A R TS TA R T X LT
Page
 Instructions for Use
 1RWLFH
 Conventions
Page
 Contents
 Monitoring SpO2
Defibrillating in AED Mode
Monitoring the ECG
 Pacing
Defibrillating in Manual Mode
Performing Synchronized Cardioversion
Storing, Retrieving & Printing
 Setting Up and Configuring the HeartStart XLT
Maintaining the HeartStart XLT
 Troubleshooting
 Specifications & Safety
 Introduction
Overview
 Overview
 Indications for AED Therapy
Intended Use
Defibrillation Therapy
 Indications for Manual Defibrillation Therapy
Precautions for AED Therapy
Contraindications for AED Therapy
 Contraindications for Manual Defibrillation Therapy
Precautions for Manual Defibrillation Therapy
Noninvasive Pacing 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
 150J
132
User Message 114J
 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
 Connect Pads Cable
Defibrillating
Press On
 Apply Pads
Apply Pads Display
 If instructed, press $1$/=
Check Patient If No Pulse Press Analyze Shocks
 Charging to 150J
97J
Analyzing Do Not Touch Patient
 Stand Clear
If shock advised, press 6+2
150J
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
 Prompt Possible Cause Corrective Action
Troubleshooting
AED Mode Prompts
 Monitoring the ECG
 Applying Monitoring Electrodes
 Electrode Placement
Lead Reference
 Precordial Lead Electrode Placement
5-Lead ECG Lead Formation
 Lead Select Choices
Lead Select If Configured for a Choices are
Selecting the Lead
 Alarm If Over Or under
Setting the Heart Rate Alarm
HR Alarm Limit Choices
 Troubleshooting Tips
Disabling the HR Alarm
Adjusting the ECG Size
Situation Cause Solution
 RFI
 Monitoring SpO2
Acquired while monitoring, see Chapter
 Understanding Pulse Oximetry
Pulse Oximetry Sensor
 Sensor Type Patient Patient Size Ideal Site
Selecting a Sensor
Approved Sensors
 Semi-disposable Sensors
Reusable Sensors
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
 Charge
Select Energy
150 J
 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
 Event Related Information Stored
Events Recorded
Event Information
 ECG waveform with annotation , Epi
 Then
Creating a Patient Record
Patient Record Summary
 Printing the Internal Event Summary
Event Summary
 Event Waveform Information
Event Waveform Description
 Printing Events
Event Real-Time Delayed Strip Length
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
 Manual / AED
Sec Delay
Leads & Pads
 AED Settings
3XOVH,I1HHGHG%HJLQ&35
 180
$GYLVHG
 Parameter Description Choices
Setting the Manual Mode Password
Manual Settings
 Monitor .15-40Hz
ECG Filter Settings
Description Setting Choices
Diag .05 150 Hz
 Modifying the Configuration
Returning to the Default Configuration
 Printing Settings
Saving Settings to a Data Card
Loading Settings from a Data Card
 Maintaining the HeartStart XLT
 Operational Checks
Before You Begin
 Every Three Months
Every Shift
Every Month
 Shift/System Check
Shift/System Check Report
 M3500B HeartStart XLT Defibrillator/Monitor 11-5
 Power Supply
 Battery Capacity Test CT
Battery Capacity Test Results
 Activity When to Perform
Battery Maintenance
Battery Maintenance Activities
Charging Batteries
 Storing Batteries
Battery Capacity
Battery Life-Expectancy
Discarding Batteries
 Loading Printer Paper
 Paper well
 Cleaning the Carrying Case
Cleaning Instructions
Cleaning the HeartStart XLT
 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
 Pads Cables Test Load White twist lock Connector
Supplies & Accessories
Supplies and Accessories
Part Number Description Paper
 Supplies and Accessories
 SpO 2 Cable/Sensors
Part Number Description ECG Cables
Monitoring Electrodes
Data Card
 Carrying Case
Part Number Description Battery/Power Modules/ Adapter
Extension Cable
 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
 Latin America
Calling for Service
United States of 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 Definition
Symbol Definitions
Defibrillator and Battery Symbols
 IPX4
 Shipping Carton Symbols
 Shipping Carton Symbols
 Results
Clinical Performance Summary Defibrillation
Methods
 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