Automated External Defibrillators for Public Use What is

Automated External Defibrillators for Public Use

What is AED (Automated External Defibrillator) ? An AED is a device used to administer an electric shock through the chest wall to the heart. A built-in computer assesses the patient's heart rhythm, decides whether defibrillation is needed and then administers the shock. Audible and/or visual prompts guide the user through the process. When the heart stops beating abruptly and unexpectedly it is called Sudden cardiac arrest to the patient. This is often caused by an abnormal heart rhythm called ventricular fibrillation. Ventricular Fibrillation (VF) is an abnormal heart rhythm often seen in sudden cardiac arrest. This rhythm is caused by abnormal electrical and/ or mechanical activity in the heart. VF is chaotic and unorganized; the heart just quivers in the patient’s chest and cannot effectively pump blood around the body and vital organs. VF will be short lived and deteriorate to asystole (a flat line) if not treated promptly (within 10 minutes).

Certifications Aviation - ETSO Authorisation - PAD-PAK-07 Certificate, B 2 B Compliance Certificate, Directive 93/42/EEC Certificate, ISO 13485: 2003 Certificate, ISO 9001: 2008 IEC 60601_PAD-IP 56_PDU-IP 44 RTCA/DO-160 G Test Report Confirmation US FD Approval

Declaration of Conformity, 350 P Declaration of Conformity, Pad-Pak 04 Declaration of Conformity, PDU Declaration of Conformity, SAM 300 P Declaration of Conformity, SAM 360 P Declaration of Conformity, SAM 500 P

CPR Advisor Shock delivery is easy. Giving good CPR is more difficult Even the professional rescuer is often challenged to apply the right pressure for every individual victim. Heart. Sine have developed a unique real time CPR advisor system. It is NOT a simple force transducer but based on measurement of Cardiac Output.

Technology “Begin CPR” “Push Faster/Push Slower” “Good Compressions”

Heart. Sine samaritan PAD with CPR Advisor SAM 500 P

CPR Advisor Uses ICG analysis technology to provide feedback on the effectiveness of CPR using measurements of blood conductivity through the chest cavity. Other devices offering CPR support simply measure the force of compressions on an electronic device placed on the chest.

"Push Harder”, “Push Faster”, “Good Compressions" Clear and direct feedback on CPR For technical data on the SAM 500 P please refer to the manual

(CPR advisor is deactivated when a paediatric PAD-Pak is inserted)

Why is a ‘CPR Advisor’ function important? “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. ” ERC Guidelines 2010 - European Resuscitation Council Guidelines for Resuscitation 2010 Section 2. Adult basic life support and use of automated external defibrillators “Among the most common mistakes made [during CPR] are not giving compressions deep enough and performing compressions too fast or too slow. ” CPR and AED Review Manual, American Academy of Orthopaedic Surgeons, Jones and Bartlett Publishers, 2005 “Many aspects of bystander CPR have been criticised. Many studies of the retention of knowledge and skills have demonstrated a rapid deterioration over a period of only a few months” Friesen L, Scotts N. Retention of basic cardiac life support content: the effect of two teaching methods. J Nurs Educ 1984; 23(5): 184 -191

Technology How does the SAM 500 P CPR Advisor work? Devices on the market which offer “CPR help” measure the force applied by compressions on a electro-mechanical device placed on the victim’s chest. These devices will give the feedback ‘Good Compressions’ if enough force is being applied to a transducer placed on the chest - They take no consideration for differing sizes of patients or differing heart positions etc. The SAM 500 P is different; its feedback is based on what cardiac output the compressions are actually achieving. The device uses ICG (Impedance Cardiogram) analysis technology – a measurement of the force of blood pumping through the heart - to provide feedback. The difference in the waveform produced by ICG analysis during ‘normal’ sinus rhythm and during CPR is clear. The samaritan PAD 500 P uses this analysis to advise the user to ‘Push Harder’, ‘Push Faster’ or ‘Push Slower or to reassure them that they are preforming ‘Good Compressions’

Technology SCOPE Overview Traditionally all defibrillators used the Lown damped sinusoidal waveform. This was standardised so all defibrillators output same pulse with the same characteristics. This pulse needed to have a 360 Joules energy setting to convert very large or difficult to convert patients. Most modern defibrillators use a version of the bi-phasic waveform which has no standard. Not all waveforms are the same and not all of them perform the same. Patented Technology Heart. Sine has 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 waveform Technology Biphasic waveforms were initially developed for use in implantable defibrillators and have since become the standard in external defibrillators. To account for different patient sizes (and impedances, the biphasic waveform shape is generally modified. However not all biphasic waveforms are equally effective 1 There are three primary variables: voltage, duration and tilt for each phase. The Heart. Sine SCOPE waveform adjusts all three variables for all impedances in the operating range in conjunction with escalating energy protocol to optimise the efficacy of the samaritan PAD. Efficacy of distinct energy delivery protocols comparing two biphasic defibrillators for cardiac arrest. Simon J Walsh, MB, BCh, Anthony J. J Mc. Clelland, MB, BChir, Colum G Owens, MB, BCh, James Allen, Ph. D, John Mc. C Anderson, DPhil, Colin Turner, Ph. D, A. A. Jennifer Adgey, MD

Technology

SAFETY SCOPE® incorporates a patient safety feature which limits the current delivered at higher energies. This ensures that patients only receive the energy that can have therapeutic benefit, thereby limiting the risk of damage to heart cells.

Pulse SLOPE SCOPE® adjusts the slope characteristics of the energy waveform by switching in capacitance changes to provide an optimal current profile. The slope of this current profile is one element that ensures maximum defibrillation efficacy which is adjusted for each shock on each patient according to their impedance.

Pulse AMPLITUDE SCOPE® will also vary the amplitude of the delivered waveform to compensate for a broad range of patient impedances. This means that for a given patient impedance and energy level, the correct waveform profile is delivered for each phase of the biphasic shock.

Pulse Width Varying the pulse width for both phases of the waveform profile, allows SCOPE® to compensate for a large patient impedance range. SCOPE® ensures that the energy pulse is delivered efficiently and safely. Adjusting the pulse width over a 3 -12 msec range ensures the major portion of its energy pulse is delivered during this critical period, thus providing maximum therapeutic value.

Electrode Technology Electrodes are the primary point of contact between the patient and the defibrillators. Electrode technology uses patented construction method to provide 4 years shelf life without significant increase in cost. Electrodes have large size and very low impedance. Pad size and low impedance are critical to success of defibrillation 1 Electrode technology enables ICG based CPR advisor

Rates The Heart. Sine AEDs (Automated External Defibrillators) Samaritan PAD 360 P Samaritan PAD 450 P Samaritan PAD 350 P Samaritan PAD 500 P

The Heart. Sine (PADs) PAD PAK for Adults Rs. 15990/- Pediatric PAD for Child Rs. 18450/-

TARGET MARKETS

Indian Defence Services

Paramilitary Forces

State Police & Fire Services

State, National Disaster Management & Flood Control Department

Institutional Sales, Private Industries & Corporates

Indian Railways & Forest Department

Airports & Banks

Electricity Boards, Substations, Power Generations, Distributions.

Highway Medical HELPLINES

Public Sector Undertakings, Mining Industries, Oil Industries

Ports

Postal Services

Government Warehouses, Customs, Sales Tax, Income Tax, Excise offices etc.

Aska Equipments Ltd. R-482, New Rajendra Nagar, Sir Ganga Ram Hospital Square, Shankar Road New Delhi – 110 060 Ph : 011 49458800 Fax 011 -49458844 Email: info@askagroup. com

THANK YOU From the group Aska Power to Rescue. .