Physio Control LUCAS 3 User manual

US
LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
INSTRUCTIONS FOR USE

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
2
Thank you for choosing the
LUCAS® 3 Chest Compression System.
With the help of the LUCAS® 3device,
your cardiac arrest patients will receive
effective, consistent and continuous chest
compressions as recommended in the
American Heart Association (AHA) and
European Resuscitation Council (ERC)
guidelines for cardiopulmonary resuscitation.
If you have any questions about this
product or its operation, please contact
your local Physio-Control representative or
the manufacturer Jolife AB.
MANUFACTURER
Jolife AB
Scheelevägen 17
Ideon Science Park
SE-223 70 LUND
Sweden
Tel. [phone]
Fax. [phone]
The LUCAS® 3Chest Compression
System is manufactured by Jolife AB in
Sweden and distributed worldwide by
Physio-Control, Inc.
For information on local distribution,
please visit www.physio-control.com.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
3
1 Important user information ..................................... 5
2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1 LUCAS Chest Compression System .......................................6
2.2 Intended use.........................................................6
2.3 Contraindications .....................................................6
2.4 Side effects..........................................................6
2.5 Main parts...........................................................6
2.6 Device components ...................................................7
2.7 User Control Panel ....................................................8
3 Safety precautions............................................ 9
3.1 Signal words .........................................................9
3.2 Personnel ...........................................................9
3.3 Contraindications .....................................................9
3.4 Side effects..........................................................9
3.5 Symbols on the device ................................................10
3.6 General safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.7 Battery ............................................................11
3.8 Operation ..........................................................11
3.9 Service ............................................................12
4 First use preparations ........................................ 13
4.1 Delivered items ......................................................13
4.2 The Battery .........................................................13
4.2.1 Charge the Battery ....................................................13
4.3 Prepare the Stabilization Strap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
4.4
Prepare the Carrying Case ............................................ 14
5 Use the LUCAS device ....................................... 15
5.1 Arrival at the patient ..................................................15
5.2 Unpack the device ...................................................15
5.3 Apply to patient......................................................16
5.3.1 Place the Back Plate ...................................................16
5.3.2 Attach the Upper Part ..................................................16
5.4 Adjustment and operation..............................................18
5.5 Apply the Stabilization Strap ............................................20
5.6 Move the patient .....................................................20
5.6.1 Secure the patient’s arms ...............................................20
5.6.2 Prepare to lift the patient ................................................21
5.6.3 Lift the patient ........................................................21
5.6.4 Move the patient ......................................................21
Table of Contents

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
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5.7 Replace the Power Supply during operation ................................22
5.7.1 Change the Battery ................................................... 22
5.7.2 Connect to the external Power Supply .................................... 22
5.8 Adjunctive therapies ..................................................23
5.8.1 Defibrillation..........................................................23
5.8.2 Ventilation ...........................................................23
5.8.3 Use in the catheterization laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
5.9 Remove the device from the patient ........................................24
5.10 Transmit data after the event............................................24
6 Care after use and preparation for next use ....................... 25
6.1 Cleaning routines ....................................................25
6.2 Remove and install the Suction Cup ......................................26
6.3 Remove and attach the Patient Straps ....................................26
6.4 Remove and attach the Stabilization Strap .................................27
6.5 Remove and recharge the Battery........................................27
7 Maintenance ............................................... 28
7.1 Routine checks ......................................................28
8 Troubleshooting ............................................. 29
8.1 Indications and alerts during normal operation ..............................29
8.2 Battery replacement and Smart Restart feature .............................30
8.3 Malfunction alarms ...................................................31
9 Technical specications....................................... 32
9.1 Patient parameters ...................................................32
9.2 Compression parameters ..............................................32
9.3 Device physical specification............................................32
9.4 Device environmental specifications ......................................32
9.5 Battery physical specifications ..........................................33
9.6 Battery environmental specifications......................................33
9.7 Power specification (optional accessories) .................................33
9.8 Audible SIGNALS ....................................................34
9.8.1 Audible ALARM SIGNALS, characteristics ................................. 34
9.8.2 Audible INFORMATION SIGNALS, characteristics............................ 35
9.9 Electromagnetic environmental declaration.................................36
9.10 Limited warranty .....................................................39
Appendix A; LUCAS 3 parts and accessories ......................... 40
Appendix B; Maintenance - Routine checks .......................... 41

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
5
1 Important user information
The information in these Instructions for Use applies to the LUCAS® 3 Chest Compression
System, also referred to as the LUCAS device.
All operators must read the complete Instructions for Use before operating the LUCAS Chest
Compression System.
The Instructions for Use must always be easily accessible to the operators of the LUCAS device.
Always follow local and/or international guidelines for cardiopulmonary resuscitation (CPR)
when you use the LUCAS chest compression system.
The use of other medical equipment or drugs in conjunction with the LUCAS device can affect
the treatment. Always consult the Instructions for Use for the other equipment and/or drugs to
make sure that they are appropriate for use in conjunction with CPR.
The LUCAS chest compression system can only be bought by or on the order of a licensed
medical practitioner.
TRADEMARKS
LUCAS®is a registered trademark of Jolife AB.
DECLARATION OF CONFORMITY
LUCAS Chest Compression System complies with the
requirements of the European Medical Device Directive 93/42/ECC.
It is marked with the CE-symbol:
© Copyright Jolife AB 2016.
All rights reserved.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
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2 Introduction
2.1 LUCAS Chest
Compression System
The LUCAS Chest Compression System
is a portable tool designed to overcome
problems identified with manual chest
compressions. The LUCAS device assists
rescuers by delivering effective, consistent
and continuous chest compressions as
recommended in the American Heart
Association guidelines1and the European
Resuscitation Council guidelines2.
The LUCAS chest compression system
can be used in a wide variety of situations
and settings; on the scene, during patient
movement, during transportation in road
and air ambulances, in hospitals and
catheterization laboratories.
2.2 Intended use
LUCAS Chest Compression System is to
be used for performing external cardiac
compressions on adult patients who have
acute circulatory arrest defined as absence
of spontaneous breathing and pulse, and
loss of consciousness.
LUCAS must only be used in cases where
chest compressions are likely to help the
patient.
The LUCAS device is intended for use as
an adjunct to manual CPR when effective
manual CPR is not possible (e.g.,during
patient transport or extended CPR when
fatigue may prohibit the delivery of effective/
consistent compressions to the victim,
or when insufficient EMS personnel are
available to provide effective CPR).
2.3 Contraindications
Do NOT use the LUCAS Chest Compression
System in these cases:
• If it is not possible to position the LUCAS
device safely or correctly on the patient’s
chest.
• Too small patient: if the LUCAS device
alerts with 3 fast signals when lowering
the Suction Cup, and you cannot enter
the PAUSE mode or ACTIVE mode.
1. 2015 American Heart Association Guidelines Update
for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care, Circulation 2015; 132; S313-S573
2. European Resuscitation Council Guidelines for
Resuscitation 2015, Resuscitation 2015;95:1-311
3. 2005 International Concensus on Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care
Science with Treatment Recommendations, Resuscitation
2005;67:195
• Too large patient: If you cannot lock the
Upper Part of the LUCAS device to the
Back Plate without compressing the
patient’s chest.
Always follow local and/or international
guidelines for CPR when you use the
LUCAS chest compression system.
2.4 Side effects
The International Liaison Committee on
Resuscitation (ILCOR) states these side
effects of CPR3:
”Rib fractures and other injuries are common
but acceptable consequences of CPR
given the alternative of death from cardiac
arrest. After resuscitation, all patients
should be reassessed and reevaluated for
resuscitation-related injuries.”
Apart from the above, skin abrasions,
bruising and soreness of the chest are
common during the use of the LUCAS Chest
Compression System.
2.5 Main parts
The main parts of the LUCAS Chest
Compression System include;
• A Back Plate which is positioned
underneath the patient as a support for
the external chest compressions.
• An Upper Part which contains the
proprietary and rechargeable LUCAS
Battery and the compression mechanism
with the disposable Suction Cup.
• A Stabilization Strap which helps to
secure the position of the device in
relation to the patient.
• A Carrying Case.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
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1. Hood
2. User Control Panel
3. Battery
4. DC input
5. Bellows
6. Suction Cup*
7. Patient wrist strap*
8. Release ring
9. Support leg
10. Support leg strap
(part of the Stabilization Strap)
11. Neck strap*
(part of the Stabilization Strap)
12. Back Plate*
13. Claw locks
14. Car Power Cable
15. Power Supply cord
16. Power Supply
17. External Battery Charger
18. Carrying Case
19. Charger port access
20. Transparent top window
21. Upper Part
22. Pressure pad*
23. Vent holes
* Applied part
(according to IEC 60601-1)
5
13
6
2
1
7
8
12
11
(3)
15 1614
18
17
4
3
10
19
20
9
23
22
21
2.6 Device components

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
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30:2
12
3
30:2
2.7 User Control Panel
ON/OFF:
The LUCAS device will power up/power
down when you push this key for 1
second. When the device powers up,
it automatically does a self-test of the
functions and the protective system.
When the self-test is complete the green
LED (Light Emitting Diode) beside the
ADJUST key illuminates. This procedure
takes approximately 3 seconds.
ADJUST:
This mode is used when you want
to adjust the position of the Suction
Cup. When you push this key, you can
manually move the Suction Cup up or
down. To adjust the Start Position of the
Suction Cup, manually push down the
Suction Cup with two fingers onto the
chest of the patient.
PAUSE:
When you push this key, the
compression mechanism temporarily
stops and is locked in the Start Position.
Use this function when you want to stop
the device temporarily but still want to
keep the Start Position of the Suction
Cup.
ACTIVE (continuous):
When you push this key, the LUCAS
device performs continuous chest
compressions. The green LED signal
will blink 10 times per minute to
alert for ventilation during ongoing
compressions.
ACTIVE (30:2):
When you push this key, the LUCAS
device performs 30 chest compressions
and then temporarily stops for 3
seconds. During the stop, the operator
can perform 2 ventilations. After the stop
the cycle starts again. An intermittent
LED in combination with an audible
signal sequence will alert the operator
before each ventilation pause.
Battery indicator:
The three green LEDs show the Battery
charge status:
• Three green LEDs: Fully charged
• Two green LEDs: 2/3 charged
• One green LED: 1/3 charged
• One intermittent yellow LED and
alarm during operation: low battery,
approximately 10 minutes of
operating capacity remaining.
• One intermittent red LED and an
alarm signal: the Battery is empty and
must be recharged, or the Battery is
too hot.
Note: When the LED to the far right is
yellow and not green, the Battery has
reached the end of its service life. Jolife AB
recommends that you replace this
Battery with a new one.
MUTE:
If you push this key when the LUCAS
device operates, you mute the alarm for
60 seconds. If you push this key when
the LUCAS device is powered off, the
Battery indicator shows the Battery
charge status of the Battery.
High priority alarms:
One intermittent red LED and an alarm
signal sequence indicate malfunction. A
high priority alarm will take precedence
over lower priority or information alarms.
Refer to Troubleshooting 8;
8.1 for indications and alerts during normal
operation.
8.3 for malfunction alarms.
TRANSMIT data:
This key is used to transmit data after
the use of the LUCAS device. The
device has to be in power OFF mode to
transmit data.
For more information please refer to the
instructions in your data transfer program, or
contact your local Physio-Control representative.
Caution - radio frequency
Radio frequency communications
can affect other medical electrical
equipment.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
9
3 Safety precautions
To ensure maximum safety, always read
this section carefully before operating,
carrying out any work on the equipment or
making any adjustments.
3.1 Signal words
Throughout the manual, signal words are
indicated with, ”WARNING” or ”CAUTION”.
• CAUTION - signal word used to indicate
a potentially hazardous situation which,
if not avoided, could result in minor or
moderate injury.
• WARNING - signal word used to indicate
a potentially hazardous situation which,
if not avoided, could result in death or
serious injury.
3.2 Personnel
Jolife AB recommends that the LUCAS
Chest Compression System is only used by
persons with medical skills such as: First
responders, ambulance personnel, nurses,
physicians or medical staff, who have:
• undertaken a CPR course according
to the resuscitation guidelines, e.g.
American Heart Association, European
Council of Resuscitation or equivalent,
• AND received training in how to use the
LUCAS device.
3.3 Contraindications
Do NOT use the LUCAS Chest
Compression System in these cases:
• If it is not possible to position the LUCAS
device safely or correctly on the patient’s
chest.
• Too small patient: if the LUCAS device
alerts with 3 fast signals when lowering
the Suction Cup, and you cannot enter
the PAUSE mode or ACTIVE mode.
• Too large patient: If you cannot lock the
Upper Part of the LUCAS device to the
Back Plate without compressing the
patient’s chest.
Always follow local and/or international
guidelines for CPR when you use the
LUCAS chest compression system.
3.4 Side effects
The International Liaison Committee on
Resuscitation (ILCOR) states the following
side effects of CPR4:
”Rib fractures and other injuries are common
but acceptable consequences of CPR
given the alternative of death from cardiac
arrest. After resuscitation, all patients
should be reassessed and re-evaluated for
resuscitation-related injuries.”
The above side effects, as well as skin
abrasions, bruising and soreness of the
chest, are common during the use of
LUCAS Chest Compression System.
4. 2005 International Concensus on Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care
Science with Treatment Recommendations. Resuscitation
2005;67:195

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
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3.5 Symbols on the device
IP03
IP43
Symbols on
type labels IP40
IP44
Symbol Meaning
Caution – keep your ngers away
Do not put your hands on or below
the Suction Cup when the LUCAS
device operates. Keep your fingers
away from the claw locks when
attaching the Upper Part or lifting the
patient.
Caution - do not lift by the straps
Do not use the straps for lifting. The
straps are only to fixate the patient to
the LUCAS device.
Place the lower edge of the Suction
Cup immediately above the end
of the sternum, as indicated in the
figure. The Suction Cup should be
centered over the chest.
Pull the release rings to remove the
Upper Part from the Back Plate.
2
Do not reuse - Single use only.
DC input.
Symbol Meaning
Follow instructions for use
All operators must read the
complete Instructions for Use
before operating the LUCAS Chest
Compression System.
Year of manufacture and
manufacturer.
Battery and/or electronics may not
be disposed in the normal waste
stream.
IPXX Enclosure ingress protection*
DC voltage
Defibrillation protected type BF
patient connection.
SN
Serial number
TYPE Variant
Batch code/lot number
Non-ionizing electromagnetic
radiation
Class II equipment
Complies with (USA) Federal
Communications Commission
regulations
Symbols on type labels
* IPXX Mechanical (1st number) Water (2nd number)
IP03 (Carrying Case) Non-protected Water spraying from above up to ±60° from the vertical direction
IP40 (Power Supply) 1mm objects Non-protected
IP43 (Device) 1mm objects Water spraying from above up to ±60° from the vertical direction
IP44 (Battery) 1mm objects Water spraying from all directions

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
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3.6 General safety
precautions
Caution - use only approved accessories
Use only Jolife AB-approved accessories
with the LUCAS chest compression system.
The LUCAS device may not operate
correctly if you use accessories that are not
approved. Use only LUCAS Batteries and
the LUCAS Power Supply that are designed
for the LUCAS device. If you use other
batteries or power supply you can cause
permanent damage to the LUCAS device.
This also voids the warranty.
Caution - liquid
Do not immerse the LUCAS chest
compression system in liquid. The device
can be damaged if liquid enters the hood.
WARNING - FIRE
Do not use the LUCAS chest compression
system in oxygen rich environments or in
conjunction with flammable agents or with
flammable anaesthetics.
Caution - electrical device
To isolate mains from the LUCAS device,
disconnect the mains plug from mains
outlet.
Caution - other medical equipment
The LUCAS device can affect other medical
electrical equipment with regards to EMC
(Electromagnetic Compatibility). Take
into account the technical information in
section 9.9 Electromagnetic environmental
declaration.
3.7 Battery
WARNING - LOW BATTERY
When the yellow Battery LED shows an
intermittent light, do one of these:
• Replace the Battery with one that is
charged.
• Connect the external LUCAS Power
Supply.
Caution - keep Battery installed
The Battery must always be installed for
the LUCAS device to be able to operate,
also when powered by the external Power
Supply.
To minimize interruptions, we recommend
to always have a charged spare LUCAS
Battery in the Carrying Case.
3.8 Operation
WARNING - UNSATISFACTORY
POSITION
Start manual CPR again if it is not possible
to position the LUCAS device safely or
correctly on the patient’s chest.
WARNING - INCORRECT POSITION
OVER CHEST
If the pressure pad is not in the correct
position in relation to the sternum, there is
an increased risk of damage to the rib cage
and the internal organs. Also, the patient’s
blood circulation is compromised.
WARNING - INCORRECT START
POSITION
The patient’s blood circulation is
compromised if the pressure pad presses
down too heavily or too lightly on the chest.
Push the ADJUST key and adjust the height
of the Suction Cup immediately.
WARNING - CHANGED POSITION
DURING OPERATION
If the position of the Suction Cup changes
during operation or during defibrillation,
immediately push ADJUST and adjust
the position. Always use the LUCAS
Stabilization Strap to help secure the
correct position.
Caution - debrillation electrodes
Position the defibrillator electrodes and
wires so that they are not under the Suction
Cup. If there are already electrodes on the
patient, make sure that they are not under
the Suction Cup. If they are, you must apply
new electrodes.
Caution - gel on chest
If there is gel on the patient’s chest (e.g.
from ultrasound examination), the position
of the Suction Cup can change during use.
Remove all gel before you apply the Suction
Cup.
Caution - Stabilization Strap application
Delay the application of the LUCAS
Stabilization Strap if this prevents or delays
any medical treatment of the patient.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
12
Caution - adjunctive therapies
The use of other medical equipment or
drugs in conjunction with the LUCAS device
can affect the treatment. Always consult the
Instructions for Use for the other equipment
and/or drugs to make sure that they are
appropriate for use in conjunction with CPR.
WARNING - ECG interference
Chest compressions interfere with ECG
analysis. Push PAUSE before you start
the ECG analysis. Make the interruption
as short as possible. Push ACTIVE
(continuous) or ACTIVE (30:2) to start the
compressions again.
WARNING - ELECTRICAL SHOCK
If the external Power Supply cord (optional
accessory) is damaged, remove and
replace it immediately to avoid the risk of
electrical shock or fire.
WARNING - PATIENT INJURY
Do not let the patient or the device stay
unattended when the LUCAS device
operates.
Caution - keep your ngers away
Do not put your hands on or below the
Suction Cup when the LUCAS device
operates. Keep your fingers away from the
claw locks when attaching the Upper Part
or lifting the patient.
Caution - IV access
Make sure that IV access is not obstructed.
Caution - do not block the vent holes
Do not cause a blockage of the vent holes
under the hood since this can cause the
device to become too hot.
Caution - device alarms
If there is any malfunction during operation
the red Alarm LED will illuminate and a high
priority alarm will be heard.
For troubleshooting, see section 8.3.
WARNING - MALFUNCTION
If there are interruptions, or the
compressions are not sufficient, or
something unusual occurs during
operation:
Push ON/OFF for 1 second to stop
mechanical chest compressions and
remove the device. Immediately start
manual chest compressions.
Caution - do not lift by the straps
Do not use the straps for lifting. The straps
are only to fixate the patient to the LUCAS
device.
Caution - skin burns
The temperatures of the hood and battery
may rise above 118 °F / 48 °C. If hot, avoid
prolonged contact to prevent skin burns.
Remove patient hands from patient straps.
3.9 Service
We recommend a yearly servicing of the
LUCAS device to make sure that it operates
correctly. Use the original shipping box
when you send the device for servicing.
Keep the original shipping box with padding
for this purpose.
WARNING - DO NOT OPEN
Never open the casing of the LUCAS
device. Do not change or modify external
or internal parts of the LUCAS chest
compression system.
Unless specified differently, all servicing and
repairs must be done by service personnel
that are approved by Physio-Control, Inc. or
Jolife AB.
If the above conditions are not followed, this
can lead to patient/operator injury or death,
and will void the warranty.
Consult your local distributor,
Physio-Control, Inc., or Jolife AB for current
information on where to send the LUCAS
device for maintenance.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
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4 First use preparations
4.1 Delivered items
LUCAS Chest Compression System is
supplied in one box with:
• A LUCAS device (Upper Part and Back
Plate)
• 2 disposable LUCAS Suction Cups
• A LUCAS Carrying Case
• Instructions for Use in the relevant
language version
• A rechargeable LUCAS Battery
• A LUCAS Stabilization Strap
• LUCAS Patient Straps
Accessories (optional):
• Disposable LUCAS Suction Cups
• External LUCAS Battery Charger
• Extra LUCAS Batteries
• LUCAS Power Supply with Mains cord
• LUCAS 12-28V DC Car Power Cable
For more accessories, please see appendix A:
LUCAS parts and accessories.
4.2 The Battery
The proprietary Lithium Polymer (LiPo)
Battery is the exclusive power source for
the LUCAS chest compression system. You
can remove the Battery from the LUCAS
device and recharge it. The Battery is
mechanically keyed into the LUCAS device
and in the Battery Charger to make sure
you get the correct installation. The top of
the Battery has connections for power and
communications to the Battery Charger
and to the LUCAS device.
4.2.1 Charge the Battery
You can charge the LUCAS Battery in two
ways:
• In the LUCAS Battery Charger:
- put the Battery in the slot of the
Battery Charger,
- connect the Battery Charger power
cord to the mains wall outlet.
• Installed in the LUCAS device:
- put the Battery in the slot of the hood
of the LUCAS device,
- connect the Power Supply to the
DC input on the side of the LUCAS
device,
- connect the Power Supply to the
mains wall outlet.
Three green LEDs indicate a fully charged
Battery.
Caution - keep Battery installed
The Battery must always be installed for
the LUCAS device to be able to operate,
also when powered by the external Power
Supply.
Caution - use only approved accessories
Use only Jolife AB-approved accessories
with the LUCAS chest compression system.
The LUCAS device may not operate
correctly if you use accessories that are not
approved. Use only LUCAS Batteries and
the LUCAS Power Supply that are designed
for the LUCAS device. If you use other
batteries or Power Supply you can cause
permanent damage to the LUCAS device.
This also voids the warranty.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
14
4.3 Prepare the
Stabilization Strap
Before the first use of the LUCAS
chest compression system, attach the
support leg straps, which are part of the
Stabilization Strap, to the LUCAS support
legs.
1. Fold one support leg strap around each
LUCAS support leg.
2. Fasten the buckles on the inner side of
the support leg.
4.4 Prepare the Carrying Case
1. Insert a fully charged LUCAS Battery
in the Battery slot in the hood of the
LUCAS device.
2. Make sure that a Suction Cup is
mounted correctly.
3. Make sure that the patient straps and
the support leg straps are attached to
the Upper Part.
4. Put the Upper Part in the Carrying Case
with the DC input placed downward.
Note: Putting the LUCAS device in this
position makes it possible to charge the
device through the Carrying Case charger
port access and to check Battery charge
status through the Carrying Case top
window.
5. In the Carrying Case compartment
between the LUCAS support legs, you
may put optional accessories such as
the external Power Supply, a charged
spare LUCAS Battery and extra Suction
Cups.
6. Make sure the neck strap of the
Stabilization Strap is placed on top in
the Carrying Case compartment and is
easy to find.
7. Slide the Back Plate into the Carrying
Case cover lid compartment.
8. Put the Instructions for Use in the
transparent pocket.
9. Close the Carrying Case.
QUICKREFERENCE GUIDE
XXXXXX-00Rev A, valid from CO J2860 © 2016 Jolife
AB
US
QUICK REFERENCE GUIDE
Pleasenote this is not a complete Instructions For Use (IFU). Refer to the IFU for complete
directionsfor use, indications, contraindications, warnings,precautions and potential

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
15
5 Use the LUCAS device
5.1 Arrival at the patient
When you have confirmed a cardiac arrest,
immediately start manual cardiopulmonary
resuscitation (CPR). Minimize interruptions
to manual chest compressions during the
preparation and application of the LUCAS
chest compression system.
5.2 Unpack the device
1. Open the Carrying Case.
2. Push ON/OFF on the User Control
Panel for 1 second to power up the
LUCAS device and start the self
test. The green LED adjacent to the
ADJUST key illuminates when the
device is ready for use.
Note: The LUCAS device powers down
automatically after 5 minutes if you let it
stay in the ADJUST mode.
Caution - device alarms
If there is any malfunction during operation
the red Alarm LED will illuminate and a high
priority alarm will be heard.
For troubleshooting, refer to section 8.3.
Caution - keep Battery installed
The Battery must always be installed for
the LUCAS device to be able to operate,
also when powered by the external Power
Supply.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
16
5.3 Apply to patient
Keep interruptions to CPR to a minimum
when applying the LUCAS device to the
patient.
It is possible to deploy the devicewith
interruptions to CPR of less than
20seconds.
5.3.1 Place the Back Plate
1. Remove the LUCAS Back Plate from
the Carrying Case.
3ChestCompression System – QUICK REFERENCE GUIDE
AB
3.ATTAC H THE UPP ER PART.
RELEASERINGS once to open
.Thenlet go of the rings
Stopmanual CPR briefly while attaching
BACKPLATE
•Continue manual
2.PLACE THE LUCAS BACKPLATE.
•Pause manual CPR briefly
Putthe BACK PLATEunder the
patient,immediatelybelow
thearmpits
•Assist BACK PLATE
placement
•Resume manual CPR
QUICK REFERENCE GUIDE
Pleasenotethis is not a complete Instructions For Use (IFU). Refer to the IFU for complete
directionsforuse, indications, contraindications, warnings, precautions and potential
(LUCASOperator)
to start self-test and
powerup LUCAS
LUCASwill be ready and in the
ADJUSTmode
•Provide
manual
CPR
3ChestCompression System –
QUICKREFERENCEGUIDE
AB
3.ATTAC H THE UPP ER PART.
RELEASERINGS
once to open
.Thenlet go of the rings
Stopmanual CPR briefly while attaching
BACKPLATE
•Continue manual
2.PLACE THE LUCAS BACKPLATE.
•
Pausemanual CPR briefly
Putthe
BACKPLATE
under the
patient,immediatelybelow
thearmpits
•
Assist
BACKPLATE
placement
•
Resumemanual CPR
QUICK REFERENCE GUIDE
Pleasenotethis is not a complete Instructions For Use (IFU). Refer to the IFU for complete
directionsforuse, indications, contraindications, warnings, precautions and potential
(LUCASOperator)
to start self-test and
powerup LUCAS
LUCASwill be ready and in the
ADJUSTmode
•
Provide
manual
CPR
2. Minimize interruption to manual CPR
by planning for and coordinating the
placement of the back plate.
• Make sure to support the patient’s
head.
• Pause manual CPR briefly while
putting the LUCAS Back Plate under
the patient, immediately below
the arm pits. Use one of these
procedures:
a. Hold the patient’s shoulder and lift
the patient’s upper body a small
distance,
b. Roll the patient from side to side.
3. Resume manual CPR immediately.
Note: An accurate position of the Back
Plate makes it easier and faster to position
the Suction Cup correctly.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
17
4. Minimize interruptions to manual CPR
by planning and coordinating the
attachment and correct positioning of
the Upper Part:
a. During ongoing manual chest
compressions, attach the support
leg that is nearest to you to the back
plate.
b. Stop manual CPR while attaching the
other support leg to the Back Plate,
so that the two support legs lock
against the Back Plate.
c. Listen for click. Pull up once to make
sure that the parts are correctly
attached.
Note: If the LUCAS Upper Part does not
attach to the Back Plate, make sure that
the claw locks are open and that you have
released the release rings.
WARNING - TOO LARGE PATIENT
If the patient is too large, the Upper Part
of the LUCAS device cannot lock to the
Back Plate without compressing the
patient’s chest. Immediately resume manual
compressions.
5.3.2 Attach the Upper Part
1. Hold the handles on the support legs to
remove the LUCAS Upper Part from the
Carrying Case.
2. Pull the release rings once to make sure
that the claw locks are open.
3. Let go of the release rings.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
18
5.4 Adjustment and operation
The compression point should be at
the same spot as for manual CPR and
according to guidelines.
When the pressure pad in the Suction Cup
is in the correct position, the lower edge
of the Suction Cup is immediately above
the end of the sternum.
Suction Cup outer edge
Pressure pad
WARNING - INCORRECT POSITION
OVER CHEST
If the pressure pad is not in the correct
position in relation to the sternum, there is
an increased risk of damage to the rib cage
and the internal organs. Also, the patient’s
blood circulation may be compromised.
1. Use your finger to make sure that
the lower edge of the Suction Cup
is immediately above the end of the
sternum
If necessary, move the device by pulling the
support legs to adjust the position.
2. Adjust the height of the Suction Cup to
set the Start Position.
a. Make sure that the LUCAS device is
in the ADJUST mode.
b. Push the Suction Cup down with
two fingers until the pressure pad
touches the patient’s chest without
compressing the chest.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
19
Caution - gel on chest
If there is gel on the patient’s chest (e.g.
from ultrasound examination), the position
of the Suction Cup can change during
operation. Remove all gel before you apply
the Suction Cup.
Caution - keep your ngers away
Do not put your hands or other body parts
on or below the Suction Cup when the
LUCAS device operates. Do not touch the
claw locks, especially when you lift the
patient.
WARNING - PATIENT INJURY
Do not let the patient or the device stay
unattended when the LUCAS device
operates.
WARNING - CHANGED POSITION
DURING OPERATION
If the position of the Suction Cup changes
during operation or during defibrillation,
immediately push ADJUST and adjust
the position. Always use the LUCAS
Stabilization Strap to help secure the
correct position.
WARNING - MALFUNCTION
If there are interruptions, or the
compressions are not sufficient, or
something unusual occurs during
operation:
Push ON/OFF for 1 second to stop
mechanical chest compressions and
remove the device. Immediately start
manual chest compressions.
WARNING - LOW BATTERY
When the yellow Battery LED shows an
intermittent light, do one of these:
• Replace the Battery with one that is
charged.
• Connect the external LUCAS Power
Supply.
Caution - do not block the vent holes
Do not cause a blockage of the vent holes
under the hood since this can cause the
device to become too hot.
c. Push PAUSE to lock the Start Position
d. Check for proper position. If not,
push ADJUST, pull up the Suction
Cup to readjust the central and/
or height position for a new Start
Position. Push PAUSE.
e. Push ACTIVE (continuous)
OR ACTIVE (30:2) to start the
compressions.
Note: If the Suction Cup is pushed down
too hard, or too loose to the chest, the
LUCAS device will adjust the Suction Cup
to the correct Start Position (within a range
of 30 mm / 1.2 inches).
WARNING - UNSATISFACTORY
POSITION
Immediately start manual CPR again if it is
not possible to position the LUCAS device
safely or correctly on the patient’s chest.
WARNING - TOO SMALL PATIENT
If the LUCAS device alerts with 3 fast
signals when lowering the Suction Cup,
and you cannot enter the PAUSE mode or
ACTIVE mode. Immediately start manual
compressions again.
WARNING - INCORRECT START
POSITION
The patient’s blood circulation may be
compromised if the pressure pad presses
down too heavily or too lightly on the chest.
Push the ADJUST key and adjust the height
of the Suction Cup immediately.

LUCAS® 3 Chest Compression System – INSTRUCTIONS FOR USE
100925-00 Rev F, valid from CO J3021 © 2016 Jolife AB
20
5.5 Apply the Stabilization
Strap
The LUCAS Stabilization Strap helps secure
the correct position during operation. Apply
it while the LUCAS device is active to keep
interruptions to a minimum.
Caution - Stabilization Strap application
Delay the application of the LUCAS
Stabilization Strap if this prevents or delays
any medical treatment of the patient.
1. Remove the neck strap, which is a
part of the Stabilization Strap, from the
Carrying Bag (the support legs strap of
the Stabilization Strap should already
be attached to the support legs).
2. Extend the neck strap fully at the
buckles.
3. Carefully lift the patient’s head and
put the cushion behind the patient’s
neck. Position the cushion as near the
patient’s shoulders as possible.
4. Connect the buckles on the support
leg straps with the buckles on the neck
strap. Make sure that the straps are not
twisted.
5. Hold the LUCAS support legs stable
and tighten the neck strap tightly.
6. Make sure that the position of the
Suction Cup is correct on the patient’s
chest.
If it is not, adjust the position:
a. Push ADJUST.
b. Release the neck straps from the
support leg straps.
c. Adjust the Suction Cup position (as
described in the section 5.4.2).
d. When the Suction Cup is in the
correct position, push ACTIVE
(continuous) or ACTIVE (30:2) to
start the compressions again.
e. Attach the neck strap again.
Refer to the steps 2 to 5 above.
5.6 Move the patient
5.6.1 Secure the patient’s arms
When you move the patient, you can secure
the patient’s arms with the Patient Straps
on the LUCAS device. This makes it easier
to move the patient.
Caution - do not lift by the straps
Do not use the straps for lifting. The straps
are only to fixate the patient to the LUCAS
device.
Caution - IV access
Make sure that IV access is not obstructed.
Caution - skin burns
The temperatures of the hood and battery
may rise above 118 °F / 48 °C. If hot, avoid
prolonged contact to prevent skin burns.
Remove patient hands from patient straps.