A R TS TA R T X LT
Page
 Instructions for Use
 1RWLFH
 Conventions
Page
 Contents
 Defibrillating in AED Mode
Monitoring the ECG
Monitoring SpO2
 Defibrillating in Manual Mode
Performing Synchronized Cardioversion
Pacing
Storing, Retrieving & Printing
 Setting Up and Configuring the HeartStart XLT
Maintaining the HeartStart XLT
 Troubleshooting
 Specifications & Safety
 Introduction
Overview
 Overview
 Intended Use
Defibrillation Therapy
Indications for AED Therapy
 Precautions for AED Therapy
Contraindications for AED Therapy
Indications for Manual Defibrillation Therapy
 Precautions for Manual Defibrillation Therapy
Noninvasive Pacing Therapy
Contraindications for Manual Defibrillation Therapy
Indications
 SpO2 Monitoring
 Safety Considerations
Learning to Use the HeartStart XLT
Page
 Getting Started
Getting Acquainted
 Basic Orientation
Basic Orientation
 Audiovisual Controls
 Manual Mode Controls
Manual Mode Controls
 Manual Mode
 AED Mode Display Layout ECG and SpO2 disabled
User Message
 132
User Message 114J
150J
 Manual Mode Display Layout
LCD Backlight
 Connecting to Power
Inserting the Battery
 Removing the Battery
Low Battery Warning
 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
 Connecting Pads to the Patient Cable
Preparation
 Defibrillating
Press On
Connect Pads Cable
 Apply Pads
Apply Pads Display
 If instructed, press $1$/=
Check Patient If No Pulse Press Analyze Shocks
 97J
Analyzing Do Not Touch Patient
Charging to 150J
 If shock advised, press 6+2
150J
Stand Clear
Press Shock
 Automatic Re-analysis On
Shock Delivered
 Pausing for CPR
If Needed Press Pause Begin CPR Shocks
 Paused Timer 21
11 Pause Display
 Monitoring Rhythm
Monitoring Rhythm
 This prompt is repeated periodically, as configured, until
 ERC Protocol
 Timer 35 / 60
Paused
 Troubleshooting
AED Mode Prompts
Prompt Possible Cause Corrective Action
 Monitoring the ECG
 Applying Monitoring Electrodes
 Electrode Placement
Lead Reference
 Precordial Lead Electrode Placement
5-Lead ECG Lead Formation
 Lead Select If Configured for a Choices are
Selecting the Lead
Lead Select Choices
 Setting the Heart Rate Alarm
HR Alarm Limit Choices
Alarm If Over Or under
 Disabling the HR Alarm
Adjusting the ECG Size
Troubleshooting Tips
Situation Cause Solution
 RFI
 Monitoring SpO2
Acquired while monitoring, see Chapter
 Understanding Pulse Oximetry
Pulse Oximetry Sensor
 Selecting a Sensor
Approved Sensors
Sensor Type Patient Patient Size Ideal Site
 Reusable Sensors
Disposable Sensors
Semi-disposable Sensors
 Applying the Sensor
 Connecting the Sensor Cable
Connecting the Sensor Cable
 Monitoring
SpO2 Monitoring Display
 Setting Alarms
Responding to an Alarm
 Discontinuing SpO2 Monitoring
Caring for Sensors
 Problem or Message Possible Cause Corrective Action
System Messages
 6S2&DEOH2II
Page
 Defibrillating in Manual Mode
 Enabling Manual Mode
Enter Password
 Preparation
 Select Energy
150 J
Charge
 150 J 87 J
Shock
 Returning to AED Mode
 Performing Synchronized Cardioversion
 Preparing for Synchronized Cardioversion
Delivering a Synchronized Shock
 Sync
 Disabling Sync Mode
Delivering Additional Synchronized Shocks
 Pacing
 Demand Mode Versus Fixed Mode
Monitoring During Pacing
 Preparing for Pacing
 Pacer Stop Demand Mode 70ppm 30mA
Pacing
 Pacing Demand Mode 70ppm 30mA
 Changing Pacing Modes
Defibrillating During Pacing
 Pacing System Messages
Message Possible Cause Corrective Action
Page
 Storing, Retrieving & Printing
 Marking Events
Annotations
 Events Recorded
Event Information
Event Related Information Stored
 ECG waveform with annotation , Epi
 Creating a Patient Record
Patient Record Summary
Then
 Printing the Internal Event Summary
Event Summary
 Event Waveform Information
Event Waveform Description
 Event Real-Time Delayed Strip Length
Printing Events
Printing Events
 Setting Up and Configuring the HeartStart XLT
Connecting/Disconnecting Patient Cables
 Connecting the Pads Patient Cable
Pads Patient Cable Connector
 Disconnecting the Pads Patient Cable
Disconnecting the Pads Patient Cable
 Connecting the ECG Patient Cable
Disconnecting the ECG Patient Cable
 Connecting the SpO2 Patient Cable
Disconnecting the SpO2 Patient Cable
 Arranging Accessories in the Carrying Case
Recommended Accessory Placement
 Configuring the HeartStart XLT
Accessing the Configuration Menu
 Configurable Parameters
Configuration Menu
 General Settings
Parameter Description Setting Choices
 Sec Delay
Leads & Pads
Manual / AED
 AED Settings
3XOVH,I1HHGHG%HJLQ&35
 180
$GYLVHG
 Setting the Manual Mode Password
Manual Settings
Parameter Description Choices
 ECG Filter Settings
Description Setting Choices
Monitor .15-40Hz
Diag .05 150 Hz
 Modifying the Configuration
Returning to the Default Configuration
 Saving Settings to a Data Card
Loading Settings from a Data Card
Printing Settings
 Maintaining the HeartStart XLT
 Operational Checks
Before You Begin
 Every Shift
Every Month
Every Three Months
 Shift/System Check
Shift/System Check Report
 M3500B HeartStart XLT Defibrillator/Monitor 11-5
 Power Supply
 Battery Capacity Test CT
Battery Capacity Test Results
 Battery Maintenance
Battery Maintenance Activities
Activity When to Perform
Charging Batteries
 Battery Capacity
Battery Life-Expectancy
Storing Batteries
Discarding Batteries
 Loading Printer Paper
 Paper well
 Cleaning Instructions
Cleaning the HeartStart XLT
Cleaning the Carrying Case
 Cleaning the Printer Printhead
Cleaning the Power Modules
 Cleaning Pads, Electrodes & Cables
 Removing & Replacing the Carrying Case
Removing the Carrying Case
 Putting the Carrying Case On
 Putting On the Manual Door
Aligning the Manual Door
 Supplies & Accessories
Supplies and Accessories
Pads Cables Test Load White twist lock Connector
Part Number Description Paper
 Supplies and Accessories
 Part Number Description ECG Cables
Monitoring Electrodes
SpO 2 Cable/Sensors
Data Card
 Part Number Description Battery/Power Modules/ Adapter
Extension Cable
Carrying Case
 Disposing of the HeartStart XLT
 Troubleshooting
 System Messages
Message Description Corrective Action
 3DGV&DEOH2II
 6S2 /RZ6LJQDO
 Momentary Messages
Momentary Messages
 DWD&DUGXOO
 Troubleshooting Tips
Situation Cause Possible Solution
 Figuration Configuration Mode 12-8
 Calling for Service
United States of America
Latin America
Canada
 Other International Areas
 Specifications & Safety
 Specifications
Defibrillator
 Sensitivity and Specificity Meets Aami guidelines
 ECG Monitoring
Frequency Response AC Line Filter 60 Hz/50Hz
 Display
Thermal Array Printer
 Battery and Battery Power Module
Charge Time
 Noninvasive Pacing
SpO2/Pulse Oximetry
 Event Storage
General
 Environmental
Humidity
 Symbol Definitions
Defibrillator and Battery Symbols
Symbol Definition
 IPX4
 Shipping Carton Symbols
 Shipping Carton Symbols
 Clinical Performance Summary Defibrillation
Methods
Results
 Conclusion
Clinical Summary Defibrillation
 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
 Electromagnetic Compatibility
Reducing Electromagnetic Interference
 Restrictions for Use
Immunity Level
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 Index
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 Index
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 Index
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 Viii