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RHYTHMx AED ECG Analysis Algorithm

Version 112-2025-109 B

2-2

Post-resuscitation, if the victim is breathing, the AED should be left attached
to allow for acquisition and detection of the ECG rhythm. If a shockable
ventricular tachyarrhythmia recurs, the device will charge automatically and
advise the operator to deliver therapy (G3) or automatically deliver the shock
(G3 Automatic).

When a patient is a child or infant up to 8 years of age, or up to 55 lbs
(25kg), the device should be used with the Model 9730 Pediatric Attenuated
Defibrillation Electrodes. The therapy should not be delayed to determine
the patient's exact age or weight.

RHYTHMx AED ECG Analysis Algorithm

The RHYTHMx™ AED ECG analysis algorithm provides ECG detection
capabilities. The features available with the AED include the following:

◆

Detection Rate

◆

Asystole Threshold

◆

Noise Detection

◆

Non-Committed Shock

◆

Synchronized Shock

◆

Pacemaker Pulse Rejection

◆

SVT Discriminators

◆

Supraventricular Tachycardia (SVT) Rate

Detection Rate

All ventricular fibrillation (VF) and ventricular tachycardia (VT) rhythms at
or above this rate will be classified as shockable. All rhythms below this rate
will be classified as non-shockable. This rate is programmable between 120
bpm (beats per minute) and 240 bpm via MDLink Software by the Medical
Director. The default Detection Rate is 160 bpm.

Asystole Threshold

The asystole baseline-to-peak threshold is set at 0.08 mV. ECG rhythms at or
below 0.08 mV will be classified as asystole and will not be shockable.

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Содержание Powerheart AED G3 Plus 9390A

Страница 1: ...OPERATOR AND SERVICE MANUAL Version 112 2025 109 B Revised February 4 2010 www AmericanAED com...

Страница 2: ...itious unless otherwise noted Trademark Information FirstSave Powerheart MasterTrak MDLink STAR IntelliSense RescueReady RescueCoach RescueLink RHYTHMx and Survivalink are trademarks and registered tr...

Страница 3: ...sions Standards Compliance 1 12 Guidance and manufacturer s declaration electromagnetic emissions 1 12 Guidance and manufacturer s declaration electromagnetic immunity 1 13 Recommended separation dist...

Страница 4: ...nditions 3 3 IntelliSense Battery 3 3 Battery Operating Life 3 5 Battery Shelf Life 3 5 Battery Installation 3 5 Pads 3 6 Pad Installation 3 7 Directions for Use 3 8 AED Indicators 3 8 RescueReady Sta...

Страница 5: ...ent Recording Rescue Data 5 1 Reviewing Rescue Data 5 1 Chapter 6 Maintenance and Troubleshooting Self Tests 6 1 Indicator Troubleshooting Table 6 2 Scheduled Maintenance 6 3 Daily Maintenance 6 3 Mon...

Страница 6: ...Table of Contents Version 112 2025 109 B vi...

Страница 7: ...on pads shall be warranted until the expiration date Lithium batteries P N 9146 have a full operational replacement warranty of four 4 years from the date of installation into a Powerheart AED One 1 y...

Страница 8: ...ty for either a 90 days or b the remainder of the original warranty period whichever is longer provided the warranty applies and the warranty period has not expired Obligations and Warranty Limits Lim...

Страница 9: ...is Limited Warranty is Void if Any Cardiac Science product is serviced or repaired by any person or entity other than Cardiac Science unless specifically authorized by Cardiac Science Any Cardiac Scie...

Страница 10: ...112 2025 109 B Limited Warranty x...

Страница 11: ...y harm you the patient or the Powerheart G3 AED Contact Information To order additional Powerheart G3 AEDs or accessories worldwide Toll Free USA and Canada 1 800 991 5465 Telephone 1 425 402 2690 Fax...

Страница 12: ...ut the manual Product References For purposes of retaining simple clear instructions in this manual note the product references used Features specifications operating instructions and maintenance comm...

Страница 13: ...Explosion Hazard Do not use in the presence of flammable gasses including concentrated oxygen to avoid possible explosion or fire hazard WARNING Shock Hazard Defibrillation shock current flowing thro...

Страница 14: ...other like equipment near the incident WARNING Possible Interference with Implanted Pacemaker Therapy should not be delayed for patients with implanted pacemakers and a defibrillation attempt should...

Страница 15: ...to environmental conditions within the acceptable operating parameters at once See Chapter 7 Technical Data CAUTION Lithium Sulfur Dioxide Battery Pressurized contents never recharge short circuit pun...

Страница 16: ...analog and digital interfaces must be certified to the respective IEC standards i e IEC 60950 for data processing equipment and IEC 601 1 for medical equipment Furthermore all configurations shall co...

Страница 17: ...attempting to operate the AED Defibrillator Proof Type BF Equipment The AED when connected to the patient s chest by the pads can withstand the effects of an externally applied defibrillation shock C...

Страница 18: ...D requires maintenance by authorized service personnel When the SHOCK indicator is lit press this button to deliver a defibrillation shock A red indicator with a BLACK X means the AED requires operato...

Страница 19: ...e patient use only Tear here to open Do not recharge battery Position of pads on the chest of patient For use by or on the order of a Physician or persons licensed by state law Dispose of properly in...

Страница 20: ...on hazard Do not use in the presence of a flammable gas including concentrated oxygen Upper and lower temperature limits Serial Number Device model number battery model number Lot number Option number...

Страница 21: ...information is provided in the AED Operation and Service Manual Manufacturer Authorized representative in the European Community Waste Electronic Electrical Equipment WEEE Separate collection for was...

Страница 22: ...omagnetic environment guidance RF emissions CISPR 11 Group 1 The AED uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference...

Страница 23: ...ty test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete...

Страница 24: ...netic field IEC 61000 4 8 3 A m 80 A m Power frequency magnetic fields should be at levels no higher than those characteristic of a typical location in typical heavy industrial and power plants and th...

Страница 25: ...distance d 1 2 80 MHz to 800 MHz d 2 3 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended se...

Страница 26: ...inadvertently brought into patient areas For this reason an additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in these frequency ranges c Field stre...

Страница 27: ...ce by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the AED as recommended below according to the maximum output power of the communications e...

Страница 28: ...e ISM industrial scientific and medical bands between 150 kHz and 80 MHz are 6 765 MHz to 6 795 MHz 13 553 MHz to 13 567 MHz 26 957 MHz to 27 283 MHz and 40 66 to 40 70 MHz NOTE 3 An additional factor...

Страница 29: ...es the patient s electrocardiogram ECG and advises the operator to press the button and deliver a shock if needed The AED uses one button and guides the operator through the rescue using a combination...

Страница 30: ...Analysis Algorithm The RHYTHMx AED ECG analysis algorithm provides ECG detection capabilities The features available with the AED include the following Detection Rate Asystole Threshold Noise Detectio...

Страница 31: ...sis Synchronized Shock The AED is designed to automatically attempt to synchronize shock delivery on the R wave if one is present If delivery cannot be synchronized within one second a non synchronize...

Страница 32: ...the SHOCK button 9390E only to deliver a defibrillation shock followed by performing 2 minutes of CPR For the Powerheart AED G3 Automatic upon detecting a shockable rhythm the AED will automatically d...

Страница 33: ...t from one of these five protocols when placing the Powerheart G3 AED into service The Powerheart G3 AED s factory default energy protocol is 200 300 300 Joule J escalating Variable Energy VE The firs...

Страница 34: ...the physician or Medical Director A thorough understanding of the procedures in this manual Note Keep valid certificates of training and certification as required by state province or country regulat...

Страница 35: ...section presents information on unpacking and setting up the AED Unpacking and Inspecting Every attempt is made to ensure your order is accurate and complete However to be sure that your order is corr...

Страница 36: ...s is the mode the AED would be in during an actual rescue situation Serial Communication Port Behind blue rubber data access cover Pad Holders Electrode Connector Speaker Text Display Diagnostic Panel...

Страница 37: ...ters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED If the daily self test determines env...

Страница 38: ...n or fire hazard Caution Lithium Sulfur Dioxide Battery Pressurized contents never recharge short circuit puncture deform or expose to temperatures above 65 C 149 F Remove the battery when discharged...

Страница 39: ...the expected life of the Powerheart G3 AED when used in Standby Mode Battery Shelf Life The batteries have a shelf life of five years Shelf life is defined as the length of time a battery can be store...

Страница 40: ...onds to initiate self test If the battery is installed properly the STATUS INDICATOR will turn GREEN Close the lid OR Open the lid for 5 seconds to initiate a self test If the battery is installed pro...

Страница 41: ...he lid of the AED 3 Match the color of the connectors red to red then plug the pad connector into the AED case as shown in the drawing Once the pad connector is plugged into AED the PAD indicator shou...

Страница 42: ...ing 1 Ensure the skin site is clean and dry 2 Separate one pad from blue liner 3 Place one pad on bare skin in either location 4 Peel and place remaining pad in opposite location AED Indicators The fo...

Страница 43: ...s sounded every 30 seconds until the lid is opened or the battery power is depleted Opening and closing the lid may deactivate the beep If the error is not corrected by the next automatic self test th...

Страница 44: ...RY LOW prompt will be issued at once However the AED is capable of delivering at least 9 more defibrillation shocks after the first Battery Low prompt is issued When the AED battery cannot deliver any...

Страница 45: ...ation text prompts and data during a rescue and diagnostics System initialization occurs when the lid is first opened The text display shows the operator the identifiers for the internal code voice pr...

Страница 46: ...C is set at the correct local time and date 2 Open the lid of the AED and run the RescueLink software on the PC 3 Connect the cable to the serial port on the AED 4 Verify that the voice prompt states...

Страница 47: ...splay Situation Begin by Exposing Patient s Bare Chest and Torso Remove or Cut Clothing if Needed BARE PATIENT S TORSO REMOVE CLOTHING Prompts the rescuer to remove patient clothing When Patient s Che...

Страница 48: ...nd pad is placed Table 6 Analysis Voice Prompt Text Display Situation Do Not Touch Patient Analyzing Heart Rhythm Please Wait DO NOT TOUCH PATIENT ANALYZING RHYTHM Repeats until analysis of the patien...

Страница 49: ...D is shipped from the factory with ENHANCED MODE defaulted ON The Medical Directory may modify the CPR options in MDLink ENHANCED CPR prompts are listed below It is Now Safe to Touch the Patient NOW S...

Страница 50: ...mpts at the end of each CPR round Give Breath Give Breath GIVE BREATH Prompts to give two breaths to patient Continue with Compressions CONTINUE WITH COMPRESSIONS Prompts in subsequent rounds of the s...

Страница 51: ...the rescue If completely depleted all AED activity will terminate Analysis Interrupted Stop Patient Motion ANALYSIS INTERRUPTED STOP PATIENT MOTION When the AED detects ECG noise artifact stop moving...

Страница 52: ...rs after the self tests determine that the AED is not functioning properly The prompt SERVICE REQUIRED will be heard when the lid is opened The red SERVICE indicator will illuminate and SERVICE REQUIR...

Страница 53: ...Explosion Hazard Do not use in the presence of flammable gasses including concentrated oxygen to avoid possible explosion or fire hazard WARNING Shock Hazard Defibrillation shock current flowing throu...

Страница 54: ...port When the serial communication cable is connected to the AED during a rescue the prompt Remove cable to continue rescue will be heard until you remove the serial communication cable from the AED C...

Страница 55: ...Cut Clothing if Needed Remove clothing from the patient s chest Ensure the skin site is clean and dry Dry the patient s chest and shave excessive hair if necessary Note When the patient is a child un...

Страница 56: ...the Liner on the Patient Exactly as Illustrated This Pad Can be Placed on Either of the Two Locations Shown After the prompt Next Peel the Blue Plastic Liner Off of the Second White Pad Firmly Place...

Страница 57: ...tronic device or stop the excessive motion if you hear this prompt Step 4 Shock Delivery If a shock is advised the voice prompt will say Preparing Shock Move away from the patient You should ensure th...

Страница 58: ...wn rapidly one third depth of chest then release If this is not the first delivery of CPR then the AED will prompt When instructed give 30 rapid compressions Then give two breaths Start CPR At the end...

Страница 59: ...t Rescue After transferring the patient to ALS personnel prepare the AED for the next rescue 1 Retrieve the rescue data stored in the internal memory of the AED by using RescueLink software installed...

Страница 60: ...Step 6 Post Rescue Version 112 2025 109 B 4 8...

Страница 61: ...hout downloading the data to a PC Should the internal memory become full the AED will purge rescues as needed beginning with the oldest rescue When downloading data RescueLink will enable the user to...

Страница 62: ...G Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment CAUTION Serial Communication Cable The serial communication cable is only for...

Страница 63: ...elf tests are also activated every time you open and close the AED lid When performing the self tests the AED completes the following steps automatically 1 Turns itself ON and the Status Indicator cha...

Страница 64: ...the AED indicators Table 12 Indicator Troubleshooting Table View Symptom Solution Red SERVICE indicator LED is lit Maintenance by authorized service personnel is required Call Cardiac Science Custome...

Страница 65: ...nce Check the Status Indicator to ensure that it is GREEN When the indicator is GREEN the AED is ready for a rescue If the indicator is RED refer to the Troubleshooting Table in this chapter Monthly M...

Страница 66: ...tegrity of the Service Indicator LED and Circuitry 1 Immediately after opening the AED lid press and hold the Shock button and confirm that the Service LED is lit 2 Release the Shock Continue button 3...

Страница 67: ...ith all AEDs the operator should stop CPR compressions during the analysis phase Q Can I transport the victim while the AED is analyzing A No Vehicle motion may cause noise artifacts that could interf...

Страница 68: ...e lid is reopened however the rescue may be continued even though the STATUS INDICATOR remains RED Q My AED is sounding an audible alert Why How do I stop it A The audible alert indicates that the sel...

Страница 69: ...shooting 6 7 Q What if I have to perform a rescue in an isolated area and at subzero temperatures A When travel to a rescue involves exposing the AED to extremely cold temperatures for an extended per...

Страница 70: ...Frequently Asked Questions Version 112 2025 109 B 6 8...

Страница 71: ...ail Operation Semi Automatic shock advisory Automatic Audible Alerts Voice Prompt Maintenance Alert Visible Indicators Status Indicator Battery Status Indicator Service Indicator Pads Indicator Text D...

Страница 72: ...p n 9146 001 Output voltage 12VDC max Batteries are non rechargeable Lithium contents 9 2g max Check local regulations for disposal information Full Operational Replacement Guarantee from date of ins...

Страница 73: ...and software partial charge Monthly every 28 days Battery under load pads internal electronics full energy charge cycle Shock Continue button and software full charge Open Lid when lid is opened Batte...

Страница 74: ...pads conform to the applicable requirements of the following CE CE Marked by BSI 0086 per the Medical Device Directive 93 42 EEC ETL Classified by ETL Semko with respect to electric shock fire and mec...

Страница 75: ...55011 CISPR 11 Group 1 Class B Magnetic ANSI AAMI DF39 0 5mT on surface except for within 5cm of the lid magnet and the speaker Immunity EM EC 61000 4 3 Level X 20V m EC 60601 2 4 Section 36 202 3 20...

Страница 76: ...150Hz 2g Enclosure Protection IEC 60529 2001 IP24 Shipping and Transportation Conditions ISTA Procedure 2A RHYTHMx ECG Analysis Performance The AED RHYTHMx ECG Analysis system analyzes the patient s E...

Страница 77: ...nd Coordinating Committee Circulation 1997 95 pp 1677 1682 Shockable Rhythm VT Meets AAMI DF 39 requirement and AHA recommendation of Sensitivity of 75 Non shockable Rhythm NSRMeets AAMI DF 39 require...

Страница 78: ...uses variable energy The actual energy delivered will vary with the patient s impedance and the device will deliver a shock when impedance is between 25 180 Ohms Energy will be delivered at three dif...

Страница 79: ...56 100 1434 7 0 1007 3 2 108 146 125 1437 8 3 1027 3 2 102 138 150 1439 9 5 1040 3 2 98 132 175 1441 10 8 1049 3 2 95 128 Table 15 Low Variable Energy 200 VE Powerheart G3 Waveform Phase 1 Phase 2 Pat...

Страница 80: ...owerheart G3 Waveform Phase 1 Phase 2 Patient s Impedance Ohms Voltage Volts Duration MS Voltage Volts Duration MS Energy Joules 25 1869 3 3 997 3 2 260 351 50 1906 4 5 1220 3 2 230 311 75 1918 5 8 13...

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