Setting Up and Configuring the HeartStart XLT | Philips M3500B

10 Setting Up and Configuring the HeartStart XLT

This chapter describes how to set-up and configure your HeartStart XLT. It covers:

Connecting Patient Cables

Arranging Accessories in the Carrying Case Configuring the HeartStart XLT

Connecting/Disconnecting Patient Cables

This section describes how to connect and disconnect the:

Pads Patient Cable

ECG Patient Cable (3- or 5-lead) SpO2 Patient Cable

10

M3500B HeartStart XLT Defibrillator/Monitor

10-1

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Philips M3500B manual Setting Up and Configuring the HeartStart XLT, Connecting/Disconnecting Patient Cables

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 Storing, Retrieving & Printing Defibrillating in Manual ModePerforming Synchronized Cardioversion Pacing 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 Indications Precautions for Manual Defibrillation TherapyNoninvasive Pacing Therapy Contraindications for Manual Defibrillation Therapy 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 Press Shock If shock advised, press 6+2150J 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 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 Situation Cause Solution Disabling the HR AlarmAdjusting the ECG Size Troubleshooting Tips 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 Diag .05 150 Hz ECG Filter SettingsDescription Setting Choices Monitor .15-40Hz 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 Charging Batteries Battery MaintenanceBattery Maintenance Activities Activity When to Perform Discarding Batteries Battery CapacityBattery Life-Expectancy Storing 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 Part Number Description Paper Supplies & AccessoriesSupplies and Accessories Pads Cables Test Load White twist lock Connector Supplies and Accessories Data Card Part Number Description ECG CablesMonitoring Electrodes SpO 2 Cable/Sensors 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 Canada Calling for ServiceUnited 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 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