stryker LUCAS 3 Automatic Chest Compression Device User Manual

stryker LUCAS 3 Automatic Chest Compression Device User Manual

Consistency. It’s a powerful thing.

The LUCAS Chest Compression System helps emergency care teams around the world do what they do best — save lives. With high-quality chest compressions and fewer interruptions than manual CPR, LUCAS is your partner that will administer Guidelines-consistent, high-quality compressions until the job is done.

CPR quality

• Delivers Guidelines-consistent, high-quality chest compressions at recommended rate and depth while allowing for chest recoil
• Fewer interruptions, compared to manual CPR, leading to higher compression ratios1,2 and increased blood flow to the brain3,4
• Higher EtCO2 values, compared to manual CPR, indicative of higher chance of ROSC5

Operational efficiencies

• Calms the event and reduces stress by eliminating the need to manage a compression rotation schedule
• Frees up care givers to focus on other tasks
• Utilizes data integration capabilities to enhance post event analysis and quality improvement efforts

Bridge to care

• Overcomes caregiver fatigue by providing Guidelines-consistent chest compressions for multiple hours if required*
• Allows for hands-free, high-quality chest compressions during transport1,6
• Extends reach of care and allows for treatment of underlying cause during CPR (e.g. ECMO/PCI) 22

Safety

• Rescuers can avoid awkward and potentially dangerous situations when performing CPR during patient transport
• Potential to reduce CPR-related injuries to the CPR provider
• Reduces X-ray exposure of CPR provider during PCI
• When using multiple batteries or an external power source. Battery typically lasts for 45 minutes of operation

Proven. Safe. Effective.

For over 15 years the LUCAS Chest Compression System has been helping lifesaving teams around the world deliver high performance, Guidelines-consistent chest compressions to cardiac arrest patient in the field, on the move and in the hospital.

The LUCAS device has been proven safe and effective in a large randomized controlled trial, the highest level of clinical evidence.10
LUCAS 3, v3.1 Chest Compression System

LUCAS by the numbers

25,000+
With over 25,000 devices in the global market, a patient is treated approximately every 2 minutes7,8

+60%
Increased blood flow to the brain vs. manual CPR3

16,830
In a successful 2 hour 45 minute resuscitation, LUCAS administered 16,830 Guidelines consistent compressions9

> 99%
of survivors had good neurological outcomes in large randomized LINC trial10

> 99%
Operational reliability in clinical use10

95%
of patients fit in the LUCAS device10,11

“We know CPR is difficult to do well. People slow down. They don’t always do it appropriately
— even professional rescuers. A machine doesn’t get tired; it is consistent, and consistency is key.”
–Charles Lick, MD Medical Director, Allina Medical Transport & Emergency Department Director, Buffalo Hospital23

Your power to improve CPR quality

Less interruptions to CPR on the scene and during transport
30-40% of patients who have achieved return of spontaneous circulation (ROSC) on the scene will re-arrest prior to hospital arrival and may require CPR during transportation.20,21

LUCAS can contribute to improved outcomes
Systems of care implementing LUCAS together with a comprehensive approach to resuscitation* have shown increased ROSC rates13-17 as well as improved survival with good neurological outcomes15,17,19 compared to historical data.

LUCAS 3, v3.1 at a glance

7 seconds
The two-step application (back plate, then upper part) makes the LUCAS device quick and easy to deploy, as short as a median 7 second interruption time when transitioning from manual CPR.12

What’s new with v3.1?*

The LUCAS 3, v3.1 was designed with enhanced data capabilities to allow for better post-event reporting and asset management. With Wi-Fi and Bluetooth connectivity, your LUCAS device can be configured to meet your protocols within your LIFENET account. Integration with CODE-STAT 11 now allows for precise and timely post-event reviews that can help with training and quality improvements.

Setup options

Connected care

Selected specifications

For further details on specifications, please see the LUCAS 3, v3.1 Data Sheet (GDR 3336665) or LUCAS 3, v3.1 Instructions for Use.

Therapy

• Rate: 102 ± 2 compressions per minute
• Depth: 2.1 ± 0.1 inches / 53 ± 2 mm*
• Compression duty cycle: 50 ± 5%
• ACTIVE 30:2 mode: 30:2 compression to ventilation ratio
• ACTIVE Continuous mode
• Ventilation alerts and pauses

Above specifications are factory default settings and for nominal patients. The LUCAS 3, v3.1 setup options allows you to tailor rate, depth and ventilation alerts and pauses within certain values, as well as setting up an optional audible timer, sending device data reports and connecting to Wi-Fi networks.
*For smaller patients with sternum height less than 7.3 inches / 185 mm: 1.5 to 2.1 ± 0.1 inches / 40 to 53 ± 2 mm

Device
Dimension

• Assembled (HxWxD): 22.0 x 20.5 x 9.4 inches / 56 x 52 x 24 cm
• In carrying case (HxWxD): 22.8 x 13.0 x 10.2 inches / 58 x 33 x 26 cm

Weight

• Device with Battery (no straps): 17.7 lbs / 8.0 kg
• Battery: 1.3 lbs / 0.6 kg

Environment

• Operating temperature:
  +32°F to +104°F / +0°C to +40°C -4°F / -20°C for 1 hour after storage at room temperature

• Storage temperature: -4°F to +158°F / -20°C to +70°C

• Device IP classification (IEC 60529): IP43

Eligible patients

• No patient weight limitation
• Chest height: 6.7 to 11.9 inches / 17.0 to 30.3 cm
• Maximum chest width: 17.7 inches / 44.9 cm

Power specifications
Power source: Proprietary battery alone or with external power supply or car power cable Battery

• Type: Rechargeable Lithium-ion Polymer (LiPo)

• Capacity: 3300 mAh (typical), 86 Wh

• Voltage (nominal): 25.9 V

• Run time (nominal patient): 45 minutes (typical).
  Extended run time connecting to external power supply

• Service life: Recommendation to replace battery every 3 to 4 years or after 200 uses

Power supply

• Input: 100-240VAC, 50/60Hz, 2.3A, Class II

• Output: 24VDC, 4.2A

• Car power cable: 12-28VDC/0-10A

• Charging (at room temperature, +72°F / +22°C)
  Using external power supply:

  • Less than two hours

•  Using external battery charger:

  • Less than four hours

Your partner in life support

Reference:

1. Olasveengen TM, Wik L, Steen PA. Quality of cardiopulmonary resuscitation before and during transport in out-of-hospital cardiac arrest. Resuscitation. 2008; 76(2):185-90.
2. Maule Y. The aid of mechanical CPR: better compressions, but more importantly ­ more compressions…(translated from French language; Assistance Cardiaque Externe; Masser mieux, mais surtout masser plus…). Urgence Pratique. 2011;106:47-48.
3. Carmona Jimenez F, Padro PP, Garcia AS, et al., Cerebral flow improvement during CPR with LUCAS, measured by Doppler. Resuscitation. 2011; 82S1:30,AP090. [This study is also published in a longer version, in Spanish language with English abstract, in Emergencias. 2012;24:47-49]
4. Rubertsson S, Karlsten R. Increased cortical cerebral blood flow with LUCAS; a new device for mechanical chest compressions compared to standard external compressions during experimental cardiopulmonary resuscitation. Resuscitation. 2015;65(3):357-63.
5. Axelsson C, Karlsson T, Axelsson AB, et al. Mechanical active compression-decompression cardiopulmonary resuscitation (ACDCPR) versus manual CPR according to pressure of end tidal carbon dioxide (PETCO2) during CPOR in out-of-hospital cardiac arrest 9OHCA). Resuscitation. 2009;80(10):1099-103.
6. Putzer G, Braun P, Zimmerman A, et al., LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue ­ a prospective, randomized, cross-over manikin study. Am J Emerg Med. 2013 Feb;31(2):384-9.
7. Based on internal and external marketing and financial data (as of August, 2018).
8. If each device is conservatively used 1/month.
9. Case study Regions Hospital St. Paul, GDR 3318844_A.
10. Rubertsson S, Lindgren E, Smekal, D et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest. The LINC randomized trial. JAMA. 2013;311(1):53-61.
11. GDR 3305537 User feedback on LUCAS in prehospital use. Data from four different EMS systems in the US completed 2009. Internal data file.
12. Levy M, Yost D, Walker R, et al. A quality improvement initiative to optimize use of a mechanical chest compression device within a high performance CPR approach to out-of-hospital cardiac arrest. Resuscitation. 2015;92:32-37.
13. Saussy J, Elder J, Flores C, et al. Optimization of cardiopulmonary resuscitation with an impedance threshold device, automated compression cardiopulmonary resuscitation and post-resuscitation in-the-field hypothermia improved short-term outcomes following cardiac arrest. Circulation. 2010;122:A256.
14. Maule Y. Mechanical external chest compression: A new adjuvant technology in cardiopulmonary resuscitation. (Translated from French Language: L’assistance cardiaque externe: nouvelle approche dans la RCP.) Urgences & Accueil. 2007;29:4-7.
15. Axelsson C, Herrera M, Fredriksson M, et al. Implementation of mechanical chest compression in out-of-hospital cardiac arrest in an emergency medical service system. Am J Emerg Med. 2013;31(8):1196-1200.
16. Pepe PE, Scheppke KA, Antevy PM et al., Abstract 15255: How would use of flow-focused adjuncts, passive ventilation and head-up CPR affect all-rhythm cardiac arrest resuscitation rates in a large, complex EMS system? Circulation. 2016;134:A15255.
17. Sporer K, Jacobs M, Derevin L, et al. Continuous quality improvement efforts increase survival with favorable neurologic outcome after out-of-hospital cardiac arrest. Prehosp Emerg Care. 2017;21(1):1-6.
18. Anantharaman V, Ng B, Ang S, et al. Prompt use of mechanical cardiopulmonary resuscitation in out-of-hospital cardiac arrest: The MECCA study report. Singapore Med J. 2017;58(7):424-431.
19. Wagner H, Madsen Hardig B, Rundgren M et al., Mechanical chest compressions in the coronary catheterization laboratory to facilitate coronary intervention and survival in patients requiring prolonged resuscitation efforts. Scand J Trauma Resusc Emerg Med. 2016; 24:4.
20. Salcido DD, Stephenson AM, Condle JP et al., Incidence of rearrest of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care. 2010;14(4):413-8.
21. Lerner EB, O’Connell M, Pirrallo RG. Rearrest after prehospital resuscitation. Prehosp Emerg Care. 2011;15(1):50-4.
22. William P, Rao P, Kanakadandi U, et al. Mechanical cardiopulmonary resuscitation in and on the way to the cardiac catheterization laboratory. Circ J. 2016:25;80(6):1292-1299.
23.  LUCAS brochure GDR 3303294_B.

The LUCAS 3 device is for use as an adjunct to manual CPR when effective manual CPR is not possible (e.g., transport, extended CPR, fatigue, insufficient personnel).
Physio-Control is now part of Stryker.
For further information, please contact your Stryker or Physio-Control representative or visit our website at www.strykeremergencycare.com

Physio-Control Headquarters 11811 Willows Road NE Redmond, WA 98052 www .physio-control.com

Customer Support P. O. Box 97006 Redmond, WA 98073 Toll free 800 442 1142 Fax 800 426 8049

Stryker Canada 2 Medicorum Place Waterdown, Ontario L8B 1W2 Canada Toll free 800 895 5896 Fax 866 430 6115

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©2019 Physio-Control, Inc. Not all products and services are available in all countries. Specifications subject to change without notice. All names herein are trademarks or registered trademarks of their respective owners. GDR 3336670_C

References

• Emergency Care | Stryker

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