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
 Storing, Retrieving & Printing
Defibrillating in Manual Mode
Performing Synchronized Cardioversion
Pacing
 Maintaining the HeartStart XLT
Setting Up and Configuring the HeartStart XLT
 Troubleshooting
 Specifications & Safety
 Overview
Introduction
 Overview
 Intended Use
Defibrillation Therapy
Indications for AED Therapy
 Precautions for AED Therapy
Contraindications for AED Therapy
Indications for Manual Defibrillation Therapy
 Indications
Precautions for Manual Defibrillation Therapy
Noninvasive Pacing Therapy
Contraindications for Manual Defibrillation Therapy
 SpO2 Monitoring
 Learning to Use the HeartStart XLT
Safety Considerations
Page
 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 114J
150J
 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 On
Connect Pads Cable
 Apply Pads Display
Apply Pads
 Check Patient If No Pulse Press Analyze Shocks
If instructed, press $1$/=
 97J
Analyzing Do Not Touch Patient
Charging to 150J
 Press Shock
If shock advised, press 6+2
150J
Stand Clear
 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 Prompts
Prompt 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 Lead
Lead Select Choices
 Setting the Heart Rate Alarm
HR Alarm Limit Choices
Alarm If Over Or under
 Situation Cause Solution
Disabling the HR Alarm
Adjusting the ECG Size
Troubleshooting Tips
 RFI
 Acquired while monitoring, see Chapter
Monitoring SpO2
 Pulse Oximetry Sensor
Understanding Pulse Oximetry
 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
 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 J
Charge
 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 Messages
Page
 Storing, Retrieving & Printing
 Annotations
Marking Events
 Events Recorded
Event Information
Event Related Information Stored
 ECG waveform with annotation , Epi
 Creating a Patient Record
Patient Record Summary
Then
 Event Summary
Printing the Internal Event Summary
 Event Waveform Description
Event Waveform Information
 Event Real-Time Delayed Strip Length
Printing Events
Printing 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 & Pads
Manual / AED
 3XOVH,I1HHGHG%HJLQ&35
AED Settings
 $GYLVHG
180
 Setting the Manual Mode Password
Manual Settings
Parameter Description Choices
 Diag .05 150 Hz
ECG Filter Settings
Description Setting Choices
Monitor .15-40Hz
 Returning to the Default Configuration
Modifying the Configuration
 Saving Settings to a Data Card
Loading Settings from a Data Card
Printing Settings
 Maintaining the HeartStart XLT
 Before You Begin
Operational Checks
 Every Shift
Every Month
Every 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
 Charging Batteries
Battery Maintenance
Battery Maintenance Activities
Activity When to Perform
 Discarding Batteries
Battery Capacity
Battery Life-Expectancy
Storing Batteries
 Loading Printer Paper
 Paper well
 Cleaning Instructions
Cleaning the HeartStart XLT
Cleaning 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
 Part Number Description Paper
Supplies & Accessories
Supplies and Accessories
Pads Cables Test Load White twist lock Connector
 Supplies and Accessories
 Data Card
Part Number Description ECG Cables
Monitoring Electrodes
SpO 2 Cable/Sensors
 Part Number Description Battery/Power Modules/ Adapter
Extension Cable
Carrying 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
 Canada
Calling for Service
United States of America
Latin America
 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 Symbols
Symbol Definition
 IPX4
 Shipping Carton Symbols
 Shipping Carton Symbols
 Clinical Performance Summary Defibrillation
Methods
Results
 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 Use
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 Index
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 Index
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 Index
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 Viii