Smarty Saver Plus User manual

SMARTY Saver Plus
User Manual
Semi-Automatic External Defibrillator
Rev.1.7

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QUICK START GUIDE

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©by A.M.I Italia S.r.l.
These instructions for use may not be reproduced - either as a whole or partially - without our consent, nor may
they be transmitted, electronically stored or be translated in another language.
Breaches of this prohibition do not only violate our copyright, but also compromise the truthfulness and accuracy
of the information contained in this manual.
These instructions for use are subject to amendment.
A.M.I Italia S.r.l.
Via Cupa Reginella, 15/A - 80010 Quarto (NA) Italy
Tel. [phone] [phone]
Fax [phone]
e-mail [email protected] http://www.amiitalia.com

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Table of Contents
1 Introduction............................................................................................................................................... 7
1.1 Preamble....................................................................................................................................... 7
1.2 Use in conformity with the provisions.......................................................................................... 7
1.3 Warranty....................................................................................................................................... 7
1.4 Exclusion of liability....................................................................................................................... 7
1.5 Instructions ................................................................................................................................... 7
1.6 Counterindications........................................................................................................................ 7
1.7 Information on the version........................................................................................................... 8
1.8 Symbols used in the manual......................................................................................................... 8
1.9 Contact details of the manufacturer............................................................................................. 8
2 Safety instructions..................................................................................................................................... 9
2.1 HAZARD statements...................................................................................................................... 9
2.2 WARNINGS.................................................................................................................................... 9
2.3 Instructions for DISPOSAL........................................................................................................... 11
2.4 Classifications.............................................................................................................................. 11
3 Device description ................................................................................................................................... 12
3.1 Information on the defibrillator.................................................................................................. 12
3.2 Procedure for the activation of the defibrillator ........................................................................ 12
4 Device description ................................................................................................................................... 13
4.1 General structure........................................................................................................................ 13
4.2 Keys, icons and indicators........................................................................................................... 14
4.3 Standard and optional accessories of the device ....................................................................... 15
5 SMARTY Saver Plus power supply and accessories................................................................................. 16
5.1 Non-rechargeable battery SMT-C14031..................................................................................... 16
5.1.1 Insertion and removal of the batteries.......................................................................... 17
5.2 Defibrillation pads....................................................................................................................... 18
5.2.1 Pre-connected universal defibrillation pads SMT-C2001............................................... 18
5.2.2 Pre-connected Face-to-Face universal defibrillation pads SMT-C2002......................... 18
5.2.3 Placement of the defibrillation pads.............................................................................. 19
5.2.4 Adult and Paediatric mode............................................................................................. 19
5.3 CPR Quality module .................................................................................................................... 20
6 Self-test.................................................................................................................................................... 21
6.1 ACTIVATION test ......................................................................................................................... 21
6.2 AUTOMATIC test ......................................................................................................................... 22

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6.3 ON test ........................................................................................................................................ 22
6.4 Control LEDs................................................................................................................................ 22
7 Defibrillation............................................................................................................................................ 23
7.1 “Chain of survival”....................................................................................................................... 23
7.2 Switching SMARTY Saver Plus on................................................................................................ 23
7.3 Preparing the patient.................................................................................................................. 24
7.4 Place the pads............................................................................................................................. 24
7.5 Heartbeat analysis ...................................................................................................................... 25
7.6 Defibrillable rhythm.................................................................................................................... 26
7.7 Change of rhythm ....................................................................................................................... 27
7.8 Non-defibrillable rhythm ............................................................................................................ 27
7.9 Cardio-Pulmonary Resuscitation................................................................................................. 27
8 Recording, displaying and storing the data............................................................................................. 29
8.1 Files that can be stored............................................................................................................... 29
8.2 Storage of data on a PC............................................................................................................... 29
8.3 µSD memory Card....................................................................................................................... 30
9 Maintenance............................................................................................................................................ 31
9.1 Maintenance after use................................................................................................................ 31
9.2 Scheduled maintenance.............................................................................................................. 31
9.3 Cleaning....................................................................................................................................... 32
9.4 Storage........................................................................................................................................ 32
9.5 Guide to identifying faults .......................................................................................................... 33
10 Technical specifications........................................................................................................................... 34
10.1 Physical characteristics ............................................................................................................... 34
10.2 Environmental requirements...................................................................................................... 34
10.3 Reference regulatory frameworks.............................................................................................. 34
10.4 Table of Alarms ........................................................................................................................... 35
10.5 Controls and indicators............................................................................................................... 35
10.6 Data memory .............................................................................................................................. 35
10.7 Defibrillator................................................................................................................................. 36
10.8 Efficiency of the energy delivered .............................................................................................. 37
10.9 Patient analysis system............................................................................................................... 38
10.10 ECG Analysis operation............................................................................................................... 38
10.11 Defibrillator battery .................................................................................................................... 38
10.12 Internal back-up energy source .................................................................................................. 38
10.13 Defibrillation pads....................................................................................................................... 39
10.14 Timing of Shock cycles ................................................................................................................ 39
10.15 Bluetooth module....................................................................................................................... 39
11 Compliance with electromagnetic emission standards........................................................................... 40
11.1 Guidelines and manufacturer declaration - Electromagnetic emissions.................................... 40

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11.2 Guidelines and manufacturer declaration - Electromagnetic immunity .................................... 40
11.3 Recommended separation distances between portable and mobile RF communication devices
and the SMARTY Saver Plus device.......................................................................................................... 42
12 Symbols.................................................................................................................................................... 43
13 Certifications............................................................................................................................................ 44
13.1 CE certificate ............................................................................................................................... 44
14 SMARTY Saver Series defibrillator warranty ........................................................................................... 46

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1Introduction
1.1 Preamble
Thank you for choosing the defibrillator manufactured by A.M.I. Italia S.r.l. SMARTY Saver Plus model.
In order to use the device correctly, you must read this user manual carefully before use. This user manual contains the
instructions for the use of SMARTY Saver Plus in compliance with its functionality and purpose. For an error-free
operation, it is fundamental that you comply with the requirements of this manual, in order to guarantee the safety of
the patient, of the rescuer and that of third parties.
This manual forms an integral part of the defibrillator and must always be kept in close proximity to the defibrillator, so
that it may be easily consulted whenever needed.
Note: In order to guarantee the correct and fast traceability of the product and to receive information regarding all
implemented updates, the user is requested to register the device at the appropriate section of the AMI ITALIA
website www.amiitalia.com.
1.2 Use in conformity with the provisions
The SMARTY Saver Series devices can be used only if the conditions indicated in this user manual are complied with.
All uses that differ from the intended use shall be understood not to comply with the provisions and may cause
harm/damage to persons and/or property; in such case, A.M.I. Italia S.r.l. hereby declines all liability.
1.3 Warranty
The SMARTY Saver Series devices are under warranty for 5 (five)* years.
The non-rechargeable battery SMT-C14031 is under warranty for 3 (three)* years in Stand-by mode (with battery
activation tests, daily self-tests and without the AED being switched on).
This information refers to new batteries that are fully charged and kept at a temperature of 20°C and 45% humidity.
*For more information, please see paragraph 14 “Warranty contract for SMARTY Saver series defibrillators”
1.4 Exclusion of liability
Liability rights in case of harm/damageto persons or to property shall be excluded, if attributable to one of the causes below:
–Using the device for uses other than its intended use.
–Using and maintaining the device inappropriately.
–Using the device and/or its accessories when they are visibly or partially damaged.
–Failing to comply with the instructions of the user manual concerning the precautions, use, maintenance and
repair of the device.
–Using non-original accessories and spare parts and/or of accessories and spare parts that are not approved by
the manufacturer.
–Performing arbitrary operations, repairs or modifications of the device.
–Arbitrarily exceeding the performance limits.
–Failing to supervise the parts that are subject to wear and tear.
1.5 Instructions
SMARTY Saver Plus device may be used only if the patient:
–is unconscious and
–is not breathing and
–has no heartbeat
1.6 Counterindications
SMARTY Saver Plus device may not be used if the patient:
–is conscious or
–is breathing normally or
–has a heartbeat

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1.7 Information on the version
This user manual has a version number; this varies each time the manual is updated due to changes in the device’s
operation or to the device itself. The contents of this user manual shall be subject to amendment without advance
notice.
Version number: 1.7
Issue date: 06/04/2021
1.8 Symbols used in the manual
This user manual uses various symbols that indicate the various precautions for use:
SYMBOL
INDICATION
DESCRIPTION
HAZARD
It signals an immediate risk to the safety of
persons, which might result in death and damage
to the device or its parts
WARNING
It signals an unsafe situation or practice which
might lead to serious injury to persons and
damage to the device or its parts.
1.9 Contact details of the manufacturer
A.M.I. Italia S.r.l.
REGISTERED OFFICE
Via G. Porzio Centro Direzionale Isola G/2 - 80143 Napoli (NA) Italy
MANUFACTURE, LABORATORIES, OFFICES
Via Cupa Reginella, 15/A - 80010 Quarto (NA) Italy
Tel: [phone] - Fax: [phone]
A.M.I. International KFT
REGISTERED OFFICE
Dòzsa Gyorgyùt 86/b 3/1 1068 - Budapest Hungary
MANUFACTURE, LABORATORIES, OFFICES
Kőzúzóu. 5/A - 2000 Szentendre Hungary
Tel: [phone]
Request for assistance
email: [email protected]m
website: www.amiitalia.com
Tel: [phone]

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2Safety instructions
For the correct use of a SMARTY Saver Series defibrillator, the users must be aware of the safety factors listed below.
We recommend that you read them carefully.
The SMARTY Saver Series defibrillators and their accessories comply with the rules and regulations on safety that are
currently in force and with the provisions of the directives on medical products.
The device and its accessories must be deemed to be safe in the case of application in compliance with the provisions
and if the descriptions and instructions listed in this user manual are complied with.
Below please find the main precautions for the correct and safe use of the defibrillator, divided - for easier consultation
- in hazard statements, warnings and instructions for disposal.
2.1 HAZARD statements
➢Use SMARTY Saver Plus in compliance with what is laid down in this user manual.
Read these instructions and, in particular, the safety instructions carefully.
➢In compliance with IEC standards (section 0), use of the SMARTY Saver plus device or of its accessories is not allowed in
the presence of inflammable substances (gasoline or similar) or in an oxygen-rich atmosphere or an atmosphere rich in
inflammable gases/vapours.
➢Do not recharge the single-use batteries SMT-C14031: risk of explosion!
➢Avoid contact of the batteries with open flames. Do not expose to fire.
➢Do not cause a short-circuit of the battery terminals.
➢In case of leakage of fluids or strange odours from the batteries, keep them away from fire to prevent the possible
combustion of leaking electrolytes.
➢Shock hazard. The device generates high voltage and hazardous current levels. Do not open SMARTY Saver Plus do not
remove the panels and do not attempt to repair it. SMARTY Saver Plus does not contain components that can be
repaired by the users. In order to perform repairs, SMARTY Saver Plus must be sent to an authorised technical support
centre.
➢Do not apply the defibrillation pads on the patient’s chest if nitroglycerine plasters are present. Only place the
electrodes once you have removed the plasters. Otherwise there is a risk of explosion.
➢Do not touch the patient and prevent third parties from coming into contact with the patient during the defibrillation
shock. Avoid all contact between:
•parts of the patient’s body
•conducting liquids (such as gel, blood, or saline solution)
•metal objects near the patient (such as the bed frame or a stretching device) that may potentially act as
conductors for the defibrillation current
➢Before using the device, make sure that the patient is safe; if necessary, move them carefully to a protected location, as
set forth by the AHA/ERC directives.
➢Do not immerse any part of SMARTY Saver Plus or its accessories in water or other liquids.
➢Do not allow liquids to enter SMARTY Saver Plus or its accessories. Avoid pouring liquids on the device and its
accessories. Otherwise, damage may be caused or there may a risk of fire or shock. Do not sterilise SMARTY Saver Plus
and/or its accessories.
2.2 WARNINGS
➢Avoid the formation of air bubbles between the skin and the defibrillation pads. The formation of air bubbles during
defibrillation may cause severe burns to the patient’s epidermis. To avoid the formation of air bubbles, make sure that
the electrodes are in full contact with the skin. Do not use electrodes whose gel has dried out and check its expiry date
before use.
➢Do not delay treatment in case of patients with an implanted pacemaker and perform an attempt at defibrillation if the
patient has lost consciousness and is not breathing or is not breathing normally.
➢Do not apply the defibrillation electrodes directly on an implanted pacemaker, to avoid possible device interpretation
errors and to avoid damaging the pacemaker with the defibrillation pulse.
During the application of the electrodes:
• Do not apply the electrodes directly on an implanted device.
• Apply the electrodes at least 2.54 cm (1 inch) from any implanted device.
If a pacemaker is present, the defibrillators of the Smarty Saver series will, in any case, make it possible to release the
shock, unless, although they envisage a treatment of the ECG signal such as to guarantee an accurate rejection of the
artefacts, the interference of the pacemaker is such (e.g. due to the electrodes being placed in a way that does not
comply with the warning indicated) as to alter the ECG signal and not allow the shock.

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➢RF (radiofrequency) interference from devices such as mobile phones and radio two-way transmitters, can cause
SMARTY Saver Plus to malfunction. SMARTY Saver Plus must be kept at least 2 metres away from such RF devices, as
indicated in the IEC/EN 61000-4-3 standards. Keep at sufficient distance from other therapeutic and diagnostic sources
of energy (e.g. diathermy, high-frequency surgery, magnetic tomography).
➢Use SMARTY Saver Plus only if you have followed a BLS-AED or ALS-AED training course.
➢Before using the device, make sure that it is not obviously damaged.
➢Do not use universal defibrillation pads SMT-C2001 in paediatric mode on adult patients (older than 8 and weighing
more than 25 kg). In fact, in paediatric mode, SMARTY Saver Plus automatically reduces the maximum energy that can
be delivered to 50J.
➢Place the patient cables in such a way as to reduce the possibility of them getting entangled in or strangling the patient.
➢In a domestic environment, keep the defibrillator away from the reach of children and pets.
➢Disconnect the patient from equipment that is sensitive to high voltage pulses, or equipment that is not defibrillator-
proof, before delivering the shock.
WARNING
➢Do not allow the defibrillation electrodes to touch or to come into contact with ECG electrodes, pads, transdermal
plasters, etc. Otherwise, the formation of electric arcs and burns to the patient could be caused during defibrillation;
the current may even be dispersed.
➢Place the defibrillation pads as indicated in this user manual and on the packaging.
➢Do not use the defibrillation pads if the gel has come away from the support or if it appears torn, divided or dry.
➢If damage has been found, in no case should you switch SMARTY Saver Plus on.
➢Before using the device, remove metal objects from the patient’s body (including necklaces or bracelets, etc.).
➢Do not use defibrillation pads other than those supplied by the manufacturer. Otherwise, the defibrillator may perform
false interpretations.
➢Do not use the defibrillation pads if they are damaged, even partly.
➢Do not touch the patient or the defibrillation pads during the automatic analysis of the heartbeat.
➢Moving or transporting the patient during the analysis of the heartbeat by the device may lead to a wrong or untimely
diagnosis. Reduce movements to a minimum while the heartbeat is being analysed. If the device is used in a moving
ambulance, stop the vehicle and only start driving after the shock has been delivered.
➢In order to use SMARTY Saver Plus, you must have followed a basic or advanced training course for cardiopulmonary
resuscitation with use of defibrillator (BLS-AED or ALS-AED course).
➢Avoid using the universal defibrillation pads SMT-C2001 in adult mode on children (aged 1-8 or weighing 8-25 kg). In
fact, in adult mode, SMARTY Saver does not automatically reduce the maximum energy that can be delivered to 50J and
may, therefore, become hazardous for the paediatric patient.
➢Avoid using the universal defibrillation pads SMT-C2001 in adult mode on children (aged 1-8 or weighing 8-25 kg).
When paediatric mode is set, the maximum energy that can be delivered is 50J.
➢If needed, before applying the defibrillation pads dry the patient’s chest and remove excess hair.
➢Do not subject SMARTY Saver Plus, its accessories and/or its parts to falls and/or strong impacts.
➢Do not use damaged accessories and/or parts; otherwise, the device may be caused to malfunction.
➢Use solely original accessories and/or spare parts.
➢Avoid handling the device, its accessories or its parts too aggressively to avoid possible damage. Inspect the entire
system regularly.
➢Sanitise the device in compliance with the rules of paragraph 10.3, and, in any case, always make sure that the device is
switched off, without battery and with the pads disconnected.
➢The defibrillation pads are single-use, to be used on just one patient. Do not reuse the defibrillation pads; throw them
away after use and replace them with a new pair.
➢The defibrillation pads are not sterile or sterilisable.
➢The intense or prolonged administration of cardiopulmonary resuscitation with the defibrillation electrodes applied to
the patient can damage the electrodes. Replace them if they are damaged due to use or handling.
➢Inappropriate maintenance may damage SMARTY Saver Plus or cause it to malfunction. Comply with what is described
in this User Manual.
➢Use the non-rechargeable batteries SMT-C14031 of A.M.I. Italia S.r.l. by the indicated expiry date.
➢Remove the batteries from the device only if it has been off for at least 5 seconds. Otherwise, the device and the
batteries may be damaged.
➢SMARTY Saver Plus, its parts and accessories are manufactured non-sterile and non-sterilisable.
➢Do not expose SMARTY Saver Plus, its parts or accessories to direct light or high temperatures.
➢In case of failed connection or communication with the compatible Q-CPR module (SMT-C14034), SMARTY Saver Plus
will emit, in any case, the audio signal as metronome for the compressions, to help the operator in their operations.
➢All products, product data and specifications are subject to modification to improve their reliability, functionality,
design or other aspects.

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2.3 Instructions for DISPOSAL
➢SMARTY Saver Plus, its parts and accessories must not be disposed of with other household waste within the European
Union. To prevent possible harm to the environment or to persons’ health caused by incorrect disposal of waste,
recycle this product responsibly, also to promote a sustainable use of resources. In order to discard the used product,
go to the appropriate waste collection centre or take it to the area distributor. It will then be possible to recycle the
product with safety for the environment.
2.4 Classifications
UMDNS code
11132
GMDN code
11132
CND code
Z12030501
RDM [(It.) Medical Device Register] number
2085997
CIVAB [Biomedical Equipment Information and
Assessment Centre] code
[T.B.D.]
Class in accordance with Directive 2007/47/EC
IIb
Type of protection from electric shock
Powered Internally
Type of patient insulation
BF
Degree of protection against penetration by liquids
IPx6
Degree of protection against penetration by dust
IP5x
Degree of safety in the presence of inflammable
anaesthetic mixtures with air, oxygen or nitrous oxide
Not protected
Sterilisation or disinfection method suggested by the
supplier
See Paragraph
Operation mode
Continuous operation

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3Device description
3.1 Information on the defibrillator
SMARTY Saver Plus is known as an AED, i.e. Automatic External Defibrillator.
Its purpose is to cope with the emergency of a patient suffering from sudden cardiac arrest and to assist in Cardio
Pulmonary Resuscitation (CPR).
The device was designed for use by non-experts and by healthcare providers who have duly followed and successfully
completed a BLS-AED course, in accordance with international guidelines.
Designed to automatically detect and analyse the victim’s heartbeat, it is able to deliver one or more defibrillation
shocks if it detects a ventricular defibrillation or a ventricular tachycardia (monomorphic or polymorphic with >180
beats). The energy is delivered through a biphasic truncated exponential (BTE) electrical shock that can self-adapt to
the patient’s thoracic impedance.
SMARTY Saver Plus assists the operator in properly performing cardiac massage, during Cardio-Pulmonary
Resuscitation, thanks to the external CPR Quality sensor (SMT-C14034).
This external device is, in fact, able to measure the depth and the frequency of the compressions performed and to send
this feedback to the SMARTY Saver Plus device via Bluetooth (see par. 5.3).
SMARTY Saver Plus is available in two versions:
•SM3-B1003: SMARTY Saver Plus Semi-automatic. Maximum energy delivered 200J
•SM4-B1004: SMARTY Saver Plus Automatic. Maximum energy delivered 200J
It is powered by the following battery:
•SMT-C14031: Non-rechargeable battery made up of a pack of 8 Li-MnO2cells
The device makes it possible to register rescue data on an external µSD Memory Card (optional) so that they can be
displayed on a PC using a special software owned by A.M.I. Italy S.r.l. In stand-by mode (not in use but with the battery
installed), the device performs daily self-tests to check its operating status, in order to guarantee ready use in case of
emergency.
The keyboard of the device is equipped with two LEDs (red and green) that make it possible to ascertain the outcome
of the operational tests and know the status of the device even if it is switched off (stand-by mode).
3.2 Procedure for the activation of the defibrillator
Open the packaging and make sure that all materials supplied are intact, checking their expiry date (defibrillation plates)
and storage conditions.
Connect the plates’ connector and the battery to the defibrillator and wait for the initial test to start; the device will
ask you to push the shock button for the full check of the device.
If the activation test is successful, the device invites you to connect the plates to the patient. At this point, switch off
the device, leave the plates and the battery connected and check that the green LED blinks every six seconds. Lastly,
place the defibrillator back in a safe and accessible place, so that it is ready for use.

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4Device description
4.1 General structure
No.
Description
1
SMARTY Saver Plus label
2
Battery compartment
3
µSD Memory Card compartment
4
USB-C port (for the exclusive use of A.M.I. Italia)
5
Plate connector
6
SMARTY Saver Plus device microphone
7
SMARTY Saver Plus logo
8
SMARTY Saver Plus speaker
9
Keyboard with buttons and illuminated icons
8
2
3
4
6
9
7
1
5

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4.2 Keys, icons and indicators
No.
Function
No.
Function
1
Paediatric Selection Button
Selection of the paediatric patient type
using universal plates
7
Green control LED
In stand-by mode:
correct operation status of the device
2
Adult Selection Button
Selection of the adult patient type
using universal plates
8
Red control LED
In stand-by mode:
device error status
3
“Do Not Touch” indicator
Icon with lit illuminated LEDs: do not touch the patient
9
Shock button
Delivery of the defibrillation shock
4
Connection with “CPR Quality sensor” LED.
When lit, it indicates connection with activated Bluetooth.
10
“CPR” indicator
Start Cardio-Pulmonary Resuscitation
5
Product logo
Device model
11
CPR LED bar
Quality indicator of ongoing CPR.
6
“ON/OFF” button
Switch the device on/off
12
“Place plates” indicator
Place the defibrillation pads.
1
11
7
10
9
6
8
3
2
4
5
12

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4.3 Standard and optional accessories of the device
The SMARTY Saver Plus defibrillator is supplied with the following accessories:
Code
Image
Quantity
Description
SM3-B1003
1 Unit
SMARTY Saver Plus
Semi-Automatic 200J
SMT-C2001
1 Pair
Pre-connected universal pads
for adult and paediatric use
(Class I device)
SMT-C14031
1 Unit
Non-rechargeable battery
SMT-C1077
1 Unit
User Guide
SMT-C14034
1 Unit
Q-CPR MODULE
Compatible external
accessory
(Class I device)
SMT-C14036
1 Unit
Disposable biocompatible
adhesive for Q-CPR module
SMT-C1916
1 Unit
AED carry bag
Below please find a list of optional accessories, that may be purchased separately:
Code
Image
Quantity
Description
SMT-C2002
1 Pair
Pre-connected universal pads
for paediatric and adult use
Face-to-face
(Class I device)
SAV-C0950
1 Unit
CD-ROM
Saver View Express
SMT-C1907
1 Unit
µSD Card
SAV-C0027
1 Unit
Memory Card reader for PC

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5SMARTY Saver Plus power supply and accessories
5.1 Non-rechargeable battery SMT-C14031
The non-rechargeable battery SMT-C14031 is made up of 1 pack with 8 Li-MnO2cells
It is supplied with the AED, fully charged and ready to use; it was designed for long-lasting autonomy and to perform
approximately 200 full rescue cycles (shocks at 200J and CPR).
The estimated duration is approximately 3 (three) years from the installation of the AED and from the first activation
test, with the device in stand-by mode, i.e. with daily self-tests, daily self-tests with no subsequent AED switch-on.
If the level of residual charge in the battery is low, the user will be informed with audio and visual messages.
SMARTY Saver Plus will issue a warning of a low battery with a level ≤5% and an empty battery alarm with level ≤ 1%:
•WARNING: Residual battery level equal to or lower than 5%.
This warning will only be issued in Operation mode.
Battery level at 5% makes it possible to perform approximately 14 shocks and allows the device to
operate in stand-by mode for about 40 days
•ALARM: Battery residual capacity level ≤ 1%
This warning will be issued in both stand-by and operation mode.
With the battery at ≤ 1%, SMARTY Saver Plus makes it possible to perform approximately 7 shocks
and allows the device to operate in stand-by mode for about 20 days
We do not recommend using the device in this condition.
!!ATTENTION!!
In order to safeguard the duration of the battery SMT-C14031 and guarantee the automatic tests of the device, it is
recommended, after installing the battery, not to remove it until you replace it.
The removal and subsequent reintroduction of the battery, in fact, results in a full test of the AED which significantly
affects its longevity. In addition, if the battery is not connected correctly, it may be damaged.

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5.1.1 Insertion and removal of the batteries
Below please find detailed instructions for the correct installation of the battery in the device
SMARTY Saver Plus.
•Place the device as shown in figure (first on the left)
•Place the battery as shown in figure (central)
•Inserting it in the dedicated compartment, push the battery as shown in figure (last on the right)
Follow the instructions below to remove the battery from the device:
•Make sure the device is switched off.
•Pull on the tab on the side of the battery and take the battery out of the dedicated compartment as shown in
figure (last on the right).

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5.2 Defibrillation pads
SMARTY Saver is made to use two different types of universal defibrillation pads, to be used on adult and paediatric
patients;
•SMT-C2001: Pre-connected universal defibrillation pads
•SMT-C2002: Pre-connected “face-to-face” universal defibrillation pads
Depending on the patient to be treated, you must select on the keyboard of the SMARTY Saver Plus device the type of
patient (adult age >8 or weight >25 kg / paediatric age from 1 to 8 or weight <25 kg). The use of this type of pads is, in
general, contraindicated in patients younger than 12 months and weighing less than 10 kg.
The pre-connected universal defibrillation pads are class I medical devices; the term “pre-connected” means that the
cable and the connector are external to the sealed packaging, so that they can be pre-connected to the device, thus
avoiding having to insert the connector during aid.
For more detailed information, please always refer to the related user manual and to the indications on the electrodes’ bag.
5.2.1 Pre-connected universal defibrillation pads SMT-C2001
The defibrillation pads SMT-C2001 are universal, single-use and pre-gelled.
They are supplied in individual sealed packaging which mentions the expiry date (typically 30 months); on the indicated
expiry date, the pads must be replaced, even if they have never been used.
5.2.2 Pre-connected Face-to-Face universal defibrillation pads SMT-
C2002
Face-to-Face universal defibrillation pads SMT-C2002 are universal, single-use and pre-gelled.
The term “face-to-face” indicates that the plates are electrically paired so that the SMARTY Saver Plus device can
measure their effectiveness - based on the quality of the gel’s conductibility - and warn - using control LEDs - when it
has declined.
This signal must result in the replacement of the pads.
After the expiry date mentioned on the packaging, it is recommended to replace the pads, regardless of the signal issued
by the defibrillator

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5.2.3 Placement of the defibrillation pads
The correct placement of the pads on the patient is essential for an effective analysis of the heartbeat and for the
consequent delivery of the shock (if needed).
Please always refer to the instructions on the packaging and to the specific user manual.
5.2.4 Adult and Paediatric mode
SMARTY Saver Plus makes it possible to use universal defibrillation plates, i.e. that can be used on adult
(age >8 or weight >25 kg) and paediatric (age from 1 to 8 or weight <25 kg) patients.
The type of patient must be selected before placing the plates on the chest, with the dedicated button on the device’s
keyboard (see figure below).
By pushing the dedicated button for 2 seconds, you will activate the pre-selected mode, and the corresponding control
LED will light up.
Note: On being switched on, the device - by default - is supplied with the universal plates in Adult Patient mode.
Push for 2 seconds to select “Paediatric Patient”. Green LED lit.
Push for 2 seconds to select “Adult Patient”. Green LED lit.

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5.3 CPR Quality module
SMARTY Saver Plus assists the operator in properly performing cardiac massage, during Cardio-Pulmonary
Resuscitation, thanks to the external CPR Quality sensor (SMT-C14034).
This external device (class I) is, in fact, able to measure the depth and the frequency of the compressions performed
and to send this feedback to the SMARTY Saver Plus device via Bluetooth according to the international AHA / ERC
guidelines, for both adult and paediatric patients, as indicated in the table below:
COMPRESSIONS
ADULT/ADOLESCENT
CHILD
FREQUENCY
100-120/min
DEPTH
At least 2 inches (5 cm) but no more
than 2.4 inches (6 cm)
At least one third of the chest
Approximately 2 inches (5 cm)
Thanks to the CPR Quality module, the operator can check:
•the correctness of the depth of the compressions they are performing, through the LED bar on the
defibrillator’s keyboard (see figure CPR Feedback)
•the correct frequency/rhythm of compressions through audio signals emitted by the AED.
Compatible external Q-CPR module (SMT-C14034)
•switch the module on by pushing the side on key
•place it on the patient’s chest at the time of CPR
•Perform the compressions, controlling their correctness
through the LED bar on the device’s keyboard and with the
use of the voice instructions emitted by the AED
Progressive LED scale:
•red LED on: insufficient or excessive pressure
•red and orange LED on: not enough pressure
•red, orange and yellow LED on: almost sufficient pressure
•red, orange, yellow and green LED on: correct pressure
Note: For more information on the external Q-CPR sensor (SMT-C14034), please refer to the specific user manual.
CPR Feedback
Q-CPR module