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Medtronic/PhysicoControl-Lifepak-12-Biphasic manual

Contents

1. Connection Procedure 1 Install the PC Card connecting a standard telephone cable supplied with the modem to the PC Card RJ11 adapter 2 Route the standard telephone cable to the analog telephone outlet and make connection is Standard telephone cable supplied with the modem Computer vie ett Standard analog Public Switched t gt Fax Figure 6 4 Equipment Connections for Internal Modem Analog Landline 6 22 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Data Management EQUIPMENT CONNECTIONS FOR EXTERNAL MODEM ANALOG LANDLINE Figure 6 5 shows you the equipment connections for transmitting reports by analog landline telephone using an external Card modem External Modem o m E Adapter Cable PN 3010727 00 6 ft Ve 3010727 01 10 ft Connection Procedure 1 Position the external modem and connect to power 2 Connect the selected External Modem Adapter cable between the device System Connector and modem connector eje
2. 6 21 Equipment Connections for Internal Modem Analog Landline 6 22 Equipment Connections External Modem Analog Landline 6 23 Equipment Connections Direct 1 nennen 6 24 Fax Report Format enema ege qe eese aes 6 25 The Power Adapter re E te EE c HUS UE CES FREE Etc EROR Y eee Power Adapter Front Panel ertet net en pene DC Output and Extension Cables sess enne neret Rear View of AC Power Adapter sss nennen nennen tnmen nennen nene Rear View of DC Power Adapter sess nennen nnne nene Battery Cable Installation for DC Power Adapter Mounting the Power Adapter to the LIFEPAK 12 3D Biphasic defibrillator monitor 7 8 Transmission Site Telephone Number Prefix 9 19 Equipment Connections for Internal Modem Cellular International Customers Only F 2 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions LIST OF TABLES Table 2 1 Alarm Limits for Wide and 2 22 Table 2 2 LIFEPAK 12 3D Biphasic defibrillator monitor 2 23
3. 3 12 Example of Printed Cabrera 3 channel 12 lead ECG 3 13 Example of Printed Standard 4 channel 12 lead ECG 3 14 Example of Printed Cabrera 4 channel 12 lead ECG 3 14 How a Pulse Oximeter Works 2 eret Lee ten rater eder eda EE LER pnus 3 17 NIBPiOQVenlay e250 EH 3 24 Phases of the Respiratory Waveform essere 3 28 EiGO2 Overlay ener me eH HERE RU 3 30 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp Figure 4 1 Figure 4 2 Figure 5 1 Figure 5 2 Figure 5 3 Figure 5 4 Figure 5 5 Figure 5 6 Figure 5 7 Figure 5 8 Figure 5 9 Figure 5 10 Figure 5 11 Figure 5 12 Figure 5 13 Figure 5 14 Figure 5 15 Figure 5 16 Figure 6 1 Figure 6 2 Figure 6 3 Figure 6 4 Figure 6 5 Figure 6 6 Figure 6 7 Figure 7 1 Figure 7 2 Figure 7 3 Figure 7 4 Figure 7 5 Figure 7 6 Figure 7 7 Figure 9 1 Figure F Anterior lateral Placement urbs t aor ero obrero vases Eo o secre Feb kv ove 4 3 Anterior posterior Placemeril dno r dirette terri et tia dee etude eter reete 4 3 QUIK COMBO and FAST PATCH Electrodes senes 5 2 Peeling the Liner from the E
4. Figure 2 9 Loading 50mm Paper Loading 100mm Paper PN 805319 The printer is equipped with an out of paper sensor to protect the recorder printhead The sensor automatically turns off the recorder if paper runs out or the recorder door is open To load the paper 1 Lift the printer door latch to release the door 2 Pull out the printer door 3 Remove the empty paper spool 4 Insert a new paper roll with the graph side facing up Make sure the end of the paper extends outward so it is exposed when the printer door is closed 5 Close the printer door and push down on the latch until the door clicks shut Figure 2 10 Loading 100mm Paper 2 12 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Area 5 12 LEAD Initiates acquisition of a 12 lead ECG See page 3 9 12 LEAD TRANSMIT CODE SUMMARY PRINT TRANSMIT Transmits current patient data See page 6 7 Figure 2 11 12 lead ECG and Print Controls LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp Basic Orientation CODE SUMMARY Prints a CODE SUMMARY critical event record See page 6 3 PRINT Starts or stops the printer Basic Orientation Area 6 TOP
5. If pacing electrodes detach during pacing you will see CONNECT ELI ECTRODES and PACING STOPPED messages and hear an alarm The pacing rate is maintained and the current resets to OmA Reattaching the pacing electrodes silences the alarm and removes the CONNECT ELECTRODES message The current remains at OmA until you increase the current manually Troubleshooting Tips for Noninvasive Pacing Table 4 3 Troubleshooting Tips for Noninvasive Pacing Observation Possible Cause Corrective Action 1 Device does not function Power off Check if power is ON when PACER is pressed Low battery Replace battery with fully charged battery Use auxiliary power supply if available 2 PACER LED on but Therapy electrodes off Check for message displayed CURRENT MA will not Inspect therapy cable and increase electrode connections 3 PACER LED on Pacing rate set below patient s Increase PPM CURRENT MA gt 0 but pace intrinsic rate markers absent not pacing Pacer oversensing ECG artifact ECG size too high Establish clean ECG decrease ECG size Select nondemand pacing LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp Observation Possible Cause Corrective Action 4 Pacing stops spontaneously PACER button pressed off Press PACER and increase the curre
6. eeeseseseeeeneneeen emen nnne nn nennen nnne nennen 2 3 PODS cgit e 2 8 PCG 2 11 ALOE D ie MER ERE T PEE 2 15 Back View P 2 18 Entering Patient Data eee pte repere tees etie tu eoe reboot ay 2 19 Seting EIE UE EE 2 21 Managing Alarms oie e Pe PP v ede ev Pc ez 2 23 Connecting to POWGE cited eaae reale tre eed rd el citet ag 2 23 Batteries En ee ENT ao ale eed 2 23 Understanding Batteries and Battery Support Systems 2 24 Installing Removing Batteries sse eem eene 2 26 3 Monitoring Menitotirig IherEG iste beet ie re E REF EE DEDERE TREE 3 2 EGG Monitoring ettet die 3 2 Selecting ECG Eead and Size on iei ds teeta 3 2 Adjusting the Systole Volume nennen neret ns 3 4 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions iii GJanuary 2000 Medtronic Physio Control Corp Monitoring ECG with Paddles Accessories 3 4 Monitoring with the Patient ECG Cable sse 3 5 Troubles
7. 9 14 Transmission Fax Setup Menu sssssesseeeeenenneee nennen nennen enne nene 9 14 Transmission Fax Sites Setup Menu sss nennen nen 9 14 Transmission Fax Sites Site 1 Setup Menu sse 9 15 Transmission Fax Ports Setup Menu sssssseseeeeenneeeeen nennen nnne 9 15 Transmission Fax Ports Internal Fax Modem Setup 9 16 Transmission Fax Ports External Modem Setup Menu seen 9 16 Transmission Fax Organization Setup Menu sse 9 17 Glock Setup Men ss iai ree tiet ee ede eae c etis du enn edd o e 9 17 Reset Defaults Setup nennen 9 17 Send Configuration Setup Menu 9 18 Set Passcode Setup Menu i e e e idee eere a ede pee i eds 9 18 AT Command Dialing Prefix Characters 9 18 LIFEPAK 12 3D Biphasic defibrillator monitor Specifications A 2 AC and DC Power Adapter Specifications ssssssseeeeen nene A 7 FASTPAK and LIFEPAK Battery Specifications esee A 8 Performance CharacteristiCs 3 cine reete ete pad eei denda eget teet a doe oda a A 9 Summary of Screen Messages ssssssssese eee nene B 2 LIFEPAK 12 Series SAS Performance sese enne ennt
8. ico Tae 7 9 Cleaning re 7 9 Fuse Replacement Circuit Breaker sessi enne nennen nennen nen 7 9 Troubleshooting ain tine Poen e eto e epe inea epp REUS 7 10 IAE CHAP ERE 7 10 Replacement Parts and Accessories ssssseeeeeee em eene eren 7 11 8 Maintaining the Equipment vi General Maintenance and Testing nnne enne nnne 8 2 Maintenance and Testing Schedule ssessssssee eene nen 8 2 User TOS iio ut b Pa a e E I ER e Dr T 8 3 Standard Paddles User Test 8 3 Cleaning aie iS ee i ee 8 4 Function Chiki m alo tect ea en ee de er to p ae 8 4 Patient ECG Cable Check tee alienation 8 4 Standard Paddles Synchronized Cardioversion 8 6 Battery Maintenance udi ep ea ei pete ee ee et Battery Maintenance Warnings Battery Description Battery Charging Conditioning and Shelf Life Testing 8 10 NiCd Battery Performance Factors nennen nennen tenen nnn 8 11 SLA Battery Performance Factors eene ener nnne nennen nnns 8 11 Receiving New Battteries ccececcesssneeesecceseeceeeseneeeesseeeneneeeseeeeeeesseeseeeeeesaneneeseneenenteseneenes 8 12 Storing Batteries RR E tH Deer Se Fr Dedit c eei Tar dees 8 12 Recycling Batteries
9. Transmission Data Default Site Setup Menu The TRANSMISSION DATA DEFAULT SITE setup menu allows you to select a configured data site as the default Your default site selection automatically appears on the TRANSMIT DATA screen Transmission Data Default Report Setup Menu The TRANSMISSION DATA DEFAULT REPORT setup menu allows you to select a default report type ALL CODE SUMMARY 12 LEAD most recent or CONTINUOUS ECG Your default report selection automatically appears in the TRANSMIT DATA screen Transmission Data Ports Setup Menu The TRANSMISSION DATA PORTS setup menu allows you to configure defaults for the data transmission ports Table 9 19 Transmission Data Ports Setup Menu Menu Item Help Message Options INTERNAL CELL Setup internal cellular modem EDIT STRING 1 4 CLEAR and PREVIOUS PAGE INTERNAL Setup internal modem EDIT STRING 1 4 CLEAR and PREVIOUS PAGE DIRECT CONNECT Setup direct connection BAUD RATE PREVIOUS PAGE using system connector 9 12 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Defining Setup Options Menu Item Help Message Options EXTERNAL CELL Setup external cellular modem INIT STRING BAUD RATE PREVIOUS PAGE EXTERNAL Setup external modem INIT STRING BAUD RATE PREVIOUS PAGE PREVIOUS PAGE Go back to previous page Re
10. External Modem 3 Connect a standard telephone cable between the modem and telephone outlet Standard telephone cable supplied with the modem JE SERE Standard analog Public Switched telephone outlet Telephone Network Figure 6 5 Equipment Connections External Modem Analog Landline LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 6 23 GJanuary 2000 Medtronic Physio Control Corp Data Management EQUIPMENT CONNECTIONS FOR DIRECT CONNECT Figure 6 6 shows you the equipment connections to send reports directly to a computer using a direct connection cable L1 JE 1j Connection Procedure 1 Position the PC in the desired location 2 Connect the Serial Port interface cable between the device System Connector and PC connector gt Computer Serial Port Interface Cable PN 300981 7 00 Figure 6 6 Equipment Connections Direct Connect TREATMENT PROTOCOL WHEN TRANSMITTING DATA OR FAX When considering any treatment protocol that involves transmitting patient data or fax by telecommunications you must be aware of possible limitations S
11. LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp 9 5 Defining Setup Options ADVISORY MODE SETUP MENU The Advisory Mode Setup menu allows you to configure automated external defibrillator AED defaults When you select an item from the menu a help message displays The options in bold are the factory defaults Table 9 3 Advisory Mode Setup Menu Menu Item Help Message Options ENERGY Sequence of defibrillation ENERGY 1 200 PROTOCOL energies ENERGY 2 200 225 250 275 300 ENERGY 3 200 225 250 275 300 325 360 Note ENERGY 2 can not be less than ENERGY 1 ENERGY 3 can not be less than ENERGY 2 VOICE PROMPTS Voice prompts on in Advisory ON Voice prompt active Mode OFF Voice prompt inactive AUTO ANALYZE Automatically analyzes after ON Auto analyze active shock OFF Auto analyze inactive OTIO Alert when motion is detected ON or CFF DETECTION CFR TIME 1 Perform CPR for selected interval OFF 15 30 45 60 90 120 180 SECONDS or 30 after 3 shocks MINUTES CFR TIME 2 Perform CPR for selected interval OFF 15 30 45 60 90 120 180 SECONDS or 30 after NO SHOCK ADVISED MINUTES When a NO SHOCK ADVISED message occurs immediately after a shock the CPR period is the same as CPR
12. 3 22 NIBP Monitoring Warnings eeeeeennennnnn eme nennen en nennen enne 3 22 When to Use NIBB reae rri tot re e NERIS 3 22 How NIBP WOTKS hte oett tree c ae ante serta accidente gua 3 23 NIBP Monitoring Considerations eene nene nns 3 23 G ff Selection ses te eden ced uet utei ated 3 23 NIBP Monitoring Procedures e nece e E RD n p dede rg 3 23 Changing the Initial Inflation Pressure enne 3 24 Manual Single Measurement Procedure 3 24 Timer Controlled Measurement Procedure sesseeeeneenen nennen 3 25 Gleaning and Maintenance certet rd eee ie aie bc cte re n ode cec Oe nce dE ces cre vi 3 25 Troubleshooting Tips for NIBP Monitoring meme 3 25 Monitoririg EIGQ2 dera Lb detener etn EtCO2 Monitoring Warnings When to Use EtCO2 Monitoring How Capnography Works erre eee citet co e Vb cete RYE EE core caa EtCO2 Monitoring Waveform Analysis esesssessseeeeeeeeeneenenn nennen nnns 3 28 EtCO2 Monitoring Procedure ne rtp esee n etse egre eue a GE 3 29 CO2 Scale Options ett Hie cte eic eet ee idee ee cci DRE 3 30 ALIE n 3 30 Cleanirig arid Maintenance cies teen tee ed dide ettet kasd 3 30 Troubleshooting Tips
13. 3 seconds prior to pacing current is zero and 5 seconds after PACING X PAUSED nitial 8 seconds while PAUS E is pressed ALARM 3 seconds prior to violated parameter and 5 seconds after 6 4 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Data Management Event Name Waveform Data EVENT 3 seconds prior to event selection and 5 seconds after PRINT 3 seconds prior to pressing PRINT and 5 seconds after 12 LEAD 12 lead ECG data To reduce the length of the CODE SUMMARY report storing waveform data with these events can be configured OFF see page 9 10 Waveforms are preceded by a header that includes the following information Patient data Vital signs Event name Device configuration information Therapy data CODE SUMMARY Format You can configure the LIFEPAK 12 3D Biphasic defibrillator monitor to print CODE SUMMARY report in one of the formats described in Table 6 4 When CODE SUMMARY reports are transmitted they are always sent in the Long format Table 6 4 CODE SUMMARY Formats Format Attributes Long format Preamble Event waveforms Event vital signs log 12 lead ECG report s Medium format Preamble Event waveforms Event vital signs log Short format Preamble Event vital signs log The configured format determines only which reports are printed when the CODE SUMMARY button is pressed The 12 lead ECG reports a
14. Enter name for destination site Up to 14 characters PHONE Enter phone number for Up to 14 characters See Entering Telephone destination site Number and Prefix Characters on page 9 18 PREFIX 1 Enter area code or other prefix to Up to 14 characters See Entering Telephone site phone number Number and Prefix Characters on page 9 18 PREFIX 2 Enter area code or other prefix to Up to 14 characters See Entering Telephone site phone number Number and Prefix Characters on page 9 18 OUTPUT PORT Select output port for fax INTERNAL CELL FAX INTERNAL FAX EXTERNAL transmission CELL FAX or EXTERNAL FAX TEST Test the connection to this site Choose NO PREFIX PREFIX 1 PREFIX 2 to test CLEAR Clear this site from site list Clear site NAME PHONE and so on PREVIOUS PAGE Go back to previous page Returns to the previous page Transmission Fax Default Site Setup Menu The TRANSMISSION FAX DEFAULT SITE setup menu allows you to select a configured fax site as the default Your default selection automatically appears in the TRANSMIT FAX screen Transmission Fax Default Report Setup Menu The TRANSMISSION FAX DEFAULT REPORT setup menu automatically sets the selection to 12 LEAD Transmission Fax Ports Setup Menu The TRANSMISSION FAX PORTS setup menu allows you to configure defaults for the fax transmission ports Table 9 26 Transmission Fax Ports Setup Menu Menu Item Help Message Options NTERNAL CELL FAX Setup
15. Previous Page All Code Summar Continuous ECG Transmission Data Sites Site 1 Enter name for destination site Name GEN HOSPITAL Phone 8675555 Prefix 1 9 1425 Prefix 2 1425 Output Port Internal Cell Test No Prefix Clear Previous Page LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp Defining Setup Options 16 Select a Default Site Select PREVIOUS PAGE to return to the TRANMSSION DATA menu Select DEFAULT SITE to display a list of configured transmission sites Choose the desired default transmit site It is this site that appears when you press the TRANSMIT control 17 Select a Default Report Select DEFAULT REPORT to display a list of report choices Choose the desired default report ALL Sends all reports on list CODE SUMMARY Sends only the critical event record Long Format 12 LEAD Sends the most recent 12 lead report CONTINUOUS ECG Sends the ECG stored continuously since power on 18 Test Site To skip this step go to step 19 To test a site connect the device for communications then select SITES to return to the TRANSMISSIONS DATA SIT menu Select the site you wish to test then select TEST Choose NO PREFIX PREFIX 1 or PREFIX 2 as desired to launch the tes
16. For example SITE 1 might change to GENERAL HOSP Table 9 24 Transmission Fax Sites Setup Menu Menu Item Help Message Description SITE 1 SITE 11 Setup Site Displays the SITE setup menu SITE 2 SITE 12 Setup Site Displays the SITE setup menu SITE 3 SITE 13 Setup Site Displays the SITE setup menu SITE 4 SITE 14 Setup Site Displays the SITE setup menu SITE 5 SITE 15 Setup Site Displays the SITE setup menu SITE 6 SITE 16 Setup Site Displays the SITE setup menu 9 14 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Defining Setup Options Menu Item Help Message Description SITE 7 SITE 17 Setup Site Displays the SITE setup menu SITE 8 SITE 18 Setup Site Displays the SITE setup menu SITE 9 SITE 19 Setup Site Displays the SITE setup menu SITE 10 PREVIOUS PAGE Setup Site Displays the SITE setup menu Go to previous page Returns to the previous page Transmission Fax Sites Site 1 Setup Menu The TRANSMISSION FAX SITES SITE 1 setup menu allows you to configure Site 1 or other selected sites for fax transmission Table 9 25 Transmission Fax Sites Site 1 Setup Menu Menu Item Help Message Options
17. LP12 with AC DC Power Adapter Power Adapter base front right pouch 3011086 01 and shoulder strap Base replacement 3010265 Shoulder strap replacement 3010268 Front left pouch 3010266 Top pouch 3010267 Back pouch small 3011087 00 Back pouch large 3011087 01 Front cover 3011085 Supplies Recorder paper 50 mm 804700 Recorder paper 100 mm 805319 DERMA JEL electrode gel 9 10236 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp Maintaining the Equipment Description Part Number Training Tools QUIK COMBO 3 lead simulator 806223 QUIK COMBO 12 lead simulator 806395 QUIK COMBO pacing defibrillation ECG training electrodes 3005903 QUIK COMBO training electrodes cable extension wire 3004474 QUIK COMBO Test Post Adapter for use with posted simulator 3005302 00 Physio Control Patient simulator for use with FAST PATCH defibrillation adapter cable 803499 08 FAST PATCH Training Electrodes 805565 01 FAST PATCH Training Electrode Cable 803177 06 Literature LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 3010012 LIFEPAK 12 defibrillator monitor series Service Manual 3010013 LIFEPAK 12 defibrillator monitor Inservice video 3011208 Noninvasive Pacing What You Should Know booklet 805074 Defibrillation What You Should Know booklet 805662 12 lead ECG What You Should Know booklet 3009852 Physician s Guide to 12SL ECG Analysis Marque
18. Physiological cause Ventilator malfunction Improper calibration Check patient Check ventilator and patient Contact qualified service personnel 7 XXX appears in place of EtCO2 value CO2 module not calibrated successfully CO2 module failed Contact qualified service personnel Contact qualified service personnel LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions GJanuary 2000 Medtronic Physio Control Corp 3 32 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions THERAPY This section describes patient therapy General Therapy Warnings and Cautions Therapy Electrode and Standard Paddle Placement Automated External Defibrillation Manual Defibrillation Noninvasive Pacing LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 2000 Medtronic Physio Control Corp page 4 2 4 3 4 4 4 10 4 15 4 1 GENERAL THERAPY WARNINGS AND CAUTIONS WARNINGS Shock hazard The defibrillator delivers up to 360 joules of electrical energy When discharging the defibrillator do not touch the paddle electrode surfaces or disposable therapy electrodes Shock hazard If a person is touching the patient bed or any conductive material in contact with the patient during defibrillation the delivered energy may be partially discharged through that person Clear everyone away from contact with the patient bed other conducti
19. 200J MDS 61 68 90 80 96 200 BTE 39 39 100 91 100 130J BTE 39 47 83 69 92 A 12 LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions Specifications and Performance Characteristics Ventricular Tachycardia Seventy two episodes of ventricular tachycardia VT induced in 62 patients were treated with randomized shocks High rates of conversion were observed with biphasic and monophasic shocks Sample sizes were too small to statistically determine the relationship between success rates of the waveforms tested Ventricular Tachycardia Shock 1st Shock Success Exact 95 Confidence Interval 200J MDS 26 28 93 77 99 200J BTE 22 23 96 78 100 130J BTE 20 21 95 76 100 Conclusions In this double blinded study the efficacy of the 200J BTE shocks was demonstrated to be at least equivalent to the efficacy of 200J MDS shocks for defibrillation of short duration electrically induced VF However the comparison of efficacy of 130J biphasic and 200J monophasic shocks for VF was inconclusive All waveforms tested provided a high rate of termination of VT The VT sample sizes were too small to statistically determine the relationship between VT success rates of the waveforms tested Compared to conventional shocks for VF we found no positive or negative effect of biphasic shocks for VF on hemodynamic parameters following the defibrillating shock It is possible that compared to 200J monophasic shoc
20. 3009167 008 3009167 007 EtCO2 Accessories FilterLine Set Adult Pediatric FilterLine H Set Adult Pediatric FilterLine FilterLine H Nasal FilterLine Adult Nasal FilterLine Pediatric Nasal FilterLine Infant Neonatal Airway Adapter Adult Pediatric XS 04661 XS 04660 XS 04666 XS 04667 XS 04664 XS 04663 XS 04662 XS 04665 Data Management Software and Accessories 33 6k Internal Modem PC Card includes one standard telephone cable 55 6k Internal Modem PC Card includes one standard telephone cable Modem Cellular Cable Set includes Modem Cellular Cable and Y Connector Modem Door Assembly replaces PC Card cover when a PC Card is installed External Modem includes one standard telephone cable External Modem Adapter Cable 6 feet External Modem Adapter Cable 10 feet Direct Connect LIFEPAK 12 to PC Serial Port Interface Cable Configuration transfer cable transfers a device setup to another device CODE STAT Suite data management system 3 0 compatible with LIFEPAK 12 defibrillators with software version 030 CODE STAT Suite data management system 2 0 compatible with LIFEPAK 12 defibrillators with software version 022 and earlier 3010294 002 3010294 003 3011962 3011422 3011570 3010727 00 3010727 01 3009817 3011538 00 3011520 005 3011520 004 Carrying Case Accessories and Replacement Parts Carrying Case LP12 only base front right pouch and shoulder strap 3011086 00 Carrying Case
21. 325 and 360 joules or user configurable sequence 100 200 100 300 100 360 The defibrillator charge time to 360 joules is less than 10 seconds typical Energy transfer begins within 60mS of the QRS peak LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions ADVISORY Shock Ready Time Output Energy Specifications and Performance Characteristics Shock Advisory System SAS is an ECG analysis system that advises the operator if the algorithm detects a shockable or nonshockable ECG rhythm SAS acquires ECG via therapy electrodes only Using a fully charged battery at normal room temperature the device is ready to shock within 20 seconds if the initial rhythm finding is SHOCK ADVISED User configurable sequence of three sequential shock levels ranging from 200 200 300 and 200 360 joules respectively PACER Pacing Mode Pacing Rate Rate Accuracy Output Waveform Output Current Pause Refractory Period Demand or non demand Rate and current defaults user configurable 40 to 170 ppm 1 5 over entire range Monophasic truncated exponential current pulse 20 1ms 0 to 200mA Pacing pulse frequency reduced by a factor of 4 when activated 200 to 300mS 3 function of rate ENVIRONMENTAL Temperature Operating Temperature Non Operating Relative Humidity Operating Atmospheric Pressure Operating Water Resistance Operating EMC Shock drop Vibration 0 to 50 C 32
22. Busy Unable To Lost Connection Connect Transmission Transmission Failed Cancelled Therapy AED Advisory mode Connect electrodes Analysis Shock advised Check patient Motion Analysis stopped No shock advised Defibrillation Manual mode Charge removed e Shock X Delivered Shock X Not Delivered Pacing Started Set Changed Stopped Paused Memory e Out of Waveform Out of Event Status Memory memory Memory memory low full Unsuccessful transmission events include an identification code for example Modem Initialization Error 103 Refer to Table 6 5 for additional information on transmission error codes Waveform Events In addition to being documented in the Event Log therapy and other selected events also capture waveform data as described in Table 6 3 Table 6 3 Waveform Events Event Name Waveform Data INITIAL RHYTHM 8 seconds after leads on CHECK PATIENT 8 seconds prior to alert SHOCK NO SHOCK ADVISED 2 3 segments of analyzed ECG Each segment is 2 7 seconds ANALYSIS X STOPPED 8 seconds of data prior to cessation of analysis SHOCK X 3 seconds prior to shock and 5 seconds after shock PACING X STARTED 8 seconds prior to increase of current from 0 PACING X SET 8 seconds after ppm and mA are stable for 10 seconds PACING X CHANGED 8 seconds after pacing rate current or mode is changed PACING X STOPPED
23. Check connections Verify a modem is installed connected 101 NO MODEM FOUND message Modem disconnected Connect modem appears Modem is not connected to an Confirm that the telephone line is analog telephone line analog not digital 102 MODEM INITIALIZATION ERROR Modem initialization string is e Check Modem initialization string message appears incorrect in Setup menu 103 MODEM INITIALIZATION ERROR Fax modem setup error e Check Modem initialization string message appears in Setup menu 104 MODEMINITIALIZATIONERROR Fax modem failed to detect Class Advise destination that the fax message appears 2 2 0 fax host host is not the required Class 2 2 0 device 200 CALL NOT COMPLETED Unidentifiable connection error Check destination setup and message appears verify device is properly connected 201 NO DIAL TONE message Phone service not active Check connections and retry If appears Cable not connected or is problem persists replace cable damaged RJ11 telephone cord not plugged Confirm RJ11 cord plugged into in defibrillator and phone jack RJ11 telephone cord plugged into Plug RJ11 cord into different inactive or digital phone jack analog jack and retransmit analog jacks are the type used for a fax host or computer modem Phone power off Turn on phone power Check phone service Phone battery low Install charged phone battery Antenna not extended or securely Confirm antenna is properly connected
24. Table 3 1 ECG Leads Golor Godes 3 7 Table 3 2 Troubleshooting Tips for ECG Monitoring 3 8 Table 3 3 Precordial Lead Electrode Placement sse 3 10 Table 3 4 Troubleshooting Tips for 12 lead ECG 0 cee eeceecceceeeeeeeeeeeeenaeseeeeceeeeaeeeeneeeaeeseeeeeneeeeeeeeeeen 3 15 Table 3 5 Sensors and Extension Cables 3 19 Table 3 6 Troubleshooting Tips for SpO2 1 n nee qne ben treinta 3 21 Table 3 7 Troubleshooting Tips for NIBP 3 25 Table 3 8 Troubleshooting Tips for EtCO2 Monitoring essen 3 31 Table 4 1 Troubleshooting Tips for AED ene nennen 4 10 Table 4 2 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion 4 14 Table 4 3 Troubleshooting Tips for Noninvasive Pacing sse 4 17 Table 5 1 nennen nennen rennen rennes 5 3 Table 6 1 Report Retrieval Methods eeeeseeeeeeeeeeeeenenen ennt etn nen nennen nnne 6 2 Table 6 2 E Hn 6 4 Table 6 3 Wavetortrn Everits 22 5 2 ert eb t Res ne Me re a stan 6 4 Table 6 4 CODE SUMM ARY Formals 2 itii iti 6 5 Tabl
25. Za pa El Connection Procedure 1 Install the PC Card connecting e a standard telephone cable 9 supplied with the modem to the PC Card RJ11 connector 2 Route the standard telephone Standard telephone cable to the Motorola S1936B cable part of PC Card Cellular Connection Device Modem iz 3 Remove the handset from the cellular telephone base unit and connect to the Motorola Motorola 1936B 1936B Cellular Connection Cellular Connection Device Device 0 Motorola MC480 Attach Cellular Telephone Base Unit y iS Motorola MC480 V Attach Cellular Telephone Handset REN r Computer l 1 Cellular Base station pec l 1 l 27 LLL yp i i Fax Public Switched v Telephone Network Figure 6 3 Equipment Connections for Internal Modem Analog Cellular LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 6 21 GJanuary 2000 Medtronic Physio Control Corp Data Management EQUIPMENT CONNECTIONS FOR INTERNAL MODEM ANALOG LANDLINE Figure 6 4 shows you the equipment connections for transmitting reports by analog landline telephone using an internal PC Card modem a EN PC Card Modem ET
26. and therapy operation The Adapters communicate with the smart batteries and the LIFEPAK 12 3D Biphasic defibrillator monitor and can determine each battery s state of charge If batteries require charging the battery with the greatest charge will be charged first followed by the next battery Battery types can be intermixed if desired and they will be properly charged in sequence The AC and DC Power Adapters do not provide battery conditioning Applications that use the FASTPAK 2 or LIFEPAK NiCd batteries require the BSS 2 to perform battery conditioning The FASTPAK battery technology remains unchanged FASTPAK batteries require the BSS or the BSS 2 to perform battery conditioning Installing Removing Batteries WARNING Possible loss of power during patient care Stored batteries lose charge Failure to charge a stored battery before use may cause device power failure without warning Always charge a stored battery before placing it in active use CAUTION Possible equipment damage Battery pins in the defibrillator may be damaged if batteries are dropped or forced into battery wells Inspect pins routinely for signs of damage To maximize battery life in the LIFEPAK 12 3D Biphasic defibrillator monitor After use replace both batteries with fully charged batteries or if the device was only used briefly remove the battery in well 1 for recharging move the battery in well 2 to the well 1 position and install a fre
27. e Faxed ECG Normal Resolution May not be adequate for diagnostic purposes The following additional statement on the fax report advises using the grid lines printed on the fax for making waveform measurements rather than using a separate measurement tool Always use the grid lines printed on the fax copy when assessing ECGs Fax information header see Table 9 29 for entering the Organization name and phone Resolution statement Physio Control LIFEPAK 12 defibrillator monitor series Fax Transmission Organization County EMS Phone 2061234567 Date 14 Apr 98 Time 14 35 12062345678 Faxed ECG Fine Resolution Always use the grid lines printed on the fax copy when assessing ECGs Patient Report 5mm x 5mm grid Reference line Figure 6 7 Fax Report Format Reference line should be continuous breaks in the line indicate missing data LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 6 25 2000 Medtronic Physio Control Corp Data Management TROUBLESHOOTING TIPS FOR DATA MANAGEMENT Table 6 5 Troubleshooting Tips for Data Management ID Observation Possible Cause Corrective Action 100 MODEMINITIALIZATION ERROR Unidentifiable modem initialization Check modem setup message appears error
28. following functions are active in inservice mode ECG lead selection SpO2 EtCO2 NIBP Alarms Events Accessing the Inservice Mode To access the inservice mode 1 Check that the defibrillator power is off and that all cables are disconnected 2 While pressing the HOME and EVENT buttons press the ON button Continue to press all three buttons until the inservice screen appears Inservice Screen Exit the inservice mode by turning off the defibrillator power Changing the ECG Lead 1 Rotate the SELECTOR to select Channel 1 The Channel 1 area at the top of the screen is highlighted 2 Press the SELECTOR The Channel 1 overlay appears 3 Rotate the SELECTOR to Lead and press The list of ECG Leads Il and Ill appears 4 Rotate to Lead 1 Il or Ill as desired and press The selected Lead appears on the display screen Selecting SpO2 1 Rotate the SELECTOR to highlight the SpO2 parameter at the left side of the screen 2 Press the SELECTOR The following overlay appears SPO2 You can change the SpO2 volume by pressing and rotating the SELECTOR Selecting EtCO2 Waveform 1 Rotate the SELECTOR to select Channel 2 2 Press the SELECTOR The Channel 2 overlay appears 3 Press the SELECTOR The list of waveform options appears 4 Rotate the SELECTOR to CO2 and press 5 Press HOME SCREEN The CO2 waveform and scales are now vi
29. measures the concentration of CO2 molecules that absorb infrared light Because the absorption of IR light is proportional to the concentration of CO2 molecules the concentration of CO2 can be determined by comparing its absorption to that of a known standard You can configure the LIFEPAK 12 3D Biphasic defibrillator monitor to use the capnography Body Temperature Pressure Saturated BTPS conversion method This option corrects for the difference in temperature and moisture between the sampling site and alveoli The correction formula is 0 97 x the measured EtCO2 value The Microstream CO2 FilterLine delivers a sample of the exhaled gases directly from the patient into the LIFEPAK 12 for CO2 measurement The low sampling flow rate 50 ml min reduces liquid and secretion accumulation and prevents obstruction of the sample pathway in humid environments Moisture and patient secretions are extracted from the sample while the shape of the CO2 waveform is maintained LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions 3 27 2000 Medtronic Physio Control Corp Once inside the Microstream CO2 sensor the gas sample is temporarily captured in a micro sample cell 15 microliters This extremely small volume is quickly flushed allowing for fast rise time and accurate CO2 readings even at high respiration rates The Micro Beam IR source illuminates the sample cell and the reference cell This proprietary IR light
30. of pressure per paddle during discharge Possible paddle damage and patient skin burns Discharging the defibrillator with the standard paddle surfaces shorted together can pit or damage the paddle electrode surface Pitted or damaged paddle surfaces may cause patient skin burns during defibrillation Discharge the defibrillator only as described in these Operating Instructions Possible burns and ineffective energy delivery A gel pathway on the skin between the standard paddles will cause defibrillating energy to arc between paddles and divert energy away from the heart muscle Do not allow conductive gel wet or dry to become continuous between paddle sites To use the LIFEPAK 12 3D Biphasic defibrillator monitor primarily as a manual defibrillator configure the defibrillator before placing the device in use To configure the defibrillator see Section 9 Switching from AED to Manual Mode To change to manual mode when the defibrillator is in AED mode press one of the following ENERGY SELECT CHARGE PACER ADVISORY Depending on how the defibrillator is configured continue to manual mode as follows Direct No restrictions to manual mode access Confirmed A confirmation overlay appears Manual Mode Select YES to change to manual mode Enter Manual Mode Yes No Push Selector knob to confirm LIFEPAK 12 3D Biphasic defibrillator monitor Operating Instructions
31. 2 Entering 9 3 SHOCK Control and Indicator location of 2 5 Indicator using the 4 13 D 3 Shock counter 4 9 Shock report 6 6 Short format Code Summary 6 5 SIZE button 3 3 Speaker location of 2 10 SpO2 also see Monitoring SpO2 Adjusting pulse tone volume 3 19 Cable connector 2 10 C LOCK 3 19 Contraindications xvi How a pulse oximeter works 3 17 Indications xv Inservice Mode operation E 2 Monitoring xvi 3 16 Monitoring area on screen 2 15 Monitoring considerations 3 17 Monitoring procedure 3 18 Pulse Oximeter sensors 3 18 Troubleshooting tips 3 19 SpO2 Connector Connecting a cable 3 18 Location of 2 10 Standard Paddles 4 3 Features 2 18 Manual Mode overlay 4 13 Placement 3 4 User Test 8 3 Wells 2 17 Status messages screen 2 14 Sterilizable paddles 2 2 Sternum paddle 3 4 Storing batteries 8 12 Supplies accessories and training tools 8 15 Switching from AED to manual mode 4 12 SYNC Control location of 2 5 Synchronized Cardioversion 4 3 Procedure 4 14 Troubleshooting tips 4 15 With external sterilizable paddles 5 13 System Connector Location of 2 17 System connector transmitting using 6 24 T Telephone number prefix entering 9 18 Testing 5 6 Checklist C 1 Schedule 8 2 User 8 3 Testing user 8 3 Text conventions xvii Therapy 4 1 Defibrillation 4 3 Electrode and standard paddle placement 4 3 Noninvasive pacing 4 3 Synchronized cardioversion 4 3 Therapy cable Connecting 2 11 Disconnect
32. 4 11 2000 Medtronic Physio Control Corp Passcode A passcode overlay appears Manual Mode Enter Manual Mode Passcode Enter the Passcode to change to manual mode Restricted The defibrillator can als