GS Corpuls3 Quick user manual

Short Manual

This short manual is meant to give an exploratory overview of
the essential functions of the corpuls3.
Reading this short manual is no substitute neither for the
necessity to carefully read through the user manual nor for the
instruction and training on the device by an authorised medical
products consultant.

Charging the Battery

B

Charging compact device via charging bracket

Inserting compact device
into charging bracket

Fit the recesses at the bottom

of the debrillator onto the pins

of the charging bracket (item
A). The device will be locked
automatically and the modules
will be charged.

Removing device from charging bracket

Pull the red handle upwards (item B) and remove the compact
device from the bracket.

Charging the compact de­vice via AC adapter

The charging process starts
when the the magnetic clip

(item 1) is tted with the

groove onto the magnetic

contact eld (item 2).

The state of charge-LEDs of the three modules indicate the
state of charge of the batteries:

green = device fully charged
orange = device is being charged

A

1

2

If the compact device is switched on, the charging status is
shown in percent (%) on the screen.
The current state of charge of the individual modules can be
viewed via the system info.

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Switching On and Off

Switching the Compact Device On and O

To switch on/o, press the

On/O key at the monitoring
unit.
The compact device is swit-

ched o after a conrmation

prompt.

Switching On and O in Modular Use

To switch on the monitoring unit, the patient box and
the debrillator in modular use, press the On/O key at
the respective module.

Switching o all modules:
Press the On/O key on the device. All modules are

switched o after a conrmation prompt, if they were

connected via radio at that point.

If this is not the case, the warning message "Check
modules" appears on the screen.

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Printer and Printing

Note

The easiest way to open the printer ap is to disconnect the mo­nitoring unit from the debrillator and place it on a at surface.

1. Pull the locking lever (item

1) of the printer ap slightly

downwards to unlock (item

A) the printer ap (item 2)

and open it downwards
(item B).

2. To remove the empty roll
of paper, push the paper
roll holder (item 3) on both
sides slightly outwards
(item C).

3. Insert a new roll of paper
into the holder (item 3) so
that the end of the paper

4

has its printed side facing
upwards.

4. Pull the paper forwards
(item D) over the edge of the

printer ap (item 4) and hold.

5. Push the printer ap (item 2) upwards and close the printer
compartment. The lock has to engage engage perceptibly.

6. Make sure that the locking hooks at the printer ap are rmly
engaged on both sides.

Printer and Printing

To start printing the curves displayed on the
screen, briey press the Print key.
To cancel the printout in progress, press the Print key again.

2

B

A

1

D

C

3

Screenshot
Hold down the Print key for 3 seconds.

Protocol printout

Briey press the Browser key.

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Separating and Connecting Compact

C

Monitor and Defibrillator

Separating the Compact Monitor

B

D

A

1. Grasp the compact monitor
by the carrying handle

C

and pull both snap locks
simultaneously forwards
and upwards (item A) or
push them rearwards and
downwards (item B).

B

A

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

D

upwards (item D).

Connecting the Compact Monitor

1. Lift the compact monitor, tilt and t both pins (item 1) in the
two recesses (item 2) at the debrillator/pacer (item A).

2. Tilt the compact monitor towards the debrillator/pacer
(item B) until the closures (item 3) perceptibly engage

(item 4) at the debrillator/pacer.

4

3

1

2

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Separating and Connecting the

1

2

Patient Box

Separating the Patient Box

A

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

B

Connecting the Patient Box

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

unit and t onto the monitoring unit. The recesses (item 1)

of the patient box engage in the two pins (item 2) of the
monitoring unit.

2. The patient box must be engaged at the bottom (item A) and
in the closure at the top (item B).

2. Tilt the patient box rear-

C

wards (item B) and remove
(item C).

B

A

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Separating and Connecting Compact
Monitor and Defibrillator SLIM

Separating Debrillator SLIM

1. Grasp the compact monitor

B

A

D

C

Connecting Debrillator SLIM

1. Lift the compact monitor, tilt and t onto both pins (item 1)

in the two recesses (item 2) at the debrillator/pacer SLIM

(item A).

2. Tilt the compact monitor towards the debrillator/pacer

(item B) until the closures (item 3) perceptibly engage

(item 4) at the debrillator/pacer SLIM.

by the carrying handle
and pull both snap locks
simultaneously forwards
and upwards (item A) or
push them rearwards and
downwards (item B).

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

3

4

1

2

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Radio Connection Patient Box

2

In case of malfunctions of the radio connection, take the
following measures:

The distance between the modules is not greater than 10
meters.

1. The antenna of the radio unit is located at the top of the
patient box (see symbol). To enable an optimal connection,
choose a position for the patient box that allows unimpeded
view to the other modules.

2. Make sure that the antenna in the patient box is not shado­wed by metallic or metallised objects.

3. If a radio connection is not possible, connect the modules
mechanically.

4. For further instructions see the User Manual.

Note

All data are saved in the patient box. An interruption of the radio
connection does not cause loss of monitoring data.

Pairing/Ad-hoc Connection

For a pairing the hardware version of the radio modules and

the software version have to be identical. Modules

with dierent radio modules (see number symbol) can

nevertheless have a mechanical ad-hoc connection.

WARNING: If two modules connected by an ad-hoc con-

nection are separated, the device attempts automatically
to re-establish the radio connection to the original patient

box and debrillator/pacer.

CAUTION: During an ad-hoc connection a wireless con-

nection to other modules is not possible.

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Manual Defibrillation/Cardioversion

Debrillation/Cardioversion with
corPatch Therapy Electrodes

Attach the corPatch therapy
electrodes to the thorax of the
patient as shown on the packa­ge and connect to the therapy
master cable, if necessary.

1. Press the Manual key (item 1) for a

quick boot-up in manual debrillation

mode.

2. Select the required energy level with
the jog dial or via the softkeys.

3. Press the Charge key (item 2) to start
the charging process.

4. To perform debrillation or cardioversi­on, hold down the Shock key (item 3)
until the shock has been delivered.

Debrillation/Cardioversion with Shock Paddles

1. Press the Manual key for a quick boot-

up in manual debrillation mode.

2. Select the required energy level with
the jog dial or via the softkeys.

3. Apply sucient electrode gel onto
the surface of the shock paddles and
place them on the patient’s thorax.

4. To start the charging process, briey
press one of the shock paddle buttons.

5. To perform debrillation or cardioversi­on, press both shock paddle buttons
simultaneously and hold down until
shock has been delivered.

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Defibrillation in the AED Mode

Debrillation with corPatch Therapy Electrodes

Attach the corPatch therapy
electrodes to the thorax of the
patient as shown on the packa­ge and connect to the therapy
master cable, if necessary.

1. Press the AED key (item 1) for a quick

boot-up in AED debrillation mode.

2. To start the ECG analysis, press the
Analyse key (item 2).

3. Message "Deliver shock": Hold down
the Shock key (item 3) until the shock
has been delivered.

4. Follow the instructions in the message
line of the device to perform cardio­pulmonary resuscitation (CPR).

WARNING

Risk for the patient. During ECG analysis, avoid external

commotion and vibration. Do not touch the patient. Briey
discontinue articial respiration during ECG analysis. The

periodic expansion of the chest during CPR may simulate
an ECG rhythm.

Note

The use of a debrillator 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 debrillator in AED mode with
corPatch therapy electrodes (Neonate or Pediatric).

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corPatch CPR

CPR Feedback

If a corPatch CPR sensor is used, the rate and depth of a
thorax compression can be measured. Speech- and text mes­sages like "Push harder" or "Good compressions" inform
the user of the quality of the thorax compressions. "Fully
release" reminds the user to release the thorax.

Connect the corPatch CPR sensor to the thorax of the patient
and to the intermediate cable leading to the patient box as
shown on the package.

WARNING

During the phase between compressions, the user has
to make sure that the pressure is completely relieved
from the thorax. Otherwise, there can be false-negative
feedback.

Metronome

The metronome supports the resuscitation acoustically. It emits
a tone sequence which signals ventilations and thorax compres­sions to the user. To start the metronome in AED- or manual

debrillation mode, press the softkey [Metronome].

WARNING

The metronome pauses at reaching readiness for shock in

AED or manual debrillation mode.

After the shock has been released or 10 secs after readi­ness for shock without releasing the shock, the metrono­me resumes signalling the compression tone.

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External Pacer

Pacing

1. To call up the pacer func­tion, press the Pacer key
(item 1).

2. Attach the corPatch therapy
electrodes to the patient's
thorax (anterior/posterior)
and connect them to the
therapy master cable, if
necessary (see below, on
the left).

For the DEMAND mode or the OVERDRIVE function, additio­nally place all 4 electrodes of the 4-pole ECG monitoring cable
on the patient (see above, on the right):

• Red ECG electrode: under the right clavicle (item 1)

• Yellow ECG electrode: under the left clavicle (item 2)

• Green ECG electrode: area of the left inguinal fold (item 3)

• Black ECG electrode: area of the right inguinal fold (item 4)

Softkey [Mode]: Selection of the operating modes FIX and

DEMAND as well as the OVERDRIVE function.

Via the softkeys [Freq] and [Intens] the stimulation frequency

and the intensity in milliampere can be selected and adjusted
with the jog dial.

Pacing can be interrupted via the softkey [Pause].
To continue pacing after the pause, press the softkey [Cont.].
To stop pacing, press the softkey [O].

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Diagnostic ECG

3

5

6

4

1

2

Diagnostic ECG

To monitor the heart rhythm and heart
rate, place all 4 ECG electrodes of the
4-pole ECG monitoring cable on the
patient:

• Red ECG electrode: right arm (item 1)

• Yellow ECG electrode: left arm (item 2)

• Green ECG electrode: left leg (item 3)

• Black ECG electrode: right leg (item 4)

For a full diagnostic ECG, additionally
place all 6 ECG electrodes of the ECG
diagnostic cable on the patient’s thorax:

• Red V1 ECG electrode (item 1)

• Yellow V2 ECG electrode (item 2)

• Green V3 ECG electrode (item 3)

• Brown V4 ECG electrode (item 4)

• Black V5 ECG electrode (item 5)

• Violet V6 ECG electrode (item 6)

Performing a Diagnostic ECG

1. Press the Monitor key.

2. Softkey [D-ECG]: A preview of all ECG leads is
displayed on the screen.

3. Message "Ready for D-ECG": Press the softkey [Start].
The displayed derivations are saved automatically.

4. To print out the curves, press the softkey [Print].

5. Softkey [Cancel]: Switch-over from preview to monitoring
mode.

Note

If the signal quality of one or several leads is poor or missing,
check electrode contact and electrode positioning.

WARNING:

Changing the factory lter settings can aect the represen­tation of the ECG. As a consequence, wrong interpretation
of the ECG is possible, which can result in inadequate
treatment.

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Monitoring Vital Parameters

If the curve elds or parameter elds of the connected measu­ring option are not displayed automatically, they have to be se-

lected. Select via the main menu (jog dial "Signals"  "Curves/

Parameters") or via the parameter or curve context menu.

Parameter Context Menu and Curve Context Menu

Select the required parameter/curve eld with the jog dial and
conrm by pressing the jog dial.

In the parameter context menu the type of parameter can be
selected, the alarms of the respective parameter deactivated or
the automatic limits "Auto Limits" activated.
In the curve menu the type of curve can be selected, the sweep
speed and the amplitude settings changed and in IBP mode the
sensors can be calibrated and/or labelled.
The softkey context menu allows a quick selection of menu
items that are relevant for the respective softkey.

Oximetry (SpO2/PR/PI/SpCO/SpHb/SpMet/SpHb)

Attach the oximetry sensor according to the manufacturer’s

instructions to a nger/toe. Measurement starts automatically

after the sensor has been attached. The measured values can
be displayed as a plethysmogramme or as numerical values.

Capnometry (CO2/RR)

Attach the CO2 sensor with an appropriate adapter to the pati­ent according to the manufacturer’s instructions. Measurement
starts automatically after the sensor has been attached. The
measured values can be displayed as a capnogramme or as
numerical values.

Temperature

Attach the temperature sensor oesophageally or rectally or
place it on the surface of the skin or into the ear. If necessary,
use a protective cover. The measured values can be displayed
as numerical values (T1/T2).

Trend curves

In monitoring mode the trend curves can be called up via the
softkey [Trend]. The trend curve is available for all vital parame­ters and is updated every minute. Trend curves can be printed

out. Press softkey [Curves] to return to monitoring mode.

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ECG Monitoring

4

1

2

3

Positioning the ECG Monitoring cable

Place all four ECG electrodes of the 4-pole ECG monitoring
cable on the patient:

• Red ECG electrode:
under the right clavicle

• Yellow ECG electrode:
under the left clavicle

• Green ECG electrode:
in the area of the left inguinal fold,
central to the axis of the leg

• Black ECG electrode:
in the area of the right inguinal fold,
central to the axis of the leg

Performing a ECG Monitoring

The ECG is displayed in the following manner:

• Up to 6 leads can be displayed on the screen at the same
time.

• The ashing heart symbol indicates a QRS complex.

• Identication of a QRS complex indicated by a QRS marker
can be congured (see chapter 7.2.1 ECG Monitoring,

page 153).

• The lozenge symbol indicates pacing pulses of an
implanted pacer.

• The heart rate can be displayed in a parameter eld. The
alarm limits can be congured.

Note

If individual ECG curves are failing, check the ECG electrodes
and the ECG cable.

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NIBP Measurement

Attaching the Cu

Attach the deated NIBP cu rmly to the

patient’s exposed upper arm at heart level. The

NIBP cu should not exert any pressure on the
blood vessels. The lower edge of the NIBP cu

should be positioned approx. 2 cm above the
crook of the arm. The marking "ARTERY" prin-

ted on the inside of the cu has to be aligned

centrally and with the arrow pointing down to
the elbow joint.

Individual Measurement

1. Softkey [NIBP]: Preparing a new individual measurement.

2. Softkey [Mode]: Selecting the patient type.

3. Softkey [Initial]: Adjusting the initial pressure.

4. Softkey [Start]: Starting a NIBP individual measurement.

Automatic Interval Measurement

1. Softkey [Auto]: Automatic interval measurement.

2. Softkey [Interv.]: Adjusting the required measurement
interval.

3. Softkey [Start]: Starting automatic interval measurement.

Note

To start an individual measurement while the automatic interval

measurement is active, press the softkey [Start].

Note

To move the NIBP user interface to the background, press the

softkey [Close]. The measurement will not be interrupted, it

stays active in the background.

Trend View

To call up the trend view, press the softkey [View].

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Telemetry/Data Management

Fax Transmission to a Fax Machine

1. Record a diagnostic ECG.

2. After the message "D-ECG measured" is displayed, press

the softkey [Send]. The phonebook overview with pre-con­gured destinations appears.

3. Select the required destination or "Manual destination" with

the jog dial and press to conrm.

4. Symbol Fax: Fax transmission started. .......................

Symbol Fax with conrmation tick:

Fax transmission has been successful. ......................

Symbol Fax with exclamation mark:

Fax transmission failed. ..............................................

5. By pressing the softkey [Cancel] the patient monitoring mode

can be called up again. The fax transmission is carried out in
the background.

6. To abort the current fax transmission, select in the main

menu "Telemetry"  "Abort Fax".

Data Transmission to corpuls.web

1. In the main menu, select "Telemetry"  "Connect".

2. The log-in to the corpuls.web server is initiated.

The symbol corpuls3/server with two arrows indi­cates that the data connection between corpuls.web
and corpuls3 has been established.

3. To exit the current live data transmission, select in the main

menu "Telemetry"  "Disconnect".

Data Transmission via Bluetooth® Interface

1. In the main menu, select "Bluetooth"  "Connect".

The overview of pre-congured Bluetooth® connections

opens.

2. Select the device to be connected or "Manual destina-

tion" with the jog dial and press to conrm. The symbol

Bluetooth indicates that a connection to an external
system has been established via the Bluetooth® interface.

3. To abort the current Bluetooth® connection, select in the main

menu "Bluetooth"  "Disconnect".

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Alarm- and Event Management

Alarm Design

Alarms can have high (!!!), medium (!!) and low (!) priority.

These priorities are signalled acoustically by dierent series of
tones and visually by inverted colours of the parameter eld,
highlighting the status line in dierent colours and ashing of
the alarm light in dierent colours and intervals. To open the

alarm history, press the Alarm key.
To conrm the alarms, press the Alarm key
repeatedly.

Sorting of Alarms

In the alarm history, the alarms are sorted by status (active/non
active), priority and time of occurrence. Alarms are active, if the
conditions that trigger the alarm are present. Active high-priority
alarms always take precedence and cannot be interrupted by
medium-priority- or low-priority alarms. Non-active alarms are
still listed in the alarm history for information.

Note

During modular operation of the device, alarms may be sig­nalled with a delay of up to 30 seconds.

Recording an event

Press the Event key to save a time stamp which
marks the current ECG data and parameter values on
the protocol printout.

Conguration of Manual Events

Operators can pre-congure up to 14 individual events in the
menu "System"  "Events". These can be called up during the

mission by holding down the key Event and be added manually
to the mission protocol.

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Maintenance

Daily Check

1. Check the accessories/consumables for completeness.

2. Perform a visual check of the device and the mechanical

connections.

3. Switch on the compact device and check if the internal self-

test results in any error messages.

4. Select manual debrillation mode. Select an energy of 200 J

with the jog dial or the softkeys.

5. Release internal shock.

a) Paddles in holder: release with both paddle

buttons.

b) Therapy master cable in the base socket: re-

lease with the Shock key at the monitoring unit.

6. Print protocol by pressing the Browser key

and check the results for correctness.

7. Perform connection test by separating the

modules and connecting them again. Check connection
status in the status line.

Note

For further instructions for the daily check see chapter 9.2
and the checklist Functional Check in Appendix B of the User
Manual.

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For further information please contact:

Your business card

GS Elektromedizinische Geräte G. Stemple GmbH · Hauswiesenstraße 26 · 86916 Kaufering · Germany
 [phone] · [e-mail] · www.corpuls.com

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