Cardiac Science POWERHEART AED 9390E Operating manual

®
®
OPERATOR AND SERVICE MANUAL
POWERHEART® AED
G3 PLUS 9390A AND 9390E
70-02062-02 A

Information in this document is subject to change without notice. Names and data
used in the examples are fictitious unless otherwise noted.
Trademark Information
Cardiac Science, the Shielded Heart logo, Powerheart, FirstSave, Mastertrak,
MDLink, STAR, Intellisense, Rescue Ready,RescueCoach, Rescuelink, RHYTHMx
and Survivalink are trademarks of Cardiac Science Corporation. All other product
and company names are trademarks or registered trademarks of their respective
companies.
Copyright © 2019Cardiac Science Corporation. All Rights Reserved.
Patents
This device is covered by the following U.S. and foreign patents:
5,792,190; 5,999,493; 5,402,884; 5,579,919; 5,749,902; 5,645,571; 6,029,085; 5,984,102;
5,919,212; 5,700,281; 5,891,173; 5,968,080; 6,263,239; 5,797,969; D402,758; D405,754;
6,088,616; 5,897,576; 5,955,956; 6,083,246; 6,038,473; 5,868,794; 6,366,809; 5,474,574;
6,246,907; 6,289,243; 6,411,846; 6,480,734; 6,658,290; 5,850,920; 6,125,298;
EP0725751; EP0757912; EP00756878
Other U.S. and foreign patents pending.
Powerheart® AED G3 PLUS 9390A AND 9390E
ii
Cardiac Science Corporation
500 Burdick Parkway
Deerfield, WI 53531, USA
800.426.0337 (USA)
262.953.3500
[email protected]
www.cardiacscience.com
®
®
70-02062-02 A

Contents iii
Contents
Contents
Chapter 1: Product Information and Safety
Contact information ................................................................................... 1-2
Defibrillator tracking .................................................................................. 1-2
Product models........................................................................................... 1-3
Product references....................................................................................... 1-3
Warranty information................................................................................. 1-3
Safety terms and definitions........................................................................ 1-3
Safety alert descriptions............................................................................... 1-4
Symbol descriptions.................................................................................... 1-8
Electromagnetic emissions standards compliance ...................................... 1-11
Guidance and manufacturer’s declaration - electromagnetic emissions.. 1-11
Guidance and manufacturer’s declaration - electromagnetic immunity. 1-13
Recommended separation distances between portable and mobile RF
communications equipment and the AED.................................. 1-19
Chapter 2: Introduction
AED description ......................................................................................... 2-1
Indications for use ...................................................................................... 2-2
Powerheart AED G3 and Powerheart AED G3 Automatic..................... 2-2
9131 Defibrillation Electrodes................................................................ 2-2
RHYTHMx AED ECG analysis algorithm................................................. 2-3
Detection rate......................................................................................... 2-3
Asystole threshold................................................................................... 2-3
Noise detection....................................................................................... 2-3
Non-committed shock............................................................................ 2-4
Synchronized shock ................................................................................ 2-4
Pacemaker pulse detection...................................................................... 2-4
SVT discriminators................................................................................. 2-4
SVT rate................................................................................................. 2-4
Rescue protocol .......................................................................................... 2-5
STAR® biphasic waveform .......................................................................... 2-5
STAR biphasic energy protocols for Powerheart G3 AEDs ......................... 2-6
Operator training requirements .................................................................. 2-8
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Contents 70-02062-02 A
iv
Contents
Chapter 3: Getting Started
AED indicators ........................................................................................... 3-2
Rescue Ready status indicator ................................................................. 3-2
Audible maintenance indicator ............................................................... 3-2
Diagnostic panel ..................................................................................... 3-3
Setting the AED internal clock.................................................................... 3-5
RescueCoach™ voice prompts and text display ............................................ 3-6
Chapter 4: Data Management
Recording rescue data ................................................................................. 4-1
Reviewing rescue data ................................................................................. 4-2
Chapter 5: Troubleshooting and Maintenance
Self-tests...................................................................................................... 5-1
Indicator troubleshooting table ................................................................... 5-3
Scheduled maintenance............................................................................... 5-4
Daily maintenance.................................................................................. 5-4
Monthly maintenance............................................................................. 5-4
Annual maintenance ............................................................................... 5-5
Authorized repair service ............................................................................. 5-6
Frequently Asked Questions........................................................................ 5-7
Chapter 6: Technical Data
Parameters .................................................................................................. 6-1
STAR biphasic waveform............................................................................ 6-7

Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 Av
Limited Warranty
Limited Warranty
Cardiac Science Corporation (“Cardiac Science”) warrants to the original
purchaser that its AEDs and stated battery operating life will be free of
any defect in material and workmanship according to the terms and
conditions of this Limited Warranty (“Limited Warranty”). For purposes of
this Limited Warranty, the original purchaser is deemed to be the original
end user of the product purchased. This Limited Warranty is
NONTRANSFERABLE and UNASSIGNABLE.
For How Long?
This Limited Warranty covers the following products or parts for the
following time periods:
1. Seven (7) years from the date of the original shipment to the original
purchaser for Powerheart AED automated external defibrillators.
Warranty duration for the pads, batteries and accessories are covered
below.
2. Disposable defibrillation pads shall be warranted until the expiration
date.
3. Lithium batteries P/N (9146) have a full operational replacement
guarantee of four (4) years from the date of installation into a Powerheart
AED.
4. One (1) year from the date of original shipment to the original purchaser
for Powerheart AED accessories. The terms of the Limited Warranty in
effect as of the date of original purchase will apply to any warranty claims.
What You Must Do:
Please complete and submit the Product Registration online at http://
www.cardiacscience.com/services-support/product-registration/.
To obtain warranty service for your product:
Inside the US, call us toll free at 800.426.0337 seven days a week, 24 hours
a day. Our technical support representative will try to resolve your issue
over the phone. If necessary, and at our sole discretion, we will arrange for
service or a replacement of our product.
Outside the US, contact your local Cardiac Science representative.

Powerheart® AED G3 PLUS 9390A AND 9390E
vi
What We Will Do:
If your Cardiac Science product is returned within 30 days of the date it
was purchased, at the direction of a technical support representative, we
will repair or replace it with a new product of equal value at no charge to
you or offer a full refund of the purchase price, provided the warranty
applies. Cardiac Science retains the exclusive right to repair or replace the
product or offer a full refund of the purchase price at its sole discretion.
SUCH REMEDY SHALL BE YOUR SOLE AND EXCLUSIVE REMEDY FOR ANY
BREACH OF WARRANTY.
If your Cardiac Science product is returned, at the direction of a technical
support representative, after 30 days but within the warranty period,
Cardiac Science, at its sole discretion, will repair your product or replace it.
The repaired or replacement product will be warranted subject to the
terms and conditions of this Limited Warranty for either (a) 90 days or (b)
the remainder of the original warranty period, whichever is longer,
provided the warranty applies and the warranty period has not expired.
Obligations and Warranty Limits:
Limited Warranty Obligation: Exclusive Remedy
THE FOREGOING LIMITED WARRANTY IS IN LIEU OF AND SPECIFICALLY
EXCLUDES AND REPLACES ALL OTHER EXPRESSED OR IMPLIED
WARRANTIES INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
Some states do not allow limitations on how long an implied warranty
lasts, so this limitation may not apply to you.
NO PERSON (INCLUDING ANY AGENT, DEALER, OR REPRESENTATIVE OF
CARDIAC SCIENCE) IS AUTHORIZED TO MAKE ANY REPRESENTATION OR
WARRANTY CONCERNING CARDIAC SCIENCE PRODUCTS, EXCEPT TO
REFER PURCHASERS TO THIS LIMITED WARRANTY.
YOUR EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSSES OR
DAMAGES RESULTING FROM ANY CAUSE WHATSOEVER SHALL BE AS
SPECIFIED ABOVE. CARDIAC SCIENCE SHALL IN NO EVENT BE LIABLE FOR
ANY SPECIAL, PUNITIVE, INDIRECT, CONSEQUENTIAL OR INCIDENTAL
DAMAGES OF ANY KIND, INCLUDING, BUT NOT LIMITED TO, EXEMPLARY
DAMAGES, COMMERCIAL LOSS FROM ANY CAUSE, BUSINESS
INTERRUPTION OF ANY NATURE, LOSS OF PROFITS OR PERSONAL INJURY
OR DEATH, EVEN IF CARDIAC SCIENCE HAS BEEN ADVISED OF THE
POSSIBILITIES OF SUCH DAMAGES, HOWEVER OCCASIONED, WHETHER BY
NEGLIGENCE OR OTHERWISE.
Some states do not allow the exclusion or limitation of incidental or
consequential damages, so the above limitation or exclusion may not
apply to you.
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Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 Avii
What This Warranty Does Not Cover:
This Limited Warranty does not cover defects or damages of any sort
resulting from, but not limited to, accidents, damage while in transit to
our service location, product tampering, unauthorized product
alterations, unauthorized service, unauthorized product case opening,
failure to follow instructions, improper use, abuse, neglect, fire, flood, war
or acts of God. Cardiac Science makes no warranty claim as to the
compatibility of Cardiac Science products with any non-Cardiac Science
products, parts or accessories.
This Limited Warranty is Void if:
1. Any Cardiac Science product is serviced or repaired by any person or
entity other than Cardiac Science unless specifically authorized by Cardiac
Science.
2. Any Cardiac Science product case is opened by unauthorized personnel
or if a product is used for an unauthorized purpose.
3. Any Cardiac Science product is used in conjunction with incompatible
products, parts or accessories, including but not limited to batteries.
Products, parts and accessories are not compatible if they are not Cardiac
Science products intended for use with the Powerheart AED.
If The Warranty Period has Expired:
If your Cardiac Science product is not covered by our Limited Warranty:
Inside the US, call us toll free at 1-800-426-0337 for advice as to whether
we can repair your Powerheart AED, and for other repair information,
including charges. Charges for non-warranty repairs will be assessed and
are your responsibility. Upon completion of the repair, the terms and
conditions of this Limited Warranty shall apply to such repair or
replacement product for a period of 90 days.
Outside the US, contact your local Cardiac Science representative.
This warranty gives you specific legal rights, and you may also have other
rights, which vary from state to state.

Powerheart® AED G3 PLUS 9390A AND 9390E
viii 70-02062-02 A

Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 A1-1
1Product Information
and Safety
Contents
◆Contact information 1-2
◆Defibrillator tracking 1-2
◆Product models 1-3
◆Product references 1-3
◆Safety terms and definitions 1-3
◆Safety alert descriptions 1-4
◆Symbol descriptions 1-7
◆Electromagnetic emissions standards compliance 1-11
Before Operating the Powerheart G3 AED:
◆Become familiar with the various safety alerts in this section.
◆Safety alerts identify potential hazards using symbols and words to
explain what could potentially harm you, the patient, or the
Powerheart G3 AED.

Powerheart® AED G3 PLUS 9390A AND 9390E
1-2
Product Information and Safety
Contact information
Inside the United States:
To order additional Powerheart G3 AEDs or accessories, contact
Cardiac Science Customer Care:
◆Toll Free (USA): 1.800.426.0337 (option 2)
◆Telephone: [phone] (option 2)
◆Fax: [phone]
◆Email: [e-mail]
Cardiac Science provides 24-hour telephone technical support. You can
also contact Technical Support though fax, email, or live web chat.
There is no charge to the customer for a technical support call. Please
have the serial and model numbers available when contacting Technical
Support. (The serial and model numbers are located on the underside
of the AED.)
◆Toll Free (USA): 1.800.426.0337 (option 1)
◆Telephone: [phone] (option 1)
◆Fax: [phone]
◆Email: [email protected]
◆www.cardiacscience.com
Outside the United States:
Contact your local Cardiac Science representative to order devices or
accessories and to receive technical support for your AED products.
Defibrillator tracking
Defibrillator manufacturers and distributors are required, under the
Safe Medical Devices Act of 1990, to track the location of defibrillators
they sell. Please notify Cardiac Science Technical Support in the event
that your defibrillator is sold, donated, lost, stolen, exported, destroyed
or if it was not purchased directly from Cardiac Science or an
authorized dealer.
70-02062-02 A

Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 A1-3
Product models
Product models
This manual is for Powerheart G3 Plus model 9390E and Powerheart
G3 Plus Automatic 9390A AED models. They share a basic set of
features and differences are noted throughout the manual.
Product references
For purposes of retaining simple, clear instructions in this manual, note
the product references used. Features, specifications, operating
instructions and maintenance common to product models will be
referred to as:
“Powerheart G3 AED”, “AED”, or “device” refers to both Powerheart
G3 model 9390E and Powerheart G3 Automatic model 9390A AEDs
unless otherwise noted.
Warranty information
The Powerheart G3 AED Operator and Service Manual and any and all
information contained herein (except for the Limited Warranty chapter)
do not constitute any warranty as to the Powerheart G3, Powerheart
G3 Automatic or any related products in any manner whatsoever. The
Limited Warranty chapter in this manual serves as the sole and exclusive
warranty provided by Cardiac Science regarding Powerheart G3 AED
products.
Safety terms and definitions
The symbols shown below identify potential hazard categories. The
definition of each category is as follows:
!
DANGER
This alert identifies hazards that will cause serious personal injury or
death.
!
WARNING
This alert identifies hazards that may cause serious personal injury or
death.
!
Caution
This alert identifies hazards that may cause minor personal injury,
product damage, or property damage.

Powerheart® AED G3 PLUS 9390A AND 9390E
1-4
Product Information and Safety
Safety alert descriptions
The following is a list of Powerheart G3 AED safety alerts that appear
in this section and throughout this manual.
Read and understand these safety alerts before operating the AED.
!
Caution: Read this Operator and Service Manual carefully.
It contains information about your safety and the safety of others.
Become familiar with the controls and how to use the AED properly
before operating the product.
!
DANGER! Fire and Explosion Hazard
To avoid possible fire or explosion hazard, do not operate the AED:
•In the presence of flammable gases
•In the presence of concentrated oxygen
•In a hyperbaric chamber
!
WARNING! Shock Hazard and Possible Equipment Damage
Defibrillation shock current flowing through unwanted pathways
is potentially a serious electrical shock hazard and potential
damage to the equipment. To avoid this hazard during
defibrillation abide by all of the following:
•Do not use in standing water or rain. Move patient to dry
area
•Do not touch the patient, unless performance of CPR is
indicated
•Do not touch metal objects in contact with the patient
•Keep defibrillation pads clear of other pads or metal parts
in contact with patient
•Disconnect all non-defibrillator proof equipment from
the patient before defibrillation
!
WARNING! Battery is Not Rechargeable.
Do not attempt to recharge the battery. Any attempt to recharge the
battery may result in an explosion or fire hazard.
70-02062-02 A

Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 A1-5
Safety alert descriptions
!
WARNING! Possible Radio Frequency (RF) Susceptibility.
RF susceptibility from cellular phones, CB radios, FM 2-way radios and
other wireless devices may cause incorrect rhythm recognition and
subsequent shock advisory. When attempting a rescue using the AED,
do not operate wireless radiotelephones within 1 meter of the AED –
turn power OFF to the radiotelephone and other like equipment near
the incident.
!
WARNING! Possible Interference with Implanted Pacemaker.
Therapy should not be delayed for patients with implanted
pacemakers and a defibrillation attempt should be made if the
patient is unconscious and not breathing. The AED has pacemaker
detection and rejection, however with some pacemakers the AED
may not advise a defibrillation shock. (Cummins, R., ed., Advanced
Cardiac Life Support; AHA (1994): Ch. 4)
When placing Pads:
•Do not place the pads directly over an implanted device.
•Place the pad at least one inch from any implanted
device.
!
WARNING! Electromagnetic Compatibility.
Use of accessories or cables other than those specified, with the
exception of accessories and cables sold by Cardiac Science
Corporation as replacement parts for internal components, may result
in increased emissions or decreased immunity of the AED.
!
WARNING! Improper Equipment Placement.
Position the AED away from other equipment. If it is necessary to use
the AED adjacent to or stacked with other equipment, then observe
the AED to verify normal operations.
!
Caution: Restricted Use.
Federal law restricts this device for sale by or on the order of a
physician or practitioner licensed by law of the state in which he/she
practices.
!
Caution: Lithium Sulfur Dioxide Battery.
Pressurized contents: never recharge, short circuit, puncture, deform,
or expose to temperatures above 65°C (149°F). Remove the battery
when discharged.

Powerheart® AED G3 PLUS 9390A AND 9390E
1-6
Product Information and Safety
!
Caution: Battery Disposal.
Recycle or dispose of the lithium battery in accordance with all
federal, state and local laws. To avoid fire and explosion hazard, do not
burn or incinerate the battery.
!
Caution: Use only Cardiac Science Approved Equipment.
Using batteries, pads, cables, or optional equipment other than those
approved by Cardiac Science may cause the AED to function
improperly during a rescue.
!
Caution: Possible Improper AED Performance.
Using pads that are damaged or expired may result in improper AED
performance.
!
Caution: Serial Communication Cable.
The AED will not function during a rescue when the serial
communication cable is connected to its serial port. When the serial
communication cable is connected to the AED during a rescue, the
prompt “Remove Cable to Continue Rescue” will be heard until you
remove the serial communication cable.
!
Caution: Moving the Patient During a Rescue.
During a rescue attempt, excessive jostling or moving of the patient
may cause AEDs to improperly analyze the patient’s cardiac rhythm.
Stop all motion or vibration before attempting a rescue.
!
Caution: Systems Statement.
Equipment connected to the analog and digital interfaces must be
certified to the respective IEC standards (i.e. IEC 60950 for data
processing equipment and IEC 60601-1 for medical equipment).
Furthermore, all configurations shall comply with the system
standard IEC 60601-1-1. Anybody who connects additional
equipment to the signal input part or signal output part configures a
medical system, and is therefore, responsible that the system
complies with the requirements of the system standard IEC 60601-1-
1.
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Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 A1-7
Symbol descriptions
!
Caution: Equipment Malfunction.
Portable and RF communications equipment may affect the AED.
Always observe the recommended separation distances as defined in
the EMC declaration tables.
!
Caution: Equipment Malfunction.
The AED requires special precautions regarding EMC. Use the AED
according to the guidelines of the EMC declaration tables.
Symbol descriptions
The following symbols may appear in this manual, on the AED, or on
its optional components. Some of the symbols represent standards and
compliances associated with the AED and its use.
Symbol Description Symbol Description
Caution. Consult
accompanying
documentation.
Additional information is
provided in the AED
Operation and Service
Manual.
Dangerous Voltage: The
defibrillator output has high
voltage and can present a
shock hazard.
Please read and understand
all safety alerts in this
manual before attempting
to operate the AED.
Defibrillator Proof Type BF
Equipment: The AED, when
connected to the patient’s
chest by the pads, can
withstand the effects of an
externally applied
defibrillation shock.
The AED is protected
against the effects of
splashing water in
accordance with IEC 60529.
Do not recharge battery.
IP24

Powerheart® AED G3 PLUS 9390A AND 9390E
1-8
Product Information and Safety
Classified by CSA
International with respect to
electric shock, fire and
mechanical hazards only in
accordance with CAN/CSA
C22.2 No. 60601-1:08,
EN60601-1 and EN60601-2-
4. Certified to CAN/CSA
Standard C22.2 No. 60601-
1:08.
Symbol for ON. Open the lid
to turn on the AED.
Indicates the AED battery
status. The illuminated areas
indicate the remaining
battery capacity.
Check pads. The pads are
missing, not connected or
have compromised
functionality.
Indicates AED requires
maintenance by authorized
service personnel.
When the SHOCK indicator
is lit, press this button to
deliver a defibrillation
shock.
Serial communication port
A red indicator with a BLACK
X means the AED requires
operator attention or
maintenance, and is not
Rescue Ready.
A green indicator without a
BLACK X means the AED is
Rescue Ready.
Date of manufacture: year
and month.
Date of factory recertification
(R): year and month.
Latex free. Disposable. Single patient
use only.
Symbol Description Symbol Description
0% 100%
R
2
70-02062-02 A

Powerheart® AED G3 PLUS 9390A AND 9390E 70-02062-02 A1-9
Symbol descriptions
Tear here to open. Position of pads on the chest
of patient.
For use by or on the order of
a Physician, or persons
licensed by state law.
Separate one pad from blue
liner by peeling from the
tabbed corner.
Do not incinerate or expose
to open flame.
Upper and lower operating
temperature limits.
Use pads by this date.
Serial Number Device model number;
battery model number
Device model number;
battery model number
Lot number
Lithium sulfur dioxide Authorized representative in
the European Community
CE Mark: This equipment
conforms to essential
requirements of the Medical
Device Directive 93/42/EEC.
Manufacturer
Waste Electronic Electrical
Equipment (WEEE).
Separate collection for
waste electrical and
electronic equipment.
Waste Electronic Electrical
Equipment (WEEE)
containing lead. Separate
collection for waste electrical
and electronic equipment.
Symbol Description Symbol Description
REF
MODEL
LOT
Pb
2797

Powerheart® AED G3 PLUS 9390A AND 9390E
1-10
Product Information and Safety
Recycle cardboard
according to local law.
Dispose of properly in
accordance with all state,
province, and country
regulations.
Symbol Description Symbol Description
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Powerheart® AED G3 PLUS 9390A AND 9390E 1-11
Electromagnetic emissions standards compliance
Electromagnetic emissions standards compliance
Guidance and manufacturer’s declaration—electromagnetic emissions
The AED is intended for use in the electromagnetic environment specified below. The customer or the user of the AED should
assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment—guidance
RF emissions
CISPR 11
Group 1 The AED uses RF energy only for its internal
function. Therefore its RF emissions are very low
and are not likely to cause any interference in
nearby electronic equipment.
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Powerheart® AED G3 PLUS 9390A AND 9390E
1-12
RF emissions
CISPR 11
Class B The AED is suitable for use in all establishments,
including domestic establishments and those
directly connected to the public low-voltage
power supply network that supplies buildings
used for domestic purposes.
Harmonic emissions
IEC 61000-3-2
Not applicable
Voltage fluctuations/flicker
emissions
IEC 61000-3-3
Not applicable
Emissions test Compliance Electromagnetic environment—guidance
70-02062-02 A