ZOLL R Series User manual

CONFIGURATION MANUAL
9650-0902-01 Rev. EJuly 2009
ZOLL, R Series, pedipadz, Real CPR Help, “Advancing Resuscitation. Today .” and Code-R eady are registered trademarks, and OneStep is a trademark of ZOLL Medical Corporation. All other trademarks and registered trademarks are property of their respective owners.
Copyright © 2009 ZOLL Medical Corporation. All rights reserved. Microsoft Windows and Microsoft Windows Explorer are registered trademarks of the Microsoft corporation in
Table of Contents
Ch a p t e r 1 Introduction
Entering System Configuration Mode....................................................................................2
Printing Configuration Settings.............................................................................................. 3
Uploading Data from a Compact Flash Card.........................................................................5
Saving Configuration to a Compact Flash Card..................................................................... 7
Restoring Default Values .......................................................................................................8
Accessing and Changing Configuration Settings................................................................... 9
Leaving Configuration Mode................................................................................................10
Ch a p t e r 2 Configuration Settings
General Settings..................................................................................................................12
Device Identifier ...........................................................................................................12
Configuration Mode Passcode .....................................................................................14
Code Markers ..............................................................................................................15
ECG Settings.......................................................................................................................17
Notch Filter ..................................................................................................................17
Display Lead on Power-Up .......................................................................................... 17
Frequency Response ...................................................................................................17
Gain on Power Up .......................................................................................................18
Enable Leads Off .........................................................................................................18
Enable Pacer Detection ............................................................................................... 18
Audio Settings......................................................................................................................19
QRS Volume on Power-Up ..........................................................................................19
Low Battery Tone .........................................................................................................19
Enable Corrective Voice Prompts ................................................................................19
Basic Defibrillation Settings................................................................................................. 20
Defib Default to Pads ...................................................................................................20
Basic Auto Energy Escalation ......................................................................................20
Retain Sync After Defib ...............................................................................................20
Defib Ready Hold Time ................................................................................................21
Enable Remote Sync ................................................................................................... 21
9650-0902-01 Rev. E ZOLL R Series Configuration Manual i
TABLE OF CONTENTS
Advisory Defib......................................................................................................................22
Energy Level: Shock 1 ................................................................................................. 22
Energy Level: Shock 2 ................................................................................................. 23
Energy Level: Shock 3 ................................................................................................. 23
Ped Energy Level Shock 1 ..........................................................................................23
Ped Energy Level Shock 2 ..........................................................................................24
Ped Energy Level Shock 3 ..........................................................................................24
Auto Analyze ................................................................................................................24
Enable Check Pulse Prompt ........................................................................................ 25
Check Patient Prompt ..................................................................................................25
Auto Charge in Advisory Mode .................................................................................... 25
Enable Voice in Advisory Mode ................................................................................... 26
Display DO CPR Message ..........................................................................................26
CPR Message After No Shock Advised .......................................................................27
CPR Message After Shock .......................................................................................... 27
Stacked Shocks ...........................................................................................................28
Restart Analysis After CPR ..........................................................................................28
CPR Interval ................................................................................................................28
CPR Settings.......................................................................................................................29
Enable CPR Voice Prompts .........................................................................................29
Enable CPR Display ....................................................................................................29
Enable CPR Metronome .............................................................................................. 29
Pace Settings.......................................................................................................................30
Pace Rate Setting on Power-Up ..................................................................................30
Async Softkey in Pace Mode ....................................................................................... 30
Alarms Settings....................................................................................................................31
Alarm Limits at Power Up ............................................................................................32
Alarms Active at Power Up ..........................................................................................36
Display Settings................................................................................................................... 37
Display Time ................................................................................................................ 37
Select Trace 2 At Power Up ........................................................................................37
Select Trace 3 At Power Up ........................................................................................38
ECG Color ...................................................................................................................38
SpO
Color ..................................................................................................................38
2
CPR Color ....................................................................................................................38
EtCO
Color ................................................................................................................. 39
2
NIBP Color ................................................................................................................... 39
SPO
at Power Up ....................................................................................................... 39
2
NIBP Settings (Optional)...................................................................................................... 40
Blood Pressure Units ...................................................................................................40
Trigger NIBP Meas on BP Alarm ................................................................................. 40
Trigger NIBP Meas on HR Alarm .................................................................................40
NIBP Auto Interval Default ........................................................................................... 41
Adult Initial Cuff Inflation .............................................................................................. 41
Pediatric Initial Cuff Inflation ........................................................................................ 41
Neonatal Initial Cuff Inflation ........................................................................................ 41
NIBP Patient Mode at Power Up .................................................................................42
NIBP Button Press & Hold ...........................................................................................42
Enable Motion Tolerance ............................................................................................. 42
ii www.zoll.com 9650-0902-01 Rev. E
EtCO2 Settings (Optional).................................................................................................... 43
Default EtCO
Units ..................................................................................................... 43
2
Displayed Zoom Level .................................................................................................43
Default EtCO
Comp Setting ....................................................................................... 43
2
Power Save Mode at Power Up ...................................................................................44
EtCO
Average On Power Up .....................................................................................44
2
Printer & Report Settings..................................................................................................... 45
Set Report Restart Delays ........................................................................................... 45
Auto Generate Strips ...................................................................................................45
Print 3 Leads When Leads Sel. ...................................................................................45
Readiness Test Settings ......................................................................................................46
Automatic Readiness Test ........................................................................................... 46
Readiness Test Time ................................................................................................... 46
Print Readiness Test Results ......................................................................................46
Enable Readiness Test Audible Alert ..........................................................................47
OneStep Padz Installed ............................................................................................... 47
AED Settings .......................................................................................................................48
Display ECG in AED Mode .......................................................................................... 48
Display Heart Rate in AED Mode ................................................................................48
Manual Confirm Enable ............................................................................................... 48
Extra CPR Interval Before 1st Analysis .......................................................................49
Duration of Extra CPR Interval ....................................................................................49
Display Remaining CPR Timer .................................................................................... 49
Wi-Fi Settings (Optional)......................................................................................................50
Full Disclosure Transfer Mode .....................................................................................50
Defib History Transfer Mode ........................................................................................ 50
Infrastructure Mode Options ........................................................................................ 50
DHCP/Static IP ............................................................................................................ 50
Local IP Address ..........................................................................................................51
Gateway IP Address .................................................................................................... 52
Subnet Mask ................................................................................................................ 53
Use DNS ...................................................................................................................... 54
DNS IP Address ...........................................................................................................54
SSID Names (up to 4 entries) ...................................................................................... 55
Server Name (Full Disclosure) .....................................................................................56
Server IP (Full Disclosure) ...........................................................................................57
Server Port (Full Disclosure) ........................................................................................58
Server Name (Defib History) ........................................................................................59
Server IP (Defib History) ..............................................................................................60
Server Port (Defib History) ...........................................................................................62
Security Level ..............................................................................................................63
WEP Keys (up to 4 entries) .........................................................................................63
Infrastructure Mode and Ad Hoc Mode Options ..........................................................64
Transmit Rate ..............................................................................................................64
Channel Number ..........................................................................................................64
9650-0902-01 Rev. E ZOLL R Series Configuration Manual iii
TABLE OF CONTENTS
iv www.zoll.com 9650-0902-01 Rev. E
Chapter 1
Introduction
The R Series® is designed with several user selectable features that allow operators to configure the device according to their pr otocols and local requirements. This manual describes the configuration settings (options and defaults) and how to change them for ALS, Plus, and BLS models. References to AED settings is for Plus and BLS models only.
Note: Your unit may not contain all features listed. For BLS/Plus units, some features are
available in manual mode operation only.
For more information, see the following sections:
“Entering System Configuration Mode” on page 2
“Printing Configuration Settings” on page 3
“Uploading Data from a Compact Flash Card” on page 5
“Saving Configuration to a Compact Flash Card” on page 7
“Restoring Default Values” on page 8
“Accessing and Changing Configuration Settings” on page 9
“Leaving Configuration Mode” on page 10
9650-0902-01 Rev. E 1
Chapter 1 Introduction
System Configuration
Set Configuration Passcode
or Power Off to Exit
0 0 0 0 ? ? ? ?
0
3
Delete
2
1
System Configuration
Enter Configuration Passcode
or Power Off to Exi
t
0 0 0 ? ? ? ? ?
0
3
Delete
2
1
Enter
Exit
Config
Next
Value
Prev
Value
System Configuration
Select Language
ENGLISH
FRANCAIS
System Configuration
Print
Change
Config
Exit
Config
Read From Card
Restore Defaults
Entering System Configuration Mode
In order to make any changes to unit configuration, you must first power on the unit in Sy ste m Configuration mode.
Procedure
Follow these steps to power on the unit in System Configuration mode:
Step Action
1. Turn the selector switch to OFF, and wait 10 seconds.
Simultaneously press and hold the right-most and left-most softkeys (below the monitor) while turning the selector switch to MONITOR (for ALS models) or ON (for Plus and BLS models), and hold the softkeys for approximately 4 seconds.
The unit powers on in System Configuration mode.
2. Enter the passcode using the appropriate softkeys. Note: When you enter System Configuration for
the first time, enter the default pass code of
00000000.
To change a digit, use the Delete softkey to highlight the entry and re-enter the digit.
When all 8 digits have been entered, the unit automatically advances to the Select Language screen.
3. Use the Prev Value and Next Value softkeys to toggle the highlighted area between the language options.
4. Press the Enter softkey to select the highlighted language. All subsequent configuration menus will be in the selected language.
The unit automatically advances to the Main Configuration menu.
2 9650-0902-01 Rev. E
Printing Configuration Settings
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 System Configuration mode, press the Print softkey from the Main System Configuration menu. For instructions on putting the unit in System Configuration mode, refer to the previous section, “Entering System Configuration Mode.”
Procedure
In System Configuration mode, press the Print softkey to print a stripchart of all the unit’s configuration settings. See a copy of a sample Configuration Report below.
Note: In normal operation, you can print the configuration by pressing the following
softkeys: Options, More, then Print Config.
Printing Configuration Settings
9650-0902-01 Rev. E 3
Chapter 1 Introduction
4 9650-0902-01 Rev. E
Uploading Data from a Compact Flash Card
System Configuration
Print
Change
Config
Exit
Config
Read From Card
Restore Defaults
Enter
Next
Value
Prev
Value
System Configuration
Read Which Type of Card?
LANGUAGE
CONFIGURATION
PROGRAM
System Configuration
Card Read
Press Change Config to View
Print
Config
Change
Config
Exit
Config
Read From
Card
Restore Defaults
Erase
Files
Uploading Data from a Compact Flash Card
You can upload data from a compact flash card to perform the following tasks:
Copy the configuration of one unit to any number of units
Install new software to the unit
Copy a second language to the unit
Procedure
Follow these steps to load a configuration, another language, or software from a compact flash card:
Step Action
1. Install the compact flash card in the R Series unit, and power on the unit in System Configuration mode as described in “Entering System Configuration Mode” on page 2.
2. Press the Read From Card softkey to display the Read Card screen.
Use the Prev Value and Next Value softkeys to toggle the highlighted area between the following options:
LANGUAGE - allows you to upload a second
language to the unit. English is always on the unit as default, and one other language can be added.
CONFIGURATION -allows you to read the
configuration data from a card, thereby configuring this unit.
PROGRAM - allows you to install new software
in either the PD processor or the ECG processor.
Note: Do not install an older version of software
over a newer version because it will cause software problems.
9650-0902-01 Rev. E 5
3. Press the Enter softkey to initiate reading and
If you want to review configuration settings, press the Change Config softkey. See “Accessing and Changing Configuration Settings” on page 9 for more information. If you want to leave
storing the information from the installed compact flash card.
Once the card has been read and loaded, the unit displays the CARD READ message (for a language card) or the CARD READ and PRESS CHANGE CONFIG TO VIEW messages (for a configuration card).
Chapter 1 Introduction
System Configuration mode, press the Exit Config softkey. See “Leaving Configuration Mode” on page 10 for more information.
If the unit encounters an error reading the memory card, one of the following error messages is displayed:
Error Message Description
CARD READ FAILED No response is detected from the card reader. BAD CARD The unit cannot read from card. NO CARD INSERTED The card is not installed in data card slot.
6 9650-0902-01 Rev. E
Saving Configuration to a Compact Flash Card
System Configuration
Print
Change
Config
Exit
Config
Read From Card
Restore Defaults
Enter
Next Item
Prev Item
System Configuration
Save Changes and Exit
Discard Changes and Exit
Return to Main Menu
Enter
Next Item
Prev Item
System Configuration
Save Changes to Card?
NO
YES
Saving Configuration to a Compact Flash Card
Whenever you exit configuration mode, you can optio nally save the configurat ion to a compact flash card. This allows you to copy the configuration from one unit to any number of units.
Procedure
Follow these steps to save configuration data to a compact flash card:
Step Action
1. Power on the unit in System Configuration mode as described in “Entering System Configuration Mode” on page 2.
2. Press the Exit Config softkey to display the Exit Configuration screen, and then install the flash card in the R Series unit.
3. Press the Enter softkey to save the configuration changes and exit.
The unit displays the SAVING CONFIGURATION and DO NOT POWER OFF messages and then the Save Changes To Card screen appears.
9650-0902-01 Rev. E 7
4. Press the Next Item softkey to highlight YES, then press the Enter softkey.
The unit displays the SAVING TO CARD message and then the POWER OFF TO EXIT CONFIGURATION message.
Chapter 1 Introduction
System Configuration
Print
Change
Config
Exit
Config
Read From Card
Restore Defaults
System Configuration
Defaults Restored
Press Change Config to View
Print
Change
Config
Exit
Config
Read From Card
Restore
Defaults
Restoring Default Values
You can restore all configuration settings to their factory default settings. Only the display language, if different from the default, does not change.
Procedure
Follow these steps to restore all configuration settings to default values:
Step Action
1. Power on the unit in System Configuration mode as described in “Entering System Configuration Mode” on page 2.
2. Press the Restore Defaults softkey to reconfigure settings to their default settings.
Once default settings are restored, the unit displays the DEFAULTS RESTORED and PRESS CHANGE CONFIG TO VIEW messages.
If you want to review configuration settings, press the Change Config softkey. See “Accessing and Changing Configuration Settings” on page 9 for more information. If you want to leave System Configuration mode, press the Exit Config softkey. See “Leaving Configuration Mode” on page 10 for more information.
8 9650-0902-01 Rev. E
Accessing and Changing Configuration Settings
Enter
System Configuration
Select Configuration Category
Set/Review
Main Menu
General
ECG Audio Basic Defib Advisory Defib
CPR
Pace Alarms Display Printer & Report
Page 1 of 2
Enter
System Configuration
Select Configuration Category
Main
Menu
Readiness Test
AED Mode NIBP EtCO2 Wi-Fi
Page 2 of 2
Accessing and Changing Configuration Settings
You can change the current value for any configuration sett ing. You access most of the settings in the same way as described below. Additional steps are required to access and modify several settings. For those settings, the additional steps are provided with the setting description in the next chapter.
Procedure
Follow these steps to access the settings.
Step Action
1. Press the Change Config softkey from the Main System Configuration screen.
The unit advances to the Select Configuration Category screen.
2. Use the softkeys on the screen to move through the list and select a category, or to exit as follows:
 — moves the highlight up, down,
left, and right through the list of categories.
Enter — provides you access to the options
of the highlighted category. Press this softkey once you have highlighted the appropriate category.
Main Menu — returns you to the Main
System Configuration screen.
9650-0902-01 Rev. E 9
3. Once you select and access the options for a category, you can highlight the specific setting you want to change, then press the Change Value softkey until the appropriate value is displayed.
Note: Some options require and evoke an
additional screen to set the value (for example, setting the Device Identifier). Specific instructions for those options are provided in the next chapter.
Chapter 1 Introduction
Enter
Next
Item
Prev Item
System Configuration
Save Changes and Exit
Discard Changes and Exit
Return to Main Menu
Step Action
4. When you are finished, you can either press the Category List softkey to return to the Category screen, or press the Prev Item or Next Item softkey to move to another option whose settings you want to modify.
Leaving Configuration Mode
Procedure
Follow the step below to leave the configuration mode:
Step Action
1. Press the Exit Config softkey from the Main System Configuration screen to display the Exit Configuration screen.
Use the Prev Item and Next Item softkeys to toggle the highlighted area between the following options:
SAVE CHANGES AND EXIT - saves all
configuration changes you made and prompts you to Save to Card. If you specify Yes, the configuration information is saved t o the inst alled Compact Flash card. Lastly, the message POWER OFF TO EXIT CONFIG is displayed. Power off the unit.
DISCARD CHANGES AND EXIT-disregards the
changes you made and displays the message POWER OFF TO EXIT CONFIG. Power off the unit.
RETURN TO MAIN MENU- returns you to the
Main System Configuration screen, where you can make more changes by selecting the Change Config softkey. You do not have to re­enter the passcode
Note:
No changes are made if you turn the unit off without saving the configuration.
.
10 9650-0902-01 Rev. E
Chapter 2
Configuration Settings
This chapter describes all of the configuration settings on the R Series and includes the following sections.
“General Settings” on page 12
“ECG Settings” on page 17
“Audio Settings” on page 19
“Basic Defibrillation Settings” on page 20
“Advisory Defib” on page 22
“CPR Settings” on page 29
“Pace Settings” on page 30
“Alarms Settings” on page 31
“Display Settings” on page 37
“NIBP Settings (Optional)” on page 40
“EtCO2 Settings (Optional)” on page 43
“Printer & Report Settings” on page 45
“Readiness Test Settings” on page 46
“AED Settings” on page 48
“Wi-Fi Settings (Opti on al)” on page 50
Note: The instructions in this chapter assume that you powered on the unit in System
Configuration mode as described in “Entering System Configuration Mode” on page 2, and are familiar with how to access the settings, see “Accessing and Changing Configuration Settings” on page 9.
9650-0902-01 Rev. E 11
Chapter 2 Configuration Settings
Next Item
Prev
Item
System Configuration
General Settings
Set/Review
CONFIGURATION
MODE PASSCODE
CODE MARKERS
00000000
Config/Review
Main Menu
Exit
Config
Category
List
Change
Value
DEVICE IDENTIFIER
ABCDEFGH 777
Page 1 of 1
System Configuration
Set Site ID
0 0 0 0 0 0 0 0
Set Device ID
0 0 0
A
1
J
S
B
2
K T
C
3
L U
D
4
M V
E
5
N
W
F
6
O X
G
7
P ,
H
8
Q
0
I
9
R
Cancel
Del
Return
Enter Char
YZ
_
>
<
General Settings
General settings are attributes that affect the unit’s basic operation and accessibility and include:
Device Identifier
Configuration Mode Passcode
Code Markers
Device Identifier
The Device Identifier feature allows you to set an 11-digit device identifier code. This code is divided into two sub codes: the site ID (consisting of eight alphanumeric characters) and the device ID (consisting of three alphanumeric characters). The device identifier is printed on the summary report and fax printouts.
Values are as follows:
Possible Values: 0 through 9, A through Z, blank and underscore inclusive for each digit. Default: 00000000 000
Procedure
Follow these steps to set up a device identifier.
Step Action
1. From the Select Configuration Categories screen, select General, then press the Enter softkey.
The General Settings screen appears.
2. Select DEVICE IDENTIFIER and pre s s the Change Value softkey.
The Device Identifier screen appears.
12 9650-0902-01 Rev. E
Step Action
3. In the character selection table:
 lets you move to the next or previous
characters.
Use the softkeys as follows:
 — moves the highlight up, down,
left, and right through the character selection table.
Enter Char — enters the highlighted
character for 8 digits of the Site ID and the 3 digits of the Device ID.
Return — returns you to the General Settings
screen. Press the Return softkey when you are finished entering the IDs. Note that selecting Enter also returns you to the General Settings screen.
General Settings
9650-0902-01 Rev. E 13
Chapter 2 Configuration Settings
Next Item
Prev Item
System Configuration
General Settings
Set/Review
CODE MARKERS Config/Review
Main
Menu
Exit
Config
Category
List
Change
Value
DEVICE IDENTIFIER
ABCDEFGH 777
Page 1 of 1
00000000
CONFIGURATION
MODE PASSCODE
Prev Digit
Next Digit
Enter
Dec
Digit
Inc
Digit
System Configuration
Set Configuration Passcode
0 0 0 0 0 0 0 0
Configuration Mode Passcode
This feature allows you to set an 8-digit system configuration passcode. Once set, only those people who know the passcode can access the configuration mode and modify settings.
Values are as follows:
Possible Values: 0 through 3 inclusive for each digit Default: 00000000
Procedure
Follow these steps to set up a configuration mode passcode:
Step Action
1. From the Select Configuration Categories screen, select General, then press the Enter softkey.
The General Settings screen appears.
2. Select CONFIGURATION MODE PASSCODE and press the Change Value softkey.
The Set Configuration Passcode screen appears.
3. Use the softkeys as follows:
Prev Digit — moves the highlight left to the
previous digit.
Inc Digit or Dec Digit — increments or
decrements the value of the selected digit.
Next Digit moves the highlight right to the
next digit to be entered.
Enter saves the values that you entered
and returns the unit to the General Configuration menu.
14 9650-0902-01 Rev. E
Code Markers
Next Item
Prev Item
System Configuration
General Settings
Set/Review
Main
Menu
Exit
Config
Category
List
Change
Value
DEVICE IDENTIFIER
ABCDEFGH 777
Page 1 of 1
00000000
CONFIGURATION
MODE PASSCODE
CODE MARKERS
Config/Review
Next Item
Prev Item
System Configuration
General Settings
Set/Review
Enter
Return
Change
Value
PACE
CODE MARKERS
Config/Review
Page 1 of 1
Config/Review
MONITOR
CODE MARKERS
DEFIB
CODE MARKERS
Config/Review
Return
Next Item
Prev Item
System Configuration
Item 2: Intubate Item 3: EPI
CPR
Item 1: CPR
Defib Markers Markers List
Item 4: LIDO Item 5: Narcan Item 6: B-block Item 7: Atrovent Item 8: Mag Sulf
EPI Atrop DOPA PHEN Bicarb Aspirin Oxygen
Change
Value
Delete to End
This setting allows you to review and change the preconfigured list of Code Markers for use in DEFIB, MONITOR, and PACE modes. Code Marker settings are language dependent. You can specify up to three groups (MONITOR, DEFIB, and PACE) of 20 entries each.
Procedure
Follow these steps to review, change, or reset code marker settings:
Step Action
1. From the Select Configuration Categories
2. Select CODE MARKERS and press the Change
General Settings
screen, select General, then press the Enter softkey.
The General Settings screen appears.
Value softkey. The Select Code markers screen appears.
9650-0902-01 Rev. E 15
3. Select either DEFIB CODE MARKERS, MONITOR CODE MARKERS, or PACE CODE MARKERS, then press the Change Value softkey to toggle between Change/Review or Set to Defaults.
If you select Set to Defaults, press the Enter
softkey to set the chosen code markers to their default values.
If you select Change/Review, press the Enter
softkey to access the screen that allows you to change the marker, as shown.
Note: This example shows the screen that
allows you to change DEFIB CODE MARKERS.
Only 8 items are displayed on the screen at one time. When you get to the last item on the screen and press the Next Item softkey, you see the next 8 items. When you get to the last item on that screen and press the Next Item softkey, you see the remaining 4 items.
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