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LIFEPAK 12 DEFIBRILLATOR/MONITOR OPERATING INSTRUCTIONS

LIFEPAK 12 DEFIBRILLATOR/MONITOR OPERATING INSTRUCTIONS

IMPORTANT INFORMATION !USA Rx Only Device Tracking !USA The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors to track the location of their defibrillators. If the device is located somewhere other than the shipping address or the device has been sold, donated, lost, stolen, exported, destroyed, permanently retired from use, or if the device was not obtained directly from Physio-Control, please do one of the following: register the device at http://www.physio-control.com, call the device tracking coordinator at 1.800.426.4448, or use one of the postage-paid address change cards located in the back of this manual to update this vital tracking information. Responsibility for Information It is the responsibility of our customers to ensure that the appropriate person(s) within their organization have access to this information, including general safety information provided in Section 1. Version History These operating instructions describe LIFEPAK 12 defibrillator/monitor devices with software version 3011371-065 or later. Older devices may not have all the features described in this manual. Software version 3011371-106 or later will not work in monophasic devices. Operating Instructions Version Operating Software Version* PN 3010012-000 PN 3011371-018 PN 3010012-001 PN 3011371-019 and PN 3011371-022 PN 3010012-003 PN 3011371-030 PN 3010012 (-005 international; -006 USA only) PN 3011371-061 PN 3010012-007 (USA only) PN 3011371-062 PN 3012730-000 (addendum) PN 3011371-065 PN 3010012 (-008 and -009 USA only; -050 international) PN 3011371-065 PN 3010012 (-010 and -011 USA only; -051 international) PN 3011371-067, -070 PN 3010012 (-012 and -013 USA only; -052 international) PN 3011371-072 PN 3010012 (-014 USA only; -053 international) PN 3011371-072 PN 3010012 (-015 USA only; -020 international) PN 3011371-090 PN 3010012 (-016 USA only; -021 international) PN 3011371-099 MIN 3010012 (-017 USA only; -022 international) MIN 3011371-101 MIN 3010012 (-018 USA only; -023 international) MIN 3011371-106 MIN 3010012 (-019 USA only; -024 international) MIN 3011371-106 MIN 3207254 (-001 USA only; -021 international) MIN 3011371-126 MIN 3207254 (-002 USA only; -022 international) MIN 3011371-130 MIN 3207254 (-006 USA only; -026 international) MIN 3011371-134 MIN 3207254 (-007 USA only; -027 international) MIN 3011371-134 * To view the operating software version, turn on the device and note the PN after VERSION on the opening screen. LIFEPAK, LIFENET, FASTPAK, FAST-PATCH, QUIK-COMBO, QUIK-LOOK, and QUIK-CHARGE are registered trademarks of Physio-Control, Inc. CODE SUMMARY, Shock Advisory System, CODE-STAT, cprMAX, and REDI-PAK are trademarks of Physio-Control, Inc. CADEX is a registered trademark of Cadex Electronics Inc. 12SL is a trademark of GE Medical Systems. C-LOCK, Dura-Y, Durasensor, Nellcor, Oxiband, OxiCliq, and Oxisensor are registered trademarks of Nellcor. PediCheck is a trademark of Nellcor. Microstream and FilterLine are trademarks of Oridion Medical Ltd. The Oridion medical capnography in this product is covered by one or more of the following US patents: 6,428,483; 6,997,880; 5,300,859; 6,437,316 and their foreign equivalents. Additional patent applications pending. PC Card is a trademark of the Personal Computer Memory Card International Association. Masimo and LNOP are registered trademarks of Masimo Corporation. EDGE System Technology is a trademark of Ludlow Technical Products. UNI-LEAD is a trademark of Unilead International, Inc. DTXPlus is a trademark of BD Medical. Specifications are subject to change without notice. 2008-2015 Physio-Control, Inc. All rights reserved. Publication date: 08/2015 ii MIN 3207254-013 LIFEPAK 12 Defibrillator/Monitor Operating Instructions

TABLE OF CONTENTS Preface About Automated External Defibrillation .x About Defibrillation Therapy.x About Noninvasive Pacing . xi About 12-Lead Electrocardiography. xi About SpO2 Monitoring. xii About NIBP Monitoring. xii About End-Tidal CO2 (EtCO2) Monitoring . xiii About Invasive Pressure (IP) Monitoring. xiii About Vital Sign and ST Monitoring . xiii About ECG Monitoring . xiii Text Conventions . xiv 1 Safety Information Terms . 1-2 General Warnings and Cautions . 1-2 Symbols . 1-3 2 Basic Orientation Introduction . 2-2 Unpacking and Inspecting. 2-3 Controls, Indicators, and Connectors. 2-3 Area 3 . 2-8 Area 4 . 2-11 Area 6 . 2-15 Back View . 2-19 Entering Patient Data . 2-20 Setting Alarms. 2-22 Managing Alarms . 2-24 Connecting to Power. 2-25 Batteries. 2-25 Understanding Batteries and Battery Support Systems. 2-25 Installing/Removing Batteries . 2-28 LIFEPAK 12 Defibrillator/Monitor Operating Instructions 2008-2015 Physio-Control, Inc. iii

3 Monitoring Monitoring the ECG .3-2 ECG Monitoring Warning.3-2 Selecting ECG Lead and Size .3-2 Adjusting the Systole Volume .3-4 Monitoring ECG with Paddles Accessories .3-4 Monitoring with the Patient ECG Cable .3-5 Troubleshooting Tips for ECG Monitoring .3-8 Acquiring a 12-Lead ECG .3-9 12-Lead ECG Warning .3-9 Identifying Electrode Sites .3-9 12-Lead ECG Procedure .3-11 12-Lead ECG Reports .3-12 Computerized ECG analysis.3-14 Troubleshooting Tips for 12-Lead ECG .3-15 Monitoring SpO2 .3-16 SpO2 Warnings and Cautions .3-16 No Implied License .3-17 When to Use a Pulse Oximeter .3-17 How a Pulse Oximeter Works.3-17 SpO2 Monitoring Considerations.3-18 Masimo SpO2 Monitoring Procedure.3-18 Nellcor SpO2 Monitoring Procedure .3-20 Cleaning.3-22 Troubleshooting Tips for SpO2.3-23 Monitoring Noninvasive Blood Pressure (NIBP) .3-24 NIBP Monitoring Warnings .3-24 When to Use NIBP.3-25 How NIBP Works .3-25 NIBP Monitoring Considerations.3-26 Cuff Selection .3-26 NIBP Monitoring Procedures .3-26 Changing the Initial Inflation Pressure .3-26 Manual Single-Measurement Procedure .3-27 Timer-Controlled Measurement Procedure .3-27 Cleaning and Maintenance .3-28 Troubleshooting Tips for NIBP Monitoring.3-28 Monitoring EtCO2 .3-29 EtCO2 Monitoring Warnings .3-30 When to Use EtCO2 Monitoring .3-30 How Capnography Works.3-30 EtCO2 Monitoring Waveform Analysis .3-31 EtCO2 Monitoring Procedure.3-32 CO2 Scale Options .3-33 CO2 Alarms .3-33 Cleaning and Maintenance .3-33 Troubleshooting Tips for EtCO2 Monitoring .3-34 Monitoring Invasive Pressure (IP).3-35 IP Monitoring Warnings .3-35 When to Use IP.3-35 How IP Works .3-36 IP Monitoring Considerations.3-36 IP Monitoring Procedure .3-36 Cleaning and Maintenance .3-37 Troubleshooting Tips for IP Monitoring.3-37 Monitoring Vital Signs (VS) and ST Changes .3-39 VS and ST Monitoring Warning .3-39 iv LIFEPAK 12 Defibrillator/Monitor Operating Instructions

When to Use VS and ST Monitoring .3-39 How VS and ST Monitoring Work.3-40 VS and ST Monitoring Considerations .3-41 VS and ST Monitoring Procedure.3-41 4 Therapy General Therapy Warnings and Cautions .4-2 Therapy Electrode and Standard Paddle Placement .4-3 Anterior-lateral Placement .4-3 Anterior-posterior Placement.4-3 Automated External Defibrillation .4-4 AED Warnings .4-4 AED Configuration.4-4 AED Procedure .4-4 Special AED Setup Options .4-9 Advisory Monitoring .4-11 Troubleshooting Tips for AED Mode .4-12 Manual Defibrillation .4-13 Manual Defibrillation Warnings.4-13 Switching from AED to Manual Mode.4-13 Defibrillation Shock Overlays .4-14 Defibrillation Procedure .4-15 Synchronized Cardioversion Procedure .4-16 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion .4-17 Noninvasive Pacing .4-18 Noninvasive Pacing Warnings.4-18 Demand and Nondemand Pacing .4-19 Noninvasive Pacing Procedure .4-19 Troubleshooting Tips for Noninvasive Pacing .4-20 5 Paddle Accessory Options Therapy Electrodes .5-2 About Therapy Electrodes .5-2 Electrode Placement .5-3 Cable Connection .5-4 ECG Monitoring and Therapy Procedures .5-4 Replacing and Removing Electrodes .5-5 Testing.5-6 Cleaning and Sterilizing.5-6 Pediatric Paddles (PN 800418) .5-6 About Pediatric Paddles .5-6 Attaching Pediatric Paddles .5-6 Removing Pediatric Paddles .5-7 Paddle Placement .5-7 Defibrillation Procedure .5-8 Cleaning .5-9 Sterilizable Internal Defibrillation Paddles .5-9 6 Data Management Overview of Data Storage and Retrieval .6-2 Data Storage .6-2 Report Types .6-2 Memory Capacity .6-2 Report Retrieval .6-2 CODE SUMMARY Report .6-3 Preamble .6-4 Event/Vital Signs Log .6-4 LIFEPAK 12 Defibrillator/Monitor Operating Instructions 2008-2015 Physio-Control, Inc. v

Waveform Events .6-5 CODE SUMMARY Format.6-5 Managing Current Patient Records.6-7 Transmitting a Current Patient Report .6-7 Printing a Current Patient Report.6-9 Managing Archived Patient Records.6-11 Transmitting Archived Patient Reports .6-11 Printing Archived Patient Reports .6-15 Editing Archived Patient Records .6-17 Deleting Archived Patient Records .6-18 Overview of Connections for Transmitting Reports .6-20 Equipment Connections for Internal Modem – Analog Cellular .6-20 Equipment Connections for Internal Modem – Analog Landline.6-22 Equipment Connections for External Modem – Analog Landline.6-23 Equipment Connections for Direct Connect.6-24 Treatment Protocol When Transmitting Data or Fax .6-24 Fax Report Format.6-25 Troubleshooting Tips for Data Management.6-26 7 Power Adapter Basic Orientation.7-2 Power Adapter Warnings.7-2 Unpacking and Inspecting .7-3 Controls, Indicators, and Connectors .7-4 Using the AC Power Adapter .7-5 AC Power Adapter Operation .7-5 Mounting the Power Adapter to the LIFEPAK 12 Defibrillator/Monitor .7-6 General Maintenance.7-7 Maintenance and Service .7-7 Cleaning.7-7 Fuse Replacement.7-7 Troubleshooting .7-8 Warranty .7-8 Replacement Parts and Accessories.7-9 8 Maintaining the Equipment General Maintenance and Testing.8-2 Maintenance and Testing Schedule .8-2 User Test .8-3 Standard Paddles User Test.8-3 Cleaning.8-4 Function Checks .8-4 Battery Maintenance .8-8 Battery Maintenance Warnings.8-8 Battery Description .8-8 Battery Charging, Conditioning, and Shelf Life Testing .8-9 NiCd Battery Performance Factors.8-9 SLA Battery Performance Factors .8-10 Receiving New Batteries.8-11 Storing Batteries .8-11 Recycling Batteries at the End of Useful Life.8-11 General Troubleshooting Tips .8-12 Service and Repair .8-13 Product Recycling Information .8-14 Recycling Assistance.8-14 Preparation .8-14 Recycling of Disposable Electrodes .8-14 vi LIFEPAK 12 Defibrillator/Monitor Operating Instructions

Packaging.8-14 Warranty .8-14 Accessories, Supplies, and Training Tools.8-14 9 Defining Setup Options Setup Options .9-2 Print Configurations Before Service or Repair.9-2 Passcode Security.9-2 Entering Setup Options .9-3 General Setup Menu .9-3 Manual Mode Setup Menu .9-4

ii LIFEPAK 12 Defibrillator/Monitor Operating Instructions IMPORTANT INFORMATION Rx Only Device Tracking The U.S. Food and Drug Administration requires defibrillator manufacturers