September 2, 2008

 

Automated External Defibrillators: 

Considerations in Selecting an AED: Article #1

 

There is only one thing worse then not having an

Automated External Defibrillator (also known as AED)

at the scene of Sudden Cardiac Arrest (SCA) and that is

having an Automated External Defibrillator or AED that

does not work!

 

The point is, NOT all Automated External Defibrillators

are created equal.

 

As you begin your quest to learn more about

Automated External Defibrillators use plain old

“common sense” in your selection process.

 

Much of what you will need to learn to make

an informed life saving decision will be based

on asking a few simple questions.

 

If you would like a copy of;

 

“Questions Too Ask Before Your AED Purchase”

 

Email: info@OperationDefibrillator.com

 

  

Click Here For Approved Vendor Directory

 Side note:

 Operation Defibrillator does NOT recommend, sell

or endorse any specific Automated External Defibrillator.

 

The primary mission of Operation Defibrillator is to educate,

inform and support the efforts of those interested in the

deployment of Automated External Defibrillators for

the express purpose of saving lives from Sudden

Cardiac Arrest.

 

First things first;

 

Every Automated External Defibrillator or AED that

you evaluate must be measured against

the following four criteria. They are in the

following order of importance.

 

1. How dependable is the specific Automated

External Defibrillator?

 

2. How easy is the specific Automated External

Defibrillator to use?

 

3. How effective is the technology the AED utilizes?

 

4. What is the cost VS value ratio of the AED?

 

We will explore each of the above issues in detail.

  

COMPONENTS OF EVERY AED’s

 

Before we can begin the discussion of Dependability,

Ease of Use, Technology and Cost. We must first

understand an AED at the component level.

 

Every AED on the market is composed of three

critical components. Those components are;

 

1.    Battery or Batteries

2.    Pads (also referred to as electrodes)

3.    Internal circuitry/software.

 

How each of the three critical components functions

at the scene of the rescue will in large part dictate

how successful the rescue outcome will be. If for example

the Automated External Defibrillator or AED fails

because of a dead battery (batteries), expired pads,

malfunctioning capacitors etc. the outcome could

be catastrophic.

 

                   To get your free copy of:

“Questions Too Ask Before Your AED Purchase”

 

Email: info@OperationDefibrillator.com

  

Click Here For Approved Vendor Directory

  

 

 

 

These types of failures can happen to any

manufacturer however some brands are predisposed

to higher failure rates because of the limitations in

their design.

  

You will discover, it is the lack of comprehensive

automatic daily self-testing of each of the three

critical components that most often leads to

AED failure.

  

The FDA maintains a MAUDE database whereby

event history and AED failures are archived. 

 

You can visit the MAUDE database at:  

http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/search.cfm

 Once there you will find a series of “fill in the box” windows

that you type in or select from the drop down windows.

The boxes will appear as displayed in the table below.

 

Product Problem:     Leave empty

Product Class:          Leave Empty

Brand Name:            Type in the Model you are researching NOT the   

                                  Manufacturer’s name.

Manufacturer:          Type in the Manufacturers name.

Event Type:              Select “Death” from the drop down window.

Date Report             Make sure you select a date such as 01/01/2000 and reset it each time.

Received:                 Once form is completed click “simple search”

Link to FDA                             website:   http://tinyurl.com/5ovvrz

 

 

 

 

 

 

 

 

 

Approved AED Manufacturers

Presently there are seven approved AED manufacturers approved by the FDA for resale in the USA.

They are listed in alphabetical order.

 

Cardiac Science www.CardiacScience.com   

 

 Defibtech www.Defibtech.com

 

 Heartsine  www.HeartSine.com

 

 Medtronic: www.Medtronic.com

 

 Philips www.Philips.com

  

Welsh Allyn www.WelshAllyn.com

  

Zoll www.Zoll.com 

 

                     To get your free copy of:

“Questions Too Ask Before Your AED Purchase”

 

 Email: info@OperationDefibrillator.com

 

Click Here For Approved Vendor Directory

  

 

While there may be other private labeled AEDs on

the market those AEDs are typically a private label

of one of the aforementioned manufacturers.

  

This discussion will NOT focus on the inherent

short comings of any specific manufacturer, nor

will it highlight the strengths of another.

 

The sole intent of this series is to serve as

a resource to inform the reader that there are

vast differences in Automated External Defibrillators

on the market and an informed consumer is more

likely to make a more appropriate lifesaving choice

after considering all the evidence and full scope of

material.

 

EVALUATING AUTOMATED EXTERNAL DEFIBRILLATORS

DEPENDABILITY MUST COME FIRST

 

The single most important element that you will want to

educate yourself on with regard to selecting an AED

is “Dependability”.  This is often overlooked simply because

the assumption is that “all AEDs are dependable“.

 

As previously mentioned, there is only one thing worse

then not having and AED when it is needed and that is

having one that does not work properly.

 

 As previously state above, it is a common misconception that; 

 ”all automated external defibrillators or AEDs are equally reliable”!

 

This mistaken perception has proven to be a very deadly one.

Once again, the FDA maintains a Maude database website

documenting event history across all manufacturers.

 

One need only invest a short period of time to quickly

learn that all devices are not created equal. Some AEDs

are better at saving lives then others.

 

An analogy might be:

 

It is easy to comprehend that a Volvo is perhaps safer

than a Yugo at the scene of a car accident. It is

because we accept and understand this safety

consideration that we are often willing to invest

more financial resources in the safer automobile.

 

Conversely, many mistakenly believe that all

Automated External Defibrillators are equal

and therefore will often make a lifesaving decision

based on price rather than dependability, quality

and performance.

  

While price is an important and valid consideration

during the evaluation process, it should not be the

most important determining factor if giving the rescuer

the best possible chance of saving a life is the primary goal.

 

AED AUTOMATIC SELF-TESTING

  

The method by which Automated External Defibrillators

manufacturers can insure  rescue ready dependability

once the AED is in field service is by having the AED perform

regular, automatic and intense self-tests of the three

critical components.

  

I highlight the word “automatic” to underscore the

importance that these tests SHOULD occur automatically and should NOT require an individual to manually perform them.

 

It is recommended that these tests are performed

automatically, preferably on a daily basis. Most devices

offer a certain level of self-testing however many require

the user to manually perform what is defined as a

USER INITIATED test(s).

(Many devices also do not perform all the needed and necessary

automatic self-tests required to insure rescue ready reliability.)

 

The fact that the USER must physically conduct the test

allows for the possibility that the safety tests may be

FORGOTTEN completely at worst or not done at the

frequency recommended by the manufacturer at best.

 

Human error has proven to be a very deadly consequence

across many industries and AED management is no exception.

For that reason this warning is issued: 

Purchasing any AED that does not automatically

test the three critical components on a daily basis

is NOT advised.

    The reason is easy to understand.

 If the user initiated test is not performed, essentially the only

time the device is tested is at the scene of a rescue.

Maximally testing a lifesaving device at the scene of a

rescue is not the optimal time to learn if the critical

system components are operating as they should.

 

Once again; 

 

 Purchasing any AED that does NOT

automatically test ALL critical components of the

device on a daily basis should be avoided if “reliability

is of primary concern.                  

   

 

 

ü      Does the AED Defibrillator perform AUTOMATIC self-testing

of all critical components?

 

ü      Does the AED check for Battery presence as well

as capacity?

 

ü      Does the AED check for Pad presence as well as Pad

functionality?

 

ü      Does the AED check for Comprehensive testing of the

internal circuitry and software?

 

ü            Does the AED require you to EVER perform

USER INITIATED testing?

 

 We will explore in great detail self-testing as it relates to each of the three critical components in subsequent articles.

               

     To get your free copy of:

“Questions Too Ask Before Your AED Purchase”

 Email: info@OperationDefibrillator.com

  

Click Here For Approved Vendor Directory

 

 

 

THE CRITICAL QUESTIONS TO ASK BEFORE YOU BUY:

August 29, 2008

:
:

August 28, 2008

What you will find here is the latest and most complete source of information on AEDs. Whether you are looking for Vendor Resources on where to buy, Grant information, Legislation, Deployment Protocols, Articles or Resource links you will find it here. 

Please submit inquires and requests on specific areas of concern and we will assist in any way that we can. We look forward to serving you as you move forward with making the world Heart Safe. Thank you for your passion and leadership in this very important area.

Sincerely

Doug