GS Corpuls3 User manual

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corpuls

User Manual

Contents User Manual corpuls

ii ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Contents

This user manual has been compiled to provide users with information necessary for safe and trouble-free operation, use on patients and maintenance

of corpuls

. All persons dealing with use, maintenance and troubleshooting

must read and implement this user manual. In addition to this user manual, the currently applicable ordinances and the

generally accepted engineering principles as well as regulations for occupational health and safety and accident prevention must be complied with.

The corpuls

"Medical Device Directive 93/42/EC of the Commission". The corpuls

complies with the basic standards as specified in Annex I of the

is a medical product class IIb. In the UMDNS (Universal Medical Device Nomenclature System) the corpuls

has the code 17-882.

GS Elektromedizinische Geräte G. Stemple GmbH Hauswiesenstrasse 26 86916 Kaufering Germany

All rights reserved, particularly rights of reproduction and distributi on, in additi on to translation. Technical modifications, errors or printing mistakes reserved. The rights to the trademarks and registered trademarks remain with the originators and holders of

the respective trademarks. No part of the user manual may be reproduced,

electronic systems in any form whatsoever without the written agreement of GS Elektromedizinische Geräte G. Stemple GmbH.

ENG - Version 2.1 – P/N 04130.2 iii

saved, processed, copied or circulated by means of

Contents User Manual corpuls

Address of the sales and service partner

Service address

In case of enquiries, please contact:

Information on the authorised service and sales partners can also be found on the following website:

www.corpuls.com

iv ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Contents

Versions of the corpuls3 user manual

Issue Date User manual version Software version

1 06/2007 ENG V1.1 – 04130.2 1.1.0 2 08/2007 ENG V1.2 – 04130.2 1.2.0 3 11/2007 ENG V1.3 – 04130.2 1.3.0 4 07/2008 ENG V1.4 – 04130.2 1.4.1 5 07/2009 ENG V1.5 – 04130.2 1.5.0 6 12/2009 ENG V1.6 – 04130.2 1.6.0 7 11/2010 ENG V1.7 – 04130.2 1.7.0 8 07/2011 ENG V1.8 – 04130.2 1.8.0 9 10/2011 ENG V1.9 – 04130.2 1.9.0 10 07/2012 ENG V2.0 – 04130.2 2.0.0 11 06/2013 ENG V2.1 – 04130.2 2.1.0

Versions of the supplements to the user manual corpuls

Version Date Description Version

A 04/2010 Supplement of

the alarm messages

A 06/2010 New Defibrillator

Keyboard

A 03/2011 Interval

Measurement NIBP

A 07/2011 NVG mode EN V1.8 – 04130.2 1.8.0

user manual

EN V1.4 - 04130.2 EN V1.5 - 04130.2 EN V1.6 - 04130.2

EN V1.7 - 04130.2 1.7.0

EN V1.7 - 04130.2 1.7.2

Version Software

1.4

1.5

1.6

ENG - Version 2.1 – P/N 04130.2 v

Contents User Manual corpuls

Safety ................................................................................................... 1

1.1 General ........................................................................................... 1

1.2 Operating Staff ................................................................................ 1

1.2.1 Restrictions of Therapeutic Functions ....................................... 1

1.2.2 Maintenance .............................................................................. 2

1.3 Information and Warning Labels on the Device .............................. 2

1.4 Warning Notices and Symbols ........................................................ 3

1.5 Special Types of Risk ..................................................................... 3

2 Intended Use ....................................................................................... 4

3 Introduction ........................................................................................ 6

3.1 Components .................................................................................... 6

3.2 Device Design ................................................................................. 8

3.2.1 Pairing (Connection Authorisation) .......................................... 10

3.2.2 Monitoring Unit ......................................................................... 12

3.2.3 Patient Box and Accessory Bag .............................................. 14

3.2.4 Defibrillator/Pacer .................................................................... 17

3.2.5 Defibrillator/Pacer SLIM ........................................................... 18

3.2.6 Brackets ................................................................................... 19

3.3 Description of the Monitoring, Diagnostic and Therapeutic

Functions ....................................................................................... 20

3.3.1 Monitoring and Diagnostic F unctio ns ....................................... 20

3.3.2 Therapeutic Functions ............................................................. 21

3.4 Alarm management ....................................................................... 23

3.4.1 Alarm Signals at the Monitoring unit ........................................ 24

3.4.2 Alarm Signals at the Patient box .............................................. 26

3.5 Energy Management ..................................................................... 27

3.5.1 Battery Operation ..................................................................... 27

3.5.2 Mains Operation ....................................................................... 29

4 General Operating Instructions ...................................................... 31

4.1 Operating and Display Elements .................................................. 31

4.1.1 Operating Elements and LEDs on the Monitoring Unit ............ 31

4.1.2 Basic Structure of the Display Pages on the

Monitoring Unit ......................................................................... 35

4.1.3 Patient Box Display .................................................................. 39

4.1.4 Control Keys and LEDs on the Patient Box ............................. 40

4.1.5 Control Key and LEDs on the Defibrillator/Pacer .................... 41

4.1.6 Control Key and LEDs on the Defibrillator /Pac er SLI M ........... 42

4.2 Switching On and Off .................................................................... 43

4.2.1 Switching On ............................................................................ 43

4.2.2 Switching Off ............................................................................ 44

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Contents

4.3 Menu Control ................................................................................. 46

4.3.1 Softkey Context Menu.............................................................. 46

4.3.2 Parameter Context Menu and Curve Context Menu ............... 47

4.3.3 Main Menu ............................................................................... 49

4.3.4 Configuration Dialogue ............................................................ 50

4.4 Disconnecting and Connecting Modules ...................................... 51

4.4.1 Disconnecting the Monitoring Unit from the

Defibrillator/Pacer .................................................................... 51

4.4.2 Disconnecting the Patient Box from the Monitoring

Unit ........................................................................................... 52

4.4.3 Connecting the Patient Box to the Monitoring Unit .................. 53

4.4.4 Connecting the Monitoring Unit to the

Defibrillator/Pacer .................................................................... 54

4.4.5 Removing the Patient Box from the Compact Device ............. 55

4.5 Accessory Bag .............................................................................. 56

4.5.1 Fitting the Accessory Bag ........................................................ 56

4.5.2 Packing the Accessory Bag ..................................................... 57

4.6 Inserting the Device into the Brackets .......................................... 60

4.6.1 Defibrillator/Compact Device Bracket ...................................... 60

4.6.2 Monitoring Unit Bracket............................................................ 61

4.6.3 Patient Box Charging Bracket .................................................. 62

5 Operation – Therapy ........................................................................ 63

5.1 Therapy Electrodes for Defibrillation and Pacing .......................... 63

5.1.1 Types of Therapy Electrodes ................................................... 63

5.1.2 Connecting the Electrode Cable .............................................. 65

5.1.3 Removing the Shock Paddles from their Holders and

Re-inserting them ..................................................................... 66

5.2 Preparing the Patient for Defibrillation, Cardioversion and

Pacer Therapy............................................................................... 67

5.3 Defibrillation in AED Mode ............................................................ 68

5.3.1 Information on the AED Mo de ................................................. 68

5.3.2 Defibrillation in AED mode with corPatch Electrodes ........... 70

5.3.3 Defibrillation in AED Mode with Shock Paddles ...................... 71

5.4 Manual Defibrillation and Cardioversion ....................................... 74

5.4.1 Information on Manual Defibrillation and

Cardioversion ........................................................................... 74

5.4.2 Manual Defibrillation with corPatch Electrodes .................... 76

5.4.3 Manual Defibrillation and C ardio vers i on with Sh ock

Paddles .................................................................................... 77

5.4.4 Manual Defibrillation and C ardio vers i on with Sh ock

Spoons ..................................................................................... 79

5.4.5 Manual Defibrillation and C ardio vers i on of Neona tes

and Children ............................................................................. 80

5.5 External Pacer............................................................................... 81

5.5.1 Information on the External Pacer ........................................... 81

5.5.2 Preparing the pacer function .................................................... 83

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Contents User Manual corpuls

5.5.3 Starting the Pacer Function ..................................................... 85

5.6 Metronome .................................................................................... 89

5.6.1 Information on the Metronome ................................................. 89

5.6.2 Starting the Metronome ........................................................... 90

5.7 CPR Feedback .............................................................................. 91

5.7.1 Information on CPR Feedback ................................................ 91

5.7.2 Preparing CPR Feedback ........................................................ 93

5.7.3 Working with CPR Feedback ................................................... 94

6 Operation – Monitoring and Diagnosis .......................................... 95

6.1 Information on Monitoring and Diagnosis ..................................... 95

6.2 ECG Monitoring............................................................................. 95

6.2.1 Information on ECG Monitoring ............................................... 95

6.2.2 ECG Lead Colour Coding ........................................................ 96

6.2.3 Preparing ECG Monitoring ....................................................... 97

6.2.4 Performing ECG Monitoring ..................................................... 98

6.2.5 Adapting the Representation of the ECG Curve .................... 100

6.2.6 Heart Rate Monitoring ............................................................ 102

6.3 Recording, Measuring, Printing and Interpreting a

Diagnostic ECG........................................................................... 102

6.3.1 Information on Diagnostic ECG ............................................. 102

6.3.2 Preparing the Patient for a D-ECG ........................................ 103

6.3.3 Recording and Measuring a Diagnostic ECG ........................ 106

6.3.4 Representative Cycle ............................................................. 111

6.4 Longterm ECG ............................................................................ 113

6.4.1 Information on Longterm ECG ............................................... 113

6.4.2 Preparing Longterm ECG ...................................................... 114

6.4.3 Performing Longterm ECG .................................................... 114

6.5 Oximetry Monitoring (Option) ...................................................... 115

6.5.1 Information on Oximetry Monitoring ....................................... 115

6.5.2 Preparing Oximetry Monitoring .............................................. 117

6.5.3 Performing Oximetry Measurement ....................................... 118

6.5.4 Adjusting the Representation of the Oximetry

Parameters ............................................................................ 120

6.5.5 Monitoring Pulse Rate and Perfusion Index .......................... 120

6.6 CO2 Monitoring (option) .............................................................. 121

6.6.1 Information on CO2 Monitoring .............................................. 121

6.6.2 Preparing CO2 Monitoring ...................................................... 122

6.6.3 Performing CO2 Measurement............................................... 124

6.6.4 Adjusting the Representation of the CO2 Values ................... 125

6.6.5 Monitoring Respiratory Rate .................................................. 125

6.7 Non-invasive Blood Pressure Monitoring (option) ...................... 126

6.7.1 Information on NIBP Monitoring ............................................. 126

6.7.2 Preparing Blood Pressure Monitoring .................................... 129

6.7.3 Performing Individual Blood Pressure Measurement ............ 129

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6.7.4 Performing Blood Pressure Interval Monitoring ..................... 131

6.8 Invasive Blood Pressure Monitoring (Option) ............................. 131

6.8.1 Information on IBP Monitoring ............................................... 131

6.8.2 Preparing Invasive Blood Pressure Monitoring ..................... 132

6.8.3 Performing Invasive Blood Pressure Monitoring ................... 134

6.9 Temperature Monitoring (Option) ................................................ 135

6.9.1 Information on Temperature Monitoring ................................ 135

6.9.2 Preparing Temperature Monitoring ........................................ 135

6.9.3 Performing Temperature Monitoring ...................................... 136

7 Configuration .................................................................................. 137

7.1 Configuring the System ............................................................... 137

7.1.1 General System Settings ....................................................... 137

7.1.2 Display Configuration ............................................................. 140

7.1.3 Printer settings ....................................................................... 143

7.1.4 Configuration of the Fax Transmission (Default User) .......... 148

7.2 Configuration of the Monitoring Functions .................................. 148

7.2.1 ECG Monitoring ..................................................................... 148

7.2.2 Oximetry ................................................................................. 150

7.2.3 CO2 ........................................................................................ 151

7.2.4 IBP ......................................................................................... 152

7.2.5 CPR Feedback ....................................................................... 154

7.3 Alarm Configuration .................................................................... 155

7.3.1 Configuring Alarm Settings .................................................... 155

7.3.2 Configuring Alarm Settings .................................................... 156

7.3.3 Setting Alarm Limits for Monitoring Functions

Manually ................................................................................. 156

7.3.4 Setting the Alarm Limits for Monitoring Functions

Automatically .......................................................................... 158

7.4 Advanced Settings (Persons Responsible for the Device) ........ 159

7.4.1 Authorisation for Persons Responsible for the Device .......... 159

7.4.2 General System Settings (Person responsible for the

device) ................................................................................... 160

7.4.3 Configuration of the Defibrillation Function (Persons

Responsible for the Device) ................................................... 163

7.4.4 Filter Settings (Persons Responsible for the Device) ............ 165

7.4.5 Alarm Configuration (Persons Responsible for the

Device) ................................................................................... 166

7.4.6 Basic Configuration of the Views (Persons

Responsible for the Device) ................................................... 168

7.4.7 Configuration of Master Data (Persons Responsible

for the Device) ........................................................................ 169

7.4.8 Configuration of Telemetry (Persons Responsible for

the Device) ............................................................................. 170

7.4.9 Bluetooth® data interface (Persons Responsible for

the Device) ............................................................................. 177

ENG - Version 2.1 – P/N 04130.2 ix

Contents User Manual corpuls

7.4.10 Configuration of ECG Measurement and ECG

Interpretation (Persons Responsible for the Device) ............. 179

7.4.11 Demo Mode (Persons Responsible for the Device) .............. 181

7.4.12 Data Protection Settings (Persons responsible for the

device) ................................................................................... 182

7.4.13 Configuration of the Metronome (Persons

Responsible for the Device) ................................................... 183

7.4.14 Configuration of Non-I nv as i ve Blood Pres s ure Measurement (NIBP) (Persons Responsible for the

Device) ................................................................................... 184

8 Data Management .......................................................................... 186

8.1 Creating a Patient File ................................................................ 186

8.2 Event Key .................................................................................... 187

8.3 Handling Data ............................................................................. 187

8.4 Master Data ................................................................................. 188

8.5 Browser Key ................................................................................ 189

8.5.1 Protocol .................................................................................. 189

8.5.2 Mission Browser ..................................................................... 192

8.6 Analysis of the Data with corView2 ............................................. 193

8.7 Screenshot .................................................................................. 194

8.8 Telemetry (Option) ...................................................................... 194

8.8.1 Installing the SIM Card........................................................... 196

8.8.2 Starting Fax Transmission ..................................................... 196

8.8.3 Starting Live Data transmission with corpuls.web ............ 198

8.9 Bluetooth® data interface ............................................................ 199

8.9.1 Establishing and interrupting a Bluetooth® connection ......... 201

8.10 Insurance card reader (option) .................................................... 202

8.10.1 Data Transmission via Bluetooth® ......................................... 204

8.11 Insurance card reader (Option) ................................................... 204

9 Maintenance and Tests .................................................................. 206

9.1 General Information .................................................................... 206

9.2 Function Checks ......................................................................... 207

9.2.1 Function check of the Device ................................................. 208

9.2.2 Function check of the Power Supply ..................................... 213

9.2.3 Checking Accessories and Consumables ............................. 213

9.3 Automatic Self Test ..................................................................... 215

9.4 Regular Maintenance Work ........................................................ 215

9.4.1 Safety-related Checks............................................................ 215

9.4.2 Metrological Check ................................................................ 216

9.4.3 Repair and Service ................................................................ 216

9.5 Loading the Printer Paper ........................................................... 217

9.6 Changing the Battery .................................................................. 218

9.7 Cleaning, Disinfection and Sterilisat io n ...................................... 219

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Contents

9.7.1 Monitoring Unit, Patient Box and Defibrillator/Pacer ............. 219

9.7.2 Shock Paddles ....................................................................... 221

9.7.3 Therapy Master Cable ........................................................... 222

9.7.4 Cables for Monitoring Functions ............................................ 222

9.7.5 Oximetry Sensor .................................................................... 222

9.7.6 CO2 Sensor ............................................................................ 223

9.7.7 NIBP Cuffs ............................................................................. 223

9.7.8 IBP Transducer Cable............................................................ 223

9.7.9 Temperature Sensor .............................................................. 223

9.7.10 Accessory Bag and Carrying Strap ........................................ 223

9.8 Approved Accessories, Spare Parts and Consumables ............. 224

10 Procedure in Case of Malfunctions .............................................. 233

10.1 Device alarms ............................................................................. 233

10.2 Troubleshooting and Corrective Actions ..................................... 250

10.3 Notifications Message Line and Inf ormation in the

Protocol ....................................................................................... 263

Appendix ........................................................................................................ 272

A Symbols ...................................................................................... 272

B Function Checklist ....................................................................... 277

C Factory Settings .......................................................................... 278

D Technical Specifications ............................................................. 286

E Biphasic Defibrillator ................................................................... 300

F Saf et y Information ....................................................................... 303

G ECG Analysis during Sem i-automatic Defibrillation (AED

mode) .......................................................................................... 307

H corpuls3 HYPERBARIC (HBO) ................................................... 310

I Guidelines and Manufacturer’s Declaration ................................ 311

J Warranty ...................................................................................... 316

K Protection Rights and Patents .................................................... 317

L Disposal of the Device and Acc ess or ies ..................................... 318

M Note on Data Protection .............................................................. 319

N List of Illustrations ....................................................................... 320

O List of Tables ............................................................................... 325

Index 328

ENG - Version 2.1 – P/N 04130.2 xi

Contents User Manual corpuls

Operating instruction/

Conventions

The following conventions app l y in this user m anual:

Key

Key on monitoring unit, patient box and

defibrillator/pacer [Softkey] Softkey on the monitoring unit "Menu item" ► "Submenu item" Menu items of the main menu and

parameter and curve context menus "Alarm message" Messages for physiological and

technical alarms on the monitoring unit

and patient box VERBAL MESSAGE Spoken operating instructions and

alarm messages in the AED mode

Operating instructions and i nf ormation

information

in the message line of the monitoring

unit

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User Manual corpuls

Instructing

person

Refresher

courses in

therapeutic use

Hyperbaric

en therapy

oxyg

Safety

1 Safety

1.1 General

The corpuls

• in technically perfect condition;

• used as intended (see chapter 2 Intended Use, p. 4);

• the instructions of this user manual are followed.

Malfunctions must be eliminated immediately (see chapter 10 Pr oce dur e in Case of Malfunctions, page 233).

For the product variant corpuls Appendix H corpuls3 HYPERBARIC (HBO).

may only be operated if:

HYPERBARIC please read and understand

1.2 Operating Staff

The corpuls

hospitals, doctor’s offices and emergency medical services, as well as of authorities and public safety organisations.

The qualified staff must be

• trained in proper handling, use and operation of the device and of the approved accessories as well as be

• trained in basic and advanced resuscitatory measures (BLS and ALS).

The initial instruction and training on the device must be performed by the manufacturer or by authorised personnel.

1.2.1 Restrictions of Therapeutic Functions

Use of the therapeutic functions (defibrillation, cardioversion and pacing) is restricted to qualified and authorised staff.

The manufacturer recommends that persons who use the therapeutic functions of the device should take part in refresher courses regularly. The operating company/operator is responsible for offering such refresher courses.

may only be operated by trained medical staff of for example

ENG - Version 2.1 – P/N 04130.2 1

Intended Use

Please read and follow the instructions in the user manual

Please read the additiona USB interface (Devices up to 09/2010)

BF (body floating, defibrillation An isolated application external and internal use on the patient

CF (cardiac floating, defibrillation An isolated application component of this type is approved for use on

Equipotential bonding

Protection class IP55

Symbol for second generation of radio module.

Approved for operation in a multiplace hyperbaric chamber for hyperbaric oxygen therapy (HBO) (option).

MagCode connector is chamber for hyperbaric oxygen therapy (HBO).

1.2.2 Maintenance

Maintenance work may only be performed by persons who are appropriately trained and authorised by the manufacturer. Failure to observe this will result in invalidation of claims under the warranty.

1.3 Information and Warning Labels on the Device

User Manual corpuls

l instructions in the user manual

the patient or patient’s heart

-proof):

component of this type is approved for

-proof):

NOT approved for operation in a hyperbaric

Fig. 1-1 Sample rating plate

2 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Electric shock

EMC

Note

Warning

Caution

Safety

1.4 Warning Notices and Symbols

A number of actions during the operation of the corpuls patients, users and third parties.

Such actions are indicated by warni ng not ices in this user manual. The following symbols are used:

"Warning" denotes a dangerous situation. If the warning is not heeded, extremely severe injuries or substantial material damage may occur.

"Caution" denotes a possibly dangerous situation. If not heeded, minor injuries or slight material damage may occur.

These paragraphs contain information which must be read and understood.

carry risks for

1.5 Special Types of Risk

The defibrillator emits powerful electrical energy. Severe injuries or death may result if the defibrillator is not used in accordance with this user manual.

• Familiarise yourself with the device and this user manual.

The defibrillator must not be opened. Internal components may carry high voltages.

• If a fault is suspected, have the device checked by the authorised sales and service partner and, if necessary, repaired.

The defibrillator may cause electromagnetic interference, particularly during charging and on triggering the defibrillation shock.

The functioning of devices operated in the vicinity may be compromised.

• Check the effects of the defibrillator on other devices, preferably before an emergency occurs.

Electromagnetic fields of other devices may invalidate the ECG readings. ECG analysis may be impaired. It may be impossible to trigger a defibrillation

shock or pacer pulse.

• Please read and follow the instructions for operation of the device in chapter 2 Intended Use, p. 4 in addition to the safety warnings during use

It is essential to read and follow the safety information in the appendix F (from page 272).

ENG - Version 2.1 – P/N 04130.2 3

Intended use

2 Intended Use

The corpuls3 is intended

• for measurement and monitoring of vital functions in addition to

• defibrillation, cardioversion or cardiac pacing

of patients in the preclinical and clinical field by qualified medical staff trained in the use of the device.

The following monitoring functions are available:

• ECG

• diagnostic ECG

Optional:

• oximetry (SpO

• capnometry (CO

• temperature (T)

• non-invasive blood pressure monitoring (NIBP)

• invasive blood pressure monitoring (IBP)

The corpuls

is approved for monitoring in operating diagnostic X-ray units (e. g. computed tomography). Exempt from this is the oximetry option, because measured values might be falsified. When equipped with the HBO (hyperbaric oxygen therapy) option, the corpuls hyperbaric chamber up to 3 barg and an oxygen concentration of < 23%.

Intended use of corpuls

• approved by the manufacturer (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p. 224) and

• appropriate for the function and patient.

Use of accessories on corpuls is not considered to be intended use.

®,

SpCO

)

SpHb, SpMet®)

is approved for operation in a multiplace

includes employment of accessories which are

which are not approved by the manufacturer

Warning

Defibrillation protection for patients, user and third parties cannot be guaranteed, if accessories other than those authorised by the manufacturer are used.

The therapeutic functions of defibrillation, cardioversion and pacer must only be performed with constant monitoring of the patient.

Performing the therapeutic functions without eye contact with the patient is not considered to be intended use.

ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Usage other than

as intended

Intended Use

If monitoring functions are performed, the patient’s condition must also be regularly monitored even when the alarm function is enabled.

The corpuls

is not intended for

• operation in the vicinity of readily inflammable substances,

• setup and operation under the influence of strong electromagnetic fields,

which occur in the direct vicinity of radio masts, switched-on nuclear magnetic resonance tomography units, high voltage installations and overhead power lines,

• operation in the vicinity of therapeutic radiation units (e.g. tumor treatment),

• operation in connection with a high frequency surgical device,

• operation in a monoplace hyperbaric chamber (option HBO),

• operation in a multiplace hyperbaric chamber with more than 3 barg

and/or more than 23 % oxygen concentration (option HBO).

The pacer function must not be used near high frequency surgical devices or microwave therapy devices .

Individual modules must not be used without batteries inserted.

Defibrillation and cardioversion must not be performed without protec t ive measures (see chapter 5.3.1 Information on the AED Mode , p. 68 and 5.4.1 Information on Manual Defibrillation and Cardioversion, p. 74):

• on a metal surface;

• on a wet surface.

The defibrillator must only be used for defibrillation and cardioversion and must not be used as a stimulation current device or as a pacer.

The pacer may only be used as a transcutaneous pacer. The pacer must not be used as an intracardial defibrillator.

The corpuls

may not be used simultaneously on two or more patients.

The manufacturer cannot accept any liability for damage occurring as a result of failure to use corpuls

as intended.

ENG - Version 2.1 – P/N 04130.2 5

Introduction

Monitoring,

diagnostic and

therapeutic

functions

Documentation

function

3 Introduction

3.1 Components

corpuls

The corpuls functions for treatment of emergency and intensive-care patients. Especially as part of the resuscitation of emergency patients, defibrillations, cardioversions or pacer therapies can also be performed, in addition to monitoring of vital parameters.

A maximum of six ECG curves can be displayed on the monitor at the same time. A 12 lead ECG function allows the user a comprehensive ECG diagnosis, which can be optionally supplemented by ECG analysis software.

Further monitoring functions include oxygen saturation measurement (pulse oximetry), carbon dioxide measurement (capnometry) and temperature measurement, in addition to non-invasive and invasive blood pressure monitoring. The recorded measuring values can be displayed both numerically and as a curve. Configurable alarms draw the user’s attention to current changes in the patient’s condition. All measured values or logs can be printed out on paper.

corpuls

events, alarms and logs. These can be transferred to external systems for further processing and arch iving .

is a portable device with a modular structure which can be used

• as a defibrillator/monitor or

• as a full patient monitor in its own right.

provides comprehensive monitoring, diagnostic and therapeutic

has extensive documentation functions for internal recording of

User Manual corpuls

6 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Pivoting device

Introduction

Fig. 3-1 Compact device

1 Accessory bag 2 Shock paddles (2 x) 3 Printer

The corpuls

can be tilted vertically up to 30°.

Depending on the mission conditions, the monitor can be adjusted to the appropriate visual angle.

The system can be divided into the following three modules :

• Monitoring unit

• Patient box

• Defibrillator/Pacer

ENG - Version 2.1 – P/N 04130.2 7

Fig. 3-2 Individual modules

1 Monitoring unit 2 Patient box 3 Defibrillator/Pacer

Introduction

Usage options

Radio connection

Note

Infrared

connection

Note

3.2 Device Design

The three modules monitoring unit, patient box and defibrillator/pacer can operate via an infrared connection or, if separated, via radio connection.

The connection status is shown on the display of the monitoring unit (see Table 4-2, page 36) and the patient box (see Table 4-3, page 39).

Communication between the modules in semi-modular and modular use is performed by radio up to a distance of 10 m in open terrain.

In the connected mechanically state, the modules communicate via an optical infrared connection.

If the radio connection is interrupted, the modules have to be connected to each other mechanically. The corpuls connection to infrared connection in this case.

The antenna of the radio unit in the patient box is located at the top. In case the antenna is shadowed, for example by metallic or metallised objects, the maximal reach of the radio connection may be reduced. This may happen, for example, when the patient box is placed between the patient’s legs on the stretcher. If possible, choose a position for the patient box that allows unimpeded view to the other modules.

The following combinations are possible:

User Manual corpuls

switches automatically from radio

Device Design Defibrillator-/pacer unit Defibrillator-/pacer unit

SLIM

1. Compact device:

All three modules are connected mechanically

2. Semi-modular use:

Monitoring unit and patient box are connected, defibrillator/ pacer is disconnected.

3. Semi-modular use:

Monitoring unit and defibrillator/pacer are connected, patient box is disconnected.

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User Manual corpuls

Introduction

4. Modular use:

Monitoring unit, patient box and defibrillator/pacer are disconnected mechanically

Fig. 3-3 Usage options of the modular corpuls3

The following combinations are possible when used as a stand-alone patient monitoring system:

1. Compact monitor:

Monitoring unit and patient box are connected mechanically

2. Modular monitoring mode:

Monitoring unit and patient box are disconnected mechanically

3. Patient box:

Patient box in stand-alone use for temporary initial monitoring

Fig. 3-4 Usage options of the modular corpuls3

as a patient monitoring system

ENG - Version 2.1 – P/N 04130.2 9

Introduction

Pairing

Note

Ad-hoc

connection

Prerequisite

Note

Labelling of the

radio modules

3.2.1 Pairing (Connection Authorisation)

The modules of the corpuls means of two procedures:

• Pairing and

• Ad-hoc connection

The corpuls

thus provides the option of substituting individual modules of one

compact device for in di vidu al modules of the same t ype f rom another corpuls

It is not possible to connect a monitoring unit to more than one patient box or one defibrillator/pacer at the same time.

Pairing is a connection authorisation that enables the communication between wirelessly connected modules.

An ad-hoc connection allows the use of mechanically connected modules without having to perform a pairing beforehand.

For both procedures the following prerequisites apply:

1. For a pairing, monitoring unit, patient box and defibrillator/pacer have to be equipped with radio modules of the same type (hardware version).

2. If this is not the case, if the hardware version of the radio modules is different (1

and 2nd generation), those modules can only form an ad-hoc

connection.

3. For both a pairing and for an ad-hoc connection all modules have to be equipped with an identical sof tware versio n.

As of July 2011 the corpuls3 comes equipped with a second generation radio module. This new radio module is not compatible with those of the first generation.

The corpuls

modules with the 2nd generation radio module are labelled with a

number symbol. This symbol is attached at the following places:

• Monitoring unit: at the front side, top left,

• Patient box: on top,

• Defibrillator/pacer: at the rear side, on top.

The number symbol also marks the position of the radio module in the modules.

can be connected to form a functional unit by

User Manual corpuls

10 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Note

Starting a Pairing

Starting an ad-

hoc connection

Note

Introduction

To star a pairing, proceed as follows:

1. Connect the monitoring unit, the patient box and, if present, the defibrillator/pacer mechanically.

2. There are the following options:

a) The message Perform pairing? appears:

Confirm the message by pressing the softkey [Start].

b) The message Perform pairing? does not appear:

Select in the main menu "System“► "Start Pairing".

3. The message Pairing successful appears on the screen oft he monitoring unit. The three modules now are paired. The corpuls

is ready

for operation via wireless connection.

To start an ad-hoc connection, proceed as follows:

1. Connect the modules mechanically.

2. Do not confirm the message Perform pairing?

The message Ad-hoc connection [Module], e.g. Ad-hoc connection P-box or Ad-hoc connection Defib appears on the

screen of the monitoring unit. The corpuls

is ready for operation.

The connection status is shown by symbols in the status line in the upper right corner of the monitoring unit (see Table 4-2 Module connection status, page 36 and Appendix A Symbols, page 272) .

If a new pairing is performed between a monitoring unit and a patient box or with another compact device, the previously saved wireless connection authorisation to the patient box or to the defibrillator/pacer is automatically deleted.

ENG - Version 2.1 – P/N 04130.2 11

Caution

Warning

When connecting different patient boxes by ad-hoc connection, there can be inconsistent entries in the data management.

During an ad-hoc connection a wireless connection to other modules is not possible.

If two modules connected by an ad-hoc connection are separated, a radio connection to the original patient box and defibrillator/pacer is automatically re-established.

Introduction

3.2.2 Monitoring Unit

User Manual corpuls

Fig. 3-5 Monitoring Unit

1 Display 2 Alarm and event function keys 3 Status LED power supply/charging status 4 On/Off key with operating status LED 5 Defibrillation mode function key s 6 Insurance card reader 7 Jog dial and alarm light 8 Function keys for navigation 9 Print key 10 Operating mode keys 11 Printer 12 Softkeys

The monitoring unit is the central user interface of corpuls

. The monitoring unit comprises the display (item 1), the printer (item 11) and the insurance card reader (item 6, option) , as wel l th e jog dial (item 7) , the f unc tion keys (items 2, 5, 8 and 9), the operating mode keys (item 10) and the softkeys (item 12).

The jog dial is used to navigate in the main menu, the parameter and curve context menus and in the display areas on the display.

An alarm light is integrated into the jog dial. The monitor, pacer and operation browser functions can be selected directly by

pressing the function keys. Softkey assignment varies according to the selected function. Softkey

assignments are described in the chapters dealing with the respective functions.

12 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Interfaces

Fig. 3-6 shows the interfaces on the monitoring unit

Introduction

Fig. 3-6 Monitoring unit, rear view

1 Cover for LAN interface (option) 2 SIM card slot (slot for SIM card tray) 3 Contact element with patient box 4 Infrared interface with patient box 5 Infrared interface with defibrillator/pacer 6 Charging cable magnetic plug socket 7 Contact element with defibrillator/pacer 8 Fold-out feet

ENG - Version 2.1 – P/N 04130.2 13

Introduction

3.2.3 Patient Box and Accessory Bag

Fig. 3-7 Patient Box (illustration may differ)

1 Sensor interfaces 2 Multifunction key 3 Multifunction LED operating status/HR/alarm 4 On/Off key 5 Status LED power supply/charging status 6 Display 7 Microphone 8 Acoustic alarm (pulse signal indicator) 9 Infrared interface with monitoring unit 10 Contact element

The patient box monitors and records the monitoring sensor signals. The sensors of the various monitoring functions are connected to it.

The patient box can be used as a stand-alone unit (without the monitoring unit) for patient monitoring. The display (item 6) on the patient box shows the following:

• The monitoring function values

• Physiological and technical alarms.

• Heart rate is visually represented by an LED (item 3).

User Manual corpuls

14 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Rain

bow

Right-hand side

Left-hand side

Patient Box Interfaces

Fig. 3-8 Patient Box Interfaces, right hand side, ports for:

1 CO2: sensor for capnometry 2 NIBP: sensor for non-invasive blood pressure monitoring 3 Temp-1: temperature sensor 4 Temp-2: temperature sensor 5 P1 P2: sensor for invasive blood pressure monitoring (channels 1 and 2) 6 P3 P4: sensor for invasive blood pressure monitoring (channels 3 and 4) 7 CPR: CPR feedback sensor

Introduction

ENG - Version 2.1 – P/N 04130.2 15

Fig. 3-9 Patient Box Interfaces, left hand side, ports for:

1 USB interface (devices up to 09/2010) 2 Rainbow®: interface for oximetry sensor 3 CF: slot for CompactFlash® card for data back-up 4 ECG-D: complementary ECG diagnostic cable 5 ECG-M: ECG monitoring cable

Introduction

Caution

At the moment, connecting USB devices or –cables to the USB slot is not allowed.

Accessory Bag

An accessory bag is available for the patient box (P/N 04221.1). The accessory bag is used to store the preconnected cables as well as the

sensors and ECG electrodes, so that they are quickly accessible during use.

User Manual corpuls

Fig. 3-10 Patient Box with Accessory Bag

1 Patient box 2 Accessory bag

Chapter 4.5 Accessory Bag, p. 56 contains information on installing and packing the accessory bag.

16 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

3.2.4 Defibrillator/Pacer

Introduction

Fig. 3-11 Defibrillator/Pacer

1 Equipotential bonding pin with insu lat ing cap 2 Shock paddle 3 On/Off key 4 Therapy master cable with plug 5 Cable socket with test contact 6 Stand and storage compartments 7 Contact element with monitoring unit 8 Infrared interface with monitoring unit 9 Compartment for corPatch electrodes

The therapy electrodes have to be connected to the therapy master cable (item 4). The therapy master cable can be wound around the socket (item 5). The plug can be lodged in the socket.

Equipotential bonding can be performed during clinical use with the equipotential bonding pin (item 1). For this, the insulating cap has to be removed.

The shock paddle marked with the green label APEX must be positioned in the right-hand shock paddle holder to ensure that the twistproof plug connector on the therapy master cable is correctly aligned. For guidance, identical labels for the APEX and STERNUM shock paddle are located on the side of the defibrillator/pacer. The plug can be lodged in the socket.

The stand (item 6) additionally serves as a storage compartment for electrode gel and razors, etc.

The angle of the defibrillator/pacer can be tilted vertically (30°) to achieve an optimal view of the screen during use.

ENG - Version 2.1 – P/N 04130.2 17

Introduction

3.2.5 Defibrillator/P acer SLIM

The defibrillator/pacer SLIM differs from the previous defibrillator/pacer unit only in terms of form and weight. The basic functions are identical.

User Manual corpuls

Fig. 3-12 Defibrillator/Schrittmacher Slim

1 Carrying handle and lock 2 Therapy socket 3 Contact element with monitoring unit 4 Infrared interface with monitoring unit 5 Equipotential bonding pin with insu lat ing cov er 6 On/Off key

The therapy electrodes have to be connected to the therapy socket (item 2). Equipotential bonding can be performed during clinical use with the equipotential bonding pin (item 5). For this, the insulating cover has to be removed.

18 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Table

Introduction

3.2.6 Brackets

Various brackets, with and without power supply, are available for the device in compact, semi-modular or modular use.

Fig. 3-13 Brackets

1 Defibrillator/compact device bracket 2 Monitoring unit bracket 3 Patient box bracket

Chapter 4.6 Inserting the D ev ic e into the Brac k ets, p. 60 contains information on inserting the modules into the brackets.

Bracket Use Power

Bracket for defibrillator/ compact device

Defibrillator/pacer and modules connected mechanically to the

− 12 V DC

− No power supply

defibrillator/pacer

Bracket for monitoring unit

Monitoring unit and patient box connected mechanicall y to the

− 12 V DC

− No power supply

monitoring unit

Bracket for patient box

Patient box

− 12 V DC

− No power supply

3-1 Brackets and power supply options

The charging brackets can also be connected to voltages other than 12 V DC using DC/DC or AC/DC converters.

ENG - Version 2.1 – P/N 04130.2 19

Introduction

ECG

Diagnostic ECG

Oximetry

Capnometry

Temperature

CPR feedback

3.3 Description of the Monitoring, Diagnostic and

Therapeutic Functions

3.3.1 Monitoring and Diagnostic Functions

The corpuls

• ECG

• Diagnostic ECG

• CPR feedback

Optional:

• oximetry (SpO

• Capnometry (CO

• Temperature (Temp)

• Non-invasive blood pressure monitoring (NIBP)

• Invasive blood pressure monitoring (IBP)

With the 4-pole ECG monitoring cable, the bipolar extremity leads according to Einthoven (I, II, III) and the unipolar extremity leads according to Goldberger (aVR, aVL, aVF) can be derived and displayed on the monitor.

By combining the 4-pole ECG monitoring cable with the complementary 6-pole ECG diagnostic cable (chest wall leads according to Wilson (C1-C6)), 12 channels can be displayed simultaneously. This enables a comprehensive ECG diagnosis which can be supported by the ECG measurement HES an optional ECG analysis software.

During resuscitation, the CPR feedback option monitors the current compression rate and -depth of the thorax compressions by means of the

corPatch CPR sensor. Speech- and text messages signal to the user whether

the quality of the thorax compressions is sufficient or can to be optimised.

Besides the peripheral pulse rate (PP), oximetry measures the perf us ion index (PI), the arterial oxygen saturation (SpO methemoglobin (SpMet level of carboxyhemogolobin (SpCO hemoglobin (SpHb) in g/dl or mm ol/l. Up to six param et er fields w ith digit al measuring values can be configured for display. A curve field can display the oximetry plethysmogram.

The capnometer, which works according to the mainstream method, measures the CO concentration, measured in mmHg or kPa, can be displayed on the screen as a capnogram. The corpuls intubated patients. The patient’s respiratory rate is measured as an additional parameter.

Up to two temperature values can be measured by means of temperature sensors and displayed as numerical values: body core temperature rectally and/or oesophageally and surface temperature.

has the following monitoring and diagnostic functions:

®,

SpCO

concentration in the patient’s expiratory breath in real time. The CO2

SpHb, SpMet®)

)

) and, depending on the used oximetry sensor, the

allows use of capnometry in intubated and non-

User Manual corpuls

) in percentage, the level of

®)

in percentage or the level of total

Light and

20 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

U [V]

t [ms]

Non-invasive

blood pressure

(NIBP)

Invasive blood pressure (IBP)

Introduction

The non-invasive blood pressure function (NIBP) allows blood pressure monitoring on one extremity. A selection of operating modes for adults, children and infants is available.

The invasive blood pressure function (IBP) allows the invasive measurement of various different pressures as part of intensive medical care of the patient. These include, among others, arterial pressure, central venous pressure and intracranial pressure, etc .

Two interfaces are available which can be assigned as single channels or as double channels, respectively. Consequently, up to four different invasive pressure measurements can be performed simultaneously. The recorded pressure values can be displayed on the screen either as numerical parameters and/or as a curve.

3.3.2 Therapeutic Functions

corpuls

provides the following therapeutic functions:

• defibrillation

• cardioversion

• pacing

Defibrillation and Cardioversion

The defibrillator which operates with the corpuls3-specific biphasic pulse has two operating modes:

• automatic external defibrillation (AED mode)

• manual defibrillation and cardioversion (manual mode)

Fig. 3-14 Biphasic defibrillation pulse (qualitative representation)

ENG - Version 2.1 – P/N 04130.2 21

Introduction

A cardioversion may lead to fibrillation or asystole. When performing a

status.

Energy selection

FIX

DEMAND

OVERDRIVE

function

Defibrillation

electrodes

In AED mode, the user is assisted by an automated ECG analysis, verbal instructions (configurable) and a metronome (configurable). The defibrillation pulse is triggered by the user.

The AED mode algorithm is governed by the current recommendations of the European Resuscitation Council of 2010 (ERC, see www.erc.edu).

In manual defibrillation mode, the user has full freedom of action and decisionmaking. The metronome (configurable) is available in this mode as well.

Defibrillation can be performed with corpuls shock paddles and with disposable adhesive electrodes, so-called corPatch electrodes.

There are three different options for selecting energy in manual mode:

• Softkeys The softkeys allow a choice of predefined energy settings (e.g. 50 J, 100 J, 150 J, 180 J, 200 J).

• Jog dial The jog dial allows selection of 2 J, 3 J, 4 J and 5 J and subsequently in 5 J-increments up to a maximum energy of 200 J.

• Shock paddles By short-circuiting the shock paddles, the energy can be selected by pressing the release buttons. This function allows the same energy selection as with the jog dial.

User Manual corpuls

using plate electrodes, so-called

cardioversion, mind the following:

Warning

• The ECG has to be stable with a heart rate of at least 60/min.

• The synchronisation status has to remain constantly on SYNC.

• The QRS marks (triangles) have to mark each QRS complex.

• The shock release has to be effected according to valid guidelines.

• If the shock release does not take place one second after pressing

the buttons at the shock paddles or the Shock key at the monitoring unit, the shock will be released independent of the synchronisation

Pacing

By electrical stimulation of the heart muscle, the external pacer of corpuls3 can supplement, positively influence or completely take over its function. The pacer emits pacing pulses to the patient’s heart muscle through the corPatch electrodes attached to the chest/back.

With the pacer function, the FIX and DEMAND operating modes are available as well as the function OVERDRIVE.

In the FIX operating mode, the heart muscle is stimulated regardless of the patient’s own heart rate.

The pacer only stimulates in DEMAND mode when the patient’s own heart rate falls below the pre-set pacing frequency. The automatic R-wave recognition prevents pacing during the vulnerable phase of the heart.

The OVERDRIVE functio n allo ws manual reduction of a patient ’s hig h hear t rat e. The maximum pacing frequency is f ≤ 300/min.

22 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Table

Frequency and

intensity

Physiological and

technical alarms

Alarm signals at

monitoring unit

d patient box

Note

Priorities

Active and non-

Note

Introduction

Minimum Maximum Increment

active alarms

Pacing frequency

30/min 150/min 5/min

FIX operating mode Pacing frequency

30/min 150/min 5/min

DEMAND operating mode Pacing frequency

30/min 300/min 1/min

OVERDRIVE function Intensity 10 mA 150 mA 5 mA

3-2 Frequency and intensity

3.4 Al ar m ma nagement

The alarm management of the corpuls priorities, into physiological and technical alarms as well as into active and nonactive alarms.

High-priority alarms warn the user of immediate lethal or irreversible injuries of the patient or of malfunctions in the device. High-priority alarms cannot be interrupted by medium-priority- or lo w-priority alarms.

Medium-priority alarms alarms warn the user of immediate reversible injuries of the patient or of minor malfunctions in the device. Medium-priority alarms cannot be interrupted by low-priority alarms. High-priority alarms always take precedence over medium-priority- or low-priority alarms.

Low-priority alarms warn the user of minor injuries of the patient that may occur later or of minor limitations to the functionality of the device. High- and mediumpriority alarms always take precedence over low-priority alarm s.

The physiological alarms are displayed if measured values exceed or fall below the pre-set limit values of the alarm. Technical alarms are displayed, if there is a malfunction in the device. If the corpuls mode, the physiological alarms are not signalled.

The physiological and technical alarms and the necessary troubleshooting measures are listed in chapter 10 Procedure in Case of Malfunctions, page 233.

Alarms are active, if the conditions that trigger the alarm are present. Alarms are non-active, if the conditions that trigger the alarm have been remedied, but the alarms are still listed in the alarm history for information.

The corpuls

issues visual alarm signals at the monitoring unit and at the patient box. If there is no connection between the monitoring unit and the patient box, acoustic alarm signals are issued at both modules. If there is a connection, acoustic alarm s are issued on l y at the monitoring unit.

No alarm signals are issued at the defibrillator/pacer. Alarms of the defibrillator/pacer are signalled at the monitoring unit.

During modular operation of the corpuls delay of up to 30 seconds.

classifies all alarms into three different

is in AED or manual defibrillation

, alarms may be signalled with a

ENG - Version 2.1 – P/N 04130.2 23

Introduction

Note

Sorting of alarm

ory

3.4.1 Alarm Signals at the Monitoring unit

Physiological and technical alarms are signalled at the monitoring unit via the status line, the vital parameter field, the jog dial and by acoustic signals. The positions of the operation- and display elements are described in chapter 4.1 Operating and Display Elements, page 31.

Alarm signal in the status line

Fig. 3-15 Alarm message in the status line

User Manual corpuls

hist

− The bell symbol

indicates an alarm.

− The number in brackets indicates the number of active alarms (here 4 alarms)

− The number of exclamation marks indicates the priority of the alarm (!!! – high; !!HIGH – medium; ! – low)

− The colour of the status line indicates the priority of the alarm (red – high; yellow – medium; blue – low)

− The alarm is displayed as a text message together with the pre-set limit value.

Pressing the Alarm key once opens the alarm history which lists the last 8 alarms. The individual alarms can be confirmed by pressing the Alarm key again. In this case, the most recent alarm message is deleted from the status line of the monitoring unit and from the display of the patient box.

In the alarm history all active and non-active alarms are displayed that have not yet been confirmed; with the alarms being sorted top-down from active (top) to non-active (bottom). Within the active and non-active alarms, the alarms are sorted by priority and then in descending order by the time of their occurrence.

The alarm history can contain up to 256 alarms. Preferably these should be confirmed as soon as possible. If more than 256 un-confirmed alarms accumulate, the oldest alarm is overwritten.

Certain technical alarms are displayed in red type. These alarms cannot be deleted from the status line and alarm history.

Alarm signal in parameter field displayed in inverted colours:

24 ENG - Version 2.1 – P/N 04130.2

Fig. 3-16 Inverted parameter field

− This display appears only for physiological alarms.

− The parameter field can only be displayed in inverted colours when the

display of this parameter field is configured.

− The parameter field remains in inverted colours for as long as the measured value falls below or exceeds the pre-set limit value or until the alarm for this measured value is disabled. This applies regardless of whether the alarm message in the status line has been confirmed by pressing the Alarm key or not.

User Manual corpuls

Configuration of

alarms

Defibrillation

mode

Alarm

suspension

Situation after

switching on

Introduction

Alarm signal via the jog dial:

Fig. 3-17 Jog dial

1 Not illuminated 2 Illuminated to indicate an alarm

− The alarm with the currently highest priority is indicated by the colour blue, yellow or red (in older devices only red) as well as by the flashing speed of the jog dial.

− The priority of the alarm determines the flashing speed. The flashing speed increases with the priority.

The acoustic alarm sounds:

− The alarm with the highest priority is signalled acoustically.

− The type of sound helps the user to differentiate between low-, medium-

and high-priority alarms.

If the Alarm key is pressed for more than 3 s, physiological alarms can be suspended briefly or, depending on the configuration set by the operator, also permanently. Prerequisite is that this has been configured accordingly in the settings (see chapter 7.4.5 Alarm Configuration (Persons Responsible for the Device) , page 166).

Only technical alarms are displayed in defibrillation mode. Physiological alarm limits are not monitored.

No physiological alarm events are saved in defibrillation mode.

ENG - Version 2.1 – P/N 04130.2 25

WARNING

The patient must not be left unattended when defibrillation mode is selected.

Manual and automatic configuration as well as all further settings (saving, volume, etc.) with reference to the alarm function of the monitoring unit can be found in chapter 7.3 Alarm Configuration, page 155.

After switching on, the settings entered by the person responsible for the device apply. Differing alarm settings are only saved permanently if the user has the appropriate authorisation.

Night vision goggle (NVG/NVIS)-compatible monitoring units differ from the above description as follow s:

• The illumination of the jog dial for signalling an alarm is not red but cyan (light-blue).

• The maximum brightness of the illumination of the jog dial is only 5% of the regular configuration.

• The signalling of an alarm via the jog dial is not visible in daylight and difficult to see in the twilight.

• The representation of colours on the screen differs. Due to this, signal colours may not be recognised as such.

Introduction

Situation after

switching on

Configuration of

alarms

3.4.2 Alarm Signals at the Patient box

Physiological and technical alarms are signalled on the patient box in various ways:

Alarm message on the patient box display:

Fig. 3-18 Alarm message on the patient box display

− The bell symbol indicates an alarm.

− The number in brackets indicates the number of active alarms

(here 1 alarm)

− The number of exclamation marks indicates the priority of the alarm (!!! – high; !!HIGH – medium; ! – low)

− The alarm is displayed as a text message together with the pre-set limit value and the timestamp of the alarm.

The individual alarm s c an b e c onf irmed by pressing the Multifunction ke y once. If a radio connection to the monitoring unit exists, the most recent alarm message is deleted from the status line and alarm history of the monitoring unit and from the display of the patient box.

User Manual corpuls

• The acoustic alarm sounds:

− Acoustic alarms are only signalled, if no radio connection to the monitoring

unit exists. If a connection to the monitoring unit exists, the acoustic alarm only sounds on the monitoring unit; the alarm on the patient box is suspended.

The alarm limits can be modified on the monitoring unit. Manual and automatic configuration in addition to further sett ings perta in ing to the alarm function can be found in chapter 7.3 Alarm Configuration, page 155.

After switching on, at first the settings entered by the person responsible for the device apply. Differing alarm settings are only saved permanently if the user has the appropriate authorisation.

26 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Influence of the

modular

structure

Identical lithium-

ion batteries

Remaining

running time

display

Empty or faulty

batteries

Note

Introduction

3.5 Energy Management

Energy management is of paramount importance owing to the modular structure of the corpuls

The corpuls on 12 V DC power supply or via a separate charger (only 230 V AC).

3.5.1 Battery Operation

The three modules of corpuls batteries are identical and have an integrated microchip which records the history of use.

Each of these batteries can be replaced manually and without use of tools. Exchanging the batteries for one another within the corpuls Information on replacing the batteries can be found in chapter 9.6 Changing the Battery, p. 218.

When the modules of the corpuls device or semi-modular use), the energy is drawn from the battery with the currently highest state of charge. If the state of char ge i s ident ic al in all batt er ies, the corpuls

If only a low level of charge remains in the battery of one module, it is possible to access the energy reserves of the other batteries by connecting this module to one or both other modules.

If the charging status of a battery is less than 20 % of the total charge of the module, an alarm message for the respective module is triggered.

To guarantee a sufficient charge, the corpuls charging bracket or connected to the external charger.

One battery with adequate charge is sufficient to operate the device reliably as compact device.

Energy exchange or mutual charging between the batteries does not occur. The corpuls

directly on 12 V DC or via a separate charger (230 V AC). The corpuls To be able to offer the user the maximum possible safety, the corpuls

calculates the remaining running time and indicates this in minutes. In calculating the remaining running time, the device takes the current energy consumption into account.

The remaining operating time is displayed in the status line of the monitoring unit (Fig. 3-19).

and the individual modules can be operated on batter y alone or

each have their own lithium-ion battery. The

is also possible.

are connected mechanically (compact

accesses all available batteries equally.

has to be inserted into the

as well as the individual modules can be operated on battery,

is only intended for use with all three batteries inserted.

ENG - Version 2.1 – P/N 04130.2 27

Fig. 3-19 Remaining running time of the corpuls

status

1 Battery symbol and remaining running time in minutes

in the current operating

Introduction

Charging time

Operating time

Battery charging

Battery

maintenance

Note Note

In case of modular use of the patient box, the remaining running time of the patient box, taking into account the current energy consumption, is displayed (Fig. 3-20).

Fig. 3-20 Remaining running time of the patient box

1 Battery symbol and remaining running time in minutes

Alternatively, the charging status of the batteries in percent can be viewed in the system info. In the main menu, select "System" ► "Info".

Since each module has a charging manager, it can be charged individually and independently from the other modules.

Furthermore, in compact or semi-modular use, the system can also be charged by only one magnetic contact. In this case, the charging time is independent of whether only one or several modules are simultaneously charged by an external power supply.

During charging, the corpuls

system can be operated.

Special maintenance of the batteries is not required. Nevertheless, charging and/or operating under extreme temperatures should be avoided as far as possible. This and extreme temperature fluctuations limit the service life of lithium-ion batteries. It is therefore recommended to charge the batteries within a temperature range from 12°C to 40°C. Periodic replacement of the batteries after 3 years is recommended.

• Compact device: approx. 7-10 hours

• Patient box: approx. 4-6 hours

• Monitoring unit: approx. 4 hours (at 70% background

illumination)

• Defibrillator/Pacer: up to 200 shocks at 200 J

• From 0 to 80 %: approx. 1 hour

• From 0 to 90 %: approx. 1.5 hours

• From 0 to 100 %: approx. 2 hours

In case of a system crash of one or all modules the batteries do not have tob e removed. By keeping the On/Off key depressed for a duration of 8 sec. the individual modules can be forcibly shut down (see also chapter 4.2.2 Switching Off, p. 44).

The batteries have an internal protect ion wh ich cou ld dela y or interrupt the charging process at ambient temperatures of higher than 50°C.

User Manual corpuls

28 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Operation with

V DC

Use of a mains

charger

Magnetic contact

field

Charging

brackets

State of charge

display

Charging during

operation

Introduction

3.5.2 Mains Operation

The compact device and each individual module can be operated directly with 12 V DC.

In combination with a multi-range mains charger, the compact device and the individual modules can also be connected to and operated with voltage sources of 100 V to 250 V AC. Operation with the mains charger on a source of alternating current functions regardless of whether no batteries, empty batteries or faulty batteries are used.

The current charging status of the batteries is displayed on the status line of the monitoring unit (Fig. 3-21).

Fig. 3-21 Display of the current state of charge of the batteries on mains

operation

1 Symbol for mains connection and state of charge of the batteries in

percent

The voltage can also be supplied by the three available charging brackets:

• compact device bracket 12 V DC (P/N 04400)

• monitoring unit wall mounting bracket 12 V DC (P/N 04401)

• patient box bracket 12 V DC (P/N 04402)

These brackets can also be connected to voltages sources other than 12 V DC via DC/DC or AC/DC converters.

If batteries are present in the device, they will be charged during use.

Each of the three modules has its own magnetic contact field for power supply. The flow of energy only begins when the corresponding magnetic mating component (magnetic clip or bracket supplied with voltage) is applied in the correct position (observe groove). The magnetic clip releases itself automatically if the pulling force becomes excessive. Manual release is not necessary.

The connection (item 1, Fig. 3-22) on the defibrillator/pacer is used for power supply of

• the entire device in compact use,

• the defibrillator/pacer and the monitoring unit in semi-modular use or

• the defibrillator/pacer in modular use.

ENG - Version 2.1 – P/N 04130.2 29

Introduction

Fig. 3-22 Compact device, power supply (illustration may differ)

1 Power supply connection 2 Magnetic clip

User Manual corpuls

Fig. 3-23 Monitoring unit, power supply

1 Power supply connection 2 Magnetic clip

Fig. 3-24 Patient box, power supply (illustration may differ)

30 ENG - Version 2.1 – P/N 04130.2

1 Power supply connection 2 Magnetic clip

User Manual corpuls

AED

Analyse

Schock

Energi

Lade

AED

nalyse

Charge

Manual

onito

Browser

General Operating Instructions

4 General Operating Instructions

4.1 Operating and Display Elements

4.1.1 Operating Elements and LEDs on the Monitoring Unit

Fig. 4-1 Monitoring unit, operating elements and LEDs

1 Alarm key 2 Event key 3 On/Off key 4 Power supply/state of charge status LED 5 Operating status LED 6 Defibrillation mode function key s 7 Insurance card reader (optional) 8 Jog dial and alarm light 9 Function keys for navigation 10 Print key 11 Operating mode keys 12 Softkeys

ENG - Version 2.1 – P/N 04130.2 31

General Operating Instructions

LED green

orange

LED operating status (item 5)

green

AED

The red defibrillation“ The this operating mode is immediately available.

Ana

lys

The red

Manuell

Manual

Energy

The grey defibrillation”. The This operating mode is immediately

LadenCharge

Charge

The grey

Shock

The mode. It Table

Status LEDs

Function keys,

defibrillation mode

On/Off key

Note

The following modules are switched on or off by pressing the On/Off key on the monitoring unit:

• all modules during use as a compact device;

• the monitoring unit and all the modules connected mechanically to the

monitoring unit during semi-modular use;

During modular use only the monitoring unit is switched on with the On/Off key, but all modules are switched off with it. Chapter 4.2 Switching On and Off, page 43 contains further information on switching on and off.

The status LEDs of the monitoring unit indicate the power supply or the state of charge of the batteries in addition to the operating status of the device:

User Manual corpuls

power supply/

state of charge (item 4)

- battery is fully charged device is connected to the mains

- battery is being charged

- device is switched on

When the device is equipped with night visi on gog gl e (NVG/NVIS)-compatibility, the LED power supply/charging status and the multifunctional LED glow yellow instead of orange.

The defibrillation and cardioversion functions are called up by pressing the defibrillation mode function keys (item 6) (see also chapter 5 Operation – Therapy, p. 63).

AED key selects the operating mode “automated external

corpuls

can be switched on by pressing the AED ke y. So

Analyse key starts ECG analysis.

Manual key selects the operating mode “manual

corpuls

can be switched on by pressing the Manual key.

available in this case.

4-1 Keyboard layout defibrillation keys (modifications possible)

32 ENG - Version 2.1 – P/N 04130.2

Charge key initiates the charging process.

Shock key triggers a defibrillation shock in AED- or manual

is positioned centered, as it is valid for both modes.

User Manual corpuls

Monitor

The

Pacer

The

Browser

The held down for more than 3

The

Back and Home

function keys

Operating mode

keys

Jog dial

Print key

Note

General Operating Instructions

With the jog dial, it is possible to:

• navigate on the display;

• open a parameter context menu or curve context menu pertaining to a

parameter or curve and adjust settings (see chapter 4.3.2 Parameter Context Menu and Curve Context Menu, p. 47);

• open the main menu of the device and adjust settings (see chapter 4.3.3 Main Menu, p. 49);

• adjust numerical values in defibrillation mode and pacer mode;

• adjust settings in the configuration dialogue (see chapter 4.3.4

Configuration Dialogue, p. 50).

The different operating modes are selected by pressing the following keys (Fig. 4-1, item 11):

Monitor key selects the monitoring functions (monitoring mode)

Pacer key switche s the device to pacer mode Browser key starts printing of the log. If the Browser k ey is

seconds, the operation browser opens.

The function keys Back and Home (Fig. 4-1, item 9) are used to control the device:

Back key returns to the next menu level up or undoes the last selection.

The Home key switches to the basic status of the respective mode and

leaves menus completely by skipping several levels.

By pressing the Home key, the keyboard lock engaged:

a) Press the Home key for approx. 2 sec.

The confirmation prompt "Lock keyboard?" appears.

b) Hold the Home key down and press the left softkey [Lock].

The message text "Keyboard locked" appears and the keyboard is locked.

c) The keyboard is unlocked in the same manner.

If a key is pressed while keyboard lock is active, the message text "Keyboard locked -> press and hold HOME to unlock" appears. Deactivate keyboard lock immediately to avoid delaying necessary operating steps on the device.

The keyboard lock is not valid for the red or green button at the shock paddles. A discharge of energy via shock paddles is possible despite an activated keyboard lock.

Pressing the Print key (Fig. 4-1, item 10) starts the real-time printout of the curves. Pressing the Print key again interrupts every running print job (log, DECG, real-time printing).

ENG - Version 2.1 – P/N 04130.2 33

General Operating Instructions

Softkeys

Alarm key

Event key

Note Note

Note

The time span after which the printer stops automatically can be pre-set in the printer configuration. For more information see chapter 7.1.3 Printer settings, p. 143.

The softkeys (Fig. 4-1, item 12) are assigned different functions, depending on the current operating mode or selected dialogue. The current function is displayed in the softkey line.

By pressing the Alarm key (Fig. 4-1, item 1), the alarm history of all physiological and techn ical alarms is called up. All the alarms which have occurred appear in this list with their time of occurrence.

1. Press the Alarm key to retrieve the alarm history.

2. Press the Alarm key to confirm the alarm.

3. Repeat step 2 until all alarms have been confirmed.

Severe technical alarms reported by the alarm system cannot be deleted from the alarm history and are marked in red type.

Physiological alarms can be suspended for a selected time span (up to 120 sec or permanently; see chapter 7.4.5 Alarm Configuration (Persons Responsible for the Device), page 166) by pressing the Alarm key for approx. 3 sec. Technical alarms cannot be suspended.

For the alarm suspension, a maximum period of 60 seconds is recommended (see also chapter 7.4.5 Alarm Configuration (Persons Responsible for the Device), p. 166).

Pressing the Event key (Fig. 4-1, item 2) records a time stamp which marks the current ECG data and vital parameter values. Based on this marking, this data can subsequently be located in the data memory, viewed and assessed.

If voice recording is enabled, pressing the Event key also stores a 15 second recording of the surrounding noises (5 sec. before and 10 sec. after pressing the key).

Pressing the Event key appears as a “Event recorded” in the log.

If the lead DE should be represented in the monitoring mode, select this via the curve context menu (see chapter 4.3.2 Parameter Context Menu and Curve Context Menu, page 47).

User Manual corpuls

34 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Status line

Note

General Operating Instructions

4.1.2 Basic Structure of the Display Pages on the Monitoring Unit

The display has the following structure:

Fig. 4-2 Monitoring unit, example of basic structure of the display pages

1 Status line 2 Parameter area 3 Curve and display area 4 Message line 5 Softkey line

The colours of the parameters and curves in the illustrations of this user manual may differ from the actual display.

The following data are displayed in the status line (item 1):

• Physiological and technical alarms

• Patient’s name (editable)

• Time and deployment time alternating every 5 seconds

• Symbols for telemetry-functions

• State of charge of the batteries on mains operation

• Remaining running time of the device on battery operation

• Connection status of the modules

Connection status Meaning

ENG - Version 2.1 – P/N 04130.2 35

All three components are connected mechanically and communicate visually via an infrared interface.

General Operating Instructions

(((

Table

Parameter area

Curve and

y area

Note

Connection status Meaning

The monitoring unit and defibrillator are connected mechanically and communicate visually via an infrared interface. The patient box is disconnected mechanically, but there is a radio connection with the patient box.

The monitoring unit and patient box are connected mechanically and communicate visually via an infrared interface. The defibrillator is disconnected mechanically, but there is a radio connection with the defibri llator .

All components have a radio connection.

User Manual corpuls

The defibrillator was not switched on together with the corpuls currently.

All three components are connected mechanically and communicate via the infrared optical interface. A wireless connection is not possible, because all three components are connec ted with an ad-hocconnection.

Monitoring unit and patient box are connected mechanically and communicate via the infrared optical interface. A wireless connection is not possible, because both components are connected with an ad-hocconnection. The defibrillator is disconnected; there is no wireless connection to the defibrillator.

Monitoring unit and defibrillator are connected mechanically and communicate via the infrared optical interface. A wireless connection is not possible, because both components are connected with an ad-hocconnection The patient box is disconnected; there is no wireless connection to the patient box.

and therefore is not available

4-2 Module connection status

If the radio connection is interrupted, the modules have to be connected to each other mechanically. The corpuls connection to infrared connection in this case.

The wave symbol or the bar symbol flashes for as long as the device is attempting to establish a connection, but has not yet been able to do so. This may last up to 30 sec. in some cases.

The measured parameters and the configured alarm limits are displayed in the parameter area (Fig. 4-2, item 2) of the display.

Up to six curves of measured values of monitoring functions can be displayed in

displa

36 ENG - Version 2.1 – P/N 04130.2

the curve and display area (Fig. 4-2, item 3) of the display.

switches automatically from radio

User Manual corpuls

Softkey line

View

configuration

Message line

General Operating Instructions

If the device is in defibrillator or pacer mode, the parameters of the respective operating mode are displayed in the bottom half of the display.

In case of a diagnostic ECG, all 12 leads are displayed simultaneously as curves.

In the message line (Fig. 4-2, item 4) of the screen, additional interactions with the user interface are displayed, e.g. to enter the PIN code for the OPERATOR user level or to enter patient data).

The current function assignment of the softkeys is displayed in the softke y line (Fig. 4-2, item 5).

Further options of the structure of the screen page can be configured (see chapter 7.1.2 Display Configuration, p. 140).

ENG - Version 2.1 – P/N 04130.2 37

Fig. 4-3 Screen page, example with horizontal and vertical parameter area

1 Status line 2 Parameter areas 3 Curve and display area 4 Message line 5- Softkey line

General Operating Instructions

Screen inverted

video display

Monitor

Screen

Night vision

goggle

compatibility

If necessary under particular lighting conditions, the screen can be displayed in inverted video. If the Monitor key is held down for more than 3 seconds, the screen display is inverted (see also chapter 7.1.1 General System Settings, p. 137). Furthermore, it is possible to invert the screen via the system settings: .

1. Select in the main menu the menu item "System" ► "Settings".

The configuration dialogue opens.

2. In the configuration group "Display" select the configuration field "Colours"

► "Inverted".

3. Press the softkey [OK].

User Manual corpuls

(NVG/NVIS)

Fig. 4-4 Inverted video display of the screen (colours may differ)

The corpuls

is optionally available as a night vision goggle (NVG/NVIS)compatible variant (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, page 224) This variant emits less light than normally so that in-

flight or military purpose operation of the corpuls

when using night vision

goggles is possible. For this, the display of the screen of night vis ion gog gl e (NVG/NVIS)-compatible

devices can be inverted specif ically for use with night vision goggles via the system settings (see chapter 7.1.1 General System Settings, page 137): :

1. Select in the main menu the menu item "System" ► "Settings".

The configuration dialogue opens.

2. In the configuration group "Display" select the configuration field "Colours"

► "Night".

3. Press the softkey [OK].

4. If this configuration should be available automatically with the next system

start, it has to be saved (see chapter 7.4.2 General System Settings (Person responsible for the device), page 160).

38 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

))

Note

General Operating Instructions

4.1.3 Patient Box Display

The patient data are displayed on a separate screen during modular use. The screen has the following structure:

Fig. 4-5 Patient box, displays on the screen (illustration may differ)

1 Connection status with the monitoring unit 2 Remaining running time of the patient box on battery operation 3 Display of a selected vital parameter

For the status of the network connection (item 1) of the patient box, the following conditions exist:

Connection status Meaning

The patient box has a connection with the

Table 4-3 Connection status of the modules

The remaining running time is not displayed if the patient box is operated on an external mains charger.

The screen of the patient box may appear darker in night vision goggle (NVG/NVIS)-compatible devices.

monitoring unit The patient box does not have a connection with

the monitoring unit

ENG - Version 2.1 – P/N 04130.2 39

General Operating Instructions

LED green

orange

On/Off key

LED

power supply/

arging status

Multifunction

LED

Multifunction key

Note

4.1.4 Control Keys and LEDs on the Patient Box

Fig. 4-6 Patient box, control keys and LEDs

The patient box is switched on or off during modular use by pressing the On/Off key (item 1).

The state of charge LED (item 2) indicates the power supply or the state of charge of the battery:

power supply/

(illustration may differ)

1 On/Off key 2 LED power supply/charging status 3 Multifunction LED operating status/HR/alarm 4 Multifunction key

- battery is fully charged

charging status

device is connected to the mains power supply

User Manual corpuls

40 ENG - Version 2.1 – P/N 04130.2

- battery is being charged

The multifunction LED (item 3) flashes in step with the heart rate when ECG electrodes or the SpO

sensor are connected. If no electrodes or no SpO2

sensor are connected, it indicates the operating status of the patient box. Furthermore, physiological and technical alarms are indicated by flashing up.

By pressing the multifunction key (item 4), the next parameter being currently measured is displayed.

If alarms are displayed on the screen of the patient box, they can be confirmed by pressing the multifunction key.

When the device is equipped with night visi on gog gl e (NVG/NVIS)-compatibility, the LED power supply/chargin g status and the m ultifunction LED glow yellow instead of orange.

User Manual corpuls

LED green

orange

LED operati

green

On/Off key

Status LEDs on

defibrillator

Note

4.1.5 Control Key and LEDs

on the Defibrillator/Pacer

General Operating Instructions

Fig. 4-7 Defibrillator, control key and status LEDs

1 On/Off key 2 Operating status LED 3 Power supply/charging status LED

By pressing the On/Off key (item 1), the defibrillator is switched on or off during modular use.

The status LEDs of the defibrillator/pacer module indicate the power supply or state of charge of the battery as well as the operating status of the device:

power supply/

state of charge (item 3)

- battery is fully charged device is connected to the mains

power supply

- battery is being charged

ng status (item 2)

- device is switched on

When the device is equipped with night visi on gog gl e (NVG/NVIS)-compatibility, the LED power supply/chargin g status and the m ultifunction LED glow yellow instead of orange.

ENG - Version 2.1 – P/N 04130.2 41

General Operating Instructions

LED green

orange

LED operating status (item 2)

green

On/Off key

Status LEDs on

defibrillator

Note

4.1.6 Control Key and LEDs on the Defibrillator/Pacer SLIM

Fig. 4-8 Defibrillator SLIM, control key and status LEDs

By pressing the On/Off key (item 1), the defibrillator is switched on or off during modular use.

The status LEDs of the defibrillator/pacer module indicate the power supply or state of charge of the battery as well as the operating status of the device:

1 On/Off key 2 Operating status LED 3 Power supply/charging status LED

User Manual corpuls

power supply/

state of charge (item 3)

- battery is fully charged device is connected to the mains

power supply

- battery is being charged

- device is switched on

When the device is equipped with night visi on gog gl e (NVG/NVIS)-compatibility, the LED power supply/charging status and the multifunction LED glow yellow instead of orange.

42 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

AED

Man

Manual

Compact device

Semi modular

use

Modular use

Connecting

modules

Note

Switching on in

tion

mode

Note

4.2 Switching On and Off

4.2.1 Switching On

Press the On/Off key on the monitoring unit. All modules are switched on.

General Operating Instructions

defibrilla

Press the The corpuls

either starts in AED mode or in manual defibrillation mode,

key on the monitoring unit.

respectively.

1. Press the On/Off key on the monitoring unit. The monitoring unit and the module connected mechanically to it are switched on.

2. Press the On/Off key on the module which is not connected mechanically. This module is switched on.

Press the On/Off key on all individual modules. The modules are switched on independently.

When a switched-off module is connected mechanically to a switched-on module, it switches on automatically.

If a battery is inserted into a module, this module switches on automatically.

A certain amount of time is required to achieve operational status after

switching on. It is therefore recommended to switch on the corpuls

as soon

as possible.

If the alarm message „ß SW-NOT FOR PAT. USE“ appears after the device is switched on, the software of one or all modules is a betaversion.

Warning

Using this version on a patient is prohibited. Please contact your sales and service partner.

If the alarm message „ONLY FOR TEST PURPOSE“ appears after the device is switched on, the software of one or all modules is a test version.

Warning

Using this version on a patient is prohibited. Please contact your sales and service partner.

ENG - Version 2.1 – P/N 04130.2 43

General Operating Instructions

In order to switch off the compact device in case of a system crash the

Cancelling

off

Compact device

(Semi) modular use

Defibrillator/patient box

Switching off

in case of

system crash

Switching off in

pacer mode

4.2.2 Switching Off

Press the On/Off key on the monitoring unit. All modules are switched off if the softkey [OK] is pressed after the confirmation prompt appears.

Fig. 4-9 Confirmation prompt before switching off

Press the On/Off key on the monitoring unit. All modules connected with the monitor unit mechanically or by radio are switched off if the s of tkey [OK] is pressed af t er th e c o nf irmation prompt appears .

The defibrillator and patient box can be switched off independently without having an influence on the remaining modules by pressing the On/Off key. To do so, keep the On/Off key on the defibrillator or patient box depressed for 3 seconds.

In case of a system crash of one of the modules or of the compact device, the device can be switched off with the On/Off key. For this, the On/Off key at the monitoring unit (or at the individual modules) has to be held down at least for 8 seconds until the device switches off. Subsequently, the. It is not necessary to remove the battery.

User Manual corpuls

modules have to be disconnected and every individual module has to be

Warning

switched off separately by holding down the On/Off key at the respective module for 8 seconds.

The switch-off process of the monitoring unit and the connected modules can

switch-

be cancelled by pressing the softkey [Cancel]. This confirmation prompt disappears by itself if no action is taken within approx. 10 seconds and the monitoring unit and the connected modules remain switched on.

To confirm the switching off process, press the softkey [OK].

Press the On/Off key as described above. The confirmation prompt “Switch off Pacer? - Power OFF?" appears.

Fig. 4-10 Switching off with pacer active

If the unit is to be switched off even though the pacer is active, press softkey

44 ENG - Version 2.1 – P/N 04130.2

[OK] or, if the unit is not to be switched off, press softkey [Cancel].

User Manual corpuls

Warnings on

switching off

General Operating Instructions

If no connection with the patient box and/or defibrillator/pacer exists at the time of switching off the monitoring unit or if a timing problem exists between the modules, this is indicated to the user by the message “Check modules”:

Fig. 4-11 Warning on switching off

In this case, separate the modules and check whether all modules have been shut down. If this is not the case, switch off the modules which have not been switched off by pressing the respective On/Off key.

ENG - Version 2.1 – P/N 04130.2 45

General Operating Instructions

Softkey QRS

and Views

4.3 Menu Control

The menus are controlled with the jog dial, softkeys and the function keys Back and Home.

There are four different menu types:

• softkey context menu

• parameter context menu or curve context menu

• main menu of the device

• configuration dialogue

4.3.1 Softkey Context Menu

The softkey context menu allow for fast access to menu items that are relevant for the chosen softkey.

There are three softkey context menus available:

• QRS: activation of the QRS tone and fast access to volume control (monitoring mode)

• Views: fast access to a configured view of parameters and curves (monitoring mode)

• Metronome: fast access to mode selection

In monitoring mode the two first softkeys (left) are linked to the settings for the volume of the QRS tone and to the selection of views on the screen.

The settings can be advanced position by position by pressing the softkey several times. In contrast to the softkey Views, the volume control of the QRS tone always starts with the position, „OFF“.

User Manual corpuls

46 ENG - Version 2.1 – P/N 04130.2

Fig. 4-12 Example for softkey context menu

User Manual corpuls

General Operating Instructions

4.3.2 Parameter Context Menu and Curve Context Menu

Parameter context menus and curve context menus only contain menu items that are relevant for the highlighted field. They can be called up for parameter fields and curve fields and open directly in the highlighted field.

Proceed as follows to open a parameter context menu or curve context menu and adjust settings:

1. Rotate the jog dial to highlight the required parameter field or curve.

2. Press the jog dial to open the parameter context menu or curve context menu of the highlighted parameter field or curve. The first line of the parameter context menu or curve context menu is highlighted.

Fig. 4-13 Parameter context menu (illustration may differ)

ENG - Version 2.1 – P/N 04130.2 47

General Operating Instructions

Note

User Manual corpuls

Fig. 4-14 Curve context menu

3. If another value is to be assigned to the parameter field or the curve field for display, press the jog dial and select the required parameter by rotating.

4. Press the jog dial again to confirm selection of the required parameter.

5. Select further parameters of the parameter context menu or curve context menu by rotating the jog dial and confirm by pressing the jog dial.

Press the Home key to quit the parameter context menu or curve context menu.

If a new curve is selected in the curve context menu, the curves are sorted automatically in ascending order .

48 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

General Operating Instructions

4.3.3 Main Menu

To select the main menu of the device and adjust settings, proceed as follows:

1. Press the jog dial to open the main menu of the device.

Fig. 4-15 Main menu

2. Select the required item in the main menu by rotating the jog dial and confirm by pressing the jog dial.

3. Select the required menu item in the submenu by rotating the jog dial and confirm by pressing the jog dial.

4. The corresponding configuration dialogue opens.

ENG - Version 2.1 – P/N 04130.2 49

General Operating Instructions

Note

4.3.4 Configuration Dialogue

To adjust settings in the configuration dialogue, proceed as follows:

User Manual corpuls

Fig. 4-16 Configuration dialogue

1. Open the configuration dialogue (see chapter 4.3.3 Main Menu, p. 49).

2. Rotate the jog dial to highlight the required configuration field.

3. Press the jog dial to select the highlighted configuration field.

4. Select the required settings by repeatedly rotating and pressing the jog dial.

A setting (numerical value, text or symbol) can be modified if

• the respective line is highlighted;

• the setting is displayed in bold type.

See chapter 7 Configuration, p. 137 for information on the possible settings.

5. Access another tab of the configuration pages by pressing the corresponding softkey.

6. To confirm the settings and close the configuration dialogue, press the softkey [OK]. To retain the previous settings and close the configuration dialogue, press the softkey [Cancel].

50 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Note

General Operating Instructions

4.4 Disconnecting and Connecting Modules

The separating or connecting of modules should be avoided, if possible, when verbal instructions are being played as they can be interrupted.

4.4.1 Disconnecting the Monitoring Unit from the

Defibrillator/Pacer

This procedure applies regardless of whether the patient box is connected to the monitoring unit or not.

1. Grasp the monitoring unit by the carrying handle and pull both snap locks simultaneously forwards and upwards with your thumbs (item A) or push them rearwards and downwards (item B).

2. Tilt the monitoring unit forwards (item C) and remove upwards (item D).

Fig. 4-17 Disconnecting the monitoring unit from the defibrillator/pacer

(illustration may differ)

Fig. 4-18 Disconnecting the monitoring unit from the defibrillator/pacer SLIM

(illustration may differ)

ENG - Version 2.1 – P/N 04130.2 51

General Operating Instructions

4.4.2 Disconnecting the Patient Box from the Monitoring

Unit

1. Grasp the monitoring unit by the carrying handle and press the snap lock of the patient box downwards (item A).

2. Tilt the patient box rearwards (item B) and remove from the monitoring unit (item C).

User Manual corpuls

Fig. 4-19 Disconnecting the patient box from the monitoring unit (illustration

may differ)

52 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

General Operating Instructions

4.4.3 Connecting the Patient Box to the Monitoring Unit

1. Position the patient box with the display facing the monitoring unit.

2. Fit the patient box at the bottom on the monitoring unit (item A): The recesses (item 3) of the patient box engage in the two pins (item 5) of the monitoring unit. The connection coding (item 6) on the monitoring unit fits into the recess (item 4) on the patient box.

3. Tilt the patient box towards the monitoring unit (item B) until the closure at the top (item 2) of the patient box audibly engages in the catch on the monitoring unit (item 1).

4. Make sure that the patient box is engaged in both the pins and recesses at the bottom and in the closure at the top.

Attention

Fig. 4-20 Connecting the patient box to the monitoring unit (illustration may

differ)

1 Catch 2 Closure 3 Recess 4 Connection coding recess 5 Pin 6 Connection coding

Before connecting the modules, make sure that there are no metallic objects, e. g. conductive foils, between the individual modules.

ENG - Version 2.1 – P/N 04130.2 53

General Operating Instructions

Note

4.4.4 Connecting the Monitoring Unit to the

Defibrillator/Pacer

This procedure applies regardless of whether the patient box is connected to the monitoring unit or not.

1. Raise and tilt the monitoring unit forwards.

2. Fit the monitoring unit onto the defibrillator/pacer at the bottom (item A): Both pins (item 4) of the monitoring unit engage in the two recesses (item

3) on top of the base of the defibrillator/pacer.

3. Tilt the monitoring unit towards the defibrillator/pacer (item B) until the closures at the top (item 1) of the monitoring unit audibly engage in the recesses (item 2) on the defibrillator/pacer.

User Manual corpuls

Fig. 4-21 Connecting the monitoring unit to the defibrillator/pacer (illustration

may differ)

1 Closure 2 Recess for closure 3 Recess on top of base 4 Pin

Fig. 4-22 Connecting the monitoring unit to the defibrillator/pacer SLIM

(illustration may differ)

1 Closure 2 Recess for closure 3 Recess on top of base 4 Pin

54 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Attention

Before connecting the modules, make sure that there are no metallic objects, e. g. conductive foils, between the individual modules.

General Operating Instructions

4.4.5 Removing the Patient Box from the Compact

Device

1. Grasp the monitoring unit by the carrying handle and pull both snap locks simultaneously forwards and upwards with your thumbs or push them rearwards and downwards.

2. Tilt the monitoring unit with the patient box forwards (item A) (see chapter 4.4.1 D isconn ectin g the Monit oring U nit from the D efibri llator/ Pacer , p. 51).

3. Push the snap lock of the patient box downwards.

4. Tilt the patient box backwards and remove upwards from the monitoring unit (item B) (see chapter 4.4.2 Disconnecting the Patient Box from the Monitoring Unit, p. 52.).

5. Tilt the monitoring unit towards the defibrillator/pacer until the closures at the top of the monitoring unit audibly engage in the recesses on the defibrillator/pacer (see chapter 4.4.4 Connecting the Monitoring Unit to the Defibrillator/Pacer, p. 54).

Fig. 4-23 Removing the patient box from the compact device (illustration may

differ)

Fig. 4-24 Removing the patient box from the compact device with

ENG - Version 2.1 – P/N 04130.2 55

defibrillator/pacer SLIM

General Operating Instructions

4.5 Accessory Bag

4.5.1 Fitting the Accessory Bag

1. Insert the patient box (item 1) into the protective cover (item 6).

User Manual corpuls

Fig. 4-25 Accessory bag and patient box, front view (illustration may differ)

1 Patient box 2 Accessory bag 3 Lateral press stud 4 Rear press stud 5 Right-hand bag 6 Protective cover 7 Left-hand bag

2. Insert the two flaps with the lateral press studs (item 3) laterally from the patient box.

3. Open the zip fasteners of the left-hand and right-hand bags (items 5 and 7) and press the lateral press studs firmly in place inside on the upper sides of the bags.

4. Close the rear press studs (item 4) on the protective cover.

56 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Inserting cables

hand

side

General Operating Instructions

Fig. 4-26 Accessory bag with patient box, rear view (illustration may differ)

4.5.2 Packing the Accessory Bag

Caution

on right-

When inserting the sensor cables and ECG cables, make sure that the plugs snap in place beyond the perceptible pressure point.

Fold (gather in loops) but do not roll up the connected cable to avoid damage to the cable and allow rapid removal during mission without forming knots.

Fig. 4-27 Inserting the plugs on the right-hand side of the patient box

ENG - Version 2.1 – P/N 04130.2 57

General Operating Instructions

Wide elastic band at the side of

Table

Right-hand bag

Note

Accessory Position

Temperature sensor (item 1) Outermost pocket NIBP cuff (item 2)

CO2 sensor (item 4) Left-hand pocket on central section CO2 intermediate cable (item 3) Right-hand pocket on central section CO2 adapter, mainstream (item 5) Elastic band below the patient box

User Manual corpuls

outermost pocket

interfaces

corPatch CPR sensor corPatch CPR intermediate cable

4-4 Contents of right-hand bag

Inner pocket Inner pocket

58 ENG - Version 2.1 – P/N 04130.2

Fig. 4-28 Contents of right-hand bag (illustration may differ)

Only connect the temperature sensor to the patient box after attaching it to the patient to avoid fals e a larm messages that indicate excessively low temperature.

User Manual corpuls

Rainbow ECG-D

ECG-M

Table

4 5

inbo

w EC

G-D

Connecting

cables on

hand side

Left-hand bag

left-

General Operating Instructions

Fig. 4-29 Connecting the plugs on the left-hand side of the patient box

Accessory Position

4-pole ECG monitoring cable (item 1) Outermost pocket Pack of ECG electrodes (item 2) Left-hand pocket on central section Oximetry intermediate cable (item 3) Right-hand pocket on central section Oximetry finger sensor (item 4) Elastic band on central section Complementar y 6-pole ECG diagnostic

cable (item 5)

On the left next to the patient box interfaces

Strain relief for right-angle plug (item 6) –

4-5 Contents of left-hand bag

Fig. 4-30 Contents of left-hand bag (illustration may differ)

ENG - Version 2.1 – P/N 04130.2 59

General Operating Instructions

Insertion

Removal

Note

Insertion

4.6 Inserting the Device into the Brackets

4.6.1 Defibrillator/Compact Device Bracket

Fit the recesses at the bottom of the defibrillator onto the pins of the defibrillator/compact device bracket (item A). The lock on the bracket engages automatically.

If the bracket is equipped with a power supply, the defibrillator and all the modules connected to it will be charged.

User Manual corpuls

Fig. 4-31 Inserting the compact device into the bracket (Illustration may differ)

1 Defibrillator/Pacer power supply contact area 2 Integrated magnetic clip

Pull the handle upwards (item B; in older brackets a loop) and remove the defibrillator/compact device from the bracket.

Check the contact areas of the defibrillator/pacer (item 1) and the bracket (item 2) regularly for contamination or foreign material, particularly metallic items.

Remove the defibrillator/co mpact device within approx. 10 sec. after pulling the handle, since the bracket automatically locks again.

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User Manual corpuls

Insertion

Removal

Note

General Operating Instructions

4.6.2 Monitoring Unit Bracket

This procedure applies regardless of whether the patient box is connected to the monitoring unit or not.

The monitoring unit is inserted into the bracket in the same manner as it is connected to the defibrillator/pacer (see chapter 4.4.4 Connecting the Monitoring Unit to the Defibrillator/Pacer, p. 54):

1. Raise and tilt the monitoring unit forwards.

2. Fit the monitoring unit onto the bracket at the bottom: Both pins of the monitoring unit engage in the two recesses of the bracket (item A).

3. Tilt the monitoring unit towards the bracket at the top until the closures at the top of the monitoring unit audibly engage in the recesses on the bracket (item B).

Fig. 4-32 Inserting the monitoring unit into the bracket (Illustration may differ)

The monitoring unit is removed from the bracket in the same manner as it is disconnected to from the defibrillator/pacer (see chapter 4.4.1 Disconnecting the Monitoring Unit from the Defibrillator/Pacer, p. 51):

1. Grasp the monitoring unit by the carrying handle and pull both snap locks simultaneously forwards and upwards with your thumbs or push them rearwards and downwards.

2. Tilt the monitoring unit forwards and remove upwards.

ENG - Version 2.1 – P/N 04130.2 61

General Operating Instructions

Insertion

Removal Removal

4.6.3 Patient Box Charging Bracket

1. Position the patient box as shown in Fig. 4-33.

2. Fit the patient box with its bottom side onto the long part of the charging bracket (item A): The recesses on the patient box engage in both pins (item 4) on the charging bracket. The connection coding (item 5) fits in the recess (item 3) on the patient box.

3. Tilt the patient box upwards to the charging bracket (item B) until the lock audibly engages at the patient box.

4. Make sure that the patient box is engaged in the guides and the closures.

5. Connect the safety belt below the patient box and pull tight (not illustrated).

User Manual corpuls

Fig. 4-33 Inserting the patient box into the charging bracket (ceiling

installation)

1 Lock 2 Closure

1. Disconnect the safety belt (not illustrated in Fig. 4-33).

3 Connection coding recess 4 Pins 5 Connection coding 6 Loop

2. Firmly hold the patient box and pull the loop (item 6) sideways (item C).

3. Remove the patient box from the bracket.

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User Manual corpuls

Shock paddles

corPatch easy

electrodes

Baby shock

electrodes

Note

Operation – Therapy

5 Operation – Therapy

5.1 Therapy Electrodes for Defibrillati on and

Pacing

5.1.1 Types of Therapy Electrodes

With the introduction of the corPatch easy pre-connected therapy electrodes (P/N 05120.1), for adults (P/N 04324.3) and Pediatric (P/N 05120.1) the higher limits for the body weight of patients have been set. The manufacturer assures that also the previously supplied therapy electrodes corPatch easy Neonate (P/N 04324.2) can be used for defibrillations with an energy level of up to 100 Joule maximum and up to a body weight of 25 kg. The operational safety as well as medical effectiveness of the therapy electrodes is guaranteed.

Various therapy electrodes are available for defibrillation and pacing:

Therapy electrodes Application Patient groups

Shock paddles Defibrillation,

Cardioversion, ECG monitoring

Baby shock electrodes (adapters for shock paddles)

corPatch easy electrodes (disposable electrodes)

Internal shock spoons (sterilisable)

Table 5-1 Therapy electrodes for defibrillation and pacing

The shock paddles can be used for defibrillation, synchronised cardioversion and for ECG monitoring (DE recording). For using the shock paddles with the defibrillator/pacer SLIM, an inter mediate adapter cable is needed.

Defibrillation, synchronised cardioversion and ECG monitoring of neonates and infants is performed with baby shock electrodes (adapters) which are fitted onto the shock paddles. The energy is automatically reduced at a ratio of 10:1 if the adapters are fitted (see chapter 5.4.5 Manual Defibrillation and Cardioversion of Neonates and Children, page 80).

corPatch easy electrodes are already connected to an electrode cable and only need to be connected to the therapy master cable of the defibrillator/pacer. The corPatch easy electrodes pre-connected for the defibrillator/pacer SLIM can be pre-connected ev en before opening the package.

Defibrillation, Cardioversion, ECG monitoring

Defibrillation, cardioversion, ECG monitoring Pacing

Defibrillation, Cardioversion, ECG monitoring

Adults/children

Neonates/infants up to max. 5 kg body weight

Adults/children Neonates/infants

ENG - Version 2.1 – P/N 04130.2 63

Operation – Therapy

Internal shock

spoons

WARNING

User Manual corpuls

The internal shock spoons consist of the shock spoon-electrodes and the handles. Before use the electrodes have to be screwed onto the handles. The handles are already connected to an electrode cable and only need to be connected to the therapy master cable of the defibrillator/pacer.

To guarantee a defibrillation protection for patients, users and third parties, use exclusively the accessories indicated in the list of authorised accessories (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, page 224).

The following safety instructions which can also be found on every pouch of the corPatch electrodes have to be complied with when using the corPatch electrodes:

• Do not crush, bend, or fold electrodes or store them under heavy objects.

• Do not open pouch until ready for use.

• Do not use corPatch electrodes if gel is dry.

Caution

• Do not use additional gel on corPatch electrodes.

• Do not overlap corPatch electrodes.

• Use separate ECG electrodes when performing non-invasive paci ng.

• Do not touch patient during defibrillation.

• Do not discharge shock paddles through corPatch electrodes.

• Keep corPatch electrodes clear of any other electrodes or metal

parts in contact with the patient.

Not following these instructions for the corPatch electrodes or any other misuse or misapplication of the corPatch electrodes may result in severe patient burns or ineffective therapy

Do not use corPatch electrodes if

• the packaging is damaged or opened;

• the expiry date indicated on the packaging has passed;

• the electrode or the connecting lug is bent.

Replace corPatch electrodes for adults at the latest after:

• 24 hours or 50 shocks;

• 8 hours of continuous pacer operation.

64 ENG - Version 2.1 – P/N 04130.2

Caution

WARNING

When placing the corPatch electrodes on the patient’s skin, make sure that no air pockets are included inside the adhesive surface. Apply corPatch electrodes from the centre outwards.

Before using the shock spoons, please read and understand the additional user manual (P/N 04137.02).

User Manual corpuls

Note

Operation – Therapy

5.1.2 Connecting the Electrode Cable

To connect the therapy electrodes, connect the corresponding plug (item 2 or item 3 in Fig 5-1) to the therapy master cable (item 1). To disconnect, pull back the red sliding sleeve at the therapy master cable and pull apart the plugs. The plug connectors are twistproof. When using the defibrillator/pacer Slim the intermediate cable (item 5) has to be connected to the therapy socket (item 4) at the rear side of the defibrillator/pacer Slim.

Type of electrode Defibrillator/pacer Shock paddles and shock spoons

Connect the plug of the shock paddles or shock spoons (item 2) to the plug of the therapy master cable (item 1) of the defibrillator/pacer. The connection must snap into place perceptibly.

corPatch easy electrodes (only P/N 04324.1 and 04324.2)

Connect the plug (item 3) of the corPatch easy electrodes to the plug of the therapy master cable (item 1) of the defibrillator/ pacer. The connection must snap into place perceptibly.

Intermediate cable and corPatch easy electrodes (only P/N 05120.1, 05120.2 and

04324.3) Connect the plug (item 5) correctly

orientated (item 1) to the therapy socket (item 4) of the defibrillator/pacer SLIM or to the therapy master cable.

Fig. 5-1 Connecting the therapy electrode cables

1 Therapy master cable with plug and red sliding sleeve 2 Plug of shock paddles and shock spoons 3 Plug of corPatch easy electrodes 4 Therapy socket 5 Plug of corPatch intermediate cable

For orientation and correct connection of the plugs, a raised nub is palpable on both the red sliding sleeve and the plug of the therapy electrodes (only P/N

04324.1 and 04324.2). W hen oriented corr ectly, the electrodes are easy to connect.

For using the shock paddles with the defibrillator/pacer SLIM, an intermediate adapter cable is needed (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, page 224).

ENG - Version 2.1 – P/N 04130.2 65

Operation – Therapy

If the electrode plug is turned the wrong way and connected by force to the

A B

Removing the

shock paddles

Re-inserting the

shock paddles

Note

Caution

User Manual corpuls

therapy master cable, there will be a malfunction in the paddle interface and an alarm message will be issued.

The plug connector has to be disconnected and checked for damage. If no damage is visible, connect the plug connector again, oriented correctly.

5.1.3 Removing the Shock Paddles from their Holders and Re-inserting them

To remove the shock paddles from their holders at the defibrillator/pacer, proceed as follows:

Prerequisite: The defibrillator/pacer is equipped with shock paddle holders.

1. Rotate the shock paddles by approx. 20° towards the front (item A) or

towards the rear (item B).

2. In this position pull the shock paddles away from the device (item C).

Fig. 5-2 Removing the shock paddles from their holders

To re-insert the shock paddles, push them into the holders until they both perceptibly engage.

The shock paddle with the green button (APEX) is to be placed in the right-hand holder and the shock paddle with the red button (STERNUM) in the left-hand holder. For guidance, corresponding information labels are placed above the holders.

66 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

On metallic and/or wet surfaces the following protective measures have to be

Preparing the

patient

Patient

impedance

Caution

WARNING

Operation – Therapy

5.2 Preparing the Patient for Defibrillation, Cardioversion and Pacer The rapy

As a side effect of the defibrillation, a reddening of the skin and, in case of excessive hair, burn injurie s m a y occur.

Recording of the ECG with therapy electrodes or via the 4 pole ECG monitoring cable is impaired if the skin is contaminated or in case of excessive hair.

Before therapeutic measures can be performed, the patient has to be prepared:

1. Remove clothes from the patient's upper body.

2. Remove any item of jewelry that is located close to or between the two

therapy electrodes.

3. Remove excessive hair, so that the conductive areas of the therapy

electrodes can have full contact with the skin.

4. Clean and dry the skin before using therapy electrodes.

With attached therapy electrodes, the patient impedance is measured by the device and displayed in inverted colours as "OK", "LOW" or "HIGH" in defibrillation mode When the impedance is too low or too high, the shock release is blocked.

High impedance is displayed in case of:

• excessive hair,

• contaminated skin,

• shock paddles not completely wetted with electrode gel,

• too little contact pressure of the shock paddles,

• wrong position of the corPatch electrodes,

• air pockets included when attaching corPatch electrodes

Low impedance is displayed in case of:

• use of too much electrode gel on the shock paddles,

• too little distance between the therapy electrodes,

• wet patient skin,

• technical problems with the electrode cable.

taken during defibrillation:

WARNING

• Release of the shock in semi-modular operation (only when using

corPatch electrodes) with sufficient safety distance to patient;

• Placing the patient on a dry stretcher or non-conductive surface before defibrillation.

ENG - Version 2.1 – P/N 04130.2 67

Operation – Therapy

Note

AED mode

for children

AED

User Manual corpuls

5.3 Defibrillation in AED Mode

5.3.1 Information on the AED Mode

The use of a defibrillator in AED mode is not recommended for patients of less than 12 months of age.

If no special paediatric AED device is available for patients aged between 1 and 8 years, it is recommended to use the defibrillator in AED mode with corPatch electrodes (Neonate or Pediatric).

When corpuls resuscitation protocol. The algorithm is governed by the current recommendations of the European Resuscitation Council 2010.

The boot-up time of the corpuls directly in AED mode by pressing the AED key.

After pressing the AED key the following screen structure appears:

is in AED mode, the user is guided through a standardised

is reduced if the corpuls3 is switched on

Fig. 5-3 AE D mode, initial screen (illustration may differ)

1 Statu s line 2 Parameter area 3 Current ECG (recording II/DEauto) 4 Configurable curve area 5 Automatic pre-set energy 6 Metronome 7 Softkey Energy settings 8 Patient impedance 9 Operating instruction 10 Charging status 11 Time since last shock 12 Number of shocks since switching on the device 13 Time since defibrillation mode was launched

68 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Audio recording

Operation – Therapy

The curve field in the first line of the screen is pre-set and cannot be configured. The first curve field displays the ECG recorded by the respective defibrillation electrodes, switching automatically between IIauto and DEauto:

• corPatch electrodes: - DEauto recording, via the corPatch electrodes

• shock paddles: - Einthoven lead IIauto,

recorded via ECG electrodes and 4-pole ECG monitoring cable or

- DEauto recording, via shock paddles, if no 4-pole ECG monitoring cable is connected

The value of ECG amplitude is set to 10 mm/mV. Automatic ECG amplitude control is disabled.

The following keys are available to operate the device in AED mode:

1. AED

2. Analyse

3. Shock

WARNING

Fig. 5-4 AE D mode function keys

When using corPatch electrodes, the shock is released by pressing the Shock key at the monitoring unit. When using the shock paddles, the shock is released by pressing both buttons at the shock paddles.

The charged defibrillator can be discharged internally by pressing the softkey [Cancel].

In AED mode, a configurable audio recording option is available which is disabled by default. If the audio recording option is enabled by the person responsible for the device, all surrounding noises are recorded (see chapter 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) , page 163).

In each individual case the trained user determines the progress of treatment according to medical requirements. The procedure shown here reflects the operating possibilities of the device.

In patients with an implanted pacer placing the therapy electrodes directly above the pacer unit is contraindicated. Under certain conditions irreversible damage to the myocardium might be caused by the invasive pacer electrode. In such a case, choose the reversed position of the therapy electrodes: below the left clavicula parasternally and below the right mamilla, approx. 5th intercostal space at the level of the apex of the heart.

ENG - Version 2.1 – P/N 04130.2 69

WARNING

In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent.

Operation – Therapy

corPatch

AED

Analyse

aly

Performing a

User Manual corpuls

WARNING

defibrillation

If the network configuration of the corpuls in AED mode (change from a wireless radio connection to a mechanical

is modified during ECG analysis

connection or vice versa), the ECG analysis will be interrupted. The ECG analysis must be restarted in this case.

Equipment which is not defibrillation proof must be disconnected from patients during defibrillation.

When a defibrillation is performed, all necessary ECG cables have to be connected to the patient box at all times and all electrodes have to be attached to the patient. If the 4-pole ECG monitoring cable and the complementary 6-pole diagnostic cable are not used in a defibrillation, they have to be disconnected from the patient box.

In defibrillation mode, no physiological alarms are indicated or saved. Technical alarms are signalled acoustically and visually.

5.3.2 Defibrillation in AED mode with Electrodes

When using corPatch electrodes, the ECG is obtained and the analysis is performed via the corPatch electrodes attached to the patient (indicated as DE). An additional 4-pole ECG monitoring cable is not needed.

1. To start the AED mode, press the AED key.

2. Prepare the patient (see chapter 5.2 Preparing the Patient for Defibrillation,

Cardioversion and Pacer Therapy, page 67).

3. Check the electrode package for damage and check the expiry date.

4. Attach corPatch electrodes to the patient, as shown on the electrode

package.

5. If enabled, select the required energy level via the softkeys or the jog dial

(see chapter 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) , page 163).

6. To start the ECG analysis, press the Analyse key.

7. With the message "Deliver shock" and the ready-signal, the device

indicates that the defibrillation can be performed.

8. To perform defibrillation, keep the Shock key depressed until the shock

has been delivered.

9. If the shock has been released successfully, the message Shock

performed is shown.

10. The message Shock not recommended indicates that the defibrillation

cannot be performed and that the Shock key is locked.

11. Continue with the standardised or locally valid resuscitation protocol.

12. The message Start analysis indicates that the Analyse key should be

pressed again to perform an ECG analysis.

70 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

AED

Note

Analyse

Note

WARNING

Operation – Therapy

The CPR rhythm can be supported acoustically by activating the metronome via the softkey [Metronome].

The selected energy level is available for 30 seconds after charging. If no shock is triggered within this time span, the device discharges itself internally.

During ECG analysis, it is essential to avoid external commotion and vibration. Keep the patient lying down calmly.

Do not touch the patient. It is essential to discontinue artificial respiration during ECG analysis. This

leads to false analysis results since the periodic expansion of the chest may simulate an ECG rhythm.

5.3.3 Defibrillation in AED Mode with Shock Paddles

To perform a defibrillation in AED mode with shock paddles, an ECG must be obtained for analysis via the ECG electrodes and the 4-pole ECG monitoring cable. To start the AED mode, press the AED key.

1. Prepare the patient (see chapter 5.2 Preparing the Patient for Defibrillation,

Cardioversion and Pacer Therapy, page 67).

2. Place all four ECG electrodes of the 4-pole ECG monitoring cable on the

patient (see chapter 6.2 ECG Monitoring, pag e 95).

3. Completely wet the electrode surfaces of the shock paddles with

defibrillation electrode gel.

4. If enabled, select the required energy level via the softkeys or the jog dial

(see chapter 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) , page 163).

5. To start the ECG analysis, press the Analyse key or one of the buttons at

the shock paddles.

6. With the message Deliver shock and the ready-signal, the device

indicates that the defibr ill ati on can be perf ormed.

ENG - Version 2.1 – P/N 04130.2 71

Operation – Therapy

Performing a

aly

Note

Note Note

Note

defibrillation

User Manual corpuls

7. Place the APEX shock paddle (Fig. 5-5, item 1) on the lower left of the

thorax beside apex of the heart (5th ICS).

8. Place the STERNUM shock paddle (Fig. 5-5, item 2) to the right of the

sternum.

Fig. 5-5 Applying the shock paddles

1 Position of the APEX shock paddle 2 Position of the STERNUM shock paddle

9. Hold down both shock paddle buttons until a shock has been released. By

pressing the buttons a confirmative tone sounds.

10. If the shock has been released successfully, the message Shock

performed is shown.

11. The message Shock not recommended indicates that the defibrillation

cannot be performed and that the buttons at the shock paddles are locked.

12. Continue with the standardised or locally valid resuscitation protocol.

13. To start the ECG analysis, press the Analyse key or one of the buttons at

the shock paddles again.

The CPR rhythm can be supported acoustically by activating the metronome via the softkey [Metronome].

The selected energy level is available for 30 seconds after charging. If no shock is triggered within this time span, the device discharges itself internally.

For safety reasons, when using shock paddles, the keys Charge and Shock on the monitoring unit are blocked. The charging and release of the defibrillation shock can only be triggered via the shock paddle buttons.

To pause the charging process, simultaneously press both shock paddle buttons briefly. To continue the charging process, briefly press one of the shock paddle buttons.

Energy selection can be performed by connecting both electrode surfaces of the shock paddles (short-circuiting). To decrease the energy, briefly press the APEX shock paddle button. To increase the energy, briefly press the STERNUM shock paddle button.

72 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

WARNING

Operation – Therapy

During ECG analysis, it is essential to avoid external commotion and vibration. Keep the patient lying down calmly.

Do not touch the patient. It is essential to discontinue artificial respiration during ECG analysis. This

leads to false analysis results since the periodic expansion of the chest may simulate an ECG rhythm.

Make sure that no defibrillation electrode gel gets into the insulation area between the electrode surface and the handle. Only use defibrillation electrode gel intended for this purpose.

ENG - Version 2.1 – P/N 04130.2 73

Operation – Therapy

Manuell

Manual

User Manual corpuls

5.4 Manual Defibrillation and Cardioversion

5.4.1 Information on Manual Defibrillation and Cardioversion

In the manual defibrillation mode of corpuls action and decision-making concerning operation of the defibrillator. They have to assess the ECG and can, depending on the patient, select the necessary energy and trigger the defibrillation- or cardioversion shock.

The boot-up time of the corpuls

is reduced if the corpuls3 is switched on

directly in manual defibrillation mode by pressing the Manual key. After pressing the Manual key the following screen structure appears:

, the users have full freedom of

Fig. 5-6 Manual defibrillation, initial screen (illustration may differ)

1 Status line 2 Parameter area 3 Current ECG (recording II/DEauto) 4 Configurable curve area 5 Pre-set energy 6 Metronome 7 Synchronisation option 8 Patient impedance 9 Operating instruction 10 Charging status 11 Time since last shock 11 Number of shocks since switching on the device 13 Time since defibrillation mode was launched

74 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Operation – Therapy

The curve field in the first line of the screen is pre-set and cannot be configured. There, the ECG recorded by the respective therapy electrodes is displayed, switching automatically between IIauto and DEauto:

• corPatch electrodes: - DEauto recording, via the corPatch electrodes

& shock spoons

• shock paddles: - Einthoven lead IIauto,

recorded via ECG electrodes and 4 pole ECG monitoring cable or

- DEauto recording, via shock paddles, if no 4 pole ECG monitoring cable is connected

Amplification of the ECG curves is 10 mm/mV. Automatic ECG amplitude control is disabled.

Persons responsible for the device can pre-set the energy level with the function Auto Energy. This energy level is automatically available when the device is switched to manual defibrillation mode for the first time (see chapter 7.2 Configuration of the Monitoring Functions, page 148).

The following keys are available to operate the device in manual mode:

1. Manual

2. Load

3. Shock

Fig. 5-7 Function keys for manual defibrillation and cardioversion

When using corPatch electrodes or shock spoons, the shock is released by pressing the Shock key at the monitoring unit. When using the shock paddles, the shock is released by pressing both buttons at the shock paddles.

The charged defibrillator can be discharged internally by pressing the softkey [Cancel].

Cardioversion settings are adjusted via the softkey [Sync]. The following settings are available:

• Auto Sync: If QRS complexes are detected, the device synchronises the

shock release for a cardioversion. If no shock is triggered within one second after pressing and holding the Shock key, the device performs automatically a defibrillation.

• Sync: If QRS complexes are detected, the device synchronises the

shock release for a cardioversion. If no QRS complexes are detected, a cardioversion or defibrillation is not possible.

• Async The defibrillation is performed only asynchronously.

In this mode, a cardioversion is not possible.

ENG - Version 2.1 – P/N 04130.2 75

Operation – Therapy

A cardioversion may lead to ventricular fibrillation or asystole. When

status.

corPatch

Manuell

Manual

Audio recording

WARNING

User Manual corpuls

In manual mode, a configurable audio recording option is available which is disabled by default. If the audio recording option is enabled by the person responsible for the device, all surrounding noises are recorded (see chapter 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) , page 163).

performing a cardioversion, mind the following:

• The ECG has to be stable with a heart rate of at least 60/min.

• The synchronisation status has to remain constantly on SYNC.

• The QRS marks (triangles) have to mark each QRS complex.

• The shock release has to be effected according to valid guidelines.

• If the shock release does not take place one second after pressing

the buttons at the shock paddles or the Shock key at the monitoring unit, the shock will be released independent of the synchronisation

Equipment which is not defibrillation proof must be disconnected from patients during defibrillation and cardioversion.

WARNING

complementary 6-pole diagnostic cable are not used in a defibrillation, they have to be disconnected from the patient box.

No physiological alarm events are displayed and saved in defibrillation mode. Technical alarms are indicated visually and acoustically.

WARNING

5.4.2 Manual Defibrillation with

When using corPatch electrodes, the ECG is obtained via the corPatch electrodes attached to the patient (indicated as DE). Via additionally attached ECG electrodes and the 4-pole ECG monitoring cable, further leads can be displayed in the configurable second curve field (see chapter 6.2 ECG Monitoring, page 95).

1. To start the manual defibrillation mode, press the Manual key.

2. Prepare the patient (see chapter 5.2 Preparing the Patient for Defibrillation,

Cardioversion and Pacer Therapy, page 67).

3. Check the electrode package for damage and check the expiry date.

4. Attach corPatch electrodes to the patient, as shown on the electrode

package. Select the required energy level with the jog dial or via the softkeys and confirm by pressing the jog dial.

Electrodes

76 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

den

rge

Note

Manuell

Manual

Note

Operation – Therapy

5. To start the charging process, press the Charge key.

The charging process takes a maximum of 5 seconds depending on the selected energy setting.

6. Wait until the message Ready for shock is displayed on the screen and

the ready-signal is sounding. The device is ready for releasing a defibrillation shock.

7. Keep the Shock key depressed until the shock is delivered to perform

defibrillation or cardioversion.

8. If the shock has been released successfully, the message Shock

performed is shown.

9. Continue with the standardised or locally valid resuscitation protocol.

The CPR rhythm can be supported acoustically by activating the metronome via the softkey [Metronome].

If the jog dial is pressed in manual defibrillation mode, the energy selection at the monitoring unit is only possible via the softkeys. Press the Manual key again, to be able to select the energy level with the jog dial.

The selected energy level is available for 30 seconds after charging. If no shock is triggered within this time span, the device discharges itself internally.

5.4.3 Manual Defibrillation and Cardioversion with Shock Paddles

When using shock paddles, the ECG is obtained via the shock paddles pressed to the patient's thorax (indicated as DE). Via additionally attached ECG electrodes and the 4-pole ECG monitoring cable, further leads can be displayed in the configurable second curve field (see chapter 6.2 ECG Monitoring, page 95).

Obtaining the ECG via the ECG electrodes and the 4-pole ECG monitoring cable (as explained in the following) assures a better signal quality than via the shock paddles.

1. To start the manual defibrillation mode, press the Manual key.

2. Prepare the patient (see chapter 5.2 Preparing the Patient for Defibrillation,

Cardioversion and Pacer Therapy, page 67).

3. Place all four ECG electrodes of the 4-pole ECG monitoring cable on the

patient (see chapter 6.2 ECG Monitoring, pag e 95).

4. Completely wet the electrode surfaces of the shock paddles with

defibrillation electrode gel.

ENG - Version 2.1 – P/N 04130.2 77

Performing a

defibrillation/

cardioversion

Note Note

Note

Energy selection

via the shock

paddle buttons

Operation – Therapy

User Manual corpuls

5. Place the APEX shock paddle (Fig. 5-8, item 1) on the lower left of the

thorax beside apex of the heart (5th ICS).

6. Place the STERNUM shock paddle (Fig. 5-8, item 2) to the right of the

sternum.

Fig. 5-8 Applying the shock paddles

1 Position of the APEX shock paddle 2 Position of the STERNUM shock paddle

7. Select the required energy level with the jog dial or via the softkeys.

8. To start the charging proc e s s, brief l y press one of the shock paddle buttons .

The charging process takes a maximum of 5 seconds depending on the selected energy setting.

9. Wait until the message Ready for shock is displayed on the screen and

the ready-signal is sounding. The device is ready for releasing a defibrillation shock.

10. Keep both shock paddle buttons depressed and hold until a shock has

been released. By pressing the buttons a confirmative tone sounds.

11. If the shock has been released successfully, the message Shock

performed is shown.

12. Continue with the standardised or locally valid resuscitation protocol.

By short circuiting the shock paddles the energy selection via the shock paddle buttons is enabled. This function enables the energy selection with the jog dial in 5 J increments. With the baby shock electrodes attached, this energy selection is not possible.

The CPR rhythm can be supported acoustically by activating the metronome via the softkey [Metronome].

If the jog dial is pressed in manual defibrillation mode, the jog dial is blocked and the energy selection at the monitoring un it is onl y possibl e via the sof tkeys. Press the Manual key again, to be able to select the energy level with the jog dial.

The selected energy level is available for 30 seconds after charging. If no shock is triggered within this time span, the device discharges itself internally.

78 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

Note

anuell

Manua

LadenCharge

Note

WARNING

Operation – Therapy

The charging process can be interrupted by pressing simultaneous l y both shock paddle buttons briefly. Pressing one of the shock paddle buttons again, continues the charging process.

Make sure that no defibrillation electrode gel gets into the insulation area between the electrode surface and the handle.

Only use defibrillation electrode gel intended for this purpose.

Press the shock paddles firmly onto the patient’s thorax when the shock is triggered (approx. 8 kg contact pressure for adults). Keep both shock paddle buttons depressed until the shock is delivered

5.4.4 Manual Defibrillation and Cardioversion with Shock Spoons

Before using the shock spoons, please read and understand the safety and

WARNING

ENG - Version 2.1 – P/N 04130.2 79

preparation notices in the manual (P/N 04137.02).

When using shock spoons, the ECG is obtained via the shock spoons pressed to the patient's heart. It is, however, recommended to obtain the ECG via the 4pole ECG monitoring cable (see chapter 6.2 ECG Monitoring, page 95).

Obtaining the ECG via the ECG electrodes and the 4-pole ECG monitoring cable (as explained in the following) assures a better signal quality than via the shock paddles.

When using shock spoons, the energy available is limited by the device to a maximum of 50 J.

1. To start the manual defibrillation mode, press the Manual key.

2. Place all four ECG electrodes of the 4-pole ECG monitoring cable on the

patient (see chapter 6.2 ECG Monitoring, pag e 95).

3. Screw sterile shock spoons of the correct size into the sterile shock spoon

holders.

4. Select the required energy level with the jog dial or via the softkeys and

confirm by pressing the jog dial.

5. To start the charging process, press the Charge key.

The charging process takes a maximum of 5 seconds depending on the selected energy setting.

Operation – Therapy

1 2 2 1

3 3

Note

Defibrillation

electrodes

Connecting baby shock electrodes

corPatch easy

electrodes

Neonates

WARNING

User Manual corpuls

6. Wait until the message Ready for shock is displayed on the screen and

the ready-signal is sounding. The device is ready for releasing a defibrillation shock.

7. Keep the Shock key depressed until the shock is delivered to perform

defibrillation or cardioversion.

8. Continue with the standardised or locally valid resuscitation protocol.

The selected energy level is available for 30 seconds after charging. If no shock is triggered within this time span, the device discharges itself internally.

5.4.5 Manual Defibrillation and Cardioversion of Neonates and Children

With the baby shock electrodes the defibrillation energy is automatically reduced. The energy reduction is effected at a ratio of 1:10, i.e. one tenth of the energy set in defibrillation mode

If, for example, an energy level of 200 J is selected, the shock is released with an energy of just 20 J.

For the defibrillation and cardioversion of neonates and children, various types of defibrillation electrodes are available:

• Baby shock electrodes (as adapters for shock paddles, up to 5 kg body

weight maximum)

• corPatch easy electrodes Neonates up to 12 kg body weight maximum

• corPatch easy electrodes Pediatric up to 25 kg body weight maximum

• corPatch easy electrodes for adults from 10 kg or 20 kg body weight

• corPatch easy electrodes pre-connected from 20 kg body weight

When using corPatch easy electrodes Neonates and Pediatric, the energy available is limited by the device to a maximum of 100 J.

1. Please read and follow the instructions and warnings on the inner surface

of the baby shock electrodes.

80 ENG - Version 2.1 – P/N 04130.2

Fig. 5-9 Connecting baby shock electrodes

1 Shock paddles for adults 2 Baby shock electrodes 3 Diode for functional test

User Manual corpuls

Einsatz

Monitor

Pacer

AED

Analyse Lade

Manuell

Einsatz

Monitor

Pacer

Applying the

corPatch

electrodes

Note

Caution

Operation – Therapy

2. Fit the baby shock electrodes (item 2) onto the shock paddles (item 1) and

press until the curved edge engages perceptibly.

3. Perform a functional test:

Trigger a 10 J shock with short-circuited baby shock electrodes. The two diodes (item 3) light up. If the diodes do not light up, check the connections and repeat the functional test.

4. Further procedure as described in chapter 5.4.3 Manual Defibrillation and

Cardioversion with Shock Paddles, page 77.

If the shock is aborted while using baby shock electrodes, the message Shock performed might be shown.

Short-circuit the baby shock electrodes away from your body during the functional test.

5.5 External Pacer

5.5.1 Information on the External Pacer

By electrical stimulation of the heart muscle, the external pacer of corpuls can supplement or positively influence or completely take over its function.

The pacer emits pacing pulses to the patient’s heart muscle via the corPatch electrodes attached to the thorax. The corPatch electrodes are placed in the anterior and posterior position in this case.

Different operating modes enable the user to adapt the treatment individually for each patient.

By pressing the Pacer key the device activates the pacer mode:

ENG - Version 2.1 – P/N 04130.2 81

Fig. 5-10 Pacer function

1 Pacer key

For a reliable suppression of pacer impulses, the 4-pole ECG monitoring cable has to be used.

Operation – Therapy

Pacer pulse

identification

Note

WARNING

Caution

User Manual corpuls

In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent.

Do not operate the external pacer of the device near high frequency surgical devices.

This may result in signal interference with the pacer.

The patient must not remain unattended when using the external pacer

The basic settings when using the device in pacer mode for the first time are:

• Intensity: 0 mA

• Frequency: 70/min

• Operating mode: DEMAND

The moment of stimulation is marked by a green vertical line (spike) in the ECG curves. A small lozenge symbol is located under each spike. In addition, a large lozenge symbol is flashing in the upper left corner of the curve field.

The lozenge symbol  in the upper left corner indicates the stimulation impulse of an implanted pacer.

82 ENG - Version 2.1 – P/N 04130.2

Fig. 5-11 Pacer pulse identification

Connecting and disconnecting ECG electrodes may simulate false-positive pacer pulses. If this occurs, the device briefly detects pacer pulses, although the patient does not have an implanted (inter n al) pac er.

User Manual corpuls

FIX Operating

mode

Note

"STIM" message

Note

Operation – Therapy

Pacer operation is indicated by the message “STIM” in the upper left corner of the curve field.

When stimulation is performed, the message “STIM” is flashing. When “STIM” is permanently displayed, the pacer is switched on (e.g. in DEMAND mode in a frequency range in which no stimulation is necessary), but is not active (no stimulation). Only when the pacer is switched off or paused, the message

“STIM” is not displayed. The pacer continues to operate in monitoring mode.

If the user

• presses the On/Off k ey or

• switches to defibrillation mode

while the pacer is running, a confirmation prompt appears, warning that the pacer is active. Switching off the pacer or switching to defibrillation mode can be confirmed by pressing the softkey [OK] or aborted by pressing the softkey [Cancel].

As long as the pacer is active, the corpuls

cannot be switched off or switch to

defibrillator mode without a prior confirmation prompt. The pacer can only be operated when corPatch electrodes are connected to

the therapy master cable. The pacer is switched off automatically if a cable is removed while running in pacer mode.

WARNING

5.5.2 Preparing the pacer function

In FIX operating mode, pacing is performed with a fixed frequency, regardless of the patient’s own heart rate.

The pacer function and the ECG recording function are compromised if adhesion of the corPatch electrodes or ECG electrodes is impaired due to contaminated skin or excessive hair.

Only use corPatch electrodes indicated in the list of approved accessories. The corPatch electrodes must no longer be used after the expiry date indicated on the packaging has passed.

1. Prepare the patient (see chapter 5.2 Preparing the Patient for Defibrillation,

Cardioversion and Pacer Therapy, page 67).

2. If necessary, prepare ECG monitoring (see chapter 6.2.3 Pre pari ng ECG

Monitoring, page 97).

ENG - Version 2.1 – P/N 04130.2 83

Operation – Therapy

DEMAND mode

Note

OVERDRIVE

nction

User Manual corpuls

3. Place the blue-labelled corPatch electr ode on the ba ck beside vertebral

column beneath the shoulder blade (item 1).

4. Place the red-labelled corPatch electrode on the thorax at the level of the

bottom third of the sternum (between 4th and 5th ICS) (item 2).

5. Connect the corPatch electrodes to the therapy master cable.

Fig. 5-12 Pacer , attac h ing the elec tr o des

1 Position of the blue-labelled corPatch electrode (posterior) 2 Position of the red-labelled corPatch electrode (anterior)

In DEMAND operating mode, pacing is only performed when the patient’s own heart rate is below the pre-set pacing frequency.

In addition to the corPatch electrodes, the ECG has to be obtained via ECG electrodes and the 4-pole ECG monitoring cable in DEMAND mode.

With the OVERDRIVE function, a patient with a high-frequency cardiac rhythm

is restored to a normal-frequency cardiac rhythm

84 ENG - Version 2.1 – P/N 04130.2

User Manual corpuls

FIX or DEMAND operating mode

Note

Preparing the

device

Pacer

Note

5.5.3 Starting the Pacer Function

Prerequisite: Device is switched on.

1. Press the Pacer key to run the pacer function.

The following screen structure appears:

Operation – Therapy

Fig. 5-13 Pacer, initial screen

1 Heart rate parameter field 2 Current ECG (recording II/DEauto) 3 Configurable curve field 4 Pacer operating mode 5 Selected intensity 6 Softkey assignment 7 Operating instruction 8 Selected frequency

The pacer always starts in DEMAND operating mode.

2. Press the softkey [Mode], if the operating mode FIX is to be used. If

DEMAND operating mode is to be used, continue with step 4.

3. Press the softkey [FIX] to select FIX operating mode.

4. Press the softkey [Freq.] and select the required frequency with the jog dial.

The pacing frequency can be adjusted in 5/min increments within the range of 30/min to 150/min.

ENG - Version 2.1 – P/N 04130.2 85

WARNING

Pacing begins automatically as soon as an intensity of more than 0 mA is selected.

5. Press the softkey [Intens] and select the required intensity with the jog dial.

Operation – Therapy

Note

Pause pacing?

Continuing

pacing

Ending pacing

WARNING

User Manual corpuls

The pacing intensity can be adjusted in 5 mA increments within the range of 0 to 150 mA.

Regularly check effectiveness of the pacer by checking the central pulse.

In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent.

86 ENG - Version 2.1 – P/N 04130.2

WARNING

Fig. 5-14 Pacer, selecting the intensity

If necessary, press the softkey [Pause] to interrupt pacing. Answer the confirmation prompt Pause pacing? with the softkey [Yes].

If pacing has been paused, press the softkey [Continue pacing] to continue pacing. Answer the confirmation prompt Continue pacing? with the softkey

[Yes].

To end the current pacing, press the softkey [Off]. Answer the confirmation prompt Switch off pacer? with the softkey [Yes] to end pacing and to reset

the pacer (DEMAND, 0 mA, 70/min).

The procedure described below is a recommendation from the manufacturer. Qualified users will determine the progress of treatment on their own account.

User Manual corpuls

OVERDRIVE

function

Pause pacing?

Continuing

pacing

Ending pacing

Operation – Therapy

1. Press the Pacer key to run the pacer function.

2. Press the softkey [Mode] to leave the operating mode DEMAND.

3. Press the softkey [OVR] to select the OVERDRIVE function. The pacing

frequency will be automatically adjusted to a value just below the patient’s frequency.

4. Press the softkey [Intens] and select an intensity value between 60 and

100 mA.

Fig. 5-15 Pacer, OVERDRIVE function

5. Press the softkey [Freq] and gradually increase the frequency until the

pacer stimulates regularly. Pacing only starts when the patient’s heart rate is exceeded.

6. If the pacing pulses are not followed by a contraction of the heart muscle,

press the softkey [Intens] and increase the intensity until the stimulation threshold is reached and the heart rate permanently follows the pacing frequency.

7. Press the softkey [Freq] and decrease the frequency until the required

heart rate is achieved.

8. If necessary, repeat step 6 and 7.

If necessary, press the softkey [Pause] to interrupt pacing. Answer the confirmation prompt Pause pacing? with the softkey [Yes].

If pacing has been paused, press the softkey [Continue pacing] to continue pacing. Answer the confirmation prompt Continue pacing? with the softkey

[Yes].

To end the current pacing, press the softkey [Off]. Answer the confirmation prompt Switch off pacer? with the softkey [Yes] to end pacing and to reset

the pacer (DEMAND, 0 mA, 70/min).

ENG - Version 2.1 – P/N 04130.2 87

Operation – Therapy

Note

WARNING

User Manual corpuls

Regularly check effectiveness of the pacer by checking the central pulse.

If the defibrillator/pacer battery enters a low state of charge in pacer mode while the modules are being operated separately from one another, a alarm message “Battery low (Defib)“ appears on the screen.

If the defibrillator/pacer battery is almost completely discharged and the defibrillator/pacer will soon switch off, the alarm message “Check pacer” appears.

In both cases, immediately connect the modules mechanically or connect the defibrillator/pacer to a mains power supply.

If the monitoring unit loses the network connection in pacer mode due to the defibrillator/pacer being out of range, this will be indicated visually and acoustically on the screen and by the alarm message “Check pacer”. Pacing will be continued, but pacer alarms and errors cannot be displayed. In this case, the modules must be brought immediately within an adequate range or reconnected mechanically.

WARNING

All four ECG electrodes of the 4-pole ECG monitoring cable must be connected to the patient.

If the electrodes of the complementary 6-pole ECG diagnostic cable are to be used additionally, all six electrodes must be connected to the patient and the connector must be plugged into the patient box. No electrode must be left unattached.

For safety reasons, if a defibrillation is performed with shock paddles, it is not permitted that the complementary 6-pole ECG diagnostic cable is preconnected to the patient box and none of the electrodes are attached.

To avoid unintentional switching off of the defibrillator/pacer, the On/Off key has to be held down for at least 3 seconds for switching off.

If the battery on the monitoring unit is replaced during pacer operation, the pacer has to be called up again.

88 ENG - Version 2.1 – P/N 04130.2

GS Corpuls3 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

1 Safety

1.1 General

1.2 Operating Staff

1.2.1 Restrictions of Therapeutic Functions

1.2.2 Maintenance

1.3 Information and Warning Labels on the Device

1.4 Warning Notices and Symbols

1.5 Special Types of Risk

2 Intended Use

3 Introduction

3.1 Components

3.2 Device Design

3.2.1 Pairing (Connection Authorisation)

3.2.2 Monitoring Unit

3.2.3 Patient Box and Accessory Bag

Accessory Bag

3.2.4 Defibrillator/Pacer

3.2.5 Defibrillator/P acer SLIM

3.2.6 Brackets

3.3.1 Monitoring and Diagnostic Functions

3.3.2 Therapeutic Functions

Defibrillation and Cardioversion

Pacing

3.4 Al ar m ma nagement

3.4.1 Alarm Signals at the Monitoring unit

3.4.2 Alarm Signals at the Patient box

3.5 Energy Management

3.5.1 Battery Operation

3.5.2 Mains Operation

4 General Operating Instructions

4.1 Operating and Display Elements

4.1.1 Operating Elements and LEDs on the Monitoring Unit

4.1.2 Basic Structure of the Display Pages on the Monitoring Unit

4.1.3 Patient Box Display

4.1.4 Control Keys and LEDs on the Patient Box

4.1.6 Control Key and LEDs on the Defibrillator/Pacer SLIM

4.2 Switching On and Off

4.2.1 Switching On

4.2.2 Switching Off

4.3 Menu Control

4.3.1 Softkey Context Menu

4.3.2 Parameter Context Menu and Curve Context Menu

4.3.3 Main Menu

4.3.4 Configuration Dialogue

4.4 Disconnecting and Connecting Modules

4.4.3 Connecting the Patient Box to the Monitoring Unit

4.5 Accessory Bag

4.5.1 Fitting the Accessory Bag

4.5.2 Packing the Accessory Bag

4.6 Inserting the Device into the Brackets

4.6.1 Defibrillator/Compact Device Bracket

4.6.2 Monitoring Unit Bracket

4.6.3 Patient Box Charging Bracket

5 Operation – Therapy

5.1.1 Types of Therapy Electrodes

Table 5-1 Therapy electrodes for defibrillation and pacing

5.1.2 Connecting the Electrode Cable

5.1.3 Removing the Shock Paddles from their Holders and Re-inserting them

5.2 Preparing the Patient for Defibrillation, Cardioversion and Pacer The rapy

5.3 Defibrillation in AED Mode

5.3.1 Information on the AED Mode

5.3.3 Defibrillation in AED Mode with Shock Paddles

5.4 Manual Defibrillation and Cardioversion

5.4.1 Information on Manual Defibrillation and Cardioversion

5.4.3 Manual Defibrillation and Cardioversion with Shock Paddles

5.4.4 Manual Defibrillation and Cardioversion with Shock Spoons

5.4.5 Manual Defibrillation and Cardioversion of Neonates and Children

5.5 External Pacer

5.5.1 Information on the External Pacer

5.5.2 Preparing the pacer function

5.5.3 Starting the Pacer Function