Specifications & Safety | Philips M3500B guide

Clinical Performance Summary - Cardioversion

Conclusion

The SMART Biphasic waveform cardioverted at higher rates than the monophasic damped sine waveform at each step of the protocol, although the cumulative biphasic rate after 4 shocks was not significantly different from the monophasic rate. Tissue damage was more pronounced in the monophasic population.

13-18

Specifications & Safety

Image 164

Philips M3500B manual Specifications & Safety

Contents

A R TS TA R T X LT Page Instructions for Use 1RWLFH Conventions Page Contents Monitoring SpO2 Defibrillating in AED ModeMonitoring the ECG Defibrillating in Manual Mode Performing Synchronized CardioversionPacing 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 UseDefibrillation Therapy Indications for Manual Defibrillation Therapy Precautions for AED TherapyContraindications for AED Therapy Precautions for Manual Defibrillation Therapy Noninvasive Pacing TherapyContraindications for Manual Defibrillation Therapy Indications SpO2 Monitoring Safety Considerations Learning to Use the HeartStart XLTPage 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 132User 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 DefibrillatingPress On Apply Pads Apply Pads Display If instructed, press $1$/= Check Patient If No Pulse Press Analyze Shocks Charging to 150J 97JAnalyzing Do Not Touch Patient If shock advised, press 6+2 150JStand 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 Prompt Possible Cause Corrective Action TroubleshootingAED 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 areSelecting the Lead Alarm If Over Or under Setting the Heart Rate AlarmHR Alarm Limit Choices Disabling the HR Alarm Adjusting the ECG SizeTroubleshooting Tips 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 SensorApproved Sensors Semi-disposable Sensors Reusable SensorsDisposable 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 Energy150 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 ActionPage Storing, Retrieving & Printing Marking Events Annotations Event Related Information Stored Events RecordedEvent Information ECG waveform with annotation , Epi Then Creating a Patient RecordPatient Record Summary Printing the Internal Event Summary Event Summary Event Waveform Information Event Waveform Description Printing Events Event Real-Time Delayed Strip LengthPrinting 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 DelayLeads & Pads AED Settings 3XOVH,I1HHGHG%HJLQ&35 180 $GYLVHG Parameter Description Choices Setting the Manual Mode PasswordManual Settings ECG Filter Settings Description Setting ChoicesMonitor .15-40Hz Diag .05 150 Hz Modifying the Configuration Returning to the Default Configuration Printing Settings Saving Settings to a Data CardLoading Settings from a Data Card Maintaining the HeartStart XLT Operational Checks Before You Begin Every Three Months Every ShiftEvery 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 Battery Maintenance Battery Maintenance ActivitiesActivity When to Perform Charging Batteries Battery Capacity Battery Life-ExpectancyStoring Batteries Discarding Batteries Loading Printer Paper Paper well Cleaning the Carrying Case Cleaning InstructionsCleaning 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 Supplies & Accessories Supplies and AccessoriesPads Cables Test Load White twist lock Connector Part Number Description Paper Supplies and Accessories Part Number Description ECG Cables Monitoring ElectrodesSpO 2 Cable/Sensors Data Card Carrying Case Part Number Description Battery/Power Modules/ AdapterExtension 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 Calling for Service United States of AmericaLatin 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 DefinitionsDefibrillator and Battery Symbols IPX4 Shipping Carton Symbols Shipping Carton Symbols Results Clinical Performance Summary DefibrillationMethods 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 LevelPage Index Page Index Page Index Page Vii Viii