Physio Control Lifepak 11 User manual

4|P^

PHYSIO

CONTRO

OPERATING

LIFEPAK®

diagnostic

INSTRUCTIONS

11

cardiac

monitor

IMPORTANT

Federal (USA) law restricts this device to

This instrument is tobeused This instrument complies with

by authorized medical personnel only.

Part

sale

by or on the order of a physician.

68, FCC rules

FCC Registration Number: 2BEUSA-73228-DT-E

Ringer

USOCJack:RJ11C

IC IC

Product

Recycle

•

Equivalence:

Certification Load

Number:

Recycling

the

deviceatthe

Number:

2

Instructions

0.4B

1449

4762

end

of its useful life.

A

Preparation

The

device

Device

The

device shouldberecycled according to national

Physio-Control

RecyclingofDisposable

After

shouldbeclean

Recycling

disposable

Assistance

representative

Electrodes

electrodes

and

contaminant-free

for

assistance.

are

used,

followyour local clinical

Packaging

should

be recycled according to local

prior to being recycled.

and

local regulations.

procedures

and

national regulations.

Contact

your local

for recycling.

Corporate

11811 Post

Redmond,WA98073-9706

Telephone:

TollFree (USA ortly):800.422.1142

Fax:

European Physio-Control UKLtd. CODE

Leamington Court Motorola is a registered trademark of Motorola, Inc.

Andover Road, Newfound Specifications subject to change without notice.

Basingstoke, RG23

Telephone:

Fax:

Headquarters

Willows

Road

Office

206.885.6507

7HE United Kingdom

44.1256.782.728

Northeast

Box

97006

206.867.4000

Union

Contact

Hampshire

44.1256.782.727

PHYSIO-CONTROL,

SUMMARY.

Litho in USA. 01996

Physio-Control Corporation.

P/N

805493-001

LIFEPAK,

FASTPAK,

PARTSLINE,QUIK-COMBO, and CELLPAK

FAST-PATCH,

LIFEPAK11diagnostic

°April 1996. Physio-Control Corporation

and

LIFE»PATCH

are

trademarks of Physio-Control Corporation.

registered trademarksof Physio-Control Corporation.

cardiac

monitor

Operating

Instructions

TABLE

Preface

OF

CONTENTS

0^.

Featuresofthe

Symbols

LIFEPAK 11 diagnostic cardiac monitor viii

x

Glossary xi

1

Safety

2

Basic

Information

DefinitionofTerms

General

Unpacking

Controls

Connecting Loading

Setting Selecting Handling

Warnings 1-2

Orientation

and

Initial Inspection 2-2

and

Indicators

Power

Recorder

the

and

Clock

Patient Storing

Paper

ECG

the

Cable

Patient

ECG

Transporting in Optional Soft Carrying

Setting Up

User

Configuration Options 2-11

Cable

Case

1-2

2-2

2-7 2-9

2-10 2-10

2-11

LIFEPAK 11

°April 1996, Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

HI

Monitoring

the

Patient

ECG

Monitoring Warnings 3-2

Connecting the Patient ECG Cable 3-2

ECG Monitoring

Leads

Off

Monitoring

Procedure

Messages

Patients

During Monitoring 3-5

with Internal

Pacemakers

Troubleshooting Tips for ECG Monitoring 3-6

3-3

3-5

Acquiring

12-Lead

Identifying

Screen

a

12-Lead

ECG

Procedure

12-Lead

Messages

ECG

Electrode

Sites

During 12-Lead ECG 4-5

Description of Printed 12-Lead ECG Report 4-6

Computerized ECG Analysis 4-8

Troubleshooting

Creating

Patient

Entering

Activating

Marking

Printing

Patient

Report

the

Events

the

Tips for Acquiring a

12-Lead

ECG

Reports

Types

Patient

the

ID 5-2

Recorder

with

Event

Keys

CODE SUMMARYReport 5-7

Troubleshooting Tips for Recording 5-9

Retrieving

Defining

Current

Patient Directory

Patient

Current

Patient

Reports

Patient

and

Reports

and

Previous Patient Reports 6-4

4-2

4-3

4-12

5-2

5-4 5-6

6-2

/a%

Data

Communications

OverviewofData

Equipment

Transmitting a

Transmitting Reports from

Communications

Connections

Report

for

the

Current Patient

Directory 7-9

Configuration Options for Transmitting Reports 7-11

Screen

Messages

During

Successful

Transmission

Troubleshooting Tips During Transmission 7-11

Defibrillation/Cardioversion/Pacing

Defibrillation

Connecting

Monitor

Warnings

the

Monitor

and

Defibrillator Battery Power 8-4

and

Defibrillator

LIFEPAK11diagnostic

cardiac

monitor

7-2

7-4

7-8

7-11

8-2 8-3

Operating

Instructions

9

Maintaining

Automatic Recording of Defibrillator Events for

the

LIFEPAK

11

defibrillator/pacemaker 8-4

Automatic Recording of Pacing Events for the

LIFEPAK

11

defibrillator/pacemaker 8-4

Recording Defibrillation Events for the

defibrillator

Screen

messages

for

the

LIFEPAK 11

LIFEPAK

5 or

LIFEPAK

250

8-4

monitor/defibrillator/pacemaker

During Defibrillation/Synchronized Cardioversion 8-5

Defibrillation/Synchronized Cardioversion report for LIFEPAK11 monitor/defibrillator/pacemaker

Screen

messages

for

the

LIFEPAK 11

the

8-6

monitor/defibrillator/pacemaker during pacing 8-6 Pacing report for

LIFEPAK

11 monitor/defibrillator/pacemaker 8-8

the

ECG Monitoring During Pacing 8-8

LIFEPAK5defibrillator

LIFEPAK

250

automatic advisory defibrillator 8-10

8-9

Troubleshooting Tips During Defibrillation 8-12

the

Equipment

General Battery Maintenance Troubleshooting 9-14 Service Warranty 9-16 Supplies, Accessories,

10

Setup/Configuration

Overview of Options

How to

Device Device

Startup Defaults 10-7

Transmit

Modem

Default

Event Key Definitions 10-10

Transferring Configurations to Another Monitor 10-11

Maintenance

and

Repair 9-16

and

Testing 9-2

and

Testing 9-7

and

Training Tools 9-17

Options

and

Factory Settings 10-2

Access

Identification Features

Printer

User

Set-Up

Initialization

Lead

Configuration Options 10-4

Group

10-5 10-6

10-8

10-9

10-10

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

LIST

OF

FIGURES

Figure

2-1

Controls

Figure 2-2 Function

and

indicators

buttons

Figure 2-3 Alphanumeric keypad 2-5 Figure 2-4

Figure 2-5 Loading recorder

Figure 3-1 Patient ECG

Screen

and

softkeys 2-6

paper

cable

and

attachments 3-2

Figure 3-2 Limblead electrode placement 3-3

Figure 4-1 12-Lead ECG

Figure

4-2

Limb

lead

attachments

electrode

for patient ECG

placement

cable

for 12-lead ECG 4-3

Figure 4-3 Precordial lead electrode placement 4-4

Figure 4-4 Example of printed 3-channel 12-Lead ECG report 4-6

Figure 4-5 12-Lead ECG

data

portions printed in 3-channel format 4-7

Figure 4-6 Example of printed 4-channel 12-Lead ECG report 4-8

Figure

4-7

Figure

Computerized ECG analysis

4-8

Deriving

the

median

beat

statements

Figure 5-1 Recorded ECG report example

Figure

5-2

Event

key definitions

Figure 5-3 Event Key Figure 5-4 Example of CODE

screen

and

CODE

SUMMARY

report 5-7

report 5-8

Figure 7-1 Typical landline communications (US and Canada) 7-2

Figure 7-2 Typicallandline communications (Outside US and Canada)

Figure

7-3

Typical cellularcommunications

Figure 7-4 Landline connections (US Figure 7-5 Landline connections (outside US Figure 7-6 Cellular connections (US Figure 7-7 Cellular connections (outside

Figure 8-1 Connecting

Figure 8-2 Disconnecting

the

monitor

the

monitor

and

Canada) 7-5

and

Canada) 7-6

and

Canada) 7-6

theUSand

and

defibrillator 8-3

and

defibrillator 8-3

Canada) 7-7

...

Figure 8-3 Defibrillation/Synchronized Cardioversion report 8-6

Figure 8-4 Pacing report 8-8

Figure 8-5 Sync notation on an ECG report 8-10

Figure

9-1 Reconditioning

Figure

9-2

Figure

9-3

Shelf

Battery

Life

Maintenance

Test

Procedure

Log

form

2-2

2-4

2-9

4-2

4-8

4-11

5-4

5-6

7-2

7-3

9-10 9-11

9-12

v|

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

LIST

OF

TABLES

Table

2-1

Controls

and

indicators

Table 2-2 Function button descriptions 2-4

Table 2-3 Alphanumeric keypad descriptions 2-5

Table 2-4

Table

3-1

Screen

ECG

and

softkey descriptions 2-6

leads

color

codes

Table 3-2 Troubleshooting tips for ECG monitoring 3-6

Table 4-1 Precordial lead electrode placement 4-4

Table 4-2 Categoriesof 12-lead ECG interpretation

Table

4-3

ECG criteria for justification

and

interpretation

statements

Table 4-4 Troubleshooting tips for 12-Lead ECG 4-12

Table 5-1 Troubleshooting tips while operating

Table

7-1

LIFEPAK11monitor

Table 7-2 Equipment

Table 7-3 Equipment

and and

communications

services services

for landline communications 7-5 for cellular communications 7-7

the

recorder 5-9

Table 7-4 Troubleshooting tips during cellular transmission 7-12

Table 7-5 Troubleshooting tips during landline transmission 7-14

Table 8-1 Troubleshooting tips while using a

Table 9-1

LIFEPAK

Recommended

250

defibrillator

maintenance

and

LIFEPAK

monitor

schedule

5 or

for clinical

personnel

..

Table 9-2 Inspection 9-3 Table 9-3

Table

Table 9-5 Supplies, Accessories,

9-4

Recommended

General

troubleshooting tips

cleaning 9-3

and

Training Tools 9-17

Table 10-1 User Configuration Options 10-3

Table 10-2 Device Identification options 10-5 Table 10-3 Device

Features

options 10-6

Table 10-4 Startup Defaults options 10-7

Table

10-5

Table

10-6

Transmit

Default Printer

Set-Up

option

Lead

Group

options

Table 10-7 Event Key Definitions options 10-11

Table 10-8 Possible

screen

messages

during configuration transfer 10-11

2-2

3-4

4-9

7-4

8-11

9-2

9-15

10-8

10-10

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

vtl

PREFACE

Features

The

Electrocardiogram

LiquidCrystal Display (LCD) data record summarizes important

The

of

the

LIFEPAK® 11

LIFEPAK11diagnosticcardiac

(ECG)

monitoring

and

basic patient information for multiple patients. The CODE

monitor

can transmit patientdata viatelecommunications toa

screen

events

diagnostic

monitor

and 12-lead

and

for

cardiac

is a portable, battery-powered instrument

ECG

printed on a 100mm recorder. The monitor

each

patient.

monitor

capability.

providing

ECGdata may be displayedon a

can

store ECG

SUMMARY™

Physio-Control®

critical

event

RS 100 receiving

station located at another site suchasa hospital. Thisallows hospitalpersonnel access to patient

which

data before the patient arrives at the hospital

The

LIFEPAK

11 monitor also provides computerized analysis of 12-lead ECG data. This

may improve efficiency and patient care.

computerized ECG analysis provides an additionaltoolto aid indetermination and diagnosis of cardiac conditions. Itis intended for use under the supervision of qualifiedmedical personnel. Itis currently recommended that all computerized ECGanalysis should be overread by a physician.

interpretive 12-LeadECG reports provided bythe

"UNCONFIRMED".

The

LIFEPAK

monitoring through defibrillation

password-protected configurations, 3-

Toaid in understanding the operating controls and screen messages, the button labels

messages

11 monitor may be connected to a compatible

paddles

appearintextinCAPITAL

or electrodes. Other monitor features include

and

4-channel recording formats,

LETTERS

LIFEPAK11monitor

LIFEPAK

suchasRECORDorLEAD

includethe printedmessage

defibrillatorto allow ECG

and

internal self-tests.

and

II.

All

screen

viii

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

DECLARATION

OF

CONFORMITY

according to ISO/IEC Guide 22

andEN45014

Manufacturer's

declares

complies

that

with

Name:

Address:

the

CE-marked

Product

Model

93/42/EEC

Safety:

EMC:

Name:

Number:

(Medical

Physio-Control Corporation

11811

Willows

P.O.

Box

Redmond,

USA

97006

WA

Road

NE

98073-9706

product

LIFEPAK®11diagnostic cardiacmonitor

805300

Device

EN60601

Class

IEC

EN60601-1-2:1993 CISPR IEC

1stedition

IEC IEC

1stedition

IEC

1st

Directive)

-1:1990/

II,

Type

601-2-4:1983

11:1990/EN

1000

PT4-2/EN61000

1000

PT4-3

1000

PT4-4/EN61000

1000

PT4-5/EN61000

Class

IEC

601

-1:1988/

BF withCFparts/

55011:1991

PT4-2

1st

edition

PT4-4

PT4-5

edition (formerly IEC 801-5)

Ha:

DIN

Continuous

VDE

0750-T1

operation.

-

ClassB,Group

-

3kV

-3V/m

-

0.5

kV Signal Lines

- 1kVPower

-

Installation

CD,

12.91;

8 kV AD

Lines

Class

1

3

Supplementary

Information:

1) Included

2)

Redmond,

LIFEPAK11diagnostic

oApril 1996, Physio-Control Corporation

October

This

18,1995

cardiac

product

monitor

are

the

following

Patient

LIFE-PATCH®

FASTPAK®

AC Auxiliary Power

Supply Interconnection

accessories

ECG

Cable

Assembly,

ECG electrodes, 800139

Battery,

Power

p/n09-10424

Supply, p/n 806311

Power Supply Interconnection

also

complies

UL2601-1:1994,

\

CSAC22.2N0.

with:

UL544,

CSA

125

Michael D. Willingham, VP Quality

Operating

Instructions

and

interconnecting

805265

Cable

C22.2

and

cables:

p/n

804219

(Y-Cable), p/n

No.

601.1,

Regulatory Affairs

3006462

ix

Symbols

Any or all of

cardiac

monitororaccessories:

the

following symbols may

appear

Protective ground (earth) terminal

in this manual or on the

LIFEPAK

11 diagnostic

*

Ni-Cd

M&

Hfflh

Equipotentiality

Recycle

Static Sensitive Device (SSD)

Alternating current

Direct

current

Voltage direct

Positive

Negative terminal

Defibrillation protected, type CF patient connection

Attention,

terminal

battery

consult

connector

current

accompanying

documents

o

Accessory device connector (receiving station modem)

RECEIVING

ACCESSORY

AC

ADAPTER

LINE

PHONE

CELLULAR

CARDIAC

STATION

DEVICES

connector

INTERFACE

MONITOR

connector

(receiving station modem)

(receiving station

connector

LIFEPAK11diagnostic

(receiving station modem)

(receiving station

(receiving

station

modem)

(cellular

modem)

cardiac

modem)

monitor

modem)

Operating

Instructions

Glossary

The

following

accessories.

terms

maybehelpful in

understanding

the

operationofthe

LIFEPAK 11 monitor or

|pN

AHA

cellular

FCC

IEC

landline

PSTN

REN

American

Heart

Association

Mobile telecommunications

supported

Federal

International

Stationary throughaland-based

Public

service

Ringer

telephone

by a mobile

Communications

Electrotechnical

telecommunications

Switched

Telephone

connecting public

Equivalence

Number

network by

telephone

connecting

telephones.

mode

network

Commission

mode

network

Network is

telephone

is a

measureofthe

devices

that

employs

that

service.

the

usersinthe

a portable

service.

requires

telephone

connection

network

United

load

presented

States.

suchasmodems

telephone

to a

or

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

xl

SAFETY

INFORMATION

This section provides important information to help you

monitor. Familiarize yourself with all of

these

terms

and

operate

warnings.

the

LIFEPAK 11 diagnostic

cardiac

UFEPAKAtdiagnostic

oApril1996, Physio-ControlCorporation

cardiac

monitor

Operating

Instructions

Safety

Information

Definition

The

following

Danger: Immediate hazards that

of

Terms

safety-related terms are used either in this manual or on the

will

result inserious personal injuryor death.

LIFEPAK11monitor:

Warning: Hazards or unsafe practices that could result in serious personal injuryor death.

Caution:

General

Each

The

A

WARNINGS

Possible

Do not

Warnings

section

following

shock

immerse

accessories.

gas-sterilize

Safety

risk.

Useofnon-Physio-Control may

cause

the

Possible

fireorexplosion.

Hazardsorunsafe

product/property

contains

are

or

Do

this

warnings

general

fire.

any

not

warnings

portion of this

clean

with alcohol,

deviceoraccessories

electrodes,

devicetooperate

practices that could result in minor personal injury or

damage.

that

apply specifically to

that

apply to all monitor functions.

deviceinwaterorother

ketones,orother

unless

batteries,

otherwise

cables,

the

functions

describedinthe

fluids. Avoid spilling

flammable

agents.

specified.

accessories,

adapter

improperly.

section.

any

fluids on device or

Do not

autoclave

devices,orother

or

parts

Do not

Safety

Monitors, defibrillators, ferromagnetic materials. As with all ferromagnetic equipment,

presence

magnetic

or

attraction

Possible

Electronic equipment which emits strong electromagnetic or radio frequency signals

use

risk

serious

this

and

device

possible

near

equipment

and

their

flammable

of the high magnetic field

field

personal

may

electrical

createdbyan

injury to

also

damage

interference

MRI

persons

the

with

gasesoranaesthetics.

damage.

accessories

created

device

by a Magnetic

will

attract

between

equipment.

ECG

Consult

monitoring.

(including

electrodes

the

equipment

the equipment

the

MRI

and

these

Resonance

cables)

products

Imaging

contain

must

(MRI)

with a force sufficient to

and

the MRI device. This magnetic

manufacturer

for

more

not be

usedinthe

device.

cause

information.

can

cause

The

high

death

electrical

interference with ECG monitor operation. This interference may distort the displayed or recorded ECG

signal, thereby preventing accurate rhythm analysis.

type

suchascauterizers or diathermy equipment. Avoid operating this device

inches)

Possible

two-way

shock.

radios

or cellular

phones.

Avoid

operating this device

near

equipment of this

near

(typically within six

During patient monitoring, unconnected electrode lead wires may provide an electrical path to ground.

Do

not

allow

wiresasdescribedinthese

unconnected

lead

wirestocontact

Operating

Instructions.

other

equipmentorconductive

surfaces.

Connect

lead

1-2

LIFEPAK11

diagnostic

cardiac

monitor

Operating Instructions

Ip\

BASIC

This

monitor

Unpacking

ORIENTATION

section

and

describes

and

provides a

Initial

basic

how

Inspection

Cdntrote^dlft^^feir^

Gonn6Gln|S6weir

~"

iidWin9^rahieTP'fjter ^WfSSk^c

Selecting

jflpph]p^

the

Patient ECG Cable 2-11

jl^cfipiin^lii^pMl

HSeltajgl^ip^

orientation to

to prepare

Soft

Carrying

the

monitor for

Case

operation of

use.

the

LIFEPAK 11 diagnostic cardiac

Topics include:

page

2-2

2-7

2-9

2-10

2-11

LIFEPAK11diagnostic

°April 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

2-1

Basic

Orientation

Unpacking

After you and

all

cables

and

accessories

foam

inserts

Controls

Figures

indicators

remove

and

2-1

through

for

and

Initial

the

and

accessories

Inspection

LIFEPAK 11 monitor from

for

including cables, batteries,

for

use

Indicators

the

in shipping

2-4

LIFEPAK

and

Tables

11

the

monitor.

any

signsofdamage.

and

monitor.

2-1

through

the

shipping container,

Make

sure

recorder paper.

2-4

provideanoverviewofthe

Save

examine

you

have

all required supplies

the

shipping container

controls

the

entire monitor

and

Figure 2-1

Table

2-1

Controls

Screen

Softkeys

Function

and

buttons

indicators

A Liquid Crystal Display (LCD)

and

screen

messages

Four buttons

displayed on

whose

the

Eight buttons with

LEAD

SELECT

ECG

SIZE VOL EXIT

appear.

functions

LCD

screen.

dedicated

RECORD

12

LEAD TRANSMIT CODE

SUMMARY

LIFEPAK11diagnostic

where

change

functions:

the

ECG

waveform,

according to

cardiac

monitor

the

Operating

ECG

operation

Instructions

data,

Table

10

11

12

13

14

15

2-1

Controls

Alphanumeric

Defibrillator Contacts

Slide

Tilt

POWER

CONTRAST

ELECTRICALLY

ECG Connector

Battery

AUX

LANDLINE

SYSTEM

Strip

and

Connector

Bail

Switch

Patient

POWER

CONNECTOR

Chart

indicators,

Keypad

Slide

Control

ISOLATED

Cable

Connector

Recorder

Basic

Orientation

continued

A

set

of alphanumeric buttons that allow entry of patient information or

marking of user-defined

Flexible

LIFEPAK11monitor

metal

contacts

defibrillator when they together

Not

Tilts up

Switches

along the right

used

(internal

the

monitor.

between

events

during patient

that

allow

communication

and

the

LIFEPAK

are

connected.

sideofthe

connectoratrear

11/LIFEPAK

The

devices

monitor.

is for factory

OFF, battery power (BATT),

care.

between

5/LIFEPAK

slide

use

only).

and

auxiliary power

(AUX).

Rotary control for adjusting

the

screen

contrast

for

best

varied lighting conditions. Connector

for

the

patient ECG

cable.

Single +12Vdc nickel-cadmium rechargeable battery that powers the

monitor

Allows connection of

monitor

Auxiliary

Contact

Allows

network.

an RS 100 receiving station using

May not be available for

Allows

patient reports. Also allows

when

the

when

Power

POWER

the

POWER

Supply may not be available for

switchissettoBATT.

the

Auxiliary

switchissettoAUX.

your local Physio-Control

direct

connectionofthe

The

monitor

connectiontoan

can

transmit

use

in all countries.

external

access

Power

Supply. This

use

in all countries.

representative.

monitortothe

data

the

modem

public

telephone

through

its internal

telephone network.

for

telecommunication

to a real-time analog ECG Out

signal.

May notbeavailable for

Provides ECG,

100mm-wide

12-Lead

ECG,

use

recording of

and

CODE

in all countries.

ECG

waveform

SUMMARY

and

reports.

the

and

viewing in

powers

modem

recorded

250

lock

the

to

of

LIFEPAK11diagnostic

0April

1996.

Physio-Control Corporation

cardiac

monitor

Operating

Instructions

2-3

Basic

Orientation

Figure

2-2

Function

Table2-2 Function button descriptions

buttons

Controls

the

selectionofthe

pressed, the ECG lead menu appears withthe displayed lead

highlighted.

Lead selectionsV1-V6are only available ifthe precordial leads

are

connected.

Adjusts

the

display

is pressed, the ECG size menu appears withthe displayed

size

highlighted.

sizeofthe

ECG

lead.

When

LEAD SELECT is

ECG trace. When ECGSIZE

J-/V-

hr80

PADDLES

LEAD

2j2]

LEAD

aVR

aVL

aVF

V1-V6

hr80

X4.0

/5i%

I

III

RECORD

TRANSMIT

CODE

SUMMARY

X1.0 X0.5

X0.25

or transmitting.

Adjusts the audio volume forthe QRS systole tones or landline

VOL

does

not affect the volume of any service or warning tones.

Haltsany active task such as acquiring a 12-Lead ECG report,

JL^

data

transmission tones.

printing,

Activates or halts the recorder and initiates storage ofa recorded ECG report into

memory.

Initiates the acquisition, storage, and printingof a 12-Lead ECG report.

Pressing

selectionofthe

for transmission. Pressing

TRANSMIT

causes

the monitorto display the Transmit screen. Softkeys allow

report, location or destination

TRANSMIT

again

phone

causes

number,

and

communication

the report to transmit.

Transmission capability may not be available in all countries.

Initiatesor halts printing ofa CODE

SUMMARY

report. The CODE

SUMMARY

printingoverrides any other active task suchasacquiring a 12-Lead ECG report.

mode

report

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Basic

Orientation

Figure 2-3

Table 2-3

NUM

key

Alphanumeric

keypad

descriptions

Enablesordisables

keys

are

enabled,

number keys

Moves

character.

Moves

field.

Advances

are

the

cursortothe

the

cursortothe

the

cursortothe

Number

keys

the

useofnumber

NUM

LOCK

is displayed on the screen. The

keys.

When

the

number

automatically enabled for number-only fields.

left

one

space

and

right

space

available

deletes

and

field.

the

existing

entersaspaceinthe

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

2.5

Basic

Orientation

Figure 2-4

Table2-4

Screen

and

softkeys

Screen

and

softkey descriptions

Foursoftkeys located under the

displayed on the PATIENTIDor

used

for

the

LCD

PATIENT

current

screen. The softkeyfunctionsare defined by the displayed labels such REPORTS

screen.

LCD

screen have

different

functions accordingto the operation

inthe example above. Ablank label indicates the softkey is not

The displayed labels for the softkeys located directlybelow.

Location

ofthe menus displayed whenselectinga

different

ECGlead or changing ECGsize.

4 Current ECG size (can be X4.0, 2.0,1.0, 0.5, or 0.25).

ECG lead currently displayed.

Patient heart rate is displayedoverrangeof20 to300 beats per minute

is

HR

7 Three-line field for displaying

8 One-line field for displaying the current patient name or identificationnumber.

9 Fieldfordisplay of

10

ECG trace updates from left to right across the screen.

11

SYNC

defibrillatorwith synchronous cardioversion capability is connected to the monitor

synchronizing

12

Field for display of

13

Timeisdisplayed

14

SERVICE

15

LOW

16

NUM

heart rates

message

BATTERY

LOCK

message

are

outside the range of 20 to 300 bpm.

messages.

CONNECT

is displayed ifa

function is

message

in a

indicates

message

enabled.

24-hour

flashes if

LEADS

LIFEPAK

when ECG

format.

the

monitor

the

message when ECG leads are disconnected.

11defibrillator/pacemaker or compatible

leads

are

disconnected.

needs

service.

monitor battery voltage is low.

is displayed ifthe number keys are enabled on the alphanumeric keypad.

(bpm).

as

Whenthe display

LIFEPAK

and

the

2-6

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

j#^V

Basic

Orientation

Connecting

The

power

FASTPAK®

BATT

(battery power) or

The

Auxiliary

Physio-Control

Power-on

be

usedifthe

FASTPAK

A new, fully-charged FASTPAK battery installed in the

minimum of 60 minutes of monitoring

temperature of 15 to

when

the

is displayed. Always

To install

i Alignthe battery with

2 Insert

3 Firmly

Power

for

the

LIFEPAK 11 monitor

battery ortheACAuxiliary

AUX

(Auxiliary Power Supply).

Power

Supply may notbeavailable for

representative.

instructions

Auxiliary

Battery

battery

the

battery:

end

of battery

press

in

this

manual

Power

Supply is

35°C

(59 to 95°F).

needs

to be replaced. Promptly replace

keep

additional fully-charged FASTPAK batteries available for replacement.

the

battery well so battery clip is toward connector pins.

opposite

the other end of the battery into the battery well until itclicks into place.

can

Power

refertoBATT

connected.

and

20 minutes of recorder operation within

The

the

battery clip into

be supplied by a

Supply.Toapply

use

in all countries.

unless

otherwise

LIFEPAK

monitor flashes

the

battery well.

rechargeable,

To remove the battery, push inthe clip at the rear ofthe battery

compartment.

+12Vdc nickel-cadmium

power,

noted.

turnthe

Contact

The

POWER

your local

AUX

selection

switch

11 monitor provides power for a

the

operating

the

LOW

battery

and

BATTERY

when

lift

it up and out of the battery

the

message

LOW

BATTERY

and

to

can

beeps

message

&

WARNING

Possible

Using an improperly maintained battery to power the LIFEPAK 11 monitor

loss. Use the

Physio-Control®

Use the Physio-Control Battery Support System to properly maintain the

lossofpower

Battery

during

patient

Support System to

care.

properly

maintain

FASTPAK

may

cause

the batteries.

premature

batteries to

maximize battery lifeand performance. For detailed informationabout battery recharging and

maintenance,

AC

Auxiliary

The ACAuxiliary Power Supply provides an alternative power source for

The

Auxiliary

The

Auxiliary

information, refer to the AC

refer to

Power

page

Supply

9-12.

the

LIFEPAK

Power Supply powers the monitorwhile slow-charging the installed

Power Supply can also power the monitor

Auxiliary

Power Supply Operating Instructions. The AC

with

no battery installed. For operating

11 monitor.

FASTPAK

Auxiliary

Supply may not be available for use in all countries. Contact your local Physio-Control

representative.

power

battery.

Power

LIFEPAK 11

"April 1996, Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

2-7

Basic

Orientation

&

WARNING

The

AC Auxiliary Power Supply

Possible

perform the reconditioning

maintained Battery

batterytopower

Support

System

lossofpower

recharges

procedures

the

LIFEPAK 11 monitor

during

patient

the

FASTPAK

required to properly maintain the battery. Using an improperly

to properly maintain batteries.

care.

battery installed in the monitor, but

may

cause

premature

power

loss.

Use

does

only

not

the

Power-On

When

displays

COPYRIGHT

PHYSIO-CONTROL CORPORATION

11/21/94 SELFTEST

After a few

Settings

and

power is applied to

the

selftest

1994

seconds,

message:

the

Home

Screen

the

LIFEPAK 11 monitor,

monitor displays

Current

date

the

Home screen:

the

monitor performs internal

selftests

and

When

power is first applied to

• Displayed ECG

•

QRS

volume

size

is always off.

Other power-on settings such as the displayed

the

is always

monitor:

X1.0

ECG

leadcan be configured as

Defaults inthe User Configuration Options (described on page 10-3).

2-8

LIFEPAK 11

diagnostic

cardiac

part

of the Startup

monitor

Operating

Instructions

If

the

patient ECG

displays

12:14:38

The

monitor

the

date

assigned

battery

and

patient

cable

the

ECG

waveformonthe

jaw:

win :M»iBMWMjWi«wjMff.lliiBi»«rMiaii>MffllMi«»i4»

definesanew

and

time of power-on. Any

that

patient ID until

or by rotating

the

identification

and

ECG

patient by

power

POWER

when

switch from

powerisrestored.

leads

are

connectedtothe

Home

screen:

assigning

recorded

reports

is turned off. If

BATTtoAUX),

Basic

Orientation

monitor

and

a patient,

the

a unique patient identification (patient ID)

(suchasrecorded

the

power is briefly interrupted (by replacing

the

monitor retains

ECG or

12-Lead

the

current

monitor

based ECG)

settings

on

are

the

Ifyou interrupt

power-on

When

again the

and

Loading

To load

i

2

3

4

the

you

disconnect

before

monitor is

nottothe

Recorder

paperinthe

Pressinthe

Lift up

the

Remove

Insert a

new

outwardsoit is

Lower

the

clicks

shut.

power

monitor

connecting

turned

off

recorder

the

empty

paper

exposed

recorder

for

more

than

approximately

definesanew

the

monitor from a patient,besure

to a

new

then

on. This

patient.

ensures

The

patient.

Paper

the

steps

door

latchtorelease

door.

paper

spool.

roll with

door

>^

the

when

and

graph

the

push

side

recorder

downonthe

one

minute or turn

the

POWER

switch to

settings revert to monitor power-on defaults.

to turn monitor

monitor defines a

new

patient reports

new

power

patient

are

assignedtothe

off

and

patient ID

illustrated in Figure 2-5:

the

door.

facing up. Make

sure

the

endofthe

paper

doorisclosed.

doorasindicatedonthe

door

label until

then

new

extends

OFF,

on

when

patient

the

at

door

"#^V

Figure 2-5 Loading

LIFEPAK11diagnostic

°Aphl 1996, Physio-Control Corporation

recorder

cardiac

paper

monitor

Operating

Instructions

2-9

Basic

Orientation

Setting

To

check

RECORD

To

set

i

Turn

2

Press

3 Turn

displays

BW

Press the V

Press

the

to turn off

the

clock:

the

and

POWER

SERVICE

MONITOR MONITOR

MONITOR

DEFiaPJUATOWPACER

the

Clock

date

and

time,

press

RECORD

the

monitor

holddown

switch to

the

Service

OPTIONS

STATUS TESTS

CONFIGURATION

recorder.

POWER

the

BATT

Options

OPTIONS

Check

switchtoOFF.

TRANSMIT

while holding down the buttons for

screen:

softkeyasrequiredtohighlight

START

softkey to display

to start the recorder. After

the

date

and

time printed in

button

and

the

VOL

SET

CLOCK.

the

Set

Clock

screen:

V or

the

VOL

several

the

report is printed,

upper

A button.

seconds

left

cornerofthe

until

the

press

report.

monitor

SET

CLOCK

DATE:Bs/25r94

TIME:

0830:55

08:30:55

6 Usethe alphanumeric

through

7 After setting

Do not

for

usebytechnical

Selecting

The

patient

limb

lead

cable

the

fields.

the

attempttouse

the

Patient

ECG

cable

monitoring, precordial lead monitoring,

requirements

NUM

keypad

date

and

any

Service Options

service

for

personnel.

ECG

consistsofthe

ECG

acquisition, refer to Figure 4-1.

LOCK

toset the date and

time,

press

EXIT

except

Cable

main

cable

monitoring, refer to

time.

twice to exit to

SET

CLOCK.

and

two

and

acquisition of a 12-Lead ECG report. For

page

3-2. For

Press theV or A softkeys to advance

the

Home

screen.

Other Service Options

attachments.

cable

The

requirements

attachments

for

are

reserved

allow

12-lead

ECG

2-10

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Basic

Orientation

Jp\

Handling

Following

•

Disconnect

• If

practices

-

- Avoid twisting

Transporting

An optional soft carrying

Different

with a defibrillator.

batteries

Setting

The

suchaspower-on default settings

requires a password. For information

and

these

the

cable

is left

outlined

Hold

cable6to8inches

Coil

cable

soft

case

or

accessories.

Up

User

Storing

handling

toward

in

the

Patient

and

storage

cable

from

the

monitor prior to coiling

connectedtothe

below:

from

the

cable

connector

cableatconnector

Optional

versions

Soft

Carrying

case

is available to help protect

are

available to

Pouchesinthe

Configuration

ECG

Cable

suggestions

monitor

cable

between

connector

when placing in pouch

Case

accommodate

soft

case

allow

Options

User Configuration Options allow you to define operating

and

12-lead ECG operating functions.

about

accessing

will

extend

uses,

at

storage

and

the

useful lifeof

the

cable

and

storing in

follow

the

recommended

the

monitor

the

LIFEPAK 11 monitor during transport. the of ECG

features

end

monitor only or a monitor

cables,

for

the

ECG cable:

the

soft

coiling

electrodes,

the

LIFEPAK 11 monitor

and

Accesstothe

defining

the

options, refer to Section 10.

pouch

combined

extra

options

or

|P\

LIFEPAK11diagnostic

"April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

2*11

MONITORING

THE

PATIENT

ECG

This section LIFEPAK 11 defibrillator/pacemaker is

Warnings

Connecting

describes

the

limb

lead

monitoring

and

described

precordial

in Section 8. Topics in this

Pdff^ntECG Cable 3-2

lead

monitoring. Monitoring with

page

3-2

ECG Monitoring Procedure 3-3

Leads

Off

Messages

MonitoringiPatlerrtliwltH

During Monitoring

Internal

Pacemakers

3-5

Troubleshooting Tips for ECG Monitoring 3-6

section

the

include:

U!K96JkV\^taqjMreUc

•April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

3-1

Monitoring

Warnings

These warnings apply specifically to

&

WARNINGS

Possible

The

you

Possible

the

Patient

misinterpretation

ECG

data displayed on the

perform

diagnostic

misinterpretation

ECG

of

ECG

interpretation,

of

ECG

monitoring.

dataonLCD

LCD

screen is intended

usethe

dataonrecordings.

screen.

ECG

data

only

for

obtained

basic

from

ECG

rhythm

the

recorderinDIAG

identification.

mode.

When

The lower resolution monitorfrequency response mode does not provide the resolution required foryou

to

perform

detect subtle ECGcharacteristics such as ST segment abnormalities

recorder only indiagnostic frequency response mode

diagnostic and STsegment

interpretationofrecorded

(DIAG)

ECG

data.

When

attemptingtovisually

from

recorded ECG data, use the

Connecting

The patient ECGcable is illustrated in Figure3-1. Toconnect the cable for

1 Insert

on

the

2

Connect

needed,

the

main

monitor.

the

cover

the

Patient

cable

limb

the

ECG

connector

lead

attachmenttothe

unused

connector

Cable

into

the

green

ELECTRICALLY

ISOLATED

main cable (ifthe precordial lead

with

the

protective flap).

monitoring:

ECG

connector

attachment

3 For precordial lead monitoring,connect the precordial lead attachment to the main cable.

(Disconnect the precordial lead attachment when not in use.)

Main

cable

Limb

lead

attachment

Figure 3-1

Patient

ECG

cable

Precordial attachment

and

lead

attachments

is not

3*2

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

ECG

Monitoring

Limb

Lead

Toperform

1 Turn the

2

Make

3

Identify

Procedure

Monitoring

limb

lead ECG monitoring:

POWER

surethe

switch to

main

cable

BATT

and

and adjust

limb

lead

attachment

the appropriate electrodes sites onthe

AHA

Labels

RA

Right Arm

LA

Left

RL Right Leg

LL

Left Leg

CONTRASTasneeded.

are

connectedasshowninFigure

patientasshowninFigure

IEC

R Right

Arm

L

N

F

Left

Negative

Foot

Labels

Monitoring

3-2.

the

Patient

ECG

3-1

j?Pn

Figure 3-2 Limb

Prepare

•

Shave

muscle

• For oily skin,

• Dry

Apply ECG

• Inspect tear

•

Attach

•

Grasp

Inspect

•

• Hold

lead

electrode

patient's skin for electrode application:

excessive hair at electrode site.

masses.

clean

skin with alcohol pad.

site

with brisk rub.

electrodes:

electrode

open

foil

an

electrode

package

tab

gel

taut

with both

to

and

outwardly in all directions. Do not Secure

•

Press

Adjust ECG count

• Press

•

Adjust

Secure

To

Press

description of

the

cable

LEAD

SELECTtoselect

SIZEifnecessary.

heart

rate during routine monitoring,

VOLAuntil

ECG

SIZE

V or A

VOL

V or A as desired.

the

ECG

cable

obtainarecorded

RECORD

againorpress

ECG

with

the QRS complexesare audible.

ECG

recording.

placement

and

remove

eachofthe

peel

and

make

the

cable

desired

Size

until

with

the

report,

Avoid

locating electrodes over tendons

confirm

electrode

sure

hands.

packageissealed

electrode

lead

gel is intact (discard

Apply

press

carrier.

wires.

from carrier.

the

electrode

the

centerofthe

clasp.

limb

lead

(leadsI,II,

is automatically

the

ECG

set

to gain of

size

the systole beeper coincides

cable

clasp.

press

RECORDtoactivate

EXITtostop

the

recorder. Refer to

and

electrode

flat to

electrode.

III,

aVR,

may

need

with

the

and

major

date

is not expired. Carefully

the

aVL,

ifgel is

skin.

and

not

Smooth

aVF

are

intact).

tape

available).

X1.0atpower-on. To properly

to be

adjustedasfollows:

every QRS complex.

recorder

page

5-4

and

for a

store

complete

the

report.

LIFEPAK11diagnostic

°April 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

3.3

Monitoring

the

Patient

ECG

Precordial

The

monitoring

precordial lead ECG

1

Insert

2

Follow

electrodesonthe

Paddles

When

in

PADDLES

RefertoOperating

Color

Lead

precordial

when

the

precordial

the

Lead

using

the

lead

Coding

for

Monitoring

(chest)

the

precordial

leads

(V1

lead

monitoring:

lead

attachment

steps

listed

for

limb

chestasshown

Monitoring

LIFEPAK11monitor

using

the

QUIK-LOOK

Instructions

ECG

Leads

for

throughV6for

AHA,orC1

attachmentisconnectedtothe

into

the

main

lead

monitoring

in Figure 4-3.

beginningonpage

withacompatible

paddle

the

PADDLES

featureorby

lead

The lead wiresand the electrode snaps forthe patient

AHAorIEC

Table

3-1

Limb

Precordial

Leads

standards

ECG

Leads

leads

color

as

codes

listedinTable

AHA

RA LA RL LL

V1

V2 V3

V4

V5

V6

3-1.

Label

AHA

White

Black Green Red

Red

Yellow

Green

Blue

Orange

Violet

throughC6for

cableasshowninFigure

defibrillator,

applying

monitoring

ECG

Color

procedures.

cable are color-codedaccordingto

IEC)

are

main

cable.Toperform

3-1.

3-3.

Place

patient

ECG

QUIK-COMBO

IEC

Label

R L N F

C1

C2

C3

C4

C5

C6

available

the

precordial

canbe

monitored

electrodes.

IEC

Red Yellow

Black

Green

Red Yellow Green

Brown

Black

Violet

for

lead

Color

ECG

Electrode

Requirements

Electrode qualityis critical for obtaining an undistorted ECG signal. Alwayscheck the date code on electrode packages for expiration date before patient use. Do not use electrodes withexpired date codes. The disposable electrodes are intended fora single use; do not reuse disposable electrodes.

For

best

ECG monitoring results,

Physio-Control

LIFE»PATCH®

use

silver/silverchloride

(Ag/AgCI)

electrodes such

as

ECG electrodes. Post-defibrillation display of ECG on the screen is

faster using silver/silver chloride electrodes than withother electrode types.

3-4

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

•j|iP\

Monitoring

the

Patient

ECG

Leads

IfanECG

displaysaleads

inlead

message

The

you

If

LEADS

The RLelectrode

Off

II,

RA

LEADS

12:14:38

monitor

reconnect

Messages

leadelectrode disconnects

off

the

monitor

as

shown

CONNECT

OFF

continues to

theRAlead

During

message.

displays the

below:

LEAD

LEADS

flash

electrode

Monitoring

For

example,iftheRAlead

CONNECT

HR

II

X1.0

theRALEADS

or turn

during

monitoring,

LEADS

message and the

OFF

message and

POWERtoOFF.

the

monitor

electrode

emitsan

disconnects

flashingRALEADS

periodically

emit

audible

alarm

while

three beeps

monitoring

OFF

two or three electrodes disconnect, the monitordisplays the electrode names (suchasLA

OFF).Ifmore than three electrodes disconnect, the message is

does

not have the abilityto

sense

a (dis)connection. Ifthe RL electrode

ECG

LEADS

OFF

and

until

RA

disconnects during monitoring, a leads-off message does notappear. However, the qualityofthe

ECG

trace

maybeaffected.

Monitoring

The

LIFEPAK

However, when using

lead, the monitor may

inaccurate

Patients

with

11 monitor typically

the

detect

heart

rate

display.

Internal

does

Pacemakers

not

use

internal

pacemaker

QUIK-COMBOelectrodes or standard

internal

pacemaker

pulsesasQRS

pulses

paddles

to calculate heart rate.

to monitor in

PADDLES

complexes. This may result in an

Large amplitude pacemaker spikes can overload the QRS complex detector circuitry so that no

are

paced QRS complexes

pulses when monitoring patients with internal pacemakers, place ECG electrodessothe

between the positive

generator

and

the

heart.

Smaller amplitude internal pacemaker pulses may not be distinguished clearly in For greatervisibility of internal pacemakerpulses,

response.

counted. Tohelp minimize ECG pickup of large unipolar pacemaker

and

negative electrodes is perpendicular to the line between the pacemaker

PADDLES

use

agency or diagnostic mode frequency

line

lead.

LIFEPAK11diagnostic

'April

1996,

Physio-Control Corporation

cardiac

monitor

Operating

Instructions

3-5

Monitoring

the

Patient

ECG

Troubleshooting

If

problems occur whilemonitoring, check the listofobservations inTable3-2 for aid in

Tips

for

ECG

Monitoring

troubleshooting. For basic troubleshootingproblems such as no power, refer to Troubleshootingon

page

9-18.

Table3-2 Troubleshooting tips for ECG monitoring

Observation

Monitor

blank

with

Any of

these

displayed:

CONNECT

ECG

LEADS

xx

LEADS

Poor

ECG

screen

POWER

messages

LEADS

ECG

OFF

signal

display

on.

LEADS

quality.

Possible

CONTRAST

Cause

needs

adjustment.

Monitor battery low.

Screen

not

functioning

properly.

Oneormore

electrodes

ECG

cableisnot

to

monitor.

Poor

adhesion.

Broken

Poor

electrode-skin

Outdated,

dried-out

Loose

Damaged

connector/leadwire.

Noise

frequency

ECG

disconnected.

electrode-to-patient

lead

wire.

corroded,

electrodes.

connection.

cable

or

because

of

interference

(RFI).

connected

contact.

or

radio

Corrective

Adjust

Replace with fully-charged battery.

Print

and

Confirm

Reposition prevent

from patient.

Prepare electrode(s).

Press

lead.

Select

paddles

ECG monitoring.

Check

Reposition

prevent

from patient.

Prepare

electrode(s).

Check

packages.

Use

electrodes.

pouch

Check/reconnect

Inspect

Replaceifdamaged.

Test

malfunction

Check

(suchasa radio transmitter)

or turn off

Action

CONTRAST.

ECG

dataonrecorderasbackup

contact

service

ECG

electrode

cable

connections.

cable

and/or

electrodes

skin

LEAD

PADDLES

from pulling

per

page

SELECTtomonitor

lead

or QUIK-COMBO

cable

continuity.

cable

and/or

electrodes

skin

date

per

codes

from pulling

page

on

personnel

connections.

lead

3-3

and

use

electrodes

lead

3-3

and

electrode

for repair.

wires to

away

replace

another

standard

wires

away

replace

only unexpired silver/silver chloride

Leave

until

cable

for

timeofuse.

main

cable

with

observed.

equipment

electrodes

cable

and

simulator

causing

power.

in

sealed

connections.

attachments.

and

replace

RFI

and

relocate

for

to

if

3.6

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Table3-2 Troubleshooting tips for ECG monitoring, continued

Observation

Baseline

wander

frequency/high amplitude

(low

Possible

Cause

Inadequate

preparation.

skin

artifact).

PoorRLelectrode-skin

contact.

Fine

baseline

frequency/low amplitude

artifact (high

Inadequate preparation.

skin

artifact).

Isometric

muscle

arms/legs.

RL

electrode

6 Systole beeps not heard. Volumetoo

disconnect.

low.

tension

in

Corrective

•

Prepare

and

reapply

•

Check

proper

•

Prepare

and

reapply

• Confirm

supportive

•

Check

proper

Press

heard.

Monitoring

Action

the

Patient

skinasdescribed on

electrodes.

RL

and

other

electrodes

adhesion.

skinasdescribedonpage

electrodes.

that

limbs

are

resting on a

surface.

RL

and

other

electrodes

adhesion.

VOLup until

systole

beeps

ECG

page

for

can

3-3

be

Systole with

each

beeps

QRS

do not

complex.

Monitor displays flatline

ECG

trace

with

no

CONNECT Heart

different

LEADS

rate

(HR) display

than

pulse

message.

rate.

occur

QRS

amplitude too small to

detect.

PADDLES

patient

ECG

too

Monitor patient's pacemaker

connected

cable.

size

low.

detecting

lead

set

internal

pulses.

displayed

through

too high or

the

• Adjust ECG SIZE until

each

QRS

but

•

Press

LEAD

limb or precordial

• Adjust ECG

•

Change

size.

complex.

SELECTto display

leads.

size

up or down.

monitor lead or

beeps

reduce

occur

with

oneofthe

ECG

LIFEPAK 11

°April 1996. Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

3-7

ACQUIRING

A

12-LEAD

ECG

F^

This

section

12-Lead

Identifying

describes

ECG

Procedure

12-Lead

howtoacquirea12-Lead

Electrode

Sites

ECG,

including:

page

4-2

4-3

Screen Messages during 12-LeadECG 4-5

Description of Printed

Computerized ECG Analysis 4-8 Troubleshooting Tips for Acquiring a 12-Lead ECG 4-12

12-Lead

ECG Report

4-6

LIFEPAK11diagnostic

cApril 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

4-1

Acquiringa12-Lead

ECG

12-Lead

ECG

Procedure

Toacquire a 12-Lead ECG: 1 Turn the

2

Insert

Figure 4-1.

Figure

3 Insert the main cable connector into the green

monitor.

POWER

the

4-1

12-Lead ECG attachments forpatient ECGcable

limb

leadandthe

Limb

lead

attachment

switch to

Precordial attachment

BATT

and adjust

precordial

lead

CONTRASTasneeded.

lead

attachments

protective flap (open)

ELECTRICALLY

into

the

main

cableas

ISOLATED

ECG

connector on the

4 Identify the appropriate electrodes sites on the patientasdescribed on page 4-3.

5

Prepare

•

Shave

muscle

patient's skin for electrode application:

excessive

masses.

hair at electrode site. Avoid locating electrodes

over

tendons

• For oily skin, clean skin with alcohol pad.

•

Prepare

site with brisk rub.

shown

and

in

major

&

WARNING

Do not

use

Possible

previously

inabilitytoobtain

unpackaged

diagnostic-quality

12-Lead

electrodes or electrodes with expired

ECG

date

reports

codes.

Such

electrodes

may impair signal quality. Use only electrodes removed from a sealed package immediately before

use

and

follow

the

Apply ECG

procedure

electrodes:

for

electrode

application.

• Inspect electrode package and confirm package is sealed and date is not expired.

Carefully

•

Attachanelectrodetoeachofthe10lead

•

Grasp

• Inspect electrode gel

• Hold electrode taut with both hands. Applythe electrode flat to the skin. Smooth

in all directions. Do not

•

Secure

4-2

tear

open

electrode

the

cable

foil

package and remove electrode carrier.

wires.

tab

and

peel

with

and

the

make

press

cable

electrode

sure

the

clasp.

from carrier.

gel is intact (discard electrode ifgel is not intact).

centerofthe

electrode.

LIFEPAK11diagnostic

cardiac

monitor

tape

Operating

outwardly

Instructions

Acquiringa12-Lead

ECG

7 Encourage the patient to remainasstillaspossible, and provide supportasneeded.

8 Press 12

the

9 If

the

upper

monitor

LEAD

once to acquire and printthe 12-Lead ECG report. Observe the status messages in

left

cornerofthe

detects

signal

monitor

noise

screen:

(suchaspatient motion or a

disconnected

electrode),

the

12-lead acquisition is interrupted until noise is removed. Take appropriate actionasrequired (such

as

reconnecting leads). Troubleshooting tips

Press

EXITtostop

the

12-lead

ECG

acquisition.

are

provided on

page

4-12.

jp^

Identifying

Limb

Lead

When acquiringa 12-Lead ECG report,

ankles as shown in Figure 4-2. The

However,

RA/R

RL/N

Figure4-2 Limblead electrode placement for 12-lead ECG

12-Lead

Electrode

Sites

do not place the

LA/L

LL/F

Sites

limb

lead electrodes are

limb

lead electrodes can be placed anywhere along the limbs.

limb

lead electrodes on the torso when acquiringa 12-Lead ECG report.

AHA

Labels

RA

Right Arm

LA

Left

Arm

RL

Right Leg

LL

Left Leg

typically

IEC

Labels

R Right

L

Left

N Negative

F

Foot

placed on the wristsand

#^

LIFEPAK 11

0April1996, Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

4-3

Acquiringa12-Lead

ECG

Precordial

The six precordial (chest) leads are placedon

Lead

Electrode

Sites

specific

locations as shownin

Figure

summarized in Table 4-1. Proper placement is important for accurate diagnosis

identifiedasfollows

page

3-4 for color codes):

Figure 4-3 Precordial

Table4-1 Precordial

V1 C1 Fourth intercostal

V2 C2 Fourth intercostal

V3 C3 Directly

V4

C4

V5 C5 Level with V4at left anterior axillary line.

V6 C6 Level with V5 at left midaxillary line

(leads areV1throughV6for

lead

electrode

lead

electrode

between

Fifth intercostal

(directly

under

placement

spacetothe

leadsV2and

spaceatmidclavicular line.

the

midpoint of

Angle of Louis

right of

left of

V4.

the

armpit).

AHA,orC1

the

sternum.

the

sternum.

through C6for

IEC;

4-3 and

and

should be

refer to Table 3-1 on

Locating theV1position (fourth intercostal space) is critically important

because

itis the reference

point for locating the placement of the remaining Vleads. Tolocate theV1position:

1

Place

your fingeratthe

2 Moveyour finger

horizontal ridgeor elevation. This isthe "angleof

the

sternum.

3 Locate the second intercostalspace on the

4 Move your finger down two more intercostal

position.

Other

important considerations:

•

When

than

• Never

because

placing

on

use

electrodes

the

breast.

the

nipplesasreference points for locating the electrodes for men or women patients

nipple locations

notch in

slowly

downwardabout 1.5 inches (3.8 centimeters)

the

top of

the

sternum.

Louis"

right

side, lateralto and just below the angle of

spaces

on female patients, always place

may

vary widely.

to the fourth intercostal

LIFEPAK 11

until

you feel a slight

where the manubriumjoinsthe body of

space

leads

V3-V6

under

the

diagnostic

cardiac

monitor

which is the

breast

rather

Operating

Louis.

V1

/^^Sk

Instructions

Acquiringa12-Lead

ECG

Screen

Messages

During

12-Lead

ECG

The typical sequence of screen messages that are displayed after you press 12

ACQUIRING

ANALYZING

STORING

PRINTING

Each

associated

Data

The

be configured to analyze

secondsofdata Ifyou configure

because

this

mode,

ECG

To

acquire

detects

monitor displays

as

signal noise is detected. When signal noise is eliminated,

and

resumes

12-LEAD

message

activity

Acquisition

monitor

12-LEAD

acquires10seconds

#x

is displayed in

("x"isthe

Mode

the10secondsofdata

the

Override

after you

the

dataisalready

refer to

page

press12LEAD

monitor for

10-6.

a 12-lead ECG,

signal noise while acquiring

the

message

acquiring

data.

sequence

number

the

acquired

the

monitor

WAITING

for a few seconds while the monitor performs the

of the report).

of ECG

data

for

each

12-lead ECG

before you

(the

POST

option).

PRE

option,

when

must

data

FOR

the

message

you

press12LEAD.

collect 10

(suchaspatient motion or a disconnected electrode),

GOOD

DATA.

press12LEAD

ACQUIRING

seconds

The

monitor displays this

the

requested.

(the

12-LEAD#xdoes

For

information

of undistorted

monitor removes

LEAD

is:

The

monitor

PRE

option) or 10

about

configuring

data.Ifthe

messageaslong

the

message

not

appear

monitor

can

the

While

the

monitor displays the

message

WAITING

FOR

GOOD

DATA,

you

can

choosetopress12LEAD

again and force the monitor to acquire the 12-Lead ECG report regardless of detected signal noise

or disconnected leads. Any 12-Lead ECG reports acquired inthis way

following

***ECG OVERRIDE: DATA QUALITY

message:

PROHIBITS

INTERPRETATION*"

are

annotated

with

the

No interpretation or justification informationis printed on this type of 12-Lead ECG report.

LIFEPAK11diagnostic

0April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

Acquiringa12-Lead

ECG

Description

off

Printed

12-Lead

ECG

Report

The monitorcan be configuredto printthe 12-Lead ECG report in a 3-channel or a 4-channel format.

To protect recorder printouts after printing:

• Avoid

• Do not

• Do not apply

The

extended

3'Channel

exposure

store

in plastic folders

tapeoradhesives

Format

to direct sunlight

(use

paper

to the printed side.

only)

Figure 4-4 presents an example of a 12-Lead ECG report printed inthe 3-channel format that

includes

format is always printed in

in diagnostic frequency

responseifdesired.

The

describedonpage

Report

and

number

112-Lead

2.5

computerized

type

sequence

Name:JOHN

•

ID#:052094051417

CLAYTON

#1

secondsofdata

response.

ECG

analysis

4-8.

Patient

toe:78j

j

>8ex:M

05/20/94x05:18:2fi—f~

from

the

ID

eachofthe12leads.

order

shown. 12-Lead ECG reports

The 12-Lead ECG reports

statements

HR:84

1

nri:<w

/!fPRtntf200

showninthe

Time/date

of recording

r-urid-i

QRS

"T""""~^-^——-^^—

axes:azna

DunlOOr

The

sequenceofleads

are

always acquired

can

be reprinted in monitor frequency

upper

right

corner

Standard

measurements

."vr;

-zo

QT/QTc:i388/423IPpSSIBLELErTATRIALENURGEMENT

ii.sinus

rirmriivi

SINUS RHYTHM

|

for

the

3-channel

and

printed

of Figure

4-4

are

^Computerized ECG analysis

EPICARDlAL

INJURY

^UNCQNF

ECG

Frequency

size

1mV

Figure4-4 Example of printed 3-channel 12-Lead ECG report

4-6

response

reference

pulse

Recorder

speed

Lead

annotation

Device*

LIFEPAK11diagnostic

Site#

cardiac

Monitor Model,

software

version

monitor

Operating

serial

number

Instructions

As

shown

prints

in Figure 4-5,

2.5-second

portions

the

monitor

for

each

acquires

lead.

and

analyzes10secondsofdata

Acquiringa12-Lead

for all 12

ECG

leads,

then

f^

Figure

4-5

12-LeadECGdata portionsprintedin3-channel

LIFEPAK 11

oApril1996, Physio-ControlCorporation

diagnostic

cardiac

monitor

Operating

format

Instructions

Acquiringa12-Lead

The

4-Channel

Figure

4-6 presents an exampleofa 12-lead

ECG

Format

ECG

report

printed

The 4-channel format consists of the median complex (or"median

leads

and10secondsofdata

beat,

refer to

page

KUL

4-10.

for Lead

Name:

ID#:052094051417 !

12-Lead

II.

For a description of how

JOHN

CLAYTON

#1

SINUS

RHYTHM

POSSIBLE LEFT

ANTERIOR EPICARDIAL INJURY

'"ACUTE MlSUSPECTED*" "UNCONFIRMED*

J

ATRIAL

Age:78

05/20/34

Sex:M

05:18:23

ENLARGEMENT

inthe 4-channel

beaf)

derived for

the

monitor derives

HR:84

PR Iht: 200 QRS jDur: 100 QT/QTc: 388/429

;

format.

P-QRS-T

each

the

axes:

of the 12

median

52 15

-26

x1.0 .05-150HZ

Figure 4-6 Example of printed 4-channel 12-Lead ECG report

If

the

are

printedat50mm/s, but

Computerized

Computerized ECG analysis statements are available for printingon

ECG reports.

printer

25mm/s

Comments:

CP WOKE HIM

speedissetto50mm/s

the

ECG

Analysis

The

following

pages

04 001 X.X LPK1134

for report reprints in

LeadIIdata

is printed at the bottom at 25mm/s.

the

4-channel format,

LIFEPAK

the

median

11 monitor 12-Lead

present a brief description. For more information, refer to the

beats

Physician's Guide to Computerized ECG Analysis.

There

are

three

• Interpretation

• Justification The

•

***ACUTEMlSUSPECTED***

possible

statements

types

of information:

(printed in brackets)

message.

Figure 4-7 shows a sample portion of a 12-Lead ECG report with allthree types of information.

Interpretation

SINUS BRADYCARDIA WITH SINUS ARRHYTHMIA

INFERIOR

INFARCT

II/AVF1,

POSSIBLY

ST&T

WAVE

WAVEINI/AVL/V5/V61

"•ACUTEMlSUSPECTED*"

ABNORMALITY,

[40+

ACUTE

statements

MSQ

WAVE

POSSIBLE

"UNCONFIRMED"

AND/OR

LATERAL

ST/T

ABNORMALITY ISCHEMIA

IN

[-0.1+MVT

Justification

(printed in

statements

brackets)

Acute Ml

Figure 4-7 Computerized ECG analysis

Suspected

message

statements

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Acquiringa12-Lead

ECG

The monitoris configured to allow

and to

inhibit

printing of justification statements. Toreconfigure printing options, refer to page 10-6.

Patient

Treatment

and

Computerized

printing

ECG

Computerized ECG analysis should not be

review by qualified medical personnel.

All

LIFEPAK 11 monitor include the printed

Interpretation

The

interpretation

Optimal ECG.

Table 4-2

Directory

the

reports for previous

directory.

Gaining

To

1 Turn

Access

gain

accesstothe

the

2 Disconnect 3 From

the

1

DIRECTORY

ANDREWS 062594103241 062594072341

SMITH

062494192531 062494142435

062494093425

COOKE

TATE

14:32:37

•HBi

^iSSBSiiisssKsssses

Patients

top. If

are

more

the

reportorcancel

the

report,

press

the

deleted

report is

the

report.

deleteditcannotberecovered. However,

the

CODE SUMMARY report.

delete

request,

displayed.

Patient

Reports

and

screen

to

the

Directory

directory:

monitor

Home

SSSSS!-

the

POWER

patient

screen,

06/25/94 06/25/94 06/25/94 06/25/94

06/24/94

06/24/94 06/24/94 06/24/94 06/23/94

switch to

cable

press

HR

12:42:45 10:32:41 07:23:41 04:35:13 19:25:31 14:24:35 09:3425

06:51:33 18:39:46

listed in chronological than10patients

are

the

delete

DELETE

press

from

the

softkey.

the

CANCEL

and

return to

Patient

and

the

BATT

and

the

monitor or

DIRECTORY

Reports

current patient

orderinthe

listed, additional

request:

The

Patient

REQUEST

the

Home

are

adjust

CONTRASTasneeded.

the

patient.

softkey to display

directory with

screens

are

Reports

the

deleted

softkey or

screen,

accessible

the

most

accessible.

screenisthen

report

remains

press

EXIT.

The

press

EXIT.

through

the

Patient Directory

recent

patient

displayed

listed in

Patient

patient

screen:

listedatthe

To exit

6-4

the

Patient

Directory

screen

and

return to

the

Home

LIFEPAK 11

screen,

diagnostic

press

EXIT.

cardiac

monitor

Operating

Instructions

JfjpN

Retrieving

Patient

Reports

PrintingaReport

for

To print a report for

i

From

the

Patient

(suchasSMITH

DIRECTORY

CARVER ANDREWS

062594103241

062494192531

062494142435

062434093425

COOKE

TATE

14:32:37

06/25/94 06/25/94 06/25/94

06/24/94

06/24/94 06/24/94

06/24/94

06/2304

2 Press the patient

PATIENT:

EHEBHMaa

12-LEAD

RECORDED

DEFIBRILLATION

DEFIBRILLATION #1 RECORDED

#2

#1

SMITH,

ECG

06/25/94

#2

06/25/94

*2

06/25/94

#1

0025/94

Any

any

patient:

Directory

below):

REPORTS

MARK

Patient

screen, pressV or A to

HR

1420:28 12:42:45

1032:41

1925:31

1424:35 093425 0651:38

1839:46

highlight

softkey to display the Patient Reports screen:

HR

04:44:52 04:4128 04:3824

04:36:30

04:35:45

0435:13

the

desired

patient

14:32:52

Press theV or A

Press

the

PRINT

REPORT

additional softkeys to

Then

press

the

PRINT

responseisthe

After printing,

press

EXIT

sameaswhen

press

again.

softkeystohighlight

softkey to print

change

copy size, recorder frequency

the

desired

the

report. For non-CODE SUMMARY reports,

report.

response,

and

speed

softkey. The recorder prints the report. (The default copy size

the

report

was

stored.)

EXIT

to return to the Patient Directory

screen.

To return to

(ifdesired).

the

Home

press

and

frequency

screen,

LIFEPAK11diagnostic

"April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

6-3

Retrieving

Patient

Reports

DeletingaReport

To

delete

a report for

1

From

the

2

Press

the

PATIENT: SMITH,

WSIBSRIBWaumBM

12-LEAD

«2

12-LEAD

ffl

RECORDED

ECG

DEFIBRILLATION

RECORDED

ECG

for

Patient

PATIENT

MARK

06/25/94 06/25/94

06/25/94

»2

02

06/25/94 0605/94

«1

06/25/94

01

Any

Patient

any

patient:

Directory

REPORTS

HR

04:4432

04:4128

043824

0436:30 0435:45

04:35:13

screen, pressV or A to

softkey to display the Patient Reports screen:

3 Press theV or A softkeysto

HR

PATIENT: SMITH,

CODESUMMARY™

12-LEAD

#2

DEFIBRILLATION

RECORDED

ECG

MARK

04:44:52

06/25/94

«2

06/25/94

#1

06/25/94

#1

04:36:30 04:35:45 04:35:13

highlight

the desired

highlight

report:

the

desired

patient.

14:32:57

To

delete:

For

the

CODE SUMMARY report,

Confirm DELETE

SUMMARY

you want to delete allreports andthe patiententryfor that patient, then press the

softkey (or press the

report deletes the patient entry from the patient directory list.

For a non-CODE

screen.

(or

Confirm you want to delete the selected report, then

press

the

CANCEL

SUMMARY

REQUEST

press

the

CANCEL

report,

DELETE

REQUEST

press

the

ALL

softkeyto cancel the delete). Deletingthe CODE

DELETE

softkey to cancel the delete).

softkey on

REPORT

press

the

softkey on

the

Deleted reports cannot be recovered, but they remain listed in the CODE

Event Log (assuming, the CODE

If

the

Patient Reports

To return to

the

Home

screen

screen,

SUMMARY

is displayed,

press

EXIT

press

again.

report

EXIT

has

not

to return to

been

deleted).

the

Patient Directory screen.

Patient Reports

the

Patient Reports

DELETE

softkey

SUMMARY

screen.

report

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

gp\

Retrieving

Patient

Reports

JlP^

Deleting

There

•

are

Delete

page

Use

6-6

the

All

two

the

Reports

MORE

waystodelete

patient's

OPTIONS

1 Fromthe Patient

DIRECTORY

CARVER

ANDREWS

062594103241

062494192531 062494142435 062494093425

COOKE

TATE

14:32:37

2

Press

DIRECTORY

CARVER ANDREWS

062594103241

062494192531

062494142435

062494093425

COOKE

TATE

14:32:37

the

06/25/94 06/25/94 06/25/94

06/24/94 06/24/94 06/24/94 06/24/94

06/23/94

MORE

06/25/94 06/25/84

06/25/94

06/24/94 06/24/94 06/24/94 06/24/94

06/23/94

foraSingle

CODE

Directory

HR

OPTIONS

Patient

all reports for a single patient:

SUMMARY reportasdescribedinthe

softkey on

screen, press V or A to

142028 12:42:45

10:32:41

1925:31 1424:35 09:34:25 06:51:38 18:39:46

softkey to display

HR

142028

12:42:45

10:32:41

1925:31 1424:35 09:3425

06:51:38

18:39:46

the

Patient Directory

^

the

More Options

screenasdescribed

highlight

below:

the desired patient.

screen:

on

3

Press

the

DELETE WILL

SMITH,

MARK

14:32:48

Confirm

CANCEL

DELETE

that you want to delete the reports forthat patient, then press the

REQUEST

ERASE

PATIENT

PATIENT:

softkey to display

HR

the

Delete Patient

softkey to cancel). The reports are deleted and the patient entry is removed from

the patient directory list. The deleted reports cannot be recovered.

Afterthe reports

screen,

press

are

deleted, the Patient Directoryscreen is displayed. To return to the Home

EXIT.

screen:

DELETE

softkey (or press

LIFEPAK 11

°April 1996, Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

6-7

Retrieving

Patient

Reports

Printing

To print

1 From

the

Directory

DIRECTORY

press

again.

Directory

contentsofthe

Directory

screen.

ALL

procedure.

ALL

softkey

EXIT

softkey to highlight all patients in

softkey.

4 Confirm that you want to

then

press

deleted),

reports

s After

screen,

cannotberecovered.

the

reports

press

the

are

deleted, the Patient Directory

EXIT.

List

list:

screen,

HR

softkey to print

to return to

Contents

screen,

delete

DELETE

press

the

MORE

OPTIONS

softkey to display

the

procedure.

patientsinthe

the

directory patient list.

the

Patient Directory

directory (except for reports for a

press

the

MORE

OPTIONS

the

entire directory (except for current patient reports which

softkey (or

press

CANCEL

screen

directory:

screen.

the

directoryasshown

REQUEST

To return to

current

patient):

softkey to display

softkey to cancel).

the

in

is displayed. To return to the Home

More

Home

Options

screen,

The

deleted

are

not

6-8

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Retrieving

Patient

Reports

Editing

Any editing that

1

2

3 Press the

4

Transmitting

You

to

the

Patient

changes

patient. To edit

From

the Patient

Press

the

to display

the

alphanumeric

Press

EXIT

ID

from

the

Directory

madetothe

the

patient

Directory

MORE

OPTIONS

Patient ID

ENT

keyor the V orA softkeys to

keypadtoenter

to return to

Reports

the

patient

ID:

screen, press V or A to

softkey on

screen:

data.

Patient

IDfrom

the

Patient directory

Directory

the

move

screen.

Directory

7-9

Configuration Options for Transmitting Reports 7-11 Screen

Messages

during

Successful

Transmission 7-11

Troubleshooting Tips during Transmission 7-11

11 diagnostic cardiac

includes:

LIFEPAK11diagnostic

•April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

7-1

Data

Communications

/^^

Overview

The

LIFEPAK11 monitor

•

Landline

•

Cellular

The

capability to transmit patient

of

Data

Communications

communications

communications.

can

transmit patient reports by telephone in two

data

via telecommunications may not be available in all countries.

basic

ways:

Contact your local Physio-Control representative for more information.

Landline

When a landline is available,

Telephone

the patient report to

The type of modem

Communications

the

Network (PSTN). Upon

theRS100

and

connections vary in different countries. Inthe US

monitor

can

command

be connected by modem to

from

the

receiving station through

operator,

the

PSTN.

the

Public Switched

the

LIFEPAK 11 monitor

and

Canada,

transmits

the

LIFEPAK11monitor provides an internal modem that can be connected directly to the PSTN as

shown

r-j

I1—'J

LIFEPAK

monitor

in Figure 7-1.

Connection

LANDLINE

modem

11

to

internal

LANDLINE

connection

Physio-Control receiving station

modem

RS100

receiving

station

Figure7-1 Typical landline communications (US

Outside

communicationsasshown

available outside

LIFEPAK

monitor

Figure7-2 Typical landline communications (Outside US and Canada)

theUSand

Canada,

theUSand

ConnectiontoSYSTEM

CONNECTOR

rj

channel

External

11

(non-Physio-Control)

a non-Physio-Control external modem is

in Figure 7-2. (The

Canada.)

serial

modem

and

LANDLINE connection

Canada)

LANDLINE

connector

and

used

internal

for landline

modem

Receiving station

modem

(non-Physio-Control)

are

not

RS100

receiving

station

7-2

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Data

Communications

Cellular

Communications

Cellular phone equipment is typicallyhand-carried or mounted in a vehicleasshown in Figure 7-3.

The

external

PSTN-compatible cellular phone. The monitor transmits the patient report through

cellular

In

theUSand

hand-carrying. PSTN-compatible cellular

US

and

cellular modem, cellular As an alternative to hand-carrying,

vehicle. A roof-mounted

I—h

I

II

LIFEPAK

monitor

cellular

phonetotheRS100

Canada,

<

11

Canada,

The

CELLPAK

contact

Vehicle-mounted

cellular

and

modem

the

phone

the

phone,

antenna

phone

modem

connects

receiving station via

Physio-Control

case

local Physio-Control representative for

to

accommodates

(supplied by

and

accessories.

the

cellular

canbeused

the

monitor

the

CELLPAK™

the

customer),

modem

to improve cellular

Cellular

telephone

network

SYSTEM CONNECTOR

cellular

telephone

kit

providesasoft

Physio-Control® cellular

cables,

and

a cellular

Telephone

and

assistance

phone

transmission.

Public

Switched

Network

serial

channel

the

network

accessories.

and

the

case

that

canbeused

modem,

in selecting a

canbeinstalled in a

and

modem

PSTN.

a

Outside

the

and

the

Receiving

station modem

RS100

receiving

station

for

<L

Hand-carried

phone

Figure7-3 Typical cellular communications

&

CAUTION

When

cellular

signals.

Avoid

Physio-Control

operating

RS

The RS 100 monitor.

instructions(for

100

receiving

Ina

Possible

phone poweris on, the

operatingacellular

Corporation.

station

receiving

typical

application, the RS 100

electrical

phone

Before

operatingacellular

thatequipment.

station receives,

interference

cellular

near

Turn

prints,

roomwhere medical personnel can reviewpatient reports before the patient arrives.

Asshown in Figure7-1, Figure7-2, and Figure7-3,the RS 100 receiving station

to the

PSTN

through

receiving reports reports

the RS 100

receiving station Operating Instructions.

station toa storage through

receiving

an external

alsocontains an

the

device.

external

Outside

modem.

station and the

receiving

internal

modem

theUSand Canada,the RS100

For

more

Physio-Control

cellular

and

modem

and

device

phoneemits

electronic

off

cellular

malfunction.

low-power

equipment not

phone

near

phone

and stores patientreports

receiving

station

stationis locatedat the hospital emergency

modem.

(not

information

Forthe USand Canada, the RS100

illustrated)

aboutthe

receiving

station

(typically

<3W)

manufactured

other

equipment,

power

when notinuse.

from

the

thatcan be used to

receiving

operation

modem,

referto the RS 100

radio

by

refer

LIFEPAK

typically

download station and

capabilities

frequency

tothe

11

connects

downloads

of

LIFEPAK 11

oApril 1996. Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

7«3

Data

Communications

Data

Communications

When considering any treatment protocol that involves the transmission of patient

telecommunications,

access

to public or private network services that may or may not always be available. This is

especially true for cellular communications which is influenced by many factors

location, weather,

and

Treatment

some

limitations must be recognized. Successful communication

the

number

Protocol

of competing cellular service

users.

Therefore,

data

by

depends

suchasgeography,

treatment

protocol must always take into account the fact that data transmission cannotbe assured using

landline or cellular communications. Your incomplete

transmissions.

treatment

protocol

must

include

contingency

planning for

on

Equipment

Before

described

are

the

by Physio-Control. For information refer to

representative

Before transmitting reports, confirmthat the

are

configured for the

Connections

transmitting

in this

typical

the

RS 100 receiving station OperatingInstructions. Contact your local Physio-Control

reports,

section.

and

recommended

for

more

make

Although

information.

sure

the

monitor

other

typesofequipment

connections

about

connecting the RS 100 receiving station

using

and

accessories

and

connections

and

are

properly

compatible

connected

are

possible,

equipment

and

LIFEPAK11monitorand the RS 100 receiving station

same

language.Iftwo different languages

are

configured, the RS 100

as

these

tested

accessories,

receiving station prints reports in a mixture of the two languages. The language selection for the

LIFEPAK

Manual.

Modem

The

inthe US and Canada. Similarly, the Physio-Controlreceivingstation modem use

or provide

11 monitor is

Selection

Physio-Control

oneofthe

external

Service Options described in the

cellular

modem

has

been

tested

for

LIFEPAK

use

with

the

withthe RS 100 receiving station inthe US and Canada. Physio-Control

support

for

use

of non-Physio-Control

modemsintheUSand

Canada.

11monitorService

LIFEPAK 11 monitor

has

been tested for

does

not recommend

Outside the US and Canada, contact your localPhysio-Control representative for assistance in

selecting an external modem. Note that the

option

which

allows

entryof character stringsto

LIFEPAK11monitorprovides a Modem Initialization

initializeanon-Physio-Control

modem(the

Modem

Initialization option does not pertain to a Physio-Control modem). Referto page 10-7 for a

description of

the

option.

The

LIFEPAK

For

additional

Table

7-1

LIFEPAK11monitor

Connector

SYSTEM

CONNECTOR

LANDLINE

11 monitor communications connectors and capabilities

technical

Description

Connectiontoserial

(compatible

RJ11

modem

212A/CCITTV.22 1200bps)

information, refer to

communications

channel

with

EIA-RS232E)

connectiontointernal

(compatible

with Bell

the

LIFEPAK11 monitor

Typical

Application

Connectiontoexternal

Direct landline connection to PSTN (connector

modem not available outside US

LIFEPAK 11

are

described in Table 7-1.

Service

cellular

diagnostic

Manual.

modem

and

cardiac

Canada)

monitor

and

Operating

Instructions

JP^N

Data

Communications

The internal modem (available onlyinthe US and Canada) is not intended for cellular

communications.

Use

only

the

SYSTEM

CONNECTOR

and

external

modem

for cellular

JP^

For successful cellular transmission, the external modems connected to

and the RS 100

Canada, use the

For more information about modem compatibility, refer to the

and the RS 100 receiving station Service

Landline

receiving

Connections

stationmusthave

Physio-Control

cellular

compatible

modem

Manual

auto-error-handling

andthe

Physio-Control

LIFEPAK11monitor

or contact your Physio-Control representative.

the

LIFEPAK 11 monitor

protocol.Inthe USand

receiving

station

Service

The landline connections vary indifferentcountries. Consult your local Physio-Control

representative

Landline

The landline connections for the US and

equipment

LIFEPAK11monitor

Figure 7-4 Landline

for

Connections

and

services

more

information.

inUSand

are

LANDLINE

connections

Canada

summarized

Telephone

(US

and

Canada)

Canada

are illustrated in Figure 7-4. The required

in Table 7-2.

cord

PSTN

Telephone

outlet

modem.

Manual

Table 7-2

Equipment/Service

PSTN

access

Modem

Cables

•Refer to

Make

Public a

private

Equipment

service

page

9-17

sure

you

Switched

homeorrequired

outlet for a digital compatible,

to

that

the

line.

and

services

US

and

Customer

Monitor

(external Telephone

for

Canada

internal

modem

landline

provides

cord

(Physio-Control

for ordering information.

connect

Telephone

the

telephone

Network.

for FAX

telephoneorcomputer

monitor

cannot

transmit reports

communications

LANDLINE

modem

not applicable)

with RJ11

part

cord to a

Thisisthe

connectors

no. 805500*)

standard

same

typeofanalog

machinesormodems.

network. Even though

and

can

Outside

telephone

Do

not

disrupt

US

and

Canada

Customer

External customer

Monitor-to-OTS

provides

modem

provides)

(Physio-Control with DB9 or DB25

Telephone

network

cord

service

line outlet for

telephone

connect

the

operationofdevices

physical

the

connectors

(non-Physio-Control;

modem

part

cable

no.

3005939*;

connector)

compatible

(customer

with

provides)

accesstothe

line

outlet

used

telephone

cordtoan

are

connected

available

modem

in

and

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

7-5

Data

Communications

Landline

The

Connections

Outside

the

landline connections outside

US

and

Canada

theUSand

Canada

are

illustrated in Figure 7-5. The required

equipment and services are summarized in Table7-2.

SYSTEM

n

Telephone

External

(non-Physio-Control)

LIFEPAK11monitor

Figure7-5 Landline connections (outside US and Canada)

Cellular

The

representative

Cellular

The equipment equipment

Connections

cellular connections vary in different countries. Consult your local Physio-Control

for

more

information.

Connections

typical cellular

and may

inUSand

connections

services

vary

are

dependingonthe

Canada

for

theUSand

summarized

in Table 7-3.

type of cellular

modem

x

Equipment

Physio-Control representative

Canada

are

illustrated in Figure 7-6.

The

exact

phone

you

cord

and connections

cellular use.

phone

„

•

Telephone

outlet

vary;

consult

The

required

connections

1

and

LIFEPAK

Figure 7-6 Cellular

11

monitor

SYSTEM

CONNECTOR

connections

(US

and

Monitor-to-modem

cable

Canada)

Telephone

cord

Cellular

connection

device

May be carried in soft

Cellular

Handset

case

of optional CELLPAK kit

phone

7.6

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Data

Communications

Table 7-3

Equipment/Service

Cellular

Equipment

phone

and

services

US

and

Customer

for cellular

Canada

provides*

communications

Outside

Customer

US

and

provides

supporting

PSTN-signaling

Cellular

network

Modem

Cables

accessories

phone

access

and

Customer

Physio-Control cellular

(Physio-Control part

Monitor-to-modem

part

Telephone

no.

805635**)

obtains

cord

modem

number

cable

with RJ11

805410*

(Physio-Control

connectors

(Physio-Control part no. 805500**)

Customer

External

customer

Monitor-to-OTS

obtains

modem

provides)

(Physio-Control

available with DB9 or DB25 connector)

Additional

cablesorequipmentasneeded

(customer provides-consult

*CELLPAK

"Refertopage

For

modem, cellular phone,

case physically accommodates

9-17 for ordering information.

easy

transport,

the

optional Physio-Control CELLPAK

phone

Motorola®

battery, required

MC480

Attachecellularphone (availableinUSand Canada).

case

accessories,

and

can

cables.

accommodate

Although the cellular

modem is compatible with any PSTN-compatible cellular phone, the CELLPAK

physically

content

Cellular

The

equipment

dependingonthe

accommodate

and

cable

Connections

typical cellular

and

services

the

connections

Outside

connections

are

type

of cellular

Motorola MC480 Attache cellular

for

the

US

and

for

theUSand

summarized

phone

CELLPAK

Canada

in Table 7-3.

and

case,

Canada

modem

refertothe

are

The

you

use.

phone.

For information

CELLPAK kit

illustrated in Figure 7-7.

exact

cellular

connections

Canada

(non-Physio-Control;

modem

part

cable

no. 3005939**;

phone

the

cellular

case

is designed to

about

Reference

The

Guide.

required

vary

supplier)

the

LIFEPAK

Figure 7-7 Cellular

11

monitor

SYSTEM

CONNECTOR

p||

i=ftfp

Monitor-OTS

connections

(outside

cable

theUSand

External

modem

(non-Physio-Control)

Equipment

Physio-Control

Canada)

and

connections

representative

Cellular

•D

vary;

phone

I

consult

LIFEPAK11diagnostic

"April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

7-7

Data

Communications

TransmittingaReport

To transmit a report for

1 Checkphonecable connections (pages7-5or

to

2

cellular

patient

Press

pi

i«

PUSH

TRANSMITTOSEND

RECORDED

Tosaaaa

PATIENT:

15:18:42

phone;

connectionstohelp

TRANSMIT

ECO

ill

15:17:24

kksi

CARVER

••avmtiMK«.itiffi«JJWKiMM>«B:l»iKK»ii>

for

the

current patient:

position

the

reduce

Current

cellular

Patient

7-6).

For

phoneaminimumofsix

possible

radio

frequency

button on monitor to display the Transmit

HR66

LEAD

X1.0

NUM

^

II

LOCK

cellular

inches

interference

screen:

communications,

away

from

with

monitoring.

3 Confirm that the report you want to transmit is displayed in the upper left corner, or

REPORT

softkeyasrequired to select

the

desired report to transmit.

The

most recently acquired

report is displayed first.

When a CODE configured CODE

4 Confirm

screen, Press Enter

- You

the

can

•

LOCATION

alphanumeric againtoadd

- Either of two text press

P

causes

W

insertsatwo-second

5 Confirm

indicates

softkey to

6 After confirming

to

transmit

7

Observe (troubleshooting tips

8

When

transmissioniscomplete

return to

To

cancelatransmissioninprogress,

RECORD,12LEAD,orCODE

the

desired

or do

oneofthe

LOCATION

telephone

add

softkey

the

NUM

pulse

the

desired

cellular

change

the

screen

the

Home

SUMMARY

report is transmitted, it contains only

report format (long, medium, or short).

transmit location

following:

softkeyasrequired to

numberonthe

a prefix

the

to display

keypad

stored

characters

key to

dialing

(suchasan

the

(the

stored

numbertothe

may

enable

wait period.

transmission

connection,

LANDLINE

selection if required.

the

report, transmit location,

report.

messages

screen.

during transmission

are

listed on

For

SUMMARY

and

number

select

are

displayed in

oneofthe

monitor alphanumeric keypad.

area

code)

to a

stored

number

desired,

is blank while you

displayed prefix.

be specifiedaspart of

alpha

keys):

connector

page

(the

TRANSMISSION

cellular

press

during

is selected:

softkey

label

and

transmission

and

indicates

take

7-12).

COMPLETE

communications,

EXIT.

Transmission

transmission.

the

reports included for

the

upper

stored

transmit location

location

then

the

SYSTEM

number.

enter

the

add

the

number

CONNECTOR

landline

desired

prefix).

(if

NUM

connection.

connection,

appropriate action if

messageisdisplayed),

turn off

powertothe

alsoiscancelled

left

First,

Press

LOCK

softkey label

press

needed

cellular

ifyou

apply

power

the

monitor

press

the

cornerofthe

numbers

press

the

prefix

using

LOCATION

is displayed,

Press

the

TRANSMIT

press

phone.

press

and

or

the

again

EXIT

to

After

any

transmission

attempt,

the

transmission

CODE SUMMARY report Event Log along with

7-8

result (Completed,Cancelled, or

the

time of transmission

LIFEPAK11diagnostic

and

Failed)

is listed in

report type.

cardiac

monitor

the

Operating

Instructions

Data

Communications

/(fPN

Transmitting

To

transmitreports

1

Check

to

cellular

patient

2 Disconnect the patientcable

3 Press

|

DIRECTORY

I

ANDREWS

H 062594103241 I 062594072341 B SMITH

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062494192531

1 062494142435

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COOKE

I TATE

1

14:32:37

"i«iiss:r=sKSiisSfffiSssssmsss»s

phone

phone;

Reports

cable

from

the patient

connections

position

connectionstohelp

DIRECTORY

'

softkeyto display the Patient

06/25/94

06/25/94 06/25/94

06/25/94

06/24/94

06/24/94 06/24/94

06/24/94

06/23/94

;ss5S!5SS':S55SI»»ffisS

SHSid-

HR

12:42:45 10:32:41 07:23:41

04:35:13

19:25:31

14:24:35 09:3425

06:51:38

18:39:46

the

reduce

from

Directory

directory:

(pages

cellular

possible

the

7-5or7-6).

For

cellular

phoneaminimumofsix

radio

frequency

monitor

or the patient.

Directory

screen:

communications,

inches

away

interference

from

with

monitoring.

apply

the

power

monitor

Nowthat you have accessed the patient directory, you may transmit a single reportforany patient,

transmit all reports for a patient, or transmit the entire directory contents.

TransmittingaSingle

To transmit a single report from

i

From

the Patient

2

Press

the

PATIENT

Report

Directory

REPORTS

for

Any

Patient

the

directory:

screen, press softkeys V or A to

softkey to display

the

Patient

Reports

highlight

screen:

the desired patient.

and

f

PATIENT:

12-LEAD#2

12-LEAD01 RECORDED

DEFIBRILLATION

RECORDED

14:32:52

SMITH,

ECG

02

«2 #1

ECG#1

06/25/94 06/25/94 06/25/94 06/25/94 06/25/94

06/25/94

MARK

Press softkeys V or A to

WhenaCODE configured

SUMMARY report is transmitted, it

CODE

SUMMARY report format (long, medium, short).

HR

04:44:52

04:4128 04:3824 04:38:30 04:35:45

04:35:13

highlight

the desired reportto transmit.

contains

only

the

reports included for

the

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

7-9

Data

4

Communications

Press

TRANSMIT

to display

the

Transmit Report

screen:

5 Perform

Transmitting

steps

4 through 8 on page 7-8 to transmit the report.

All

Reports

foraPatient

To transmit all reports for a single patient:

i

From

2

Press

3 Perform

Transmitting

To

transmit

i From

screen:

the Patient

TRANSMIT

steps

the

Patient

Directory

to display

screen, press

the

4 through 8 beginning on

the

Entire

entire

Directory

contentsofthe

Directory

screen,

Transmit Patient

Contents

directory:

press

softkeys

page

7-8 to transmit

the

MORE

V or A to

screen:

OPTIONS

highlight

the

the desired

reports.

softkey to display

the

patient.

More

Options

2

Press

the

SELECT

ALL

softkey to highlight all

patientsinthe

directory.

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Data

Communications

3 Press

PUSH

ALL

14:32:48

4

Configuration

There are several transmission options

TRANSMITtodisplay

TRANSMITTOSEND

PATIENTS

DIRECTORY

ANDREWS

05259410324!

062534072341

SMITH

062-!94192531 0-324O41.-.S435 0S2494093J25 COOKE

Perform

^MtdMtoillM'tJMltMt<iwlilMM'lPlRMill

steps 4 through 8 on page 7-8to transmit the entiredirectory contents.

Options

the

HR

NUM

LOCK

for

Transmitting

Transmit

which

Directory

screen:

Reports

you may configureaccording to your needs:

• Preset transmit locationnames and telephone numbers (maximum nine locations)

• Defaulttransmission connector

(SYSTEM

CONNECTORorLANDLINE)

displayed on Transmit screen

• Optional audible tones during transmission (forlandlineonly).

To configure these options, refer to Startup Defaults and Transmit Set-Up on

pages

10-7 and 10-8.

Screen

Messages

During

Successful

Transmission

Duringa successful transmission the monitor typicallydisplays the following

WAITING

MODEM

DIALING

TRANSMITTING

XX% TRANSMISSION

Iftransmission is

Troubleshooting

helpintroubleshooting

troubleshooting,besuretohave

batteries.

FOR

DIAL

INITIALIZATION

TRANSMITTED

COMPLETE

tips

TONE

unsuccessful,

Tips

During

are

providedinseparate

other

refer to

Transmission

monitor

available

the

troubleshooting informationasfollows.

tables

problems,

replacement

for cellular

refer to Troubleshooting on

communication

and

landline

cables

sequenceofmessages:

communications.

page

9-15. Before

and

fully-charged

For

LIFEPAK11diagnostic

°April 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

Data

Communications

Troubleshooting

If

problems

occur

Tips

during

for Cellular

cellular

transmission,

Transmission

check

troubleshooting.

Table7-4 Troubleshooting tips during cellulartransmission

Observation

i Immediate, loud, rapid,

busy

Possible

Cellular

Cause

service

signal.

No

2

BUSY*

busy

message

signal.

and

standard

cellular

present

Destination receiving

station

service

location.

maybebusy

receiving a report from

3

Repeated

CONNECTION message.

4

MODEM

message

CONNECTION

message.

ringing followed by

FAILED*

INITIALIZATION

followed by

FAILED*

another

Receiving station power

notonor

connectedatdestination.

Wrong

Receiving

active.

Invalid

initialization string

(non-Physio-Control

modems

device.

cables

phone

modem

only).

number.

busy.

at

not

line not

the

listofobservationsinTable

Corrective

•

Press

retry in 30-60

Move to

Press

retry in 30-60 persists,

destination

Action

EXITtocancel

seconds.

another

EXITtocancel

seconds.Ifbusy signal

use

phone

and

receiving station

Call

and

confirm

station power is on

properly connected.

Confirm

phone

Check

phone

destination

line is active.

string in

option.

transmission,

location

transmission,

handset

determine

modem

destination

and

number.

receiving

modem

7-4

for

aid

and

retry.

to call

whether

answers.

receiving

cables

are

station

initialization

in

then

5 CHECK PHONE

6 CHECK CABLE

7 NO PHONE NUMBER

message.

Phone

power off.

Cable

not

connected

damaged

Phone

Antenna

securely

Monitor-to-modem

(SYSTEM cable

andnodestination

phone

entered.

No

entered.

cable.

battery

not

extended

connected.

CONNECTOR)

is not plugged in

number

phone

number

low.

is

• Turn on Check

or

Ifproblem Install

Confirm

or

and

Check

enteradestination

Enter

pressing

alphanumeric

phone

cable

connections

persists,

charged

antenna

connected.

monitor-to-modem

destination

LOCATION

keypad.

power.

replace

phone

battery.

is properly

phone

softkey or using

and

cable.

extended

cable

number.

number

retry.

and

by

7-12

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Table7-4 Troubleshooting tips during cellular transmission, continued

Observation

8

TRANSMISSION

message.

FAILED*

Possible

Cause

Noisy phone lineor poor

cellular

service.

Data

Communications

Corrective

Action

• Retry. Ifproblem persists, move to and

another location

retry.

9 WAITING

message

two

minutes.

FOR

DIAL

TONE

displayed for

one

or

10Transmission starts but is very

slow

•Monitor

message.

or fails to

automatically retriestransmissiononce after

complete.

Destination receiving

station memory full.

Monitor battery low.

Damaged

disconnected

Phone

Antenna

or

antenna.

battery low.

not

extended.

Monitor battery low.

Monitor

Phone

Poor

present

battery

battery low.

cellular

service

location.

low.

CONNECTION

• Retry transmission later or transmit to

another

destination.

• Replace withfully-charged,

properly-maintained battery.

•

Check

antenna

and

connections.

• Replace phone battery.

•

Extend

antenna.

• Replace withfully-charged,

properly-maintained battery.

Replace with fully-charged,

properly-maintained battery.

in

Replace

Move to another location

FAILED,

phone

battery.

TRANSMISSION

FAILED,orBUSY

and

retry.

LIFEPAK11diagnostic

oApri! 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

7-13

Data

Communications

Troubleshooting

If

problems

troubleshooting.

are

not

audible,

occur

they

Tips

for

during

The

audible

Landline

landline

Transmission

transmission,

landline

transmission

maybeenabledasdescribedonpage

AUTO).

Table

7-5 Troubleshootingtips during landlinetransmission

Observation

i

BUSY*

busy

message

signal.

and

standard

Possible

Destination

station may be busy

receiving a report from

another

2 Repeated ringing followed by

CONNECTION

message.

FAILED*

Receiving station power

notonor

connectedatdestination.

Wrong

Receiving

active.

3

MODEM

message

CONNECTION message.

4 CHECK PHONE

INITIALIZATION

followed by

FAILED*

message.

Invalid

initialization string

(non-Physio-Control

modems

RJ11 plugged

RJ11

plugged into inactive or digital

DIALINGorREDIALING

message

two

6 NO PHONE NUMBER

7

TRANSMISSION

message.

8

WAITING

message.

9

Transmission

sloworfails to

♦Monitor

message.

displayed for up to

minutes.

FOR

DIAL

starts

automatically

FAILED*

complete.

retriestransmission once after

message.

TONE

but is very Monitor battery low.

Receiving station power

notonor

connected

Wrong

Receiving

active.

No

phone

entered.

Noisy

Destination receiving station

Monitor

check

Cause

receiving

device.

cables

phone

modem

only).

telephone

in.

telephone

phone

jack.

cables

at

phone

number

phone

connection.

memory

battery

CONNECTION

the

tones

not

number.

line not

cord

not

cord

not

destination.

number.

line not

full.

low.

listofobservationsinTable

may

help

10-7

(set

Corrective

Press

identify

problems.Ifthe

TRANSMISSION

Action

EXITtocancel

7-5

AUDIOtoON

transmission,

retryin 30-60 seconds.Ifbusy persists,

use phone handset to call destination

and

determine

modem

Call

and

station power is on

answers.

confirm

whether

destination

and

receiving station

cables

properly connected.

Confirm

Confirm destination receiving station

phone

number.

line is active.

Check string in modem initialization

option.

Confirm RJ11

and

phone

jack.

cord

plugged

into monitor

Plug RJ11 cord into a differentanalog

phone jack

jacks

and

retransmit (analog

are

the type used for a

machine or computer modem).

Call

and

confirm

station power is on

destination

and

cables

properly connected.

Confirm Confirm destination receiving station

phone

Enter destination

pressing

alphanumeric

Retry

phone

number.

line is active.

LOCATION

keypad.

transmission.

phone

number

softkey or using

Retry transmission later or transmit to

another

Replace

properly-maintained battery. Replace

properly-maintained battery.

Replace

properly-maintained battery.

FAILED,

destination.

with fully-charged,

TRANSMISSION

FAILED,orBUSY

for

aid

tones

then

receiving

are

phone

FAX

receiving

are

by

in

or

7«14

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

DEFIBRILLATION/CARDIOVERSION/PACING

This

section

with

LIFEPAK

operationofthe

instructions

Tips,

refertothe

Topics inthis section include:

Defibriljatiip JAftotoigs

provides

11,

general

LIFEPAK

information

5,or

LIFEPAK

about

250

LIFEPAK11defibrillator/pacemaker

regarding

useofthe

LIFEPAK11defibrillator/pacemaker,

LIFEPAK11defibrillator/pacemaker

using

defibrillators.

forine^r§tf[S^^

K/loSifor

A^mati^!o7ifi#cSpipilate^ents

^S!§^^^^^^m^

fpr

the

LIFEPAK11mojltrt

Auionfiatfe

j

fepEBftk11monftoffdSfibilllator/fa^

Se^orln^L^Matic^

[LjFlPAK5 orLIFEPAK

Screen

monitor/defibn'llator/facemaker

Defibrilialior^nGhrpnized^

Defibriii&h^yncnrbriized

for

Screen Messages for the monitor/defibrillator/pacemaker

Pacing

monitor/defibrillator/pacemaker

Leads

LIFEPAK5defibrillator

LIFEPAK

Troubleshooting

SHif

Messages*©/

ofSelif

250

trie

UfIpAK

ivenlte

defibrillators

Iprle

11

During

Cardioversion

the

LIFEPAK11 monitor/defibrillator/pacemaker

Report

OMessage^

250

forthe

automatic

Tips

LIFEPAK

advisory

During

11

During

Pacing

11

defibrillator

defibrillation

Report

the

LIFEPAK11diagnostic

This

section

with

the

LIFEPAK11monitor.

Operating

Instructions.

page

8-2

""

Hi-3

B-5

8-6

8-8

8-9

8-10 8-12

does not

including

cardiac

include

For

detailed

monitor

Troubleshooting

#^

LIFEPAK

11 diagnostic cardiac monitor Operating Instructions

8-1

Defibrillation/Cardioversion/Pacing

This

section

provides

onlyabasic

LIFEPAK5defibrillatororLIFEPAK

monitor.

Operating Instructions.

Thissection is not

intendedtoreplace

overviewofhow

250

defibrillator

the

LIFEPAK11defibrillator/pacemaker,

is used in

information

conjunction

provided

with

inthe

the

LIFEPAK

specific

11

defibrillator

Before operating Operating

The term

A

Possible

usingadefibrillator,

instructions

Instructions.

Should

Before

LIFEPAK

maintained.

Defibrillation

LIFEPAK

Kir?oiv

using

5 or

"defibrillator"

250

WARNINGS

shock.

the

operator

providedinthe

For

clinical

and Noninvasive Pacing: What You Should Know.

the

LIFEPAK11monitor,besure

LIFEPAK

Warnings

250

defibrillatorisoperating

mustbefamiliar

LIFEPAK

information,

that

with

11,

LIFEPAK5or

refertothese

the

LIFEPAK11defibrillator/pacemaker,

properly

inthe warningsbelow refersto eitherthe

defibrillator,

when

used

with

the

LIFEPAK 11 monitor.

allofthe

safety

LIFEPAK

booklets:

and has been

Defibrillation:

LIFEPAK

information

250

defibrillator

properly

11,

LIFEPAK

and

What

You

tested and

5 or

When discharged, the defibrillator delivers up to 360 joules ofelectricalenergy. Unless discharged

properly as described in the defibrillator Operating Instructions, this electrical energy may

personal

these Operating Instructions, the defibrillator Operating Instructions, and the function of all controls and

indicators,aswellasthe

Possible

The

placement of hard paddles or defibrillation electrodes and prevent effective energy delivery. Donot

allow physical contact between ECG electrodes and the paddles, defibrillation electrodes, or

defibrillation gel. Before performing defibrillation, remove from the patient any precordial lead electrodes

and

Possible

Monitoring the ECG through the standard paddles (QUIK-LOOKmonitoring) may introduce artifact and

lead to improper synchronization during cardioversion. Always

QUIK-COMBO

injury

shockorburns

presence

lead

wires

improper

or death. Do not attempt to operate thisdevice unless you are thoroughly

connections

and

ineffective

of precordial lead electrodes and lead wires may interfere with the recommended

which

may

interfere with

synchronization.

or defibrillation

and

energy

electrodes

accessories.

delivery.

energy

delivery.

to monitor ECG during

use

the patient ECG cable or the

synchronized

cardioversion.

cause

familiar

with

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Defibrillation

Cardioversion,

Pacing

Connecting

To

connect

1

Place

2

Slide

3

Confirm

defibrillator.

4

Turn

Figure8-1 Connecting the monitor

and

Disconnecting

the

LIFEPAK11monitor

the

defibrillator

the

defibrillator

electrical

Verify

both

units

off.

behind

forward

connectionbyapplying

that

SYNC

the

Monitor

toa

LIFEPAK

the

monitorasshowninFigure

until

the

lock

button

powertoboth

is displayed on the

and

defibrillator

Electrical

contacts

and

Defibrillator

11,

LIFEPAK

clicksinplace.

units

monitor

Lock

screen.

button

5 or

8-1,

and

LIFEPAK

aligning

the

pressing

250

defibrillator:

slide

the

SYNC

contacts.

buttononthe

To

disconnect

defibrillator:

1 Position your left hand on the monitor handleasshown in Figure 8-2.

button with your right hand.

2

Separate

3 Pull the monitor toward you while pushing the defibrillator away from you.

Lock

button

Figure 8-2 Disconnecting

the

LIFEPAK 11 monitor from a LIFEPAK 11, LIFEPAK 5 or LIFEPAK

the

monitor

the

and

defibrillator using left-thumb pressure on the defibrillatorhandle.

monitor

and

defibrillator

Press

250

and hold the lock

LIFEPAK11diagnostic

oApril1996, Physio-ControlCorporation

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion/Pacing

Monitor

When

contacts.

auxiliary

more

Note

the

Automatic

monitor/defibrillator/pacemaker

When the

stored

illustratedonpage

Automatic

When the

and

Defibrillator

connected,

However,

power

information

thatthe

defibrillator.

the

source.

about

LOW

BATTERY

monitor

the

StoringofDefibrillation

LIFEPAK11monitorand

automaticallyinthe

8-5.

StoringofPacing

LIFEPAK11monitor and the

Battery

and

defibrillator

For

more

information

defibrillator

messageonthe

Code

Summary

Power

defibrillator

and

monitordonot

battery

Events

LIFEPAK11defibrillator are connected, defibrillation events are

Events

LIFEPAK11defibrillator/pacemaker

events are automatically stored inthe Code

illustrated in

this

sectiononpage

8-6.

can

about

power,

monitor

report.

for

the

Summary

pass

electrical

share

monitor

refer

tothe

screen

for

Defibrillation

LIFEPAK

applies

the

LIFEPAK11

report.

signals

power

battery

defibrillator

events

through

from

either

power,

Operating

only

tothe

are

the

electrical

batteries oran

refertopage

Instructions.

monitor

described

and

2-7.

and

not

For

to

11 monitor/defibrillator/pacemaker

are

connected, pacing

Pacingevents are described and

Recording

When

select

PADDLES

Although

defibrillator

defibrillation or synchronized cardioversion discharges are not automatically stored in memory or

included in

Use

either of

• Operate the recorder duringdefibrillation. The date, time,and patient ECG duringthe

defibrillation

• Use an event key to markthe timeofthe

data

operation, suchasoperating the recorder or acquiring a 12-Lead ECG report, is underway.

another operation is underway, pressing an event key has no effect. For details, refer to

Defibrillation

the

LIFEPAK 11 monitor

PADDLES

is not included with the event key.) Note that event keys cannot be used while another

lead to monitor

recorded

the

does

the

ECGinthe

LIFEPAK11monitor

not inform

Code

these

recommended ways to acquire a record of a defibrillation event:

willberecorded on

Events

the

Summary

for

the

LIFEPAK 5 or LIFEPAK

and

LIFEPAK 5 or LIFEPAK

and

record the ECG through

CODE

SUMMARY report.

allows

paddleslead

monitor when defibrillationenergy is discharged. Therefore,

report.

the

paper

printout.

defibrillation

250

defibrillator

the

paddles.

monitoring,

Save

the

printout.

event inthe CODE

the

LIFEPAK

250

defibrillators

are

connected,

The

monitor

5 (or

SUMMARY

stores

LIFEPAK

report. (ECG

you

a

If

page

can

250)

5-6.

8-4

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion/Pacing

22Xfn..M.essa£es

Defibnllation/Synchronized

When

the

LIFEPAK11monitorisconnectedtothe

messages

synchronized

Instructions.

are

cardioversion

Defibrillation-The

STORING DEFIBRILLATION »1

PATIENT:

*,{J.wwKaaamwaW.aismfw>.,..Vf.

2

Synchronized

defibrillation

CARVER

Lor

the

displayed

during

eventisstored

ff|..,

cardioversion-The

event.

LIFEpAK11monitor/defibrillator/pacemaker

Cardioversion

LIFEPAK11defibrillator,

defibrillation

procedures,

automaticallyatthe

eventisstored

and

synchronized

refertothe

LIFEPAK11defibrillator/pacemaker

cardioversion.

timeofdischarge.

Defibrillation

Press to viewthe listofstored reports.

Monitorstores synchronized cardioversion

asadefibrillation

event being stored.

automaticallyatthe

event.

timeofdischarge

during

the

following

For

defibrillation

9

screen

and

Operatinq

asa

3

To

printareport,

information on printing patient reports.

selecta

defibrillation

SYNC displayed for synchronized cardioversion.

Press to view a listof stored reports.

event

from

the

listofstored

Use arrow keys to select desired report.

Press

to print selected report.

reports.

See

Section6for

more

LIFEPAK11diagnostic

"April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

8-5

Defibrillation/Cardioversion/Pacing

Defibrillation/Synchronized Cardioversion Report for

monitor/defibrillator/pacemaker

Defibrillation

5-secondsofpost-shock

On

appearsonthe

automaticallyinthe

cardioversion Joules,

ordeletea

Report Type

Sequence

and

synchronized

reportisannotated

and

heart

rate.Atypical

patient

and

Number

report.

monitor

report,

cardioversion

ECG

data.Ifthe

reports

dischargeissynchronizedtoQRS

Defibrillation/Synchronized

whenever

follow

Preshock

energyisdischarged.Adefibrillation/synchronized

withareport

synchronized

the procedures

ECG

type

and

cardioversion

describedinSection

Energy

consistof3

cardioversion

sequence

Postshock

the

LIFEPAK

11

secondsofpre-shock

sense

markers,

reports

number,

reportisshowninFigure

6.

ECG

Sync

are

stored

energy

on

selected

Lead

is

and

Sync

in

8-3.Toprint

the

monitor

sensing

Figure

8-3

Screen

When

Messages

the

following

• Pacing

•

Pacing

•

Pacing

•

Pacing

Refer to the

procedures.

Sense

markers

Synchronized

LIFEPAK 11 monitor is

monitor

started

set

changed

stopped

LIFEPAK

Cardioversion report

for

the

screens are displayed

11 defibrillator/pacemaker Operating Instructions for

Discharge

LIFEPAK 11

connectedtothe

during

monitor/defibrillator/pacemaker

LIFEPAK11 defibrillator/pacemaker,

pacing. Pacingevents include:

pacemaker

During

the

operating

Pacing

8-6

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion

Pacing

1 Whenyou press

PACER

• The default settings (ppm,

•

Sense

markers appear on each detected

• HR

data

and

PATIENT

2 When

the

monitorasa

STORING

PACING

PATIENT:

CARVER

pacing rate

Pacing

EVENT

#2

and

Event.

jvYi-Vi^VfiA^

on

80

04:39:08

nnw

PPM

M_*

65mA

^^^

n™*"^

DEMAND

on the

mA,

REPORTS

current

—FT

LIFEPAK11defibrillator/pacemaker:

mode) appear

intrinsic

QRS complex

softkey disappear

HR

data

not

'

.^*

are

Default

PATIENT

when

pacerisactive.

set

or later

Pacing

set

PACER

During

pacing,

dQQQ

nQ{

available

pacer

REPORTS softkey

event

settings

appear

with

settings

changed,

being stored.

the

PATIENT

PACER

does

these

parameters

REPORTS

ON.

not

appear

softkey

are

stored in

the

iaWg^WSBSSitaS^MWESB^gJ

3

When

pacingisstopped

REPORTS

STORING

PACING

softkey

EVENT

appears.

#3

r

PATIENT:

4

Select

To print a pacing report,

informationonprinting

CARVER

pacing

event

(PACER

hr64

LE>

X1.0

for printing

select

patient

reports.

OFF),

the

W)

Pacing

PATIENT

pacingisstopped

the

desired report and

monitor

stopped

REPORTS

screen

event

press

restoresHRdata

being

stored.

softkey

appears

PRINT

REPORT.

when

and

the

patient

See

Section 6 for more

LIFEPAK11diagnostic

"April 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion/Pacing

PATIENT:

CODESUMMARY™

12-LEAD02 12-LEAD81

PACING RECORDED

DEFIBRILLATION

DEFIBRILLATION RECORDED

04:56:52

EVENT

CARVER

#1

ECG

12/07/95

#2

12/07/95

«2

12/07/95

«1

12/07/95

*1

12/07/95

HR

04:4128

04:40:40 04:39:08 04:39:00

04:3824

04:36:30

04:35:45 04:35:13

Use

Press

arrow

keystoselect

softkey to print

desired

selected

report.

Pacing

A pacing report consists of pacing report is stored automatically in

defibrillator/pacemaker. A pacing report is annotated withthe

•

Report

type

for

and

the

LIFEPAK11monitor/defibrillator/pacemaker

sequence

3-seconds

number

of pre-event and 5

the

monitor when pacing is initiated with

seconds

of post-event ECG data. A

the

following

information:

LIFEPAK

• Type of pacing event (Pacing Started, Pacing Set, Pacing Changed, and Pacing Stopped)

• Pacer settings

current).

PacingStarted referstowhen pacingcurrentis

including

ppm

(pacing

rate inpulses per

first

delivered;

minute)

and

mA

(milliamperes of pacing

PacingSet refersto the pacing

parameters being established; Pacing Changed refers to when pacing parameters are changed

from

a previous setting; Pacing Stopped refersto whenpacingcurrent ceases. Figure8-4 shows a

typicalpacing report. To printor delete a patient report, refer to the procedures described in

Section

Report

Sequence

6.

Type

and

Number

Event

Type

Pacer

settings

Pace

marker

11

Figure

8-8

8-4

Pacing

report

Pace

arrow

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion/Pacing

Leads

Off

Messages

During

Pacing

When pacing forextended periods oftime,static may

electrodes to wear out. This possibility of static

factors:

•

Pacing

•

Pacing

• Electrode

•

Patient

If

the electrode wears out, the

non-demand mode. To For more information, refer to

defibrillator/pacemaker Operating Instructions.

LIFEPAK

The

using

ECG

For

defibrillator Operating Instructions.

rate

current

levels

placement

impedance

levels

resume

5

defibrillator

LIFEPAK 5 defibrillator

the

PADDLES

Monitoring

information

lead

or

Defibrillation

about

and

ECG

message

pacing in

the

pacing troubleshooting tips described in

maybeconnectedtothe

synchronous

monitoring

through

buildup,

ECG

LEADS

DEMAND

cardioversion.

paddles

mode, apply new ECG electrodes to

build

up on the ECGelectrodes, causing the

although

OFF

may appear, but pacing continues in

unlikely,

depends on the

the

LIFEPAK

following

the

patient.

11

LIFEPAK 11 monitor to allow ECG monitoring

or defibrillation, refer to

the

LIFEPAK 5

Synchronized

This procedure standard

Cardioversion

paddles

with

describes

Standard

how to perform synchronized cardioversion using the

Paddles

while monitoring the patient through the

LIFEPAK

11 monitor ECG electrodes. An alternate method of synchronized cardioversion is to install the FAST-PATCH 5 defibrillator

the

FAST-PATCH

To perform synchronized cardioversion with

1

Connect

2 Perform

page

3 Slide

4

Press

on.

s

Rotate

6

Press

7 Confirm

shown below. Confirm

markers do not lead, or reposition

and

the

monitor

the

steps

3-3).

the

paddles

and

release

the

ENERGY

the

red

the

monitor displays

to perform monitoring

adapter

Operating Instructions for

and

defibrillator.

and

defibrillation through

more

standard

paddles:

the

information.

defibrillation electrodes. Refer to

required for limb lead ECG monitoring with the LIFEPAK 11 monitor (refer to

out

from

the

black

JOULES

SYNC

button on

the

appearorare

the

ECG electrodes so the

storage

POWER

switch on

the

triangle

displayed in the wrong locations, adjust

area.

button on

the

defibrillator

the

APEX

and

STERNUM

paddletothe

confirm

the

Synchronized Cardioversion

sense

markers

sense

appear

markers

on the

paddle

desired

red light in

screen

QRS

appear

and

level.

with

ECG

only on

LIFEPAK

adapterinthe

confirm

the

SYNC

button is on.

complexes. If

SIZE,

select

the

QRS

5 defibrillator

LIFEPAK

green

light is

message

the

sense

another

complexes.

as

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

Defibrillation/Cardioversion/Pacing

If

12:14:38

8

Perform

Instructions.

After

the

monitor

You

may

memory.

record

the

discharging,

does not

press

The

the

ECG

markersonthe

shown

in Figure 8-5.

Sense

hr160

LEAD

X1.0

SYNC

normal

cardioversion

the

defibrillator

display

RECORDonthe

monitor

does

while

the

displayed

markers,

synchronous

ECG

II

•Triangle

on

procedureasdescribedinthe

returnstothe

the

SYNC

message orsense

monitortoactivate

not

store

any

specific

modeisenabled,

lead

and

the

Sync On

sense

QRS

complex

asynchronous

the

recorder

information

SYNCONand

marker

mode:

markers.

and

about

the

printed

SENSING

LIFEPAK5defibrillator

the

red

SYNC

lightisoff

storeaRecorded

the

defibrillation

ECG

report

LEAD

notation

Lead

the

monitor

is

sensing

ECG

event.Ifyou

includes

atthe

top

sense

Operating

and

report

in

as

/^Hi.

rum

J

mv\r\fY\r\rY\r^www\

x1.0

1.0-30HZ

25mm/s Comments: CPWOKE

Figure

8-5 Sync notationon an ECGreport

LIFEPAK

The

allow

The

both

This

pacemakerpulsesmaynotbe

8*10

250

LIFEPAK

PADDLES

ECG

signal

the

defibrillator

extra

filtering

automatic

250automatic

lead

ECG monitoring

that

the

LIFEPAK

andthe

dampens

HIM

advisory

monitor

the

displayedorprinted.

defibrillator

and

defibrillation.

250

defibrillator

beforeitappears on the

displayed

and

may

be connected to the

suppliestothe

printed

ECG

LIFEPAK 11

015 002 X.X LPK1178573

LIFEPAK11monitorisfiltered

monitor

signal.

screen or recording strip.

Also,

smaller

diagnostic

cardiac

LIFEPAK11monitor

amplitude

monitor

internal

Operating

to

by

/^§\

Instructions

Defibrillation/Cardioversion/Pacing

Therefore, strip

the

patient

Defibrillation

For

defibrillation

ECG

To

monitor

1

Connect

2 Refer to

the

should

Monitoring

notbeused

directly

ECG

the

ECG

signal

from

the

for

through

instructions

with

the

LIFEPAK

monitor

and

precise

the

monitor

refertothe

250

defibrillator.

defibrillator arrhythmia

ECG

LIFEPAK

defibrillator:

thatisdisplayed

analysis.

cable,not

through

250

defibrillator

For

onthe

accurate

the

LIFEPAK

Operating

monitor

arrhythmia

Operating Instructions for the defibrillation electrodes. Connect

screenorrecording

analysis,

250

defibrillator.

Instructions.

the

defibrillation

monitor

cables to the electrodes, then apply the defibrillation electrodes to the patient.

3

Rotate

4

Liftupthe Observe

5

Troubleshooting

Ifproblems occur with the

defibrillator (such

the

LIFEPAK11monitor

LIFEPAK

250 defibrillator display module to apply power to

the ECG signal on

Tips

During

as

monitoring through paddles or synchronized cardioversion),

the

LIFEPAK

POWER

switchtoBAFT

monitor display. Adjust

Defibrillation

11 monitor while using the

and

ECG

select

the

SIZE

and

LIFEPAK

PADDLES

the

lead.

defibrillator.

VOLasdesired.

5 or

LIFEPAK

check

250

the list of

observations in Table 8-1 for aid in troubleshooting. (For help in troubleshooting problems with

operation of

the

defibrillator, refer to

the

specific defibrillator Operating Instructions

and

Service

Manual.) For help in troubleshooting basic monitor operation, refer to Troubleshooting on

page

9-15.

Troubleshooting

tips for

the

LIFEPAK 11

defibrillator/pacemaker

canbefoundinthe

LIFEPAK 11 defibrillator/pacemaker Operating Instructions.

the

Table 8-1

Observation

i

2

Troubleshooting

LIFEPAK5defibrillator:

monitor when QUIK-LOOK

LIFEPAK5defibrillator:

Monitor

interference

ECGinPADDLES

displaysnosignal

monitoring

displays

while monitoring

through

paddles.

much

lead.

tips while

signal

using

a LIFEPAK 5 or LIFEPAK

Possible

PADDLES selected.

Devices

connected.

Foreign

electrical devices

Damaged paddle

Dirt or foreign material

on

Not gel.

With

adapter: preparation,

adhesiontopatient,

expired

Cause

lead

not properly

material

contacts

connect.

paddles

cables.

paddle

electrodes.

enough

FAST-PATCH

improper

electrodes.

defibrillation

poor

not

on

where

or

skin

or

250

defibrillator

Corrective

Select

Disconnect defibrillator.

Disconnect

Inspect

devices,

and

Check

testonpage

Clean

Check

Confirm

electrode unexpired

and

monitor

Action

PADDLES

electrical

remove

reconnect.

paddles

paddles.

applicationofgel.

proper

lead.

and

reconnect

the

defibrillator

contactsonboth

foreign material, clean,

and

9-6.

skin preparation,

placement

electrodes.

cables

and

monitor

and

by performing

contact,

and

monitor.

LIFEPAK11diagnostic

°April1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

8-11

Defibrillation/Cardioversion

Pacing

Table8-1 Troubleshooting tips while using a LIFEPAK5 or LIFEPAK250 defibrillator

Observation

3

LIFEPAK5defibrillator:

Cannot

(SYNC)

LIFEPAK5defibrillator:

Defibrillator

monitor sense

activate

mode.

displays

marker

SYNC

not

in wrong place.

LIFEPAK5defibrillator

FAST-PATCH

monitor when

monitoring with

defibrillation

adapter:

displays

electrodes.

synchronous

activated

SYNC,

but

displayed

with

no signal

Possible

Devices not properly

connected.

Foreign

electrical

devices

QRS

complexes

adequate

and

tobedetected

by monitor.

or

PADDLES

selected.

FAST-PATCH

paddles

installed.

Damaged

adapterorcables.

Cause

material on

contacts

connect.

not

sizeorshape

(sensed)

lead

not

adapter

not properly

FAST-PATCH

where

Corrective

•

Disconnect

defibrillator.

•

Disconnect

Inspect electrical

devices,

•

Press

markers

•

Select

• Reposition ECG

Select

or

Remove

adapter

•

Check

set

ECG

Grasp

ECG SIZE to

another

PADDLES

FAST-PATCH

defibrillator

electrode

confirming monitor displays much signal

noise.

Place

snaps

together

monitor displays noisy signal,

adapter

paddles

Ifhard

paddle

FAST-PATCH

contact service for repair or replacement.

and

monitor, continued

Action

and

the

clean,

reconnect

defibrillator

contacts

reconnect.

monitor

and

on both

adjustsosense

appearonQRS

lead.

complex.

electrodes.

lead.

and

reinstall

and

paddles.

SIZEtoX4.0inPADDLES

leads

metal

cable

and

faceoftwo

and

shake

FAST-PATCH

adapter

at junction of

shake

moderately,

moderately. If

and

remove

and

check

defibrillator

by performing

function is ok,

adapter

testonpage

remove

from

use

and

monitor.

cables:

lead.

electrode

hard

9-6.

and

LIFEPAK

250

defibrillator:

Monitor displays much signal

interference while monitoring

ECGinPADDLES

lead.

Devices not properly

connected.

Foreign material on

electrical

devices

With

contacts

connect.

FAST-PATCH

where

adapter: improper skin

preparation,

adhesion

expired

poor

to patient, or

electrodes.

Disconnect

defibrillator.

Disconnect

Inspect

devices,

and

the

electrical

clean,

reconnect

defibrillator

contacts

and

reconnect.

monitor

and

monitor.

on both

and

Confirm proper skin preparation, electrode

placement

electrodes.

and

contact, unexpired

8-12

LIFEPAK 11

diagnostic

cardiac

monitor

Operating

Instructions

Defibrillation

Cardioversion

Pacing

Table8-1 Troubleshooting tips while using a

Observation

7

LIFEPAK

250

defibrillator:

Monitor displays no signal

while monitoring with

defibrillation

electrodes.

Possible

PADDLES

selected

Devices not properly

connected.

No defibrillator power.

Foreign material on

electrical

devices

LIFEPAK5or defibrillator:

"jump" (no visible

response discharge).

250

Patient

did

not

muscle

during defibrillator

Patient is on Lack of visible

to

necessarily discharge

LIFEPAK

Cause

lead

on

contacts

connect.

muscle

variable

patient

defibrillation

5 or

LIFEPAK

not

monitor.

response

and

depends

condition.

response

does

mean

the

did

not

occur.

where

not

250 defibrillator

Corrective

Confirm

Disconnect

defibrillator.

Action

PADDLES

Liftup defibrillator confirm appear

power,

Disconnect

Inspect

devices,

No

power

on defibrillator display. If no

replace

electrical

clean,

action

and

monitor, continued

lead

and

reconnect

display

turnsonand

battery.

the

defibrillator

contactsonboth

and

specified.

selected.

monitor

module

reconnect.

messages

and

monitor.

and

to

LIFEPAK 11

0April1996. Physio-ControlCorporation

diagnostic

cardiac

monitor

Operating

Instructions

MAINTAINING

THE

EQUIPMENT

jps

This

section

the

LIFEPAK11monitor

refer to specific

General Maintenance

Battery Maintenance

describes

accessory

how to perform operator-level

and

selected

Operating

and

Testing

and

Testing 9-7

accessories.

Instructions. Topics in this

maintenance,

For

additional

page

9-2

Troubleshooting 9-14

Service

and

Repair 9-16

Warranty 9-16

Supplies, Accessories,

and

Training Tools 9-17

testing,

information

section

and

include:

troubleshooting for

about

accessories,

^

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

9-1

Maintaining

the

Equipment

General

Periodic

prevent

Maintenance

maintenance

and

detect possible electrical and mechanical problems and keep personnel acquainted

and

Testing

testing of

the

LIFEPAK11 monitor

and

accessories

with normal operating procedures. Iftesting reveals a possible problem with

accessories,

the

device

information regarding

Routine testing of

maintained

Maintenance

Table 9-1 lists

using

Note.

and

testing

usedinconjunction

medical

Additional periodic preventive

inspection,

Table

9-1

refer to Troubleshooting on

from active

service

accessories,

the

monitor

and

testedasdescribedonpage

and

Testing

the

recommended

the

LIFEPAK 11 monitor

Refer to

the

schedule

LIFEPAK 11 defibrillator/pacemaker Operating Instructions for

for

with

service

where

this

and

required calibration should be performed regularly by qualified

Recommended

maintenance

page

9-14. If

and

immediately contact a qualified

refer to

consumes

the

accessory

battery power. Make

the

problem

cannotbecorrected,

service

Operating Instructions.

sure

all batteries

9-7.

Schedule

maintenance

alone

or with

the

LIFEPAK 11 monitor/defibrillator/pacemaker. This

the

internal quality

monitorisused.

maintenance

schedule

and

testing

the

LIFEPAK5 or LIFEPAK

assurance

and

for clinical

Daily

programofthe

testing

suchaselectrical

personnel

After

schedule

Use

for clinical

As

250

hospital, clinic, or

safety

Required

is important to help

the

monitor or

remove

technician. For testing

are

properly

personnel

when

defibrillators.

the

maintenance

schedule

may

be

emergency

tests,

performance

service

3

Months

personnel.

6

Months

Inspect

Clean

Check

accessories

monitor.

that

all

necessary

are

present

supplies

and

(e.g., fully-charged

batteries, gel, recorder paper, patient ECG

cable,

electrodes,

Check/change

Operation

General

Patient

Landline

Cellular

AUX

LIFEPAK5defibrillator

LIFEPAK

FASTPAK

(alternate

FASTPAK

tests:

Test

ECG

Transmission

POWER

batteries:

with

batteries:

250

etc.).

recorder

Cable

Test

defibrillator

Reconditioning

Shelf

Life

Shelf

paper.

Test

Life

below).

Test.

9-2

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Inspection

Maintaining

the

Equipment

Before

cables

Table

LIFEPAK

case,

LIFEPAK11monitor

battery

LIFEPAK11monitor

electrical

LIFEPAK

Patient

other

any

testing, perform a thorough visual inspection of

as

described

9-2

Inspection

11

monitor

accessories

pins

slide

contacts

11

monitor

ECG

Cable

cables

Cleaning

in

Table

9-2.

Inspect

for

Gel or foreign

Damageorcracks,

substances

improper mechanical

function of controls, covers, keypads,

switches,

Loose

pins

recorder

door

Bent, broken, corroded, worn, or

pins

and

Gel or foreign

Corrosion,

breaks where

contact

Gel or foreign

While

bending

for cracks,

extreme

or

bent

substances

deformities,

(look closely for

enters

substances

and

flexing cable,

damage,

wear,

connectors

cuts

exposed

and

bends,

breaks

the

case)

or abrasions,

inner

pins

the

damaged

cracks,

at location

inspect

wires,

monitor

or

broken

case,

Recommended

Clean

as

Contact

repair

Tighten if

Contact

Clean

as

Contact

repair

Clean

as

Replace

accessories,

Corrective

definedinTable

and

servicetoreplace

loose

servicetoreplace

definedinTable

servicetoreplace

definedinTable

Action

9-3

or

9-3

or

9-3

Clean

the

cleaning

&

CAUTION

Do

not

clean

compounds.

LIFEPAK11j

Table

9-3

LIFEPAK

case,

display,

cracks,

LIFEPAK recorder

Accessories

cables

LIFEPAK 11 monitor,

agents

Recommended

listed in Table 9-3.

any

partofthe

Do

not

monitor

11

monitor

crevices,

11

monitor

(Possible

use

abrasive

or accessories unless otherwise statedInaccessory Operating Instructions.:

cleaning

Cleaning

Clean

Liftup door,

dustordebris

Clean

cloth.

Refertoaccessory

Instructions.

cables,

equipment

monitor, recorder, or

with

compartment

cleaning

Practice

damp

remove

out

and

accessoriesasdescribed in Table 9-3.

damage;

cables

agents.

sponge

paper

Do not

or cloth.

roll, blow

of compartment.

with soft dry cloth.

recorder printhead with soft dry

Operating

with

bleach,

steam,

bleach

autoclave, or gas-sterilize

Recommended

•

Quaternary

• Isopropyl

•

Peracetic

• No cleaning (only soft dry cloth)

• No cleaning (only

Refertoaccessory

Instructions.

dilution,orphenolic

Cleaning

ammonium

alcohol

acid

(peroxide)

agent

soft

drycloth)

Operating

Use

Agents

only

the

compounds

solutions

LIFEPAK11diagnostic

"April 1996, Physio-Control Corporation

cardiac

monitor

Operating

Instructions

9-3

Maintaining

the

Equipment

/^\

LIFEPAK

Equipment

•

LIFEPAK

• Fully-charged

lest

1 Thoroughly inspect

2

11

Procedure

Remove

monitor

Needed

11

the

monitor

battery

General

the

and

Test

LIFEPAK11 monitorasdescribed in Table 9-2.

inspect

3 Install a fully-charged battery in

4 Turn

s After a few

powers

the

monitor

on.

seconds

POWER

confirm

switch to

the

displayed.

e

Press

RECORD

Press

RECORDtoturn

Patient

Equipment

•

LIFEPAK

Patient

12-lead

ECG

Needed

ECG

• Fully-charged

Test

Procedure

i Thoroughly inspect

Cable

11

monitor

cable

and

confirm

Test

with limb

simulator

battery

the

off

the

lead

(with

batteries)

patient ECG 2 Install a fully-charged battery in 3

Connect

4

Connect

s Turn

powers

6 Turn

7 After a few

the

on.

the

patient ECG

all

cable

monitor

simulator

seconds

cable

leadstothe

POWER

switch to

poweronand

confirm

the

displayed.

8

Press12LEAD

each

lead.

and

wait for

the

battery pins for

the

monitor. Make

BATT,

adjust

damage.

sure

the

CONTRAST

recorder

control,

paper

monitor displays a flat-line signal with no

recorder prints a recorded ECG report with

recorder.

and

precordial

lead

attachments

cableasdescribed in Table 9-2.

the

monitor. Make

with limb lead

12-lead

BATT,

select

ECG

adjust

a rhythm.

monitor displays a rhythm with no

printout. Examine

and

simulator.

the

CONTRAST

the

sure

recorder

precordial lead

control,

printout

and

paper

attachmentstothe

SERVICEorLEADS

confirm a rhythm is printed for

is installed in

and

confirm

SERVICE

the

is installed in

and

confirm

time

the

monitor

message

and

the

monitor.

the

monitor

OFF

recorder.

date.

recorder.

messages

LIFEPAK

To perform this

Equipment

LIFEPAK

11

Needed

11

monitor

test,

monitor

Landline

you

Fully-charged battery

Telephone

AccesstoPSTN

cord

(with RJ11

telephone

Accesstodestination

Test

Procedure

i Confirm

destination

the

destination device is on

about

the

2 Install a fully-charged

Connect

3

telephone

4 Turn

the

telephone

line outlet.

monitor

POWER

Transmission

need

access

connectors)

line

device

planned

(RS

test.

batteryinthe

cordtothe

switch to

Test

to a destination

100

receiving station).

and

ready to receive a report. Notify

monitor.

LIFEPAK 11 monitor

BATT

and

adjust

device

that

can

LANDLINE

the

CONTRAST

LIFEPAK11diagnostic

receiveatransmitted

personnelatthe

connector

andtothe

control.

cardiac

monitor

Operating

report.

PSTN

Instructions

5

Press

the

TRANSMIT

6 Confirm

enter

the

7 Confirm

softkey to

8

Press

9 Confirm

COMPLETE.

io

Contactapersonatthe

received.

that

the

appropriate

that

the

change

the

TRANSMIT

that

the

button on

displayed

numberonthe

preset

number).

third

softkey

the

label to

button

monitor

the

monitor to display

telephone

number is correct for

alphanumeric keypad (or

from

the

left is

labeled

LANDLINE).

again

completes

to transmit

the

report.

transmission

destination device location

the

Transmit

the

LANDLINE

and

displays

and

confirm

Maintaining

the

Equipment

Screen.

intended destination. Ifincorrect,

press

the

(or

the

press

the

report

LOCATION

the

message

was

softkey to

SYSTEM

CONNECTOR

TRANSMISSION

successfully

select

LIFEPAK

To perform this

Equipment

LIFEPAK

Fully-charged

Access

Access Cellular

cable,

connection

Test

1 Confirm

11

Needed

to

to destination

telephone

Procedure

the

destination

monitor

11

test,

monitor

Cellular

you

battery

cellular

network

device

equipment: typically

cord, cellular phone,

device, external

destination

about

the

need

service

device

planned

Transmission

access

(RS

antenna,

2 Install a fully-charged battery in 3

Connect

the

cellular

telephone

information).

Press

enter

to

select

powertothe

the

monitor

the

TRANSMIT

that

the

appropriate number on

the

that

4 Apply

s Turn

6

7 Confirm

8 Confirm

softkeytochange

9

Press

the

TRANSMIT

10 Confirm

TRANSMISSION

ii

Contactapersonatthe

that

successfully

cellular

POWER

button on

the

displayed

appropriate

the

third softkey from

the

label to

button

the

monitor

COMPLETE.

destination

received.

phone.

switch to

telephone

preset

again

completes

Test

to a destination

100

receiving station).

the

and

is on

and

Physio-Control cellular

any

phone

ready

device

required supporting

batteries.

to receive a report. Notify

test.

the

monitor.

equipmenttothe

BATT

and

the

monitor to display

number

the

monitor alphanumeric keypad (or

monitor (refer to

adjust

the

is correct for

CONTRAST

number).

the

SYSTEM

to transmit

the

device

left is labeled

CONNECTOR).

the

transmission

location

SYSTEM

report.

and

which

can

receiveatransmitted

modem,

equipment

monitor-to-modem

suchasa cellular

personnelatthe

page

7-7

for

connection

control.

Transmit

displays

confirm

Screen.

the

intended destination. Ifincorrect,

press

the

CONNECTOR

the

message

report

(or

was

press

LOCATION

the

LANDLINE

report.

softkey

LIFEPAK

The

Physio-Control

Equipment

•

LIFEPAK

• AC Auxiliary

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

11

monitor

AC Auxiliary

Needed

11

Power

representative.

monitor

Power

cardiac

AC

AUX

Supply

monitor

POWER

may

with

Operating

Test

notbeavailable

accesstopower

Instructions

for

use

source.

in all

countries.

Contact

your

local

9<S

Maintaining

lest

1 Confirm

Procedure

the

Equipment

the

AC Auxiliary Power

POWER switch is

2 Confirm

3 Make

4

Connect

5 Turn

powers

the

AC

sure

the

battery is

the

power

the

monitor POWER

on with no SERVICE

6 Install a battery in

module.

set

to 1 (ON).

Auxiliary

moduletothe

the

monitor

Power

removed

switch

message

and

Supplyisconnected

Supply

front panel POWER light is illuminated.

from

the

monitor.

to AUX,

adjust

the

displayed.

confirm

the

left battery charging light illuminates on

to AC power

and

CONTRAST control,

the

rear panel MAINS

and

confirm

the

monitor

the

power

LIFEPAK

This

function

defibrillator functions, refer to

A

When Unless

11

monitor

procedure

WARNING

for

tests

the

LIFEPAK5defibrillator

Shock

dischargedasdescribed

discharged

properlyasdescribed

and

LIFEPAK

PADDLES ECG monitoring function

the

hazard.

in this test, the defibrillator delivers up to 20 joules of electrical energy.

injury. Do not attempt to perform this

thoroughly familiar with

function of all

Equipment

LIFEPAK Patient

LIFEPAK5defibrillator

Needed

11

ECG

controls,

monitor

cable

these

indicators,

with

limb

Operating

lead

ECG simulator (with batteries)

Fully-charged batteries

Battery

lest

1 With

2

Procedure

the

devices

Connect

Support

the

monitor

the

System

and

defibrillator not

canbejoined.

monitor

and

Remove

defibrillator.

3 Install fully-charged batteries in 4 Turn

s

e

7 Place

8

9

10 Turn simulator power on and

11

12

13 14

the

powers

Press

Remove

and

confirm

the

Connect

Press

Rotate Press

monitor

on.

the

POWER

monitor

switch to

LEAD

SELECTtoselect

paddles from the paddle storage area. Holdthe paddles apart, gently

the

monitor displays a noisy, distorted signal.

paddle electrodes firmly together and confirm

patient

cable

ECG

cable

leadstothe

with limb

ECG

select

the

monitor

the

defibrillator

the

APEX

the

red

paddle

SYNC

LEAD

SELECTtoselect

POWER

ENERGY

button on

switch on

5

defibrillator

when

connected

Test

and

synchronized

to

the

LIFEPAK11monitor.

defibrillator Operation Instructions.

in this test, this electrical

test

unless you

are

qualified by training

Instructions, the defibrillator

and

any

attachment

connected,

any

the

monitor and

BATT,

lead

simulator.

accessories

foreign

adjust

PADDLES

attachmenttothe

used

for

the

thoroughly inspect

substance.

the

defibrillator.

the

CONTRAST

lead.

control,

the

monitor displays a flat-line signal.

monitor.

a normal sinus rhythm.

LEAD II.

the

STERNUM

JOULES

the

switch to

defibrillator and confirm

paddle and confirm

select

20 joules.

the

red light in

energy

Operating

test.

the

and

cardioversion

To

test

may

cause

serious

and

experience

Instructions,

metal slide

confirm

contacts

the

shake

the

green light illuminates.

the

SYNC

button is on.

other

personal

and

monitor

them,

are

the

where

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

is

Confirm

appearorappearinthe

not

complexes.

16

Place

the

electrodesdonot

17

Press

the

is

When

defibrillator is fully

red

discharge

19 Confirm

the

SYNC

20

Place

defibrillator

the

monitor

paddles

black

the

defibrillator

button

firmly on

contact

CHARGE

buttons

turns

paddles

displays

your

button on

charged

on both

discharges

off

after

back

the

triangle

wrong

locations,

the

Battery

handsorany

the

(the

paddles.

the

discharge.

into

APEX

CHARGE

when

the

sense

adjust

Support

surface

paddle

the

paddle

markersonQRS

ECG

SIZE

until

System

test

except

to initiate

load

the

light glows steadily)

marker occurs. Confirm

storage

area.

Maintaining

the

complexes.Ifsense

they

appearonthe

plates.

test

load

Make

plates.

sure

charge.

simultaneously

Equipment

QRS

the

press

the

red light in

markers

paddle

and

do

hold

LIFEPAK

This

connectedtothe

Operating

Equipment

•

LIFEPAK

•

LIFEPAK

• Physio-Control

•

Fully-charged

Test

1 With

2

11

procedure

Procedure

the

devices

Connect

monitor

tests

LIFEPAK 11

Instructions.

Needed

11

monitor

250

defibrillator

Patient

batteries

monitor

canbejoined.

the

monitor

3 Install fully-charged

4 Turn

5

6

7

8

9 Liftup io

the

powers

Press

Connect

Press

Confirm

monitor

on.

the

monitor

the

defibrillation

the

Patient

the

Simulator

defibrillator display module to apply powerto

that

the

monitor displays

and

LIFEPAK

the

paddles

Simulator

and

defibrillator not connected, thoroughly inspect

and

defibrillator.

batteries

POWER

switch to

LEAD

SELECTtoselect

cabletothe

SimulatorONbutton

NSR

250

defibrillator

ECG monitoring function for

monitor.Totest

other

defibrillator

(with batteries)

Remove

in monitor

any

BATT,

Patient

foreign

and

defibrillator.

adjust

PADDLES

substance.

the

Simulator.

to turn on power.

button

and

confirm

red

Test

CONTRAST

lead.

indicatorisilluminated.

the

NSR ECG rhythm.

the

LIFEPAK

functions,

control,

defibrillator.

250

refertothe

the

metal slide

and

defibrillator when

defibrillator

contacts

confirm

the

monitor

where

Battery

Maintenance

and

Testing

The LIFEPAK 11 diagnostic cardiac monitor These

Operating Instructions

NiCad batteries must be properly maintained using the Battery Support

maximize battery life

LIFEPAK11diagnostic

°April 1996, Physio-Control Corporation

and

cardiac

performance. For more information, refer to

and

LIFEPAK11 diagnostic cardiac monitor Service Manual.

monitor

Operating

Instructions

uses

FASTPAK

Nickel-Cadmium (NiCad) batteries.

the

System

Battery

to help

Support

System

9-7

Maintaining

&

WARNINGS

the

Equipment

Possible

Using a

warning. Be

Possible

Physio-Control

monitorifusedinconjunction

alternate

batteries

Possible

The

designedtocharge

Battery

FASTPAK battery in

Possible

The AC Auxiliary Power Supply

maintain batteries. The AC Auxiliary Power Supply

Possible

power

failure.

battery

affectedbyvoltage

suretoproperly

instrument

has

source

and

battery

batteriesorchargers

the

Battery

damage.

two-well Battery

Charger

instrument

may

depression

maintain

failure.

batteriesasdescribed

no information regarding the

with

non-FASTPAK

from

Support

Charger

System.

(Physio-Control

may result in

power

in this

failure during

section.

performanceoreffectivenessofthe

other

Part

sources.

Physio-Control

Numbers

batteriesorremanufactured

Use

only

the

9-00284, 9-00288,

patient

Physio-Control

and

LIFEPAK 11

801530)

FASTPAK batteries. Charging the FASTPAK battery in the two-well

reduce

the

failure.

battery life

standard

and

create

a risk of fire or explosion. Do not

Battery Charger.

does

not maintain batteries. Use only the Battery Support System to

does

not replace the Battery Support

care

FASTPAK

standard

charge

System.

without

or

is not

the

Failure to charge a stored battery before returning it to active service may result in premature power

failure of the monitor or defibrillator during patient care. Always

ittoactive

NiCad

service.

Battery

Performance

Factors

charge

a stored battery before returning

Three major factors affect the performance of NiCadbatteries: temperature, voltage depression,

and

the

self-discharge rate.

Temperature

Charging a battery at temperatures below 20°C (68°F) or above 25.5°C (78°F)

battery from reaching its

Voltage

Depression

full

capacity

and

may lead to irreversible cell

damage.

will

prevent the

Voltage depression is a condition which reduces battery performance, particularly when charging the defibrillator. This condition is often mistakenly called "memory." Voltage depression

can

usually

be reversed by reconditioning the battery every 3 monthsasdescribed in Figure 9-1 on page 9-10.

Voltage depression is

caused

by either 1) repeatedly attempting to add more charge to a

fully-charged or a nearly fully-charged battery, or 2) extended charging at temperatures above the

maximum

recommended

25.5°C

(78°F).

9.8

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Maintaining

the

Equipment

Self-Discharge

Like

most batteries,

Rate

NiCad

batteriesself-discharge whentheyare not used. Anew

NiCad

battery

self-discharges approximately 1% of its capacity each day when stored at roomtemperature. Inten

days a new NiCadbattery not installed inthe defibrillator/monitor loses approximately10%of its capacity. The self-discharge rate ofthe battery can be evaluated by performing a Shelf-Life Test.

The actual battery self-discharge rate depends on:

• Battery

•

Temperature

•

Frequencyofuse

• Length of time in

• Physical battery condition.

age

storage

These factors can combine to significantly increase the battery discharge rate. For example, an older battery stored inhigher temperatures may have an accelerated self-discharge rate much greater than

1%aday.

&

CAUTION

Remove and

ChargingaBattery

To

charge

a battery in

1 Insert the battery inone of the three battery compartments.

indicating

2 Periodically check on the battery

70 minutes). The battery is now

Possiblebattery damage.

replace

the

a batterywhen the

with

the

Battery Support System:

charge

cycle

Battery

has

begun.

LOW

BATTERY

Support

until

the

READY

fully

charged and ready for use.

message

System

light

is on

first

appears. Over-discharging can

Confirm

(full

the

CHARGE

light

charge requires approximately

is on

The

FAULTY

If

the BatterySupport System displays the

Light

FAULTY

light

when a battery is installed, leave the battery

installedfor up to 30 minutes. Then remove and reinsert the battery to reinitiate the charge cycle.

If

the

FAULTY

Using

Toproperly maintain batteries,

•

Charge

light remains on, discard the battery.

the

Battery

Support

System

use

batteries at

the

proper temperature.

to

Maintain

Batteries

only the Battery Support System with the following guidelines:

The optimum charging temperature is room temperature, or 20° to 25.5°C (68° to 78°F). Batteries

charged outside room temperature may not reach

full

capacity even ifthe charge time is increased.

This may lead to irreversible cell damage.

• Place

-

- Do not

- Do

Rotate batteriessoall batteries in active service

the

Battery Support

Place

in a

well-ventilated

Keepatroom

place

not

place

System

area

temperature

in direct sunlight

nearaheat

sourceoran

in proper location.

air

conditioner.

are

used equally.

LIFEPAK11diagnostic

•April 1996. Physio-Control Corporation

cardiac

monitor

Operating

Instructions

9.9

Maintaining

the

Equipment

Recondition

Reconditioning is a succession of discharge/charge cycles

Batteries

Every

Three

Months

which

may be performedon a battery

inserted inthe far rightcompartment of the BatterySupport System. Reconditioning a battery helps

prevent or reverse the effects ofvoltage depression and helps keep track of battery capacity.

Perform reconditioning every threemonthsaccording to the Reconditioning Procedure in

Figure9-1. Discard any battery

information about ordering copies of the Reconditioning Procedure form, refer to

with

a capacity reading of less than 80% on the thirdcycle. For

RECONDITIONING

Foruse

with

the

FASTPAK®

- 80% or greater battery capacity is acceptable

- Alternate every 90

- Use Battery Support System at

- For Technical Support, call (800)442-1142 USA

Test

Date.

Performed

Physio-Control®

and

Battery

by.

Pakbatteries.

days

PROCEDURE

Battery

Support

withShelf LifeTest

68-78°

F

Battery ID.

System,

CHECKLIST(Vcirclewhendone)

O 1

Charge

battery until READYlight

O 2 Cycle #1: DISCHG-CHARGE-READY; disregard reading O 3 Cycle #2: DISCHG-CHARGE-READY; disregard reading

O 4 Remove batteryfor 1 - 4 hrs Begin End O 5 Cycle #3: DISCHG-CHARGE-READY; bat. cap. = % O 6 Log Cycle #3 bat. cap.% on back of battery

appears

page

9-17.

Cycle #3 bat. cap. 80% or greater?

O

O No-unacceptable/discard battery

Figure9-1 Reconditioning Procedure form

Yes-acceptable

9-10

LIFEPAK11diagnostic

cardiac

monitor

Operating

Instructions

Maintaining

the

Equipment

Perform

The Shelf

describedinFigure

Figure

For

Shelf

Life

Test

Every

Six

Months

Life

Testevaluates the self-discharge rate ofa stored

9-2 everysix

months,oralternateitwith

9-1 every threemonths. Discard any battery witha Shelf

information

about ordering copies ofthe Shelf

SHELF

Foruse

FASTPAK®

- Shelf LifeTest Valueof 20 or less is acceptable

- Alternate every 90 days with Reconditioning Procedure

-

- For Technical Support, call (800)442-1142 USA

Test

Performed by.

CHECKLIST(Vcircle

O 1 Charge battery until

O 2 Cycle#1:

O 3 Cycle#2:

O 4 Remove battery for 1- 4 hrs Begin End

O 5 Cycle #3: DISCHG-CHARGE-READY; bat. cap. = %

06 07

08

with

the

Physio-Control®

and

Battery

Pakbatteries.

(Note:Steps

Use

Battery Support

Date

1-5

equals ReconditioningProcedure)

Systemat68-78°

when

DISCHG-CHARGE-READY;

Log Cycle #3 bat. cap.% on back of battery

Remove Begin / / End / /

Cycle #4: DISCHG-CHARGE-READY; bat. cap. =_

battery for

7-8

Life

LIFE

Battery

done)

READY

days

the

Test

form,

TEST

Battery

Support

F

ID.

lightappears

and

store

battery.

Reconditioning

Life

Perform

the Shelf

Procedure

Test value of more than 20.

referto page 9-17.

System,

disregard reading

on shelf

Life

in

Test

Figure9-2

Shelf

Life

Test

Record:

Cycle

#3 bat.

cap.

Subtract:

Result:

Shelf

Life

Shelf

Test

Cycle

#4 bat. cap. —_

Life

Test

Value20or

Value

less?

=_

O Yes-acceptable O No-unacceptable/discard battery

LIFEPAK 11

°April 1996, Physio-Control Corporation

diagnostic

cardiac

monitor

Operating

Instructions

Physio Control Lifepak 11 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual