Philips M3500B manual

M3500-91900

Edition 3

Copyright © 2002

Philips Electronics

North America Corporation

Printed in the U.S.A. October 2002

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Image 180

Philips M3500B manual

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 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 Intended Use Defibrillation TherapyIndications for AED Therapy Precautions for AED Therapy Contraindications for AED TherapyIndications for Manual Defibrillation 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 132 User Message 114J150J 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 OnConnect Pads Cable Apply Pads Apply Pads Display If instructed, press $1$/= Check Patient If No Pulse Press Analyze Shocks 97J Analyzing Do Not Touch PatientCharging to 150J 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 Troubleshooting AED Mode PromptsPrompt 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 LeadLead Select Choices Setting the Heart Rate Alarm HR Alarm Limit ChoicesAlarm If Over Or under 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 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 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 JCharge 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 Events Recorded Event InformationEvent Related Information Stored ECG waveform with annotation , Epi Creating a Patient Record Patient Record SummaryThen Printing the Internal Event Summary Event Summary Event Waveform Information Event Waveform Description Event Real-Time Delayed Strip Length Printing EventsPrinting 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 & PadsManual / AED AED Settings 3XOVH,I1HHGHG%HJLQ&35 180 $GYLVHG Setting the Manual Mode Password Manual SettingsParameter Description Choices ECG Filter Settings Description Setting ChoicesMonitor .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 CardPrinting Settings Maintaining the HeartStart XLT Operational Checks Before You Begin Every Shift Every MonthEvery 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 ActivitiesActivity When to Perform Charging Batteries Battery Capacity Battery Life-ExpectancyStoring Batteries Discarding Batteries Loading Printer Paper Paper well Cleaning Instructions Cleaning the HeartStart XLTCleaning 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 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 Part Number Description Battery/Power Modules/ Adapter Extension CableCarrying 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 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 Definitions Defibrillator and Battery SymbolsSymbol Definition IPX4 Shipping Carton Symbols Shipping Carton Symbols Clinical Performance Summary Defibrillation MethodsResults 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