FirstSave® AED

Rescue Ready Reliability

Ease of Use

STAR™ Biphasic Technology

Other AED Considerations

Summary

Designed for use by virtually anyone, the FirstSave AED is the answer to saving more victims of sudden cardiac arrest. It is the only AED with one-button operation and pre-connected, interchangeable electrodes, making FirstSave the easiest defibrillator to use. Its exclusive RescueReady® feature also makes FirstSave the most reliable AED, as it ensures that the battery, circuitry and electrodes are in working condition. In fact, FirstSave is the only defibrillator with patented technology that checks if the electrodes are in the device and ready for use. It is also the first AED with an escalating, variable energy biphasic waveform, demonstrating 100 percent effectiveness in clinical trials. Click here for technical specifications.

Rescue Ready Reliability

One of the most important features of the FirstSave AED is its high degree of reliability. Performing the most comprehensive self-testing in the industry ensures that FirstSave is "rescue ready" whenever you need it.

Daily, weekly and monthly testing occurs automatically. Each day, the battery, electronics and electrodes are checked. Every seven days, FirstSave performs a partial charge internally to test its high-voltage circuitry. Then, once a month the device performs a full charge internally to test its high voltage circuitry. Testing the circuitry this way ensures the device's capacity to deliver a full shock when needed during a rescue. If FirstSave fails any one of its self-tests, the status indicator on the outside of the device changes from green to red and an audible alert is emitted.

In addition to providing the most extensive self-testing available for the battery and circuitry, FirstSave is the only AED with patented technology that confirms electrodes are in the device and ready for use. This exclusive feature minimizes the possibility of arriving at the rescue scene without electrodes or with electrodes that are unusable.

Ease of Use

Its exclusive ease-of-use features make FirstSave the AED of choice for people with minimal medical training. Rescue situations, especially those involving a friend, co-worker or family member, are incredibly stressful and make ease-of-use critical. Although most AEDs are easy to use, a rescue is made even easier with FirstSave through patented features such as pre-connected, non-polarized electrodes and one-button operation.

FirstSave is the only AED that comes standard with pre-connected electrodes stored inside the device. This is important because it eliminates the need to plug in electrodes during the rescue, thus eliminating a critical user step. The electrodes are also non-polarized and labeled for interchangeable use. This means that either electrode can be placed on the upper right or lower left of the patient's chest. By making the electrodes interchangeable, yet another user step is eliminated from the rescue process.

Additionally, FirstSave is still the only AED with exclusive one-button operation. Opening the lid turns FirstSave on, and once the electrodes are placed on the patient's chest, FirstSave automatically begins analyzing the heart rhythm. If a life-saving defibrillation shock is required, there is only one button for the user to push when instructed by the device's text screen or voice prompts.

With these patented features, there are fewer critical decisions made by the user and less confusion than with any other AED available. All of which is extremely important when a user is faced with the emotional and mental stress associated with rescue situations.

STAR™ Biphasic Technology

There are a number of ways for an AED to deliver a defibrillation shock. Some devices deliver the same level of energy each time a shock is delivered. Others deliver higher levels of energy with each shock, but still administer the same energy for every patient.

Defibrillation threshold, cellular response and charge balancing principles are key to determining which energy level is appropriate for a given patient. These concepts have been used in the implantable defibrillator industry for many years. Survivalink incorporated these factors into external defibrillation to develop its STAR Biphasic technology.

Survivalink's proprietary STAR Biphasic technology introduced escalating biphasic energy and developed the concept of customized, variable energy. Unlike conventional biphasic waveforms, which deliver a fixed energy level regardless of patient needs, STAR Biphasic varies the energy delivered to each patient based on the charge balancing principle. This principle states that once a defibrillation charge is given, excess or residual charge on the heart's cells must be neutralized to prevent refibrillation. STAR Biphasic is the only defibrillation waveform to successfully address this principle.

Delivering energy based on a patient's impedance-the body's opposition to the flow of electrical current-is another critical factor to successful defibrillation. STAR Biphasic technology measures a patient's impedance, adjusts defibrillation parameters, and delivers a waveform and energy level customized to the needs of that patient. Over a broad range of impedance levels, the full range of energy delivered for the first shock is 140-250 joules. Instead of continually administering the same level of energy in subsequent shocks, STAR Biphasic escalates to a higher current to deliver a full energy range of 190-360 joules. This proven method of escalating energy is consistent with American Heart Association guidelines and is well established in the defibrillation industry.

In clinical trials, STAR Biphasic was 100 percent effective at defibrillating patients in ventricular fibrillation-the most common form of sudden cardiac arrest-on the first shock. These clinical trials were performed at the Cleveland Clinic, Cleveland; Cedars-Sinai Medical Center, Los Angeles, and other leading cardiology centers in the United States. Pre-hospital data has also shown defibrillation success rates of 89 percent for STAR Biphasic.


Other AED Considerations

In addition to the reliability, ease-of-use and technology features of the FirstSave AED, there are other AED considerations such as FirstSave's analysis algorithm, electrode compatibility and data management.

AEDs are designed to recognize a variety of abnormal heart rhythms and then determine whether a defibrillation shock is necessary. Some AED manufacturers may state that supraventricular tachycardia is a rhythm that should not be defibrillated. However, American Heart Association treatment guidelines state that in addition to ventricular fibrillation and ventricular tachycardia, AEDs should also defibrillate supraventricular tachycardia. FirstSave is the only AED consistent with these guidelines on the treatment of supraventricular tachycardia.

Electrode compatibility is another issue that may be addressed when considering an AED program. Some ambulance providers may request that AED electrodes be compatible with their manual defibrillators. This benefits the ambulance providers in that they do not have to change electrodes when they arrive at a rescue scene. There are, however, some drawbacks to this option. This option requires polarized electrodes for the AED, and for the rescuer with minimal medical training, this means more stress as they have to specifically place each electrode in a designated upper right or lower left position on the patient's chest. Another drawback to this option is that it extends the liability of the AED owner. If an ambulance provider leaves the scene with AED electrodes, that equipment is then subject to any further liability that could result beyond the rescue scene.

AED owners should select the option that best meets their needs. FirstSave may be used with polarized electrodes and adapters for commonly used manual defibrillators. Conversely, FirstSave may be used with its standard non-polarized, interchangeable electrodes, which means less stress for the AED user and less liability exposure.

In addition to analysis algorithm and electrode compatibility, the final AED consideration is rescue data management.

FirstSave AEDs offer both internal and removable memory storage of rescue data. The FirstSave rescue data card utilizes CompactFlash™ technology-the smallest and most convenient technology available for data recording. CompactFlash technology allows for:

  • Event and ECG recording.
  • Optional on-scene integrated voice recording.
  • PC card compatibility.
  • Multiple rescues with each AED in service.
  • Quick and easy field upgrades, reducing obsolescence.

RescueLink® Software. Standard with all FirstSave AEDs, this software allows rescue data to be quickly transferred from the FirstSave or rescue data card to a standard Windows® PC for archiving purposes. In addition, RescueLink enables precise synchronization of the AED time with the EMS clock.

MDLink® Software. This program allows a medical director to customize parameters to follow a particular rescue protocol. Adjustable parameters include number of shocks per rescue, energy levels, and voice recording or long rescue time options.

Summary

Survivalink estimates that its AEDs have been used to save over 2,000 lives. Police and fire departments, as well as corporations, airlines and public facilities, use Survivalink AEDs around the world. Its reliability, ease of use and STAR Biphasic technology are three important qualities that have contributed to the success of FirstSave. Survivalink will continue working with organizations to increase the availability of AEDs and help improve the chance of survival from sudden cardiac arrest.

Copyright © 2005 Coll Health and Safety Inc.