Zoll AED Pro User manual
and
Operator’s Guide
9650-0350-01 Rev. GJune 2009
An issue date and revision level for this guide appear on the title page.
If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if
additional product information updates are available.
ZOLL, AED Pro, AED Plus, CPR-D•padz, stat•padz, pedi•padz, RescueNet, Real CPR Help,
See-Thru CPR, “Advancing Resuscitation. Today.” and M Series are registered trademarks of ZOLL
Medical Corporation. PowerCharger, Rectilinear Biphasic, and SurePower are trademarks of ZOLL
Medical Corporation. All other trademarks and registered trademarks are property of their respective
owners.
Copyright © 2009 ZOLL Medical Corporation. All rights reserved.
Table of Contents
Ch a p t e r 1 Product Overview
Defibrillation........................................................................................................................ 1-2
Defibrillation Modes ....................................................................................................1-2
Semiautomatic Mode Defibrillation and CPR Monitoring....................................................1-2
Manual Mode Defibrillation.................................................................................................1-3
ECG Monitoring..................................................................................................................1-3
Audio Recording.................................................................................................................1-4
Nonrescue Mode ................................................................................................................1-5
Data Transfer ..............................................................................................................1-5
Device Configuration ..................................................................................................1-5
Standby State......................................................................................................................1-5
Automatic Shutoff................................................................................................................1-5
Accessories ........................................................................................................................1-6
A-W Accessories ........................................................................................................1-7
The Front Panel..................................................................................................................1-8
Display Screen ..........................................................................................................1-10
Chapter 2 Getting Started
Installing a Battery Pack.....................................................................................................2-2
CHANGE BATTERY Warning ....................................................................................2-4
Preparing the Unit for Clinical Use......................................................................................2-5
Performing a Self-Test ........................................................................................................2-6
Automatic Self-Tests ...................................................................................................2-6
Manual Self-Test .........................................................................................................2-6
Preconnecting the Defibrillation Electrodes Cable..............................................................2-7
Messages ...........................................................................................................................2-8
Ch a p t e r 3 Semiautomatic Mode
Applying Defibrillation Electrode Pads................................................................................3-2
Applying Defibrillation Electrode Pads — Adult CPR-D•padz .....................................3-3
Applying Defibrillation Electrode Pads — Adult CPR stat•padz ................................. 3-5
CPR Monitoring with CPR-D•padz and CPR stat•padz ..............................................3-6
Applying Defibrillation Electrode Pads — Adult stat•padz II .......................................3-7
Applying Defibrillation Electrode Pads — Infant/Child pedi•padzII ............................3-8
Semiautomatic Defibrillation ...............................................................................................3-9
Start with CPR Option ...............................................................................................3-12
Messages in Semiautomatic Mode ...........................................................................3-12
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TABLE OF CONTENTS
Ch a p t e r 4 Manual Mode
About Manual Mode............................................................................................................4-2
Switching to Manual Mode..................................................................................................4-3
Manual Defibrillation ...........................................................................................................4-4
See-Thru CPR....................................................................................................................4-5
Messages in Manual Mode...............................................................................................4-10
Chapter 5 ECG Monitoring Mode
About ECG Monitoring........................................................................................................5-2
ECG Electrode Placement..................................................................................................5-3
Applying ECG Electrodes...................................................................................................5-4
Monitoring the ECG Rhythm...............................................................................................5-6
Monitoring with ECG Electrodes .................................................................................5-6
Monitoring with Defibrillation Electrodes .....................................................................5-7
Messages in ECG Monitoring Mode...................................................................................5-8
Ch a p t e r 6 Nonrescue Mode
Entering Nonrescue Mode..................................................................................................6-2
Data Storage.......................................................................................................................6-3
Device History .............................................................................................................6-3
Patient Clinical Data ...................................................................................................6-3
Communicating with an External Device............................................................................6-4
Setting Up Data Communications with an IrDA Connection .......................................6-4
Downloading Data to a USB Device ...........................................................................6-4
Setting the Date and Time..................................................................................................6-5
Device Configuration ..........................................................................................................6-6
ZOLL Administration Software............................................................................................6-6
Installing ZOLL Administration Software .....................................................................6-6
RescueNet Code Review Software ............................................................................6-7
Messages in Nonrescue Mode...........................................................................................6-8
Chapter 7 Troubleshooting and Maintenance
General Troubleshooting....................................................................................................7-2
ECG Monitoring Troubleshooting........................................................................................7-4
Defibrillator Troubleshooting...............................................................................................7-5
Cleaning the Unit................................................................................................................7-6
Optional Maintenance for Technical Professionals.............................................................7-7
Ap p e n d i x A Specifications
Device Specifications..........................................................................................................A-2
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Battery Pack Specifications................................................................................................A-5
Guidance and Manufacturer’s Declaration — Electromagnetic Emissions.........................A-6
Electromagnetic Immunity Declaration (EID) ..............................................................A-7
Rectilinear Biphasic Waveform Characteristics................................................................A-10
Clinical Trial Results for the M Series Biphasic Waveform...............................................A-13
Randomized Multicenter Clinical Trial for Defibrillation of Ventricular Fibrillation
(VF) and Ventricular Tachycardia (VT) ...................................................................A-13
ECG Analysis Algorithm Accuracy....................................................................................A-15
Ap p e n d i x B Rechargeable Battery Packs
Managing Rechargeable Battery Packs .............................................................................B-2
Recharging and Testing Battery Packs...............................................................................B-2
Achieving Optimal Performance with Rechargeable Batteries...........................................B-3
Ap p e n d i x C Configurable Settings
Descriptions of AED Pro Configurable Settings..................................................................C-2
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TABLE OF CONTENTS
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Preface
The AED Pro® and AED Pro® A-W from ZOLL Medical Corporation is a portable, automated
external defibrillator (AED) intended for use by trained rescuers to provide emergency
defibrillation and to monitor patient ECG during treatment.
This Preface contains the following sections:
• “How To Use This Guide” on page vi
• “Safety Considerations” on page vii
• “Equipment” on page xi
• “Intended Use” on page xvi
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide v
PREFACE
How To Use This Guide
The AED Pro Operator’s Guide provides information that operators need for the safe and
effective use and care of the AED Pro device. Before operating this device, be sure to read and
understand all the information contained within.
This guide also describes device setup and maintenance procedures.
Separate chapters in this document describe use of the device in either semiautomatic or
manual mode.
Manual Updates
ZOLL Medical Corporation provides manual updates to inform customers of changes in device
information and use. Customers should carefully review each update to understand its
significance, and then file the u pdate in its appropriat e section within the manual for subsequent
reference.
Product documentation is available through the ZOLL website at www.zoll.com. From the
Products menu, choose Product Documentation.
Related Manuals
In addition to this manual, the following ZOLL publications provide information about this
product and related products and accessories:
REF Title
9650-0054-01
9650-0120-01
9651-0801-01 AED Pro Simulator Operator’s Guide
9650-0535-01 SurePower™ Charger Station Operator’s Guide
9650-0536-01 SurePower Battery Pack Guide
Conventions
This guide uses the following conventions:
Within text, the names and labels for physical buttons and softkeys appear in boldface type (for
example, “Press the Shock button or the DISARM softkey”).
This guide uses uppercase italics for audible prompts and for text messages displayed on the
screen (for example, DON’T TOUCH PATIENT, ANALYZING).
ZOLL Base PowerCharger
ZOLL Base PowerCharger
4x4
Operator’s Manual
1x1
Operator’s Manual
WARNING! Warni ng stat ements aler t yo u to cond itions o r ac tions that can result in personal injury
or death.
Caution Caution statements alert you to conditions or actions that can result in damage to the unit.
vi www.zoll.com 9650-0350-01 Rev. G
Safety Considerations
All operators should review these safety considerations before placing the AED Pro unit into
service.
These operating instructions describe the functions and proper operation of the AED Pro unit.
This manual does not substitute for a formal training course. Operators must obtain formal
training from an appropriate authority before using this device for patient care.
Follow all recommended maintenance instructions. If a problem occurs, obtain service
immediately. Do not use the device until it has been inspected by appropriate personnel.
Do not disassemble the unit. A shock hazard exists. Refer all problems to authorized service
personnel.
The AED Pro unit is capable of delivering 200 jou les. To completely deactivate the unit, turn it
off and remove the battery pack.
To manually disarm a charged (or charging) defibrillator, do one of the following:
• Turn the unit off for at least 3 seconds.
• Press the DISARM softkey (manual mode only).
For safety, the AED Pro unit automatically disarms a fully charged defibrillator after
60 seconds in manual mode or 30 seconds in semiautomatic mode if the Shock button is not
pressed.
Safety Considerations
General
Federal (U.S.A.) law restricts this device to use by or on the order of a physician.
Proper operation of the unit and correct electrode placement are critical to obtaining optimal
results. Operators must be thoroughly familiar with proper device operation.
The use of external defibrillation electrodes or adapter devices from sources other than ZOLL
is not recommended. ZOLL Medical Corporation makes no representations or warranties
regarding the performance or effectiveness of its products when used with defibrillation
electrodes or adapter devices from other sources. Device failures attributable to the use of
defibrillation electrodes or adapters not manufactured by ZOLL might void the warranty on the
ZOLL equipment.
This device is protected against interference from radio frequency emissions typical of the
two-way radios and cellular phones (digital and analog) used in emergency service or public
safety activities. You should assess the device’s performance in your typical operating
environment to determine the like lihood of radio frequency interference (RFI) from high-power
sources. Radio frequency interference can cause shifts in the monitor baseline, trace
compression, changes to brightness of the display, or transient spikes on the screen.
The AED Pro unit might not perform to specifications when stored at the upper or lower
extreme limits of storage temperature and then immediately put into use.
Do not use or stack the unit with other equipment. If the unit is used or stacked with other
electrical equipment, verify proper operation before using it.
Do not use or place the unit in service if it beeps while turned off.
The use of accessories or cables other than those specified in this manual may result in
increased emissions or decreased immunity of the AED Pro.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide vii
PREFACE
Do not use or place the unit in service if the Ready indicator (at the upper righ t of the front
panel) shows a red “X”.
Defibrillation
Emergency defibrillation should be performed only by appropriately trained, skilled personnel
who are familiar with the operation of the equipment. The prescribing physician should
determine what training, such as Advanced Cardiac Life Support (ACLS) or Basic Life Support
(BLS) certification, is appropriate for operating this device.
ECG analysis
A patient must be motionless during ECG analysis. Do not touch the patient during analysis.
Cease all patient movement by stretcher or vehicle before beginning ECG analysis in
semiautomatic mode.
Cardiopulmonary resuscitation (CPR)
Before performing CPR, place the patient on a firm surface.
Battery care
Keep a fully charged spare battery pack with the device at all times.
When the unit displays the message CHANGE BATTERY, immediately replace the battery pack
with a fully charged one.
Regular use of a partially charged battery pack without fully recharging it between uses might
permanently reduce the battery’s capacity and result in early failure.
Regularly test rechargeable battery packs. A rechargeable battery pack that does not pass its test
could fail without warning.
Do not disassemble a battery pack or dispose of it in fire. Do not try to recharge a
nonrechargeable battery pack. If mistreated, a battery pack might explode.
Dispose of battery packs in accordance with federal, state, and local regulations. Battery packs
should be shipped to a reclamation facility for recovery of metal and plastic compounds as the
proper method of waste management.
Operator Safety
Do not use the unit near oxygen-rich atmospheres, flammable anesthetics, or other flammable
agents (such as gasoline).
Do not use the unit within standing water.
Before discharging the defibrillator, warn everyone to stand clear of the patient.
Do not discharge the defibrillator except as indicated in the instructions. Discharge the
defibrillator only when defibrillation pads are properly attached to the patient. Never discharge
the unit with the defibrillation pads shorted together or in open air.
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Safety Considerations
Electrical shock
Before defibrillation, be sure to disconne ct from the patient all el ectromedical equi pment that is
not defibrillation-protected. Keep defibrillation electrodes away from all other equipment
attached to the patient and from metal objects in contact with the patient.
During defibrillation, do not touch the bed, the patient, conductive material, or any equipment
connected to the patient; a severe shock can result. To avoid hazardous pathways for the
defibrillation current, do not allow exposed portions of the patient’s body to touch any metal
objects, such as a bed frame.
Accessory equipment
The use of accessory equipment that does not comply with the equivalent safety requirements
of the AED Pro device could reduce the level of safety of the resulting system. When selecting
accessory equipment, consider the following:
• Use of the accessory in the patient vicinity
• Evidence that the safety certification of the accessory has been performed in accordance
with the appropriate IEC (EN) 60601-1 and/or IEC (EN) 60601-1-1 harmonized national
standards.
Patient Safety
The AED Pro unit detects ECG electrical signals only and does not detect a pulse (effective
circulatory perfusion). Always verify pulse and heart rate by physical assessment of the patient.
Never assume that the display of a nonzero heart rate means that the pat ient has a pulse.
ECG rhythm analysis does not warn of patient asystole, which is not a shockable rhythm.
Do not connect the AED Pro to a PC or other device (via the USB port) while the unit’s
electrodes are still connected to the patient.
Check electrical leakage levels before use. Leakage current might be excessive if more than one
monitor or other piece of equipment is connected to the patient.
Do not use this equipment in the presence of electrosurgery.
Defibrillation pads and ECG electrodes
Check the expiration date on the electrode packaging. Do not use electrodes that have passed
their expiration date.
Do not use defibrillation pads or ECG electrodes if the gel is dried or damaged; patient burns or
poor quality ECG signals might result from using such electrodes.
Poor adherence or air pockets under defibrillation pads can cause arcing, skin burns, or reduced
energy delivery . To minimize burning, apply freshly opened and undamaged defibrillation pads
to clean and dry skin. Excessive body hair or wet, diaphoretic skin can inhibit electrode pad
coupling (contact) with the skin. Clip excess hair and dry any moisture from the area where an
electrode pad is to be attached.
To prepare for an emergency, keep the defibrillation electrode cable connected to the unit at all
times, even when the unit is not in use.
Use only high-quality ECG electrodes. ECG electrodes are for mo nitoring only; you cannot use
ECG electrodes for defibrillation.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide ix
PREFACE
Implanted pacemakers
Do not place electrodes directly over an implanted pacemaker. Implanted pacemakers might
cause the heart rate meter or ECG rhythm analysis to count the pacemaker rate during incidents
of cardiac arrest or other arrhythmia. Carefully observe pacemaker patients. Check the patient’s
pulse; do not rely solely on heart rate meters. Patient history and physical examination are
important factors in determining the presence of an implanted pacemaker.
Cautions
Do not sterilize the device or the ECG monitoring cable.
Do not immerse any part of the device into water.
Do not use ketones (such as MEK or acetone) on the device.
Avoid using abrasives (including paper towels) on the display screen and IrDA port.
Restarting the Device
Certain events require a restart of the AED Pro unit after it shuts off, encounters an error, or
becomes inoperative. If such an event occurs, always try to restore device operatio n as follow s
before seeking alternative methods of patient monitoring or treatment:
1. Press and hold the On/Off button for 1 second to turn the unit off.
2. After the unit has shut down, wait at least 3 seconds.
3. Press and release the On/Off button to restart the unit.
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Equipment
Before unpacking the AED Pro unit, carefully inspect each shipping container for damage. If
the container or cushioning material is damaged, keep it until you have checked the contents for
completeness, and the unit has been tested for mechanical and electrical integrity.
Examine the unit for any signs of damage that might have occurred during sh ipping. Review
the shipping list to ensure that you received all ordered items. If the contents are incomplete, if
there is mechanical damage, or if the device does not pass its electrical self-test (as indi cated by
a red “X” in the Ready indicator after battery installation), conta ct the ZOLL Technical Service
Department or the nearest ZOLL authorized representative. If the shipping container is
damaged, notify the carrier also.
Symbols Used on the Equipment
The following symbols might appear in this document or on the AED Pro unit, battery packs,
electrodes, or shipping materials.
Symbol Description
Equipment
Dangerous voltage.
Attention, consult accompanying documents.
Fragile, handle with care.
Keep dry.
This end up.
Temperature limitation.
Conformité Européenne Complies with medical device directive 93/42/EEC.
Defibrillator-proof type BF equipment.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide xi
PREFACE
2%452.
,%!$
2%#9#,%
0B
RETURN
Li-ION
RECYCLE
Li-ION
Symbol Description
Defibrillator-proof type CF equipment.
Contains lead. Recycle or dispose of properly.
Contains lithium. Recycle or dispose of properly.
Keep away from open flame and high heat.
Do not open, disassemble, or intentionally damage.
Do not crush.
Nonrechargeable battery.
Do not discard in trash. Recycle or dispose of properly.
Date of manufacture.
Use by.
Latex-free.
Do not reuse.
xii www.zoll.com 9650-0350-01 Rev. G
Symbol Description
Do not fold.
Not sterile.
Nonionizing electromagnetic radiation.
Manufacturer.
Authorized representative in the European Community.
Equipment
Serial Number.
Catalogue number.
Consult instructions for use.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide xiii
PREFACE
FDA Tracking Requirements
U.S. Federal Law (21 CFR 821) requires the tracking of defibrillators. Under this law, owners
of this device must notify ZOLL Medical Corporation if this product is
• received
• lost, stolen, or destroyed
• donated, resold, or otherwise distributed to a different organization
If any such event occurs, contact ZOLL Medical Corporation in writing with the following
information:
1. Originator’s organization – Company name, address, contact name, and contact phone
number
2. Part number, model number, and serial number of the device
3. Disposition of the device (for example, received, lost, stolen, destroyed, distributed to
another organization), new location and/or organization (if known and different from
originator’s organization) – company name, address, contact name, and contact phone
number
4. Date when the change took effect
Please address the information to:
ZOLL Medical Corporation
Attn: Tracking Coordinator
269 Mill Road
Chelmsford, MA 01824-4105
Fax: (978) 421-0025
Tel: (978) 421-9655
Notification of Adverse Events
Under the Safe Medical Devices Act (SMDA), health care providers are responsible for
reporting to ZOLL Medical Corporation, and possibly to the FDA, the occurrence of certain
events.
These events, described in 21 CFR Part 803, include device-related death and serious injury or
illness. In addition, as part of our Quality Assurance Program, ZOLL Medical Corporation
requests to be notified of device failures or malfunctions. This information is required to ensure
that ZOLL Medical Corporation provides only the highest quality products.
xiv www.zoll.com 9650-0350-01 Rev. G
Contacting Technical Service
The AED Pro unit is calibrated at the factory, and does not require periodic recalibration or
adjustment. If a unit requires service, contact the ZOLL Technical Service Department.
Telephone: 1-800-348-9011 (within the U.S.A. only)
1-978-421-9655
Fax: 1-978-421-0010
When requesting service, please provide the following information to the service
representative:
• Unit serial number
• Description of the problem
• Department using the equipment and name of the person to contact
• Purchase order to allow tracking of loan equipment
• Purchase order for a unit with an expired warranty
Returning a unit for service
Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service
request (SR) number from the service representative.
Equipment
Remove the battery pack from the unit. Pack the unit with its cables in the original containers
(if available) or equivalent packaging. Be sure the assigned service request number appears on
each package.
s
For customers Return the unit to
ZOLL Medical Corporation
269 Mill Road
In the U.S.A.
In Canada
In other locations
Chelmsford, MA 01824-4105
Attention: Technical Service Department (SR number)
Telephone: 1-800-348-9011
ZOLL Medical Canada Inc.
1750 Sismet Road, Unit #1
Mississauga, Ontario L4W 1R6
Attention: Technical Service Department (SR number)
Telephone: 1-866-442-1011
The nearest authorized ZOLL Medical Corporation representative.
To locate an authorized service center, contact the International Sales
Department at
ZOLL Medical Corporation
269 Mill Road
Chelmsford, MA 01824-4105
Telephone: 1-978-421-9655
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide xv
PREFACE
Intended Use
The AED Pro unit is intended to defibrillate victims of ventricular fibrillation or pulseless
ventricular tachycardia, for ECG monitoring, and for CPR monitoring of patients. The CPR
monitoring function provides a metronome designed to encourage rescuers to perform chest
compressions at the AHA/ERC recommended rate of 100 compressions per minute. Voice and
visual prompts encourage a compression depth of 1.5 to 2 inches (3.8 to 5.0 cm) for adult
patients.
Indications for Use
Use of the device for defibrillation is indicated on victims of cardiac arrest with apparent
lack of circulation as indicated by
• Unconsciousness
• Absence of breathing, and
• Absence of pulse and other signs of circulation.
When the victim is less than 8 years old or weighs less than 55 lb. (25 kg), use ZOLL
pedi•padz® II pediatric defibrillation electrodes. Do not delay therapy to determine the
patient’s exact age or weight.
The device is also intended for use when ECG monitoring is indicated to evaluate the patient’s
heart rate or ECG morphology.
Contraindications for Use
Defibrillation
Never use the AED Pro unit for defibrillation when the patient
• Is conscious
• Is breathing, or
• Has a detectable pulse or other sign of circulation.
CPR Monitoring
The CPR monitoring function is not intended for use on patients under 8 years of age.
Intended Users
In semiautomatic mode, the AED Pro unit is intended to be used by rescuers and emergency
care personnel who have completed training and certification requirements applicable to the
use of a defibrillator where the operator controls delivery of shocks to the patient.
In manual mode, the AED Pro unit is intended to be used only by qualified medical personnel
trained in Advanced Life Support skills.
In ECG monitoring mode, the AED Pro unit is intended to be used by personnel who are
qualified by training in the use of the AED Pro device, basic life and/or advanced life support,
or other physician-authorized emergency medical trainin g.
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Defibrillator Precautions
Inappropriate defibrillation of a patient (for example, with no malignant arrhythmia) can
precipitate ventricular fibrillation, asystole, or other dangerous types of arrhythmia.
Without proper application of electrode pads, defibrillation might be ineffective and cause
burns, particularly when repeated shocks are necessary. Erythema or hyperemia of the skin
under the defibrillation pads often occurs. This reddening effect, often enhanced along the
perimeter of the pad, should diminish substantially within 72 hours.
Defibrillator output energy
The AED Pro unit can deliver as much as 200 joules into a 50 ohm impedance. The energy
delivered through the chest wall, however, is determined by the patient’s transthoracic
impedance.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide xvii
AED PRO OPERATOR’S GUIDE
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9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide xviii
Chapter 1
Product Overview
The AED Pro device provides the following clinical modes:
• Semiautomatic defibrillation with CPR monitoring
• Manual defibrillation
• ECG monitoring
To guide the operator through rescue protocols, the AED Pro unit issues instructions through
text messages displayed on its screen and by voice prompts played through a speaker.
This chapter introduces the AED Pro unit, and contains the following sections:
• “Defibrillation” on page 1-2
• “Semiautomatic Mode Defibrillation and CPR Monitoring” on page 1-2
• “Manual Mode Defibrillation” on page 1-3
• “ECG Monitoring” on page 1-3
• “Audio Recording” on page 1-4
• “Nonrescue Mode” on page 1-5
• “Standby State” on page 1-5
• “Automatic Shutoff” on page 1-5
• “Accessories” on page 1-6
• “The Front Panel” on page 1-8
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide 1–1
CHAPTER 1PRODUCT OVERVIEW
Defibrillation
The AED Pro unit uses the ZOLL Rectilinear Biphasic™ waveform and ZOLL single-use
defibrillation electrode pads for defibrillation.
Escalating energy levels for the first three shocks are preconfigured into the unit for adult and
pediatric patients. (The unit selects the appropriat e levels by detecting the type of defibrillation
electrode pads in use.) After the first three shocks, all subsequent shocks are delivered at the
same energy as the third shock.
The factory default energy levels in joules are as follows:
First shock Second shock Third shock
Adult 120 150 200
Pediatric 50 70 85
For more information, refer to Appendix C, “Configurable Settings”.
Defibrillation Modes
The AED Pro unit can be manufactured to run in one of three defibrillation modes:
• Semiautomatic Mode Defibrillation with CPR Monitoring
• Manual Mode Defibrillation
• Semiautomatic Mode Defibrillation with CPR Monitoring and Manual Mode Override
Semiautomatic Mode Defibrillation and CPR Monitoring
When the AED Pro unit is configured to run in semiautomatic mode or semiautomatic mode
with manual mode override, the unit starts up in semiautomatic mode unless an AED Pro ECG
cable is attached to the unit.
In semiautomatic mode, the unit analyzes the patient’s ECG through the defibrillation electrode
pads attached to the patient. If the unit detects a shockable rhythm, it automatically charges to
the appropriate (preconfigured) energy level. Once the defibrillator is fully charged, the Shock
button begins flashing. The unit also emits a charge-ready tone, and directs the rescuer to press
the Shock button to deliver therapy. In semiautomatic mode, the rescuer must deliver the shock
within 30 seconds of full charge, otherwise the defibrillator automatically disarms itself, and
the unit resumes ECG analysis.
After delivering a shock, the unit continues analyzin g the patient’ s ECG, guiding the rescuer to
perform CPR or to deliver additional shocks, if needed.
®
The unit also provides CPR monitoring if ZOLL CPR-D•padz
defibrillation electrodes are attached. CPR-D•padz and CPR stat•padz include a sensor to
monitor the rescuer’s chest compression rate and depth. The compression data enables the unit
to guide the rescuer to perform effective CPR. The unit can be preconfigured to prompt the
rescuer to perform a period of CPR before the first ECG analysis cycle begins.
or CPR stat•padz
®
For more information, refer to Chapter 3, “Semiautomatic Mode”.
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Manual Mode Defibrillation
In manual mode, the rescuer controls each step of defibrillation therapy. The AED Pro unit
displays patient ECG data and heart rate on the screen. The rescuer uses this information to
determine whether or not the patient has a shockable rhythm.
If the AED Pro unit is configured for semiautomatic mode defibrillation with ECG monitoring
enabled and manual mode override, and the ECG cable is not attached, the AED Pro unit starts
in semiautomatic mode at power up. If the AED Pro unit is configured for manual mode
defibrillation, the AED Pro unit runs only in manual mode.
When a shock is deemed necessary, the rescuer charges the defibrillator by pressing the
CHARGE softkey to charge the unit to the preconfigured energy level.
Note: Defibrillation energy levels are preconfigured and cannot be changed during clinical
use.
Once the defibrillator is fully charged, the Shock button begins flashing. The unit also emits a
charge-ready tone, continuously for the first 50 seconds, and then intermittently for the final
10 seconds. The rescuer must deliver the shock within this 60-second period, otherwise the
defibrillator automatically disarms itself. To recharge the unit, the rescuer must press the
CHARGE softkey again.
For more information, refer to Chapter 4, “Manual Mode”.
Manual Mode Defibrillation
ECG Monitoring
The optional ECG monitoring mode provides ECG rhythm and heart rate display, as well as
performing background ECG analysis to detect shockable rhythms. If the AED Pro unit detects
a shockable rhythm during monitoring, it immediat ely alerts the rescuer through displayed and
voiced prompts; if defibrillation pads are attached, the unit automatically switches to
semiautomatic mode.
For ECG monitoring, you can use
• AED Pro-compatible defibrillation electrode pads
• Standard ECG electrodes (with an AED Pro ECG cable)
While ECG electrodes (not defibrillation electrode pads) are connected to the unit, the only
available mode is ECG monitoring.
All ECG monitoring is performed in the lead II configuration. The operator cannot select
another lead.
For more information, refer to Chapter 5, “ECG Monitoring Mode”.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide 1–3
CHAPTER 1PRODUCT OVERVIEW
Audio Recording
When installed and enabled, the Audio Recording Option allows the AED Pro unit to record up
to 20 minutes of continuous audio and clinical event data during a rescue. (The AED Pro unit
can record and store at least 5.8 hours of clinical event data when the Audio Recording Option
is disabled.) The recorded audio data is synchronized to the clinical event data.
Note: The AED Pro unit records up to 3 minutes of audio data prior to electrode placement.
The AED Pro unit can record and store data for only a single rescue when audio recording is
enabled — when the electrode pads are placed on the patient, the unit deletes any stored data
(ECG, Audio, and Event data) and begins recording data from the current rescue.
When you start the AED Pro unit in Non-rescue Mode, it does not delete stored rescue data.
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Nonrescue Mode
The AED Pro unit provides the following functions in nonrescue mode :
• Data transfer
• Device configuration
The following sections briefly describe these functions. For more information, refer to
Chapter 6, “Nonrescue Mode”.
Data Transfer
The AED Pro unit includes nonvolatile memory, which automatically records
• Device history
• Clinical data
Stored information can be transferred to a remote device (such as a comput er) th ro ugh a USB
device or an IrDA (infrared wireless) connection. The clinical data format is compatible with
ZOLL RescueNet
data.
The unit retains the device history and clinical data even when powered off or when the battery
pack is removed. Clinical d ata is erased only when the device is powered on and electrodes are
attached to a new patient. If configured to do so, the unit can store data for more than one
patient.
Nonrescue Mode
®
Code Review software, which can be used to review and analyze the patient
Device Configuration
The AED Pro unit provides configurable settings that can be used to tailor the device for local
rescue protocols and procedures. Using the ZOLL Administration Software on a personal
computer, you can view or modify the unit’s configuration.
Standby State
When the unit is turned off with a go od ba ttery i nstalle d, the unit enters sta ndby stat e. While in
standby, the unit periodically starts up automatically to perform a self-test, and then returns to
standby . The Ready indicat or shows the result of the self-test. The frequency of self-tests wh ile
the unit is in standby state is a configurable setting.
Automatic Shutoff
The unit automatically powers off if no patient connection is detected within 10 minutes
(configurable).
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide 1–5
CHAPTER 1PRODUCT OVERVIEW
Accessories
The following related accessories and equipment are available.
Item REF
Adult CPR-D•padz electrodes 8900-0800-01
Adult CPR stat•padz electrodes 8900-0400
Adult stat•padz
Pediatric pedi•padz
ECG electrodes: 3 ECG electrodes/pouch (200
pouches / 600 electrodes)
AED Pro ECG cable
Defibrillation analyzer (universal) adapter cable 8000-0804-01
Rechargeable PD 4410 battery pack
Disposable sealed lithium manganese dioxide battery
pack
AED Pro carry bags
Molded vinyl case with spare battery compartment
IrDA adapter for personal computer
AED Pro simulator 8000-0829-01
See-Thru CPR
AED Pro ZOLL Administration Software (ZAS) CD 9658-0800-01
RescueNet Code
Windows: installation CD and Getting Started Guide
AED Pro Service Manual 9650-0309-01
AED Pro Simulator Manual 9651-0801-01
SurePower Charger Station 8050-0030-01
SurePower Battery Pack 8019-0535-01
®
II electrodes
®
®
simulator
®
Review Standard software for
II electrodes
Smart Ready
Soft carry case
Hard case with foam cut-outs
AAMI
IEC
Standard
Smart
USB
RS-232
8900-0801-01
8900-0810-01
8900-0003
8000-0838
8000-0839
8004-0009
8004-0103-01
8004-0104-01
8000-0860-01
8000-0810-01
8000-0832-01
8000-0875-32
8000-0815
8000-0816
8009-0751-01
8000-0608-01
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A-W Accessories
The following accessories are also available for the AED Pro A-W.
Item REF
CPR-D•padz® one piece defibrillation and CPR
System Adult Electrode (Airworthy Certified)
Airworthy stat•padz
Electrodes w/ Ferrite (1 pair) (Airworthy Certified)
Airworthy stat•padz® II Adult Multi-Function
Electrodes w/ Ferrite (Case of 12) (Airworthy
Certified)
AED Pro ECG Cable AAMI (Airworthy Certified) 8000-0838
AED Pro A-W non-rechargeable lithium battery pack
(Airworthy Certified)
®
II Adult Multi-Function
Accessories
8900-0800-01
8900-0840-30
8900-0841-30
8000-0860-30
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide 1–7
CHAPTER 1PRODUCT OVERVIEW
On/Off button
Ready
indicator
Display screen
Shock button
Patient cable
connector
Softkeys
Battery compartment
latch
Battery compartment
cover
IrDA port
Speaker
ZM040001A
Microphone
(optional)
ZM050001A
USB connector
(inside battery compartment)
The Front Panel
Figure 1-1 shows the front panel of the AED Pro unit. Table 1-1 describes each of the unit’s
front panel features.
Figure 1-1. AED Pro Front Panel
Figure 1-2. USB Connector
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The Front Panel
ZM040010A
This connector is a defibrillator-proof type BF patient
connection.
Table 1-1. AED Pro Front Panel Features
Feature Description
Shock button When the defibrillator is fully charged and ready, the Shock button
repeatedly flashes. To deli ver a shock, press and hold the button.
On/Off button To start the unit, press this button and release it within 5 seconds.
To start the unit in nonrescue mode, press and hold this button for
more than 5 seconds.
To turn the unit off and place it in standby state, press and hold this
button for 1 second.
Ready indicator Shows the status of the unit, based on
its last self-test.
A green check indicates the unit is
ready for use.
A red “X” indicates the unit is not ready
for use.
IrDA port Provides a way to connect the unit to an external device for
transferring patient data, unit status information, or conf ig uration
information.
Speaker Issues voice prompts and alerts.
Battery compartment Holds the battery pack.
Battery compartment latch Provides access to the battery compartment.
Softkeys Directly below the display, two unlabeled buttons control various
functions depending on the operating mode. Labels for the softkeys
appear at the bottom of the display above each softkey to indicate
its function.
Patient cable connector Used for plugging in defibrillation electrodes or an AED Pro ECG
cable.
USB connector Allows you to download patient data to a USB device.
Microphone (optional) Allows the AED Pro Unit to record audio rescue data. Only AED Pro
units that have been ordered with the Audio Recording Option have
a microphone installed.
9650-0350-01 Rev. G ZOLL AED Pro Operator’s Guide 1–9
CHAPTER 1PRODUCT OVERVIEW
Display Screen
The display screen shows the following items (depending on the activity in progress):
Elapsed time — Shows the total time (in hours, minutes, and seconds) since the unit was
turned on. The counter resets to 00:00:00 after 23 hours, 59 minutes, and 59 seconds, or when
the unit is turned off.
ECG size — Shows the amplitude scale for the displayed ECG in centimeters per millivolt
(cm/mV). The device adjusts the scale automatically.
Heart rate and heartbeat symbol — (Manual and ECG monitoring modes only) Shows the
current heart rate in beats per minute. The symbol flashes with each detected heartbeat.
Chest compression depth gauge— Shows the depth of chest compression during CPR when
ZOLL CPR-D•padz are connected. The bar extends downward as the depth of compression
increases, with scale marks representing 0, 1.5 inches, and 2 inches.
Softkey labels — Labels for the softkeys appear at the bottom of the display directly above
each softkey to indicate its function.
Text prompts and messages — In semiautomatic mode, text prompts guide the rescuer. In all
modes, messages alert the operator about problem conditions.
ECG rhythm — Displays the patient’s ECG.
Shock symbol and number of shocks delivered — Shows the number of shocks delivered
since the unit was powered on.
Current mode — Displays MANUAL in manual mode, or MONITOR in ECG monitoring
mode. No mode label appears in semiautomatic mode.
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