Introduction
LIFESAVING MADE SIMPLE - As many as 7,000 children are struck down by sudden
cardiac arrest each year, unexpectedly robbed of the chance to fulfill their
dreams. In addition, schools are community centers, with people of all ages
coming and going. Although undetected heart problems are a common cause
of sudden cardiac arrest, many victims are active and outwardly fit. This
is a fact we would like to change, with your help. Medtronic, the world
leader in medical technology, created the LIFEPAK
CR Plus defibrillator specifically for the first person at the
scene of a sudden cardiac arrest. Designed for the minimally trained and
infrequent rescuer, it's easy to understand and use in a cardiac emergency,
when every second counts. It's just plain simple.
Product
Overview and Description
The CR Plus offers the quality and performance preferred by the vast majority
of emergency medical teams around the world. Sleek and lightweight, the
CR Plus uses the latest ADAPTIV™ biphasic technology, upholds the standards
of excellence found in all LIFEPAK products, and continues the LIFEPAK legacy
of 1-2-3-step* operation.
Product
Use and Procedure
The LIFEPAK CR Plus
enables you to give a defibrillation shock that could save a life. Once
you determine the person isn't breathing or conscious, you just:
| 1. |
Push the button
to release the lid and turn on the defibrillator.
|
| 2. |
Pull the handle
to get the electrode pads and adhere them to the person's chest as
shown. |
| 3. |
Press the flashing
button if told to do so.* |
|
*
Also available in automatic mode, which requires only steps 1-2. |
Features
and Benefits
Features
| 1. |
Easy 1-2-3-step
operation |
| 2. |
Semi-automatic or
fully automatic configurations |
| 3. |
Proven, flexible |
| 4. |
ADAPTIV™ biphasic
technology |
| 5. |
Unique, cost-effective
power system |
| 6. |
Lightweight and
compact |
| 7. |
Highly visible
readiness indicator |
| 8. |
Wireless data transfer
and storage technology |
| 9. |
QUIK-PAK™
pacing/ defibrillation/ECG electrodes enable fast accurate use |
Benefits
| 1. |
Simple to use -
Because sudden cardiac arrest can happen anywhere, anytime, a layperson
is often the first person on-scene. The CR Plus is designed so that
a minimally trained person with limited or no experience can use it
in an emergency. You can give lifesaving treatment in just three steps.
The CR Plus tells you exactly what to do. QUIK-PAK™ electrodes
are pre-connected and easy to open and apply, with pictures showing
you how to adhere them quickly and properly. |
| 2. |
Semiautomatic vs.
fully automatic - YOUR CHOICE! With the semiautomatic CR Plus you
assess the person in sudden cardiac arrest, then open the device and
apply the electrodes. The device analyzes the heart's rhythm and tells
you to push a button if the heart needs a shock. The fully automatic
CR Plus requires just the first two steps, and the device does the
rest. |
| 3. |
The latest technology
- Medtronic's ADAPTIV biphasic technology automatically adjusts therapy
to meet each person's needs. The device can provide additional, higher
energy shocks, up to 360 joules, if the heart doesn't respond to the
first shock. This can enhance the chance of defibrillation success,
with the goal of saving more lives. |
| 4. |
Infant/Child Reduced
Energy Defibrillation Electrodes - Infant/Child Reduced Energy Defibrillation
Electrodes Compatibility - use only with LIFEPAK 500 AEDs with a pink
connector or any LIFEPAK CR Plus defibrillator. Intended for use on
children up to 8 years of age or 25kg (55lb). The Infant/Child Reduced
Energy Electrode is smaller than adult defibrillation electrodes.
The electrode reduces the energy dose that is delivered to the patient
by a factor of four. If the AED is set up to deliver a dosage of 200,
300, 360J using adult defibrillation pads, the dosage will be approximately
50, 75, 86J with the Infant/Child Reduced Energy Electrodes. |
Frequently
Asked Questions
Obtained from the American
Heart Association Website
General
Questions
| Q: |
What
does AED stand for? |
| A: |
AED stands for automated
external defibrillator (or automated external defibrillation).
|
| Q: |
What
is an AED? |
| A: |
An AED is a device
used to administer an electric shock through the chest wall to the
heart. Built in computers assess the patient's heart rhythm, judge
whether defibrillation is needed, and then administer the shock.
Audible and or visual prompts guide the user through the process.
|
| Q: |
How does an AED work? |
| A: |
A microprocessor
inside the defibrillator interprets (analyzes) the victim's heart
rhythm through adhesive electrodes. The computer analyzes the heart
rhythm and advises the operator whether a shock is needed. AEDs advise
a shock only to ventricular fibrillation and fast ventricular tachycardia.
The electric current is delivered through the victim's chest wall
through adhesive electrode pads.
|
| Q: |
Why
are AEDs important? |
| A: |
AEDs are important
because they strengthen the Chain of Survival. They can restore a
normal heart rhythm in victims of sudden cardiac arrest. New, portable
AEDs enable more people to respond to a medical emergency that requires
defibrillation. When a person suffers a sudden cardiac arrest, their
chances for survival decreases seven to ten percent for each minute
that passes without defibrillation.
|
| Q: |
Who
can use an AED? |
| A: |
Most AEDs are designed
to be used by non-medical personnel who have been properly trained.
Having more people in the community who can respond to a medical emergency
by providing defibrillation will greatly increase sudden cardiac arrest
survival rates.
|
| Q: |
Why
does someone having a heart attack need an AED? |
| A: |
When a heart attack
becomes a full cardiac arrest, the heart most often goes into uncoordinated
electrical activity called fibrillation. The heart twitches ineffectively
and cannot pump blood. The AED delivers electric current to the heart
muscle, momentarily stunning the heart, stopping all activity. This
gives the heart an opportunity to resume beating effectively.
|
| Q: |
Will
an AED always resuscitate someone in cardiac arrest? |
| A: |
The AED treats only
a heart in ventricular fibrillation (VF), an irregular heart rhythm.
In cardiac arrest without VF, the heart does not respond to electric
currents but needs medications. The victim needs breathing support.
AEDs are less successful when the victim has been in cardiac arrest
for more than a few minutes, especially if no CPR was provided. |
AED
USE
| Q: |
Is
an AED safe to use? |
| A: |
An AED is safe to
use by anybody who has been trained to operate it. Studies have shown
the devices to be 90% sensitive (able 90% of the time to detect a
rhythm that should be defibrillated) and 99% specific (able 99% of
the time to recommend not shocking when defibrillation is not indicated).
Because of the wide variety of situations in which it will be typically
used, the AED is designed with multiple safeguards and warnings before
any energy is released. The AED is programmed to deliver a shock only
when it has detected VF. However, potential dangers are associated
with AED use. That is why training-including safety and maintenance
is important.
|
| Q: |
Are
AEDs safe to use on children? |
| A: |
An AED should not
be used on a child younger than 8 years old or weighing less than
55 pounds.
|
| Q: |
Will I get zapped if I shock a victim in the rain or near water? |
| A: |
It is remotely possible
to get shocked or to shock bystanders if water is near or underneath
the victim. Try to move the victim to a dry area and cut off wet clothing.
Also be sure that the skin has been toweled dry so the electrode pads
will stick to the skin. At the moment you press the SHOCK button,
you must make sure that no one, including yourself (the AED operator),
touches any part of the victim.
|
| Q: |
Can
an AED make mistakes? |
| A: |
An AED will almost
never decide to shock an adult victim when the victim is in non-VF.
AEDs "miss" fine VF only about 5% of the time. The internal
computer uses complex analysis algorithms to determine whether to
shock. If the operator has attached the AED to an adult victim who
is not breathing and pulse less (in cardiac arrest), the AED will
make the correct "shock" decision more than 95 out of 100
times and a correct "no shock indicated" decision more than
98 out of 100 times. This level of accuracy is greater than the accuracy
of emergency professionals.
|
| Q: |
Why
do you stop CPR as the electrode pads are placed and analysis occurs? |
| A: |
For the AED to analyze
accurately, the victim must be motionless. Sometimes there will be
agonal respiration (a gasping breath that can occur when the heart
is stopped) that causes movement. AEDs can recognize this extra motion
and indicate, "motion detected" to the operator. This warns
the operator to assess carefully for extra movements from the victim
or other people at the scene.
|
| Q: |
Why
does it seem that the victim goes without CPR for so long during defibrillation,
and why does an AED shock so many times? |
| A: |
After prescribed
periods of CPR, the machine analyzes the victim's rhythm. The victim
must remain motionless while the AED decides to shock and delivers
the shock. Sometimes the victim does not change from VF to non-VF
at once. These victims require multiple shocks. If repeated shocks
are needed, the shocks are "stacked" in sets of three to
increase their effectiveness.
|
AED Placement
| Q: |
What
is public access to defibrillation? |
| A: |
Public access to
defibrillation (PAD) means making AEDs available in public and/or
private places where large numbers of people gather or people who
are at high risk for heart attacks live.
|
| Q: |
Why
should people who are responsible for operating an AED receive CPR
training? |
| A: |
Early CPR is an
integral part of providing lifesaving aid to people suffering cardiac
arrest. The ventilation and compression skills learned in a CPR
class help to circulate oxygen rich blood to the brain. After delivering
a series of three electric shocks, the typical AED will prompt the
operator to continue CPR while the device continues to analyze the
victim.
|
| Q: |
If AEDs are so easy to use, why do people need formal training in
how to use them? |
| A: |
An AED operator
must know how to recognize the signs of sudden cardiac arrest, when
to activate the EMS system, and how to do CPR. It is also important
for operators to receive formal training on the AED model they will
use so that they become familiar with the device and are able to successfully
operate it in an emergency. Training also teaches the operator how
to avoid potentially hazardous situations.
|
| Q: |
Can
anyone buy an AED? |
| A: |
AEDs are manufactured
and sold under the guidelines approved by the Food and Drug Administration.
Current FDA rules require someone who purchases an AED to present
a physician's prescription for the device.
|
Technical
Specifications
| Waveform:
|
Biphasic
truncated exponential, with voltage and current duration compensation
for patient impedance.* |
| Output
Energy Sequence: |
Multiple
levels, user configurable from 200J to 360J (150J min. outside the
U.S.). |
| Output
Energy Accuracy: |
±10%
into 50 ohms, ±15% into 25 to 100 ohms. |
| Shock
Advisory System: |
An
ECG analysis system that advises whether a shock is appropriate; meets
rhythm recognition criteria specified in DF39. The device charges
for shock only when the Shock Advisory System advises defibrillation. |
| Device
Capacity: |
| Typical:
|
Thirty
(30) full discharges or 210 minutes of "on time" with a
fully charged device. |
| Minimum:
|
Twenty
(20) full discharges or 140 minutes of "on time" with a
fully charged device. |
| Shock
Charge Time: |
Charge
times with a fully charged device: 200 joules in less than 9 seconds,
360 joules in less than 15 seconds. |
| System
Recharge Times: |
Recharge
times with a fully discharged device: able to deliver six (6) shocks
or provide 42 minutes of operating time after 48 hours of recharge
and 20 shocks or 140 minutes of operating time after fourteen (14)
days of recharge time with a new CHARGE-PAK at temperatures above
15° C (59° F). |
| Controls: |
Lid
Release/ON-OFF - Controls device power. SHOCK button (semi-automatic
version) - delivers defibrillation energy. After electrodes are attached
to a patient, the fully automatic version of the device delivers a
shock, if appropriate, not requiring operator intervention. |
| Electrical
Protection: |
Input
protected against high voltage defibrillator pulses per IEC60601-1/EN60601-1. |
| Safety
Classification: |
Internally
powered equipment. IEC60601-1/EN60601-1. |
| User
Interface: |
The
user interface includes voice prompts, audible tones and graphic prompts. |
| Readiness
Display: |
The
readiness display shows the device status. |
| OK
Indicator: |
Shows
"OK" when the last self-test was completed successfully.
When the "OK" indicator is visible, all other indicators
are not visible. The "OK" indicator is not displayed during
device operation. |
| CHARGE-PAK
Indicator: |
When
displayed, replace the CHARGE-PAK battery charger. |
| Attention
Indicator: |
When
first displayed, at least six (6) discharges or 42 minutes of operating
time remain. |
| Service
Indicator: |
Service
required when displayed.
Note: All performance specifications defined assume the unit has
been stored (two hours minimum) at operating temperature prior to
operation. |
| Operating
Temperature: |
0°
to +50° C (+32° to +122° F). |
| Storage
Temperature: |
-40°
to +70° C (-40° to +158° F) with CHARGE-PAK and electrodes,
maximum exposure time limited to one week. |
| Atmospheric
Pressure: |
760
mmHg to 429 mmHg, 0 to 15,000 feet above sea level. |
| Relative
Humidity: |
5
to 95% (non-condensing). |
| Water
Resistance: |
IEC60529/EN60529
IPX4 "Splash proof" with electrodes connected, CHARGE-PAK
installed. |
| Shock:
|
MIL-STD-810E,
Method 516.4, Procedure 1, (40g, 6-9 ms pulse, 1/2 sine each axis). |
| Vibration:
|
MIL-STD-810E,
Method 514.4, Helicopter - category 6 (3.75 Grms) and Ground Mobile
- category 8 (3.15 Grms). |
| Height:
|
10.7
cm (4.2 in). |
| Width:
|
20.3
cm (8.0 in). |
| Depth:
|
24.1
cm (9.5 in), excluding handle. |
| Weight:
|
2.0
kg (4.5 lb) with CHARGE-PAK and electrodes. |
| Energy
Sequence: |
Users
can choose an energy sequence to match their applicable energy protocol
(e.g. 200J, 300J, 360J). |
| Motion
Detection: |
The
motion detection system can be set to off or on during analysis. |
| Energy
Protocol: |
The
user can configure the defibrillator to increase energy after every
shock or only increase it after a lower energy was unsuccessful. |
| Turn-On
Prompt: |
The
turn-on prompt option allows the user to select the prompting style
upon power on. |
| CPR
Time: |
The
CPR Time can be set to match local protocol. |
| Pulse
Prompt: |
The
pulse prompt option allows the user to select the voice message for
CPR prompting according to the Guidelines 2000, as recommended by
the American Heart Association (AHA) and the International Liaison
Committee on Resuscitation (ILCOR). |
| Voice
Prompt Volume: |
The
voice prompt volume option allows changing the speaker volume. |
| Time/Date:
|
The
time and date can be changed. |
| Device
ID: |
The
device ID feature assigns a unique identifier to a particular device,
which is printed on all reports.
Note: Setup items are changed over a wireless interface. See the
operating instructions for setup information instruction.
|
| CHARGE-PAK
Battery Charger |
| Type:
|
Li/SO2Cl2
Lithium Sulfuryl Chloride, 11.7V, 1.4 amp-hours. |
| Replacement:
|
Replace
after each patient use, or when CHARGE-PAK indicator is visible, typically
after two (2) years. |
| Weight:
|
80.5
grams (0.18 lb). |
| QUIK-PAK
Electrode Pads |
| Pads:
|
ECG
is received from disposable defibrillation electrodes, standard placement
(anterior-lateral). |
| Pads
Packaging: |
User
intuitive, rapid release QUIK-PAK electrodes allow the electrode pads
to be preconnected to the device and protected under a top cover. |
| Pads
Replacement: |
Replace
every two (2) years. |
| Memory
Type: |
Internal
digital memory. |
| ECG
Storage: |
Dual
patient data storage. Minimum 20 minutes of ECG stored for the current
patient, summarized data stored for the previous patient. |
| Report
Types: |
-
Continuous ECG - A continuous patient ECG report.
-
Continuous Summary report - A summary of critical resuscitation
events and ECG waveform segments associated with these events.
- Event
Log report - A report of time stamped markers, which reflect operator
and device activity.
- Test
Log report - A device self-test activity report.
|
| Capacity:
|
Minimum
200 time-stamped event log markers. |
| Communications:
|
Wireless
transfer to a personal computer. |
| Data
Review: |
Medtronic
provides an array of tools to meet customer needs for data viewing
and analysis.
* The specifications apply from 25 to 200 ohms. Voltage compensation
is limited to the voltage that would result in delivery of 360 joules
into 50 ohms.
|
|
All
specifications are at 20° C unless otherwise stated.
|
Articles / Sales Brochures
/ Manuals
Click here to read a press release from
Oct. 20th, 2003, announcing a national school education initiative to
inform parents, students, community leaders and educators about the importance
of access within schools to automated external defibrillators (AEDs),
which can save lives of those who experience sudden cardiac arrest (SCA).
The following Medtronic brochures are available from School Health Corporation;
please contact jdidier@healthgiant.com
to order:
| Product
Number |
Brochure Name |
| 99-284
|
Medtronic:
Biphasic Defibrillation |
| 99-378 |
Medtronic:
LIFEPAK CR Plus Product Specs |
| 99-374 |
Medtronic:
LIFEPAK CR Plus Trainers Specs |
| 99-293 |
Medtronic:
Is Your Community Heart Safe |
| 99-408 |
Medtronic:
Saving More Lives - At Any Age |
| 99-380 |
Medtronic:
LIFEPAK CR Plus Defibrillator Product Brochure |
| 99-314 |
Medtronic:
Wall Cabinets for LIFEPAK CR Plus |
| 99-428 |
Medtronic:
AED Program Implementation Guide For Schools |
| 99-434 |
LIFEPAK
AEDs - Saving Lives In Schools Answers to Your Questions |
| 99-438 |
Medtronic:
Keep your Athletes in the Most Important Game |
School
News Clippings
Following are some "News Bytes" relating to AEDs:
Glenbard
South coach better after collapsing at pep rally --- Chicago Daily Herald
--- November 8 2001 ---
The assistant cross country coach who collapsed was lucky that Glenbard
HS District 87 schools are AED equipped. "It was the AED that saved
him. The people who purchased that, applied it and successfully used it,
they all saved his life," commented Lisle-Woodridge Fire Dept's EMS
coordinator, Keith Stegman.
High
Schools; Banning Player Dies of Cardiac Arrest --- Los Angeles Times ---
November 13 2001
--- CPR was administered to this 17-yr-old football player who collapsed
during practice. Paramedics arrived about 5 minutes after 911 call was
made. They administered defibrillation, and transported him to the hospital,
where he arrived in full cardiac arrest. This player failed an initial
health screening, but was later cleared to play after being examined by
a cardiologist.Young athletes at a higher risk for heart-related death
--- The Milwaukee Journal Sentinel --- November 12 2001 --- Researchers
found young athletes are more than twice as likely to die suddenly from
cardiac causes than those who are not athletes, in a study of 300 sudden
deaths in athletes and non-athletes ages 12 to 35. Screening is urged,
methods are discussed.
Click
here to read an article that discussed AED's saving 2 High School students,
in one week, in the Birmingham News newspaper from February 2003.
Click
here to read a news story from February 2003 shown on the Kansas City
News titled "Referee Collapses at Basketball Game. Doctor in Audience
Uses Defibrillator on Injured Ref."
Informative
Articles
Following are some informative articles relating to AEDs. Click the title
you are interested in to view this article:
Portable
Defibrillators Protect Fans, Players at High School Athletic Events
Why
do Athletes Experience Sudden Deaths?
Planning
for Scholastic Cardiac Emergencies - "The Ripley Project"
A
Young Life Saved by a School Defibrillator
Click on the links below
to read a 3 day series of articles from the USA Today newspaper on AEDs:
http://www.usatoday.com/news/nation/ems-main.htm
http://www.usatoday.com/news/nation/ems-day2-cover.htm
http://www.usatoday.com/news/nation/ems-day3-hero1.htm
Click on the links below to read 3 additional USA Today articles on AED's:
http://www.usatoday.com/usatonline/20031106/5655318s.htm
http://www.usatoday.com/usatonline/20031106/5655319s.htm
http://www.usatoday.com/usatonline/20031106/5655317s.htm
Warranty
The Lifepak CR Plus comes
with a 5-year warranty.
Legislation
The FDA has declared Automated External Defibrillators (AEDs) a prescription
device. This means, prior to purchase and placement, a prescription or
a Medical
Authorization Form must be completed and signed by licensed physician.
This is a federal law and is required for all defibrillator sales in the
United States.
Adobe Acrobat is required
to view or print the Medical
Authorization Form click the icon below to download a free copy.
For information regarding
Automated External Defibrillators in your state click
here.
Product
Ordering Information
| SH
Catalog # |
Product
Name |
| 54044 |
Lifepak
CR Plus AED - Semi Automatic |
| 54045 |
Lifepak
CR Plus AED - Fully Automatic |
|
