Thumper 1007CCV User manual

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Thumper



Model 1007CCV
Mechanical CPR System
Operation Manual
(Part Number 14799-02)
Manufactured in the USA by:
PROTECTED UNDER ONE 4717 Talon Court SE
OR MORE OF THE Grand Rapids, MI 49512 USA
FOLLOWING U.S. PATENTS: Tel: [phone] or [phone]
6,171,267 5,743,864 Fax: [phone]
e-mail: [e-mail]
website: www.michiganinstruments.com

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TABLE OF CONTENTS
SECTION TITLE TOPIC PAGE
A INTRODUCTION
Indication for Use 5
Contraindication 5
Benefits of Mechanical CPR 6
The Thumper

Model 1007CCV Operation Manual 6
Use of Warnings, Cautions and Notes 6
General Warnings and Cautions 7
B PRODUCT DESCRIPTION
Thumper

Cardiopulmonary Resuscitator 9
General Description 9
Thumper

System Components and Accessories 9
Thumper

Model 1007CCV Arm/Column/Base Assembly 10
Time Cycled Constant Flow Ventilator 10
The BackBoard 11
Mobile Oxygen Carrier (MOC) 11
The Carrying/Storage Case 12
Controls and Labeling 13
C SETUP AND OPERATION
Precautions 17
Recommendations 17
Positioning the Patient 18
Thumper

Model 1007CCV Deployment 19
To Remove the Thumper

from the Patient 24
D STORAGE AND SHIPPING
Storage 27
Shipping 27
E CARE, CLEANING, AND MAINTENANCE
General Care 29
Avoiding Contamination 29
General Cleaning 29
Disinfection Guidelines 29
Cleaning and Disinfecting the Patient Demand Valve 29
Cleaning the Non Re-breathing Valve 31
Periodic Preventive Maintenance 32
Shift Check 33
Functional Check 35
Troubleshooting Guide 37
Thumper

Model 1007CCV Detailed Specifications 38
Parts List for Thumper

Model 1007CCV 39
F WARRANTY/FACTORY SERVICE
Warranty Agreement 41
Purchase Records 41
Factory Service Policy 42
Warranty Repairs 43
G GLOSSARY
Terms Used in Manual 45

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SECTION A INTRODUCTION
Federal law restricts this device to sale by or on the order
of a licensed medical practitioner.
INDICATION FOR USE
The Thumper

CPR System is used to perform Cardiopulmonary Resuscitation (CPR) on adult
patients only in cases of clinical death as defined by a lack of spontaneous breathing and pulse.
Warning: The Thumper



is to be used solely for the purpose
of delivering mechanical cardiopulmonary resuscitation
(CPR) in accordance with established American Heart
Association (AHA) guidelines for manual CPR. It is to be
used in cases of clinical death to provide CPR support under
the direction and control of a licensed physician. Use of this
device for any other purpose is strongly discouraged.
CONTRAINDICATION
There are situations where CPR is not the appropriate method of intervention. Familiarity with
accepted medical practices in your area is very important. Always consult local protocol for the
proper integration of the Thumper

into your cardiac arrest management regimen of care.
Caution: Current American Heart Association guidelines do not
recommend the use of mechanical CPR on infants and children.
Warning: This device is to be used by personnel knowledgeable
in safe and effective first response (first aid) practices and
techniques. Always observe safe and proper first aid
procedures in the application and use of this device.

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BENEFITS OF MECHANICAL CPR
With the purchase of the Thumper
®
CPR System, you join thousands of health care
professionals worldwide who benefit from the many advantages of mechanical CPR. These
benefits are well recognized by key professional groups. The Advanced Cardiac Life Support
Manual published by the American Heart Association describes some of the benefits of
mechanical CPR devices as follows:
"... they can 1) standardize the technique of CPR, 2) eliminate user fatigue,
3) free trained persons to participate in the delivery of ACLS when there is a
limited number of rescuers, and 4) assure adequacy of compression when a
patient requires continued resuscitation during transportation."
THE THUMPER



MODEL 1007CCV OPERATION MANUAL
Note: The purpose of the Operation Manual is to explain the use, care,
and user maintenance of the Thumper

Model 1007CCV, not to teach
cardiopulmonary resuscitation.
Proper use of the Thumper

requires a thorough understanding of this manual, appropriate
training, and adequate practice with the device. This manual contains important information
on all aspects of operating and maintaining the device. After a complete review, use it as a
guide to practice with the Thumper

until completely confident and comfortable with its
operation.
Keep the manual in a location where it is available for quick reference. The format is
designed to allow each section to be scanned quickly for answers to specific questions. The
Table of Contents can be used to find major headings and topics. For example, the Setup
and Operation section will guide a new user through the proper procedures for using the
equipment. The Care, Cleaning, and Maintenance section can be used to plan an effective
preventive maintenance program.
USE OF WARNINGS, CAUTIONS AND NOTES
As used in this Operation Manual-- Warnings, Cautions and Notes are depicted as:
Warning: intended to alert users to the possibility of injury,
serious adverse reaction, or death associated with use or
misuse.
Caution: intended to alert users to the possibility of a
problem associated with use or misuse.
Note: intended to alert users to particularly useful information.

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GENERAL WARNINGS AND CAUTIONS
Warning: Improper application of this equipment can cause
serious injury. This Operation Manual must be thoroughly
understood in order to use this device correctly and to avoid
possible serious injury.
Warning: Federal law restricts this device to sales by or on the
order of a licensed medical practitioner.
Warning: As this device is powered by compressed medical
grade oxygen, safe oxygen handling practices and procedures
are to be implemented with its use.
Caution: It is very important to follow the instructions for
preventive maintenance and cleaning procedures after each
use. They are found in the Care, Cleaning, and Maintenance
section of this manual.
Caution: Submersion of the Thumper
®
Arm in fresh, ocean, or
pool water will cause infiltration of water into internal critical
parts, corrosion and eventual operational failure. This also
applies to inadvertent injection of water, as from a “wet”
oxygen cylinder.
Caution: Infiltration of sand or other foreign material into the
Thumper
®
may cause operational failure.
Caution: When carrying the Thumper



or moving the Arm up or
down the Column, always use the Handle provided. Do NOT use
the hose spanning the Column and Arm as a handle as this will
stress the hose and clamps.

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SECTION B PRODUCT DESCRIPTION
THUMPER



CARDIOPULMONARY RESUSCITATOR
The Michigan Instruments, Inc. Thumper
®
is a portable, automatic cardiopulmonary
resuscitation (CPR) medical device which has been in use since 1964. The present
Thumper
®
Model 1007CCV is functionally similar to the previous models 1003, 1004, 1005,
and 1007.
GENERAL DESCRIPTION
The Thumper
®
Model 1007CCV system provides consistent CPR support for cardiac arrest
patients under conditions, which might otherwise hinder the effectiveness of manual tech-
niques. The Thumper
®
Model 1007CCV performs two modes of CPR support in
conformance with AHA CPR guidelines. One mode will perform external cardiac
compression continuously (Vent Mode OFF). The other mode will perform external cardiac
compression with synchronized ventilation delivered at a 5:1 ratio respectively (Vent Mode
ON). A toggle switch on the control panel allows ‘on demand’ selection of either mode
without interruption of CPR support.
The Thumper
®
Model 1007CCV is a mechanical “automatic” CPR device that can be set up
in seconds. It is powered by compressed oxygen and is electrically insulated, allowing it to
be freely and safely used in conjunction with routine patient monitoring and defibrillation
procedures. The Thumper
®
Model 1007CCV, once correctly applied over the patient’s
sternum, is designed to measure the patient’s anterior-posterior (A-P) chest diameter and
deliver the equivalent sternal deflection of 20% of that diameter.
NOTE: 2010 AHA Guidelines recommend for adult patients, a minimum
compression depth of at least 2” (5cm). If the A-P chest diameter number
indicated on the Thumper® is less than 5, then deliver compressions minimally
to the depth indicated by the -5- marking on the dome.
THUMPER
®
SYSTEM COMPONENTS AND ACCESSORIES
The Thumper
®
Model 1007CCV consists of four major components:
(1) The Thumper
®
Model 1007CCV Arm/Column/Base Assembly
(2) The Time Cycled Constant Flow Ventilator
(3) The BackBoard (BackBoard/Shoulder Straps)
(4) The Mobile Oxygen Carrier / appropriate O
2
wall access adapter
A fifth component, the Carrying/Storage Case is available to transport/store the device when
not in use.
A description of each component follows.

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Thumper
®
Model 1007CCV Arm/Column/Base Assembly
The Arm and Column positions the Piston and Massager Pad correctly over the patient’s
sternum. It is designed to provide a sternal deflection percentage based on the patient A-P
chest diameter. Sternal deflection is nominally set to 20% of the A-P diameter. The depth of
each chest compression is easily monitored using the markings on the Dome surrounding
the Piston. The Column also serves as a storage tank that holds sufficient oxygen to drive
the Thumper

for several compressions during an oxygen source change.
Time Cycled Constant Flow Ventilator
The Thumper
®
Model 1007CCV incorporates an oxygen powered time cycled constant flow
ventilator commonly known as a Patient Demand Valve (PDV) to deliver ventilation. Tidal
volume can be set from 400ml to 1200ml with delivery synchronized to every 5
th
chest
compression upstroke. With compressions stopped, the ventilator delivers a fixed rate of 13
breaths per minute. The inspiratory to expiratory ratio (I/E ratio) is fixed at 1:2 and limited to
55cm H
2
O of airway pressure. The PDV operates only when the device is in Vent Mode ON.
Refer to Figure 1 for an illustration of the Arm/Column/Base Assembly.
Figure 1 – Thumper

Model 1007CCV Arm/Column/Base Assembly
Piston
(inside Dome)
Arm
Base
O
2
Supply
Connector
O
2
Supply
Hose
Handle
Dome
Massager Pad
Arm Lock
Lever
Sternal
Deflection
Number A-P Diameter
Sternal
Deflection
Number
Pressure Indicator
Column
to O
2
Source
PDV
Operation
Manual

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The BackBoard
The BackBoard is intended for either manual or mechanical CPR. It is designed to provide a
firm, non-rebounding surface upon which CPR can be performed, and introduces a slight
hyperextension of the patient’s neck to facilitate upper airway management. It allows use of
the Thumper
®
on either right or left side of patient. Two shoulder straps help immobilize the
patient securing them to the BackBoard. The cross strap helps to keep the shoulder straps
from separating and indicates the position of the head relative to the BackBoard.
Note: Optimal Thumper
®
CPR performance requires using the Backboard.
Figure 2 – The BackBoard.
Mobile Oxygen Carrier (MOC),
or Appropriate Wall Access Adapter
The Thumper
®
Model 1007CCV is equipped with an O
2
Supply Hose used to connect the
device to a source of compressed medical oxygen. It incorporates couplers on each end and a
check valve to retain the oxygen during a source change. Wall adapters are available that
connect to the O
2
Supply Hose to allow connection to the various and most common hospital
(and ambulance) oxygen pipeline systems.
The Mobile Oxygen Carrier is an oxygen tank carrier, available in two configurations, which
provide constant pressure and high flow source gas for the Thumper
®
Model 1007CCV and
an additional DISS outlet. It is designed to power the Thumper
®
Model 1007CCV whenever
the device is in use where no oxygen pipeline source is available, (for example, when
transporting a cardiac arrest patient from the scene to the ambulance and from the
ambulance to the hospital). One of the two outlets is dedicated to accept the Thumper

Model 1007CCV O
2
Supply Hose, while the other DISS outlet is available to supply other
oxygen driven devices. MOC regulator(s) are preset to satisfy Thumper

requirements.
A single tank version is available that will accept a “DD” size carbon fiber cylinder. A dual
tank version is available in two sizes that accept either "D" or "E" size aluminum cylinders.
Shoulder
Straps
Cross Strap

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Refer to Figure 3 for an illustration of the Mobile Oxygen Carriers available.
Single tank carrier for “DD” carbon fiber cylinder Dual tank carrier for “D” or “E” aluminum cylinders
(Cylinder and Regulator available separately) (Cylinders available separately)
Figure 3 – Mobile Oxygen Carriers (MOC)
The Carrying/Storage Case
The carrying/storage case is constructed of a durable Cordura 1000 denier nylon. The
Thumper

, BackBoard, O
2
Supply Hose and code related supplies are stored in the case in a
manner which permits immediate access to the device and facilitates easy setup at an
emergency site.
Refer to Figure 4 for an illustration of the Carrying/Storage Case.
Figure 4 – Carrying/Storage Case

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CONTROLS AND LABELING
The Thumper

Model 1007CCV’s controls are conveniently located in one area to assist the
user.
Refer to the following illustration for Figure references to the controls and labeling described
Figure 5
Figure 7a Figure 6
Figure 7b Figure 9 Figure 8

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Control Layout: Once the system has been properly set up and connected to an adequate
(50-90 psi) compressed oxygen source, the user must then work with the following
controls/labels to provide correct operation.
IMPORTANT -- The correct patient A-P chest diameter is determined by locating the
number on the back of the Column just above the Arm where the blue arrows are
located. Set the compression depth indicator number on the Dome to match the A-P
diameter number indicated on the Column. This label also serves to remind the
operator to monitor the patient at all times during CPR.
Refer to Figure 5 for an illustration of this label.
WARNING / BEFORE OPERATING -- Ensure that all controls are in the
“STOP” or “decreased” (fully counterclockwise) position before connection
of oxygen or placement on the patient. By verifying the position of all
controls prior to operation, the user is assured of proper operation.
Refer to Figure 6 for an illustration of this label.
The following controls operate the Thumper

Model 1007CCV System:
1. SYSTEM CONTROL RUN/STOP (Control #1): This control allows the operator to turn
on (RUN) chest compressions or turn off (STOP) chest compressions. The system is
controlled by pressing in and rotating the switch to the desired position (RUN or STOP).
RUN: With the control in this position, the system will deliver chest compressions to the
depth set by COMPRESSION DEPTH (Control #2).
STOP: With the control in this position, chest compressions are suspended and not
delivered. In the STOP position, chest compressions can be suspended to assist in
patient monitoring. Ventilations are still available and operational in the STOP position.
Refer to Figure 7a for an illustration of this control.
Note: The compression timing circuit cycles whenever oxygen
pressure is applied, even when the System Control is in the STOP
position. This cycling can be detected as an audible clicking sound
emanating from the Thumper

.
2. COMPRESSION DEPTH (Control #2): This control is used for setting the depth of
compression on the patient. The depth of compression corresponds to the measured A-P
(Anterior - Posterior) Diameter shown on the scale located on the back of the Column.
The compression depth is increased with a clockwise rotation and decreased with a
counterclockwise rotation.
Refer to Figure 7b for an illustration of this control.

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3. VENTILATION VOLUME (Control #3): This control adjusts the tidal volume (400 -
1200ml) of oxygen delivered to the patient by the PDV. The tidal volume is increased
with a clockwise rotation and decreased with a counterclockwise rotation. The scale is in
milliliters (ml) from 400 to 1200 in 200ml increments. With the control in the fully
counterclockwise position, no tidal volume is delivered.
Refer to Figure 8 for an illustration of this control.
4. VENT MODE SWITCH (Control #4): This toggle switch selects the ventilation mode of
the Thumper
®
Model 1007CCV (ON or OFF). The arrows on the label indicate the switch
position for the desired mode. With the switch in the “up” or ON position, ventilation is
delivered after every five compression cycles. With the switch in the “down” or OFF
position, no ventilations are delivered.
ON: With the switch in this position, the ventilator (PDV) is activated and will deliver tidal
volumes set by the VENTILATION VOLUME (Control #3) on the upstroke of every fifth
compression.
OFF: With the switch in this position, the ventilator (PDV) is inactive allowing the device
to deliver continuous compressions.
Refer to Figure 9 for an illustration of this switch.

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SECTION C SETUP AND OPERATION
PRECAUTIONS
Before setting up and using the Thumper

, there are several important precautions that must
be observed at all times.
1. The Thumper

must only be used in cases of clinical death as defined by lack of
spontaneous breathing and pulse.
2. Manual CPR should be started on the patient immediately. Do not postpone CPR while
waiting for the Thumper

. The Thumper

can be easily set up and applied to the patient
without interrupting manual CPR efforts.
3. The Thumper

may be used in all cases with adult patients where manual CPR would
normally be initiated. However, there are situations where CPR is not the appropriate
method of intervention. Familiarity with accepted medical practices in your area is very
important.
4. Personnel certified in manual CPR must always be present to monitor the patient during
Thumper

operation in the unfortunate event of a mechanical failure.
5. When transporting the patient with the Thumper

in operation, ensure the BackBoard, ensure
the patient is secured snugly to the BackBoard using the provided shoulder straps. Also,
ensure the patient is properly secured to the stretcher as well. Failure to do so can allow the
Thumper

and BackBoard to shift position on the patient possibly causing the Massager Pad
to wander off the patient’s sternum.
6. When applying the Thumper® to an obese patient, place the arm of the patient around the
Thumper® so that the Column is positioned near the arm pit of the patient. This will better
facilitate positioning the Massager Pad directly over the patient’s sternum.
RECOMMENDATIONS
It is recommended that the Arm/Column of the Thumper
®
be attached to the Base while stored in the
Carrying/Storage Case.
Additionally, the Arm should be positioned over the Base
so that it is perpendicular to the O
2
Supply Connector
located at the bottom of the Column. Lower the Arm until
the white arrow is positioned at the -4- location on the
Column and lock in place.
By doing so, the Life-Stat
®
is ideally positioned to
expedite removal from the Carrying/Storage case and
application to the patient.
O
2
Supply
Connector

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When placing the BackBoard under the patient, ensure the cross strap is positioned under
the patient's neck. Do not position the cross strap over the neck of the patient.
Training with a CPR Manikin can be beneficial in becoming familiar with:
Setup on the patient using the BackBoard
Transitioning from manual CPR to mechanical CPR
Setting the compression depth and delivering ventilations
Interventions such as pausing operation to monitor the patient
POSITIONING THE PATIENT
The following steps are provided as a recommendation.
1. When applying the BackBoard, “Log roll” the patient into position, taking care to keep the
cervical spine immobilized.
WARNING: When moving a patient in cases of suspected C-spine
injury, always support the patient’s head in a neutral position.
2. Place the BackBoard under the patient orienting the head of the patient in the direction
indicated by the HEAD marking on the cross strap. Ensure the cross strap is positioned
under the patient's neck. Connect the retaining straps over the shoulder and under the arm
pit of the patient, then buckle and tighten the straps securely on both sides of the patient.
3. Secure the patient to the spine board with retention straps at the forehead, hips and feet.
Warning: Do not place retention straps or other restraints over
the patient’s abdominal area. Tight garments around the
abdomen should be removed or loosened.
4. Manual CPR can begin on the patient immediately. There is no need to postpone CPR
while waiting for Thumper
®
deployment and application to the patient.
Correct Cross
Strap Position

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THUMPER



MODEL 1007CCV DEPLOYMENT
1. Thumper
®
Model 1007CCV Setup:
A. Remove the Thumper
®
from the case. B. Ensure the RUN/STOP switch (Control #1) is
set to STOP and the Compression Depth
(Control #2) is turned fully counterclockwise.
C. Ensure the Ventilation D. Choose the mode of operation by moving the Vent Mode
Volume (Control #3) is Switch (Control #4) to the desired position (ON or OFF).
turned fully counterclock- If ON is chosen attach the Breathing Hose/Non Re-
wise. breathing Valve (and face mask, if used) to the PDV.
E. Ensure the oxygen source is energized then attach the O
2
Supply Hose to the oxygen source first. Pull the collar back
from the O
2
Source end connector, press firmly onto the male
connector of the oxygen source then release the collar to
secure the connector. Pull slightly on the hose to ensure a
secure connection.
F. Attach the opposite end of the hose to the Thumper
®
O
2
Supply Connector by inserting the hose connector while
slightly turning it at the same time to align the hexagons then
press firmly to attach. Pull slightly on hose to ensure a
secure connection. Do not press the release button while
attaching the connector. Only press the release button to
disconnect the connector.

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G. Listen for audible clicks (cycling) and verify that the green
Pressure Indicator shows an adequate input pressure is
available.
Caution: The Thumper
®
requires an oxygen source with an inlet
pressure of 50 to 90 psi, and a minimum flow rate of at least 45 LPM.
2. Thumper
®
Model 1007CCV Application to the Patient:
A. Before inserting the Thumper
®
into the Backboard,
ensure the Arm is raised high enough on the Column
to clear the patient’s chest. When a pause occurs
during the manual CPR effort, grasp the Thumper
®
with one hand at the Base of the Column, and the
other by the Handle.
B. Insert the Base into the side slot of the Backboard on
whichever side of the patient is most convenient.
Slide the Base into the Backboard until the Massager
Pad is centered over the patient’s sternum.
C. With the Thumper
®
now located in the correct position,
loosen the Arm Lock Lever and lower the Arm over the
chest, locating the Massager Pad over the sternum, as
you would for the heel of your hand when performing
manual CPR. Lower the Arm until the Massager Pad
contacts the patient’s chest. Then apply slight
downward pressure on the Arm to position the Piston
inside the Dome to align with the “-” mark on the
Dome. Tighten the Arm Lock Lever.