Bexen Reanibex 700 User manual

REANIBEX Serie 700
User Manual
Approved: R & D Director Revision: K
Date: March 2012
Revision: K 03/2012
All rights are reserved rights for this publication.
This manual may not be totally or partially reproduced, in any way or by any means, without prior written authorisation from OSATU S.Coop. The information contained in this manual may be modified with no need for prior notification by the manufacturer. If the information given in this User Manual does not correspond to the operation of the unit, please contact an authorised representative of OSATU S.Coop.
REANIBEX Serie 700
This is a product of: OSATU S.Coop
Edificio Zearrekobuelta
Subida de Areitio Nº 5
48260 Ermua (Bizkaia) – SPAIN
Tel: +34 943 17 02 20 Fax: +34 943 17 02 27
e-mail: osatu@bexencardio.com
www.bexencardio.com
DECLARACIÓN DE CONFORMIDAD
DECLARATION OF CONFORMITY
Directiva del Consejo con la que se declara conformidad:
Council Directive to which conformity is declared:
Annex II, section 3 of CD 93/42/EEC concerning medical devices
Aplicación de las Normas / Application of the Standards:
IEC 60601-1 (1988) + A1 (1993) + A11 (1994) + A12 (1994) + A13 (1997) +
A2 (1995), IEC 60601-1-2 (2007), IEC 60601-2-4 (2002), IEC 60601-2-25 (1993) +
A1 (1999), IEC 60601-2-27 (2005) , IEC 60601-2-49 (2001) + ISO 9919 (2005)
Fabricante / Manufacturer´s name: Osatu S. Coop.
Dirección / Manufacturer´s address: Edificio Zearrekobuelta
Subida de Areitio Nº 5
48260-Ermua Bizkaia (SPAIN)
Tipo de equipo / Type of equipment: Monitor Desfibrilador Manual/AED
Manual Defibrillator Monitor/AED
Marca / Trademark: BEXEN
Modelo / Model No.: REANIBEX SERIE 700
ELIFE 700 RELIFE 700
Clasificación / Classification: Class IIb
Organismo notificado / Notified body: Underwriters Laboratories (CE-0843)
Nosotros, los abajo firmantes, declaramos que el equipo antes especificado cumple
con las Directivas y las Normas mencionadas
We, the undersigned, hereby declare that the equipment specified above conforms
to the provisions set forth in the Directives and Standards
Fecha / Date: 12/03/2012 _____________________ (Firma / Signature)
Felix Ajuria Managing Director
CONTENTS
1.Introduction to the REANIBEX Serie 700 ______________________________ 1
1.1 General Description ___________________________________________________ 1
1.2 Indications for Use ____________________________________________________ 3
1.2.1 Monitoring ______________________________________________________________ 3
1.2.2 Defibrillation ____________________________________________________________ 3
1.2.2.1Manual Defibrillation ______________________________________ 4
1.2.2.2Semi-Automatic Defibrillation (Optional) ______________________ 4
1.2.3 Synchronized Cardioversion ________________________________________________ 5
1.2.4 Non-invasive Pacemaker (Optional) __________________________________________ 5
1.3 Precautions __________________________________________________________ 6
2.Description of the Device ___________________________________________ 10
2.1 Components of the REANIBEX Serie 700 _______________________________ 10
2.1.1 Front view _____________________________________________________________ 10
2.1.2 Overhead view __________________________________________________________ 12
2.1.3 Rear view ______________________________________________________________ 13
2.2 Front panel _________________________________________________________ 14
2.2.1 Monitor Mode __________________________________________________________ 15
2.2.2 Defibrillator Mode _______________________________________________________ 15
2.2.3 Pacemaker Mode (Optional) _______________________________________________ 16
2.3 Screen _____________________________________________________________ 17
2.4 Paddles, Electrodes and Patient Cables __________________________________ 18
2.5 Battery ____________________________________________________________ 20
2.6 Events _____________________________________________________________ 20
2.7 Menu Options _______________________________________________________ 22
2.7.1 Alarms Menu ___________________________________________________________ 22
2.7.2 Report Menu ___________________________________________________________ 23
2.7.3 Recorder Menu _________________________________________________________ 25
2.7.4 Interface Menu __________________________________________________________ 26
3.Installation of the Device ___________________________________________ 27
3.1 General ____________________________________________________________ 27
3.2 Cables _____________________________________________________________ 28
3.3 Battery ____________________________________________________________ 29
3.4 Recorder (Optional) __________________________________________________ 30
3.5 Compact Flash Memory Card (Optional) ________________________________ 30
4.Monitoring _______________________________________________________ 33
4.1 Description _________________________________________________________ 33
4.2 Warnings __________________________________________________________ 34
4.3 ECG Monitoring Procedure ___________________________________________ 34
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4.3.1 Use of paddles and single-use multifunction electrodes __________________________ 34
4.3.2 Use of patient cable ______________________________________________________ 36
4.3.3 Positioning the monitoring electrodes ________________________________________ 37
4.4 Selecting the size and the lead __________________________________________ 39
4.5 Selecting the Filter ___________________________________________________ 41
4.6 Alarms _____________________________________________________________ 41
4.6.1 HR and SpO2 Alarms ____________________________________________________ 44
4.6.2 VT/VF Alarm __________________________________________________________ 44
5.Manual Defibrillation ______________________________________________ 46
5.1 Description _________________________________________________________ 46
5.2 Warnings __________________________________________________________ 48
5.3 Preparation for Defibrillation _________________________________________ 50
5.3.1 Utilization of Multifunction Single-Use Electrodes _____________________________ 51
5.3.2 Utilization of Reusable External Paddles _____________________________________ 52
5.3.3 Utilization of Paediatric Paddles ____________________________________________ 53
5.3.4 Utilization of Internal Paddles ______________________________________________ 54
5.4 Defibrillation Procedure ______________________________________________ 54
6.Synchronized Cardioversion _________________________________________ 59
6.1 Description _________________________________________________________ 59
6.2 Warnings __________________________________________________________ 60
6.3 Preparation for Synchronized Cardioversion _____________________________ 60
6.4 Synchronized Cardioversion Procedure _________________________________ 61
7.Semi-Automatic Defibrillation (AED) (Optional) ________________________ 63
7.1 Description _________________________________________________________ 63
7.2 Warnings __________________________________________________________ 65
7.3 Preparation for Semi-Automatic Defibrillation ___________________________ 66
7.4 Semi-Automatic Defibrillation Procedure ________________________________ 67
8.Transcutaneous Pacemaker (Optional) ________________________________ 71
8.1 Description _________________________________________________________ 71
8.2 Warnings __________________________________________________________ 72
8.3 Preparation for pacing with the Pacemaker ______________________________ 73
8.4 Fixed Mode and On-Demand Mode _____________________________________ 74
8.5 Pacemaker Pacing Procedure __________________________________________ 75
9.Pulse Oximetry (optional) ___________________________________________ 77
9.1 Description _________________________________________________________ 77
9.2 Warnings __________________________________________________________ 78
9.3 Operation of the pulse oximetry ________________________________________ 80
9.4 Pulse Oximetry Sensors _______________________________________________ 81
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9.5 Monitoring pulse oximetry ____________________________________________ 83
10. Recorder (Optional) ______________________________________________ 85
10.1Description _________________________________________________________ 85
10.2Configuration of the recorder __________________________________________ 85
10.3Operating the recorder _______________________________________________ 86
11. Configuration Mode _____________________________________________ 89
11.1Description _________________________________________________________ 89
11.2Main Menu _________________________________________________________ 90
11.3Date / Time _________________________________________________________ 91
11.4General ____________________________________________________________ 92
11.5Configuration _______________________________________________________ 94
11.5.1 Modules _______________________________________________________________ 95
11.5.1.1 Monitor ______________________________________________ 95
11.5.1.2 Manual Defibrillator ____________________________________ 97
11.5.1.3 Automatic Defibrillator __________________________________ 99
11.5.1.4 Pacemaker ___________________________________________ 101
11.5.1.5 Recorder ____________________________________________ 102
11.5.2 Default Values _________________________________________________________ 104
11.5.3 Configuration Passcode __________________________________________________ 107
11.5.4 Manual Mode Passcode __________________________________________________ 108
11.5.5 Equipment Identifier ____________________________________________________ 108
11.6Information _______________________________________________________ 109
11.6.1 Device Information _____________________________________________________ 109
11.6.2 History _______________________________________________________________ 110
11.6.3 Device Test Results _____________________________________________________ 111
11.7Tests _____________________________________________________________ 113
11.7.1 Hardware Test _________________________________________________________ 114
11.7.2 Accessories Test _______________________________________________________ 115
11.7.3 Front Panel ____________________________________________________________ 117
11.7.4 Paddle Interface ________________________________________________________ 118
11.8Print Configuration _________________________________________________ 118
11.9Compact Flash _____________________________________________________ 120
11.9.1 Information ___________________________________________________________ 121
11.9.2 Printing Events ________________________________________________________ 122
11.9.3 Deleting Episodes ______________________________________________________ 124
11.9.4 Formatting ____________________________________________________________ 124
11.10Changing the Configuration Options ___________________________________ 124
12. Managing and Reviewing Data ____________________________________ 127
13. Maintenance of the Device _______________________________________ 131
13.1General ___________________________________________________________ 131
13.2Routine Maintenance ________________________________________________ 132
13.3Repairs and Overhauls ______________________________________________ 133
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13.4Cleaning __________________________________________________________ 134
13.4.1 Sterilization of the internal paddles _________________________________________ 135
13.5Fuse replacement ___________________________________________________ 136
13.6Storage ___________________________________________________________ 136
13.7Battery ___________________________________________________________ 137
13.8Recycling __________________________________________________________ 139
13.9Check list _________________________________________________________ 140
14. Troubleshooting ________________________________________________ 141 A.1 Symbols of the REANIBEX Serie 700 ________________________________ 149 A.2 Screen Symbols __________________________________________________ 152 A.3 Battery Symbols __________________________________________________ 154 A4. List of Events ____________________________________________________ 156 A.5 On-screen and/or audible messages __________________________________ 157 A.6 Device Events ___________________________________________________ 159 A.7 Device Labels____________________________________________________ 162 A.8 Battery Label ____________________________________________________ 164 A.9 Technical Specifications ___________________________________________ 166 A.10 Waveform Specifications _________________________________________ 175 A.11 Manufacturer’s Guide and Declaration of Electromagnetic Compatibility __ 177 A.12 Accessories ____________________________________________________ 183
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1. Introduction to the REANIBEX Serie 700
1.1 General Description
The REANIBEX Serie 700 is a Monitor/Defibrillator system which provides advanced
functions for monitoring and acute cardiac care response using the four available modes of
operation: Monitor with pulse oximetry (SpO2) option, Manual Defibrillator, Semi-automatic
defibrillator (optional) and Transcutaneous External Pacemaker (optional). It is a portable and
lightweight device, designed with the latest groundbreaking technologies in the field of
defibrillation such as the state-of-the-art biphasic waveform.
The unit incorporates a wide screen that allows viewing, not only of the ECG signal, but also
the monitoring parameters for both the patient and the device, warning messages and user guide
messages.
In Monitor mode the REANIBEX Serie 700 can pick up the signal via the 4, 5 or 10 lead patient
cable, or via the adult or paediatric external reusable paddles or via the single-use multifunction
electrodes.
In the Manual Defibrillator mode, if the patient needs a defibrillation shock, this is easily
administered by following the three steps below:
1- Select the energy level
2- Charge
3- Shock
When operating in Semi-Automatic Defibrillator mode (optional) the REANIBEX Serie 700
analyzes the electrocardiogram (ECG) of the patient, and determines if the rhythm analyzed can
be defibrillated, in which case it requires a manoeuvre by the user to deliver the shock. During
the whole process, the device displays on-screen text messages, and provides audible messages
by means of a high-fidelity speaker system located in the front panel, that guides the user in his
manoeuvre, which means the use of the device in this mode requires basic training.
The Pacemaker mode (optional) provides non-invasive transcutaneous stimulation delivering
pulses via single-use multifunction electrodes.
The REANIBEX Serie 700 has a user-configurable high resolution recorder which can print the
waveforms and operation entries.
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In addition to these patient-based operating modes, the REANIBEX Serie 700 has a special
start-up mode that provides direct access to the Configuration mode, where users can configure
and adapt the parameters which control the operation of the device to accommodate their needs.
The REANIBEX Serie 700 can operate with NiMH rechargeable batteries, or it can be
connected to an AC power supply network or car battery. The battery status indicator is
constantly displayed in the top part of the screen. Additionally, when the device is connected to
an external power supply (AC mains or car battery) the battery is automatically charged, by
means of an internal charger, regardless of whether the device is switched on or off.
WARNING: If the power supply is interrupted for more than 30 seconds, when the power is restored the device settings return to the values set in the configuration. If the power supply interruption is less than 30 seconds, then the values of the parameters set by the user during the actuation are maintained.
The REANIBEX Serie 700 performs a number of self-tests at start-up and while in operation
that detects any malfunction or anomalous condition that may occur internally and which could
cause the device to become unsafe for use. A malfunction indicator, located on the front panel of
the device, indicates detected error conditions as well as displaying on-screen error messages.
The device can also perform various self-tests as requested by the user, using the Configuration
mode options.
Finally, the REANIBEX Serie 700 has the option of automatically storing information about the
actions performed with the device in a removable Compact Flash external memory card. This
data includes the patient’s ECG, the events that occurred during the utilization and the audio
(optional) of both of the device and the background noise; provided that the device is operating
in Automatic Defibrillator mode. In addition to this information, the last 100 events /
incidences that occurred during the utilization are stored, grouped according to the utilization to
which they belong. All this information can be downloaded, viewed and stored using the
"VISOR ECG CONTROL" program.
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1.2 Indications for Use
The REANIBEX Serie 700 device is indicated for use in hospital and out-of-hospital settings by
medical personnel who have been specially qualified by training in Basic Life Support (BLS),
Advanced Life Support (ACLS) techniques or in any other type of acute cardiac emergency
response techniques recognised by the competent authority.
The REANIBEX Serie 700 must be used on solely one patient at a time.
1.2.1 Monitoring
The Monitor mode of the REANIBEX Serie 700 allows 4.5 second viewing (9 seconds in
cascaded mode) of the patient’s ECG picked up on the 4, 5 and 10 lead patient cable, on the
reusable external paddles or on the single-use multifunction electrodes.
In addition to those devices in which this option is available, the oxygen saturation (SpO2%) can
be viewed as well as the pleth waveform. Pulse Oximetry is a non-invasive technique used to
measure the percentage of haemoglobin molecules which are saturated with oxygen.
WARNING: Under various conditions such as haemoglobin saturation with compounds other than oxygen, hypothermia, patient movement, nail polish and excessive light could cause the pulse oximetry readings to be inaccurate.
1.2.2 Defibrillation
Defibrillation is the only effective treatment for cardiac arrest caused by an abnormal rhythm
that can be defibrillated. In such phenomena, the cardiac muscle is beating in an abnormal
rhythm, producing a polarized and stress effect whose origin can be due to multiple causes.
The REANIBEX Serie 700 delivers a defibrillation shock by means of a biphasic truncated
exponential pulse. The energy from this pulse is delivered to the patient via reusable external
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paddles or single-use multifunction electrodes that are connected to the device and to the bare
chest of the patient.
1.2.2.1 Manual Defibrillation
Manual Defibrillation or Asynchronous Defibrillation is the primary treatment recommended
for patients who suffer episodes of Ventricular Fibrillation (VF) and pulseless Ventricular
Tachycardia (VT). Its use is not recommended for patients who suffer asystole and, generally
speaking, for patients that present one or more of the following symptoms:
-
the patient is conscious
- has a detectable pulse
- breathes spontaneously
1.2.2.2 Semi-Automatic Defibrillation (Optional)
The REANIBEX Serie 700, when operating in Automatic Defibrillator mode, must be used only
in adult patients that present symptoms of suffering sudden cardiac arrest which are:
- the patient is unconscious,
does not have detectable pulse
-
- does not breath spontaneously
WARNING: The REANIBEX Serie 700, when operating in Automatic Defibrillator mode, is not designed for the treatment of cardia c arre sts in pa ediatric patients and therefore it must n o t be used in patients under eight years of age or who weigh less than 25 kg.
WARNING: The REANIBEX Serie 700, when in Semi-Automatic Defibrillator mode, must never be used in patients who are conscious, who have a pulse or who breathe spontaneously.
WARNING: Do not analyse in moving vehicles when the device is operating in Semi­Automatic mode. Interference caused by motion artifact can affect the device and may result in erroneous diagnoses. Motion detection may also delay analysis.
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WARNING: Do not move the device during analysis when operating in Semi­Automatic Defibrillator mode. Moving the device can result in erroneous diagnoses. Do not touch the patient or the device during analysis.
WARNING: The detection sensitivity of the REANIBEX Serie 700 to arrhythmias that can be defibrillated in patients with implanted cardiac pacemakers can be diminished.
1.2.3 Synchronized Cardioversion
Synchronized Cardioversion is the recommended treatment for patients who suffer episodes of
Atrial Fibrillation.
The REANIBEX Serie 700, when operating in Synchronized Cardioversion mode, delivers a
biphasic defibrillation shock synchronized with the R wave on the patient’s ECG (immediately
after it).
1.2.4 Non-invasive Pacemaker (Optional)
Non-invasive transcutaneous stimulation is an established and proven technique, which is
performed rapidly and easily. This treatment is recommended for patients who suffer episodes
of symptomatic bradycardia.
This technique can also be useful "in standby" when a case of cardiac arrest or symptomatic
bradycardia is anticipated.
The use of this technique during episodes of Ventricular Fibrillation is not recommended.
WARNING: Do not connect the REANIBEX Serie 700 Pacemaker to the electrodes of an internal pacemaker.
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1.3 Precautions
WARNING: Dangerous electrical shock hazard. Do not disassemble the defibrillator as dangerous high voltages can be present. Contact the authorized personnel for any necessary repairs.
WARNING: Dangerous electrical shock or fire hazard. Do not immerse either the device or any part of it in water or any other liquid. Avoid spilling liquids on the device or on its accessories. Do not clean the device with flammable agents such as acetones. Do not autoclave the device or use any other sterilization method whatsoever.
WARNING: Dangerous electrical shock hazard. The device must be used only by qualified medical personnel who have specific basic training in the following areas:
- Cardiac-Pulmonary Resuscitation (CPR)
- Utilization of a Defibrillator/Monitor in accordance with the recommendations of
the American Heart Association (AHA) or of the European Resuscitation Council (ERC)
- Utilization of
the REANIBEX Serie 700
WARNING: Dangerous electrical shock hazard. The defibrillator delivers up to 200 Joules of electrical energy during shock. Do not touch the patient or the defibrillation electrodes when delivering a shock.
WARNING: During defibrillation, stand clear and avoid contact with any part of the patient's body (exposed skin on the head, the body and the extremities) and metal objects such as the bed frame, as these could cause undesirable electrical current paths during defibrillation.
WARNING: Air pockets formed between the defibrillation electrodes and the skin of the patient can cause burns during defibrillation. Ensure that the defibrillation electrodes are perfectly adhered to the skin of the patient. Once good skin contact is
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established, if the position of the electrodes must be changed, remove the electrodes and replace them with new ones.
WARNING: Do not allow the defibrillation electrodes to touch each other or to touch any part of conducting material during defibrillation. This contact could produce an electric arc and burns to the patient's skin.
WARNING: Possible damage to the device. Before using the defibrillator, disconnect the patient from all equipment that is defibrillator-protected.
WARNING: Incorrect use of the device can cause injury. Follow the instructions given in the User Manual for its proper use.
DANGER: Explosion hazard. Do not use the device in the presence of concentrated oxygen sources or flammable anaesthetic products.
WARNING: The use of cables, electrodes or batteries manufactured by other manufacturers can result in device malfunction and will make safety certifications null and void. Use only the accessories specified in this manual.
WARNING: The presence of radio frequency (RF) sources near the device can cause equipment malfunction. Electromagnetic compatibility with nearby equipment must be checked before using the REANIBEX Serie 700.
WARNING: Avoid operating the REANIBEX Serie 700 near or on other equipment. If this cannot be avoided, check that the equipment is in proper operating condition before its utilization.
WARNING: The REANIBEX Serie 700 must be installed and put into service according to the information on Electromagnetic Compatibility (EMC) that appears in the section entitled, “A11 – Manufacturer’s Guide and Declaration of Electromagnetic Compatibility”.
WARNING: El REANIBEX Serie 700 is designed to be used only by qualified medical personnel. The device may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures such
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as changing the position or location of the REANIBEX Serie 700 or even shielding the area where the device is located.
CAUTION: Care must be exercised when handling patient cables, including the ECG monitoring equipment when it is used in conjunction with high-frequency surgical equipment.
FIRE OR SHOCK HAZARD: Make sure that the accessories and all of the equipment is properly connected. The device or any accessories which are not properly connected together can be a source of ignition or cause an electrical shock.
CAUTION: The device can become damaged by mechanical or physical misuse, such as immersion in water or dropping the device from a height of more than 1 m.
CAUTION: The components of the device can become damaged if the device is placed near vibration sources.
WARNING: The REANIBEX Serie 700 is suitable for use in the presence of high­frequency surgical equipment. Following interference produced by the electrosurgical unit, the equipment returns to its prior operating mode in 10 seconds without losing any stored data. The accuracy of the measurements can be temporarily affected during the use of the electrosurgical unit or defibrillation. This does not affect patient safety or equipment safety. Consult the Instructions for Use for the electrosurgical unit to reduce the risk of burns in case of a defect in this equipment.
WARNING: The REANIBEX Serie 700 does not have the capacity to ignore internal pacemaker pulses. The device could detect the internal pacemaker pulses as QRS complexes which results in an indication of an incorrect heart rate. Do not rely on the heart rate indicator displayed by the device with patients who have an internal pacemaker.
WARNING: The quality of the ECG signal is affected if the electrical installation connected to the device does not have a ground connection. If this ground connection is not available, connect the equipotential conductor located in the back panel of the device to any metal element accessible in the building structure.
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2. Description of the Device
2.1 Components of the REANIBEX Serie 700
The following section presents a description of the different REANIBEX Serie 700 components,
controls, indicators and connectors.
2.1.1 Front view
The elements and indicators that make up the front panel of the device are described below:
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NUMBER DESCRIPTION
1 REUSABLE EXTERNAL PADDLES
2
3
4
5
6
7
8
The PULSE OXIMETER extension cable CONNECTOR allows the extension cable to be connected to the pulse oximetry sensor.
PATIENT CABLE CONNECTOR. It allows the patient cable to be connected which can be 4, 5 or 10 leads.
MULTIFUNCTION CONNECTOR. It connects the reusable external or internal paddles, and the single-use multifunction electrodes.
The high-fidelity SPEAKER system provides the sounds that indicate an alarm, QRS detection, exceptional conditions that occur during the utilization and also audible messages that guide the user during his actions (Only for the devices that have the Semi-Automatic Defibrillator option).
The FRONT PANEL which includes the activation keys for the different operating modes.
MALFUNCTION INDICATOR. It is illuminated when the device detects an error during any of the self-tests.
The BATTERY STATUS INDICATOR is an icon with a light. If this indicator light is green it means the battery is charging and if it is red it indicates LOW battery
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10
11
12
13
14
Protective RECORDER COVER. The device recorder is located under this protective cover.
DIRECT CURRENT INDICATOR. It indicates that the device is connected to a DC external power supply source (car battery)
ALTERNATING CURRENT INDICATOR. It indicates that the device is connected to an AC external power supply source (AC mains)
CARRYING HANDLE. This is a folding handle that allows simple means of transport for the device.
Device SCREEN. This is a graphic display with 320 x 240 dot resolution. The device has two types of optional screens: High-resolution TFT and graphic LCD.
The FRONT PANEL includes the activation keys of the different operating modes and keys that are common to all operating modes.
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2.1.2 Overhead view
The elements that can be seen in the top part of the REANIBEX Serie 700:
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NUMBER
DESCRIPTION
1
2
3
4
5
6
HOLDER of the reusable external paddles. To release the paddles, press
the holder and extract the paddles
Protective COVER of the COMPACT FLASH memory card. The memory card holder is housed under this protective cover, Only the devices that have the Semi-Automatic Defibrillator option have the option of data recording in the Compact Flash.
Device SCREEN.
CONNECTOR for the Reusable external Paddles.
Protective RECORDER COVER.
Basic INSTRUCTIONS for use of the REANIBEX Serie 700.
7 CARRYING HANDLE.
2.1.3 Rear view
The rear panel of the REANIBEX Serie 700 presents the following elements:
NUMBER
DESCRIPTION
1
2
3
4
BATTERY HOUSING. The place where the device’s battery is housed.
CAR BATTERY CONNECTOR. It enables the device to be connected
to a D.C. external power supply
AC POWER CONNECTOR. It allows the connection of the device to a A.C. external power supply
EQUIPOTENTIAL CONDUCTOR. It provides an additional connection to the ground connection of a building electrical installation.
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2.2 Front panel
This section describes the functions associated with each of the keys available on the front
panel. The different keys are grouped according to their operating mode.
There are a series of keys which are common to all operating modes:
NUMBER DESCRIPTION
1
2
3
4
5
6
GREEN main on/off (I/O) key of the device. The indicator of this key is
illuminated when the device is switched on.
RECORDER start/stop key. It starts the recording of both the ECG signal and the events which occurred during the operation.
AUTOMATIC RECORD key for all the leads. It allows all the leads to be recorded depending upon the available patient cable.
EVENTS Key. It allows an event from a predetermined list to be included in the actions.
MICROPHONE. It allows the audio recording of the surrounding setting that unfolds during the utilization (only for devices that have this option and are operating in Semi-Automatic Defibrillator mode)
FUNCTION KEYS. Their function changes depending upon the operating mode
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MENU Key. It allows access to the different available configuration
options in the various operating modes.
2.2.1 Monitor Mode
The keys corresponding to the Monitor mode are described below:
NUMBER
DESCRIPTION
1
2
3
MONITOR mode access key. The indicator of this key is illuminated
when the device is operating in Monitor mode.
SUSPENDED SOUND ALARM Key. It allows sound alarm indicators to be deactivated for a maximum of 2 minutes. If a new alarm occurs while the sound alarm indicator is suspended, the sound alarm indicator will be automatically reactivated.
FREEZE Key. It allows the ECG signal to be frozen on-screen. While the signal is frozen, a small window appears at the top of the screen with the temporary progression of the ECG signal.
2.2.2 Defibrillator Mode
The keys that correspond to the Defibrillator operating mode that are located on the front panel
of the device are:
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NUMBER
1
2
3
4
5
6
DESCRIPTION
DEFIBRILLATOR mode access key. The indicator of this key is illuminated when the device is operating in Defibrillator mode.
Indicator to follow audible and visual instructions of the device when it operates in Semi-Automatic Defibrillator mode.
CHARGE key for the selected energy level. The indicator of this key is illuminated when the energy has finished charging. It can only be activated in Manual Defibrillator mode.
ACTIVATION/DEACTIVATION key for SYNCHRONIZED shock. When this option is active, the indicator of this key is illuminated. This option is active only in Manual Defibrillator mode.
SELECT ENERGY Keys. They allow the energy level for discharge to be selected. This key is active only in Manual Defibrillator mode.
SHOCK button. This button illuminates when the device is ready to deliver a shock, and allows the defibrillation shock to be delivered to the patient. It is only active when using single-use multifunction electrodes or internal paddles.
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ANALYSIS Key. It allows access to the Semi-Automatic Defibrillator
mode or to start an analysis during CPR. This key only appears in those devices that have the Semi-Automatic Defibrillator option.
2.2.3 Pacemaker Mode (Optional)
The following keys located on the front panel of the REANIBEX Serie 700 allow it to operate
in the Pacemaker mode:
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NUMBER
DESCRIPTION
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