Protocol Propaq 242, Directions For Use Manual

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82 Protocol Systems, Inc.
Synchronous Cardioversion with LIFEPAK 6s Defibrillator
Warning
Use only the correct Protocol Systems cable with the LIFEPAK 6s Defibrillator as listed in the Protocol
Systems Products and Accessories guide when performing synchronous cardioversion. (This cable contains circuitry
in addition to wiring.) The use of any other cable will result in incorrect operation.
Note
The Physio-Control LP6s Defibrillator Sync Connector/Cover (Physio-Control P/N 801297-00) must be installed before
you can connect it to the Propaq CS monitor.
The Defibrillator Synchronization option is designed to operate only with the LIFEPAK 5 or
LIFEPAK 6s defibrillator. These instructions are not intended to replace existing hospital procedures
for cardiac electrical therapy and operation of the Physio-Control LIFEPAK 6s defibrillator. Follow all
safety standards and clinical protocols as defined by your institution.
1.
Set up the LIFEPAK 6s Defibrillator and any other instrumentation according to institutional
procedures or manufacturer’s operating instructions.
2.
Confirm the monitor displays an ECG waveform with tall, distinct R-waves and minimal
artifact.
Warning
The R-wave amplitude must be at least 0.5 mV (5 mm tall when the Propaq CS monitor ECG SIZE is set to 1
mV/cm) to guarantee that the defibrillator sync pulse will occur no later than 35 milliseconds after the peak of an
R-wave.
1
Reposition the patient electrodes or change the Propaq CS monitor lead selection as necessary to ensure
sufficient ECG waveform amplitude. However, make sure the R-wave amplitude is not so high that it obscures the
displayed sync markers.
3.
Connect the monitor end of the LIFEPAK 6s Defibrillator Synchronization Cable
(P/N 008-0154-XX) to the DEFIB SYNCHRO connector on the Propaq CS monitor right side
panel.
1. As a visual gauge for estimating R-wave amplitude, the ‘V’ of the mV/cm label to the left of the ECG
waveform is about 4 mm in height. With the Propaq CS monitor ECG sensitivity set to 1 mV/cm, compare
the letter ‘V’ with the height of the R-wave, which should be at least 5 mm tall.