ZOLL AED PLUS Administrator's Manual
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ZOLL AED PLUS Administrator's Manual

Defibrillator
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Administrator's Guide
Part Number 9650-0301-01 Rev. E

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  • Page 1 ™ Administrator’s Guide Part Number 9650-0301-01 Rev. E...
  • Page 2 2002 ZOLL Medical Corporation. All rights reserved. The issue date or revision level for this operation guide is shown on the front cover. ZOLL, AED PLUS, and CPR-D are trademarks of ZOLL Medical Corporation. stat padz is a registered trademark of ZOLL Medical Corporation.

  • Page 3: Table Of Contents

    ........................13 AINTENANCE AND ROUBLESHOOTING Overview ........................................13 Inspection........................................13 Preparing the ZOLL AED PLUS for Use ............................13 Automatic Self-Test....................................14 Installing or Replacing Batteries................................15 Identifying Battery Condition ................................17 Maintaining the Unit ....................................18 Cleaning the Unit ....................................18 Maintenance Checklist ...................................
  • Page 4 (This page intentionally left blank.) ZOLL AED PLUS...

  • Page 5: Preface

    The ZOLL AED PLUS Administrator’s Guide is to be used by responsible medical authorities in conjunction with the ZOLL AED PLUS Operator’s Guide. The ZOLL AED PLUS is to be used by trained rescuers to provide emergency defibrillation. It incorporates a sequence of visual and voice prompts to help rescuers follow established protocols for use of AEDs.

  • Page 6: Safety Summary

    ECG rhythm analyses or the pacemaker may be damaged by defibrillator discharges. • Check labeling inside the ZOLL AED PLUS cover before using the cover as a Passive Airway Support (PASS) device. Ensure it is intended for this use.

  • Page 7: Indications For Use

    • Breathing; or • Has a detectable pulse or other signs of circulation. The ZOLL AED PLUS is not indicated for use on patients under 8 years of age (Per AHA Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, I-64, 2000).

  • Page 8: Unpacking

    • Examine the unit for any signs of damage that may have occurred during shipping. • If the contents are incomplete or damaged or if the unit fails to pass its self-test as indicated by a Red “X” in the status indicator window after battery installation, contact ZOLL Medical Corporation’s Technical Service Department.

  • Page 9: Introduction

    CPR if the initial or subsequent defibrillation attempts are unsuccessful. Some versions of ZOLL AED PLUS include a cover that can also be used as a PASS (Passive Airway Support System) to support the patient’s neck and shoulders in a position that assists in maintaining an open airway.

  • Page 10: Using The Cpr Function

    60 CPM in cases where the rescuer’s compression rate is substantially below 60 CPM. During CPR, the ZOLL AED PLUS may issue one or more audible prompts based upon the depth of chest compressions detected. When the CPR monitoring system determines that compression depth is consistently less than 1½...

  • Page 11: Operation

    LCD Display (not supplied on Patient Connector some units) IrDA Port (on side of unit) Graphics Indicator Lights Status Indicator Carrying Handle Battery Compartment (bottom) Off/On Button Microphone (hidden) Speaker (bottom) Treatment Button Figure 1: Identifying Operating Controls and Indicators ZOLL AED PLUS...
  • Page 12 IrDA equipped device. PASS Cover Some ZOLL AED PLUS models include a cover that may be used as a shoulder (optional) support to aid patient airway management. The PASS can be ordered separately for other ZOLL AED PLUS models. (See Accessories section.) Battery Holds ten (10) 123A lithium manganese dioxide batteries used to power the unit.

  • Page 13: Using The Aed Graphics

    In the continuing presence of a shockable ECG rhythm, the AED is designed to perform up to three ECG analyses and stacked shocks before it prompts the rescuer to initiate CPR. Shocks are delivered by depressing the Treatment Button (indicated by the heart and associated LED) located in the center of the graphic user interface. ZOLL AED PLUS...

  • Page 14: Using Voice Prompts

    Consult the ZOLL AED PLUS Operator’s Guide for more details on the graphics included in the unit’s graphic interface, the audio prompts issued at each step in the treatment protocol and the expected rescuer response to these audio and visual prompts.
  • Page 15 IF NO CIRCULATION, Continue providing CPR. This prompt may also be issued if the CONTINUE CPR. ZOLL AED PLUS CPR monitoring function fails to detect chest compressions at least ¾ of an inch deep. PUSH HARDER. CPR compressions are consistently less than 1 ½ inches deep.

  • Page 16: Using The Lcd Display

    Data communications between the ZOLL AED PLUS and personal computer or IrDA modem have failed. Using the LCD Display The ZOLL AED PLUS is equipped with a 1.3 x 2.6 inch LCD screen (see Figure 3) that displays the following information: CPR depth of compression indicator 1.5”...

  • Page 17: Using The Passive Airway Support System (Pass)

    1 ½ and 2 inches of compression depth to provide reference points for rescuers performing CPR. Visual User Prompts (Lower 1/3 of screen): Whenever the ZOLL AED PLUS issues a voice prompt, the text of the voice prompt is simultaneously displayed on the LCD display.

  • Page 18: Using Electrodes

    Using Electrodes WARNING! DO NOT reuse electrodes. The ZOLL AED PLUS uses electrode packs that are connected to the unit by a cable. The package will contain electrodes that you attach to the patient. • Make sure to install a new package of electrodes and connect the electrode cable to the unit after each use to be prepared for future emergencies.

  • Page 19: Applying Cpr-D Padz

    NOTE If the patient has an implanted pacemaker or defibrillator in the upper right chest, angle the electrodes slightly to avoid placing the electrodes over either device. Make certain that the CPR sensor maintains a position over the lower half of the breastbone. Red pin Figure 5: Placement of CPR-D padz ZOLL AED PLUS...

  • Page 20: Using The Cpr Monitoring Function

    NOTE If the ZOLL AED PLUS prompts you to PUSH HARDER, your compressions are less than 1 ½ inches deep. Increase your compression depth to improve CPR performance.

  • Page 21: Self Test, Maintenance And Troubleshooting

    • All top panel user interface lights (LEDs) sequentially illuminate. • Within 5 seconds after the ZOLL AED PLUS is turned on, the audible message UNIT OK is announced (and displayed if the unit is equipped with a LCD display).

  • Page 22: Automatic Self-Test

    VF and verify that a new ECG analysis begins. 13. Turn the ZOLL AED PLUS and Simulator off. 14. Verify that new CPR-D padz or stat padz II ® to be used with the ZOLL AED PLUS are well within their expiration date.

  • Page 23: Installing Or Replacing Batteries

    If a red X is displayed following completion of the unit’s self tests, the AED is not ready for use and may be defective. Remove the ZOLL AED PLUS from service and consult the Troubleshooting section of this guide to help determine the problem.
  • Page 24 After placing the first 5-9 batteries into the battery well, an audio prompt, INSTALL BATTERY, reminds you to install the remaining batteries into the battery compartment. Battery Reset Button Figure 7: Battery Compartment ZOLL AED PLUS...

  • Page 25: Identifying Battery Condition

    If red “X” powered off or during self- (when off). remains, return to ZOLL test. Technical Support for service. Low Battery with unit CHANGE BATTERIES prompt Replace batteries as soon as powered on.

  • Page 26: Maintaining The Unit

    ECG analysis results, indicators and display illuminate, voice prompts are heard. Turn the unit on and off and verify the green check indicates ready for use. Batteries within expiration date. Replace if expired. Check for presence of supplies. ZOLL AED PLUS...

  • Page 27: Troubleshooting

    Troubleshooting Return the unit to ZOLL’s Technical Service Department if the unit is not working properly. Table 5: Troubleshooting Technical Problem Recommended Action Self test failed. Manually test by pressing and holding the ON/OFF button for more than 5 seconds. Attempt to repair the device by replacing the batteries or electrodes.

  • Page 28: Using Zoll Administration Software

    Beaming distances between devices may vary but should be at least 10 inches and not more than 18 inches. Power up the PC and have the ZOLL Administration Software and/or ZOLL Data Control software running. Press and hold the ON/OFF button on the AED for at least 5 seconds to establish contact with the computer or modem.

  • Page 29: Ordering Accessories

    Ordering Accessories You can order the following accessories from the ZOLL Customer Service Department Table 6: Ordering Accessories Item Part Number CPR-D padz electrode including accessory kit 8900-0800-01 stat padz II electrode (single) 8900-0801-01 stat padz II electrode (case) 8900-0802-01...

  • Page 30: Contacting Technical Service

    • Purchase Order or credit card number for a unit with an expired warranty. If the unit needs to be sent to ZOLL Medical Corporation, obtain a service order request number from the Technical Service representative. Units are available on loan at an additional cost while your unit is being repaired.

  • Page 31: Appendix A: Specifications

    Automatic pre-programmed selection (120J, 150J, 200J) Patient Safety All patient connections are electrically isolated. Charge Time Less than 10 seconds with new batteries. Electrodes ZOLL stat padz II or CPR-D padz. Built in Defibrillator Self Test Included ZOLL AED PLUS...
  • Page 32 PASS (Passive Airway Support System) cover function are on file with ZOLL Medical and are available for review. Contact ZOLL Technical Support to request a copy of the following report(s) if desired: •...

  • Page 33: Guidance And Manufacturer's Declaration - Electromagnetic Emissions

    Table 8: EMC Specifications The ZOLL AED PLUS is intended for use in the electromagnetic environment specified below. The customer or the user of the ZOLL AED PLUS should assure that it is used in such an environment. Emissions test...
  • Page 34 NOTE Ut is the a.c. mains voltage prior to application of the test level. The ZOLL AED PLUS is intended for use in the electromagnetic environment specified below. The customer or the user of the ZOLL AED PLUS should assure that it is used in such an environment.
  • Page 35 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ZOLL AED PLUS is used exceeds the applicable RF compliance level above, the ZOLL AED PLUS should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the ZOLL AED PLUS.
  • Page 36 Recommended separation distances between portable and mobile RF communications equipment and the ZOLL AED PLUS The ZOLL AED PLUS is intended for use in an environment in which radiated RF disturbances are controlled. The customer or the user of the ZOLL AED PLUS can help prevent electromagnetic interference by...

  • Page 37: Rectilinear Biphasic Waveform Characteristics

    ZOLL M-Series defibrillators) and the findings are described below. Since the AED PLUS's rectilinear biphasic waveform employs the same first and second phase timing, similar first and second phase currents/voltages and essentially the same mechanisms for controlling defibrillation waveshape, the M-Series and AED PLUS defibrillation waveforms are considered substantially equivalent.

  • Page 38: Clinical Trial Results For The M Series Biphasic Waveform

    Clinical Trial Results for the M Series Biphasic Waveform The efficacy of ZOLL’s Rectilinear Biphasic Waveform has been clinically verified during a study of defibrillation of Ventricular Fibrillation (VF)/Ventricular Tachycardia (VT). A feasibility study was performed initially for defibrillation of VF/VT (n=20) on two separate groups of patients to ensure waveform safety and energy selection.
  • Page 39 “... the task force suggests that to demonstrate superiority of an alternative waveform over standard waveforms, the upper boundary of the 90% confidence interval of the difference between standard and alternative waveforms must be < 0% (i.e., alternative is greater than standard).” ZOLL AED PLUS...

  • Page 40: Ecg Analysis Algorithm Accuracy

    Young KD, Lewis RJ: “What is confidence? Part 2: Detailed definition and determination of confidence intervals”. Annals of Emergency Medicine, September 1997; 30; 311-218 “CRC Standard Mathematical Tables 28 Edition”, William H. Beyer, Ph.D., CRC Press, Inc, Boca Raton, FL., 1981, Percentage Points, F-Distribution Table, pg 573. ZOLL AED PLUS...
  • Page 42 Australia Telephone: (905) 629-5005 Telephone: + 61-2-432-922-26 Toll Free: (866) 442-1011 Telefax: + 61-2-432-922-26 Latin America Regional Office ZOLL Medical Australia Pty. Ltd 5720 NW 60 Street Unit 4, 12 Chaplin Dr. Parkland, FL 33067 Lane Cove NSW 2066 Telephone: + 954-345-4224...

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