Philips HEARTSTART User manual

HeartStart Home Defibrillator
INSTRUCTIONS FOR USE
M5068A
Edition 7

PHILIPS MEDICAL SYSTEMS
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front view
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back view
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The HeartStart Home Defibrillator M5068A
Pads Cartridge Handle.
Pull the handle to turn on the
HeartStart and remove the
cartridge’s hard cover.
Ready Light. This green light
tells you the readiness of the
HeartStart.
Blinking: standby mode
(ready for use)
Solid: in use
Off: needs attention
(HeartStart
“chirps” and
i-button flashes)
On/Off Button. Press this
green button to turn on the
HeartStart. To turn off the
HeartStart, press the green button
again and hold it down for one (1)
second.
Information Button. This
blue “i-button” flashes when it
has information you can access by
pressing it. It also flashes at the
beginning of a patient care pause
when CPR coaching is enabled.
Caution Light. This triangular
light flashes during rhythm
analysis and is on when a shock is
advised, as a reminder that no one
should be touching the patient.
Shock Button. When
instructed by the HeartStart to
deliver a shock, press this flashing
orange button .
Infrared (IR)
Communications Port. This
special lens, or “eye,” is used to
transfer HeartStart data directly to
or from a computer.
Speaker. When the device is
being used, its voice instructions
come from this speaker.
Beeper. The HeartStart
“chirps” through this beeper to
alert you when it needs attention.
SMART Pads Cartridge. This
disposable cartridge contains self-
adhesive pads with attached cable.
Shown with adult pads cartridge.
SMART Pads Cartridge
Latch. Slide the latch to the right
to release the pads cartridge for
replacement.
Battery. The non-
rechargeable battery is inserted in
a recess on the back of the
HeartStart.
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PHILIPS MEDICAL SYSTEMS
HeartStart Home Defibrillator M5068A
QUICK REFERENCE

PHILIPS MEDICAL SYSTEMS
HeartStart Home
M5068A
Automated External Defibrillator
Edition 7
IMPORTANT NOTE:
It is important to understand that survival rates for sudden cardiac arrest
are directly related to how soon victims receive treatment. For every
minute of delay, the chance of survival declines by 7% to 10%.
Treatment cannot assure survival. In some victims, the underlying problem
causing the cardiac arrest is simply not survivable despite any available care.
INSTRUCTIONS FOR USE

PHILIPS MEDICAL SYSTEMS
Authorized EU representative
Philips Medizin Systeme Boeblingen GmbH
Hewlett-Packard Strasse 2
71034 Boeblingen, Germany
([phone]
Device manufacturer
Philips Medical Systems, Seattle, WA, USA 98121-1825.
NOTE: The Philips HeartStart Home Defibrillator is
designed to be used only with Philips-approved
accessories. The HeartStart may perform improperly if
non-approved accessories are used.
Patents
This product is manufactured and sold under one or more
of the following United States patents: US6047212,
US6317635, US5891046, US5891049, US6356785,
US5650750, US6553257, US5902249, US6287328,
US6662056, US5617853, US5951598, US6272385,
US6234816, US6346014, US6230054, US6299574,
US5607454, US5803927, US5735879, US5749905,
US5601612, US6441582, US5889388, US5773961,
US6016059, US6075369, US5904707, US5868792,
US5899926, US5879374, US5632280, US5800460,
US6185458, US5611815, US6556864, US5607454, and
other patents pending.
About this edition
The information in this guide applies to
the model M5068A Philips HeartStart
Home Defibrillator. This information is
subject to change. Please contact Philips at
www.HeartStartHome.com or
1.866.333.4246 for information on revisions.
Edition history
Edition 7
Publication date: November 2009
Assembly #: 012026-0007
Printed in the U.S.A.
Copyright
© 2009 Philips Electronics North America
Corp.
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.
Unauthorized copying of this publication
may not only infringe copyright but also
reduce the ability of Philips Medical Systems
to provide accurate and up-to-date
information to users and operators alike.

PHILIPS MEDICAL SYSTEMS
i
CONTENTS
1 DESCRIPTION
Sudden Cardiac Arrest ....................................................................................... 1-1
Indications for Use .............................................................................................. 1-1
Training and practice .......................................................................................... 1-2
State and local requirements ............................................................................ 1-2
For more information ......................................................................................... 1-2
2 SETTING UP THE HEARTSTART
Package contents ................................................................................................. 2-1
Setup ....................................................................................................................... 2-1
Readiness check ................................................................................................... 2-2
Being ready to use The HeartStart ................................................................. 2-2
Recommended accessories ............................................................................... 2-4
3 USING THE HEARTSTART
Overview ............................................................................................................... 3-1
STEP 1: PULL the green handle ........................................................................ 3-2
STEP 2: PLACE the pads .................................................................................... 3-3
STEP 3: PRESS the Shock button ..................................................................... 3-4
Treating infants and children ............................................................................ 3-5
When emergency medical services arrive ..................................................... 3-6
4 AFTER USING THE HEARTSTART
After each use ...................................................................................................... 4-1
HeartStart data storage ..................................................................................... 4-1
5 MAINTAINING THE HEARTSTART
Routine Maintenance .......................................................................................... 5-1
Periodic checks .................................................................................................... 5-1
Changing the pads cartridge .............................................................................. 5-2
Replacing the battery .......................................................................................... 5-3
Cleaning the HeartStart ..................................................................................... 5-4
Disposing of the HeartStart .............................................................................. 5-4
Troubleshooting tips ........................................................................................... 5-5

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PHILIPS MEDICAL SYSTEMS
APPENDICES
A Accessories for the HeartStart
B Glossary of terms
C Glossary of symbols/controls
D Warnings and precautions
E Technical information
F Configuration
G Testing and troubleshooting

PHILIPS MEDICAL SYSTEMS
1-1
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1 INTRODUCTION TO THE HEARTSTART
DESCRIPTION
The HeartStart Home Defibrillator M5068A (the “HeartStart”) is part of the
Philips HeartStart HS1 family of defibrillators. Small, lightweight, and battery
powered, it is designed for simple and reliable operation.
SUDDEN CARDIAC ARREST
The HeartStart is used to treat the most common causes of sudden cardiac arrest
(SCA), including ventricular fibrillation (VF). SCA is a condition that occurs when
the heart unexpectedly stops pumping. SCA can occur to anyone – infant, child,
adult, male or female – anywhere, at any time. Many victims of SCA do not have
warning signs or symptoms.
VF is a chaotic quivering of the heart muscle that prevents it from pumping blood.
The only effective treatment for VF is defibrillation. The HeartStart treats VF by
sending a shock across the heart, so it can start beating regularly again. Unless this
is successful within the first few minutes after the heart stops beating, the victim is
not likely to survive.
INDICATIONS FOR USE
The HeartStart should be used to treat someone you think may be a victim of
SCA. A person in SCA:
• does not respond when shaken, and
• is not breathing normally.
If in doubt, apply the pads. Follow the voice instructions for each step in using the
defibrillator.

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1
TRAINING AND PRACTICE
The HeartStart comes with training materials, including a training video and an
Owner’s Manual, which should be reviewed by anyone who may use the
defibrillator.
Reusable accessories are available from Philips for practicing use of the HeartStart.
See Appendix A for information on ordering Practice Kits.
It is also important to have training in cardiopulmonary resuscitation (CPR). Many
training organizations offer a combined course in CPR and defibrillator use. For a
list of organizations offering CPR and defibrillator training in your area, contact us
by phone at 1.866.DEFIBHOME (1.866.333.4246) or visit us online at
www.HeartStartHome.com.
STATE AND LOCAL REQUIREMENTS
Check with your state health department to see if there are any local or state
requirements about owning and using a defibrillator. You can find contact
information for learning about your state’s requirements online, at
www.HeartStartHome.com.
FOR MORE INFORMATION
Contact Philips at 1.866.333.4246 or www.HeartStartHome.com. We will be
happy to answer any questions you may have. Clinical summaries of several key
studies using Philips automated external defibrillators,*as well as the Technical
Reference Manual for the HeartStart HS1 Automated External Defibrillator, are
available online at www.philips.com/productdocs.
* Clinical studies also include defibrillators sold as Heartstream ForeRunner and FR2.

PHILIPS MEDICAL SYSTEMS
2-1
2
2 SETTING UP THE HEARTSTART
PACKAGE CONTENTS
Check the contents of the HeartStart Home Defibrillator box to be sure it
contains:
• 1 HeartStart Defibrillator M5068A
• 1 battery M5070A, pre-installed
• 1 Adult SMART Pads Cartridge M5071A, pre-installed
containing one set of adhesive defibrillation pads
• 1 literature envelope containing: Owner’s Manual, Quick Start poster,
HeartStart Support Program enrollment card, Call 911 telephone
reminder sticker
• 1 training video
Additional practice materials and optional accessories for the HeartStart HS1
family of defibrillators are also available from Philips. See Appendix A for a
description of these items.
SETUP
Setting-up the HeartStart is simple and quick. Simply open
the red carry case and lift out the HeartStart with its wrap-
around card. Then follow the instructions on the card.
1. Pull the red tab to start the automatic battery self-test.
The defibrillator will tell you it is testing.
2. Press the flashing orange Shock button when the voice
tells you to. (No shock will be given.)
3. Wait about one minute. When the HeartStart passes
the self-test it turns off and the green Ready light starts
blinking to show that the defibrillator is in standby
Pull out the red tag.

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2
mode and ready for use. Tear the card along the line at the bottom and
remove it. Then reinstall the defibrillator in its carry case.
NOTE: To prevent the adhesive gel from drying out, do not open the pads
cartridge until you need to use the pads in an emergency.
READINESS CHECK
If the HeartStart Home Defibrillator is correctly set up, it will now be in “standby
mode” and the green Ready light will be blinking. This means the defibrillator has
passed its most recent self-test and is therefore ready to use. To test this:
1. Press the blue i-button on the front of the device.
The defibrillator will report the status of the unit and tell you to push the
green On/Off button in case of an emergency. Do not push the green button
unless this is an actual emergency.
2. Check the green Ready light in the upper right-hand corner of the device.
The green Ready light will be blinking. (If the green Ready light is not blinking
or if the defibrillator is chirping and the blue i-button is flashing, you can press
the i-button and the defibrillator will tell you what is wrong and what to
do about it. See Chapter 6, “Testing and Troubleshooting the HeartStart
Home Defibrillator,” for troubleshooting guidelines.)
NOTE: Always store the HeartStart with a pads cartridge and a battery
installed, so it will be ready to use and can perform daily self-tests.
BEING READY TO USE THE HEARTSTART
Finally, follow these important steps to help ensure that you’ll be ready to use your
HeartStart if you need to.
1. Take a moment to study the front of the HeartStart. Check the drawing and
descriptions on the inside front cover of this book. Locate the controls and
features of the defibrillator.

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PHILIPS MEDICAL SYSTEMS
2
2. Review the training materials.
•Watch the short training video for a step-by-step demonstration.
•Read the HeartStart Owner's Manual for information on set up,
operation, maintenance, and accessories. Store it in the carry case in the
pocket behind the Quick Reference Guide.
•Review the Quick Reference Guide,*found inside the carry case. Return
it to the clear window in the red carry case for use in an emergency if
needed.
3. Decide where to keep the HeartStart.
•Write your address on the Call 911 card on the
back of the carry case. (If 911 is not your
Emergency Medical Services number, use the
back of the card and write in your EMS number.)
Another Call 911 card is on the front of the case.
(Again, use the back of the card if 911 is not your
EMS number.)
•Place HeartStart in a convenient, central location. It should be near a
telephone and where it can be easily seen and heard.
•Locate the telephone reminder
sticker. Write the HeartStart storage
spot on the sticker. Place the sticker
with other emergency numbers so
that anyone reporting an emergency
will know where to find the HeartStart.
•In general, treat the HeartStart as you would any piece of sophisticated
electronic equipment, such as a computer. Store the defibrillator where
the temperatures stay between 50° and 109° F (10° and 43° C). Do not
keep the HeartStart in the trunk of a car for long periods if you live in a very
hot or cold climate.
* The cover of the Quick Reference Guide provides an illustrated 3-step guide to using the
HeartStart. Inside are more detailed illustrated directions for reference if you are hearing impaired
or operating the HeartStart where it is difficult to hear the voice instructions.

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2
•If you have a practice pads cartridge, it is recommended that you store it
separately from the HeartStart, so the practice pads cannot be confused
with the regular pads in an emergency. The HeartStart will chirp if the
practice pads cartridge remains installed for over one hour without being
used.
RECOMMENDED ACCESSORIES
It is always a good idea to have a spare battery and a spare pads set. Other things
that are useful to keep with the HeartStart include:
• scissors — for cutting the victim’s clothes if needed
• disposable gloves — to protect the user
• a disposable razor — to shave the chest if hair prevents good pads
contact
• a pocket mask or face shield — to protect the user
• a towel or absorbent wipes — to dry the victim's skin for good pads
contact
Philips has a Fast Response Kit with all these items. See Appendix A for details.
If you may need to defibrillate an infant or a child under 25 kg (55 pounds) or 8 years
old, it is recommended that you order the Infant/Child SMART Pads Cartridge,
available separately at www.HeartStart Home.com or by calling 1.866.333.4246.
When the Infant/Child Pads Cartridge is installed in the HeartStart, the HeartStart
automatically reduces the defibrillation therapy to a level more appropriate for
infants and children. In addition, if optional CPR coaching is selected, the
HeartStart provides coaching appropriate for infants and children. Directions for
using the Infant/Child SMART Pads are provided in Chapter 3, “Using the
HeartStart.”

PHILIPS MEDICAL SYSTEMS
3-1
3
3 USING THE HEARTSTART
IMPORTANT NOTE: Be sure to read the Reminders section at the end of this
chapter as well as the warnings and precautions in Appendix D.
OVERVIEW
If you think someone is in SCA, act quickly and calmly. If someone else is available,
ask him or her to call for emergency medical assistance while you get the
HeartStart. If you are alone, follow these steps:
• Call your emergency services provider.
• Quickly get the HeartStart and bring it to the victim’s side. If there is any
delay in getting the defibrillator, check the patient and perform
cardiopulmonary resuscitation (CPR) if needed until the HeartStart is
available.
• If the patient is an infant or child, first perform CPR, then call for
emergency medical services (EMS) before you apply the HeartStart. See
special section on treating infants and children on page 3-5.
• Check the immediate environment for flammable gases. Do not use the
HeartStart in the presence of flammable gases, such as an oxygen tent.
However, it is safe to use the HeartStart on someone wearing an oxygen
mask.
There are three basic steps to using the HeartStart to treat someone who may be
in sudden cardiac arrest:
1. PULL up the handle on the SMART Pads Cartridge.
2. PLACE the pads on the patient’s bare skin.
3. PRESS the flashing Shock button if instructed.
The following pages provide details about each step.

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STEP 1: PULL THE GREEN HANDLE
Turn on the HeartStart by pulling the SMART Pads Cartridge’s green handle.*
Remove the hard cover from the pads cartridge and set it aside. Remain calm and
follow the HeartStart’s instructions.
The HeartStart starts by directing you to remove all clothes from the patient’s
chest. If necessary, rip or cut off the clothing to bare the person’s chest
* You can also turn on the HeartStart by pressing the green On/Off button.
55+ lbs/25+ kg

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STEP 2: PLACE THE PADS
Pull the tab at the top of the pads cartridge to peel off the film seal. Inside are two
adhesive pads on a plastic liner. Remove the pads from the cartridge.
Peel one pad off the liner. Place the pad on the patient’s bare skin, exactly as shown
in the picture on the pad. Press the pad down firmly. Then repeat this with the other
pad. Be sure the pads have been removed from the liner before placing them.
NOTE: It may be necessary to dry the patient’s skin where the pads will be
placed, or to clip or shave excessive chest hair, in order to provide good
contact between the pads and the skin.
Pad placement for adults and children
more than 55 pounds or 8 years old. Pad placement for infants
or children less than 55
pounds or 8 years old.

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STEP 3: PRESS THE SHOCK BUTTON
As soon as the HeartStart detects that the pads are attached to the patient, it
begins analyzing the patient’s heart rhythm. It tells you that no one should be
touching the patient, and the Caution light begins flashing as a reminder.
If a shock is needed:
The Caution light goes from flashing to solid, the orange Shock button
starts flashing, and the defibrillator tells you to press the flashing orange button.
No one should be touching the patient. When you press the Shock button, the
defibrillator tells you that the shock has been delivered. Then the HeartStart tells
you it is safe to touch the patient, instructs you to begin CPR, and invites you to
press the flashing blue i-button for CPR Coaching if desired.
If a shock is not needed:
The HeartStart tells you it is safe to touch the patient and instructs you to
perform CPR if needed. (If CPR is not needed – for example, if the patient is
moving or regaining consciousness – follow your local protocol until emergency
medical personnel arrive.) Then the HeartStart invites you to press the flashing
blue i-button for CPR Coaching, if desired.
For CPR Coaching:
Press the flashing blue i-button during the first 30 seconds of the patient care
pause to activate CPR Coaching.*(If the Infant/Child SMART Pads Cartridge is
inserted, CPR Coaching will provide coaching for infant/child CPR.) When the
pause is over, the defibrillator tells you to stop CPR, so it can analyze the patient’s
heart rhythm. The motion caused by CPR can interfere with analysis, so be sure to
stop all motion when instructed.
* The default configuration for the HeartStart provides CPR Coaching when you press the
i-button in this situation; however, the default setting can be revised by your Medical
Director using Philips software available separately. See Appendix F for more
information.

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3
TREATING INFANTS AND CHILDREN
WARNING: Most cardiac arrests in children are not caused by heart problems.
When responding to cardiac arrest in an infant or child:
• Provide infant/child CPR while a bystander calls EMS and brings the
HeartStart.
• If no bystander is available, provide 1-2 minutes of CPR before calling EMS
and retrieving the HeartStart.
• If you witnessed the child's collapse, call EMS immediately and then get the
HeartStart.
If the patient is under 55 pounds or 8 years old, and you have an Infant/Child Pads
Cartridge:
• Remove the Infant/Child Pads Cartridge from its package.*
• Locate the latch at the top edge of the defibrillator, and slide it to the
side. The pads cartridge will be released. Remove the old cartridge.
• Install the new cartridge: slide the bottom end of the cartridge into the
recess, then press in the cartridge until the latch clicks into place. Be sure
the green handle is pressed down firmly. The HeartStart will tell you that
Infant/Child pads have been inserted, then it will turn off to be ready for
use.
• Pull the green handle to start the rescue.
• Remove all clothing from the upper body, to bare both the chest and the
back. Place one pad in the center of the chest between the nipples, and
the other in the center of the back (anterior-posterior).
With the Infant/Child Pads Cartridge inserted, the HeartStart automatically
reduces the defibrillation energy from the adult dose of 150 joules to 50 Joules†
and provides optional infant/child CPR Coaching. Place the pads exactly as shown
on the illustration on the pads.
* Philips recommends that the HeartStart be stored with an adult pads cartridge installed,
as pediatric cardiac arrest is not common.
† This lower energy level may not be effective for treating an adult.

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If the patient is under 55 pounds or 8 years old, but you do NOT have an Infant/Child
Pads Cartridge:
• DO NOT DELAY TREATMENT.
• Remove all clothing from the torso, to bare both the chest and the back.
• Apply the HeartStart using the adult pads cartridge, but place one pad in the
center of the chest between the nipples, and the other in the center of the
back (anterior-posterior).
If the patient is over 55 pounds or 8 years old, or if you are not sure of the exact weight
or age:
• DO NOT DELAY TREATMENT.
• Remove all clothing from the chest.
• Apply the HeartStart using the adult pads cartridge, and place the pads as
illustrated on the pads (anterior-anterior). Make sure the pads do not overlap
or touch each other.
WHEN EMERGENCY MEDICAL SERVICES ARRIVE
When Emergency Medical Services (EMS) personnel arrive to care for the patient,
they may decide to apply another defibrillator to allow monitoring of the patient.
The SMART Pads should be removed from the patient prior to using another
defibrillator. EMS personnel may want a summary of the last-use data*stored in
the HeartStart. To hear the summary data, hold down the i-button until the
HeartStart beeps.
NOTE: After the EMS team removes the SMART Pads from the patient,
remove the used pads cartridge, and insert a new pads cartridge before
returning the HeartStart to service, to be sure it is ready for use.
* See Chapter 4, “After Using the HeartStart” for details about data storage.

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REMINDERS
•Remove any medicine patches and residual adhesive from the patient’s chest
before applying the pads.
•Do not allow the pads to contact other electrodes or metal parts that are in
contact with the patient.
•Avoid placing the pads directly over an implanted pacemaker or defibrillator.
A noticeable lump with a surgical scar should indicate the position of an
implanted device.
•If the pads do not stick well, check that the pads adhesive has not dried out.
Each pad has a layer of adhesive gel. If the gel is not sticky to the touch,
replace the pads with a new set.
•Keep the patient still and keep any movement around the patient to a
minimum during rhythm analysis. Do not touch the patient or the pads while
the Caution light is on solid or flashing. If the HeartStart is unable to analyze
due to electrical “noise” (artifact), it will tell you to stop all movement and
remind you not to touch the patient. If the artifact continues for more than 30
seconds, the HeartStart will pause briefly to allow you to deal with the source
of the noise, then resume analysis.
•The HeartStart will not deliver a shock unless you press the flashing orange
Shock button. If you do not press the Shock button within 30 seconds after
the defibrillator tells you to, it will disarm itself, and (for the first CPR interval)
give a reminder to make sure emergency medical services have been called,
then begin a CPR interval. This is designed to minimize interruption of CPR
and help ensure ongoing patient support.
•While waiting for you to press the Shock button, the HeartStart will continue
to analyze the heart rhythm. If the patient’s rhythm changes before you press
the Shock button, and a shock is no longer needed, the defibrillator will
disarm and tell you a shock is not advised.
•If for any reason you want to turn off the defibrillator during a use, you can
press the On/Off button – holding it down for at least one second – to return
the device to standby mode.‘