Progetti RESCUE SAM User manual

EN - User Manual AUTOMATIC Ver. 1.0

RESCUE SAM User Manual vers.1.0 Jun. 2015
RESCUE STEPS
1. PUSH ON/OFF BUTTON
2. FOLLOW VOICE PROMPTS
1PUSH ON/OFF BUTTON
2
FOLLOW VOICE PROMPTS

RESCUE SAM User Manual vers.1.0 Jun. 2015
Thank you for choosing the RESCUE SAM AED.
The RESCUE SAM defibrillator is a complete acute cardiac care response system designed for basic life
support (BLS) patient management protocols.
These operating instructions include information and procedures related to all features of the RESCUE
SAM defibrillator. Your RESCUE SAM defibrillator may not have all of these features.
Please read this Operator’s Manual carefully and thoroughly before using the RESCUE SAM AED. This
Manual contains instructions on how to operate and maintain the RESCUE SAM.
It is very important that you fully understand all the necessary instructions discussed in this manual so as
to act quickly in an emergency.
PROGETTI S.r.l. designs and manufactures all of its products in accordance with international standards
(93/42/EEC). This ensures that PROGETTI S.r.l. provides products of high quality and reliability.
In this regard:
Only persons authorized by PROGETTI S.r.l. should do the servicing of the device. You
should operate this device in accordance with the instructions specified in this manual.
To ensure safety and reliability, use only parts and accessories recommended by PROGETTI S.r.l.
IMPORTANT Notices
Progetti Srl shall not be liable for errors contained herein or for incidental or consequential damages in
connection with the furnishing, performance, or use of this material.
Information in this document is subject to change without notice.
Limited Warranty
The “Limited Warranty” shipped with Progetti S.r.l. AED products serves as the sole and exclusive
warranty provided by Progetti S.r.l., with respect to the products contained herein.
Copyright
Copyright © 2011 Progetti Srl.
All rights reserved

RESCUE SAM User Manual vers.1.0 Jun. 2015
Contents
1 INTRODUCTION TO THE RESCUE SAM AED ......................................................................................................... 1
1.1 OVERVIEW ............................................................................................................................................................ 1
1.2 THE RESCUE SAM AED ........................................................................................................................................ 2
1.3 INDICATIONS ......................................................................................................................................................... 3
1.4 CONTRAINDICATIONS .............................................................................................................................................. 3
1.5 OPERATOR TRAINING REQUIREMENTS ........................................................................................................................ 3
2 DANGERS, WARNINGS AND CAUTIONS .............................................................................................................. 4
2.1 SHOCK, FIRE HAZARD, EXPLOSION............................................................................................................................. 4
2.1.1 Electricity........................................................................................................................................................... 4
2.1.2 Battery Pack ...................................................................................................................................................... 4
2.1.3 Usage Environment ........................................................................................................................................... 5
2.1.4 Defibrillation/Shock Delivery............................................................................................................................. 5
2.1.5 Maintenance ..................................................................................................................................................... 5
2.2 IMPROPER DEVICE PERFORMANCE............................................................................................................................. 6
2.2.1 Usage Environment ........................................................................................................................................... 6
2.2.2 Pads................................................................................................................................................................... 6
2.2.3 Patient Analysis................................................................................................................................................. 7
2.2.4 Shock Delivery ................................................................................................................................................... 7
2.2.5 Maintenance ..................................................................................................................................................... 8
3 SETTING UP THE RESCUE SAM AED..................................................................................................................... 9
3.1 OVERVIEW ............................................................................................................................................................ 9
3.2 INSTALLING AND REMOVING THE BATTERY PACK .......................................................................................................... 9
3.3 CONNECTING THE PADS......................................................................................................................................... 10
3.4 STORING THE RESCUE SAM AED .......................................................................................................................... 10
3.5 POSITIONING THE DEFI PADS INSIDE THE CARRYING BAG (OPTIONAL)............................................................................... 10
4 USING THE RESCUE SAM AED ............................................................................................................................11
4.1 CHECKING RESCUE SAM STATUS .......................................................................................................................... 11
4.2 TURNING ON THE RESCUE SAM AED .................................................................................................................... 11
4.3 PREPARATION...................................................................................................................................................... 11
4.3.1 Call for Help..................................................................................................................................................... 11
4.3.2 Preparing the Patient ...................................................................................................................................... 11
4.3.3 Opening the Pad Package ............................................................................................................................... 12
4.3.4 Connecting Defibrillation Pads to the RESCUE SAM........................................................................................ 12
4.3.5 Applying Pads to the Patient........................................................................................................................... 12
4.3.6 Preparation of the pediatric patient ............................................................................................................... 13
4.3.7 Follow RESCUE SAM AED Prompts .................................................................................................................. 13
5 MEMORY AND DATA TRANSFER........................................................................................................................15
5.1 HOW REGISTRATION AND MEMORY MANAGEMENT WORK ............................................................................................ 15
5.1.1 View events ..................................................................................................................................................... 15
5.2 INTERFACE DATA DOWNLOADS ................................................................................................................................ 16
5.2.1 Module data download................................................................................................................................... 16

RESCUE SAM User Manual vers.1.0 Jun. 2015
5.2.2 Software for data downloads.......................................................................................................................... 16
5.3 FUNCTIONING AND INTERFACE PROCEDURE ............................................................................................................... 16
5.4 SOFTWARE DOWNLOAD......................................................................................................................................... 16
6 MAINTAINING AND TROUBLESHOOTING THE RESCUE SAM AED .......................................................................17
6.1 SELF-TESTS ......................................................................................................................................................... 17
6.2 ROUTINE MAINTENANCE ....................................................................................................................................... 17
6.3 MAINTENANCE RELATED VOICE PROMPTS: ............................................................................................................... 17
6.4 CLEANING........................................................................................................................................................... 18
6.5 STORAGE ............................................................................................................................................................ 18
6.6 OPERATOR’SCHECKLIST......................................................................................................................................... 18
6.7 TROUBLESHOOTING .............................................................................................................................................. 19
6.8 REPAIR............................................................................................................................................................... 19
7 RESCUE SAM AED ACCESSORIES ........................................................................................................................20
7.1 DEFIBRILLATION/MONITORING PADS ....................................................................................................................... 20
7.2 BATTERY PACKS ................................................................................................................................................... 20
7.2.1 Battery Status Indicator .................................................................................................................................. 20
7.3 RECYCLING INFORMATION...................................................................................................................................... 20
7.3.1 Preparation ..................................................................................................................................................... 20
7.3.2 Packaging........................................................................................................................................................ 20
8 TECHNICAL SPECIFICATIONS ..............................................................................................................................21
8.1.1 Physical ........................................................................................................................................................... 21
8.1.2 Environmental ................................................................................................................................................. 21
8.1.3 Defibrillator ..................................................................................................................................................... 21
8.1.4 Waveform Specifications................................................................................................................................. 22
8.1.5 Patient Analysis System .................................................................................................................................. 22
8.1.6 Guidance and Manufacturer’s Declaration - Electromagnetic Emissions and Immunity................................ 23
8.2 BATTERY PACK ..................................................................................................................................................... 25
8.3 SELF-ADHESIVE DEFIBRILLATION/MONITORING PADS ................................................................................................. 26
9 GLOSSARY OF SYMBOLS ....................................................................................................................................27
10 CONTACTS.........................................................................................................................................................28
11 WARRANTY INFORMATION...............................................................................................................................29
WARRANTY CERTIFICATE ...........................................................................................................................................31
DECLARATION OF CONFORMITY ................................................................................................................................32

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RESCUE SAM User Manual vers.1.0 Jun. 2015
1 Introduction to the RESCUE SAM AED
This User Manual provides information to guide trained operators in the use and maintenance of the
RESCUE SAM series Semi-Automatic External Defibrillator (“AED”) and its accessories. This chapter
includes an overview of the AED, a discussion of when it should and should not be used, and information
on required operator training.
1.1 Overview
The RESCUE SAM is a Semi-Automatic External Defibrillator (“AED”) that is designed to be easy to use,
portable and battery powered.
Voice prompts and visual indicators provide a simple interface for the operator. The RESCUE SAM is
capable of recording event information including ECG and SHOCK/NO-SHOCK recommendations.
When connected to a patient who is unconscious and not breathing, the RESCUE SAM performs the
following tasks:
• Prompts the operator to take necessary actions to enable analysis.
• Automatically analyzes the patient’s ECG.
• Determines whether a shockable rhythm is present.
• Charges the defibrillation capacitor and arms the SHOCK button if it detects a shockable rhythm.
• Prompts the operator to press the SHOCK button when the device is ready and a shock is
recommended.
• Delivers a shock once the device has determined.
• Repeats the process if additional shocks are required.
The RESCUE SAM will shock a patient automatically only when a shockable rhythm is detected and the
device is charged and ready to shock. Charging occurs automatically when the device detects a shockable
rhythm.
The RESCUE SAM uses two self-adhesive defibrillation/monitoring pads to monitor ECG signals and, if
necessary, to deliver defibrillation energy to the patient. These pads (also known as electrodes) are
provided in a single-use, disposable package.
The RESCUE SAM determines proper pad-to-patient contact by monitoring the impedance between the
two pads (impedance varies with the electrical resistance of the patient’s body). Visual and audio
prompts inform the operator of possible problems with patient contact. Voice prompts and visual
indicators communicate the status of the AED and of the patient to the operator. The RESCUE SAM has
two operational push-button controls, one info-button ans several LED indicators.
Defibrillation energy is delivered as an impedance compensated biphasic truncated exponential
waveform. The device delivers 200 Joules into a 50-ohm load when using adult pads or when using
attenuated child / infant pads, 50J of defibrillation energy into a 50-ohm load. Energy delivered does not
change significantly with patient impedance, although the duration of the generated waveform will vary.
The RESCUE SAM is designed to deliver up to 200J of defibrillation energy through a patient impedance
range of 25 – 175 ohms.
Defibrillation and AED operating power is supplied by a replaceable (non-rechargeable) lithium battery
pack that provides for long standby life and low maintenance operation. Each pack is marked with an
expiration date.
The RESCUE SAM records event documentation on its internal memory.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
1.2 The RESCUE SAM AED
A. Speaker. The speaker projects the voice prompts when the RESCUE SAM is on.
B. Instructions LEDs. This LEDs will flash according to the voice prompts.
C. ON/OFF button. Push button to turn the RESCUE SAM on. Push again to disarm and turn the AED
off.
D. Information button and LED. Il permet d’écouter encore le message sur l'état du système.
E. Pads connector port. Insert Patient Pads Connector into this port to connect pads to RESCUE SAM.
F. Battery pack. The battery pack provides a replaceable main power source for the RESCUE SAM.
G. Battery pack opening. Insert the battery pack firmly into this opening until the latch clicks into
place.
H. Battery pack eject lever. This lever releases the battery pack from the RESCUE SAM. To remove
the battery pack, push the lever and extract the battery pack from the unit.
I. Status Indicator. When the unit is off, this indicator blinks green to indicate the unit is fully
operational and blinks red to indicate unit needs attention from the user or servicing.
F
H
I
G
D
B
A
C
I

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RESCUE SAM User Manual vers.1.0 Jun. 2015
1.3 Indications
The RESCUE SAM is indicated for use on victims of sudden cardiac arrest (“SCA”) when the patient is:
• Unconscious and unresponsive.
• Not breathing.
For patients under 8 years old, use child/ infant electrode pads. Do not delay therapy to determine exact
age or weight.
1.4 Contraindications
The RESCUE SAM should not be used if the patient shows any of the following signs:
• Conscious and/or responsive.
• Breathing.
• Has a detectable pulse.
1.5 Operator Training Requirements
In order to safely and effectively operate the RESCUE SAM, a person shall have met the following
requirements:
• RESCUE SAM and/or defibrillation training as required by local, state, provincial, or national
regulations.
• Any additional training as required by the authorizing physician.
• Thorough knowledge and understanding of the material presented in this User Manual.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
2 Dangers, Warnings and Cautions
This chapter includes a list of danger, warning, and caution messages that relate to the Progetti Srl
RESCUE SAM and its accessories. Many of these messages are repeated elsewhere in this User Manual
and on the RESCUE SAM or accessories. The entire list is presented here for convenience.
2.1 Shock, Fire Hazard, Explosion
2.1.1 Electricity
DANGER Hazardous electrical output. This equipment is for
use only by qualified personnel.
2.1.2 Battery Pack
DANGER: Immediate hazards that will result in serious
personal injury or death.
WARNING: Conditions, hazards, or unsafe practices that may
result in serious personal injury or death.
CAUTION: Conditions, hazards, or unsafe practices that may
result in minor personal injury, damage to the
RESCUE SAM, or loss of data.
CAUTION Follow all battery pack labeling instructions. Do not
install battery packs after the expiration date.
WARNING Lithium battery packs are not rechargeable. Any
attempt to recharge a lithium battery pack may
result in fire or explosion.
WARNING Do not immerse battery pack in water or other
liquids. Immersion in fluids may result in fire or
explosion.
WARNING Do not attempt to recharge, short-circuit, puncture,
or deform battery. Do not expose battery to
temperatures above 50°C. Remove battery when
depleted.
CAUTION Recycle or dispose of lithium battery packs in
accordance with local laws. To avoid fire and
explosion hazard, do not burn or incinerate the
battery.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
2.1.3 Usage Environment
DANGER Possible explosion hazard if used in the presence of
flammable anesthetics or concentrated oxygen.
DANGER The RESCUE SAM has not been evaluated or
approved for use in hazardous locations as defined
in the National Electric Code standard. In
compliance with IEC classification the RESCUE SAM
is not to be used in the presence of flammable
substance/air mixtures.
CAUTION
Do not immerse any portion of this product in water
or other fluids. Do not allow fluids to enter the
device. Avoid spilling any fluids on this device or
accessories. Spilling fluids into the RESCUE SAM
may damage it or present a fire or shock hazard.
Do not autoclave or gas sterilize the RESCUE SAM
or its accessories.
CAUTION The RESCUE SAM should be stored and used only
within the range of environmental conditions
specified in the technical specifications.
2.1.4 Defibrillation/Shock Delivery
WARNING Defibrillation current can cause operator or
bystander injury. Do not touch the patient during
defibrillation. Do not touch equipment connected to
the patient or metal objects in contact with the
patient during defibrillation. Disconnect other
electrical equipment from the patient before
defibrillating. Disconnect the RESCUE SAM from the
patient prior to use of other defibrillators.
WARNING Improper use can cause injury. Use the RESCUE
SAM only as instructed in the User Manual. The
RESCUE SAM delivers electrical energy that can
potentially cause death or injury if it is used or
discharged improperly.
WARNING Disconnect all non-defibrillator proof equipment
from the patient before defibrillation to prevent
electrical shock hazard and potential damage to
that equipment.
CAUTION Avoid contact between parts of the patient’s body
and conductive fluids such as water, gel, blood or
saline, and metal objects, which may provide
unwanted pathways for defibrillating current.
2.1.5 Maintenance
WARNING
Electrical shock hazard. Dangerous high voltages
and currents are present. Do not open unit, remove
covers, or attempt repair. There are no user
serviceable components in the RESCUE SAM. Refer
servicing to qualified service personnel.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
2.2 Improper Device Performance
2.2.1 Usage Environment
WARNING Radio frequency (RF) interference from RF devices
such as cellular phones and two-way radios can
cause improper AED operation. In accordance with
IEC 801.3, a distance of 2 meters between RF
devices and the RESCUE SAM is recommended.
CAUTION Although the RESCUE SAM is designed for a wide
variety of field use conditions, rough handling
beyond specifications can result in damage to the
unit.
2.2.2 Pads
WARNING Use only Progetti Srl disposable self-adhesive
defibrillation/monitoring pads, battery packs, and
other accessories supplied by Progetti Srl or its
authorized distributors. Substitution of non-Progetti
Srl approved accessories may cause the device to
perform improperly.
CAUTION Follow all defibrillation pad label instructions. Use
defibrillation pads prior to their expiration date. Do
not re-use defibrillation pads. Discard defibrillation
pads after use (in the event of suspected pad
malfunction, return pads to Progetti Srl for testing).
WARNING The defibrillation pads are intended for one time
use only and must be discarded after use. Reuse
can lead to potential cross infection, improper
performance of the device, inadequate delivery of
therapy and/or injury to the patient or operator.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
2.2.3 Patient Analysis
WARNING Aggressive or prolonged CPR to a patient with
defibrillation pads attached can cause damage to
the pads. Replace the defibrillation pads if they
become damaged during use.
WARNING CPR rates above the American Heart Association
guidelines of 100 BPM (beats per minute) can
cause incorrect or delayed diagnosis by the patient
analysis system.
WARNING Do not place adult defibrillation pads in the
anterior-posterior (front-back) position. A shock or
no shock decision will be automatic. The RESCUE
SAM requires that the adult defibrillation pads be
placed in the anterior-anterior (front-front)
position.
WARNING Some very low amplitude or low frequency rhythms
may not be interpreted as shockable VF rhythms.
Also some VT rhythms may not be interpreted as
shockable rhythms.
WARNING Handling or transporting the patient during ECG
analysis can cause incorrect or delayed diagnosis,
especially if very low amplitude or low frequency
rhythms are present. During analysis and from
“Shock Advised” until “Shock Delivered,” patient
movement and vibration must be minimized.
WARNING In patients with cardiac pacemakers, the RESCUE
SAM may have reduced sensitivity and not detect
all shockable rhythms. If you know the patient has
an implanted pacemaker, do not place electrodes
directly over an implanted device.
2.2.4 Shock Delivery
WARNING Do not allow defibrillation pads to touch each other,
or to touch other ECG electrodes, lead wires,
dressings, transdermal patches, etc. Such contact
can cause electrical arcing and patient skin burns
during defibrillation and may divert defibrillating
energy away from the heart.
WARNING During defibrillation, air pockets between the skin
and defibrillation pads can cause patient skin burns.
To help prevent air pockets, make sure self-
adhesive defibrillation pads completely adhere to
the skin. Do not use dried out or expired
defibrillation pads.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
2.2.5 Maintenance
WARNING Periodic user-initiated and automatic self-tests are
designed to assess the RESCUE SAM’s readiness for
use. However, no degree of testing can assure
performance or detect abuse, damage, or a defect
that occurred after the most recent test is
completed.
WARNING Use of damaged equipment or accessories may
cause the device to perform improperly and/or
result in injury to the patient or operator.
CAUTION Improper maintenance can cause the RESCUE SAM
not to function. Maintain the RESCUE SAM only as
described in this User Manual. The AED contains no
user serviceable parts – do not take the unit apart.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
3 Setting up the RESCUE SAM AED
This chapter describes the steps required to make your Progetti Srl RESCUE SAM AED operational. The
RESCUE SAM is designed to be stored in a “ready” state. This chapter tells you how to make the device
ready, so that if and when you need it, few steps are required to begin using the device.
3.1 Overview
The following components and accessories are included with your RESCUE SAM. Replacement and other
accessories are detailed in the “RESCUE SAM Accessories” section. Before getting started, identify each
component and ensure that your package is complete.
3.2 Installing and Removing the Battery Pack
The lithium battery pack provides power to the RESCUE SAM.
Do not install the battery pack after the expiration date printed on the label. The battery pack is non-
rechargeable.
To insert the battery pack into the RESCUE SAM, orient the battery pack so that the label faces up. Make
certain that the battery opening in the side of the AED is clean and clear of any foreign objects. Insert
the battery pack into the opening in the side of the AED. Slide the pack all the way in until the latch
clicks. If the pack does not slide all the way in, it is most likely inserted upside down. Once fully
inserted, the battery pack surface should be flush with the side of the AED.
To remove the battery pack, push the battery release lever and pull the battery pack out.
After battery insertion the RESCUE SAM runs an automatic self test that verifies the readiness for rescue
operation. Upon passing the self test the status green LED will flash. If the self test does not pass the
status red LED will flash.
RESCUE SAM and
Battery pack
User Manual Defibrillation pads

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RESCUE SAM User Manual vers.1.0 Jun. 2015
3.3 Connecting the Pads
The RESCUE SAM defibrillation/monitoring pads are supplied sealed in a pouch with the connector and
part of the cable exposed. This allows the pads to be stored in a pre-connected state for rapid
deployment during an emergency.
CAUTION: DO NOT remove the defibrillation pads from the sealed package until the pads are to be
used. The packaging should be opened only immediately prior to use, otherwise the pads may dry out
and become non-functional.
Note: The RESCUE SAM is designed to be stored with the pads connector already installed. This
simplifies the procedure for setting up and operating the device in an emergency.
First, check to ensure that the pad package has not expired. Pads past their expiration date should not
be used and should be discarded.
Insert the connector end of the defibrillation pad cable into the pads connector port on the bottom-left
corner of the RESCUE SAM. Insert pads connector firmly until it is fully seated in the unit.
CAUTION: The pads are intended for one time use only and must be discarded after use or if the
package has been opened.
3.4 Storing the RESCUE SAM AED
The RESCUE SAM (preferably with pads attached) should be stored in environmental conditions within
range of the specifications - refer to the “Environmental” section of “Technical Specifications”. The unit
should also be stored so that the Active Status Indicator can be readily seen.
The Status Indicator should periodically blink with a green light. If it blinks with a red light or does not
blink at all, the RESCUE SAM needs servicing – refer to the “Checking the Status Indicator” section for
more information.
Progetti Srl recommends storing your AED in an easily accessible location.
3.5 Positioning the defi pads inside the carrying bag (optional)
1. Connect the pre-connected defi pads to the defibrillator as shown in the picture below
2. Insert the pre-connected defi pads inside the carrying bag as shown in the picture
3. Close the bag cover

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RESCUE SAM User Manual vers.1.0 Jun. 2015
4 Using the RESCUE SAM AED
This chapter describes how to use the RESCUE SAM. The RESCUE SAM was designed for simple
operation, allowing the operator to focus on the patient.
Concise and easily understandable voice messages and prompts guide the operator through the use of
the unit.
The following sections describe in detail how to use the RESCUE SAM. The basic steps for use are:
• Turn the RESCUE SAM ON by pressing the ON/OFF button.
• Connect pads to AED if not yet connected.
• Place pads on patient (follow instructions on pad package).
• Follow voice prompts.
4.1 Checking RESCUE SAM Status
STATUS LED:
- Flashing Green: The RESCUE SAM is in standby mode and ready for a
rescue operation.
- Solid Green: The RESCUE SAM is switched ON.
- Flashing Red: The RESCUE SAM has detected a system error.
- Solid Red: The RESCUE SAM has detected a system error during
self-test. The RESCUE SAM will be inoperable.
- Solid Blue: The RESCUE SAM is in data base operation mode.
4.2 Turning on the RESCUE SAM AED
Press the ON/OFF button to turn the RESCUE SAM on. The Status LED will illuminate green anytime the
AED is on. Voice prompts will guide the operator in the use of the unit. To turn the unit off, press the
button again. The Status LED will indicate the state of the unit.
4.3 Preparation
4.3.1 Call for Help
As soon as the AED is turned on it is recommended to call for help. This indicates that the first step in a
rescue should always be to contact professional emergency services.
If another person is available, the user should direct that person to call for help and then continue the
rescue without delay.
4.3.2 Preparing the Patient
Prepare the patient by removing any clothing from the patient’s chest. Wipe away moisture from the
chest if necessary (the defibrillation pads will stick better on dry skin). If necessary, shave excessive
chest hair, which can prevent effective patient-electrode contact. To ensure that electrode pads fully
contact the patient’s skin, check that no jewelry or other objects are directly underneath where the pads
will be placed.

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4.3.3 Opening the Pad Package
Open the pad package by tearing along the dotted line, starting at the black arrow (follow directions on
the package). Pull the protective backing from the pads and check that the pads are:
• Free from obvious signs of damage.
• Clean of excessive debris (for example, dirt if the pad was dropped).
• Not dried out, and that the gel is sticky and will adhere to the patient.
• Not expired. Do not use pads after the expiration date printed on the package.
If any of these conditions is found, use a new set of pads.
4.3.4 Connecting Defibrillation Pads to the RESCUE SAM
The RESCUE SAM is designed to be stored with the defibrillation pad connector attached to the unit, while
the pads themselves remain sealed in their package. This reduces the time needed to setup and start
treatment in an emergency.
The AED should be stored with the pad connector plugged into the unit. However, if pads were damaged
or not properly connected, you may need to substitute a new set of pads during an emergency. The pad
connector is on the bottom left corner of the AED.
To remove an old set of pads, pull firmly on the pad connector. Do not reuse used pads. Insert the
connector for the new pads as shown. The connector will only fit in one way – if the connector does not
fit, rotate the connector before trying again. Insert connector firmly until it is completely seated in the
unit.
4.3.5 Applying Pads to the Patient
Correct pad placement is essential for effective analysis of the patient’s cardiac rhythm and subsequent
shock delivery (if required). Remove the pads from the pad package by tearing the package along the
dotted line near the top of the package. Remove the pads from the package and follow the directions and
diagram showing proper defibrillation pad placement located on the defibrillation pad package. Peel off
the protective backing from each pad before placing it as shown on the picture on the pad. Peel the
backing off only when the pad is ready to be placed. Place the pads with the sticky side of the pad on the
patient’s skin. Place the pads as shown in the left side diagram.
On the right side of the diagram are indicated each pad position marking printed on.
Pads position marking Pads placement

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RESCUE SAM User Manual vers.1.0 Jun. 2015
4.3.6 Preparation of the pediatric patient
If the patient is an infant or child under the age of 8 years or weight less than 25kg (55 lbs), the device
must be used with the attenuated defibrillation electrodes for children. Do not delay the procedure to
define the exact weight or age.
Remove the electrodes from the package by tearing the package along the dotted line near the end of the
pack. Remove the pads from the package and follow the directions and the schema for the correct
placement of defibrillation electrodes placed on the packaging of the defibrillation electrodes and on the
electrodes. Remove the protective coating from each electrode before placing them. Remove the coating
only when the electrode is ready to be applied. Place the electrodes with the adhesive side of the
patient's skin. Place the electrodes as shown in the diagram. The placement of pediatric electrodes in
children under the age of 8 years is different from that of adults or children older than 8 years.
Follow the instructions in the figure shown here.
Children under 8 years old: Place one pad in the center of the chest and one pad on the back as shown.
4.3.7 Follow RESCUE SAM AED Prompts
-Stay calm. Follow the voice instructions.
-Make sure emergency services are called now!
-Expose patient's bare chest. Remove or cut clothing if needed. Shave the chest if
needed.
-Take the pads package.
-Tear open package and remove pads.
-Peal one pad from plastic liner and place it as illustrated.
-Peal the second pad from plastic liner and place it as illustrated.
-Do not touch the patient. Analyzing heart rhythm.
-Do not touch the patient.
-Shock advised. Preparing shock.
-Self test.
-Shock delivered. It is now safe to touch the patient.
-No shock advised
-Start CPR.
-Place heel of one hand on center of chest. Place heel of other hand directly on top of first hand.
Lean over patient with elbows straight. Press patient's chest down rapidly.
-Push!
-System error. Service requiered
-System ok.

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RESCUE SAM User Manual vers.1.0 Jun. 2015
-System ready.
-Battery low.
-Start CPR. Place heel of one hand on center of chest. Place heel of other hand directly on top of
first hand. Lean over patient with elbows straight. Press patient's chest down rapidly.
-Shock will be delivered in … three...two...one.
-It is now safe to touch the patient.
“Attach Pads” – This indicates that the pads are not attached to the patient or the pads connector is
not plugged in. Check that the pads are properly placed and fully adhering to the patient and that there
are no air bubbles between the pads and the patient. Make sure that the pads are not touching each
other. If the pads are not sticking due to moisture, dry the patient. If the pads are not sticking due to
excessive hair, shave or clip excessive chest hair. If the prompts continue, try replacing the pads with a
new set. The “attach pads” blue LEDs will flash red during this message. If the pads are not attached
within 3 minutes the RESCUE SAM will switch off automatically.
“Analyzing heart rhythm” -Once the RESCUE SAM has determined that the pads are making a
good connection to the patient, the AED will start the ECG rhythm analysis. The unit analyzes the ECG
signal and determines whether a shockable or non-shockable rhythm is present. While analyzing, the AED
will continue to monitor the pad connections and will abort analysis if it detects any pad problems.
“Do not touch the patient” – This indicates that the RESCUE SAM is trying to analyze the patient’s
heart rhythm and that the operator should not touch the patient. This message will be spoken at the
beginning of the analysis period and also if motion or interference has been detected. The “do not touch
patient” blue LED will flash during this message.
“No shock advised” –This indicates that the RESCUE SAM has determined that a shock is not
required. The unit will not charge and the SHOCK will not be enabled. The user will be prompted to begin
CPR, if needed, for a period of two minutes.
“Shock advised. Preparing shock”.–This indicates that the RESCUE SAM is charging and that
the operator and others should stand clear of the patient. Analysis will continue during this phase and the
“stand clear” blue LED will continue to flash. A tone will sound to indicate charging progress. If the unit
detects a rhythm change to a non-shockable one, charging will abort and the user will be prompted to
begin CPR, if needed, for a period of two minutes.
“Shock delivered. It is now safe to touch the patient”.
“Begin CPR, press hard and fast in the center of the chest ” –This indicates that the user
should perform CPR for two minutes. The unit will not be monitoring the patient’s ECG rhythm during this
required two-minute CPR period. The “CPR” blue LED will flash and a timing sound will be emitted at 100
beats/minute.

15
RESCUE SAM User Manual vers.1.0 Jun. 2015
5 Memory and data transfer
Rescue SAM defibrillator has an internal memory capable of recording ECG traces and events happened
during the emergency phases.
5.1 How registration and memory management work
The internal defibrillator memory is able to record up to 8 sessions, every session could be long up to 60
minutes. Once the 8 session will be complete the defibrillator will replace and rewrite automatically the
oldest session.
The data inside the device are kept also when the defibrillator is turned OFF.
Progetti s.r.l. company offers as optional the possibility to see the registration on a computer by an
interface of data download and software management.
WARNING RESCUE SAM defibrillator is able to record for single
event 60 minutes. If the data collected exceed this
limit, the following ones will be not recorded.
WARNING RESCUE SAM overwrite the oldest event. Be sure to
archive the data on a PC in order to avoid to lost
past events.
5.1.1 View events
Sam Data Manager is an application software based on Windows, it is able to read the data recorded
inside the RESCUE SAM, showed and manage it on the PC. The main function for Sam Data Manager are:
The rescue staff is able by the software to rebuild a cardiac event starting from the moment when
the AED is turned ON and connected to the patient until to the RESCUE SAM where turned OFF.
• It allows to medical staff to review the event in every moment.
• It allows to service point and to the manufacturer a clear and detailed reconstruction of all events
and the proper use of the AED analyzing the performance of the device.
• It provides to the technicians extra parameters for the detection of faults in equipment suspected
of improper operation.
WARNING Sam Data Manager 1.0 is an application software
stand-alone that could not be used when the AED is
working, it is developed only to support the analysis
post event of the data recorded on the internal
memory.
WARNING The recording of an event must be brought to the
competent medical facility in the area to allow to
examine the data.