laerdal CPRmeter Manual

CPRmeterTM with Q-CPR® Technology
Directions for Use
Cat. No. 801-00140
www.laerdal.com
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ENGLISH Directions for Use 5
DEUTSCH Gebrauchsanweisung 31
ITALIANO Instruzioni per l'uso 55
ESPANÕL Instrucciones de utilización 79
NORSK Bruksanvisning 103
SVENSKA Bruksanvisning 127
FRANÇAIS Mode d’emploi 151
NEDERLANDS Handleiding 175
DANSK Brugsanvisning 199
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5
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English
5
CPRmeterTM Directions for Use
Contents
1 - Description and Indications for Use 7
2 - Setup 8
3 - Use during an Emergency 10
4 - Compression Feedback 12
5 - Debriefing after Use 15
6 - Maintenance and Cleaning 17
7 - Troubleshooting Guide 20
8 - Accessories, Consumables and Spare Parts 21
9 - Glossary of Symbols 23
10 - Additional Warnings and Cautions 24
11 - Recommendations 25
12 - Specifications 26
13 - Environmental Considerations 28
14 - Electromagnetic Conformity 29
About this edition
The information in this Directions for Use applies to the model 801-00140 CPRmeter™.
This information is subject to change. Please contact your local Laerdal representative
for information on revisions.
Printed in Norway
Copyright
© 2012 Laerdal Medical AS. All rights reserved. No part of this publication may be
reproduced, transmitted, transcribed, stored in a retrieval system or translated into any
human or computer language in any form by any means without the consent of the
copyright holder.
Device Manufacturer
Laerdal Medical AS,Tanke Svilandsgate 30, PO Box 377, 4002 Stavanger, Norway,
([phone].
The CPRmeter™ with Q-CPR®technology is protected under U.S. Patents 6,306,107,
6,351,671, 6,390,996, 7,074,199, 7,108,665, 7,118,542, 7,122,014, 7,220,235 and other
foreign patents. Other U.S. and foreign patents pending. The design of CPRmeter™ is
protected under design registrations/design patents US609,813; US628,212; EU997416,
EU997424, NO81223, NO81219, AU323899, AU324044 and other foreign design
registrations.
CPRmeter™ and Q-CPR®are trademarks or registered trademark of Laerdal
Medical AS. Energizer®is a registered trademark of Eveready Battery Company,
Inc. Panasonic®is a registered trademark of Matsushita Electric Industrial Co., Ltd.
Duracell®is a registered trademark ofThe Gillette Company or its affiliates. SD™ and
microSD™ are trademarks of SD-3C LLC.
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CPRmeter Overview
FrontView RearView
(this surface up) (apply this surface to patient)
On / Off Button
Status Light
Display
Area
Rear
Cover
Compression
Area Yellow Patient
Adhesive
Mount Area
Placement
Guide Vent
Membrane
Rear Cover
Screws
SideView
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7
6
1Description and Indications for Use
The CPRmeter with Q-CPR®technology is a small, lightweight device
powered by a replaceable battery. The CPRmeter is intended for use by
responders who have been trained in CPR and use of the CPRmeter.
The CPRmeter is used as a guide in administering cardiopulmonary
resuscitation (CPR) to a suspected sudden cardiac arrest (SCA) victim at
least 8 years old or 25 kg ( 55 lbs). If in doubt about the appropriateness for
use, perform CPR without using the CPRmeter.
When attached to the bare chest of a suspected victim of SCA, the
CPRmeter provides real-time feedback on CPR compressions in accordance
with current CPR guidelines. It displays CPR feedback indicators for depth,
release, and rate of chest compressions. It also counts the number of
compressions in a series, and provides notification of lack of expected CPR
activity.
WARNING: The CPRmeter is not intended for use on SCA victims under 8
years old or 25 kg ( 55 lbs).
IMPORTANT NOTE: CPR cannot assure survival, no matter how well it is
performed. In some patients, the underlying problem causing the cardiac
arrest is not survivable despite any available care.
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2 Setup
Check the contents of the CPRmeter box. It should contain:
–the CPRmeter
–red sleeve
–set of 3 CPRmeter patient adhesives in a resealable pouch
–Directions for Use
–Laerdal Global Warranty and WEEE-statement leaflets
–microSD™ memory card with SD™ card adapter
–3V Lithium 123 (Li/MnO2) battery
 RemovetheprotectivelmfromtheCPRmeterdisplayscreenbeforerstuse.
Inserting a new Battery
1. Unscrew the rear cover using a flathead
screwdriver (not supplied) or a coin,
and lift out the cover.
2. Insert a new battery into the battery
well, in the orientation as directed by the
battery symbol inside the well.
3. Ensure that the rear cover’s vent
membrane is not soiled or damaged.
Refer to Chapter 6, Replacing the Rear
Cover for instructions.
4. Position the rear cover on the CPRmeter.
Thread the screws through the washers
and into the cover, and tighten the screws.
The CPRmeter’s status light will flash green
every 5 seconds to indicate that it has
passed its self-test and the battery is OK
for use.
If for any reason the CPRmeter’s status indicator light is orange or does not
flash green, refer to Chapter 7, Troubleshooting Guide for instructions.
Inserting a microSD™ Memory Card
Use of a microSD™ memory card with the CPRmeter is optional. Refer to
Chapter 5, Q-CPR® Review for further details.
1. Remove the Rear Cover and Battery.
2. Insert a microSD™ card into the card
slot inside the battery well, in the
orientation as directed by the card
symbol inside the well.
3. Re-insert the battery and attach the
rear cover as described in the previous
section.
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English
8
Applying a new Patient Adhesive
1. Check the label on the CPRmeter patient
adhesives resealable pouch to be sure
that they are within their expiration date.
2. Open the package of CPRmeter patient
adhesives and peel one from the white
liner strip to expose the adhesive surface
on its underside.
3. Align the bottom of the patient adhesive
with the yellow patient adhesive mount
area on the rear cover of the CPRmeter.
Make sure the channel on the adhesive is
directly over the vent membrane. Press
the patient adhesive into place.
4. Do not peel off the green liner from the
attached adhesive until you are ready to apply the CPRmeter to a patient
in an emergency. Return remaining patient adhesives to their resealable
pouch.
Storing the CPRmeter between Use
Use the CPRmeter red sleeve to shield the display screen from scratches
and to protect the patient adhesive from damage. Ensure that the On/
Off button can not be inadvertently activated during storage.
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3 Use During an Emergency
Attach the CPRmeter to the Patient’s Chest
1. Make certain the patient is on a firm surface.
2. Remove clothing from the patient’s chest.
3. Remove the CPRmeter from its red sleeve.
4. Turn on the CPRmeter by pressing the On /
Off button once.
5. If the patient’s chest is wet, dry it before
attaching the CPRmeter.
6. Peel off the green liner from the CPRmeter
patient adhesive to expose the white adhesive
surface.
7. Position the CPRmeter so that the
compression area is on the lower half of the
sternum (breastbone), on the centerline of
the bare chest, as illustrated on the front of
the CPRmeter.
8. If the CPRmeter moves during use, re-position
it to the center of the chest, as described
above.
9. If difficulty is encountered in applying the CPRmeter,
do not delay initiation of CPR. Remove the CPRmeter
and begin compressions.
WARNING: Do not use the CPRmeter in conjunction
with any mechanical or automated compression device.
WARNING: Do not use the CPRmeter on top of
debrillationpads,unlessthemanufacturerofthe
debrillatorandthedebrillationpadshasexplicitly
stated that the CPRmeter can be used in such manner.
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English
Perform CPR. Follow Feedback.
Using standard CPR technique, place the heel
of one hand directly onto the center of the
compression area of the attached CPRmeter.
Place your other hand on top of the first.
You should be able to see the display area
of the CPRmeter to look for feedback.
1. Provide chest compressions according to your CPR protocol.
2. When compressions are first detected by the CPRmeter, the display
changes to enlarged compression indicators, as shown:
3. Follow feedback provided by the indicators on the CPRmeter display. The
indicators are described in the following section.
WARNING:WhentheCPRmeterisusedtogetherwithadebrillator,make
suretofollowthedebrillatormanufacturer’sinstructions.Stopcompressions,
remove hands from the CPRmeter and remain clear of all patient contact
duringdebrillationorwhenotherwiserequired,inaccordancewithaproper
debrillationprotocol.
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4 Compression Feedback
Compression
ReleaseTarget
Compression RateTarget
Compression
Depth Indicator
Compression
Rate Indicator
Compression
DepthTarget
The display of the CPRmeter provides real-time feedback to the responder as
described below.
Good Compressions
Each compression performed is represented on
the CPRmeter display by a moving white
compression depth indicator bar. When the
CPRmeter detects that a compression meets
the targets for depth or release, the target briefly
illuminates.
If the CPRmeter detects that the rate of
compressions is within the target area, the
“speedometer” needle on the compression rate
indicator points to the green target area and the
green target briefly illuminates.
Compression Depth
If the CPRmeter detects a compression that fails
to meet the proper minimum compression depth
target (50 mm / 2 inches – for a patient on a hard
surface), the compression depth target does not
illuminate.
If 4 consecutive compressions fail to meet the
compression depth target, the display shows a
yellow arrow pointing to the compression depth
target.
If the CPR meter detects a compression that
exceeds 70 mm (2.75"), the CPRmeter shows the depth indicator below
the target area. If a specific CPR event requires CPR to be performed
on a patient lying on a mattress, slide a backboard under the patient and
compensate for the mattress softness by ensuring that for each chest
compression the area below the compression depth target lights up.
WARNING:When performing CPR on a patient lying on a mattress, a
backboard must be used to limit the amount of compressed depth which is
absorbed by the mattress. Depending on characteristics of the mattress,
backboard and patient, the depth compensation does not guarantee that
the patient chest is compressed by 50 mm / 2 inches.
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Incomplete Release
If the CPRmeter detects that pressure is not fully
released between compressions, the release target
does not illuminate. If 4 consecutive compressions
fail to meet the release target, the display shows a
yellow arrow pointing to the compression release
target. Release pressure completely between
compressions.
IMPORTANT NOTE: Release pressure completely between compressions.
Compression Rate
If the CPRmeter detects that the compression
rate is greater than the target rate, the needle on
the compression rate indicator points to the right
of the green area. If the CPRmeter detects that the
compression rate is less than the target rate, the
needle on the compression rate indicator points to
the left of the green area.
Compression Counter
Compression
Counter
25
When compressions start, the CPRmeter display
shows a numerical compression counter. The
counter digits turn solid white between 25 and 30
compressions, as a guide to the responder when
performing a cycle of 30 compressions. Beyond 30
compressions, the counter digits flash solid white for
every tenth compression*.
The compression counter is reset after 3 seconds
without a compression.
* When performing continuous compression CPR on an intubated patient,
the compression counter may be used to time delivery of ventilations. At a
compression rate of 100 per minute: If a ventilation is delivered for every 10
continuous compressions, ventilation rate should be 10 per minute.
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Inactivity
InactivityTimer
0:23
If compressions are stopped during a CPR event,
after 3 seconds the CPRmeter displays an inactivity
timer which counts the seconds since the last
compression.
After 20 seconds since the last compression, the
inactivity timer starts flashing.
After 1 minute, the CPRmeter display fades down
to conserve battery power. The display is restored
when a new compression is delivered.
After 10 minutes of inactivity, the CPRmeter is automatically turned off.To
restart the CPRmeter, press the On/Off button.
Turning Off the CPRmeter
To turn the CPRmeter off, press and hold the On / Off button for at least 1
second.
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English
5 Debrieng After Use
Q-CPR®Quick Review
The CPRmeter can display CPR performance statistics for the last CPR
event.When the CPRmeter is turned on, press the On / Off button once to
activate Q-CPR Quick Review. The statistics are shown over two displays.
–98% 70%
96%
Percentage of compressions with release force
within the Compression ReleaseTarget.
–Percentage of compressions with compression
depth which have reached the Compression
DepthTarget.
–Percentage of compressions with compression
rate within the Compression Rate Target.
Press the On / Off button once to cycle to the next
display.
–
24:35
73%
Duration of the CPR event (minutes: seconds).
–Percentage of the CPR event duration where
chest compressions have been delivered.
Press the On / Off button once to cycle between
the displays.
To turn the CPRmeter off, press and hold the On / Off button for at least 1
second.
The CPRmeter reverts to Compression Feedback mode if a compression is
delivered.
The CPR event statistics are stored when the CPRmeter is turned off. When
turned on again, the statistics from the stored CPR event can be reviewed,
as described above.
 WhentheCPRmeterisusedinanewCPRevent,theprecedingevent’s
statisticsaredeletedandthenewevent’sstatisticsarestoredinQ-CPR
Quick Review.
CPR performance statistics are only calculated if at least 10 compressions
have been delivered.
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Q-CPR®Review
When a microSD™ memory card has been
inserted into the CPRmeter prior to use, data
from CPR events are stored on the card.The
data can only be viewed on a PC with the
Laerdal Q-CPR Review software program,
version 3.1 or newer, installed.
Q-CPR Review software is available for download
by visiting: www.laerdal.com/downloads
To transfer CPRmeter data to a PC with a SD™ memory card reader:
1. Remove the microSD™ card from the CPRmeter and insert it into the
provided SD™ card adapter.
2. Insert the SD™ card adapter into the SD™ card reader.
3. Start the Q-CPR Review software on the PC and follow instructions.
Remember to re-insert a microSD™ card into the
CPRmeter before further CPR event data recording.
If the ’remove memory card’ symbol is shown
on the CPRmeter display, the memory card is
full and should be replaced to prevent data from
subsequent CPR events from being lost.
The CPRmeter’s compression feedback and Q-CPR Quick Review features
will function as normal even if the memory card is full.
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6 Maintenance and Cleaning
Routine Maintenance
1. On a routine basis, check the CPRmeter’s status light. If the status light is
not flashing green every 5 seconds: See Chapter 7,Troubleshooting Guide.
2. On a routine basis, check that the CPRmeter has a patient adhesive in place
and that the liner remains on it. Replace the patient adhesive at least every
2 years if it is not used.
3. Replace the battery at least every 2 years. Replace the patient adhesive
every time the rear cover is opened.
Battery Monitoring
The CPRmeter continuously monitors the power of its battery. If the
remaining power is less than that required for an entire CPR event, the
following visual indicators signal that the battery should be replaced before
the next use:
–The green status light does NOT flash green
every 5 seconds when the CPRmeter is turned
off.
–A small battery-low icon is shown in the upper
right corner of the display when the CPRmeter
is being turned on.
–A large battery-low icon is shown on the display
when the CPRmeter is being turned off.
IMPORTANT NOTE: If the remaining battery
power during use becomes too low to sustain further operation, the battery-
low icon is shown for 10 seconds and then the CPRmeter turns itself off.
WARNING: Do not interrupt CPR to replace the battery. Continue CPR
without feedback from the CPRmeter.
Battery Replacement
1. Remove the CPRmeter patient adhesive from the back of the CPRmeter.
2. Unscrew the rear cover using a flathead screwdriver (not supplied) or a
coin, and lift out the cover.
3. Remove the old battery and discard.
4. Insert a new battery into the battery well, in the orientation as directed
by the battery symbol inside the well. SeeChapter12,Specications, for
battery specifications.
5. Ensure that the rear cover’s vent membrane is not soiled or broken.
6. Position the rear cover on the CPRmeter. Thread the screws through the
washers and into the cover, and tighten the screws.
7. Apply a new CPRmeter patient adhesive to the CPRmeter as described in
Chapter 2, Setup.
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After each Use
After use on a patient, the CPRmeter may be contaminated and should be
handled appropriately.
1. Place the contaminated CPRmeter in a plastic bag until it can be cleaned.
Do not insert a contaminated CPRmeter into the red sleeve.
2. If it is visibly soiled, wipe the CPRmeter with a soft cloth or paper towel to
remove as much contamination as possible.
3. Remove the CPRmeter patient adhesive from the back of the CPRmeter.
4. Clean the CPRmeter as described under Cleaning.
5. Examine the vent membrane in the center of the yellow rear cover. If the
vent membrane is soiled or damaged, see Replacing the Rear Cover.
6. Check the exterior of the CPRmeter for signs of damage. Contact Laerdal
to arrange for replacement if needed.
7. Apply a new CPRmeter patient adhesive to the CPRmeter as described in
Chapter 2, Setup.
Cleaning
If the CPRmeter has been used in a training situation, it may be wiped using
an alcohol wipe (70% ethanol solution).
If the CPRmeter has been used in a clinical situation, clean it as follows:
1. Clean and scrub the exterior using a mild detergent and either a soft cloth
or toothbrush until the surfaces are visually clean.
2. Wipe the exterior with a soft cloth dampened in lukewarm water.
3. Clean the exterior using a 0.55% solution of ortho-phthalaldehyde. Spray the
solution on to cover all exterior surfaces, and allow to sit for a minimum of
10 minutes.An alternative cleaning agent is isopropyl alcohol (70% solution).
4. Wipe the exterior with a clean soft cloth dipped in water. Allow to dry
completely.
WARNING: The above procedure does not ensure disinfection. Cleaning
the device with 0.55% solution of ortho-phthalaldehyde ensures that the
CPRmeter is thoroughly cleaned.
CAUTION: Do not immerse the CPRmeter in water, hold it under running
water, or allow moisture to penetrate it. Do not sterilize the CPRmeter.
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English
Replacing the rear cover
The vent membrane allows the CPRmeter to adapt to minute air pressure
changes while protecting it from fluid entry.
If the vent membrane in the center of the yellow rear cover is soiled,
contaminated, scratched or damaged, the rear cover must be replaced. Do
not attempt to clean the vent membrane.
WARNING: A soiled or damaged vent membrane may lead to inaccurate
feedbackoruidentryintotheCPRmeter.Iftherearesignsofuidentry,
remove the CPRmeter from service and contact your Laerdal representative
for advice.
If the rear cover is damaged or does not fit flush with the CPRmeter housing,
or the rear cover screws have sharp edges or the washers under each of the
rear cover screws are missing, the rear cover must be replaced. See Chapter
8,Accessory, Consumables and Spare Parts.
1. Unscrew the rear cover using a flathead screwdriver (not supplied) or a
coin, and lift out the cover.
2. Remove the replacement rear cover from its packaging and check to be
sure it is not damaged.
3. Position the rear cover on the CPRmeter. Thread the screws through the
washers and into the cover, and tighten the screws.
Customer Service Indicator
The Customer Service Indicator (right) appears
on the CPRmeter only at shutdown, after 500 000
chest compressions. Contact your local Laerdal
representative for further instructions.
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7 Troubleshooting Guide
Problem Suggested Action
The CPRmeter display is dark. Make sure the CPRmeter is
turned on.
CPRmeter status light does not
flash green.
Replace the battery. Ensure that
the battery is inserted in the
correct orientation.
CPRmeter status light is orange
(solid or flashing) and the
CPRmeter display is dark.
Remove the CPRmeter from
service. Contact Laerdal for
technical support.
CPRmeter does not adhere to
patient's chest.
If there is no other responder
present, provide CPR using the
CPRmeter even if it does not
adhere to the patient's chest.
Be sure to keep the CPRmeter
properly positioned.
If there is another responder
present to provide CPR, remove
the CPRmeter and replace the
CPRmeter patient adhesive.
Dry the patient's chest if wet and
re-apply the CPRmeter with a
minimum interruption to CPR.
User is unfamiliar with the
CPRmeter, or thinks there is a
problem with the CPRmeter.
Ignore feedback from the
CPRmeter and continue with
CPR.
At an appropriate time after
the CPR event, inspect the vent
membrane for soiling or damage.
Apply a new patient adhesive
and let a trained user perform
chest compressions with the
CPRmeter on a CPR manikin. If
the CPRmeter does not appear
to function as expected, remove
it from service and contact
Laerdal or approved Laerdal
representative for technical
support.
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