Philips M3860A User manual

POWER TO SAVE A LIFE
M3860A, M3861A
Edition 10
HEARTSTART FR2+ DEFIBRILLATOR
INSTRUCTIONS FOR USE

Philips Medical Systems
The HeartStart FR2+ Defibrillator
Clockwise from top right.
Battery. Standard long-life or
rechargeable battery used to power the
FR2+. (Check local regulations for
disposal and recycling requirements.)
On/Off button. Turns on the
FR2+ and starts voice and screen
prompts. Second press turns off the
FR2+.
Status Indicator. Shows you the
readiness status of the FR2+.
Display screen. Displays text
prompts and incident data. The FR2+
M3860A screen also displays the
patient’s ECG.
Option buttons. Adjust the
contrast of the screen display and
control special functions.
Beeper port. Broadcasts alert
beeps when required. It is located under
the right edge of the FR2+.
Infrared (IR) communications
port. A special lens, or “eye,” used to
transfer data directly to or from another
device.
Data card port. Receptacle for
data card tray.
Data card (optional). Used to
store and review information about an
incident, including ECG and optional
voice recording.
Data card tray. Special sleeve that
holds the data card and fits into the data
card port to help seal the FR2+ against
fluids. The tray should be kept installed
in the FR2+ even if no data card is
used.
Microphone. Used optionally to
record surrounding audio during an
incident. It is located under the right
edge of the FR2+.
Shock button. Controls shock
delivery. The button flashes when the
HeartStart FR2+ is ready to deliver a
shock.
Speaker. Amplifies voice prompts
during use of the FR2+.
Pads placement diagram.
Illustrates correct placement of pads.
Diagrams are also shown on the
defibrillator pads.
Defibrillator pads connector
socket. Receptacle for connector of the
defibrillator pads cable. An adjacent LED
light flashes to show socket location and
is covered when connector is inserted.
Adult defibrillator pads. Self-
adhesive pads with attached cable and
connector.
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P

Philips Medical Systems
HEARTSTART FR2+ DEFIBRILLATOR
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Philips Medical Systems
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Philips Medical Systems
HEARTSTART FR2+
M3860A, M3861A Defibrillator
INSTRUCTIONS FOR USE
Edition 10

Philips Medical Systems
M3860A/M3861A HEARTSTART FR2+
Instructions for Use
Equipment specifications are subject to alteration
without notice. All changes will be in compliance
with regulations governing manufacture of
medical equipment.
Printed in the U.S.A.
Publication date: August 2003
Publication number: M3860-91900
Part number: 011120-0010
© 2003 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 reserves the right to
make changes in specifications or to discontinue
any product at any time without notice or
obligation and will not be liable for any
consequences resulting from the use of this
publication.
Authorized EU Representative
Philips Medizinsysteme Boeblingen GmbH
Hewlett-Packard Strasse 2
71034 Boeblingen, Germany
([phone]
CAUTION
FEDERAL LAW (USA) RESTRICTS THIS DEVICE TO SALE
BY OR ON THE ORDER OF A PHYSICIAN.
The HeartStart FR2+ is designed to be used only with Philips-
approved accessories. The HeartStart FR2+ may perform
improperly if non-approved accessories are used.
Device Tracking
In the U.S.A., this device is subject to tracking requirements by
the manufacturer and distributors. If the defibrillator has been
sold, donated, lost, stolen, exported, or destroyed, notify Philips
Medical Systems or your distributor.
Device Manufacturer
The HeartStart FR2+ Defibrillator is manufactured by Philips
Medical Systems, Seattle, Washington, USA.

1
Philips Medical Systems
Contents
1 Introduction to the HeartStart FR2+
What is the HeartStart FR2+? ................................................................. 1-1
When Is the HeartStart FR2+ Used? .................................................... 1-2
How Does the HeartStart FR2+ Work? ................................................ 1-2
How Is the HeartStart FR2+ Supplied? ................................................ 1-3
2 Preparing Your HeartStart FR2+ for Use
Overview ....................................................................................................... 2-1
Installing the Battery ................................................................................... 2-1
Setting the Clock ........................................................................................ 2-3
Running the Battery Insertion Selftest .................................................... 2-4
Placing and Securing the HeartStart FR2+ .......................................... 2-5
3 Using Your HeartStart FR2+
Overview ....................................................................................................... 3-1
Step 1: Preparation .................................................................................... 3-2
Step 2: ECG Analysis and Monitoring ................................................... 3-3
Step 3: Shock Delivery .............................................................................. 3-4
ECG Display for Ongoing Observation ................................................. 3-5
4 Maintaining, Testing, and Troubleshooting
Your HeartStart FR2+
Overview ....................................................................................................... 4-1
Maintenance ................................................................................................. 4-1
After Using the HeartStart FR2+ ............................................................. 4-2
Cleaning the HeartStart FR2+ ......................................................... 4-3
Operator’s checklist ............................................................................ 4-3
Testing ........................................................................................................... 4-5
Battery insertion selftest .................................................................... 4-5
Periodic selftests ................................................................................. 4-9
Device history ....................................................................................... 4-9
Battery History ..................................................................................... 4-10
Troubleshooting Guide .............................................................................. 4-11
Status indicator summary .................................................................. 4-11
Recommended action during an emergency ................................ 4-11
Troubleshooting during patient use ................................................ 4-12
General troubleshooting .................................................................... 4-14

Philips Medical Systems
2
M3860A/M3861A HEARTSTART FR2+
5 Clinical and Safety Considerations
Clinical Considerations .............................................................................. 5-1
Indications ............................................................................................. 5-1
Contraindications ................................................................................ 5-1
Safety Considerations ................................................................................ 5-1
General dangers, warnings, and cautions ..................................... 5-2
Defibrillation warnings and cautions ............................................... 5-4
Monitoring cautions ............................................................................ 5-5
Maintenance cautions ........................................................................ 5-5
6 Setup and Advanced Mode Features
Setup Overview ........................................................................................... 6-1
Non-protocol parameters .................................................................. 6-1
Automatic protocol parameters ....................................................... 6-2
Manual override parameters ............................................................. 6-4
Using Setup Features ........................................................................ 6-5
Reviewing current setup .................................................................... 6-6
Revising setup ...................................................................................... 6-6
Receiving setup ................................................................................... 6-7
Reading setup ...................................................................................... 6-8
Sending and Receiving Clock Settings ................................................. 6-8
Using Advanced Mode Features ............................................................. 6-9
Using the manual analyze feature .................................................... 6-10
Using the manual charge feature (M3860A only) ........................ 6-11
7 Data Management and Review
Overview ....................................................................................................... 7-1
Recording Incident Data ............................................................................ 7-1
Recording data in internal memory ................................................. 7-1
Recording data on a data card ........................................................ 7-1
Reviewing Incident Data ............................................................................ 7-3
Reviewing data from internal memory ............................................ 7-3
Reviewing data from a data card ..................................................... 7-4

Contents
Philips Medical Systems
Appendices
3
A Accessories for the HeartStart FR2+
HeartStart Accessories ............................................................................. A-1
Suggested Additional Items ..................................................................... A-2
B Technical Specifications
HeartStart FR2+ Defibrillator Specifications ........................................ B-1
Accessories Specifications ...................................................................... B-6
C Glossary of Symbols and Controls
Instructions for Use ..................................................................................... C-1
HeartStart FR2+ M3860A and M3861A Defibrillator
Symbols and Controls ................................................................................ C-1
Accessories Symbols ................................................................................. C-3
D Glossary of Terms
Index

M3860A/M3861A HEARTSTART FR2+
Philips Medical Systems
Notes