ZOLL R Series Operator's Manual
Defibrillator
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Summary of Contents for ZOLL R Series
- Page 1 R Series Operator’s Guide ® 9650-0912-06 Rev. G...
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Page 2: Code-Ready
The issue date for the R Series Operator’s Guide ALS (REF 9650-0912-06 Rev. G) is May, 2016. Copyright © 2016 ZOLL Medical Corporation. All rights reserved. R Series, M Series, pedi-padz, pro-padz, stat-padz, CodeNet, Real CPR Help, RescueNet, See-Thru CPR,... -
Page 3: Table Of Contents
Patient Safety ......................1-16 Cautions..........................1-18 Restarting the Defibrillator ....................1-18 FDA Tracking Requirements ..................... 1-19 Notification of Adverse Events .................. 1-19 Software License ......................1-20 Service..........................1-20 The ZOLL Serial Number....................1-21 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide... - Page 4 Begin CPR Following Local Medical Protocols ............4-2 Prepare Patient ......................4-2 1 Select DEFIB ......................4-2 2 Press ANALYZE Button ................... 4-3 3 Press SHOCK ......................4-5 Advisory Function Messages ....................4-7 Warning Messages ......................4-7 www.zoll.com 9650-0912-06 Rev. G...
- Page 5 1 Apply ECG Electrodes/Hands-Free Therapy Electrodes ......... 8-2 2 Turn Selector Switch to PACER ................8-3 3 Set Pacer Rate ......................8-3 4 Set Pacer Output ..................... 8-4 5 Determine Capture ....................8-5 6 Determine Optimum Threshold ................8-6 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide...
- Page 6 Automatic Erasure ....................10-9 Formatting the Disk ....................10-9 Related Messages ......................10-9 Chapter 11 File Transfer Transferring Files to an External Device................11-1 Wi-Fi (Optional)......................... 11-2 Installing or Removing a Compact Flash Card ..............11-2 www.zoll.com 9650-0912-06 Rev. G...
- Page 7 Electromagnetic Emissions Declaration ..............A-7 Electromagnetic Immunity Declaration (EID) ..............A-8 EID for Life-Support Functions ...................A-9 Recommended Separation Distances from RF Equipment for the R Series Life-Support Functions ...................A-10 EID for Non–Life-Support Functions .................A-11 Recommended Separation Distances from RF Equipment for the R Series Non–Life-Support Functions ...................A-12...
- Page 8 (VF) and Ventricular Tachycardia (VT) ..............A-25 Randomized Multi-Center Clinical trial for Cardioversion of Atrial Fibrillation (AF) ...A-26 Synchronized Cardioversion of Atrial Fibrillation ............A-27 ECG Rhythm Analysis Algorithm Accuracy ...............A-29 Appendix B R Series Accessories Appendix C Wi-Fi Radio Module Information www.zoll.com 9650-0912-06 Rev. G...
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Page 9: Chapter 1 General Information
The product is designed for use in the hospital. All of its ruggedized features add to its durability in hospital applications. There are multiple models of the R Series defibrillator that can contain a variety of functions. Your model may not contain all of the functions that are documented in this manual. -
Page 10: How To Use This Manual
How to Use This Manual The R Series Operator’s Guide provides information operators need for the safe and effective use and care of the R Series products. It is important that all persons using this device read and understand all the information contained within. -
Page 11: Operator's Guide Updates
Operator’s Guide Updates An issue or revision date for this manual is shown on the front cover. If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if additional product information updates are available. - Page 12 R E C Y C L E Keep away from open flame and high heat. Do not open, disassemble, or intentionally damage. Do not crush. Do not discard in trash. Recycle or dispose of properly. 1–4 www.zoll.com 9650-0912-06 Rev. G...
- Page 13 Do not reuse. Do not fold. Not sterile. Nonionizing electromagnetic radiation from Wi-Fi during data transfer. Manufacturer. Authorized representative in the European Community. Serial Number. Catalogue number. Consult instructions for use. Prescription only. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 1–5...
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Page 14: Conventions
R-wave as a timing reference. The unit uses paddles or disposable, pregelled electrodes for defibrillation. Intended Use — Manual Operation Use of the R Series products in the manual mode for defibrillation is indicated on victims of cardiac arrest where there is apparent lack of circulation as indicated by: Unconsciousness. -
Page 15: Intended Use - Ecg Monitoring
ECG morphology. In ECG monitoring mode, the unit is intended to be used by personnel who are qualified by training in the use of the R Series defibrillator, basic life and/or advanced life support, or other physician-authorized emergency medical training. -
Page 16: External Pacemaker (Optional)
The unique design of the R Series products allow clear viewing and interpretation of the electrocardiogram on the display without offset or distortion during external pacing. -
Page 17: Pacemaker Complications
There are reports of transient inhibition of spontaneous respiration in unconscious patients with previously available units when the anterior electrode was placed too low on the abdomen. WARNING! This device must not be connected to internal pacemaker electrodes. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 1–9... -
Page 18: Pediatric Pacing
NFORMATION Pediatric Pacing Pacing can be performed on pediatric patients weighing 33 lb. (15 kg) or less using ZOLL pediatric hands-free therapy electrodes. Prolonged pacing (in excess of 30 minutes), particularly in neonates, can cause burns. Periodic inspection of the underlying skin is recommended. -
Page 19: Intended Use - Nibp
The R Series NIBP option is designed to measure blood pressure for adult patients (21 years of age and older) and for pediatric patients, as described in the following table:... -
Page 20: Paddles And Electrodes
ZOLL electrodes contain no hazardous materials and may be disposed of in general trash unless contaminated with pathogens. Use appropriate precautions when disposing of contaminated electrodes. When the patient is less than 8 years old or weighs less than 55 lb. (25 kg), use ZOLL ® pedi-padz II pediatric defibrillation electrodes. -
Page 21: Code-Ready System
• Change the selected defibrillator energy. • For safety, the R Series unit automatically disarms if left charged for more than either 60 or 120 seconds (user configurable) if the SHOCK button is not pressed. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide... -
Page 22: Warnings
Do not use the defibrillator until it has been inspected by appropriate personnel. The R Series unit might not perform to specifications when stored at the upper or lower extreme limits of storage temperature and then immediately put into use. -
Page 23: Operator Safety
When the warning REPLACE BATTERY appears, immediately replace the battery pack with a fully charged pack or plug the R Series unit into a power source, as unit shut down due to a low battery condition is imminent. -
Page 24: Patient Safety
When the R Series is performing a Code Readiness test, as indicated on the display, do not touch the connected paddles, electrodes, or OneStep cable connector. - Page 25 Warnings To ensure patient safety, connect the R Series only to equipment with galvanically isolated circuits. Use only high-quality ECG electrodes. ECG electrodes are for rhythm acquisition only; you cannot use ECG electrodes for defibrillation or pacing. Do not use therapy or ECG electrodes if the gel is dried, separated, torn or split from the foil;...
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Page 26: Cautions
Restarting the Defibrillator Certain events require the R Series products to be restarted after they shut off or become inoperative (for example, when the battery runs down and the unit shuts off). In such a case, always try to restore defibrillator operation as follows: 1. -
Page 27: Fda Tracking Requirements
• donated, resold, or otherwise distributed to a different organization • If any such event occurs, contact ZOLL Medical Corporation in writing with the following information: 1. Originator's organization – Company name, address, contact name, and contact phone number... -
Page 28: Software License
Service The R Series does not require periodic recalibration or adjustment. Appropriately trained and qualified personnel should, however, perform periodic tests of the defibrillator to verify proper operation. -
Page 29: The Zoll Serial Number
Returning a unit for service Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service request (SR) number from the service representative. Remove the battery pack from the unit. Pack the unit with its cables and battery in the original containers (if available) or equivalent packaging. - Page 30 “A” for January, “B” for February, “C” for March, and so on through “L” for December. The product serial number is a unique set of alphanumeric characters that ZOLL assigns to each individual unit.
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Page 31: Chapter 2 Product Overview
Chapter 2 Product Overview Defibrillator Controls and Indicators SHOCK LEAD ANALYZE CHARGE SIZE ALARM ENERGY SUSPEND SELECT RECORDER MONITOR DEFIB PACER OUTPUT RATE Front Right Left Rear SpO2 13 14 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 2–1... - Page 32 (Reserved for future use — do not connect to any equipment.) (Optional) USB device connector For connecting the R Series defibrillator to a USB device. For details, refer to “Event Records and Reports” on page 10-1. Data card slot Holds a compact flash card for copying data stored in the device’s internal memory.
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Page 33: The Front Panel
Defibrillator Controls and Indicators The Front Panel The front panel of the R Series device includes the display screen, softkeys, battery indicator, AC power indicator, Code Readiness indicator, SHOCK button, and control panel. The control panel configuration varies slightly depending on the model. See Figure 2-1. -
Page 34: Diagnostic Bandwidth
DEFIB or MONITOR mode with either hands-free therapy electrodes or paddles attached to the OneStep cable. Lead II or P3 (OneStep Pacing) is automatically selected when the R Series is powered up in PACER mode. Pads or Paddles monitoring is not available in PACER mode. -
Page 35: Display Screen
Defibrillator Controls and Indicators Table 2-2. R Series Controls and Indicators (continued) Control or Indicator Description 4:1 Button This button is used to determine a patient’s underlying ECG rhythm. (optional) While depressed, this button causes pacing stimuli to be delivered at ¼... - Page 36 Param Marker Data Alarms On/Off Figure 2-2. R Series Display Screen (shown with optional SpO , NIBP and CO monitoring) Color coding To differentiate information for various parameters, the unit displays each type of information in a specific user-configurable color.
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Page 37: Patient Cables And Connectors
(Optional) For connecting pulse oximeter cable. OneStep Cables The R Series ships with either a OneStep, or OneStep Pacing cable. The OneStep Pacing cable has an additional connector that plugs into the rear panel ECG connector. This cable is used with OneStep Pacing electrodes or OneStep Complete electrodes for external pacing and ECG monitoring. - Page 38 OneStep Cable Manager (Optional) As an option, the OneStep Cable Manager is available to store and organize cables. OneStep Cable Manager Cable Caddy Figure 2-5. The R Series with the Optional OneStep Cable Manager (Side View) 2–8 www.zoll.com 9650-0912-06 Rev. G...
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Page 39: External Paddles
Defibrillator Controls and Indicators Power Cord The AC power cord is used to operate the R Series unit when battery power is not being used. An additional extension cord is available for use when the cable organizer accessory is attached to the unit. - Page 40 HAPTER RODUCT VERVIEW Attach the OneStep cable from the R Series unit to the connector at the base of the apex paddle. 1. Align OneStep cable as shown. 2. Insert OneStep cable into APEX paddle. Figure 2-7. Attaching the OneStep Cable to the APEX Paddle...
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Page 41: Working With Menus
Figure 2-10. Pediatric Plate Note: The R Series defibrillator also supports ZOLL autoclavable internal handles for use during open chest defibrillation procedures. Working with Menus For some functions, the screen shows a menu of options with related softkeys for navigating through the menus and making selections and entries. -
Page 42: Defib Mentor Mode (Optional)
MONITOR. When in this mode, the device displays a brief description of each front panel control’s function when that control is activated. Note: Do not run the Defib Mentor mode with a patient connected to the R Series unit. To access Defib Mentor mode: 1. Turn the Mode Selector to MONITOR. -
Page 43: Common Tasks
Lower the tabbed end of the battery pack into the compartment and press down on the tabbed end until it locks into place. Figure 2-13. Installing a Battery Pack Adjusting Display Brightness To adjust brightness: 1. Press the Options softkey. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 2–13... -
Page 44: Using Code Markers
(For information on configuring these code marker lists, refer to the R Series Configuration Guide.) The code markers are removed from the display after 10 seconds. If no Code Marker softkey has been pressed during that time, a “default”... -
Page 45: Chapter 3 Manual Defibrillation
No portion of the hands should be near the paddle plates. Determine the Patient’s Condition Following Local Medical Protocols Verify: Unconsciousness. • Absence of breathing. • Absence of pulse. • 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 3–1... -
Page 46: Begin Cpr Following Local Medical Protocols
One pair is located on the front panel of the unit; the other pair is located on the sternum paddle. SHOCK SHOCK ANALYZE ANALYZE CHARGE CHARGE ENERGY ENERGY SELECT SELECT Note: Neonatal and pediatric defibrillator energy levels should be selected based on site- specific protocols. 3–2 www.zoll.com 9650-0912-06 Rev. G... - Page 47 On/Off Data If you have configured Shocks 1, 2, and 3 to escalating energy levels (see the R Series Configuration Guide for instructions), the R Series automatically sets the energy to the preconfigured Energy Level: Shock 1, 2, 3 setting at power-up and after each of the first two shocks.
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Page 48: Charge Defibrillator
After charging to the selected energy, the charge indicator on the apex paddle lights. A distinctive charge ready tone sounds, and the message DEFIB XXXJ READY is displayed. The defibrillator is now ready to discharge. 3–4 www.zoll.com 9650-0912-06 Rev. G... -
Page 49: Deliver Shock
DEFIB XXXJ SEL. Press the CHARGE button to recharge the unit. Autoclavable External Paddles ZOLL Autoclavable External Paddles are available for use with manually operated ZOLL defibrillators when sterile conditions must be maintained during defibrillation. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide... -
Page 50: Emergency Defibrillation Procedure With Hands-Free Therapy Electrodes
HAPTER ANUAL EFIBRILLATION Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes ZOLL hands-free therapy electrodes are a defibrillation-protected Type BF patient connection. ECG leads are a defibrillation-protected Type CF patient connection. Determine the Patient’s Condition Following Local Medical Protocols Verify: Unconsciousness. -
Page 51: Select Defib
Shock 2 - 70 joules • Shock 3 - 85 joules • WARNING! When used with pedi-padz, defibrillator energies must be set manually based on site- specific institutional protocols for pediatric defibrillation. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 3–7... - Page 52 On/Off Data If you have configured Shocks 1, 2, and 3 to escalating energy levels (see the R Series Configuration Guide for instructions), the R Series automatically sets the energy to the preconfigured Energy Level: Shock 1, 2, 3 setting at power-up and after each of the first two shocks.
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Page 53: Charge Defibrillator
Press and hold the SHOCK button until energy is delivered to the patient. SHOCK SHOCK CHARGE CHARGE ANALYZE ANALYZE ENERGY ENERGY SELECT SELECT 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 3–9... -
Page 54: Autoclavable Electrodes
Autoclavable Internal Handles with removable internal defibrillation electrodes • When these internal handles are used, the R Series defibrillator can operate only in Manual mode even if the unit supports Advisory mode. When an internal handle set is connected to the R Series, it automatically limits energy output to a maximum of 50 joules. -
Page 55: Chapter 4 Advisory Defibrillation
When the Mode Selector is turned to DEFIB and hands-free therapy electrodes are used, the R Series can identify shockable rhythms using its built in ECG analysis capability. You must read the advisory messages, charge the defibrillator to the preconfigured or user-selected energy level (if automatic charge is disabled), and deliver treatment to the patient when required by protocol and patient condition. -
Page 56: Advisory Defibrillation Procedure
Turn the Mode Selector to DEFIB. The unit displays DEFIB 120J SEL on the monitor. RECORDER MONITOR DEFIB PACER Energy Select The default energy selections for adult patients are: Shock 1 - 120 joules • Shock 2 - 150 joules • Shock 3 - 200 joules • 4–2 www.zoll.com 9650-0912-06 Rev. G... -
Page 57: Press Analyze Button
SHOCK 1, 2, 3 sequence and deliver a shock, it disables the automatic energy escalation. See the Energy Level: Shock 1, 2, 3 section of the R Series Configuration Guide for more details. 2 Press ANALYZE Button WARNING! Keep patient motionless during ECG analysis. - Page 58 Follow the local protocols to continue CPR or other life support, and re-analyze the ECG at appropriate intervals. Note: When a nonshockable rhythm is detected, the R Series does not prevent the user from manually defibrillating the patient. When a shockable rhythm is detected (ventricular fibrillation or wide-complex tachycardia with heart rate >...
- Page 59 A severe shock can result. Do not allow exposed portions of the patient’s body to come in contact with metal objects, such as a bed frame, as unwanted pathways for defibrillation current may result. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 4–5...
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Page 60: Press Shock
Rhythm analysis does not continue after the defibrillator is charged and ready once a decision to shock has been made. The R Series unit will not automatically disarm the defibrillator if the patient’s rhythm reverts to a non-shockable rhythm before the shock has been delivered. -
Page 61: Advisory Function Messages
Check that the therapy electrodes are making good contact with the patient’s skin and that all cables are securely connected. This voice prompt will not sound if the therapy electrodes were not previously connected to the patient. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 4–7... - Page 62 HAPTER DVISORY EFIBRILLATION (This page intentionally left blank.) 4–8 www.zoll.com 9650-0912-06 Rev. G...
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Page 63: Chapter 5 Synchronized Cardioversion
T-wave segment of the cardiac cycle. When in the Sync mode, the unit displays markers ( ) above the ECG trace to indicate the points in the cardiac cycle (R waves) where discharge can occur. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 5–1... -
Page 64: Synchronized Cardioversion Procedure
Remote Synchronized Cardioversion — An external device (such as a patient monitor) • monitors the patient’s ECG and provides a synchronization pulse to the R Series’ Sync In/Marker Out connector. The R Series synchronizes shock delivery with these external pulses. -
Page 65: Select Defib
DEFIB Press the Sync On/Off softkey Your system will be in Sync mode once you press the Sync On/Off softkey if your R Series is not configured to support Remote Sync. However, if your R Series is configured to support Remote Sync, pressing the Sync On/Off softkey will cause two other softkeys to be displayed: Remote Sync and Sync. -
Page 66: Charge Defibrillator
Sync mode. Note that the unit can be configured to stay in Sync mode after defibrillation, if desired. Refer to the R Series Configuration Guide for instructions. 2 Charge Defibrillator Press the CHARGE button on the front panel or on the apex paddle handle. -
Page 67: Deliver Shock
ECG monitoring device. See the R Series Configuration Manual. Be sure that the remote device is connected to the Sync In/Marker Out connector on the R Series unit. The remote device must have a Sync out connector and a cable must be provided to connect the two devices. -
Page 68: Determine The Patient's Condition And Provide Care Following Local Medical Protocols
Changing the selected energy levels does not cause the unit to leave Remote Sync mode. View the ECG trace on the remote device’s display. Verify that Sync markers appear with each R-wave. The Sync markers will appear as described in the remote device’s user manual. 5–6 www.zoll.com 9650-0912-06 Rev. G... -
Page 69: Charge Defibrillator
During the ten seconds prior to this internal disarm, the charge ready tone beeps intermittently. The charge ready tone then stops and the defibrillator remains in Remote Sync mode. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 5–7... - Page 70 If the ANALYZE button is pressed while the unit is in Remote Sync mode, the unit displays the REMOVE SYNC message and disallows ECG rhythm analysis until the unit is taken out of Sync mode. 5–8 www.zoll.com 9650-0912-06 Rev. G...
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Page 71: Chapter 6 Real Cpr Help
This sensor monitors the rate and depth of chest compressions and sends this information to the R Series unit for processing and display. The R Series defibrillator uses this information to provide feedback to the rescuer in one or more of the following forms: CPR Index •... -
Page 72: Real Cpr Help Field
When complete filling of the CPR Index has not been achieved due to diminished compression rate or depth, and the CPR Dashboard is configured Off, the R Series will display the words RATE and/or DEPTH to assist the rescuer in determining whether chest compression rate or depth should be increased. -
Page 73: Compression Release Bar (Adult Only)
Depth and Rate Indicators CPR Metronome The R Series unit includes a CPR metronome feature that can be used to encourage rescuers to perform chest compressions at the AHA/ERC recommended rate of 100 compressions per minute. This feature can be configured. -
Page 74: Cpr Voice Prompts
This feature is unavailable while using Pediatric CPR electrodes. CPR Voice Prompts (Adult only) The R Series unit can be configured to issue voice prompts related to the depth of chest compressions as feedback to rescuers performing CPR. Two voice prompts are available for... -
Page 75: Chapter 7 See-Thru Cpr (Optional)
See-Thru CPR enables the rescuer to see a close approximation of the patient’s underlying ECG rhythm while performing CPR. See-Thru CPR is available if the R Series is monitoring CPR. Chest compressions introduce CPR artifact into the ECG signal. See-Thru CPR uses a filter... -
Page 76: Using See-Thru Cpr
Trace 1 ECG waveform. If configured to display the CPR Dashboard, the R Series unit can also be configured to display the filtered ECG in Trace1. When the unit is configured to display the filtered ECG in Trace1, the softkey Disable Filt ECG appears, which you can press to disable display of the filtered ECG in Trace1 and replace it with the unfiltered ECG. - Page 77 | Filter OFF | Filter ON Filtered ECG Filtered ECG 0:12 0:24 FineVF Raw ECG Raw ECG • | Filter OFF Filtered ECG Filtered ECG 0:24 0:36 12.5 mm/sec, 5 mm/mV 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 7–3...
- Page 78 0:12 CoarseVF Raw ECG Raw ECG • | Filter ON Filtered ECG Filtered ECG 0:12 0:24 CoarseVF Raw ECG Raw ECG • | Filter OFF Filtered ECG Filtered ECG 0:24 0:36 12.5 mm/sec, 5 mm/mV 7–4 www.zoll.com 9650-0912-06 Rev. G...
- Page 79 | Filter OFF | Filter ON Filtered ECG Filtered ECG 0:12 0:24 Asystole Raw ECG Raw ECG • | Filter OFF Filtered ECG Filtered ECG 0:24 0:36 12.5 mm/sec, 5 mm/mV 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 7–5...
- Page 80 Raw ECG • • | Filter OFF | Filter ON Filtered ECG Filtered ECG 0:12 0:24 SinusRhythm Raw ECG Raw ECG • | Filter OFF Filtered ECG Filtered ECG 0:24 0:36 12.5 mm/sec, 5 mm/mV 7–6 www.zoll.com 9650-0912-06 Rev. G...
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Page 81: Chapter 8 Noninvasive Temporary Pacing (Optional)
Chapter 8 Noninvasive Temporary Pacing (Optional) When ZOLL hands-free therapy electrodes are used, the patient connection is considered to be defibrillation-protected Type BF. ECG leads are a defibrillation-protected Type CF patient connection. WARNING! To avoid risk of electrical shock, do not touch the gelled area of the hands-free therapy electrodes while pacing. -
Page 82: Determine Patient Condition And Provide Care Following Local Medical Protocols
PTIONAL Noninvasive Temporary Pacing R Series defibrillators with the pacer option contain a VVI demand pacemaker – a safe and effective design for Noninvasive Temporary Pacemakers. Proper demand pacing requires a reliable, high quality surface ECG signal. For best results: Apply both standard ECG monitoring electrodes and hands-free pacing therapy electrodes •... -
Page 83: Turn Selector Switch To Pacer
If the unit has just been turned on, the PACER OUTPUT is automatically set to 0 mA. 3 Set Pacer Rate Set the PACER RATE to a value 10-20 ppm higher than the patient’s intrinsic heart rate. If no intrinsic rate exists, use 100 ppm. 9650-0912-06 Rev. G ZOLL R Series Operator’s Guide 8–3... -
Page 84: Set Pacer Output
When the unit is switched out of PACER mode into DEFIB or MONITOR mode and then switched back to PACER mode, within 10 minutes the pacer settings remain unchanged. If the unit is turned off for more than 10 seconds, the pacer’s power up default settings are restored. 8–4 www.zoll.com 9650-0912-06 Rev. G... -
Page 85: Determine Capture
Determination of electrical capture should only be performed by viewing the ECG trace on the R Series display with its ECG connection directly attached to the patient. Use of other ECG monitoring devices might provide misleading information due to the presence of pacer artifacts. -
Page 86: Determine Optimum Threshold
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PACE 00:01 50 mA 70 PPM Clear Async Pace Pacing Alarm On/Off 8–6 www.zoll.com 9650-0912-06 Rev. G... -
Page 87: Special Pacing Applications
Special Pacing Applications Noninvasive Temporary Pacing can be performed in the Cardiac Catheterization Lab either for emergency pacing or standby pacing. For pacing in X-ray and fluoroscopic applications, ZOLL pro-padz® radiolucent hands-free therapy electrodes may be used. Noninvasive Temporary Pacing can be performed in the Operating Room using ZOLL pro-padz sterile hands-free therapy electrodes. -
Page 88: Pediatric Pacing
33 lbs/15 kg. Continuous pacing of neonates can cause skin burns. If it is necessary to pace for more than 30 minutes, periodic inspection of the underlying skin is strongly advised. Carefully follow all instructions on electrode packaging. 8–8 www.zoll.com 9650-0912-06 Rev. G...
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Questions and answers
Is the R series AED Defibrillator able to defibrillate if the battery is dead? unplugged? plugged in but a dead battery?
No, the ZOLL R Series AED Defibrillator cannot operate with a dead battery if it is unplugged. If the unit is plugged into an AC power supply, it can charge the battery and operate. However, if the battery is completely dead and the unit is not receiving AC power, it will not function.
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how do i check date and time daily
how can I print out the testing history
How do I adjust the volume?