable
rhythm, instructs user to deliver
a shock.
• Trainer detects a non-shockable
rhythm.
• Trainer detects refibrillation
(return to a shockable rhythm),
instructs user to deliver a shock.
• Trainer detects a non-shockable
rhythm.
Scenario 5
Non-shockable rhythm
detected
• Trainer detects a non-shockable
rhythm throughout.
Scenario 6
Shockable rhythm detected,
two shocks needed for
conversion
• Trainer detects a shockable
rhythm, instructs user to deliver
a shock.
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock.
• Trainer detects a non-shockable
rhythm.
SCENARIO DESCRIPTION SCENARIO DETAILS

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Not all scenarios are appropriate for all user training. Training scenario
number 1 is the default scenario and is most commonly used when
teaching how to use the FRx to treat a victim of sudden cardiac arrest. If
the training scenarios are used as part of a formal training course, the
instructor may wish to:
• select only the scenarios appropriate for the training level goals,
• create case histories and patient details for the selected scenarios,
• highlight certain aspects of the defibrillator's performance,
• assure that users conform to local protocols,
Scenario 7
Shockable rhythm detected,
two shocks needed for
conversion, return to
shockable rhythm detected,
one shock needed for
conversion
• Trainer detects a shockable
rhythm, instructs user to deliver
a shock.
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock.
• Trainer detects a non-shockable
rhythm.
• Trainer detects refibrillation
(return to a shockable rhythm),
instructs user to deliver a shock.
• Trainer detects a non-shockable
rhythm.
Scenario 8
Troubleshooting pads, two
shocks needed for conversion
• Trainer detects poor pad
contact, repeats pads placement
instructions.
• After one pad is removed and
reapplied, Trainer detects a
shockable rhythm, instructs user
to deliver a shock.
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock.
• Trainer detects a non-shockable
rhythm.
SCENARIO DESCRIPTION SCENARIO DETAILS

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PHILIPS MEDICAL SYSTEMS
• check pad placement, and
• evaluate user knowledge on topics such as CPR and assessing the
patient.
TRAINER PERFORMANCE DURING USE
The Philips HeartStart FRx Trainer is designed for use in an automated
external defibrillator training class taught by a qualified instructor.
When a training scenario is running, the FRx Trainer mimics the behavior
of the FRx Defibrillator during actual emergency use. It provides voice
instructions, guides the user through one or more simulated shocks,
provides pauses for CPR, offers CPR Coaching, etc. If there is no user
interaction (no buttons are pressed) for ten minutes, the Trainer turns
off.
IMPORTANT: Certain features of the actual HeartStart FRx
Defibrillator are not reproduced by the FRx Trainer.
• The FRx Trainer cannot be used with the (clinical) SMART Pads II. If
the SMART Pads II are installed, the FRx Trainer will repeatedly ask
you to install training pads.
• The FRx Trainer does not perform the battery insertion and
periodic self-tests.
• Inserting or removing the Infant/Child Key from the Trainer during
a scenario restarts the scenario.
• The FRx Trainer always uses a standard NSA pause.