The information in this User Guide applies to the ZOLL AutoPulse Resuscitation System Model 100.
ZOLL shall not be liable for errors contained herein or for incidental or consequential damages in
connection with the furnishing, performance, or use of this material.
Table C-1 AutoPulse Parts and Accessories ............................................................................C-1
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Preface
This document describes the operating steps and maintenance requirements for the AutoPulse®
Resuscitation System Model 100 (also known as the AutoPulse).
Proper use of the AutoPulse requires a thorough understanding of the product, appropriate training and
practice.
Please read the entire User Guide before operating the AutoPulse.
Who Should Read this Guide0
This document should be read by personnel who will use this product and who are trained in Basic Life
Support (BLS) and/or Advanced Life Support (ALS) techniques. This includes emergency medical
technicians, paramedics, nurses, physicians, police, and fire rescue personnel, and people certified to
administer cardiopulmonary resuscitation (CPR).
General Warnings and Precautions0
Warning:
•The AutoPulse is intended for use on adults, 18 years of age or older.
•The AutoPulse is not intended for patients with traumatic injury (wounds resulting from
sudden physical injury or violence).
•When CPR is indicated, it should start immediately and should not be postponed.
•The AutoPulse must be used only in cases that manual CPR would normally be initiated.
Personnel certified in manual CPR must always be present during the AutoPulse System
operation.
•The AutoPulse Platform is not intended to be the sole means of carrying a patient. The
AutoPulse Platform should be secured to the top of a backboard or other equipment used to
carry or transport the patient, if necessary. During transport, regular checks of the patient’s
alignment should be performed.
•Failure to properly position the LifeBand® at the patient’s armpit line may cause injury to
the patient.
•Do not place or position the patient on the AutoPulse Platform in either a facedown
orientation or on the patient’s side.
•If a system error occurs, immediately revert to manual CPR.
P/N 12555-001 Rev 3Page ix
Warning:
•If a user advisory or fault cannot be cleared or a system error occurs during active operation,
immediately revert to manual CPR.
•Do not strap across, or otherwise constrain, the LifeBand. Constraining the movement of the
LifeBand can damage or break the LifeBand.
•Do not touch the patient while the AutoPulse is analyzing the patient’s size.
•Failure to properly position a patient, both vertically and laterally with respect to the
AutoPulse Platform, may cause injury to the patient.
•If you must move or realign the patient, you must press the Stop/Cancel button before
adjustment.
•Do not place your hands or any other objects on or under the LifeBand while the AutoPulse
is analyzing the patient or during active operation.
User Guide
•Operating the AutoPulse on a patient for extended periods of time may result in minor skin
irritation to the patient.
•Check the patient’s chest rise during ventilation during active operation.
•Do not use the AutoPulse in the presence of an oxygen-rich (greater than 25% oxygen)
atmosphere, flammable anesthetics, or other flammable agents (such as gasoline). Using the
AutoPulse near the site of a gasoline spill may cause an explosion.
•No modification of the AutoPulse Platform, the LifeBand, or the AutoPulse Power System
is allowed.
Caution: United States federal law restricts this device to sale by or on the order of a licensed physician.
Caution: The AutoPulse is designed to be used only with ZOLL-approved accessories. The AutoPulse
will perform improperly if non-approved accessories are used.
Caution: Only use ZOLL Batteries specifically designed for use with the AutoPulse. The use of other
batteries may cause permanent damage to the AutoPulse and will void the warranty.
Caution: Make sure that the LifeBand is not twisted before automatic compressions begin.
Caution: Do not submerge the AutoPulse Platform in liquid.
Caution: Use care while using sharp instruments around the LifeBand.
Caution: Do not block the vents of the AutoPulse.
Caution: Do not use the AutoPulse alone as a patient transportation aid.
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SN
IP24
Caution: Straps or restraints used for transportation purposes must not interfere with the operation of
the AutoPulse. Specifically, straps across the patient’s chest may restrict the compression/
decompression of the chest. In general, strapping schemes must not alter the alignment of the
patient to the AutoPulse.
Caution: Motion can cause the patient to shift and restraints to loosen, so care should be given to the
initial strapping for alignment of the patient to the AutoPulse. Regular checks of patient
alignment to the AutoPulse and alignment of the LifeBand to the patient's mid-axillary line
should be made if the AutoPulse is performing active compressions, or before active
compressions are restarted.
Caution: Remove the protective plastic cap from the Battery before attempting to charge the Battery.
Caution: Do not autoclave the AutoPulse Platform, the LifeBand, or the AutoPulse Power System.
Caution: Retain the original product literature for future reference.
Symbols0
The symbols below may be found in this User Guide, on the AutoPulse Platform, or on the LifeBand.
Follow instructions for use
Date of Manufacture
Manufacturer
Authorized Representative
Serial Number
Defibrillation Protected, Type BF Patient Connection
Degree of Protection Provided by Enclosure Per IEC 60529
Do Not Reuse—Single Use Only
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1Introduction of the AutoPulse
For years, a variety of attempts have been made to overcome the limitations of manual cardiopulmonary
resuscitation (CPR). ZOLL has developed a practical solution as an adjunct to the method used by
medical professionals to perform CPR chest compressions. The AutoPulse is the resulting product.
®
1.1Indication for Use
The AutoPulse is intended to be used as an adjunct to manual CPR, on adult patients only, in cases of
clinical death as defined by a lack of spontaneous breathing and pulse.
1.2Description of the System
The AutoPulse is an automated, portable, battery-powered chest compressor, which provides chest
compressions as an adjunct to performing manual CPR (see Figure 1-1). Use of the AutoPulse is
intended to reduce the impact of rescuer fatigue and will enable the rescuer to address additional patient
needs.
The AutoPulse has the following operating parameters:
•Chest displacement: equal to 20% reduction in anterior-posterior chest depth.
•Consistent compression rate and depth.
•Physiological duty cycle: fixed at 50 ± 5%.
•Standardized 30:2, or 15:2 compressions (30 or 15 compressions followed by two consecutive 1.5
second ventilation pauses) or continuous compressions (user selectable).
Table 1-1 provides the patient/AutoPulse operating parameters.
Table 1-1Patient/AutoPulse Operating Parameters
Patient ParameterAutoPulse Specification
Patient chest circumference permitted29.9 to 51.2 in. (76 to 130 cm)
Patient chest width permitted9.8 to 15 in. (25 to 38 cm)
Maximum patient weight permitted300 lbs.(136 kg)
P/N 12555-001 Rev 3Page 1-1
Figure 1-1The AutoPulse System
LifeBand
AutoPulse Platform
User Control Panel
Li-Ion Batteries
(Primary and Spare)
NiMH Batteries
(Primary and Spare)
or
Multi-Chemistry
Battery Charger
User Guide
1.3System Components
Figure 1-1 shows the main components of the AutoPulse System.
The AutoPulse consists of the following:
•AutoPulse Platform
•LifeBand
•AutoPulse Power System
1.3.1AutoPulse Platform
The AutoPulse Platform contains the mechanical drive mechanism, control system, and electronics
necessary to generate and control the force required to perform mechanical chest compressions. User
controls and indicators are contained in the User Control Panel.
Figure 1-2 shows the patient surface (front) and back surface details of the AutoPulse Platform. The
AutoPulse Platform features carry handles to facilitate transporting it to the scene of the arrest.
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User Guide
Cooling Vent
Cooling Vent
LifeBand
®
Roller Guide
AutoPulse
Slotted Drive Shaft
Battery
ON/OFF Button
User Control Panel
Start/Continue Button
Stop/Cancel Button
Carry Handle
Patient Alignment
Reference
Patient Surface
Back Surface
Figure 1-2AutoPulse Platform (Patient and Back Surfaces)
1.3.2LifeBand Load-distributing Band (LDB)
The LifeBand is a load-distributing band (LDB) that consists of a cover plate and two bands integrated
with a compression pad with a Velcro® fastener. Attached to the AutoPulse Platform, the LifeBand is
automatically adjusted to the patient and provides compressions to the patient's chest in the region of the
heart. The latex-free LifeBand is a single-use component that is attached to the AutoPulse Platform
before each use.
1.3.3AutoPulse Power System
The AutoPulse Power System consists of a battery and battery charger:
•Battery: the AutoPulse Li-Ion Battery (a Lithium-Ion battery), or the AutoPulse NiMH Battery (a
Nickel-Metal Hydride battery)
•Battery charger: the AutoPulse Multi-Chemistry Battery Charger (which charges both the
AutoPulse NiMH Battery and the AutoPulse Li-Ion Battery)
Batteries: Both the AutoPulse Li-Ion Battery and the AutoPulse NiMH Battery are proprietary,
rechargeable, removable batteries, and each is designed to supply power for AutoPulse operation. Both
Batteries are mechanically keyed to the AutoPulse Platform and to the AutoPulse Multi-Chemistry
Battery Charger to facilitate correct installation. One end of each Battery contains connections for power
and communication to the Charger and to the AutoPulse Platform. A Battery Status Check button
illuminates both Batteries’ status light-emitting diodes (LED’s).
P/N 12555-001 Rev 3Page 1-3
User Guide
ON/OFF button
User Control Panel
Battery Charger: The AutoPulse Multi-Chemistry Battery Charger is a stand alone unit designed to
charge and automatically maintain both the AutoPulse Li-Ion Battery and the AutoPulse NiMH Battery.
The Multi-Chemistry Battery Charger has two charging bays, and each bay has its own indicators.
AutoPulse Batteries should always be properly maintained and be fully charged and ready for use before
deploying the AutoPulse.
For more information, refer to the AutoPulse Power System User Guide.
1.4User Controls and Indicators
1.4.1ON/OFF Button
The ON/OFF button is located adjacent to the Battery on the AutoPulse Platform (see Figure 1-3).
Pressing the ON/OFF button once powers up the AutoPulse Platform and initiates a self-test. The User
Control Panel’s green Power LED lights up. Pressing the ON/OFF button again powers down the
AutoPulse Platform.
Figure 1-3ON/OFF Button Location
1.4.2User Controls
All user controls and indicators (except the ON/OFF button) are contained in User Control Panel (see
Figure 1-4).
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User Guide
Stop/Cancel
Stop/Cancel LED
To ne Mute
Decrease Contrast
Increase Contrast
Move Up
Select Choice
Move Down
Menu/Mode Switch
Start/Continue
Start/Continue LED
Display Panel
Alert LED (red)
Power
LED (green)
Figure 1-4User Control Panel
1.4.2.1Start/Continue Button
The green Start/Continue button is active when “Start” or “Continue” appears on
the display panel above the button and its green LED is illuminated.
Use the Start/Continue button to start or continue:
•Analyzing patient size
•Chest compressions
1.4.2.2Stop/Cancel Button
The orange Stop/Cancel button is active when “Stop”, “Quit”, “No Realign” or
“Cancel” appears on the display panel above the button and its orange LED is
illuminated.
Use the Stop/Cancel button to stop or cancel:
•Analyzing patient size (see Figure 3-9)
•Chest compressions (the AutoPulse releases the tension on the LifeBand)
(see Figure 3-11)
•Verify patient alignment pause (see Figure 3-10)
P/N 12555-001 Rev 3Page 1-5
1.4.2.3Menu/Mode Switch Button
On initial power-up the gray Menu/Mode Switch button functions as the Menu
button. Pressing this button allows you to:
1.Enter the communication mode
2.View last patient session information
3.View AutoPulse Platform information
4.View AutoPulse Battery information
For a complete description of the available information and how to access it,
refer to section Section 3.7, “Viewing AutoPulse Platform Information,” on page
3-19. For more information on the Communication Mode, see Section 3.8,
“Uploading AutoPulse Information to your PC,” on page 3-20.
While the AutoPulse is actively doing compressions this button may function as
the Mode Switch button. The Mode Switching feature is only active when the
“30:2 or Continuous” or “15:2 or Continuous” option has been set in Mode
section of the Administration Set-up (refer to section Section 2.3,
“Administrative Menu: User Pre-set Options,” on page 2-11). If the “30:2 or
Continuous” or “15:2 or Continuous” option has been set, the Mode Switch
button will allow you to switch on-the-fly between 30:2 and Continuous or 15:2
and Continuous compression modes respectively.
User Guide
The current mode (either “30:2”, “15:2” or “CONTINUOUS”) is displayed on
the upper left portion of the User Display.
1.4.2.4Move Up/Move Down Button
These buttons allow you to highlight for selection different menu or list items.
Pressing the Move Up button (upward pointing triangle) moves up to the next
menu item.
Pressing the Move Down button (downward pointing triangle) moves down to
the next menu item.
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1.4.2.5Select Choice Button
Pressing the Select Choice button selects the currently highlighted menu or list
item.
1.4.2.6Tone Mute Button
c
The ventilation and pause tones are always generated at the appropriate times by
the system and cannot be turned off, but they can be muted for a short period of
time as set in the Administration Menu (refer to section Section 2.3,
“Administrative Menu: User Pre-set Options,” on page 2-11). Selecting the Tone
Mute button will mute or enable the audible tone feedback generated by the
AutoPulse. When the audio feedback is audible, pressing the Tone Mute button
will mute it. When the audio feedback is muted, pressing the Tone Mute button
will make it audible once again.
Once audio feedback has been muted with the Tone Mute button, it will
automatically be reactivated when one of the following occurs:
1.The Mute Duration time set in the Administrative Menu has expired.
2.You press the Tone Mute button again.
3.You press the Start/Continue button to begin compressions.
4.You press the Stop button during compressions.
5.A low battery condition is reached (refer to section Section 1.4.3, “Low
Battery Warning,” on page 1-9).
6.You switch between compression modes (refer to Figure 3-13 on page
3-13).
The icon displayed on the User Control Panel display when tones are audible.
The icon displayed on the User Control Panel display when tones are muted.
P/N 12555-001 Rev 3Page 1-7
1.4.2.7Increase/Decrease Contrast Button
Pressing the Increase Contrast button (plus sign) increases the contrast of the
display panel screen. Each key press increases the contrast of the display panel
screen by one level.
There are a total of eight contrast levels.
Pressing the Decrease Contrast button (minus sign) decreases the contrast of the
display panel screen. Each key press decreases the contrast of the display panel
screen by one level.
You can adjust the contrast of the display panel screen at any time the AutoPulse
Platform is powered up.
User Guide
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30:2
LOW BATTERY
1.4.2.8Power (Green LED)
The green Power LED lights whenever the AutoPulse is powered on and able to respond to user input.
1.4.2.9Alert (Red LED)
The red Alert LED lights whenever a user advisory, fault or system error condition exists for the
AutoPulse. For a list of advisory, fault and error conditions, refer to Chapter 5, “Troubleshooting
Procedures”.
1.4.3Battery Charge Status
The User Control Panel displays the battery charge status. The Battery charge status icon only appears
when the AutoPulse is powered up.
Indicates the level of charge of the Battery. A graphic battery icon indicating four
proportional levels of battery charge is displayed.
Figure 1-5Low Battery Warning
When five minutes of active operation remain on a Battery, the User Control Panel will give a “Low
Battery” indication (see Figure 1-5). The “Low Battery” indication will remain on until the Battery is
replaced or depleted. The Low Battery warning display will be accompanied with an audio warning of
four rapid beeps which will be followed by two beeps every 30 seconds until the battery is replaced or
depleted. It is recommended that, if available, a fully-charged Battery be exchanged for the Battery with
the low charge.
P/N 12555-001 Rev 3Page 1-9
User Guide
To exchange Batteries:
1.Press the Stop/Cancel button.
2.Press the ON/OFF button.
3.Remove the Battery (refer to Section 2.2, “Battery Installation and Removal” for more information).
4.Install the fully-charged Battery (refer to Section 2.2, “Battery Installation and Removal” for more
information).
5.Resume chest compressions (refer to Section 3.2, “Starting Chest Compressions” for more
information).
Table 1-2Battery Charge Status Indicator Specifics
Battery Charge Icon Bars ShowingCharge Level
No bars showing.The Battery has been depleted. Replace the Battery
immediately.
One bar showing.The Battery’s capacity is less than one-third of a full charge.
Be prepared to exchange this Battery with a fully-charged
Battery.
Two bars showing.The Battery’s capacity is between 33% and 66% of a full
charge.
Three bars showing.The Battery’s capacity is between 66% and 100% of a full
charge.
All bars showing.The Battery is fully charged.
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1.4.4Performance Characteristics
The basic operating characteristics of the AutoPulse are shown in Table 1-3.
Duty cycle50 (± 5%)
Compression depth20% of chest depth, +0.25/-0.5 inch
•
30:2 (30 compressions with two 1.5 second ventilation pauses)
•
Continuous compressions
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1
Cover Plate
LifeBand plate alignment arrow
Band Clip
Ta il End
Head End
Slotted Drive Shaft
Guide Plate
1
2
2
2Preparing the AutoPulse for Use
The AutoPulse System is delivered fully assembled, except for the LifeBand and the AutoPulse Battery.
2.1LifeBand Load-distributing Band (LDB)
Note:Do not cut the LifeBand before removing it from the AutoPulse. Cutting the LifeBand may
cause the AutoPulse to report a Fault and will require specific steps to clear that Fault.
2.1.1Installing the LifeBand
1.Power off the device.
2.Place the AutoPulse Platform with the patient surface facing down on a smooth, flat surface.
Note:The driveshaft should be oriented so that the slot faces directly upward.
3.Insert the head end of the LifeBand band clip into the driveshaft slot. The correct direction is
towards the LifeBand plate alignment arrow seen on the Platform (see Figure 2-1).
Figure 2-1Sliding the LifeBand Band Clip into the Driveshaft Slot
4.Once the head end of the LifeBand band clip is positioned into the slot, press the tail end of
the band clip into the slot of the guide plate until the band clip is fully seated in the driveshaft. You
should feel it lock into place.
P/N 12555-001 Rev 3Page 2-1
User Guide
5.Make sure that the band clip is seated properly and fully into the slot on the driveshaft (see Figure
2-2).
Note:If the band clip is properly seated, you should be able to turn the driveshaft in each
direction by hand.
Figure 2-2Seating the LifeBand Band Clip Properly into the Driveshaft Slot
6.Ensure that both free ends of the LifeBand are oriented flat (not twisted) and away from the
AutoPulse Platform. Inspect the LifeBand for any cuts or tears. Do not use the LifeBand if cuts or
tears are present.
7.Line up the arrow on the LifeBand cover plate with the matching arrow on the Platform.
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LifeBand Cover Plate
Alignment Arrows
Belt Guard
8.Snap the LifeBand cover plate in place by fully inserting the locking tabs into the slots on the
AutoPulse (see Figure 2-3).
Figure 2-3Snapping the LifeBand Cover Plate into Place
9.Flip down and snap into place the hinged belt guards of the LifeBand cover plate to engage the
LifeBand chest bands to the rollers (see Figure 2-4).
Figure 2-4Flip Down the Hinged Belt Guards of the LifeBand
P/N 12555-001 Rev 3Page 2-3
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