Safety Considerations | Philips M3500B manual

WARNING

WARNING

WARNING

WARNING

WARNING

Safety Considerations

Safety Considerations

The following general warnings and cautions apply to use of the HeartStart XLT. Additional warning and cautions specific to a particular feature are pro- vided in the appropriate section.

The HeartStart XLT is not intended to be deployed in settings or situations that pro- mote use by untrained personnel. Operation by untrained personnel can result in injury or death.

Remain attentive to the patient during the delivery of therapy. Delay in delivering a shock may result in a rhythm that was analyzed as shockable converting spontane- ously to non-shockable and could result in inappropriate delivery of a shock.

Use only the multifunction defib electrode pads, battery, and accessories listed in “Supplies & Accessories” on page 11-18. Substitutions may cause the HeartStart 13 XLT to function improperly.

Use multifunction defib electrode pads prior to their expiration date. Discard pads after use. Do not reuse pads.

In AED Mode, the multifunction defib electrode pads must be in the anterior-anterior position as shown on the packaging. The HeartStart XLT was not designed to assess data acquired from pads in an anterior-posterior position.

M3500B HeartStart XLT Defibrillator/Monitor

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Philips M3500B manual Safety Considerations

Contents

A R TS TA R T X LT Page Instructions for Use 1RWLFH Conventions Page Contents Defibrillating in AED Mode Monitoring the ECGMonitoring 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 Intended Use Defibrillation TherapyIndications for AED Therapy Precautions for AED Therapy Contraindications 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 132 User Message 114J150J 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 Defibrillating Press OnConnect Pads Cable Apply Pads Display Apply Pads Check Patient If No Pulse Press Analyze Shocks If instructed, press $1$/= 97J Analyzing Do Not Touch PatientCharging 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 Troubleshooting AED Mode PromptsPrompt Possible Cause Corrective Action Monitoring the ECG Applying Monitoring Electrodes Lead Reference Electrode Placement 5-Lead ECG Lead Formation Precordial Lead Electrode Placement Lead Select If Configured for a Choices are Selecting the LeadLead Select Choices Setting the Heart Rate Alarm HR Alarm Limit ChoicesAlarm 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 Selecting a Sensor Approved SensorsSensor Type Patient Patient Size Ideal Site Reusable Sensors Disposable 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 Select Energy 150 JCharge 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 Events Recorded Event InformationEvent Related Information Stored ECG waveform with annotation , Epi Creating a Patient Record Patient Record SummaryThen Event Summary Printing the Internal Event Summary Event Waveform Description Event Waveform Information Event Real-Time Delayed Strip Length Printing EventsPrinting 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 Sec Delay Leads & PadsManual / AED 3XOVH,I1HHGHG%HJLQ&35 AED Settings $GYLVHG 180 Setting the Manual Mode Password Manual SettingsParameter Description Choices Description Setting Choices ECG Filter SettingsMonitor .15-40Hz Diag .05 150 Hz Returning to the Default Configuration Modifying the Configuration Saving Settings to a Data Card Loading Settings from a Data CardPrinting Settings Maintaining the HeartStart XLT Before You Begin Operational Checks Every Shift Every MonthEvery 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 Instructions Cleaning the HeartStart XLTCleaning 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 Part Number Description Battery/Power Modules/ Adapter Extension CableCarrying 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 Symbol Definitions Defibrillator and Battery SymbolsSymbol Definition IPX4 Shipping Carton Symbols Shipping Carton Symbols Clinical Performance Summary Defibrillation MethodsResults 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