HeartSine samaritan PAD User manual

SAM 350P semi-automatic defibrillator
SAM 360P fully automatic defibrillator
SAM 500P semi-automatic defibrillator with CPR Advisor™
EN-UK
HeartSine®samaritan®PAD
user manual

Serial number__________________________________________
Pad-Pak expiration date _______________________________
Date of purchase ______________________________________
Purchased from ________________________________________
Registration date ______________________________________
2 EN-UK
About
your
AED
Customer support
For questions about your AED and its use, please contact our customer support
team at heartsinesupport@stryker.com
Serial number (SN)
Pad-Pak expiration date
(YYYY/MM/DD or YYYY-MM-DD)
Write information about your automated external defibrillator
(AED) in this section.
Model
¨HeartSine SAM 350P
¨HeartSine SAM 500P
¨HeartSine SAM 360P

EN-UK
User manual 3
Intended use 4
Warnings and cautions 5
Warnings 5
Cautions 6
Symbols 7
Overview 8
Sudden cardiac arrest 8
Treatment by AED 8
Introduction 9
About the HeartSine samaritan PAD 9
Recommended training 10
SAM 350P layout 11
SAM 360P layout 12
SAM 500P layout 13
Set-up 14
Unpacking 14
Putting the HeartSine samaritan PAD
into service 15
Preparation checklist 16
Using the HeartSine samaritan PAD 17
Pad-Pak and Pediatric-Pak 25
About Pad-Pak and Pediatric-Pak 25
Electrode placement 27
Adult placement 27
Pediatric placement 28
Use of this manual
It is important that you read this manual carefully before using your HeartSine samaritan PAD. This manual is presented
in support of any training you may have received. If you have any questions, contact your Authorised Distributor or
HeartSine Technologies directly.
Table of contents
After using the
HeartSine samaritan PAD 29
Cleaning the HeartSine samaritan PAD 29
Downloading and submitting
event information 30
Disposal 30
Tracking 31
Tracking requirements 31
Maintenance 32
Weekly 32
Monthly 32
Appendices
Appendix A
Symbols A-1
Appendix B
Troubleshooting B-1
Appendix C
Technical data C-1
Appendix D
Voice prompts D-1
Appendix E
Limited warranty statement E-1

4 EN-UK
Contraindications for use
Do not use the HeartSine samaritan PAD to provide
treatment if the patient is responsive or conscious.
Intended user
Each device is intended for use by personnel who
have been trained in its operation.
Note: Each device is intended for use by lay
personnel. Training on CPR and in the use of an AED
is strongly recommended for users. However, in an
emergency situation, the HeartSine samaritan PAD
may be used by an untrained lay rescuer
Clinical benefit
The clinical benefit of the HeartSine samaritan PAD
used together with the Pad-Pak or Pediatric-Pak,
is the delivery of a therapeutic shock to a patient
in shockable sudden cardiac arrest in order to
terminate cardiac arrest rhythm and promote the
return of spontaneous blood-flow.
Intended purpose
The HeartSine samaritan PAD family of AEDs is
designed to automatically assess the patients heart
rhythm, advise and/or automatically deliver a
defibrillation shock to victims of sudden cardiac
arrest if required. The use of a HeartSine samaritan
PAD defibrillator, to deliver the therapeutic electric
shock across the heart, can stop the disruption to
the heart’s normal rhythm and restore blood-flow.
Indications for use
The HeartSine samaritan PAD 350P (SAM 350P),
HeartSine samaritan PAD 360P (SAM 360P) and
HeartSine samaritan PAD 500P (SAM 500P) each
is used together with the Pad-Pak or Pediatric-Pak.
Each is indicated for use on victims of cardiac arrest
who are exhibiting the following signs:
• Unconscious
• Not breathing
• Without circulation (without a pulse)
Intended patient population
Each device is intended for use on patients greater
than 8 years old or over 25 kg (55 lb) when used
with the adult Pad-Pak (PAD-PAK-01, PAD-PAK-03,
PAD-PAK-07). Each is intended for use on children
between 1 and 8 years of age or up to 25 kg
(55 lb) when used with the Pediatric-Pak
(PAD-PAK-02, PAD-PAK-04). The device also is
intended for use on patients on board commercial
fixed-wing aircraft when used with the adult
Pad-Pak (PAD-PAK-07) which is compliant to
TSO/ETSO-certified requirements.
Intended use

User manual 5
section head
Warnings
Patients suitable for treatment
The HeartSine samaritan PAD has been designed to
work on unconscious, nonresponsive patients. If the
patient is responsive or conscious, do not use the
HeartSine samaritan PAD to provide treatment.
The HeartSine samaritan PAD uses an
interchangeable battery and electrode pack
called Pad-Pak. The HeartSine samaritan PAD in
combination with an adult Pad-Pak is suitable for
use on patients of over 25 kg (55 lb) in weight or
equivalent to a child of approximately 8 years old
or over.
For use on smaller children (from 1 to 8 years old),
remove the adult Pad-Pak and install a Pediatric-
Pak. If a Pediatric-Pak or an alternative suitable
defibrillator is not available, you may use an adult
Pad-Pak.
If a pediatric patient is treated with an adult
Pad-Pak, ignore the CPR Advisor feedback prompts
provided. CPR Advisor is currently only intended to
provide feedback on adult patients.
Do not delay treatment
Do not delay treatment trying to find out the
patient’s exact age and weight.
Risk of electric shock
The HeartSine samaritan PAD delivers therapeutic
electrical shocks that can cause serious harm to
either users or bystanders. Take care to ensure that
no one touches the patient when a shock is to be
delivered.
Do not open or repair
The HeartSine samaritan PAD has no serviceable
parts. Do not open or repair the device under any
circumstances as there could be danger of electric
shock. If damage is suspected, immediately replace
the HeartSine samaritan PAD.
Avoid explosive or flammable gases
The HeartSine samaritan PAD is safe to use with
oxygen mask delivery systems. However, to avoid
the risk of an explosion, it is strongly advised that
you do not use the HeartSine samaritan PAD in
the vicinity of explosive gases, including flammable
anaesthetics or concentrated oxygen.
Do not touch the patient during analysis
Touching the patient during the analysis phase of
treatment can cause interference with the analysis
process. Avoid contact with the patient while the
HeartSine samaritan PAD is analysing the patient.
The device will instruct you when it is safe to touch
the patient.
Fully automatic defibrillator (SAM 360P)
The SAM 360P is a fully automatic defibrillator.
When required, it will deliver a shock to the patient
WITHOUT user intervention.
CPR Advisor (SAM 500P)
CPR Advisor is intended for use on adult patients
only. If a Pediatric-Pak is used, the CPR Advisor
function is disabled. In this case, the rescuer is
prompted to begin CPR in time with the metronome
but receives no CPR Advisor feedback.
Warnings and cautions EN-UK

6 EN-UK
Warnings and cautions
Use with pacemakers
The presence of a pacemaker should not affect the
functioning of the AED. However, to avoid damage
to the pacemaker, it is recommended that the
pads are placed at least 8 cm (3.1 in) away from a
pacemaker. A noticeable lump with a surgical scar
should indicate the location of an implanted device.1
Incorrect use of AED
Incorrect use of AED could lead to incorrect analysis
or incorrect therapy delivery resulting in failure to
resuscitate, cardiac damage or injury.
Incorrect maintenance or storage of AED
Incorrect maintenance or storage of AED could
lead to failure of the AED resulting in failure to
resuscitate.
Cautions
Correct placement of electrode pads
Proper placement of the electrode pads is critical.
You must strictly observe the instructions shown on
pages 21-28 and on the device. Wrong placement or
the presence of air, hair, fabric, surgical dressings
or medicine patches between the pads and the
skin could reduce defibrillation effectiveness or
potentially cause skin burns. Slightly red skin after
shock therapy is normal.
Do not use electrode pads if pouch is not
sealed
The Pad-Pak and Pediatric-Pak are single-use items
which must be replaced after each use or if the
pouch that seals the electrode pads has been broken
or compromised in any way. If you suspect that
the Pad-Pak or Pediatric-Pak is damaged, replace it
immediately.
Susceptibility to electromagnetic
interference
Portable RF communications equipment (including
peripherals such as antenna cables and external
antennas) should not be used closer than 30 cm
(12 in) to any part of the HeartSine samaritan PAD
including cables specified by the manufacturer.
Otherwise, degradation of the performance of this
equipment could result.
Use of competitor or third-party
products
Do not use HeartSine samaritan PAD, Pad-Pak or
Pediatric-Pak with any competitor or third-party
equivalent products. Use of electrical accessories,
transducers and cables other than those specified or
provided by HeartSine Technologies could result in
increased electromagnetic emissions or decreased
electromagnetic immunity of this equipment and
result in improper operation.
Use of the device
Use of this HeartSine samaritan PAD adjacent to or
stacked with other equipment should be avoided as
it could result in improper operation. If such use is
necessary, this HeartSine samaritan PAD and the
other equipment should be observed to verify that
they are operating normally.
Use with other medical equipment
Disconnect non-defibrillation protected electronic
devices or medical equipment from the patient
before using the HeartSine samaritan PAD.

User manual 7
text goes here
EN-UK
Warnings and cautions
Correct disposal of the device
Dispose of the device in accordance with your
national or local regulations, or contact your
Authorised Distributor for assistance. Please follow
the steps provided in After using the HeartSine
samaritan PAD on page 29.
Compliance with local regulations
Check with the relevant local government health
department for information about any requirements
associated with ownership and use of a defibrillator
in the region where it is to be used.
Symbols
The following symbols are used in this manual:
WARNING: WARNING STATEMENTS
DESCRIBE CONDITIONS OR ACTIONS THAT CAN
RESULT IN DEATH OR SERIOUS INJURY
CAUTION: Caution statements describe
conditions or actions that can result in minor injury
or damage to the AED
Note: Notes contain important additional
information about using the AED
Temperature range for operation
The HeartSine samaritan PAD, with its battery and
electrodes, is designed to operate in the temperature
range of 0°C to 50°C (32°F to 122°F). Use of the
device outside of this range may cause the device to
malfunction.
Ingress protection
The HeartSine samaritan PAD has an IP56 rating
against dust and sprays of water. However, the IP56
rating does not cover the immersion of any part of
the HeartSine samaritan PAD in water or any type of
fluid. Contact with fluids may seriously damage the
device or cause fire or a shock hazard.
Prolonging battery life
Do not turn on the device unnecessarily as this
may reduce the standby life of the device. Standby
storage outside the range of 0°C to 50°C (32°F to
122°F) may decrease the shelf-life of the Pad-Pak.
Operator training
The devices are intended for use by personnel who
have been trained in their operation.
Note: The devices are intended for use by lay
personnel. Training on CPR and in the use of an AED
is strongly recommended for users. However, in an
emergency situation, the HeartSine samaritan PAD
may be used by an untrained lay rescuer
Regular maintenance
Check the device periodically. See Maintenance on
page 32.
1. Panchal R, Bartos JA, Cabañas JG, et al. Part 3: Adult Basic and Advanced Life Support 2020 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(suppl 2):S366–S468.

8 EN-UK
Overview
chambers of the heart, called the ventricles. Although
there are many different types of VT, this arrhythmia
can be potentially life-threatening if the patient
presents with no pulse and is unresponsive. If not
treated with immediate defibrillation VT may lead to
other arrhythmias.
Treatment by AED
It is a common misconception that CPR alone and
calling emergency services is enough. CPR is a
temporary measure that maintains blood flow and
oxygen to the brain. CPR alone will not return a heart
to a normal rhythm during VF or VT. The
key to survival is defibrillation – and the sooner
the better.
Defibrillation is a common treatment for life-
threatening arrhythmias, mainly ventricular
fibrillation. Defibrillation consists of delivering an
electrical shock to the heart with a device called
a defibrillator. This restores normal heart muscle
contractions and allows normal sinus rhythm to be
restored by the body’s natural pacemaker in
the heart.
The HeartSine samaritan PAD uses the HeartSine
samaritan ECG arrhythmia analysis algorithm.
This algorithm will evaluate the patient’s ECG to
ascertain if a therapeutic shock is appropriate. If a
shock is required, the HeartSine samaritan PAD will
charge and advise the user to press the shock button
(SAM 350P/500P) or will automatically deliver a shock
(SAM 360P). If no shock is advised, the device will
pause to allow the user to deliver CPR.
It is important to note that cardiac defibrillators, like
the HeartSine samaritan PAD, will not administer a
shock unless a lifesaving shock is required.
Sudden cardiac arrest
Sudden cardiac arrest (SCA) is a condition in which
the heart suddenly stops pumping blood effectively
due to a malfunction of the heart’s electrical system.
Often victims of SCA have no prior warning signs
or symptoms. SCA also can occur in people with
previously diagnosed heart conditions. Survival
from SCA depends on immediate and effective
cardiopulmonary resuscitation (CPR).
The use of an external defibrillator within the first
few minutes of a collapse can greatly improve a
patient’s chance of survival. Heart attack and SCA
are not the same, though sometimes a heart attack
can lead to an SCA. If you are experiencing symptoms
of a heart attack (chest pain, pressure, shortness of
breath, tight feeling in the chest or elsewhere in the
body), immediately seek medical attention.
Sinus rhythm and ventricular fibrillation
The normal heart rhythm, known as sinus rhythm,
creates electrical activity resulting in coordinated
contraction of the heart muscle. This generates
normal blood flow around the body.
Ventricular fibrillation (V-fib or VF) is a condition
in which there is uncoordinated contraction of
the heart muscle, making it quiver rather than
contract properly. Ventricular fibrillation is the most
commonly identified arrhythmia in SCA patients.
In victims of SCA it is possible to re-establish normal
sinus rhythm by means of an electric shock across the
heart. This treatment is called defibrillation.
Ventricular tachycardia
Ventricular tachycardia (VT) is a type of tachycardia
(rapid heartbeat) that arises from improper electrical
activity of the heart. VT starts in the bottom

User manual 9
EN-UK
The SAM 350P is a semi-automatic defibrillator, the
SAM 360P is a fully automatic defibrillator and the
SAM 500P is a semi-automatic defibrillator with
integrated CPR Advisor.
WARNING: SAM 360P IS A FULLY
AUTOMATIC DEFIBRILLATOR. WHEN REQUIRED,
IT WILL DELIVER A SHOCK TO THE PATIENT
WITHOUT USER INTERVENTION
CPR metronome
When the HeartSine samaritan PAD instructs you to
perform CPR, you will hear an audible beep and see
the safe to touch indicator flash at a rate compliant
to the latest ERC/AHA guidelines. This feature,
referred to as the CPR metronome, will guide you
to the rate at which to compress a patient’s chest
during CPR.
This manual provides instructions for the following
models of the HeartSine samaritan PAD:
HeartSine samaritan PAD 350P (SAM 350P)
HeartSine samaritan PAD 360P (SAM 360P)
HeartSine samaritan PAD 500P (SAM 500P)
About the HeartSine samaritan PAD
The HeartSine samaritan PAD family of AEDs is
designed to quickly deliver a defibrillation shock
to victims of sudden cardiac arrest (SCA). Each
HeartSine samaritan PAD is designed to operate
in accordance with the current joint European
Resuscitation Council (ERC) and American Heart
Association (AHA) guidelines on Cardiopulmonary
Resuscitation (CPR) and Emergency Cardiovascular
Care (ECC).
While all of the HeartSine samaritan PAD models
are very similar in use, there are distinct differences
between the models as shown in Table 1 below.
Introduction
Table 1. HeartSine samaritan PAD AEDs
Feature SAM 350P SAM 360P SAM 500P
Shock delivery Semi-automatic Fully automatic Semi-automatic
Four-year electrode and battery life 444
Audible and visual indicators 444
CPR coaching with metronome 444
CPR Advisor 4
Pediatric use-compatible (with Pediatric-Pak)4 4 4*
* If a Pediatric-Pak is used, the CPR Advisor function is disabled.

10 EN-UK
Introduction
Recommended training
SCA is a condition requiring immediate emergency
medical intervention. Due to the nature of the
condition, this intervention can be performed before
seeking the advice of a physician.
The devices are intended for use by personnel who
have been trained in their operation.
Note: The devices are intended for use by lay
personnel. Training on CPR and in the use of an AED
is strongly recommended for users. However, in an
emergency situation, the HeartSine samaritan PAD
may be used by an untrained lay rescuer
If potential users of the HeartSine samaritan PAD
are not trained in these techniques, contact your
Authorised Distributor or HeartSine Technologies
directly. Either can arrange for training to
be provided. Alternatively contact your local
government health department for information on
certified training organisations in your area.
CPR Advisor (SAM 500P)
When providing CPR treatment to a victim
of sudden cardiac arrest, it is vital the chest
compressions are of a good quality. If the quality of
the CPR provided is good, the chances of successfully
resuscitating a patient are greatly increased.
Research has demonstrated that non-professional
responders regularly provide ineffective CPR due to
inexperience.
The SAM 500P with CPR Advisor provides feedback
to the rescuer on the force and rate of the CPR they
are providing to the victim. The SAM 500P uses
impedance cardiogram measurements to analyse
the force and rate of compressions and provide the
user with instruction to push harder, push faster or
push slower, or to continue to provide compressions
according to the ERC/AHA resuscitation guidelines.
The SAM 500P uses both audible and visual
feedback to give the responder instruction on CPR
force and rate. Refer to Technical data in Appendix
C on page C-11.
WARNING: THE CPR ADVISOR FUNCTION
IS INTENDED FOR USE ON ADULT PATIENTS
ONLY. IF A PEDIATRIC-PAK IS USED, THE CPR
ADVISOR FUNCTION IS DISABLED. IN THIS CASE,
THE RESCUER IS PROMPTED TO BEGIN CPR IN
TIME WITH THE METRONOME BUT RECEIVES
NO CPR ADVISOR FEEDBACK

User manual 11
text goes here
EN-UK
Introduction
SAM 350P layout
Status indicator
The SAM 350P is
ready for use when
this indicator is
flashing green.
Data port
Remove blue cover
and plug in the custom
USB data cable to
download event data
from the AED.
Attach pads icon/
action arrows
Attach the electrode
pads to the patient’s
bare chest as indicated
when the action arrows
are flashing.
Shock button
Press this button to
deliver a therapeutic
shock.
Do not touch icon/
action arrows
Do not touch the patient when
the action arrows above this icon
are flashing. The SAM 350P may
be analysing the patient’s heart
rhythm or about to charge, in
preparation to deliver a shock.
On/Off button
Press this button
to turn on or turn
off the device.
Speaker
Listen for the
metronome and
verbal prompts.
Green tab
Pull this tab
to release the
electrodes.
Pad-Pak
Contains the
battery and
electrode pads.
Safe to touch icon/
action arrows
You may touch the
patient when the action
arrows around this icon
are flashing.
Adult and pediatric
symbols
Indicates that the SAM
350P is compatible with
both the Pad-Pak and
Pediatric-Pak.

12 EN-UK
Status indicator
The SAM 360P is
ready for use when
this indicator is
flashing green.
Data port
Remove blue cover
and plug in the custom
USB data cable to
download event data
from the AED.
Attach pads icon/
action arrows
Attach the electrode
pads to the patient’s
bare chest as indicated
when the action arrows
are flashing.
Shock icon
Flashes to indicate
a shock will be
delivered.
Do not touch icon/
action arrows
Do not touch the patient when
the action arrows above this
icon are flashing. The SAM 360P
may be analysing the patient’s
heart rhythm or about to charge,
in preparation to deliver a
shock.
On/Off button
Press this button
to turn on or turn
off the device.
Speaker
Listen for the
metronome and
verbal prompts.
Green tab
Pull this tab
to release the
electrodes.
Pad-Pak
Contains the
battery and
electrode pads.
Safe to touch icon/
action arrows
You may touch the
patient when the
action arrows around
this icon are flashing.
Adult and pediatric
symbols
Indicates that the SAM
360P is compatible with
both the Pad-Pak and
Pediatric-Pak.
SAM 360P layout
Introduction

User manual 13
text goes here
EN-UK
SAM 500P layout
Status indicator
The SAM 500P is
ready for use when
this indicator is
flashing green.
Data port
Remove blue cover and plug in the
custom USB data cable to download
event data from the AED.
Attach pads icon/action
arrows
Attach the electrode pads to
the patient’s bare chest as
indicated when the action
arrows are flashing.
Shock button
Press this button to
deliver a therapeutic
shock.
Safe to touch icon/action
arrows
You may touch the patient
when the action arrows
around this icon are flashing.
On/Off button
Press this button
to turn on or turn
off the device.
Speaker
Listen for the
metronome and
verbal prompts.
Green tab
Pull this tab
to release the
electrodes.
Pad-Pak
Contains the
battery and
electrode pads.
Do not touch icon/
action arrows
Do not touch the
patient when the
action arrows above
this icon are flashing.
The SAM 500P may
be analysing the
patient’s heart rhythm
or about to charge, in
preparation to deliver
a shock.
Adult and pediatric
symbols
Indicates that the SAM
500P is compatible with
both the Pad-Pak and
Pediatric-Pak.
CPR Advisor icon
Provides visual indication
on the force and rate
of chest compressions
during CPR.
Introduction

14 EN-UK
Set-up
Unpacking
Verify that the contents include the HeartSine
samaritan PAD, carry case, Pad-Pak, user manual,
and warranty registration card.
Pad-Pak
A Pad-Pak is a single-use removable cartridge that
includes the battery and electrode pads in a single
unit. The Pad-Pak is available in two versions1:
1. Pad-Pak (grey colour shown in Figure 1) for use on
patients weighing over 25 kg (55 lb), or equivalent
to a child of approximately 8 years of age or older.
2. The optional Pediatric-Pak (pink colour shown in
Figure 2) for use on smaller children (from 1 to 8
years old and weighing under 25 kg (55 lb)).
WARNING: DO NOT DELAY TREATMENT
TRYING TO DETERMINE THE PATIENT’S EXACT
AGE AND WEIGHT
Figure 1. Adult Pad-Pak Figure 2. Pediatric-Pak
1The Pad-Pak also is available in a TSO/ETSO-certified version for use on commercial fixed-wing aircraft.
Electrode
pads
Battery
Green tab

User manual 15
text goes here
EN-UK
Set-up
Figure 4. Inserting a Pad-Pak
4. Record the serial number for the AED, the
expiration date for the Pad-Pak and other
information about your AED in the space
provided on the inside front cover of this manual.
5. Verify that the green Status indicator (see the
layout for your model on pages 10-13) is blinking
to indicate the initial self-test routine has been
performed and the device is ready for use.
6. Press the On/Off button to turn on the
HeartSine samaritan PAD. Listen for, but do
not follow, the voice prompts to ensure that no
warning messages are played and that the device
prompts are in the expected language.
CAUTION: Do not pull the green tab on
the Pad-Pak at this time. If you have pulled the tab
and opened the electrode drawer, you may need to
replace your Pad-Pak
Putting the HeartSine samaritan
PAD into service
Follow these steps to place your HeartSine samaritan
PAD into service:
1. Check the expiration date (YYYY/MM/DD or
YYYY-MM-DD) on the rear of the Pad-Pak (see
Figure 3). If the expiration date has passed, do not
use and immediately replace the expired Pad-Pak.
AAAA/MM/DDYYYY/MM/DD
XXXXX
Figure 3. Expiration date
2. Unpack the Pad-Pak and retain the packaging in
case you need to return the Pad-Pak to HeartSine
Technologies.
3. Place the HeartSine samaritan PAD face up on
a flat surface and slide the Pad-Pak into the
HeartSine samaritan PAD (see Figure 4) until you
hear the “double click” to indicate that the tabs
on the right and left sides of the Pad-Pak are fully
engaged.

16 EN-UK
text goes hereSet-up
9. Register online, or complete the warranty
registration card and return it to your Authorised
Distributor or HeartSine Technologies directly
(see Tracking requirements on page 31).
10. Create a service schedule (see Maintenance on
page 32).
Preparation checklist
Following is a checklist of the steps required to set
up your HeartSine samaritan PAD:
¨Step 1. Check the Pad-Pak expiration date.
¨Step 2. Install the Pad-Pak and check for a green
status indicator.
¨Step 3. Record information about your AED on
the inside front cover of this user manual.
¨Step 4. Turn on the HeartSine samaritan PAD to
check operation.
¨Step 5. Turn off the HeartSine samaritan PAD.
¨Step 6. Store the HeartSine samaritan PAD in
a clean, dry environment at 0°C to 50°C (32°F to
122°F).
¨Step 7. Register your HeartSine samaritan PAD.
¨Step 8. Create a service schedule. (See
Maintenance on page 32.)
CAUTION: Only turn on the HeartSine
samaritan PAD ONCE. If you turn it on and
off repeatedly, you will deplete the batteries
prematurely and may need to replace the Pad-Pak
7. Press the On/Off button to turn off the
HeartSine samaritan PAD. Verify that the status
indicator is flashing green. If you have not heard
a warning message and the status indicator
continues to flash green, the device is ready
for use.
8. Place the HeartSine samaritan PAD in its supplied
soft carry case. Store the HeartSine samaritan
PAD where it will be seen and heard in an
unobstructed, secure location in a clean, dry
environment. Store the HeartSine samaritan
PAD out of reach of small children and pets.
Be sure to store the device according to the
environmental specifications (see Technical data
in Appendix C on page C-1).
CAUTION: HeartSine Technologies
recommends that you store a spare Pad-Pak with
your HeartSine samaritan PAD in the rear section of
the soft carry case
CAUTION: By default the device should
be stored with an adult Pad-Pak installed and, if
needed, change to a Pediatric-Pak for a child patient

User manual 17
EN-UKUsing the HeartSine samaritan PAD
Using the HeartSine samaritan PAD
Follow these steps to use your AED, which will
provide you with step-by-step voice prompts. For a
full list of voice prompts for your device see Voice
prompts in Appendix D.
Note: Follow the same instructions for patients who
are or may be pregnant
1. Remove danger
• If necessary, move the patient to a safe location, or remove any
source of danger
2. Check for a response
• If the patient is non-responsive, shake the patient by the
shoulders while speaking loudly
• If the patient becomes responsive, do not use the AED
3. Check for airway
• Check that the patient’s airway is not blocked, using a head-
chin tilt if necessary
CAUTION: Once a non-shockable rhythm is
detected, the HeartSine samaritan PAD will end its
ready to shock condition if it had previously decided
to shock
EN-UK

18 EN-UK
text goes here
Using the HeartSine samaritan PAD
4. Call for medical assistance
5. Get the AED
• Ask others nearby to get the AED
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6. Begin CPR (until AED arrives)
While waiting for the AED, begin CPR
• Push hard between 5 to 6 cm (2 to 2.4 inches) deep
• Push fast at a rate of between 100 and 120 compressions per
minute
• If you feel able to give rescue breaths perform 30 compressions
followed by two rescue breaths

User manual 19
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Using the HeartSine samaritan PAD
7. Press the On/Off button to turn on the AED and follow the voice directions
• Kneel next to the patient
• Place the AED on the floor next to you
• Press the On/Off button to turn on AED
• Listen for the voice prompts and follow the directions
8. Defibrillation therapy
Defibrillation therapy is tailored depending on whether a Pad-Pak or
Pediatric-Pak is installed
• If the patient is under 25 kg (55 lb) or 8 years of age, remove the
Pad-Pak, insert a Pediatric-Pak and press the On/Off button again
(see Pediatric-Pak on page 25)
• If a Pediatric-Pak is not available, you may use the Pad-Pak
9. Expose and dry chest area
• Remove clothing to expose the patient’s bare chest, removing
any metal (bras or jewellery) where possible from the pad
placement area
• Cut the clothing with scissors, if needed
• If patient’s upper body is wet or clammy, dry the chest area
• If patient has a lot of chest hair, use a razor to quickly shave the
hair where the pads will be placed

20 EN-UK
text goes here
Using the HeartSine samaritan PAD
10. Pull the green tab
• Pull the green tab to remove the electrode pad pouch from
the AED
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SAM 350P
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“Pull green tab
to remove
pads.”
11. Open the electrode pouch
• With both thumbs on the foil tabs, open the foil to release
the pads
WARNING: DO NOT USE THE PADS IF POUCH IS OPENED
OR DAMAGED; IMMEDIATELY REPLACE THE PAD-PAK
12. Peel first pad from liner
• With both thumbs on the white and clear round tabs, peel the
first pad from the plastic liner
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