Physio Control LUCAS 3 User manual

LUCAS®3 Chest Compression System
Instructor Guidebook
Classroom and Hands-On Training
PHYSIO-CONTROL
TRAINING
This is not the complete instructions for use. Refer to Operating Instructions for complete device information
including directions for use, intended use and warnings.

2
LUCAS®3 Chest Compression System
Instructor Guidebook

Physio-Control, Inc.
Redmond, Washington U.S.
LUCAS®3 Chest Compression System
Instructor Guidebook
Classroom and Hands-On Training
PHYSIO-CONTROL
TRAINING

Contents
5 Contents
7 Instructor Notes
7 Preface
9 Chapter 1: Instructor Training
Preparation
Things to Know Before Each Training Session .............................................11
Facility Planning and Logistics......................................................................11
What You Need ............................................................................................12
Device Preparation and Readiness...............................................................13
15 Chapter 2: Classroom Training
Introduction and Overview
Introductions .................................................................................................17
Agenda Review .............................................................................................17
Videos ...........................................................................................................17
Device Overview ...........................................................................................18
Comprehensive In-depth Device and Operation Overview...........................20
Application Demonstration............................................................................29
37 Chapter 3: Small Group
Hands-on Training and Application Practice
Learning Objectives ......................................................................................39
Roles, Responsibilities and Expectations.....................................................39
Detailed Step-By-Step Overview ..................................................................40
Real-time Application Demonstration ...........................................................44
Student Device Application...........................................................................45
Completing the User Performance Evaluation .............................................45
49 Chapter 4:
Training Evaluation
53 Appendix A:
Important Contacts
57 Appendix B:
Frequently Asked Questions
67 Appendix C:
The LUCAS Device in the Cath Lab
The 2010/2015 AHA Guidelines on Resuscitation in the Cath Lab ..............69
2015 AHA Class IIb Recommendation for Mechanical CPR During PCI......69
The LUCAS Device in the Cath Lab..............................................................70
75 References

Preface
Instructor Notes:
This Instructor Guidebook is an introduction to the basic operations
of the LUCAS 3 chest compression system and acts as a guide for
conducting classroom and hands-on training in a manner consistent with
training provided by Physio-Control.
Refer to the Instructions For Use (IFU) for complete directions for use,
indications, contraindications, warnings, cautions and technical
specifications. The IFU is included with each device.
All operators must read the complete IFU before operating the LUCAS
chest compression system.

Chapter 1: Instructor Training Preparation

1 / INSTRUCTOR TRAINING PREPARATION
11
Instructor Training Preparation
THINGS TO KNOW BEFORE EACH TRAINING SESSION
Who is your audience?
There may be a combined audience of both prehospital and hospital providers. It is
helpful to know whether the audience you will be instructing will be EMTs, Paramedics,
Nurses, etc., to tailor your examples and discussion to be the most relevant for the
audience present.
How large is your audience?
§In order for the hands-on training to be the most eective, it is important to
maintain an instructor to student ratio of 1:6 (one instructor to six students).
§Determine the need for additional trainers and make arrangements for resources
such as LUCAS devices, manikins and training materials accordingly, prior to the
training session.
FACILITY PLANNING AND LOGISTICS
Each training session will require a classroom setting for the “Introduction and Device
Overview” large enough to accommodate the audience attending. In addition, there needs
to be ample space for multiple small groups, with an instructor to student ratio of 1:6, to
perform small group hands-on training and application practice. This may require reserving
a second room for the hands-on training depending on space available in the classroom.
Training should follow the timing outlined below:
15 min. Introduction
45 min. Classroom Training
10 min. Break
120 min. Small Group Hands-On Training and Application Practice
5 min. Break
30 min. Training Evaluation
15 min. Q&A/Additional Hands-on (as needed)

12
LUCAS®3 Chest Compression System
Instructor Guidebook
Room layout
§Basic classroom layout should include tables and chairs for students to take notes
and complete evaluations at the conclusion of the training.
§For the small group hands-on training, ensure enough floor space for hands-on
training with a manikin.
Audio/Visual needs
§There are several videos that will be played at the beginning of the classroom session.
The room will need to be set up with a projector. A computer with internet access will
allow streaming of the videos. If internet access is slow or limited the videos can be
downloaded ahead of time.
Power
Ensure there is an adequate power supply and power strips for A/V equipment or in the
event that LUCAS devices need to be charged.
WHAT YOU NEED
Devices, accessories, manikins
§At least one LUCAS device and one manikin for every 6 students (e.g., class of 40 will
require seven devices/manikins)
§Each LUCAS device in Carrying Case should have the following present:
Suction Cup mounted to the Piston
Patient Straps (wrist straps), attached to Support Legs
Stabilization Strap, present in Carrying Case with two Support Leg straps that
buckle to Support Legs
Two charged batteries, one installed in device with spare in Carrying
Case compartment
External Power Supply Cord, present in case compartment
LUCAS Back Plate
One additional Suction Cup
§One manikin for each LUCAS device
Training materials and handouts (Copies available: www.physio-control.com/LUCAS)
§LUCAS 3 Device Fits Large Patients
§LUCAS 3 User Performance Evaluation form
§LUCAS 3 Chest Compression System Training Quiz
§LUCAS 3 Device Training Answer Key and Annotated Test
§LUCAS 3 Device - First Use Preparation Video
§LUCAS 3 Device - Prehospital Application Video
§LUCAS 3 Device - Hospital Application Video
§LUCAS Report Generator - Quick User Guide
§LUCAS 3 Quick Reference Guide - Trifold
§Information on Defibrillation and Ventilation with LUCAS
§LUCAS 3 Instructor Guidebook

1 / INSTRUCTOR TRAINING PREPARATION
13
DEVICE PREPARATION AND READINESS
Prior to each training session, ensure all LUCAS devices are checked and ready for use.
Always complete device preparation to allow at least four hours for charging batteries.
1. Make sure a Suction Cup is attached to the Piston.
2. Make sure the Patient Straps are attached.
3. Make sure the two Support Leg Straps of the Stabilization Strap are buckled around
the Support Legs with the buckles on the inside.
4. Make sure batteries are fully charged. When the LUCAS device is in the OFF mode,
push the MUTE button. The battery indicator illuminates and shows the battery
charge status.
5. Push and hold the ON/OFF button to turn on the device so the LUCAS
device does a self-test. Make sure the ADJUST . LED illuminates with no alarm
or warning LED.
6. Push and hold the ON/OFF button for one second to power down the LUCAS
device again.
7. Charge LUCAS batteries as needed.
Installed in LUCAS device (power supply cord) – less than two hours
‐ Put battery in the slot in the Hood of the LUCAS device
‐ Connect the Power Supply to the DC input on the side of the LUCAS device
‐ The LUCAS device can be charged using the charge port in the back of the
Carrying Case
‐ Connect the Power Supply to the wall outlet
In the external LUCAS Battery Charger (if available) – less than four hours
‐ Put the battery in the slot of the battery charger
‐ Connect the battery charger power cord to the wall outlet

Chapter 2: Classroom Training Introduction and Overview

2 / CLASSROOM TRAINING INTRODUCTION AND OVERVIEW
17
Classroom Training—Introduction and Overview
INTRODUCTIONS
Introduce lead trainer and support sta.
Confirm your audience (e.g., “By a show of hands, how many of you are EMTs?
Paramedics? Nurses?” etc.)
AGENDA REVIEW
Provide brief overview of the agenda for the training session:
§Introductions
§Videos
§Introduction and Overview of LUCAS device, including intended use, indications
and contraindications for use, main parts, etc.
§Comprehensive device and operation overview
§Break (15 minutes)
§Small groups hands-on training and application practice
§Training evaluations
§Q&A
VIDEOS
There are three videos that can be played at the beginning of each training session. Have
the videos prepared prior to starting the class. All videos available for streaming and
downloading at www.physio-control.com/LUCAS.
LUCAS 3 Chest Compression System - First Use Preparation
§This video provides an overview of the LUCAS device first time assembly, standard
and optional accessories and device storage.
LUCAS 3 Chest Compression System - Prehospital Application
§This video provides an overview of LUCAS device application in the EMS setting.
LUCAS 3 Chest Compression System - Hospital Application
§This video provides an overview of LUCAS device application in the hospital setting.

18
LUCAS®3 Chest Compression System
Instructor Guidebook
DEVICE OVERVIEW
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 eective, consistent and continuous chest compressions as recommended in the
American Heart Association Guidelines for CPR1and the European Resuscitation Council
guidelines2. Both human3, 4 and experimental5, 6 studies have shown that the LUCAS device
can produce coronary perfusion pressures (CPP) of over 15mmHg during prolonged CPR,
better than manual CPR.
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 an absence of
spontaneous breathing and pulse, and loss of consciousness.
The LUCAS device must only be used in cases where chest compressions are likely to help
the patient.
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.
Personnel
It is recommended the LUCAS device is only used by persons with medical skills such as:
first responders, ambulance personnel, nurses, physicians or medical sta, who have:
§Undertaken a CPR course according to the resuscitation guidelines (e.g., American
Heart Association, European Council Resuscitation or equivalent)
§AND received training in using the LUCAS device

2 / CLASSROOM TRAINING INTRODUCTION AND OVERVIEW
19
Side Eects
The International Liaison Committee on Resuscitation (ILCOR) states these side eects
of CPR:7
“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.”
Apart from the above, skin abrasions, bruising and soreness of the chest are common
during the use of the LUCAS Chest Compression System.
Clinical as well as autopsy studies have shown that LUCAS compressions are safe for the
patient8–11, 13 with the same type of side-eects as for manual CPR.
Main Components
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.
Each part of the LUCAS device and its operation will be covered in the next section,
Comprehensive in-depth device and operation overview.

20
LUCAS®3 Chest Compression System
Instructor Guidebook
COMPREHENSIVE IN-DEPTH DEVICE AND OPERATION OVERVIEW
Carrying Case
The LUCAS Carrying Case was designed to be compact, portable, durable and easy
to deploy.
While the LUCAS chest compression system is still in the case, push the power ON button
for one second to allow the device to perform a self-test to make sure it is ready to operate
before applying it to the patient. The case and power on procedure will be reviewed in more
detail later during the Application Demonstration.
Instructor Notes:
Begin with a complete LUCAS chest compression system packed in the Carrying Case
on a table at the front of the room and visible to the attendees. As you review each
component and aspect of operation, physically remove the component from the case
and demonstrate to the audience.
Instructor Notes:
Begin by demonstrating the key components of the case; the hard shell, the Top
Window and the rear Charge Port. Next demonstrate how to open the Carrying Case
and turn on the device while still in the case.