Introduction, Overview | Philips M3500B specs

1 Introduction

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The M3500B HeartStart XLT Defibrillator/Monitor is designed to meet your resuscitation and monitoring needs. This guide provides instructions for safe and proper operation, set-up, configuration, and care of your HeartStart XLT.

In this chapter, you’ll find general information that you should become famil- iar with before using the defibrillator/monitor.

Overview

The HeartStart XLT is a lightweight, portable, semi-automatic external defibrillator. It offers two modes of operation for defibrillation:

Semi-Automatic External Defibrillation (AED) Mode Manual Mode

Both modes incorporates a low energy SMART Biphasic waveform for defibrillation.

In AED Mode, the HeartStart XLT analyzes the patient’s ECG and advises you whether or not to deliver a shock. Voice prompts guide you through the defibrillation process by providing instructions and patient information. The voice prompts are reinforced by messages that appear on the display.

In Manual Mode, the HeartStart XLT turns control of the defibrillation pro- cess over to you. You assess the patient’s ECG, decide if defibrillation is advised, and select the energy setting for defibrillation. Manual Mode also allows you to perform synchronized cardioversion and offers optional nonin- vasive pacing.

M3500B HeartStart XLT Defibrillator/Monitor

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Philips M3500B manual Introduction, Overview

Contents

A R TS TA R T X LT Page Instructions for Use 1RWLFH Conventions Page Contents Monitoring the ECG Defibrillating in AED ModeMonitoring SpO2 Performing Synchronized Cardioversion Defibrillating in Manual ModePacing Storing, Retrieving & Printing Maintaining the HeartStart XLT Setting Up and Configuring the HeartStart XLT Troubleshooting Specifications & Safety Overview Introduction Overview Defibrillation Therapy Intended UseIndications for AED Therapy Contraindications for AED Therapy Precautions for AED TherapyIndications for Manual Defibrillation Therapy Noninvasive Pacing Therapy Precautions for Manual Defibrillation TherapyContraindications for Manual Defibrillation Therapy Indications SpO2 Monitoring Learning to Use the HeartStart XLT Safety ConsiderationsPage Getting Acquainted Getting Started Basic Orientation Basic Orientation Audiovisual Controls Manual Mode Controls Manual Mode Controls Manual Mode User Message AED Mode Display Layout ECG and SpO2 disabled User Message 114J 132150J LCD Backlight Manual Mode Display Layout Inserting the Battery Connecting to Power Low Battery Warning Removing the Battery Using a Data Card Inserting a Data Card Inserting a Data Card Removing a Data Card Page Defibrillating in AED Mode AED Mode Overview Defibrillation with the default configuration Defibrillation with a modified configuration Preparation Connecting Pads to the Patient Cable Press On DefibrillatingConnect Pads Cable Apply Pads Display Apply Pads Check Patient If No Pulse Press Analyze Shocks If instructed, press $1$/= Analyzing Do Not Touch Patient 97JCharging to 150J 150J If shock advised, press 6+2Stand Clear Press Shock Shock Delivered Automatic Re-analysis On If Needed Press Pause Begin CPR Shocks Pausing for CPR 11 Pause Display Paused Timer 21 Monitoring Rhythm Monitoring Rhythm This prompt is repeated periodically, as configured, until ERC Protocol Paused Timer 35 / 60 AED Mode Prompts TroubleshootingPrompt Possible Cause Corrective Action Monitoring the ECG Applying Monitoring Electrodes Lead Reference Electrode Placement 5-Lead ECG Lead Formation Precordial Lead Electrode Placement Selecting the Lead Lead Select If Configured for a Choices areLead Select Choices HR Alarm Limit Choices Setting the Heart Rate AlarmAlarm If Over Or under Adjusting the ECG Size Disabling the HR AlarmTroubleshooting Tips Situation Cause Solution RFI Acquired while monitoring, see Chapter Monitoring SpO2 Pulse Oximetry Sensor Understanding Pulse Oximetry Approved Sensors Selecting a SensorSensor Type Patient Patient Size Ideal Site Disposable Sensors Reusable SensorsSemi-disposable Sensors Applying the Sensor Connecting the Sensor Cable Connecting the Sensor Cable SpO2 Monitoring Display Monitoring Responding to an Alarm Setting Alarms Caring for Sensors Discontinuing SpO2 Monitoring System Messages Problem or Message Possible Cause Corrective Action 6S2&DEOH2II Page Defibrillating in Manual Mode Enter Password Enabling Manual Mode Preparation 150 J Select EnergyCharge Shock 150 J 87 J Returning to AED Mode Performing Synchronized Cardioversion Delivering a Synchronized Shock Preparing for Synchronized Cardioversion Sync Delivering Additional Synchronized Shocks Disabling Sync Mode Pacing Monitoring During Pacing Demand Mode Versus Fixed Mode Preparing for Pacing Pacing Pacer Stop Demand Mode 70ppm 30mA Pacing Demand Mode 70ppm 30mA Defibrillating During Pacing Changing Pacing Modes Message Possible Cause Corrective Action Pacing System MessagesPage Storing, Retrieving & Printing Annotations Marking Events Event Information Events RecordedEvent Related Information Stored ECG waveform with annotation , Epi Patient Record Summary Creating a Patient RecordThen Event Summary Printing the Internal Event Summary Event Waveform Description Event Waveform Information Printing Events Event Real-Time Delayed Strip LengthPrinting Events Connecting/Disconnecting Patient Cables Setting Up and Configuring the HeartStart XLT Pads Patient Cable Connector Connecting the Pads Patient Cable Disconnecting the Pads Patient Cable Disconnecting the Pads Patient Cable Disconnecting the ECG Patient Cable Connecting the ECG Patient Cable Disconnecting the SpO2 Patient Cable Connecting the SpO2 Patient Cable Recommended Accessory Placement Arranging Accessories in the Carrying Case Accessing the Configuration Menu Configuring the HeartStart XLT Configuration Menu Configurable Parameters Parameter Description Setting Choices General Settings Leads & Pads Sec DelayManual / AED 3XOVH,I1HHGHG%HJLQ&35 AED Settings $GYLVHG 180 Manual Settings Setting the Manual Mode PasswordParameter Description Choices Description Setting Choices ECG Filter SettingsMonitor .15-40Hz Diag .05 150 Hz Returning to the Default Configuration Modifying the Configuration Loading Settings from a Data Card Saving Settings to a Data CardPrinting Settings Maintaining the HeartStart XLT Before You Begin Operational Checks Every Month Every ShiftEvery Three Months Shift/System Check Report Shift/System Check M3500B HeartStart XLT Defibrillator/Monitor 11-5 Power Supply Battery Capacity Test Results Battery Capacity Test CT Battery Maintenance Activities Battery MaintenanceActivity When to Perform Charging Batteries Battery Life-Expectancy Battery CapacityStoring Batteries Discarding Batteries Loading Printer Paper Paper well Cleaning the HeartStart XLT Cleaning InstructionsCleaning the Carrying Case Cleaning the Power Modules Cleaning the Printer Printhead Cleaning Pads, Electrodes & Cables Removing the Carrying Case Removing & Replacing the Carrying Case Putting the Carrying Case On Aligning the Manual Door Putting On the Manual Door Supplies and Accessories Supplies & AccessoriesPads Cables Test Load White twist lock Connector Part Number Description Paper Supplies and Accessories Monitoring Electrodes Part Number Description ECG CablesSpO 2 Cable/Sensors Data Card Extension Cable Part Number Description Battery/Power Modules/ AdapterCarrying Case Disposing of the HeartStart XLT Troubleshooting Message Description Corrective Action System Messages 3DGV&DEOH2II 6S2 /RZ6LJQDO Momentary Messages Momentary Messages DWD&DUGXOO Situation Cause Possible Solution Troubleshooting Tips Figuration Configuration Mode 12-8 United States of America Calling for ServiceLatin America Canada Other International Areas Specifications & Safety Defibrillator Specifications Sensitivity and Specificity Meets Aami guidelines Frequency Response AC Line Filter 60 Hz/50Hz ECG Monitoring Thermal Array Printer Display Charge Time Battery and Battery Power Module SpO2/Pulse Oximetry Noninvasive Pacing General Event Storage Humidity Environmental Defibrillator and Battery Symbols Symbol DefinitionsSymbol Definition IPX4 Shipping Carton Symbols Shipping Carton Symbols Methods Clinical Performance Summary DefibrillationResults Clinical Summary Defibrillation Conclusion Clinical Performance Summary Cardioversion Biphasic Patients Monophasic Patients Value Number Percent 13-18 Specifications & Safety Safety Considerations 13-20 Specifications & Safety Vicing to qualified personnel Reducing Electromagnetic Interference Electromagnetic Compatibility Immunity Level Restrictions for UsePage Index Page Index Page Index Page Vii Viii