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HeartSine samaritan
®
PAD
SAM 300P
User Manual
2
Contents
Contents 2
Indications for Use
Indications for use
4
4
Contraindications for use 4
Intended users 4
Warnings and Cautions 6
Introduction 11
The SAM 300P 11
Sudden cardiac arrest (SCA)
Ventricular fibrillation
Recommended training
CPR metronome
11
11
12
12
SAM 300P Overview 13
Preparation 14
Unpacking 14
Checks before putting into service
Preparation checklist
14
16
Using the SAM 300P
When to use
Using the SAM 300P
After use
17
17
17
18
Pediatric-Pak 20
Service and Maintenance 22
Tracking Requirements
Data Management
23
24
Troubleshooting 25
Status indicator flashing red 25
Low battery warning
Memory full warning
Audible warnings
Device service required
Sources of support
Warranty exclusion
25
25
25
26
26
26
Technical Data
List of Voice Prompts
Adult patient/child patient
If a shock is not required…
If a shock is required…
27
39
39
39
39
Symbols used in this manual
Warning: Risk of death or serious injury
Caution: Risk of injury
Notice: Risk of damage to data or material
i
Further information
Symbols used on this device
IP56
On/Off
Ingress protection classified as IP56 according to EN 60529
Consult operating instructions
Single use item. Do not re-use
3XN6
Defibrillation protected,
Type BF connection
Do not expose to high heat or open flame. Do not incinerate
Does not contain natural rubber latex
Non-sterile
Recyclable
Non- rechargeable battery
Do not short circuit battery
Do not crush battery
Temperature limitation as indicated
Use by yyyy/mm
Dispose of in accordance with country requirements
Automated External Defibrillator
With respect to electrical shock, fire and mechanical hazards only in accordance with
• ANSI/AAMI ES60601-1:2005
• CSA C22.2 NO. 60601-1:2008
• IEC60601-2-4:2010
Follow instructions for use
3
4
Indications for Use
Indications for use
The HeartSine samaritan® PAD
300P is indicated for use on victims of cardiac arrest who are exhibiting the following signs:
• Unconscious
• Not breathing
• Without circulation
The samaritan® PAD 300P is indicated for use on patients greater than 8 years old or over 55 lbs (25 kg) when used with the adult samaritan® Pad-Pak (Pad-Pak-01 or
Pad-Pak-07). The samaritan® PAD 300P is indicated for use on children between 1 and 8 years of age or up to 55 lbs (25 kg) when used with the samaritan® Pediatric-
Pak (Pad-Pak-02).
Contraindications for use
If the patient is responsive or conscious, do not use the SAM 300P to provide treatment.
Intended users
The samaritan® PAD 300P is intended for use by personnel who have been trained in its operation. Users should have received training in basic life support /
AED, advanced life support or a physicianauthorized emergency medical response training program.
Caution
Within the United States of America, federal (U.S.) law restricts this device to sale by or on the order of a licensed practitioner.
5
6
Warnings and Cautions
Warning
Patients suitable for treatment
The SAM 300P has been designed to work on unconscious, nonresponsive patients. If the patient is responsive or conscious, do not use the SAM 300P to provide treatment.
The SAM 300P uses an interchangeable battery and electrode pack called Pad-
Pak. The SAM 300P in combination with an adult Pad-Pak is suitable for use on patients of over 25 kilograms (55 pounds) in weight or equivalent to a child of approximately eight years old or over.
For use on smaller children (from 1 to 8 years old), remove the adult Pad-Pak and install a Pediatric-Pak. If a Pediatric-Pak or an alternative suitable defibrillator is not available, you may use an adult system.
Do not delay treatment trying to find out the patient’s exact age and weight.
Risk of electric shock
The SAM 300P delivers therapeutic electrical shocks that can cause serious harm to either operators or bystanders.
Take care to ensure that nobody touches the patient when a shock is to be delivered.
Avoid opening or repairing
The SAM 300P has no serviceable parts. Do NOT open or repair the device under any circumstances as there could be danger of electric shock. If damage is suspected, replace the SAM 300P immediately.
Avoid explosive or flammable gases
It has been determined that the SAM
300P is safe to use with oxygen mask delivery systems. However, to avoid the risk of an explosion, it is strongly advised that you do NOT use the SAM
300P in the vicinity of explosive gases, including flammable anaesthetics or concentrated oxygen.
Caution
Correct placement of the electrode pads
Proper placement of the SAM 300P’s electrode pads is critical. You must strictly observe the instructions shown in the
Emergency User Guide and on the device.
Wrong placement, or the presence of air, hair, surgical dressings or medicine patches between the pads and the skin, could reduce defibrillation effectiveness.
Slightly red skin after shock therapy is normal.
Do not touch the patient during analysis
Touching the patient during the analysis phase of treatment can cause interference with the diagnostic process. Avoid contact with the patient while analysis is being carried out. The device will instruct you when it is safe to touch the patient.
7
8
Warnings and Cautions
Do not use if the pouch containing the electrodes is not sealed
The Pad-Pak is a single-use item and you must replace it after each use or if the pouch that seals defibrillation pads has been broken or compromised in any way. If you suspect that the Pad-Pak is damaged, you must replace it immediately.
Notice
Susceptibility to electromagnetic interference
To safeguard against interference, you must operate the SAM 300P at least 2 m
(6 feet) away from all radio frequency devices. Alternatively, switch off the equipment causing the electromagnetic interference.
Temperature range for operation
The SAM 300P, with its battery, pads and electrodes, is designed to operate in the temperature range of 0 ºC to 50 ºC. Use of the device outside this range may cause malfunction.
Ingress protection
The IP56 rating does not cover the immersion of any part of the SAM 300P in water or any type of fluid. Contact with fluids may seriously damage the device or cause fire or a shock hazard.
Prolonging battery life
Do not turn on the device unnecessarily as this may reduce the standby life of the device.
Standby storage outside the range of 0 ºC to 50 ºC may decrease the shelf-life of the Pad-Pak.
Do not test on simulators and manikins
Our devices cannot be tested using industry-standard simulators and manikins.
Our algorithm uses heart rate variability as one of its criteria for measuring ventricular fibrillation (VF). Consequently we do not recommend the use of normal simulators to test our device.
i
Further Information
Use of this manual
It is important that you read this manual carefully before using the SAM 300P.
This manual is presented in support of any training you may have received. If you have any questions, contact your authorised distributor or HeartSine
Technologies directly for advice or explanation.
The information in this manual is subject to change without notice and does not represent a commitment on behalf of
HeartSine Technologies. No part of this manual may be reproduced or transmitted in any form or by any means, electrical or mechanical, including photocopying and recording, for any purpose without the express written permission of HeartSine
Technologies.
9
Warnings and Cautions
Operator training
The samaritan® PAD 300P is intended for use by personnel who have been trained in its operation. Users should have received training in basic life support /
AED, advanced life support or a physicianauthorized emergency medical response training program.
Use of accessories
The SAM 300P is a self-contained device.
Do not use any unauthorised accessories with it. The SAM 300P may malfunction if non-approved accessories are used.
Regular maintenance
Check the device periodically. See
‘Service and Maintenance’ on page 22.
Correct disposal of the device
Dispose of the device in accordance with your national or local regulations, or contact your HeartSine distributor. Please follow the ‘After use’ on page 18.
Compliance with local regulations
Check with the relevant local government health department for information about any requirements associated with ownership and use of a defibrillator in the region where it is to be used.
10
Introduction
The SAM 300P
The SAM 300P is a semi-automatic external defibrillator designed to quickly deliver a defibrillation shock to victims of sudden cardiac arrest (SCA).
The SAM 300P is designed to operate in accordance with the joint European
Resuscitation Council (ERC) and
American Heart Association (AHA)
2010 guidelines on Cardiopulmonary
Resuscitation (CPR) and Emergency
Cardiovascular Care (ECC).
Sudden cardiac arrest (SCA)
Sudden cardiac arrest is a condition in which the heart suddenly stops pumping effectively due to a malfunction of the heart’s electrical system. Often victims of SCA have no prior warning signs or symptoms. SCA can also occur in people with previously diagnosed heart conditions. Survival from SCA depends on immediate and effective cardiopulmonary resuscitation (CPR).
The use of an external defibrillator within the first few minutes of collapse can greatly improve patient’s chances of survival. Heart attack and SCA are not the same, though sometimes a heart attack can lead to an SCA. If you are experiencing symptoms of a heart attack
(chest pain, pressure, shortness of breath, tight feeling in the chest or elsewhere in the body), seek emergency medical attention immediately.
Ventricular fibrillation
The normal electrical rhythm by which the heart muscle contracts to create blood flow around the body is known as normal sinus rhythm (NSR). Ventricular fibrillation
(VF), caused by chaotic electrical signals in the heart, is often the cause of SCA.
In victims of SCA it is possible to reestablish normal sinus rhythm by means of an electric shock across the heart. This treatment is called defibrillation.
11
Introduction
Recommended training
SCA is a condition requiring immediate emergency medical intervention. Due to the nature of the condition, this intervention can be performed before seeking the advice of a physician.
To properly diagnose this condition,
HeartSine recommends that all potential users of the SAM 300P are fully trained in cardiopulmonary resuscitation (CPR), basic life support (BLS) and, in particular, the use of an automated external defibrillator. HeartSine also recommends that this training be kept up to date by regular refresher courses as and when recommended by your training provider.
If potential users of the SAM 300P are not trained in these techniques, contact your authorised distributor or HeartSine
Technologies directly. Either can arrange for training to be provided. Alternatively contact your local government health department for information on certified training organisations in your region.
CPR metronome
During CPR the SAM 300P will play an audible beep and flash the “Safe To
Touch” indicator at a rate compliant with
2010 AHA/ERC guidelines. This feature is referred to as the CPR metronome.
Use the metronome as a guide on how frequently to compress a patient’s chest if you need to apply CPR.
12
SAM 300P Overview
Data port
Shock button
Press this button to deliver a therapeutic shock.
Attach pads icon
The action arrows around this icon will flash to instruct you to attach the electrode pads to the patient as indicated.
Status indicator
When the indicator is flashing green the SAM
300P is ready for use.
Safe to touch icon
It is safe to touch the patient when the action arrows around this icon are flashing.
Paediatric ready icon
Do not touch icon
Do not touch the patient when the action arrows around this icon are flashing. The SAM 300P may be analysing the patient’s heart rhythm or about to charge, preparing to deliver a shock.
Green tab
Action arrows
On/Off button
Press this button to turn the device on or off.
Speaker
Electrode drawer
13
Preparation
Unpacking
Check that the contents include the User
Manual, soft case, Pad-Pak, guarantee card and Emergency User Guide.
A Pad-Pak is a single-use removable battery and electrode pack in one unit. It is available in two versions
1
: grey coloured
Pad-Pak for use with adults and a pink coloured Pad-Pak for use with children
(see the illustration below).
Checks before putting into service
1. Check the expiry date (year/month) on the rear of the Pad-Pak (see the illustration below). If the expiry date has passed, you must replace the Pad-Pak.
2017 / 05
Adult Pad-Pak Pediatric-Pak
1 A third version is also available specifically for airlines
14
2. Unpack the Pad-Pak. Retain the packaging in case you need to return the Pad-Pak to HeartSine. Place the
SAM 300P on a flat surface. Insert the Pad-Pak into the SAM 300P (see the illustration below). Listen for the
“click” sound and ensure both tabs are fully engaged.
3. If required, the SAM 300P will run a self test routine. The action arrows will flash during this process. On successful completion of the self-test routine, the green status indicator
(see ‘SAM 300P Overview’ on page
13) will blink. If so, your SAM
300P is ready for use.
4. Turn on the SAM 300P by pressing
on the front panel to check that the device is operating correctly.
Listen for the voice prompts but do
NOT
follow them. Make sure that no warning messages are played.
Notice: Do NOT pull the green tab on the Pad-Pak. If you have opened the electrode drawer, you may have to replace your Pad-Pak.
Only turn the SAM 300P on
ONCE. If you turn it on and off repeatedly, you will exhaust the batteries prematurely and you may need to replace the Pad-Pak.
5. Turn off the SAM 300P by pressing
on the front panel. Check the status indicator (see ‘SAM 300P
Overview’ on page 13) is flashing green. If you have heard no warning messages and the status indicator is flashing green, the device is ready for use.
15
16
Preparation
6. Place the SAM 300P in its supplied soft carry case. Store the SAM
300P in an unobstructed, secure location in a
clean, dry environment
specifically where it will be seen and heard. Be sure to store according to specifications (see ‘Technical Data’ on page 27).
Standby 0 to 50 °C temperature: (50 to 122 °F)
Relative humidity:
5 to 95%
(non-condensing)
Notice: HeartSine recommends that you keep a spare Pad-Pak with your SAM 300P. You can store it in the rear section of the soft carry case.
7. Complete the guarantee card and return it to your authorised distributor or HeartSine Technologies directly
(see ‘Tracking Requirements’ on page 23).
Preparation checklist
❏
Step 1. Check the Pad-Pak expiry date.
❏
Step 2. Install the Pad-Pak.
❏
Step 3. Check for a successful completion of the self-test routine.
❏
Step 4. Turn on to check operation.
❏
Step 5. Turn off.
❏
Step 6. Store the SAM 300P correctly.
❏
Step 7. Register your SAM 300P.
❏
Step 8. Create a service schedule
(see ‘Service and Maintenance’ on page 22).
Using the SAM 300P
When to use
The SAM 300P is indicated for use on victims of sudden cardiac arrest who are exhibiting the following signs:
Unconscious
Not breathing
Without circulation
The SAM 300P has been designed to work on unconscious, nonresponsive patients. If the patient is responsive or conscious, do not use the SAM 300P to provide treatment.
The SAM 300P is suitable for use on patients of over 25 kg (55 lbs) in weight or equivalent to a child of approximately eight years old or over.
For use on smaller children (from 1 to 8 years old), remove the adult Pad-Pak and install a Pediatric-Pak.
If a Pediatric-Pak or an alternative suitable defibrillator is not available, you may use an adult Pad-Pak.
Using the SAM 300P
Refer to the separate Emergency User
Guide. During use the SAM 300P will give extensive voice prompts to guide a user.
For full list of voice prompts see ‘List of
Voice Prompts’ on page 39.
Notice: The SAM 300P aborts a ready to shock condition once a non-shockable rhythm is detected.
17
18
Using the SAM 300P
After use
1. Turn off the SAM 300P by pressing
on the front panel.
2. Remove the electrode pads from the patient and stick them together
‘face to face’. The electrodes may be contaminated with human bodily tissue, fluid or blood. Dispose of the electrodes separately as an infectious waste material.
3. The Pad-Pak contains Lithium batteries. It is a single-use item and must be replaced after each use.
Remove the Pad-Pak by pressing the two tabs on either side of the
Pad-Pak. The Pad-Pak will slide forward (see the illustration below).
Do not dispose of the SAM 300P or Pad-Pak in the normal waste.
Dispose of it at an appropriate recycling facility according to local requirements. Alternatively return it to your distributor for disposal or replacement.
4. Check the SAM 300P for dirt or contamination. If necessary, clean it using a soft cloth dampened by one of the following:
Soapy water
Isopropyl alcohol (70% solution).
Caution: Do not immerse any part of the SAM 300P in water or any type of fluid. Contact with fluids may seriously damage the device or cause a fire or a shock hazard.
Notice: Do not clean the SAM
300P with abrasive materials, cleaners or solvents.
5. Check the SAM 300P for damage. If the SAM 300P is damaged, replace it immediately.
6. Install a new Pad-Pak. Before installing, check the Pad-Pak expiry date (see ‘Preparation’ on page
14). After installation check the status indicator is blinking green.
19
20
Pediatric-Pak
Using the Pediatric-Pak
The Pediatric-Pak is intended to provide therapy for pediatric (child) victims of
SCA between the ages of 1 and 8 years old who are:
Unconscious
Not breathing
Without circulation
Electrode Placement:
For pediatric patients there are two options for electrode placement: a. If a child’s chest is small it may be necessary to place one pad on the child’s
BARE chest in the center, and the other pad on the child’s BARE back in the center of the ribcage as shown in Method a)
Method a)
b. If a child’s chest is large enough to permit a 1 inch (2.5cm) gap between the pads, pad placement can be used similar to adult placement. Place one pad on child’s BARE upper right chest above nipple and one pad on child’s BARE lower left ribcage below nipple as shown in Method b)
Warning: Defibrillation electrodes must be at least
1 inch (approx 2.5 cm) apart and should never be touching one another.
Warning: The Pediatric-
Pak contains a magnetic component (surface strength
6500 gauss). Avoid storage next to magnetically sensitive storage media.
Warning: Not for use on patients under 1 year old. For use with children up to the age of 8 years or up to 55lbs (25kg).
DO NOT DELAY THERAPY
IF YOU ARE NOT SURE OF
EXACT AGE OR WEIGHT.
Method b)
Electrodes can be placed on the child’s chest if their chest is large enough OR if trauma does not allow for the placement as shown in Method a).
21
22
Service and Maintenance
HeartSine recommends users perform regular maintenance checks. The recommended maintenance checks are:
Weekly
❏
Check the status indicator. If the green status indicator is not flashing every 5 to 10 seconds or if the red status indicator is flashing or if you hear beeping, a problem has been detected. See ‘Troubleshooting’ on page 25. The SAM 300P performs a selftest routine at midnight GMT every Sunday. During this self-test the status light blinks red but returns to green on successful completion of the self-test routine. The self-test takes no more than 10 seconds to complete. If the status indicator continues to flash red the SAM 300P has a fault (see ‘Troubleshooting’ on page 25).
Monthly
❏
❏
If the device shows any signs of physical damage, contact your authorised distributor or HeartSine Technologies directly.
Check the expiry date of the SAM 300P Pad-Pak (see ‘Preparation’ on page 14 for the location of the date). If the date has expired, or is near expiry, replace with a new
Pad-Pak or contact your local HeartSine distributor for a replacement.
If you hear a warning message when you turn on your SAM 300P or if, for any reason, you have suspicions that your SAM 300P is not working correctly, read the section
‘Troubleshooting’ on page 25.
Service and Maintenance Tracking Requirements
Medical Devices Regulations require us to track the location of all medical devices sold.
It is important that you complete the warranty card with your details and return it to your authorised distributor or HeartSine Technologies directly.
Alternatively send an email, to [email protected], containing:
Name
Address
Device serial number or use our on-line registration tool at https://secure.heartsine.com/UserRegistration.html
Your participation will allow us to contact you with any important notifications about the
SAM 300P, such as any future software updates or field safety corrective actions.
If there is a change in the information you have provided to us, such as a change of address or a change in ownership of your SAM 300P, contact us with the updated information.
23
24
Data Management
The HeartSine Saver™ EVO software is an optional accessory. Contact your authorised distributor or HeartSine Technologies directly about the After-Use Data
Management Service.
1. Connect the supplied USB cable to the
SAM 300P (see illustration below).
2. Connect the USB cable to a PC.
3. Launch the HeartSine Saver™
EVO utility.
Notice: The SAM 300P should only be connected to an
IEC60950 PC.
Caution: You cannot defibrillate while the SAM 300P is connected to a PC.
For further information on this optional accessory, contact your authorised distributor or HeartSine
Technologies directly.
2. Connect the USB cable to a PC.
3. Launch the HeartSine Saver™
EVO utility.
Notice: The SAM 300P should only be connected to an
IEC60950 PC.
Caution: You cannot defibrillate while the SAM 300P is connected to a PC.
For further information on this optional accessory, contact your authorised distributor or HeartSine
Technologies directly.
Troubleshooting
Status indicator flashing red
If the status indicator is flashing red or if the device is emitting a ‘beep’, check the expiry date on your Pad-Pak (see
‘Preparation’ on page 14). If the expiry date has not been passed, turn on the
SAM 300P by pressing on the front panel and listen for the voice prompt
‘call for medical assistance’. Then turn off by pressing on the front panel. If this action does not correct the problem, contact your authorised distributor or
HeartSine Technologies immediately.
Low battery warning
i
This message does not indicate a fault.
The first time the device plays the message ‘warning low battery’, it will still continue to function properly. However, it may have fewer than 10 shocks left. If you hear this message, prepare the spare
Pad-Pak for use and be prepared to swap it quickly. Order a new Pad-Pak as soon as possible.
Memory full warning
If the device plays the message ‘memory full’, then the memory can record no further ECG data or events. However, the device can still analyse and deliver a shock if required. If you hear this message, contact HeartSine Technologies technical support.
Audible warnings
If the device emits 3 beeps rapidly when turned off, it has sensed that the ambient temperature is outside of the specified operating range. This beeping could also occur during the weekly self-test.
If you hear this beeping, please ensure the device is returned to the specified operating conditions.
During use, if the status indicator changes from green to red and the device starts to
‘beep’, there is insufficient battery capacity to deliver a shock. The device will continue to analyse the patient’s heart rhythm and advise when CPR is needed.
25
26
Troubleshooting
Device service required
If the device plays the message ‘device service required’, then it has detected a fault. Contact your authorised distributor or
HeartSine directly for further instruction.
Warning: If you hear this message during use, seek an alternative defibrillator immediately.
No modification of this equipment is allowed.
Sources of support
If you have completed the troubleshooting steps above and you find the device is still not working correctly, contact your authorised distributor or HeartSine
Technologies Technical Support at [email protected].
Warranty exclusion
HeartSine or its authorised distributors are not obliged to replace or repair under warranty if one or more of the following conditions apply:
The device has been opened.
Unauthorised modifications have been made.
The device has not been used in accordance with the instructions provided in this manual.
The serial number has been removed, defaced, altered or, by any other means, made unreadable.
The device has been used or stored outside its indicated temperature range.
The Pad-Pak packaging is not returned.
The device has been tested using unapproved methods or inappropriate equipment, (see ‘Warnings and
Cautions’ on page 6).
Technical Data
Physical parameters (with Pad-Pak installed)
Size:
Weight:
20 x 18.4 x 4.8 cm (8.0 x 7.25 x 1.9 in)
1.1 kg (2.4 lbs)
Environmental
Operating temperature:
Standby temperature:
Transport temperature:
Relative humidity:
Enclosure:
Altitude:
Shock:
Vibration:
0 to 50 °C (32 to 122 °F)
0 to 50 °C (32 to 122 °F)
-10 to 50 °C (14 to 122 °F) for up to two days. If the device has been stored below 0 °C (32 °F), it should be returned to an ambient temperature of between 0 to 50 °C (32 to 122 °F) for at least 24 hours before use.
5 to 95% (non-condensing)
IEC 60529/EN 60529 IP56
0 to 15 000 feet (0 to 4575 metres)
MIL STD 810F Method 516.5, Procedure 1 (40G’s)
MIL STD 810F Method 514.5 Procedure 1 Category 4
MIL STD 810F Method 514.5 Procedure 1 Category 7
27
28
Technical Data
Pad-Pak and Pediatric-Pak
Weight:
Battery type:
0.2 kg (0.44 lbs)
Disposable single-use combined battery and defibrillation electrode cartridge (lithium manganese dioxide
(LiMnO ) 18V)
Battery capacity (new):
2
Battery capacity (4 years): >10 shocks or 20 mins of continuous monitoring
Standby life:
>60 shocks or 6 hours of continuous monitoring
See the expiry date on the Pad-Pak.
Electrode type:
Electrode placement:
Single-use pre-attached combined ECG sensor/ defibrillation pad
Adult: anterior-lateral
Paediatric: electrodes anterior-posterior or anterior-lateral
Electrode active area:
Electrode cable length: 3.5 ft (1 m)
Electrode shelf life:
100 cm
2
See the expiry date on the Pad-Pak.
Patient analysis system
Method: Evaluates the patient’s ECG, signal quality, electrode contact integrity and patient impedance to determine if defibrillation is required
Sensitivity/Specificity: Meets IEC 60601-2-4
User Interface
Visual prompts:
Audible prompts:
Languages:
Controls:
Attach pads, stand clear, perform CPR, shock now, self test pass - ready state
Extensive voice prompts guide the user through the operation sequence (see ‘List of Voice Prompts’ on page 39).
Contact your HeartSine authorised distributor.
Two buttons: ‘On/Off’ and ‘Shock’
Defibrillator performance
Times to shock delivery (fresh battery) or after 6 shocks:
Charging time:
Following CPR:
Typically 150J in < 8 sec, 200 J in < 12 sec
Typically 8 seconds
Impedance range: 20 Ω to 230 Ω
Therapeutic shock
Waveform:
Energy:
SCOPE (Self Compensating Output Pulse Envelope) biphasic escalating waveform. Optimised biphasic waveform compensates energy, slope and envelope for patient impedance
Pre-configured factory settings for escalating energy are
Version AHA/ERC 2010
Adult: Shock 1: 150J; Shock 2: 150J; Shock 3: 200J
Paediatric: Shock 1: 50J; Shock 2: 50J; Shock 3: 50J
29
30
Technical Data
Event recording
Type:
Memory:
Review:
Internal memory
90 minutes of ECG (full disclosure) and event/ incident recording
Custom USB cable directly connected to a PC and Saver™
EVO Windows-based data review software
Electromagnetic compatibility
EMC:
Radiated Emissions:
IEC60601-1-2
IEC55011
Electrostatic Discharge: IEC61000-4-2 (8 kV)
RF Immunity: IEC61000-4-3 80 MHz – 2.5 GHz, (10 V/m)
Magnetic Field Immunity: IEC61000-4-8 (3 A/m)
Aircraft: RTCA/DO-160F, Section 21 (Category M)
RTCA DO-227 (ETSO-C142a)
SCOPE™ Biphasic Waveform
The SAM 300P delivers a Self
Compensating Output Pulse Envelope
(SCOPE) biphasic waveform. This waveform automatically optimises the waveform pulse envelope (amplitude, slope, and duration) for a wide range of patient impedances, from 20 ohms to
230 ohms. The delivered waveform to the patient is an optimised, impedancecompensated, biphasic, truncated exponential waveform that incorporates an escalating energy protocol of 150 joules, 150 joules, and 200 joules. The duration of each phase is automatically adjusted to compensate for varying patient impedances. The first phase (T1) duration is always equivalent to the second phase
(T3) duration. The interphase pause (T2) is always a constant 0.4 ms for all patient impedances.
The specific SCOPE waveform characteristics for a 150 joules pulse are listed opposite.
V1
Volts
2000
1000
500
V3
0
500
1000
-1 0
T1 T3
T2
1 2 3 4 5 6 7 8 9
Duration (msec)
Resistance
(ohms)
Waveform
Voltages (volts)
25
50
75
100
125
150
175
200
225
V
1
1640
1650
1660
1670
1670
1670
1670
1670
1680
Adult Pad-Pak waveform specification
All values are nominal
Tilt %
63.1
52.7
51.4
48.7
50.4
48.7
48.7
47.6
46.7
Waveform
Duration (ms)
T
3
1
4.5
6.5
8
10.5
12
14
15.5
17
T
3
3
4.5
6.5
8
10.5
12
14
15.5
17
31
32
Technical Data
Resistance
(ohms)
25
50
Energy
(joules)
47.5
51.3
Waveform
Voltages
V
1
(volts)
514
671
Tilt
%
55.6
50.4
Waveform
Duration
T
1
7.8
8.8
(ms)
T
3
5.4
6
75
100
52.1
51.8
751 47.1
10 6.6
813 44.3
10.8
6.8
125 52.4
858 41.4
11.5
7.3
Pediatric-Pak waveform specification
All values are nominal
Arrhythmia analysis algorithm
The SAM 300P uses the HeartSine samaritan
®
ECG arrhythmia analysis algorithm. This algorithm will evaluate the patient’s ECG to ascertain if a therapeutic shock is appropriate. If a shock is required, the SAM 300P will charge and advise the user to press the shock button. If no shock is advised, the device will pause to allow the user to deliver CPR.
The SAM 300P ECG arrhythmia analysis algorithm performance has been extensively evaluated by using several databases of real-life ECG traces.
Included in this are the American Heart
Association’s (AHA) database and the
Massachusetts Institute of Technology
MIT – NST database. The SAM 300P ECG arrhythmia analysis algorithm’s sensitivity and specificity meet the requirements of
IEC60601-2-4.
The SAM 300P ECG arrhythmia analysis algorithm performance is summarised in the table below:
Rhythm Class
ECG Test
Sample
Size
(seconds)
Required
Performance
Specifications
Performance
Results (%)
90% One-
Sided Lower
Confidence
Limit
Shockable Rhythm:
Ventricular Fibrillation (VF) and
Ventricular Tachycardia (VT)
Non-Shockable Rhythm:
Asystole
Non-Shockable Rhythm:
All other rhythms
*No error to measure
2453
1902
46711
Sensitivity > 90%
Specificity > 95%
Specificity > 95%
93.48
100
99.11
90.58
100*
95.04
33
34
Technical Data
Guidance and manufacturer’s declaration – electromagnetic emissions
The SAM 300P is intended for use in the electromagnetic environment specified below. The customer or user of the SAM 300P must assure that it is used in such an environment.
Emissions test Compliance
RF emissions CISPR 11 Group 1
Electromagnetic environment – guidance
The SAM 300P uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions CISPR 11
Harmonic emissions IEC/
EN 61000-3-2
Class B
Not applicable
Voltage fluctuations/flicker emissions IEC/EN 61000-3-3 Not applicable
The device is suitable for use in all establishments, including domestic and those directly connected to to the public low-voltage power supply network that supplies buildings used for domestic purposes
Guidance and manufacturer’s declaration – electromagnetic immunity
The SAM 300P is intended for use in the electromagnetic environment specified below. The customer or user of the SAM 300P must assure that it is used in such an environment.
Immunity test
Electrostatic discharge (ESD)
IEC/EN 61000-4-2
IEC 60601 test level
± 6 kV contact
± 8 kV air
Compliance level
Complies
Complies
Electromagnetic environment
– guidance
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
±2kV for power supply lines Not Applicable Not Applicable Electrical fast transient/burst
IEC/EN 61000-4-4
Surge
IEC/EN 61000-4-5
±1 kV for input/output lines
±1kV differential mode
Not Applicable
Not Applicable Not Applicable
Voltage dips, short interruptions and voltage variations on power supply input lines
IEC/EN 61000-4-11
±2 kV common mode
<5 % Ut (>95 % dip in Ut) for 0.5 cycle
40 % Ut (60% dip in Ut) for 5 cycles
70 % Ut (30 % dip in Ut) for 25 cycles
<5 % Ut (>95 % dip in Ut) for 5 sec
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Power-frequency
(50/60 Hz) magnetic field
IEC/EN 61000-4-8
3 A/m 3A/m
Note: Ut is the a.c.mains voltage prior to application of the test level
Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
35
Technical Data
36
Guidance and manufacturer’s declaration – electromagnetic immunity
The SAM 300P is intended for use in the electromagnetic environment specified below. The customer or user of the SAM 300P must assure that it is used in such an environment.
Immunity test
IEC 60601 test level
Compliance level
Electromagnetic environment – guidance
Portable and mobile RF communications equipment should be used no closer to any part of the SAM
300P, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Recommended separation distance
Conducted RF
IEC/EN 61000-4-6
3 Vrms
150 kHz to 80 MHz outside ISM bands a
Not applicable
Not applicable
10 Vrms
150 kHz to 80 MHz in ISM bands a
Not applicable
Not applicable
Radiated RF
IEC/EN 61000-4-3
10 V/m
80 MHz to 2.5 GHz
10 V/m
80 MHz to 2.5 GHz d = 1.2 √P 80 MHz to 800 MHz d = 2.3 √P 800 MHz to 2.5 GHz
Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m) b
.
Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey should be less than the ... [next page] c
,
Guidance and manufacturer’s declaration – electromagnetic immunity
... compliance level in each frequency range.
Interference may occur in the vicinity of equipment marked with the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
a The ISM (industrial, scientific and medical)bands between 150kHz and 80 MHz are 6,765 MHz to 6,795 MHz;
13,553 to MHz 13,567 MHz; 26,957 to MHz 27,283 MHz; 40,66 to MHz 40,70 MHz; b The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
80 MHz to 2.5 GHz are intended to decrease the likelihood that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas. For this reason, an additional factor of 10/3 has been incorporated into the formulae used in calculating the recommended separation distance for transmitters in these frequency ranges.
c Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location where the
SAM 300P is used exceeds the applicable RF compliance level (see above), the SAM 300P should be observed to verify that it is operating normally. If abnormal operation is observed, additional measures may be necessary, such as re-orienting or relocating the SAM 300P.
37
Recommended separation distances between portable and mobile RF communication equipment and the SAM 300P
The SAM 300P is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the SAM 300P can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the SAM 300P as recommended below, according to the maximum output power of the communications equipment.
Rated maximum output power of transmitter
W
Separation distance according to frequency of transmitter
150 kHz to 80 MHz outside ISM bands
150 kHz to 80 MHz in ISM bands
m
80 MHz to 800 MHz d = 1.2 √P
800 MHz to 2.5GHz
d = 2.3 √P
0.01
0.1
1
10
Not applicable
Not applicable
Not Applicable
Not Applicable
Not applicable
Not applicable
Not Applicable
Not Applicable
0.12
0.38
1.2
3.8
0.23
0.73
2.3
7.3
100 Not Applicable Not Applicable 12 23
38
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (w) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 The ISM (industrial, scientific and medical)bands between 150kHz and 80 MHz are 6,765 MHz to
6,795 MHz; 13,553 to MHz 13,567 MHz; 26,957 to MHz 27,283 MHz; 40,66 to MHz 40,70 MHz;
NOTE 3 An additional factor of 10/3 has been incorporated into the formulae used in calculating the recommended separation distance for transmitters in the ISM frequency bands between 150kHz and 80 MHz and in the frequency range 80MHz to 2.5GHz to decrease the likelihood that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.
NOTE 4 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people
List of Voice Prompts
Listed below are the voice prompts used by the SAM 300P. Read the voice prompts in advance of use to be familiar with the types of instructions given.
Adult patient/child patient
“Call for medical assistance”
“Remove clothing from patient’s chest to expose bare skin”
“Pull ‘green tab’ to remove pads”
“Peel pads from liner”
“Apply pads to patient’s bare chest as shown in picture”
“Press pads firmly to patient’s bare skin”
“Assessing heart rhythm – do not touch the patient”
If a shock is not required…
“No shock advised”
“Begin CPR”
“It is safe to touch the patient”
“Place overlapping hands in middle of chest”
“Press directly down on the chest in time with the metronome”
“Remain calm”
If a shock is required…
“Stand clear of patient – shock advised”
“Stand clear of patient – press the orange shock button now”
“Shock delivered”
“Begin CPR”
“It is safe to touch the patient”
“Place overlapping hands in middle of chest”
“Press directly down on the chest in time with the metronome”
“Remain calm”
39
Authorised Distributor
w w w . h e a r t s i n e . c o m i n f o @ h e a r t s i n e . c o m
US/Americas
HeartSine Technologies, Inc.
121 Friends Lane, Suite 400
Newtown, PA. 18940
Tel: (215) 860 8100
Toll Free: (866) 478 7463
Fax: (215) 860 8192
EMEA/ASP
HeartSine Technologies.
203 Airport Road West
Belfast, Northern Ireland BT3 9ED
Tel: +44 (0) 28 9093 9400
Fax:+44 (0) 28 9093 9401
0120
H017-019-100-0
English (US)
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