Physio-Control Lifepak 1000, LifePak 1000 User manual

LIFEPAK1000

OPERATING INSTRUCTIONS

DEFIBRILLATOR

LIFEPAK1000

OPERATING INSTRUCTIONS

DEFIBRILLATOR

Important

!USA

LIFEPAK, LIFENET, and QUIK-COMBO are registered trademarks of Physi o-Control, Inc. ADAPTIV, CODE-STAT, cprMAX, REDI-PAK, and Shock Advisory System are trademarks of Physio-Control, Inc. Microsoft and Windows are registered trademarks of Microsoft Corporation. Ambu is a registered trademark of the Ambu Corporation. Specifications are subject to change without notice.

Publication Date: 10/2008

MIN 3205213-005

This instrument is to be used by authorized personnel only.

Rx Only

Device Tracking

The U.S. Food and Drug Administration requires defibrillator manufacturers and distribut ors to track the location of their defibrillators. If the device is located somewhere other than the shipping address or the device has been sold, donated, lost, stolen, exported, destroyed, permanently retired from use, or if the device was not obtained directly from Physio-Control, please do one of the following: register the device at http://www.physio-control.com, call the device tracking coordinator at 1.800.426.4448, or use one of the postage-paid address change cards located in the back of this manual to update this vital tracking information

Responsibility for Information

It is the responsibility of our customers to ensure that the appropriate person(s) within their organization have access t o this information, including cautions and warnings provided throughout this manual.

TABLE OF CONTENTS 1

Preface

About Defibrillation ................................................................................................................................................. vi

Indications for Use ................................................................................................................................................... vi

Defibrillation..................................................................................................................................... .................. vi

ECG Monitoring................................................................................................................................................. vi

Operator Considerations ......................................................................................................... ............................ vii

About the LIFEPAK 1000 Defibrillator ............................................................................................................. vii

Defibrillator Features.................................................................................................................................... vii

Text Conventions ................................................................................................................................................... viii

1 Safety

Terms ......................................................................................................................................................................... 1-2

General Warnings and Cautions ........................................................................................................................1-2

Symbols ......................................................................................................................................................................1-3

2 Controls and Indicators

Controls and Indicators ........................................................... ........................................................................... 2-2

3 How to Use the LIFEPAK 1000 Defibrillator

Modes of Operation ........................................ .....................................................................................................3-2

Defibrillation Warnings and Cautions.....................................................................................................3-2

Defibrillation in AED Mode ..................................................................................................................................3-3

Basic Steps for Using the LIFEPAK 1000 Defibrillator......................................................................3-3

Special Situations for Electrode Placement........................................................................................3-4

Defibrillation in Manual Mode ............................................................................................................................3-5

Analysis..............................................................................................................................................................3-6

Troubleshooting Tips for Defibrillation .........................................................................................................3-6

LIFEPAK 1000 Defibrillator Operating Instructions iii

ECG Monitoring (ECG Mode) .............................................................................................................................3-8

Troubleshooting Tips for ECG Monitoring............................................................................................3-9

4 Data Management

Managing Defibrillator Data ................................................................. .............................................................4 -2

Overview of Data Storage........................................................................................................................4-2

Data Stored by the LIFEPAK 1000 Defibrillator.................................................................................4-2

Overview of Connections for Transmitting Reports.......................................................................4-3

5 Caring for the LIFEPAK 1000 Defibrillator

Maintenance and Testing Schedule ................................................................................................................5-2

Self-Test Performance ............................................. ..........................................................................................5-2

Self-Tests..........................................................................................................................................................5-2

Auto Tests..................................................................................... ...................................................................5-2

Inspection ..................................................................................................................................................................5-3

Cleaning .....................................................................................................................................................................5-4

Battery Maintenance ............................................................................................................................................5-4

Electrode Storage ..................................................................................................................................................5-5

Service ......................................................................................................................................................................5-6

Product Recycling Information ................................................................. ........................................................5-6

Supplies, Accessories, and Training Tools ....................................................................................................5-7

Warranty Information .......................................... ..................................... ...........................................................5-7

A Specifications B Shock Advisory System C cprMAX™ Technology D Changing Setup Options E User’s Checklist

Index

iv LIFEPAK 1000 Defibrillator Operating Instructions

PREFACE 1

This section provides information about defibrillation and an overview of the LIFEPAK® 1000 defibrillator.

About Defibrillation page vi Indic ations for Use vi Operator Considerat ions vii About the LIFEPAK 1000 Defibrillator vii Text Conventions viii

LIFEPAK 1000 Defibrillator Operating Instructions v

Preface

ABOUT DEFIBRILLATION

Defibrillation is a recognized means of terminating certain potentially fatal arrhythmia s. A d irect current defibrillator applies a brief, high-energy pulse o f electricity to the heart muscle. The Physio-Control LIFEPAK disposable defibrillation electrod es applied to the patient's chest.

Defibrillation is only one a s pect of the medical care required to resuscitate a p atient with a shockable ECG rhythm. Depending on the situation, other measures may include:

• Cardiopulmonary r esuscitation (CPR)

• Supplemental oxygen

•Drug therapy It is recognized that successful resuscitation is relat ed to the length of time be tween the onset of a heart

rhythm tha t does not circulate blood (ventricula r fibrillation, pulseless ventricular tachycardia) and defibrillation. The American Heart Association has identified the following as critical links in the chain of survival from sudden cardiac arre st (SCA).

•Early access

• Early CPR by first responders or bystanders

1000 defibrillator is an automated external defibrillator (AED) that delivers this energy through

• Early defibrillation

• Early advanced life support The physiological s tate of the patient may affect the likelihood o f successful defibrillation. Thus, failure to

resuscitate a patient is not a reliable indicator of defibrillator performance. Often, patients will exhibit a muscular re sp ons e (such as jumpin g or tw itchin g) durin g en ergy transfer. The absence of such a response is not a reliable indicator of actual energy delivered or defibrillator performance.

INDICATIONS FOR USE Defibrillation

Defibrillation is a recognize d means of terminating certain potentially fat al a rrhythmias, such as ventricular fibrillation and symptomatic ventricular tachycardia.

The defibrillator is to be used in AED mode only on patients who are in cardiopulmonary arrest. The patient must be unresponsive, not breathing normally, and showing no signs of circulation.

The defibrillator may be used with standard defibrillation pads only on adults and children who are 8 years old or more or who weigh more than 25 kg (55 lbs). The defibrillator may be used on children who are less than 8 years old or weigh less than 25 kg (55 lbs) with Infant/Child Reduced Energy Defibrillation Electrodes.

ECG Monitoring

ECG monitoring is for use on conscious and unconsci ous patients of all ages for the purpose of ECG rhythm recognition and heart rate monitoring.

vi LIFEPAK 1000 Defibrillator Operating Instructions

Preface

OPERATOR CONSIDERATIONS

The LIFEPAK 1000 defibrillator requires operator interaction to defibrillate the patient. The defibrillator is intended for use by personnel who are authorized by a physician or medical director

and have, at a minimum, the following skills and training.

•CPR training

• Defibrillator training equivalent to that recommended by the American Heart Association

• Training in the use of the LIFEPAK 1000 defibrillator The LIFEPAK 1000 defibrillator is intended for use in hospital and out-of-h ospital environments.

Manual mode is intende d f or us e by personnel trained in ECG recognition who w ant t o us e the d efibrilla t or to deliver a shock independent of AED mode. The operator has control over the charging and delivery of shocks.

ECG mode provides a nondiagnostic ECG display and is intended for use by personnel trained in ECG recognition to allow for rhythm and heart rate monitoring using standard ECG electrodes. When in ECG mode, the defibrillator’s shock capability is disabled; however, the LIFEPAK 1000 defibrillator continues to analyze the patient’s ECG for a potentially shockable rhythm.

ABOUT THE LIFEPAK 1000 DEFIBRILLATOR

The LIFEPAK 1000 defibrillator is a se miautomatic model that can be operated in either of three mod es: AED mode, Manual mode , and ECG mode. The defibrillator uses the patented Physio-Control Shock Advisory System™ (SAS) to analyze the patient's electrocardiographic (ECG) rhythm and prompts you when it detects a shocka bl e rhythm and when it does not detect a shockable rhythm. Responder interaction is required to provide therapy (defibrillation) to the patient.

Defibrillator Features

The following paragraphs introduce the LIFEPAK 1000 defibrillator features.

Heart Rhythm Analysis

The patented Physio-Control Shock Advisory System evaluates the patient’s heart rhythm.

ECG Display (optional)

This feature allows display of the ECG us ing the 3-wire (Lead II) cable and when using the defibrillator in AED mode. This feature is also n ecessary to use the defibrillator in Manual mode.

Defibrillation Waveform

The defibrillation shock, using ADAPTIV™ Biphasic technology, is delivered in the form of a biphasic truncated exponential (BTE) defibrillation waveform. LIFEPAK bip hasic d efibrillators me asure the patient’s transthoracic impedance and automatically adjust the defibrillation waveform current, duration, and voltage to meet the needs of the individual patient. Patient impedance is measured whenever defibrillation electrodes are in contact with the patient.

LIFEPAK 1000 Defibrillator Operating Instructions vii

Preface

cprMAX™ Technology

The cprMAX technology is designed to allow resuscitation protocols to maximize the amount of CPR administered during treatment using the LIFEPAK 1000 defibrillator.

When used with the factory default settings enabled, the defibrillator allows AED protocols to be consistent w i th the 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and European Resuscitation Council Guidelines for Resuscitation.

Data Management

The LIFEPAK 1000 defibrillator digitally records patient data, including ECG rhythm and d e livered shocks. Recorded data may be transferred from the defibrillator to a PC using an infrared connection. The PC

must have one of our LIFENET

Battery Options

products installed to collect and review the r e corded p atient data.

A nonrechargeable lithium manganese dioxide (Li/MnO2) battery provides power to the defibrillator. The battery has indicators that a pproximate the remaining state of charge. To save battery life if the defibrillator is accidentally turned on or left on, the defibrillator automatically turns off if it is not connected to a patient and no buttons are pressed for 5 minutes.

Daily Self-Test

The defibrillator performs a daily self-test e v er y 24 hours an d every time you turn on the defibrillat or. This feature tests the most important circuitry in the defibrillator to give the responder a high degree of confidence that it is ready for use.

Readiness Display

The LIFEPAK 1000 defibrillator includes a readiness display. The OK symbol appears in the display if the daily self-test is completed successfully. A battery symbol that approximates the remaining state of charge is also visible. If the self-test detects that service is required, the

OK symbol disappears and the

service symbol appears.

TEXT CONVENTIONS

Throughout this manual, special text characters are used to indicat e labels, screen messages, and voice prompts.

Operating contr ol labels: Screen messages, and voice

prompts:

CAPITAL LETTERS such as ON/OFF and SHOCK.

CAPITAL ITALICIZED LETTERS such as PUSH ANALYZE and CONNECT ELECTRODES

viii LIFEPAK 1000 Defibrillator Operating Instructions

SAFETY 1

This section provides important information to help you operate the LIFEPAK 1000 defibrillator. Familiarize yourself with all of these terms, warnings, and symbols.

Terms page 1-2 General Warnings and Cautions 1-2 Symbols 1-3

LIFEPAK 1000 Defibrillator Operating Instructions 1-1

Safety

TERMS

The following terms are used either in this manual or on the LIFEPAK 1000 defibrillator.

Danger: Immediate hazards that will result in serious personal injury or dea th. Warning: Hazards or unsafe practices that could result in serious personal injury or de ath. Caution: Hazards or unsafe practices that could result in minor personal injury, product damage, or

property damage.

GENERAL WARNINGS AND CAUTIONS

The following section provides g eneral warning and caution statements. Other specific w arnings and cautions are provided as needed in other sections of this m anual.

WARNINGS!

Shock hazard.

The defibrillator delivers up to 360 joules of electrical energy. Unless properly used as describ ed in these operating instructions, this electrical energy may cause serious injury or death. Do not attempt to operate this device unless thoroughly familiar with these operating instructions, and the function of all controls, indicators, connections, and accessories.

Shock hazard.

Do not disassemble the defibrillator. It contains no responder-serviceable components and dangerous high voltages may be present. Contact authorized service personnel.

Shock or fire hazard.

Do not immerse any portion of this device in water or other fluids. Avoid spilling any fluids on device or accessories. Do not clean with ketones or other flammable agents. Do not autoclave or sterilize this device or accessories unless otherwise specified.

Possible fire or explosion.

Do not use this device in the presence of flammable gases or anesthetics. Use care when operating this device close to oxygen sources (such as bag-valve-mask devices or ventilator tubing). Turn off gas source or move source away from patient during defibrillation.

Possible electrical interference with device performance.

Equipment operating in close proximity may emit strong electromagnetic or radio frequency interference (RFI) which could affect the performance of this device. RFI may result in improper device operation, distorted ECG, or failure to detect a shockable rhythm. Avoid operating the device nea r cauterizers, diathermy equipment, cellular phones, or other portable and mobile RF communications equipment. Do not rapidly key EMS radios on and off. Refer to “LIFEPAK 1000 De fibrillat or Electr omagne tic Compliance Guidance” for recommended distances of equipment. Contact authorized service personnel if assistance is required.

Possible electrical interference.

Using cables, electrodes, or accessories not specified for use with this device may result in increased emissions or decreased resistance to electromagnetic interference which could affect the performance of this device or of equipment in close proximity. Use only parts and accessories specified in these operating instructions.

Possible electrical interference.

This defibrilla tor may cause electromagnetic interference (EMI) especially during charge and energy transfers. EMI may affect the perf orm anc e of equipment operatin g in clos e proximity. Verify the effects of defibrillator discharge on other equipment prior to using defibrillator in an emergency situation, if possible.

1-2 LIFEPAK 1000 Defibrillator Operating Instructions

Safety

WARNINGS ! (CONTINUED)

Possible device shutdown.

Always have access to a spare, fully-charged, properly maintained battery. Replace the batt er y when the device display s a low battery warning.

Possible improper device performance.

Using other manufacturers’ cables, electrodes, or batteries may cause the device to perform improperly and invalidates the safe ty agency certification and may invalidate the warranty. Use only the acc essories specified in these operating instructions.

Safety risk and possible equipment damage.

Monitors, defibrillators, and their accessories (including ele ctrodes and cables) contain ferromagnetic materials. As with all ferromagnetic equipment, these products must no t be used in the presence of the high magnetic field created by a Magnetic Resonance Imaging (MRI) device. The high magnetic field created by an MRI device will attract the equipment with a force sufficient to cause death or serious personal injury to persons be tw een the equipment an d the MRI de vice. This ma gnetic a ttr a ction may als o damage the equipment. Skin burns will also occur due to heating of electrically conductive materials, such as patient leads and pulse oximeter sensors. Consult the MRI manufacturer for more information.

CAUTION!

Possible equipment damage.

This device may be damaged by mechanical or physical abuse such as immersion in wat er or dropping the device. If the device has been abused, remove it from use and contact authorized service personnel.

SYMBOLS

The following symbols may be found in this manual or on various configurations of the LIFEPAK 1000 defibrillator and its accessories.

Defibrillation-protected. Type BF patient connection

Attention. Consult accompanying documents

Warning. High voltage

Type BF patient connection

Menu button

Battery status symbol

Service symbol

LIFEPAK 1000 Defibrillator Operating Instructions 1-3

Safety

!USA

YYYY

Symbol indicating self-test completed successfully

Use By date shown: yyyy-mm-dd or yyyy-mm

This end up

Fragile/breakable. Handle with care.

Protect from water

Single use only

Mark of conformity to applicable European Directives

Canadian Standards Association certification for Canada and the United States

Cable Connector

For USA audiences only

Date of manufacture

Power On/Off

Shock button

Shock symbol

Symbol indicating location of battery compartment

Recommended storage temperature: 15° to 35°C (59° to 95°F). Storage at extreme temperatures of -30° and 60°C (-22° and 140°F) is limited to seven days. If storage at these temperatures exceeds one week, the electrode shelf-life will be reduced.

1-4 LIFEPAK 1000 Defibrillator Operating Instructions

Safety

LOT

YYWW

MIN

CAT

REF

Recommended shipping temperature: -20° to 50°C (-4° to 122°F).

Relative humidity range 5% to 95%

Do not place near an open flame

Do not crush, puncture, or disassemble battery

Nonrechargeable battery

Refer to instructions for disposal procedure

Rx Only or Rx Only

IP55

Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product according to local regulations. See http://recycling.medtronic.com for instructions on disposing of this product.

Infant Child Reduced Energy Elec trodes are not compatibl e with QUIK-C OMBO defibrillation and therapy cables. To use Infant/Child Electrodes, connect Infant/Child electrodes directly to the AED.

Lot number (batch code). YY (year) and WW (week) of manufacture.

Manufacturer’s item number

Catalog number

Reorder number

Serial number By prescription only

Enclosure ingress protection code per IEC 60529

LIFEPAK 1000 Defibrillator Operating Instructions 1-5

CONTROLS AND INDICATORS 2

This section provides a description of each of the LIFEPAK 1000 defibrillator primary controls and indications.

Controls and Indicators page 2-2

LIFEPAK 1000 Defibrillator Operating Instructions 2-1

Controls and Indicators

(Left sid e)

CONTRO LS AND INDICATORS

This section introduces you to the controls and indicators on the LIFEPAK 1000 defibrillator.

Figure2-1 Controls and Indicator

Table 2-1 Controls and Indicators

Feature Description

1 Readiness displa y The re adiness display alerts you to the defibrillat or’s readiness status.

Three symbols ( , , ) allow you to determine whether the defibrillator is ready for use or needs attention.

The following defines what each symbol represents and when/where each appears.

The wrench indicator appears on the readiness display when a condition exists that prevents or could prevent normal defibrillator operation.

The OK symbol indicates that the defibrillator is ready for use. This symbol is visible only when the defibrillator is off.

The battery symbol appears on the readiness display when the defibrilla t or is o ff. When on e bar i s visible in the symbol, the b a tt er y is low. If the symbol is blank, the battery is extremely low and the OK

symbol will not appear when the defibrillat or is off. 2 Speaker Provides audio voice prompts and tones. 3

Green

ON/OFF button turns the power on or off. The button is lit

whenever the defibrillator is on.

ON/OFF button

2-2 LIFEPAK 1000 Defibrillator Operating Instructions

Controls and Indicators

Table 2-1 Controls and Indicators (Continued)

Feature Description

Pressing the SHOCK button (when flashing) delivers a shock to the patient.

SHOCK button

Used to select operating modes (Manual or AED) and enter information in Setup mode.

MENU button

6 Battery compartment Accommodates a single battery pak. 7

T wo softkeys work in c onjunc tion w ith the screen, providin g a way for you to make selections while using the defibrillator.

Softkeys

The softkey functions vary, depending on the task you are performing at the time. Their function is identified by the lab el above them on the screen.

8 IrDA port Infrared Data Association. This port provides wireless

communications for transferring data from the defibrillator to a PC.

9 Screen Displays pertinent information for use during all modes of operation.

Figure 2-2 defines the information displayed on the screen.

10 Cable receptacle Allows direct connection to therapy electrodes (black), ECG cable

(green), Infant/Child electrod es (pink), and QUIK-COMBO™ therapy electrodes (gr ay).

LIFEPAK 1000 Defibrillator Operating Instructions 2-3

Controls and Indicators

Prompts

Heart rate

indicator

Message area

ECG

Softkey label

Battery status

Shock indicator

Elapsed time

Softkeys

YES NO

Enter Manual Mode?

Menu button

symbol

Figure 2-2 Defibrillator Screen

Heart rate indicator. The heart rate indicator displays hear t rates between 20 – 300 bpm. Indicator is

present in Manual mode or when the 3-wire ECG cable is used. Battery status symbol. When the defibrillator is turned on, this symbol appears on the screen indicating

the relative level of charge . On e b ar indicates the batt ery is low. When the b attery is very low, the symbol is blank and a

REPLACE BATTERY message appears on the screen.

ECG. The ECG appearing on the screen is a nondiagnostic ECG, obtained by means of the therapy electrode s or the Lead II ECG ca ble. The presence of an ECG does not ensure that the patient has a pulse.

Softkey labels. These labels define the function that can be activated by pressing the softkey. and

DISARM are function examples.

ANALYZE

2-4 LIFEPAK 1000 Defibrillator Operating Instructions

HOW TO USE THE LIFEPAK 1000 DEFIBRILLATOR 3

This section provides an overview of information and instructions for using the LIFEPAK 1000 defibrillator.

Modes of Operation page 3-2 Defibrillation in AED Mode 3-3 Defibrillation in Manual Mode 3-5 Troubleshooting Tips for Defibrillation 3-6 ECG Monitoring (ECG Mode) 3-8

LIFEPAK 1000 Defibrillator Operating Instructions 3-1

How to Use the LIFEPAK 1000 Defibrillator

MODES OF OPERATION

You can use the LIFEPAK 1000 defibrillator for:

• Automated external defibrillation (AED mode)

• Manual defibrillation therapy (Manual mode) (Requires ECG display option)

• ECG monitoring (ECG mode) (Requires ECG display option)

Defibrillation Warnings and Cautions

WARNINGS!

Shock hazard.

The defibrillator delivers up to 360 J of electrical energy. When discharging the de fibrillator, do not touch the disposable therapy electrodes.

Shock hazard.

If a person is touching the patient, bed, or any conductive material in contact with the patient during defibrillation, the delivered energy may b e partially discharge d through that person. Clear everyone away from contact with the patient, bed, and other conductive material before discharging the defibrillator.

Possible skin burns.

During defibrillation, air pockets between the skin and therapy electrodes may cause patient skin burns. Apply therapy electrodes so that entire electrode adheres to skin. Do no t reposition the electrodes once applied. If the position must be changed, remove and replace with new electrodes.

Possible skin burns and ineffective energy delivery.

Therapy electrodes that are dried out or damaged may cause electrical arcing and patient skin burns during defibrillation. Do not use therapy electrodes that have been removed from foil package for more than 24 hours. Do not use electrodes beyond expiration date. Check that elec trode adhesive is intact and undamaged. Replace ther apy electrodes after 50 shocks.

Possible interference with implanted electrical device.

De fibrillation m ay cause implanted de vic es t o m alfunction. Pla ce therapy electrode s away from implante d devices if possible. Check implanted device function after defibrillation, if possible.

Possible misinterpretation of data.

Do no t analyze in a mo vin g v ehicle. Mo tion ar tifac t ma y a ff ect the ECG signal resulting in an inappropria t e shock or no shock advised m e ssa ge. Motion detect ion m ay delay analysis. Stop vehicle and stand clear of patient during analysis.

Possible misinterpretation of data.

Do not move the AED during analysis. Moving the AED during analysis may aff ec t the ECG signal resultin g in an inappropriate shock or no shock advised decision. Do not touch the patient or the AED during analysis.

CAUTION!

Possible equipment damage.

Before using this defibrillator, disconnect all equipment that is not defibrillator-protected from the patient.

3-2 LIFEPAK 1000 Defibrillator Operating Instructions

How to Use the LIFEPAK 1000 Defibrillator

Lateral

WARNING!

Excessive Energy Delivery.

For children less than 8 years of age or 55 lbs (25 kg), use Infant/Child Reduced Energy Defibrillation electrodes. Do not use Pediatric QUIK-COMBO electrodes; these electrodes do not attenuate the energy delivery by this defibrillator.

DEFIBRILLATION IN AED MODE

The LIFEPAK 1000 defibrillator uses the patented Physio-Control Shock Advisory System to evaluate the patient’s heart rhythm. The LIFEPAK 1000 defibrillator has an optional feature that displays the ECG wa veform and Heart Rate Indicator in AED mode. The operation in AED mode remains the same whether or not the defibrillator displays the ECG waveform. When with all of the AED messages and prompts. When

ECG DISPLAY is set to OFF, the messages and prompts

ECG DISPLAY is set to ON, the ECG appears

fill the screen.

Basic Steps for Using the LIFEPAK 1000 Defibrillator

1 Establish that the patient is in cardiopulmonary arrest (the patient

must be unre sponsive, not breathing normally and sho w ing no signs of circulation).

2 Press

ON/OFF to turn on the defibrillator (the green LED illuminates).

Voice prompts will sound, guiding you through the rescue process.

3 Prepare the patient for therapy electrode placement.

• If possible, place the patient on a hard surface away from standing water.

• Remove clothing from the patient's upper torso.

• Remove excessive hair from the electrode sites. If shaving is necessary, avoid cutting the skin.

• Clean the skin an d dry it briskly with a towel or gauze.

• Do not apply alcohol, tincture of benzoin, or antiperspirant to the skin.

4 Apply the ther ap y electr ode s t o the pa tient's che st. St artin g fr om one

end, pre ss the electrodes firmly onto the patient's skin, as shown.

5 Connect the electrodes to the defibrillator (if they are not already

connected).

6 Follow the screen messages and voice prompts provided by the

defibrillator.

LIFEPAK 1000 Defibrillator Operating Instructions 3-3

How to Use the LIFEPAK 1000 Defibrillator

The following descriptions of voice prompts and messages are based on the default settings for AED mode. Changing the setup options may result in different AED behavior.

CONNECT ELECTRODES

STAND CLEAR, ANALYZING NOW, STAND CLEAR

PREPARING TO SHOCK

STAND CLEAR, PUSH SH OCK BUTTON

Voice prompt and message when a patient has not been connected to the defibrillator.

Voice prompt and message when a patient is connected to the defibrillator.

Do not touch or move the patient, or therapy cables, during analysis. ECG analysis requires 6–9 seconds.

Message displayed if the defibrillator detects a shockable rhythm. The defibrillator charges to the joule setting for that shock number. A rising tone and a chargin g bar on the screen indicate that the

defibrillator is charging. Voice prompt and message when charging is complete. The (shock) button flashes.

Clear everyone away from the patient, bed, or any equipment connected to the patient.

Press the (shock) button to discharge the defibrillator. The energy le v el f o r shocks depends on the energy protocol setup o pti on

and the analysis decisi on after shocks. If the (shock) button is not pressed within 15 seconds, the defibrillator

disarms the shock button, and the

DISARMING... message appears on the

screen.

ENERGY DELIVERED START CPR

Message displayed after each shock. A message and countdown timer (min:sec format) appears for the CPR

time.

NO SHOCK ADVISED

V oic e pr ompt an d m essa g e whe n the de fibrilla t or d e t ects a nonsh ock able rhythm. The defibrillator will not charge, and a shock cannot be delivered.

When a

NO SH OCK ADVISED pr ompt f ollows a shock and CPR, the energy

level will not increase for the next shock.

Special Situations for Electrode Placement

When placing electrodes on the patient, be aware of special situations:

Obese Patients or Patients with Large Breasts

Apply the electrodes to a flat area on the chest, if possible. If skin folds or breast tissue prevent good adhesion, spread skin folds apart to create a flat surface.

Thin Patients

Follow the contour of the ribs and spaces when pressing the electrodes onto the torso. This limits air space or gaps under the electrodes and promotes good skin c ontact.

Patients with Implanted Pacemakers

If possible, place defibrillation electrodes away from the internal pacemaker generator. Treat this patient like any other patient requiring emerg e ncy care.

3-4 LIFEPAK 1000 Defibrillator Operating Instructions

+ 56 hidden pages

Physio-Control Lifepak 1000, LifePak 1000 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual