Evaluation: Physio-Control TrueCPR CPR Feedback Device

January 8, 2016 | Evaluations & Guidance

Preview

  • TrueCPR is a stand-alone device most likely to be used as an accessory to a defibrillator. It consists of a chest sensor ("puck") that is placed on the patient's sternum and a back sensor that is placed behind the patient's shoulder or under the patient's side (either side is acceptable). The chest sensor and back sensor are connected by a thick cable about 2 feet long.
  • Depending on geographic location, TrueCPR provides real-time feedback to CPR providers on four of five key CPR parameters (as specified in AHA guidelines):
    • Compression depth
    • Compression rate
    • Inactivity time
    • Chest wall recoil (feedback on this parameter is only available outside the United States, United Kingdom, France, and Germany)
  • The fifth parameter is ventilation; while TrueCPR provides auditory and visual prompts for ventilation, it does not monitor it or offer feedback.
  • TrueCPR is intended for clinical use, but can also be used for CPR training on manikins.
  • TrueCPR also provides CPR data for postevent review.
    • A summary of the CPR event can be displayed directly on the device screen.
    • CPR data can be downloaded; a report of CPR performance can be generated.
  • Components and capabilities:
    • Feedback on compressions is provided through use of a chest sensor and a back sensor.
      • The chest sensor uses a proprietary system called Triaxial Field Induction (TFI), which relies on electromagnetism and a force gauge to measure compression depth and chest wall recoil, as well as to calculate compression rate.
      • The chest sensor measures 7.75 × 3.25 × 1.375 in (H × W × D), and the back sensor measures 10.25 × 4 × 3 in. Both show diagrams of their proper placement.
      • A display on the chest sensor indicates compression depth with a gauge, the numerical compression rate, and an event timer.
    • TrueCPR does not connect to a defibrillator. It is a stand-alone device powered by nonrechargeable DL123 batteries.
  • Use limitations (per the manufacturer's instructions for use):
    • TrueCPR is indicated for use on adult and pediatric patients age 8 and over.
    • TrueCPR should not be used on large metal surfaces (such as the deck of a ship) or in environments with electromagnetic interference.
    • TrueCPR should not be used in the presence of flammable gases or anesthetics.
    • Unlike accelerometer-based systems, TrueCPR may be used in a moving environment, such as an ambulance.

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