12
Working with defibrillators
Most of the defibrillators that Event Review Pro supports store data on data cards
(also called memory cards). Depending on the defibrillator, you need a
CompactFlash or SD data card reader to transfer the data.
The HeartStart FR3 defibrillator can transfer information using a data card or a
Bluetooth connection.
The HeartStart HS1 family of defibrillators and FRx defibrillator use an infrared connection to transfer the information.
The HeartStart MRx Monitor/Defibrillator can transfer information using the following methods:
• A data card to transfer the information
• Defibrillators with version 9.0 or later with the
Bluetooth option to transfer the information through a
Bluetooth connection
If you need help choosing a card reader, see
Selecting accessories for data transfer on page .
137
. The quick reference has illustrations of the various data cards and the associated defibrillators. It can help you recognize the data cards and select the appropriate card reader.
Supported defibrillators
You can download product owners' manuals for supported defibrillators from the
Philips Healthcare support Web site;
To download products and services materials
1.
Navigate to this site: http://www.philips.com/productdocs
2.
Click Resuscitation/Defibrillators products.
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3.
Click the defibrillator to display a page that lists the product user and service materials.
The following table identifies the method used to read defibrillator data. To understand how to use the method, click the appropriate link in the Instructions column.
Data source
HeartStart FR3
Method used to read data
Secure digital (SD) card or
Bluetooth connection
HeartStart MRx Card reader or
Bluetoothconnection
HeartStart FRx
HeartStart HS1
Infrared (IrDA) connection
Infrared(IrDA) connection
Instructions
Reading FR3 series cards on page .
139
Downloading an ECG using an FR3 Bluetooth transmission on page .
37
Reading HeartStart MRx cards on page .
143
Downloading an ECG using an MRx Bluetooth transmission on page .
38
Downloading an ECG from an infrared connection on page .
39
Downloading an ECG from an infrared connection on page .
39
Selecting accessories for data transfer
Before attempting data transfer from defibrillators and devices to Event Review Pro, be sure that you have all the accessories you need.
Defibrillators and devices vary as to whether they use data cards and card readers, infrared connections, and/or
Bluetooth connections to transfer data.
Choosing data transfer adapters and readers
If your computer did not come installed with the appropriate software or adapter for the transfer method, you can use an adapter or reader. Use the following table to identify the requirements for the adapter or drive that you need.
Defibrillator
HeartStart FR2
Data transfer method
CompactFlash data card
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Defibrillator
HeartStart FR3
HeartStart FRx
HeartStart HS1
HeartStart MRx
HeartStart XL
Data transfer method
Custom Philips version of the SD data card
Bluetooth data transfer
Infrared data transfer
Infrared data transfer
CompactFlash data card
Bluetooth data transfer batch LAN data transfer
ATA flash data card
Quick reference to data cards
The following table shows the defibrillators with their associated data cards.
HeartStart FR2
HeartStart FR3
FR2 defibrillators use the
CompactFlash cards with the
CompactFlash card reader, or an
ATA flash-card reader with an adapter.
FR3 defibrillators use Philips secure digital SD data cards, with the SD data-card reader, or an ATA flashcard reader with an adapter.
HeartStart MRx MRx defibrillators use CompactFlash cards with the CompactFlash card reader, or an ATA flash-card reader with an adapter.
HeartStart XL XL defibrillators use ATA flash cards with the ATA flash-card reader.
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Choosing
Bluetooth
accessories
HeartStart MRx and FR3 defibrillators support data transfer using Bluetooth wireless technology.
Event Review Prowas tested with the following Windows systems and Bluetooth stacks:
• Windows XP or Windows 7: Microsoft
Bluetooth stack (for MRx)
• Windows XP or Windows 7: Widcomm
Bluetooth stack (for FR3 or MRx)
If your computer did not come with the installed
Bluetooth option, you must use a
Bluetooth adapter that supports these stacks.
Reading FR3 series cards
The FR3 series defibrillators store information on a SD card. SD card readers are available through your Philips sales representative or local distributor.
To read a data card
1.
One end of the data card has a series of contacts. Plug this end firmly into the card reader.
2.
Check in Windows Explorer to see that the card was recognized. When
Windows recognizes the card, it assigns a drive letter to the card.
At this point, Event Review Pro can read the data on the card.
3.
If the card does not appear in Windows Explorer, remove the card from the reader, and then insert it into the card reader again.
Retrieving FR3 data using Bluetooth transmission
You can download data from the FR3 to the computer through a Bluetooth transmission. Any data currently contained in the FR3 is transferred.
The Bluetooth wizard guides you through the steps necessary to accomplish the transfer. From an open case, click Attach ECG, click
Bluetooth
, click HeartStart
FR3, and then click Next.
Follow the instructions from this point.
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For further information, see
Downloading an ECG using an FR3 Bluetooth transmission on page .
37 .
Setting up Bluetooth transmissions for the MRx and FR3
You can transmit HeartStart MRx and HeartStart FR3 data to Event Review Pro through Bluetooth ® wireless transmission.
You must have a supported adapter for Bluetooth transmission. Most
Microsoft®-compatible Bluetooth adapters, such as IO Gear GBU421 (or in
Japan, the Logitec Bluetooth 3.0 adapter (LBT-13R35861A) are suitable. You can order an adapter from your Philips representative.
To transfer the information from the defibrillator to Event Review Pro, you must set up the
Bluetooth transmission on the defibrillator and the receiving computer that has
Event Review Pro installed.
Consider the following:
• If your computer is not equipped with
Bluetooth
, it requires a
Bluetooth dongle with a USB connector. The dongle connects the computer and the defibrillator.
• Even if your computer is equipped with Bluetooth , you may need other adjustments. For example, Panasonic Toughbooks have a Toshiba Bluetooth driver, not a Microsoft driver. This works for the MRx; for the FR3, add a
Bluetooth dongle that supports the Microsoft or Widcomm driver.
Event summaries and (for MRx) 12- lead reports might contain information that could be considered Patient Healthcare Information (PHI) or patient-identifiable data.
Handle the information in accordance with HIPAA or your local patient privacy requirements.
Bluetooth option prerequisites for the MRx and
FR3
The prerequisites for
Bluetooth use are slightly different for the MRx and FR3 defibrillators.
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MRx
The Bluetooth card on the HeartStart MRx is inside of the defibrillator. Confirm that you have a Bluetooth card installed and that the Event Summary Bluetooth transmission feature is enabled.
For detailed information on setting up the MRx for Bluetooth transmission, see the most current release of the following documentation:
• HeartStart MRx Instructions for Use Addendum
• HeartStart MRx M3535A, M3536A Instructions for Use
• HeartStart MRx Data Transmission Implementation Guide
FR3
Confirm that you have a Bluetooth card installed in the defibrillator.
For detailed information on setting up the FR3 for
Bluetooth transmission, see the most current release of the following documentation:
• HeartStart FR3 Instructions for Administrators
Pairing and testing the
Bluetooth
option with the computer:
MRx and FR3
MRx
Use this information to pair and test the Bluetooth option for HeartStart MRx.
Make sure that the application computer is turned on and that the Bluetooth software and adapter are installed and visible or discoverable.
To pair the HeartStart MRx Bluetooth option with the computer
1.
On the HeartStart MRx main menu, click Bluetooth Devices.
2.
Click Add Device .
The defibrillator searches for your computer.
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If your computer is not listed after the search, your computer Bluetooth is not enabled or set up correctly. Refer to the Bluetooth documentation to troubleshoot the setup.
3.
Click the name of your computer and then press Enter.
4.
Type a passkey for the Bluetooth option, using the number menu..
The passkey is a user-defined character sequence, such as 000, or 1234. For information on this sequence, see the documents listed in the
Bluetooth option prerequisites for the MRx and FR3 on page .
140 .
5.
At the top of the number menu, click Done.
6.
On your computer, immediately watch for a pop-up message.
7.
Click the pop-up message.
8.
Type the same Bluetooth passkey that you typed on the defibrillator in step
4.The defibrillator and the computer now have a
Bluetooth connection.and you are ready to test it.
9.
Click Next and then Finish.
10. On the main menu of the MRx, click File Transfer and then Enter.
HeartStart MRx displays the "transmission test passed" message.
11. Click Acknowledge.
12. Scroll to Exit and click Enter.
13. On the main menu of the MRx, click Other, Data Management, and then
Acknowledge.
14. After changing into Data Management mode, the MRx displays a list of summary case data with the most recent incident at the top. Select the incident that you want to transmit.
15. Click Send and then All Event Data.
16. On your computer, in the Attach ECG dialog box, watch for a display that includes the MRx folder, and open it to see the data that has been transferred.
FR3
Pairing the Bluetooth option for the FR3 occurs automatically. Use the following procedure to verify that this has occurred.
To verify that the FR3 Bluetooth option has paired with the computer:
1.
When the FR3 is on and you have heard the voice acknowledgment, put the unit into Administration mode.
2.
Press the option button and select wireless data transfer.
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3.
On your computer, in the Attach ECG dialog box, Event Review Pro discovers the PIN number and displays a list of the patient cases currently on the FR3.
Reading HeartStart MRx cards
The HeartStart MRx defibrillator stores information in internal memory.
To open the information in Event Review Pro, transfer the information from the internal memory to an external CompactFlash card and then download it to Event
Review Pro.
Follow the instructions in the HeartStart MRx Monitor/Defibrillator Instructions for use guide. After you transfer the information to a CompactFlash card, you can read the card in a card reader.
CompactFlash cards and card readers are available through your Philips sales representative or local distributor.
To read a data card
1.
Remove the data card from the HeartStart MRx data card tray.
2.
One end of the data card has a series of perforations. Insert this end firmly into the card reader.
3.
Check in Windows Explorer to see that the card was recognized. When
Windows recognizes the card, it assigns a drive letter to the card.
Event Review Pro can read the data on the card.
4.
If the card does not appear in Windows Explorer, remove the card from the card reader, and then insert it into the card reader again.
Sending the MRx Bluetooth transmission
You can download a case from HeartStart MRx to the computer through a Bluetooth transmission.
Before downloading, make sure that the MRx has been paired with your computer.
See
Pairing and testing the Bluetooth option with the computer: MRx and FR3 on page .
141
for information on pairing and testing the connection.
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To make a Bluetooth transmission
1.
On the HeartStart MRx, place the defibrillator in the Data Management mode. If necessary, use the MRx documents that are listed in
Bluetooth option prerequisites for the MRx and FR3 on page .
140 .
2.
Click Next Item or Prev Item to navigate to the incident of your choice.
3.
Scroll to Send.
4.
Press Send.
5.
Select the type of information that you want to transmit to Event Review Pro and click Enter.
6.
The first time you send a Bluetooth transmission, a popup message appears, including an option to Always Allow Authorization. If you want to do this, check the box; if you do not, the checkbox will appear every time you send a transmission..
7.
After the HeartStart MRx transmits the incident to the computer, you can attach the ECG from the HeartStart MRx in Event Review Pro.
For more information, see
Downloading an ECG using an MRx Bluetooth transmission on page .
38 .
Reading FR2 series cards
The FR2 series defibrillators store information on a CompactFlash card. Card readers are available through your Philips sales representative or local distributor.
The FR2 series of defibrillators can use adult defibrillation pads or infant/child reduced-energy defibrillation pads. When a user connects infant/child reducedenergy defibrillation pads to the FR2, the FR2 delivers a reduced-energy defibrillation shock of 50 joules (nominal).
On the Attach ECG window, you must indicate to the application whether adult or infant/child pads were used on the patient. To do this, click the FR2 Adult or FR2
Pediatric option from a shortcut menu. For more information, see
Adding ECGs on page .
34 .
If you have any doubt about the type of pads that the responder used, contact the responder.
To read a data card
1.
One end of the data card has a series of perforations. Plug this end firmly into
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2.
Check in Windows Explorer to see that the card was recognized. When
Windows recognizes the card, it assigns a drive letter to the card.
Event Review Pro can read the data on the card.
3.
If the card does not appear in Windows Explorer, remove the card from the reader, and then insert it into the card reader again.
Reading XL cards
The XL defibrillator stores information on an ATA flash card. Read the documentation for the defibrillator to learn how to remove the card from the defibrillator.
You can read these cards in an ATA flash card reader or a PC Card (PCMCIA) reader. If the computer is not equipped with an adapter, you can add one as an external or internal card reader. The external card reader plugs into the desktop USB port.
To read a data card
1.
One end of the card has a series of perforations. Insert this end firmly into the card reader.
2.
Check in Windows Explorer to see that the card was recognized. When
Windows recognizes the card, it assigns a drive letter to the card.
The Philips Data Management Solutions application and Event Review Pro can read the data on the card.
3.
If the card does not appear in Windows Explorer, remove the card from the card reader, and then insert it into the card reader again.
Determining the HS1 and FRx case date and time
The HS1 family of defibrillators and FRx defibrillators do not have a real-time clock that keeps the defibrillator date and time. Instead, the defibrillator has a continuously running timer that starts when you insert the battery. Event Review Pro uses this timer and the computer date and time to calculate case and event time. The timer resets when you remove the battery. Therefore, do not remove the battery until after you have downloaded the patient data to the application.
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Each time that Event Review Pro communicates with an HS1 and FRx defibrillator through IrDA, it uses the date/time of the computer clock and the timer of the
HS1/FRx defibrillator to synchronize the date/time of all events and data since the battery was last inserted. This is called the "time sync point." If Event Review Pro does not find a time sync point, you need to set the case start time.
The time sync point might not match the date and time of the computer by 15 to
30 seconds.
Using infrared connections for the HS1 and
FRx
The HS1 family of defibrillators and the FRx defibrillator use an infrared (IrDA) communications port to transfer information. For information on how to determine the case date and time, see
Determining the HS1 and FRx case date and time on page .
145 .
The infrared port is located on the lower right side of the defibrillator. To transfer information, the receiving computer must be set up for infrared communication.
Some computers have infrared ports. If the computer does not have an infrared port or the port does not work with the defibrillator, you can add an infrared adapter.
An infrared adapter that connects to a USB port, such as the ActiSYS IR4002US
(ACT-IR4002US if you purchase it from Philips Healthcare) is the recommended adapter.
Setting up an infrared adapter
On Windows XP installations, Event Review Pro was tested with ACTiSYS adapters. For best results, use the IR4002US (ACT-IR4002US if you purchase it from Philips Healthcare) and follow the manufacturer’s instructions. More information is available at the following Web site: http://www.actisys.com
To set up the infrared adapter
1.
Read the instructions that came with the infrared adapter.
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2.
Windows XP only: Use the CD that comes with the infrared adapter to run the driver setup program on the Windows operating system.
3.
The New Hardware Wizard guides you through setting up the adapter.
Setting up the infrared connection
Downloading an ECG and device history information from an HS1 or FRx defibrillator requires an infrared connection between Event Review Pro and the defibrillator.
To transfer information, you must put the HS1 or FRx defibrillators into the
Administration mode.
The following discussion explains how to set up each defibrillator to transfer information. The process is similar for the HS1 family of defibrillators and the FRx defibrillator. However, there are enough differences to warrant separate sections.
To set up the IrDA connection between an FRx defibrillator and Event Review
Pro
If the FRx does not receive a transmission within 3 minutes of starting
Administration mode, it cancels the mode. At that point, you must start over.
1.
In Event Review Pro, complete one of the following procedures: a. Use the Case Wizard to create a case, up to the point where you see the
Attach ECG dialog box.
b. Create a case for the infrared transmission, and then (on the toolbar) click
Attach ECG file.
c. Open an existing case for the transmission, and then (on the toolbar) click
Attach ECG file.
2.
Remove the pads connector.
3.
If you haven't done so already, insert the battery into the defibrillator.
You will hear voice prompts to plug in pads connectors. Disregard these prompts in this instance. These messages end once you place the defibrillator in
Administration mode. .
4.
On the defibrillator, press and hold the blue Information button, and wait for three tones.
5.
Release the blue Information button.
The voice message announces Administration. The defibrillator enters data transfer mode.
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6.
Position the defibrillator to communicate with the computer.
The defibrillator and computer should be between 4 and 24 inches apart and aligned with each other, with an unobstructed path between them. For help aligning the defibrillator and the computer, click the IrDA icon on the Attach
ECG window and follow screen instructions.
You can now send and receive information between the defibrillator and the computer. The device announces transferring data.
7.
When sending and receiving information is complete,plug the pads connector in again. You can now turn off the defibrillator.
For more information, refer to the defibrillator documentation.
To set up the IrDA connection between an HS1 defibrillator and Event Review
Pro
If the HS1 does not receive a transmission within 3 minutesof starting
Administration mode, it cancels the mode. At that point, you must start over
1.
In Event Review Pro, complete one of the following procedures: a. Use the Case Wizard to create a case, up to the point where you see the
Attach ECG dialog box.
b. Create a case for the infrared transmission, and then (on the toolbar) click
Attach ECG File.
c. Open an existing case for the infrared transmission, and then (on the toolbar) click Attach ECG File.
2.
Remove the pads cartridge. Locate the latch at the top, and then slide the latch to the right to release the pads cartridge.
3.
If you haven't done so already, insert the battery into the defibrillator.
4.
You will hear voice prompts to plug in the pads cartridge. Disregard these prompts in this instance. These messages will be silenced once you place your defibrillator in Administration mode. After the battery is inserted, the defibrillator automatically turns on.
5.
On the defibrillator, press and hold the blue Information button, and then wait for three tones.
6.
Release the blue button.
A voice message announces Administration.
7.
Briefly press the blue Information button again.
The voice message says Mode 1.
8.
Position the defibrillator to communicate with the computer.
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The defibrillator and computer should be at least 12 inches apart and aligned with each other. For help aligning the defibrillator and the computer, click the
IrDA icon on the Attach ECG window and follow screen instructions.
You can now send and receive information between the defibrillator and the computer. The device announces sending data.
9.
When sending and receiving information is complete,reinstall the pads cartridge.
You can now turn the defibrillator off.
For more information, refer to the defibrillator documentation.
Understanding voice and system messages
Defibrillators and Windows use messages to announce the current state.
Defibrillator voice messages
Philips Healthcare designed the defibrillators to ensure that they are always ready for use in an emergency.
Remember to insert the HS1 pads cartridge or plug in the FRx pads connector when you finish transferring information. This will ensure that the defibrillator is ready for use on the next patient.
At several points in the Event Review Pro instruction, you are instructed to ignore the defibrillator voice message that says "Insert the pads cartridge (for HS1)" or "No connector installed. Plug in pads connector (for FRx)." The message is there to ensure that you are aware of the defibrillator's current state. If you remove the HS1 pads cartridge or the FRx pads connector, the defibrillator is not available for use on the patient. When the defibrillator enters the Administration mode, the message stops.
You can put the FR3 into Admin mode without removing pads.
System messages
If Windows detects an active wireless device, it starts the Windows Wireless Link.
Event Review Pro does not use this application and cannot disable it. As a result, the Windows Wireless Link might display messages. These messages do not apply to your current task. You can ignore them.
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Emailing device history data
If you ask for assistance from Philips Customer Support, you may be asked to retrieve the device history data from a specific defibrillator. Use the following steps
(or as directed by Customer Support) to retrieve and email this data.
To email device history data to Customer Support
1.
From the Help menu, click Email Device History.
The Email Device History dialog box appears.
2.
Set up the device that you are sending data from: a. If you are sending data from an FRx or HS1 device, put the device into
Administration mode. For details on setting up the connection, see
Setting up the infrared connection on page .
147 .
b. If you are sending data from a data card from an FR2 or FR3 device, follow the instructions from Customer Support to put the device history data file on the card, and then insert the card into a card reader attached to your computer.
c. If you are sending data from a Bluetooth connection on an FR3, follow the instructions from Customer Support to put the device history data file on the card; then turn the defibrillator on, wait for the voice prompts, put the device into Administration mode, press the option button, and select Wireless Data
Transfer.
3.
From the list of devices, click the one that you want to send data for and click
Finish.
An email message box appears, with the device history data appearing as an attachment.
4.
Type any comments you want to add to the message.
5.
Click Send.
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