Introducing Intellisense CPR Feedback Sensor and Technology Overview. Internal Use Only Not For Distribution

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Reynold Black
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1 Introducing Intellisense CPR Feedback Sensor and Technology Overview 1

2 2015 Guidelines The Need For Better Quality CPR 2

3 Guidelines 2015 High quality CPR remains essential to improving outcomes CPR providers should ensure chest compressions of adequate depth At least 2 (5 cm) but no more than approximately ~ 2.4 (6 cm) Fully Release. Rescuers should not lean on the chest between compressions ¹ Chest compression rate of compressions minute AHA recommends Compressions Only CPR by lay responders ¹Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p8 3

4 Guidelines 2015 Emphasis on High Quality CPR After each compression allow the chest to fully release and minimize interruptions in compressions ¹. It may be reasonable to use audiovisual feedback devices during CPR for real-time optimization of CPR performance. ¹ Only patients 8 years or older ¹ Other Guideline Update It is appropriate to consider escalating the shock energy if feasible, after a failed shock and for patients where refibrillation occurs. 2 ¹Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p8 ²2015 ERC Guidelines, - ; p.20 4

Guidelines 2015 Do s and Don ts of Adult High Quality CPR ¹ There is continued emphasis on the characteristics of high-quality CPR: compressing the chest at an adequate rate and depth, allowing

5 Guidelines 2015 Do s and Don ts of Adult High Quality CPR ¹ There is continued emphasis on the characteristics of high-quality CPR: compressing the chest at an adequate rate and depth, allowing complete chest recoil after each compression, minimizing interruptions in compressions, and avoiding excessive ventilation.¹ ¹Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p5, p8 5

6 Chain of Survival CPR on its own is never enough. It is only one part of the Chain of Survival. An unbroken chain ensures the best chance at a favorable outcome. ¹Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p4 6

Lay Responder AED Protocol ¹ Simplified BLS Algorithm / Rescue Flowchart

actions Emphasis on high-quality chest compressions (adequate rate and depth)

compressions until AED arrives and is ready for use.

1 Guidelines 2015, Circulation November 3, 2015, p S418 Unresponsive.

7 Lay Responder AED Protocol ¹ Simplified BLS Algorithm / Rescue Flowchart Presented as a sequence of distinct steps to help a single rescuer prioritize actions Emphasis on high-quality chest compressions (adequate rate and depth) and allowing complete chest recoil after each compression Continue chest compressions until AED arrives and is ready for use. Or, if EMS providers take over care of victim. 1 Guidelines 2015, Circulation November 3, 2015, p S418 Unresponsive. No breathing or no normal breathing (only gasping) Active Emergency Response Start CPR Get AED Check rhythm / shock if Indicated * Repeat every 2 min. 7

8 Powerheart G5 Intellisense CPR Feedback Sensor 8

9 The Art of CPR Components of Effective CPR Rate, Depth and Recoil Effectiveness Am I doing this correctly? Are my compressions effective Low Tech Approaches Staying Alive and Metronome Impendence based device Only addresses one portion of the maneuver compression rate What about depth? What about recoil? 9

Intellisense CPR Feedback 1 True CPR feedback for both chest compression rate, depth and recoil Deliver effective CPR to 2015 Guidelines Rate: 100-120 cpm and 2 depth not to exceed 2.

10 Intellisense CPR Feedback 1 True CPR feedback for both chest compression rate, depth and recoil Deliver effective CPR to 2015 Guidelines Rate: cpm and 2 depth not to exceed 2.4 If the rescuer is not providing effective CPR, the G5 will provide one of four corrective prompts: Rate Feedback: Press Faster or Press Slower Compression Feedback: Press Softer and Press Harder and Fully Release ¹For use on patients age 8 or older (more than 55 lbs) 10 10

11 Intellisense CPR is Smart Intellisense Connector G5 detects the pre-connected ICPR device s unique pad connector Automatically engages feedback prompting Works with any existing Powerheart G5 Proprietary Algorithm Monitors Compressions Consistent surveillance of rescuer compression rate and depth Responds if errors trend for a period of ~ 7 seconds 11 11

Quick To Deploy and Simple To Use Place and Press No complicated prep or product alterations at the rescue site are required for large torso patients.

12 Quick To Deploy and Simple To Use Place and Press No complicated prep or product alterations at the rescue site are required for large torso patients. Quick and easy patient prep which minimizes delays during rescue or to the first shock Sensor functions with cable up, down or if the sensor is upside down Compact size fits on the palm of your hand. Non-slip surface and oblong shape ensures steady placement during CPR

13 Intellisense CPR Feedback Help Only When Needed Consistent Metronome or Press prompt rate to ensure a steady pace Avoids risk of overcorrecting or confusing rescuer with too many corrections or prompting. G5 switches to metronome only mode if CPR Feedback device is not engaged Left in lid or removed from patient chest i.e. - Initial rescuer is replaced by more experienced rescuer who elects not to use sensor. Disabled during analysis and shock 13 13

14 Promotes Quality Compressions Helps professional and first time rescuers provide effective CPR Provides professional rescuers with a retrospective review of compression quality and performance 14 14

15 Promotes Quality Compressions CPR performance may be captured on the rescue report CPR trace may be enabled/disabled within AED Manager Compressions captured in a CPR trace and synchronized to ECG activity Corrective prompts accompany the CPR waveform 15 15

16 Real-Time CPR feedback Supports Traditional (30:2) and Compressions Only CPR Dual language devices offer both text and voice feedback in either language Compression rate and depth settings may be configured for specific needs 16 16

CPR feedback that is Rescue Ready Intellisense CPR Feedback tested for presence and functionality Self tests internal circuitry and accelerometer are tested with the pads All test data is captured in

17 CPR feedback that is Rescue Ready Intellisense CPR Feedback tested for presence and functionality Self tests internal circuitry and accelerometer are tested with the pads All test data is captured in AED Manager Intellisense CPR Feedback for the G5 AED is the only device of its kind to combine dual language CPR compression and rate correction to the 2015 Guidelines, and Rescue Ready reliability

Powerheart G5 AED with ICPR True CPR feedback Ensures effective compressions to guidelines rate, depth and recoil Feedback available in alternate language Simply Place and Press No complicated

18 Powerheart G5 AED with ICPR True CPR feedback Ensures effective compressions to guidelines rate, depth and recoil Feedback available in alternate language Simply Place and Press No complicated preparation, assembly, adjustments at rescue site. No delays. Smart Embedded circuit in ICPR connector engages feedback. Proprietary algorithm analyzes compressions. Active Fully Release (recoil) prompt Rescue Ready Patented technology tests sensor / pads 18

19 Introducing Intellisense CPR Feedback Sensor and Technology Overview 19

2015 Guidelines Summary HeartSine samaritan PAD Automated External Defibrillators

2015 Guidelines Summary HeartSine samaritan PAD Automated External Defibrillators This document provides a summary of the 2015 guidelines and how the HeartSine samaritan PAD range of products complies