laerdal HeartStart FRx Trainer Manual

HeartStart FRx Trainer
ENGLISH Directions for Use
ESPAÑOL Instrucciones de utilización
ITALIANO Instruzioni per l’Uso
NEDERLANDS Handleiding
NORSK Bruksanvisning
SUOMI Käyttöohje
www.laerdal.com
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HeartStart FRx Trainer 861307
Contents
Intended use of the FRx Trainer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Features of the FRx Trainer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Overview of the FRx Trainer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
To set up the FRx Trainer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
To select a training scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
To run a training scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Standard training scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
FRx Trainer performance during use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
To change the FRx Trainer’s default configuration . . . . . . . . . . . . . . . . . . . . . . 16
To troubleshoot the FRx Trainer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Environmental Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Intended use of the FRx Trainer
The HeartStart FRx Trainer is designed to prepare emergency responders to
use the FRx automated external defibrillator (AED).The HeartStart FRx Trainer
cannot be used to deliver defibrillation treatment.
The Trainer provides a variety of simulations, or training scripts, to help responders
become familiar with the FRx defibrillator and allow them to practice the basic skills
necessary to use the defibrillator in an emergency.The default Trainer configuration can
be adjusted to meet local protocol requirements.
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Features of the FRx Trainer
• The HeartStart FRx Trainer provides simulated shock delivery. It has no
high-voltage capabilities, ensuring safety during training.
• The HeartStart FRx Trainer is designed for use with HeartStart Training Pads II
and training manikins when equipped with the External Manikin Adapter
M5089A provided with the Trainer.The FRx Trainer and Training Pads II can also
be used with Laerdal training manikins when equipped with an Internal Manikin
Adapter M5088A, available separately from Laerdal.
• Reusable HeartStart Training Pads II are available in a kit (REF: 989803139271).
The kit contains one set of Training Pads II in a reusable training pads case, an
adult pads placement guide, Instructions for Use of the training pads, and an
illustrated guide. Replacement training pads (REF: 989803139291) are available
for use with the Training Pads II case.
• The HeartStart FRx Trainer and Training Pads II can also be used with an
Infant/Child Pads Placement Guide and an Infant/Child Key, available separately
from Laerdal, for training in pediatric defibrillation.
• The HeartStart FRx Trainer has eight training scenarios that simulate realistic
sudden cardiac arrest episodes. See “Standard Training Scenarios” for scenario
descriptions.These scenarios are compatible with training programs developed
by nationally recognized responder programs.
• The HeartStart FRx Trainer is powered by four standard AA alkaline batteries.
WARNING: Do not store the Trainer with your defibrillator, or where it could be confused
with a defibrillator during an emergency.
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Ä~Åâ
The HeartStart FRx Trainer is designed to look similar to the HeartStart FRx
Defibrillator. However, the yellow center label identifies it as a training device. In
addition, some of the FRx defibrillator’s features are either inactive in the FRx
Trainer or behave differently from their counterparts in the Trainer.The FRx
Trainer’s physical features are described below.
A TRAINING PADS CONNECTOR PORT.The Training Pads II connector is
inserted in this port.
B INFANT/CHILD KEY SLOT.The Infant/Child Key, available separately, is inserted
into this slot to simulate a defibrillation scenario for an infant or child under
8 years old or 55 pounds.
C ON LIGHT.The FRx Trainer's green ON light is on solid when the Trainer is on,
and off otherwise. (In the FRx Defibrillator, the green Ready light blinks when
the defibrillator is in standby mode.)
D ON/OFF BUTTON.To turn on the FRx Trainer, press this green button.
To turn off the Trainer, press and hold the button down for one (1) second.
Overview of the FRx Trainer
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E INFORMATION-BUTTON. In the FRx Trainer, this blue “i-button” flashes when
scenario selection is available and at the beginning of a patient care pause when
CPR Coaching is available.
F PADS ICONS.The pads icons flash as a guide to pads placement during the
training scenario.They turn off as soon as the pads are placed.
G CAUTION LIGHT.This 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.
H SHOCK BUTTON.This orange button flashes when the FRx Trainer advises you
to deliver a shock; press the Shock button to deliver the simulated shock.
I INFRARED (IR) COMMUNICATIONS PORT.This feature is not active in
the FRx Trainer. (In the FRx Defibrillator, this feature is used for data transfer.)
J SPEAKER.When the device is being used, its voice instructions come from this
speaker.
K BATTERY COMPARTMENT DOOR.This door is lifted off in order to install or
replace batteries.The Trainer is powered by four disposable AA alkaline cells
inserted in the recess on the back of the unit. (The FRx Defibrillator is powered
by a custom battery pack.)
L CONFIGURATION SWITCHES. Located inside the battery compartment well,
these switches allow you to alter certain Trainer parameter settings.
See “Configuring the FRx Trainer” for details. (The FRx Defibrillator does not
have these switches.)
The HeartStart Training Pads II are provided in a gray case with a yellow label to
distinguish them from the HeartStart SMART Pads II case, which has a gray label.
The Training Pads II wires also have a red “NOT FOR CLINICAL USE” flag around
the pad wires near the connector plug.
WARNING: Do not store your Training Pads II with your FRx defibrillator, or where it could
be confused with defibrillator pads during an emergency. Do not put the training pads on
a person.
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HeartStart FRx Trainer Kit contents
The FRx Trainer 861307 includes one each of the following:
• HeartStart FRx Trainer
• HeartStart Training Pads II
• HeartStart FRx Trainer carry case
• HeartStart FRx Defibrillator Quick Reference Guide
• HeartStart FRx Trainer Instructions for Use
• External Manikin Adapter
Check with your medical director or Emergency Medical Services provider for
additional training requirements, protocols, and materials.
Optional accessories
The following accessories are available from Laerdal separately:
• HeartStart Training Pads II (kit containing one set of Training Pads II in training
pads case, adult pads placement guide, Instructions for Use, and illustrated guide)
[REF: 989803139271]
• Replacement Training Pads II (pair of training pads on disposable liner for use in
training pads case provided with HeartStart Training Pads II)
[REF: 989803139291]
• Adult pads placement guide
[REF: M5090A]
• Infant/Child pads placement guide
[REF: 989803139281]
• Infant/Child Key
[REF: 989803139311]
• External Manikin Adapter, 5 pack
[REF: M5089A]
• Internal Manikin Adapter
[REF: M5088A]
• Replacement FRx Trainer Carry Case
[REF: 942510]
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To set up the FRx Trainer
To install or replace the batteries
The HeartStart Trainer is powered by four AA alkaline batteries (not included).To
install or replace the batteries, follow the steps below:
1. Press the latch on the battery compartment door on the back of the FRx
Trainer. Lift off the door and set it aside.
2. Remove the old batteries and recycle or dispose of in accordance with
your local regulations.
3. Insert four new AA alkaline batteries into the recess, oriented as illustrated
in the battery holder.
4. Replace the battery compartment door and press down to ensure the latch
holds it in place.
NOTE: It is recommended that you replace all four batteries at the same time.
To connect or replace the Training Pads II
To connect the Training Pads II to the FRx Trainer, simply plug the Training Pads II
connector into the connector port of the FRx Trainer. Be sure the connector clicks
into place.
When the original training pads have reached the end of their service life, you can
order Replacement Training Pads for the training pads case.
To install replacement training pads in the reusable training pads case, remove and
discard the old pads from the case. Open the Replacement Training Pads II package
and remove each training pad from the disposable liner. Repack the replacements
pads in the reusable case according to the following directions.
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To repack the Training Pads II
1. Firmly press one pad into each side of the open training pads case.
2. Untwist the pads wires if necessary.
3. Coil the pads wires inside the case with the connector plug exiting through
the hole in the pads case.
To use the FRx Trainer with Laerdal training manikins
To simulate the patient, use the Training Pads II on a CPR training manikin equipped
with a disposable External Manikin Adapter M5089A or an Internal Manikin
Adapter M5088A.Alternatively, you can use a Laerdal Resusci Anne training
manikin equipped with Laerdal Link technology and an adapter available at most
electronics stores. Contact Laerdal for information.
To install the external manikin adapter
The M5089A External Manikin Adapter is provided with the FRx Trainer. It can be
applied to any training manikin as illustrated in steps 1 and 2 below. (When the
manikin is used in training,Training Pads II should be placed as shown in step 3
below.)
NOTE:The M5089A External Manikin Adapter has a limited service life.You can order
replacement sets of five adapters.
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To install the internal manikin adapter
The Internal Manikin Adapter M5088A, sold separately, works with Laerdal Little
Anne and Laerdal Resusci Anne CPR Manikins.
To install the Internal Manikin Adapter on a Little Anne or Resusci Anne Manikin,
follow the steps below:
1. Remove the skin from the manikin.
2. Peel off the liner from the adhesive backing of the Internal Manikin Adapter.
3. Place the Internal Manikin Adapter sections in the appropriate locations on
the underside of the manikin’s skin. See the Instructions for Use provided with
the Internal Manikin Adapter for detailed placement illustrations.
4. Replace the manikin skin.
5. Using the Trainer in a practice trial, check that the Internal Manikin Adapter
is located appropriately to teach proper pad placement.
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To select a training scenario
Make sure the pads connector is plugged in and the FRx Trainer is turned off.
(Press and hold the On/Off button if necessary to turn off the Trainer.)
1. Press the flashing i-button once.The FRx Trainer will tell you how to select
a scenario.
2. Press the i-button again to have the FRx Trainer identify the current training
scenario. If you want to use this scenario, briefly press the On/Off button to run
the scenario immediately.
3. To select a different scenario, press the flashing blue i-button to scroll through
each of the eight scenarios in sequence.When you reach the scenario number
you want, briefly press the On/Off button to run the scenario immediately.
Or, to simply select the scenario without running it, press and hold the On/Off
button until the Trainer turns off, or wait for 10 seconds and it will automatically
turn off.
The FRx Trainer will run the selected scenario every time until the batteries are
replaced or until a different scenario is selected.The Trainer defaults to Scenario 1
each time the batteries are installed.
To run the selected training scenario, treat the FRx Trainer exactly as you would
the FRx Defibrillator.
1. Press the green On/Off button to turn on the FRx Trainer.
2. To practice defibrillation of an infant or child under 8 years or 55 pounds
(25 kg), insert the Infant/Child Key in the Trainer’s Infant/Child Key slot.
NOTE: Inserting or removing the Infant/Child Key during a scenario will restart
the scenario.
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3. Follow the FRx Trainer’s voice instructions.
4. If using a clothed manikin, remove the clothing as instructed.
5. Open the Training Pads II case and peel off one pad.
NOTE:Avoid touching the pad’s adhesive gel, because this may cause the Trainer to begin
analysis prematurely.
6. Place the pad on the manikin. Press
the pad down firmly.
Then peel and place the other pad.
7. Continue to follow the FRx Trainer’s
instructions for remainder of scenario.
8. When the scenario has been completed,
or to stop a scenario in process, press
and hold the On/Off button until the
FRx Trainer turns off.
9. To repeat the same scenario, repack the pads as described in “To repack the
Training Pads II.” Then begin again by pressing the green On/Off button.
To select a different scenario, press the i-button.
NOTE: If battery power is depleted, the FRx Trainer will say REPLACE BATTERY.The FRx
Trainer will continue to operate for a short time. Replace the batteries as soon as possible
to ensure correctTrainer behavior.
Standard training scenarios
The FRx Trainer provides eight training scenarios.When the Trainer directs you to
press the Shock button, the scenario will not advance unless the button is pressed.
When the Trainer detects a non-shockable rhythm, it instructs you to provide CPR
if needed.
In the Trainer scenarios,“conversion” means a change from a shockable to a
non-shockable rhythm.
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The legend below identifies the symbols used on the rear label of the FRx Trainer
and in the following scenario descriptions.
NOTE:The shock series can be configured to either one or three shocks. If configured for
the default one-shock series, the Trainer provides a pause after each shock.
symbol meaning
scenario number scenario description
(Simulated) shockable rhythm detected by Trainer.
(Simulated) non-shockable rhythm detected by Trainer.
(Simulated) pads problem detected by Trainer.
Shockable rhythm detected, one shock needed for conversion
Details:
• Trainer detects a shockable rhythm, instructs user to deliver a shock.
• Trainer detects a non-shockable rhythm.
Shockable rhythm detected, multiple shocks needed for conversion
Details:
• Trainer detects a shockable rhythm, instructs user to deliver one shock
if configured for a one-shock series, or three shocks if configured for a
three-shock series.
• Trainer detects a shockable rhythm, instructs user to deliver a shock.
• Trainer detects a non-shockable rhythm.
Scenario 1
Scenario 2

Scenario 2
Scenario 1
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scenario number scenario description
Troubleshooting pads, one shock needed for conversion
Details:
• 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 detected, conversion, return to shockable rhythm, con-
version
Details:
• 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 detected
Details:
• Trainer detects a non-shockable rhythm throughout.
Shockable rhythm detected, two shocks needed for conversion
Details:
• 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.
Scenario 3
Scenario 4
Scenario 5
Scenario 4
Scenario 5
Scenario 6
Scenario 6
Scenario 3
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scenario number scenario description
Shockable rhythm detected, two shocks needed for conversion, return to
shockable rhythm detected, one shock needed for conversion
Details:
• 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
Details:
• 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.
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 FRx 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 aspects 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.
Scenario 7
Scenario 7
Scenario 8
Scenario 8
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FRx Trainer performance during use
The HeartStart FRx Trainer is designed for use in an automated external
defibrillator training class taught by a qualified instructor.
When a training scenario is running, the FRx Trainer mimics the behavior
of the FRx Defibrillator during actual emergency use. It provides voice
instructions, guides the user through one or more simulated shocks, pro-
vides pauses for CPR, offers CPR Coaching, etc. If there is no user interac-
tion (no buttons are pressed) for ten minutes, the Trainer turns off.
IMPORTANT: Certain features of the actual HeartStart FRx Defibrillator
are not reproduced by the FRx Trainer.
• The FRx Trainer cannot be used with the (clinical) SMART Pads II.
If the SMART Pads II are installed, the FRx Trainer will repeatedly ask
you to install training pads.
• The FRx Trainer does not perform the battery insertion and periodic
self-tests.
• Inserting or removing the Infant/Child Key from the Trainer during
a scenario restarts the scenario.
• The FRx Trainer always uses a standard NSA pause.
To change the FRx Trainer’s default configuration
The HeartStart FRx Trainer comes with a factory default configuration
designed to meet the needs of most users.The settings for certain param-
eters, listed in the table below, can be altered by the user.
To change configurable Trainer parameters, remove the battery compart-
ment door from the Trainer and locate the switches in the bottom of the
battery compartment. Using a small implement, adjust the ON and OFF
switch settings as described in the following table.
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parameter switch # setting (default = OFF)
1 OFF: high
ON: low
2 & 3 switch #2 switch #3 setting
OFF OFF 2.0
ON OFF 1.0
OFF ON 1.5
ON ON 3.0
4 OFF: adult 30 compressions/2 ventilations
pediatric 30 compressions/2 ventilations
ON: adult 30 compressions/2 ventilations
pediatric 15 compressions/2 ventilations
5 OFF: with ventilations
ON: without ventilations
6 OFF: 1
ON: 3
7 & 8 switch #7 switch #8 setting
OFF OFF 2.0
ON OFF 1.0
OFF ON 1.5
ON ON 3.0
*If the Trainer is configured for CPR Coaching with ventilations, and the user selects CPR Coaching by pressing the i-button, the default pause
and CPR Coaching settings (2 minutes pause, 30 compressions/2 ventilations) result in 5 cycles of CPR Coaching.The number of cycles varies
for other settings. For all settings, CPR Coaching begins and ends with compressions.
† The CPR Coaching compressions/ventilations selection (switch 4) is applicable only if the CPR Coaching ventilations (switch 5) is set to OFF
(with ventilations). Otherwise, the CPR Coaching compressions will be continuous, without breaks for ventilations.
volume
NSA pause*
(minutes)
CPR Coaching
compressions/
ventilations†
CPR Coaching
ventilations
shock series
protocol pause*
(minutes)
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behavior possible cause recommended action
• User touched the adhesive gel on
the pads and activated the sensing
circuitry of the Trainer.
• Pad wires are twisted.
• Pad wires are not separated.
• Pads are touching each other.
• Pads placement is incorrect.
• Pads are old, damaged, or use
discontinued blue gel.
• Manikin adapter is broken.
• In scenarios 3 and 8, pad has not
been removed and repositioned.
• Pad wires are twisted.
• One of the batteries is installed
backwards.
• Trainer is stored so that On/Off
button is inadvertently pressed.
• One of the batteries is installed
backwards.
• Avoid touching the adhesive gel
on the pads.
• Untwist the pad wires.
• Separate the pad wires between
the pads and the red label.
• Separate pads.
• Check for proper pad and manikin
adapter placement. Remove and
reposition pads or adapter
if indicated.
• Replace training pads.
• Replace manikin adapter.
• Remove and reapply one pad.
• Untwist the pad wires.
• Reinstall batteries according to
the diagram in the battery holder.
• Store the Trainer so as to prevent
inadvertent pressure on the
On/Off button.
• Reinstall batteries according to
the diagram in the battery holder.
Trainer says ANALYZING
before pads are applied
to manikin.
Trainer does not say
ANALYZING when pads are
applied to the
manikin adapter.
Trainer’s voice instructions
are distorted.
Battery depletes
prematurely.
To troubleshoot the FRx Trainer
The following table provides troubleshooting tips.
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This appliance is marked according to the European directive 2002/96/EC on
Waste Electrical and Electronic Equipment (WEEE).
By ensuring this product is disposed of correctly, you will help prevent
potential negative consequences for the environment and human health,
which could otherwise be caused by inappropriate waste handling of this
product.
The symbol on the product, or on the documents accompanying the
product, indicates that this appliance may not be treated as household waste.
Instead it shall be handed over to the applicable collection point for the recy-
cling of electrical and electronic equipment.
Disposal must be carried out in accordance with local environmental regula-
tions for waste disposal.
For more detailed information about treatment, recovery and recycling of
this product, please contact your local city office, your household waste
disposal service or the Laerdal representative where you purchased the
product.
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