Operating Instructions
LIFEPAK® 35 monitor/defibrillator
Operating Instructions
LIFEPAK® 35 monitor/defibrillator
Important Information
Device Tracking
The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors 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 Stryker, please do one of the
following:
• Register the device at stryker.com/ec-device-registration.•
• Call the device registration phone line at 1 800 426 4448.•
• Use one of the postage-paid address change cards located in the back of this manual to•
update this vital tracking information.
IMPORTANT! Read these operating instructions carefully before use, and keep for future
reference.
Additional Information
For information on product security, see the LIFEPAK 35 monitor/defibrillator Product Security
Information document that is available on the LIFENET System.
Text Conventions
Throughout these instructions, special text characters (for example, CAPITAL LETTERS such as
CHECK PATIENT and CHARGE BUTTON) are used to indicate labels, screen messages, and
voice prompts. "Push" is used when referring to keypad buttons, and "Press" is used when
referring to softkeys on the touchscreen.
Manufacturer Information
If you have any questions about this product or its operation, please contact your local Stryker
representative or the manufacturer, Physio‑Control. This device is manufactured by
Physio‑Control, Inc. and distributed worldwide by Stryker.
Physio-Control, Inc.
11811 Willows Road NE
Redmond, WA 98052 USA
Tel 425 867 4000
Fax 425 867 4121
Stryker or its affiliated entities own, use, or have applied for the following
trademarks or service marks: CODE‑STAT, CODE SUMMARY, cprINSIGHT,
DT EXPRESS, LIFENET, LIFEPAK, LIFEPAK FLEX, QUIK‑COMBO, REDI‑PAK, SAS, Shock Advisory System, STJ Insight, Stryker.
MASIMO, the Radical logo, rainbow, and SET are registered trademarks of
Masimo Corporation. Masimo Patents: www.masimo.com/patents.htm
Microstream™ and FilterLine™ are trademarks of a Medtronic company.
Microstream™ capnography patents: US Patents: www.covidien.com/patents
All other trademarks are trademarks of their respective owners or holders.
Copyright © 2024 Stryker Publication Date: 2024/04
3337705-008
Contents
Chapter 1 Preface 15
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ECG Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
12/15-Lead ECG Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Invasive Pressure Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Pulse Oximetry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Capnography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Noninvasive Blood Pressure Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Temperature Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Automated External Defibrillation (AED). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Manual Defibrillation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Synchronized Cardioversion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Noninvasive Pacing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Modes of Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Chapter 2 Safety Information 23
Terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
General Dangers and Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Latex Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Touchscreen Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Chapter 3 Basic Orientation 39
Front View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Keypad Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Monitoring Connectors Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Indicator Lights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Right View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Top View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Back View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Power Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Auxiliary Power Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Battery Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Battery Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Touchscreen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Touchscreen Orientation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Touchscreen Lock and Unlock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Home Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Therapy Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Battery Status Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Speed Dial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
LIFEPAK 35 monitor/defibrillator
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Main Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Care Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Entering Patient Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Viewing Patient Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Adding Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Generic Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Events Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Quick Event Reminders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Chapter 4 Alarms 83
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Changing Patient Type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Enabling Alarms and Changing Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
VF/VT Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
VF/VT Alarm Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Managing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Alarm Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Managing an Active Alarm (Alarm Reset). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Silencing Alarms Preemptively (Alarm Audio Pause). . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Unsilencing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Alarm Priorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Alarm Priority Indications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Heart Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Oximetry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
EtCO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Respirations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
No Breath. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
NIBP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Invasive Pressure, Pulmonary Artery (PA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Invasive Pressure, Arterial (ART). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Invasive Pressure, Central Venous (CVP). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Invasive Pressure, Left Atrial (LAP). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Invasive Pressure, Intracranial (ICP). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Alarm Performance Confirmation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Chapter 5 Monitoring 105
Electrocardiography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Monitoring the ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Selecting ECG Lead or Size. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Monitoring Using Pads Lead. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Pads Lead Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Monitoring Using LIFEPAK ECG Cable Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
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Operating Instructions
ECG Frequency Response. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Minimizing ECG Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Identifying the Culprit Electrode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Motion Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Muscle Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Electrostatic Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Poor Contact Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Electromagnetic Interference Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Implanted Device Artifact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Troubleshooting Tips for ECG Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Acquiring the 12/15-Lead ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Identifying Electrode Sites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
12/15-Lead ECG Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
12/15-Lead Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
ST Trend Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
STJ Insight Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Computerized ECG Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Printing a 12/15-Lead ECG Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Transmitting a 12/15-Lead ECG Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Troubleshooting Tips for 12/15-Lead ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Monitoring Invasive Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
IP Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
How IP Monitoring Works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
IP Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
IP Scale Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
IP Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Cleaning and Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Troubleshooting Tips for Invasive Pressure Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . 159
Monitoring Oxygen Saturation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
No Implied License. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Oximeter Sensor Types. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
How a Pulse Oximeter Works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
SpO2, SpCO, and SpMet Monitoring Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Oximeter Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
SpO2 Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Pulse Rate Tone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Sensitivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Averaging Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Pulse Rate Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Troubleshooting Tips for SpO2, SpCO, and SpMet Monitoring. . . . . . . . . . . . . . . . . . . . 171
Monitoring Capnography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
How Capnography Works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
EtCO2 Monitoring Waveform Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
CO2 Detection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
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9
EtCO2 Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
CO2 Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
CO2 Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Troubleshooting Tips for EtCO2 Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Monitoring Noninvasive Blood Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
How NIBP Monitoring Works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
NIBP Monitoring Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Cuff Selection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
NIBP Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
NIBP Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Cleaning, Disinfection, and Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Troubleshooting Tips for NIBP Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Monitoring Continuous Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
How Temperature Monitoring Works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
Temperature Monitoring Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Temperature Monitoring Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Setting Labels for Temperature Location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Temperature Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Cleaning and Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Troubleshooting Tips for Temperature Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Vital Sign Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
How VS Trends Work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
VS Monitoring Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Chapter 6 Therapy 203
General Therapy Warnings and Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Therapy Electrode Pad Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Patient Skin Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Anterior-Lateral Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Anterior-Posterior Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Special Situations for Therapy Electrode Pad Placement. . . . . . . . . . . . . . . . . . . . . . . . 207
Automated External Defibrillation (AED). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
AED Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
AED Metronome and Energy Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
AED Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Switching from AED Mode to Manual Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Special AED Setup Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Troubleshooting Tips for AED Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226
Manual Defibrillation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
Manual Defibrillation Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Manual Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
Manual Defibrillation Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Using the CPR Timer and Metronome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232
10
Operating Instructions
Synchronized Cardioversion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Synchronized Cardioversion Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238
Troubleshooting Tips for Defibrillation and Sync Cardioversion. . . . . . . . . . . . . . . . . . . 242
Noninvasive Pacing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Demand and Non-demand Pacing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Noninvasive Pacing Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Troubleshooting Tips for Pacing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Pediatric ECG Monitoring and Manual Mode Therapy Procedures. . . . . . . . . . . . . . . . . . . 256
Pediatric Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256
Chapter 7 Therapy Accessory Options 257
QUIK-COMBO Pacing/Defibrillation/ECG Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Connecting Therapy Electrode Pads. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Replacing and Removing Therapy Electrode Pads. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Cleaning and Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Sterilizable Internal Defibrillation Paddles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
LIFEPAK Therapy Cable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
LIFEPAK Therapy Cable Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Cleaning and Disinfecting the Therapy Cable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Service and Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Reuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Recycling Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Chapter 8 Data Management 267
Patient Records and Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Report Types. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Code Summary Critical Event Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Initial Rhythm Event. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Shock Event. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Memory Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276
Managing Current Patient Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
Printing Continuous Waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
Printing a Current Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278
Changing Printer Speed and Frequency Response. . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Managing Archived Patient Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Accessing Archive Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282
Printing Archived Patient Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Editing Archived Patient Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Chapter 9 Data Transmission 285
About Transmitting Patient Records and Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Preparing the Device for Wi-Fi or Cellular Transmission. . . . . . . . . . . . . . . . . . . . . . . . . . . 287
Transmitting Patient Records Using Wi-Fi or Cellular. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288
Transmitting a Current Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
LIFEPAK 35 monitor/defibrillator
11
Transmitting an Archived Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291
Transferring Records to a Local Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292
Transferring Records Using Cable Connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292
Transferring a Current Record Using Bluetooth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292
Transferring Archived Records Using Bluetooth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295
Considerations When Transmitting Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296
Troubleshooting Tips for Data Transmission. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
Chapter 10 Maintaining the Equipment 301
General Maintenance and Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
Maintenance and Testing Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
Power-on Self Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Auto Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Readiness Alert Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
Shift Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Monthly Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308
Test Logs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309
Function Checks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309
Battery Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Receiving New Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Storing Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314
Charging Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314
Replacing Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315
LIFEPAK FLEX Lithium-ion Battery Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315
Cleaning and Disinfecting the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316
Service and Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Reuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Recycling Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Recycling Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
LIFEPAK 35 AC Power Adapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
Cleaning and Disinfecting the Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318
Storing the Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319
Printer Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
Loading Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
General Troubleshooting Tips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322
Service and Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Obtaining Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Service Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Recycling Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 327
Recycling of Disposable Electrodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328
Packaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328
Appendix A Screen Messages 329
12
Operating Instructions
Appendix B Accessories List 337
Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 339
Appendix C Cleaning and Disinfecting Agents 345
LIFEPAK 35 monitor/defibrillator
13
Chapter 1
Preface
This chapter provides a brief introduction to the LIFEPAK 35 monitor/defibrillator and describes
the product’s intended use.
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Modes of Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
LIFEPAK 35 monitor/defibrillator
15
Chapter 1 | Preface
Introduction
The LIFEPAK 35 monitor/defibrillator is a complete acute cardiac care response system designed
for basic life support (BLS) and advanced life support (ALS) patient management protocols.
Monitoring and therapy functions may only be used on one patient at a time.
These operating instructions include information and procedures related to all features of the
LIFEPAK 35 monitor/defibrillator. Your LIFEPAK 35 monitor/defibrillator may not have all of these
features.
These operating instructions describe the operation of the LIFEPAK 35 monitor/defibrillator when
the factory default settings are used. The factory default settings for all setup options are
identified in Setup Options in the LIFEPAK 35 monitor/defibrillator Technical Manual. Your device
may be set up with different default settings, based on your protocols. For information about
changing default settings, see Setup Options in the LIFEPAK 35 monitor/defibrillator Technical
Manual.
IMPORTANT! Some LIFEPAK 35 monitor/defibrillator accessories are not interchangeable with
accessories that are used with other LIFEPAK devices. Specific accessory incompatibilities are
noted in the related sections.
For information about the environmental conditions specific to the LIFEPAK 35 monitor/
defibrillator, refer to the LIFEPAK 35 monitor/defibrillator Technical Manual.
Intended Use
The LIFEPAK 35 monitor/defibrillator is a portable multifunction device that is intended to provide
defibrillation therapy, synchronized cardioversion, non-invasive pacing, and monitoring functions.
The LIFEPAK 35 monitor/defibrillator is intended for use by trained Basic Life Support (BLS) and
Advanced Life Support (ALS) medical professionals in both in-hospital and out-of-hospital and
clinical transport environments. The LIFEPAK 35 monitor/defibrillator is designed for use in a
variety of professional healthcare facilities such as emergency rooms, catheterization
laboratories, electrophysiological laboratories, operating rooms, on crash carts for portable
emergency response throughout the hospital, as well as out-of-hospital response including EMS
indoor environments, EMS outdoor environments, idle and in-motion EMS vehicles such as road
ambulances, and other clinical environments. The LIFEPAK 35 is not intended for use during air
transport, on trains, or in the railroad environment.
LIFEPAK 35 monitor/defibrillator
17
Indications for Use
Indications for Use
For information about the indications, contraindications, and intended patient populations of the
monitoring and therapy functions, see the individual sections identified below.
ECG Monitoring
Indications
ECG monitoring is indicated for use for the purpose of diagnosing or monitoring heart rhythm
and heart rate.
Patient Population
Patients of all ages
Contraindications
None known.
ECG monitoring is a tool to be used in addition to patient assessment. Care should be taken to
assess the patient at all times; do not rely solely on the ECG monitor.
12/15-Lead ECG Analysis
Indications
The 12-lead or 15-lead ECG reports are indicated for use to identify and diagnose cardiac
abnormalities and are useful in the early detection of patients with acute ST-elevation
myocardial infarction (STEMI).
Patient Population
Patients of all ages
Contraindications
None known.
Invasive Pressure Monitoring
Indications
Invasive pressure monitoring is indicated for use in patients who require continuous
monitoring of arterial, venous, intracranial, and other physiological pressures in order to
rapidly assess changes in the patient’s condition or response to therapy.
Patient Population
Patients of all ages
18
Operating Instructions
Chapter 1 | Preface
Contraindications
None known.
The IP monitor is a tool to be used in addition to patient assessment. Care should be taken to
assess the patient at all times; do not rely solely on the IP monitor.
Pulse Oximetry
Indications
Pulse Oximetry is indicated for use in patients who are at risk of developing hypoxemia,
carboxyhemoglobinemia, or methemoglobinemia. SpO2 monitoring may be used during no
motion and motion conditions, and in patients who are well or poorly perfused. SpCO and
SpMet accuracies have not been validated under motion or low perfusion conditions.
Patient Population
Patients of all ages
Contraindications
None known.
Pulse oximetry is a tool to be used in addition to patient assessment. Care should be taken to
assess the patient at all times; do not rely solely on the SpO2, SpCO, and SpMet measurements.
If a trend toward patient deoxygenation is evident or carbon monoxide poisoning or
methemoglobinemia is suspected, blood samples should also be analyzed using laboratory
instruments to completely understand the patient’s condition.
Do not use the pulse oximeter to monitor patients for apnea, or as a replacement or substitute for
ECG-based arrhythmia analysis.
Capnography
Indications
Capnography is indicated to monitor the level of expired CO2, end-tidal CO2 (ETCO2), and
respiratory rate. It is used for monitoring breathing efficacy and treatment effectiveness in
acute cardiopulmonary care; for example, to determine whether adequate chest
compressions are being performed during CPR or to rapidly detect whether an endotracheal
tube has been properly placed and maintained successfully.
Patient Population
Patients of all ages
Contraindications
None known.
The EtCO2 monitor is a tool to be used in addition to patient assessment. Care should be taken
to assess the patient at all times; do not rely solely on the EtCO2 monitor.
LIFEPAK 35 monitor/defibrillator
19
Indications for Use
Noninvasive Blood Pressure Monitoring
Indications
Noninvasive blood pressure monitoring is indicated for detection of hypertension or
hypotension and monitoring blood pressure trends in patient conditions such as, but not
limited to, acute myocardial infarction, shock, acute dysrhythmia, or major fluid imbalance.
Patient Population
Patients of all ages
Contraindications
None known.
NIBP is a tool to be used in addition to patient assessment. Care should be taken to assess the
patient at all times; do not rely solely on the NIBP monitor. NIBP measurements are not indicated
for use during patient transport. NIBP measurements taken in the presence of motion artifact
should not be relied on for treatment decisions.
Temperature Monitoring
Indications
Temperature monitoring is indicated for use in patients who require continuous monitoring of
skin temperature or body temperature.
Patient Population
Patients of all ages. Refer to each compatible temperature probe instructions for use for
applicable patient requirements.
Contraindications
None known.
The temperature monitor is a tool to be used in addition to patient assessment. Care should be
taken to assess the patient at all times; do not rely solely on the temperature monitor.
Automated External Defibrillation (AED)
Indications
AED mode is indicated for use on patients in cardiopulmonary arrest. The patient must be
unconscious, pulseless, and not breathing normally.
Patient Population
AED mode is intended for patients of all ages. The ADULT setting is for patients weighing
more than 25 kg (55 lbs.) or who are more than 8 years old. The PEDIATRIC setting is for
patients weighing less than 25kg (55 lbs.) or who are less than 8 years old.
20
Operating Instructions
Chapter 1 | Preface
Note: If possible, it is recommended that an ALS-trained healthcare provider use Manual
mode to treat patients less than 1 year of age. Using Manual mode allows the energy dose to
be titrated to the patient’s weight. Pediatric AED mode is available for use by BLS-trained first
responders to treat patients less than 1 year of age in a cardiac arrest emergency.
Contraindications
None known.
Manual Defibrillation
Indications
Manual defibrillation is indicated for the termination of certain potentially fatal arrhythmias,
such as ventricular fibrillation and pulseless ventricular tachycardia.
Patient Population
Patients of all ages
Contraindications
Defibrillation is contraindicated in the treatment of Pulseless Electrical Activity (PEA), such as
idioventricular or ventricular escape rhythms, and in the treatment of asystole.
Defibrillation is only one aspect of the medical care required to resuscitate a patient who has a
shockable ECG rhythm. Depending on the situation, other supportive measures may include:
• Cardiopulmonary resuscitation (CPR)•
• Administration of supplemental oxygen•
• Drug therapy•
Synchronized Cardioversion
Indications
Synchronized cardioversion is indicated for the treatment of atrial fibrillation, atrial flutter,
supraventricular tachycardia and, in patients with a pulse, ventricular tachycardia.
Patient Population
Patients of all ages
Contraindications
Synchronized cardioversion is contraindicated in the treatment of Pulseless Electrical Activity
(PEA) such as idioventricular or ventricular escape rhythms, asystole, and ventricular
fibrillation.
LIFEPAK 35 monitor/defibrillator
21
Modes of Operation
Noninvasive Pacing
Indications
Noninvasive pacing is indicated for patients with a pulse for managing symptomatic
bradycardia.
Patient Population
Patients of all ages
Contraindications
Noninvasive pacing is contraindicated for the treatment of ventricular fibrillation.
Modes of Operation
The LIFEPAK 35 monitor/defibrillator has the following modes of operation:
• AED mode—for automated ECG analysis and a prompted treatment protocol for patients in•
cardiac arrest. Patient monitoring also available.
• Manual mode—for performing manual defibrillation, synchronized cardioversion, and•
noninvasive pacing. Patient monitoring also available.
• Standby mode—device is turned off, but still has power supplied and is able to transmit•
records and perform auto-tests.
• User Test mode—for performing daily shift checks and monthly tests, manually starting a•
self-test, and viewing test logs.
• Auto Test mode—Automatic self-test that the device performs daily when not in use.•
• Archive mode—for accessing stored patient information.•
• Setup mode—for viewing current setup options on the device, updating setup options and•
software, using the LIFENET System, and adjusting the current date and time.
• Service mode—for authorized personnel to perform diagnostic tests and calibrations. For•
more information, see the LIFEPAK 35 monitor/defibrillator Service Manual.
22
Operating Instructions
Chapter 2
Safety Information
This chapter provides important information to help you operate the device. Familiarize yourself
with all of these terms and warnings.
Terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
General Dangers and Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
LIFEPAK 35 monitor/defibrillator
23
Chapter 2 | Safety Information
Terms
The following terms are used either in these operating instructions or on the device:
Danger: Immediate hazards that will result in serious personal injury or death.
Warning: Hazards or unsafe practices that may result in serious personal injury or death.
Caution: Hazards or unsafe practices that may result in minor personal injury, product damage,
or property damage.
Spacer
General Dangers and Warnings
The following are general danger and warning statements. Other specific warnings and cautions
are provided as needed in other sections of these operating instructions.
DANGER
Explosion Hazard. Do not use this device in the presence of flammable gases or anesthetics.
WARNINGS
• Shock Hazard. The monitor/defibrillator delivers up to 360 joules of electrical energy. Un-•
less properly used as described in the operating instructions, this electrical energy may
cause serious injury to the operator. Do not attempt to operate this device unless thoroughly familiar with the operating instructions and the function of all controls, indicators, connectors, and accessories.
• Shock Hazard. Do not disassemble the LIFEPAK 35 monitor/defibrillator. It contains no op-•
erator serviceable components and dangerous high voltages may be present. Contact authorized service personnel for repair.
• Shock Hazard. Do not simultaneously touch the patient and any non-medical electronic•
equipment while the patient is connected to the monitor/defibrillator.
• Shock Hazard. Connect only therapy cables and electrodes that are specified for use with•
this device.
• Possible Device Failure. Do not modify the device or its accessories.•
• Shock or Fire Hazard. Do not immerse any portion of this monitor/defibrillator in water or•
other fluids. Avoid spilling any fluids on monitor/defibrillator or accessories. Spilled liquids
may cause the monitor/defibrillator and accessories to perform inaccurately or fail. Do not
clean with ketones or other flammable agents. Do not autoclave or sterilize this monitor/
defibrillator or accessories unless otherwise specified.
• Possible Fire. 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.
LIFEPAK 35 monitor/defibrillator
25
General Dangers and Warnings
WARNINGS
• Possible Electrical Interference with Device Performance. Equipment operating in close•
proximity to the LIFEPAK 35 monitor/defibrillator could emit strong electromagnetic disturbances, which could affect the performance of the monitor/defibrillator. If use of equipment
in close proximity to the monitor/defibrillator is necessary, observe the device to verify normal operation in the configuration in which the device will be used. Electromagnetic disturbances could cause distorted ECG, incorrect ECG Lead status, failure to detect a shockable rhythm, cessation of pacing, or incorrect vital sign measurements. Avoid operating the
device near cauterizers, diathermy equipment, metal detectors, or electronic articles surveillance gates. Do not rapidly key EMS radios on and off. If possible, maintain a minimum
distance of 30 cm (12 in) between portable and mobile RF communications equipment
(transmitters) and the LIFEPAK 35 monitor/defibrillator, including cables. Refer to this manual for examples of electromagnetic disturbances and troubleshooting information. Refer to
the “Electromagnetic Compatibility Guidance” section of the LIFEPAK 35 monitor/defibrilla-
tor Technical Manual for additional information about recommended separation distances.
• Possible Electrical Interference with Device Performance. The LIFEPAK 35 monitor/defibril-•
lator has been tested for immunity to electromagnetic disturbances at frequencies up to 6
GHz. Electromagnetic disturbances from 5G user equipment in the intended use environment could occur at frequencies greater than 6 GHz (e.g., 24 GHz-39 GHz) that may affect
the ability of the LIFEPAK 35 monitor/defibrillator to provide therapy or result in unexpected
device operation.
• Possible Electrical Interference. This monitor/defibrillator should not be used adjacent to or•
stacked with other equipment. If adjacent or stacked use is necessary, the monitor/defibrillator should be observed to verify normal operation in the configuration in which it will be
used.
• Possible Electrical Interference. Using cables, electrodes, or accessories not specified for•
use with this monitor/defibrillator could result in increased emissions or decreased immunity to electromagnetic disturbances which could affect the performance of this monitor/defibrillator or of equipment in close proximity. Use only parts and accessories specified in the
operating instructions.
• Possible Electrical Interference. This monitor/defibrillator could cause electromagnetic dis-•
turbances especially during charge and energy transfers. Electromagnetic disturbances
may affect the performance of equipment operating in close proximity. Verify the effects of
monitor/defibrillator discharge on other equipment prior to using the monitor/defibrillator in
an emergency situation, if possible.
• Possible Equipment Damage. Use only ECG, SpO2, CO2, Temp, IP, and NIBP cables that•
are specified for use with this device. Protection of the device against defibrillator discharge is dependent on the use of cables that are specified by Stryker.
• Possible Improper Device Performance. Using other manufacturers’ cables, electrodes,•
power adapters, or batteries may cause the device to perform improperly and may invalidate the safety agency certifications. Use only the accessories that are specified in the operating instructions.
• Possible Improper Device Performance. Changing factory default settings will change the•
behavior of the device. Changes to the default settings must only be made by authorized
personnel.
26
Operating Instructions
Chapter 2 | Safety Information
WARNINGS
• Possible Device Shutdown. Always have immediate access to a spare, fully charged, prop-•
erly maintained battery. Replace the battery when the device displays a low battery warning.
• Safety Risk and Possible Equipment Damage. The device and all accessories are MR Un-•
safe. Keep them outside the magnetic resonance imaging (MRI) scanner room.
• Possible Patient Burns. A defect in the neutral electrode connection on HF surgical equip-•
ment could cause burns at the lead or sensor site and damage to the monitor/defibrillator.
Do not apply patient leads, sensors, or catheters when using high frequency (HF) electrosurgical equipment.
• Improper Device Use Environment. The LIFEPAK 35 monitor/defibrillator should not be•
used in commercial aircraft.
CAUTION
• Possible Skin Injury. The LIFEPAK 35 monitor/defibrillator may become warm when used•
for an extended period of time. Prolonged contact between exposed skin and a warm device may cause skin irritation or burns. If a warm device is placed against a patient, the
operator should ensure that the patient's skin is adequately protected.
Latex Information
This device is not made with natural rubber latex.
LIFEPAK 35 monitor/defibrillator
27
Symbols
Symbols
The symbols in the following table may be found on the monitor/defibrillator, its accessories, or
packaging. Visit ifu.stryker.com for additional information about symbols that are defined in
standards developed by Standards Development Organizations (SDOs).
Symbol Description
Consult instructions for use
Follow instructions for use
General warning
Caution
Dangerous voltage
Auxiliary power indicator
Battery charging indicator
Service indicator
CO2 input
CO2 exhaust
Printer/Access port
Cellular modem port
28
Operating Instructions
Symbol Description
Peripheral devices port
Type CF applied part (on ECG cables)
Defibrillation-proof type CF applied part (on ECG, Temp, and IP connectors)
Defibrillation-proof type BF applied part (on SpO2, CO2, and NIBP
connectors)
Type BF applied part (on therapy electrode pads)
The device is MR Unsafe.
Chapter 2 | Safety Information
IP55 Protected against dust and jets of water
IP32
IP35
Protected against solid foreign objects 2.5 mm or larger and vertically
falling water drops
Protected against solid foreign objects of 2.5 mm and greater and jets
of water
Power input
Power output
Rechargeable battery
Alternating current
Direct current
LIFEPAK 35 monitor/defibrillator
29
Symbols
Symbol Description
Static-sensitive device. Static discharge may cause damage.
Fire or Burn Hazard - Do not open or dismantle
Explosion Hazard - Do not dispose of in fire or heat above 100°C
(212°F)
Fire or Burn Hazard - Do not deform or damage
Remove label from battery
Charge battery
Insert battery in device
Package contains test load
Package contains two batteries
Package contains therapy cable
Package contains Operating Instructions and Technical Manual
Package contains therapy electrode pouch
30
Not made with natural rubber latex
Operating Instructions
Symbol Description
Use By date shown: YYYY-MM-DD
Keep electrodes away from direct sunlight and heat sources. Recommended storage temperatures of 15° to 35°C (59° to 95°F). See Specifications in the LIFEPAK 35 monitor/defibrillator Technical Manual for
detailed shelf life/temperature information.
Do not reuse
Shave patient skin
Clean patient skin
Chapter 2 | Safety Information
Slowly peel back protective liner on electrode
Press electrode firmly onto patient
Connect electrodes to therapy cable
Begin treatment
For use on children up to 15 kg (33 lb)
For use on adults
LIFEPAK 35 monitor/defibrillator
31
Symbols
Symbol Description
Do not use on children 15 kg (33 lb) or less
Do not use on adults
Do not use with LIFEPAK 500, LIFEPAK 1000, LIFEPAK EXPRESS,
or LIFEPAK CR Plus AEDs
Do not dispose of this product in the unsorted municipal waste stream.
Dispose of this product according to local regulations. Visit stryker.com/ec-recycling for instructions on disposing of this product.
Intertek certification for Canada and the United States
Canadian Standards Association certification for Canada and the United States
Underwriters Laboratories recognized component mark for Canada
and the United States
Mark of conformity to applicable European regulations and/or directives
Complies with (USA) Federal Communications Commission regulations
Indicates that a product complies with applicable Australian ACMA
standards
Mark of conformity to applicable UK regulations
Symbol for China RoHS indicating there are no declarable hazardous
substances.
32
Operating Instructions
Symbol Description
Chapter 2 | Safety Information
or
or
Symbol for China RoHS indicating the Environmentally Friendly Use
Period (EFUP) denoting the number of years before any substance is
likely to leak out into the environment.
China Compulsory Certification required for medical devices imported
into China
Indicates device is certified to applicable Japanese wireless requirements
Indicates device is certified to applicable Korean safety requirements
Indicates device is certified to applicable Canadian wireless requirements
Indicates device is certified to applicable Argentinian wireless requirements
Indicates device is certified to applicable South African wireless requirements
Indicates device is certified to applicable Taiwan wireless requirements
European safety certification (Bauart Mark)
EPA Energy Star, Tier 2 level
Date of manufacture shown: YYYY-MM-DD
Authorized representative in the European Community
Importer
Medical device
Manufacturer
Part number
Serial number
Catalog number
LIFEPAK 35 monitor/defibrillator
By prescription only
33
XX°C
(XXX°F)
-XX°C
(-XX°F)
XXX
XXX
Symbols
Symbol Description
For USA audiences only
Australian sponsor address
Lot number
Unique device identifier
Quantity
Global trade item number
Product number
Visit stryker.com/patents for patent information
See website for patent information
Assembled in Mexico
Assembled in the USA
This end up
Fragile
Keep dry
Recommended transport temperature range
Recommended storage temperature range
34
Recommended storage atmospheric pressure range
Operating Instructions
XX
XX
Chapter 2 | Safety Information
Symbol Description
Recommended storage humidity range
Recycle this item
or
Class II equipment
Class II equipment with functional earthing (grounding)
Touchscreen Symbols
The following symbols may appear on the touchscreen during use of the device.
Symbol Description
Adult patient
Pediatric patient
Neonatal patient
Alarm off
Alarm triggered
Alarm reset
Alarm audio paused
VF/VT alarm on
VF/VT alarm off
LIFEPAK 35 monitor/defibrillator
35
Symbols
Symbol Description
Battery status indicators
Shock counter
Metronome mute button
Greater than
Less than
Joules
Main Menu button
Wi-Fi active
Cellular signal strength
Bluetooth wireless technology
Printer available (in header)
Print button (in footer)
Pace marker, noninvasive pacing
36
Operating Instructions
Symbol Description
Pace arrow, internal pacing detection
QRS sense marker
Event marker
Chapter 2 | Safety Information
LIFEPAK 35 monitor/defibrillator
37
Chapter 3
Basic Orientation
This chapter provides a basic orientation to the LIFEPAK 35 monitor/defibrillator and its controls,
indicators, and connectors.
Front View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Right View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Top View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Back View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Power Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Touchscreen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Speed Dial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Main Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Care Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Adding Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
LIFEPAK 35 monitor/defibrillator
39
Chapter 3 | Basic Orientation
Front View
This figure shows the front of the LIFEPAK 35 monitor/defibrillator. The front of the device is
described in the following sections.
LIFEPAK 35 monitor/defibrillator
41
Front View
Keypad Controls
Control Description For more information
POWER button. Turns device ON or OFF.
LED illuminated when ON. Push and hold
to turn device OFF.
CHARGE button. Charges the defibrillator
in Manual mode. When pushed while in
AED mode, switches to Manual mode (if
allowed) and initiates charging.
SHOCK button. Initiates discharge of defibrillator energy to patient. LED flashes
when charging is complete and defibrillator
is ready to shock.
ANALYZE button. Initiates AED mode immediately when pushed.
42
See Manual Defibrillation (on
page 229).
See Manual Defibrillation (on
page 229).
See Automated External Defibrillation (AED) (on page 209).
Operating Instructions
Chapter 3 | Basic Orientation
Control Description For more information
Auxiliary Power indicator. Green LED illuminated when defibrillator is connected to
auxiliary AC power source, whether defibrillator is turned on or off.
Battery Charging indicator.
• Green LED illuminated when installed•
batteries are fully charged.
• LED flashes when either battery is•
charging.
• LED not illuminated when no batteries•
are installed or a battery is unable to
be charged.
Service indicator. Red LED flashes when a
condition exists that prevents or could prevent normal defibrillator operation.
Light sensor. Detects ambient light level
for Adaptive Brightness function.
Speed Dial. Scrolls through and selects
screen or menu items as an alternative to
the touchscreen. Also safely discharges
defibrillator if pushed when defibrillator is
charged for shock.
Peripheral connectors. Two ports provided
to allow Stryker employees to connect
Stryker-approved peripheral accessories.
Warning: Use only accessories approved
by Stryker.
See General Troubleshooting
Tips (on page 322).
See Speed Dial (on page 73).
See General Dangers and Warnings (on page 25) and Shock
Hazard warning (on page 51).
LIFEPAK 35 monitor/defibrillator
43
Front View
Monitoring Connectors Overview
The following figure shows the locations of connectors for SpO2, CO2, NIBP, IP, and Temp
monitoring. The individual connectors are described in the following sections.
Note: Always grasp the connector when disconnecting cables. Do not pull on the cables.
44
Operating Instructions
Chapter 3 | Basic Orientation
Connector Description For more information
SpO2 SpO2 sensor cable port.
Connect: Align cable connector with SpO
See Monitoring Oxygen Saturation (on page 163).
2
port and push in until connector clicks into
place.
Disconnect: Grip cable connector and pull
connector out.
Temp Temperature cable port.
Connect: Align adapter cable connector
with port and push in firmly.
Disconnect: Grip cable connector and pull
connector out.
IP Invasive Pressure cable port.
Connect: Align adapter cable connector
with port and push in firmly.
Disconnect: Grip cable connector and pull
connector out.
CO2 CO2 tubing port.
Connect: Open CO2 port door, insert Fil-
terLine connector, and turn clockwise until
connector is firmly seated.
Disconnect: Rotate FilterLine connector
counterclockwise and pull connector out.
NIBP NIBP tubing port.
Connect: Insert NIBP tubing connector into NIBP port.
Disconnect: Press latch on left side of
port and pull tubing connector out.
See Monitoring Continuous
Temperature (on page 196).
See Monitoring Invasive
Pressure (on page 153).
See Monitoring Capnography
(on page 175).
See Monitoring Noninvasive
Blood Pressure (on
page 184).
Peripheral connectors. Two ports provided
to allow Stryker employees to connect
Stryker-approved peripheral accessories.
Warning: Use only accessories approved
by Stryker.
See General Dangers and
Warnings (on page 25).
WARNING
Shock Hazard. If you are monitoring a patient and using any of the peripheral connector ports,
all equipment connected to the ports must be battery powered or electrically isolated from AC
power according to IEC 60601-1. Use only accessories that are approved by Stryker with these
ports. For more information, contact Technical Support.
LIFEPAK 35 monitor/defibrillator
45
Front View
Indicator Lights
Item Description For more information
1 Patient Beacon:
• Flashing yellow when a medium priority physiologi-•
cal alarm is triggered
• Flashing red when a high priority physiological•
alarm is triggered
See Alarms (on page 83).
2 Readiness Alert Indicator:
• Off when device is ready or has no power available•
• Inactive when device is turned on•
• Flashing yellow if device is turned off with power•
available and an issue has been detected.
Note: The following setup options are available for
the Readiness Alert Indicator:
• Alert when device is turned off and not connec-•
ted to auxiliary power
See Setup Options in the LIFEPAK 35 monitor/
defibrillator Technical Manual for information.
See Readiness Alert Indicator (on page 306).
46
Operating Instructions
Right View
Chapter 3 | Basic Orientation
Item Description For more information
1 ECG/EKG port. Align green ECG connector with ECG
port. Insert cable connector into port until connector is
firmly seated. If possible, keep the ECG cable connected to the device at all times to prevent connector damage.
2 Battery wells 1 and 2. Each well holds one Lithium-ion
battery. Insert each battery until it clicks. To remove a
battery, squeeze the latch and remove battery from
well.
3 Symbol for "Defibrillation-proof type CF applied part"
4 Symbol for "Warning: Use only accessories approved
by Stryker."
See Electrocardiography (on
page 107).
See Battery Operation (on
page 52).
See General Dangers and
Warnings (on page 25).
LIFEPAK 35 monitor/defibrillator
47
Top View
Top View
Item Description For more information
1 Therapy cable receptacle, for use with the LIFEPAK
Therapy Cable and QUIK-COMBO pacing/
defibrillation/ECG electrodes.
See Therapy Accessory Options (on page 257)
2 Symbol for "Dangerous voltage"
To connect the therapy cable to the monitor/defibrillator:
1. Align the red therapy cable connector with the red receptacle on the monitor/defibrillator. The1.
gray release button should be facing up.
2. Slide the therapy cable connector into the red receptacle on the monitor/defibrillator until the2.
connector locks in place. You will hear a “click.”
To disconnect the therapy cable from the monitor/defibrillator:
1. Press the gray release button on the therapy cable connector and slide the connector out of1.
the red receptacle on the monitor/defibrillator.
48
Operating Instructions
Chapter 3 | Basic Orientation
WARNING
Keep the LIFEPAK therapy cable connected to the monitor/defibrillator when the therapy cable
is not in use to help protect the therapy cable connector from damage or contamination. Inspect the therapy cable daily as directed in the Shift Check on the device.
LIFEPAK 35 monitor/defibrillator
49
1
2
3
4
567
Back View
Back View
Item Description For more information
1 Access port. Connects to optional printer. Also con-
nects to a PC running Stryker applications that support
See Data Management (on
page 267).
transfer of device and patient data, updates to Setup
Options, and update software.
2 Warning: Equipment connected to these ports must be
battery powered or electrically isolated from AC power
according to IEC 60601-1.
3 Cellular Modem port. Connects to cellular modem for
data transmission.
4 CO2 Exhaust port. Connects to a scavenger system
when monitoring EtCO2 during use of anesthetics. Fol-
See Data Transmission (on
page 285).
See Monitoring Capnography
(on page 175).
low directions provided with your scavenging system to
connect.
50
Operating Instructions
Chapter 3 | Basic Orientation
Item Description For more information
5 Auxiliary power connector. See Auxiliary Power Opera-
tion (on page 51).
6 Warning: Use only accessories approved by Stryker. See General Dangers and
Warnings (on page 25) and
warnings in the LIFE-PAK 35
AC Power Adapter Instruc-
tions for Use.
7 Kickstand. Pull out to adjust viewing angle.
WARNING
Shock Hazard. If you are monitoring a patient and using the Access port or Cellular Modem
port, all equipment connected to the ports must be battery powered or electrically isolated from
AC power according to IEC 60601-1. If in doubt, disconnect the patient from the defibrillator
before using the Access or Cellular Modem port. Use only accessories and data transmission
cables that are approved by Stryker. For more information, contact Technical Support.
Power Management
The LIFEPAK 35 monitor/defibrillator operates on auxiliary power when connected to the
LIFEPAK 35 AC power adapter, or on LIFEPAK FLEX Lithium-ion batteries when unplugged. You
can switch between battery and auxiliary power while the device is on by connecting or
disconnecting auxiliary power.
IMPORTANT! The power connector is the safety disconnect mechanism. Maintain clear access
to all connections at all times.
Auxiliary Power Operation
When the LIFEPAK 35 monitor/defibrillator is connected to auxiliary power using the LIFEPAK 35
AC power adapter, the Auxiliary Power indicator illuminates and installed batteries are
automatically charged. When the device is not in use, battery charge is best maintained if the
device is connected to auxiliary power and turned off.
Your LIFEPAK 35 monitor/defibrillator has the following auxiliary power connector on the back.
LIFEPAK 35 monitor/defibrillator
51
Power Management
AC power adapter connector
Notes:
• Although the monitor/defibrillator can operate using auxiliary power with no batteries•
installed, both batteries should be installed at all times. If the monitor/defibrillator loses
power for more than two minutes, the device reverts to the default settings and begins a
new patient record.
The LIFEPAK 35 AC power adapter plugs directly
into the device.
To connect, push the plug firmly into the connector
until it clicks.
To disconnect, rotate the ring on the plug counterclockwise and pull.
• Always plug the power cord for the LIFEPAK 35 AC power adapter directly from an AC•
power outlet into the LIFEPAK 35 AC power adapter. Do not use an extension cord.
Battery Operation
The LIFEPAK FLEX battery is a rechargeable lithium-ion battery for use in specific LIFEPAK
monitor/defibrillators. Use this battery only with LIFEPAK devices configured for use with this
battery. The LIFEPAK FLEX has a unique form factor compared to other batteries; refer to your
LIFEPAK FLEX battery charger instructions for use for charger compatibility.
The LIFEPAK FLEX battery is a rechargeable lithium-ion battery intended to provide power for the
LIFEPAK monitor/defibrillator. The LIFEPAK FLEX battery is intended to allow the LIFEPAK
monitor/defibrillator to be used in a portable manner.
The LIFEPAK FLEX battery is intended for use in outdoor and indoor environments.
The defibrillator automatically switches to battery power when the power cord is disconnected.
IMPORTANT!
• Keep batteries charged by connecting to auxiliary power whenever possible.•
• Keep spare, fully charged batteries available at all times.•
• LIFEPAK FLEX batteries are not compatible with other LIFEPAK devices.•
• Both batteries should be installed when operating on battery power. If only one battery is•
installed, the INSERT BATTERY message appears.
See the LIFEPAK 35 monitor/defibrillator Technical Manual for more information about battery
capacity specifications.
52
Operating Instructions
Chapter 3 | Basic Orientation
If the REPLACE BATTERY message appears on the screen, immediately connect to auxiliary
power to begin recharging the battery, or insert a fully charged battery.
The defibrillator charges one battery at a time, starting with the battery that has the highest
charge level. The LIFEPAK 35 FLEX battery charger can charge two batteries simultaneously. A
fully depleted battery takes approximately 5 hours to charge in either the defibrillator or the
battery charger.
Routinely inspect batteries for damage or leakage. Recycle or properly dispose of batteries if
damaged or leaking, or if REMOVE BATTERY FROM SERVICE message appears.
Notes:
• Low battery messages do not appear if the device is connected to auxiliary power, but•
battery status is still indicated in the header area of the touchscreen.
• When battery charge levels are low, the device charges for defibrillation at a reduced rate•
to prevent unintended shutdown due to the large current draw.
• Under certain battery conditions, NIBP measurements may stop while the device is•
charging or charged for defibrillation. Printing may also stop during charging.
LIFEPAK 35 monitor/defibrillator
53
Power Management
Battery Indicators
Each battery has a fuel gauge that indicates the approximate charge level in the battery. After the
battery has been charged for the first time, you can press the gray button below the battery
symbol to check the battery’s charge level. The four battery indicators shown here represent
approximate charge—greater than 75%, greater than 50%, greater than 25%, and greater than
15%, respectively.
Battery warning indicators are shown below. A single flashing green LED indicates that the
battery is low and needs to be charged. Two red flashing LEDs indicate that the battery is not
usable and should be returned to your authorized service personnel.
A battery that is new and has never been charged, or is fully depleted, does not illuminate any
LEDs when the fuel gauge button is pressed.
New batteries are shipped with a low charge level and should be fully charged before use.
Batteries may be charged in the battery charger, or in the defibrillator while it is connected to
auxiliary power.
Notes:
The fuel gauge on a new battery does not function until the battery has been charged for
•
•
the first time.
Older or heavily used batteries lose charge capacity. If the battery fuel gauge illuminates
•
•
three or fewer LEDs after the battery completes a charge cycle, the battery should be
replaced.
54
Operating Instructions
To install a battery:
1. Inspect battery pins for signs of damage or foreign material.1.
2. Align battery with the battery well.2.
3. Insert the battery into the battery well until it clicks into place.3.
To remove a battery:
1. Squeeze the battery latch.1.
Chapter 3 | Basic Orientation
2. Remove the battery from the well.2.
For information about battery maintenance, see Battery Maintenance (on page 313).
LIFEPAK 35 monitor/defibrillator
55
Touchscreen
Touchscreen
The touchscreen responds to common touch inputs such as press, press-and-hold, and dragand-drop. The "pinch to zoom" gesture is not supported.
A keyboard appears on the touchscreen for certain tasks, such as entering the patient's name.
The keyboard is designed to provide the characters needed for the device language. For
example, a device with French screen messages and voice prompts displays a French keyboard.
Some special marks, such as accents, can be accessed by pressing and holding the
corresponding letter on the keyboard. For example, if you press and hold "e" on a French device,
the è, é, ê, and ë characters appear. Press the desired character to enter it into the patient
record.
Touchscreen Orientation
The touchscreen is divided into three regions, described below.
56
Operating Instructions
Chapter 3 | Basic Orientation
Region Description
1 Header. The header region contains system status and messaging.
2 Body. The body region contains information and controls for the current operat-
ing mode, such as monitoring or therapy.
3 Footer. The footer region provides access to other operating modes and func-
tions.
The touchscreen configuration changes depending on the current operating mode. Typical
configurations for monitoring and manual therapy are described in the following sections. Screen
configurations for AED mode are described in Automated External Defibrillation (AED) (on
page 209).
Touchscreen Lock and Unlock
The touchscreen can be locked to prevent accidental inputs. To lock the touchscreen, 1) press
the Main Menu button at the bottom of the touchscreen and 2) press LOCK SCREEN.
LIFEPAK 35 monitor/defibrillator
57
Touchscreen
To unlock the touchscreen, touch anywhere on the screen, and then slide the SLIDE TO
UNLOCK control that appears at the top of the screen. The unlocked icon will stay on the screen
for several seconds and then disappear.
Using the Speed Dial to lock and unlock the touchscreen.
If motion or electrical interference makes it difficult to use the touchscreen, you may wish to use
the Speed Dial to lock the screen.
To lock the touchscreen, push and hold the Speed Dial until the lock icon appears to indicate that
the screen is locked.
To unlock the touchscreen, push and hold the Speed Dial until the lock icon changes to an
unlocked icon.
Notes:
• When the device is charging or charged for defibrillation therapy, pushing the Speed Dial•
cancels charging and disarms the device.
• If the Speed Dial is being pushed and held to pause noninvasive pacing, it cannot be•
used to lock or unlock the touchscreen at the same time.
58
Operating Instructions
Chapter 3 | Basic Orientation
Home Screen
The Home Screen is used for monitoring vital signs. It also provides access to other functions
such as Shift Check and Archive Mode.
LIFEPAK 35 monitor/defibrillator
59
Touchscreen
Item Description For More Information
1 Patient name. Press to enter patient information. See Entering Patient Data
(on page 76).
2 Clock icon. When visible, timer/clock is showing real
time.
3 Event timer/clock. Press to switch between elapsed time
and real time.
4 Battery status indicator. Indicates battery charge level for
each battery well. Press for detailed system information.
5 Bluetooth icon. Press to open SYSTEM menu, where
you can initiate Bluetooth connection.
6 Wi-Fi/cellular signal strength indicator. Only appears
when Wi-Fi or cellular is in use. Press for detailed system information.
7 Roll printer icon. Appears only when roll printer is con-
nected. Press for detailed system information.
8 Selected energy. Indicates energy level that will be deliv-
ered with next defibrillation shock. Visible only when
therapy cable is connected.
9 ECG lead/size. Press to select different ECG lead or
size.
See Changing the Date and
Time in the LIFEPAK 35
monitor/defibrillator Technical Manual.
See Battery Status Indicators
(on page 71).
See Selecting ECG Lead or
Size (on page 108).
10 Channel 1. Primary ECG channel.
11 Channel 2. May be used to display any monitoring pa-
rameter.
12 Channel 3. May be used to display any monitoring pa-
rameter.
13 Channel 4. May be used to display any monitoring pa-
rameter.
14 Channel 5. May be used to display any monitoring pa-
rameter.
15 Therapy button. Press to access manual therapy. See Therapy (on page 203).
16 Alarms button. Press to manage alarms or change pa-
See Alarms (on page 83).
tient type for alarms and monitoring (adult, pediatric, neonate).
17 Events button. Press to access events menu and Quick
Event buttons.
18 Generic Event button. Press to enter a generic event in-
to the patient record.
19 12-Lead button. Press to view live 12- or 15-Lead ECG
and enable 12- or 15-lead acquisition.
See Adding Events (on
page 78).
See Adding Events (on
page 78).
See Acquiring the 12/15-
Lead ECG (on page 132).
60
Operating Instructions
Chapter 3 | Basic Orientation
Item Description For More Information
20 Print button. Press to initiate printing on the roll printer.
Grayed out when roll printer is not available.
21 Main Menu button. Press to access the following set-
tings and functions: Lock Screen, Brightness, Volume,
See Main Menu (on
page 75).
Transmit, Print Report, Care Record, System, and Options (Shift Check, Archive Mode, Setup Mode, and
Service Mode).
22 NIBP. Displays systolic, diastolic, and mean arterial
pressures (MAP) in mmHg. Also displays time to next
measurement when interval is set. Displays pulse rate if
See Monitoring Noninvasive
Blood Pressure (on
page 184).
ECG HR and SpO2 PR are not available. Press colored
bar to access alarms, trends, and settings.
23 SpO2/SpCO/SpMet. Oxygen saturation level displays as
a percentage from 50 to 100. Saturation below 50% dis-
See Monitoring Oxygen Sat-
uration (on page 163).
plays as <50%. Also displays pulse rate (PR). When
available, the SpCO or SpMet value is displayed as a
percentage. Press colored bar to access alarms, trends,
and settings.
24 EtCO2. End-tidal CO2 level displays in mmHg, Vol%, or
kPa. Respiratory rate (RR) displays in breaths per mi-
See Monitoring Capnogra-
phy (on page 175).
nute. Press colored bar to access alarms, trends, and
settings.
25 Secondary ECG. See Monitoring the ECG (on
page 107).
26 Primary ECG. Displays the primary ECG and heart rate.
Analysis and alarms are based only on the ECG that is
See Monitoring the ECG (on
page 107).
displayed in this channel.
Device displays heart rates between 20 and 300 beats
per minute (bpm) for adult patients. For pediatric and neonate patients, device displays heart rates between 20
and 350 bpm. If pacing is active, dashes (---) appear. If
ECG is not active, the SpO2 or NIBP monitor can display
pulse rate, indicated by PR.
Press colored bar to access alarms, trends, and lead selection.
27 Message area. Displays messages, prompts, and alerts. See Alarm Priority Indica-
tions (on page 96).
28 Patient Type indicator. Icon changes to indicate whether
patient type for alarms is Adult, Pediatric, or Neonate.
The Home Screen is the main screen that displays ECG and other information. When a
monitoring cable is attached to the device, the next available channel on the screen is activated
and the current patient values for that function are displayed. For example, when you connect an
SpO2 cable, SpO2 is activated on the screen. SpO2 values and waveform for the patient appear
after the patient is connected. Only NIBP and IP are activated by additional controls. For
LIFEPAK 35 monitor/defibrillator
61
Touchscreen
information about removing monitoring parameters from the screen see Parameter Removal (on
page 66).
The primary ECG and heart rate are always displayed in Channel 1. Additional vital signs are
displayed in the following row order by default:
• Additional ECG leads•
• Invasive Pressure•
• EtCO
•
• SpO
•
2
2
• NIBP•
• Temp•
You can rearrange the order in which parameter rows are displayed. To rearrange rows:
1. Press and hold in the middle of the row until a border appears around the entire row.1.
2. Drag the row to the desired position and release.2.
Channel 1 is reserved for the primary ECG. You can change which ECG lead is displayed
in Channel 1 and used for alarms and analysis, but you cannot place a different
parameter, such as SpO2, into Channel 1. You also cannot place any non-ECG
parameter into any row that is currently occupied by an ECG lead.
For detailed information about the display for each monitoring function, see the following sections:
• Monitoring the ECG (on page 107)•
• Monitoring Invasive Pressure (on page 153)•
• Monitoring Oxygen Saturation (on page 163)•
• Monitoring Capnography (on page 175)•
• Monitoring Noninvasive Blood Pressure (on page 184)•
• Monitoring Continuous Temperature (on page 196)•
62
Operating Instructions
Chapter 3 | Basic Orientation
Parameter Values and Alarms
When alarms are turned on, each monitoring parameter displays current patient values and alarm
limits. See Enabling Alarms and Changing Limits (on page 87) for information about turning
alarms on.
In this example, the following parameter values and alarm limits are shown.
LIFEPAK 35 monitor/defibrillator
63
Touchscreen
Parameter Value High Alarm
Limit
Low Alarm
Limit
ECG heart rate 72 140 50
P1 Invasive Pressure (Arterial Sys-
118 160 90
tolic)
P1 Invasive Pressure (Arterial Dia-
78 100 45
stolic)
P1 Invasive Pressure (Mean Arte-
104 120 60
rial Pressure)
EtCO
2
35 60 20
Respiratory Rate 12 25 5
No Breath Alarm 30 seconds with no breath detected
SpO
2
98 100 85
Pulse Rate (from SpO2) 61 140 50
SpCO 3 10 N/A
SpMet 1.5 3 N/A
NIBP (Systolic) 140 180 85
NIBP (Diastolic) 80 110 55
NIBP (Mean Arterial Pressure) 110 N/A N/A
Temp (°C) 36.3 38.0 36.0
For more information about the alarm display for each individual monitoring parameter, see the
"Alarms" section for each parameter in the "Monitoring" chapter of this manual.
64
Operating Instructions
Chapter 3 | Basic Orientation
Multiple Parameter Display
When more than five monitoring parameters are active at the same time, the bottom parameter
rows compress into half- or quarter-width rows as needed so that up to twelve parameter areas
are displayed. Half-width rows display waveforms, vital signs, and alarm limits. Quarter-width
rows display only vital signs and alarm limits.
Note: Alarm limits are displayed only if alarms are turned on.
LIFEPAK 35 monitor/defibrillator
65
Touchscreen
Moving Compressed Parameters
Parameters that are being displayed in the compressed rows can be moved into other rows so
that the compressed parameter expands and displays more information. However, compressed
parameters cannot be moved into a full-width row that is occupied by an ECG waveform.
1. Press the center of the compressed parameter area until a border appears.1.
2. Drag the parameter to the desired position. The two parameters trade positions.2.
Note: ECG monitoring waveforms have priority and cannot be compressed by moving other
parameters into their rows. However, if additional monitoring parameters are connected to the
device while multiple ECG leads are displayed, the secondary ECG leads are automatically
removed until only the primary ECG is left. If you manually re-select the secondary ECG leads,
the non-ECG parameters are compressed to make room.
Parameter Removal
To stop monitoring a vital sign parameter, you must disconnect the sensor from the device and
take the following steps to remove the parameter from the screen and discontinue the related
alerts. The procedure is the same for all vital sign parameters except ECG. The following steps
use SpO2 monitoring as an example.
To stop SpO2 monitoring:
1. Disconnect the SpO2 cable from the device. The SPO2 SENSOR DISCONNEC-
TED FROM DEVICE message appears,
and the waveform and vital sign values
are replaced by dashes.
2. Press the color bar at the left edge of the
SpO2 parameter channel.
3. Press the REMOVE button.
4. Press OK. The SpO2 channel is removed from the display.
66
Operating Instructions
Chapter 3 | Basic Orientation
Note: If the ECG or Therapy cable is disconnected during patient monitoring, a technical alarm is
triggered. To silence the alarm, either reconnect the cable or select an available ECG lead. For
example, select PADS if the ECG cable was disconnected, or Lead II if the Therapy cable was
disconnected; PADS and Lead II are always available for selection. Then de-select the lead or
leads that were disconnected.
For detailed information about alarms, see Alarms (on page 83).
LIFEPAK 35 monitor/defibrillator
67
Touchscreen
Therapy Screen
The Therapy Screen is used for manual defibrillation, synchronized cardioversion, and
noninvasive pacing. Screen configurations for AED mode are described in Automated External
Defibrillation (AED) (on page 209).
68
Operating Instructions
Chapter 3 | Basic Orientation
Item Description For More Information
1 Patient name. Press to enter patient information. See Entering Patient Data
(on page 76).
2 Event timer/clock. Press to switch between elapsed time
and real time.
3 Battery status indicator. Indicates battery charge level for
each battery well. Press for detailed system information.
4 Bluetooth icon. Press to open SYSTEM menu, where
you can initiate Bluetooth connection.
5 Wi-Fi/cellular signal strength indicator. Only appears
when Wi-Fi or cellular is in use. Press for detailed system information.
6 Roll printer icon. Appears only when roll printer is con-
nected. Press for detailed system information.
7 Selected energy. Indicates energy level that will be deliv-
ered with next defibrillation shock. Visible only when
therapy cable is connected.
8 ECG lead/size. Press to select different ECG lead or
size.
9 Channel 1. Primary ECG channel.
10 Channel 2. May be used to display any monitoring pa-
rameter.
11 Channel 3. May be used to display any monitoring pa-
rameter.
12 Therapy screen collapse button. Press to collapse thera-
py controls and view additional monitoring parameters.
Press again to restore therapy controls. CPR timer, pacing, and charging state are not affected when therapy
controls are collapsed.
See Battery Status Indicators
(on page 71).
See Selecting ECG Lead or
Size (on page 108).
13 Defibrillation energy selector. Press and drag circle or
press up/down arrows to change energy selection.
14 HOME button. Press to return to Home Screen. Not
available while device is charging or charged for defibrillation.
15 Alarms button. Press to manage alarms or change pa-
tient type for alarms and monitoring (adult, pediatric, neonate).
16 EVENTS button. Press to access Events menu and
Quick Event buttons.
17 Generic Event button. Press to enter a generic event in-
to the patient record.
18 Settings button. Press to change compression:ventila-
tion ratio and choose between Adult and Pediatric patient settings for therapy.
LIFEPAK 35 monitor/defibrillator
See Home Screen (on
page 59).
See Alarms (on page 83).
See Adding Events (on
page 78).
See Adding Events (on
page 78).
69
Touchscreen
Item Description For More Information
19 cprINSIGHT control. Press to turn cprINSIGHT on or off
during CPR time.
See cprINSIGHT in Manual
Mode (on page 235).
Note: cprINSIGHT should be turned off when device is
in motion.
20 Print button. Press to initiate printing on the roll printer, if
connected. Grayed out when roll printer is not available.
21 Main Menu button. Press to access the following set-
tings and functions: Lock Screen, Brightness, Volume,
Transmit, Print Report, Care Record, and System.
Note: The Options menu is available only from the Main
Menu button on the Home Screen.
22 CPR Timer button. Press to start CPR timer. Press again
to stop timer. If timer is restarted after stopping, it starts
over at the default CPR time.
23 Mute button. Press to mute or unmute CPR metronome.
24 Therapy Type selection. Press desired tab to select de-
fibrillation, synchronized cardioversion, or pacing.
25 Shock counter. Displays number of shocks delivered
during current patient event.
26 Alarms Off symbol. Indicates that alarms for this moni-
toring parameter are turned off.
27 VF/VT Alarm symbol. Indicates whether VF/VT alarm is
on or off.
See Main Menu (on
page 75).
See Using the CPR Timer
and Metronome (on
page 232).
See Manual Defibrillation (on
page 229), Synchronized
Cardioversion (on page 238),
and Noninvasive Pacing (on
page 246).
See Alarm Symbols (on
page 91).
See VF/VT Alarm (on
page 89).
28 Primary ECG. Displays the primary ECG and heart rate,
and is always visible when ECG electrodes or therapy
See Monitoring the ECG (on
page 107).
electrode pads are connected.
Device accurately detects and displays heart rates between 20 and 300 beats per minute (bpm). If patient's
heart rate is below 20 bpm or above 300 bpm, or pacing
is active, dashes (---) appear. If ECG is not active, the
SpO2 monitor (or NIBP if SpO2 is not available) can display pulse rate, indicated by PR.
29 Message area. Displays messages, prompts, and alerts.
30 Patient Type indicator. Icon changes to indicate whether
patient type for alarms is Adult, Pediatric, or Neonate.
The Therapy Screen displays therapy functions and up to three monitoring parameters. The top
channel is the primary ECG, and the additional channels are the next non-ECG parameters
shown on the Home screen. If fewer than two non-ECG parameters are connected, the additional
channels can be used to display ECG leads. If all three channels are occupied and a new ECG
lead is selected, the new lead automatically replaces the primary lead in the top channel.
70
Operating Instructions
Chapter 3 | Basic Orientation
Additional monitoring parameters can be viewed by temporarily collapsing the therapy controls.
While therapy controls are collapsed, parameter rows can be rearranged.
Note: Only the top three displayed physiological waveforms appear in the on-screen events
viewer or in printouts from the roll printer. However, all displayed waveforms can be viewed in
CODE-STAT and other post-event review tools.
For detailed information about the display for each type of therapy, see the following sections:
• Manual Defibrillation (on page 229)•
• Synchronized Cardioversion (on page 238)•
• Noninvasive Pacing (on page 246)•
Battery Status Indicators
Battery status indicators are shown at the top of the touchscreen. The indicators provide the
following information about the batteries installed in the defibrillator:
• Presence or absence of battery in battery well•
• Battery charge level•
• Battery charging status•
• Battery authentication status•
• "Battery in Use" indication•
IMPORTANT! Always check the battery charge level and ensure batteries are adequately
charged before using the device on battery power.
When the defibrillator is not connected to auxiliary power, the following rules apply:
• If two batteries are installed, the defibrillator uses the battery with the lowest level of•
charge first.
• When a battery reaches the replace battery state, the defibrillator automatically switches•
to the other battery.
• When all battery capacity is exhausted, the defibrillator turns off. If you insert a charged•
battery or connect to auxiliary power and turn the defibrillator on in less than two minutes,
the defibrillator retains certain important settings.
LIFEPAK 35 monitor/defibrillator
71
Touchscreen
The following table provides a description of the various battery status indicators.
Indicator Meaning Description
Battery status indicators display up to four green
Battery > 75%
charged
bars. Each green bar represents approximately
25% remaining charge. A battery with four bars is
>75% charged.
Battery > 50% and
£ 75% charged
Battery > 25% and
£ 50% charged
Battery > 15% and
£ 25% charged
Battery > 5% and
£ 15% charged
Replace battery (Indicator alternates
between one red bar
and no bars.)
Battery charging
Battery is low and should be charged.
Battery has remaining charge of 5% or less. The
defibrillator automatically switches to the other bat-
tery (if applicable) only if adequate charge is availa-
ble. If all installed batteries have remaining charge
of 5% or less, the REPLACE BATTERY voice
prompt and high priority alarm occur.
Battery is charging. Number beneath icon indicates
percent charged. In this example, the battery is
20% charged.
72
Operating Instructions
Indicator Meaning Description
Battery communication failed, an unauthorized bat-
tery is installed, or a battery fault has been detec-
Unrecognized battery or battery fault
No battery installed No battery is installed in the battery well.
Battery at end of
service life
Display Example
ted. The battery may power the defibrillator but the
level of charge is unknown and low battery mes-
sages and prompts will not occur. The device will
not charge unrecognized batteries. Press battery
icon to view details in the SYSTEM menu.
Battery is at end of service life. Replace battery im-
mediately and recycle old battery.
Note: A battery at the end of its service life has lost
too much charge capacity or exhibits high internal
resistance and should not be used.
Chapter 3 | Basic Orientation
In this example, battery 1 is in use, as indicated by the highlighted well number beneath the
battery icon. Battery 1 is between 25% and 50% charged, and battery 2 is >75% charged.
Notes:
• When the defibrillator is operating on auxiliary power, the battery indicators show the•
battery charge level, but the well numbers are not highlighted. The LOW BATTERY and
REPLACE BATTERY messages do not occur when operating on auxiliary power.
• Older or heavily used batteries lose charge capacity. If a fully charged battery is installed•
in the defibrillator and the battery status indicator shows less than four bars, the battery
has reduced capacity and should be replaced.
• When the defibrillator is operating on battery power and all installed batteries are at end•
of service life, charging for defibrillation shock occurs at a slower rate and printing is
disabled while charging. Other functions may be inhibited.
Speed Dial
The Speed Dial can be used to select options on the device instead of using the touchscreen.
LIFEPAK 35 monitor/defibrillator
73
Speed Dial
The Speed Dial can also be used to safely disarm the defibrillator during therapy. If the device is
charging or has charged for a shock, you can push the Speed Dial to remove the charge without
delivering a shock.
To use the Speed Dial:
1. Rotate the Speed Dial clockwise or counter-clockwise until the desired option on the screen is1.
highlighted.
2. Push the Speed Dial to select the option.2.
3. If the option has a sub-menu, continue using the Speed Dial to select the desired option in3.
the sub-menu.
4. To exit Speed Dial navigation, either stop using the Speed Dial for 10 seconds, or press4.
anywhere on the touchscreen.
For example, to use the Speed Dial to navigate from the Home Screen to Manual Therapy and
adjust the defibrillation energy, do the following:
1. Rotate the Speed Dial until the THERAPY button at the bottom-right corner of the screen is1.
highlighted.
2. Push the Speed Dial to open the Therapy screen.2.
3. If necessary, rotate the Speed Dial until the Energy Selection dial is highlighted.3.
4. Push the Speed Dial to select the Energy Selection dial.4.
5. Rotate the Speed Dial to increase or decrease the energy.5.
6. Push the Speed Dial to confirm the energy selection.6.
74
Operating Instructions
Chapter 3 | Basic Orientation
Main Menu
Press the Main Menu button at the bottom of the touchscreen to open the Main Menu. Menu
items that are available from the Main Menu button on the Home Screen are shown here. The
Main Menu that opens from Therapy screens does not include OPTIONS.
Lock the touchscreen. See Touchscreen (on
page 56).
Manually adjust brightness, turn Adaptive Brightness
ON or OFF, or switch to SunVue (high contrast)
mode.
Adjust system volume or activate heart beat tone using ECG or SpO2.
Transmit patient data. See Data Transmission (on
page 285).
Print CODE SUMMARY Critical Event Record or
12/15-lead ECG report.
Enter patient information or view patient events.
View system information, initiate Bluetooth connection, or change printer settings, 12/15-lead caliper
units, or internal pacemaker markers.
Access Shift Check (Test Mode), Archive Mode, Setup Mode, or Service Mode.
WARNING
Possible Ineffective Treatment. Adjusting the system volume below ambient noise levels may
result in alarms not being heard. Always keep the system volume at a level that can be heard.
LIFEPAK 35 monitor/defibrillator
75
Care Record
Care Record
The Care Record contains two tabs.
• The INFORMATION tab is where you can enter patient information such as name, age,•
gender, and weight.
• The EVENTS LIST tab lists waveform events that have occurred during the current•
patient record.
To open the Care Record window, do one of the following:
• Press the patient name or "New Patient" in the top left corner of the touchscreen, or•
• Press the Main Menu button in the bottom left corner of the touchscreen, and then•
press CARE RECORD.
Closing the Care Record window saves any patient information that has been entered. To close
the Care Record window, press anywhere outside the window.
Entering Patient Data
The PATIENT INFORMATION form is shown below.
If you enter a birth date, the patient age is calculated automatically. If a patient age was already
entered and the birth date conflicts with that age, the patient age based on the birth date is used.
To change the units for the age, press the arrow to the right of the age. Options are years,
months, weeks, and days.
When patient weight is entered in either kilograms or pounds, the conversion is calculated
automatically and the weight is displayed in both units.
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Operating Instructions
Chapter 3 | Basic Orientation
The age and gender entered in this form are used during automated analysis of 12 or 15-lead
ECGs.
IMPORTANT! The patient age entered in this form does not affect default monitoring or therapy
settings such as alarm limits, NIBP initial cuff pressure, defibrillation energy, or compresstion to
ventilation (C:V) ratio.
To change the patient type for alarms and NIBP monitoring, press ALARMS at the bottom of the
touchscreen and set PATIENT TYPE to ADULT, PEDIATRIC, or NEONATE. See Alarms (on
page 83) for more information.
To change the patient type for therapy, go to the Therapy screen and press the SETTINGS button
at the bottom of the screen. See AED Metronome and Energy Settings (on page 211) for
information about changing the patient type in AED mode. See Changing C:V Settings in Manual
Mode (on page 234) for information about changing the patient type during manual therapy.
Note: The text fields have limits for the number of characters that can be entered. If a field is near
the maximum number of characters and includes special (complex) characters, the field may be
truncated when viewed in post-event review tools.
Viewing Patient Events
An example EVENTS LIST for a current patient is shown below. Press TIME to sort events in
ascending or descending chronological order. Press TREATMENTS, MEDICATIONS,
GENERICS, or 12/15 LEAD to filter events.
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77
Adding Events
Vital sign values for parameters that were being monitored at the time of the event are listed in
the columns to the right of each event. To view waveforms associated with an event, press
anywhere in the row for that event.
To close the waveform view, press the event again or press the black header of the waveform
display.
Adding Events
You can add Events to the patient record for post-event review. Events appear in the Event log of
the Code Summary critical event record and in the transmitted patient data record. See Data
Management (on page 267) for detailed information about report types.
Generic Events
Generic events can be quickly added to the patient record by pressing one button on the
touchscreen. Generic events do not include any text, but they can be annotated in post-event
review tools such as CODE-STAT.
To add a generic event to the patient record, press the Generic Event button at the bottom of the
touchscreen.
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Operating Instructions
Chapter 3 | Basic Orientation
An EVENT ADDED message appears briefly in the Message area to confirm the event was
added.
Events Menu
The Events Menu contains four tabs which list different categories of events. The events that are
listed in each tab can be customized in the Setup Options for the device. See Setup Options in
the LIFEPAK 35 monitor/defibrillator Technical Manual for more information about customizing
event lists.
To open the Events Menu, press the EVENTS button at the bottom of the screen.
The Events Menu opens to the QUICK BUTTONS tab.
• The QUICK BUTTONS tab lists four events. The factory default Quick Button events are•
Epinephrine, Airway, Amiodarone, and ROSC. These events can be customized in the Setup
Options to reflect your organization's most frequently-used events. Press an event to add it to
the patient record.
• The QUICK EVENTS tab lists seven additional frequently used events. You may need to•
scroll to see the entire list. Press an event to add it to the patient record.
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Adding Events
Notes:
• Quick Buttons and Quick Events can be customized to list your organization's most•
frequently-used events. See Setup Options in the LIFEPAK 35 monitor/defibrillator
Technical Manual for more information.
• Quick Button events can be set up to have recurring reminders. See Quick Event•
Reminders (on page 80) for more information.
• The tabs for MEDICATIONS and TREATMENTS list additional medication and treatment•
events. There are 15 default medication events, and 6 default treatment events. The
medication and treatment event lists can be customized in the Setup Options to include up to
40 events each. Scroll through the list and press the desired event to add it to the patient
record.
Each time an event is added to the patient record, a confirmation message appears for several
seconds.
Quick Event Reminders
Quick Button events can be set up to have a single reminder after a certain time interval, or to
have recurring reminders. Quick Buttons that are set up to have reminders have a timer icon.
Quick Event reminders are optional and can be customized by your organization in the Setup
Options.
Reminders appear at the top of the touchscreen 30 seconds before the therapy is due to be
repeated. A timer counts down the last 30 seconds.
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Operating Instructions
Chapter 3 | Basic Orientation
When the timer reaches zero and the therapy is due, the reminder flashes and an alert tone
sounds. Then the timer counts up while continuing to flash.
• To indicate that the therapy was delivered and restart the timer, press the check mark.•
The therapy event is added to the patient record.
• To dismiss the reminder and stop recurring reminders, press the X.•
For information about setting up reminders for Quick Events, see Setup Options in the LIFEPAK
35 monitor/defibrillator Technical Manual.
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81
Chapter 4
Alarms
This chapter describes alarm indications and how to manage alarms in the LIFEPAK 35 monitor/
defibrillator.
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Changing Patient Type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Enabling Alarms and Changing Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
VF/VT Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Managing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Alarm Priorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Alarm Performance Confirmation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
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83
Chapter 4 | Alarms
Introduction
The LIFEPAK 35 monitor/defibrillator has physiological and technical alarms. Physiological
alarms are triggered when vital sign monitoring parameters exceed the currently-set alarm limits.
Technical alarms are triggered for specific equipment conditions, such as disconnected cables. If
multiple alarms are triggered at the same time, the alarms are prioritized as described in Alarm
Priorities (on page 95).
Physiological alarms can be configured in the Setup Options to be On or Off when the device is
turned on. Technical alarms are always ON. If physiological alarms are configured On, they
cannot be turned off by the user. If physiological alarms are configured off, they can be turned on
during use. See Enabling Alarms and Changing Limits (on page 87) for more information. Once
an alarm or alarms have been turned on, they cannot be turned off during that power cycle,
except for the VF/VT alarm. For more information about configuring physiological alarms, see
Setup Options in the LIFEPAK 35 monitor/defibrillator Technical Manual.
When physiological alarms are ON, default limits are set. The alarm limits are displayed next to
the current value for each monitoring parameter that is connected. For a list of default
physiological alarm limits, see Alarm Limits (on page 98).
Note: Physiological alarms are OFF when the device is in AED mode.
WARNING
Possible Failure to Detect an Out of Range Condition. Always check alarm limits to ensure
they are appropriate for the current patient before using alarms.
Spacer
Changing Patient Type
If desired, you can change the patient type to pediatric or neonate. This changes the default
alarm limits and the default NIBP cuff inflation pressure. For monitoring and alarms, a pediatric
patient is less than 12 years old. A neonatal patient is between birth and 28 days of age.
Note: Selecting pediatric or neonate patient type in the Alarms menu does not affect default
settings for therapy, such as energy level or compression:ventilation ratio.
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85
Changing Patient Type
To change the patient type:
1. Press the ALARMS button at the bottom of
the Home Screen.
2. Press PEDIATRIC or NEONATE. To change
back to adult, press ADULT.
3. Press anywhere else on the touchscreen to
close the ALARMS menu.
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Operating Instructions
Chapter 4 | Alarms
Enabling Alarms and Changing Limits
If alarms are set up to be OFF, you can enable all alarms, enable the VF/VT alarm, or enable
alarms for individual monitoring parameters.
To enable all alarms:
1. Press the ALARMS button at the bottom of
the touchscreen.
2. Press ALL ON in the ALARMS area of the
dialog box.
Alarms for all monitoring parameters are automatically set using the default alarm limits
for the patient type (adult, pediatric, or neonate). Alarm limits for individual parameters
can be changed in the slide-out menus for
each parameter.
Once alarms are turned on, only the VF/VT
alarm can be turned off. All other alarms remain on until the device is turned off.
To enable the VF/VT alarm only:
1. Press the ALARMS button at the bottom of
the touchscreen.
2. Press ON in the VF/VT area of the dialog
box.
See VF/VT Alarm (on page 89) for more information about the VF/VT alarm.
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87
Enabling Alarms and Changing Limits
To enable alarms for individual parameters:
1. Press the color bar at the left edge of the parameter. (This example shows how to enable
and set alarms for EtCO2.)
2. Press the ALARMS button on the slide‑out
menu.
3. Press SET ALARMS to open the alarms
menu for the parameter.
4. The alarms are turned on to default limits,
and the alarm limits menu appears. Each
alarm setting for the parameter is displayed
with buttons indicating the high and low
alarm limits, if applicable. In this example, EtCO2 has a high limit of 60 and a low limit of
20.
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Operating Instructions
5. To change high or low alarm limits, press the
limit button and use the slider that appears to
select the new limit. Note: The FiCO2 alarm
limit cannot be changed.
To reset alarms to the default limits, press
RESET ALARM LIMITS at the right end of
the slide-out menu. This resets all alarm limits for the monitoring parameter, for all patient types. Alarm limits for other parameters
remain unchanged.
6. When you are finished, press the white arrow
at the right edge of the slide-out menu or
press anywhere else on the touchscreen to
close the slide-out menu.
7. After alarms are turned on, alarm limits are
displayed in the applicable parameter row
and the Alarm Off symbol disappears. See
the section for each individual monitoring parameter in Monitoring (on page 105) for more
information.
Chapter 4 | Alarms
If power is lost for less than two minutes, for example due to a system reset or changing the only
active battery, alarm settings are restored automatically. If power is lost for more than two
minutes, the device begins a new patient record and alarms revert to default settings.
VF/VT Alarm
The VF/VT alarm is available to aid in the detection of ventricular fibrillation and ventricular
tachycardia in Manual mode. Care should be taken to assess the patient at all times; do not rely
solely on the ECG monitor.
CAUTION
Possible Delay of Therapy. The heart rate display and corresponding heart rate alarm should
not be relied upon to provide an indication of ventricular fibrillation. Use the VF/VT alarm and
continuous patient assessment to monitor for VF.
The VF/VT alarm can be turned on or off by pressing the ALARMS button at the bottom of the
screen, as described in Enabling Alarms and Changing Limits (on page 87). When the VF/VT
alarm is on, you are limited to PADS lead or Lead II in Channel 1. See Selecting ECG Lead or
Size (on page 108).
When the VF/VT alarm is triggered, the message area is flashing red indicating the alarm is high
priority, and SHOCKABLE RHYTHM DETECTED: CHECK PATIENT is displayed.
Note: If the VF/VT and No Breath alarms are triggered at the same time, only SHOCKABLE
RHYTHM DETECTED: CHECK PATIENT is displayed.
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89
VF/VT Alarm
The VF/VT alarm is on only in Manual mode. The alarm turns off automatically when the following
conditions occur:
• CPR timer is active•
• Noninvasive pacing screen is displayed•
• AED mode is selected•
• Defibrillator is charging or charged for shock delivery•
• Internal paddles are connected and PADS lead is selected.•
The VF/VT alarm turns back on automatically when the following conditions occur:
• CPR timer stops•
• Noninvasive pacing screen is exited•
• AED mode is exited•
• Internal paddles are connected and Channel 1 is changed to Lead II.•
VF/VT Alarm Indications
When the VF/VT alarm is OFF, a VF/VT Alarms
Off symbol appears at the bottom left edge of
the primary ECG channel.
Note: The additional Alarms Off symbol above
the VF/VT Alarm symbol indicates that the
Heart Rate alarm is turned off.
When the VF/VT alarm is turned ON, the
Alarms Off symbol above VF/VT disappears.
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Operating Instructions
Managing Alarms
The following sections describe alarm indications and how to manage alarms.
Alarm Symbols
Condition Symbol Description
Alarm turned on
Alarm triggered
Alarm reset
No alarm symbol in color bar at left edge of affected parameter.
• Alarm symbol appears in color bar at left edge of affec-•
ted parameter
• Patient Beacon and color bar at left edge of affected pa-•
rameter flash
• Alarm message appears in message area•
• Alarm tone sounds•
Alarm Reset symbol appears in color bar at left edge of affected parameter and ALARM RESET message appears in
message area. See Managing an Active Alarm (Alarm Reset) (on page 92) for more information.
Chapter 4 | Alarms
Alarm audio
paused
Alarm turned off
Alarm Audio Paused symbol appears in color bar at left
edge of affected parameter and AUDIO SILENCED message appears in message area. See Silencing Alarms Preemptively (Alarm Audio Pause) (on page 93) for more information.
Alarm Off symbol appears in color bar at left edge of affected parameter.
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91
Managing Alarms
Managing an Active Alarm (Alarm Reset)
To manage a physiological alarm that has been triggered:
1. Press the flashing yellow SILENCE
ALARMS button at the top of the
touchscreen. This silences the alarm for
2 minutes.
2. After an active alarm is silenced, the Alarm
Reset symbol appears in the message area
and the color bar of the affected parameter.
The alarm message continues to be displayed, along with an ALARMS SILENCED
notification. An alert tone of two quick beeps
sounds after 60 seconds.
Note: The alert tone can be disabled in the
setup options for the device.
3. Assess the cause of the alarm.
4. Assess the appropriateness of the limits settings.
5. After the patient is stable, reassess the appropriateness of the limits settings.
Notes:
• Alarm Reset applies only to active alarms. If any additional physiological alarms are•
triggered after alarms have been silenced, or if the silenced parameter goes within
limits and then is triggered again, a screen message is displayed and an alarm tone
sounds. The alarm for the violated parameter can then be silenced.
• Technical alarms cannot be silenced.•
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Operating Instructions
Chapter 4 | Alarms
Silencing Alarms Preemptively (Alarm Audio Pause)
When physiological alarms are enabled, you can silence them preemptively for up to 15 minutes.
Note: Technical alarms cannot be preemptively silenced.
To silence alarms preemptively:
1. Press the ALARMS button at the bottom of
the touchscreen.
2. Under the ALARM AUDIO PAUSE heading,
select the desired audio pause duration of 2,
5, 10, or 15 minutes.
IMPORTANT! While ALARM AUDIO
PAUSE is active, no physiological alarms
(except VF/VT) will sound. Ensure patient is
monitored by qualified medical personnel at
all times.
The ALARMS SILENCED message appear in the message area. When alarms are preemptively
silenced, an alert tone of two quick beeps sounds every 60 seconds. The alert tone can be
disabled in the Setup Options for the device. See Setup Options in the LIFEPAK 35 monitor/
defibrillator Technical Manual for information about setup options.
Notes:
• When you select ALARM AUDIO PAUSE to preemptively silence physiological alarms,•
the VF/VT alarm is not silenced.
• If an alarm is triggered while alarms are preemptively silenced, the Patient Beacon and•
color bar of the affected parameter flash, and an alarm message appears in the message
area.
• ALARM AUDIO PAUSE is not available if any alarms are active with audio sounding.•
See Managing an Active Alarm (Alarm Reset) (on page 92) for information about
silencing an active alarm.
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Managing Alarms
Unsilencing Alarms
When alarms have been silenced, you can unsilence them.
To unsilence alarms:
1. Press the ALARMS button at the bottom of
the touchscreen.
2. Press RESUME AUDIO.
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Operating Instructions
Chapter 4 | Alarms
Alarm Priorities
Alarm conditions have the following priorities.
Note: Physiological alarms take precedence over technical alarms of the same priority.
Physiological High Priority • VF or VT detected based on ECG signal•
• Heart rate low limit exceeded•
Technical High Priority • ART catheter disconnected•
• Therapy cable disconnected•
• Therapy electrode pads disconnected•
• ECG cable or leads off during demand pacing•
• Pacer fault•
• Replace battery (all batteries £ 5% capacity, unrecognized, or•
missing)
Invalid therapy cable
•
•
Device overheating
•
•
Service error
•
•
Physiological Medium Priority
Technical Medium Priority • ECG•
• Heart rate high limit exceeded•
• SpCO high limit exceeded•
• SpMet high limit exceeded•
• SpO2 high or low limit exceeded•
• SpO2 pulse rate high or low limit exceeded•
• NIBP high or low limit exceeded•
• EtCO2 high or low limit exceeded•
• FiCO2 high limit exceeded•
• Respiration rate high or low limit exceeded•
• No breath detected•
• IP high or low limit exceeded•
• TEMP high or low limit exceeded•
• cable disconnected•
• leads off•
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95
Alarm Priorities
• Oximetry•
• sensor disconnected from device•
• sensor disconnected from patient•
• check sensor•
• unrecognized sensor•
• incompatible cable•
• defective cable•
• interference detected•
• incompatible sensor attached•
• low perfusion•
• poor signal quality•
• EtCO
•
• tubing disconnected•
• NIBP•
• hose disconnected•
• out of range•
• IP•
• cable disconnected•
• out of range•
• transducer or cable defective•
• TEMP•
• sensor or cable disconnected from device•
• sensor disconnected from patient•
• out of range•
• One battery low (6-15%) and one battery <5%, unrecognized,•
or missing
2
Low Priority • EtCO
•
2
• reduced accuracy•
• out of range•
• respiration rate out of range•
• tubing blocked•
• low flow rate•
• self-test failure•
• Non-functional touchscreen detected•
• Battery at end of service life•
Alarm Priority Indications
The priority of each alarm condition is indicated by color and audible tone. Alarm priorities are
indicated in the message area of the screen using colored message bars and text as shown
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Operating Instructions
Chapter 4 | Alarms
below. Alarm tones are described in Alarm Tones in the LIFEPAK 35 monitor/defibrillator
Technical Manual.
High priority physiological alarms are indicated with a red message bar and flashing red
Patient Beacon. High priority alarms are used
to alert the user to the possibility of death.
High priority technical alarms are indicated
with a red message bar and flashing red/black
flag to the left of the message bar. The Patient
Beacon does not flash.
Medium priority physiological alarms are indicated with a yellow message bar and flashing
yellow Patient Beacon. Medium priority
alarms are used to alert the user that a possible life-threatening condition exists.
Medium priority technical alarms are indicated
with a yellow message bar and flashing yellow/black flag to the left of the message bar.
The Patient Beacon does not flash.
Low priority technical alarms are indicated
with a yellow message bar and no flashing indicators. There are no low priority physiological alarms. Low priority alarms are used to
alert the user that an abnormal condition exists.
The message area on the screen can display up to two alarm messages on two lines. If multiple
alarm messages are triggered at the same time, the alarm messages are prioritized from highest
to lowest.
If more than two alarms messages are triggered, the alarms cycle through the message area.
• If two or more high priority alarms are triggered, only the high priority alarms are displayed in•
the message area.
• If three or more medium priority alarms are triggered with no high priority alarms, the medium•
priority alarms cycle through the message area.
• If only one high priority alarm is triggered along with multiple medium priority alarms, the high•
priority alarm is shown continuously and the medium priority alarms cycle through the second
line of the message area.
• If only one high or medium priority alarm is triggered, low priority alarms and technical alerts•
cycle through the second line of the message area.
• If three or more low priority alarms and/or technical alerts are triggered with no higher priority•
alarms, the low priority and technical alert messages cycle through the message area.
To view all alarms, press the down arrow to the left of the message area to temporarily expand
the window and scroll down, if necessary.
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97
Alarm Limits
After ten seconds the window automatically collapses to the normal view. You can also collapse
the window by pressing either of the up arrows that are beside and beneath the alarm messages.
Alarm Limits
This section lists alarm limits for heart rate, pulse oximetry, respiration, end-tidal CO2, no breath,
NIBP, invasive pressure, and temperature. Alarm limits for individual monitoring parameters can
be changed during use as described in Enabling Alarms and Changing Limits (on page 87).
Heart Rate
Alarm limits for heart rate can be adjusted in increments of 5 beats per minute.
Parameter Heart Rate
Neonate High Alarm Limits Range 100-300
Neonate Low Alarm Limits Range 30-150
Neonate Default High Alarm Limit 180
Neonate Default Low Alarm Limit 90
Pediatric High Alarm Limits Range 100-250
Pediatric Low Alarm Limits Range 30-150
Pediatric Default High Alarm Limit 160
Pediatric Default Low Alarm Limit 75
Adult High Alarm Limits Range 90-250
Adult Low Alarm Limits Range 30-150
Adult Default High Alarm Limit 140
Adult Default Low Alarm Limit 50
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Operating Instructions
Oximetry
Alarm limits for SpO2, SpCO, and SpMet can be adjusted in increments of 1%.
Chapter 4 | Alarms
Parameter SpO
Neonate High Alarm Limits Range 85-100 5-15 2-10
Neonate Low Alarm Limits Range 50-95 N/A N/A
Neonate Default High Alarm Limit 95 10 3
Neonate Default Low Alarm Limit 85 N/A N/A
Pediatric High Alarm Limits Range 85-100 5-15 2-10
Pediatric Low Alarm Limits Range 50-95 N/A N/A
Pediatric Default High Alarm Limit 100 10 3
Pediatric Default Low Alarm Limit 85 N/A N/A
Adult High Alarm Limits Range 85-100 5-15 2-10
Adult Low Alarm Limits Range 50-95 N/A N/A
Adult Default High Alarm Limit 100 10 3
Adult Default Low Alarm Limit 85 N/A N/A
Alarm limits for pulse rate can be adjusted in increments of 5 pulses per minute.
Parameter Pulse Rate (derived from SpO2)
Neonate High Alarm Limits Range 100-239
2
SpCO SpMet
Neonate Low Alarm Limits Range 60-150
Neonate Default High Alarm Limit 180
Neonate Default Low Alarm Limit 90
Pediatric High Alarm Limits Range 100-239
Pediatric Low Alarm Limits Range 40-150
Pediatric Default High Alarm Limit 160
Pediatric Default Low Alarm Limit 75
Adult High Alarm Limits Range 90-239
Adult Low Alarm Limits Range 30-150
Adult Default High Alarm Limit 140
Adult Default Low Alarm Limit 50
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99
Alarm Limits
EtCO2
Alarm limits for EtCO2 can be adjusted in increments of 5 mmHg.
Parameter EtCO2 (mmHg)
Neonate High Alarm Limits Range 35-70
Neonate Low Alarm Limits Range 5-45
Neonate Default High Alarm Limit 60
Neonate Default Low Alarm Limit 20
Pediatric High Alarm Limits Range 35-70
Pediatric Low Alarm Limits Range 5-45
Pediatric Default High Alarm Limit 60
Pediatric Default Low Alarm Limit 20
Adult High Alarm Limits Range 35-70
Adult Low Alarm Limits Range 5-45
Adult Default High Alarm Limit 60
Adult Default Low Alarm Limit 20
A medium priority alarm is triggered if inhaled CO2(FiCO
Note:
fixed and cannot be changed.
is >15 mmHg. This alarm limit is
2)
Respirations
Alarm limits for respiration rate can be adjusted in increments of 5 breaths per minute.
Parameter Respiration Rate
Neonate High Alarm Limits Range 15-100
Neonate Low Alarm Limits Range 10-40
Neonate Default High Alarm Limit 65
Neonate Default Low Alarm Limit 20
Pediatric High Alarm Limits Range 10-60
Pediatric Low Alarm Limits Range 5-25
Pediatric Default High Alarm Limit 40
Pediatric Default Low Alarm Limit 10
Adult High Alarm Limits Range 10-60
Adult Low Alarm Limits Range 5-25
Adult Default High Alarm Limit 25
Adult Default Low Alarm Limit 5
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Operating Instructions
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