laerdal HeartStart M5086A Manual

HeartStart Trainer
ENGLISH Directions for Use
ESPAÑOL Instrucciones de utilización
ITALIANO Instruzioni per l’Uso
FRANÇAIS Mode d’emploi
DEUTSCH Gebrauchsanweisung
NEDERLANDS Handleiding
NORSK Bruksanvisning
DANSK Brugsanvisning
SVENSKA Bruksanvisning
www.laerdal.com
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ENGLISH
HeartStart Trainer
ENGLISH : Directions for Use
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AboutThis Edition
The information in this guide applies to the
HeartStart Trainer M5086A.This
information is subject to change. Please
contact your local Laerdal distributor for
information on revisions.
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Table of Contents
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HeartStart Trainer Kit Contents . . . . . . . . . . . . . . . . . . 6
Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Installing or Replacing the Batteries . . . . . . . . . . . . . . .. 6
Using the Manikin Adapters . . . . . . . . . . . . . . . . . . . . . 6
Installing the External Manikin Adapter . . . . . . . . . . . . 7
Installing the Internal Manikin Adapter . . . . . . . . . . . . 7
Installing or Replacing theTraining Pads Cartridge . . 8
Selecting aTraining Scenario . . . . . . . . . . . . . . . . . . . . . 8
Running aTrainer Scenario . . . . . . . . . . . . . . . . . . . . . . 9
Standard Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Trainer Performance during Use . . . . . . . . . . . . . . . . 13
Repacking theTraining Cartridge . . . . . . . . . . . . . . . . 14
MaximizingTraining Pads Cartridge Service Life . . . 15
Troubleshooting theTrainer . . . . . . . . . . . . . . . . . . . . 16
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4
Introduction and Intended Use
The HeartStart Trainer M5086A is designed to prepare emergency responders
to use the HeartStart HS1 Defibrillators, including the Laerdal HeartStart
Defibrillator M5067A.The HeartStart Trainer cannot be used to deliver defibril-
lation treatment.
The HeartStart Trainer provides a variety of simulations, or training scenarios, to
help responders acquire and demonstrate the basic skills necessary to use the
HeartStart HS1 Defibrillator in an emergency.
NOTE: Before using any HeartStart HS1 Defibrillator, the responder should have
completed an appropriate responder training program, which may include the use of
the HeartStart Trainer. Having completed such a course, the responder should be
able to demonstrate a
proficiency in assessing the indications of sudden cardiac arrest -- a patient who is
unresponsive when shaken and not breathing normally -- cardiopulmonary resuscita-
tion (CPR), and knowledge of applicable medical protocols and procedures.
Features
• The HeartStart Trainer provides simulated shock
delivery. It has no high-voltage capabilities, ensuring
safety during training.
• The HeartStart Trainer is designed for use with
training manikins in conjunction with Internal
Manikin Adapter M5088A or External
Manikin Adapter M5089A and with Adult Training
Pads Cartridge M5073A or Infant/Child Training
Pads Cartridge M5074A only.*
• The HeartStart Trainer is pre-configured with
8 training scenarios that simulate realistic sudden
cardiac arrest episodes. See pages 10 and 11 for
scenario descriptions.These scenarios are
compatible with common training programs.
• The HeartStart Trainer is powered by four standard
AA alkaline batteries.
• Check with your local medical director or
Emergency Medical Services provider for additional
training requirements, protocols, and materials.
* Do not use the Trainer with any other defibrillation pads cartridges.
WARNING: Do not store yourTrainer with your defibrillator, or where it could
be confused with a defibrillator during an emergency.*
* A Warning is a condition, hazard, or unsafe practice that could result in serious personal injury
or death.
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Overview
The HeartStart Trainer M5086A is designed to look like
the HeartStart HS1 Defibrillator. However, some of the
defibrillator’s physical features are either inactive in the
Trainer or behave differently from their counterparts in
the defibrillator, as noted below.
A TRAINING PADS CARTRIDGE HANDLE.
Pull up on the handle to turn on the Trainer.
Remove the cartridge’s hard cover, peel off the film
seal, then lift out pads.
B ON LIGHT. The Trainer's green ON light is on solid
when theTrainer is on, and off otherwise. (In the
HS1 Defibrillator, the green Ready light blinks when
the defibrillator is in standby mode, is on solid
when the defibrillator is in use, and is off when the
defibrillator needs attention.)
C ON/OFF BUTTON. You can also turn on the
Trainer by pressing this green button.To turn off the
Trainer, press the green button again and
hold it down for one (1) second.
D INFORMATION-BUTTON.This blue “i-button”
flashes when it has information you can access
by pressing it. In the Trainer, the i-button flashes
when scenario selection is available and at the
beginning of a patient care pause when CPR
coaching is available.
E CAUTION LIGHT.This triangular light flashes
during rhythm analysis and is on solid when
a shock is advised, as a reminder that no one
should be touching the patient.
F SHOCK BUTTON. This orange button flashes
when theTrainer advises you to deliver a shock;
press the Shock button to deliver the simulated
shock.
G INFRARED (IR) COMMUNICATIONS PORT.
This feature is not active in theTrainer. (In the HS1
Defibrillator, this feature is used to transfer data
directly between the defibrillator and a computer
running HeartStart Event Review data management
software.)
H SPEAKER. When the device is being used, its voice
instructions come from this speaker.
I TRAINING PADS CARTRIDGE.
This reusable cartridge contains self-adhesive
training pads with attached cable.An Adult Training
Pads Cartridge (M5073A) comes with the Trainer.
Infant/ChildTraining Pads Cartridges (M5074A)
are available separately.
J TRAINING PADS CARTRIDGE LATCH.
Slide the latch to the side to release the pads
cartridge for removal.
K BATTERY COMPARTMENT DOOR.
Lift off the door to install or replace batteries.
TheTrainer is powered by four disposable
AA alkaline cells inserted in the recess on the back
of the unit.
5
ENGLISH
front view
top back view
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6
HeartStartTrainer Kit Contents
The HeartStart Trainer M5086A comes
with the following:
• Trainer
• Adult training pads cartridge
• Instructions for Use
• External Manikin Adapter strip (1)
• Quick Reference
Optional Accessories
• M5086-91900 HeartStart Trainer
Instructions for Use
• M5073A Adult Training Pads Cartridge
• M5074A Infant/Child Training Pads Cartridge
• M5093A Replacement Adult Training Pads*
• M5094A Replacement Infant/Child Training Pads*
• M5088A Internal Manikin Adapter (1/pouch)
• M5089A External Manikin Adapters (5/box)
Installing or Replacing the Batteries
The HeartStart Trainer is powered by four AA alkaline batteries.
To install or replace the batteries, follow the steps below:
1. Press the latch on the battery compartment door
on the back of theTrainer. Lift off the door and set
it aside.
2. Remove the old batteries and recycle appropriately.
3. Insert four new AA alkaline batteries into the recess,
oriented according to the diagram provided on
the inside of the recess.
4. Replace the battery compartment door and press
down to ensure the latch holds it in place.
* Includes pads and replaceable film seal.
NOTE: Do not mix battery brands. Do not mix old and new batteries. Replace all
batteries at the same time.
If the Trainer is not to be used for some time, remove batteries to prevent possible
leakage and corrosion.
Using the Manikin Adapters
The training pads should be used on a CPR training manikin equipped with a
disposable External Manikin Adapter M5089A (A) or an Internal Manikin
Adapter M5088A (B), to simulate the patient.
The adapters must be purchased separately.
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Installing the External Manikin Adapter
Illustrated instructions for applying the External Manikin Adapter to a training
manikin, as shown below, are provided with the adapter. Packaged with the
Trainer, the External Manikin Adapter can be applied to any Laerdal training ma-
nikin.The adapter has a limited service life and replacements can be ordered
separately.
A. External Manikin Adapter M5089A on Adult ManikinTrainer
Installing the Internal Manikin Adapter
The Internal Manikin Adapter M5088A works with the Laerdal Little Anne CPR
Manikin and the Laerdal Resusci Anne CPR Manikin.
To install the optional Internal Manikin Adapter M5088A, follow the steps be-
low:
1. Remove the skin from the manikin.
2. Peel off the liner from the adhesive backing of the Internal ManikinAdapter.
3. Place the Internal Manikin Adapter sections in the appropriate locations
on the underside of the manikin’s skin.
4. Replace the manikin skin.
5. Check to be sure the Internal Manikin Adapter is located appropriately
to teach proper pad placement.
B. Installing the Internal Manikin Adapter M5088A
with the Laerdal Resusci® Anne
NOTE: Trainer will also operate with a modified Laerdal AED Anne.
Contact Laerdal Medical for more information.
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8
To p
A
B
Installing or Replacing theTraining Pads Cartridge
To install the training pads cartridge, follow these steps:
1. If a cartridge is currently installed in the Trainer,
locate the latch at the top edge of theTrainer, and
slide it to the side.The pads cartridge will be
released. Remove the cartridge.
2. Remove the new training pads cartridge from its
resealable package.
3. Insert the M5073A or M5074A
Training Pads cartridge into the compartment on the front
of the HS1Trainer (A).
Press the cartridge downfirmly until it clicks into place.
Be sure the green handle is pressed all the way down (B).
TheTrainer will tell you what kind of training pads
-- Adult or Infant/Child --
have been inserted, then it allows you to select a training
scenario. If you do nothing, theTrainer will go into training
standby mode to be ready for use.
Selecting aTraining Scenario
After battery installation
The default training scenario is number 1.
Each time batteries are installed in the Trainer, the training scenario
resets to the default.To use this scenario, install the training pads
cartridge, then simply pull the cartridge handle or press the On/Off
button.The Trainer will not announce the scenario number.
Selecting an alternative scenario
To select an alternative scenario, press the flashing blue i-button to scroll
through each of the eight scenarios in sequence.The Trainer will announce each
scenario by number as you press the button.When you reach the scenario
number you want, press and hold the On/Off button until the Trainer turns off,
or wait for 10 seconds and it will automatically go into training standby mode.
TheTrainer will run the same selected scenario every time until the batteries
are replaced or until a new scenario is selected.
In training standby mode
If the i-button is pressed while theTrainer is in training standby mode, the devi-
ce will announce that it is training. If the i-button is pressed a second time, the
Trainer will identify the current training scenario number. A third press of the
flashing i-button will allow you to select another scenario.
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Running aTraining Scenario
To run the selected training scenario, treat the Trainer exactly as you would
the HS1 Defibrillator.
1. Pull the handle or press the green On/Off button to turn on the Trainer.
2. Remove the clear protective lid from the training pads cartridge
and set it aside. Follow
the HeartStart Trainer’s
voice instructions.
3. If using a clothed
manikin, remove the
clothing as instructed.
4. Pull the tab at the top
of the training pads
cartridge to peel off
the resealable film
cover. Inside are two
adhesive pads on a
plastic liner. Lift the
pads out of the
cartridge and unwind
the wires from the well.
Peel one pad off the liner.
5. Place the pad on the manikin.
Press the pad down firmly.
Then peel and place the other pad.
PRECAUTION: Do not place the
training pads on a person.*
NOTE: Be sure that each pad is completely
removed from the liner before being
placed on the manikin.
6. Continue to followTrainer instructions
for remainder of scenario.
7. When the scenario has been completed, or to stop a scenario in
process, press and hold the On/Off button until the Trainer turns off.
8. To repeat the same scenario, repack the pads as described below, then
begin again by pulling the green handle or pressing the green On/Off
button.To select a different scenario, press the i-button.
NOTE: If battery power is depleted, the Trainer will say REPLACE BATTERY when the
Trainer is turned on, at the completion of a training scenario, and when the Trainer is
turned off.The Trainer will continue to operate for a short time. Replace the batteries
as soon as possible to ensure correct Trainer behavior.
* A Precaution is a condition, hazard, or unsafe practice that could result in minor personal injury.
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Standard Scenarios
There are eight training scenarios available when using the training pads
cartridges.They are described in the table on the next page.The legend table
below identifies the symbols used in the scenario descriptions here and on the
rear label of theTrainer.
NOTE: The Trainer provides a two-minute CPR / patient care interval after each
shock delivery and each No Shock decision.
SYMBOL MEANING
Shockable rhythm detected by defibrillator.
Non-shockable rhythm detected by defibrillator.
Pads problem detected by defibrillator.
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NUMBER SCENARIO OVERVIEW SCENARIO DETAILS
Shockable rhythm, one shock
needed for conversion*
1• Trainer detects a shockable rhythm,
instructs user to deliver a shock†
• Trainer detects a non-shockable
rhythm
2
Shockable rhythm, conversion,
return to shockable rhythm,
conversion*
4• Trainer detects a shockable rhythm,
instructs user to deliver a shock†
• Trainer detects a non-shockable
rhythm
• Trainer detects refibrillation
(return to a shockable rhythm),
instructs user to deliver a shock†
• Trainer detects a non-shockable
rhythm
Non-shockable rhythm
5• Trainer detects a non-shockable
rhythm throughout
Troubleshooting pads, one
shock needed for conversion*
3• Trainer detects poor pad contact,
repeats pads placement instructions
• After one pad is removed and
reapplied,Trainer detects a shockable
rhythm, instructs user to deliver
a shock†
• Trainer detects a non-shockable
rhythm
Shockable rhythm, two shocks
needed for conversion*
• Trainer detects a shockable rhythm,
instructs user to deliver a shock†
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock†
• Trainer detects a non-shockable
rhythm
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NUMBER SCENARIO OVERVIEW SCENARIO DETAILS
Shockable rhythm, two
shocks needed for conversi-
on*
6• Trainer detects a shockable rhythm,
instructs user to deliver a shock†
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock†
• Trainer detects a non-shockable
rhythm
Shockable rhythm, two shocks
needed for conversion, return
to shockable rhythm, conversi-
on*
7• Trainer detects a shockable rhythm,
instructs user to deliver a shock†
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock†
• Trainer detects a non-shockable
rhythm
• Trainer detects refibrillation (return to
a shockable rhythm), instructs user
to deliver a shock†
• Trainer detects a non-shockable
rhythm
Troubleshooting pads, two
shocks needed for conversion*
8• Trainer detects poor pad contact,
repeats pads placement instructions
• After one pad is removed and
reapplied,Trainer detects a shockable
rhythm, instructs user to deliver
a shock†
• Trainer still detects a shockable
rhythm, instructs user to deliver
another shock†
• Trainer detects a non-shockable
rhythm
* Conversion from ventricular fibrillation – the usual cause of sudden cardiac arrest – to a non-shockable rhythm.
† Scenario will not progress unless a simulated shock is delivered.
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Not all scenarios are appropriate for all user training.Training scenario
number 1 is the default scenario and is most commonly used when teaching
how to use the defibrillator to treat a victim of sudden cardiac arrest.
If the training scenarios are used as part of a formal training course,
the instructor may wish to:
• select only the scenarios appropriate for the training level goals,
• create case histories and patient details for the selected scenarios,
• highlight certain features of the defibrillator's performance,
• assure that users conform to local protocols,
• check pad placement, and
• evaluate user knowledge on topics such as CPR and assessing the patient.
Trainer Performance during Use
The HeartStart Trainer is designed for use in an automated external
defibrillator training class taught by a qualified instructor.
When a training scenario is running, the Trainer mimics the behavior of the
HS1 Defibrillator during actual emergency use. It provides voice instructions,
guides the user through one or more simulated shocks, provides pauses for
CPR, offers CPR coaching, etc. If there is no user interaction (no buttons are
pressed, or the cartridge handle is not pulled) for ten minutes, theTrainer
turns off.
Certain features of the actual HeartStart HS1 Defibrillator are not
reproduced by the HeartStart Trainer.
• The Trainer cannot be used with the (clinical) SMART Pads cartridges.
If a SMART Pads cartridge is installed, theTrainer will repeatedly request
the user to install a new cartridge.
• The Trainer does not perform the battery insertion and periodic self-tests.
• The Trainer’s setup is configured to meet Guidelines 2005 standard
protocols and cannot be reconfigured.*
• The trainer always uses a standard NSA (No Shock Advised) pause.
* This symbol on the back of the Trainer indicates configuration to meet Guidelines 2005.
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14
A
BCD
E F
Repacking theTraining Cartridge
After you have finished using the training pads cartridge, press and hold the
green On/Off button to turn off the Trainer. If battery power is low after
training, the Trainer will tell you to replace the batteries.
Prepare the training pads cartridge for its next use as follows:
1. Turn off the Trainer.
NOTE:The following steps can be performed as illustrated or with the training pads
cartridge in the Trainer.
2. Reapply the pads to each side of the
solid yellow liner, making sure that
the red tabs are positioned at same
end of the liner as the yellow tab (A)
and that neither pad extends beyond
the edge of the liner.
3. Press the pads firmly together on the yellow liner.
4. Untwist the wires, then wind the wires around the training cartridge
recess, pressing them into the track (B).Then place the pads over the
wound wires in the cartridge.The chest pad should be on top, and the
tab ends of the pads at the curved end of the cartridge (C). Fold the tab
down over the top pad (D).
5. Press the resealable film cover over
the cartridge, with the tab end
at the top (E). Be sure to fold
the tab back down under
the cover (F).
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G
6 Fit the hooks on the bottom of the clear
hard protective lid into the holes at
the bottom edge of the cartridge, and
press the lid and handle down (G).
Be sure the cartridge handle snaps
into place.The training cartridge is
now ready for its next use.
7 Reinstall the cartridge if necessary and press down the protective lid.
TheTrainer will announce the cartridge type and turn on for scenario
selection. Press and hold the On/Off button or do nothing and the
Trainer will automatically go to the training standby mode.
MaximizingTraining Pads Cartridge Service Life
The M5073A and M5074ATraining Pads are designed for up to 100 uses.
To help ensure continued performance, avoid placing the resealable film
cover or adhesive side of the pads in heat, direct sunlight, or against surfaces
that might transfer fiber, dirt, or lint. Periodically check the metal contacts on
the back of the cartridge and clean them with a soft, non-abrasive cloth if
necessary. Do not use alcohol to clean these contacts. Do not clean the
contacts in theTrainer’s cartridge recess; they are self-cleaning.
When the original training pads have reached the end of their service life,
you can order M5093A Replacement Adult Training Pads or M5094A
Replacement Infant/Child
Training Pads for the cartridge.
These include a set of pads and
a resealable film cover. Change
the pads as shown in the figure.
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BEHAVIOR POSSIBLE CAUSE RECOMMENDED ACTION
Trainer says ANALYZING
before pads are applied to
manikin.
• Avoid touching the gel on the pads.
• Be sure the pads are pressed firmly
to the liner and only touching each
other through the liner hole.
• Untwist the wires.
• User is touching the adhesive gel and
activating the sense circuitry of theTrainer.
• Liner is not properly separating pads.
• Wires are twisted.
Troubleshooting theTrainer
The following table is provided to help you troubleshoot potential problems.
Trainer does not say ANALY-
ZING when pads
are applied to the manikin
adapter.
• Check for proper pad placement
• Replace training pads.
• Check latch to be sure the
replaceable pads are correctly
attached to the cartridge cable.
• Replace manikin adapter.
• Pads placement is incorrect.
• Pads are old.
• Replaceable pads are not properly
connected to cartridge cable.
• Manikin adapter is broken.
The training pads cartridge
is difficult to install in or
release from the Trainer.
Make sure the resealable film cover
is lined up properly when repacking
the cartridge.
The resealable film cover may be
improperly aligned on the cartridge.
Trainer’s voice instructions
high-pitched and too rapid.
Be sure to install batteries according
to the diagram in the Trainer’s battery
compartment.
One of the batteries is installed backwards.
Trainer says ANALYZING
while yellow liner is still
attached to pad.
Remove yellow liner.
NOTE:This cannot happen when using
the HS1 Defibrillator.The defibrillator will
not analyze heart rhythm when the
yellow liner is attached to the pads.
It senses that the pads are not attached
to a patient and advises the user to re-
move the yellow liner.
Trainer cannot sense yellow liner.
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17
ESPAÑOL
HeartStart Trainer
ESPAÑOL : Instrucciones de utilización
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18
Sobre esta edición
La información de esta guía se
aplica al HeartStart Trainer M5086A.
Esta información está sujeta a cambios.
Por favor, consulte a su distribuidor local
de Laerdal para información sobre
las revisiones.
Traducción / localización
El HeartStart Trainer es fabricado por Philips
exclusivamente en inglés. Laerdal Medical está
adaptando localmente el producto reprogramando
el software y traduciendo las instrucciones de
uso a diversos idiomas.
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