LUCAS 3, v3.
1
               ®
Chest Compression System
Your partner in life support
Consistency. It’s a powerful thing.
The LUCAS Chest Compression System helps emergency care teams around the
world do what they do best — save lives. With high-quality chest compressions
and fewer interruptions than manual CPR, LUCAS is your partner that will
administer Guidelines-consistent, high-quality compressions until the job is done.
CPR quality                                        Bridge to care
•	 D
    elivers Guidelines-consistent, high-quality   •	 O
                                                       vercomes caregiver fatigue by providing
   chest compressions at recommended rate             Guidelines-consistent chest compressions
   and depth while allowing for chest recoil          for multiple hours if required*
•	 F
    ewer interruptions, compared to manual        •	 A
                                                       llows for hands-free, high-quality chest
   CPR, leading to higher compression ratios1,2       compressions during transport1,6
   and increased blood flow to the brain3,4
                                                   •	 E
                                                       xtends reach of care and allows for
•	 Higher EtCO2 values, compared to manual           treatment of underlying cause during
    CPR, indicative of higher chance of ROSC5         CPR (e.g. ECMO/PCI) 22
Operational efficiencies                           Safety
•	 C
    alms the event and reduces stress by          •	 R
                                                       escuers can avoid awkward and potentially
   eliminating the need to manage a                   dangerous situations when performing CPR
   compression rotation schedule                      during patient transport
•	 Frees up care givers to focus on other tasks   •	 P
                                                       otential to reduce CPR-related injuries to
                                                      the CPR provider
•	 U
    tilizes data integration capabilities to
   enhance post event analysis and quality         •	 R
                                                       educes X-ray exposure of CPR provider
   improvement efforts                                during PCI
                                                     * When using multiple batteries or an external power source.
                                                        Battery typically lasts for 45 minutes of operation
Proven. Safe. Effective.
 For over 15 years the LUCAS Chest Compression System has been helping lifesaving
 teams around the world deliver high performance, Guidelines-consistent chest
 compressions to cardiac arrest patient in the field, on the move and in the hospital.
 The LUCAS device has been proven safe and effective in a large randomized controlled
 trial, the highest level of clinical evidence.10
                                                           LUCAS 3, v3.1 Chest Compression System
LUCAS by the numbers
25,000+                                16,830                                >99%
With over 25,000 devices in             In a successful 2 hour               Operational reliability
the global market, a patient            45 minute resuscitation,             in clinical use10
is treated approximately                LUCAS administered
every 2 minutes7,8                      16,830 Guidelines-
                                        consistent compressions9
+60%                                    >99%                                 95%
Increased blood flow to                 of survivors had good                of patients fit in the
the brain vs. manual CPR3               neurological outcomes                LUCAS device10,11
                                        in large randomized
                                        LINC trial10
“We know CPR is difficult to do well. People slow down. They don’t always do
 it appropriately — even professional rescuers. A machine doesn’t get tired; it is
 consistent, and consistency is key.”
—Charles Lick, MD Medical Director, Allina Medical Transport & Emergency Department Director,
  Buffalo Hospital23
Your power to improve CPR quality
Less interruptions to CPR on the scene and during transport
30-40% of patients who have achieved return of spontaneous circulation
(ROSC) on the scene will re-arrest prior to hospital arrival and may require
CPR during transportation.20,21
On-scene1
                                                                                                                                   Hands-on-Ratio
     LUCAS device                                                                                   90%             10%
                                                                                                                                   Hands-off-Ratio
     Manual CPR                                                                              81%                    19%
During transportation1
     LUCAS device                                                                                     92%           8%
     Manual CPR                                                                      73%                            27%
LUCAS can contribute to improved outcomes
Systems of care implementing LUCAS together with a comprehensive approach
to resuscitation* have shown increased ROSC rates13-17 as well as improved
survival with good neurological outcomes15,17,19 compared to historical data.
                                                                                                                                              Before
                                                                                                                                              After
                                         +164%
           60%
                                          58%
           50%
           40%          +71%                                                                +107%
                                                                                                           +18%                               +23%
                                                         +26%
Outcomes
                         36%                                                                 36%                                               35%
                                                                                                            34%
           30%                                            32%
                                                                                                     29%                                28%
                                                   25%
           20%    21%              22%
                                                                           +51%       17%
           10%                                                                                                              +76%
                                                                           11%
                                                                                                                             8%
                                                                      7%
                                                                                                                       5%
           0%
                 Stable ROSC13      ROSC14        Admission           1 month         Short term      ROSC17           CPC 1-217          ROSC18
                    p<0.002       Maule, 2007      to hosp15         survival15        survival16    p=0.003         at hosp disch      (as treated
                  Saussy et al.                    p<0.0001           p=0.002         Pepe et al.   Sporer et al.       p=0.001      analysis) p=0.042
                     2010                        Axelsson et al.   Axelsson et al.       2016          2017          Sporer et al.    Anantharaman
                                                     2013               2013                                             2017           et al. 2017
*May include additional therapies or changes of protocols
                                                                                                       LUCAS 3, v3.1 Chest Compression System
LUCAS 3, v3.1 at a glance
7 seconds                                                                  Battery allows for 45 min
                                                                           continuous run time. Plug in
The two-step application (back plate, then                                 the external power supply for
                                                                           prolonged operation/charging
upper part) makes the LUCAS device quick
and easy to deploy, as short as a median
7 second interruption time when
transitioning from manual CPR.12
                                         Top window for
                                         quick battery check
                                         Compact, lightweight carrying
                                         case included with every device
                                                               The carbon fiber LUCAS
                                                               PCI back plate (optional)
                                                               is intended specifically for
                                                               use in the cath lab, with its
                                                               radiotranslucent material
                                                               minimizing image shadows
                                                            Wi-Fi® connectivity for device Post-Event
                                                            reports and asset notifications over e-mail
                                                            Comprehensive post-event analysis of LUCAS
                                                            and LIFEPAK® data in CODESTAT™ 11 data
                                                            review software
                                                                                 Patient straps secure
                                                                                 patient arms during
                                                                                 transport
                                                                                 Release Rings
                                                                                 to remove the
                                                                                 upper part from
Disposable suction              Compression rate can be                          the back plate
cup with optional               set at 102, 111 or 120 to
pressure pad release            meet unique protocols
during ventilations
                                                                                 Stabilization strap helps
                                                                                 keep device in correct
                                                                                 position on patient
                                                                High-quality CPR
                                                                Even if the patient lies upon a soft
          Standard low profile back
          plate, easy to place                                  surface, the LUCAS device delivers
                                                                Guidelines-consistent depth,
                                                                overcoming the “mattress effect”.
                                                                       LUCAS 3, v3.1 Chest Compression System
What’s new with v3.1?*
The LUCAS 3, v3.1 was designed with enhanced data capabilities to allow for better
post-event reporting and asset management. With Wi-Fi and Bluetooth connectivity,
your LUCAS device can be configured to meet your protocols within your LIFENET
account. Integration with CODE-STAT 11 now allows for precise and timely post-event
reviews that can help with training and quality improvements.
Setup options
	Increase compression                                             	Adjustable depth: 1.8 and 2.1
  rate without sacrificing                                           ± 0.1 inches / 45 to 53 ± 2mm
  depth. Compression rate                                            (fixed during operation)
  can be fixed or variable
  during operation at 102,
  111, or 120 compressions
  per minute while still
  maintaining desired                                              	Audible CPR timer:
  depth between 1.8 to 2.1                                           1-15 minutes
  inches/45 to 53mm (depth                                           (in 1 min. increments)
  fixed during operation).
	Adjust ventilation alerts,
  pause length and count                                           	Optional pressure pad release
                                                                     (0.4 inches/10 mm) allows for
                                                                     chest rise during ventilation
	Auto-lowering of piston
  (AutoFit or QuickFit)
* Setup options should be changed only under the direction of a physician knowledgeable
   in cardiopulmonary resuscitation who is familiar with the literature in this area
Connected care
	Post-Event reporting
	Key metrics and dashboards:
            •	 Compression time, ratio, and rate
            •	 Count, number of pauses > 10 sec.
            •	 Duration of longest compression pauses
            •	 Visual timeline of the event
	Post-Event reporting
	CODE-STAT 11 allows for LUCAS
  Post-Event Reports to be merged
  with reports from LIFEPAK 15 and
  LIFEPAK 20/20e devices.
	Merged reports give a comprehensive
  view of cardiac arrest cases and can
  be used in quality improvement and
  training efforts.
	Asset management
	LIFENET offers easily accessible
  asset dashboard for fleet status at
  latest device check-in.
	Gives notifications of expiring and
  expired LUCAS batteries.
                                                         LUCAS 3, v3.1 Chest Compression System
Selected specifications
For further details on specifications, please see the LUCAS 3, v3.1
Data Sheet (GDR 3336665) or LUCAS 3, v3.1 Instructions for Use.
Therapy                                                Eligible patients
•	Rate: 102 ± 2 compressions per minute                •	No patient weight limitation
•	Depth: 2.1 ± 0.1 inches / 53 ± 2 mm*                 •	Chest height: 6.7 to 11.9 inches / 17.0 to 30.3 cm
•	Compression duty cycle: 50 ± 5%                      •	Maximum chest width: 17.7 inches / 44.9 cm
•	ACTIVE 30:2 mode: 30:2 compression
  to ventilation ratio                                 Power specifications
•	ACTIVE Continuous mode
•	Ventilation alerts and pauses                        Power source: Proprietary battery alone or with
                                                       external power supply or car power cable
Above specifications are factory default settings
and for nominal patients. The LUCAS 3, v3.1            Battery
setup options allows you to tailor rate, depth         •	Type: Rechargeable Lithium-ion Polymer (LiPo)
and ventilation alerts and pauses within certain       •	Capacity: 3300 mAh (typical), 86 Wh
values, as well as setting up an optional audible      •	Voltage (nominal): 25.9 V
timer, sending device data reports and connecting      •	Run time (nominal patient): 45 minutes (typical).
to Wi-Fi networks.                                       Extended run time connecting to external
*For smaller patients with sternum height               power supply
  less than 7.3 inches / 185 mm: 1.5 to 2.1 ± 0.1      •	Service life: Recommendation to replace battery
  inches / 40 to 53 ± 2 mm                               every 3 to 4 years or after 200 uses
                                                       Power supply
Device                                                 •	Input: 100-240VAC, 50/60Hz, 2.3A, Class II
                                                       •	Output: 24VDC, 4.2A
Dimension                                              •	Car power cable: 12-28VDC/0-10A
•	Assembled (HxWxD):                                   •	Charging (at room temperature, +72°F / +22°C)
  22.0 x 20.5 x 9.4 inches / 56 x 52 x 24 cm             Using external power supply:
•	In carrying case (HxWxD):                               ºº Less than two hours
  22.8 x 13.0 x 10.2 inches / 58 x 33 x 26 cm          •	Using external battery charger:
Weight                                                    ºº Less than four hours
•	Device with Battery (no straps): 17.7 lbs / 8.0 kg
•	Battery: 1.3 lbs / 0.6 kg
Environment
•	Operating temperature:
  +32°F to +104°F / +0°C to +40°C
  -4°F / -20°C for 1 hour after storage at
  room temperature
•	Storage temperature:
  -4°F to +158°F / -20°C to +70°C
•	Device IP classification (IEC 60529): IP43
Your partner in life support
 —in the field
                                        —on the move
 —in the hospital
                               LUCAS 3, v3.1 Chest Compression System
Reference:
1.	 	Olasveengen TM, Wik L, Steen PA. Quality of cardiopulmonary resuscitation before and during transport in out-of-hospital cardiac arrest. Resuscitation. 2008; 76(2):185-90.
2.	 	Maule Y. The aid of mechanical CPR: better compressions, but more importantly – more compressions…(translated from French language; Assistance Cardiaque Externe;
      Masser mieux, mais surtout masser plus…). Urgence Pratique. 2011;106:47-48.
3.	 	Carmona Jimenez F, Padro PP, Garcia AS, et al., Cerebral flow improvement during CPR with LUCAS, measured by Doppler. Resuscitation. 2011; 82S1:30,AP090. [This study
      is also published in a longer version, in Spanish language with English abstract, in Emergencias. 2012;24:47-49]
4.	 	Rubertsson S, Karlsten R. Increased cortical cerebral blood flow with LUCAS; a new device for mechanical chest compressions compared to standard external compressions
      during experimental cardiopulmonary resuscitation. Resuscitation. 2015;65(3):357-63.
5.	 	A xelsson C, Karlsson T, Axelsson AB, et al. Mechanical active compression-decompression cardiopulmonary resuscitation (ACDCPR) versus manual CPR according to pressure
      of end tidal carbon dioxide (PETCO2) during CPOR in out-of-hospital cardiac arrest 9OHCA). Resuscitation. 2009;80(10):1099-103.
6.	 	P utzer G, Braun P, Zimmerman A, et al., LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue – a prospective, randomized,
      cross-over manikin study. Am J Emerg Med. 2013 Feb;31(2):384-9.
7.	 	Based on internal and external marketing and financial data (as of August, 2018).
8.	 	I f each device is conservatively used 1/month.
9.	 	Case study Regions Hospital St. Paul, GDR 3318844_A.
10.		Rubertsson S, Lindgren E, Smekal, D et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in
      out-of-hospital cardiac arrest. The LINC randomized trial. JAMA. 2013;311(1):53-61.
11.		GDR 3305537 User feedback on LUCAS in prehospital use. Data from four different EMS systems in the US completed 2009. Internal data file.
12.		L evy M, Yost D, Walker R, et al. A quality improvement initiative to optimize use of a mechanical chest compression device within a high performance CPR approach to
      out-of-hospital cardiac arrest. Resuscitation. 2015;92:32-37.
13.		Saussy J, Elder J, Flores C, et al. Optimization of cardiopulmonary resuscitation with an impedance threshold device, automated compression cardiopulmonary resuscitation
      and post-resuscitation in-the-field hypothermia improved short-term outcomes following cardiac arrest. Circulation. 2010;122:A256.
14.		Maule Y. Mechanical external chest compression: A new adjuvant technology in cardiopulmonary resuscitation. (Translated from French Language:
      L’assistance cardiaque externe: nouvelle approche dans la RCP.) Urgences & Accueil. 2007;29:4-7.
15.		A xelsson C, Herrera M, Fredriksson M, et al. Implementation of mechanical chest compression in out-of-hospital cardiac arrest in an emergency medical service system.
      Am J Emerg Med. 2013;31(8):1196-1200.
16.		Pepe PE, Scheppke KA, Antevy PM et al., Abstract 15255: How would use of flow-focused adjuncts, passive ventilation and head-up CPR affect all-rhythm cardiac arrest
      resuscitation rates in a large, complex EMS system? Circulation. 2016;134:A15255.
17.		Sporer K, Jacobs M, Derevin L, et al. Continuous quality improvement efforts increase survival with favorable neurologic outcome after out-of-hospital cardiac arrest.
      Prehosp Emerg Care. 2017;21(1):1-6.
18.		A nantharaman V, Ng B, Ang S, et al. Prompt use of mechanical cardiopulmonary resuscitation in out-of-hospital cardiac arrest: The MECCA study report.
      Singapore Med J. 2017;58(7):424-431.
19.		Wagner H, Madsen Hardig B, Rundgren M et al., Mechanical chest compressions in the coronary catheterization laboratory to facilitate coronary intervention and survival
      in patients requiring prolonged resuscitation efforts. Scand J Trauma Resusc Emerg Med. 2016; 24:4.
20.		Salcido DD, Stephenson AM, Condle JP et al., Incidence of rearrest of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care. 2010;14(4):413-8.
21.		L erner EB, O’Connell M, Pirrallo RG. Rearrest after prehospital resuscitation. Prehosp Emerg Care. 2011;15(1):50-4.
22.		 William P, Rao P, Kanakadandi U, et al. Mechanical cardiopulmonary resuscitation in and on the way to the cardiac catheterization laboratory. Circ J. 2016:25;80(6):1292-1299.
23.		 LUCAS brochure GDR 3303294_B.
The LUCAS 3 device is for use as an adjunct to manual CPR when effective manual CPR is not possible
(e.g., transport, extended CPR, fatigue, insufficient personnel).
Physio-Control is now part of Stryker.
For further information, please contact your Stryker or Physio-Control representative or visit our website at
www.strykeremergencycare.com
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GDR 3336670_C