manualshive.com logo in svg

ZOLL E Series, Руководство оператора, Страница: 7 / 133

Поделиться
Скачать
ZOLL E Series Скачать руководство пользователя страница 7

E Series Operator’s Guide

vi 

www.zoll.com

9650-1210-01 Rev. T

NIBP Trend Operation .......................................................................................10-6
Clearing Vital Signs Trend Records...................................................................10-7

SECTION 11 GENERAL MAINTENANCE .............................................................. 11-1

Inspection .............................................................................................................11-1
Cleaning................................................................................................................11-1

Cleaning the Recorder Printhead.......................................................................11-1

Testing the E Series Unit.....................................................................................11-1

Testing the Stripchart Recorder .........................................................................11-1
Testing the Defibrillator (Semiautomatic Mode).................................................11-2
Testing the Defibrillator (Manual Mode).............................................................11-2
Testing the Pacer (Pacer Version Only) ............................................................11-3

Changing Recorder Paper...................................................................................11-4
Setting Time and Date .........................................................................................11-5

Manual Method ..................................................................................................11-5
Automated Dial-up Method ................................................................................11-5
GPS Synchronization.........................................................................................11-6

Operator’s Shift Checklist for E Series Products (Manual)..............................11-7
Operator’s Shift Checklist for E Series Products (Semiautomatic) ................11-8

SECTION 12 BATTERY MANAGEMENT ............................................................... 12-1

Battery Care..........................................................................................................12-1

Battery Life Expectancy .....................................................................................12-1
LOW BATTERY Message..................................................................................12-1
Changing the Battery Pack ................................................................................12-1
Charging and Testing Battery Packs .................................................................12-2
Top Panel Battery LEDs ....................................................................................12-2
Troubleshooting .................................................................................................12-2

Achieving Optimal Battery Pack Performance..................................................12-3

SECTION 13 TROUBLESHOOTING GUIDELINES ................................................ 13-1

Monitor..................................................................................................................13-1
Recorder ...............................................................................................................13-3
Pacer (Pacer version only)..................................................................................13-4
Defibrillator...........................................................................................................13-5
AC Charger ...........................................................................................................13-7

APPENDIX A SPECIFICATIONS ................................................................................A-1

General................................................................................................................... A-1
Pacemaker (Pacer version) .................................................................................. A-2
ECG Monitoring..................................................................................................... A-3
CPR Monitoring..................................................................................................... A-4
Display ................................................................................................................... A-5
Recorder ................................................................................................................ A-5

Содержание E Series

Страница 1: ...ies Defibrillator Operators Guide Get an original copy of the ZOLL E Series Defibrillator Operators Guide for manufacturer information about service available accessories and how to use and maintain y...

Страница 2: ...9650 1210 01 Rev T E Series Operator s Guide...

Страница 3: ...Power Charger CPR Dashboard CPR Index CPR D padz E Series pedi padz Protocol Assist Code Markers Real CPR Help Rectilinear Biphasic RescueNet See Thru CPR SmartAlarms stat padz SurePower and ZOLL are...

Страница 4: ...ker Function Pacer version only 1 8 Intended Use Pacemaker 1 8 Pacemaker Complications 1 8 Pediatric Pacing 1 9 Paddle and Electrode Options 1 9 MFE Pad Application Connection 1 9 Monitor 1 10 Recorde...

Страница 5: ...Modifying a Patient Name and ID Number 2 11 Erasing Summary Report Memory 2 11 SECTION 3 MANUAL DEFIBRILLATION 3 1 Emergency Defibrillation Procedure with Paddles or MFE Pads 3 1 Troubleshooting 3 4...

Страница 6: ...ng 9 4 Pediatric Pacing 9 4 Troubleshooting 9 4 SECTION 10 ECG MONITORING 10 1 Introduction 10 1 Preparations 10 1 Electrode Placement 10 1 Monitoring Electrodes Attachment 10 2 Control Setting 10 2 S...

Страница 7: ...Dial up Method 11 5 GPS Synchronization 11 6 Operator s Shift Checklist for E Series Products Manual 11 7 Operator s Shift Checklist for E Series Products Semiautomatic 11 8 SECTION 12 BATTERY MANAGE...

Страница 8: ...linical Trial for Defibrillation of Ventricular Fibrillation VF and Ventricular Tachycardia VT A 21 Randomized Multi Center Clinical Trial for Cardioversion of Atrial Fibrillation AF A 22 Synchronized...

Страница 9: ...This page intentionally left blank...

Страница 10: ...K depending on local protocols The unit is switched from Semiautomatic mode to Manual mode for ACLS use by pressing the appropriate soft key on the front panel The E Series assists caregivers during c...

Страница 11: ...ion within this manual for subsequent reference Product documentation is available through the ZOLL website at www zoll com From the Products menu choose Product Documentation Unpacking Before unpacki...

Страница 12: ...argers REF ZOLL Base PowerCharger 4x4 Battery Charger 8050 0012 01 Smart Battery Pack 8004 0103 01 SmartReady Battery Pack 8004 0104 01 ZOLL SurePower Charger 8050 0030 01 SurePower defibrillator batt...

Страница 13: ...ype B equipment Type BF equipment Type CF equipment Defibrillator proof type BF equipment Defibrillator proof type CF equipment Attention consult accompanying documents Fragile handle with care Keep d...

Страница 14: ...tionally damage Do not crush Nonrechargeable battery Do not discard in trash Recycle or dispose of properly Date of manufacture Use by Latex free Do not reuse Do not fold Not sterile Nonionizing elect...

Страница 15: ...1 Rev T Manufacturer Authorized representative in the European Community Serial Number Catalogue number Consult instructions for use IP34 Protected against ingress of solid foreign objects 2 5 mm in d...

Страница 16: ...ythm analysis function are provided at the end of this section Intended Use CPR Monitoring The CPR monitoring function provides visual and audio feedback designed to encourage rescuers to perform ches...

Страница 17: ...ight be expected Noninvasive pacing may be useful as a standby when cardiac arrest or symptomatic bradycardia might be expected due to acute myocardial infarction drug toxicity anesthesia or surgery I...

Страница 18: ...Advisory function unless MFE Pads are attached to the Multi Function Cable and used as the ECG monitoring lead Adult and pediatric MFE Pads stat padz and ECG electrodes not the ECG cable are disposab...

Страница 19: ...must replace and recharge the battery Internal Battery Charging You can charge the battery within the device via AC alternating current mains or an optional DC direct current input When the E Series p...

Страница 20: ...from high power sources Radio Frequency Interference RFI may be observed as shifts in monitor baseline trace compression display brightness changes or transient spikes on the display E Series units e...

Страница 21: ...not touch the bed patient or any equipment connected to the patient during defibrillation A severe shock can result Do not allow exposed portions of the patient s body to come in contact with metal ob...

Страница 22: ...the possibility of arcing and skin burns Clip excess hair and dry surrounding moisture from the area where the electrode is to be attached MFE Pads should be replaced after 8 hours of continuous paci...

Страница 23: ...his order 1 Turn the selector switch to the OFF position 2 Remove the battery 3 Insert a new battery 4 Turn the selector switch to the desired operating mode to resume operation This sequence is neces...

Страница 24: ...ional copyright treaties as well as other intellectual property laws and treaties This software is licensed not sold By taking delivery of and using this system the Purchaser signifies agreement to an...

Страница 25: ...was manufactured The month appears in the form of a single alphanumeric character A for January B for February C for March and so on through L for December The product serial number is a unique set of...

Страница 26: ...wn located on the sternum paddle Press and hold the up or down arrow button until the desired energy level is indicated on the display 3 CHARGE Button Pressing the CHARGE button on the front panel or...

Страница 27: ...es To avoid possible confusion with the defibrillator charged tone the heart rate alarm sounds at a different frequency when the Selector Switch is set to DEFIB 10 RECORDER Buttons Located on the unit...

Страница 28: ...n The next three items are located on the top of all units as shown in the following figure Stripchart Recorder Compartment Located on top of the unit the recorder compartment holds the paper supply f...

Страница 29: ...Function The summary report function allows you to store and later retrieve important ECG and device event information The unit s internal memory automatically records defibrillation and cardioversion...

Страница 30: ...ort function records 6 seconds of pre shock and 9 seconds of post shock patient ECG data Also recorded are joules selected joules delivered sync if active includes sync markers ECG lead ECG size patie...

Страница 31: ...e patient s heart rate actual event time and date The date time printed on the top of the strip corresponds to the ECG data occurring 6 seconds before the event After establishing a paced rhythm turni...

Страница 32: ...ort function records 18 seconds of patient ECG data associated with each VF alarm Also recorded are the shock count ECG lead ECG size actual event time patient s heart rate and noise events The date t...

Страница 33: ...the strip corresponds to the ECG data occurring 6 seconds before the event The following annotations may also appear at the top of the Analyze Format printout Annotation Description POOR PAD CONTACT...

Страница 34: ...oftkey are pressed a CHECK RECORDER message appears on the display Load paper and press the SUMMARY button again to select the report to print Printing a Call Report A Call Report is an abbreviated su...

Страница 35: ...Repeat until you have entered the patient s entire name up to 14 characters 3 When you have entered the patient name you can do one of the following things Select the Enter key from the keypad and pr...

Страница 36: ...r the new characters in the Patient Name field using the scroll keys on top of the unit to select characters from the keypad and pressing the Commit key to enter the selection 5 When you have modified...

Страница 37: ...E Series Operator s Guide This page intentionally left blank...

Страница 38: ...the connection to the AutoPulse Plus 1 Prepare the unit for defibrillation Turn the unit to DEFIB The unit automatically defaults to 120 J or the first shock energy selection configured by the user F...

Страница 39: ...able Remove paddles from their holders by sliding each paddle toward you out of the paddle well Apply a liberal amount of electrolyte gel to the electrode surface of each paddle or you can use electro...

Страница 40: ...dle until energy is delivered to the patient Once energy is delivered the display simultaneously shows XXXJ DELIVERED and DEFIB XXXJ SEL After approximately 5 seconds the XXXJ DELIVERED message disapp...

Страница 41: ...and the monitor message changes to DEFIB XXXJ SEL Press the CHARGE button again to recharge the unit Paddle Cleaning Paddle plates and handles must be thoroughly cleaned after each use See General Ma...

Страница 42: ...ugh the AutoPulse Plus refer to the User Guide AutoPulse Resuscitation System Model 100 with Defibrillator Interface addendum part number 9650 0720 01 for instructions on properly connecting the E Ser...

Страница 43: ...unit indicates whether or not a shock is advised When a non shockable rhythm is detected the message NO SHOCK ADV is displayed In this case you should follow local protocols to continue CPR or other c...

Страница 44: ...VISED SCE HIGH or NO SHOCK ADV SCE LOW If the patient s SPI value is greater than the configured SPI threshold the unit operates as previously described and issues the SHOCK ADVISED prompt The E Serie...

Страница 45: ...is pressed and the device is in DEFIB mode with SYNC on Turn off SYNC mode by pressing the SYNC softkey Press the ANALYZE button again to initiate rhythm analysis on the patient Warning Messages Warn...

Страница 46: ...e patient or the cable connections have become loose Check that the MFE Pads are making good contact with the patient s skin and that the cables are all securely connected This voice prompt is issued...

Страница 47: ...E Series Operator s Guide This page intentionally left blank...

Страница 48: ...e 3 second ECG analyses do not detect a shockable rhythm the unit will alert the operator that no shock is advised A fourth 3 second interval will be analyzed if any of the first three is noisy Follow...

Страница 49: ...configured a different energy level you may select it by using the ENERGY SELECT arrow buttons The new energy setting is displayed on the monitor 2 Press ANALYZE Button Press the ANALYZE button to beg...

Страница 50: ...ered to the patient Repeat Analysis Press the ANALYZE button to restart an ECG analysis and to determine if additional shocks are required Note Manual or automatic reanalysis of the ECG rhythm is inhi...

Страница 51: ...yed after delivery of the third shock in three analyses sequence if the unit is configured to auto analyze 3 times ANALYZING ECG STAND CLEAR These messages appear after pressing the ANALYZE button The...

Страница 52: ...ing two screens is displayed If you see the screen above you must enter a three digit access code to enter Manual mode Press the individual softkey corresponding to the digit to be entered each digit...

Страница 53: ...E Series Operator s Guide This page intentionally left blank...

Страница 54: ...ded for monitoring during cardioversion You can use MFE Pads as an ECG source signal quality is equal to that of standard leads except immediately following a discharge when there may be more noise du...

Страница 55: ...s the CHARGE button on the front panel or on the apex paddle handle if paddles are used To abort charging and increase or decrease the selected energy after you press the CHARGE button use the ENERGY...

Страница 56: ...rshock is not needed turn the selector switch to MONITOR or change the selected energy level Any stored energy is discharged internally by the defibrillator If the ANALYZE button is pressed while the...

Страница 57: ...E Series Operator s Guide This page intentionally left blank...

Страница 58: ...Multifunction cable to the narrow end of the CPRD to MFC connector if not already connected Connect the CPR D padz to the wide end of the CPRD to MFC connector Ensure that the CPR D padz are making go...

Страница 59: ...ot be displayed Ten seconds following the cessation of compressions the idle time will be displayed in place of the Compression Indicator bar As soon as a new compression is detected the idle time is...

Страница 60: ...r will only partially fill to indicate the need for more vigorous efforts When compressions cease the indicator s fill level gradually decreases until a hollow outline appears The Compression Release...

Страница 61: ...E Series Operator s Guide This page intentionally left blank...

Страница 62: ...See Thru CPR filtering continues as long as the CPR D padz electrodes detect compressions and patient impedance is valid When no compressions are detected or one of the conditions noted above occurs...

Страница 63: ...ing CPR compressions When the CPR filter turns on the Fine VF rhythm becomes more obvious FineVF 0 00 0 12 Raw ECG Raw ECG Filtered ECG Filtered ECG CPR CPR Filter ON FineVF 0 12 0 24 Raw ECG Raw ECG...

Страница 64: ...his ECG it is possible to view the underlying rhythm as the filter is able to reject all of the CPR artifact CoarseVF 0 00 0 12 Raw ECG Raw ECG Filtered ECG Filtered ECG CPR CPR CoarseVF 0 12 0 24 Raw...

Страница 65: ...rom the CPR signal About 14 seconds into this chart the rhythm changes to asystole which could easily be mistaken for coarse VF When the CPR filter turns on the CPR compression ripples are still obvio...

Страница 66: ...ctively filters out artifact created by CPR SinusRhythm 0 00 0 12 Raw ECG Raw ECG Filtered ECG Filtered ECG CPR CPR Filter ON SinusRhythm 0 12 0 24 Raw ECG Raw ECG Filtered ECG Filtered ECG CPR CPR Fi...

Страница 67: ...E Series Operator s Guide This page intentionally left blank...

Страница 68: ...ch to PACER Set Pacer Output to 0 mA If the unit has just been turned on the PACER OUTPUT is automatically set to 0 mA 3 Set Pacer Rate Set PACER RATE to a value 10 20 ppm higher than patient s intrin...

Страница 69: ...cally to ensure appropriate circulatory support of the patient Electrical Capture Electrical capture means that the unit is delivering sufficient electrical current to stimulate the heart as seen on t...

Страница 70: ...Pacing Alarms The messages CHECK PADS and POOR PAD CONTACT are alternately displayed on the screen and an audible alarm sounds if the unit is attempting to deliver pacing therapy and one of the follow...

Страница 71: ...tkey again and the display returns to PACE Pace stimuli is also delivered asynchronously whenever there is an ECG LEAD OFF condition Be aware that there is no ECG activity on the display when pacing b...

Страница 72: ...Preparations Proper application and placement of electrodes is essential for high quality ECG monitoring Good contact between the electrode and skin minimizes motion artifact and signal interference...

Страница 73: ...B LEADS If you see this message select limb or precordial leads If you want to change the size of the displayed ECG waveform press the SIZE button until the desired waveform size is displayed Options...

Страница 74: ...c softkeys to set the Low alarm limit value then press the Next Field softkey to confirm the selected value and move the highlight to the next setting field to the right High limit field Repeat this s...

Страница 75: ...ter you silence the alarm tone the unit resets the alarm and displays the alarm symbol no inverse video no X The alarm parameter value displays normally no highlighting After the unit resets an alarm...

Страница 76: ...eads etc are printed below this trace For example if aVR is selected the recorder simultaneously prints aVR top followed by aVL middle and aVF bottom With 5 lead monitoring the unit prints lead views...

Страница 77: ...recorded To view older values of recorded data press the Older softkey until the desired data displays If you are viewing the most recent trending data the trending screen remains displayed until you...

Страница 78: ...ndicated by several things the annotation POWER OFF DETECTED is printed at the bottom of the display the stripchart paper advances and a new page of trending data is started If the unit is turned off...

Страница 79: ...E Series Operator s Guide This page intentionally left blank...

Страница 80: ...owels on the display window Do not sterilize the device Make sure to clean the defibrillation paddles after each use Build up of gel interferes with paddle ECG monitoring and may produce a shock hazar...

Страница 81: ...RESS SHOCK prompt 12 Press and hold the SHOCK button and verify unit discharges Note If a LOW BATTERY message appears during testing at the beginning of a shift the battery currently in use is close t...

Страница 82: ...isplays the TEST OK message and prints a stripchart of the event noting the energy delivered and impedance data Note If TEST FAILED appears contact the ZOLL Technical Service Department immediately Te...

Страница 83: ...paper You should not see a thick red line which indicates the end of the pad If you do turn the pad over and unfold the top sheet 4 Align the paper above the open tray The proper orientation is with t...

Страница 84: ...Prev Field softkey to enter the values for the last field If you need to make corrections press the Prev Field softkey to move the highlight to the field previously entered 7 Press the Enter and Retur...

Страница 85: ...ain System Utilities screen Pressing the Abort softkey cancels the GPS synchronization the message GPS ABANDONED is displayed Press the Return softkey to return to the Main System Utilities screen Not...

Страница 86: ...s Empty memory card install in unit if applicable A Power On Sequence Turn unit to MONITOR 4 beep tone heard MONITOR message on display ECG size X 1 PADDLES or PADS as lead selected B Pacer Operation...

Страница 87: ...ence Turn unit to ON 4 beep tone heard B Defibrillator Multi function cable connected to test connector CHECK PADS displays Press ANALYZE button unit charges to 30 J Press and hold SHOCK button TEST O...

Страница 88: ...nute and a 2 beep low battery tone sounds once every minute or once every 5 minutes The tone emission and frequency are configurable options that you can set in the System Configuration screen This me...

Страница 89: ...plugged in and in use the device recharges a fully depleted sealed lead acid battery or lithium ion battery pack within 24 hours When the E Series products are plugged into AC mains the CHARGER ON in...

Страница 90: ...nd Don ts in using battery packs DO charge battery packs completely When a battery pack exchange is required place a fully charged battery in the unit If you use a partially charged battery pack it ma...

Страница 91: ...rged state Battery pack capacity diminishes if left in a fully discharged state for extended periods DON T assume that a shift check of the monitor defibrillator verifies adequate battery pack run tim...

Страница 92: ...ual for instructions on replacing the internal battery You can also contact the ZOLL Technical Service Department for assistance Unit displays the X FAULT XX message A fault has been detected Attempt...

Страница 93: ...E Series Configuration Guide Prepare the patient s skin prior to electrode attachment Check for proper adhesion of electrodes to patient Reduce or eliminate ECG artifact due to electrode or patient c...

Страница 94: ...r paper jam Light or poor quality printing is observed Ensure correct paper type ZOLL P N 8000 0300 is in use Ensure paper is installed grid side against recorder print head Ensure that door is latche...

Страница 95: ...heck patient s pulse Increase output current mA Ensure MFE Pads are making good contact with the patient or review MFE pad placement Select different ECG lead configuration Patient receives intermitte...

Страница 96: ...s have elapsed in Manual mode since initial charge ready Energy was internally discharged 15 seconds have elapsed in automatic mode since initial charge ready Energy was internally discharged Device i...

Страница 97: ...t connector CHECK PADS prompt should change to DEFIB PAD SHORT Manual mode only If test fails try using paddles to defibrillate Unit displays the USE PADS prompt The ECG analysis function operates onl...

Страница 98: ...sists replace battery pack unplug device from AC mains and plug device back into AC mains Unit displays the LOW BATTERY message when it is plugged into AC mains Replace battery pack with a fully charg...

Страница 99: ...E Series Operator s Guide This page intentionally left blank...

Страница 100: ...l patient connections are electrically isolated Environmental Temperature Operating 0 C to 55 C 32 F to 131 F Storage Temperature 20 to 60 C 4 F to 140 F Note The E Series device may not perform to sp...

Страница 101: ...epleted by up to 15 200 Joule discharges Less than 25 seconds from the initial power on with a new fully charged battery pack depleted by up to 15 200 Joule discharges Less than 25 seconds from the in...

Страница 102: ...cts most implanted pacemaker spikes and provides standard display marker of spike on ECG trace Implanted Pulses Detected 2mV to 700mV 0 1ms to 2ms width with a recharge constant of 0 to 100ms Note The...

Страница 103: ...lar bigeminy Figure 3c 120 bpm Bidirectional systoles Figure 3d 90 bpm Response Time to Change in Heart Rate 80 to 120 bpm 4 seconds 80 to 40 bpm 4 seconds Time to Alarm for Tachycardia 206 bpm 1 mV 4...

Страница 104: ...80 mm thermal grid width 90 mm paper width Speed 25 mm s or 50 mm s apparent configurable for 12 lead output Delay 6 seconds Annotations Time date defib energy heat rate pacer output Pacer version on...

Страница 105: ...per minute Standby Life one month before retest and recharge Note Each monitoring option added to the E Series device decreases the Operating Time that can be obtained from a fully charged battery Re...

Страница 106: ...SPR 11 Class B Class A The E Series unit is suitable for use in all establishments including domestic establishments and those directly con nected to the public low voltage power supply network that s...

Страница 107: ...ld be that of a typical commercial or hospital environment Voltage dips short interruptions and volt age variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60...

Страница 108: ...ons Electromagnetic propagation is affected by absorption and reflection from structures objects and people a The life support functions on the E Series unit are pacing and defibrillation b The ISM in...

Страница 109: ...0 12 0 12 0 12 0 23 0 1 0 38 0 38 0 38 0 73 1 1 2 1 2 1 2 2 3 10 3 79 3 79 3 8 7 3 100 12 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distanc...

Страница 110: ...level in each frequency range c Interference may occur in the vicinity of equipment marked with the follow ing symbol NOTE 1 At 80 MHz the higher frequency range applies NOTE 2 These guidelines may n...

Страница 111: ...fically these functions are noninvasive blood pressure NIBP end tidal CO2 EtCO2 and SpO2 Rated Maximum Output Power of Transmitter W Separation Distance According to Frequency of Transmitter m 150 kHz...

Страница 112: ...ic waveform employs the same first and second phase timing the same first and second phase currents voltages and essentially the same mechanisms for controlling defibrillation waveshape the ZOLL M Ser...

Страница 113: ...3J 2 J 1 J 2 J 3 J 2 J 2 J 2 J 2 J 3J 3 J 2 J 3 J 4 J 4 J 3 J 3 J 3 J 3J 4 J 3 J 4 J 5 J 5 J 5 J 4 J 4 J 3J 5 J 4 J 5 J 6 J 6 J 6 J 5 J 5 J 3J 6 J 4 J 6 J 8 J 7 J 7 J 6 J 6 J 3J 7 J 5 J 7 J 9 J 9 J 8...

Страница 114: ...t 150 Joules Figure A 3 Rectilinear Biphasic Waveforms at 120 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10...

Страница 115: ...sic Waveforms at 85 Joules Figure A 6 Rectilinear Biphasic Waveforms at 70 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40...

Страница 116: ...t 30 Joules Figure A 9 Rectilinear Biphasic Waveforms at 20 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0...

Страница 117: ...ic Waveforms at 10 Joules Figure A 12 Rectilinear Biphasic Waveforms at 9 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms...

Страница 118: ...at 7 Joules Figure A 15 Rectilinear Biphasic Waveforms at 6 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0...

Страница 119: ...ic Waveforms at 4 Joules Figure A 18 Rectilinear Biphasic Waveforms at 3 Joules A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 40 30 20 10 0 10 20 30 40 25 50 75 100 125 150 175 A 0 1 2 3 4 5 6 7 8 9 10 11 12 ms 4...

Страница 120: ...i Center Clinical Trial for Defibrillation of Ventricular Fibrillation VF and Ventricular Tachycardia VT Overview The defibrillation efficacy of ZOLL s Rectilinear Biphasic waveform was compared to a...

Страница 121: ...ergy monophasic shocks for transthoracic defibrillation for all patients at the 95 confidence level The data also demonstrate the superior efficacy of low energy rectilinear biphasic shocks compared t...

Страница 122: ...rectilinear biphasic shocks was achieved with 48 less delivered current than with monophasic shocks 11 1 vs 21 4 A p 0 0001 One half of the patients who failed cardioversion after four consecutive es...

Страница 123: ...mediate defibrillation The SPI number is directly related to the AMSA measure developed by the Weil Institute of Critical Care Medicine 3 The Shock Conversion Estimator algorithm was developed and tes...

Страница 124: ...vity Total number of ECG rhythms that were successfully converted Number of ECG rhythms with SPI Threshold that did not convert Specificity Total number of ECG rhythms that did not convert Figure A 21...

Страница 125: ...c M Bisera J Adverse effects of interrupting precordial compression during cardiopulmonary resuscitation Critical Care Medicine 1997 25 733 736 3 Young C Bisera J Gehman S Snyder D Tang W Weil MH Ampl...

Страница 126: ...es amplitude and temporal regularity auto correlation of peaks and troughs Determines if multiple 3 second segments are shockable then displays SHOCK ADVISED message Clinical Performance Results The p...

Страница 127: ...E Series Operator s Guide This page intentionally left blank...

Страница 128: ...t there is no physical damage to the connector edge and that the connector edge is clean and free of dirt and debris Insert the memory card into the right rear slot located on the top of the unit The...

Страница 129: ...MDD_HHMMSSL crd where Example ZE12345678_20050425_183005A crd Unit 12345678 April 25 2005 6 30 05 PM Note Upload times vary For example a 2 MB card containing 30 minutes of recorded incident and audio...

Страница 130: ...data card Upload Prev Next Upload Call Upload Card Return 008 12 FEB 10 06 25 37 007 12 FEB 10 02 42 27 006 12 FEB 10 21 53 19 005 12 FEB 10 14 37 22 004 12 FEB 10 10 12 37 003 12 FEB 10 07 42 57 MOR...

Страница 131: ...nd return to the 12 lead menu If you are using realtime mode on a regular basis you can disable the Auto Transmit after 12 Lead Analysis option to eliminate the additional Transmission Setup screen se...

Страница 132: ...Records Return Gender PATIENT INFORMATION Press Return to Exit to 12 Lead Monitor Mode 60 Male 3 Press the Patient Records softkey to display the Patient Records menu 14 07 32 Print Record Print All 1...

Страница 133: ...device is on and ready to accept data Transmission aborted because the host system detected an error or user cancelled transmission via communication program Check communication package on the remote...

Отзывы:

Нет отзывов