corpuls system brochure EN

Manufacturer: corpuls | GS Elektromedizinische Geräte G. Stemple GmbH Hauswiesenstrasse 26 | 86916 Kaufering | Germany Products may not be available in all markets as product availability depends on regulatory and/or medical procedural requirements in individual markets. For information on availability, please contact info@corpuls.com. GS Elektromedizinische Geräte reserves the right at any time to modify the design and/or build of the device. No liability shall be assumed for any typos, errors or omissions in this brochure. All product names referenced are registered trademarks of their respective owners. Item No. 76144.00020, Vers. 2.0 (05/23) Phone +49 8191 65 722-0 E-mail info@corpuls.com Internet www.corpuls.world The primeCPR reusable feedback sensor (reusable) is a product of Schiller AG | Altgasse 68 | 6341 Baar | Switzerland VectraCor | 785 Totowa Road, Suite 100 | Totowa NJ 07512 | USA 2

F Ü R – M E N S C H E N – L E B E N DEAR READER, Some things seem like they couldn't possibly be improved upon. Until they actually are. For nearly forty years, this attitude has encouraged us to be more flexible and ambitious than others. Every one of our new products is designed with perfection in mind. Nevertheless, we continue to meet these high standards time and time again, not just because we enjoy doing our part to save more lives, but because, as pioneers in the medical field, innovation is the lifeblood that flows through our veins. Thanks to our culture of innovation, we've de- veloped an intelligent, high-performance network of solutions and technologies for our customers that has ultimately become so much more than just the sum of its parts. We've given it a simple, definitive name: the corpuls system. Emergency and intensive care medicine will never be completely predictable. Every rescue mission, whether in the field or clinic, is urgent and as different as each patient. Whether it's a global pandemic or day-to-day practice, whenever seconds make the difference between life and death, where adrenaline and concentration fully exhaust the user's physical limits, you need the right solution as well as precise, reliable and adaptive technology immediately at hand. This is the aim of the corpuls system, which features a fully compatible, modular device and digital ecosystem with integrated wireless communication that enables seamless automatic transmission and assessment of data. Whether it's bystander CPR or the ER, simulation training or a 22-lead ECG, with state-of-the-art telemetry solutions, on land or water, in the mountains, in the air, on ice, snow or in combat, corpuls has the innovative tools and in- terfaces needed to allow you to implement complex interventions effectively and successfully. In more than 70 countries and several million rescue missions a year. Theodore Roosevelt once said 'Do what you can, with what you have, where you are'. In our case, we would put it like this: The corpuls system ensures that you can do more, because you have more, no matter where you are. The following 80 pages will take you on a journey of the diverse corpuls portfolio so you can put together the system that precisely serves all the facets of your special range of needs. We look forward to accommodating each and every one of your requirements and requests. This is, after all, what gives us the inspiration for all our products. Kind regards, Dr. Christian Klimmer CEO Iris Klimmer CFO Klaus Stemple CTO Thema hier 3

6 corpuls system From rescue chain to rescue network 8 corpuls3T The masterpiece taken to the next level 26 Seite 26 corpuls cpr The powerful arm that saves lives Synchronisation A perfect duo: the corpuls3 is the 'brains' behind the corpuls cpr corpuls.mission Telemedicine redefined 56 66 corpuls.manager Big Data (in the medical field): Efficiency, control and knowledge

S e i t e 1 4 18 The corpuls3 or the secret of eternal youth 20 ECGmax The new standard in ECG diagnostics 34 42 corpuls1 The ultracompact patient monitor and defibrillator 48 corpuls aed The corpuls among AEDs 74 High-quality CPR From children to air rescue: Highest level CPR for everyone, anywhere 78 corpuls simulation Train how you fight for lives

F O C U S – O N – P A T I E N T S THE CORPULS SYSTEM: FROM RESCUE CHAIN TO RESCUE NETWORK The rescue chain is both a time-honoured standard and basic concept in emergency and intensive care medicine. Each piece of the chain is interlinked: well-rehearsed inter- action and communication makes the next step and the jobs of the next rescue unit easier. When everything func- tions smoothly, the rescue chain saves lives. Today, mod- ern communications technology and networking have a huge impact on the rescue chain. Meanwhile, new digital options are converting many of the linear processes in the chain into parallel network processes. The corpuls system has stayed on the leading edge of this development. Our world of devices and solutions continues to expand its net- working capabilities, becoming more intelligent, more inde- pendent, more communicative and secure, faster and more effective. A complete system that is more than just the sum of its parts. It goes without saying that the treatment of medical emer- gencies continues to follow a specific chronological time- line. The corpuls system, featuring the corpuls aed, corpuls1, corpuls3, corpuls cpr and corpuls.mission, can support your rescue team throughout these steps as synchronously and interactively as possible, both today and in the future. Highly compatible products and accessories, flawless communication between products and, naturally, error-free multidirectional transmission of real-time infor- mation are all crucial for efficient, effective operations. The corpuls system can prepare all participants in ad- vance for an upcoming rescue mission. corpuls.manager, for example, offers rescue services a transparent view of the data collected from all corpuls devices, enabling them to implement effective measures based on this information. This also includes targeted training. With corpuls simu- lation, the training is so close to the real thing, you can almost see the blue lights and hear the sirens. And thus the chain is complete. 6 6

F O C U S – O N – P A T I E N T S CORPULS3 THE NEXT GENERATION The corpuls3 is not only a device – it is a 3 module system: Monitoring Unit Patient Box Defibrillator | Pacer The modules can be separated at any time, as and when required. They communicate wirelessly, eliminating annoying cables. The corpuls3 adapts optimally to the users needs. Legen- dary and still unique, the corpuls3 is used successfully by hundreds of organizations around the world. COMMUNICATION PROFESSIONAL The built-in connectivity functions such as 4G modem, WLAN or LAN are ideal for telemedicine and the corpuls communication platform corpuls.mission. The corpuls3 is available in three versions: • • • corpuls3 TOUCH corpuls3 CLASSIC SLIM corpuls3 CLASSIC MODULAR AND UNIQUE • Constant monitoring • Increases patient safety by recording and from the emergency site to the hospital storing parameters in direct proximity to patients • Uninterrupted monitoring from a safe distance • More flexibility at the mission site due to the (e.g. CT scan) separation of different tasks: • Better ergonomics for patient transport Display, data recording and therapy by separating the modules 10

SPECIFICATIONS • Transflective 8.4’’ display, with optional Touch • Operating environment: • Wide printer (10,6 cm) • Weight: 6.5 kg (SLIM, basic configuration) -20 °C to +55 °C (basic functions: ECG monitoring and defibrillation) • Dimensions of complete device (WxHxD): • EN 1789 30.5 cm x 29.6 cm x 19.5 cm • Conforms with selected sections of the (corpuls3 SLIM CLASSIC & TOUCH) international Standard for Airborne Equipment • Extremely high dust and splash protection (IP55) RTCA DO 160 G • Battery life 7-10 hours, • Conforms with selected sections of the according to settings and demand US Military Standard MIL STD 810 G The unique wireless RF technology allows the modules to communicate with one another as if they were physically connected. Illustration of the corpuls3T. corpuls3 Our corpuls3 CLASSIC SLIM is naturally also still available for purchase. 11

F O C U S – O N – P A T I E N T S THE MONITORING UNIT The Monitoring Unit is the control centre of the corpuls3. At just 2.9 kg, including the battery and printer paper, it is about as thick as a newspaper and can be comfortably held in one hand. COMPLETE CONTROL Up to 6 curves and 13 vital parameters can be displayed EXTREMELY ROBUST TOUCH TECHNOLOGY Touchscreen technology needs to be up to the task. simultaneously on the high-resolution 8.4" display. They This is especially the case in difficult operating environ- can be freely customised and defined, and the display for ments. This is why we rely on the latest generation of NIBP monitoring includes a quality indicator. In addition, up touchscreen controllers. to 6 curves can be printed in real time. These make the touch display of the C3T OPERATING CONCEPT "TOUCH 'N' DIAL" We employed a novel operational concept for the C3T • moisture resistant and • safe to operate with disposable gloves. The device is extremely user friendly thanks to its that combines the best of the two operating concepts. The high-quality, optically bonded display, high-contrast TOUCH 'N' DIAL experience: resolution and low reflectivity. • On the one hand, the classic operational capabilities of softkeys and jog dial • On the other, intuitive touch control operation. We chose this approach because softkeys and jog dial are more reliable for some applications while touch works better for others. This is the rationale behind the concept: optimal operation right when you need it. Last but not least, there is the safety aspect: should the touch control not work as expected, the device can always be operated with softkeys and jog dial, which is especially important during life-or-death situations such as resuscitation. TOUCH 'N' DIAL in C3T: Operation via jog dial or the optional touch interface. SPECIFICATIONS BRACKETS • Up to 6 curves and 13 vital parameters • Lightweight and shallow mounting depth • Diagnostic 12-lead ECG preview • Also suitable for a combination of monitor • Quick access to important menu items via 7 softkeys and function keys and patientbox • Power supply: • 1-2-3 operation in defibrillation modes 12 V DC or 100-250 V AC (optional) • Wide printer (10,6 cm) with simultaneous • EN 1789 real-time print-out for up to 6 curves • 4G modem and WLAN or LAN port for data transmission/telemedicine • All-around impact protection • Weight: just 2.9 kg • Dimensions (WxHxD): 30.5 cm x 29.5 cm x 12 cm 12

Easy 1-2-3 operation Chip card reader 4G modem, WLAN or LAN connection Large, transflective 8.4" colour display, with touchscreen option Just 2.9 kg Shock resistant Softkeys and function keys in addition to the touchscreen Configurable views Wide printer (10,6 cm) Illustration shows the corpuls3T monitor. Intuitive operation with jog dial RESPIRATION RATE FROM THE PLETH (RRp®) Respiration rate is an important vital parameter in Emergency waveform. This new parameter is a quick and easy tool to Medicine. With Masimo®’s Respiration Rate from the Pleth measure or monitor the patient’s respiration rate. (RRp®) feature, this can now be measured automatically via the pulse oximetry sensor. Pressure changes in the chest, which are caused by respira- tion, among other things, cause a baseline variation in the plethysmographic waveform. The respiration rate (RRp®) can be derived from these changes in the plethysmographic corpuls3 13

F O C U S – O N – P A T I E N T S THE PATIENT BOX The Patient Box is the "heart" of the system. It collects, records, and stores all vital parameters and measurements. Values recorded via pre-connected sensors are transmitted in real time wirelessly to the monitoring unit, where they are displayed and/or processed. CONSTANT COMPANION Due to its low weight (between 1.1 and 1.4 kg, depending on features) the Patient Box is so compact that it can stay with the patient during transport. This also means that all the sensors and cables can remain on the patient. This not only keeps them out of harm's way, but also enables seamless monitoring – for example, when transporting a patient through a narrow stairwell. All data can be stored for later transmission. The Patient Box can operate completely autonomously. The backlit monochrome display enables patient obser- Data export via: vation even without a monitoring unit (including voice • Bluetooth recording and acoustic alarms). • CompactFlash® card The small screen is located on the front of the Patient Box. PATIENT BOX ACCESSORY BAG XL What would the heart of the system be without the perfect packaging? A well-designed accessory bag for your cables and sensors brings calm to a stressful mission. In collaboration with PAX®, we've optimised and improved the Accessory Bag based on feedback in recent years. The new Patient Box Accessory Bag XL offers even more storage space for additional blood pressure cuffs and CO2 cuvettes, among other things. For those who operate the corpuls3 in the basic configuration, the standard version is still available. 14

Acoustic alarms indcator Microphone Bluetooth Weight: 1.1 kg Capnography primeCPR- Feedback* Display ECG Oximetry CF-card slot NIBP Illustration of the corpuls3T Patient Box. 2 temperature channels 4 channels for invasive blood pressure (IBP) measurement SPECIFICATIONS ACCESSORIES • 12-lead diagnostic ECG, heart rate • ECG analysis and information software • Masimo Rainbow SET® technology for • Non-invasive blood pressure measurement (SunTech®) • Capnography with mainstream capONE® technology SpO2, PP, PI, SpCO, SpMet, SpHb • primeCPR-Feedback* • 2 channel temperature measurement • 4 channel invasive blood pressure measurement • Display of vital parameters, time remaining and alarms • Acoustic alarms • Microphone for audio recording • Bluetooth and CompactFlash® • Weight: just 1.1–1.4 kg • Dimensions (WxHxD): 26.5 cm x 13.5 cm x 5.5 cm corpuls3 • Mounting solutions for common stretcher systems • Easy to adapt and reconfigure • Power supply: 12 V DC or 100-250 V AC (optional) • EN 1789 * Connection for a primeCPR feedback sensor. The reusable sensor is a product of Schiller AG. 15

F O C U S – O N – P A T I E N T S THE DEFIBRILLATOR | PACER The modular design of the corpuls3 allows complete mechanical separation of the Defibrillator/Pacer. However, the modules remain wirelessly connected. This significantly reduces the weight of the corpuls3 system, which improves the mobility and flexibility of the system during urgent patient transfers, such as from the ambulance to the hospital. In this configuration, the patient can be remotely shocked from a safe distance via the monitoring unit (in connection with the corPatch therapy electrodes). The 'CPR Summary' can be printed out on site immediately after use, enabling immediate debriefing after a resuscitation. SPECIFICATIONS • Biphasic rectangular impulse, • Pre-connected corPatch therapy electrodes impedance compensated in a dedicated bag • 2 to 200 Joule configurable energy protocol • Up to 200 shocks with a fully charged battery • AED and manual defibrillator • Can be used with either shock paddles or • AED protocol according to current defibrillator pads guidelines, updateable anytime • Weight: 2.5 kg (corpuls3 SLIM) • Pacer with FIX-, DEMAND and OVERDRIVE modes • Dimensions (WxHxD): 28 cm x 22 cm x 12 cm BRACKETS • One-hand handle release • 10-second auto-locking feature • Power supply: 12 V DC or 100-250 V AC (optional) • EN 1789 The defibrillator is optionally available with shock-paddles and a 30°-swivel base. Shock spoons are available in three sizes for use in open-heart surgery. 16

Pre-connected corPatch therapy electrodes Pacer AED Manual mode • Cardioversion • Defibrillation Battery charge for up to 200 shocks Only 2.5 kg Figure shows the corpuls3T Defibrillator/Pacer. primeCPR-FEEDBACK To increase the quality of resuscitation, the corpuls3 is equipped with CPR feedback. For this purpose, the primeCPR feedback sensor is placed on the lower half of the sternum. It measures the pressure frequency and depth of the chest compressions during resuscitation. Depending on the conﬁguration, the quality of the chest compressions is shown on the display (bar graphs) and improved by voice guidance.1 The bar graph shows the pressure depth and quality of the chest compressions.This serves as support and feedback for the rescuer.2 • Improved resuscitation quality thanks to immediate feedback on the depth and frequency of compressions • Disposable and reusable sensor available • Easy positioning • Data analysis with corpuls.manager for mission debriefing and training The primeCPR reusable sensor2 (right) can be easily disinfected and reprocessed according to the hygiene plan. 1 Source: F. Lakomek et al.: Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study 2 only when using the primeCPR feedback sensor. The reusable sensor is an product of Schiller AG. corpuls3 17

THE CORPULS3 OR THE SECRET OF ETERNAL YOUTH The formula for designing intelligent medical devices seems mark for emergency and intensive care medicine. Thousands obvious at first – improve upon a good thing, fix any issues, of EMS and clinics across the world as well as countless armed and find solutions to any challenges that arise. forces, research institutions, air rescue teams fire depart- ments, mountain and sea rescue services, anaesthesiologists, This is exactly the corpuls DNA that made groundbreaking emergency medical physicians and paramedics trust the most inventions such as the corpuls3 possible in the first place. The reliable, flexible and intelligent defibrillation and monitoring original idea was formulated years ago when experts were system of our time under all kinds of challenging conditions. exchanging ideas at an air rescue convention. How can we We naturally take great pride in this, and it motivates us, as install and use a defibrillator/monitoring system in confined the leader in so many international markets, to constantly spaces? How can we also ensure the optimal protection of make the corpuls3 even more powerful, more intelligent and patients and rescue workers during continuous resuscita- more versatile. tion in a transport vehicle? The naysayers said we'd have to slice the device in two, but corpuls would never have come Over time, the device developed a control centre or 'brain'. into fruition if our engineers weren't already used to think- The corpuls3 and the 3-dimensional corpuls system ing outside the box. 'Why not just try and design a three- provides you with a bird's eye view of the job at all times. cor- fold device', they reasoned, without being aware of the puls3 communicates locally with everybody involved, controls important ramifications the device would end up having on the mechanical CPR, provides 22-lead measurement capabil- the medical device industry. No sooner said than done: in ities and reliably collects and transmits data for on-the-spot 2007, at the MEDICA international medical device convention, analysis or later review. And, best of all, its roomy side pockets we presented the world's first (and still only) device that allow you to keep everything you need for the job close at combines all key features into one handy, compact system hand. It's lightweight, ergonomic, resistant to environmental equipped with a state-of-the-art wireless communication impacts and looks great. While looks aren't everything, the module. And with each new generation, it continues to be- corpuls3's clean lines and innovative design make it comfort- come more powerful, more intelligent and more versatile. able to use on a daily basis and easy to operate. The corpuls3 Nobody at the time could have known that a lasting revolu- save lives. It won't make anyone's job obsolete, but can serve tion was about to take the medical device industry by storm, as a valuable coworker. It has gained a lot of knowledge in thanks to a basic concept that, in principle, provided a solu- its decades of experience. You can rely on the corpuls3. It's is like a constant companion - always by your side to help you tion for every conceivable application. Still today, the fourth more than just a medical device. generation of the corpuls3 remains the international bench- corpuls3 19

F Ü R – M E N S C H E N – L E B E N F O C U S – O N – P A T I E N T S ECGmax THE CORPULS ECG REVOLUTION Over 20 years ago, corpuls introduced the emergency services to the first 12-lead ECG. It's been the gold standard in ECG diagnostics ever since. Until now. In 2020, corpuls once again revolutionised the ECG: posterior V7-V9 leads and the right cardiac V3r-V6r leads. With the ECGmax, you don't have to settle for the typical No additional effort is required and no electrodes need to 12-leads. You get a generous 22-leads – that's ten addi- be attached or repositioned. Any additional lead is calcu- tional real-time views of cardiac electrical activity, providing lated on the server and can be displayed or measured in a more detailed, comprehensive picture of the patient's corpuls.mission as well as forwarded as a PDF attachment condition. The current guidelines of the European Society via e-mail or fax over the corpuls gateway. of Cardiology (ESC) call for examination of the extended • Broadened 22-lead diagnostics • Only 10 electrodes, extremities and chest leads • Displays on any corpuls3 with the telemetry option • Posterior leads V7–V9 • Right cardiac leads V3r–V6r • Orthogonal leads X,Y and Z and associated vectorloops VECTORCARDIOGRAPHY According to Frank, cardiac electrical signal propagation can be considered to be a rotating dipole for vectorloops. The pattern formed by the peaks of these vectors can be spatially represented as loops in a three-dimensional coordinate system. The resulting loops correspond to the P wave, the QRS complex and the T wave, respectively. In healthy myocardial tissue, the loops appear homogeneous and the pattern is fluid. In the case of a dysfunction, the excitation propagation is irregular and the resulting loop appears jagged or disordered. • Electrical signal propagation considered as a rotating dipole • Represented as loops in the coordinate system • The loops correspond to the P wave, QRS complex and T wave • Physiological loops appear homogenous and fluid • Pathological loops appear jagged and irregular Vectorloops associated with an apically-located STEMI. 22

THE CARDIAC ELECTRICAL BIOMARKER In addition, ECGmax can determine the Cardiac Electrical Biomarker CEB® using the same leads. Thanks to the CEB®'s three colour-coded indicators – normal, atypical and abnormal – interpretation is easy. The user recognises right away whether myocardial ischaemia is present – with sensitivity and specificity that compares to troponin. • Simple interpretation based on a "traffic light" • Non-invasive measurement concept • Continuously measured value • Correlation of the CEB® with troponin • High sensitivity and specificity • No additional electrodes required • Rapid response through measurement of the electrical field corpuls.science ECG The corpuls.science ECG offers clinical observations and published scientific data in relation to the ECG. Among other things, it shows basic information about the ACS algorithm or signal filtering of an ECG in a concise, insightful manner. At the same time, it offers a wide variety of research articles to promote clinical accuracy and effective diagnostic use of the calculated 22-lead ECG, the vectorloops and the CEB®. SCAN THE QR-CODE READ THE E-BOOK ECGmax 23

F Ü R – M E N S C H E N – L E B E N F O C U S – O N – P A T I E N T S THE CEB® DEMONSTRATES HIGH SENSITIVITY AND SPECIFICITY IN THE DIAGNOSIS OF MYOCARDIAL INFARCTION In their study 'Detection of acute myocardial ischemic injury agreement. Both showed a high correlation in men (R=0.857) by gender using a novel cardiac electrical biomarker', Schreck and women (R=0.893). This is important in order for the et al. (2015) examined the diagnostic accuracy of CEB® for calculated ECG to then be used in determining the CEB®. the detection of an acute myocardial infarction (AMI) in men Next, the diagnostic accuracies of sensitivity, specificity, posi- and women. Therefore the authors used calculated ECG leads tive and negative predictive values and probability coefficients based on a standard ECG. The CEB® was determined based were stratified by gender to form homogeneous groups. on the calculated ECG. A value higher than 94 confirmed an The ECG interpretation based on the CEB® proved to be AMI, while a value less than 66 was considered to be negative. equivalent or superior to the interpretations of the physicians As a point of reference, the electrocardiograms were reviewed – both individually and by consensus. The sensitivity of the by two blinded physicians and assessed by mutual agreement. CEB® was 93.3% in men and 90.5% in women, while the Additional standard ST-segment analyses and automated ECG specificity was 90.7% and 92.5%, respectively. These values interpretations served as the active control group. In the first were even superior to the active control group. step, calculated and recorded ECGs needed to be checked for IN SUMMARY... Summary based on: Schreck, David M.; Fishberg, Robert D. (2015): Detection of acute myocardial ischemic injury by gender using a novel cardiac electrical biomarker. In: The American journal of emergency medicine 33 (3), S. 383–390. DOI: 10.1016/j.ajem.2014.12.029. ... the CEB® demonstrated a high degree of diagnostic accuracy in the detection of acute myocardial infarction in men and women. This technology offers an efficient monitoring-based method that can be employed in emergency medicine to identify AMI in patients in real time. 24

STUDIES DEMONSTRATE A CORRELATION BETWEEN TROPONIN AND CEB® INNOVATION IN MYOCARDIAL INFARCTION DIAGNOSTICS WITH THE CORPULS3 In the event of an acute myocardial infarction, early detection In a linear, mixed-effects regression analysis, statistically is crucial. Only then it is possible to treat it quickly, which adjusted for the effects of age, ancestry and gender, rising clearly enhances the patient's chances of recovery and troponin values were associated with significantly increasing survival. Measurement of cardiac troponin is indicated for the CEB® values (95% Confidence Interval, 0.008–0.134; P = diagnosis of an AMI. The diagnosis is confirmed if the value of 0.027). A tenfold increase in troponin was associated with an this biomarker changes either during the initial measurement 8.3% increase in CEB®. or the retesting 3 and 6 hours later. A significant advantage of CEB® is the far easier quantification In contrast to cardiac troponin, the CEB® cardiac electrical of myocardial damage by means of an ECG as opposed to biomarker can be collected without needing to draw blood blood concentration values. The user friendliness, modest or process the sample in a lab. Instead, the CEB® can be calcu- cost, wide availability and continuous monitoring capability lated based on a 12-lead ECG with eigenvalue modelling and of ECGs in emergency medicine encouraged corpuls to offer quantification from dipolar to multipolar forces. CEB® immediately with the corpuls3 as an optional solution To demonstrate the correlation between CEB® and high-sen- for easy optimisation of myocardial infarction diagnostics. sitive troponin I (HsTnI), Tereshchenko et al. conducted an extensive investigation. 12-lead ECGs were run on 411 patients and troponin was measured upon admission to hospital and after 3, 6 and 9 hours. The CEB® was determined by using a Vectraplex ECG system (VectraCor, Totowa, NJ). IN SUMMARY... Summary based on: Tereshchenko, Larisa G.; Gatz, David; Feeny, Albert; Korley, Frederick K. (2014): Automated analysis of the 12-lead ECG in the emergency department. Association between high-sensitivity cardiac troponin I and the cardiac electrical biomarker. in: Critical Pathways in Cardiology 13(1), pp. 25–28. DOI: 10.1097/ HPC.0000000000000006. ... in examined patients with suspected acute myocardial infarction, a significant correlation was found between the measured level of troponin and the calculated CEB®. This explains why the change in CEB® can be attributed to the underlying damage to the myocardial tissue. ECGmax 25

F O C U S – O N – P A T I E N T S THE STRONG ARM THAT SAVES LIVES The corpuls cpr is possibly the most modern and innovative The system consists of the corpuls cpr arm with an inserted player in the field of mechanical chest compression devices. compression stamp and – depending on requirements – It combines revolutionary and extremely intuitive user guid- of one of three different resuscitation boards available: ance, designed to optimally support users in Emergency Recboard, Quadboard and Scoopboard. These were specially Medical Services as well as medical professionals in hospitals developed for the different requirements in EMS, air rescue when working on patients. and clinical settings and they are made of radiolucent material. • The corpuls cpr offers professional users • The intuitive operability of the corpuls cpr allows anytime easy access to the patient’s thorax. the therapy to be adapted to the individual patient. Diagnosis and treatment can thus be performed • Therapy parameters can be adjusted during while resuscitation is in progress. active use. • With only a few steps, the corpuls cpr is ready • The operating temperature of the corpuls cpr for operation. Minimal hands-off intervals lead ranges from –20 °C to +45 °C. to an optimal outcome. • The system is certified according to IP54. SYSTEM SPECIFICATIONS GENERAL SPECIFICATIONS TREATMENT PARAMETERS • Backlight 2.4" colour LED display • Compression frequency: 80 to 120 compr./min • SD™ card for data transfer • Compression depth: 2 to 6 cm • Operating noise level: approx. 70 dB • Therapy mode: 30:2 | 15:2 | continuous • Operating temperature: –20 °C to +45 °C • Dust and splash resistant (IP54) PATIENT PARAMETERS • Conforms with selected sections of the • Thorax height: 14 to 34 cm RTCA DO 160G international aviation standard • Thorax width: no restrictions POWER SUPPLY • Magnetic plug • Patient weight: no restrictions SYNCHRONISATION WITH THE CORPULS3 • 12–33 V DC (electrical system) • Synchronised shock administration • 100–240 V AC (mains power 50–60 Hz) • Remote control of the corpuls cpr via corpuls3 • Battery charge time: typically 90 minutes • Merge application data for debriefing 2828

Start-/Stop Button Locking Lever Stamp Battery On/Off Switch Magnetic Charging Contact Bayonet Lock THE RIGHT BOARD FOR EVERY USE All boards are made of carbon and are therefore radiolucent as standard. They are also very easy to clean thanks to their smooth surface. QUADBOARD RECBOARD SCOOPBOARD • Specifically developed for • Specifically developed for use in • Ideal for technically demanding hospital use emergency services and missions with scoop stretcher • Large handle for easy prehospital setting • Compatible with most common positioning under the • Compatible with all common scoop stretchers patient stretcher systems • Attachment straps with magnetic • Attachment straps with magnetic buckle and fixation ring for buckle and fixation ring for secure fixation of the patient secure fixation of the patient corpuls cpr 29 29

F O C U S – O N – P A T I E N T S F O C U S – O N – P A T I E N T S SEAMLESS THERAPY – EVEN IN THE CATH LAB The corpuls cpr with its variety of boards is specially man- the cath lab team to adjust the ray path to the ideal posi- ufactured with modern composite materials to make it as tion for a clear view of the heart and the blood vessels. The radiolucent as possible for use in the cath lab. The parts of corpuls cpr is so compact that even extreme movements of the corpuls cpr arm, which for technical reasons cannot the C-arm are not blocked. Even in this case free access to be radiolucent, are made as narrow as possible. This allows the patient's thorax is retained. INDIVIDUALISED THERAPY The corpuls cpr arm is aligned above the patient and fixed in position with only one lever. The compression depth, which can be adjusted between 2 and 6 cm in 1-mm steps, and the compression frequency, which can be adjusted from 80 to 120 compressions per minute, allows individu- alised therapy, even with children. The corpuls cpr with its intuitive operating concept is approved for children from the age of 8. Resuscitation of a patient on site. 3030

ACCESS FROM ALL SIDES Free access to the thorax is essential for treatment of a patient during resuscitation. The Recboard or the Quadboard can be placed in multiple positions beneath the patient. The lever is opened for alignment on the thorax. The user determines the position of the stamp. That is exactly the position at which manual compression is applied, i.e. the lower half of the sternum. The stamp position check helps the user find the proper neutral position to avoid generating unwanted leaning. When the light is green, the lever can be closed and the therapy started. During therapy the corpuls cpr monitors the position of the stamp at every ventilation pause or after 100 compressions in continuous mode. If the thorax Use with Recboard Ring has collapsed due to the preceding compressions, the corpuls cpr automatically corrects the distance between the stamp and the thorax. Thus ensuring that the set compression depth is always achieved. The patient can be transported with the corpuls cpr on different transport systems, if the patient is secured with a corresponding securing system. Make sure to leave the therapy zone uncovered. corpuls cpr 31 31

F O C U S – O N – P A T I E N T S PROVEN IN CRASH TESTS Every rescue mission involves a significant safety risk for res- cue personnel. Previously, in order to transport a patient during resuscitation, a paramedic needed to remain stand- ing in a moving vehicle while performing CPR. In the event of a sudden stop or an accident, serious injuries could result. The corpuls cpr not only performs higher quality chest compressions, it also enhances the safety of your rescue team. EFFECTIVE – SCIENTIFICALLY CONSIDERED Studies have confirmed that the corpuls cpr meets the high standards of the corpuls brand. We conducted tests on both the mechanical thorax and animal models. We were able to show that the corpuls cpr, generates a significantly higher mean arterial pressure, a higher blood flow and thus a higher coronary perfusion pressure in direct comparison to a competitor device. We are also currently evaluating the performance of the device in practice with a follow-up study. The corpuls cpr generates a significantly higher MAP (p<0.05) over the entire period of resuscitation. Literature: Eichhorn S, Spindler J, Polski M, Mendoza Garcia A, Schreiber U, Heller M, et al. Development and validation of an improved mechanical thorax for simulating cardiopulmonary resuscitation with adjustable chest stiffness and simulated blood flow. Med Eng Phys. 2017 May;43:64-70. Med Eng Phys. 2017;43:64–70. doi: 10.1016/j. medengphy.2017.02.005. PubMed PMID: 28242180. Eichhorn S, Mendoza Garcia A, Polski M, Spindler J, Stroh A, Heller M, et al. Corpuls cpr resuscitation device generates superior emulated flows and pressures than LUCAS II in a mechanical thorax model. Australas Phys Eng Sci Med. 2017. doi: 10.1007/s13246-017-0537-3. PubMed PMID: 28258484. Eichhorn S, Mendoza A, Prinzing A, Stroh A, Xinghai L, Polski M, et al. Corpuls CPR Generates Higher Mean Arterial Pressure Than LUCAS II in a Pig Model of Cardiac Arrest. Biomed Res Int. 2017;2017:5470406. doi: 10.1155/2017/5470406. PubMed PMID: 29392137. 3232 32

COMMUNICATION To ensure the best possible follow-up of a mission, the The data for the mechanical resuscitation can also be dis- corpuls cpr stores all relevant data to an SD card. The played remotely in corpuls.mission. corpuls.manager can corpuls cpr can also be connected to the corpuls3 by Blue- also be used for comprehensive and optimum debriefing tooth. This allows missions to be combined (matched) for after use and also for analysis of multiple completed use in a debriefing session. missions. SPECIAL FEATURES • Children from the age of 8, pregnant women and obese patients can be treated • Resuscitation in accordance with current valid guidelines • Stress reduction due to safe, reliable use in often chaotic situations – leaving more time for other essential therapy measures • Reusable stamps in two lengths • No weight or size restrictions when treating patients corpuls cpr corpuls cpr 33 3333 Children from 8 years Pregnant Obese Very tall people of age

F O C U S – O N – P A T I E N T S PERFECT TEAMWORK SYNCHRONISATION OF CORPULS3 AND CORPULS CPR This has long been our vision: the perfect interaction between team. corpuls3 and corpuls cpr act as one unit, they are corpuls3 and corpuls cpr during resuscitation. Our objective integrated into the team and the two of them working toge- was to lift resuscitation procedures to a new level of quality. ther make the resuscitation procedure even more efficient. The corpuls3 is primarily distinguished from other compact The hands-off time is significantly reduced* and the patients' units by its revolutionary modular design. It can be divided chance of survival is increased, even under very confined into the monitoring unit, patient box and defibrillator/pacer. conditions. Synchronised therapy can greatly reduce the stress in the corpuls3 SPECIFICATIONS • Weight: only 6.5 kg (SLIM, basic configuration) • Transflective 8.4’’ display, • Highly dust and splash resistant (IP55) • Operating environment: –20 °C to +55°C (basic functions: ECG monitoring, defibrillation) • EN 1789 • Selected sections of the airborne transport • • optionally with touchscreen corpuls cpr controlled via Bluetooth Integrated 4G modem and WLAN or LAN port for data transmission/ telemedicine RTCA DO 160 G standard and the • ECGmax and CEB® – the 22-lead US military standard MIL-STD-810 G ECG solution by corpuls * see the "Abstract Evaluation" section 36

We focused on two things in the design of the corpuls cpr: the seamless rescue chain from pre-hospital, to air rescue, through to the hospital, as well as keeping the hands-off period as short as possible. This is why the corpuls cpr arm can be aligned above the patient and fixed in position in a few seconds with just one movement. During therapy the corpuls cpr monitors the position of the stamp at every ventilation pause or after 100 compressions in continuous mode. If the thorax has collapsed the corpuls cpr automatically corrects the distance between the stamp and the thorax. Thus ensuring that the set compression depth is always achieved. With three different boards of radiolucent carbon the user is fully equipped for any situation. The synchronisation means that the corpuls cpr is virtually the fourth module of the corpuls3 and we are again a step closer to our target of a seamless rescue chain. Monitor Patient Box Defibrillator/ Mechanical Pacer chest compression corpuls cpr SPECIFICATIONS • Weight: 5.5 kg (arm with battery and stamp) • Customisable therapy parameters • Compression depth: 2–6 cm • Battery running time: up to 90 min Frequency: 80–120/min • • Therapy mode: 30:2 | 15:2 | continuous • Bluetooth and NFC • Intuitive user interface: therapy start/stop button with alarm function and 4 softkeys • Radiolucent boards • Fast secure adjustment • Children from the age of 8, pregnant women and obese patients can also be treated corpuls synchronisation 37 Children Pregnant women Obese Very tall people

F O C U S – O N – P A T I E N T S CONNECTION IN 3 CLICKS During synchronised therapy the corpuls3 is more than It enables the rescue team to treat the patient in accordance simply the remote control for the corpuls cpr – although with current guideline recommendations. During treatment it can function as such. The corpuls cpr has been perfectly the corpuls3 shows all the required information on the integrated into the AED and manual mode of the corpuls3. display. Verbinden Connect key for connection with the corpuls cpr via Bluetooth Bluetooth icon indicates the Bluetooth connection to the corpuls cpr Pie chart with corpuls cpr as icon indicating a connection to the corpuls cpr and visualisation of the resuscitation cycle Start/Stop key for starting and stopping the mechanical chest compression of the corpuls cpr Start/Stop mCPR CPR fort. Resets the time in the pie chart, if defibrillation was not used FULL CONTROL – ALL THE TIME Once it has been connected it is no longer necessary to operate parameters of the corpuls cpr can be checked on the monitor the corpuls cpr during resuscitation. The corpuls cpr is of the corpuls3. You can also change the settings manually completely and automatically controlled by the corpuls3, regard- or stop or start the corpuls cpr. less whether AED or manual mode is being used. All therapy 38

INTELLIGENT CONTROL WITH THE CORPULS3 The intelligent control of the corpuls cpr by the corpuls3 via the corpuls3 as the central control unit. The user only needs during resuscitation follows the current guideline recommen- to monitor that the stamp of the corpuls cpr is correctly posi- dations, depending on the mode (AED, manual ERC, manual tioned. All control commands for the user are transmitted AHA). In every mode the complete rhythm analysis is controlled wirelessly between the corpuls3 and the corpuls cpr. INITIAL SITUATION: The corpuls cpr is positioned on the patients thorax and is applying chest compressions. A Bluetooth connection to a corpuls3 is established. AED MODE 1. Analysis key interrupts corpuls cpr for the AED analysis and automatically restarts the therapy by the corpuls cpr. 2. With a shockable rhythm the defibrillator is charged and delivers an automatic pre-shock CPR. 3. Shock key interrupts the corpuls cpr for the shock delivery. 4. In the case of a non-shockable rhythm the corpuls cpr automatically continues the therapy. MANUAL 1 (procedure in accordance with ERC) 1. Stop-mCPR key on the corpuls3 interrupts the corpuls cpr for the manual rhythm check. 2. Start-mCPR key continues the chest compressions/ pre-shock CPR. 3. With a shockable rhythm pressing the Shock key interrupts the corpuls cpr for the shock delivery. In the case of a non-shockable rhythm pressing the Start-mCPR key continues the corpuls cpr therapy. MANUAL 2 (procedure in accordance with AHA) 1. Charge key charges the defibrillator. 2. Stop-mCPR key on the corpuls3 interrupts the corpuls cpr for the manual rhythm check. 3. With a shockable rhythm the Shock key is pressed. 4. Start-mCPR key continues the corpuls cpr therapy. 1 Analyse auto. Analyse 4 3 2 Charging preShock CPR 1 2 manual Analyse 3 Charge Charging Preshock CPR Charge 1 Charging 2 manual Analyse 3 4 Loading corpuls synchronisation 39

F O C U S – O N – P A T I E N T S F O C U S – O N – P A T I E N T S DATA ALWAYS IN VIEW The combination with corpuls.manager, the management software solution for corpuls devices, makes the missison follow-up process easy. corpuls3 automatic SD card manual The REVIEW mode in corpuls.manager clearly shows that pressing the shock button automatically stops the corpuls cpr, the shock is delivered and then the CPR is automatically continued. With just a few clicks, all curves of the corpuls3 (e.g. ECG, habits. The data from both devices are combined comple- CO2 or IBP) can be visually represented on a computer together tely automatically in the corpuls3 as soon as the device is with the corpuls cpr compression data. This allows analysis connected to the corpuls cpr. of past missions and optimisation for future missions. When the corpuls3 connects to the corpuls.manager corpuls.manager can be used to generate an overall server via cellular connection or WLAN, the mission data can impression of one or more resuscitation missions in previ- be automatically uploaded. Then in corpuls.manager you ously unobtainable detail and without any great effort. Users can filter the search for specific missions and run statistical who already work with corpuls.manager or its predecessor analysis for useful insights. corpuls.web REVIEW will not have to change their working BASED ON GUIDELINES Guidelines are now an integral component of modern medicine. Consequently we have aligned our devices and the synchronisation between corpuls3 and corpuls cpr based on the current guideline recommendations of Monsieurs et al. 2015. High quality chest compressions improve the patient's survival prospects: • Minimum 5 cm compression depth (maximum 6 cm) • < 10 s interruption before and after shock delivery • Compression rate of 100–120 compressions/min • • The chest compressions must be only briefly interrupted, even for attempted defibrillations Thorax completely recoils between compressions • Chest compression devices are recommended if • After application of a defibrillator the defibrillation should not be further delayed sustained good manual compressions are not practical or the safety of rescuers is not assured • Chest compressions must be continued while the • A pre-shock pause of as little as 5–10 s already reduces defibrillator is being charged the probability of a successful shock 40

EVALUATION ABSTRACT EVALUATION The ERC guidelines recommend the minimisation of pauses defibrillation should be performed with a compression pause during cardiopulmonary resuscitation. Chest compressions of less than 5 s (Monsieurs et al. 2015). An internal company should not be interrupted for more than 10 seconds at the trial with the corpuls3 in combination with the corpuls cpr most before and after delivery of a shock. A peri-shock pause showed pauses significantly shorter than the recommended (the compression pause before and after defibrillation) of max. limit. The synchronisation of the corpuls3 and the corpuls 10 s is scientifically confirmed to be associated with a higher cpr has been confirmed to improve this result even more. survival rate (Cheskes et al. 2014; Sell et al. 2010). Accor- Synchronised operation of the devices has been able to ding to the ERC guidelines the complete process of manual achieve a reduction of the hands-off time by 16.08%. s d n o c e s n i e m i t f f o - s d n a H Figure 1: View of the hands-off time of our study comparing synchronised and separate operation of the corpuls3 and corpuls cpr. (Significance P < 0.001: ***; P < 0.05: *) AED mode (separate) AED mode (synchronised) Manual (separate) Manual (synchronised) The reduced compression pause was particularly significant than the 3.24 ± 0.71 s peri-shock pause in non-synchronised with the peri-shock pause. On average the peri-shock pause mode. This time-saving along with a target pause of a total of 2.00 ± 0.32 s in synchronised mode is 38.23% shorter of 5 s can be very valuable. s d n o c e s n i e s u a p k c o h s - i r e P AED mode (separate) AED mode (synchronised) Manual (separate) Manual (synchronised) Figure 2: When comparing the peri-shock pauses, the significant mi- nimisation of the pause duration when the corpuls3 and corpuls cpr are synchronised compared with separate device operation is particularly significant. (Significance P < 0.001: ***) Literature: Cheskes, Sheldon; Schmicker, Robert H.; Verbeek, P. Richard; Salcido, David D.; Brown, Siobhan P.; Brooks, Steven et al. (2014): The impact of peri-shock pause on survival from out-of-hospital shockable cardiac arrest during the Resuscita- tion Outcomes Consortium PRIMED trial. In: Resuscitation 85, S. 336–342. DOI: 10.1016/j.resuscitation.2013.10.014. Kleinman, Monica E.; Brennan, Erin E.; Goldberger, Zachary D.; Swor, Robert A.; Terry, Mark; Bobrow, Bentley J. et al. (2015): Part 5. Adult Basic Life Support and Cardiopulmonary Resuscitation Quality. Circulation. 2015;132[suppl 2]:S414–S435. In: Circulation 132 (18 suppl 2), S. S414-S435. DOI: 10.1161/CIR.0000000000000259. Monsieurs, Koenraad G.; Nolan, Jerry P.; Bossaert, Leo L.; Greif, Robert; Maconochie, Ian K.; Nikolaou, Nikolaos I. et al. (2015): European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 95 (2015) 1–80. In: Resuscitation 95, S. 1–80. DOI: 10.1016/j.resuscitation.2015.07.038. Nolan, Jerry P.; Soar, Jasmeet; Zideman, David A.; Biarent, Dominique; Bossaert, Leo L.; Deakin, Charles D. et al. (2010): European Resuscitation Council Guidelines for Resuscitation 2010. Section 1. Executive Summary. In: Resuscitation 81 (10), S. 1219–1276. DOI: 10.1016/j.resuscitation.2010.08.021. Perkins, Gavin D.; Olasveengen, Theresa M.; Maconochie, Ian; Soar, Jasmeet; Wyllie, Jonathan; Lockey, Robert Greif Andrew et al. (2017): ERC 2017 Guidelines Update. In: Resuscitation. DOI: 10.1016/j.resuscitation.2017.12.007. Sell, Rebecca E.; Sarno, Renee; Lawrence, Brenna; Castillo, Edward M.; Fisher, Roger; Brainard, Criss et al. (2010): Minimizing pre- and post-defibrillation pauses increases the likelihood of return of spontaneous circulation (ROSC). In: Resuscitation 81 (7), S. 822–825. DOI: 10.1016/j.resuscitation.2010.03.013. corpuls synchronisation 41

F Ü R – M E N S C H E N – L E B E N F O C U S – O N – P A T I E N T S MAXIMUM MOBILITY, EASY TO OPERATE, QUICK DIAGNOSIS Small, light and compact, but with all the power of its big brother, the corpuls3. The corpuls1 is specially designed for the requirements of fire services, first responders, ambulance services, medical practices and disaster response. An extremely compact but fully functional defibrillator/patient monitor that is always ready for use, even if it lacks some of the size. The greatest advantage: its low weight. The corpuls1 weighs Depending on the application, corpuls1 can be used as only 2.3 kg but it is still a fully functional patient monitor. an automated external defibrillator (AED) or in the manual The transflective 5.7’’ display shows optimal views of up ally be equipped with a transcutaneous pacer with the FIX/ to 3 curves and 4 vital parameters. As with the corpuls3, DEMAND modes for the treatment off cardiac arrhythmia. defibrillation mode. In addition, the corpuls1 can option- the intuitive user interface is simple to operate. ECG, heart rate and pulse oximetry (optional) are always visible. 44

SHOCK SPOONS AND SHOCK PADDLES All corPatch therapy electrodes as well as the shock spoons and shock paddles are compatible with the corpuls1. For this reason the corpuls1 is also ideally suited for use in the hospital environment, such as cardiac surgery or as a defibrillator on an ambulance. The corpuls1 has a high-quality HV unit, which is also used in the corpuls3. Meaning the corpuls1 can deliver a life saving shock in emergency situations. corpuls1 with mounted shock-paddle holder. corpuls1 SPECIFICATIONS GENERAL SPECIFICATIONS POTENTIAL NUMBER OF SHOCKS WITH FULLY • Dust and water splash protection CHARGED BATTERY in accordance with IP55 • Vibration and impact-tested in accordance with EN 1789 • Alarm LED, speaker • Audio recording • Power supply 12 V DC, • Minimum 200 shocks at 200 J • Charging time of HV capacitor with fully charged battery: approx. 5.5 s PATIENT MONITORING • 5.7” colour display, back-lit 100 to 250 V AC with power supply • Up to 3 curves and up to 4 vital parameters • Weight: 2.3 kg • Dimensions (WxHxD): 26 cm x 17 cm x 7 cm (without bags) • 6-lead ECG • primeCPR Feedback* • Masimo Rainbow SET® for SpO2, PP, PI SpCO, SpMet, SpHb DEVICE OPERATING TIME • Factory setting without power-saving mode: DEFIBRILLATOR/PACER 5 h 30 min • Automatic External Defibrillator (AED) • Factory setting inverted, lowest brightness setting: 8 h 45 min • Manual Defibrillator • Synchronised Cardioversion • Factory setting, ECG and SpO2 active: 6 h 30 min • Pacer with 2 modes (FIX, DEMAND) • Factory setting without accessories connected: 7 h 18 min (optional) DATA MANAGEMENT • SD® memory card corpuls1 45 * only when using the primeCPR feedback sensor. The reusable sensor is an OEM product of Schiller AG.

F Ü R – M E N S C H E N – L E B E N F O C U S – O N – P A T I E N T S 2.3 kg basic configuration incl. battery Connection for therapy accessories Shock resistant Softkeys FULLY COMPATIBLE During a mission, seconds make the difference. That is why we made sure that patient hand-over from the first responder for further care by the emergency services runs as fast and smooth as possible. As with all corpuls defibrillators, electrodes, sensors and cables of corpuls1 can be used with the corpuls3. 46 Fully compatible with corpuls3 accessories Easy as 1-2-3 Operation ACCESSORY FEATURES electrodes and cables are identical for fast patient hand-over. • Batteries, sensors, corPatch therapy • Standardised user interface for corpuls1 and • Mission data from both systems can be corpuls3 allows for intuitive handling. transfered and evaluated in corpuls.manager.

PULSE OXIMETRY The integrated pulse oximeter (optional) enables monitoring of oxygen saturation, pulse rate and plethysmography. SpCO SCREENING SD card slot Oximetry 4-lead ECG Lithium-Ion battery Our mission is not only to save the life of a patient – but we must also protect the emergency response teams. The corpuls1 is optionally fitted with an SpCO measurement. It gives early warning of poten- tial carboxyhemoglobin intoxication, e.g. for use by Fire Services. COMPLETE ENERGY MANAGEMENT ROBUST BAGS Cables, sensors and accessories of the corpuls1 can be stored in the side bags for protection and easy access. No more tedious The powerful lithium-ion battery supplies the connecting and disconnecting of the cables, as the cables come corpuls1 with the necessary energy – for an pre-connected in the bags. The corPatch therapy electrodes, extremely long time and even at -20 °C. On the already connected for immediate action, are stored in the display you always have a view of the remaining magnetically closed front bag. battery runtime in minutes or percent. corpuls1 47

F O C U S – O N – P A T I E N T S MANOEUVRABLE, ROBUST AND INTUITIVE The corpuls aed is an essential component of the rescue chain. It guides both professional and non-professional users reliably through the resuscitation process in accordance with the guidelines and is available in fully automatic and semi-automatic versions. Emergency call button with hands-free function The emergency call button can be used to provide assis- tance from the dispatch centre when required and to alert other emergency services. It enables guided resuscitation via support from the dispatch centre or an emergency physician. Status display The user can see at a glance that the device is ready for use. Weather resistance The high IP66 protection class means that the corpuls aed can be used in all weather conditions. Basic measures by first aiders increase the survival rate 2 to 3 times. SPECIFICATIONS • Weight: 1.9 kg (basic configuration, incl. battery) • Operating time in CPR-only mode: 15 h • Operating temperature: -10 °C to +55 °C, • Vibration and impact-tested in accordance with CPR-only mode -20 °C to +55 °C EN1789 • Dimensions: • Metronome frequency between 100 and 120 25.5 cm (H) × 21.0 cm (W) × 5.8 cm (D), beats per minute (configurable) without accessory bag and electrode compartment • Electrodes compatible with all corpuls units • Battery standby life: 5 years at factory settings • Wall bracket EN 1789-tested • Operating time in AED mode: 4 h 50 min Suitable for installation in emergency vehicles • Time from switch-on to energy delivery: < 15 s • Battery life: when fully charged > 200 shocks at 200 J possible 50

Optional emergency call button with hands-free function Status display Backlit colour display Optional vehicle mount in accordance with EN 1789 Simple pictograms, multilingual Available as fully automatic or semi-automatic Only 1.9 kg Illustration shows corpuls aed as semi-automatic version with emergency call button. SPECIFICATIONS • Status transmission by SMS or WLAN • Compatibility Devices that are not connected over WLAN** send their status as coded SMS with information on battery and therapy electrodes, readiness for The corPatch easy therapy electrodes of the corpuls aed can remain with the patient at hand-over to the ambulance service using corpuls units. operation etc. This applies to units with and • Language selection in AED mode without emergency call button. • Protection IP66 – Dust and water splash proof – Can be positioned outdoors without wall box – Easy to clean – Ideal for placement in moist/dusty areas (up to 3 languages) – For areas with different cultures and languages – Ideal in public areas (airports, railway stations etc.) – Language can be switched during AED use **only with corpuls.manager corpuls aed 51

F O C U S – O N – P A T I E N T S SAFETY THROUGH TELECOMMUNICATOR RESUSCITATION (T-CPR) The survival rate of patients suffering from sudden cardiac After the introduction of T-CPR the number of by- arrest is greatly increased if witnesses to the emergency standers providing resuscitation increased by 12%. start basic first aid immediately. As a result T-CPR ensured faster first aid for the patient and First aiders will be more inclined to start resuscitation mea- significantly reduced the time before therapy was started.* sures if there is support available to give instructions by The corpuls aed is now optionally supplied with a GSM telephone and to guide non-professionals through the re- module and hands-free system. Up to three telephone num- suscitation process. bers can be saved in the unit. A mission controller guides first aiders until the arrival of the emergency services. SPECIFICATIONS ACCESSORIES • GSM emergency call function optionally • Accessory bag: Protective bag for corpuls aed available with up to three saved emergency with storage compartment telephone numbers • Rechargeable training battery • M2M card: optional factory-installed M2M SIM for Basic-Life-Support training card for GSM emergency call function for most • Emergency daypack: emergency backpack for fast access to the corpuls aed European countries • Simple pictograms for language-independent understanding of instructions • Voice output clear and understandable * L. Avalli et al: New treatment bundles improve survival in Out of Hospital Cardiac Arrest patients: a historical comparison 52

If a WLAN is not available, self-test results can be sent by SMS SMS STATUS MONITORING – ALWAYS AND ANYWHERE The corpuls aed can send its status to corpuls.manager This information can be used to optimise the work ADMIN. It is normally sent over a WLAN connection. flow of the service technician or device administrator. In rural areas without WLAN access the status SMS supple- A new battery or therapy electrode can be installed as re- ments the monitoring of the corpuls aed. All important quired. This feature is available for all device variations information such as remaining battery capacity, expiration including those without an emergency call button. The date of the corPatch easy therapy electrodes and self-test SIM card required for this function is available directly from results are sent to corpuls.manager ADMIN. corpuls. corpuls aed 53

F O C U S – O N – P A T I E N T S F O C U S - O N - P A T I E N T S F O C U S – O N – P A T I E N T S Simple connection for configuration over WLAN from the smartphone. DEVICE MANAGEMENT – MADE EASY With corpuls.manager ADMIN you can always keep an eye on your corpuls aed at all times. corpuls.manager ADMIN manages all your corpuls aed can be viewed in a web browser and devices that re- devices from a web interface and you can see the status quire immediate service can be identified without having and configuration of the various devices at a glance. to physically be with the device. Extended maintenance Self-test and operating data are displayed along with phases or service appointments for software updates are battery status, as well as when the therapy electrodes also a thing of past with corpuls.manager. All you need require replacement or if a technical safety check is pend- is WLAN access and corpuls.manager. You can send all ing. In the worst case, the corpuls.manager also reports software updates, language packs or configuration chang- any device faults immediately. Notifications by email are es to single or selected devices simply by pressing a but- also possible. Additional details such as location data or ton. All data are of course always securely encrypted. other device information can also be saved. Centrally controlled software updates corpuls aed, the self-test results can also be sent by SMS After the regular self-tests the devices automatically con- over the cellular network to corpuls.manager and dis- nect to the server. The current status in corpuls.manager played there. If WLAN is not available at the planned location of the 54

SPECIFICATIONS • Central monitoring of all devices via WLAN • Upload configuration profiles to definable and SMS device groups • Detailed status and self-test reports for every • Download operational data – device • Transmission of software updates/language optionally with automatic transfer to corpuls.manager ANALYSE packs to any number of corpuls aed • Notification by email of events over-the-air via WLAN. To download the corpuls.manager app: The corpuls.manager app connects to the corpuls aed by WLAN. This enables settings and parameters to be adjusted very quickly. Three password-protected user levels User, Operator and Service – every user has access to exactly the configuration options that are required. Do you need an update, a different language setting or do you want to check the software? The corpuls aed can be perfectly adjusted for its purpose. Export of mission data The mission data of the corpuls aed can be exported and uploaded to a server. The data can be analysed with corpuls.manager REVIEW. FUNCTIONS • System check & status reports • Configuration of parameters Adjustment of energy, mode, automation etc. (incl. loading and saving a configuration) • Install updates and language packs The required files are available via the app and do not need to be downloaded in a browser. • Upload mission data to the server, including to corpuls.manager ANALYSE Fast and simple configuration on site. corpuls aed corpuls aed 55

F O C U S – O N – P A T I E N T S ONE MISSION – ONE SOLUTION Corpuls.mission is a medical communication platform in medical data, chat, video and documentation, you will find which the patient is brought into the main focus. corpuls all relevant information in one place. Designed for the special draws knowledge together where it is most urgently needed: requirements of preclinical missions, corpuls.mission stands during a mission. out from classic communication solutions. View diagnostic Adequate patient treatment requires, above all, specific ECGs and photos of medication plans next to the live curves knowledge. However, the complexity of medicine cannot from the corpuls3. And all this with the usual corpuls quality rest on the shoulders of a single specialist. By combining and data protection "Made in Germany". corpuls.mission LIVE corpuls.mission CONFERENCE • Smart telemedicine with live connection • Patient-oriented communication • Vital parameters and curves in real-time • Video chat: live consultation by doctors or • Measurement and interpretation of the specialists via video and chat 12-lead diagnostic ECG • Images, videos and voice messages • Embedding of ECGmax: 22 leads from • Available for web, iOS and Android 10 electrodes, vector loops and CEB® – • Tactical units (e.g. dispatch centre, ambulance, crew) instead of individuals enable easy selection of the required communication partners corpuls.mission REPORT • Collaborative case documentation • From the anamnesis to handover • One report from all participants (e.g. ambulance and tele-physician) • Interfaces for archiving and data transmission can be used directly in the application • Automated forwarding and flexible interfaces for export of data • Monitoring of multiple patients and visualization of events 58 58

F O C U S – O N – P A T I E N T S EVALUATION OF MEDICAL DATA – IN SECONDS BY SPECIALISTS With corpuls.mission LIVE you can bring specialist COMMUNICATION GOES BOTH WAYS knowledge directly to the mission site in fractions of a Communication via corpuls.mission LIVE is not a one-way second, regardless of how far apart the mission site and the street: instructions such as medication recommendations or hospital are. the CEB® value can be sent directly to the rescue team via webMessages. That saves valuable resources. The basic With corpuls.mission LIVE, the specialist in the clinic requirement for corpuls.mission LIVE is provided by the knows the patient status before the emergency transport corpuls3 ex works on request: a cellular modem accord- even arrives in the emergency room. Through the interac- ing to LTE 4G standard (with SIM card on request) and/or a tion of the corpuls3 and corpuls.mission LIVE, the doctor WLAN interface. in the clinic can see all the patients curves and parameters in real time while the rescue team is still with the patient. This enables early preparation in the clinic, tailored to the case. The curves and parameters measured are also record- ed, meaning the specialist can also refer to the screen of the corpuls3 from an earlier point in time. In addition, trends and events of the connected device are displayed and the corpuls.mission LIVE Board can also be used to monitor several devices and visualize events. The tele-physician can send instructions directly to the corpuls3. This is a particular advantage when sending instructions. They are stored in the application and can be viewed and printed out at the corpuls3. corpuls.mission LIVE SPECIFICATIONS • Certified Medical Product • Recording of curves and vital signs • Transmission of all curves, vital signs and the of the current mission 12-lead resting ECG in real time • Communication between paramedics and • Display, measurement and forwarding of the hospital resting ECG in various formats (e.g. PDF, SCP) • Separate transmission of patient data and • Embedding of ECGmax: 22 leads from medical data to the server 10 electrodes, vectorloops and CEB® – can be used directly in the application • End-to-end encryption of patient data • Secure data transmission at current TLS • Browser based application standards • Save valuable resources with early • Highest security standards by the server host recommendations and interventions (ISO 27001) • Flexible monitoring of multiple patients • Server failure safety 99.5% (extendable) 60

The tele-physician can view the situation on site at any time through real-time data – the data of the monitor are displayed immediately. All available leads of the resting ECG can be select- ed individually and viewed in detail. You can zoom in, change the sweep speed and measure amplitude and duration. All data can be saved and commented on. The same details are also included in exports and forwarding. The Live Board function enables simple monitoring of multiple patients and views can be selected as desired. You can display the real-time data of any number of corpuls3 devices in tiles on multiple screens. corpuls.mission corpuls.mission 61

F O C U S – O N – P A T I E N T S PATIENT-ORIENTED COMMUNICATIONS FOR FIRST RESPONDERS CONFERENCE is a unique communications solution for rescuers. The underlying philosophy is revolutionary. The on-site rescuer no longer contacts individuals when corpuls.mission CONFERENCE is the first, real communi- they need support, instead they contact tactical units. For cation solution for rescuers – rounded out by the ability to example, instead of selecting the telephone number of Dr send pictures, videos, and voice messages. Smith in Cardiology at the City Hospital, they simply request corpuls.mission CONFERENCE functions at its best in a cardiologist via corpuls.mission CONFERENCE. combination with corpuls.mission LIVE. The tele-physician If necessary, further specialists will be added. or the future attending doctor in the targeted hospital can corpuls.mission CONFERENCE carries out optimal and analyse all vital parameters, ECG data and trends. In addi- patient-oriented live advice from doctors or specialists via tion, the rescue team can exchange information via chat videotelephony, audio calls and chat. and video conference, transmit photos of medication plans, 1/83 – 1 Paramedic shift 2 2/83 – 1 Paramedic shift 1 2/83 – 2 Doctor 1/83 – 2 EMT shift 2 2/83 – 3 Every user can be assigned to one or more specific tactical units by the organisation. After login the user can select the available tactical units. Teledoctor Cardiology The tele-physician has a clearly laid-out application available: switch between cases, case progress and the video conference, whilst viewing the real-time patient data on the side. 62 62

wounds, send breathing sounds and much more. Before the corpuls.mission CONFERENCE is extremely simple: just patient arrives at the hospital, tailored treatment measures scan the QR code attached to the patient monitor/defibril- can be initiated by the rescue team and optimally prepared lator and the two devices will be automatically and clearly in the hospital. The connection between a corpuls3 and assigned to the same mission. corpuls.mission CONFERENCE SPECIFICATIONS • Tactical units • Video chat: live consultation by doctors (e.g. dispatch centre, ambulance, crew) instead of or specialists via videotelephony or chat single persons enable easy selection of the required • Send images, videos and voice messages communication partners • Available for Web, iOS and Android Resting ECGs, voice messages, pictures of the mission site and chat are completely visible at all times for all participants in the conference – even those who log in later. To download the corpuls.mission App: corpuls.mission corpuls.mission 63 63

F O C U S – O N – P A T I E N T S SUPPORTS RESCUERS WITH PATIENT TREATMENT – HERE USING THE EXAMPLE OF A HEART ATTACK 1 The crew sends a regular resting ECG from corpuls3 and automatically receives the CEB® (see pg. 23) as a web message from corpuls.mission LIVE within a few seconds. Mak- ing a fast and easy diagnosis possible. CEB® AS WEB MESSAGE VIDEO CONFERENCE DOCUMENTS AS PHOTO 2 Due to the high CEB®, the unclear resting ECG and some oth- 3 After the initial medical er findings, the paramedics are unsure and contact a tele-physician for history the tele-physician requests support via corpuls.mission CONFERENCE. a medication plan and the last doctor's report to enable a bet- ter overview of the patient. The paramedics generate photos of the documents directly from the corpuls.mission app and share them in the conference with the tele-physician within a few sec- onds. They show that the patient has significant prior cardiac problems. 64

4 Due to the prior medical history 6 During the above processes the of the patient, the tele-physician adds a tele-physician has already determined colleague from cardiology to the confer- a destination hospital for the ambu- ence in corpuls.mission CONFERENCE. lance with the appropriate level of care. They examine the findings and docu- The hospital receives the required infor- ments together. ECGmax with its 22 mation directly from corpuls.mission lead resting ECG, the vector loops CONFERENCE. and the CEB® offers a wide range of This information is given to the para- options for better diagnostics. medics in the conference. During trans- port the connection is maintained via corpuls.mission LIVE and the tele- ECG EXAMINATION MEDICATION INSTRUCTIONS KRANKENHAUSZUWEISUNG HOSPITAL ASSIGNMENT 5 After checking all physician can observe the patient's vital the data, the cardiologist parameters in real-time and ask ques- diagnoses an acute posterior myo- tions via chat as required. cardial infarction, which is easily detectable in the additional leads by ECGmax. The cardiologist sends the diagram of the SOP for ACS treatment to the paramedics as an image via the conference in corpuls.mission CONFERENCE. The cardiologist also delegates the administration of a special medica- tion, which is documented in the timeline. corpuls.mission 65

F O C U S – O N – P A T I E N T S ONE NEED – ONE SOLUTION The mission does not end when the case is closed. The this 'loose' data together and obtain new knowledge data collected helps you to continually improve. This from it. You retain the overview – and control of your benefits not only future patients but also the economics data. Immerse yourself in the details of a single mission of your organisation. With corpuls.manager you bring or see the overall picture of all missions. corpuls.manager REVIEW • Debriefing of missions • Detailed evaluation of one mission • View of all measured curves and parameters • Evaluation of training needs corpuls.manager ANALYSE • All mission data of all your corpuls devices in one secure location • New insights with business intelligence • Powerful search and filter functions • Organisation-wide quality management • Support for research and training corpuls.manager ADMIN • Integrated device management via WLAN or SMS • Over-the-air-updates • Automatic status reports • Notifications by email 68

F O C U S – O N – P A T I E N T S DEBRIEFING OF A MISSION How did the team work during the mission? Did anything chain. The optimal follow-up of a mission is as crucial as its go wrong? Is any training required? The answers to these preparation. This is the only way of identifying weaknesses questions and more can be found in corpuls.manager at an early stage and implementing appropriate training REVIEW. It enables you to work through the mission second actions. It also uses data from the CPR feedback sensors by second and identify potential weaknesses in the rescue and curves and vital parameters measured by corpuls3. The CPR analysis shows an exact evaluation of the cardiac compression. If corpuls3 and corpuls cpr were connected by Blue- tooth during the mission, you will receive a combined analysis of manual and mechanical resuscitation. The mission history shows an exact evaluation of all values and curves at any desired time. It can be navigated to the second and curves can be displayed and hidden. If corpuls3 and corpuls cpr were connected by Bluetooth during the mission, the data from both devices will be stored in one mission file. 70

DERIVE KNOWLEDGE FROM MISSIONS The data of all your missions in one place, filtered and manager ANALYSE is an ideal tool for data acquisition analysed as required and also anonymised if necessary. for medical research projects. corpuls.manager ANALYSE offers optimum manage- A business intelligence solution is also available as an ment for large amounts of data. This server and data add-on for corpuls.manager ANALYSE. With 15 precon- management solution provides you with the overall "big figured dashboards, the mission data from an ANALYSE picture". All the data from your corpuls device fleet is database can be graphically evaluated. Extensive and automatically uploaded here and saved centrally. This easy-to-use filter functions are available so that every user gives you the opportunity to collect and analyse data from can answer individual questions and find specifics within all missions. In addition to quality management, corpuls. the data. The corpuls.manager ANALYSE dashboards can be used to visualise all the data of your mission database. You can set a range of different filters to adjust the dynamic graphics to answer your questions. The mission table shows an overview of all missions of your corpuls devices. You can apply a wide range of search and filter functions to find specific missions, which can then be viewed in detail. corpuls.manager corpuls.manager 71

F O C U S – O N – P A T I E N T S F O C U S – O N – P A T I E N T S INTERFACES corpuls.mission and corpuls.manager offer a wide range of different interfaces and possibilities. This ensures that our products can be integrated into your systems. HL7 FHIR HL7 FHIR is a common protocol that provides a connection to third-party systems. SCP Save or forward received resting ECGs from corpuls3 in the SCP format – the Datamed FT convert- er can also be linked. HL7 FHIR SCP PDF PDF Save or forward resting ECGs or the complete mission with all details in a standard format. VoIP VoIP Inform doctors of new missions or abnormal resting ECGs by voice message via telephone. LDAP LDAP Link existing user directories with the LDAP standard. GE MUSE Save or forward received resting ECGs from corpuls3 in the GE Muse format – this can also be done in the Cardiolex format. GE MUSE PDF Export all the data and history of any mission of your corpuls devices as documents with the touch of a button. PDF BDF+ Save signal data in a standard medical archive format. BDF+ 72 72 (S)FTP (S)FTP Send mission data from corpuls devices and corpuls.mission to be saved in corpuls.manager. REST REST Control your mission database separately from the user interface.

DATA PROTECTION & DATA SECURITY With corpuls.mission and corpuls.manager security is and are developed in accordance with the specifications top priority. By encrypting all patient data, conformity with valid for the European Union. For example, the patients' the strict data protection requirements is guaranteed. The right of access to stored information can be satisfied with servers are operated according to relevant standards, such a mission report. Deletion processes in the products assure as ISO 27001. In addition, the development of the entire the right to erasure. product is subject to strict observation by an external con- A concept for rights and roles ensures that the products trol authority and is in compliance with the latest stand- can be adapted for the users and that every user can only ards for IT security. All products conform to the specifica- see what is permitted for that specific role. tions of the General Data Protection Regulation (GDPR) INFO ON DATA PROTECTION & DATA SECURITY corpuls is extremely aware of the significance of handling very sensitive personal medical data. This distinguishes us from classic consumer chat and video tools and public cloud storage. • Secure cloud product (hosted in Germany or EU) • corpuls.mission LIVE: RAN T E E S A U G E W * * * ' G D P R APPROVED ' E C U RITY 'M A D E I N G E R M A N Y ' * * * • Secure operation of servers in accordance with the latest standards • Data processing contracts (no third-party accesses) separate transmission of patient data and medical data to the server and end-to-end encryption of the patient data • corpuls.mission: • Secure data transmission at current no data stored in the app or the browser TLS standards • corpuls.manager: • Encrypted transmission – only known cipher suites conforming to official guidelines are trusted • Complete encryption of all patient data • All communications – audio, video, text – in corpuls.mission CONFERENCE are transmitted exclusively in encrypted form Anonymisation rules ensure that everyone sees only the data authorised for that specific role, for example, during data export patient data are not displayed – or a partial dataset is always deleted before being saved. corpuls.manager 73

F Ü R – M E N S C H E N – L E B E N F O C U S – O N – P A T I E N T S FROM CHILDREN TO AIR RESCUE: HIGHEST LEVEL CPR FOR EVERYONE, ANYWHERE corpuls offers innovative therapy support at a high level of quality – for patients of all sizes and any age. corpuls concentrates on more than simply technical excellence. Every product is closely analysed for how it can help the user implement high-quality resuscitation, and in particular how it can support users with the treatment of children. MISSION HIGH-QUALITY CPR Starting high-quality resuscitation quickly is a decisive factor if the life of a cardiac arrest patient is to be saved. The user can administer the first shock promptly and quickly with the clearly structured menu guidance in defibrillation mode. As the process is continued the pie chart shows the progress of the cycle at every point. A reminder or automatic start of the ECG analysis can also be implemented at the final cycle. Visual feedback during thorax compression on the corpuls3. 76

Support of compression quality • Continuous compressions by corpuls cpr are • primeCPR Feedback with display of compression depth and frequency • Configurable audio output of thorax compression available even in difficult situations such as during travel or in flight feedback Post-resuscitation treatment • Adjustable smartMetronome for setting the • Diagnostic ECG with automatic ECG interpretation compression frequency and ventilation pauses • Cardioversion and external pacer for treatment of • Continuous view of the etCO2 cardiac arrhythmia Minimisation of hands-off times • Instructions for pre-shock CPR • Shock synchronisation between corpuls cpr and corpuls3 • Telemedicine support for selection of the best destination hospital MISSION TREATMENT OF PAEDIATRIC PATIENTS the energy to prevent accidental injury due to excessive In order to improve the treatment of children, the corpuls energy levels, the user can adjust the defibrillation energy team took part in a combined research project to study the in small steps depending on the weight of the patient both automated intelligent resuscitation of children. in AED and also in manual defibrillation mode. Sensors corpuls cpr For many years all corpuls sensors have also been available The corpuls cpr was the first mechanical compression in child sizes. Non-invasive blood-pressure measurement device in the world approved for the treatment of children. is possible with adjustable cuffs from infants with an arm Its flexibility makes it easy to adjust the device for the body diameter of 8 cm to adults with an arm diameter of 55 cm. of a child. In addition, the precise adjustment of the therapy Sensors for measuring oxygen saturation are available even parameters and the use of the paediatric compression- for newborns of less than 3 kg body weight. In particular, ventilation ratio of 15:2 enable customised therapy for when it comes to the demanding monitoring of a child with different paediatric patients. an unstable circulatory system, the user can rely on the neonate adapter for reliable measurement of end-tidal CO2 even in newborns. Defibrillation The corPatch paediatric therapy electrodes are available for defibrillation of children. The automatic detection restricts the defibrillation energy to 100 Joules during use. The energy is reduced to one tenth of the normal level when the paediatric electrode set is used. In addition to limiting Literature: Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation 95 (2015) 1–80. Resuscitation. 2015;95:1–80. doi: 10.1016/j.resuscitation.2015.07.038. PubMed PMID: 26477410. Sandroni C, Santis P de, D'Arrigo S. Capnography during cardiac arrest. Resuscitation. 2018;132:73–7. doi: 10.1016/j.resuscitation.2018.08.018. PubMed PMID: 30142399. Neonate adapter for end-tidal CO2 measurement in newborns. High quality CPR High-quality CPR 77 77 y y t t i i l l a a u u Q q - h h g g i i H H R R P P C C

F O C U S – O N – P A T I E N T S F O C U S – O N – P A T I E N T S REALITY. SIMULATED. IF YOU WANT TO BE AMONG THE BEST, YOU NEED THE BEST TRAINING. The new generation in mission simulation Often, there are worlds between theoretical scenarios fronted with complications, rescuers must overcome unfore- and real missions which involve human lives. corpuls seen situations when training with corpuls simulation. simulation brings absolutely realistic scenarios into your The result is a team perfectly prepared for any scenario and training. Just as pilots in flight simulators are suddenly con- significantly improved treatment quality for the patient. 80

SPECIFICATIONS COMPONENTS • Reusable corPatch simulation WEIGHT • High quality hard case • Accessory bags on the device (left, right, rear side) • Transport bag with shoulder strap • Monitoring ECG cable (ERC/AHA) • Diagnostic ECG cable (ERC/AHA) • SpO2 sensor • corpuls NIBP cuff (with hose) in various sizes • etCO2 sensor • CPR Feedback sensor • Power bank • Master cable for corPatch simulation training electrodes training electrodes • Device with Apple iPad Pro and (adult/pediatric) • WLAN access point and Bluetooth gateway • USB multi-charger • Colour coded case for Instructor iPad DIMENSIONS • With accessory bags (left, right, rear side): 540 mm x 300 mm x 200 mm (W x H x D) Instructor iPad in transport bag with shoulder strap: 6.4 kg • Device with Apple iPad Pro and Instructor iPad: 5.0 kg RUN TIME • Approx. 10 hours plus power bank More at www.corpuls.world corpuls simulation 81

F O C U S – O N – P A T I E N T S THE SIMULATOR An Apple iPad Pro in a deceptively real corpuls3 housing is the heart of corpuls simulation. In the side pockets there is space for the original cables and sensors. Thanks to the power bank and integrated WLAN access point as well as Bluetooth gateway corpuls simulation is completely self sufficent. You only have to switch on corpuls simulation – all further configurations for WLAN and Bluetooth are done by the device after one-time setup itself. 12.9’’ iPad Pro as Touchscreen Onboard WLAN access point and Bluetooth gateway User interface for: • corpuls3 CLASSIC • corpuls3 TOUCH • corpuls1 • corpuls aed Extensive accessories: • Reusable simulation electrodes • True-to-original sensors and cuffs • and much more THE FACTS • All the functions of the original device • Original accessories • Realistic parameters and curves • Multiple languages available • Status changes through events • Safe training • Scenario editor • Simulation consumables • corpuls simulation community 82