Jolife LUCAS 2 User manual

LUCASTM Chest Compression System – Instructions for Use
100666-00 E, Valid from COJ2236, © 2009 JOLIFE AB
Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
www.lucas-cpr.com a product by JOLIFE
GB
Chest Compression System

2
LUCASTM 2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
Thank you for choosing the
LUCASTM 2 Chest Compression System!
WithLUCASTM 2your cardiac arrest patients
will receive effective, consistent and
continuous chest compressions as
recommended in the American Heart
Association guidelines.
If you have any questions about this product
or its operation, please contact your local
Physio-Control representative or the
Manufacturer, JOLIFE AB.
MANUFACTURER
JOLIFE AB
Scheelevägen 17
SE-223 70 LUND
Sweden
Tel. [phone]
Fax. [phone]
www.jolife.com
[email protected]
The LUCASTM 2Chest Compression System
is manufactured by JOLIFE AB in Sweden
and distributed worldwide by
Physio-Control, Inc.
For information on local distribution, please
visit www.physio-control.com.

Chest Compression System 3
LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
1 Important user information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
2.1 LUCAS™ Chest Compression System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.2 Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.3 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.4 Side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.5 Main parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.6 LUCAS™ components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.7 User Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3 Safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
3.1 Signal words . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.2 Personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.3 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.4 Side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.5 Symbols on the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.6 General safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.7 Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.8 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.9 Servicing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4 Preparations for first use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
4.1 Components delivered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4.2 The Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
4.2.1 Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
4.3 Preparing the LUCAS™ Stabilisation Strap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
4.4 Prepare the Carrying Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
5 Using LUCAS™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
5.1 Arrival at the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
5.2 Unpacking LUCAS™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
5.3 Applying to patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5.4 Adjustment and operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5.5 Applying the LUCAS™ Stabilisation Strap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
5.6 Moving the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
5.6.1 Securing the patient's arms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
5.6.2 Preparing to lift the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
5.6.3 Lifting the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
5.6.4 Moving the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Table of Contents

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LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
5.7 Replacing the Power Supply during operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.7.1 Changing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.7.2 Connecting to an external Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
5.8 Adjunctive therapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
5.8.1 Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
5.8.2 Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
5.8.3 Use in the catheterisation laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
5.9 Removing LUCAS™ from the patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6 Care after use and preparation for next use . . . . . . . . . . . . . . . . . . . . 23
6.1 Cleaning routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
6.2 Remove Suction Cup and install new one . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
6.3 Remove and reattach the Patient Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
6.4 Remove and reattach the LUCAS™ Stabilisation Strap . . . . . . . . . . . . . . . . . . . . . . 25
6.5 Remove and recharge the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
7 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
7.1 Routine checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
8 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
8.1 Indications and alerts during normal operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
8.2 Battery replacement and Smart Restart feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
8.3 Malfunction alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
9 Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
9.1 Patient parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
9.2 Compression parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
9.3 Device physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
9.4 Device environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
9.5 Battery physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
9.6 Battery environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
9.7 Electromagnetic environmental declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
9.8 Limited warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Chest Compression System
LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
5
1 Important user
information
The information in these Instructions for
Use applies to the LUCAS™2 Chest
Compression System, also referred to as
LUCAS.
All operators must read the complete
Instructions for Use before operating the
LUCAS Chest Compression System.
The Instructions for Use must always be
easily accessible to the operators of LUCAS.
Always follow local and/or international
guidelines for cardiopulmonary resuscitation
(CPR) when you use LUCAS.
Theuseofothermedical equipment ordrugs
in conjunction with LUCAS can affect the
treatment. Always consult the Instructions
for Use of the other equipment and/or drugs
to make sure that they are appropriate for
use in conjunction with CPR.
LUCAS can only be bought by or on the
order of a licensed medical practitioner.
INSTRUCTIONS FOR USE
REVISION HISTORY
Revision A = first version released
Revision B = changes because of the
software version 2.1, including a fine tuning of
compression depth to 2010 CPR guidelines
and an assisted adjustment of the pressure
pad's Start Position to the chest.
TRADEMARKS
LUCAS™ is a trademark of JOLIFE AB.
DECLARATION OF CONFORMITY
LUCAS Chest Compression System
complies with the requirements of the
European Medical Device Directive 93/42/
EEC. It is marked with the CE-symbol:
© Copyright JOLIFE AB 2011. All rights
reserved.

LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
6
2 Introduction
2.1 LUCAS™ Chest Compression
System
TheLUCAS™ChestCompressionSystemis
a portable tool designed to overcome
problems identified with manual chest
compressions. LUCAS assists rescuers by
delivering effective, consistent and
continuous chest compressions
as recommended in the American Heart
Association guidelines1.
2.2 Intended use
LUCAS Chest Compression System is to be
used for performing external cardiac
compressions on adult patients who have
acute circulatory arrest defined as absence
of spontaneous breathing and pulse, and
loss of consciousness.
LUCAS must only be used in cases where
chest compressions are likely to help the
patient.
2.3 Contraindications
DoNOT use the LUCAS Chest Compression
System in the following cases:
• If it is not possible to position LUCAS
safely or correctly on the patient's chest.
• If patient too small: if you cannot activate
the PAUSE mode or ACTIVE mode when
the pressure pad touches the patient's
chest and LUCAS alarms with 3 fast
signals.
• If patient too large: if you cannot lock the
Upper Part of LUCAS to the Back Plate
without compressing the patient's chest.
Always follow local and/or international
guidelines for CPR when using LUCAS.
2.4 Side effects
The International Liaison Committee on
Resuscitation (ILCOR) recognises the
following side effects of CPR2:
"Ribfractures andotherinjuriesare common
but acceptable consequences of CPR given
the alternative of death from cardiac arrest.
After resuscitation, all patients should be
reassessed and re-evaluated for
resuscitation-related injuries."
Apart from the above, bruising and soreness
of the chest are common during use of the
LUCAS Chest Compression System.
2.5 Main parts
The main parts of the LUCAS Chest
Compression System include;
• A Back Plate which is positioned
underneath the patient as a support for
the external chest compressions.
• An Upper Part which contains the
proprietary and rechargeable LUCAS
Battery and the compression mechanism
with a disposable Suction Cup.
• A Stabilisation Strap which helps to
maintain the position of the device in
relation to the patient.
• A padded Carrying Bag.
1. 2010 American Heart Association Guidelines for
Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care, Circulation 2010; 122: S639-946
2. 2005 International Concensus on Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care
Science with Treatment Recommendations.
Resuscitation 2005;67:195

Chest Compression System
LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
7
2.6 LUCAS™components
1. User Control Panel
2. Hood
3. Patient Strap
4. Release ring
5. Support leg
6. Claw locks
7. Back Plate
8. DC input
9. Bellows
10. Suction Cup
11. Power Supply
12. Power Supply lead
13. Battery
14. Pressure pad
15. Upper Part
16. Vent holes
17. Car Power Cable
18. Carrying Bag
19. External Battery Charger
LUCAS Stabilisation Strap
20. Cushion strap
21. Buckle
22. Support leg strap
198
9
8
10
2
3
4
5
22
7
21
20
6
11
13 12 17
13
18
14
14
16
15
19

LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
8
2.7 User Control Panel
ON/OFF:
LUCAS will power up/power down when
you push this key for 1 second. When
LUCAS powers up, it automatically does
a self-test of the functions and the
protection/safety system. When the self-
test is complete the green LED (Light
Emitting Diode) beside the ADJUST key
illuminates. This procedure takes
approximately 3 seconds.
ADJUST:
This mode is used when you want to
adjust the position of the Suction Cup.
When you push this key, you can move
the Suction Cup up or down. To adjust
the Start Position of the Suction Cup,
push down the Suction Cup down with
two fingers onto the chest of the patient.
PAUSE:
Whenyou pushthis key,the compression
mechanism temporarily stops and is
locked in the Start Position. Use this
function when you want to stop LUCAS
temporarily but still want to keep the
Suction Cup's Start Position.
ACTIVE (continuous):
When you push this key, LUCAS
performs continuous chest
compressions. The green LED signal will
blink 8 times per minute to indicate the
time to ventilate during continuous
compressions.
ACTIVE (30:2):
When you push this key, LUCAS
performs 30 chest compressions and
then temporarily stops for 3 seconds.
Duringthestop, the operator can perform
2ventilations. Then thecyclestartsagain.
An intermittent LED, in combination with
an alarm signal will alert the operator
before each ventilation pause.
MUTE:
If you push this key when LUCAS is
operating, you mute the alarm for 60
seconds. If you push this key when
LUCAS is powered OFF, the Battery
indicator shows the charge status of
the Battery.
Battery indicator:
The three green LEDs show the Battery
charge status:
• Three green LEDs: Fully charged
• Two green LEDs: 2/3 charged
• One green LED: 1/3 charged
•OneintermittentorangeLEDandalarm
during operation: low battery, approxi-
mately 10 minutes of operating capacity
remaining.
• One intermittent red LED and an alarm
signal: the Battery is empty and must be
recharged.
• One constant red LED and an alarm
signal: the Battery is defective.
Note: When the LED to the far right is
orange and not green, the Battery has
reachedtheendofitsservicelife.JOLIFE
AB recommends that you replace this
Battery with a new one.
Alarm indicator:
A red LED and an alarm signal indicate
malfunction.
Refer to Troubleshooting 8;
8.1 for indications and alerts during normal
operation.
8.3 for malfunction alarms.

Chest Compression System
LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
9
3 Safety precautions
To ensure maximum safety, always read this
section carefully before operating, carrying
out any work on the equipment or making
any adjustments.
3.1 Signal words
Throughout the manual, the signal words
used are "WARNING" or "CAUTION".
•CAUTION - signal word used to indicate
a potentially hazardous situation which, if
not avoided, could result in minor or
moderate injury.
•WARNING - signal word used to indicate
a potentially hazardous situation which, if
not avoided, could result in death or
serious injury.
3.2 Personnel
JOLIFE AB recommends that LUCAS Chest
Compression System is only used by
persons with medical skills such as:
First responders, ambulance personnel,
nurses, physicians or medical staff, who
have:
• undertaken a CPR course according to
theresuscitationguidelines,e.g.American
Heart Association, European Council of
Resuscitation or equivalent,
• AND received training in how to use
LUCAS.
3.3 Contraindications
DoNOTuse the LUCAS Chest Compression
System in the following cases:
• If it is not possible to position LUCAS
safely or correctly on the patient's chest.
• If patient too small: if you cannot activate
the PAUSE mode or ACTIVE mode when
the pressure pad touches the patient's
chest and LUCAS alarms with 3 fast
signals.
• If patient too large: if you cannot lock the
Upper Part of LUCAS to the Back Plate
without compressing the patient's chest.
Always follow local and/or international
guidelines for CPR when using LUCAS.
3.4 Side effects
The International Liaison Committee on
Resuscitation (ILCOR) recognises the
following side effects of CPR3:
"Rib fractures and other injuries are common
but acceptable consequences of CPR given
the alternative of death from cardiac arrest.
After resuscitation, all patients should be
reassessed and re-evaluated for
resuscitation-related injuries."
The above side effects, as well as bruising
and soreness of the chest, are common
during use of the LUCAS Chest
Compression System.
3. 2005 International Concensus on Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care
Science with Treatment Recommendations.
Resuscitation 2005;67:195

LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
10
3.5 Symbols on the device
Symbols on type label
Symbols on
type label
Symbol Meaning
Caution – keep your fingers away
Donotputyourhands on or belowthe
Suction Cup when LUCAS is in
operation. Keep your fingers away
from the claw locks when attaching
the Upper Part or lifting the patient.
Caution – do not lift by the Patient
Straps
Donot usethe PatientStraps to lift the
patient. The straps are only to attach
the patient’s arms to LUCAS.
Place the lower edge of the Suction
Cup immediately above the end of the
sternum, as indicated in the figure.
The Suction Cup should be centred
over the chest.
Pull the release rings to remove the
Upper Part from the Back Plate.
Do not reuse - Single use only.
DC input.
2
Art no.
Art no.
300000-00
300000-00
12-24VDC
12-24VDC
Symbol Meaning
Caution – see instructions for use
All operators must read the complete
Instructions for Use before operating
the LUCAS Chest Compression
System.
Year of manufacture.
Battery and/or electronics may not be
disposed of as normal waste.
Degree of protection provided by
enclosure as per IEC 60 529.
DC voltage.
Defibrillation protectedtypeBFpatient
connection.
IP 43

Chest Compression System
LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
11
3.6 General safety precautions
Caution - use only approved
accessories
Use only JOLIFE AB-approved accessories
with LUCAS. LUCAS may not operate
correctly if you use accessories that are not
approved. Use only LUCAS Batteries and
the LUCAS Power Supply that are designed
for LUCAS. If you use other batteries or
power supplies you can cause permanent
damage to LUCAS. This also voids the
warranty.
Caution - liquid
Do not immerse LUCAS in liquid. The device
can be damaged if liquid enters the hood.
3.7 Battery
WARNING - LOW BATTERY
When the orange Battery LED comes on
intermittently, do one of the following:
• Replace the Battery with one that is
charged.
• Connect the external LUCAS Power
Supply.
Caution - keep Battery installed
The Battery must always be in place for
LUCAS to be able to operate, even when
powered by the external Power Supply.
To minimize interruptions, we recommend
there is always a charged spare LUCAS
Battery in the Carrying Bag.
3.8 Operation
WARNING - UNSATISFACTORY
POSITION
Start manual CPR again if it is not possible to
position LUCAS safely and correctly on the
patient's chest.
WARNING - INCORRECT POSITION
OVER CHEST
If the pressure pad is not in the correct
position in relation to the sternum, there is an
increased risk of damage to the rib cage and
the internal organs. Also, the patient's blood
circulation is compromised.
WARNING - INCORRECT START
POSITION
The patient's blood circulation is
compromised if the pressure pad presses
down too heavily or not heavily enough on
the chest. Push the ADJUST key and adjust
the height of the Suction Cup immediately.
WARNING - CHANGE OF POSITION
DURING OPERATION
If the position of the Suction Cup changes
during operation or during defibrillation,
immediately push ADJUST and alter the
position.AlwaysusetheLUCASStabilisation
Strap to help maintain the correct position.
Caution - defibrillation electrodes
Positionthedefibrillator electrodes and wires
sothat theyarenot underthe Suction Cup.If
there are already electrodes on the patient,
make sure that they are not under the
Suction Cup. If theyare, you must apply new
electrodes.
Caution - gel on chest
If there is gel on the patient's chest (e.g. from
ultrasound examination), the position of the
Suction Cup can change during use.
Remove all gel before you apply the Suction
Cup.
Caution - Fitting the Stabilisation Strap
Delay fitting the LUCAS Stabilisation Strap if
this prevents or delays any medical
treatment of the patient.
Caution - adjunctive therapies
Theuseofothermedicalequipmentor drugs
in conjunction with LUCAS can affect the
treatment. Always consult the Instructions
for Use of the other equipment and/or drugs
to make sure that they are appropriate for
use in conjunction with CPR.
WARNING - ECG interference
Chest compressions interfere with ECG
analysis. Push PAUSE before you start the
ECG analysis. Make the interruption as short
as possible. Push ACTIVE (continuous) or
ACTIVE (30:2) to start the compressions
again.

LUCASTM2 Chest Compression System – Instructions for Use
100666-01 B Valid from CO J2548, © 2011 JOLIFE AB
12
WARNING - PATIENT INJURY
Do not let the patient or the device remain
unattended when LUCAS is in operation.
Caution - keep your fingers away
Do not put your hands on or below the
Suction Cup when LUCAS is in operation.
Keep your fingers away from the claw locks
when attaching the Upper Part or lifting
the patient.
Caution - IV access
Make sure that IV access is not obstructed.
Caution - do not block the vent holes
Do not cause a blockage of the vent holes
under the hood since this can cause the
device to overheat.
Caution - device alarms
If there is any malfunction during operation
the red Alarm LED will illuminate and a
buzzer signal will sound. For
troubleshooting, see section 8.3.
WARNING - MALFUNCTION
If there are interruptions, or the
compressions are not sufficient, or there is
an unusual incident during operation of
LUCAS: push ON/OFF for 1 second to stop
LUCASandremove the device. Startmanual
chest compressions.
Caution - do not lift by the Patient Straps
Do not use the Patient Straps to lift the
patient. The straps are only to attach the
patient's arms to LUCAS.
3.9 Servicing
We recommend a yearly servicing of LUCAS
to make sure that it operates correctly. Use
the original shipping box when you send
LUCAS for servicing. Keep the original
shipping box with padding for this purpose.
WARNING - DO NOT OPEN
Never open the casing of LUCAS. Do not
change or modifyexternal or internal parts of
LUCAS.
Unless specified differently, all servicing and
repairs must be done by service personnel
that are approved by JOLIFE AB.
If the above conditions are not followed, this
can lead to patient/operator injury or death,
and will void the warranty.
Consult your distributor or JOLIFE AB for
current information on where to send
LUCAS for maintenance.
4 Preparations for first
use
4.1 Components delivered
LUCAS™2 Chest Compression System is
supplied in one box with:
• A LUCAS device (Upper Part and Back
Plate)
• 3 disposable LUCAS Suction Cups
• A LUCAS Carrying Bag
• Instructions for Use in the appropriate
language
• A rechargeable LUCAS Battery
• A LUCAS Stabilisation Strap
• LUCAS Patient Straps
Accessories (optional):
• Disposable LUCAS Suction Cups
• External LUCAS Battery Charger
• Extra LUCAS Batteries
• LUCAS Power Supply with Mains lead
• LUCAS 12-24V DC Car Power Lead
For more accessories, please see appendix
A: LUCAS™2 parts and accessories.

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4.2 The Battery
The proprietary Lithium Polymer (LiPo)
Battery is the exclusive power source for
LUCAS. You can remove the Battery from
LUCAS and recharge it. The Battery is
mechanically keyed in LUCAS and in the
Battery Charger to ensure it is correctly
installed. The top of the Battery has
connections for power and communications
to the Battery Charger and to LUCAS.
4.2.1 Charging the Battery
You can charge the LUCAS Battery in two
ways:
• In the external LUCAS Battery Charger
(optional)
- put the Battery in the slot of the
Battery Charger,
- connect the Battery Charger power
lead to a mains socket.
• Installed in LUCAS:
- put the Battery in the slot of the
LUCAS hood,
- connect the Power Supply to the DC
input on the side of LUCAS,
- connect the Power Supply to the
mains
Green LEDs indicate a fully charged Battery.
Caution - keep Battery in place
The Battery must always be installed for
LUCAS to be able to operate, even when
powered by an external Power Supply.
Caution - use only approved
accessories
Use only JOLIFE AB-approved accessories
with LUCAS. LUCAS does not operate
correctly if you use accessories that are not
approved. Use only LUCAS Batteries and
LUCAS Power Supply that are designed for
LUCAS. If you use other batteries or Power
Supplies you can cause permanent damage
to LUCAS. This also voids the warranty.

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4.3 Preparing the LUCAS™
Stabilisation Strap
Before using LUCAS for the first time, attach
the support leg straps, which are a part of
the Stabilisation Strap, to the LUCAS
support legs.
1. Fold one support leg strap around each
LUCAS support leg.
2. Fasten the buckles on the inner side of
the support leg.
4.4 Prepare the Carrying Bag
1. Inserta fullycharged LUCAS Batteryinto
the Battery slot in the LUCAS hood.
2. Make sure that a Suction Cup is
correctly installed.
3. Put the Upper Part in the Carrying Bag
with the hood towards the open end.
4. Put the external Power Supply (optional)
in one of the pockets between the
LUCAS support legs.
5. Put an extra (optional) charged LUCAS
Battery in the other pocket.
6. Put the cushion strap of the Stabilisation
Strap between the support legs.
7. Extra Suction Cups can be put in the
side pockets near the hood.
8. Position the Back Plate on top of the
bag.
9. Close the green inner lock.
10. Put the Instructions for Use (IFU) in the
transparent IFU pocket in the bag
11. Close the bag.
TM

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5 Using LUCAS™
5.1 Arrival at the patient
When you have confirmed a cardiac arrest,
immediately start manual cardiopulmonary
resuscitation (CPR). Continue with a
minimum of interruptions.
5.2 Unpacking LUCAS™
1. Position the bag with its top nearest to
you.
2. Put your left hand on the black strap on
the left-hand side andpulltheredhandle
so that the bag unfolds.
3. PushON/OFFontheUserControlPanel
for 1 second to power up LUCAS in the
bag and start the self test. The green
LED adjacent to the ADJUST key
illuminateswhenLUCASisreadyfor use.
Note: LUCAS powers down automatically
after 5 minutes if you leave it in the ADJUST
mode.
Caution - device alarm
If there is a malfunction, the red Alarm LED
illuminates and a buzzer sounds. For trouble
shooting, refer to section 8.3.
Caution - keep a Battery installed
The Battery must always be installed for
LUCAS to be able to operate, even when
powered by an external Power Supply.
L
U
C
A
S
2
TM
30:2
3

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5.3 Applying to patient
1. Remove the LUCAS Back Plate from the
Carrying Bag.
2. Stop manual CPR.
3. Make sure that you support the patient's
head.
4. Carefully put the LUCAS Back Plate
under the patient, immediately below the
arm pits. Use one of these procedures:
a. Hold the patient's shoulder and
slightly raise the patient's upper body,
b. Roll the patient from side to side.
Note: Accurate positioning of the
Back Plate makes it easier and faster
to position the Suction Cup correctly.
5. Start manual CPR again.
6. Hold the handles on the support legs to
remove the LUCAS Upper Part from the
bag. Pull the release rings once to make
sure that the claw locks are open.
7. Let go of the release rings.

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8. Attach the support leg that is nearest to
you to the Back Plate.
9. Stop manual CPR.
10. Attach the other support leg to the Back
Plate, so that the two support legs lock
against the Back Plate. Listen for click.
11. Pull up once to make sure that the parts
are correctly attached.
Note: If the LUCAS Upper Part does not
attach to the Back Plate, make sure that the
claw locks are open and that you have
released the release rings.
WARNING - TOO LARGE PATIENT
If the patient is too large, the Upper Part of
LUCAS cannot lock to the Back Plate
without compressing the patient's chest.
Continue the manual compressions.
5.4 Adjustment and operation
The compression point should be at the
samespotasfor manualCPRandaccording
to guidelines.
When the pressure pad in the Suction Cup is
in the correct position, the lower edge of
the Suction Cup will be immediately
above the end of the sternum.
WARNING - INCORRECT POSITION
OVER CHEST
If the pressure pad is not in the correct
position in relation to the sternum, there is an
increased risk of damage to the rib cage and
internal organs. Also, the patient's blood
circulation is compromised.
Suction Cup
outer edge
Pressure
pad

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1. Use your finger to make sure that the
lower edge of the Suction Cup is
immediately above the end of the
sternum
If necessary, move the device by pulling
the support legs to adjust the position.
2. Adjust the height of the Suction Cup for
a correct Start Position.
a. Make sure that LUCAS is in the
ADJUST mode.
b. Push the Suction Cup down with two
fingers until the pressure pad touches
the patient's chest without
compressing the chest.
c. Push PAUSE to lock in the Start
Position - then remove your fingers
from the Suction Cup.
d. Check position is correct. If not, push
ADJUST, pull up the Suction Cup to
readjust the centring and/or height
position to give a new, correct, Start
Position. Push PAUSE.
e. Push ACTIVE (continuous) OR
ACTIVE (30:2) to start the
compressions.
Note: If the pressure pad is pushed down
too hard, or not hard enough on the chest,
LUCAS will adjust the pressure pad to the
correct Start Position (within a range of
30 mm / 1.2 inches).
WARNING - UNSATISFACTORY
POSITION
Start manual CPR again if it is not possible to
position LUCAS safely and correctly on the
patient's chest.
WARNING - PATIENT TOO SMALL
When you cannot activate the PAUSE mode
or ACTIVE mode when the pressure pad
touches the patient's chest and LUCAS
alarms with 3 fast signals. Start manual
compressions again.

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WARNING - INCORRECT START
POSITION
The patient's blood circulation is
compromised if the pressure pad presses
down too heavily or not hard enough on the
patient's chest. Push the ADJUST key and
adjust the height of the Suction Cup
immediately.
Caution - gel on chest
Ifthere is gel on the patient's chest (e.g. from
ultrasound examination), the position of the
Suction Cup can alter during operation.
Remove all gel before applying the Suction
Cup.
Caution - keep your fingers away
Donotputyourhandsorotherbodypartson
or below the Suction Cup when LUCAS is
operating. Do not touch the claw locks,
especially when lifting the patient.
WARNING - PATIENT INJURY
Do not let the patient or the device remain
unattended when LUCAS is operating.
WARNING - CHANGE OF POSITION
DURING OPERATION
If the position of the Suction Cup changes
during operation of LUCAS or during
defibrillation, immediately push ADJUST
and alter the position. Always use the
LUCAS Stabilisation Strap to help maintain
the correct position.
WARNING - MALFUNCTION
If there are interruptions, or the
compressions are not sufficient, or there is
an unusual incident during operation of
LUCAS: push ON/OFF for 1 second to stop
LUCAS and remove the device from the
patient. Start manual chest compressions.
WARNING - LOW BATTERY
When the orange Battery LED comes on
intermittently, do one of the following:
• Replace the Battery with one that is
charged.
• Connect the external LUCAS Power
Supply.
Caution - do not block the vent holes
Do not cause a blockage of the vent holes
under the hood since this can cause the
device to overheat.
5.5 Applying the LUCAS™
Stabilisation Strap
The LUCAS Stabilisation Strap helps
maintain the correct position of LUCAS
during operation. Apply it while LUCAS is
active to keep interruptions to a minimum.
Caution - Stabilisation Strap application
Delay the application of the LUCAS
Stabilisation Strap if it wouldpreventor delay
any medical treatment of the patient.
1. Remove the cushion strap, which is a
part of the Stabilisation Strap, from the
Carrying Bag (the support legs strap of
the Stabilisation Strap should already be
attached to the support legs).
2. Extend the cushion strap fully at the
buckles.
3. Carefully lift the patient's head and put
the cushion behind the patient's neck.
Position the cushion as near to the
patient's shoulders as possible.
4. Connect the buckles on the support leg
straps to the buckles on the cushion
strap. Make sure that the straps are not
twisted.
5. Hold the LUCAS support legs stable and
fully tighten the cushion strap.

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6. Make sure that the position of the
Suction Cup is correct on the patient's
chest.
If it is not, adjust the position:
a. Push ADJUST.
b. Release the cushion straps from the
support leg straps.
c. Adjust the Suction Cup position (as
described in section 5.4.2).
d. WhentheSuctionCupisinthecorrect
position, push ACTIVE (continuous)
or ACTIVE (30:2) to start the
compressions again.
e. Reattach the cushion strap. Refer to
the steps 2 to 5 above.
5.6 Moving the patient
5.6.1 Securing the patient's arms
When you move the patient, you can secure
the patient's arms with the Patient Straps on
the LUCAS. This makes it easier to move the
patient.
Caution - do not lift by the Patient Straps
Do not use the Patient Straps to lift the
patient. The straps are only to attach the
patient's arms to LUCAS.
Caution - IV access
Make sure that IV access is not obstructed.
5.6.2 Preparing to lift the patient
1. Make a decision about what equipment
you will move and where it will be placed
for transportation.
2. Those at the patient's side:
a. put one hand below the claw locks
under the support leg
b. withthe otherhand, holdthepatient's
belt, trousers or under the thigh
3. Make sure that the patient's head is
stable.
5.6.3 Lifting the patient
1. Push PAUSE to temporarily stop the
compressions.
2. Liftandmovethepatienttoastretcheror
other transportation device (backboard,
vacuum mattress or similar).
3. Make sure that the Suction Cup is in the
correct position on the patient's chest.
4. Push ACTIVE (continuous) or
ACTIVE (30:2) to start the
compressions again.