SCHILLER - Fred Easy - Manual
SCHILLER - Fred Easy - Manual
SCHILLER - Fred Easy - 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]
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 ......................................................................... 6
1.4 Organisational Measures ..................................................... 7
1.5 Safety-Conscious Operation ............................................... 7
1.6 Operation with other Devices .............................................. 8
1.7 Maintenance.......................................................................... 8
1.8 General Notes Regarding the Unit ...................................... 8
1.9 Additional Terms .................................................................. 9
1.9.1 Implied authorisation .......................................................................... 9
1.9.2 Terms of Warranty ............................................................................. 9
1.10 Display Symbols/Indicators............................................... 10
1.10.1 Symbols used in this user guide ...................................................... 10
1.10.2 Symbols used on the device ............................................................ 10
1.10.3 Symbols used on the battery............................................................ 11
1.10.4 Symbols used on the electrode packaging ...................................... 12
Page 1
FRED easy
4 Defibrillation ............................................27
4.1 Instructions and Safety Notes ........................................... 27
4.1.1 Instructions ...................................................................................... 27
4.1.2 Safety notes for AED use................................................................. 27
4.2 Defibrillation procedure ..................................................... 29
4.3 Applying the adhesive electrodes..................................... 34
4.3.1 General information ......................................................................... 34
4.3.2 Apply the adhesive electrodes and connect them to the device ...... 35
4.3.3 Checking the electrodes .................................................................. 37
4.4 Semi-automatic defibrillation ............................................ 38
4.5 Automatic defibrillation...................................................... 40
4.5.1 Functional description of automatic AEDs ....................................... 40
4.5.2 Safety notes for automatic defibrillation ........................................... 40
4.6 Manual Defibrillation (option) ............................................ 43
4.6.1 Manual defibrillation - description .................................................... 44
4.6.2 Manual defibrillation procedure........................................................ 45
4.6.3 Switching to semi-automatic operational mode ............................... 46
4.7 Internal safety discharge ................................................... 47
4.8 Finishing the therapy ......................................................... 47
5 Versions ...................................................48
5.1 SD card version .................................................................. 48
5.1.1 Inserting the SD card ....................................................................... 49
5.2 Ethernet version ................................................................. 50
5.2.1 Connecting the Ethernet adapter ..................................................... 50
5.2.2 Data transmission procedure ........................................................... 51
5.2.3 Installing the ferrite core................................................................... 53
5.3 Online version..................................................................... 54
5.3.1 Ensuring data transmission.............................................................. 55
5.3.2 Placing the FRED easy® in the docking station .............................. 56
5.3.3 Activating the maintenance mode.................................................... 57
5.4 Configuration Ethernet/Online using FRECO .................. 58
5.4.1 Configuring the "Network" tab.......................................................... 58
5.4.2 Configuring the "Online" Tab ........................................................... 60
5.4.3 Configuring the date and time as well as IP addresses without
using FREDCO® ............................................................................. 61
6 Options ....................................................62
6.1 ECG display......................................................................... 62
6.2 Metronome .......................................................................... 62
Art. no.: 0-48-0013 Rev. m
Page 2
FRED easy User Guide
7 Maintenance ............................................ 69
7.1 Maintenance Intervals ........................................................ 69
7.1.1 Visual inspection of the device and accessories.............................. 69
7.1.2 Green indicator................................................................................. 70
7.1.3 Functional check .............................................................................. 70
7.1.4 Internal backup battery..................................................................... 70
7.2 Cleaning and disinfection.................................................. 71
7.3 Accessories and disposables ........................................... 71
7.4 Disposal information .......................................................... 72
7.4.1 Battery Disposal ............................................................................... 72
7.4.2 Disposal of accessories that come into contact with the patient ...... 72
7.4.3 Disposal at the end of its useful life.................................................. 72
7.5 Trouble Shooting ................................................................ 73
7.5.1 Error messages................................................................................ 73
7.5.2 Transmission error Ethernet/Online FRED easy®........................... 75
7.5.3 Trouble Shooting.............................................................................. 78
7.5.4 Measures to prevent electromagnetic interferences ........................ 80
9 Appendix ................................................. 88
9.1 Order Information ............................................................... 88
9.2 Required accessories ........................................................ 88
9.3 Literature ............................................................................. 89
9.4 Glossary .............................................................................. 89
9.5 Inspection report ................................................................ 90
10 Index ........................................................ 92
Art. no.: 0-48-0013 Rev. m
Page 3
Page 4
FRED easy
1 Safety Notes
1.1 User profiles
The following people may use the FRED easy:
Even though untrained people may use the device, training and instructions are rec-
ommended to guarantee an optimal resuscitation procedure.
Page 5
1 Safety Notes
1.3 Intended Use FRED easy
Page 6
Safety Notes 1
FRED easy User Guide Organisational Measures 1.4
Page 7
1 Safety Notes
1.6 Operation with other Devices FRED easy
equipment, HF radios and devices labelled with the symbol can affect the
operation of this device (see section 8.4) . Avoid using such devices or keep a
sufficient distance from them.
A 16.7 Hz filter allows to operate the FRED easy in the vicinity of a mains network
with a frequency of 16.7 Hz (railway lines in some countries).
FRED easy® 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.
Sensors and devices that are not defibrillation-proof must be disconnected from
the patient before a shock is triggered.
If the patient has an implanted pacemaker, be sure not to position the electrodes
directly on top of it.
1.7 Maintenance
Danger of electric shock! Do not open the device. No serviceable parts inside.
Refer servicing to qualified personnel only.
Before cleaning, switch the unit off and remove the battery.
Do not use high-temperature sterilisation processes (such as autoclaving). Do
not use E-beam or gamma radiation sterilisation.
Do not use aggressive or abrasive cleaners.
Do not, under any circumstances, immerse the device or cable assemblies in liq-
uid.
To ensure patient safety, the accuracy of displayed values and interference-free
operation, only use original SCHILLER accessories. The user is responsible for
the use of third-party accessories. The warranty does not cover damage result-
ing from the use of accessories or consumables other than those marketed by
SCHILLER.
Art. no.: 0-48-0013 Rev. m
Page 8
Safety Notes 1
FRED easy User Guide Additional Terms 1.9
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.
Art. no.: 0-48-0013 Rev. m
Page 9
1 Safety Notes
1.10 Display Symbols/Indicators FRED easy
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 easy® and its accessories in the household waste.
Page 10
Safety Notes 1
FRED easy User Guide Display Symbols/Indicators 1.10
Do not recharge
Do not short-circuit
Do not incinerate
Do not cut
Do not crush
Battery storage:
– unlimited storage duration between +15°C and +25°C (within the limit of the
specified expiry date),
– max. 48 hours between +25 °C and +60 °C as well as between +15 °C and 0 °C.
Page 11
1 Safety Notes
1.10 Display Symbols/Indicators FRED easy
Page 12
Components and Operation 2
FRED easy User Guide General Information 2.1
The regulations governing the use and training requirements for AEDs such as
FRED easy® 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 differs from country to coun-
try. While some countries allow laypersons to use AEDs without any special training,
other countries restrict the use of AEDs to EMTs or First Responders after they have
undergone special training.
For training purposes, SCHILLER offers the FRED easy® TRAINER.
Typical sites of operation for a FRED easy® are much-frequented places such as:
– 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.
Art. no.: 0-48-0013 Rev. m
Page 13
2 Components and Operation
2.2 Design FRED easy
2.2 Design
Defibrillator FRED easy® is a defibrillator featuring the biphasic pulsed defibrillation impulse,
Multipulse Biowave®. The patient is defibrillated using disposable electrodes. The
ECG signal is analysed using the same electrodes.
Moreover, the user is guided with acoustic and written instructions (display/loud-
speaker). The device recognises the connected electrodes (adult or children elec-
trodes) and selects the defibrillation energy accordingly.
Metronome When the "metronome" is activated, the FRED easy® sets a configurable pace for the
cardiopulmonary resuscitation (CPR).
Data memory The device is equipped with a memory card (SD card). During the intervention, data
can therefore be saved, including the analysed ECG data, ambient noise and events
(see 5.1 SD card version, 5.2 Ethernet version and 5.3 Online version).
Data transmission The FRED easy® SD card version features a removable SD memory card, facilitating
data transmission to other devices. For the Ethernet and Online versions, data trans-
mission is performed via Ethernet network (for these device versions, the memory
card cannot be removed).
Power supply (standard) The device is operated with a non rechargeable, disposable lithium battery. The bat-
tery capacity is sufficient for:
– 180 shocks at maximum energy (if the self-test is performed weekly), or,
– 3.75 hours operating (alternately 30 minutes ON and 30 minutes OFF).
Power supply (option) A rechargeable NiCd battery is available as option. The capacity of a new and fully
charged battery is sufficient for:
Page 14
Components and Operation 2
FRED easy User Guide Design 2.2
FRED easy Life Standard features for this device are the metronome and a non rechargeable Li/MnO2
battery. All other options listed above for semi-automatic operation are not available.
Page 15
2 Components and Operation
2.3 Function FRED easy
2.3 Function
Immediately after a battery has been inserted, the FRED easy® performs a self-test
of the device and battery. If this test is completed successfully, the green indicator
starts blinking, showing that the device is ready for operation and the information is
displayed.
In addition, the device performs a daily or weekly self-test (this setting must only be
configured by service personnel authorised by Schiller); the self-test is announced
Fig. 2.1 Button to switch the device on
and off, and to start the analysis
with a beep. If a problem is detected in the course of this self-test:
(only in semi-automatic opera-
tion) – an acoustic alarm is issued,
– the green indicator stops blinking, and
– A corresponding symbol or message is displayed when the device is switched
on by pressing the green button .
When a rechargeable Ni/Cd battery (option) is inserted, the device performs a self-
test every day.
Page 16
Components and Operation 2
FRED easy User Guide Function 2.3
Important!
The “FRED CO” software is only available to service centres authorised by Schil-
ler.
Modifications that can be made via "FRED CO" are only performed if requested
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.
Page 17
2 Components and Operation
2.4 Operating and Display Elements FRED easy
SD Card
version
Semi-automatic operational mode Semi-automatic operational mode with option Automatic operational mode
for switchover to manual mode
Online/Ethernet version
The Online/Ethernet versions are available with the same operational modes as the SD card version:
• semi-automatic
• semi-automatic with option for switchover to manual mode
• Automatic
• Silent mode
FRED easy® Online FRED easy® Online with docking station Online with Ethernet adapter
Art. no.: 0-48-0013 Rev. m
Page 18
Components and Operation 2
FRED easy User Guide Operating and Display Elements 2.4
SD card-Online-Ethernet version
Page 19
2 Components and Operation
2.4 Operating and Display Elements FRED easy
3 4 5
1
6
8a 8b
9 8
The FRED easy® versions SD Card (removable memory card), ETHERNET (with Ether-
net adaptor) and ONLINE (with docking station) only differ from each other in point 8.
(1) The green indicator is blinking if no problem was detected during the last self-
test (see Fig. 2.2 Green indicator blinking).
(2) The yellow indicator is lit when the device has not detected an acceptable resist-
ance between the electrodes (i.e. when the electrodes are not applied and/or the
electrode cable is not connected).
(3) Port for the adhesive pads.
(4) Display.
(5) The green button has got the following functions:
Art. no.: 0-48-0013 Rev. m
Fig. 2.2 Green indicator blinking – Switch on the device (press for max. 1 second)
– Switch the device off (press and hold for 3 seconds)
– Start the analysis in semi-automatic mode (only press the button for 1 second!)
(6) Battery.
(7) Speaker.
(8) SD card slot.The Ethernet interface (8a) is used to connect the Ethernet adapter
(Ethernet version) and to connect the device to the docking station (8b) (Online
version).
(9) Orange button to trigger the defibrillation shock (in semi-automatic mode on-
ly).
Page 20
Components and Operation 2
FRED easy User Guide Operating and Display Elements 2.4
2.4.3 Display
2
DO NOT TOUCH THE PATIENT
ANALYSING!
Page 21
3 Initial operation
3.1 Inserting the battery FRED easy
3 Initial operation
Danger of explosion — The FRED easy® 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. Dangerous, high
oxygen concentrations can only occur in oxygen masks or in enclosed areas, such as hy-
perbaric chambers.
A new battery is initialised by the device when inserting it and is allocated to this
device. It must not be inserted in another device.
Replace the battery if the device indicates a battery problem. A defective battery
must not be used.
Turn off the device before removing the battery.
Make sure that the device is always equipped with a sufficiently charged battery
and keep a spare battery on hand.
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 battery must remained packed in its original plastic packaging (blister) dur-
ing the entire storage time. The plastic packaging must only be removed when
the battery is used.
Do not expose the FRED easy® to direct sunlight or to extreme hot or cold. An
ambient temperature higher than 25°C has an adverse effect on the battery life.
Art. no.: 0-48-0013 Rev. m
Page 22
Initial operation 3
FRED easy User Guide Inserting the battery 3.1
Switching OFF Press the green button and hold for 3 second.
Page 23
3 Initial operation
3.2 Battery monitoring FRED easy
The FRED easy®symbol remains displayed on the screen for as long as the bat-
tery capacity is "sufficient".
Page 24
Initial operation 3
FRED easy User Guide Battery monitoring 3.2
• Despite the acoustic and written warnings, 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 the "low" threshold while the device is in use, the
green indicator is turned off, the symbol starts blinking on the display and the
device emits an audible signal.
These warnings are issued until the battery is replaced (or recharged). The battery
must be replaced as quickly as possible.
Low battery capacity during self-test or after the battery has been inserted
• If low battery capacity is detected during a self-test or when the battery is inserted,
the device emits an audible signal and the green indicator is not lit until the battery
is replaced (see Fig. 3.3 The green indicator is not lit).
Art. no.: 0-48-0013 Rev. m
Page 25
3 Initial operation
3.2 Battery monitoring FRED easy
REPLACE BATTERY
30 CHEST COMPRESSIONS THEN
2 RESCUE BREATHS
Page 26
Defibrillation 4
FRED easy User Guide Instructions and Safety Notes 4.1
4 Defibrillation
4.1 Instructions and Safety Notes
4.1.1 Instructions
Before each use, the user must verify that the device operates reliably and is in
proper working order. It is especially important to check that connection cables
are not damaged. Damaged cables and connectors must be replaced immedi-
ately.
Changes, including concerning operational behaviour, affecting safety must be
immediately reported to the responsible.
Equipment damage! Sensors and devices that are not defibrillation-proof must
be disconnected from the patient before a shock is triggered.
Shock hazard — for patients
In unfavorable situations, the possibility of ECG analysis errors should not be
dismissed. The device must therefore only be used if the following symptoms are
found:
– not responsive,
– no respiration,
– no pulse.
If, in the course of treatment, a patient spontaneously regains consciousness, a
defibrillation shock that may have been advised just before must not be deliv-
Art. no.: 0-48-0013 Rev. m
ered.
Page 27
4 Defibrillation
4.1 Instructions and Safety Notes FRED easy
Page 28
Defibrillation 4
FRED easy User Guide Defibrillation procedure 4.2
Both the voice prompts and text instructions can be issued as "long instructions" as
well as "short instructions".
The following procedure is applicable when "long instructions" have been config-
ured.
Switch on the device and call the Once the device is turned on (by pressing thre green button ), an instruction text
emergency medical service reminds the user to call the emergency medical service.
Assess the patient's condition The device then prompts the user to assess the patient’s condition.
The device must only be used if the following symptoms are found:
– not responsive,
– no respiration,
– no pulse.
Preparing the patient Once you made sure that the patient does not show any signs of circulation, you are
prompted to remove the clothes from the patient's upper body.
Art. no.: 0-48-0013 Rev. m
Page 29
4 Defibrillation
4.2 Defibrillation procedure FRED easy
Open the electrode packaging Open the electrode packaging and connect the electrodes to the device (unless the
and connect the electrodes electrodes are pre-connected).
Applying the electrodes FRED easy® prompts the user to apply the electrodes on the patient’s chest.
• The yellow indicator is lit and the device repeats the instructions twice until the
electrodes are applied, or until the electrode connector is connected to the device,
respectively, and the electrode-skin resistance (impedance) has reached an ac-
ceptable level.
• After the second prompt to apply the electrodes, the device recommends to per-
form a cardiopulmonary resuscitation cycle. The device will switch off if it has not
detected an acceptable impedance between the two electrodes after 5 minutes of
CPR.
Page 30
Defibrillation 4
FRED easy User Guide Defibrillation procedure 4.2
ECG analysis Before each analysis, the device informs the user that the patient must not be
touched.
In semi-automatic mode, the device prompts the user to start an ECG analysis by
pressing the green button .
• If no analysis has been initiated after a few seconds following the prompt to start
the analysis, the device recommends to perform a cardiopulmonary resuscitation
cycle. At the end of the CPR cycle, the device repeats the prompt to start the anal-
ysis.
• The semi-automatic FRED easy® can be configured to automatically start the ECG
analysis without pressing the green button .
• Motion detection During ECG analysis, the patient must lie as still as possible and the user must suspend
CPR; otherwise, artefacts may lead to an incorrect analysis.
The FRED easy® includes a motion detection function. When the ECG analysis is
disturbed by CPR or patient movements, the device informes the user via a voice
prompt and a written message on the display. The analysis is automatically resumed
as soon as the cause of disturbance has been eliminated.
If no correct analysis has been obtained by the time the instruction has been repeated
5 times, the device recommends to perform a cardiopulmonary resuscitation cycle.
Art. no.: 0-48-0013 Rev. m
Page 31
4 Defibrillation
4.2 Defibrillation procedure FRED easy
Before each shock delivery, the device warns the user not to touch the patient.
If the analysis algorithm detects a shockable rhythm, the device will automatically
charge the required defibrillation energy. Once the energy is charged, the user is
prompted to deliver the shock by pressing the orange button (only in semi-auto-
matic mode).
In automatic mode, the device alerts the user that the shock will be delivered, and
then delivers the shock without user intervention.
Then the FRED easy® informs the user via spoken and written message that the
shock has been delivered.
– ventricular fibrillation or
– ventricular tachycardia with a rate higher than 150 bpm.
If the device detects a shockable rhythm, the shock must only be released if the patient
does not show any signs of circulation.
If the device detects that the patient’s heart rhythm has changed to an non shockable
rhythm, the previously recommended shock is immediately cancelled and the energy
is discharged internally. FRED easy® informs the user that the shock has been can-
celled.
• Each shock is The FRED easy® informs the user that the patient can be touched again and prompts
followed by CPR the user to perform a cardiopulmonary resuscitation cycle.
The device indicates the position of the hands and the rhythm of chest compressions
with beeps ("metronome"), if applicable. Art. no.: 0-48-0013 Rev. m
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Defibrillation 4
FRED easy User Guide Defibrillation procedure 4.2
• Followed by a new Once the CPR cycle has been finished, the device prompts the user to run a new ECG
analysis analysis (in semi-automatic mode).
If the device again detects a shockable rhythm, it will automatically charge the defi-
brillation energy necessary for the 2nd or 3rd shock. For all subsequent shocks, the
energy remains the same for the 3rd shock.
• Successful shock After a successful shock (no further shocks advised by the ECG analysis),
followed by CPR FRED easy® prompts the user to perform CPR.
If the analysis algorithm does not detect a shockable rhythm, the FRED easy® in-
forms the user that no shock is necessary and prompts him or her to perform CPR.
According to the configuration of the device, the user may be asked to check the pres-
ence of pulse before performing the CPR cycle.
Finishing the therapy Once the therapy has been finished, the defibrillation pads must be removed from the
patient's chest and disconnected from the device. The defibrillation pads are not re-
usable.
The device can then be switched off by pressing and holding the green button for
3 seconds.
Art. no.: 0-48-0013 Rev. m
Page 33
4 Defibrillation
4.3 Applying the adhesive electrodes FRED easy
Only use the pads up to their expiration date. Please note that the expiration
date of the pads only applies if the vacuum pack is intact.
The pads are sufficiently pre-gelled. Do not use extra contact agent.
Do not reuse the pads.
After having removed the clothes from the patient's upper body, perform the following
steps:
– open the electrode packaging, connect the electrode cable to the device
– and apply the electrodes to the patient's chest.
2
3
(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) Electrode connector, to be inserted into the electrode port.
• The yellow indicator is lit and the device repeats the instructions twice 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.
• After the second prompt to apply the electrodes, the device recommends to per-
Art. no.: 0-48-0013 Rev. m
form a cardiopulmonary resuscitation cycle. The device will then switch off if it has
not detected an acceptable impedance between the two electrodes after 5 minutes
Fig. 4.1 Yellow indicator
of CPR.
• If using "pre-connected" pads, it is only necessary to apply the pads to the pa-
tient's chest.
Page 34
Defibrillation 4
FRED easy User Guide Applying the adhesive electrodes 4.3
4.3.2 Apply the adhesive electrodes and connect them to the device
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).
Pre-connected electrodes, which are already connected to the device, only need to
Art. no.: 0-48-0013 Rev. m
be applied to the patient’s chest (Step 3). In this case, Step 2 is not required. Elec-
trodes that are not pre-connected, need to be connected (Step 2) and applied (Step
3).
Page 35
4 Defibrillation
4.3 Applying the adhesive electrodes FRED easy
Large electrodes The large adult electrodes with a surface area of 80 cm² are used for adults and chil-
dren weighing 25 kg or more.
Small electrodes The small paediatric electrodes with a surface area of 42 cm² are used for children
weighing less than 25 kg (younger than 8 years of age).
Electrode placement is the same for adults and for children (see Fig. 4.5 Electrode
application sites for children). The device automatically distinguishes between adult
electrodes and paediatric electrodes.
1. Before applying the adhesive electrodes, verify that the application sites on the
patient’s chest are clean and dry.
2. The skin must be cleaned by rubbing the application points vigorously with a dry
cloth. Do not use alcohol or alcohol wipes. This could significantly increase the
contact impedance between the electrodes and the skin.
Fig. 4.4 Electrode application sites 3. Carefully shave the application sites if the patient’s chest is hairy.
4. Apply the positive electrode at the right sternal edge at the level of the 2nd inter-
costal space. Do not apply the positive electrode on top of the clavicle (uneven
surface).
5. Apply the negative electrode on the left axillary line at the level of the 5th intercos-
tal space.
The electrodes must have good contact with the patient’s skin. Air bubbles under the
electrodes must be avoided. To avoid air bubbles, place one edge of the adhesive
electrode to the patient's chest, then gradually smooth it out toward the other edge to
remove any air.
6. Place the electrodes on the patient's chest so that the connections point to either
Fig. 4.5 Electrode application sites for side of the patient in order not to hinder CPR.
children
Page 36
Defibrillation 4
FRED easy User Guide Applying the adhesive electrodes 4.3
To remove the electrodes from the patient's chest, see 4.8 Finishing the therapy.
Art. no.: 0-48-0013 Rev. m
Page 37
4 Defibrillation
4.4 Semi-automatic defibrillation FRED easy
Semi-Automatic Defibrillation
1. Briefly press the green button (max. 1 second) to switch on the device.
2. Assess the patient's condition (see 4.2 Defibrillation procedure).
3. Connect the electrode cable to the device (see 4.3 Applying the adhesive elec-
trodes).
4. Apply the defibrillation electrodes to the patient's chest (see 4.3 Applying the ad-
hesive electrodes).
Briefly press the green button (max. 1 second) to start the analysis. Otherwise, the de-
vice will switch off.
• The semi-automatic version of the FRED easy® can be configured so that the ECG
analysis is initiated automatically. In this case, the device prompts the user to con-
nect the electrodes and then automatically runs the analysis without any interven-
tion by the user.
• If the device detects ventricular fibrillation or ventricular tachycardia with a heart
rate exceeding 150 bpm, Step 3 Shock delivery follows; otherwise, continue with
Step 4, Performing cardiopulmonary resuscitation.
Art. no.: 0-48-0013 Rev. m
Page 38
Defibrillation 4
FRED easy User Guide Semi-automatic defibrillation 4.4
Shock hazard!
Do not, under any circumstances, touch the patient during shock delivery.
Fig. 4.8 Button to deliver the shock Make sure that the patient does not touch any conducting objects.
After the CPR cycle, the device continues with Step 2 Analysing the ECG signal.
If the device is configured to start the ECG analysis automatically, the device will not
require any action from the user to run the ECG analysis.
Page 39
4 Defibrillation
4.5 Automatic defibrillation FRED easy
This device delivers defibrillation shocks automatically, i.e. there is no need to start
the analysis or trigger the shock.
Voice and text prompts displayed on the screen keep the user informed regarding the
therapy.
Once the device has been switched on with the green button and the electrodes
have been applied, the ECG analysis is started automatically and a shock is delivered
automatically if a shockable rhythm is present. The user is informed of an ongoing
analysis or shock release via written and acoustic messages.
Page 40
Defibrillation 4
FRED easy User Guide Automatic defibrillation 4.5
Automatic defibrillation
1. Briefly press the green button (max. 1 second) to switch on the device.
2. Assess the patient's condition (see 4.2 Defibrillation procedure).
3. Connect the electrode cable to the device (see 4.3 Applying the adhesive elec-
trodes).
4. Apply the defibrillation electrodes to the patient's chest (see 4.3 Applying the ad-
hesive electrodes).
If the device detects ventricular fibrillation or ventricular tachycardia with a heart rate
exceeding 150 bpm, Step 3 Automatic shock deliveryfollows; otherwise, continue with
Step 4, Performing cardiopulmonary resuscitation.
Art. no.: 0-48-0013 Rev. m
Page 41
4 Defibrillation
4.5 Automatic defibrillation FRED easy
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.
therapy
Page 42
Defibrillation 4
FRED easy User Guide Manual Defibrillation (option) 4.6
The FRED easy® with manual mode is indicated by a red foil on the casing. If the user
does not activate the manual mode after switchon, the unit remains in semi-automatic
mode. The defibrillation will then be carried out as described in section 4.4.
Even though non physicians are legally authorised to use semi-automatic defibrilla-
tors, the FRED easy® must not be used by non physicians when it is in manual mode.
In some countries, however, the option to switch from semi-automatic mode to manual
mode is made available to EMTs and medical personnel (non physicians). In this sit-
uation, individual protocols must be determined in cooperation with the EMTs. These
protocols must be based on AHA or ERC protocols or on the regulations of the country
in question. Furthermore, the emergency service is required to ensure that the proce-
dures established are observed and that the staff is trained accordingly.
Page 43
4 Defibrillation
4.6 Manual Defibrillation (option) FRED easy
Turning on the device and Press the green button to switch on the device.
switching to manual mode
Wait until the device has fully started up and is prompting you to connect and apply
the electrodes.
Simultaneously press the green and orange button + . You are prompted to
press the buttons a second time to confirm switchover to manual mode. You need to
confirm this within 5 seconds.
Connect the electrode cable and apply the electrodes to the patient's chest (see sec-
tion 4.3 Applying the adhesive electrodes).
The patient's ECG signal is automatically displayed when the FRED easy® is
switched to manual mode.
Defibrillator charging In manual defibrillation, the energy values of the first 3 shocks are those defined for
the semi-automatic mode. For all subsequent shocks, the energy level of the 3rd
shock is used.
The device prompts the user to press the green button to charge the energy. The
charging progress is displayed on the screen.
Shock delivery As soon as the set energy is charged, the orange button is lit and the user is
prompted to deliver the shock (by voice prompt as well as written instructions).
Once the shock is delivered, the device repeats the prompt to charge the energy for
the following shock.
Page 44
Defibrillation 4
FRED easy User Guide Manual Defibrillation (option) 4.6
Patient hazard — Only a physician is allowed to enable manual mode. Observe the
instructions given in section 4.1 Instructions and Safety Notes.
Patient hazard — Press the green button only briefly (max. 1 second) to start the
energy charging. If you press the button for too long, the device is switched off.
Art. no.: 0-48-0013 Rev. m
Page 45
4 Defibrillation
4.6 Manual Defibrillation (option) FRED easy
Shock hazard!
Only deliver a shock when a shockable heart rhythm is present.
Fig. 4.12 Button to deliver the shock
Do not, under any circumstances, touch the patient during shock delivery.
Make sure that the patient does not touch any conducting objects.
therapy
Art. no.: 0-48-0013 Rev. m
Page 46
Defibrillation 4
FRED easy User Guide Internal safety discharge 4.7
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:
– after the defibrillation energy has been charged, the heart rate changes into a
non shockable rhythm
– 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.
• 5 minutes after the device has been switched off, the number of shocks delivered
as well as the time elapsed since the device was turned on, are reset to zero.
• 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.
Page 47
5 Versions
5.1 SD card version FRED easy
5 Versions
5.1 SD card version
Equipment damage hazard —
The memory card slot must always be covered with the rubber cover. This is to
prevent moisture penetrating the device.
Always turn off the device before inserting or removing the SD card.
Do not insert the Ethernet adapter into the SD card slot.
Malfunction hazard —
The SD card must only be used in one single device.
Before being used in another device, the SD card must be reformated with the
Schiller data viewing software; otherwise, the recorded information will be incor-
rect.
Only use SD cards supplied by SCHILLER.
Operating principle
This version records all defibrillation-related events on a removable SD card.
Page 48
Versions 5
FRED easy User Guide SD card version 5.1
4. Once the card is inserted, close the rubber cover of the card slot.
If the symbol is not displayed even though the card has been inserted, check that
the card has been recommended by SCHILLER for the use in this type of device.
Inserting the SD card automatically activates the memory function and the symbol
is displayed (see Fig. 5.2 SD card inserted).
The symbol starts blinking when the SD card is full. No further data is stored; how-
ever, previously recorded data remains stored on the card.
Art. no.: 0-48-0013 Rev. m
SD cards can be read on a PC using the Schiller data viewing and "LifeDataNet®"
software.
Page 49
5 Versions
5.2 Ethernet version FRED easy
• The memory card cannot be removed for the FRED easy® Ethernet version.
• All events transmitted by the device are listed on page 48.
• In order to protect other electrical devices from interference during data transmis-
sion, a ferrite core must be placed on the Ethernet cable in close proximity to the
Ethernet adapter (see 5.2.3 Installing the ferrite core).
1. the "Network" and "Online" sections of the device settings must first be configured
using the FREDCO® software program (see 5.2.1 Connecting the Ethernet
adapter and 5.4.2 Configuring the "Online" Tab),
2. the Ethernet adapter must be connected to the network hosting the LifeDataNet®
web server, via an Ethernet cable,
3. the Ethernet adapter must be inserted in the Ethernet interface of the device (see
5.2.1 Connecting the Ethernet adapter).
Fig. 5.4 Ethernet adapter
1 2
Art. no.: 0-48-0013 Rev. m
Page 50
Versions 5
FRED easy User Guide Ethernet version 5.2
TRANSMISSION MODE
If the device is configured with a static IP address, the following message is displayed:
NETWORK CONFIGURATION
NETWORK PARAMETERS
CONFIGURATION
The device configures the necessary parameters, logs on and sends its authentifica-
tion information to the server on which LifeDataNet® is installed.
CONNECTION AND
Once a connection has been established, the internal time of the FRED easy® is syn-
AUTHENTIFICATION
chronised with the server clock.
If the message “MEMORY CARD EMPTY” is displayed, the device can be switched
off and the Ethernet adapter can be removed. If the device is not switched off by the
MEMORY CARD EMPTY user, it switches off automatically after one minute.
NO DATA TO TRANSFER
22 %
CLOSE SESSION
Page 51
5 Versions
5.2 Ethernet version FRED easy
MEMORY ERASING After transmission, the data is deleted from the internal memory. The percentage of
data removed is indicated.
25 %
The data stored on the internal memory is deleted once the transfer of the entire data
record is completed.
If the transfer is interrupted, data remains stored on the internal memory and the
transfer can be restarted.
FRED easy automatically aborts the connection 5 minutes after the data transfer has
been completed, or if the Ethernet connection is interrupted.
Page 52
Versions 5
FRED easy User Guide Ethernet version 5.2
1. Form a loop and route the Ethernet cable through the open ferrite core (see Fig.
5.6 Installing the cable within the ferrite core).
2. Shut the ferrite core – without closing it completely – and check the cable position.
3. Reduce the size of the loop to place the ferrite core as closely as possible to the
Ethernet plug. To do so, pull the long end of the cable (see Fig. 5.7 Reducing the
loop).
4. Close the ferrite core (see Fig. 5.8 Correctly installed ferrite core).
Fig. 5.6 Installing the cable within the fer-
rite core
Page 53
5 Versions
5.3 Online version FRED easy
Just as with the Ethernet version, this version is able to send intervention data (stored
on the internal memory) as well as detailed device configuration data to the LifeDa-
taNet® web server. It also allows a total remote control of the FRED easy® using Life-
DataNet® (see table below).
Communication takes place via a network infrastructure using the SNMP (Simple Net-
work Management Protocol) communication protocol.
– 2 hours of ambient noise (if the sound recording parameter is activated using
FREDCO®),
– 500 events concerning the intervention.
Once the internal memory is full, the symbol starts blinking and no more data can
be stored. Stored data will be cleared once it has been transmitted.
Page 54
Versions 5
FRED easy User Guide Online version 5.3
The user and installation handbook for the docking station (part no. 0-48-0156) pro-
vides further information on the use of the docking station and configuration of the
FRED easy® Online.
• The "Network" and "Online" sections of the device settings must be configured us-
ing the FREDCO® software program,
• The FRED easy® Online needs to be inserted in the docking station (see section
5.3.2 page 56).
• Only use lithium batteries with the Online version. Do not use rechargeable NiCd
batteries.
• Do not remove the battery from the device while the device is inserted in the dock-
ing station.
• Turn off the device before inserting it in the docking station. Otherwise, no data will
be transmitted.
Art. no.: 0-48-0013 Rev. m
Page 55
5 Versions
5.3 Online version FRED easy
1 2 3
– The device switches on and starts transmitting the data from its internal memory
in the same way as the Ethernet version (see 5.2.2 Data transmission proce-
dure).
– The indicator (see Fig. 5.11 Communication indicator) is blinking when the de-
vice is able to communicate with the data network.
– The same screens are displayed as during data transmission with the Ethernet
version (see 5.2.2 Data transmission procedure).
Once all data has been transmitted, the display illumination switches off and the mes-
sage "FREDeasy Online READY" is displayed. This message is displayed whenever
the device is able to communicate with the data network. In addition, the indicator is
blinking (see Fig. 5.11 Communication indicator).
You can read and edit the transmitted data using the LifeDataNet® web server.
Page 56
Versions 5
FRED easy User Guide Online version 5.3
While in maintenance mode, the device can be removed from the docking station for
service purposes. In this case, the server recognises that the device was not removed
for defibrillation purposes and does not generate any alarms.
After the device has been returned to the docking station, maintenance mode must
be switched off by again simultaneously pressing both buttons.
Art. no.: 0-48-0013 Rev. m
Page 57
5 Versions
5.4 Configuration Ethernet/Online using FRECO FRED easy
1
2
3 8
4
5 9
6 10
7
11
12
• The parameters of the "IP Configuration" section (2) depend on the network infra-
structure:
– in "Static" mode (3), your network administrator will provide this information and
you are required to fill in (4), (5), (6), and (7).
– In "Dynamic" mode (3), the 4 parameters are automatically configured (see Fig.
Fig. 5.13 Configuring the dynamic mode 5.13 Configuring the dynamic mode).
• Check that the "MAC Address" (8) displayed on the screen is identical to the ad-
dress indicated on the underside of the device.
Page 58
Versions 5
FRED easy User Guide Configuration Ethernet/Online using FRECO 5.4
• Login (10) and password (11) can be freely changed but they must be the same as
those specified in the "SNMP Parameters" tab of LifeDataNet® (see user manuel
of LifeDataBox/LifeDataNet® (0-48-0117)). By default, the login is "fredeasy" and
the password is "schiller".
• To apply any changes to the parameters, click the "Update" button (12).
• Once the battery is inserted, FRED easy® Ethernet offers the option to manually
configure the IP addresses without using FREDCO®, if configured so.
Art. no.: 0-48-0013 Rev. m
Page 59
5 Versions
5.4 Configuration Ethernet/Online using FRECO FRED easy
Page 60
Versions 5
FRED easy User Guide Configuration Ethernet/Online using FRECO 5.4
5.4.3 Configuring the date and time as well as IP addresses without using
FREDCO®
• Date and time setting can also be done on non Ethernet/Online devices if the pa-
rameter has been activated in FREDCO.
• When the battery has been inserted, a self-test is performed. If no errors are de-
tected during this self-test, the date and time as well as IP address for the Ethernet/
Online version can be set, if configured so.
• If the green button is not pressed within a couple of seconds, the message disap-
pears automatically and the device status indicator starts blinking. (For the Online
and Ethernet version, the device first recommends configuring the IP address be-
fore the message disappears).
Setting the date/time and/or IP ad- This is only available if the parameter "Setting date and time" and/or “IP Address” has
dress for Ethernet/Online versions been activated in FREDCO®.
1. Insert the battery and wait for the prompt to set the date and time and/or to con-
figure the IP address.
2. Press the green button . Three fields are displayed: date, time, summer/winter
and/or 3 IP address fields.
3. Press the orange button to change the value.
Page 61
6 Options
6.1 ECG display FRED easy
6 Options
6.1 ECG display
When the "ECG Display" option is activated, the ECG signal obtained by the elec-
trodes is displayed on the screen (see Fig. 6.1 ECG display).
• The "ECG Display" option is only available for the FRED easy® semi-automatic.
• This option is automatically activated when the FRED easy® is switched to manual
mode.
• When the ECG signal is displayed, messages are only displayed on one single
line.
6.2 Metronome
When the "Metronome" is enabled, the device sets the rhythm for chest compres-
sions during CPR at 100 bpm.
– set the metronome frequency to a value between 80 and 150 bpm (in steps of
5 bpm).
– the metronome can be set to signal to the user to give 2 rescue breaths (the
metronome is stopped for 8 seconds after 30 chest compressions).
Art. no.: 0-48-0013 Rev. m
Page 62
Options 6
FRED easy User Guide Rechargeable NiCd battery 6.3
As an alternative, a rechargeable NiCd battery (12 V, 650 mAh) is available for the
defibrillator. The capacity of a new, fully charged battery is sufficient for:
Like the lithium battery, the device warns the user when the NiCd battery has reached
the "low" battery threshold. The device will still allow the user to perform defibrillation,
Fig. 6.2 NiCd battery charging unit but the battery must be recharged/replaced as soon as possible.
The FRED easy® also detects when the NiCd battery is "depleted". In this case, the
device does not allow the user to perform defibrillation and instead prompts him or her
to perform CPR. The battery must be recharged/replaced immediately.
• This option is only available for the FRED easy® SD Card and Ethernet versions.
• This option is only available for FRED easy® devices that have a 2nd generation
CPU board.
These devices can be recognised by their 12-digit serial number.
When charging NiCd batteries, make sure to observe the values 100 – 240 V, 50 – 60
Hz (see 9.1 Order Information). The charging time is max. 1 hour.
When the device is equipped with a NiCd battery, it runs a daily self-test.
Battery service life — Unused batteries (whether or not inserted in the device) should
be charged at least every 2 months.
Art. no.: 0-48-0013 Rev. m
Page 63
6 Options
6.4 Silent mode FRED easy
In silent mode, operating time is approx. 6.5 hours if no analysis or defibrillation is per-
formed.
If the device detects a change in the cardiac rhythm or if the green button is pressed,
silent mode is abandoned and voice prompts instruct the user about the next steps to
be taken.
Moreover, the heart rhythm is recorded and can be transmitted via network with the
FRED easy Ethernet/Online (see 5.2.2 Data transmission procedure).
Even though the device issues voice prompts if a change in rhythm occurs, this
is not a substitute for the regular checking of the patient's vital functions.
Silent mode must only be activated if the device does not detect a shockable
rhythm and if the patient is responsive.
The silent mode must not be carried out while the device is starting up.
The silent mode must not be carried out during an analysis or defibrillation.
Art. no.: 0-48-0013 Rev. m
Page 64
Options 6
FRED easy User Guide Silent mode 6.4
Defibrillation is performed according to the safety notes in section 4.1 Instructions and
Safety Notes and the procedure in section 4.4 Semi-automatic defibrillation.
Switchover to silent mode can be done at the earliest after Step 2, as long as no
shockable rhythm has been detected, or after a successful defibrillation (Step 3) fol-
lowed by a "normal" cardiac rhythm.
2x In this case, the device can be switched to silent mode if the patient is responsive.
Even though the device issues voice prompts if a change in rhythm occurs, this
is not a substitute for the regular checking of the patient's vital functions.
Page 65
6 Options
6.4 Silent mode FRED easy
The function "Erasing memory" without transferring the data is only available in silent
mode.
In silent mode, since the heart rhythm is recorded over a prolonged period of time, the
message "Not enough memory" might be displayed. To ensure further recording of
the ECG signal, the data can be transmitted via Ethernet (see page 51); the data is
automatically deleted after transmission.
Alternatively, you can erase the memory during recording in silent mode as follows:
Simultaneously press the green button and the orange button until the mes-
2x sage "Erase memory?" is displayed. Immediately release both buttons and press
them again to erase the memory.
Page 66
Options 6
FRED easy User Guide Special operating conditions 6.5
The device needs to be stored before use (incl. inserted battery, electrodes and spare
batteries) according to the technical data.
Temperature -5...40 °C Ensures operational readiness but reduces battery life. (This is compensated by
spare batteries).
Temperature -5...40 °C Operation is guaranteed if the storage conditions listed above are met for the storage
before use.
Page 67
6 Options
6.5 Special operating conditions FRED easy
• If the patient is lying on a conducting surface (e.g. metal floor in the engine or stor-
age room), the patient needs to be positioned on an insulating mat prior to defibril-
lation.
• Make sure that even the patient's arms and legs are positioned on the insulating
mat.
Page 68
Maintenance 7
FRED easy User Guide Maintenance Intervals 7.1
7 Maintenance
7.1 Maintenance Intervals
• FRED easy® is an emergency device that must always be in proper working or-
der. The device must be serviced on a regular basis. The test results must be re-
corded and compared to the values in the accompanying documents (see
9.5 Inspection report).
• These checks and replacements can be performed within the framework of a main-
tenance contract by SCHILLER technical department or an authorised distributor.
• The following table indicates the intervals and competence of the maintenance
work required.
Check that he important safety labels are legible. The lacking or illegible ones must
be replaced.
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 green indicator is blinking, see 7.1.2 Green indicator
• Device casing undamaged?
• Cables not twisted, without wear signs due to friction or deterioration?
• No excessive clogging or damage?
• All the signal inputs in perfect condition?
Art. no.: 0-48-0013 Rev. m
Page 69
7 Maintenance
7.1 Maintenance Intervals FRED easy
Patient hazard — If the device's behaviour differs from the description given in this
user guide, 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 7.1.1 Visual inspection of the
device and accessories).
• Check for proper functioning.
• Measure the leakage current.
• Measure the energy delivered at 50 Ohms.
Page 70
Maintenance 7
FRED easy User Guide Cleaning and disinfection 7.2
Risk of shock, equipment damage — Liquids must not enter the device. If a liquid has
penetrated the device, it must not be reused until it has been checked by a service
technician.
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).
Your local representative stocks all the consumables and accessories for the
FRED easy®. A full list of all SCHILLER representatives can be found on the SCHIL-
LER website (www.schiller.ch). In case of difficulty, contact our head office in Switzer-
land. Our staff will be pleased to help process your order or to provide details for all
SCHILLER products.
Art. no.: 0-48-0013 Rev. m
Page 71
7 Maintenance
7.4 Disposal information FRED easy
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.
7.4.2 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.: 0-48-0013 Rev. m
Page 72
Maintenance 7
FRED easy User Guide Trouble Shooting 7.5
• xxx =
– ADC
– EEPROM
– RTC
– LCD
– OKI
– DSP
– SHOCK BUTTON
– CHARGE
DEFIBRILLATOR
– COMMUNICATION
DEFIBRILLATOR
– 5 WEEKS
CHARGE 150J
• Technical problems that can oc- Switch the unit off and then on again to con-
cur during defibrillation firm. If the message still appears, the device
Error must be repaired immediately. Continue
INFO: XXX cardiopulmonary resuscitation until the res-
cue service arrives.
Art. no.: 0-48-0013 Rev. m
• xxx =
– CPU DEFI
– CRC DEFI
– SAFETY DEFI
– REF VOLTAGE DEFI
– ADC DEFI
– DEFI DISCHARGE
– DEFI EPROM
– DEFI SHOCK KEY
Page 73
7 Maintenance
7.5 Trouble Shooting FRED easy
• Battery depleted during use Turn device off and insert a new battery (see
page 26).
REPLACE BATTERY
30 COMPRESSIONS
THEN 2 BREATHS
EMPTY BATTERY
>REPLACE BATTERY
CONFIGURATION LOST
RESTORE DEFAULT CONF
>REINSERT BATTERY
• Technical problem Switch the unit off and then on again to con-
firm. If the message still appears, the device
CRITICAL ERROR must be repaired.
PLEASE SWITCH OFF
• The device was switching on Do not press the orange and green but-
while the orange and green ton while the device is switching on.
MANUEL MODE FORBBIDEN
button have been pressed.
AT START,
Art. no.: 0-48-0013 Rev. m
• The device has detected a Switch the unit off and then on again to con-
charge transistor error firm. If the message still appears, the device
-!!LIMITED MODE!!- must be repaired.
Page 74
Maintenance 7
FRED easy User Guide Trouble Shooting 7.5
• Ethernet adapter not inserted in Turn device off and connect the Ethernet
the Ethernet interface case adapter; if the message is still displayed, re-
TRANSMISSION FAILURE place the Ethernet adapter. If the message
ERROR CODE : 004 still appears, the device must be repaired.
ADAPTER DISCONNECTED
• The pads are connected to the Disconnect the pads from the device.
device and are placed to the pa-
TRANSMISSION FAILURE tient
ERROR CODE : 005
PATIENT DETECTED
TRANSMISSION FAILURE
ERROR CODE : 006
BATTERY LEVEL
Art. no.: 0-48-0013 Rev. m
• Device not used for more than 3 Disconnect and reconnect the device to
minutes confirm. If the message still appears, the de-
TRANSMISSION FAILURE vice must be repaired.
ERROR CODE : 007
TIME OUT INACTIVITY
• The device is not able to con- Check the connection to the server and the
nect to the server network configuration, then restart data
TRANSMISSION FAILURE transmission; if the message is still dis-
ERROR CODE : 008 played, the device must be repaired.
SESSION OPENING
Page 75
7 Maintenance
7.5 Trouble Shooting FRED easy
• The device is not able to con- Check the connection to the server and the
nect to the server network configuration, then restart data
TRANSMISSION FAILURE transmission; if the message is still dis-
ERROR CODE : 010 played, the device must be repaired.
SESSION OPENING
• The device is not able to con- Check the connection to the server and the
nect to the server network configuration, then restart data
TRANSMISSION FAILURE transmission; if the message is still dis-
ERROR CODE : 011 played, the device must be repaired.
SESSION CLOSING
• The device is not able to con- Check the connection to the server, the net-
nect to the server work configuration and check that the device
TRANSMISSION FAILURE is added in the "Device Manager" of LifeDa-
ERROR CODE : 012 taNet®; if the message is still displayed, the
device must be repaired.
SESSION CLOSING
• Erroneous data transmission Check the connection to the server and the
network configuration, then restart data
TRANSMISSION FAILURE transmission; if the message is still dis-
ERROR CODE : 013 played, the device must be repaired.
DATA TRANSMISSION
• Erroneous data transmission Check the connection to the server, the net-
work configuration, and the LifeDataNet®
TRANSMISSION FAILURE configuration, then restart data transmis-
ERROR CODE : 014 sion; if the message is still displayed, the de-
vice must be repaired.
DATA TRANSMISSION
• Erroneous data transmission Check the connection to the server, the net-
work configuration, and the LifeDataNet®
TRANSMISSION FAILURE configuration, then restart data transmis-
ERROR CODE : 015 sion; if the message is still displayed, the de-
vice must be repaired.
DATA TRANSMISSION
Art. no.: 0-48-0013 Rev. m
Page 76
Maintenance 7
FRED easy User Guide Trouble Shooting 7.5
• The device is not able to con- Check the connection to the server, the net-
nect to the server work configuration, and the LifeDataNet®
TRANSMISSION FAILURE configuration, then restart data transmis-
ERROR CODE : 022 sion; if the message is still displayed, the de-
vice must be repaired.
SUPERVISION START ACK
• The device is not able to con- Check the connection to the server, the net-
nect to the server work configuration, and the LifeDataNet®
TRANSMISSION FAILURE configuration, then restart data transmis-
ERROR CODE : 023 sion; if the message is still displayed, the de-
vice must be repaired.
SUPERVISION STOP REQ
• The device is not able to con- Check the connection to the server, the net-
nect to the server work configuration, and the LifeDataNet®
TRANSMISSION FAILURE configuration, then restart data transmis-
ERROR CODE : 024 sion; if the message is still displayed, the de-
vice must be repaired.
SUPERVISION STOP ACK
• These errors are not applicable for the FRED easy® SD Card version.
• Error 004 (ADAPTER DISCONNECTED) only applies to the FRED easy® Ethernet
version.
• Errors 023 and 024 (SUPERVISION STOP REQ and SUPERVISION STOP ACK)
only apply to the FRED easy® Online version.
Art. no.: 0-48-0013 Rev. m
Page 77
7 Maintenance
7.5 Trouble Shooting FRED easy
Page 78
Maintenance 7
FRED easy User Guide Trouble Shooting 7.5
Page 79
7 Maintenance
7.5 Trouble Shooting FRED easy
It can be deducted from the table that portable HF telecommunication devices must
not be used within a radius of 3 m from the FRED easy® 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.
If the devices are used in the vicinity of power networks operating at a frequency of 16.7
Hz (railway systems in some countries), the 16.7 Hz filter must be activated via the con-
figuration software before use. The filter is by default activated.
Art. no.: 0-48-0013 Rev. m
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Technical Data 8
FRED easy User Guide System Specifications 8.1
8 Technical Data
Unless otherwise stated, all specifications are valid at a temperature of 25 °C.
Dimensions
SD card version 70 x 230 x 220 mm (h x l x w)
Ethernet/Online Versions 70 x 237 x 220 mm (h x l x w)
Power supply Internal power supply, suitable for continuous operation with intermittent loading
Environmental conditionsa
Device
Operation • -5...40 °C at a relative humidity of 30 to 95% (no condensation)
Storage befor 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.
Art. no.: 0-48-0013 Rev. m
a. For additional information about operating and storage conditions see page 67 Chapter 6.5 Special operating conditions.
Page 81
8 Technical Data
8.2 Classification and safety standards FRED easy
Display
Type High-resolution LCD screen, electroluminescent backlighting, text and symbol display
100 x 37 mm
Dimensions
Compliance • FRED easy® 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 easy® is a class IIb device.
Explosions protection FRED easy® 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.
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Technical Data 8
FRED easy User Guide Defibrillation pulse 8.3
Form • Biphasic pulsed defibrillation pulse with approximately constant phases for opti-
mal physiological compatibility.
• Maintains the energy delivered to the patient at an approximately constant level
with regard to patient resistance by applying pulse-pause modulation that varies
according to measured patient resistance.
SCHILLER's customer service department can change the default energy levels to
the following values:
1 – 2 – 4 – 6 – 8 – 15 – 30 – 50 – 70 – 90 –110 – 130 – 150 J (adults)
1 – 2 – 4 – 6 – 8 – 15 – 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) < 11 seconds
With full battery:
Cycle time: switch-on of the de- (Maximum time between the switch-on of the device and the shock availability, in
vice – shock availability (in semi-automatic mode)
Art. no.: 0-48-0013 Rev. m
semi-automatic mode)
< 22 seconds
Page 83
8 Technical Data
8.3 Defibrillation pulse FRED easy
Shock delivery • With the orange button (in semi-automatic or manual mode)
• Via disposable pads applied to the patient in an anterior-anterolateral or anteri-
or-posterior position
Conditions for ECG analysis Minimum amplitude for signals suitable for analysis > 0.15 mV, signals < 0.15 mV
are considered asystole.
VF VT Non shockable
rhythms
NSR/N/Asystole
Shock 148 100 2
No Shock 2 2 1395
Performance criteria Sensitivity > 90 % Sensitivity > 75 % Specificity > 95 %
Observed performance 98.67 % 98.04 % 99.86 %
Page 84
Technical Data 8
FRED easy User Guide Electromagnetic interferences 8.4
Page 85
8 Technical Data
8.4 Electromagnetic interferences FRED easy
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 easy® and all its components, incl. cables; the recom-
mended minimum distance is calculated based on the trans-
mitter's frequency.
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
range.
Art. no.: 0-48-0013 Rev. m
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 easy® 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 easy®.
d. For the frequency range between 150 kHz and 80 MHz, the field strength must be lower than 3 V/m.
Page 86
Technical Data 8
FRED easy User Guide Electromagnetic interferences 8.4
Note 1 These guidelines might not always be applicable. Electromagnetic radiation is influenced by absorption and reflection on structures, ob-
jects and people.
Note 2 To calculate the recommended minimum distance of transmitters in the ISM frequency bands between 150 kHz and 80M Hz and
in the frequency band between 80 MHz and 2.5 GHz, the additional factor 10/3 is used to minimise the probability of interferenc-
es caused by mobile/portable communication equipment that accidentally happens to be in the patient environment.
Art. no.: 0-48-0013 Rev. m
Page 87
9 Appendix
9.1 Order Information FRED easy
9 Appendix
9.1 Order Information
Devices
Accessories
Part No. Description
1-58-5303 Ethernet adapter
0-80-0013 Accessory bag for Online version
5-30-0003 Ethernet cable (3 m, category 5)
4-33-0002 Ferrite core
0-05-0026 Ethernet cable (3 m, with ferrite core)
EASY ELEC 1 pair of disposable adhesive defibrillation pads for adults, 80 cm²
0-21-0000 1 pair of disposable adhesive defibrillation pads for children, 42 cm²
1 pair of disposable adhesive defibrillation pads for adults, 80 cm²,
0-21-0020
"pre-connected"
1 pair of disposable adhesive defibrillation pads for children, 42 cm²,
0-21-0021
"pre-connected"
0-48-0013 User Guide, English
EASY BAT Disposable lithium battery
0-02-0003 Rechargeable NiCd battery
3-55-0030 Battery charger, 100 – 240 V, 50 – 60 Hz, UE
3-55-0033 Battery charger, 100 – 240 V, 50 – 60 Hz, UK
3-55-0034 Battery charger, 100 – 240 V, 50 – 60 Hz, US
EASY S Instrument bag
0-80-0008 Instrument bag, reinforced
EASY CARD Formatted SD card
5-35-0037 Formatted SD card (for FRED easy® with software version ≥ 06.00)
Art. no.: 0-48-0013 Rev. m
Page 88
Appendix 9
FRED easy User Guide Literature 9.3
9.3 Literature
European Resuscitation Council European Resuscitation Council Guidelines for Resuscitation 2010 (doi:10.1016/j.re-
(2010) suscitation.2010.08.021).
American Heart Association (2010) International Consensus on Cardiopulmonary Resuscitation and Emergency Cardi-
ovascular Care Science With Treatment Recommendations (DOI: 10.1161/CIRCU-
LATIONAHA.110.971010).
Cansell A. Effectiveness and Safety of New Transthoracic Cardiac Defibrillation Waveforms – Bi-
phasic Pulses In "La Revue des SAMU 20": 280 - 294. 2000.
9.4 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
Art. no.: 0-48-0013 Rev. m
Page 89
9 Appendix
9.5 Inspection report FRED easy
Date:
Performed by:
Performed by:
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 90
Appendix 9
FRED easy User Guide Inspection report 9.5
Art. no.: 0-48-0013 Rev. m
Page 91
10 Index
FRED easy
10 Index
Numerics Design.........................................................14 Maintenance Intervals ........................... 69
Disinfection .................................................71 Test........................................................ 70
16.7 Hz filter ............................................... 17
Display Symbols/Indicators Visual inspection.................................... 69
in this User Guide ..................................10 Memory card.........................................14, 48
A on the display.........................................11 Metronome.................................................. 62
Accessories.......................................... 53, 88 on the electrode packaging....................12 Motion detection ......................................... 31
AED...................................................... 13, 27 used on the battery ................................11
Appendix used on the device.................................10
Glossary ................................................ 89 Disposal information R
Accessories into contact with patients ...72 Rechargeable NiCd battery ........................ 63
Inspection Report .................................. 90
Literature ............................................... 89 At the end of useful life ..........................72
Order information .................................. 88 Battery ...................................................72
S
Required accessories............................ 88 Safety Notes ................................................. 5
E Self-test.......................................... 16, 20, 63
B ECG ............................................................62
Battery Electrodes
Adult and paediatric electrodes .............36
T
Battery Disposal .................................... 72 Technical Data
Battery is empty .................................... 26 Applying the pads ..................................35
Defibrillation impulse ............................. 83
Inserting the battery .............................. 22 Checking the electrodes ........................37
Insert connector into device ...................35 Dimensions ............................................ 81
Low battery............................................ 25 Energy levels ......................................... 83
Sufficient battery capacity ..................... 24 Open the electrode packaging ...............35
Environmental conditions ...................... 81
Biocompatibility .......................................... 13 Pre-connected pads...............................35
Electromagnetic interferences ....................81 Patient impedance................................. 83
Patient Protection .................................. 82
Events stored on the memory card .............48
C Power supply ......................................... 81
Cleaning ..................................................... 71 Protection class ..................................... 81
Configurable parameters F Standards .............................................. 82
FRED easy® Ethernet Weight ................................................... 81
16.7 Hz filter .......................................... 17
Energy levels......................................... 17 "Network" tab configuration....................50 Terms of Warranty ........................................ 9
"Online" tab configuration ......................60 Trouble Shooting ........................................ 73
Connection error ........................................ 75
Controls and indicators Connecting the Ethernet Adapter ..........50
-Display ................................................. 21 Data transmission ..................................51
Ethernet interface case ......................... 20 Dynamic IP addressing ..........................58
Green button ......................................... 20 Ethernet interface case ..........................20
Green indicator...................................... 20 Ferrite core ............................................50
Orange button ....................................... 20 Installing the ferrite core ........................53
Port for adhesive pads .......................... 20 MAC address .........................................58
SD card slot........................................... 20 Operating principle.................................50
SD card version..................................... 20 Read Community configuration..............60
Yellow indicator ..................................... 20 Static IP addressing ...............................58
FRED easy® Online
Ethernet interface case ..........................20
D Inserting in the Docking station..............56
Danger of electric shock!.............................. 7 Maintenance mode ................................57
Danger of explosion ............................... 7, 22 Operating principle.................................54
Defibrillation SNMP protocol.......................................54
Automatic defibrillation .......................... 40 FRED easy® SD Card
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