ZOLL M Series Operator's Guide

ZOLL M Series

OPERATOR'S GUIDE

ZOLL ME Series

CO2 31:16g Sp82% ECG PADS LEAD SIZE HR LEAD CHARGE ANALYZE 17πr 100 PADS SIZE CHARGER ANALYZE

ECG RESPONSE RECORDER MONITOR 1 DEFIB CO2 OFF PACER PACER PACER PACER ppm

An issue or revision date for this manual is shown on the front cover.

If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if additional product information updates are available.

ZOLL, PD, stat-padz, PowerCharger, Connect Alarm, ZOLL Data Control Software, Smart Alarms, Speed Pack, and Preconnect are trademarks of ZOLL Medical Corporation. 12SL and Catalyst MUSE are trademarks of GE Medical Systems.

Copyright 2005 by ZOLL Medical Corporation. All rights reserved.

TABLE OF CONTENTS

GENERAL INFORMATION ..... 1-1
Product Description ..... 1-1
How to Use This Manual ..... 1-2
Manual Updates ..... 1-2
Unpacking ..... 1-2
Accessories ..... 1-2
Symbols Used on the Equipment ..... 1-3
Defibrillator Function ..... 1-4
Intended Use — Manual Operation ..... 1-4
Intended Use — Semiautomatic Operation (AED) ..... 1-4
Semiautomatic Operation Contraindications for Use ..... 1-4
Defibrillator Complications ..... 1-4
Defibrillator Output Energy ..... 1-4
External Pacemaker (Pacer Version Only) ..... 1-5
Intended Use — Pacemaker ..... 1-5
Pacemaker Complications ..... 1-5
Pediatric Pacing ..... 1-6
Monitor ..... 1-6
Recorder Function ..... 1-6
Paddle - Electrode Options ..... 1-6
Batteries ..... 1-6
Internal Battery Charger ..... 1-6
External Battery Charger ..... 1-7
Diagnostics ..... 1-7
Safety Considerations ..... 1-8
WARNINGS ..... 1-8
CAUTIONS ..... 1-10
Restarting the Device ..... 1-10
FDA Regulations ..... 1-11
Tracking Requirements ..... 1-11
Notification of Adverse Events ..... 1-11
Warranty (U.S. Only) ..... 1-11
Software License ..... 1-12
Service ..... 1-12
U.S.A. Customers ..... 1-12
International Customers ..... 1-12
Defibrillator Waveform Information ..... 1-13
ECG Analysis Algorithm Accuracy ..... 1-14
Clinical Performance Results ..... 1-14

SECTION 2 OPERATING CONTROLS AND INDICATORS ..... 2-1
Code Markers ..... 2-3
Summary Report ..... 2-4
Summary Report Formats ..... 2-4
Defibrillation Format ..... 2-4
Pacer Format (Pacer version only) ..... 2-5
Heart Rate Alarm Activated Format ..... 2-5
VF Alarm Activated (Refer to Section 8) ..... 2-5
Recorder On Format ..... 2-5
Analyze Format ..... 2-6
Manual Mode Activated ..... 2-6
Printing a Report ..... 2-7
Printing Part of a Report ..... 2-7
Adding Patient Name and ID# to a Report ..... 2-7
Printing an Incident Log ..... 2-7
Erasing Summary Report Memory ..... 2-8
SECTION 3 MANUAL DEFIBRILLATION ..... 3-1
Emergency Defibrillation Procedure with Paddles ..... 3-1
Emergency Defibrillation Procedure with MFE Pads ..... 3-4
Open Chest Defibrillation with Internal Handles and Electrodes ..... 3-6
Troubleshooting ..... 3-6
SECTION 4 ADVISORY DEFIBRILLATION ..... 4-1
Advisory Defibrillation ..... 4-1
Advisory Function Messages ..... 4-3
Warning Messages ..... 4-3
Troubleshooting ..... 4-4
SECTION 5 AUTOMATED EXTERNAL DEFIBRILLATOR (AED) OPERATION ..... 5-1
Introduction ..... 5-1
AED Semi-Automatic Operation ..... 5-1
Operating Messages ..... 5-3
AED Manual Mode Operation ..... 5-5
AED Voice Prompts ..... 5-5
Troubleshooting ..... 5-5
SECTION 6 SYNCHRONIZED CARDIOVERSION ..... 6-1
General Information ..... 6-1
Synchronized Cardioversion ..... 6-1
Troubleshooting ..... 6-3
SECTION 7 NON-INVASIVE TEMPORARY PACING (PACER VERSION ONLY) ..... 7-1
Non-invasive Temporary Pacing ..... 7-1

Special Pacing Applications.....7-3
Standby Pacing.....7-3
Asynchronous Pacing.....7-4
Pediatric Pacing.....7-4
Troubleshooting.....7-4
ACTION 8 ECG MONITORING .....8-1
Introduction.....8-1
Preparations.....8-1
Electrode Placement.....8-1
Attach Monitoring Electrodes.....8-2
Troubleshooting.....8-2
Set the Controls.....8-2
Spikes from Implantable Pacemakers.....8-2
Alarms.....8-3
Setting Alarm Limits.....8-3
Alarm Function.....8-3
Alarm Limits.....8-3
Suspending and Silencing Alarms.....8-3
Smart Alarms.....8-4
Recorder Operation.....8-4
Diagnostic Bandwidth.....8-4
Five (5) Lead Monitoring.....8-4
Simultaneous 3 Lead Printing (If Configured).....8-5
Changing from Five (5) Lead to Three (3) Lead ECG Monitoring.....8-5
Vital Signs Trending.....8-5
Viewing Vital Signs Trending Data on the Display.....8-5
Printing a Vital Signs Trend Report.....8-6
NIBP Trend Operation.....8-6
Clearing Vital Signs Trend Records.....8-6
ACTION 9 GENERAL MAINTENANCE .....9-1
Periodic Testing.....9-1
Inspection.....9-1
Cleaning.....9-1
Cleaning the Recorder Printhead.....9-1
Semi-Automatic Defibrillator Testing.....9-2

1. Power-Up Sequence Check.....9-2

2. Defibrillator Test.....9-2

3. Recorder Check (if applicable).....9-2
   Manual Defibrillator Testing.....9-2

4. Power-Up Sequence Check.....9-2

5. Delivered Energy and Shock Buttons.....9-2

6. Energy Delivery Test (Paddles/MFE Pads).....9-3

7. Pacer Operation (Pacer Version Only) ..... 9-3

8. Recorder Check ..... 9-3
   Changing Paper ..... 9-4
   Setting Time and Date ..... 9-4
   Manual Method ..... 9-4
   Automated Method ..... 9-4
   Operator's Shift Checklist for M Series Products (Manual) ..... 9-6
   Operator's Shift Checklist for M Series Products (Semi-Automatic) .....