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