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Instructions for Use
Efficia DFM100
Defibrillator/Monitor
866199

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   Summary of Contents for Philips Efficia DFM100

  • Page 1 English Instructions for Use Efficia DFM100 Defibrillator/Monitor 866199...
  • Page 3 The information in this document applies to the Efficia DFM 100 using software version 2.0. Declaration of Conformity: Philips shall not be liable for errors contained herein or for For the Declaration of Conformity Statement, please see the incidental or consequential damages in connection with the Philips Healthcare web site at furnishing, performance, or use of this material.
  • Page 4 Notice Conventions Used in This Manual This book contains the following conventions: WARNING: Warning statements alert you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in death or serious injury to the user or patient. CAUTION: Caution statements alert you to where special care is necessary for the safe and effective use of the product.
  • Page 5: Table Of Contents

    Smart Select Knob General Function Buttons Soft Keys Ready For Use Indicator Power Lithium Ion Battery Power Indicators Turning the Efficia DFM100 On Turning the Efficia DFM100 Off Device Shutdown The Display Status Area Parameter Area Message Area Waveform and Display Soft Keys Area...
  • Page 6 Table of Contents Clinical Mode Alarm Notification Responding to Alarms Entering Patient Information Continued Use Mark Events Passwords Safety Considerations Chapter 4 ECG Monitoring Overview Preparing to Monitor ECG Skin Preparation Monitoring ECG with Pads Monitoring ECG with Electrodes Monitor View Selecting the Waveform Displaying an Annotated ECG Arrhythmia Monitoring...
  • Page 7 Table of Contents Chapter 6 Manual Defibrillation Overview Precautions for Manual Defibrillation Code View Preparing for Defibrillation Using Multifunction Electrode Pads Using External Paddles Using Infant Paddles Using Internal Paddles Defibrillation Step 1 - Select Energy Step 2 - Charge Step 3 - Shock Manual Defibrillation Alarms Troubleshooting...
  • Page 8 Table of Contents Chapter 9 Monitoring CO Overview Precautions for Measuring EtCO Preparing to Measure EtCO Sensors Selecting the Accessories Monitoring EtCO EtCO and AwRR Alarms Changing the EtCO Alarm Limits Enabling/Disabling the EtCO Alarms Changing the AwRR Alarm Limits Changing the Apnea Time Alarm Limit Enabling/Disabling AwRR Alarms Zeroing Sidestream and Mainstream Sensors...
  • Page 9 Table of Contents Enabling/Disabling NBP Alarms . 123 Caring for Cuffs . 123 Troubleshooting . 123 Chapter 12 Trending Overview . 125 Viewing Trend Data . 125 Printing the Trends Report . 127 Troubleshooting . 127 Chapter 13 Data Management Overview .
  • Page 10 Cleaning Instructions Defibrillator/Monitor, Paddles, Cables and Battery Printer Printhead Side Pouches Sensor and Cable Sensor and Cable NBP Cuff Service Life Efficia DFM100 Disposal Chapter 17 Troubleshooting Overview Resolving Issues Responding to Test Results Symptoms Servicing the DFM100 Documentation Chapter 18 Supplies and Accessories...
  • Page 11 . 208 Patient Data Storage . 208 Environmental . 209 USB Device . 210 Symbol Definitions . 211 Abbreviation Definitions . 212 Electromagnetic Compatibility . 213 Reducing Electromagnetic Interference . 213 Appendix 1 - Efficia DFM100 Shift Checklist . 219...
  • Page 12 NOTES...
  • Page 13: Chapter 1 Introduction

    Introduction Thank you for choosing the Efficia DFM100 defibrillator/monitor. We welcome you to the Philips family of defibrillators. The Efficia DFM100 has been developed and designed around you to meet the advanced requirements of hospital code teams, nurses, physicians and first-responders in the EMS environment.
  • Page 14: Intended Use

    (such as shock delivered). The Event Summary can be printed or exported after the patient event is completed. You can also transfer the data to a USB drive and download it to a compatible version of Philips’ data management solution – HeartStart Event Review Pro.
  • Page 15: Safety Considerations

    44. Additional warnings and cautions specific to a particular feature are provided in the appropriate sections of these instructions. WARNINGS: The Efficia DFM100 is not intended to be deployed in settings or situations that promote use by untrained personnel. Operation by untrained personnel can result in injury or death.
  • Page 16 NOTES...
  • Page 17: Device Basics

    “Additional Features” on page 19 as well as the rest of the chapter. NOTES: If your Efficia DFM100 does not have some of the optional functionality listed in this chapter, disregard these controls and the related information described throughout this manual.
  • Page 18: Basic Orientation

    2: Device Basics Basic Orientation Basic Orientation This section provides an overview of the Efficia DFM100, options and accessories. Front of the Device The front of the device contains operational controls and indicators as shown in Figure 1 Figure 1...
  • Page 19: Right Side

    2: Device Basics Right Side The right side of the Efficia DFM100 is dedicated to administering therapy and printing. It contains a therapy port for paddles (external or internal) or a therapy cable with multifunction electrode pads. It also contains the printer.
  • Page 20 To connect multifunction electrode pads: Check the expiration date on the pads package and inspect the package for any damage. Discard expired or damaged pads. Connect the Therapy cable to the Efficia DFM100 (see “Connecting the Therapy Cable” page 7).
  • Page 21: Left (monitor) Side

    Basic Orientation 2: Device Basics Left (Monitor) Side The left side of the Efficia DFM100 is dedicated to monitoring key vital signs (see Figure 6). It has ports for ECG, SpO , CO and NBP. Figure 6 Monitoring Side Gray CO...
  • Page 22 Sample Line  To connect the CO cable: Hold the cable connector with the flat side facing the front of the Efficia DFM100, insert the cable into the gray CO port (see Figure 8) and push completely in.
  • Page 23 Basic Orientation 2: Device Basics Connecting the SpO Cable  To connect the SpO cable: Hold the cable connector with the flat side and blue marking facing the front of the Efficia DFM100 (see Figure Insert the cable into the blue SpO port and push the blue portion of the connector into the device until it is no longer visible.
  • Page 24: Top Panel

    2: Device Basics Basic Orientation Top Panel The top of the Efficia DFM100 has a handle for easy transport and, if optional external paddles are present, they reside in the paddle tray on the top of the device (see Figure 11).
  • Page 25 Basic Orientation 2: Device Basics Figure 13 External Paddle Features - 989803196431 Release buttons for Infant Paddles Patient Contact Indicator Remote Charge button Proper sternum Proper apex paddle placement Flashing paddle icon Shock placement icon buttons Accessing Infant Paddles Accessing the Infant Paddles is the same on both the M3543A and 989803196431 external paddle sets.
  • Page 26: Back Panel

    Terminal Compartment * - When the Efficia DFM100 is used together with other devices, their equalization terminals can be connected together to eliminate any potential electrical differences between the two. WARNING: Do not connect a LAN cable to the Efficia DFM100 while in a clinical mode. Incorrect ECG diagnosis may result due to excessive electrical background noise.
  • Page 27 (see “Battery Charge Level” on page 30). WARNING: Use only approved batteries to power the Efficia DFM100. Use of non-approved batteries could affect performance and results. AC Power Cord Guard Your Efficia DFM100 is equipped with a AC Power Cord Guard.
  • Page 28 Lead II, if clinically possible. If you are using the ECG Out Cable to send an ECG signal from the Efficia DFM100 to a bedside monitor, the ECG signal and alarms on the Efficia DFM100 should be considered primary. The bedside monitor ECG is ancillary/secondary.
  • Page 29: Installing Paper

    Basic Orientation 2: Device Basics Installing Paper The Efficia DFM100 uses 50mm paper for printing.  To install printer paper: Open the printer door by pulling up on the door latch. Allow the door to fall open (see Figure 20).
  • Page 30: Test Plug & Test Load

    Basic Orientation Test Plug & Test Load Your Efficia DFM100 comes with a defibrillator Test Plug to assist in performing a Weekly Shock Test. You can also use the M3725A or M1781A Test Load, ordered separately, to perform a Weekly Shock Test.
  • Page 31: Additional Features

    Cable Straps To aid with cable management, straps can be snapped on to the side of the Efficia DFM100 in the predefined snap locations or they can be attached to the side carry bags.
  • Page 32 See Figure Use the other four snaps and repeat on the other side and back of the Efficia DFM100. Stretch the long gray cradle strap across the top of the device and thread through the small metal loop.
  • Page 33: Ems Environment

    Make sure that the Therapy Cable Collar is installed on devices in high-vibration environments. “Therapy Cable Collar” on page 19. • Devices in the EMS environment may require a power converter to convert vehicle DC power to AC power for the Efficia DFM100.
  • Page 34 NOTES...
  • Page 35: Operating The Device

    Operating the Device Operating Modes The Efficia DFM100 has four Clinical Modes and four non-clinical modes of operation, each with a customized display (see Table Table 1 Operating Modes For more information Mode Description Monitor This mode is used to monitor ECG, optional “ECG Monitoring”...
  • Page 36: Controls

    Mode to deliver defibrillation or cardioversion. Regardless of the options, the knob and controls function the same: Turning the Efficia DFM100 on – Turn the Therapy knob to the right for Monitor Mode, Manual Defibrillation or Pacing; turn to the left for AED Mode.
  • Page 37: Smart Select Knob

    The Smart Select knob (see Figure 1 “Efficia DFM100” on page 6) is the Efficia DFM100’s steering wheel. You can: Press the knob - If there is not a menu on the display, the Main Menu is displayed. If there is a menu on the screen, then the highlighted entry is selected.
  • Page 38: Ready For Use Indicator

    “Battery Maintenance” on page 174. WARNING: To avoid the risk of electric shock, the Efficia DFM100 must be plugged into a hospital-grade outlet with protective ground. To remove AC power, disconnect the power cord from the outlet. NOTES: If AC power is used as the only power source during defibrillation (for instance when no battery is...
  • Page 39: Lithium Ion Battery

    “Battery Maintenance” on page 174. Power Indicators The Power Indicators are located in the upper right corner of the Efficia DFM100’s front panel (see Figure 25). The green AC Power Indicator is lit whenever AC power is connected to the Efficia DFM100, even if the device is turned off.
  • Page 40: Turning The Efficia Dfm100 On

    To turn the Efficia DFM100 on, turn the Therapy knob to the desired mode of operation. Turning the Efficia DFM100 Off To turn the Efficia DFM100 off, turn the Therapy knob to the OFF position. If you turn the device off while in a clinical mode, the Efficia DFM100 enters the Continued Use Period (see “Continued...
  • Page 41: The Display

    The Display 3: Operating the Device The Display The Efficia DFM100’s display layout is easily configurable. There are four basic segments of the display. See Figure Figure 26 General Display Layout     Status   area ...
  • Page 42: Status Area

    3: Operating the Device The Display Status Area The Status Area contains key device and patient information, see Figure Figure 27 Status Area Event Timer Patient Category Paced Patient Date and Battery Weight Range Status Name/ID Time Status   ...
  • Page 43: Parameter Area

    The Display 3: Operating the Device Parameter Area The Parameter Area displays the key physiological parameters currently being monitored, see Figure 29. Displayed values for each parameter include: • Parameter Label • Current value. Display: • Number – a valid value was obtained ...
  • Page 44: Message Area

    You can display one, two or three waveforms at one time on the display depending on which mode the Efficia DFM100 is currently in and how you have your device configured. The area also displays other key information including the number of shocks delivered and the selected energy.
  • Page 45 Wave Sectors 2 and 3 are automatically populated when the parameter source’s cable is connected to the Efficia DFM100. If the parameter source is the configured choice of a particular wave sector, it is displayed in that wave sector when available. Available waveforms include: Paddles, Pads, I, II, III, aVR, aVL, aVF, V, Pleth, Capnogram, and a Cascade Wave from Wave Sector 1.
  • Page 46 The Display Menus Menus with controls and options specific to each Efficia DFM100 function are easily accessible using the Smart Select knob on the front panel. Menus are used to adjust volume, select waveforms, select waves for printing, set alarms, enter patient information, generate reports and complete a variety of other tasks.
  • Page 47: Adjusting Volumes

    The Display 3: Operating the Device Adjusting Numeric Values Using the Efficia DFM100 Smart Select knob, you can enter numeric values for several parameters, including high and low alarm limits. See Figure 34. The value initially displayed is the default value.
  • Page 48: Alarms

    NOTES: The presence of multiple alarm conditions at the same time is quite possible. To avoid confusion and to make sure a less serious condition does not hide a more serious condition, the Efficia DFM100 prioritizes and categorizes alarms so the highest priority alarm condition is announced. If multiple same-parameter, same-priority alarms occur, all alarms are displayed one at a time.
  • Page 49: Clinical Mode Alarm Notification

    Alarms 3: Operating the Device Clinical Mode Alarm Notification When in a Clinical Mode, the Efficia DFM100 can be configured to react differently when an alarm condition occurs. See Table Table 3 Alarm Notification Types Type Alarm Location Alarm Status Comments “Alarm Notification...
  • Page 50 If the Efficia DFM100 is in Monitor Mode and the device’s overall alarm audio sounds have been turned off (alarm audio pause set to indefinite), the device can be configured to remind you with an audio signal that these alarms are silent.
  • Page 51 Alarms 3: Operating the Device Audio Tones and Alarm Indications The Efficia DFM100 uses a mixture of audio tones and alarm indications to communicate device and patient status. Table describes the device’s audio tones and alarm indications. Table 4 Tones and Alarms...
  • Page 52: Responding To Alarms

    If you press the Alarms button, you are silencing all parameter alarms for the configured pause period. No new alarms sound. Address the alarm condition on the Efficia DFM100 by using the Alarm Response Menu, see Figure Figure 36...
  • Page 53: Entering Patient Information

    Patient ID. NOTES: If you had previously entered the last name, first name, or patient ID, the Efficia DFM100 remembers the information and populates the screen for you. There are 18-letter limits for a first name and a last name; 16-character limit for Patient ID.
  • Page 54: Continued Use

    • Event Summary NOTES: The Sync feature remains active if the Efficia DFM100 is turned off for less than 10 seconds. However, Sync is disabled when AED Mode is activated and must be turned back on upon returning to Manual Defibrillation Mode.
  • Page 55: Mark Events

     Passwords The Efficia DFM100 requires passwords to enter Service Mode and to make certain changes in Configuration Mode. See the Efficia DFM100 Service Manual for the Service Mode password. The Configuration Mode password is printed on the front of your Efficia DFM100 User Documentation...
  • Page 56: Safety Considerations

    WARNINGS: The Efficia DFM100 is not intended to be deployed in settings or situations that promote use by untrained personnel. Operation by untrained personnel can result in injury or death.
  • Page 57 If a daylight saving time change occurs between the start and end of an event, the timestamps for that event are not adjusted. The next event does use the adjusted time. The Efficia DFM100 does not require the practice of any special ElectroStatic Discharge (ESD) precautionary procedures.
  • Page 58 NOTES...
  • Page 59: Ecg Monitoring

    • external paddles (for quick assessment only, not continuous monitoring). If both pads and monitoring electrodes are connected, the Efficia DFM100 allows you to select a lead to monitor from either source. Configurable heart rate and arrhythmia alarms clearly communicate patient status, both audibly and visually.
  • Page 60: Preparing To Monitor Ecg

    Monitoring ECG with Pads  To monitor ECG through multifunction electrode pads: If not preconnected, connect the Therapy cable to the Efficia DFM100 as described in “Connecting the Therapy Cable” on page 7. Connect the pads to the Therapy cable as described in “Connecting Multifunction Electrode...
  • Page 61: Monitoring Ecg With Electrodes

    WARNING: Be sure the electrodes do not come in contact with other conductive material, especially when connecting or disconnecting the electrodes to/from the patient. NOTE: Use only approved lead-sets with the Efficia DFM100. Failure to do so may introduce noise and ...
  • Page 62 V/C 6 placement: same level as V/C 4 at left mid axillary line NOTES: No matter which V/C electrode placement you select, it appears as V on the Efficia DFM100. If using a V electrode, it can act as a reference electrode if the RL electrode is unavailable.
  • Page 63 QRS complexes is set at 0.15 mV, according to AAMI-EC 13/YY1079 specifications. If the ECG signal is too weak, you may get false alarms for asystole. For paced patients with internal/transvenous pacemakers: • Confirm paced status is set correctly on the Efficia DFM100, see “Entering Patient Information” on page 41.
  • Page 64 4: ECG Monitoring Preparing to Monitor ECG CAUTIONS: Beware of patient cables, including ECG monitoring equipment when used with high frequency surgical equipment. Line isolation monitor equipment may produce power line transients that may resemble actual cardiac waveforms and thus inhibit heart rate alarms. Keep electrode wires and cables away from power cords to minimize this problem.
  • Page 65: Monitor View

      Selecting the Waveform The Efficia DFM100 allows you to configure the lead displayed as the primary ECG lead in Wave Sector 1 when the device is turned on. The factory default is Lead II. See “Waves Settings” page 154.
  • Page 66 4: ECG Monitoring Monitor View If needed, select the appropriate ECG wave size and press the Smart Select knob. NOTE: When you select the ECG wave size for a certain lead, all instances of that lead adjust to the selected size.
  • Page 67 Monitor View 4: ECG Monitoring Dashed Lines A dashed line on your ECG display indicates that you have an invalid ECG signal in the wave sector. You can either troubleshoot the currently selected lead to solve the problem (see Table 50 “ECG Problems”...
  • Page 68: Displaying An Annotated Ecg

    4: ECG Monitoring Monitor View Displaying an Annotated ECG You may choose to display an annotated ECG with arrhythmia beat labels in Wave Sector 2. The same ECG source appearing in Wave Sector 1 is displayed in Wave Sector 2 with a six-second delay. ...
  • Page 69: Arrhythmia Monitoring

    Examines the ECG signal for ventricular arrhythmias and asystole. NOTE: Because the ST/AR Algorithm is the Efficia DFM100’s cardiotach source and is needed to generate heart rate and heart rate alarms, the algorithm can never be disabled. However, if desired, arrhythmia and heart rate alarms can be turned off.
  • Page 70 4: ECG Monitoring Arrhythmia Monitoring Arrhythmia learning/relearning automatically occurs when: • The Therapy knob is turned to Monitor, Pacer, AED or a Manual Defibrillation setting. • Any time there is a change in the lead selection for Wave Sector 1. •...
  • Page 71: Heart Rate And Arrhythmia Alarms

    4: ECG Monitoring Heart Rate and Arrhythmia Alarms The Efficia DFM100 detects HR and arrhythmia alarm conditions by comparing ECG data to a set of pre-defined criteria. An alarm can be triggered by a rate exceeding a threshold (e.g., HR >...
  • Page 72 4: ECG Monitoring Heart Rate and Arrhythmia Alarms NOTE: The high HR alarm condition is not detected when the HR High limit is configured greater than the maximum Extreme Tachy threshold. You get the Extreme Tachy alarm. The low HR alarm condition is not detected when the HR Low limit is configured less than or equal to the minimum Extreme Brady threshold.
  • Page 73: Setting Alarms

    Heart Rate and Arrhythmia Alarms 4: ECG Monitoring Figure 46 Cardiotach Mode Arrhythmia Alarm Priority Chain For AED Mode Only          Setting Alarms Alarm settings for Heart Rate (HR), VTach and PVC Rate Limit for the current patient event can be changed via the Smart Select knob during the event.
  • Page 74: Responding To Alarms

    After pausing the audio on the Efficia DFM100, attend to the patient and press the Smart Seloect knob to acknowledge the alarm condition. If required, adjust the alarm limits using the Smart Select knob.
  • Page 75: Aed Mode Option

    See “Other Alarms in AED Mode” on page 76. The Efficia DFM100 AED Mode can be used on both adult and infant/child patients. Use the Patient Category button to switch categories.
  • Page 76: Precautions For Aed Therapy

    In patients with cardiac pacemakers, the Efficia DFM100 may have reduced sensitivity and not detect all shockable rhythms. Use only pads that are approved for use with the Efficia DFM100. Use of non-approved pads could affect performance and results. See Table 57 “Approved Supplies and Accessories”...
  • Page 77: Aed View

    AED View 5: AED Mode Option AED View When the Therapy knob is moved to AED, AED View is displayed (see Figure 48). AED Mode-related information includes: AED Message Area: Displays important messages for the user while in AED Mode. Shock Counter: Displays the number of shocks for the current event (including shocks delivered in Manual Defibrillation Mode).
  • Page 78: Aed Soft Keys

    5: AED Mode Option AED View AED Soft Keys AED Mode has multiple soft keys available for use (see Figure 48):  • CPR - Pressing the soft key initiates the configured pause period to perform CPR.  • Resume Analyzing - Pressing the soft key initiates the AED analysis algorithm to resume or restart analysis.
  • Page 79: Using Aed Mode To Defibrillate

    Operation  To operate the Efficia DFM100 in AED Mode: Turn the Therapy knob to AED. The Efficia DFM100 announces and displays the current patient category. If not correct, use the Patient Category button to select the appropriate patient category.
  • Page 80 AED position. Resume AED monitoring by turning the Therapy knob back to AED. • No Shock Advised (NSA) - If a shockable rhythm is not detected, the Efficia DFM100 tells you “ ” Follow your institution's protocol for a No Shock Advised alert. The device’s No shock advised.
  • Page 81 Call out clearly and loudly “Stay Clear!’ Then press the flashing orange Shock button to deliver a shock to the patient. WARNINGS: The Shock button must be pressed to deliver a shock. The Efficia DFM100 does not automatically deliver a shock.
  • Page 82 See Tables 9-16. Table 9 AED Mode Connect Pads Messages These messages may appear when the Therapy cable is not connected properly to the Efficia DFM100. Audio Message Display Text...
  • Page 83 Using AED Mode to Defibrillate 5: AED Mode Option Table 11 AED Mode Analysis Related Messages (Continued) These messages may appear during AED analysis. Audio Message Display Text Condition User Action “ ” Once the device is Shock advised. ECG analysis has ...
  • Page 84 AED Mode Marginal Impedance Messages These messages may appear when the Efficia DFM100 detects a higher pad impedance than expected in the average patient. The cause could be excessive hair on the chest, expired or dried out pads, or poor pad placement/contact on the patient.
  • Page 85 AED Mode Low Impedance Messages These messages may appear when the Efficia DFM100 detects a lower pad impedance than expected in the average patient. The cause could be that the pads are touching or there is too much moisture on the patient.
  • Page 86: Using Aed Mode To Monitor

     To monitor ECG in AED Mode and activate alarms: Turn the Therapy knob to AED. The Efficia DFM100 announces the patient category currently set. If not correct, use the Patient Category button...
  • Page 87: Configurable Resuscitation Protocols

    AwRR alarms in AED Mode, press the Alarms button on the front of the Efficia DFM100. Configurable Resuscitation Protocols In AED Mode, you have the flexibility to configure the Efficia DFM100 to match your institution’s resuscitation protocols. You can: •...
  • Page 88: Other Alarms In Aed Mode

    For more information on these alarms see “EtCO AwRR Alarms” on page 103. Troubleshooting If your Efficia DFM100 does not operate as expected during AED Mode, see “Defibrillation and Pacing Problems” on page 186. If there is a delay in delivering therapy, start CPR if indicated.
  • Page 89: Chapter 6 Manual Defibrillation

    ECG, decide if defibrillation or cardioversion is indicated, select the appropriate energy, charge the Efficia DFM100 and deliver the shock. Text messages on the display provide relevant information throughout the process. Be attentive to these messages when displayed.
  • Page 90: Precautions For Manual Defibrillation

    Keep hands and feet clear of the paddle electrode edges. Use your thumbs to depress the shock buttons on the paddle handles. Use only pads that are approved for use with the Efficia DFM100. Use of non-approved pads could affect performance and results. See “Approved Supplies and Accessories”...
  • Page 91: Code View

    Code View 6: Manual Defibrillation Code View In Manual Defibrillation Mode, when an energy is selected, Code View is displayed. Code View is optimized to clearly communicate data associated with a resuscitation event (see Figure 50). Code-related information in Code View includes: Enlarged Wave Sector 1: The waveform in Wave Sector 1 is larger for easier viewing.
  • Page 92: Preparing For Defibrillation

    To set up for defibrillating using external paddles: After connecting the paddles cable to the Efficia DFM100, remove the paddle set from the paddle tray by pulling the paddles straight up and out of the paddle tray. Confirm you are using the correct size paddles for the patient and verify there is no debris or residue (including dried electrode gel) on the surface of the paddles.
  • Page 93: Using Infant Paddles

    NOTE: Viewing the patient’s ECG through paddles is not recommended for long-term monitoring. Using Infant Paddles The Efficia DFM100 external paddle set comes with infant paddles included. The American Heart Association recommends using the smaller paddles on children weighing less than 10 kg. Larger paddles may be used as long as contact between the paddles is avoided.
  • Page 94: Defibrillation

    You may increase or decrease the selected energy at any time during or after charging. Move the Therapy knob to the desired energy level. The Efficia DFM100 charges to the selected energy level automatically.
  • Page 95: Step 3 - Shock

    • Pads or switchless internal paddles - Press the flashing Shock button on the front of the Efficia DFM100 to deliver a shock. • External paddles - Simultaneously press the flashing Shock buttons located on the paddles to deliver a shock.
  • Page 96: Manual Defibrillation Alarms

    Latching with alarm tone Configurable Alarm Troubleshooting If your Efficia DFM100 does not operate as expected during Manual Defibrillation, see “Defibrillation and Pacing Problems” on page 186. If there is a delay in delivering therapy, start CPR if indicated.
  • Page 97: Synchronized Cardioversion

    Philips bedside monitor into the Efficia DFM100. NOTE: The best quality source for cardioversion is a 3 or 5-Lead set connected to the Efficia DFM100. No matter what your monitoring source is, cardioversion is still delivered through pads or paddles.
  • Page 98: Precautions For Cardioversion

    Incorrect timing of Synchronized Cardioversion could occur if the patient has an internal pacemaker with pacemaker tails large enough to be detected as an R-Wave. Use only pads that are approved for use with the Efficia DFM100. Use of non-approved pads could affect performance and results. See Table 57 “Approved Supplies and Accessories”...
  • Page 99: Preparing For Synchronized Cardioversion

    This connects the ECG signal from the monitor into the Efficia DFM100 where it is displayed and synchronization occurs. The signal from the bedside monitor is displayed as Lead II on the Efficia DFM100 even though it may not necessarily be Lead II coming from the bedside monitor.
  • Page 100: Code View And Cardioversion

    R-Wave. Use the Lead Select button to change leads if the R-Wave arrows do not appear correctly. Press the yellow Charge button on the Efficia DFM100, or if using paddles, the yellow charge button located on the apex paddle. You may increase or decrease the selected energy at any time during charging or after charging.
  • Page 101: With External Paddles

    Check your ECG and then re-confirm your energy dose and waveform. Press and hold the Shock button on the Efficia DFM100 or, if using external paddles, press and hold the orange buttons on both paddles. It is important to continue to hold the Shock button (or the paddle buttons) until the shock is delivered.
  • Page 102: Turning Sync Off

    7: Synchronized Cardioversion Cardioversion Alarms NOTE: The Efficia DFM100’s Sync function can be configured to either be enabled or disabled after each synchronized shock is delivered. Turning Sync Off To turn the Sync function off, press the Sync button again. The button light turns off and Sync indications are removed from the display.
  • Page 103: Chapter 8 Pacing

    CAUTION: Pacing must be turned off before defibrillating with a second defibrillator. Failure to do so could damage the Efficia DFM100. NOTES: Use only approved lead sets when pacing with the Efficia DFM100. Failure to do so may introduce ...
  • Page 104: Pacing View

    8: Pacing Pacing View Pacing View Pacing View appears when the Therapy knob is turned to the Pacer position. Pacing View includes a status block which appears in Wave Sector 3 of the display (see Figure 53). The patient's internal paced status is not displayed.
  • Page 105: Demand Mode Versus Fixed Mode

    R-Wave detection unreliable, when monitoring electrodes are not available or at your clinical discretion. The Efficia DFM100 requires a 3- or 5-Lead ECG cable and monitoring electrodes as the source of the ECG during Demand Mode pacing. Pace pulses are delivered through multifunction electrode pads.
  • Page 106: Demand Mode Pacing

    NOTES: If the configured lead is Pads, Lead II or the first available monitoring lead is displayed automatically. While in Demand Mode pacing, if you change the lead in Wave Sector 1, the Efficia DFM100 waits a second before notifying you with a Cannot Analyze ECG alarm.
  • Page 107 When pacing in Demand Mode, the ECG cable from the patient must be directly connected to the Efficia DFM100. If you are using the pacing function with battery and the Low Battery alarm sounds, connect the device to external power to avoid interrupted pacing therapy.
  • Page 108: Fixed Mode Pacing

    8: Pacing Fixed Mode Pacing Fixed Mode Pacing  To pace in Fixed Mode: Turn the Therapy knob to the Pacer position.  The message appears in the Pacing Bar and indicates the pacing function is enabled but pace pulses are not being delivered. Demand pacing is the default pacer mode. Change to Fixed Mode pacing.
  • Page 109: Defibrillating During Pacing

    (mode, rate and output) are retained. Be sure to confirm cardiac capture has been retained. CAUTION: Pacing must be turned off before defibrillating with a second defibrillator. Failure to do so could damage the Efficia DFM100. Pacing Alarms Pacing alarms can be generated for the conditions shown in Table 20.
  • Page 110: Troubleshooting

    Do not rely on the indicated heart rate or heart rate alarms as a measure of the patient’s perfusion status. Troubleshooting If your Efficia DFM100 does not operate as expected during pacing, see “Defibrillation and Pacing Problems”...
  • Page 111: Overview

    The carbon dioxide monitoring function of the Efficia DFM100 measures the partial pressure of carbon dioxide in a sample of the patient’s exhaled breath. The Efficia DFM100 may be used to monitor carbon dioxide in both intubated and non-intubated patients.
  • Page 112: Precautions For Measuring Etco 2

    The Efficia DFM100 is not equipped with automatic barometric pressure compensation. The device needs to be set to the local atmospheric pressure before being used to monitor EtCO . An incorrect pressure setting results in an incorrect reading. See your Efficia DFM100 Service Manual for more information on setting the atmospheric pressure.
  • Page 113: Preparing To Measure Etco 2

    Preparing to Measure EtCO 9: Monitoring CO Preparing to Measure EtCO Sensors There are two sensors that can be used with the Efficia DFM100 to measure EtCO • Mainstream • Sidestream Figure 56 EtCO Sensors Mainstream Sidestream NOTE: See your individual sensor’s Instructions for Use for further warnings, cautions and other instructions.
  • Page 114: Monitoring Etco 2

    Monitoring EtCO Monitoring EtCO  To monitor EtCO Connect the sensor to the Efficia DFM100 and the sampling line to the sensor (see “Connecting the CO2 cable and Sample Line” on page 10). Apply the sampling line to the patient.
  • Page 115: Etco 2 And Awrr Alarms

    9: Monitoring CO EtCO and AwRR Alarms Alarms behave the same regardless of which sensor is attached to the Efficia DFM100. Alarms sound if measurements fall outside the configured limits for high or low EtCO , high or low Airway Respiration Rate (AwRR) and Apnea time.
  • Page 116 9: Monitoring CO EtCO and AwRR Alarms Table 22 EtCO Technical Alarms (Continued) Alarm Message Condition Type of Alarm Indication  sensor needs to be zeroed.  sensor has not  warmed up to operating temperature range.  The sampling line is kinked or blocked.
  • Page 117: Changing The Etco 2 Alarm Limits

    EtCO and AwRR Alarms 9: Monitoring CO Changing the EtCO Alarm Limits  To change the EtCO alarm limits: Press the Smart Select knob.  Turn the Smart Select knob to highlight the menu and press the Smart Select knob. ...
  • Page 118: Changing The Apnea Time Alarm Limit

    • attaching a new sample line • there has been a significant change in environmental conditions • when the accuracy of the reading is questionable • requested by the Efficia DFM100 NOTES: Do not zero Sidestream and Mainstream CO sensors without a sampling line installed.
  • Page 119: Zeroing Using The Soft Key

    Allow the sensor to finish warming up and re-try zeroing  NOTES: The softkey is grayed out when the Efficia DFM100 is in the process of zeroing the sensor.  softkey does not appear while the Trends table is displayed.
  • Page 120: Disabling The Etco 2 Monitoring Function

    Select and press the Smart Select knob. Secure the connection. The CO monitoring function is enabled again. Troubleshooting If your Efficia DFM100 does not operate as expected during CO Monitoring, see Table 53 “EtCO Problems” on page 190.
  • Page 121: Chapter 10 Monitoring Spo

    You can monitor SpO in all Efficia DFM100 clinical modes and on both adult and infant/child patients. Use the Patient Category button to switch categories.
  • Page 122: Understanding Pulse Oximetry

    10: Monitoring SpO Understanding Pulse Oximetry Understanding Pulse Oximetry A pulse oximetry sensor sends light through patient tissue to a receiver on the other side of the sensor. Light-emitting diodes transmit red and infrared light through the peripheral areas of the body such as a finger.
  • Page 123: Selecting A Sensor

    195 for a list of SpO sensors and accessories that can be used with the Efficia DFM100. CAUTIONS: Do not use more than one extension cable (M1941A). Do not use the ear transducer on patients with small ear lobes as incorrect measurements may result.
  • Page 124: Monitoring Spo 2

    11). Apply the sensor to the patient. If the Efficia DFM100 is not turned on, turn the Therapy knob to a clinical mode. • needs to be configured to appear in AED Mode and does not display unless it is pulsatile.
  • Page 125: Spo 2 Alarms

    10: Monitoring SpO Pleth Wave When the sensor is connected to the Efficia DFM100, the pleth wave is displayed in the configured Wave Sector. Grid lines are displayed to indicate signal quality. When the signal quality is good, the pleth wave is auto-scaled to the grid lines. When the signal is poor, the size of the wave is proportionally decreased and appears not to reach the grid lines.
  • Page 126: Spo 2 Desat Alarm

    10: Monitoring SpO Alarms Table 25 Technical Alarms Alarm Message Condition Type of Alarm Indication  The device is unable to detect a  Pleth waveform due to a SpO sensor malfunction.  The SpO sensor is disconnected.  A noisy SpO sensor signal has been detected.
  • Page 127: Changing Spo 2 Alarm Limits

    Pulse value is less than the Pulse Alarm low alarm limit. NOTE: Pulse alarms are off by default except when the Efficia DFM100 enters Pacing Mode. Changing Pulse Rate Alarm Limits  To change the Pulse high and low alarm limits: Press the Smart Select knob.
  • Page 128: Enabling/disabling Pulse Rate Alarms

    The sensor houses a sensitive electronic device that can be damaged. Harsh treatment of the sensor reduces their useful life. Troubleshooting If your Efficia DFM100 does not operate as expected during SpO Monitoring, see Table 52 “SpO Problems”...
  • Page 129: Chapter 11 Monitoring Nbp

    This chapter explains how to monitor blood pressure (NBP) using the Efficia DFM100. Overview The Efficia DFM100 measures blood pressure for both adult and infant/child patients using the oscillometric method. Systolic, diastolic and mean measurements are provided. Alarms are available to alert you to changes in the patient’s condition.
  • Page 130: Measuring Nbp

    290 mmHg/38.6 kPa. NOTE: For pediatric and adult patient populations, blood pressure measurements made with the Philips Goldway NBP Module are equivalent to those obtained by trained observers using the cuff/stethoscope auscultatory method within limits prescribed by ANSI/AAMI SP10: 1992 &...
  • Page 131 Measuring NBP 11: Monitoring NBP Place the limb used for taking the measurement at the same level as the patient’s heart.  Press the soft key. As the cuff begins to inflate and then deflate, the pressure is displayed. When the measurement is complete, the NBP values are displayed. ...
  • Page 132 11: Monitoring NBP Measuring NBP WARNINGS: Do not perform noninvasive blood pressure measurements on patients with sickle-cell disease or any condition where skin damage has occurred or is expected. Do not use in a hyperbaric chamber. Care should be taken when using an oscillometric NBP device on patients with decreased consciousness, neuropathy, irregular cardiac rhythm, labile high blood pressure, increased arm activity, or arterial insufficiency especially if the unit is utilized for a prolonged period.
  • Page 133 Measuring NBP 11: Monitoring NBP NBP Schedule NBP measurements can be taken on a manual or predetermined automatic basis, depending on how the device is configured and the patient’s needs: Manual - There is no schedule for additional measurements. One measurement is taken each time ...
  • Page 134: Nbp Alarms

    11: Monitoring NBP NBP Alarms NBP Alarms Alarms are annunciated when a measurement for the configured source (systolic, diastolic or mean) falls outside the configured high or low limits. NBP alarms are non-latching alarms, meaning they are automatically removed when their alarm condition no longer exists. Both the source of the alarm and the limits may be changed during an ongoing patient event.
  • Page 135: Changing Nbp Alarm And Source Limits

    If an alarm condition occurs, no alarm indication is announced. NOTES: NBP alarms are on unless you specifically turn them off or alarms for the entire device are off. Once disabled, alarms remain off until they are turned back on. The Efficia DFM100 allows you to adjust alarm notifications.
  • Page 136 NOTES...
  • Page 137: Chapter 12 Trending

    This chapter describes how to review patient data using Efficia DFM100 Trending. Overview In Monitor Mode your Efficia DFM100 provides the ability to view and print numeric vital signs trending data for the current incident. Trending data are automatically acquired if parameters are on.
  • Page 138 If the display is full, the oldest displayed data is removed. • If you scroll horizontally to view older data, the Efficia DFM100 updates the newest data when you scroll back. ...
  • Page 139: Printing The Trends Report

    Overview 12: Trending Printing the Trends Report You can print a Trends Report with or without a Trends Report on the Efficia DFM100’s display.  To print a Trends Report from Monitor Mode: Press the Report button  Turn the Smart Select knob to highlight and press the Smart Select knob.
  • Page 140 NOTES...
  • Page 141: Chapter 13 Data Management

    Management Mode, Event Summary, and printing functionality. Overview The Efficia DFM100 automatically generates an Event Summary for each patient event. Each Event Summary is assigned a unique event identification number, is date/time stamped and stored in the device’s internal memory. Data related to the current event is available for viewing, reporting, and printing.
  • Page 142: Event Summary

    NOTE: There is an 8-hour data limit per incident for an Event Summary. When the 8-hour limit is reached, the Efficia DFM100 stops recording and a message is displayed on the Efficia DFM100. The number of Event Summaries that can be stored is related to the duration of each individual Event Summary.
  • Page 143 Event Summary. Not all events listed are possible, based on your device’s configuration. Text in parenthesis are replaced by an appropriate value. To have waves stored in the Event Summary you must have the Efficia DFM100 configured for long Event Summaries. See Table 43 on page 156.
  • Page 144 13: Data Management Event Summary Table 29 Event Information Logged Event Frequency Power-related events  Logged when device first turns on.  Logged when device is turned on after being turned off for less than 10 seconds.  Logged when the Therapy knob is turned to the Off position. ...
  • Page 145 Logged when VTACH alarms are turned on and when there is a change in alarm limits) limits.  (limit) Logged when PVC rate alarms are turned on and when there is a change in alarm limits.  Logged when the Efficia DFM100 is evaluating the ECG signal.
  • Page 146 Event Summary Table 29 Event Information (Continued) Logged Event Frequency  Logged when the Efficia DFM100 is evaluating the ECG rhythm.  Initial ECG bandwidth for display, printing and storage are logged.  (with settings)  Logged when the device detects a therapy equipment failure.
  • Page 147  Logged when a non-critical EtCO error is detected.  Logged when the Efficia DFM100 cannot communicate with the CO sensor. AwRR   Logged when AwRR alarms are turned on or off and any subsequent change.
  • Page 148 13: Data Management Event Summary Table 29 Event Information (Continued) Logged Event Frequency  (low value, Logged when the Systolic NBP alarm limit is changed. high value)  (low value, Logged when the Diastolic NBP alarm limit is changed. high value) ...
  • Page 149 Event Summary 13: Data Management Table 29 Event Information (Continued) Logged Event Frequency  Logged when a a critical failure has occurred, preventing therapy delivery. AED Mode  Logged when the algorithm begins analysis.  Logged when artifact has been detected. ...
  • Page 150 13: Data Management Event Summary Table 29 Event Information (Continued) Logged Event Frequency   Logged when alarms are enabled/disabled.  Logged when alarm audio is paused.  Logged when alarm audio is turned off.  Logged when an active alarm’s audio is paused. ...
  • Page 151: Data Management Mode

    Event Summary or export all Event Summaries. You can also configure the Efficia DFM100 to remove patient information from Event Summaries prior to exporting them. And you can also manage Event Summary data on the external USB drive.
  • Page 152 13: Data Management Data Management Mode The following information is listed on the display: • ID – Indicates if the event data record contains any patient information which could   uniquely identify the individual. indicates there is; indicates there isn’t. •...
  • Page 153: Accessing Data On The Usb Drive

    Internal Memory is replaced with USB Drive in the screen’s title. Using the Efficia DFM100, you are only able to save Event Summaries to and delete from the USB drive. Additional USB drive operations can be performed with a USB-compatible computer.
  • Page 154 Turn the Smart Select knob to select Press the Smart Select knob to erase all event summaries from the USB drive.  Efficia DFM100 prompts you to confirm your selection. Select to erase all data on the drive.  Select to leave all data on the drive.
  • Page 155: Printing Data

    Event Symbol Mark Event Physiological Alarm Shock Delivered The Efficia DFM100 can also be configured to print a strip when an alarm, charge, shock or mark event occurs. See Table 43 “Printing Settings” on page 156.  To print an Event Summary for the current event: Press the Report button ...
  • Page 156: Printing While In Data Management Mode

    NOTES: To see how to install printer paper rolls, see “Installing Printer Paper” on page 17. If you change from a clinical to non-clinical mode during printing, the Efficia DFM100 ask if you   want to stop printing. Select to stop printing and to continue printing.
  • Page 157: Chapter 14 Configuration

    Configuration is viewed and changed through the Configuration Menu. A password is required to change your device’s configuration. NOTES: As you are making configuration choices, consider all the clinical environments the Efficia DFM100 may be used in. Choices for one department might not be suitable for another department.
  • Page 158: Setting Date And Time

    14: Configuration Overview Setting Date and Time  To modify the date and time from Configuration: Once in Configuration Mode, press the Smart Select knob.  Select and press the Smart Select knob. The Configuration Date/Time screen appears. Figure Figure 71 Configuring Date and Time ...
  • Page 159: Changing Settings

    Once in Configuration Mode, insert the USB drive with the saved settings into the USB port.  Press the soft key and enter the Configuration password.  Press the soft key. The Efficia DFM100 copies the current configuration from the USB drive. Make any device-specific configuration changes.  Press the soft key.
  • Page 160: Printing Settings

    14: Configuration Overview Printing Settings  To print the configuration settings: In Configuration Mode, press the Smart Select knob.  Using the Smart Select knob, select Press the Smart Select knob to print the report. See Figure NOTE: To stop printing, press the Print button. Figure 72 Sample Configuration Report ...
  • Page 161: Configurable Parameters

    Overview 14: Configuration Configurable Parameters The following tables list configurable parameters for the Efficia DFM100. Default settings are in bold type. Values are adjusted in increments of 1 unless otherwise stated. Use the User Setting column to record your choice.
  • Page 162 14: Configuration Overview Table 32 General Settings (Continued) Parameter Description Setting Choices User Setting      Defines alarm volume level.       Defines the minimum audible alarm level   available within use. ...
  • Page 163 Overview 14: Configuration Table 33 Heart Rate/ECG Settings (Continued) Parameter Description Setting Choices User Setting    Selects the display filter frequency for 3/5-Lead (Monitor)   ECG cable. (ST Monitor) (EMS)    Selects the display filter frequency for the ...
  • Page 164 14: Configuration Overview Table 34 NBP Settings (Continued) Parameter Description Setting Choices User Setting  Selects the high limit alarm value when systolic is Adult: 35-255, 160 (mmHg);  the selected alarm source. 4.5-34, 21 (kPa) Infant/Child: 35-135, 120 (mmHg); 4.5-18, 16 (kPa) adjusted in increments of 5 mmHg/0.5 kPa ...
  • Page 165 Overview 14: Configuration Table 35 Settings Parameter Description Setting Choices User Setting    Selects if SpO alarms are on or off at start up.       Selects the SpO color.    Selects the high alarm limit value. Adult: 51-100, 100% Infant/Child: 51-100, 100% ...
  • Page 166 14: Configuration Overview Table 37 Waves Settings Parameter Description Setting Choices User Setting          Selects the waveform displayed in Wave Sector 1. NOTE: The default for Wave Sector 1 cannot be set to paddles. ...
  • Page 167 Overview 14: Configuration Table 39 AED Settings (Continued) Parameter Description Setting Choices User Setting    Defines whether SpO monitoring is available in AED Mode.    Defines whether EtCO monitoring is available  in AED Mode. All energy settings ≥ 150J up to ...
  • Page 168 14: Configuration Overview Table 42 Mark Events Settings (Continued) Parameter Description Setting Choices User Setting   Defines the seventh mark event menu choice.   Defines the eighth mark event menu choice. NOTE: There is a 20 character limit when defining Mark Events. See “Mark Events”...
  • Page 169: Chapter 15 Operational And Shift Check

    Operational and Shift Check The Efficia DFM100 performs several automated tests to make sure it is ready for use (see “Automated Tests” on page 172). Two important checks you perform to supplement the automated tests are Operational Check and Shift Check. This chapter details both of these important tasks.
  • Page 170: Weekly Shock Test

    18. If you perform a Weekly Shock Test with internal paddles and corresponding test equipment, the Efficia DFM100 must be set to 50J. Refer to the test equipment manufacturer’s instructions for information on interpreting results of the test.
  • Page 171: Operational Check

    Efficia DFM100 performs automatically. From Operational Check you can also print Automated Test and Operational Check results. WARNING: When performing an Operational Check or Weekly Shock Test, confirm the Efficia DFM100 is not connected to a patient. NOTES: Do not run Operational Check with internal paddles attached. Perform a Weekly Shock Test to test internal paddles.
  • Page 172: Performing An Operational Check

    , the Efficia DFM100 displays the Operational Check Screen and starts the Operational Check automatically. NOTE: If the Efficia DFM100 is not set up correctly, the display prompts you to make the required changes for a successful Operational Check (see Figure 74).
  • Page 173   NOTE: Once you have pressed the Sync button, you can leave the Efficia DFM100 unattended as Operational Check completes its process. If you cancel the Operational Check before it completes all tasks, there is no record of the check in the Operational Check Summary.
  • Page 174 Operational Check and you have confirmed you are performing the Operational Check properly, take the device out of use and call for service. Leads ECG Test Rerun If the Leads ECG test fails, upon the completion of Operational Check, the Efficia DFM100  prompts you with the message ...
  • Page 175 Operational Check 15: Operational and Shift Check Table 44 Operational Check Tests and Results Device Test User Actions Results What to do if test doesn’t pass Prompts General System - None None Pass - All tested systems are Take the device out of use and tests internal functioning properly.
  • Page 176 15: Operational and Shift Check Operational Check Table 44 Operational Check Tests and Results (Continued) Device Test User Actions Results What to do if test doesn’t pass Prompts Shock button - Once Press the Shock Pass - Shock button passed. Repeat Operational Check and tests the Shock charged, the...
  • Page 177 Operational Check 15: Operational and Shift Check Table 44 Operational Check Tests and Results (Continued) Device Test User Actions Results What to do if test doesn’t pass Prompts Pads/Paddles None None Pass/cable type - ECG If Operational Check fails with ECG - Checks acquisition and the cable are a cable connected, replace the...
  • Page 178: Printing Operational Check Results

    (in a non-clinical environment), outside of Operational Check testing, you can connect the Efficia DFM100 to a simulator, then manually change the alarm limits to a setting which should cause the device to alarm. Look at the display and listen for the alarm. Be sure to reset...
  • Page 179 Operational Check 15: Operational and Shift Check Figure 76 Sample Operational Check Report                            ...
  • Page 180: Operational Check Summaries

     Selecting from the Operational Check menu (see Figure 73) displays a summary of the last 60 Operational Checks stored in the Efficia DFM100 (see Figure 77). Press the Smart Select knob (see Figure 78) to print out or export the summary.
  • Page 181: Auto Test Summaries

    NOTE: If you try to print a summary or report while the printer is printing another report or summary, the Efficia DFM100 asks you if you want to stop the current printing and begin the second one. Use the Smart Select knob to select your answer and then press the Smart Select knob.
  • Page 182 NOTES...
  • Page 183: Chapter 16 Maintenance

    This chapter describes how to care for your Efficia DFM100 and its accessories. Overview Proper maintenance of the Efficia DFM100 is a simple, yet important factor in dependability. Attending to routine maintenance is vital to keeping the Efficia DFM100 ready to respond in an emergency. Routine maintenance involves: •...
  • Page 184: Automated Tests

    NOTE: If the DFM100 is turned on in the middle of an automated test, the test stops and the device starts in normal operating mode. Auto Test Summaries You can review, print and export all Auto Test Summaries the Efficia DFM100 performs.  To view a summary of Automated Tests: Turn the Therapy knob to Monitor.
  • Page 185 Automated Tests 16: Maintenance Figure 80 Automated Test Summary                                ...
  • Page 186: Battery Maintenance

    Charging Batteries The Efficia DFM100 Lithium Ion battery needs to be charged in the Efficia DFM100. Insert the battery to be charged in the battery compartment and then plug the device into an AC power outlet. With AC power connected and the device turned off, the Efficia DFM100 recharges its battery to 80% capacity in less than 2 hours and to 100% capacity in less than 3 hours.
  • Page 187: Storing Batteries

    20-40% of their full capacity. They should be charged to full capacity before being put into use. CAUTION: Storing batteries in the Efficia DFM100, if the device is out of service for an extended period of time, drains the battery.
  • Page 188: Power-related Alarms

    Power-related alarms are generated for the conditions shown in Table 48. Once generated, they appear as alarm messages on the Efficia DFM100 display. There are both audio and visual alerts. For more information on alarms, see “Alarms” on page 36.
  • Page 189: Cleaning Instructions

    Defibrillator/Monitor, Paddles, Cables and Battery You can clean the exterior of the Efficia DFM100, external paddles, therapy cables, ECG cables and battery by hand wiping with a clean cloth. Remove all soil (tissue, fluid, etc.) and wipe thoroughly with a water-dampened cloth before applying one of the following cleaning products: •...
  • Page 190: Printer Printhead

    Extra care must be taken when using the Efficia DFM100 in transport and Emergency Medical Service (EMS) environments that place additional stress on the cable connection and increase the chance for wear, impacting its useful life.
  • Page 191: Chapter 17 Troubleshooting

    Troubleshooting Overview If the Efficia DFM100 detects an error or potential problem during use, it displays a textual message to guide you. These messages are often accompanied by a voice prompt or audible beeping tone. This chapter describes these statements that you see, along with other symptoms, and provides suggestions for what to do and resources for you to contact for further information.
  • Page 192 If there is a device failure and the Efficia DFM100 cannot determine a version number, a displayed in its place. If your Efficia DFM100 does not have an option installed or, in the case of the CO sensor, the module is not connected to the device, no information is printed.
  • Page 193: Symptoms

    Symptoms The following tables list symptoms, statements and messages that you may encounter while using the Efficia DFM100. The tables also provide possible causes and potential solutions. Symptoms are categorized by functionality. When troubleshooting issues related to connecting the patient to the Efficia DFM100, it is recommended that one single person follow the connection path from the patient to the device to assure a proper end-to-end connection.
  • Page 194 The power gauge on the side Battery was shutdown to Insert the battery in a Efficia DFM100 for about 1 of the battery does not work prolong its life during minute to awaken it.
  • Page 195 Symptoms 17: Troubleshooting Table 49 General Problems (Continued) Symptom Possible Cause Potential Solution  You receive a The device’s internal Turn the device off and allow to cool. If the problem  technical alarm. temperature is above 65°C persists, remove the device from use and call for service. (149°F) ...
  • Page 196 17: Troubleshooting Symptoms Table 50 ECG Problems Symptom Possible Cause Potential Solution The QRS volume is Configure the QRS beeper volume.  configured to or the setting is too low. QRS beeper inaudible or The QRS volume was turned Adjust the volume through the Volume menu. beeps do not occur with off or set too low through each QRS complex.
  • Page 197 Symptoms 17: Troubleshooting Table 50 ECG Problems (Continued) Symptom Possible Cause Potential Solution Device is in AED Mode. The Lead Select button is disabled in AED Mode. To select a lead, exit AED Mode and enter Monitor or Manual Defibrillation Mode. Pads/paddles cannot be used Exit pacing or choose Fixed Mode pacing.
  • Page 198 17: Troubleshooting Symptoms Table 50 ECG Problems (Continued) Symptom Possible Cause Potential Solution  The waveform in Wave Check that the monitoring electrodes/pads are properly  message on Sector 1 is no longer valid applied. display. and another ECG source is Use the Lead Select button to select another lead to available.
  • Page 199 Replace pads if necessary. Resume pacing.  The Efficia DFM100 has Replace the defibrillator. Remove the device from use technical alarm. detected an error which and call for service. prevents pacing therapy delivery.
  • Page 200 17: Troubleshooting Symptoms Table 51 Defibrillation and Pacing Problems (Continued) Symptom Possible Cause Potential Solution  The primary ECG lead has Check that the monitoring electrodes are applied technical alarm. become invalid. properly to the patient. Check cable connections. Resume pacing. ...
  • Page 201 Symptoms 17: Troubleshooting Table 52 Problems (Continued) Symptom Possible Cause Potential Solution  technical alarm. measurements are Check that the sensor is applied properly. erratic. The SpO numeric value is Make sure the sensor site has a pulse.  replaced with a Relocate the sensor to another site with improved circulation.
  • Page 202 10 seconds. If the connected but cannot communication failure alarm remains, the Efficia DFM communicate with the 100 requires servicing. If the alarm changes, plug the Efficia DFM100. sensor in firmly. If the Communication Failure returns, replace the CO sensor. ...
  • Page 203 Confirm that the CO sensor is solidly connected to the technical alarm. unplugged. Efficia DFM100. If the sensor is solidly connected to the Efficia DFM100 and the technical alarm remains on the display, try to re-zero the sensor to clear the alarm. ...
  • Page 204  technical The printer is faulty or there Turn the Efficia DFM100 off for 15 seconds and then alarm. is a problem communicating turn it back on. If the problem persists, call for service. with the printer.
  • Page 205  A non-compatible USB Use only a compatible USB device to store data from message on display. device has been inserted in the Efficia DFM100. See “USB Device” on page 210. the USB port. You can’t save data to the The USB flash drive is full.
  • Page 206: Servicing The Dfm100

    17: Troubleshooting Servicing the DFM100 Servicing the DFM100 For product support, contact your local Philips Customer Care Solutions Center or local Philips representative. Before calling for service, prepare the following information: • Serial number of the Efficia DFM100 • Problem description •...
  • Page 207: Chapter 18 Supplies And Accessories

    Supplies and Accessories This chapter provides information on the various supplies and accessories for the Efficia DFM100. Ordering Replacement Supplies and Accessories If you have any questions or would like to order accessories and supplies: • Visit our Healthcare web site at: http://www.philips.co.in/healthcare/product/HCNOCTN294/efficia-dfm100.
  • Page 208 18: Supplies and Accessories Ordering Replacement Supplies and Accessories Table 57 Approved Supplies and Accessories (Continued) Part Number Description 989803160761 Efficia Combined Cable/3-Leadset Snap, IEC 989803170171 OR 3-Lead ECG Trunk Cable, AAMI/IEC 5-Lead ECG Cable Set M1645A 5-Lead ICU Snap, IEC M1668A 5-Lead ECG Trunk Cable, AAMI/IEC 989803160691 Efficia 5-Lead Grabber Limb, AAMI...
  • Page 209 Ordering Replacement Supplies and Accessories 18: Supplies and Accessories Table 57 Approved Supplies and Accessories (Continued) Part Number Description M3504A Infant Multifunction defibrillation electrode pads (<10 kg) (5 sets) Multi-function Defibrillator Pads - Plug Connector M3713A HeartStart Pads Adult/Child (>10 kg) Plus (10 sets) M3716A HeartStart Pads Adult/Child Radiolucent Multifunction Electrode Pads(10 sets) M3717A...
  • Page 210 18: Supplies and Accessories Ordering Replacement Supplies and Accessories Table 57 Approved Supplies and Accessories (Continued) Part Number Description M1192A Reusable Pediatric/Small Adult Finger SpO Sensor, 1.5 m M1196A Adult Reusable SpO Clip Sensor, 3 m M1196S Reusable Clip Adult SpO Sensor, 2 m M1941A Extension Cable, 2 m...
  • Page 211: Chapter 19 Specifications

    Specifications This chapter includes: • Efficia DFM100 specifications. See below. • Symbol and abbreviation definitions, see Tables 60 and 61. • Electromagnetic Compatibility, see “Electromagnetic Compatibility” on page 213. Specifications General Approximate Dimensions: 23.5 cm (H) x 29 cm (W) x 20.5 cm (D); 9.25 in (H) x 11.4 in (W) x 8 in (D) Approximate Weight (without battery): 5.66 kg;...
  • Page 212 19: Specifications Specifications Table 58 Delivered Energy Accuracy Nominal Delivered Energy vs. Load Impedance Selected Load Impedance (ohms) ±2% Energy 10 J 15 J 20 J 30 J 50 J 70 J 100 J 120 J 150 J 170 J 200 J The delivered energy accuracy is ±10% or ±1J whichever is greater for all energy settings.
  • Page 213: Manual Defibrillation Mode

    Patient Impedance Range: Minimum: 25 ohm (external defibrillation); 15 ohm (internal defibrillation); Maximum: 250 ohm. Actual functional range may exceed these values. Figure 81 Smart Biphasic Waveform Philips Smart Biphasic Waveform at 200J into 25-175 Ohms 2500 2000 1500 1000...
  • Page 214: Aed Mode

    19: Specifications Specifications AED Mode AED Energy Profile: 150 Joules (factory default) for Adult /50 J for Infant/Child nominal into a 50 ohm test load. AED Controls: On/Off, shock. Text and Voice Prompts: Extensive text/audible messages guide user through a user-configured protocol.
  • Page 215 Specifications 19: Specifications Maximum T-Wave amplitude: Device rejects up to 80% of R-Wave amplitude for synchronized cardioversion; up to 55% of R-Wave amplitude for demand pacing; up to 34% of R-Wave amplitude for arrhythmia analysis. Maximum T-wave amplitude when a QRS test signal is 1 mV amplitude and 100 ms duration, with a heart rate of 80 1/min used: 18mm.
  • Page 216: Display

    19: Specifications Specifications Other consideration: The Efficia DFM100 is suitable for use in the presence of electrosurgery. Burn hazard protection is provided via a 1K current-limiting resistor contained in each ECG lead wire. Proper lead placement (see “Electrode Placement” on page 49) is important to reduce burn hazards in the event of a defect in the electrosurgical equipment.
  • Page 217: Thermal Array Printer

    Specifications 19: Specifications Thermal Array Printer Continuous ECG Strip: The Print key starts and stops the strip. The printer can be configured to be run real time or with a 10-second delay. The strip prints the primary ECG lead and a second wave with event annotations and measurements.
  • Page 218: Spo 2 Pulse Oximetry

    * - Specified accuracy is the root-mean-square (RMS) difference between the measured values and reference values. NOTES: Accuracy outside the range specified for each sensor is not indicated. The above referenced sensors were validated for use with the Efficia DFM100 using the Philips picoSAT II SpO module with Fourier Artifact Suppression Technology (FAST).
  • Page 219: Etco 2

    Specifications 19: Specifications Wavelength Range: 500-1000 nm (Information about wavelength range can be useful to users, especially those performing photodynamic therapy.) Desat Alarm Signal Generation Delay: 20 sec Pulse Rate Measurement Range: 30-300 bpm Pulse Rate Resolution: 1 bpm Pulse Rate Accuracy: ±2% or 1 bpm whichever is greater Pulse Response Time (90 to 120 bpm): average 18.0 seconds, standard deviation 0.86 seconds Pulse Alarm Range: •...
  • Page 220: Nbp

    989803177471 Connect tubing 3.0 m (9.24 ft.) Patient Data Storage Internal Event Summary: The Efficia DFM100 can store up to 8 hours of 2 continuous ECG waves, 1 pleth wave, 1 capnogram wave, research waves (AED Mode only) events and trending data per Event Summary.
  • Page 221: Environmental

    Specifications 19: Specifications Environmental Temperature: Operating temperature for the device: 0 °C to 45°C (32°F to 113°F); Operating temperature range for EtCO : 0°C to 40°C (32°F to 104°F); Storage/transport temperature range for the device without battery: -20°C to 70°C (-4°F to 158°F). Settling Time to 20°C: Time required for device to warm from -20°C before use is 80 minutes;...
  • Page 222: Usb Device

    Specifications Other considerations: • The Efficia DFM100 is not suitable for use in the presence of concentrated oxygen or a flammable anesthetic mixture with air, oxygen or nitrous oxide. • Hazards arising from software errors were minimized by the product’s compliance with the software requirements contained in ISO 62304/YY/T0664.
  • Page 223: Symbol Definitions

    Symbol Definitions 19: Specifications Symbol Definitions Table 60 lists the meaning of symbols appearing on the Efficia DFM100, the Lithium Ion battery and the shipping carton. Table 60 Symbol Definition Symbol Definition Symbol Definition Meets IEC type CF leakage Meets IEC type BF leakage...
  • Page 224: Abbreviation Definitions

    Consult Service Manual. your country’s requirements. A high level of risk exists. Warning: dangerous voltage NOTE: For definitions of symbols which appear on the Efficia DFM100’s front panel see “Basic Orientation” on page 6 and “General Function Buttons” on page 25. For definitions of symbols which appear on the external paddles see “External Paddles”...
  • Page 225: Electromagnetic Compatibility

    WARNINGS: Electromagnetic interference coming from other devices may degrade or obstruct the performance of the Efficia DFM100. The interference may come from signals radiated through the air or it may also come from signals conducted through wired connections such as power cord, patient connections or device to device connections such as ECG analog output.
  • Page 226 Emissions and Immunity The Efficia DFM100 is designed and tested to comply with the radiated and conducted emissions requirements of international and national standards. See Table 62...
  • Page 227 Guidance and Manufacturer’s Declaration The Efficia DFM100 is intended for use in the electromagnetic environment specified in the tables below. The customer or the user of the Efficia DFM100 should assure that it is used in such an environment. Table 62...
  • Page 228 19: Specifications Electromagnetic Compatibility Table 63 Electromagnetic Immunity - General Immunity Test Test Level Compliance Level Electromagnetic Environment - Guidance ± ± Electrostatic 6 kV contact 6 kV contact Floors should be wood, concrete, discharge (ESD) or ceramic tile. If floors are ±...
  • Page 229 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Efficia DFM100 is used exceeds the applicable RF compliance level above, the Efficia DFM100 should be observed to verify normal operation.
  • Page 230 Electromagnetic Compatibility Recommended Separation Distances The Efficia DFM100 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Efficia DFM100 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Efficia DFM100 as recommended below, according to the maximum output power of the communications equipment.
  • Page 231: Appendix 1 - Efficia Dfm100 Shift Checklist

    Appendix 1 - Efficia DFM100 Shift Checklist Inspect your Efficia DFM100, accessories, and supplies at the change of every shift, per AHA guidelines. Place a check mark in the box as you check each item in the list below or place a dash (-) or N/A if not applicable.
  • Page 232 Do one of the following checks at least once a week to verify the ability to deliver defibrillation therapy:  Operational Check (See the Efficia DFM100 Instructions for Use for details.)  Deliver a 150J shock into a test plug/load (if using multifunction electrode pads) or the paddle tray (if using paddles).
  • Page 233 Index Alarms Apnea button changing limits cannot analyze ECG Aberrantly-conducted beats Applying an SpO sensor changing AwRR limits AC Line Filter Arrhythmia monitoring changing EtCO limits AC power cord guard Asystole changing pulse limits changing SpO limits Accessing USB drive Audio configuration options Operational Check results...
  • Page 234 Index Basic orientation (continued) Changing NBP schedule Data management (continued) Mark Events internal memory Changing waveforms menus data captured Charge monitoring side deleting data button Operational Check menus Event Summary pacing view viewing USB drive Operational Check results printer Mark Events cancelled printing a strip patient name...
  • Page 235 Index ECG (continued) EtCO Flat line arrhythmia beat labels alarm Forced pause messages asystole alarm alarm limits Fourth intercostal space, locating Auto-Gain indicator changing alarm limits Frequency of NBP bandwidth changing apnea alarms bundle branch block disabling Calibration bar enabling alarms cannot analyze Event Summary changing waveforms...
  • Page 236 Index Mainstream EtCO Menus Operational Check grayed out options battery Maintenance entering Auto Test Message area external paddles hourglass Modifying configuration settings leads rerun results Monitor summary pads battery safety performing Monitor Mode battery storage print options Alarms button calling for service printer Mark Event button caring for NBP cuffs...
  • Page 237 Index Pacing Print R-Wave (continued) TENS unit affects Auto Test results aberrantly conducted beats therapy knob button arrows troubleshooting cleaning printhead pacing view layout configuration settings synchronized cardioversion with a second defibrillator current Event Summary with ECG Out Cable during an event ECG bandwidth Pacing Mode event markers...
  • Page 238 Index Specifications Synchronized cardioversion Troubleshooting additional shocks AED Mode user messages alarms adjusting volume blinking red X battery alarms calling for service data storage Alarms button clinical alarm area defibrillator and a bedside monitor Device Info report display button external paddles Operational Check results flat line environmental...
  • Page 240 Philips Healthcare is part written consent of the copyright of Royal Philips holder. Philips Healthcare reserves the right On the web to make changes in specifications or www.philips.com to discontinue any product at any By e-mail time without notice or obligation healthcare@philips.com...

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