Please provide best practices for Lifepack 15 readiness. IE. Is it ok to have leads and cords pre connected for response readiness? Or Do all cords and nodes need to be removed between each call?

1 comments:

Mr. Anderson

May 14, 2025

Best practices for ensuring the readiness of the Physio Control LIFEPAK 15 regarding connection of leads and cords include:

1. Check Therapy Cable Daily: Use the test load provided with the defibrillator to confirm the therapy cable is working properly.
2. Ensure Proper Electrode Contact: Shave excessive chest hair before applying electrodes to improve contact.
3. Reconnect Disconnected Leads: If a lead wire disconnects, the device will display a “LEADS OFF” message and sound an alarm until it is reconnected or the lead selection is changed.
4. Inspect All Connections: Make sure all cables and electrodes are securely connected before and after each use.

These steps help ensure the device functions correctly during emergencies.

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Summary of Contents for Physio Control LIFEPAK 15

Page 1 MONITOR/DEFIBRILLATOR Operating Instructions...
Page 3 MONITOR/DEFIBRILLATOR Operating Instructions...
Page 4: Important Information
SPEED DIAL voice prompts. Version History These operating instructions describe LIFEPAK 15 monitor/defibrillator devices with software revision 3313494-002 or later. LIFEPAK, LIFEPAK CR, LIFEPAK EXPRESS, LIFENET, QUIK-LOOK, REDI-PAK, and QUIK-COMBO are registered trademarks of Physio-Control, Inc. CODE SUMMARY, Shock Advisory System, CODE-STAT, DT EXPRESS, SunVue, and cprMAX are trademarks of Physio-Control, Inc.
Page 5: Table Of Contents
Therapy Electrode and Standard Paddle Placement ............116 Automated External Defibrillation (AED) ................119 Manual Defibrillation ......................132 Synchronized Cardioversion Procedure ................137 Noninvasive Pacing ....................... 141 Pediatric ECG Monitoring and Manual Mode Therapy Procedures ........147 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 6: Table Of Contents
General Maintenance and Testing ..................201 Battery Maintenance ......................209 Cleaning the Device ....................... 212 Storing the Device ......................... 212 Loading Paper ........................213 General Troubleshooting Tips ....................214 Service and Repair ......................... 217 Product Recycling Information ....................217 LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 7: Table Of Contents
Appendix D SpO2 Clinical Validation Summaries Masimo Clinical Validation Data .................... 259 Nellcor Clinical Validation Data ....................259 Appendix E Electromagnetic Compatibility Guidance Electromagnetic Compatibility Guidance ................263 Appendix F Symbols Symbols ..........................269 Index ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 9: Chapter 1 Preface
Chapter 1 Preface This chapter provides a brief introduction to the LIFEPAK ® 15 monitor/defibrillator and describes the product’s intended use. Introduction ..........................11 Intended Use ..........................11 Modes of Operation........................12 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 11: Introduction
(BLS) and advanced life support (ALS) patient management protocols. These operating instructions include information and procedures related to all features of the LIFEPAK 15 monitor/defibrillator. Your LIFEPAK 15 monitor/defibrillator may not have all of these features. These operating instructions describe the operation of the LIFEPAK 15 monitor/defibrillator when the factory default settings are used.
Page 12: Modes Of Operation
• Archive mode—for accessing stored patient information. • Setup mode—for changing default settings of the operating functions. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. • Demo mode—for simulated waveforms and trend graphs for demonstration purposes.
Page 13: Chapter 2 Safety Information
Chapter 2 Safety Information This chapter provides important information to help you operate the LIFEPAK 15 monitor/defibrillator. Familiarize yourself with all of these terms and warnings. Terms ............................15 General Dangers and Warnings ....................15 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 15: Terms
Do not disassemble the defibrillator. It contains no operator serviceable components and dangerous high voltages may be present. Contact authorized service personnel for repair. Possible Device Failure Do not modify the device. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 16 This defibrillator should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the defibrillator should be observed to verify normal operation in the configuration in which it will be used. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 17 Replace the battery when the device displays a low battery warning. Safety Risk And Possible Equipment Damage MR unsafe: Keep the defibrillator away from magnetic resonance imaging (MRI) equipment. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 18 (HF) electrosurgical equipment. Note: The features of the LIFEPAK 15 monitor/defibrillator which could come in either direct or casual contact with the patient or caregiver during normal use are not made with natural rubber latex.
Page 19: Chapter 3 Basic Orientation
Chapter 3 Basic Orientation This chapter provides a basic orientation to the LIFEPAK 15 monitor/defibrillator device and its controls, indicators, and connectors. Front View ............................ 21 Back View ............................ 31 Batteries ............................32 Home Screen ..........................34 Alarms ............................39 Options ............................
Page 21: Front View
Chapter 3 | Basic Orientation Front View This figure shows the front of the LIFEPAK 15 monitor/defibrillator. The front of the device is described in the following sections. Figure 1 Front View ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 22 Front View Area 1 Figure 2 Area 1 Controls LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 23 See Changing ECG Size (on SIZE Changes ECG size. page 49) Activates Synchronized mode. LED See Synchronized Cardioversion SYNC illuminated when Sync mode is active and Procedure (on page 137) flashes with detection of each QRS. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 24 RATE Increases or decreases pacing rate. See Noninvasive Pacing (on page 141) CURRENT Increases or decreases pacing current. See Noninvasive Pacing (on page 141) PAUSE Temporarily slows pacing rate. See Noninvasive Pacing (on page 141) LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 25 See Home Screen (on page 34) SPEED DIAL Scrolls through and selects screen or menu See Navigating the Home items. Screen (on page 37) Display mode button switches between color display and high contrast SunVue™ display. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 26 See Transmitting Reports (on page 183) CODE SUMMARY Prints CODE SUMMARY™ critical event See CODE SUMMARY Report record. (on page 162) PRINT Starts and stops printer. See How to Print a Current Report (on page 167) LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 27 General warning See Warnings (on page 17) Note: If your LIFEPAK 15 monitor/defibrillator is configured for temperature monitoring, P1 and P2 are replaced by a single port labeled TEMP. For more information about temperature monitoring, see Monitoring Continuous Temperature (on page 103).
Page 28 Disconnect: Grip the connector and pull straight out. Figure 7 Connectors for IP Monitoring Configuration Note: If your LIFEPAK 15 monitor/defibrillator is configured for temperature monitoring, P1 and P2 are replaced by a single port labeled TEMP. For more information, see the following figure, Connectors for Temperature Monitoring Configuration.
Page 29 IMPORTANT! The LIFEPAK 15 monitor/defibrillator QUIK-COMBO therapy cable and standard (hard) paddles have the same type of connector and connect to the defibrillator at the same location. These therapy cables are not compatible with other LIFEPAK defibrillator/monitors.
Page 30 Figure 9 Connect Therapy Cable To disconnect the therapy cable from the defibrillator: 1. Press the release button on the therapy cable connector. 2. Slide the therapy cable connector out. Figure 10 Disconnect Therapy Cable LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 31: Back View
(on page 210) System connector exhaust port Auxiliary power connector See EtCO monitoring warnings (on page 87) See power adapter warnings (on page 192) and battery warnings (on page 209) ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 32 Only use Physio-Control recommended data transmission cables. For more information, contact Physio-Control Technical Support. Note: To prevent inadvertent depletion of the defibrillator batteries, disconnect external devices from the system connector when not in use. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 33: Batteries
Chapter 3 | Basic Orientation Batteries The LIFEPAK 15 monitor/defibrillator operates either on battery power using two Lithium-ion batteries, or with auxiliary power using the AC Power Adapter or DC Power Adapter. Batteries may be charged in the Station or Mobile Li-ion Battery Charger, the REDI-CHARGE™ Battery Charger, or in the monitor/defibrillator if it is connected to auxiliary power.
Page 34 Inspect pins routinely for signs of damage. Keep batteries installed at all times except when the device is removed from service for storage. For information about battery maintenance, see Battery Maintenance (on page 209). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 35: Home Screen
Each vital sign monitoring area is colored to match its waveform. This color scheme aids in associating the displayed waveform with its vital sign value. When a function does not have a waveform displayed, the vital sign area is gray. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 36 See Monitoring Continuous bladder temperature. Temperature (on page 103) NIBP Displays systolic, diastolic, and mean See Monitoring Noninvasive Blood Pressure (on page 79) arterial pressures (MAP) in mmHg, and time to next BP, when interval is set. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 37 Whenever a menu is displayed, the ECG is always visible in Channel 1. To return to the Home Screen from any menu, press the button. HOME SCREEN Rotate and press the to select an option in a menu. SPEED DIAL ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 38 If a battery status indicator shows only one or two bars after a fully charged battery is installed, the battery has less than half the normal use time and should be recycled. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 39: Alarms
Chapter 3 | Basic Orientation Alarms LIFEPAK 15 monitor/defibrillator alarms can be set up to be ON or OFF when the defibrillator is turned on. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. When alarms are set up to be ON, default limits are set. The limits temporarily appear to the right of the active vital signs.
Page 40 4. After the patient is stable, reselect , if necessary. QUICK SET When alarms are ON, you can silence them preemptively for up to 15 minutes. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 41: Options
Select report, format, mode, and speed for See How to Print a Current Print printing a current patient report. Report (on page 167) User Test Initiate device self-test. See User Tests (on page 203) ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 42 5 Repeat Step 4 until the name is complete. 6 Select Three additional commands are available: —inserts blank space. SPACE —deletes last character and BACKSPACE moves selection back one space. CLEAR —clears all characters. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 43: Events
Use the Events menu to annotate patient events. A selected event appears in the Event log of the CODE SUMMARY critical event record. Events can be customized in Setup mode. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. To select an event: 1.
Page 45: Chapter 4 Monitoring
Chapter 4 Monitoring This chapter describes the monitoring features of the LIFEPAK 15 monitor/defibrillator. Monitoring the ECG ........................47 Acquiring a 12-Lead ECG ......................58 Monitoring SpO2, SpCO, and SpMet ..................68 Monitoring Noninvasive Blood Pressure ..................79 Monitoring ETCO2 ........................87 Monitoring Invasive Pressure ......................
Page 47: Monitoring The Ecg
ST segment interpretation. For diagnostic or ST segment interpretation, or to enhance internal pacemaker pulse visibility, attach the multi-lead ECG cable. Then print the ECG rhythm in diagnostic frequency response (DIAG) or obtain a 12-lead ECG. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 48 Monitoring the ECG Selecting ECG Lead The LIFEPAK 15 monitor/defibrillator includes two methods for selecting or changing the ECG lead. To select or change the displayed ECG lead using the button: LEAD 1. Press . If any ECG lead currently...
Page 49 Chapter 4 | Monitoring Changing ECG Size The LIFEPAK 15 monitor/defibrillator includes two methods for selecting or changing ECG size. To select or change the displayed ECG size using the button: SIZE 1. Press SIZE 2. While the menu is displayed, press...
Page 50 Standard Paddles Figure 15 Anterior-Lateral Placement 2. Place the other therapy electrode or paddle on the patient’s upper right torso, STERNUM lateral to the sternum and below the clavicle, as shown in the preceding figure. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 51 Use By date is not passed. For standard paddles, apply conductive gel over the entire electrode surface. 4. Connect the therapy electrodes to the therapy cable. 5. Select lead. PADDLES ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 52 The following ECG cables, shown in the figure, are available for ECG monitoring with the LIFEPAK 15 monitor/defibrillator: • 12-lead (either of 2 types) • 3-lead • 4-wire • 5-wire Figure 16 12-Lead, 3-Lead, 4-Wire, and 5-Wire ECG Cables LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 53 Do not use electrodes that have expired. Disposable electrodes are intended for a single use. 6. Select the desired ECG lead on the monitor screen. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 54 Procedure (on page 53), and place the C-lead electrode on the chest in the precordial position desired. Note that the LIFEPAK 15 monitor labels the ECG for this lead as V1 on the screen and printout, regardless of the location of the C-lead electrode.
Page 55 ECG cable, select an ECG lead, and print the ECG in diagnostic frequency response. For information about configuring internal pacemaker detection, see the Pacing Setup menu in the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. ©2007-2015 Physio-Control, Inc.
Page 56 ECG size set too high or too • Adjust ECG size up or down. different from displayed ECG waveform Monitor detecting the patient’s • Change monitor lead to reduce internal pacemaker pulses internal pacemaker pulse size. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 57 Inadequate skin preparation • Prepare skin and apply new frequency/low amplitude) electrodes. Isometric muscle tension in • Confirm that limbs are resting on arms/legs a supportive surface. • Check electrodes for proper adhesion. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 58 Connect ECG cable and select a limits visibility lead other than PADDLES • Print ECG in Diagnostic mode (see How to Print a Current Report (on page 167)). For general troubleshooting tips, see General Troubleshooting Tips (on page 214). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 59: Acquiring A 12-Lead Ecg
Identifying Electrode Sites To obtain a 12-lead ECG, place the electrodes on the limbs and the chest (precordium) as described in the following paragraph. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 60 2. Move your finger slowly downward about 3.8 centimeters (1.5 inches) until you feel a slight horizontal ridge or elevation. This is the Angle of Louis where the manubrium joins the body of the sternum. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 61 If age and sex are not entered when a 12-lead ECG is obtained, the interpretive statements are based on a default of a 50-year-old male and may provide incorrect analysis for that patient. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 62 Computerized ECG analysis statements are automatically printed on 12-lead ECG reports. Printing of the interpretive statements is a setup option and may be turned off in Setup mode. For information on how to change this setup option, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device.
Page 63 The analysis program is adjusted for patient age and sex. The 12-lead ECG interpretive algorithm used by the LIFEPAK 15 monitor/defibrillator is the University of Glasgow 12-Lead ECG Analysis Program. For more information, contact your Physio-Control representative for a copy of the Physio-Control Glasgow 12-Lead ECG Analysis Program Physician’s Guide.
Page 64 The default format for printing 12-lead ECG reports is 3-channel standard. To change the printed format of 12-lead ECG reports, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. Alternatively, press , select...
Page 65 These marks are part of the analysis program and cannot be turned off. Figure 23 Example of Printed 4-Channel, Standard 12-Lead ECG Report FIGURE LEGEND Fiducial marks ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 66 (in particular from patient muscle tension) to help make the diagnostic printout less noisy and more readable. Note: The LIFEPAK 15 monitor/defibrillator acquires ECG data and performs the interpretive analysis based on the full frequency of 0.05–150 Hz. The 0.05–40 Hz bandwidth affects only the printed appearance of the ECG data.
Page 67 Operator pressed another • Press to acquire another 12-lead 12-LEAD complete 12-lead function button (such as ECG. Allow enough time for sequence to ECG operation ) before 12-lead PRINT complete. sequence ECG sequence completed ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 68: Monitoring Spo2, Spco, And Spmet
For general troubleshooting tips, see General Troubleshooting Tips (on page 214). Monitoring SpO2, SpCO, and SpMet , SpCO™, and SpMet™ are optional features for the LIFEPAK 15 monitor/defibrillator. When all three options (SpO , SpCO, and SpMet) are installed, the pulse oximeter measures...
Page 69 Do not use a damaged sensor or cable. Do not alter the sensor or cable in any way. Alterations or modification may affect performance and/or accuracy. Never use more than one cable between the pulse oximeter and the sensor to extend the length. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 70 Carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. Possible Equipment Damage To avoid damage to the cable, always hold by the connector rather than the cable, when connecting or disconnecting either end. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 71 9% (the higher range of normal is often seen in smokers). Normal values for SpMet are typically less than 2% and may be caused by exposure to some pharmaceuticals including local anesthetic agents and chemical agents such as nitrites. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 72 The sensors are sensitive to light. If excessive ambient light is present, remove or reduce lighting, cover the sensor site with an opaque material to block the light, and check appropriateness of sensor site. Failure to do so could result in inaccurate measurements. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 73 LIFEPAK defibrillator/monitors. Oximeter Monitoring Procedure Power to the pulse oximeter is controlled by the LIFEPAK 15 monitor/defibrillator. When the defibrillator is turned on, the oximeter turns on and performs a calibration and self-test that requires approximately 20 seconds. During the calibration and self-test, the screen does not display SpO , SpCO, or SpMet information.
Page 74 Inaccurate SpO Readings Carboxyhemoglobin and methemoglobin may erroneously increase SpO readings. The amount that increases is approximately equal to the amount of carboxyhemoglobin or methemoglobin that is present. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 75 However, when SpO sensitivity is set to , the signal is more susceptible to artifact. HIGH Monitor the patient closely when using the sensitivity setting. HIGH ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 76 3. Allow to dry thoroughly before placing the sensor on a patient or reconnecting the cable to the monitor. Note: Do not attempt to sterilize. Do not soak or immerse in any liquid solution. For information about cleaning the device, see Cleaning the Device (on page 212). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 77 30 seconds, replace sensor. Defibrillator shock just delivered • None. If values do not display within 30 seconds, disconnect and reconnect sensor. If values do not display within another 30 seconds, replace sensor. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 78 SPCO: POOR QUALITY SIGNAL When the signal quality is low, • Check that sensor and cable message appears the accuracy of the are connected properly. measurement may be • Move sensor to a better compromised perfused site. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 79: Monitoring Noninvasive Blood Pressure
Monitoring Noninvasive Blood Pressure Intended Use The LIFEPAK 15 noninvasive blood pressure (NIBP) monitor measures blood pressure (BP) using the oscillometric measurement technique to determine systolic, diastolic, and mean arterial pressures, and pulse rate. The measurement can be initiated manually or set to recur automatically at predetermined intervals.
Page 80 Possible Inaccurate Oxygen Saturation Readings Do not perform NIBP measurement on an extremity used for oxygen saturation monitoring. Oxygen saturation measurement is affected by blood pressure measurement due to the occlusion of blood flow. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 81 120 seconds. • Blood pressure and pulse can fluctuate greatly between measurements; the monitor cannot alert the operator of changes in vital signs that occur between measurement cycles. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 82 The use of properly designed and sized cuffs is essential for the accurate measurement of blood pressure. The cuff must fit snugly around the extremity to occlude the artery. For a list of BP cuffs that are intended for use with the LIFEPAK 15 monitor/defibrillator, see the LIFEPAK 15 Monitor/Defibrillator Accessories Catalog at www.physio-control.com.
Page 83 SPEED DIAL to set the initial pressure. Note: Measurement data is recorded in the LIFEPAK 15 monitor/defibrillator Vital Sign Log. For more information about the Vital Sign Log and its use, see Data Management (on page 159). Manual Single-Measurement Procedure The NIBP measurement typically takes 40 seconds to complete.
Page 84 To cancel a measurement in progress, press again. NIBP Note: If at any time the cuff pressure exceeds 290 mmHg or there is a system failure of the NIBP module, timer-controlled NIBP is terminated. To reactivate, follow the Timer-Controlled Measurement Procedure. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 85 • Disconnect tubing or remove message appears exceeded 290 mmHg cuff. • Avoid very rapid squeezing of the cuff. • If this message persists, remove the cuff from use and obtain service. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 86 The LIFEPAK 12 NIBP tubing • Obtain correct NIBP tubing to device connector is not compatible that is compatible with with the LIFEPAK 15 NIBP port LIFEPAK 15 monitor/defibrill ator. Cuff not deflating Internal valves fail to open • Disconnect NIBP tubing.
Page 87: Monitoring Etco2
When using the EtCO monitor in the presence of flammable gases, such as nitrous oxide or certain other anesthetics, connect the EtCO gas port to a scavenger system. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 88 The CO FilterLine system delivers a sample of the exhaled gases directly from the patient into the LIFEPAK 15 monitor for CO measurement. The low sampling flow rate (50 ml/min) reduces liquid and secretion accumulation and prevents obstruction, which maintains the shape of the waveform.
Page 89 Chapter 4 | Monitoring You can set up the LIFEPAK 15 monitor/defibrillator to use the capnography Body Temperature Pressure Saturated (BTPS) conversion method. This option corrects for the difference in temperature and moisture between the sampling site and alveoli. The correction formula is 0.97 ×...
Page 90 EtCO2 Monitoring Procedure When activated, the EtCO monitor draws power from the defibrillator. The LIFEPAK 15 monitor/defibrillator activates the EtCO monitor when it senses the attachment of the FilterLine set. Initialization, self-test, and warm up of the EtCO monitor is typically less than 30 seconds, but may take up to two-and-one-half minutes.
Page 91 Chapter 4 | Monitoring CO2 Display The following scales are available to display the CO waveform. The LIFEPAK 15 monitor/defibrillator automatically selects the scale based on the measured EtCO value. To change the CO scale, outline and select the CO...
Page 92 Do not clean and reuse a FilterLine set. Dispose of the contaminated waste according to local protocols. For information about cleaning the device, see Cleaning the Device (on page 212). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 93 A leak in the FilterLine set • Check for connection leaks and line leaks to patient, and correct, if necessary. A mechanically ventilated • No action required. patient breathes spontaneously or patient is talking ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 94 Note: To decrease the likelihood of the FilterLine connection coming loose during use, hand- straighten the tubing after removal from the package before connecting to patient or device. For general troubleshooting tips, see General Troubleshooting Tips (on page 214). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 95: Monitoring Invasive Pressure
Chapter 4 | Monitoring Monitoring Invasive Pressure Intended Use The LIFEPAK 15 invasive pressure (IP) monitor is intended for measuring arterial, venous, intracranial, and other physiological pressures using an invasive catheter system with a compatible transducer. The IP monitor is a tool to be used in addition to patient assessment. Care should be taken to assess the patient at all times;...
Page 96 Two channels are available for invasive pressure monitoring, with default labels P1 and P2 and the user-selectable labels shown in the following table. Table 16 IP Labels and Descriptions LABEL DESCRIPTION Arterial Pressure Pulmonary Artery Pressure Central Venous Pressure Intracranial Pressure Left Atrial Pressure LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 97 IP monitoring is available on either Channel 2 or 3. The IP monitor is compatible with industry standard (IEC 60601-2-34) pressure transducers with 5µV/V/mmHg sensitivity. The transducer must provide defibrillation protection of at least 360 joules. The following IP transducers may be used with the LIFEPAK 15 monitor/defibrillator. MANUFACTURER DESCRIPTION...
Page 98 If pressure alarms are desired, set the alarms after you obtain a satisfactory waveform. Error or alarm messages appear in the message area at the bottom of the screen. For more information, see Alarms (on page 39). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 99 3. Use a clean, soft cloth dampened with a germicidal solution to wipe clean. 4. Allow to dry before reconnecting the cable to the monitor. For information about cleaning the device, see Cleaning the Device (on page 212). ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 100 Use syringe to draw back air bubbles, or blood in or particles in catheter, and catheter, kinking, or then flush system. arteriospasm Improper zero reference • Open stopcock to air and rezero transducer. Defective transducer • Replace transducer. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 101 Trendelenburg position, or stimulate cough in attempt to dislodge catheter. • Retract catheter with balloon deflated until proper position is obtained. • Minimize chances of catheter advancement by firmly anchoring catheter at insertion site. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 102 Use only enough air to wedge. Do not use more than the volume recommended by the manufacturer. Catheter migrated distally in • Reposition catheter. pulmonary artery For general troubleshooting tips, see General Troubleshooting Tips (on page 214). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 103: Monitoring Continuous Temperature
Chapter 4 | Monitoring Monitoring Continuous Temperature Intended Use The LIFEPAK 15 temperature monitor is intended for continuous monitoring of body temperature. Indications Temperature monitoring is indicated for use in patients who require continuous monitoring of body temperature. Contraindications None known.
Page 104 LIFEPAK 15 monitor/defibrillator. Do not use Measurement Specialties part number 4499.) For a list of the accessories that are intended for use with the LIFEPAK 15 monitor/defibrillator, contact your Physio-Control representative or see the LIFEPAK 15 Monitor/Defibrillator Accessory Catalog at www.physio-control.com. Carefully read the Instructions for Use that are...
Page 105 IMPORTANT! The Instructions for Use that are provided with the Measurement Specialties temperature probes refer to a connector cable that is not compatible with the LIFEPAK 15 monitor/defibrillator. Only use the adapter cable that is approved for use with the LIFEPAK 15 monitor/defibrillator.
Page 106 Turn device off and then on again. temperature reading calibrated • If problem persists, contact qualified service personnel. Temperature module failed • Turn device off and then on again. • If problem persists, contact qualified service personnel. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 107: Vital Sign And St Segment Trends
Vital Sign and ST Segment Trends Intended Use The trends feature of the LIFEPAK 15 monitor/defibrillator provides the ability to graphically display and document the patient’s vital signs (VS) and ST segment measurements for up to eight hours. VS trending is intended for use with any patient who requires continuous monitoring of vital signs over an extended period of time to identify changes in patient condition and to document patient response to therapy.
Page 108 VS measurements are not averaged or filtered. No messages or alarms occur based on changes in VS measurements. Figure 29 EtCO2 Trend Graph FIGURE LEGEND First EtCO measurement Most recent EtCO measurement VS label LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 109 1 mm (0.1 mV) or more and the deviation persists for 2.5 minutes, the monitor automatically prints another 12-lead ECG. Manual requests for 12-lead ECGs do not affect ST trending or automatic printing. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 110 1.0 mm from the initial ECG. To confirm the value of the initial 12-lead ECG STJ measurement, subtract the STJ change from the current STJ measurement, for example, 1.0 - 1.0 = 0. You can display the ST graph of other leads. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 111 (for example, 15 minutes) may not provide enough data to identify gradual changes in patient condition. • The patient ECG rhythm. Diagnosis of ST associated ischemia is inhibited by certain ECG findings such as left bundle branch block and ventricular pacing. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 113: Chapter 5 Therapy
Therapy Electrode and Standard Paddle Placement ..............116 Automated External Defibrillation (AED) ..................119 Manual Defibrillation ........................132 Synchronized Cardioversion Procedure ................... 137 Noninvasive Pacing ........................141 Pediatric ECG Monitoring and Manual Mode Therapy Procedures ......... 147 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 115: General Therapy Warnings And Cautions
24 hours. Do not use electrodes beyond Use By date. Check that electrode adhesive is intact and undamaged. Replace adult therapy electrodes after 50 shocks or pediatric therapy electrodes after 25 shocks. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 116 Possible Skin Burns Electrodes and cables that are not specified for use with the LIFEPAK 15 defibrillator may malfunction and cause skin burns. Use only the electrodes and cables that are specified for use with the LIFEPAK 15 defibrillator.
Page 117: Therapy Electrode And Standard Paddle Placement
Figure 33 Anterior-Lateral Placement 2. Place the other therapy electrode or paddle on the patient’s upper right torso, STERNUM lateral to the sternum and below the clavicle as shown in the preceding figure. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 118 Thin Patients Follow the contour of the ribs and spaces when pressing therapy electrodes onto the torso. This action limits air spaces or gaps under the electrodes and promotes good skin contact. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 119: Automated External Defibrillation (Aed)
Implanted devices such as cardiac defibrillators, pacemakers, or other devices may absorb energy from a LIFEPAK 15 defibrillator shock or be damaged by the shock. If possible, place therapy electrodes or standard paddles in the standard placements but away from the implanted device.
Page 120 AED Mode The LIFEPAK 15 monitor/defibrillator is set up to operate in Manual mode when it is turned on (factory default setting). The device can be set up to power on in AED mode by changing the Setup Options. The factory default settings for AED mode are identified in Setup Options Factory Default Settings (on page 239).
Page 121 Do not move the AED during analysis. Moving the AED during analysis may affect the ECG signal resulting in an inappropriate SHOCK NO SHOCK ADVISED decision. Do not touch the patient or the AED during analysis. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 122 Press (shock) to deliver energy to the patient. When the (shock) button is pressed, the ENERGY DELIVERED message occurs indicating that the energy transfer was completed. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 123 The following prompts occur if no shock is advised: If the AED detects a nonshockable rhythm, the prompts NO SHOCK ADVISED occur. The defibrillator does not charge, and no shock can be delivered. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 124 10 seconds. After the motion ceases or 10 seconds have elapsed, analysis continues to completion even if motion is still present. For possible causes of motion detection and suggested solutions, see Troubleshooting Tips for AED Mode (on page 130). LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 125 Setup mode. This is because the metronome keeps track of compression “tocks” and ventilation prompts in the background so that if the metronome is activated, the CPR time ends with compressions. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 126 MANUAL MODE DISABLED LIFEPAK 15 monitor/defibrillator returns to AED mode. It is important that all users of the LIFEPAK 15 monitor/defibrillator be thoroughly familiar with the monitor/defibrillator settings and operation before use. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 127 If the electrodes are not attached to the patient, the prompts occur CONNECT ELECTRODES before you are prompted to perform analysis. No Shock Advised If the AED detects a nonshockable rhythm, the prompts START CPR occur. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 128 CPR continues up to shock delivery. When initial CPR time ends, the SHOCK ADVISED STAND CLEAR, PUSH SHOCK ( ) prompts occur. Proceed according to your training with the AED for delivering button! a shock. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 129 Certain setup options must be changed for the device to operate in Advisory Monitoring when it is turned on. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device.
Page 130 To switch back to Advisory Monitoring from AED prompted protocol, press LEAD For information about limiting access to Manual mode by unauthorized users, see Switching from AED Mode to Manual Mode (on page 126), or see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. Troubleshooting Tips...
Page 131 Setup Options provided with your device. Press and metronome In AED mode, and not in CPR • Wait until CPR interval does not activate interval (audible "tocks") to silence or activate metronome. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 132: Manual Defibrillation
For more information, see Paddle Accessory Options (on page 149). The LIFEPAK 15 monitor/defibrillator is capable of providing intra-operative direct defibrillation and synchronized cardioversion with the internal paddles accessory designed for the LIFEPAK 15 defibrillator. For more information, see the Instructions for Use for the internal paddles. Intended Use When used in Manual mode, the LIFEPAK 15 monitor/defibrillator is a direct current defibrillator that applies a brief, intense pulse of electricity to the heart muscle.
Page 133 Pitted or damaged paddle surfaces may cause patient skin burns during defibrillation. Discharge the defibrillator only as described in these operating instructions. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 134 Manual Mode The LIFEPAK 15 monitor/defibrillator is set up to operate in Manual mode when it is turned on (factory default setting). If required by your protocols, the defibrillator can be set up to power on in the automated external defibrillator (AED) mode.
Page 135 The metronome provides audible "tocks" at a rate of 100/minute to guide the rescuer in performing chest compressions. The metronome also provides audible ventilation prompts (either a tone or verbal "ventilate") to cue the rescuer when to provide ventilations. The ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 136 ** Airway = Advanced artificial airway in place *** Youth = Pre-pubescent child Note: The compression-to-ventilation ratio selections can be set up according to local medical protocols. For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. Activating and Deactivating the Metronome To activate the CPR metronome in Manual mode: 1.
Page 137: Synchronized Cardioversion Procedure
C:V ratio. Synchronized Cardioversion Procedure The LIFEPAK 15 monitor/defibrillator can be set up to remain in Sync mode or to return to Asynchronous mode after a shock is delivered. The factory default setting is to return to Asynchronous mode after a shock.
Page 138 SPEED DIAL automatically if shock buttons are not pressed within 60 seconds, or if you change the energy selection after charging begins. 13. Observe patient and ECG rhythm. Repeat procedure starting from Step 4, if necessary. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 139 Recharge the defibrillator. complete SPEED DIAL pressed • Recharge the defibrillator. PACER pressed • Recharge, if necessary, or no action, if pacing desired. Therapy electrodes or cable • Reconnect electrode or disconnected cable. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 140 Press electrodes firmly on properly to the patient patient’s skin. • Clean, shave, and dry the patient’s skin as recommended. • Apply new electrodes. Electrodes are dry, damaged, or • Apply new electrodes. out of date LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 141 Print ECG strip to assess LED is illuminated rhythm and other active vital signs. • Press and use ANALYZE AED mode, if necessary. For general troubleshooting tips, see General Troubleshooting Tips (on page 214). ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 142: Noninvasive Pacing
The LIFEPAK 15 monitor/defibrillator can be used for either demand or nondemand (asynchronous or "fixed rate") pacing. Demand mode is used for most patients. In demand mode, the LIFEPAK 15 pacemaker inhibits pacing output when it "senses" the patient’s own beats (intrinsic QRSs). In demand mode, if the...
Page 143 If ECG size is set too high or too low, pacing pulses may not be delivered when required. Adjust ECG size so that sense markers are placed on the patient’s QRS complexes. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 144 While pacing, visually monitor the patient at all times—do not rely on the ECG LEADS OFF warning to detect changes in pacing function. Routinely assess for proper ECG sensing, pace pulse delivery, electrical capture, and mechanical capture. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 145 CONNECT message. The current remains at 0 mA until you increase the current manually. ELECTRODES To turn off the LIFEPAK 15 monitor/defibrillator, pacing must be stopped. If the button is pressed when is active, an alert tone sounds and the...
Page 146 Print ECG and calculate the ECG paced rate do not pace rate. appear to match Improper sensing QRS complex too small • Select another lead. (for example, sensing on T-waves) T-wave too large • Adjust ECG size. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 147: Pediatric Ecg Monitoring And Manual Mode Therapy Procedures
Note: The amount of pacing current needed for capture is similar to the pacing current needed for adults. For more information about pediatric paddles and electrodes, see Paddle Accessory Options (on page 149). ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 149: Chapter 6 Paddle Accessory Options
This chapter provides information about the paddle accessory options that may be used with the LIFEPAK 15 monitor/defibrillator. QUIK-COMBO Therapy Electrodes ................... 151 Standard Paddles ........................154 Sterilizable Internal Defibrillation Paddles ................. 158 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 151: Quik-Combo Therapy Electrodes
Several types of QUIK-COMBO therapy electrodes are available as described in Table, QUIK- COMBO Electrodes (on page 152). IMPORTANT! Infant/Child Reduced Energy Defibrillation Electrodes are not compatible with the LIFEPAK 15 monitor/defibrillator. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 152 • 8 hours of continuous pacing Replace pediatric QUIK-COMBO electrodes with new electrodes after one of the following occurs: • 25 defibrillation shocks • 24 hours on the patient’s skin • 8 hours of continuous pacing LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 153 Use By date and is ready for use when needed. For more information about daily inspection and testing, see the Operator’s Checklist in the back of this manual. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 154: Standard Paddles
• Handle with care to prevent damage to paddle surfaces. • Store in paddle wells on the device to protect the electrode surface. • Clean dried or wet gel from the electrode surface after each use. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 155 This solid cadmium-silver contact will not scratch the adult paddle electrode. Note: Inspect the spring plates and the contacts routinely to make sure that they are clean and intact. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 156 Do not use the pediatric paddles on adults or older children. Delivery of recommended adult energies through this relatively small electrode surface increases the possibility of skin burns. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 157 Figure 42 Anterior-Lateral Paddle Position Anterior-Posterior Placement. Place the paddle anteriorly over the left STERNUM precordium and the paddle posteriorly behind the heart in the infrascapular area (see APEX following figure). Figure 43 Anterior-Posterior Paddle Position ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 158: Sterilizable Internal Defibrillation Paddles
Physio-Control representative. In the USA, call Customer Support at 1.800.442.1142, option 2. For complete information about using internal paddles to provide open chest cardiac defibrillation, see the Instructions for Use provided with the internal paddles. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 159: Chapter 7 Data Management
This chapter describes how to manage current and archived Patient Records when using the LIFEPAK 15 monitor/defibrillator. Patient Records and Reports ....................161 Memory Capacity ........................167 Managing Current Patient Records ................... 167 Managing Archived Patient Records ..................169 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 161: Patient Records And Reports
Chapter 7 | Data Management Patient Records and Reports When you turn on the LIFEPAK 15 monitor/defibrillator, a new Patient Record is created and stamped with the current date and time. All events and associated waveforms are digitally stored in the Patient Record as reports, which you can print, transmit, or download to the LIFENET System, or to post-event review products such as CODE-STAT™...
Page 162 • 3:00 A.M. self-test results CODE SUMMARY Report The LIFEPAK 15 monitor/defibrillator automatically stores a CODE SUMMARY report as part of the Patient Record for each patient. The CODE SUMMARY report can be set up to always print in a particular format. The available formats are shown in the following table. For CODE SUMMARY setup information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device.
Page 163 EMS Run Report. Event/Vital Sign Log The LIFEPAK 15 monitor/defibrillator documents events and vital signs in chronological order. Events are operator or device actions, such as actions that are related to monitoring, pacing, AED therapy, or data transmission. Values for each active vital sign are entered into the log automatically every 5 minutes and for each event.
Page 164 8 seconds after ppm and mA are stable for 10 seconds PACING X CHANGED 8 seconds after pacing rate, current, or mode is changed PACING X STOPPED 3 seconds prior to pacing current is zero and 5 seconds after LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 165 *To reduce the length of the CODE SUMMARY report, storing waveform data with these events can be set to OFF (see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device). Waveform events are preceded by a header that includes the following information: •...
Page 166 Patient Records and Reports Shock Event Check Patient Event Pacing Event Figure 46 Waveform Event Printout Examples LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 167: Memory Capacity
Chapter 7 | Data Management Memory Capacity The LIFEPAK 15 monitor/defibrillator retains data for two or more patients when you switch power off or remove the batteries. The number of patient reports that the LIFEPAK 15 monitor/defibrillator can store depends on various factors, including the number of displayed waveforms, the duration of each use, and the type of therapy.
Page 168 SPEED button is pressed. Note that this option does not affect reports that are printed PRINT SPEED from this menu. Available printing speeds for the button are: PRINT • 12.5 mm/sec • 25 mm/sec LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 169: Managing Archived Patient Records
Chapter 7 | Data Management Managing Archived Patient Records When you turn off the LIFEPAK 15 monitor/defibrillator, the current Patient Record is saved in the archives. You can print, edit, delete, or download archived records. For information about downloading to CODE-STAT software, see Data Transmission (on page 173). You can also transmit individual reports from an archived Patient Record.
Page 170 VITAL SIGNS • 12-LEAD 5 To select a different format, select FORMAT and then select one of the following (for 12-Lead ECG only): • 3-CHANNEL • 4-CHANNEL 6 Select . The archived report is printed. PRINT LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 171 4 Press and then turn off the HOME SCREEN device. Deleting Archived Patient Records To delete archived patient records: 1 In Archive mode, select DELETE . The Options/Archives/Delete menu appears. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 172 Patient Record you want to delete. 4 To undo the delete operation, immediately select . If you continue with other UNDO device operations, you cannot undo the deletion. 5 Press HOME SCREEN and then turn off the device. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 173: Chapter 8 Data Transmission
Preparing the Monitor for Transmission ..................176 Using Bluetooth Wireless Communication ................176 Using a Direct Connection ......................181 Transmitting Reports ......................... 183 Considerations When Transmitting Data .................. 185 Troubleshooting Tips ......................... 186 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 175: About Transmitting Patient Records And Reports
• Direct cable connection—You can use a special cable to establish a direct connection from the LIFEPAK 15 monitor to a PC or gateway, and transmit data using this wired connection. The following figure represents an overview of the data transmission process.
Page 176: Preparing The Monitor For Transmission
The device will not transmit using the direct connection when a wireless connection is available.) For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device.
Page 177 To transmit from the LIFEPAK 15 monitor to a PC, you need to set a Bluetooth passcode in the LIFEPAK 15 monitor, and then enter that passcode on the PC, if prompted.
Page 178 The various PSC prefixes correspond to LIFEPAK 15 monitor modes of operation. The following table lists the LIFEPAK 15 monitor modes and the service class and friendly name prefix that is discoverable in each mode. For example, when the LIFEPAK 15 monitor is in Archive mode and the filter is on, it can discover devices whose friendly names begin with A_ or B_.
Page 179 CONNECT FIND . This will disconnect any DEVICES existing connections. Note: If the LIFEPAK 15 monitor is set to WIRELESS OFF , wireless status changes WIRELESS ON • The Find Devices menu appears. The monitor begins searching for Bluetooth devices that are in the area and that meet the search filter criteria.
Page 180 Using Bluetooth Wireless Communication Re-establishing a Bluetooth Connection The LIFEPAK 15 monitor retains in its memory two last-connected devices, limited to one in each mode—one for cardiac care (AED or Manual mode) and one for Archive mode. When the LIFEPAK 15 monitor is powered on and the wireless feature is set to...
Page 181: Using A Direct Connection
Using a Direct Connection A special cable can be used to create a direct connection between the LIFEPAK 15 monitor and a gateway or PC. The following figure shows the equipment connections to send reports directly to a computer using a direct cable connection.
Page 182 To establish a direct connection: 1. Position the PC or LIFENET Gateway within reach of the LIFEPAK 15 monitor. Note: If you are storing a LIFENET Gateway (modem) in the carrying case, only store the modem in the side pouch.
Page 183: Transmitting Reports
How to Transmit an Archived Patient Report When you turn off the LIFEPAK 15 monitor/defibrillator, the current Patient Record is saved in the archives. For information about accessing Archive mode, see Data Management (on page 159).
Page 184 Whenever you attempt to transmit a record, a transmission report is automatically printed at the completion of the transmission attempt. The transmission report indicates the date and time of the transmission attempt and the final status of the transmission. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 185: Considerations When Transmitting Data
Your treatment protocol must include contingency planning for interrupted data transmission. Periodically test your device transmission function to ensure that the device and transmission accessories are ready for use. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 186: Troubleshooting Tips
WIRELESS setup options, so the WIRELESS default is each time the LIFEPAK 15 Monitor/Defibrillator LIFEPAK 15 monitor is turned on Setup Options provided with your device. • If red X remains, Bluetooth module in LIFEPAK 15 monitor may be faulty. Contact qualified service representative.
Page 187 Open download wizard on target in download wizard on target device and select the device LIFEPAK 15 monitor. BLUETOOTH Bluetooth module in • Turn LIFEPAK 15 monitor off and UNAVAILABLE message LIFEPAK 15 monitor not back on. appears responding •...
Page 188 Troubleshooting Tips OBSERVATION POSSIBLE CAUSE CORRECTIVE ACTION The LIFEPAK 15 monitor cannot UNABLE TO TRANSMIT • Verify target device is ready to message appears connect to the device name receive transmissions. selected • Verify target device setup. • Attempt to retransmit.
Page 189: Chapter 9 Power Adapter
Chapter 9 Power Adapter This section describes the AC Power Adapter and the DC Power Adapter. Basic Orientation ........................191 Using the Power Adapter ......................193 General Maintenance ........................ 196 Warranty ............................ 197 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 191: Basic Orientation
12 Vdc power. Installed batteries are charged whenever the power adapter is connected to the LIFEPAK 15 monitor/defibrillator. To help manage and maintain battery charge, the power adapter should be kept plugged into the defibrillator whenever possible. For more information about maintaining the batteries, see Battery Maintenance (on page 209).
Page 192 Possible Loss of Power During Patient Care Do not use the LIFEPAK 12 power adapter with the LIFEPAK 15 monitor/defibrillator. Use only power adapters that are labeled with the LIFEPAK 15 device symbol. Possible Loss of Power During Patient Care...
Page 193: Using The Power Adapter
Figure 50 AC Power Adapter Using the Power Adapter This section provides information about operating the AC and DC power adapters that can be used with the LIFEPAK 15 monitor/defibrillator. AC Power Adapter Operation To use the AC Power Adapter: 1.
Page 194 Using the Power Adapter 7. Press the monitor/defibrillator button. Figure 51 AC Power Adapter with LIFEPAK 15 Monitor/Defibrillator FIGURE LEGEND Power adapter output cable LED strip DC Power Adapter Operation To use the DC Power Adapter: 1. Connect the DC power cable to the power adapter and a 12 Vdc power source.
Page 195 Customer Support at 1.800.442.1142, option 2. IMPORTANT! Do not use more than one output extension cable. Figure 52 Output Extension Cable with Breakaway Connector FIGURE LEGEND Power adapter output cable Breakaway connector Output extension cable ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 196: General Maintenance
• Isopropyl alcohol • Peracetic (peroxide) acid solutions • Sodium dichloroisocyanurate (NaDCC) • Chlorine bleach (1:10 dilution) Note: Carefully clean the connector ports. Do not allow cleaning fluids to penetrate the exterior surfaces of the device. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 197: Warranty
Replace with working power cables adapter and cables. Monitor/defibrillator unable to • Contact qualified service recognize installed battery personnel. Warranty To obtain a detailed warranty statement, contact your local Physio-Control representative or go to www.physio-control.com. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 199: Chapter 10 Maintaining The Equipment
Chapter 10 Maintaining the Equipment This chapter describes how to perform operator-level maintenance, testing, and troubleshooting for the LIFEPAK 15 monitor/defibrillator and selected accessories. For additional information about accessories, refer to specific accessory operating instructions. General Maintenance and Testing .................... 201 Battery Maintenance .........................
Page 201: General Maintenance And Testing
, but it can be activated by service personnel. An Operator’s Checklist is included in the back of this manual. You may reproduce the checklist and use it to inspect and test the LIFEPAK 15 monitor/defibrillator. Daily inspection and test is recommended.
Page 202 Preventive Maintenance and Testing Self-Tests Each time you turn on the LIFEPAK 15 monitor/defibrillator, it performs internal self-tests to check that internal electrical components and circuitry work properly. The defibrillator stores the results of all user-initiated self-tests in a test log.
Page 203 For more information, see General Troubleshooting Tips (on page 214). User Tests The User Test is a functional test of the LIFEPAK 15 monitor/defibrillator. The User Test should be performed only as a test and not while using the defibrillator during patient care. Perform the User Test as a part of completing the daily Operator’s Checklist.
Page 204 Function Checks The following function checks are provided to help personnel keep acquainted with normal operating procedures and to troubleshoot LIFEPAK 15 monitor/defibrillator performance. Note: If your organization downloads device electronic patient records for post-event review, consider entering "TEST" as the patient’s name to distinguish simulator function tests from actual patient uses.
Page 205 (shock) button, confirm that the defibrillator does not discharge, and APEX then release the button. 10. Press the (shock) button, confirm that the defibrillator does not discharge, STERNUM and then release the button. 11. Press PRINT ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 206 Equipment Needed: • LIFEPAK 15 monitor/defibrillator • QUIK-COMBO therapy cable • Patient ECG cable • 3-lead or 12-lead patient simulator with QUIK-COMBO connector • Fully charged batteries or power adapter connected to a reliable power source LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 207 18. Confirm that the printer annotates the time, date, Sync On, sense markers prior to energy delivered, energy selected, no sense markers after Shock 1, and Sync Off on the ECG strip. 19. Turn off the defibrillator. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 208 13. Wait approximately 30 seconds and confirm that an audible alarm occurs. 14. Increase current to 80 mA. Confirm that audible alarm stops. 15. Press . Confirm that the LED goes off and that heart rate and available CHARGE PACER energy are displayed. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 209: Battery Maintenance
Battery Maintenance This section provides information about the Physio-Control Lithium-ion batteries that are specifically designed for use in the LIFEPAK 15 monitor/defibrillator. Lithium-ion batteries are low maintenance and require no scheduled cycling to prolong battery life. IMPORTANT! The LIFEPAK 15 monitor/defibrillator Lithium-ion batteries, battery chargers, power adapters, and power cords are not interchangeable with batteries, battery chargers, power adapters, and power cords that are used in other LIFEPAK defibrillators.
Page 210 New batteries do not arrive fully charged. Charge each new battery before use. Batteries may be charged using any of the following devices: • Station Lithium-ion battery charger for use with the LIFEPAK 15 monitor/defibrillator • Mobile Lithium-ion battery charger for use with the LIFEPAK 15 monitor/defibrillator •...
Page 211: Replacing Batteries
Charging Batteries • Charge batteries before use. Batteries may be charged in a battery charger, or in the LIFEPAK 15 monitor/defibrillator if it is connected to an auxiliary power source using a LIFEPAK 15 monitor/defibrillator power adapter. • Inspect batteries for damage or leakage. If battery is damaged or leaking, recycle the battery and obtain a new battery.
Page 212: Cleaning The Device
For information about cleaning the reusable monitoring sensors and cables, see the individual monitoring section. Storing the Device To take the LIFEPAK 15 monitor/defibrillator out of service and store it for an extended period of time, follow these guidelines: • Remove the batteries.
Page 213: Loading Paper
Chapter 10 | Maintaining the Equipment To return the LIFEPAK 15 monitor/defibrillator to service, perform the following tasks: • Complete the tasks listed in the Operator’s Checklist located at the end of this manual. If the Operator’s Checklist can not be located, a copy is available at www.physio-control.com.
Page 214: General Troubleshooting Tips
General Troubleshooting Tips General Troubleshooting Tips If a problem is detected with the LIFEPAK 15 monitor/defibrillator during operation or testing, refer to the following troubleshooting tips. If the problem cannot be corrected, remove the LIFEPAK 15 monitor/defibrillator from active use and contact a qualified service technician for service and repair.
Page 215 • If device does not turn on, replace battery. Device won’t turn off not pressed long enough • Press and hold for at least two to turn off device seconds. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 216 Out of temperature range • Connect to auxiliary power using approved power adapter. Low speaker volume Moisture in speaker grill • Wipe moisture from speaker grill and holes allow device to dry. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 217: Service And Repair
Contact qualified service technician for assistance or information about device configuration. If the LIFEPAK 15 monitor/defibrillator requires service as indicated by testing, troubleshooting, or a service message, contact a qualified service technician. In the USA, call Physio-Control Technical Support at 1.800.442.1142.
Page 218: Product Recycling Information
LIFEPAK defibrillators if they are used in conjunction with defibrillation electrodes or other parts and supplies from other sources. If device failure is attributable to defibrillation electrodes or other parts or supplies not manufactured by Physio-Control, this may void the warranty. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 219: Accessories
To order, contact your Physio-Control representative. In the USA, call Customer Support at 1.800.442.1142, option 2. Note: The LIFEPAK 15 monitor/defibrillator and its accessories that are intended for direct or casual contact with the patient are not made with natural rubber latex.
Page 220 Wireless modem/gateway Bed connector LIFEPAK monitor to PC cable (serial communication cable) PC-based configuration tool Test Load 3-Lead ECG patient simulator 12-Lead ECG patient simulator SIGNAGAL electrode gel ® ECG recording paper, 100 mm wide LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 221: Appendix A Specifications And Performance Characteristics
Specifications and Performance Characteristics This appendix contains the specifications and performance characteristics for the LIFEPAK 15 monitor/defibrillator and the LIFEPAK 15 monitor/defibrillator batteries. It also lists high and low alarm limits, alarm performance characteristics, and factory default settings. ©2007-2015 Physio-Control, Inc.
Page 223: Specifications And Performance Characteristics
Appendix A | Specifications and Performance Characteristics Specifications and Performance Characteristics Table, LIFEPAK 15 Monitor/Defibrillator Specifications, lists the LIFEPAK 15 monitor/defibrillator specifications for the device. Table, Battery Specifications (on page 236), lists the specifications for the LIFEPAK 15 monitor/defibrillator batteries.
Page 224 Battery status indicators on display show battery charge level, but well number is not highlighted because battery is not in use. Low battery and replace battery prompts and messages do not occur. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 225 Total capacity is 360 minutes of continuous ECG, 90 minutes of continuous data from all channels, or 400 single waveform events. Maximum memory capacity for a single patient includes up to 200 single waveform reports and 90 minutes of continuous ECG. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 226 80 bpm to 120 bpm input step change: ≤ 10 seconds to indicate a Response Time minimum of 100 bpm. 80 bpm to 40 bpm input step change: ≤ 10 seconds to indicate a maximum of 60 bpm. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 227 User selectable: Normal, High Measurement Functional SpO values are displayed and stored Pulse Rate Accuracy (specified for range 25 to 240 bpm) Adults/Pediatrics ±3% (during no motion conditions) (RMS) ±5% (during motion conditions) ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 228 Automatic Measurement Time Interval: User selectable Automatic Cuff Deflation Excessive Pressure: If cuff pressure exceeds 290 mmHg Excessive Time: If measurement time exceeds 120 seconds Validation The NIBP monitor performance was clinically validated according to the requirements of ISO 81060-2. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 229 The periodic autozero function compensates for drifts between components, and changes in ambient temperature and barometric conditions. This automatic process eliminates variances that might otherwise cause measurement drift. Therefore, the CO function does not exhibit drift. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 230 Activates alarms for all active vital signs VF/VT Alarm Activates continuous CPSS monitoring in Manual mode Apnea Alarm Occurs when 30 seconds has elapsed since last detected respiration Heart Rate Alarm Limit Upper, 100–250 bpm; lower, 30–150 bpm Range LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 231 Maximum Time from Power-on to Shock Ready (Manual Mode): Voltage Charge Time 11-17.6 Vdc 360 J within 25 seconds Maximum Time from Power-on to Shock Ready (AED Mode): Voltage Charge Time 11-17.6 Vdc 360 J within 40 seconds ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 232 Voltage Compensation: Active when disposable therapy electrodes are attached. Energy output within ±5% or ±1 joule, whichever is greater, of 50Ω value, limited to the available energy which results in the delivery of 360 joules into 50Ω LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 233 10.6 12.5 33.8 49.3 Rated Energy Output Rated energy output is the nominal delivered energy based on the energy setting and patient impedance, as defined in the following chart. *Energy setting selected ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 234 DC offset voltage ≤ 1053 mV IEC 60601-2-4 After pacing followed by 360 J shock: DC offset voltage ≤ 1228 mV, 4 seconds after shock DC offset voltage ≤ 966 mV, 60 seconds after shock LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 235 Electrode Gel/Paste (98% water, 2% Carbopol 940) HCL (0.5% solution, pH=1) Isopropyl Alcohol NaCl solution (0.9% solution) Cosmetic discoloration of the paddle well shorting bar shall be allowed following exposure to HCL (0.5% solution). ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 236 Specifications and Performance Characteristics ESSENTIAL PERFORMANCE The LIFEPAK 15 monitor/defibrillator includes the following essential performance features: • Defibrillation, Synchronized Cardioversion, and AED Shock Advisory System • ECG Monitoring, Heart Rate, and Alarms • SpO Monitoring, Pulse Rate, and Alarms • EtCO Monitoring and Alarms •...
Page 237 <15 ICP, LAP (mmHg) ≥15 Temperature ≥31 (°C) *Numbers are ± from patient’s VS value when the alarms are set. **Default limits are established when alarms are set up to be ON. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 238 For a test signal twice as large, the average was 1.5 seconds. Audible Alarms This is a standalone device. All alarm tones are internal to the LIFEPAK 15 monitor/defibrillator. The alarm tone volumes range from 45 to 85 dB. Alarm violations are manifested by tones, voice prompts, and visual indications.
Page 239 • Low battery (5-15% capacity) detected • Very low battery (<5% capacity) detected Note: For this condition, the priority 3 tone is followed by the REPLACE BATTERY prompts. • Service condition that could prevent normal operation detected. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 240 60 PPM Current 0 mA Mode Demand Internal Pacer Detection Off Monitoring Channels Default Set Set 1 Set 1 Channel 1 ECG Lead II Channel 2 None Channel 3 None Continuous Data ECG Channel 1 LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 241 Event 14 Thrombolytic Event 15 Glucose Event 16 Naloxone Event 17 Transport Event 18 Adenosine Event 19 Vasopressin Event 20 Amiodarone Event 21 Dopamine Event 22 Bicarb Alarms Volume Alarms VF/VT Alarm ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 242 Site 1 / Output Port / Direct Connect Default Site None Default Report 12-Lead Wireless Search Filter Clock Date/Time Current date/time PST Clock Mode Real Time Time Zone None Self Test Transmit Results Service Maintenance Prompt Interval LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 243: Appendix B Screen Messages
Appendix B Screen Messages This appendix describes the screen messages that the LIFEPAK 15 monitor/defibrillator may display during normal operation. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 245: Summary Of Screen Messages
CHECK FOR PULSE AED prompt after each standard 3-shock sequence or message. SHOCK ADVISED CHECK PATIENT! A potentially shockable rhythm has been detected when the VF/VT alarm is on. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 246 The device is printing and the ECG cable is removed. ECG LEADS OFF Multiple ECG electrodes are disconnected. ENDING DEVICE SEARCH The request for finding a Bluetooth device was stopped. ENERGY DELIVERED Energy transfer is complete. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 247 NOISY DATA! PRESS 12-LEAD TO Monitor detects excessive signal interference while acquiring ACCEPT data. Press to override the message and acquire 12- 12-LEAD lead ECG with noise. NON-DEMAND Pacemaker is in Nondemand (asynchronous) mode. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 248 SPO2: LOW PERFUSION Patient has a weak pulse. SPO2: NO SENSOR DETECTED A sensor is disconnected from the monitor. SPO2: POOR QUALITY SIGNAL Device is not receiving sufficient input from sensor. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 249 ECG electrode such as "V1" is disconnected. X DEVICES FOUND Shows number of Bluetooth-enabled devices found. XX LEADS OFF ECG electrode such as "RA" is disconnected. XX% TRANSMITTED Specified percent of the transmission is completed. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 251: Appendix C Shock Advisory System
Appendix C Shock Advisory System This appendix describes the basic function of the Shock Advisory System™ (SAS) algorithm. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 253: Overview Of The Shock Advisory System
• Operator Control of Shock Therapy • Continuous Patient Surveillance System (CPSS) • Motion Detection The Shock Advisory System is active when the LIFEPAK 15 monitor/defibrillator is used as an automated external defibrillator (AED). CPSS may be activated during monitoring. Upon the user pressing the (shock) button, the LIFEPAK 15 monitor/defibrillator delivers the shock therapy to the patient.
Page 254 Overview of the Shock Advisory System Shock Advisory System Performance ECG analysis by the Shock Advisory System (SAS) in the LIFEPAK 15 monitor/defibrillator was tested by playing ECG waveforms from the Physio-Control database through the electrode connector. For each test ECG, the decision...
Page 255 MOTION DETECTION up to be . For more information, see the LIFEPAK 15 Monitor/Defibrillator Setup Options provided with your device. A number of activities can create motion, including CPR, rescuer movement, patient movement, and some internal pacemakers. If variations in the transthoracic impedance signal exceed a maximum limit, the Shock Advisory System determines that patient motion of some kind is ©2007-2015 Physio-Control, Inc.
Page 256 2. The motion may be caused by a rescuer’s interventions. To reduce the risk of inadvertently shocking a rescuer, the motion alert prompts the rescuer to move away from the patient. This will stop the motion and ECG analysis will proceed. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 257: Appendix D Spo2 Clinical Validation Summaries
Appendix D SpO2 Clinical Validation Summaries This appendix describes clinical validation data for SpO , SpCO, and SpMet monitoring. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 259: Masimo Clinical Validation Data
The Masimo sensors have been validated for pulse rate accuracy for the range of 25-240 bpm in bench top testing against a Biotek Index 2 simulator. This variation equals plus or minus one standard deviation which encompasses 68% of the population. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 260: Nellcor Clinical Validation Data
18-50 years old. When sensors are used on neonatal subjects as recommended, the specified accuracy is decreased by ±1%, as compared to adult usage, to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 261: Appendix E Electromagnetic Compatibility Guidance
Appendix E Electromagnetic Compatibility Guidance This appendix provides guidance and manufacturer’s declaration of electromagnetic compatibility. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 263: Electromagnetic Compatibility Guidance
Table 47 Guidance and Manufacturer’s Declaration - Electromagnetic Emissions The LIFEPAK 15 monitor/defibrillator is intended for use in the electromagnetic environment specified below. The customer or the user of the LIFEPAK 15 monitor/defibrillator should assure that it is used in such an environment.
Page 264 Table 48 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The LIFEPAK 15 monitor/defibrillator is intended for use in the electromagnetic environment specified below. The customer or the user of the LIFEPAK 15 monitor/defibrillator should assure that it is used in such an environment.
Page 265 To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the LIFEPAK 15 monitor/defibrillator is used exceeds the applicable RF compliance level above, the LIFEPAK 15 monitor/defibrillator should be observed to verify normal operation.
Page 266 Table 50 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the LIFEPAK 15 Monitor/Defibrillator The LIFEPAK 15 monitor/defibrillator is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the...
Page 267: Appendix F Symbols
Appendix F Symbols This appendix provides information about the symbols that are used in these operating instructions, or on the LIFEPAK 15 monitor/defibrillator, its accessories, packaging, or training tools. ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 269: Symbols
Appendix F | Symbols Symbols The symbols in the following table may be found in these operating instructions or on the LIFEPAK 15 monitor/defibrillator, its accessories, packaging, or training tools. Table 51 Symbols SYMBOL DESCRIPTION Device or User Interface Attention, consult accompanying documents...
Page 270 Date of manufacture. Date may appear before, after, or below the figure. Authorized EC representative Manufacturer’s identification number (part number) Serial number Reorder number By prescription only Rx Only For USA audiences only Catalog number Manufacturer LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 271 Complies with (USA) Federal Communications Commission regulations Device includes RF transmitter Type BF patient connection Lot number (batch code). YY (year) and WW (week) of manufacture. YYWW IP44 Enclosure ingress protection code per IEC 60529 Warning, high voltage ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 272 2 electrodes in 1 package 10 packages in 1 shelf-pak 5 shelf-paks in 1 case Shave patient skin Clean patient skin Treatment Tear here Press electrode firmly onto patient Connect QUIK-COMBO cable Slowly peel back protective liner on electrode LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 273 Remove label from battery Charge battery Insert battery in LIFEPAK 15 monitor/defibrillator Rechargeable battery AC-DC power adapter DC-DC power adapter For use with the LIFEPAK 15 monitor/defibrillator Power input Power output DC voltage AC voltage Shipping carton This end up ©2007-2015 Physio-Control, Inc.
Page 274 Symbols SYMBOL DESCRIPTION Fragile/breakable Handle with care Protect from water Recommended storage temperature -20° to 60°C (-4° to 140°F) Relative humidity range 10 to 95% Recycle this item LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 275: Index
Checks, function Procedure • 120 Paddles • 205 Special AED setup options • 127 Patient ECG cable • 204 Troubleshooting tips • 130 Therapy cable • 201 Alarms • 39 Limits • 223 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 276 Intended use • 132 Frequency response • 66 Procedure • 134 Fuel gauge, battery • 33 Troubleshooting tips • 139 Function checks • 204 Deleting archived records • 171 Functional oxygen saturation (see SpO2) • 68 LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 277 CPR metronome • 136 Intended use • 142 Intended use • 132 Procedure • 143 Procedure • 134 Troubleshooting tips • 145 Switching from AED mode • 126 Troubleshooting tips • 139 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 278 DC, Operation • 194 Scheduled maintenance • 201 Maintenance and service • 196 Screen messages • 245 Troubleshooting • 197 Self-test • 202 Warranty • 197 Service and repair • 217 Preamble, CODE SUMMARY • 163 LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 279 Vital signs Probe, cleaning and disposal • 106 Log • 163 Troubleshooting tips • 106 Viewing trends in • 111 Test Volume, adjusting for systole • 50 Auto • 202 Self • 202 ©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 280 Warranty • 218 Waveform analysis for EtCO2 • 89 Waveform events • 164 Analysis report • 165 Check Patient report • 166 Pacing report • 166 Shock report • 166 Zero reference for IP • 98 LIFEPAK 15 Monitor/Defibrillator Operating Instructions...
Page 281 LIFEPAK 15 Monitor/Defibrillator Operator’s Checklist This is a recommended checklist to use to inspect and test this monitor/defibrillator. Daily inspection and test is recommended. This form may be reproduced. Unit Serial No:______________________________ Location:_____________________________________ Date Recommended Instruction Corrective Action Initials √ each box after completing 1.
Page 282 Date Recommended Instructions Corrective Action Initials 6. With batteries installed, reconnect power adapter to device and check for: (If not using a power adapter, go to Step 7.) Power adapter LED strip is illuminated If absent, check connections. If problem persists, contact a qualified service technician.
Page 283 Date Recommended Instructions Corrective Action Initials If energy discharges with one button • Press only one (shock) button and press, obtain spare paddles and release. Confirm that energy was repeat check. not discharged. • Press the other (shock) button and release. Confirm that energy was not discharged.
Page 284 MONITOR/DEFIBRILLATOR Operating Instructions For further information, please contact your local Physio-Control representative or visit www.physio-control.com Physio-Control, Inc. Physio-Control Australia Pty Ltd 11811 Willows Road NE Suite 4.01 P.O. Box 97006 15 Orion Road Redmond, WA 98073-9706 USA Lane Cove Tel 425.867.4000 NSW 2066 Fax 425.867.4121 Australia...

Physio Control LIFEPAK 15 Operating Instructions Manual

Chapter 1 Preface

Chapter 2 Safety Information

Chapter 3 Basic Orientation

Chapter 4 Monitoring

Chapter 5 Therapy

Chapter 6 Paddle Accessory Options

Chapter 7 Data Management

Chapter 8 Data Transmission

Chapter 9 Power Adapter

Chapter 10 Maintaining the Equipment

Appendix A Specifications and Performance Characteristics

Quick Links

Troubleshooting

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