Страница 1: ...Operator s Guide ZOLL PD 1400 Pacemaker De...
Страница 2: ...nd Recorder Function 5 4 Paddle Electrode Options 5 4 Batteries 6 4 Battery Charger 6 4 Instrument Diagnostics 6 4 Service 6 4 Spec f cat ons 7 CHAPTER 2 Operating Controls and Indicators 13 4 Switch...
Страница 3: ...Temporary Pacing 39 W Warnings 39 H Pacing Procedure 39 Special PacingApplications 43 Standby Pacing 43 Asynchronous Pacing 44 Pediatric Pacing 44 CHAPTER 7 ECG Monitoring 45 H Warnings 45 W Electrode...
Страница 4: ...Table of Contents CHAPTER 9 Troubleshooting Guides 55 Monitor 55 Recorder 57 Pacing 58 Defibrillator 59...
Страница 5: ...rillation or pacing wave form patented electrode designs and proprietary gel formulas Use of pacing or defibrillation cables and electrodes not provided by ZOLL Medical Corporation is a safety hazard...
Страница 6: ...Function PacingIDefibrillation Electrodes This manual should be kept with the PD 1400 at all times CHAPTER Chapter 1 DESCRIPTIONS General Information Provides cautions and warnings and a general produ...
Страница 7: ...during PD 1400 operation INITIAL Carefully inspect each container for damage If the shipping container or cushion INSPECTION material is damaged it should be kept until the contents have been checked...
Страница 8: ...U S A law restricts this device to use by or on the order of a physician Do not use the ZOLL PD 1400 in the presence of flammable agents such as gasoline or anesthetics Using the instrument near the...
Страница 9: ...or ZOLL multi function electrodes placed on the back and the precordium Only ZOLL NTP or ZOLL multi function electrodes should be con nected to this instrument The characteristics of the output pulse...
Страница 10: ...ions Ventricular fibrillation will not respond to pacing and requires immediate defibrilla tion See Chapter 4 for Emergency Defibrillation Procedure The patient s dysryhthmia must therefore be determi...
Страница 11: ...iatric Pacing Pacing can be performed on pediatric patients 15kg or less using special pediatric electrodes ZOLL NTP 2100 Prolonged pacing in excess of 30 minutes particu larly in neonates could cause...
Страница 12: ...eChapter 3 MONITOR This product contains a non fade monitor for observation of the patient s cardiac FUNCTION rhythm The monitor displays the ECG in moving trace mode at 25 mmlsec for a period of 3 4...
Страница 13: ...replaced See battery spec f cat ons on page 10 for more nformat on BAlTERY Battery charging and charge capacity evaluation is easily performed with the CHARGER ZOLL PD 4420 Battery Support System Up...
Страница 14: ...es In North America 1 year including use of a loaner Outside North America consult ZOLL authorized representative Meets or exceeds all AAMI specifications for defibrillators Meets or exceeds UL 544 IE...
Страница 15: ...mped sinusoid Selectable at 2 3 5 7 10 20 30 50 100 150 200 300 360 joules Control on sternum paddle and unit front panel Less than 10 seconds Depleted batteries will result in a longer defibrillator...
Страница 16: ...Special circuit prevents distortion of ECG by pacer pulse Input protected against high voltage defibrillator pulses and radio frequency interference 0 5 35 HZ 3dB standard 05 35 Hz Diagnostic optional...
Страница 17: ...sily removed as a unit Message displayed on monitor and 2 beep low battery tone sounds once a minute For 20 seconds before shut off from a low battery the PD 1400 will beep twice every 2 seconds The t...
Страница 18: ...ACCESSORIES NTP 2000 Adult pacing electrodes 12 pairlbox H NTP 2100 Pediatric pacing electrodes 6 pairlbox PD 2200 Adult Multi function pacingldefibrillation electrodes I 2 pairlbox PD 2900 Standard A...
Страница 19: ...Chapter 1 PD 1400WlTH STANDARD PADDLESAND NTP PACING ELECTRODES PD 1400WlTH MULTI FUNCTION ELECTRODES...
Страница 20: ...arge button is pressed the defibrillator charges to the selected energy level in 10 seconds or less when using fully charged batteries To change the selected energy level after the charge button has b...
Страница 21: ...ly on the monitor PACER RATE ppm When pacing is selected this control sets the rate at which the pacemaker will operate It must be set above the patient s intrinsic rate in order for the pace maker to...
Страница 22: ...ront panel and the other located on the sternum paddle start and stop the hard copy recorder BEEPER VOLUME ECG The volume control allows manual adjustment of the systole beeper tone from maximum volum...
Страница 23: ...ON mode heart rate alarm and recorder activated ECG events Summary Report records all associated event information including PD 1400 control settings patient ECG time and date Four events will trigge...
Страница 24: ...he next report time of last event as well as the date and space for patient name and comments All segments have vertical dashed cut lines every 8 5 inches to facilitate easy mounting on 8 5 x 11 paper...
Страница 25: ...e After establishing a paced rhythm turn the recorder on briefly to record in Summary Report the paced rhythm Heart Rate Alarm Activated Format Summary Report records 6 seconds of pre alarmpatient ECG...
Страница 26: ...eport press the SUMMARY button again or turn the unit off You may print an unlimited number of copies of the report simply by pressing the SUMMARY button again The PD 1400 will interrupt printing a re...
Страница 27: ...nts by pressing and holding for 4 seconds the ALARM SET down arrow V button and simultaneously turning the selector switch from the OFF position to MONITOR ON The 1400 will beep five times 4 beeps for...
Страница 28: ...function cable ZOLL NTP 2000 pacing electrodes can only be used with a standard pacing cable WARNING The ZOLL PD 1400 cables and electrodes are designed and tested as a unit to provide maximum patien...
Страница 29: ...the rectangular electrode labelled BACK on the back between the patient s left scapula and spine at heart level NOTE The back electrode may be placed over the patient s right sternal area if it is not...
Страница 30: ...an ELECTRODES OFF message will appear on the monitor Check to see that all connections have been correctly made before continuing The PD 1400 will maintain its charge for 60 seconds If the cause of th...
Страница 31: ...brillator discharge SELECT DEFlB ON Turn the selector switch to DEFlB ON This turns the power on andautomatically selects the energy level of 200 joules NOTE Defibrillator PADDLES is selected as the E...
Страница 32: ...the right patient s right of the sternum just below the clavicle The apex paddle should be placed on the chest wall just below and to the left of the patient s left nipple along the anterior axillary...
Страница 33: ...ns to select the new energy level Changingthe joules selected value while the unit is charging or charged will cause the unit to discharge the defibrillator internally Press the CHARGE button again to...
Страница 34: ...ernally During the ten seconds prior to this internal dump the charge ready tone will beep intermittently The charge ready tone will then stop the charge indicator light will go off and the monitor me...
Страница 35: ...endance of the patient must be warned to STAND CLEAR prior to defibrillator discharge SELECT DEFIBON Turn the selector switch to DEFlB ON This turns the power on and automatically sets the defibrillat...
Страница 36: ...iphery Gently press the gel area after attaching the electrodes to the patient to remove any trapped air This ensures good skin coupling If placing both electrodes on the chest backof patient is not a...
Страница 37: ...other potential current pathway Simultaneously press and firmly hold both orange DISCHARGE buttons located on the multi function cable to deliver energy to the patient NOTES If the defibrillator is no...
Страница 38: ...ventricular fibrillation In this case a synchronizing SYNC circuit within the instrument detects the patient s R waves When the discharge buttons are pressed and held the unit will discharge with the...
Страница 39: ...s the choice of three leads for ECG source multi function electrodes provide only one PRESS SYNC BUTTON An intensified dot or line will appear on the monitor at each detected R wave to indicate where...
Страница 40: ...f the defibrillator It simply prevents use in a synchronized manner The unit automatically goes out of sync mode after each discharge the selector switch has been moved to PACER ON After each discharg...
Страница 41: ...e to patient contact WARNING Do not permit gel to accumulate between the paddles gel bridge on the chest wall this could cause burns and reducethe amount of energy delivered to the heart If using mult...
Страница 42: ...ted R wave If additional countershocks are necessary readjust the energy level as necessary and repeat Note that SYNC XXX J SEL must be selected after each discharge NOTES Shouldyou need to disarm the...
Страница 43: ...Chapter 5 PADDLECLEANING Paddle plates and handles must be thoroughly cleaned after each use See chapter 8 for the correct cleaning procedure...
Страница 44: ...ce with PD 2200 Multi function electrodes the multi function cable must be pluged into the unit NTP 2000 electrodes will not operate with the multi function cable installed Both pacing electrodes shou...
Страница 45: ...of R wave is taking place Apply back pacer electrodes between scapula and spine at level of heart Apply front pacer electrode to precordium beneath breast on females Anatomical position is identical f...
Страница 46: ...NG CAPTURE It is important to recognize when stimulation has produced a ventricular response Ventricular response is normally characterized by suppression of the intrinsic QRS complex The following tr...
Страница 47: ...tion and are better tolerated Placement of the electrodes will affect the current required to obtain ventricular capture Testing for optimum electrode location may be done with electrodes with a two p...
Страница 48: ...tablish effective pacing see instructions on previous pages Note the mA output at capture and run an ECG strip to document ECG morphology at capture 2 Set the mA output 10 higher than the minimum mA o...
Страница 49: ...ECG it may be necessaryto operate the pacemaker asynchronously To pace asynchronously simply detach the surface ECG electrodes or remove the ECG cable and set the rate and mA at the known capture leve...
Страница 50: ...itor display within a few seconds ECG monitoring may be accomplished through multi function electrodes or through standard defibrillation paddles However this is typically done only for emergency eval...
Страница 51: ...check for good contact between the electrode and the lead termination Plug the patient cable connector into the ECG input connector located at the front right of the instrument SET THE CONTROLS Set s...
Страница 52: ...eactivating the alarms turns off the tone and the flashing bell and reactivates the heart symbol to flash with a detected R wave SETTING ALARMS Heart rate alarms have been preset at 30 low and 150 hig...
Страница 53: ...ing for 4 seconds the RECORDER ON OFF button and simultaneously turning the selector switch from the OFF position to MONITOR ON The 1400 will beep twice to indicate that the configuration is complete...
Страница 54: ...bles with a soft cloth mild soap and water The recorder parts should be cleaned with a damp soft cloth only Do not immerse any part of the PD 1400 including paddles in water Do not use alchol or keton...
Страница 55: ...he pacer output cable and verify pacer calibration DELIVERED ENERGY Perform this check once a week AND DISCHARGE BUlTONS CHECK Turn the selector switch to DEFIB ON Set the defib energy level to 100jou...
Страница 56: ...corder speed by verifying that a new calibration pulse appears approximately every 13 small divisions 1 3cm and is 10 lmm high I Check for adequate supply of paper CHANGING PAPER Press the recorder re...
Страница 57: ...ALARM SET button again and observe that the current year now flashes Repeat above steps to set the correct year The range of acceptable values is 00 through 99 Press the ALARM SET button again The DA...
Страница 58: ...ANGING The ZOLL PD 1400 has been designed for THE BATTERY quick removal and replacement of the battery pack To remove the battery insert a finger into the recess at the left end of the battery Press a...
Страница 59: ...ound in the PD 1400 Service Manual MONITOR Unit does not turn on No 4 audible beeps Check that battery is properly installed W Replace battery with a fully charged battery Unit turns on with 4 beeps b...
Страница 60: ...dried out and are making good contact H Install new electrodes using different placement NOsystole sound beat detection or heart rate and flashing heart are not being displayed on monitor H Increase...
Страница 61: ...m SYNC marker not annotating at top of paper W Ensure SYNC is displayed on the monitor H Ensure high intensity dot or line is displayed on ECG signal on monitor H Change ECG size H Change ECG lead sel...
Страница 62: ...able plug into test connector attached to the multi function cable PACER LEAD OFF should disappear For standard pacing cable connect to ZOLL NTP 4450 Pace Check PACER LEAD OFF should disappear W Repla...
Страница 63: ...Change ECG size 1 Change ECG Lead Selection 1 Check patient s pulse Bedsidelcentral Station monitor display becomes erratic when pacing 1 Patients cannot be double patch ECG monitored while pacing Us...
Страница 64: ...rviced Energy will not dischargewhen both discharge buttons are pressed N Sixty 60 seconds had elapsed after initial charge Energy was internally discharged Device is in SYNC mode and no QRS complex i...
Страница 65: ...DLE OFF message on monitor W Perform defibrillator self test as described in Chapter 8 W If test fails have the unit serviced promptly W If DefibIPace electrodes are used ensure proper placement and c...
Страница 66: ...ess electrode firmly to skin moving any air pockets to outer edges Connect electrodes to Multi function cable Select DEFIB ON Set energy level Charge Push charge button on PD 1400 front panel Wait for...
