Philips M3536A Installation instructions

Power to see the big picture

Philips HeartStart MRx ALS Monitor

Product information

The capabilities you need and

the performance

HeartStart MRx has the capabilities you need and
the performance you demand for rapid intervention,
thorough care and positive patient outcomes.

you demand

All of these measurements, therapies and features, plus its
compact size, low weight (13.2 pounds), and balanced shape
make HeartStart MRx easy to carry, easy to stow, and above all,
easy to operate.

•Thoughtfully organized controls and

ports clearly separate functions,

monitoring from therapeutic.

• Monitoring starts once a patient cable is

connected to the device.

• Monitoring and therapy data are clearly

and logically arranged on-screen.

• Large numeric measurements,

waveforms,and alarm indicators enable

the user to quickly locate information.

Measures

12.4 x 7.7 x11.7 inches

• The appearance of measurements

and waveforms can be customized,

and the screen organized to the user’s

preferences.

• On-screen menus simplify navigation

for configuring data, setting and

responding to alarms, and accessing

additional functionality.

Monitoring Capabilities

• Monitoring through
defibrillation pads

• 3- and 5-lead ECG monitoring
through electrodes

• ST/AR Basic
detection

•FAST-SpO
Suppression Technology),
optional

• Noninvasive Blood Pressure
(NBP), optional

• Microstream
(etCO

• 12-Lead ECG, optional

• Q-CPR™ Measurement and
Feedback, optional

Therapies

• SMART Biphasic waveform

• Manual mode with shock
delivery through defibrillation
pads or paddles

• AED mode

• Synchronized cardioversion

• Noninvasive pacing, optional

Features

•Adjustable ECG size and
autogain

• 8.4 inch (diag.), 4-wave color
display, largest in its class

•12-lead data transmission

•Data collection and event
summary

• Strip chart printer

• Automated self-tests

•Operational checks

• Individual, adjustable volume
of QRS beeper, voice prompts,
and alerts

• Lithium ion battery (2 bays)
with capacity gauge

• “Ready-for-Use” indicator

•Configuration mode

•Diagnostic mode

• Carrying Case

• Bed rail hook

•AC and DC power modules,
optional

• Ambulance mounting bracket,
optional

™ arrhythmia

(Fourier Artifact

2

®

Capnography

), optional

2

3

Superior Measurements

A typical monitoring view shows some
basic patient information, the date, time
and battery status. Next are the numerics
and waveforms.The bottom half of the
screen shows additional monitoring
numerics followed by their waveforms,
and soft keys for customizing the display,
setting and responding to alarms, and
selecting parameters to view additional
monitoring data.

Arrhythmia Monitoring

• Philips’ ST/AR Basic arrhythmia algorithm.

• Analyzes ECGs for heart rate, while

continuously monitoring for ventricular

arrhythmias.

• Detects 10 rhythm disturbances and

irregularities, including 5 life-threatening

arrhythmias: asystole, ventricular fibrillation,

ventricular tachycardia, extreme bradycardia,

and extreme tachycardia.

• Generates visible and audible alarms

as needed.

SpO2with Fourier Artifact
Suppression Technology (FAST-SpO

•Low-noise hardware and patented digital

processing to prevent false readings,

drop-outs and false alarms in the presence of

motion and other interferences.

• Applies rule-based analysis to technical and

physiological criteria and quality indicators to

generate the Fourier spectrum.

• Measures reliably even in the presence of low

peripheral perfusion.

Noninvasive Blood Pressure (NBP)

•ADVANTAGE®oscillometric, motion-tolerant,

noninvasive blood pressure system from

SunTech Medical Instruments.

• Measures systolic and diastolic pressure and

calculates mean arterial pressure.

Philips 12-Lead ECG

• Philips’ 12-Lead ECG algorithm.

• Removes noise and artifact before generating

interpretive statements.

• Detects and stratifies early acute coronary

syndromes, for patients with symptoms of

ST-segment elevation acute myocardial infarc-

tion (STEMI).

• 12-Lead ECG algorithm employs its Pediatric

Criteria Program, which recognizes 12 dis-

tinct age groups for patients under the age of

16.

)

2

Complete 12-lead reports can be transmitted
from HeartStart MRx to the receiving hospital,
giving the ED and/or catheterization lab a head
start in preparing for patient care. Utilizing the
latest cell phone technologies, the speed and
encryption capability of the Internet, and
Philips HeartStart 12-Lead Transfer Station
software, reports can be viewed on-line,
faxed, printed, e-mailed and forwarded to
TraceMaster ECG Management System or
a central database for storage.

In 12-lead preview mode, 12 waves are
viewable on-screen, in addition to
numeric vital sign values.

Microstream®Capnography (etCO2)

•Microstream®CO2technology from Oridion

Medical.

•No zeroing, no heating and no sensor to

interfere with the patient’s airway.

•Microstream’s FilterLine®airway adapter and

sample line inhibit the build-up of condensed

water and secretions.

•Works on both intubated and nonintubated

patients, adult and pediatric.

All waves print on the strip chart printer in 3x4 format.

Q-CPR™ Measurement
and Feedback

•Q-CPR technology by Laerdal.

• Monitors and analyzes compression rate

and depth, as well as ventilation volume and

frequency in real-time.

• Provides on-screen measurements and

indicators and audio feedback when needed.

• Reinforces CPR training with each use.

Proven Therapies

SMART Biphasic Technology

• Philips’ patented low-energy SMART Biphasic

(truncated exponential) waveform. No other

external defibrillation waveform is supported by

more peer-reviewed clinical data.

•Impedance compensation algorithm measures

chest impedance and delivers a low-energy

shock based on the patient’s unique physical

requirements.

All monitoring connections
are located on the left side
panel. A carrying case pouch
covers and protects ports
and cable connectors from
damage.

AED Mode

•Clear, concise voice and text prompts, like

those of our industry leading automated exter-

nal defibrillators, guide the user through the

defibrillation process.

•Preset150 Joules of non-escalating energy.

Manual Defibrillation

•Charges to its highest energy level,

200 Joules, in less than 5 seconds.

•Defibrillates with either paddles or pads.

Synchronized Cardioversion

• Philips’ SMART Biphasic waveform, supported

by peer-reviewed evidence for its effectiveness

in cardioverting atrial fibrillation.

• On-screen, R-wave markers are shown above

(or on) each detected R-wave.

Noninvasive Pacing

•Demand and fixed modes.

• 40 msec pulse width.

•Adjustable rate and output (mA).

HeartStart MRx can be equipped with a set
of anterior/anterior, water resistant, external
paddles for adult and pediatric use.They
convert from adult to pediatric by removing
the outer contacts.

Sensors in the external paddles’ electrodes
assess paddle-to-patient contact and display
their readings in the Patient Contact Indicator
(PCI) located on the sternum paddle’s handle.

If pads are preferred, HeartStart MRx can be used
with Philips HeartStart Multifunction Defibrillator
Pads, which come in adult and pediatric sizes.

When connected to MRx, they can provide
ECG monitoring, synchronized cardioversion,
and noninvasive pacing, in addition to external
defibrillation.

In code view,a single large ECG wave is shown in the top
half of the display, the incident timer is prominent and all
alarms are paused. CPR numerics and the compression wave
appear in the middle.The bottom of the display accomodates
the CO

wave and active soft keys.

2

A flashing hourglass in
the “Ready-for-Use”
indicator window signals
that HeartStart MRx has
ample battery power to
monitor and deliver a
shock.When battery
power is low, ECG
capability is compromised,
or MRx detects that it

cannot pace or shock, a
red “X” replaces the hourglass and the monitor
will audibly chirp until the situation is corrected.

Therapies – defibrillation, synchronized
cardioversion, and pacing – are activated
using the therapy knob and surrounding keys.
For manual defibrillation, energy is selected
(1) using the therapy knob.With the press of
a button (2), MRx charges. Pressing the shock
button (3), MRx delivers defibrillation therapy.

5

Feature-packed and still lightweight

Self-tests and operational checks

• Ready-for-Use indicator.

• Automated hourly,daily and weekly self-tests.

• Easy-to-run routine operational checks.

•Test results are stored in internal memory and can

be viewed on-screen and printed with the strip

chart printer.

Strip chart printer

•Integrated strip char t printer: 50 mm standard or

75 mm optional.

•Prints the primar y ECG lead with event

annotations and event summary repor ts,including

ECG rhythm strips and 12-lead ECG reports.

•When configured,prints automatically on marked

events,charge, shock and alarms.

•Prints measurements in real-time or with a

10-second delay.

Data collection, management
and reporting

•Internal memory and an optional, removable

CompactFlash®data card capture approximately

8 hours of continuous ECG waveforms and events

(including drug and therapy markers), plus 50

12-lead ECG reports.

• Stored data can be printed as an event summary

report on the device’s strip char t printer or viewed

on-screen.

• Data transferred to a PC running HeartStar t Event

Review Pro data management software can be

compiled, edited,shared and archived for quality

control and reporting.

•HeartStar t MRx can accept a data card from

Heartstream and Hear tStart FR2-series AEDs.

12-Lead Data Transmission

•Using a cell phone to establish a dial-up

connection between HeartStar t MRx and

the Internet, access Philips HeartStart 12-Lead

Tr ansfer Station and send a report.Transmission

capability is optional.

Carrying Case

• Semi-rigid structure covered with polyester.

• Modular pouches for segmenting and

organizing accessories and supplies.

•Pouches snap on and can be easily removed for

thorough cleaning.

Quick Reference Cards

•Highlight device’s key functionality and operation.

• Laminated to resist wear and stains, the card set can

be tethered to HeartStar t MRx or stored in its

carrying case.

Training materials

• Self-paced, interactive,web-based training

familiarizes the user with the features and

operation of HeartStart MRx.

•Users explore components and accessories, run

simulations of hands-on procedures,and test their

understanding of the material.

• Continuing education credit is available for

completing the program.

•Optional instructor-based training material,

in person instruction, and a training video

are also available.

Rugged, reliable, and ready for use

The 8.4-inch color display is well protected
against damage. Recessed behind a 3 mm
non-reflective polycarbonate shield, framed
and backed in an energy-absorbing foam
blanket, and supported by a rigid magnesium
casting, it endures routine impact from bumps,
knocks, and even drops.

Internal assemblies are rugged. Latched
connectors hold cables in place to ensure
uninterrupted communications between
circuit boards.And every circuit board is
aggressively reinforced, braced and fastened
at multiple points, keeping the device’s
internal structure rigid, even in high
vibration environments.

Tw o rechargeable, lithium ion batteries,
when new and fully charged, provide up to
10 hours of monitoring, more than any other
monitor/defibrillator. Depleted batteries can be
charged to full capacity in just 3 hours.
No conditioning is required. Capacity gauges
on the monitor’s screen and on each battery
show the remaining charge.

6

Product Specifications

Physical

Defibrillator Model

Dimensions

Weight

HeartStar t MRx (M3536A)

Without external paddles: 12.4 in. (W) x 7.7 in. (D) x

11.7 in. (H) (313 mm x 195 mm x 295 mm)
With external paddles: 12.4 in. (W) x 7.7 in. (D) x

13.4 in. (H) (313 mm x 195 mm x 340 mm)

13.2 lbs. (6 kg): base unit with 1 batter y, pads and pads
cable. 13 lbs. (5.9 kg) with optional 75 mm strip chart
printer. Paddle tray and external standard paddles add less
than 2.5 lbs. (1.1 kg). Carr ying case adds 4.1 lbs. (1.86 kg).

Environmental and Physical Requirements

Solids/Water

IP24

Resistance

Temperature

Humidity

Altitude

Mechanical Shock

Vibration

Safety

Operating: 32º - 113º F (0º - 45º C)
Storage: -4º - 158º F (-20º - 70º C)

Operating: 0% to 95% relative

Operating: 0 to 15,000 ft (0 to 4,500 m)
Storage: 0 to 15,000 ft (0 to 4,500 m)

Bump: IEC 68-2-29
Freefall: IEC 68-2-32

Operating: MIL STD 810E 514.4 Category 6 Helicopter,
General Storage, UH60
Non-Operating: IEC 68-2-6 Swept Sine Vibration and IEC
68-2-64 Random Vibration

Meets EN 60601-1, UL 2601-1, CSA C22.2 No. 601-1

Display

Dimensions

Type

8.4’’ diagonal (128 mm x 171 mm)

TFT color LCD

Battery

Type

Dimensions

Weight

Charge Time

Capacity

Battery Indicators

Strip Chart Recorder

Recorder

Continuous ECG Strip

Auto Printing

Reports

Paper Size

6.3 Ah, 14.8 V, rechargeable lithium ion

6.5" (H) x 3.8" (W) x 1.6" (D) (165 mm x 95 mm x 42 mm)

1.6 lb. (0.73 kg)

Approximately 3 hours to 100%, 90 minutes to 80%

At least 5 hours of continuous 12-lead ECG, SpO
and CO

monitoring, with NBP every 15 minutes on

2

one new, fully charged battery

At least 3.5 hours of continuous 12-lead ECG, SpO
CO

monitoring, with NBP every 15 minutes and pacing

2

at 180 ppm at 160 mA on one new, fully charged batter y

Battery gauge on batter y, capacity indicator on display;
flashing RFU indicator, chirp, and ‘Low Battery’ message
appears on display for low battery condition, when
10 minutes of monitoring time and 6 maximum
energy discharges remain (with a new batter y at room
temperature, 25º C)

Standard: 50 mm (paper width) thermal array printer
Optional: 75 mm (paper width) thermal array printer

Prints primar y ECG lead with event annotations and
measurements in real-time or with 10-second delay

Recorder can be configured to print marked events,
charge, shock and alarms

Event Summary, 12-Lead, Operational Check,
Configuration, Status Log, and Device Information

1.97 in. (50 mm) W by 100 ft. (30 m) L

2.95 in. (75 mm) W by 100 ft. (30 m) L

2

2

,

, and

Resolution

Wave Viewing Time

Defibrillation

Wave form

Output Energy

Charge Time

Shock Delivery

Shock-to-Shock
Cycle Time

Patient Impedance
Range

AED Mode

480 x 640 pixels (VGA)

5 seconds (ECG)

Tr uncated Exponential Biphasic.Waveform parameters
adjusted as a function of patient impedance.

Manual (selected): 1-10, 15, 20, 30, 50, 70, 100, 120, 150,
170, 200 Joules into a 50 Ohm load
AED Mode (single energy output): 150 Joules into a 50
ohm load.

Less than 5 seconds to 200 Joules with a new, fully
charged lithium ion battery at 25º C

Via multifunction defib electrode pads or paddles

Typically less than 20 seconds

Minimum: 15 Ohm (internal defibrillation); 25 Ohm
(external defibrillation)
Maximum: 180 Ohm

Shock advisory sensitivity and specificity meet AAMI
DF-39 guidelines

Data Storage

Internal

Data Card

8 hours of continuous ECG waveforms and events,
plus 50 12-lead ECG reports

8 hours of continuous ECG waveforms and events,
plus 50 12-lead ECG reports, on a CompactFlash
memory card

ECG and Arrhythmia Monitoring

Input

Lead Fault

Pads Fault

Heart Rate Display

Heart Rate/
Arrhythmia Alarms

ECG Size

Up to 4 ECG waves displayed and up to 2 ECG waves
print simultaneously
Lead I, II, or III obtained through 3-lead ECG cable and
separate monitoring electrodes. With 5-lead cable,
obtain leads I, II, III, aVR, aVL, aVF, or V. Pads ECG
obtained through 2 multifunction defibrillation
electrode pads.

‘Lead Off ’ message and dashed line displayed, if an
electrode or lead wire becomes disconnected

Dashed line displayed if a pad becomes disconnected.

Digital readout on display 15 to 300 bpm, accuracy ±10%

HR, Asystole,VFIB/VTACH,VTACH, extreme tachycardia,
extreme bradycardia, PVC rate

2.5, 5,10, 20, 40 mm/mV, autogain

SpO2Pulse Oximetry

Range

0 to 100%

Resolution

Alarm Range

Alarm Delay

1%

Low Limit: 50 to 99% (Adult/Pediatric)
High Limit: 51 to 100% (Adult/Pediatric)

10 seconds

Noninvasive Blood Pressure

Pressure Range

Initial Pressure

Maximum Pressure

Alarm Range

End-Tidal CO

Range

Resolution

Sample Size

Alarm Range

Systolic: 40 to 260 mmHg
Diastolic: 20 to 200 mmHg

Adult: 160 mmHg
Pediatric: 120 mmHg

280 mmHg

Systolic high limit: 30 - 270 (Adult), 35 - 180 (Pediatric)
Systolic low limit: 30 - 265 (Adult), 30 - 175 (Pediatric)
Diastolic high limit: 18 - 240 (Adult), 18 - 150 (Pediatric)
Diastolic low limit: 10 - 240 (Adult), 10 - 145 (Pediatric)

2

0 to 99 mmHg

1 mmHg (0.1 kPa)

50 ml per minute

Low Limit: 10 to 95 mmHg (Adult/Pediatric)
High Limit: 20 to 100 mmHg (Adult/Pediatric)

12-Lead ECG

Input

Display View

Strip Record

Transmission

12-Lead cable: leads I, II, III, aVR, aVL, aVF,V/C1-V/C6

All 12-lead ECG waves display simultaneously

All 12-leads print on the strip char t printer in 3x4 format

CompactFlash data card; cellular dial-up Internet connection

CPR Measurement and Feedback

Compression Depth

Compression Rate

Ventilation Volume

Ventilation Rate

Ta r get: -1.50 to -2.00 in. (-38 to -51 mm)

Ta r get: 90 to 120 cpm

Graphic indicator: empty, 1/3-full, 2/3-full, full

Ta r get for breaths delivered before 60 seconds since last
compression: 6 to 16 vpm
Ta r get for breaths delivered beyond 60 seconds since
last compression: 9 to 16 vpm

Noninvasive Pacing

Wave form

Current Pulse
Amplitude

Pulse Width

Rate

Monophasic Truncated Exponential

10 mA to 160 mA (5 mA resolution); accuracy
10 mA to 50 mA ± 5 mA, 50 mA - 160 m A ± 10%

40 ms with ± 10% accuracy

30 ppm to 180 ppm (10 ppm increments);
accuracy ± 1.5%

Modes

Refractory Period

Demand or Fixed Rate

340 msec (30 to 80 ppm); 240 msec (90 to 180 ppm)

Q-CPR is the first and
only CPR measurement
and feedback tool
integrated into an
ALS monitor.

Built to Perform and Backed by Philips

Our dedication to excellence in design, manufacturing and
customer support makes us a trusted supplier of patient monitors
and defibrillators, serving the healthcare community for more
than 35 years. HeartStart MRx is part of our cardiac resuscitation
family of products, which includes ALS defibrillator/ monitors and
automated external defibrillators used in private and public
environments. Each is tailored to the needs and skills of a particular
type of user, extending the reach of care from the home to the
hospital.

Warranties, services, and support

So that our HeartStart MRx customers can continue delivering
reliable and effective patient care, we provide a variety of warranty
offerings and preventative maintenance programs. Philips backs
HeartStart MRx with one year of on-site service. On-site service,
requested through our Medical Response Center, is provided by an
authorized Philips service representative.At the time of purchase, a
2-year repair and return warranty can be substituted for the
standard 1-year on-site service warranty.To extend the coverage
period of either warranty, service contracts can be purchased
annually in 1-year increments (without limit).

Philips Medical Systems is part
of Royal Philips Electronics

On the web

www.philips.com/heartstart

Via email

[e-mail]

By fax

[phone]

By postal service

Philips Medical Systems

3000 Minuteman Road

Andover, MA 01810-1085

Asia

Tel: [phone]

Europe, Middle East, Africa

Tel: [phone]

Latin America

Tel: [phone]

Philips Medical Supplies

Philips is committed to producing and supporting the finest quality
medical equipment and supplies. Our supplies are thoughtfully
designed, tested and manufactured to deliver reliable and accurate
results from your HeartStar t MRx. For a complete list of supplies,
please visit http://shop.medical.philips.com.

North America

Tel: [phone]

© Koninklijke Philips Electronics N.V. 2005
All rights are reserved. Reproduction in whole or in
part is prohibited without the prior written consent
of the copyright holder.

Philips is a registered trademark of Koninklijke Philips Electronics N.V.

Philips Medical Systems North America Corporation reserves the
right to make changes in specifications or to discontinue any product
at any time without notice or obligation and will not be liable for any
consequences resulting from the use of this publication.

Printed in The Netherlands.
4522 962 06831/861 * SEP 2005

Microstream and FilterLine are registered trademarks of Oridion
Medical Ltd. ADVANTAGE is a registered trademark of SunTech
Medical Instruments. Q-CPR is a trademark of Laerdal Medical
Corporation. CompactFlash is a registered trademark of SanDisk
Corporation.