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Rescue Life User Manual vers. 3.0 Feb. 2015

SPEED DIAL USE _____________________________________________________________________ 21

OPERATIONAL SCREEN FEATURES _______________________________________________________ 21

CONNECTIONS ______________________________________________________________________ 22

DEVICE AND PATIENT PREPARATION _______________________________________________ 23

PRODUCT CHECK_____________________________________________________________________ 23

HOW TO TEST THE DEFIBRILLATOR ______________________________________________________ 23

HOW TO USE THE ECG PATIENT CABLE CONNECTION AND ELECTRODES PLACEMENT ______________ 24

ECG CONNECTION____________________________________________________________________ 24

DEFIBRILLATION THERAPY________________________________________________________ 26

GENERAL INFORMATION FOR PROFESSIONAL USER_________________________________________ 26

HOW TO PREPARE THE PATIENT_________________________________________________________ 27

HOW TO PREPARE THE PEDIATRIC PATIENT________________________________________________ 28

DEFIBRILLATION________________________________________________________________ 29

DEFIBRILLATION PROCEDURE IN MANUAL ________________________________________________ 29

OR ADVISORY (ADV) MODE ____________________________________________________________ 29

AUTOMATED EXTERNAL DEFIBRILLATION (OPTIONAL) _________________________________ 31

INDICATIONS FOR USE ________________________________________________________________ 31

ECG ANALYSIS ALGORITHM ____________________________________________________________ 32

CPR PROTOCOL ______________________________________________________________________ 32

SELECTING THE AED OPERATION MODE __________________________________________________ 32

TO SELECT THE AED OPERATION MODE IS REALLY EASY. _____________________________________ 32

AUDIO AND TEXT PROMPTS ___________________________________________________________ 33

SEMIAUTOMATIC (AED) MODE FLOW CHART ______________________________________________ 34

PACEMAKER (OPTIONAL) ________________________________________________________ 34

SPO2 MONITORING _____________________________________________________________ 37

PULSE OXIMETRY SENSORS ____________________________________________________________ 38

SETTING THE ALARM _________________________________________________________________ 38

NIBP (NON INVASIVE BLOOD PRESSURE) ____________________________________________ 39

INTRODUCTION _____________________________________________________________________ 39

OPERATIONAL OVERVIEW _____________________________________________________________ 39

TERMINOLOGY FOR NIBP______________________________________________________________ 40

WARNINGS & PRECAUTIONS DURING THE NIBP MESURAMENT. ______________________________ 41

OPERATION_________________________________________________________________________ 43

Содержание Rescue Life

Страница 1: ...RESCUE LIFE EXTERNAL BIPHASIC DEFIBRILLATOR AND MONITOR USER MANUAL V 3 0 Feb 2015...

Страница 2: ...Rescue Life User Manual vers 3 0 Feb 2015...

Страница 3: ...____________________________ 8 CONNECTING TO POWER _______________________________________________________________ 9 BATTERY CHARGE ____________________________________________________________________...

Страница 4: ...AUTOMATED EXTERNAL DEFIBRILLATION OPTIONAL _________________________________ 31 INDICATIONS FOR USE ________________________________________________________________ 31 ECG ANALYSIS ALGORITHM ________...

Страница 5: ...__________________________________ 55 HOW DOES BIPHASIC WAVEFORM DEFIBRILLATE __________________________________________ 55 EASE IN COMPENSATION OF PATIENT IMPEDANCE___________________________________...

Страница 6: ...Rescue Life User Manual vers 3 0 Feb 2015...

Страница 7: ...include information and procedures related to all features and options of the RESCUE LIFE monitor defibrillator Your RESCUE LIFE monitor defibrillator may not have all of these features or optional Pl...

Страница 8: ...r customers to ensure that the appropriate person s within their organization have access to this information including general safety information which are given in this manual GENERAL Assure yoursel...

Страница 9: ...S OF THE PATIENT BODY SUCH AS THE HEAD OR LIMBS MUST NOT BE IN TOUCH WITH METAL PARTS BED FRAMES OR STRETCHERS THE PATIENT MUST NOT BE TOUCHED DURING DEFIBRILLATION DURING DEFIBRILLATION WITH CONNECTE...

Страница 10: ...SPECIFIED USE CARE WHEN OPERATING THIS DEVICE CLOSE TO OXYGEN SOURCES SUCH AS BAG VALVE MASK DEVICES OR VENTILATOR TUBING TURN OFF GAS SOURCE OR MOVE SOURCE AWAY FROM PATIENT DURING DEFIBRILLATION PO...

Страница 11: ...power cord during recharging The right value for the AC power supply is 100V to 240V 50 60 Hz AC During recharging do not place the device where the environmental conditions exceed the storage conditi...

Страница 12: ...in this manual or rear sticker or accessories of Rescue Life defibrillator Symbol Description Power ON OFF button Charge button Status Led SHOCK button BF type defibrillation proof equipment Attention...

Страница 13: ...ust ship the defibrillator in the future DEVICE OPERATION AND STORAGE GUIDELINES Do not operate or store the device in conditions that are beyond the following specified limits Operating Conditions Te...

Страница 14: ...RIES WITH BLEACH BLEACH DILUTION OR PHENOLIC COMPOUNDS DO NOT USE ABRASIVE OR FLAMMABLE CLEANING AGENTS DO NOT ATTEMPT TO STERILIZE THIS DEVICE OR ANY ACCESSORIES UNLESS OTHERWISE SPECIFIED IN ACCESSO...

Страница 15: ...intended to be used for standby operation A new completely charged battery provides approximately 100 shocks at 230J discharges 70 minutes of pacing or approximately 180 minutes of continuous monitori...

Страница 16: ...d on the back side and connect to the AC line The battery status led will switch on When the charge finished the led will switch off To see the battery charge status switch on the device with pads con...

Страница 17: ...Product name Product serial number Date of purchase Name of sales representative Information of customer and a brief description of the problems encountered All of the service works for the product mu...

Страница 18: ...alities are found in the device or when a danger to bodily harm exists the device has to be repaired fast and adequately by authorized personnel When the need for maintenance arises please contact PRO...

Страница 19: ...nfiguration has only the manual mode available and the ECG monitoring can be done by defibrillation pads 1 trace or by 5 leads ECG monitoring cable assembly from PROGETTI S r l 3 3 traces The RESCUE L...

Страница 20: ...THORIZED BY A PHYSICIAN OR MEDICAL DIRECTOR AND HAVE AT A MINIMUM THE FOLLOWING SKILLS AND TRAINING CPR TRAINING AED TRAINING EQUIVALENT TO THAT RECOMMENDED BY THE AMERICAN HEART ASSOCIATION AHA OR TH...

Страница 21: ...posable pads SPEED DIAL Used to navigate select energy and modify the settings on main screen or in other sub menus ON STATUS LED Shows that the defibrillator is ON BATTERY CHARGE LED Indicates that t...

Страница 22: ...s on it means that RESCUE LIFE is ready to defibrillate Pressing this key will release the defibrillation shock This key is active only when disposable pads are used To release the shock with the stan...

Страница 23: ...maker mode manual or on demand F4 SYNC enable Sync or No Sync Mode Switch on off the pace maker F5 SET CLOCK MENU default parameters setup Exit the pace maker mode LIGHT INDICATORS Indicator LED BATTE...

Страница 24: ...d disconnected On the screen will be displayed the battery status the date and time The F5 key enables the clock set up With the Speed Dial select the value to change and rotating it the value can be...

Страница 25: ...CK THE OF BATTERY TURN ON WITH THE DEFIBRILLATION PADS DISCONNETED WE RECOMMEND TO CONNECT RESCUE LIFE TO THE AC POWER ONCE THE BATTERY IS UNDER 70 HEART RATE BATTERY INDICATOR STATUS ALARM ON OFF TIM...

Страница 26: ...g the F5 key MENU SET UP MENU FIELDS ALARM HR MAX Set the maximum heart rate alarm ALARM HR MIN Set the minimum heart rate alarm ALARM O2 MAX Set the SpO2 maximum alarm PRINT MODE Set the print mode a...

Страница 27: ...G traces display and printer 5mm s 10mm s 25mm s and 50mm s GAIN Select the ECG gain display and printer 2 5mm mV 5mm mV 10mm mV 20mm mV and 40mm mV ALARM STATUS Enable or disable the ECG heart rate a...

Страница 28: ...patient cable input RESCUE LIFE automatically individuates the cable connection and displays on the screen the 3 3 traces SPO2 INPUT OPTIONAL When the SpO2 sensor is connected saturation values and he...

Страница 29: ...d impedance of 50 ohm is assumed WHEN THE RESCUE LIFE IS CHARGED WITH THE PADDLES NOT ATTACHED TO THE PATIENT AND THE ENERGY IS SET TO A VALUE HIGHER THAN 120J THE CHARGED ENERGY WILL BE LIMITED TO 12...

Страница 30: ...Cl electrodes Other types of electrodes will display the post defibrillation ECG in less time than expected Possible misinterpretation of ECG data The frequency response of the monitor screen is inten...

Страница 31: ...Rescue Life User Manual vers 3 0 Feb 2015 25 Precordial lead electrodes sites for the 10 wires ECG cable...

Страница 32: ...f supplemental oxygen Drug therapy The physical state of the patient may affect the likelihood of successful defibrillation Thus failure to resuscitate a patient is not a reliable indicator of defibri...

Страница 33: ...emove the pads from the package and follow the directions and diagram showing proper defibrillation pad placement located on the defibrillation pad package The correct placement of pads is indispensab...

Страница 34: ...lectrode is ready to be applied Put the electrodes with the adhesive side of the patient s skin Place the electrodes as shown in the diagram The placement of pediatric electrodes in children under the...

Страница 35: ...charge ends the red light on the SHOCK button will turn on indicating that RESCUE LIFE is ready for defibrillation 8 To release the defibrillation shock press both push buttons on the standard pads If...

Страница 36: ...HE HEART RATE IS STABLE DEFIBRILLATING IN SYNC MODE WITH A DISTURBED ECG SIGNAL IS DANGEROUS BECAUSE THE MACHINE WILL NOT BE ABLE TO IDENTIFY CORRECTLY THE R PEAK TO SYNCHRONIZE TO THE MACHINE CAN DEL...

Страница 37: ...device is indicated for emergency treatment of victims exhibiting the following symptoms of a sudden cardiac arrest un consciousness absence of normal breathing and lack of detectable pulse If the vic...

Страница 38: ...dvises the operator to press the SHOCK button to deliver a shock then advises the operator to check the patient pulse and start CPR for 120 seconds with a chest compression to ventilation ratio of 30...

Страница 39: ...dicates that the patient has a shockable ECG rhythm such as VF or VT with rates greater than 200 bpm NO SHOCK ADVISED Indicates that the patient has a non shockable ECG rhythm BEGIN CPR NOW The user s...

Страница 40: ...scue Life User Manual vers 3 0 Feb 2015 34 SEMIAUTOMATIC AED MODE FLOW CHART CONNECT PADS ATTACH PADS ANALYZING HEART RHYTHM SHOCK ADVISED NO SHOCK ADVISED SHOCK NO SHOCK CPR 120 sec CHECK PULSE DO CP...

Страница 41: ...ility of successful pacing or of skeletal muscle activity The failure to successfully pace a patient is not a reliable indicator of pacemaker performance In the same way the patient s muscular respons...

Страница 42: ...tting the pacing current press the F2 key and use the Speed Dial to change the value For changing the pace maker operation mode press F3 key For starting stopping the pacer press the F4 key To exit th...

Страница 43: ...ight absorption by that blood changes during the pulse plethysmography A pulse oximeter determines SpO2 by passing red and infrared light into an arteriolar bed and measuring changes in light absorpti...

Страница 44: ...FROM THE ONES RECOMMENDED BEFORE USING CAREFULLY READ THE SENSOR DIRECTIONS FOR USE INCLUDING ALL WARNINGS CAUTIONS AND INSTRUCTIONS SETTING THE ALARM The SPO2 alarm may be set to warn you if the SPO2...

Страница 45: ...ical designed the Advantage A to meet the needs of the most challenging clinical application with internal automatic modes low voltage communication protocols the lowest power consumption in the indus...

Страница 46: ...y referred to as the mean arterial pressure MAP As cuff deflation continues the diastolic pressure can be determined based upon the rapidly diminishing amplitude of the pressure fluctuations Thus syst...

Страница 47: ...t may be affected by the position of the subject his or her physical condition and use outside of the operating instructions detailed in this manual Interpretation of blood pressure measurements shoul...

Страница 48: ...containing blood that appears in the skin formation or Rumple Leede phenomenon multiple petechia on the forearm following the application of the cuff which may lead to Idiopathic thrombocytopenia spon...

Страница 49: ...hould be placed on the non dominate arm where the lower edge of the cuff is located 2cm above the antecubital fossa interior bend of the elbow Figure 3 1 Ensure that the air hose from the monitor to t...

Страница 50: ...g the selection jog will activate the NIBP mode WHEN IN NIBP MODE THE DEFIBRILLATOR SETUPS ARE NOT AVAILABLE ALL LABELS ARE GRAYED OUT TO RETURN TO THE DEFIBRILLATOR FUNCTIONS AND SETUPS PRESS EXIT F5...

Страница 51: ...ODE MANUAL AUTO INTERVAL 5min PRINT MODE AUTO OPERATION SEQUENCE Before any measurement please select the right patient type set up menu For a manual NIBP measurement place the cuff according to point...

Страница 52: ...y have been moving too much Check that the cuff is properly tightened Check that the cuff is in the correct position Check that the correct size cuff is being applied Check that there is no excessive...

Страница 53: ...ement EC 89 Cuff Overpressure C or r ect i ve A ct i on C h eckt h a tt h e cor r ectsi ze cu ffi s bei nga p p l i ed C h eckt h a tt h e h ose h a s nosh a r pbend s ori s p i nched C h eckt h a tt...

Страница 54: ...C Cuff Thigh Range 38 50 cm 98 0068 11 Pediatric Eclipse Range 16 22 cm 98 0068 12 Small Adult Eclipse Range 21 29 cm 98 0068 13 Adult Eclipse Range 28 37 cm 98 0068 14 Large Adult Eclipse Range 36 46...

Страница 55: ...Beats Per Minute Pulse Rate Accuracy 2 or 3 BPM whichever is greater Cuff Deflate Rate Deflation step size varies with heart rate cuff pressure and cuff volume Initial Inflation Pressure ADULT 160 mm...

Страница 56: ...ited to 130 seconds Adult mode 120 seconds Adult Motion Tolerant mode 90 seconds Pediatric mode 75 seconds Neonate mode Additional redundant safety circuitry oversees normal operation and will overrid...

Страница 57: ...on we recommend to do it in a not emergency situation The access to the data base management and data view print is done from the initial screen Just disconnect the paddles connector and switch on the...

Страница 58: ...he graphic to record selection and to the files list The DELETE F4 key is used to cancel the content of the selected file The file name is not canceled but only the records present in the file On the...

Страница 59: ...00 1 rec 00 00 00 00 00 00 03 DATA BASE SCREEN PG DOWN TOP PG PRINT DELETE EXIT FREE MEMORY 166666 Min 2777 hours FILE DATE 0000001 0000002 0000003 0000004 01 01 00 01 01 00 01 01 00 01 01 00 0000001...

Страница 60: ...the charge starts When the shock is released the energy delivered as well as the time stamp will be printed together with a 6 seconds after shock ECG frame The manual printing using F2 key PRINT is o...

Страница 61: ...h positive ions on one side and negative ions on the other side enough to depolarize nearly 100 percent of the cardiac cells at the same instant Optimal current is determined with the pressure this me...

Страница 62: ...voltage level to be delivered 3 The technology for controlling the duration of current flow These technologies can adjust the parameters of the shock waveform to match the transthoracic impedance of t...

Страница 63: ...Rescue Life User Manual vers 3 0 Feb 2015 57...

Страница 64: ...orms offer substantial reductions in defibrillation thresholds and produce less myocardial dysfunction than monophasic waveforms 1 2 3 4 The defibrillation efficacy of the 150 J biphasic waveform was...

Страница 65: ...But the lower energy of biphasic shock is more efficient than high energy of the monophasic shock for defibrillation to restore heart rhythm In a multicenter randomized controlled trial of 150J bipha...

Страница 66: ...J Biphasic Shocks Compared With 200 to 360 J Monophasic Shocks in the Resuscitation of Out of Hospital Cardiac Arrest Victims Circulation 2000 102 1780 1787 6 Steven L Higgins et al A comparison of bi...

Страница 67: ...CAL SPECIFICATIONS Waveform time impedance Following flow charts show typical defibrillation impulses considering the impedance between the defibrillation electrodes for a maximum of 230 Joule 150J 25...

Страница 68: ...SYNC NO SYNC MODE When the RESCUE LIFE is on it is automatically set on no sync mode Only the operator can set the sync no sync mode which is clearly displayed on the screen The device can not automa...

Страница 69: ...miautomatic AED Energy Levels 10 20 30 50 100 150 180 200 230 J Defibrillabile impedance Compensated from 25 ohm to 200 ohm Energy charging time 6 sec with batteries fully charged Manual Mode Syncro A...

Страница 70: ...e ECG R wave synchro or asynchro mode Indicators Battery and main led indicators Clear and visible backlight color buttons AED mode optional Energy Fixed energy at 200 J Protocol AHA 2010 CPR Guidelin...

Страница 71: ...onal Type Rettangular wave Operating mode Fixed on demand Pulse rate 30 ppm to 250 ppm adjustable in steps of 5 ppm Impulse duration 22 ms Pulse current 0 to 150 mA adjustable in steps of 5 mA Amplitu...

Страница 72: ...NE 1993 CONCERNING MEDICAL DEVICES ALL SUPPORTING DOCUMENTATION IS RETAINED AT THE PREMISES OF THE MANUFACTURER FOR DEDICATED DECLARATION OF CONFORMITY WITH YOUR DEVICE S SERIAL NUMBER CONTACT PROGETT...

Страница 73: ...TI S r l This warranty does not cover any accessories PROGETTI S r l will replace damaged parts and components according to its option PROGETTI S r l will replace cost free those parts and components...

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Страница 76: ...Rescue Life User Manual vers 3 0 Feb 2015 www progettimedical com...

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