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Product Overview
Sudden Cardiac Arrest
Heart Attack OR
Cardiac Arrest?
How many?
Every Second Counts
80% occur outside medical setting
Why HeartSine?
HeartSine Technologies is a world leader in
personal and public access defibrillation, with
an impressive pedigree dating back over 40
years
HeartSine Technologies are proud to be involved with corporate and other partners the world over such as:
Backup
Why samaritan PAD?
Easy to use
Fast shock delivery
Compact & Lightweight
IP56
Practical Pad-Pak™
CPR Advisor™
Product Demonstration
Backup
Electrocardiogram Visuals
Normal Sinus Rhythm
A healthy heart rate is spaced at regular intervals at 60–100
beats a minute
Ventricular Tachycardia
More rapid heart beating does not allow the ventricles to fill
with blood, resulting in falling blood pressure. It can be treated
successfully with defibrillation
Ventricular Fibrillation
A heart attack causes the muscle to “quiver” irregularly; this is
the most common initial rhythm associated with cardiac arrest
and may also be treated successfully with defibrillation
Asystole
No electrical rhythm in the heart, a condition that cannot be
treated with defibrillation
Early Defibrillation
Used AC power from a line socket,
stepped up
• Technique was often ineffective
• Studies showed damage to the
cells of the heart
• Large and hard to transport
Early Defibrillation
The next major advance was made by Bernard Lown
• Studies involved hundreds of dogs
• Waveform was more effective and safer
• Became standard waveform
SCOPE™
Overview
Most modern defibrillators use a version of the biphasic waveform.
• There is no standard biphasic waveform
• Not all waveforms are the same and not all of them perform the same
• Extensive experimental and clinical testing
Patented Technology
HeartSine developed a unique, patent pending, biphasic waveform, called SCOPE™ or
Self Compensating Output Pulse Envelope.
• This advanced technology energy delivery platform is available on our complete
family of AED devices.
• Developed through extensive experimental and clinical testing the SCOPE®
system gives unrivalled performance and optimizes defibrillation success.
SCOPE™
Small patient
Low
Impedance
Large
patient
High
Impedance
SCOPE™
Small patient
Low
Impedance
Large
patient
High
Impedance
SCOPE™
SCOPE Waveform
• SCOPE (Self Compensating Output Pulse
Envelope) is HeartSine’s proprietary
biphasic waveform.
• To account for different patient
impedances, the biphasic wave shape is
generally modified.
• For any particular energy level there are
three primary variables for the wave
shape: voltage, tilt, and the duration of
each phase.
• Different manufacturers have adopted
different strategies for biphasic
waveforms and will adjust one or more of
the main variables to compensate for
patient impedance.
D2
D1
SCOPE™
The HeartSine SCOPE waveform adjusts all four variables for all impedances in the
operating range in conjunction with an escalating energy protocol to optimize the
efficacy of the samaritan PAD. The HeartSine SCOPE waveform is a low energy waveform,
reducing the likelihood of myocardial dysfunction.
Waveform
D1
D2
Voltage
Tilt
HeartSine SCOPE
Variable
Variable
Variable
Variable
Philips SMART
Variable
Variable
Fixed
Variable
CSC STAR
Variable
Fixed
Variable
Variable
Zoll
Fixed
Fixed
Variable
n/a
Physio-Control
Variable
Variable
Limited
Variable
SCOPE™
Operating impedance range
Waveform
Min Imp
Max Imp
HeartSine SCOPE
25
230
Philips SMART
25
180
CSC STAR
25
180
Zoll*
25
175
Physio-Control
25
200
* Delivered energy reduces rapidly after 175 ohms
Biphasic versus Monophasic
Or
…
360 Joules? Really?
Schneider, et al published a study in 2000 showing that an appropriately dosed low-energy
impedance-compensating Biphasic-waveform strategy results in superior defibrillation
performance in comparison with escalating, high-energy monophasic shocks in out-of hospital
cardiac arrest. Moreover, the 150-J biphasic-waveform AED results in a higher rate of ROSC and
better neurological status at the time of hospital discharge.
Mittal S, et al published a comparative study in 1999 demonstrating that 120-J rectilinear
biphasic shocks have a greater efficacy than 200-J damped sine wave monophasic shocks for
transthoracic ventricular defibrillation, particularly in patients with a high transthoracic
impedance. In addition, ventricular defibrillation was achieved with less delivered current.
O’Cummins R.O. et al published a statement for healthcare professionals from the American
Heart Association Committee on Emergency Cardiovascular Care and the subcommittees on
basic life support advanced cardiac life support, and paediatric resuscitation on Low-Energy
biphasic waveform defibrillation in 1998.
Electrodes
Electrode Technology
• Electrodes are the primary point of contact between the
patient and the defibrillator
o Electrode technology uses patented construction method to
provide 4 years shelf life without significant increase in cost.
o Superior electrical performance
 Rapid recovery time
 Very low noise
• Electrodes are large and have very low impedance. Pad size
and low impedance are critical to success of defibrillation1,2,3
• Electrode technology enables ICG based CPR advisor
Electrode Design
Rivet
Conductive gel
Foil conductor (Tin or tin alloy)
Conventional Electrode
Adhesive foam
Corrosion (aging) occurs at tin/hydrogel junction
Lead wire
Rivet
Conductive gel
Printed conductor (Silver)
HeartSine Electrode
Adhesive foam
Lead wire
Protective layer forms at silver/hydrogel junction
substrate
samaritan PAD 350P
Features
• Compact and lightweight. Class leader
• Simple to use, 2 button operation. Published study
• Exclusive one-change, low maintenance Pad-Pak. Unique to HST
• SCOPE technology – Field proven, state-of-the-art, treatment therapy. Unique to HST
• Industry leading 10 year warranty. Unique to HST
• IP56 – Highest in the industry. Unique to HST
• Field upgradeable
• Lowest total cost of ownership - Initial purchase and 10 year maintenance fees
• Rescue ready - Preconected battery/pads and no lid to open
• Visual & verbal prompts
• Adult & pediatric care
• Free carry case with every unit
samaritan PAD 350P
“Call for Medical Assistance”
“Remove Clothing from Patient’s Chest to Expose
Bare Skin”
“Pull ‘Green Tab’ to Remove Pads”
“Peel Pads from Liner”
“Apply Pads to Patient’s Bare Chest as Shown in
Picture”
“Press Pads Firmly to Patient’s Bare Skin”
“Assessing Heart Rhythm – Do Not Touch the
Patient”
samaritan PAD 350P
If a shock is not required…
If a shock is required…
“Stand Clear of Patient – Shock not
Advised”
“Stand Clear of Patient – No shock
advised”
“Stand Clear of Patient – Shock
Advised”
“Stand Clear of Patient – Press the
Orange Shock Button Now”
“Begin CPR”
“Shock Delivered
“It Is Safe to Touch the Patient”
“Place overlapping hands on centre
of chest”
“Press down in time with the
metronome”
“Remain calm”
“Begin CPR”
“It Is Safe to Touch the Patient”
“Place overlapping hands on centre
of chest”
“Press down in time with the
metronome”
“Remain calm”
samaritan PAD 360P
Features
•
Compact and lightweight. Class leader
•
Simple to use, 1 button operation. Published study
•
Exclusive one-change, low maintenance Pad-Pak. Unique to HST
•
SCOPE technology – Field proven, state-of-the-art, treatment therapy. Unique to HST
•
Industry leading 10 year warranty. Unique to HST
•
IP56 – Highest in the industry. Unique to HST
•
Field upgradeable
•
Lowest total cost of ownership - Initial purchase and 10 year maintenance fees
•
Rescue ready - Preconected battery/pads and no lid to open
•
Visual & verbal prompts
•
Adult & pediatric care
•
Free carry case with every unit
samaritan PAD 500P
Features
• CPR Advisor.
Unique to HST
• Compact and lightweight. Class leader
• Simple to use, 2 button operation. Published study
• Exclusive one-change, low maintenance Pad-Pak. Unique to HST
• SCOPE technology – Field proven, state-of-the-art, treatment therapy. Unique to HST
• Industry leading 10 year warranty. Unique to HST
• IP56 – Highest in the industry. Unique to HST
• Field upgradeable
• Lowest total cost of ownership - Initial purchase and 10 year maintenance fees
• Rescue ready - Preconected battery/pads and no lid to open
• Visual & verbal prompts
• Adult & pediatric care
• Free carry case with every unit
CPR Advisor™
NOT JUST A SHOCK BOX!
Why is a ‘CPR Advisor’ function important?
“The quality of unprompted CPR in both in-hospital and out-of–hospital cardiac arrest events is
often poor, and methods should be developed to improve the quality of CPR delivered to victims of
cardiac arrest.“
2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 5: Adult
Basic Life Support
“In order to maintain high-quality CPR, feedback to rescuers is important. The use of
prompt/feedback devices during CPR will enable immediate feedback to rescuers, and the data
stored in rescue equipment can be used to monitor the quality of CPR performance and provide
feedback to professional rescuers during debriefing sessions.”
European Resuscitation Council Guidelines for Resuscitation 2010. Section 2. Adult basic life support and use of automated
external defibrillators
CPR Advisor
With two standard defibrillation electrodes, HeartSine Technologies’ patented impedance
cardiography (ICG) analysis technology is able to provide feedback on the quality and rate of
compressions during CPR.
CPR Advisor™
CPR Advisor
“Begin CPR”
Uses ICG analysis technology to provide feedback on
the effectiveness of CPR using measurements of
impedance changes in the thorax. Other devices
offering CPR support simply measure the depth of
compressions on an electronic device placed on the
chest.
"Push Harder”, “Push Faster”, “Good Compressions"
“Push Faster/Push
Slower”
Clear and direct feedback on CPR
For technical data on the SAM 500P please refer to the
manual
(CPR Advisor is deactivated when a paediatric Pad-Pak is inserted)
“Good Compressions”
Competitive Sheets
Other Controls
Data Port for downloading patient data
PC
Current status & self-test indicator.
If flashing red, battery is low and needs
replacement. A blinking green light
indicates all systems operational and self
test passed
Saver EVO® Data Management
• Saver EVO ® is an optional data management software designed
to store & display event data for later analysis
• Software is available and downloadable at no-charge from the
official HeartSine website
• Saved records include: 90 minutes of…
o Time, date, ECG waveform, logged events, timing and shocks delivered
(with output level), pads on/off and CPR interval
• Saver EVO also provides Erase feature, Time synchronization,
Diagnostics testing , Volume control, Language changes and CPR
metronome On/Off capability
• Data is downloadable from the cable directly into your PC
Saver EVO Data Management
HeartSine samaritan PAD Trainer
• Includes System, Charger, & Trainer pads
• Operator selectable scenarios – All scenarios
current with 2010 AHA guidelines
• Remote control for all functions including a
pause button to explain procedures while
interrupting the automatic prompts
• Provides 7 hours of use on each battery
charge
• Trainer pads can be disconnected and
replaced for subsequent training sessions.
HeartSine samaritan PAD Trainer
•
Scenario One
– No Pads attached.
– Shock advised.
– Two minutes CPR.
– No Shock advised.
– Two minutes CPR.
Scenario Three
Check Pads.
Shock advised.
Two minutes CPR.
No Shock advised.
Two minutes CPR.
•
Scenario Two
– No Pads attached.
– No Shock advised.
– Two minutes CPR.
– Shock advised.
– Two minutes CPR.
Scenario Four
Shock Advised.
Two minute CPR pause.
Shock Advised.
Two minute CPR pause.
No shock advised.
Scenario 5 & 6 – Same as one & two but with
indicator for rescue breaths
Endorsement by Scouting Ireland
HeartSine Mobile Rescue Kit
HeartSine Accessories
SCOPE® Biphasic
Backup