AED Operation & Service Manual
Contents
1. Section 1 Safety option Option number Lithium sulfur dioxide IOIOI Serial communication port lil Additional information is provided in the AED Operation and Service Manual Points to important information regarding the use of the AED KA Lift here Manufacturer Symbol for the marking of electrical and electronic equipment that must be recycled Authorized European Representative 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 13 CARDIAC SCIENCE AEDS G3 th a d generation page 14 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 2 Introduction SECTION 2 INTRODUCTION OVERVIEW This section presents information about the AED its use and the training requirements for operation Topic Page AED Description 15 Indications for Use 15 RHYTHMx AED ECG Analysis Algorithm 16 Rescue Protocol 18 STAR Biphasic Waveform 18 STAR Biphasic Energy Protocols for Powerheart AED 18 Operator Training Requirements 20 AED DESCRIPTION The AED is a self testing battery operated automated external defibrillator AED After applying the AED s electrodes pads to the patient s chest the AED automatically analyzes the patient s electrocardiogram ECG and advises the operator to push the button and deliver a shock if needed For the Powerheart AED G3 Automatic the AED automatically delivers a shock if needed The AED guides the operator through the rescue us2. When the SHOCK indicator is lit push this button to deliver a defibrillation shock When the CONTINUE indicator is lit push this button to clear the internal memory to allow storage of new rescue data in the AED Only for models not equipped with Multiple Rescue software 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 11 CARDIAC SCIENCE AEDs G 3 third generation SYMBOL DESCRIPTIONS CONT MM YYYY MIN Y Y Y Y R MM YYYY Ge NS oy gt ee F 120 F 50 C 32 F 0 C jg page 12 A red indicator with a BLACK X means the AED requires operator attention or maintenance and is not RescueReady A green indicator without a BLACK X means the AED is RescueReady Use pads by this date Date of manufacture year and month Date of factory recertification R Latex free Disposable Single patient use only Tear here to open Do not recharge battery Position of pads on the chest of patient For use by or on the order of a Physician or persons licensed by state law Dispose of properly in accordance with all state province and country regulations Do not incinerate or expose to open flame Explosion hazard Do not use in the presence of a flammable gas including concentrated oxygen Upper and lower temperature limits Device model number battery model number Lot number 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved
3. 60 minutes ECG data with event annotation DIMENSIONS Dimension Measurement Height Width Depth WEIGHT Model 8 cm 3 3 in 27 cm 10 6 in 31 cm 12 4 in Weight with Batteries and Pads 9300 3 10 kg 6 6 Ib ENVIRONMENTAL OPERATION AND STANDBY CONDITIONS Atmosphere Condition 0 C to 50 C 32 F to 122 F Temperature Humidity Pressure 5 to 95 non condensing 57kPa 15 000ft to 103kPa 500ft SHIPMENT AND TRANSPORT ENVIRONMENTAL CONDITIONS for up to 1 week Atmosphere Temperature Humidity Pressure page 48 Condition 30 C to 65 C 22 F to 149 F 5 to 95 non condensing 57kPa 15 000ft to 103kPa 500ft 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 7 Technical Data PADS e Self adhesive disposable defibrillation pads e Minimum combined surface area 228cm e Extended length of lead wire 1 3m LITHIUM BATTERY SPECIFICATIONS e Output voltage 12VDC max e Batteries are non rechargeable e Lithium contents 9 2g max e Check local regulations for disposal information Full Operational Estimated Shelf Life Replacement Guarantee Model from date of manufacture from date of installation Typical Shocks 9146 Lithium 5 Years 4 Years up to 290 shocks The battery operating life depends on the type of battery actual usage and environmental factors BATTERIES AND CAPACITOR CHARGE TIMES A new battery typically tak
4. beeps once every 30 seconds To continue the rescue attempt leave the lid open and replace the battery When the battery replacement takes longer than 60 seconds the first rescue is terminated and the AED will begin to record the events from then on as a separate rescue 5 Q How do l set the AED internal clock A Set the clock by using the RescueLink Software Program and a PC See Setting the AED Internal Clock in Chapter 3 6 Q What happens if close the lid in the middle of a rescue attempt A If you close the lid during a rescue you must re open the lid within 15 seconds to continue the rescue You will hear the prompt Open Lid to Continue Rescue If the lid remains closed for more than 15 seconds a new rescue will initiate when the lid is reopened LS Note f the lid is closed during a rescue while the pads are connected to the patient the STATUS INDICATOR may turn RED When the lid is reopened however the rescue may be continued even though the STATUS INDICATOR remains RED O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 45 CARDIAC SCIENCE AEDS GSB 7 Q A 8 Q A 9 Q A page 46 hird generation My AED is sounding an audible alert Why How do I stop it The audible alert indicates that the self test detected a need for maintenance or corrective action Determine the maintenance required by using the Troubleshooting Table in this chapter Opening and closing the lid may
5. 2 200VE 140J 250J 3 200VE 140J 250J Protocol 4 1 150VE 105J 195J 2 150VE 105J 195J 3 200VE 140J 250J Protocol 5 1 200VE 140J 250J 2 200VE 140J 250J 3 200VE 140J 250J 1 The ultra low current low current and high current shocks are variable energy The actual energy is determined by the patient s impedance 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 19 CARDIAC SCIENCE AEDs OPERATOR TRAINING REQUIREMENTS Persons authorized to operate the AED must have all of the following minimum training e Defibrillation training and other training as required by state province or country regulations e Training on operation and use of the AED e Additional training as required by the physician or Medical Director e A thorough understanding of the procedures in this manual Notes Keep valid certificates of training and certification as required by state province or country regulations page 20 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 3 Getting Started SECTION 3 GETTING STARTED OVERVIEW This section presents information on unpacking and setting up the AED Topic Unpacking and Inspecting AED Parts AED Modes IntelliSense Battery Pads AED Indicators Setting the AED Internal Clock Voice Prompts and Text Display Page 21 22 23 24 26 27 30 30 UNPACKING AND INSPECTING Every attempt is made to ensure your order
6. PAS E 26 O nr 27 SETTING THE AED INTERNAL CLOCK dunes 30 VOICE PROMPTS AND TEXT DISPLAYS ode ala dd 30 SECTION 4 INSTRUCTIONS FOR USE o oO GR eT ct er 33 STEP 1 ASSESSMENT AND PAD PLACEMENT 34 STEP D EUG ANALYS Br re Sievert teen Se tea allan atid 35 STEP 3 SHOCK DELIVERY AND CPR MODE eue 36 STEP POST RESCUE Se en ost nan O ae ss 37 MARNE Re eee A EA 37 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 5 CARDIAC SCIENCE AEDS SECTION 5 DATA MANAGEMENT OVERVIEW 23 utiedishcantat nhs e ai 39 RECORDING RESCUE DATA een 39 REVIEWING RESCUE DATA sanitaire ra 39 MULTIPLE RESCUE FUNCTIONALITY ns 40 SECTION 6 MAINTENANCE amp TROUBLESHOOTING OVERVIEW stoic hpi A iy bach SH ea Be SA eae 41 SELF TEST si isthe Pid nae nila ta a 41 INDICATOR TROUBLESHOOTING TABLE 42 SCHEDULED MAINTENANCE cocoa di 43 AUTHORIZED REPAIR SERVICE nn 44 FREQUENTLY ASKED QUESTIONS docccoicicicicncocococonconccnonnnonrononconnnno nono nan cr nronn orar rra 45 SECTION 7 TECHNICAL DATA OVERVIEW NN 47 PARAMETERS SE ne de an done nd di oa 47 SAFETY AND PERFORMANCE STANDARDS 90 STAR BIPHASIC WAVEFORM eee 92 RHYTHMx ECG ANALYSIS PERFORMANCE ie 54 page 6 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 1 Safety SECTION 1 SAFETY OVERVIEW This section presents safety information to guard against injury to persons and damage to the Cardiac Scien
7. Temperature Extremes Exposing the AED to extreme environmental conditions outside of its operating parameters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED If the daily self test determines environmental conditions outside of the AED s operating parameters a Service Required alert will be issued to prompt the user to move the AED to environmental conditions within the acceptable operating parameters at once SHIPPING AND TRANSPORT CONDITIONS For up to 1 week See Section 7 Technical Data Safety and Performance Standards Shipping and Transportation Conditions 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 23 CARDIAC SCIENCE AEDs G 3 third generation INTELLISENSE BATTERY The Cardiac Science IntelliSense battery technology offers you the most advanced battery capabilities available for defibrillators Cardiac Science IntelliSense batteries contain an integrated memory chip that automatically stores important usage information enabling the battery to maintain a complete history of its operating life The actual battery history can be reviewed using the RescueLink software This history includes e Battery Identification e Battery Type e Original Date of Installation in an AED Number of Charges complet
8. The SMARTGAUGE Battery Status Indicator has five 5 LEDs four 4 green and one 1 red The right four green LEDs display the remaining capacity of the battery much like a fuel gauge With use the green LEDs gradually go out from right to left as battery capacity decreases When the green LEDs go out and the red LED lights up replace the battery Note When the red LED initially lights up upon lid opening or at any time during a rescue a Battery Low prompt will be issued at once However the AED is capable of delivering at least 9 more defibrillation shocks after the first Battery Low prompt is issued When the AED battery cannot deliver any more shocks the AED display will show BATTERY LOW the STATUS INDICATOR will be RED and the device will beep every 30 seconds To continue the rescue leave the lid open remove the battery and replace with a fresh battery If battery replacement takes longer than 60 seconds the first rescue will be terminated and a second rescue will begin upon new battery insertion PADS INDICATOR The PADS LED lights up when the pads are e Not properly connected to the AED e Not within operational specifications cold dried damaged e Disconnected from the patient during a rescue page 28 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 3 Getting Started SERVICE INDICATOR i The SERVICE LED lights up when the AED requires maintenance that ca
9. Corp Information in this documentation is subject to change without notice Names and data used in the examples are fictitious unless otherwise noted DEFIBRILLATOR TRACKING Defibrillator manufacturers and distributors are required under the Safe Medical Devices Act of 1990 to track the location of defibrillators they sell Please notify Cardiac Science Customer Service in the event that your defibrillator is sold donated lost stolen exported destroyed or if it was not purchased directly from Cardiac Science Corp page 4 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Cardiac Science AED G3 Operation and Service Manual TABLE OF CONTENTS SECTION 1 SAFETY A a leo 7 SAFETY TERMS AND D FINITIONS 7 SAFETY ALERT DESCRIPTIONS eu 8 SYMBOMD ESCRIPUIONG a ta de ur 11 SECTION 2 INTRODUCTION OVER VIE Wiesel Rice etek DS cath D A ase atts lela 15 WED DESCRIPTION cad 15 INDICABIONS FOR USE AA A a rss me 15 RHYTHMX AED ECG ANALYSIS ALGORITHM osssossssosssssessstssstssstessesssessssssnssssssesueeenste 16 FESCUE PROTOCOI ssc scons M nr eue ne Stasis 18 STAR BIPHASIC WAVEFORM tsetse cesses ees lenses S 18 STAR BIPHASIC ENERGY PROTOCOLS FOR POWERHEART AED 18 OPERATOR TRAINING REQUIREMENTS o 20 SECTION 3 GETTING STARTED O Au ue 21 UNPACKING AND INSPECTING Lear essa a a cated 21 BE PAU a Rats Ste cach hare ah mn a 22 RED MODES tek ee nn Le ns es OU eee 23 NTELLISENSE BATTERY ann a a on ne adds 24
10. SCIENCE AED Rhythm Class Specifications Shockable Rhythm VF Meets AAMI DF 39 requirement and AHA recommendation of Sensitivity of gt 90 Shockable Rhythm VT Meets AAMI DF 39 requirement and AHA recommendation of Sensitivity of gt 75 Non shockable Rhythm NSR Meets AAMI DF 39 requirement gt 95 and AHA recommendation gt 99 of Specificity Non shockable Asystole Meets AAMI DF 39 requirement and AHA recommendation of Specificity of gt 95 Non shockable Meets AAMI DF 39 requirement and AHA recommendation of Specificity all other rhythms of gt 95 Automatic External Defibrillators for Public Access Defibrillation Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance Incorporating New Waveforms and Enhancing Safety AHA AED Task Force and approved by the AHA Science Advisory and Coordinating Committee Circulation 1997 95 pp 1677 1682 page 54 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved AN CARDIAC SCIENCE xy
11. acceptable operating parameters at once See Section 7 Technical Data Parameters Operation and Standby Conditions page 42 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 6 Maintenance amp Troubleshooting SCHEDULED MAINTENANCE DAILY MAINTENANCE Check the STATUS INDICATOR to ensure that it is GREEN When the indicator is GREEN the AED is ready for a rescue If the indicator is RED refer to the Troubleshooting Table in this chapter MONTHLY MAINTENANCE 1 Open the AED lid 2 Wait for the AED to indicate status Observe the change of the STATUS INDICATOR to RED After approximately 5 seconds verify that the STATUS INDICATOR returns to GREEN 3 Check the expiration date on the electrodes 4 Listen for the voice prompts 5 Close the lid and confirm that STATUS INDICATOR remains GREEN ANNUAL MAINTENANCE Perform the following tests annually to confirm that the diagnostics are functioning properly and to verify the integrity of the case Check the Integrity of the Pads and Circuitry HN 0 8 D gt 10 11 Open the AED lid Remove the pads Close the lid Confirm that the STATUS INDICATOR turns red Open the lid and confirm that the PAD indicator is lit Reconnect the pads and close the lid Make sure the expiration date is visible through the clear window of the lid a Check to make sure that the STATUS INDICATOR is GREEN If the pads are not installed properly
12. do not operate wireless radiotelephones within 1 meter of the AED turn power OFF to the radiotelephone and other like equipment near the incident CAUTION Possible Interference with Implanted Pacemaker Therapy should not be delayed for patients with implanted pacemakers and a defibrillation attempt should be made if the patient is unconscious and not breathing The AED has pacemaker detection and rejection however with some pacemakers the AED may not advise a defibrillation shock Placing Pads e Do not place the pads directly over an implanted device e Place the pad at least an inch from any implanted device CAUTION Moving the Patient During a Rescue During a rescue attempt excessive jostling or moving of the patient may cause AEDs to improperly analyze the patient s cardiac rhythm Stop all motion or vibration before attempting a rescue 1 Cummins R ed Advanced Cardiac Life Support AHA 1994 Ch 4 page 38 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 5 Data Management SECTION 5 DATA MANAGEMENT OVERVIEW The AED is designed for ease of data management and review The data stored in internal memory can be displayed on the PC screen using the RescueLink software Topic Page Recording Rescue Data 39 Reviewing Rescue Data 39 RECORDING RESCUE DATA RECORDING DATA IN INTERNAL MEMORY The AED automatically stores up to 60 minutes of rescue data REVIEWING RESCUE DATA R
13. problem contact Cardiac Science Customer Service See page 4 or contact your local Cardiac Science distributor A WARNING Shock Hazard Do not disassemble the AED Failure to observe this warning can result in personal injury or death Refer maintenance issues to Cardiac Science authorized service personnel IS Note The warranty will be void upon unauthorized disassembly or service of the AED page 44 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 6 Maintenance amp Troubleshooting FREQUENTLY ASKED QUESTIONS QUESTIONS AND ANSWERS 1 Q Can l give CPR while the AED is analyzing A No As with all AEDs the operator should stop CPR compressions during the analysis phase 2 Q Canl transport the victim while the AED is analyzing A No Vehicle motion may cause noise artifacts that could interfere with proper cardiac rhythm analysis Stop the vehicle when cardiac rhythm analysis is necessary 3 Q Do need to prepare the chest prior to pad application A Special preparation is not usually necessary The chest should be as clean dry and as oil free as possible Follow your Medical Director s instruction 4 Q What happens if the battery is low when I begin a rescue A When the battery indicator is red the AED issues a Battery Low prompt once however the AED is still capable of delivering approximately 9 more defibrillation shocks When the AED is not capable of delivering any more shocks it
14. the AED to function improperly during a rescue CAUTION Possible Improper AED Performance Using pads that are damaged or expired may result in improper AED performance CAUTION Serial Communication Cable The AED will not function during a rescue when the serial communication cable is connected to its serial port When the serial communication cable is connected to the AED during a rescue the prompt Remove Cable to Continue Rescue will be heard until you remove the serial communication cable gt gt i gt P CAUTION Possible Radio Frequency RF Susceptibility RF susceptibility from cellular phones CB radios and FM 2 way radio may cause incorrect rhythm recognition and subsequent shock advisory When attempting a rescue using the AED do not operate wireless radiotelephones within 1 meter of the AED turn power OFF to the radiotelephone and other like equipment near the incident gt 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 9 CARDIAC SCIENCE AEDS GB ii A gt p generation CAUTION Possible Interference with Implanted Pacemaker Therapy should not be delayed for patients with implanted pacemakers and a defibrillation attempt should be made if the patient is unconscious and not breathing The AED has pacemaker detection and rejection however with some pacemakers the AED may not advise a defibrillation shock Placing Pads e Do not place the pads directly over an im
15. turn OFF the audible alert until the next self test However the STATUS INDICATOR will remain RED The AED did not sound an audible alert when removed the pads and closed the lid Why The lid closed pad self test only activates the STATUS INDICATOR The AED allows time for replacement of the pads as removing pads is a normal procedure after a rescue or a battery during the post rescue procedure however an audible maintenance indicator will be triggered after the next Daily Self test What if have to perform a rescue in an isolated area and at subzero temperatures When travel to a rescue involves exposing the AED to extremely cold temperatures for an extended period of time keep the pads and the battery warm 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 7 Technical Data SECTION 7 TECHNICAL DATA OVERVIEW This section presents technical data about the AED Topic Page Parameters 47 Safety and Performance Standards 50 STAR Biphasic Waveform 52 RHYTHMx ECG Analysis Performance 54 PARAMETERS OPERATION Semi Automatic shock advisory Automatic AUDIBLE ALERTS Voice Prompt Maintenance Alert VISIBLE INDICATORS Status Indicator Battery Status Indicator Service Indicator Pads Indicator Text Display 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 47 CARDIAC SCIENCE AE GS RESCUE DATA STORAGE Storage Internal Ds Capacity
16. 366 809 5 474 574 6 246 907 6 289 243 6 411 846 6 480 734 6 658 290 EP00756878 Other U S and foreign patents pending O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 3 CARDIAC SCIENCE AEDS GB third generation LIMITED WARRANTY The Cardiac Science AED Operation and Service Manual and any and all information contained herein do not constitute any warranty as to the Powerheart AED G3 Powerheart AED G3 Automatic or any related products in any manner whatsoever The Limited Warranty is shipped with the AED and serves as the sole and exclusive warranty provided by Cardiac Science regarding Cardiac Science AED products ORDER ENTRY To order additional Cardiac Science AEDs or accessories Worldwide Toll Free 800 991 5465 Telephone 425 402 2690 Fax 425 402 2001 Email customerservice cardiacscience com TECHNICAL SUPPORT To receive 24 hour customer support US INTERNATIONAL Toll Free 1 888 466 8686 Or 1 425 402 2691 Email techsupport cardiacscience com www cardiacscience com There is no charge to the customer for a customer support call Please have the serial and model numbers available when contacting Customer Service The serial and model numbers are located on the underside of the Cardiac Science AED NOTICE OF RIGHTS All rights reserved No part of this documentation may be reproduced or transmitted in any form by any means without the express written permission of Cardiac Science
17. 8 2 32 1975 AM 2 1990 1 meter IEC 60068 2 29 1987 40g and 6000 bumps IEC 60068 2 64 1993 10Hz 2KHz 0 005 0 0012 g Hz IEC 60068 2 6 1995 10Hz 60Hz 0 15 mm and 60Hz 150Hz 2g IEC 60529 2001 IP24 112 2025 305 Rev A page 51 CARDIAC SCIENCE AEDs GS SHIPPING AND TRANSPORTATION CONDITIONS ISTA Procedure 2A STAR BIPHASIC WAVEFORM The waveform generated by the Cardiac Science AED is a BIPHASIC TRUNCATED EXPONENTIAL waveform that is compliant with ANSI AAMI DF2 and DF39 The following is a graph of the waveform voltage as a function of time when the AED is connected to a 50 Ohm resistive load High Energy Waveform with 50 Ohm Resistive Load 2000 0 1500 0 1000 0 500 0 VOLTAGE VOLTS 500 0 1000 0 1500 0 l l L l l l l l 1 000 0 000 1 000 2 000 3 000 4 000 5 000 6 000 7 000 8 000 9 000 10 000 TIME ms FIGURE A1 STAR BIPHASIC WAVEFORM Table A1 Ultra low Current Powerheart AED Models 9300 Waveform all values are typical Patient s Impedance Voltage Duration Voltage Duration Energy Ohms Volts ms Volts ms Joules 3 3 730 145 195 45 915 130 175 5 8 980 120 160 7 0 1020 110 150 8 3 1040 A 105 140 page 52 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 7 Technical Data Table A2 Low Variable Energy Powerheart AED Models 9300 Waveform all values are typical Pa
18. 9300E and 9300A SAFETY ALERT DESCRIPTIONS The following is a list of Cardiac Science AED safety alerts that appear in this section and throughout this manual You must read understand and heed these safety alerts before attempting to operate the AED A DANGER Fire and Explosion Hazard Exercise caution when operating the AED close to flammable gases including concentrated oxygen to avoid possible explosion or fire hazard A WARNING Shock Hazard Defibrillation shock current flowing through unwanted pathways is potentially a serious electrical shock hazard To avoid this hazard during defibrillation abide by all of the following e Do not touch the patient unless performance of CPR is indicated Do not touch metal objects in contact with the patient e Keep defibrillation pads clear of other pads or metal parts in contact with patient e Disconnect all non defibrillator proof equipment from the patient before defibrillation A WARNING Shock and Possible Equipment Damage Disconnect all non defibrillator proof equipment from the patient before defibrillation to prevent electrical shock and potential damage to the equipment page 8 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 1 Safety A WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment A WARNING Battery is Not Rechargeable Do not attempt to recharge the batter
19. A page 2 Cardiac Science AED G3 Operation and Service Manual CAUTION Federal law restricts this device to be sold by or on the order of a physician or practitioner licensed by state law in which he she practices to use or order the use of the device IMPORTANT Read this Operation and Service Manual carefully It contains information about your safety and the safety of others Become familiar with the controls and how to use the AED properly before operating the product Cardiac Science AEDs are manufactured by Corporate Headquarters Cardiac Science Corporation Bothell WA 98021 U S A Web site www cardiacscience com E mail customerservice cardiacscience com Authorized European Representative MDSS Burckhardtstrasse 1 D 30163 Hannover Germany TRADEMARK INFORMATION Powerheart MDLink STAR IntelliSense RescueReady RescueLink and RHYTHMx are trademarks and registered trademarks of Cardiac Science Corp Microsoft and Windows are registered trademarks of Microsoft Corporation All other trademarks are the property of their respective owners PATENTS This device is covered by the following U S and foreign patents 5 792 190 5 999 493 5 402 884 5 579 919 5 749 902 5 645 571 6 029 085 5 984 102 5 919 212 5 891 172 5 674 266 5 700 281 5 891 173 5 968 080 6 263 239 5 797 969 D402 758 D405 754 5 909 138 6 173 203 6 088 616 5 897 576 5 955 956 6 083 246 6 064 909 6 038 473 5 868 794 6 115 638 6
20. CARDIAC SCIENCE AEDS G3 third generation Operation and Service Manual POWERHEARTAED Gs automated external defibrillator 9300E POWERHEARTAED G33 automated external defibrillator 9300A AUTQMATIC a NY CARDIAC SCIENCE Limited Warranty Cardiac Science Corp Cardiac Science warrants to the original purchaser that its AEDs and stated battery operating life will be free of any defect in material and workmanship according to the terms and conditions of this Limited Warranty Limited Warranty For purposes of this Limited Warranty the original purchaser is deemed to be the original end user of the product purchased This Limited Warranty is NONTRANSFERABLE and UNASSIGNABLE For How Long Seven 7 years from the date of the original shipment to the original purchaser for Powerheart AED G3 automated external defibrillators and G3 AED battery P N 9146 Disposable defibrillation pads shall be warranted until the expiration date Lithium batteries P N 9146 have a full operational replacement warranty of four 4 years from the date of installation into a Powerheart AED G3 One 1 year from the date of original shipment to the original purchaser for Cardiac Science AED accessories The terms of the Limited Warranty in effect as of the date of original purchase will apply to any warranty claims What You Must Do Please complete and submit the Warranty Validation Form within 30 days of original shipment locat
21. ETRIEVING DATA FROM MEMORY 1 Open the AED lid 2 Connect the serial cable to the PC and to the AED s serial port under the blue rubber data access cover The voice prompt will say Communications Mode Run the RescueLink software program Select COMMUNICATIONS GET RESCUE DATA On the RescueLink software program Select INTERNAL MEMORY OF AED then select OK Select a rescue by clicking on the date and press OK BE A WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment A CAUTION Serial Communication Cable The serial communication cable is only for use with the AED it is not to be used with a telephone O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 39 CARDIAC SCIENCE AEDs MULTIPLE RESCUE FUNCTIONALITY The AED can store up to 60 minutes of ECG monitoring time in the AED s internal memory Multiple rescues can be stored in the internal memory allowing the rescuer to administer additional rescues without downloading the data to a PC Should the internal memory become full the AED will purge rescues as needed beginning with the oldest rescue When downloading data RescueLink will enable the user to select which rescue to download See the RescueLink application HELP files for more information page 40 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 6 Maintenance amp Troubleshoot
22. L a Classified by ETL Semko with respect to electric shock fire and mechanical hazards only in LGD us accordance with UL 60601 1 CAN CSA C22 2 No 601 1 M90 EN60601 1 and EN60601 2 4 Conforms to UL Standard UL60601 1 Certified to CAN CSA Standard C22 2 No 601 1 M90 Electrical Construction Safety and Performance IEC 60601 1 1998 Amendments 1 1991 amp 2 1995 IEC 60601 2 4 2002 ANSI AAMI DF 39 1993 Electromagnetic Compatibility EMC IEC 60601 1 2 2001 IEC 60601 2 4 Section 36 ANSI AAMI DF 39 1993 Section 3 3 21 page 50 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved EMISSIONS Field E M Magnetic IMMUNITY Field E M Magnetic ESD ENVIRONMENTAL CONDITIONS Condition Free Fall Drop Bump Vibration Random Vibration Sine Enclosure Protection O 2006 Cardiac Science Corp All rights reserved Section 7 Technical Data Standard or Compliance EN 55011 CISPR 11 Group 1 Class B ANSI AAMI DF39 lt 0 5mT on surface except for within 5cm of the lid magnet and the speaker Standard or Compliance IEC 61000 4 3 Level X 20V m IEC 60601 2 4 Section 36 202 3 20V m AAMI DF39 Section 3 3 21 2 1 IEC 61000 4 8 2001 IEC 60601 2 4 2002 Section 36 202 8 AAMI DF39 Section 3 3 21 2 3 80A m 47 5Hz 1 320Hz IEC 61000 4 2 Level 3 IEC 60601 2 4 2002 Section 36 202 2 6KV contact discharge 8KV air gap discharge Standard or Compliance IEC 6006
23. PEEL ONE PAD FROM PLASTIC LINER PLACE ONE PAD ON BARE UPPER CHEST PEEL SECOND PAD PLACE ON LOWER CHEST DO NOT TOUCH PATIENT ANALYZING RHYTHM SHOCK ADVISED CHARGING 112 2025 305 Rev A SITUATION When the lid is opened this phrase is repeats twice to initiate the rescue sequence Repeats until one pad is peeled off of the liner Repeat twice while one pad is placed Repeats until both pads are placed on the patient When the AED is analyzing the cardiac rhythm of the patient When the AED is preparing to deliver a defibrillation shock Repeats while AED is charging 2006 Cardiac Science Corp All rights reserved VOICE PROMPT Stand Clear Push Flashing Button to Deliver Shock Shock Delivered It is now safe to touch the patient Start CPR Give 30 compressions Then Give Two Breaths Check Pads Battery Low none Analysis Interrupted Stop Patient Motion Open Lid to Continue Rescue Rhythm Changed Shock Cancelled TEXT DISPLAY STAND CLEAR PUSH BUTTON TO SHOCK SHOCK DELIVERED IT IS NOW SAFE TO TOUCH THE PATIENT START CPR 30 COMPRESSIONS 2 BREATHS CHECK PADS BATTERY LOW REMOVE BATTERY COPLETELY ANALYSIS INTERRUPTED STOP PATIENT MOTION OPEN LID TO CONTINUE RESCUE RHYTHM CHANGED SHOCK CANCELLED 2006 Cardiac Science Corp All rights reserved Section 3 Getting Started SITUATION After
24. RANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE 2006 Cardiac Science Corp All rights reserved Limited Warranty for Powerheart AED G3 Some states do not allow limitations on how long an implied warranty lasts so this limitation may not apply to you NO PERSON INCLUDING ANY AGENT DEALER OR REPRESENTATIVE OF CARDIAC SCIENCE IS AUTHORIZED TO MAKE ANY REPRESENTATION OR WARRANTY CONCERNING CARDIAC SCIENCE PRODUCTS EXCEPT TO REFER PURCHASERS TO THIS LIMITED WARRANTY YOUR EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSSES OR DAMAGES RESULTING FROM ANY CAUSE WHATSOEVER SHALL BE AS SPECIFIED ABOVE CARDIAC SCIENCE SHALL IN NO EVENT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES OF ANY KIND INCLUDING BUT NOT LIMITED TO EXEMPLARY DAMAGES COMMERCIAL LOSS FROM ANY CAUSE BUSINESS INTERRUPTION OF ANY NATURE LOSS OF PROFITS OR PERSONAL INJURY EVEN IF CARDIAC SCIENCE HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES HOWEVER OCCASIONED WHETHER BY NEGLIGENCE OR OTHERWISE Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you What This Warranty Does Not Cover This Limited Warranty does not cover defects or damages of any sort resulting from but not limited to accidents damage while in transit to our service location alterations unauthorized service unauthorized product case opening failure to follow in
25. ce AED G3 TOPIC PAGE Safety Terms and Definitions 7 Safety Alert Descriptions 8 Symbol Descriptions 11 SAFETY TERMS AND DEFINITIONS BEFORE OPERATING THE CARDIAC SCIENCE AED G3 Become familiar with the various safety alerts in this section Safety alerts identify potential hazards using symbols and words to explain what could potentially harm you the patient or the Cardiac Science AED G3 SAFETY TERMS AND DEFINITIONS The triangle attention symbol shown below left identifies the potential hazard categories The definition of each category is as follows A DANGER This alert identifies hazards that will cause serious personal injury or death A WARNING This alert identifies hazards that may cause serious personal injury or death A CAUTION This alert identifies hazards that may cause minor personal injury product damage or property damage PRODUCT MODELS This manual is for Cardiac Science AED models 9300E and 9300A They share a basic set of features and differences are noted throughout the manual 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 7 CARDIAC SCIENCE AEDs PRODUCT REFERENCES For purposes of retaining simple clear instructions in this manual note the product references used Features specifications operating instructions and maintenance common to product models will be referred to as Powerheart AED AED or device Refers to Cardiac Science AED G3 models
26. d Section 2 Introduction SYNCHRONIZED SHOCK The AED is designed to automatically attempt to synchronize shock delivery on the R wave if one is present If delivery cannot be synchronized within one second a non synchronized shock will be delivered PACEMAKER PULSE DETECTION The AED contains pacemaker pulse detection circuitry to detect pulses from an implanted pacemaker SVT DISCRIMINATORS The AED is supplied with the SVT Discriminator enabled and with the default setting NO THERAPY FOR SVT With the factory default setting of NO THERAPY FOR SVT the AED will not shock an SVT rhythm SVT Discriminators are sophisticated filters that analyze the morphology of the ECG waveforms and distinguish VENT from SVT and Normal Sinus Rhythms NSR The SVT Discriminator will only be applied to rhythms that fall between the Detection Rate and the SVT Rate The factory default setting for this feature is NO THERAPY FOR SVT however the Medical Director can enable this feature using MDLink SVT RATE All rhythms with rates between the Detection Rate and SVT Rate will be screened through a number of SVT Discriminators to classify them into VF VT or SVT Rhythms classified as SVT between the two set rates are not shockable All SVT rhythms above the rates will be classified as shockable The SVT Rate must be greater than the Detection Rate and is selectable between 160 and 300 bpm or NO THERAPY FOR SVT can be selected via MDLi
27. e Indicator Troubleshooting Guide Table on the next page 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 41 CARDIAC SCIENCE AEDS EB third generation INDICATOR TROUBLESHOOTING TABLE The following is a troubleshooting table for the AED indicators VIEW SYMPTOM SOLUTION Red SERVICE indicator LED Maintenance by authorized service personnel is required D is lit Call Cardiac Science Customer Service see page 4 or your local Cardiac Science distributor Red PADS indicator LED is lit Connect the pads or replace with a new pair The last battery indicator LED The battery is low Replace with a new battery is red Q STATUS INDICATOR is RED The battery power is completely depleted Replace with and no other indicators on the a new battery If STATUS INDICATOR remains RED call RESCUE diagnostic panel are lit Cardiac Science Customer Service or your local Cardiac READY Science distributor A CAUTION Temperature Extremes Exposing the AED to extreme environmental conditions outside of its operating parameters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED If the daily self test determines environmental conditions outside of the AED s operating parameters a SERVICE REQUIRED alert will be issued to prompt the user to move the AED to environmental conditions within the
28. e Pacemaker Pulse Rejection e SVT Discriminators e Supraventricular Tachycardia SVT Rate DETECTION RATE All ventricular fibrillation VF and ventricular tachycardia VT rhythms at or above this rate will be classified as shockable All rhythms below this rate will be classified as non shockable This rate is programmable between 120 bpm beats per minute and 240 bpm via MDLink Software by the Medical Director The default Detection Rate is 160 bpm ASYSTOLE THRESHOLD The asystole peak to peak threshold is set at 0 08 mV ECG rhythms at or below 0 08 mV will be classified as asystole and will not be shockable NOISE DETECTION The AED will detect noise artifact in the ECG Noise could be introduced by excessive moving of the patient or electronic noise from external sources like cellular and radiotelephones When noise is detected the AED will issue the prompt Analysis Interrupted Stop Patient Motion to warn the operator The AED will then pro ceed to reanalyze the rhythm and continue with the rescue NON COMMITTED SHOCK After the AED advises a shock it continues to monitor the patient ECG rhythm If the patient s rhythm changes to a non shockable rhythm before the actual shock is delivered the AED will advise that the rhythm has changed and issue the prompt Rhythm Changed Shock Cancelled The AED will override the charge and initiate CPR page 16 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserve
29. ed e Time in Operation hours minutes e Days of Standby Operation e Battery Capacity Remaining BATTERY OPERATING LIFE The battery operating life depends on the type of battery actual usage and environmental factors The following table represents the expected life of the Powerheart AED when used in Standby Mode Full Operational Estimated Shelf Life Replacement Guarantee Model from date of manufacture from date of installation Typical Shocks 9146 Lithium 5 Years 4 Years up to 290 shocks page 24 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 3 Getting Started BATTERY SHELF LIFE The Cardiac Science AED batteries have a shelf life of five years Shelf life is defined as the length of time a battery can be stored prior to installation into AED without degrading its performance DS Note Storing the battery outside its specific range 0 50 C will decrease battery life BATTERY INSTALLATION 1 With the label on the battery facing the AED battery compartment insert the battery as shown in the drawing 2 Push the latched end of the battery firmly into the AED as shown in the drawing until the battery snaps into place The exposed side of the battery should be flush with the outside of the AED case 3 Open the lid for 5 seconds to initiate a self test If the battery is installed properly the SMARTGAUGE battery indicator LEDs will illuminate and the STATUS INDICATOR will tu
30. ed at http www cardiacscience com products aed_warranty cfm If the purchaser does not have internet access call 888 466 8686 To obtain warranty service for your product call us toll free at 888 466 8686 seven days a week 24 hours a day Our customer service representative will try to resolve your issue over the phone If necessary and at our sole discretion we will arrange for service or a replacement of our product What We Will Do If your Cardiac Science product is returned within 30 days of the date it was purchased at the direction of a customer service representative we will replace it with a new product of equal value at no charge to you provided the warranty applies If your Cardiac Science product is returned at the direction of a customer service representative after 30 days but within the warranty period Cardiac Science at its sole discretion will repair your product or replace it The repaired or replacement product will be warranted subject to the terms and conditions of this Limited Warranty for either a 90 days or b the remainder of the original warranty period whichever is longer provided the warranty applies and the warranty period has not expired Obligations and Warranty Limits Limited Warranty Obligation Exclusive Remedy THE FOREGOING LIMITED WARRANTY IS IN LIEU OF AND SPECIFICALLY EXCLUDES AND REPLACES ALL OTHER EXPRESSED OR IMPLIED WARRANTIES INCLUDING BUT NOT LIMITED TO THE IMPLIED WAR
31. es 10 seconds to charge the AED to maximum energy A battery with reduced capacity causes the red LED light to initially turn ON and typically takes 13 seconds to charge a fully discharged AED to maximum energy The maximum time from Power On to Ready to Shock is 28 seconds for a new rescue The maximum time from Analyze to Ready to Shock is 22 seconds for a new rescue O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 49 CARDIAC SCIENCE AEDS AED SELF TEST SEQUENCE Frequency of Self Test What is Tested Daily Battery pads internal electronics SHOCK button and software no charge Weekly Battery pads internal electronics SHOCK button and software par tial charge Monthly every 28 days Battery under load pads internal electronics full energy charge cycle SHOCK and software full charge Open Lid when lid is opened Battery pads internal electronics SHOCK button and software Close Lid when lid is closed Battery pads internal electronics SHOCK button and software SAFETY AND PERFORMANCE STANDARDS AED MODELS 9300 The AED has been designed and manufactured to conform to the highest standards of safety and performance including electromagnetic compatibility EMC The Cardiac Science AED Models 9300 and pads conform to the applicable requirements of the following CE CE CE Marked by BSI 0086 per the Medical Device Directive 93 42 EEC of European Nations ET
32. ev A page 31 CARDIAC SCIENCE AEDS rd gene VOICE PROMPT Continue CPR Remove Cable to Continue Rescue Communications Mode Beep Service Required TEXT DISPLAY CONTINUE CPR REMOVE CABLE COMMUNICATIONS MODE SERVICE REQUIRED For the Powerheart AED G3 Automatic only Stand Clear Shock will be Delivered in Three two one Shock delivered It is now safe to touch the patient page 32 STAND CLEAR SHOCK IN THREE TWO ONE SHOCK DELIVERED IT IS NOW SAFE TO TOUCH THE PATIENT 112 2025 305 Rev A SITUATION During CPR mode when enabled or when a rescue is resumed in CPR mode after being interrupted by the lid closing When a serial communication cable is connected to the AED during a rescue the phrase repeats until the cable is disconnected When the lid is open and the serial communication cable is plugged into the AED One Beep occurs in 30 second intervals during CPR when enabled by the MDLink software program Beep occurs when the AED requires maintenance Occurs after the self tests determine that the AED is not functioning properly The prompt Service Required will be heard when the lid is opened The red SERVICE indicator will illuminate and Service Required will repeat until you close the lid After closing the lid an alarm beep will be heard until the battery is removed or becomes completely dep
33. ght Savings Time This feature can be turned off using the MDLink software To set the clock you will need a Windows 98 or newer PC RescueLink software installed and the AED serial cable connected to the PC To set the clock settings e Ensure that the PC is set at the correct local time and date e Open the lid of the AED and run the RescueLink software on the PC e Connect the cable to the serial port on the AED e Verify that the voice prompt states Communications Mode e Click COMMUNICATIONS on the main menu Select AED DATE AND TIME e Click on the GET button to review the current time in the AED e Ifthe time and date is incorrect click SET to set new time and date The AED date and time will automatically be updated to the PC s time and date VOICE PROMPTS AND TEXT DISPLAY The voice prompts activate when the AED lid is opened and help guide the operator through the rescue The AED text display provides a visual display of most of the audible voice prompts The following table lists the voice and text prompts and a description of when the prompts are issued VOICE PROMPT Tear Open Package and Remove Pads Peel One Pad from Plastic Liner Place One Pad on Bare Upper Chest Peel Second Pad and Place on Bare Lower Chest as Shown Do Not Touch Patient Analyzing Rhythm Shock Advised Charging page 30 TEXT DISPLAY TEAR OPEN PACKAGE REMOVE PADS
34. ience Corp All rights reserved Section 3 Getting Started DIRECTIONS FOR USE 1 Do NOT open until ready to use short term use only 2 Ensure the skin site is clean and dry 3 Separate one pad from liner 4 Place one pad on skin in either location 5 Peel and place remaining pad AED INDICATORS The following indicators are located on the AED RESCUEREADY STATUS INDICATOR The STATUS INDICATOR is located on the Powerheart AED handle Key When this indicator is GREEN the AED is RescueReady This means RESCUE the AED self tests have verified the following e Battery has an adequate charge e Pads are properly connected to the AED e Integrity of the internal circuitry is good ey When the STATUS INDICATOR is RED maintenance is required RESCUE READY AUDIBLE MAINTENANCE INDICATOR When the daily weekly or monthly self test determines service is required an audible beep is sounded every 30 seconds until the lid is opened or the battery power is depleted Opening and closing the lid may deactivate the beep If the error is not corrected by the next automatic self test the beep will be reactivated 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 27 CARDIAC SCIENCE AEDs G 3 third generation DIAGNOSTIC PANEL A SMARTGAUGE BATTERY Indicator B PADS Indicator C SERVICE Indicator D SHOCK Button 9300E only BC D CONTINUE SMARTGAUGE BATTERY STATUS INDICATOR
35. ing SECTION 6 MAINTENANCE amp TROUBLESHOOTING OVERVIEW This section presents information about the AED diagnostics self tests maintenance and service indications Topic Page Self Tests 41 Indicator Troubleshooting Table 42 Scheduled Maintenance 43 Authorized Repair Service 44 Frequently Asked Questions 45 SELF TESTS The AED has a comprehensive self test system that automatically tests the electronics battery pads and high voltage circuitry Self tests are also activated every time you open and close the AED lid When performing the self tests the AED completes the following steps automatically e Turns itself ON and the STATUS INDICATOR changes to RED e Performs the self test e f successful the STATUS INDICATOR reverts to GREEN e Turns itself OFF if the lid is closed There are three types of automatic self tests The Daily Self test checks the battery pads and the electronic components The Weekly Self test completes a partial charge of the high voltage electronics current in addi tion to the items tested in the Daily Self test During the Monthly Self test the high voltage electronics are charged to full energy Self tests will be initiated upon opening the lid and again upon closing the lid If the self test detects an error the STATUS INDICATOR will remain RED Upon closing the lid an audible alert will be issued The Diagnostic Panel under the lid will indicate the source of the problem according to th
36. ing a combination of voice prompts audible alerts and visible indicators INDICATIONS FOR USE The AED with STAR Biphasic Waveform is intended to be used by personnel who have been trained in its operation The operator should be qualified by training in basic life support CPR AED or other physician authorized emergency medical response The device is indicated for emergency treatment of victims exhibiting symptoms of sudden cardiac arrest who are unresponsive and not breathing If the victim is breathing post resuscitation the AED should be left attached to allow for acquisition and detection of the ECG rhythm If a shockable ventricular tachyarrhythmia recurs the device will charge automatically and advise the operator to deliver therapy or for the Powerheart AED G3 Automatic automatically deliver a shock if needed When the patient is a child under 8 years of age or weighs less than 55 Ibs 25kg the AED should be used with the Model 9730 Pediatric Attenuated Defibrillation Pads Therapy should not be delayed to determine the patient s exact age or weight O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 15 CARDIAC SCIENCE AEDs RHYTHMx AED ECG ANALYSIS ALGORITHM The RHYTHMx AED ECG analysis algorithm provides ECG detection capabilities The features available with the AED include the following e Detection Rate e Asystole Threshold e Noise Detection e Non Committed Shock e Synchronized Shock
37. is accurate and complete However to be sure that your order is correct verify the contents of the box against your packing slip If you have any questions about your order contact Customer Service See page 4 O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 21 CARDIAC SCIENCE AEDs GB third generation AED PARTS The following drawings show the AED parts and their locations Battery Compartment RescueReady Status Indicator Push in to open f Pad Expiration Window Serial Communication Port Behind blue rubber data access cover Pad Holders Speaker Pad Connector Port SHOCK Buttton for Powerheart AED G3 9300E only page 22 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 3 Getting Started AED MODES Operating Mode Defined as having the battery installed and the lid open This is the mode the AED would be in during an actual rescue situation Standby Mode When the battery is installed but the lid is closed In this mode the AED is not being used in a rescue The device will conduct its routine self tests to ensure proper operation Storage Mode When the battery is removed such as during shipping or transport With the battery removed the AED is unable to perform self tests or rescues ENVIRONMENTAL OPERATING AND STANDBY CONDITIONS See Section 7 Technical Data Parameters Environmental Operation and Standby Conditions A CAUTION
38. lays a countdown timer If the patient is conscious and breathing normally leave the pads on the patient s chest connected to the AED Make the patient as comfortable as possible and wait for Advanced Life Support ALS personnel to arrive Continue to follow the voice prompts until the ALS personnel arrive or proceed as recommended by the Medical Director STEP 4 POST RESCUE After transferring the patient to ALS personnel prepare the AED for the next rescue 1 Retrieve the rescue data stored in the internal memory of the AED by using RescueLink software installed on a PC see detailed procedure in the Data Management section Connect a new pair of pads to the AED Close the lid Verify that the STATUS INDICATOR on the handle is GREEN WARNINGS The following cautions must be observed to prevent problems during the rescue A DANGER Fire and Explosion Hazard Exercise caution when operating the AED close to flammable gases including concentrated oxygen to avoid possible explosion or fire hazard A WARNING Shock Hazard Defibrillation shock current flowing through unwanted pathways is potentially a serious electrical shock hazard To avoid this hazard during defibrillation abide by all of the following e Do not touch the patient unless performance of CPR is indicated Do not touch metal objects in contact with the patient e Keep defibrillation pads clear of other pads or metal parts in contact with patient e Disc
39. leted After the AED is fully charged and ready to deliver the defibrillation shock The Shock will automatically be administered three seconds after the end of the voice prompt Counts down seconds until a shock is automatically delivered After a shock is automatically delivered Advises the rescuer when it is safe to touch the patient 2006 Cardiac Science Corp All rights reserved Section 4 Instructions for Use SECTION 4 INSTRUCTIONS FOR USE OVERVIEW This section presents information about how to use the AED to perform a rescue Topic Page Step 1 Assessment and Pad Placement 34 Step 2 ECG Analysis 35 Step 3 Shock Delivery and CPR Mode 36 Step 4 Post Rescue 37 Warnings 37 O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 33 CARDIAC SCIENCE AEDs GB third generation STEP 1 ASSESSMENT AND PAD PLACEMENT PREPARATION Determine that the patient is over 8 years of age or weighs more than 55 pounds 25 kg and exhibits the following The patient is unresponsive and the patient is not breathing Remove clothing from the patient s chest Ensure the skin site is clean and dry Dry the patient s chest and shave excessive hair if necessary Open the AED lid and wait until the LEDs are lit Note When the patient is a child under 8 years of age or weighs less than 55 Ibs 25kg the AED should be used with the Model 9730 Pediatric Attenuated Defibrillation Pads Therapy sho
40. n only be performed by qualified service personnel AA SHOCK INDICATOR For model 9300E only The AED has one button called the SHOCK button The word SHOCK and the shock button indicator LED will illuminate red when the AED is ready to deliver a defibrillation shock to the patient TEXT DISPLAY EET The text display has 2 lines of text The text display provides the operator with information regarding system initialization text prompts and data during a rescue and diagnostics System initialization occurs when the lid is first opened The text display shows the operator the identifiers for the internal code voice prompts and text prompts versions The text display also shows the current date and time During a rescue the text display shows the number of shocks delivered and the elapsed time from the beginning of the rescue when the lid was first opened During CPR a countdown timer will be displayed The text version of the voice prompts will also be displayed Note There is a 3 second delay between the time the AED lid is opened and the start of the rescue This 3 second delay is not included in the elapsed rescue time 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 29 CARDIAC SCIENCE AEDS SETTING THE AED INTERNAL CLOCK The internal clock is preset at Central Standard Time and should be reset to the correct date and local time If applicable the AED will automatically adjust itself for Dayli
41. nk Software by the Medical Director 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 17 CARDIAC SCIENCE AEDs RESCUE PROTOCOL The AED rescue protocol is consistent with the guidelines recommended by the American Heart Association AHA and the International Liaison Committee on Resuscitation ILCOR Upon detecting a shockable cardiac rhythm the AED advises the operator to press the SHOCK button to deliver a shock and then advises the operator to start CPR For the Powerheart AED G3 Automatic upon detecting a shockable rhythm the AED will automatically deliver a shock and then advise the operator to start CPR Note The standard CPR protocol of 120 seconds can be modified from 60 to 180 seconds in MDLink STAR BIPHASIC WAVEFORM The STAR Biphasic Waveform is designed to measure the patient s impedance and deliver STAR a customized shock This allows the delivery of an optimized energy level to each patient peie The energy levels for the Powerheart AED are available in three different defibrillation shock configurations See table on next page and Section 7 for additional information STAR BIPHASIC ENERGY PROTOCOLS FOR POWERHEART AED Cardiac Science s patented STAR Biphasic defibrillation waveform will deliver variable escalating energy that is customized to each patient s needs based upon a patient s thoracic impedance This customization adjusts for the unique physical diffe
42. omponents Some of the symbols represent standards and compliances associated with the AED and its use A A Sn 1P24 100 shock CONTINUE Dangerous Voltage The defibrillator output has high voltage and can present a shock hazard Please read and understand all safety alerts in this manual before attempting to operate the AED Attention Identifies important information in this manual on the AED or on its component parts regarding the safe and proper use of the AED Defibrillator Proof Type BF Equipment The AED when connected to the patient s chest by the pads can withstand the effects of an externally applied defibrillation shock CE Mark This equipment conforms to essential requirements of the Medical Device Directive 93 42 EEC The AED is protected against the effects of splashing water in accordance with IEC 60529 Classified by ETL Semko with respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 CAN CSA C22 2 No 601 1 M90 EN60601 1 and EN60601 2 4 Conforms to UL Standard UL60601 1 Certified to CAN CSA Standard C22 2 No 601 1 M90 International symbol for ON Open the lid to turn on the AED Open the lid to turn ON the AED Indicates the AED battery status The illuminated areas indicate the remaining battery capacity Check pads The pads are missing not connected or have compromised functionality Indicates AED requires maintenance by authorized service personnel
43. onnect all non defibrillator proof equipment from the patient before defibrillation A WARNING Shock and Possible Equipment Damage Disconnect all non defibrillator proof equipment from the patient before defibrillation to prevent electrical shock and potential damage to the equipment O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 37 CARDIAC SCIENCE AEDS GB ow gt generation WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment CAUTION Use only Cardiac Science Approved Equipment Using batteries pads cables or optional equipment other than those approved by Cardiac Science may cause the AED to function improperly during a rescue CAUTION Possible Improper AED Performance Using pads that are damaged or expired may result in improper AED performance CAUTION Serial Communication Cable The AED will not function during a rescue when the serial communication cable is connected to its serial port When the serial communication cable is connected to the AED during a rescue the prompt Remove cable to continue rescue will be heard until you remove the serial communication cable from the AED CAUTION Possible Radio Frequency RF Susceptibility RF susceptibility from cellular phones CB radios and FM 2 way radio may cause incorrect rhythm recognition and subsequent shock advisory When attempting a rescue using the AED
44. planted device e Place the pad at least one inch from any implanted device CAUTION Moving the Patient During a Rescue During a rescue attempt excessive jostling or moving of the patient may cause AEDs to improperly analyze the patient s cardiac rhythm Stop all motion or vibration before attempting a rescue CAUTION Serial Communication Cable The serial communication cable is only for use with the AED it is not to be used with a telephone CAUTION Systems Statement Equipment connected to the analog and digital interfaces must be certified to the respective IEC standards i e IEC 950 for data processing equipment and IEC 601 1 for medical equipment Furthermore all configurations shall comply with the system standard IEC 601 1 1 Anybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 601 1 1 CAUTION Case Cleaning Solutions When disinfecting the case use a non oxidizing disinfectant such as ammonium salts or a glutaraldehyde based cleaning solution to avoid damage to the metal connectors 1 Cummins R ed Advanced Cardiac Life Support AHA 1994 Ch 4 page 10 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 1 Safety SYMBOL DESCRIPTIONS The following symbols may appear in this manual on the AED or on its optional c
45. pt Stand Clear Push Flashing Button to Deliver Shock will be heard Make sure no one is touching the patient and push the SHOCK button to deliver a defibrillation shock If you do not push the SHOCK button within 30 seconds of hearing the prompt the AED will prompt It is safe to touch the patient The AED will then prompt you to start CPR For the Powerheart AED G3 Automatic ONLY When the AED is ready to deliver a shock the voice prompt Stand Clear Shock will be delivered in 3 2 1 will be heard then the AED will deliver a shock After the AED delivers a defibrillation shock the voice prompt will say Shock Delivered The AED will then prompt you to start CPR Note During a rescue the text screen displays voice prompts elapsed time of rescue and number of shocks delivered CPR MODE Pa Mora yA After shock delivery or detection of a non shockable rhythm the AED automatically L enters CPR mode The voice prompt will say It is now safe to touch the patient Start CA D CPR During the CPR time out period The AED will not interrupt the CPR mode if the patient s condition changes and the AED detects a shockable rhythm After the CPR time out period has expired the voice prompt Do Not Touch Patient Analyzing Rhythm will be heard page 36 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 4 Instructions for Use Note During CPR mode the text screen disp
46. rences between patients The range of impedance over which the device will deliver a shock is 25 180 Ohms The Powerheart AED comes equipped with five different FDA cleared biphasic energy protocols The operator with guidance direction and implementation from his her designated AED program Medical Director may select from one of these five protocols when placing the Powerheart AED into service The Powerheart AEDs factory default energy protocol is 200 300 300 Joule J escalating Variable Energy VE The first shock is delivered within the range of 140J 250J 200J nominal Subsequent shocks are delivered within a range of 190J 360J 300J nominal See next page 1 Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care American Heart Association Circulation Vol 112 Issue 24 Suppl Dec 13 2005 2 The ultra low current low current and high current shocks are variable energy The actual energy is determined by the patient s impedance page 18 112 2025 305 Rev A O 2006 Cardiac Science Corp All rights reserved Section 2 Introduction These protocols are selected by using our MDLink software program The five biphasic energy protocols available are as follows Energy Shock Energy Protocols Sequence Level Energy Range J Factory Default 1 200VE 140J 250J 2 300VE 190J 360J 3 300VE 190J 360J Protocol 2 1 200VE 140J 250J 2 200VE 140J 250J 3 300VE 190J 360J Protocol 3 1 150VE 105J 195J
47. rn GREEN If service is required then the SERVICE indicator will illuminate call for service A WARNING Battery is Not Rechargeable Do not attempt to recharge the battery Any attempt to recharge the battery may result in an explosion or fire hazard N CAUTION Lithium Sulfur Dioxide Battery Pressurized contents never recharge short circuit puncture deform or expose to temperatures above 65 C 149 F Remove the battery when discharged A CAUTION Battery Disposal Recycle or dispose of the lithium battery in accordance with all federal state and local laws To avoid fire and explosion hazard do not burn or incinerate the battery AN CAUTION Use only Cardiac Science Approved Equipment Using batteries pads cables or optional equipment other than those approved by Cardiac Science may cause the AED to function improperly during a rescue A CAUTION Possible Improper AED Performance Using pads that are damaged or expired may result in improper AED performance O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 25 CARDIAC SCIENCE AEDs G 3 third generation PADS The defibrillation pads come in a ready to use sealed package containing one pair of self adhesive pads with an attached cable and connector The pads are disposable and should be discarded after each rescue The pads have a limited shelf life and should not be used beyond the expiration date Keep a fresh unopened pair of pads plugged into
48. s will be heard When this occurs ensure that Pads are firmly placed on clean dry skin Pad cable is securely plugged into the AED STEP 2 ECG ANALYSIS As soon as the AED detects proper pad placement the voice prompt Do Not Touch Patient Analyzing Rhythm will be heard The AED will begin to analyze the cardiac rhythm of the patient If a shock is advised the voice prompt will say Shock Advised Charging For the Powerheart AED G3 Automatic The voice prompt Stand Clear Shock will be delivered in 3 2 1 will be heard When the AED is charged it continues to analyze the patient s heart rhythm If the rhythm changes and a shock is no longer needed the AED will issue the prompt Rhythm Changed Shock Cancelled disarm and initiate CPR If no shock is advised the AED will prompt to start CPR If noise is detected during analysis the AED will warn you with the prompt Analysis Interrupted Stop Patient Motion and restart the analysis This usually occurs if the patient is excessively jostled or there is a strong electromagnetic emitting electronic device nearby within 5 meters Remove the electronic device or stop the excessive motion when you hear this prompt 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 35 CARDIAC SCIENCE AEDs STEP 3 SHOCK DELIVERY AND CPR MODE When the AED is ready to deliver a defibrillation shock the SHOCK button will flash and the prom
49. structions improper use abuse neglect fire flood war or acts of God Cardiac Science makes no warranty claim as to the compatibility with Cardiac Science products with non Cardiac Science products This Limited Warranty is Void if e Any Cardiac Science product is serviced or repaired by any person or entity other than Cardiac Science unless specifically authorized by Cardiac Science e Any Cardiac Science product case is opened by unauthorized personnel or if a product is used for an unauthorized purpose e Any Cardiac Science product is used in conjunction with incompatible parts or accessories including but not limited to batteries Parts and accessories are not compatible if they are not Cardiac Science products or the functional equivalent If The Warranty Period has Expired If your Cardiac Science product is not covered by our Limited Warranty call us toll free at 888 466 8686 for advice as to whether we can repair your Cardiac Science product and for other repair information including charges Charges for non warranty repairs will be assessed and are your responsibility Upon completion of the repair the terms and conditions of this Limited Warranty shall apply to such repair or replacement product for a period of 90 days This warranty gives you specific legal rights and you may also have other rights which vary from state to state page 1 O 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev
50. the AED at all times Refer to the pad package label for operation temperatures An audible and visual alert will indicate after the self test if the pads are missing unplugged or damaged PAD INSTALLATION Open the lid of the AED N Place the pad package into the lid so that the expiration label is visible through the clear window on the lid The expiration date of the pads will then be readable without opening the lid of the AED de Match the color of the connectors red to red then plug the pad connector into the AED case as shown in the drawing Once the pad connector is plugged into AED the PAD indicator should extinguish 4 Tuck the excess cable length in the bottom holder as shown in the drawing With the pad package completely secured to the AED lid close the lid a Make sure the expiration date is visible through the clear window of the lid and check to make sure that the STATUS INDICATOR is GREEN If the pads are not installed properly the STATUS INDICATOR will be RED call Customer Service for assistance A CAUTION Use only Cardiac Science Approved Equipment Using batteries pads cables or optional equipment other than those approved by Cardiac Science may cause the AED to function improperly during a rescue A CAUTION Possible Improper AED Performance Using pads that are damaged or expired may result in improper AED performance page 26 112 2025 305 Rev A O 2006 Cardiac Sc
51. the AED is fully charged and ready to deliver the defibrillation shock The RED SHOCK indicator flashes and the phrase repeats for 30 seconds or until the SHOCK button is pushed After the AED delivers a defibrillation shock Advises the rescuer when it is safe to touch the patient After the AED delivers a defibrillation shock After the AED detects a non shockable rhythm Perform CPR for 2 minutes Occurs when patient impedance is too low or too high Occurs once when the battery voltage becomes low although a rescue can continue for approximately 9 more shocks When the battery is too low to do a rescue the folllowing will occur 1 BATTERY LOW will show on the LCD 2 STATUS INDICATOR will turn RED 3 AED will BEEP once every 30 seconds You must replace the battery before continuing with the rescue If completely depleted all AED activity will terminate The AED will show REMOVE BATTERY COMPLETELY when the battery is partially removed But when the battery is at the replace level showing BATTERY LOW the REMOVE BATTERY COMPLETELY will not be shown only the BATTERY LOW When the AED detects ECG noise artifact stop moving or touching the patient Remove other electronic devices within a 5 meter radius When the lid is inadvertently closed during a rescue this prompt will repeat for 15 seconds When the device is prepared to shock then detects a change in rhythm and therefore cancels the shock 112 2025 305 R
52. the PAD indicator will illuminate call Customer Service for assistance Open the lid and confirm that no diagnostic indicators are lit Check the expiration date of the pads if expired replace them Check the pads packaging integrity Close the lid 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 43 CARDIAC SCIENCE AEDS GB third generation Check the Integrity of the Service Indicator LED and Circuitry 1 Immediately after opening the AED lid press and hold the SHOCK button and confirm that the SERVICE LED is lit Release the SHOCK button Close the lid Verify that the STATUS INDICATOR remains red Open the lid and confirm that no diagnostic indicators are lit Close the lid Verify that the STATUS INDICATOR turns green NO O1 GS Check the Integrity of the Case Examine the molded case of the AED for any visible signs of stress If the case shows signs of stress contact Cardiac Science Customer Service See page 4 or contact your local Cardiac Science distributor A CAUTION Case Cleaning Solutions When disinfecting the case use a non oxidizing disinfectant such as ammonium salts or a glutaraldehyde based cleaning solution to avoid damage to the metal connectors AUTHORIZED REPAIR SERVICE The AED has no user serviceable internal components Try to resolve any maintenance issues with the AED by using the Troubleshooting Table presented in this chapter If you are unable to resolve the
53. tient s Impedance Voltage Duration Voltage Duration Energy Ohms Volts ms Volts ms Joules 3 3 825 200 250 45 1030 i 170 210 5 8 1105 120 160 7 0 1150 150 180 8 3 1170 140 170 Table A3 High Variable Energy Powerheart AED Models 9300 Waveform all values are typical Patient s Impedance Voltage Duration Voltage Duration Energy Ohms Volts ms Volts ms Joules 3 3 990 3 2 265 360 235 320 215 295 200 270 190 260 ENERGY LEVELS AND PATIENT IMPEDANCE The Cardiac Science Biphasic Truncated Exponential BTE waveform utilizes variable energy The actual energy delivered will vary with the patient s impedance and the device will deliver a shock when impedance is between 25 180 Ohms Energy will be delivered at three different levels referred to as ultra low variable energy low variable energy and high variable energy as shown in the above waveform tables 2006 Cardiac Science Corp All rights reserved 112 2025 305 Rev A page 53 CARDIAC SCIENCE AEDS RHYTHMx ECG ANALYSIS PERFORMANCE The AED RHYTHMx ECG Analysis system analyzes the patient s ECG and advises you when the AED detects a shockable or non shockable rhythm This system makes it possible for a person with no training in the interpretation of ECG rhythms to offer defibrillation therapy to victims of sudden cardiac arrest CARDIAC RHYTHMS USED TO TEST THE RHYTHM RECOGNITION DETECTION SYSTEM FOR CARDIAC
54. uld not be delayed to determine the patient s exact age or weight See the directions for use accompanying pediatric pads for procedure on changing adult pads to pediatric PLACE PADS The AED will issue the prompt Tear Open Package and Remove Pads Keep the pads connected to the AED tear the pad package along the dotted line and remove the pads from the package Leave the package attached to the pad wires After the prompt Peel One Pad From Plastic Liner with a firm steady pull carefully peel one pad away from the plastic liner Then after the prompt Place One Pad on Bare Upper Chest place the pad with the sticky side of on the patient s skin on the upper right chest placing the top of the pad on the collarbone Avoid placing the pad a TT directly over the sternum Finally after the prompt Peel Second Pad and Place on Bare Lower Chest As Shown pull the second pad from the plastic liner and place it on lower left chest below and left of the breast Note Cardiac Science s defibrillation pads are non polarized and can be placed in either position as shown on the pad package page 34 112 2025 305 Rev A 2006 Cardiac Science Corp All rights reserved Section 4 Instructions for Use When the pads are placed the voice prompt will say Do not touch patient Analyzing Rhythm lf the pads are not properly placed or become disconnected at any time during the rescue the voice prompt Check Pad
55. y Any attempt to recharge the battery may result in an explosion or fire hazard ZAN WARNING Shock Hazard Do not disassemble the AED Failure to observe this warning can result in personal injury or death Refer maintenance issues to Cardiac Science authorized service personnel A CAUTION Temperature Extremes Exposing the AED to extreme environmental conditions outside of its operating parameters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED If the daily self test determines environmental conditions outside of the AED s operating parameters a Service Required alert will be issued to prompt the user to move the AED to environmental conditions within the acceptable operating parameters at once See Section 7 Technical Data Parameters Operation and Standby Conditions gt CAUTION Lithium Sulfur Dioxide Battery Pressurized contents never recharge short circuit puncture deform or expose to temperatures above 65 C 149 F Remove the battery when discharged CAUTION Battery Disposal Recycle or dispose of the lithium battery in accordance with all federal state and local laws To avoid fire and explosion hazard do not burn or incinerate the battery CAUTION Use only Cardiac Science Approved Equipment Using batteries pads cables or optional equipment other than those approved by Cardiac Science may cause
Download Pdf Manuals
Related Search