FRED PA 1 User Manual
FRED PA 1 User Manual
FRED PA 1 User Manual
User Guide
Sales and service information
The SCHILLER sales and service centre network is world-wide. For the address of your
local distributor, contact your nearest SCHILLER subsidiary.
In case of difficulty, a complete list of all distributors and subsidiaries is provided on our
internet site:
http://www.schiller.ch
Sales information can also be obtained from:
[email protected]
Manufacturer and responsible for the marking (first declaration October 2015)
Address Headquarters
SCHILLER AG Phone: +41 (0) 41 766 42 42
Altgasse 68 Fax: +41 (0) 41 761 08 80
CH-6341 Baar, Switzerland E-mail: [email protected]
Web: www.schiller.ch
Table of Contents
1 Safety Notes .............................................. 5
1.1 User profiles.......................................................................... 5
1.2 Responsibility of the User ................................................... 5
1.3 Intended Use ......................................................................... 5
1.4 Contraindication for use ...................................................... 6
1.5 Organisational Measures ..................................................... 6
1.6 Safety-Conscious Operation ............................................... 6
1.7 Operation with other Devices .............................................. 7
1.8 Maintenance and Cleaning .................................................. 7
1.9 General Notes Regarding the Unit ...................................... 7
1.10 Additional Terms .................................................................. 8
1.10.1 Implied authorisation .......................................................................... 8
1.10.2 Terms of Warranty ............................................................................. 8
1.11 Symbols/Indicators .............................................................. 9
1.11.1 Symbols used in this user guide ........................................................ 9
1.11.2 Symbols used on the device .............................................................. 9
1.11.3 Symbols used on the battery............................................................ 10
1.11.4 Symbols used on the electrode packaging ...................................... 11
Page 3
FRED PA-1
4 Defibrillation ............................................24
4.1 Instructions and Safety Notes ........................................... 24
4.1.1 Instructions ...................................................................................... 24
4.1.2 Safety notes for AED use................................................................. 24
4.2 Applying the adhesive electrodes..................................... 26
4.2.1 General information ......................................................................... 26
4.2.2 Unpacking and applying electrodes ................................................. 26
4.2.3 Applying the electrodes to the patient’s chest.................................. 27
4.2.4 Checking the electrodes .................................................................. 29
4.3 Semi-automatic defibrillation ............................................ 30
4.4 Automatic defibrillation...................................................... 32
4.4.1 Functional description of automatic AEDs ....................................... 32
4.4.2 Safety notes for automatic defibrillation ........................................... 32
4.5 Internal safety discharge ................................................... 35
4.6 Finishing the therapy ......................................................... 35
4.7 Removing the battery ......................................................... 35
5 Communication .......................................36
5.1 Retrieving intervention data .............................................. 36
6 Maintenance ............................................37
6.1 Maintenance Intervals ........................................................ 37
6.1.1 Exemption from the technical safety inspection............................... 38
6.1.2 Service/Shelf life .............................................................................. 38
6.1.3 Visual inspection of the device and accessories.............................. 39
6.1.4 Mains status LED............................................................................. 40
6.1.5 Functional check .............................................................................. 40
6.1.6 Internal backup battery .................................................................... 40
6.2 Cleaning and disinfection .................................................. 41
6.3 Accessories and disposables ........................................... 42
6.3.1 Order Information............................................................................. 42
6.3.2 Required accessories ...................................................................... 42
6.4 Disposal information .......................................................... 43
6.4.1 Battery Disposal............................................................................... 43
6.4.2 Disposal of accessories that come into contact with the patient...... 43
6.4.3 Disposal at the end of its useful life ................................................. 43
6.5 Troubleshooting ................................................................. 44
6.5.1 Error messages................................................................................ 44
6.5.2 Troubleshooting ............................................................................... 45
6.5.3 Measures to prevent electromagnetic interferences ........................ 46
Art. no.: 0-48-0240 Rev. c
Page 4
FRED PA-1 User Guide
8 Index ........................................................ 58
Art. no.: 0-48-0240 Rev. c
Page 5
Page 6
FRED PA-1
1 Safety Notes
1.1 User profiles
The following people may use the FRED PA-1®:
Even though untrained people may use the device, training and instructions are rec-
ommended to guarantee an optimal resuscitation procedure.
The device may be used with the appropriate electrodes on either adults or chil-
dren.
The device must only be used if the following symptoms are found:
– not responsive
– no respiration
– no pulse
Page 7
1 Safety Notes
1.4 Contraindication for use FRED PA-1
Page 8
Safety Notes 1
FRED PA-1 User Guide Operation with other Devices 1.7
equipment, HF radios and devices labelled with the symbol can affect the
operation of this device (see section 7.4). Avoid using such devices or keep a
sufficient distance from them.
FRED PA-1® is not intended to be operated while using high-frequency surgical
devices.
Interference with other devices - The charging of energy and the release of the
defibrillation impulse can disturb other devices. Check these devices before their
further use.
Page 9
1 Safety Notes
1.10 Additional Terms FRED PA-1
In case of a defect, send the device to your dealer or directly to the manufacturer. The
manufacturer can only be held responsible for the safety, reliability, and performance
of the apparatus, and assume the warranty, if:
There are no express or implied warranties which extend beyond the warranties here-
inabove set forth. SCHILLER makes no warranty of merchantability or fitness for a
particular purpose with respect to the product or parts thereof.
Page 10
Safety Notes 1
FRED PA-1 User Guide Symbols/Indicators 1.11
1.11 Symbols/Indicators
1.11.1 Symbols used in this user guide
The safety levels are classified according to ANSI Z535.6. The following overview
shows the safety symbols and pictograms used in this user guide.
The terms Danger, Warning, and Caution are used in this User Guide to point out poten-
tial dangers and to indicate risk levels. Familiarise yourself with their definitions and sig-
nificance.
For a direct danger which could lead to severe personal injury or death.
For a possibly dangerous situation which could lead to severe personal injury or to
death.
For a possibly dangerous situation which could lead to personal injury. This symbol is
also used to indicate possible damage to property.
For electrical hazards, warnings or precautionary measures when dealing with elec-
tricity.
Do not dispose of the FRED PA-1® and its accessories in the household waste.
Art. no.: 0-48-0240 Rev. c
Page 11
1 Safety Notes
1.11 Symbols/Indicators FRED PA-1
Do not recharge
Do not short-circuit
Do not incinerate
Do not cut
Do not crush
Page 12
Safety Notes 1
FRED PA-1 User Guide Symbols/Indicators 1.11
Page 13
2 Components and Operation
2.1 General Information FRED PA-1
The regulations governing the use and training requirements for AEDs such as the
FRED PA-1® differ from country to country. The laws and regulations for the use of
automatic defibrillators need to be strictly observed.
Local laws and regulations regarding the use of an AED vary from country to country.
While some countries allow laypersons to use AEDs without any special training, oth-
er countries restrict the use of AEDs to an Emergency Medical Technician or First Re-
sponders after they have undergone special training.
Highly frequented areas are typical places for the operation of a FRED PA-1®. Some
examples below:
– airports
– train stations
– shopping centres
– public swimming pools
– sport centres
– public institutions
Biocompatibility
The parts of the product described in this user guide, including all accessories, that
come in contact with the patient during the intended use, fulfil the biocompatibility re-
quirements of the applicable standards. If you have any questions in this matter,
please contact SCHILLER.
Page 14
Components and Operation 2
FRED PA-1 User Guide Design 2.2
2.2 Design
Defibrillator FRED PA-1® is a defibrillator featuring the BTE (biphasic truncated exponential)
waveform. The patient receives a defibrillation shock using disposable electrodes.
The ECG signal is analysed using the same electrodes.
Moreover, the user is guided by voice prompts and pictograms (loudspeaker/LEDs
next to pictograms). The device recognises the connected electrodes (adult or chil-
dren electrodes) and selects the defibrillation energy accordingly. An RFID tag in the
connector (for electrodes with article no. 0-21-0040) allows checking the shelf life of
the electrodes, when connected to the device.
Languages The device can be provided with different languages. Optional configuration with 3
languages, selectable after switching the device on.
Metronome The FRED PA-1® sets a configurable pace for the cardiopulmonary resuscitation
(CPR).
FreeCPR (option) Information on the chest compression frequency using impedance variation acquired
with defibrillation pads.
Data memory The device is equipped with an internal memory. During the intervention, data can
therefore be saved, including the analysed ECG data. In addition, technical data
(logs) will be stored.
Data transmission The FRED PA-1® has a SD card slot in order to retrieve the data via SD card.
Power supply (standard) The device is operated with a non rechargeable, disposable lithium battery. The bat-
tery capacity is sufficient for:
• more than 140 shocks at maximum energy, if the device is stored/used in optimal
temperature conditions between 15 ... 25 °C.
Page 15
2 Components and Operation
2.2 Design FRED PA-1
Important!
Modifications that can be made via software program are only performed if re-
quested by the customer, or if required by legal requirements.
These modifications need to be registered in the device documentation as well
as communicated to all users.
Configurable parameters
• Selection of the default language at device start
• Energy level for 1st, 2nd and 3rd shock (separate settings for adults and children)
• Number of chest compressions for children (15 or 30)
• Self-test frequency (daily or weekly)
• Choice between "continuous chest compressions" or "alternating chest compres-
sions/breaths" during CPR cycles
• Date and time
• Update of the software/change of the device language
• Selection of the AED protocol (short or long instructions)
• Activation of notification if no RFID defibrillation pads are detected
• Activation of notch filter (50/60Hz)
• Activation of 16,7Hz Filter
• Activation of sound notification in case of elapsed maintenance interval
• Temperature warning
Page 16
Components and Operation 2
FRED PA-1 User Guide Operating and Display Elements 2.3
• Modem
• Battery
Main status LED
• Service
• Electrodes
Battery
Page 17
2 Components and Operation
2.3 Operating and Display Elements FRED PA-1
Emergency number
Electrode connector
Emergency number
Electrode connector
Page 18
Components and Operation 2
FRED PA-1 User Guide Function 2.4
2.4 Function
Immediately after a battery has been inserted, the FRED PA-1® performs a test of the
device and battery. If this test is completed successfully, the green status LED is blink-
ing and all service status LEDs are off, showing that the device has not detected an
error.
Page 19
3 Initial operation
3.1 Inserting the battery FRED PA-1
3 Initial operation
Danger of explosion — The FRED PA-1® must not be used in areas where there is any
danger of explosion. Areas may be susceptible to explosion if flammable substances
(gas), flammable anaesthetics, or products used to clean or disinfect the skin are used.
Moreover, the defibrillator must not be used in an environment that is favourable to com-
bustion. This is the case when ambient air contains more than 25% oxygen or nitrous ox-
ide (laughing gas). Oxygenation in the vicinity of the defibrillation pads must be strictly
avoided. Less than 25% oxygen in the ambient air is considered safe. Dangerously high
oxygen concentrations can only occur in oxygen masks or in enclosed areas, such as hy-
perbaric chambers.
Make sure that the device is always equipped with a sufficiently charged battery.
The expiration date of a new battery, stored in its original packaging at a temper-
ature of 25°C, is indicated on its packaging. It must not be used beyond this date.
The protective cap of the battery must remain on during the entire storage time.
The protective cap must only be removed when the battery is used.
Do not expose the FRED PA-1® to direct sunlight or to extreme hot or cold. An
ambient temperature higher than 25°C has an adverse effect on the battery life.
• Each time the device is turned on, it verifies that the battery is functioning properly
Art. no.: 0-48-0240 Rev. c
Page 20
Initial operation 3
FRED PA-1 User Guide Inserting the battery 3.1
Remove the protective cap from the battery contacts before inserting the battery
in the device.
<Click> 1. Insert the two stop blocks located at the bottom of the battery in the device slots.
2. Perform a rotational movement until the battery locks in place.
3. As soon as the battery is inserted, the FRED PA-1® runs a self-test to check the
condition of the device and the battery.
During the test, the modem LED is on and the electrodes LED is blinking. This test
can last for more than 1 minute.
If this test does not reveal any problems, the green indicator is blinking and all service
status LEDs are off, showing that the device has not detected an error.
If the device is used on a patient, this test can be cancelled by opening the cover.
Page 21
3 Initial operation
3.1 Inserting the battery FRED PA-1
Switching ON Open the cover. The 3 LEDs for the resuscitation steps are briefly lit.
If a patient is detected while closing the cover, the device will remain ON and the
resuscitation process will go on.
If the cover is re-opened within 30 seconds after closing, the device will resume the
intervention.
Page 22
Initial operation 3
FRED PA-1 User Guide Battery monitoring 3.2
• Low battery capacity indication is the same during self-test, after the battery has
been inserted, and during use.
• Despite the low battery indication, the device can still be used as normal and is still
able to perform defibrillations.
• Always switch off the device before removing the battery.
• The remaining battery capacity depends on the use and ambient conditions.
If the battery capacity falls below 10%, the main status LED (1) and the orange battery
LED (2) are blinking. These indications are issued until the battery is replaced. The
battery must be replaced as soon as possible.
1 2
Page 23
3 Initial operation
3.2 Battery monitoring FRED PA-1
If a depleted battery is detected while the device is in use, the device will prompt the
user to replace the battery and perform CPR. An audible signal is emitted. The main
status LED is off and the orange battery LED is blinking until the battery is replaced.
1 2
Battery LED
Page 24
Initial operation 3
FRED PA-1 User Guide Replacing the “pre-connected” pads 3.3
9. If requested, add a spare set of electrodes in the compartment on the device’s un-
derside.
Electrode connector
Art. no.: 0-48-0240 Rev. c
Page 25
4 Defibrillation
4.1 Instructions and Safety Notes FRED PA-1
4 Defibrillation
4.1 Instructions and Safety Notes
4.1.1 Instructions
Page 26
Defibrillation 4
FRED PA-1 User Guide Instructions and Safety Notes 4.1
Page 27
4 Defibrillation
4.2 Applying the adhesive electrodes FRED PA-1
The pads are sufficiently pre-gelled. Do not use extra contact agent.
Do not reuse the pads.
The pre-connected electrodes are stored in the defibrillator cover and can be ac-
cessed when the cover is opened.
A spare set of adult or children electrodes can be found in the compartment on
the bottom of the FRED PA-1.
Risks for the user and the patient — The packaging of pre-connected electrodes
is welded to the electrode cable. Do not remove the packaging from the elec-
trode cable (risk of damaging the cable).
After having removed the clothes from the patient's upper body, perform the following
steps:
Open the electrode packaging and apply the electrodes to the patient's chest.
(1) Defibrillation pad to be placed at the right sternal edge at the level of the 2nd in-
tercostal space.
(2) Defibrillation pad to be placed at the left axillary line at the level of the 5th inter-
costal space.
(3) If not connected, insert the electrode connector into the electrode port.
• The green indicator is blinking and the device repeats the instructions until the elec-
trodes are applied, or until the electrode connector is connected to the device, re-
spectively, and the electrode-skin resistance (impedance) has reached an accept-
able level.
Art. no.: 0-48-0240 Rev. c
• After several repetitions to apply and connect the electrodes, the device recom-
mends performing a cardiopulmonary resuscitation cycle. The device will then
switch off if it has not detected an acceptable impedance between the two elec-
trodes after 5 minutes.
Fig. 4.2 Green indicator
Page 28
Defibrillation 4
FRED PA-1 User Guide Applying the adhesive electrodes 4.2
Skin covered in sea water, sand, sunscreen, or skin or body care products may
impair electrode contact or cause the electrodes to become disconnected.
Adult electrodes The adult electrodes with the blue connector are used for adults and children weigh-
ing 25 kg or more.
Paediatric electrodes The paediatric electrodes with the yellow connector are used for children weighing
less than 25 kg (younger than 8 years of age). The device automatically distinguishes
between adult electrodes and paediatric electrodes.The energy setting is automati-
cally reduced when paediatric electrodes are connected.
Electrode placement is the same for adults and for children weighing 25 kg or more
(see Fig. 4.4 Electrode application sites for children weighing 25 kg or more). Before
applying the adhesive electrodes, verify that the application sites on the patient’s
chest are clean and dry.
7. Place the electrodes on the patient's chest so that the connections point to either
side of the patient in order not to hinder CPR.
Art. no.: 0-48-0240 Rev. c
Page 29
4 Defibrillation
4.2 Applying the adhesive electrodes FRED PA-1
Electrode placement on children weighing less than 25 kg (see Fig. 4.5 Application
sites for children weighing less than 25 kg). Before applying the adhesive electrodes,
verify that the application sites on the patient’s chest are clean and dry.
Page 30
Defibrillation 4
FRED PA-1 User Guide Applying the adhesive electrodes 4.2
• Asks to check that the electrodes are connected and applied to the patient's chest
and then recommends performing a CPR cycle.
• resumes the intervention where it has been interrupted when it detects that the re-
sistance between both electrodes is acceptable again.
• switches off if it still does not detect acceptable impedance between both elec-
trodes after 5 minutes.
1. Insert the connector as specified in 3.3.1 Connect the electrodes on page 25.
2. Press the defibrillation pads onto the patient’s chest one after the other to find out
which one makes the green indicator switch off,
3. carefully press this electrode onto the patient's skin.
To remove the electrodes from the patient's chest, see 4.6 Finishing the therapy.
Art. no.: 0-48-0240 Rev. c
Page 31
4 Defibrillation
4.3 Semi-automatic defibrillation FRED PA-1
Semi-Automatic Defibrillation
Depending on the configuration of the device, the instructions provided by the device
may be shortened.
“Apply the electrodes" is blinking as long as the electrodes are not properly applied to
the patient's chest and/or the electrode connector is not properly connected to the de-
vice.
Fig. 4.6 Apply the electrodes
Page 32
Defibrillation 4
FRED PA-1 User Guide Semi-automatic defibrillation 4.3
Shock hazard!
Do not, under any circumstances, touch the patient during shock delivery.
Make sure that the patient does not touch any conducting objects.
After the shock delivery, proceed with Step 4 Performing cardiopulmonary resus-
citation.
If the FreeCPR option is activated, the device instructs the rescuer to adjust the chest
compression frequency.
6. Perform a CPR cycle. According to the configuration of the device, a CPR cycle
Art. no.: 0-48-0240 Rev. c
consists of:
– performing chest compressions for the set period of time, or
– alternately performing 30 chest compressions and 2 breathes for the set period
of time.
After the CPR cycle, the device continues automatically with Step 2 Analysing the
ECG signal.
Page 33
4 Defibrillation
4.4 Automatic defibrillation FRED PA-1
Depending on the configuration of the device, the instructions provided by the device
may be shortened.
This device delivers defibrillation shocks automatically, i.e. there is no need to trigger
the shock.
Voice prompts and LEDs next to the pictogram keep the user informed regarding the
therapy steps.
If a shock is advised, a countdown accompanies the last 3 seconds before the shock is
delivered.
Once the device has been switched on by opening the cover and the electrodes have
been applied, the ECG analysis is started automatically and a shock is delivered au-
tomatically if a shockable rhythm is present. The user is informed of an ongoing anal-
ysis or shock release via acoustic messages.
Page 34
Defibrillation 4
FRED PA-1 User Guide Automatic defibrillation 4.4
Automatic defibrillation
“Apply the electrodes" LED is blinking as long as the electrodes are not properly ap-
plied to the patient's chest and/or the electrodes connector is not properly connected
Fig. 4.10 Apply the electrodes to the device.
If the device detects ventricular fibrillation or ventricular tachycardia with a heart rate
exceeding 150 bpm, Step 3 Automatic shock delivery follows; otherwise, continue
with Step 4, Performing cardiopulmonary resuscitation.
Art. no.: 0-48-0240 Rev. c
Page 35
4 Defibrillation
4.4 Automatic defibrillation FRED PA-1
Shock hazard!
Do not, under any circumstances, touch the patient during shock delivery.
Make sure that the patient does not touch any conducting objects.
After the shock delivery, proceed with Step 4 Performing cardiopulmonary resuscita-
tion.
5. Perform a CPR cycle. According to the configuration of the device, a CPR cycle
consists of:
– performing chest compressions for the set period of time, or
– alternately performing 30 chest compressions and 2 breathes for the set period
Art. no.: 0-48-0240 Rev. c
of time.
After the CPR cycle, the device continues automatically with Step 2 Analysing the
ECG signal.
therapy
Page 36
Defibrillation 4
FRED PA-1 User Guide Internal safety discharge 4.5
An internal safety discharge ensures that the stored energy is discharged within the
device every time a defibrillation shock was not delivered correctly. An internal dis-
charge is performed if:
– the shock has not been delivered within the 20 seconds following the end of de-
fibrillation energy charging
– an electrode error is detected
– the battery voltage is insufficient
– the device is defective
– the device is switched off before the shock is delivered.
• If the device is turned off for less than 5 minutes, all data is stored (even if the bat-
tery is removed), and the device continues to count the number of shocks deliv-
ered, to measure the time elapsed since the device was turned on, and to store
intervention events from the point at which the device was turned off.
Art. no.: 0-48-0240 Rev. c
Page 37
5 Communication
5.1 Retrieving intervention data FRED PA-1
5 Communication
5.1 Retrieving intervention data
Only use standard SD cards (do not use mini or micro SD cards).
• To read the intervention data, use the appropriate SCHILLER software. Contact
your SCHILLER representative.
To retrieve the intervention data, an SD card is required. The SD card must be con-
figured according to the following instructions.
5. The modem LED (1) is on and the service LED (2) is blinking throughout the data
transfer process, which can last more than 5 minutes.
2 6. The data transfer is finalized when the modem LED (1) and the service LED (2)
are off.
1
7. Remove the battery and then remove the SD card from the device.
8. Insert the battery.
Page 38
Maintenance 6
FRED PA-1 User Guide Maintenance Intervals 6.1
6 Maintenance
6.1 Maintenance Intervals
• Because FRED® PA-1 is an emergency device, some verification has to be done
as written in the following table in order to maintain the device operational, including
the accessories.The test results must be recorded and compared to the values ac-
companying the documents (see 7.7 Inspection report)
• If used in optimal conditions (see Chapter 6.1.1 Exemption from the technical safe-
ty inspection), the FRED® PA-1 does not need any particular maintenance tests
since the device is able to test itself automatically on a regular basis, and it issues
a warning if any action either from the user or from a technician is required.
• Local regulations in your country may stipulate additional or different inspection in-
tervals and tests.
• The following table indicates the intervals and competence of the maintenance
work required.
Page 39
6 Maintenance
6.1 Maintenance Intervals FRED PA-1
Yes No
Exemption from the technical safety inspection of the FRED PA-1 if all factors are fulfilled
Location: Date:
Carried out by:
Device The device has defined Service Life of 10 years if maintenance intervals have been
observed according to section 6.1 Maintenance Intervals and the directive IEC/EN
62353.
Battery Main battery (approx.6 years), see expiring date on the battery and internal battery
cell (approx. 6 years)
Electrodes Electrode packaging (2 years), see expiring date on the electrodes pouch.
Page 40
Maintenance 6
FRED PA-1 User Guide Maintenance Intervals 6.1
If you observe damages or dysfunctions which can endanger the safety of the patient
or user, only use the device once it has been serviced.
Points to inspect: • Check that the main status LED is blinking and all the other LEDs are off, see
6.5.1 Error messages
• Device casing undamaged?
• No excessive clogging or damage?
• Legible nameplate at the rear of the device?
• Legible inscriptions on the front face of the device?
• Expiration date of the electrode elapsed? (see section 3.3.1 Connect the electrodes
page 25.
• Expiration date of the battery elapsed?
Page 41
6 Maintenance
6.1 Maintenance Intervals FRED PA-1
Patient hazard — If the device's behaviour differs from the description given in this
user guide or the main status LED is not blinking, the device is defective and must be
repaired.
In case of intensive use of the device, SCHILLER recommends that these in-
spections be performed at shorter interval.
The regulations in force in each country regarding inspection frequency must be
observed (if shorter intervals than those recommended by SCHILLER are im-
posed).
Points to inspect: • Visually inspect the device and the accessories (see 6.1.3 Visual inspection of the
device and accessories).
• Check for proper functioning.
• Measure the energy delivered at 50 Ohms.
Page 42
Maintenance 6
FRED PA-1 User Guide Cleaning and disinfection 6.2
Risk of shock, equipment damage — Liquids must not enter the device. If a liquid has
penetrated the device, it must not be used until it has been checked by a service tech-
nician.
Equipment damage! Do not clean the surface of the device with phenol-based
disinfectants or peroxide compounds.
Device casing Wipe the device with dampened cloth; make sure no liquid enters the device. All
cleaning or disinfection products commonly used in hospitals and containing al-
cohol (maximum 70 %) are appropriate. If liquids enter the device, it can only be
re-operated after it has been checked by the technical support department.
Cables, electrodes Discard the disposable electrodes immediately after use to prevent their reuse
(hospital waste).
Art. no.: 0-48-0240 Rev. c
Page 43
6 Maintenance
6.3 Accessories and disposables FRED PA-1
Your local representative stocks all the consumables and accessories for the
FRED PA-1®. A full list of all SCHILLER representatives can be found on the SCHIL-
LER website (www.schiller.ch). In case of difficulty, contact SCHILLER. Our staff will
be pleased to help process your order or to provide details for all SCHILLER products.
Accessories/Disposable
Part No. Description
1 pair of disposable adhesive defibrillation pads for adults, 80cm²;
0-21-0040
pre-connected with RFID
2.155067 1 pair of disposable adhesive defibrillation pads for children, 80cm²;
4-07-0025 Battery pack FRED PA-1
5-35-0043 SD Card
6-39-0140 Set of emergency number stickers for device
6-39-0141 Set of flag stickers for device (for multi language option)
6-39-0148 Set of emergency number stickers for wall bracket
0-48-0240 User Guide, English
Page 44
Maintenance 6
FRED PA-1 User Guide Disposal information 6.4
Danger of explosion! The battery must not be incinerated, exposed to high tem-
peratures or disposed of with household waste.
Do not expose the battery to chemicals that could dissolve ABS, polypropylene,
polyvinyl chloride, nickel, mylar or steel.
Do not cut, destroy, or incinerate the battery.
Danger of acid burns! Do not open or heat up the battery.
6.4.2 Disposal of accessories that come into contact with the patient
At the end of their service life, the device and its accessories must be recycled in
compliance with local regulations. Apart from the internal and plug-in batteries, the
device does not contain hazardous material and can be recycled like any other piece
of electronic equipment. In accordance with national law, the battery must be dis-
posed of at an appropriate waste disposal station or returned to SCHILLER.
If no such collection point or recycling centre is available, you can return the unit to
your distributor or the manufacturer for proper disposal. In this way, you contribute to
the recycling and other forms of utilisation of old electrical and electronic equipment.
Improper disposal harms the environment and human health due to the presence of
Art. no.: 0-48-0240 Rev. c
Page 45
6 Maintenance
6.5 Troubleshooting FRED PA-1
6.5 Troubleshooting
• If it is not possible to get the device back into operating condition within a reason-
able period of time, continue cardiopulmonary resuscitation until the rescue service
arrives.
Forced shutdown procedure
• If the device cannot be switched off via normal OFF procedure (closing the cover)
remove the battery and insert it again.
Normal device state. The device is fully operational. A defibrillation shock can be
given.
Restricted device state. The device is not able to charge the HV capacitor and to de-
liver a defibrillation shock. It only indicates to perform CPR.
Page 46
Maintenance 6
FRED PA-1 User Guide Troubleshooting 6.5
a. If 2/3 of the single measurements over a duration of 48 hours are out of the limits, the device will give a warning (Electrode and
Service LEDs will light + sound alarm if configured); the status LED continues to blink.
The frequency of the temperature verification during the 48 hours can be configured from 1h to 24h
Alarm limits:
+50 °C for the high limit and -°5C for the low limit.
Art. no.: 0-48-0240 Rev. c
Page 47
6 Maintenance
6.5 Troubleshooting FRED PA-1
6.5.2 Troubleshooting
the electrodes
Difficulty to insert the battery • Protective cap not removed Remove the contacts protective cap
The device does not start the • The battery contacts are dirty Clean the battery contacts with alcohol dampened cloth
automatic test by inserting a • The battery is empty Use a new battery
battery
Page 48
Maintenance 6
FRED PA-1 User Guide Troubleshooting 6.5
It can be deducted from the table that portable RF telecommunication devices must
not be used within a radius of 3 m from the device and its cables.
The user can take the following measures to prevent electromagnetic interferences:
• Increase distance to the source of interference.
• Turn the device to change the angle of radiation.
• Only use original accessories (especially defibrillation electrodes)
• The device should not be used adjacent to or stacked with other equipment.
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7 Technical Data
7.1 System Specifications FRED PA-1
7 Technical Data
Unless otherwise stated, all specifications are valid at a temperature of 25 °C.
Power supply Power supply, suitable for continuous operation with intermittent loading
Environmental conditions
Device
Operation • -5...40 °C at a relative humidity of 30 to 95% (no condensation)
Storage before use • -5...40 °C with the battery inserted and incl. electrodes at a relative humidity of 30
to 95 % (no condensation) but resulting in a reduced battery life; optimal condi-
tions: 15...25 °C to ensure maximum battery life.
• Atmospheric pressure 700 to 1060 hPa
Storage and transport • -20 ... 50 °C at a relative humidity of 0 to 95% (no condensation)
• Atmospheric pressure 500 to 1060 hPa
Battery and Electrodes
Storage and Transport temper- • 5 ... 35 °C (48h max. between -20...5°C and 35...60°C)
Art. no.: 0-48-0240 Rev. c
Page 50
Technical Data 7
FRED PA-1 User Guide Classification and safety standards 7.2
Compliance • FRED PA-1® bears the (Notified Body LNE/G-MED) mark indicating its
compliance with the provisions of the Directive 93/42/EEC (modified by the Direc-
tive 2007/47/EEC) regarding medical devices and fulfils the essential require-
ments of Annex I of this directive.
• FRED PA-1® is a class IIb device.
Explosions protection FRED PA-1® is not designed to be used in the presence of flammable mixtures of
anaesthetic agents with air or oxygen.
The SCHILLER quality management system complies in full with the international
standards ISO 9001 and ISO 13485.
Art. no.: 0-48-0240 Rev. c
Page 51
7 Technical Data
7.3 Defibrillation pulse FRED PA-1
ϴϬ
ϳϬ
ϲϬ
ϮϱKŚŵ
ϱϬ
ϱϬKŚŵ
ϰϬ
ϳϬKŚŵ
ϯϬ ϭϬϬKŚŵ
ϮϬ ϭϮϱKŚŵ
ϭϬ ϭϱϬKŚŵ
Ϭ ƵƌĂƚŝŽŶ;ŵƐͿ ϮϮϬKŚŵ
ϮϱϬKŚŵ
ͲϭϬ
ͲϮϬ
ͲϯϬ
ͲϰϬ
SCHILLER's customer service department can change the default energy levels to
the following values:
70 – 90 –120 – 150 – 200 J (adults)
30 – 50 – 70 J (children)
(automatic adaptation when paediatric pads are connected)
Cycle time: rhythm analysis – (Maximum time between start of the analysis and shock availability, in semi-auto-
shock availability (in semi-auto- matic mode)
matic mode)
With full battery: < 20 seconds
Page 52
Technical Data 7
FRED PA-1 User Guide Defibrillation pulse 7.3
Page 53
7 Technical Data
7.3 Defibrillation pulse FRED PA-1
The validation test set database used to establish compliance with the AHA require-
ments [2] and the IEC Standards [3] is used independently to develop the rhythm rec-
ognition detector.
The SAS validation test set contains the following ECG samples (see test sample size
in Table 1):
Table 1: FRED PA-1 SAS performance by rhythm category meets AHA recommen-
dations [2] and IEC Standards [3] for adult defibrillation on artefacts-free MIT-VFDB
signals:
The FRED PA-1 SAS test has been completed with a validation database consisting
of 2,475 couples of ECGs and transthoracic Impedance Cardiogram (ICG) from out-
of-hospital cardiac arrest (OHCA) interventions, recorded with Automated External
Defibrillators (FredEasy, Schiller Medical SAS, France) used by the fire brigade of
Paris.
This supplementary test completes the validation of the SAS and achieves the results
summarised in table 1. A report of the global validation test results is available on re-
quest.
Page 54
Technical Data 7
FRED PA-1 User Guide Electromagnetic interferences 7.4
Page 55
7 Technical Data
7.4 Electromagnetic interferences FRED PA-1
Interference testing IEC 60601 test level Conformity Electromagnetic environment - explanations
level
Recommended minimum distances
Portable and mobile HF telecommunication devices must
keep the recommended minimum distance from the FRED
PA-1® and all its components, incl. cables; the recommended
minimum distance is calculated based on the transmitter's fre-
quency.
Note 1 For 80 MHz to 800 MHz, the higher frequency range applies.
Note 2 These guidelines might not always be applicable. Electromagnetic radiation is influenced by absorption and reflection on struc-
tures, objects and people.
a. The ISM frequency bands (ISM = industrial, scientific, medical) between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz
to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
b. The conformity levels within the ISM frequency bands between 150 kHz and 80 MHz and between 80 MHz and 2.5 GHz serve to minimise
the probability of interferences caused by mobile/portable communication equipment that accidentally happens to be in the patient environ-
ment. The formula for the calculation of the recommended distance has been adapted by the factor 10/3 for transmitters in this frequency
Art. no.: 0-48-0240 Rev. c
range.
c. The field strength of stationary transmitters, e.g. base stations for radio telephones (mobile or cordless) and portable radio equipment, am-
ateur radios, AM and FM radios and TV signals cannot be predicted accurately in a theoretical way. In order to analyse electromagnetic
environments caused by stationary HF transmitters, an electromagnetic analysis on site should be considered. If the measured field
strength exceeds the HF conformity level, it needs to be checked whether the FRED PA-1® can be used in this environment. If an abnormal
behaviour is detected, additional measures need to be taken, e.g. reorientation or change of location of the FRED PA-1®.
d. For the frequency range between 150 kHz and 80 MHz, the field strength must be lower than 3 V/m.
Page 56
Technical Data 7
FRED PA-1 User Guide Electromagnetic interferences 7.4
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795 MHz;
13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz.
NOTE 3 An additional factor of 10/3 has been incorporated into the formulae used in calculating the recommended
separation distance for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
80 MHz to 2,5 GHz to decrease the likelihood that mobile/portable communications equipment could cause interference if
it is inadvertently brought into patient areas.
NOTE 4 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Art. no.: 0-48-0240 Rev. c
Page 57
7 Technical Data
7.5 Literature FRED PA-1
7.5 Literature
European Resuscitation Council Guidelines 2015 for Cardiopulmonary Resuscitation and Emergency Cardiovascular
(2015) Care
American Heart Association (2015) Guidelines 2015 for Cardiopulmonary Resuscitation and Emergency Cardiovascular
Care
7.6 Glossary
ABCD The primary ABCD
AED Automated external defibrillator. This term is also used for semi-automatic defibrilla-
tors
VT Ventricular tachycardia
VF Ventricular fibrillation
Page 58
Technical Data 7
FRED PA-1 User Guide Inspection report 7.7
In case of problems, please notify your Biomedical Department , your local SCHILLER distributor , or the authorized Custom-
er Service for your area :
Name: .................................................................. Tel.: ...................................................................
Page 59
8 Index
FRED PA-1
8 Index
A M
Accessories................................................ 44 Maintenance
Appendix Internal backup battery ..........................42
Glossary ................................................ 57 Maintenance Intervals............................39
Inspection Report .................................. 58 Test........................................................42
Literature ............................................... 57 Visual inspection ....................................41
Order information .................................. 56
Required accessories............................ 44
S
Safety Notes .................................................7
B Self-test.......................................................19
Battery
Battery Disposal .................................... 45
Battery is empty .................................... 24 T
Inserting the battery .............................. 20 Technical Data
Low battery............................................ 23 Defibrillation impulse..............................51
Sufficient battery capacity ..................... 23 Dimensions ............................................49
Biocompatibility .......................................... 14 Energy levels .........................................51
Environmental conditions.......................49
Patient impedance .................................51
C Patient Protection ..................................50
Cleaning ..................................................... 43 Power supply .........................................49
Configurable parameters Protection class .....................................49
Energy levels......................................... 16 Standards ..............................................50
Controls and indicators Weight....................................................49
-Display ................................................. 18 Terms of Warranty ......................................10
Trouble Shooting.........................................46
D
Danger of electric shock!.............................. 8
Danger of explosion ............................... 8, 20
Defibrillation
Automatic defibrillation .......................... 34
Defibrillator application guidelines......... 26
Finishing the therapy............................. 37
Internal safety discharge ....................... 37
Semi-automatic Defibrillation ................ 32
Design ........................................................ 15
Disinfection................................................. 43
Display Symbols/Indicators
in this User Guide.................................. 11
on the display ........................................ 12
on the electrode packaging ................... 13
used on the battery ............................... 12
used on the device ................................ 11
Disposal information
Accessories into contact with patients .. 45
At the end of useful life.......................... 45
Art. no.: 0-48-0240 Rev. c
Battery................................................... 45
E
Electrodes
Adult and paediatric electrodes............. 29
Checking the electrodes........................ 31
Open the electrode packaging .............. 28
F
Function ..................................................... 17
Page 60