9650-0201-01 Rev. U Printed in U.S.A. September 2002
An issue or revision date for this manual appears on the front cover.
If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if additional product
information updates are available.
ZOLL, PD, stat.padz, PowerCharger, Connect Alarm, ZOLL Data Control Software, Smart Alarms, Speed Pack, and
Preconnect are trademarks of ZOLL Medical Corporation. 12SL and Catalyst MUSE are trademarks of GE Medical Systems.
Copyright 2002 by ZOLL Medical Corporation. All rights reserved.
The M Series is designed with several user selectable features that allow operators to configure the
device according to their protocols and local requirements. This manual describes the configuration
options and how to change them. This manual also lists the configurable features, options and
default settings. Some features are available to manual mode operators only.
The default settings shown below are for North American units only. To print the current
configuration of your unit, while the unit is in the configuration mode, press the Print Config
softkey.
The following features are not currently implemented in the M Series products: Voice Markers and
Auto Self-Test. Refer to the Configuration Options Table Section for specific features that are not
currently implemented.
CONFIGURING THE UNIT
CAUTION
After the unit has been off for 10 seconds or more, simultaneously press and hold the rightmost and
leftmost softkeys. Turn the selector switch to MONITOR or ON while holding the buttons
depressed for approximately four (4) seconds. After four (4) seconds the following screen will
appear.
Users entering System Configuration for the first time must enter the default pass code (00000000)
for System Configuration to continue.
Press the 0 (zero) softkey. This will move the highlight to the next digit. Repeatedly press the 0
(zero) softkey until all eight digits have been entered. The Configuration Pass code screen will then
automatically advance to the Select Language menu.
To change one of the entered digits use the Delete softkey to highlight the incorrect digit and reenter the correct code.
1
CONFIGURATION GUIDE
Select Language
The first configurable option displayed after entering the correct pass code, is the Select Language
menu. Press the Prev Value and Next Value softkeys to move the highlight from one language to
the other.
* Note: Some M Series units include software that allows the device to operate in either of two
languages. If the languages displayed do not meet your needs contact ZOLL Technical Service for
a language upgrade.
Press the Enter softkey to select the highlighted language and move to the Main Configuration
menu. All subsequent configuration menus will be in the selected language. Press the Exit Config
softkey to display the following three choices:
Press the Prev Item or Next Item softkey to scroll the highlight to the desired function. Press the
Enter softkey to activate the selected function.
If the Return to Main Menu is selected, the unit will then display the Select Language menu
described in the previous section.
Caution: Print out the summary report before changing languages. If a summary report containing
Code Marker events is printed after changing languages, the Code Marker events will not match.
2
Main Configuration Menu
The Main Configuration menu is displayed whenever the Enter softkey is depressed from the
Language Select menu or the Main Menu softkey is depressed while displaying other system
configuration screens.
This menu provides the following five (5) softkey options: Print Config, Restore Defaults, Read
From Card, Change Config, and Exit Config.
Print Config
Pressing the Print Config softkey will cause the unit to print, via the strip chart recorder, the
current unit configuration settings.
Restore Defaults
Pressing the Restore Defaults softkey causes the unit to reconfigure it to its default settings. (See
the Configuration Options Table section). The display language is the only setting, which if
different from the default, will not change. Once the default setting s have been restored the
“Defaults Restored” and “Press Change Config to View” messages will be displayed.
3
CONFIGURATION GUIDE
Read From Card
Pressing the Read From Card softkey prompts the user to choose either a language or
configuration card. The following screen will be displayed.
To move the highlighted area from LANGUAGE to CONFIGURATION and vice versa, press the
Prev Item and Next Item softkeys. Press the Enter softkey to begin reading and storing the
language settings or configuration settings from the user insta lled memory card.
If a language card has been read and loaded, the “Card Read” message displays. If a configuration
card has been read and loaded, the “Card Read” and “Press Change Config to View” messages
display (see below):
If there is an error reading the memory card, one of the following error messages will be displayed
on the monitor.
ERROR MESSAGE DEFINITION
CARD READ FAILED No response from card reader
BAD CARD Cannot read from card.
WRONG CARD TYPE Card is the wrong type.
CONFIG DATA NOT COMPATIBLE Internal software is unable to read card
data.
NO CARD INSERTED Card is not installed in PCMCIA slot.
CARD EMPTY No data on card.
4
Change Config
Pressing the Change Config softkey causes the unit to display the first configuration option menu.
There are three user configurable features contained within each option menu. (Refer to the
Configuration Options Table Section for all available options and default settings).
5
CONFIGURATION GUIDE
CONFIGURATION SETTINGS
A description of each configurable feature is displ ayed in the left column of the option menu and
that feature’s current setting is shown in the right column.
Pressing the Change Value softkey allows you to sequence through the available settings for the
highlighted feature. When the desired setting is displayed, pressing the Next Item softkey will
enter the selection and move the highlight to the next feature. Pressing the Prev Item softkey will
enter the selected setting and move the highlight to the previously selected feature. Pressing the
Main Menu softkey will cause the unit to return to the Main Configuration menu (See Main
Configuration Menu Section). Pressing the Exit Config softkey will cause the unit to display the
“Save Changes and Exit” screen.
NEXT MENU is displayed on the screen when other option menus are available. Press the Next Item softkey until the new menu is displayed.
PREV MENU is displayed on the screen when other previously displayed option menus are
available. Press the Prev Item softkey until the previous menu is displayed.
Notch Filter
Sets the ECG Notch filter frequency for proper AC mains interference rejection.
Allow Card Erase
When set to YES, allows the user to erase PCMCIA data cards on the M Series unit.
Display Elapsed Time
When enabled, the elapsed time since the unit was turned on will be shown on the display screen.
The elapsed time will continue to be counted for up to 10 seconds after power down. This will give
the operator adequate time to change the battery without resetting the elapsed timer. Elapsed time
will be reset to zero (0:00) whenever the unit has been off for more than 10 seconds.
6
Voice Markers Enabled
When voice markers are enabled, the unit will record five seconds of audio data in internal memory
immediately following each depression of the CODE MARKER button. This audio recording
along with a time stamp can be played back when the SUMMARY button is pressed.
Note: This option is not yet implemented.
Set Report Restart Delays
Allows review of, or changes to the length of time the device must be turned off before it erases all
data stored in either summary report memory or trend memory.
With Set Report Restart Delays highlighted and Set/Review selected, press the Change Value
softkey. The following screen displays:
Pressing the Change Value softkey will scroll the highlight through the available delay times.
Pressing the Prev Item and Next Item softkeys will scroll the highlight to the next or previous
restart delay feature.
Pressing the Enter softkey will cause the unit to return to the main configuration menu.
Print 12 Lead 4x3
This setting determines how many copies of a 12-lead 4x3 report will print after pressing and
holding the RECORDER button for three seconds. When set to “1 Copy” or “2 Copies” one or
two copies of the 12-lead 4x3 report will print. When set to “None”, pressing and holding the
RECORDER button will cause a one or three lead DIAG BANDWIDTH ECG strip to be printed.
Auto Self-Test Timeout Period
This option allows the time between tests to be programmed or the automatic tests to be disabled.
The unit is capable of automatically running a self-test at seven to thirty day intervals. If the unit is
off, plugged in, and the test connector is attached to the Multi -Function cable, the unit will test the
battery status, charge and discharge the defibrillator, measure the amplitude and timing of the
pacing waveform, and measure the impedance of the test port.
Note: This option is not yet implemented.
7
CONFIGURATION GUIDE
Async Softkey in Pace Mode
This feature causes the unit to display the Async Pacing On/Off softkey when the unit is in pace
mode.
Code Markers
Allows review of or changes to the preconfigured list of Code Markers available for use in PACER,
MONITOR, and DEFIB modes.
Note: MONITOR Code Markers are not used in AED Models.
With Code Markers hig hlighted and Config/Review selected, press the Change Value softkey. The
following screen displays:
Pressing the Change Value softkey will change the highlighted setting from Change/Review to Set
to Defaults and vice versa.
Pressing the Prev Item and Next Item softkeys will scroll the highlight to the next or previously
highlighted code markers feature.
Pressing the Enter softkey when the Change/Review option is highlighted for one of the code
markers features causes the following screen to be displayed (This example shows the Defib Code
Markers screen).
Pressing the Change Value softkey will highlight the first clinical action in the Marker List column
and change the softkeys so that a new clinical action may be entered (shown below).
Pressing the Prev Marker and Next Marker softkeys scroll the highlight through the entire
Marker List. Press the Enter Marker softkey to replace the highlighted item in the Defib Markers
column with the highlighted clinical action in the Marker List.
8
Pressing the Prev Item or Next Item softkeys will scroll the highlight to a different item number in
the Defib Markers column.
Pressing the Delete to End softkey will delete all configured Defib markers from the highlighted
item number to the end of the list. The user can then enter new clinical actions for each item.
Pressing the Return softkey will return the unit to the Change/Review Code Markers display
where the user can choose Defib, Monitor or Pace Code Markers.
Pressing the Return softkey again causes the unit to return to the previous menu.
Device Identifier
Sets an eleven-digit device identifier code. This code is divided into two sub codes (Site ID, eight
alphanumeric characters, and Device ID, three alphanumeric characters). The device identifier is
printed on the 12-lead strip chart, summary report, fax and Catalyst™ MUSE® printouts.
Catalyst MUSE is a registered trademark of GE Medical Systems.
Note: If you are transmitting 12-lead ECG data to a Catalyst MUSE system, it is recommended that
you set up the device identifier.
Pressing the Change Value softkey causes the following screen to display:
Pressing the Prev Letter softkey moves the highlight left to the previous entered digit.
Pressing the Inc Letter or Dec Letter softkeys increments or decrements the selected digit.
Pressing the Next Letter softkey moves the highlight right to the next digit to be entered.
Pressing the Enter softkey selects the values that have been entered and returns to main
configuration menu.
Manual Mode Passcode (Advanc ed AED Models)
Allows the three-digit Manual Mode Passcode to be set or changed. Each digit entered can only be
set between 0 (zero) and 3 (three) inclusive.
Entering “000” as the pass code disables password protection of the Manual Mode. When “000” is
selected, no password is required to enter the Manual Defibrillation Mode.
9
CONFIGURATION GUIDE
Pressing the Change Value softkey causes the following screen to display:
Pressing the Prev Digit softkey moves the highlight left to the previous entered digit.
Pressing the Inc Digit or Dec Digit softkeys increments or decrements the selected digit.
Pressing the Next Digit softkey moves the highlight right to the next digit to be entered.
Pressing the Enter softkey selects the values that have been entered and returns to m ain
configuration menu.
Configuration Mode Passcode
Sets an eight digit Configuration Passcode. Each digit entered can only be set between 0 (zero) and
3 (three) inclusive.
Pressing the Change Value softkey causes the following screen to display:
Pressi ng the Prev Digit softkey moves the highlight left to the previous entered digit.
Pressing the Inc Digit or Dec Digit softkeys increments or decrements the selected digit.
Pressing the Next Digit softkey moves the highlight right to the next digit to be entered.
Pressing the Enter softkey selects the values that have been entered and returns to main
configuration menu.
Energy Level: Shock 1, 2, 3
Selects the energy levels used for the 1st, 2nd, and 3rd consecutive shocks the defibrillator delivers
when:
In semi-automatic or advisory mode and using pads
•
In manual mode, using external paddles or pads, and Basic Auto Energy Escalation setting =
•
“Yes”
Energy level 1 is the energy level the unit defaults to when the power is turned on with external
paddles or pads connected. For more information about the Basic Auto Energy Escalation setting,
see the “Basic Auto Energy Escalation” section of this manual.
10
Auto Analyze 3 Times
Sets the unit to automatically repeat ECG rhythm analyses after the delivery of shocks in the AED
and Advisory Modes. When set to “Yes”, the unit automatically analyzes the patient’s ECG rhythm
after the first and second shocks in each three-shock sequence. Following delivery of the third
shock automatic reanalysis is halted and the “CHECK PULSE” message is displayed. This
indicates that the three shocks sequence has been completed and the patient's pulse should be
checked. This function only operates when the “Auto Charge in Advisory Mode” configuration
option is also enabled.
When set to “Only in Semi-auto,” the unit functions as described above only when it is in AED
semi-auto mode. If the unit is changed to Manual mode when set to “Only in Semi-auto”, any
automatic analysis/reanalysis sequencing terminates. If the Analyze button is pressed, the unit
analyzes only once.
"NO SHOCK ADVISED" Prompt
Changes the display message and the voice prompt issued after analysis of non-shockable rhythm.
"CHECK PATIENT" Prompt
Changes the display message and the voice prompt issued when a shockable rhyth m has been
detected by background ECG analysis and Heart Rate Alarms are enabled, or the unit is operating
in Semi-Automatic mode.
Display DO CPR Message
When enabled, the messages “IF NO PULSE” / “PERFORM CPR” will be alternately displayed for
one minute after each set of stacked shocks even if a perfusing rhythm is present.
ECG Rhythm analysis will restart automatically 70 seconds after delivery of the third shock in a
three-analysis/shock sequence. The “CHECK PATIENT” message and voice prompt will also be
inhibited for 70 seconds, following completion of a user activated analysis or discharge. This
feature is operational only when the “Auto Charge in Advisory Mode” and “Auto Analyze 3 times”
configuration options are enabled.
When set to “Only in Semi-auto,” the unit functions as described above only when it is in AED
semi-auto mode.
Display ECG in Semi-Auto Mode
Sets the device to display or not display the patient’s ECG trace on the monitor while in semiautomatic mode.
Store to Card in Auto Monitor Mode (AED)
When enabled, ECG Leads are attached to the patient, MFE Pads are not connected and the
M Series is on, the patient’s ECG trace and voice data are stored automatically to the PCMCIA
card. If disabled, the M Series will not record any data to th e PCMCIA card.
Auto Charge in Advisory Mode
When enabled and a shockable rhythm is detected after pressing the ANALYZE button, the unit
will automatically charge the defibrillator to the pre-configured or user selected energy setting.
11
CONFIGURATION GUIDE
Record to Card in Advisory Mode
The unit can perform one of three different operations in Advisory Mode: record only the patient’s
ECG to the card, record patient’s ECG and voice to the card, or record nothing to the card (None).
Enable Voice In Advisory Mode
Enables or disables voice prompts when operating in Advisory or Manual operating modes. If
enabled, the voice prompts will sound at the appropriate time when in Advisory mode or Manual
mode.
Display Heart Rate in Semi-Auto Mode
Sets the device to display or not displ ay the patient heart rate on the monitor while in semiautomatic mode.
Display Lead on Power-Up
Allows the user to select any one of the following Leads to be displayed on power-up:
Paddles/Pads, I, II, or III. When the unit powers up in semi-automatic m ode, the option is ignored.
The unit will power up in Lead II, and switch leads automatically between leads II and MFE for
Auto Monitor and Auto Defib modes, respectively. When the unit enters Manual Mode (Manual
Mode override sequence is completed), the lead switches to the setting specified in the "Display
Lead on Power Up" option.
Frequency Response
Selects the ECG filter bandwidth to be used during ECG monitoring. The frequency of the device
can be set to either help reduce noise, help with the diagnostic response, or set as a default
response.
Enable 12-Lead in Semi-Auto Mode (AED with 12-Lead)
If set to “Yes,” 12-lead analyses, transmissions and print-outs are available in semi-automatic
(AED) Auto Monitor mode (ECG leads on the patient with MFE Pads disconnected), depending on
other configuration option settings. If set to “No,” 12-lead functions are available in Manual Mode
only.
QRS Volume on Power-Up
Turns the default QRS beeper volume to midrange or off following power up of the unit.
If set to “Off in Semi-Auto Mode,” the QRS beeper volume turns off in semi-auto mode. If the unit
is changed to manual mode, the beeper volume sets to midrange.
Pace Rate Setting on Power-Up
The device is capable of automatically setting the default pace rate between 30 ppm and 102 ppm
(increments of 4 ppm) when the device is turned on.
Display Implanted Pace Spikes
The device is capable of detecting and indicating on the display pacemaker signals from a patient
with an implantable pacemaker. Selecting “Yes” causes a pacemaker marker to be displayed on the
ECG trace whenever implanted pacer stimuli are detected. The Pacemaker spike detector is always
active in ECG leads, independent of this configuration setting. This setting controls spike display
only.
12
Gain On Power-Up
Sets the default SIZE of the displayed ECG signal (AGC, 0.5 cm/mV, 1 cm/mV, 1.5 cm/mV, and 2
cm/mV) when the device is powered-up.
Retain SYNC after Defib
Causes the unit to remain in SYNC mode after a synchronized cardioversion shock. The unit will
remain in SYNC mode until the SYNC button is pressed again or the unit is switched out of Defib
mode.
Auto Generate Strips
Sets the strip chart recorder to automatically begin printing after a defibrillator discharge or
whenever alarms are triggered while in manual mode. (Unit must be equipped with the optional
strip chart recorder feature.)
Print 3 Leads When Leads Sel
When enabled (“Yes” is selected), the strip chart recorder will automatically print three (3)
simultaneous leads of the patient ECG when L eads are selected and a five (5) lead or 12-lead ECG
cable is in use.
Report Memory Card Errors
Allows the user to disable memory card error messages and voice prompts. If this option is set to
"No", all error messages (i.e., “INSERT CARD", "REPLACE CARD", and "CARD FULL”)
related to the use of the memory card will be suppressed. However, if the unit is in manual mode,
or the unit is non-AED, the option is ignored when the "Record to Card in Advisory Mode" option
is set to "No" (no data recording).
Auto Analyze on Power Up (AED Semi-Automatic Mode)
When set to “Yes”, the unit will automatically begin an ECG rhythm analysis as soon as the device
is turned on and pads are properly connected. An “ANALYZING ECG” message will be displayed
for 5 seconds and a “STAND CLEAR” message is displayed and announced indicating the start of
the analysis. If the Auto Analyze 3 Times option is enabled, the analysis will be the first of a threeanalysis sequence. Note: The unit must be turned off for 10 seconds or more for th e analysis to
auto -start when the device is turned on.
Auto Transmit After 12 Lead Analysis
When enabled, the unit will automatically enter the transmission setup screen following completion
of a 12-lead analysis.
To fax using 2x6 format, this must be set to “Yes.”
Fax/Communication Phone Numbers
Allows the user to pre-configure up to 24 locations and phone numbers and delete obsolete phone
numbers. The M Series uses the phone numbers to transmit data to a fax machine or Catalyst
MUSE system following 12-lead analysis.
If you are transmitting to a Catalyst MUSE system, you can configure multiple phone numbers to
access the same system. This will enable you to quickly try alternate numbers if you encounter
difficulty transmitting to the Catalyst MUSE system. The system administrator provides these
numbers when you initially set up access to the system. See Appendix B of the 12-Lead ECG
Monitoring insert for more information.
13
CONFIGURATION GUIDE
You must also configure the Catalyst MUSE site and location identifiers before you can transmit to
a Catalyst MUSE system. See the “MUSE Site and Location” section of this guide.
It is also recommended that you set up the M Series device identifier. See the “Device Identifier”
section of this guide.
Updating Fax/Communication Information
To transmit data to a fax machine or a Catalyst MUSE system, you must configure the following:
•
•
•
To update fax/MUSE communications phone numbers:
1. From the main System Configuration menu, press the Next Item softkey until
2. Press Change Value softkey. The Phone Numbers menu displays:
The location of the medical facility to which data will be transmitted
The phone number to which data will be transmitted
The type of data to be transmitted (“Fax” if transmitting to a fax machine; “Data” if
transmitting to Catalyst MUSE)
“FAX/COMMUNICATION PHONE NUMBERS” highlights.
3. Press Next or Prev softkey until either:
The phone number to be changed highlights
•
An empty line highlights (if adding a new phone number)
•
4. Press Details softkey to select field. Th e Location and Phone Number menu displays:
To update location of medical facility:
1. Press Prev Letter or Next Letter softkey to select letter.
2. Press Inc Letter or Dec Letter softkey to change value of letter.
Repeat steps 1 and 2 until location has been entered.
14
3. Press Enter softkey to move cursor to first digit of phone number.
To update phone number:
1. Press Prev Letter or Next Letter softkey to select digit.
2. Press Inc Letter or Dec Letter softkey to change value of digit.
Repeat steps 1 and 2 until entire phone number has been entered.
3. Press Enter softkey to move cursor to “Fax or Data?” field.
To specify type of phone number:
1. Press Inc Letter softkey to toggle between “Fax” and “Data.” Select “Fax” to transmit to
a fax machine.
Select “Data” to transmit to a Catalyst MUSE system.
2. Press Enter softkey.
Deleting Fax/Communication Information
The following procedure deletes obsolete phone numbers from your M Series unit.
To delete phone numbers:
1. From the main System Configuration menu, press Next Item softkey until
“FAX/COMMUNICATION PHONE NUMBERS” highlights.
2. Press Change Value softkey.
The Phone Numbers menu displays.
3. Press Next or Prev softkey to scroll to phone number.
4. Press Delete softkey to delete phone number.
12 Lead Analysis
This setting cannot be changed in the current version of software.
12 Lead Printout
When set to “Standard” the 12-lead 4x3 printout will use the standard lead format.
When set to “Cabrera” the 12-lead 4x3 printout will use the Cabrera-style lead format.
Print 12 Lead Measurements
When set to “Yes” the 12SL™ Analysis will produce and print a measurements matrix including
measurements for each lead. Global measurements will be produced and printed regardless of this
setting. This setting affects the strip chart and summary report printouts as well as the fax
transmission. When set to “Yes” any faxed 12-lead report will contain two pages. The second
page of the report will contain the computed measurements matrix.
15
CONFIGURATION GUIDE
12 Lead Fax Format
When set to “4x3 Standard” the 12-lead format on the fax output is identical to the format on the
strip chart, with the addition of a 10-second Lead II rhythm strip. (If the 12 LEAD PRINTOUT
configuration option is set to “Cabrera” the fax will be Cabrera as well.)
When set to “2x6” the 12-lead format on the fax output will be configured for two columns of 6
leads, each with 5 seconds of data. The fax will not contain the 12SL interpretative statements or
the 10-second Lead II rhythm strip. In addition, you must set “Auto Transmit After 12 Lead
Analysis” to “Yes.”
The setting “4x3 Median Compl” is supported in software versions higher than 17.00. If “4x3
Median Compl” is selected, the 12-lead ECG waveforms on the strip chart, summary report, and
fax will contain a single median complex beat computed by the GE Medical Systems Information
Technologies 12SL analysis program.
Print 2 Copies 12 Lead
When set to “Yes”, two copies of the 12-lead 4x3 report and 12SL analysis will print on the strip
chart. This setting only affects 12-lead reports generated by pressing the Acquire softkey.
Set Lead Groups
This setting allows the user to configure two custom lead groups as described in the 12-lead user
manual insert. Pressing the Change Value softkey will cause the following screen to appear:
Pressing the Prev Lead softkey will select the previous lead.
Pressing the Next Lead softkey will select the next lead.
Pressing the Change Lead softkey will change the selected lead. Repeatedly pressing this key will
cycle the selected lead through all twelve possibilities.
Pressing the Enter softkey will return to main configuration menu.
12 Lead Freq Response
When set to “0.05-150 Hz 4x3” the 12-Lead Filter Setting defaults to 0.05-150 Hz 4x3. When set
to “0.05-150 Hz Cont.” the 12-Lead Filter Setting defaults to 0.05-150 Hz Cont. When set to
“0.05-40 Hz 4x3” the 12-Lead Filter Setting defaults to 0.05-40 Hz 4x3. Please refer to the 12Lead ECG Monitoring user guide insert for a complete explanation of each setting.
Lead Group Default
When set to “Standard” the 12-Lead Group Setting defaults to Standard. When set to “Custom
Group 1” the 12-Lead Group Setting defaults to the setting defined under Custom Group 1. When
set to “Custom Group 2” the 12-Lead Group Setting defaults to the setting defined under Custom
16
Group 2. Please refer to the 12-Lead ECG Monitoring user guide insert for a complete explanation
of each setting.
Print 12 Lead Interpretation
When set to “Yes” the 12SL interpretative statements will print following the acquisition of a 12lead ECG. This setting affects the strip chart and summary report printouts as well as the fax
transmission.
Defib Default to Pads
When set to “Yes” switching the unit to DEFIB mode will set the active lead to Pads/Paddles
regardless of the configuration setting for “Display Lead on Power-Up.”
Cell Phone Type
This setting controls the active cellular phone profile for PCMCIA modem cards. It has no effect
on landline functionality. Pressing the Change Value softkey selects different phone makes.
Select the phone make corresponding to your target cellular phone. For additional information on
cellular phone compatibility contact The Supply Net, Inc. at www.thesupplynet.com or (800) 826-
0279.
EtCO2 Options
Pressing Set/Review causes a submenu to display, which allows review of or changes to the
following capnography options:
Displayed EtCO2 units (Sets EtCO2 units to mmHg, kPa, or %)
•
Default zoom level (Sets the default scale setting for the displayed capnographic waveform.
•
Does not affect the printed waveform or the waveform data stored on the data card.)
Default EtCO2 comp setting (Sets the default compensation for CO2)
•
Enable Leads Off
When set to “Yes” and ECG leads do not have proper contact with the patient or the cable is not
properly attached to the M Series unit, the ECG LEADS OFF message displays and a dashed line
displays in place of the ECG waveform. Yes is the default setting.
When set to “No” and ECG leads do not have proper contact with the patient or the cable is not
properly attached to the M Series unit, the POOR LEAD CONTACT message and the ECG
waveform display.
Caution: Use care when interpreting ECG waveforms when the POOR LEAD CONTACT
message displays, because the ECG waveform may include a significant amount of artifact.
Whenever possi ble, reattach the leads before interpreting the waveform.
Note: When using 12 Lead or Pacer mode, the M Series unit functions as if this configuration
were set to “Yes.”
NIBP Units
Sets the NIBP unit of measurement to mmHg or kPa.
Note: On CCT models, this option appears as Blood Pressure Units, and applies to both NIBP
and IBP units of measurement.
NIBP Auto Interval Default
Sets the default for the amount of time between automatic measurements.
17
CONFIGURATION GUIDE
Trigger NIBP Meas on BP Alarm
When set to “Yes,” the M Series unit initiates a single additional blood pressure measurement
when any of the NIBP alarms trigger.
Trigger NIBP Meas on HR Alarm
When set to “Yes,” the M Series unit initiates a single blood pressure measurement when heart
rate/pulse rate alarm triggers.
NIBP First Inflate Pressure Default
Sets the default NIBP cuff inflation pressure (the pressure up to which the NIBP cuff inflates at
the beginning of each measurement).
Basic Auto Energy Escalation
When set to Yes, the unit automatically increments the defibrillation energy to the levels specified
in Energy Level: Shock 1, 2, 3 after each of the first two shocks and displays the message
“ENERGY INCREMENTED,” when both of the following are true:
The defibrillator is in Manual mode
•
The defibrillator has external paddles or pads attached
•
Manually changing the energy level outside the pre-programmed sequence and delivering a shock
disables this function until the unit is turned off for more than 10 seconds, then turned back on.
This option increments the energy level regardless of Shock Advisory activation or status. It does
not work with internal handles.
For more information about the energy level settings, see the “Energy Level: Shock 1, 2, 3” section
of this manual.
MUSE Site and Location
Sets the Catalyst MUSE site and location identifiers needed to transmit 12-lead ECG data to a
Catalyst MUSE system. The medical facility’s Catalyst MUSE system administrator provides these
numbers when you initially set up access to the system. The Catalyst MUSE site has a value
between 01 and 32, and the location has a value between 001 and 600.
Note: You must also configure the Catalyst MUSE communications phone number. See the
“Fax/Communication Phone Numbers” section of this guide.
To set the Catalyst MUSE site and location:
1. From the main System Configuration menu, press Next Item softkey until “MUSE SITE AND
LOCATION” highlights.
18
2. Press the Change Value softkey to display the MUSE Site and Location menu:
3. Press Prev Digit or Next Digit softkey to select digit and move to previous or next digit.
4. Press Inc Digit or Dec Digit softkey to change value of digit.
Repeat steps 3 and 4 until site has been entered.
5. Press Enter softkey to move cursor to first digit of location.
Repeat steps 3 and 4 until location has been entered.
6. Press Enter softkey to accept site and location values and return to main configuration menu.
12 Lead Secs Per Lead
Sets the number of seconds of ECG data printed for each lead on the 12-lead 4x3 strip. This setting only
affects 12-lead reports generated by pressing the Acquire softkey.
12 Lead Print Speed
Sets the print speed of the 12-lead 4x3 reports to either 25mm/second or 50mm/second. This setting
only affects 12-lead reports generated by pressing the Acquire softkey.
Upload Baud Rate
Sets the upload transmission rate to 9600 bps, 38400 bps, or 115200 bps. This option is only applicable
to units equipped with RS232 communications hardware.
Trending Report Zoom Level
Sets the power up resolution for the displayed trend report. Trend data values for all physiological
parameters are simultaneously sampled by the M Series and stored in memory once each minute. When
displaying this data in tabular format on the M Series screen, however, the user can choose to view all
or only a subset of the stored trend data. The factory default zoom level causes all one-minute data
samples to be displayed when viewing the trend table. If lower resolution is desired, this configuration
option can be set to display only the samples taken every 5, 10, 15, 30, or 60 minutes. All data samples
are printed on the strip chart regardless of this setting.
Trending Enabled
When set to “YES”, the M Series will print and display trend reports as long as the appropriate
hardware is installed. Defaults to “NO” for units not equipped with the appropriate hardware.
Temperature Unit (CCT Models)
Sets the temperature measurement unit to °F or °C.
19
CONFIGURATION GUIDE
Display Colors (CCT Models)
Allows the user to set individual display colors for parameters displayed on the M Series monitor.
Highlight the Display Colors option and press the Change Value softkey to display the following
screen:
Press the Change Value softkey to scroll through the available colors for each parameter.
Press the Next Item softkey to move to the next parameter in the table.
Press the Return softkey to save the values entered and return to the main configuration menu.
Power Up Trace Selection (CCT Models)
Allows the user to set the parameter displayed on the second and third traces respectively on the
M Series monitor when the unit is powered up.
Highlight the Power Up Trace Selection option and press the Change Value softkey to display
the following screen:
Press the Change Value softkey to scroll through the available parameters for each Trace selection.
Press the Next Item softkey to move to the next Trace selection in the table.
Press the Return softkey to save the values entered and return to the main configuration menu.
20
IBP1 Label at Power Up (CCT Models)
Sets the label assigned to the first IBP channel when the unit is powered up.
IBP2 Label at Power Up (CCT Models)
Sets the label assigned to the second IBP channel when the unit is powered up.
IBP Alarm Limits at Power Up (CCT Models)
Allows review of, or changes to, the power-up default alarm limits for IBP parameters.
Highlight the IBP Alarm Limits at Power Up option and press the Change Value softkey to display
the following screen:
Press the Select Param softkey to scroll through the available parameters.
Press the Inc or Dec softkeys to change the value in the highlighted field.
Press the Next Field softkey to move to the next field in the table.
Press the Return softkey to save the values entered and return to the main configuration menu.
IBP1 Range at Power Up (CCT Models)
Sets the default display scale (in mmHg) for the waveform amplitude of the first IBP channel at
power-up.
IBP2 Range at Power Up (CCT Models)
Sets the default display scale (in mmHg) for the waveform amplitude of the second IBP channel at
power-up.
AED Defib Ready Hold Time (AED Semi-Automatic Mode)
Sets the number of seconds the unit sounds a charge ready tone, indicating that the defibrillator is
charged and ready to use. The charge ready tone stops when you discharge the defibrillator or
when the hold time for the charge ready tone has elapsed. You can set the hold time for the charge
ready tone to 15 seconds or 60 seconds. The default is 15 seconds.
21
CONFIGURATION GUIDE
Battery Type Used
Allows the user to select between the PD 4410 battery (default) and the newer XL battery. To
maximize battery life, it is important that the setting reflect the actual battery in use. Each battery
type has a different threshold for “low battery” and “shutdown”, and has a different Amp-hour
rating.
If an XL battery is installed in an M Series, the user must ensure that the “BATTERY TYPE
USED” is set to “XL Battery.” Otherwise, the M Series may abnormally terminate battery
charging prior to completion when charging a depleted or nearly depleted XL battery. If
battery charging is abnormally terminated, the M Series battery will toggle the “CHARGER
ON” light between amber and green, and, when M Series power is applied, it will display the
message “BATT. OVERCHARGE” on the screen for approximately 30 seconds.
Note that if battery charging is abnormally terminated because the “BATTERY TYPE USED”
has been incorrectly set to “PD 4410”, the XL battery can still be charged to completion by
cycling M Series power from “off” to “on” and then back to “off” to clear this condition.
Incorrectly setting “BATTERY TYPE USED” to “PD 4410” when an XL battery is installed
will cause the “LOW BATTERY” warning message to be displayed on the M Series screen
prematurely.
WARNINGS:
Incorrectly setting the selection to “XL battery” when a PD 4410 battery is installed will
inappropriate ly delay issuance of the “LOW BATTERY” warning and severely limit the
number of defibrillation shocks which can be delivered between the onset of the “LOW
BATTERY” warning message and the M Series shutdown.
Alarm Limits at Power Up
Allows review of, or changes to, the power-up default alarm state and alarm limits for each
physiological parameter installed in the unit.
With Alarm Limits At Power Up highlighted and Set/Review selected, press the Change Value
softkey. The following screen displays:
22
Pressing the Select Param softkey will scroll the highlight through the available parameters.
Pressing the Inc or Dec softkeys increments or decrements the value in the highlighted field.
Pressing the Next Field softkey moves the highlight to the next field in the table.
Pressing the Return softkey selects the values that have been entered and returns to the main
configuration menu.
Alarms Active at Power Up
When set to “Yes”, alarms are automatically active, or “armed”, at power up. The setting applies to
all alarms enabled by the Alarm Limits At Power Up option.
Low Battery Tone
Sets the interval between Low Battery warning beeps to either 1 minute or 5 minutes. The Low
Battery warning message is displayed once per minute, regardless of this setting.
PTCA Settings
Allows review of, or changes to Percutaneous Transluminal Coronary Angioplasty (PTCA) settings
if the M Series includes the 12-Lead Reperfusion Algorithm option.
With PTCA Settings highlighted and Set/Review selected, press the Change Value softk ey to set
the following parameters:
Message Enabled: determines whether or not the M Series unit prints a PTCA message (if
•
appropriate).
Threshold: sets the threshold, in mV, for issuing the PTCA message. Only available if the
•
Message Enabled option is se t to “Yes”.
23
CONFIGURATION GUIDE
CONFIGURATION OPTIONS TABLES
* Refers to features that are currently not implemented in the M Series products. These features will only operate in
accordance with their pre-configured default settings (listed below).
General
FEATURE OPTIONS DEFAULT
Selected Language English, Other English
Notch Filter (ECG) 50, 60 Hz 60 Hz
Allow Card Erase Yes/No Yes
Display Elapsed Time Yes/No AED: Yes
Manual Advisory: No
* Voice Markers Enabled Yes/No No
Set Report Restart Delays
Print 12 Lead 4x3 None/1 Copy/2 Copies None
* Auto Self-Test Time-out Period No Test, 7, 8, 9, 10, 11,12, 13, 14, 15,
Async Softkey in Pace Mode Yes/No Yes
Code Markers Config/Review Config/Review
Device Identifier 0 through 9, A through Z, blank, and _
Manual Mode Pass-Code 0 through 3 inclusive for each digit 0 0 0
Configuration Mode Pass-Code 0 through 3 inclusive for each digit 0 0 0 0 0 0 0 0
Display Lead on Power-Up Paddles/Pads, Lead I, II, or III Paddles/Pads
Frequency Response 0.5-30 Hz, 0.5-40 Hz, 1-30 Hz 0.5-30 Hz
QRS Volum e on Power-Up Midrange, Off Midrange
Pace Rate Setting on Power-Up 30 through 102 ppm
Displayed Implanted Pace Spikes Yes/No Yes
Gain on Power-Up (ECG) AGC, 0.5 cm/mV, 1 cm/mV, 1.5
Report Memory Card Errors Yes/No Yes
Enable Leads Off Yes/No Yes
Upload Baud Rate 9600bps, 38400bps or 115200bps 115200bps
Trending Report Zoom Level All, 5min, 10min, 15min, 30min, 60min All
Trending Enabled Yes/No Yes
Battery Type Used PD 4410, XL Battery PD 4410
Alarm Limits At Power Up Set/Review Set/Review
Alarms Active At Power Up Yes/No No
Low Battery Tone 1, 5 minutes 1 minute
5, 15, 30, 90 minutes, 1.5 days 15 minutes
No Test
16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26,
27, 28, 29, 30 days
0 0 0 0 0 0 0 0 0 0 0
inclusive for each digit
70 ppm
(increments of 4 ppm)
AGC
cm/mV, 2 cm/mV
24
Advisory and Semiautomatic Modes
FEATURE OPTIONS DEFAULT
Energy Level: Shock 1 Damped Sine Wave: 1-10, 15, 20, 30,
Auto Analyze 3 Times Yes/No/Only in Semi-auto Manual: No
“NO SHOCK ADVISED” Prompt “NO SHOCK ADVISED”,
“CHECK PULSE,
BOTH
“CHECK PATIENT” Prompt “CHECK PATIENT”, “PRESS
ANALYZE”
Display “DO CPR” Message Yes/No/Only in Semi-auto Manual: No
Display ECG in Semi-Auto Mode Yes/No Yes
Store to Card in Auto Monitor Mode Yes/No Yes
Auto Charge in Advisory Mode Yes/No Yes
Record to Card in Advisory None, ECG Only, Voice and ECG None
Enable Voice in Advisory Mode Yes/No No
Display Heart Rate in Semi-Auto Mode Yes/No No
Auto-Analyze on Power Up Yes/No No
Enable 12-Lead in Semi-auto mode Yes/No Yes
AED Defib Ready Hold Time 15 seconds, 60 seconds 15 seconds
Auto Generate Strips Yes/No Yes
Retain SYNC after Defib Yes/No No
Print 3 Leads when Leads Sel. Yes/No No
Auto Transmit After 12 Lead Analysis Yes/No No
Fax/Communication Phone Numbers Set/Review Set/Review
12 Lead Analysis Current 10 sec Current 10 sec
12 Lead Printout Standard/Cabrera Standard
Print 12 Lead Measurements Yes/No No
12 Lead Fax Format 4x3 Standard/4x3 Median Compl/2x6 4x3 Standard
Print 2 Copies 12 Ld Analysis Yes/No No
Set Lead Groups Set/Review Set/Review
12 Lead Freq Response 0.05-150 Hz 4x3/0.05-150 Hz Cont./
0.05-40 Hz 4x3
Lead Group Default Standard/Custom Group 1/Custom
Group 2
Print 12 Lead Interpretation Yes/No Yes
Defib Default to Pads Yes/No No
Cell Phone Type Motorola/Nokia/NEC/OKI/
Sony/Ericsson
Basic Auto Energy Escalation Yes/No No
MUSE Site and Location Site: 01-32
Location: 001-600
12 Lead Secs Per Lead 2.5 sec/5.0 sec/7.5 sec/10.0 sec 2.5 seconds
12 Lead Print Speed 25 mm/sec, 50 mm/sec 25 mm/sec
0.05-150 Hz 4x3
Standard
Motorola
Site: 01
Location: 001
26
EtCO2 Option
FEATURE OPTIONS DEFAULT
EtCO2 Options Set/Review Set/Review
Displayed EtCO2 units mmHg/kPa/% mmHg
Default Zoom Level (in mmHg) 0-12.5, 0-25, 0-50, 0-75, 0-
100; (in kPa) 0-1.7, 0-3.3, 0-6.6, 0-10.0,
0-13.3
Default EtCO2
Comp Setting
None, 02, N20,
02 & N20
0-50 mmHg; 0-6.6 kPa
None
NIBP Option
FEATURE OPTIONS DEFAULT
NIBP Units mmHg, kPa mmHg
NIBP Auto Interval Default
Trigger NIBP Meas on BP Alarm Yes/No Yes
Trigger NIBP Meas on HR Alarm Yes/No No
(in mmHg) 120, 140, 160, 180, 200,
220, 240, 260; (in kPa) 16.0, 18.7, 21.3,
24.0, 26.7, 29.3, 32.0, 34.7
160 mmHg
CCT Models
FEATURE OPTIONS DEFAULT
Blood Pressure Units mmHg, kPa mmHg
Temperature Unit ºC, ºF ºF
Display Colors Set/Review Set/Review
Power Up Trace Selection Set/Review Set/Review
IBP1 Label at Power Up P1, ART, PA, CVP, ICP P1
IBP2 Label at Power Up P2, ART, PA, CVP, ICP P2
IBP Alarm Limits at Power Up Set/Review Set/Review
IBP1 Range at Power Up (in mmHg) 0-300, 0-180, 0-120, 0-60,
0-30; (in kPa) 0-40, 0-24, 0-16, 0-8, 0-4
IBP2 Range at Power Up (in mmHg) 0-300, 0-180, 0-120, 0-60,