Page 1 MEDUCORE Standard Monitor/Defibrillator Instructions for use of devices from software version 3.1 Read these instructions for use before using the product. Ignoring the instructions for use may lead to serious injury or death.
Page 2: Table Of Contents
Table of contents Table of contents Introduction About this document ..............8 Explanation of warnings ..............9 Description of function ..............9 Safety Intended purpose ................ 11 Intended areas of application ............12 Possible side effects/complications ..........12 Exclusions and limitations of the intended purpose ...... 13 Requirements on the user ............
Page 3 Function check Intervals ..................104 Carrying out a function check ............ 104 Uploading function check to WEINMANN Connect ..... 112 Checking ECG cables ..............113 Checking NIBP cuff and NIBP connecting tube ......116 Carrying out a function check on the printer (only with Printing option) ................117...
Page 4 Table of contents 6.21 Using service data ..............216 Disassembling Disassembling the power supply ..........218 Disassembling defibrillation electrodes/paddles and master cable ..................221 Disassembling pulse oximetry sensor and pulse oximetry sensor connecting cable .............222 Disassembling ECG cable ............224 Disassembling the NIBP cuff and NIBP connecting tube ....225 Disassembling the device from the protective transport bag and the retaining plate ...............227 Disassembling the device from the portable unit ......
Page 5 Pair printer with device (only with Printing option) ..... 290 12.3 Configuring default network ............292 12.4 Registering the device with WEINMANN Connect ...... 298 12.5 Configuring e-mail delivery 12-lead ECG (only with E-mail delivery 12-lead ECG option) ............299 12.6 Pairing the device with an external device via the ®...
Page 6 Table of contents 15.2 Storing the battery ..............355 15.3 Storing printer ................356 15.4 Storing printer battery ............... 356 Disposal 16.1 Electronic waste ................ 357 16.2 Battery/printer battery ............... 358 16.3 Plastics ..................358 16.4 Contaminated parts ..............358 Scope of supply 17.1 Version supplied (example) ............
Page 7 Table of contents Warranty EC Declaration of Conformity on Medical Devices MEDUCORE Standard...
Page 8: Introduction
1 Introduction Introduction 1.1 About this document This document describes all possible versions of the device. Depending on the version purchased, it may be that you do not have available all the functions, components, and accessories described in this document and shown in the illustrations. If functions of the device can only be enabled by purchasing a specific option, this document makes this clear by appending “(optional)”...
Page 9: Explanation Of Warnings
1 Introduction 1.2 Explanation of warnings Danger! DANGER indicates a dangerous situation which will result in death or serious injury if not prevented. Warning! WARNING indicates a dangerous situation which may result in death or serious injury if not prevented. Caution! CAUTION indicates a dangerous situation which may result in minor injury if not prevented.
Page 10 1 Introduction • Pulse oximetry: Pulse oximetry monitoring allows continuous, non-invasive measurement of arterial oxygen saturation with the aid of different pulse oximetry sensors for different application sites. At the same time, a photosensor in the pulse oximetry sensor registers the percentage of oxygenated hemoglobin in the arterial blood (SpO ) using different light wavelengths.
Page 11: Safety
2 Safety Safety The instructions for use are part of the device. If the instructions for use and the following safety instructions are not followed in their entirety, therapy may fail or be put at risk. This may cause the patient, the user, and bystanders serious or life-threatening injury.
Page 12: Intended Areas Of Application
2 Safety Contra-indications • Defibrillation may not be carried out on patients with a body temperature < 27 °C. • Defibrillation may not be carried out on patients suffering ventricular tachycardia with a pulse. • Cardioversion may not be carried out on patients who have overdosed on digitalis.
Page 13: Exclusions And Limitations Of The Intended Purpose
2 Safety 2.4 Exclusions and limitations of the intended purpose The device has not been approved for the following applications: • Operation in hyperbaric chambers • Operation in conjunction with magnetic resonance imaging machines (MRI, MRT, NMR) • Operation in conjunction with high-frequency electrosurgical equipment •...
Page 14: Safety Information
2 Safety 2.6 Safety information 2.6.1 Qualification Warning Risk of injury due to lack of knowledge and failure to follow guidelines! Use of the device by users without medical qualifications and training in defibrillation/cardioversion and/or the failure to follow guidelines may result in injury to the patient, user or bystanders. ...
Page 15 2 Safety Risk of injury due to ingress of liquids! The device is only protected from water jets according to IP55 when the battery is inserted, the water jet protection for the SD card slot is closed, the cables and the NIBP connecting tube including NIBP cuff are connected.
Page 16 2 Safety Risk of injury due to alarm limits which are too high or too low! Alarm limits which are either too high or too low may prevent the device triggering an alarm, thereby putting the patient at risk.  Always set alarm limits which have been adapted to the patient.
Page 17  Do not subject disposables to hygienic reprocessing. Risk of injury from using third-party accessories! Accessories which have not been approved by WEINMANN Emergency may result in explosions, electric shocks, incorrect monitoring, impaired functions and a negative impact on interference immunity and interference emission or lead to material damage and injure the patient.
Page 18  Do not open the device.  The device should only be opened by WEINMANN Emergency or by technicians authorized by WEINMANN Emergency.  Measures such as repairs and maintenance should only be carried out by the manufacturer or by a technician expressly authorized by it.
Page 19 2 Safety No therapy due to extended storage of the battery without recharging! Storing the battery for an extended period of time without recharging may result in the rapid shutdown of and irreparable damage to the battery.  When the battery is stored in the device without a power supply: Charge battery every 3 months (see “15.2 Storing the battery”, page...
Page 20 2 Safety Impaired readiness for use as a result of a defective power cord or defective power supply unit and charger! A defective power cord or a defective power supply unit and charger prevent the battery charging in the charging station and thus the readiness of devices operated with the battery.
Page 21 2 Safety 2.6.4 Defibrillation/cardioversion Warning Risk of injury due to sparks during defibrillation/cardioversion in combination with oxygen/flammable gases and combustible materials! During defibrillation/cardioversion in an oxygen-enriched atmosphere/an atmosphere containing flammable gases and in the presence of combustible materials (e.g. textiles), sparks generated by defibrillation/cardioversion may cause explosion and fire which may injure the patient, user or bystanders.
Page 22 2 Safety Risk of injury during resuscitation due to incorrect settings in the operator menu! Incorrect settings in the operator menu may result in undesirable effects during resuscitation as well as injure the patient.  Only allow persons with specialist knowledge of the latest resuscitation recommendations to make settings in the operator menu.
Page 23  Dispose of defibrillation electrodes after use and do not reuse them.  Only use defibrillation electrodes approved by WEINMANN Emergency for the device. Risk of injury due to incorrect handling of electrode gel! Incorrect handling of electrode gel may lead to electric shock, to ineffective shock delivery, and to burns, injuring the patient, user, and bystanders.
Page 24 2 Safety Risk of injury and delay in treatment due to implanted cardiac pacemakers! Pulses from implanted cardiac pacemakers may affect the detection of cardiac rhythms which can be defibrillated, delaying treatment. Carrying out defibrillation on patients with implanted cardiac pacemakers may irreversibly damage the myocardium. ...
Page 25 2 Safety  After using the defibrillator, check the function of electrical devices in its vicinity.  Maintain separation distances between the defibrillator and portable and mobile high-frequency communications devices. Caution Delay in treatment due to simultaneous voice prompts from defibrillator and ventilator! If the defibrillator in AED mode is used in conjunction with a ventilator (MEDUMAT Easy CPR) which also guides the user...
Page 26 Incorrect, expired or damaged ECG electrodes impair the quality of the ECG signal and falsify measurement results. This may injure the patient.  Use ECG electrodes approved by WEINMANN Emergency. If this is not possible: Only use ECG electrodes which satisfy all of the points listed here.
Page 27 2 Safety  Only use ECG electrodes with undamaged packaging.  Do not use ECG electrodes with a dried-out layer of gel layer, damage or detached protective film.  Do not remove ECG electrodes from the packaging until immediately before the session. ...
Page 28 2 Safety Risk of injury due to delayed delivery! The user can deliver a 12-lead ECG to a teleconsultation service for further diagnosis. Delivering a 12-lead ECG is purely to obtain a second opinion, and does not replace adequately trained specialists at the session location.
Page 29 2 Safety 2.6.7 Non-invasive blood pressure measurement (NIBP monitoring) Caution Risk of injury if NIBP cuff selected or put on incorrectly! An NIBP cuff selected or put on incorrectly may interrupt the blood supply or falsify measurement results due to excessive contact pressure.
Page 30 2 Safety Risk of injury from falsified measured values during non- invasive blood pressure measurement! Cardiac rhythm disorders, arteriosclerosis, reduced perfusion, diabetes, pregnancy, pre-eclampsia, arrhythmias (in newborns up to 28 days), kidney problems, shaking, shivering or the use of a cardiac pacemaker may impair the ability of the non-invasive blood pressure measuring module to record correct measured values.
Page 31 Unsuitable printer paper may lead to poor print quality on the printout or to paper jams and delay treatment.  Only use printer paper approved by WEINMANN Emergency. If this is not possible: Only use printer paper which satisfies the specifications listed (see “18.8 Printer and printer paper”,...
Page 32 (exception: Combinations of devices approved for MEDUCORE Standard on the portable units from WEINMANN Emergency).  If stacking or operation in the immediate vicinity cannot be avoided: Closely monitor the functioning of all affected medical electrical devices and do not use if functions are disrupted.
Page 33: General Instructions
Have modifications to the device or accessories (exception: software update) carried out only by the manufacturer, WEINMANN Emergency, or by a technician expressly authorized by it. Do not use any articles from third parties. •...
Page 34: Description
3 Description Description 3.1 Overview 3-1 Device Designation Description ECG connection for ECG cable Connects the device to an ECG cable. Displays settings and current values (see “3.4 Symbols Display in the display”, page 54). Alarm light Indicates high-priority alarms visually. Power supply connection Connects the device to the power supply.
Page 35: Control Panel
3 Description Designation Description Connects the device to one of the following components via the master cable: Pad connection for master cable • Defibrillation electrodes • Paddles • Function test resistor port for pulse oximetry sensor Connects the device to a pulse oximetry sensor via the connecting cable pulse oximetry sensor connecting cable.
Page 36 3 Description Designation Description Indicates that the device is being supplied by line Line power indicator power. • Green light on: The battery is full or is not being charged because it is outside charging temperature range. • Green light flashing: The battery is being charged. Battery status indicator •...
Page 37: Display
3 Description Designation Description Event button Opens the events list. Switches between the following views: • Parameter view • Curve view Switches between the following views (only in 12-lead View button ECG function mode): • 1-curve view • 3-curve view •...
Page 38 Provides access to the function check. Upload session data (only with Upload Allows device session data to be uploaded to session data option) WEINMANN Connect. Indicates whether the printer is connected to the Printer symbol (only with Printing option) device.
Page 39 3 Description 3.3.2 AED mode 3-4 Display in AED mode: Parameter view (top) and curve view (bottom) Designation Description Battery status Displays the charge level of the battery. Time Displays the time. Session duration Displays the duration of the current session. Displays the number of shocks delivered during the Number of shocks delivered current session.
Page 40 (only with E-mail delivery 12-lead ECG option). Upload symbol • Indicates whether the function check has been uploaded to WEINMANN Connect successfully. • Indicates whether the session data have been uploaded to WEINMANN Connect successfully (only with Upload session data option).
Page 41 3 Description Designation Description • Indicates whether the default network can be reached. WiFi symbol • Displays the signal strength of the WiFi connection: The more bars displayed, the stronger the signal. MEDUCORE Standard...
Page 42 3 Description 3.3.3 Manual mode (only with Manual defibrillation option) 3-5 Display in manual mode Designation Description Battery status Displays the charge level of the battery. Time Displays the time. Session duration Displays the duration of the current session. Displays device operating time since the last shock Operating time since last shock delivery delivery.
Page 43 (only with E-mail delivery 12-lead ECG option). • Indicates whether the function check has been Upload symbol uploaded to WEINMANN Connect successfully. • Indicates whether the session data have been uploaded to WEINMANN Connect successfully (only with Upload session data option).
Page 44 3 Description Designation Description Indicates whether the printer is connected to the Printer symbol (only with Printing option) device. • Indicates whether the default network can be reached. WiFi symbol • Displays the signal strength of the WiFi connection: The more bars displayed, the stronger the signal.
Page 45 3 Description 3.3.4 Monitor mode 3-6 Display in monitor mode: Parameter view (top) and curve view (bottom) Designation Description Battery status Displays the charge level of the battery. Time Displays the time. Displays heart rate. Displays oxygen saturation. Pulse Displays pulse rate. MEDUCORE Standard...
Page 46 3 Description Designation Description Indicates the status of audio alarm output: • Audio alarm output active Alarm indicator • Audio alarm output muted/paused • Audio alarm output canceled Displays the selected patient group: • Adult Patient group • Child • Infant Mode indicator Indicates the mode currently selected.
Page 47 (only with E-mail delivery 12-lead ECG option). • Indicates whether the function check has been Upload symbol uploaded to WEINMANN Connect successfully. • Indicates whether the session data have been uploaded to WEINMANN Connect successfully (only with Upload session data option).
Page 48 3 Description 3.3.5 NIBP function mode 3-7 Display in monitor mode with NIBP function mode superimposed Designation Description Shows the time and values of the last three NIBP History measurements. • Starts or stops an NIBP measurement. Start/Stop • Starts or stops an interval measurement. •...
Page 49 3 Description Designation Description Displays the systolic measured value for an NIBP measurement. Displays the diastolic measured value for an NIBP measurement. 3.3.6 12-lead ECG function mode (only with 12-lead ECG option) 3-8 Display in monitor mode with superimposed 12-lead ECG function mode MEDUCORE Standard...
Page 50 3 Description Designation Description Indicates that the limb electrodes are connected. The names of the limb electrodes change depending on Limb electrodes the set electrode marking (ERC or AHA) (see “13.10 12-lead ECG settings (only with 12-lead ECG option)”, page 335).
Page 51 3 Description Designation Description Indicates whether the chest wall electrodes are connected. The names of the chest wall electrodes change depending on which electrode marking is set Chest wall electrodes (ERC or AHA) (see “13.10 12-lead ECG settings (only with 12-lead ECG option)”, page 335).
Page 52 3 Description 3.3.7 Replay view (only with Replay view option) 3-9 Display in replay view Designation Description Date Displays the date on which the session took place. Time Displays the time at which the session began. Duration Displays the duration of the session. Indicates whether the session involved resuscitation.
Page 53 3 Description Designation Description Date Displays the date on which the session took place. Time Displays the time at which the session began. Events Displays events during a session. • Provides access to monitor mode. • Depending on the mode from which the session Monitor mode archive was opened, other function buttons may be possible.
Page 54: Symbols In The Display
• Sending e-mail with 12-lead ECG (only been uploaded. with E-mail delivery 12-lead ECG option) • Uploading data to WEINMANN Connect • Last e-mail delivery failed (only with E- mail delivery 12-lead ECG option) • Upload to WEINMANN Connect failed •...
Page 55 3 Description Symbol Designation Description Audio alarm output active Audio alarm output canceled Audio alarm output paused for the time set in Alarm symbol the operator menu Audio alarm output muted with no time limit Alarm output deactivated in AED mode Infant patient group Patient group symbol Child patient group...
Page 56 3 Description Symbol Designation Description • In the HR parameter field: Flashes at the measured heart rate. Heart symbol • In the Pulse parameter field: Flashes at the measured pulse rate. R wave marking (only with Marks the R waves detected by the device for cardioversion option and cardioversion.
Page 57: Battery And Battery Status Indicator
3 Description Symbol Designation Description Service due in ≤ 30 days or service interval Service reminder exceeded. 3.5 Battery and battery status indicator 3-10 Battery and battery status indicator Designation Description Battery Supplies power to the device. Fault indicator (red) On if the battery is defective.
Page 58 3 Description Status indicator on Status indicator on Meaning the battery the device display Battery status approx. 10 % - 40 % Battery status < 10 % In the display: • The last remaining segment in the battery status symbol is red. •...
Page 59: Charging Station
3 Description 3.6 Charging station 3-11 Charging station Designation Description Line power connection Connects the charging station to line power. Seals off the line power connection. Cover cap Covers the 12 V supply cable. Connects the charging station to the 12 V on-board 12 V supply cable power supply in an emergency vehicle.
Page 60: Printer And Printer Display
3 Description 3.7 Printer and printer display 3-12 Printer and printer display Designation Description Feed mechanism Drives the feed roller. Print head Prints the printer paper. Feed button (FEED) Press and hold: Feeds the printer paper. USB port (hidden) For service purposes only. Charging interface (hidden) Not in use.
Page 61: Components And Accessories
3 Description Designation Description • Flashes when the printer is switched on. Status indicator (POWER) • Green on when the printer is switched on and ready to use. • Press and hold (> 5 s): Switches the printer on or off.
Page 62 3 Description Accessory Designation Description Charging station for battery Allows external battery charging. WM 45045 Connects the power supply connection on the device to the power supply unit and charger or Charging adapter to the adapter cable for 12 V on- board power supply/circular connector.
Page 63 3 Description 3.8.2 Defibrillation/cardioversion Accessory Designation Description Connects the following parts to the device: MCS2-Connect master cable • Defibrillation electrodes • Paddles • Function test resistor • Conduct electrocardiograms to the device and shock energy to the patient. • Connected to the master cable MCS2-Softpads defibrillation via the Pad connector.
Page 64 3 Description Accessory Designation Description Improves electrical conductivity Electrode gel between the paddles and the patient’s skin. 3.8.3 Pulse oximetry monitoring Accessory Designation Description Connects the pulse oximetry MCS2-Adapt pulse oximetry sensor to the device via the SpO sensor connecting cable connector.
Page 65 3 Description Accessory Designation Description MCS2-Earclip pulse oximetry Measures oxygen saturation. sensor with ear clip • Measures oxygen saturation. • Available in various sizes (see “17.2 Accessories and other parts”, page 360). MCS2-Wrap pulse oximetry sensor (disposable) 3.8.4 6-lead ECG monitoring/12-lead ECG recording and assessment Accessory Designation...
Page 66 3 Description Accessory Designation Description • Conducts electrocardiograms to the device via the ECG connector. • Can be used for 6-lead ECG monitoring and 12-lead ECG MCS2-Line ECG cable with recording and assessment. connection for MCS2-Line 12-lead • Optionally connects the 12- ECG extension cable lead ECG extension cable to the device (only with 12-lead...
Page 67 3 Description 3.8.5 Non-invasive blood pressure measurement (NIBP monitoring) Accessory Designation Description • Measures blood pressure. • Available in various sizes and versions (see “17.2 Accessories and other parts”, NIBP cuff page 360). Connects the NIBP cuff to the NIBP connecting tube device.
Page 68 3 Description 3.8.6 Printing Accessory Designation Description • Allows different ECGs and reports to be printed (see “6.16 Printing ECGs and reports (only with Printing Printer option)”, page 196). • May only be used in the vicinity of the patient if it is in the printer case.
Page 69 3 Description Accessory Designation Description • Charges the printer battery in the charging station for the printer battery (see “4.7.1 Charging the printer battery”, Power supply unit and charger for page 94). charging station for printer battery • Not suitable for use in the vicinity of the patient.
Page 70 3 Description 3.8.7 Miscellaneous Accessory Designation Description Allows a device function check to Function test resistor be carried out. Records session data and service SD card data. Facilitates the read-out and DEFIview PC software analysis of session data. • For training purposes and for demonstrating the device.
Page 71: Transport Options
3 Description 3.9 Transport options In order to transport the device, carry accessories, provide a power supply for charging, and attach to a wall mounting, you can mount the device on one of the following portable units: • LIFE-BASE 1 NG XS •...
Page 72: Options
Network connected to the Internet This option allows you to deliver a E-mail delivery 12-lead ECG • Device registered with 12-lead ECG to an e-mail address. WEINMANN Connect (see “12.4 Registering the device with WEINMANN Connect”, page 298) MEDUCORE Standard...
Page 73 Bluetooth interface. • Network connected to the Internet • Device registered with This option allows session data to be Upload session data WEINMANN Connect (see uploaded to WEINMANN Connect. “12.4 Registering the device with WEINMANN Connect”, page 298) MEDUCORE Standard...
Page 74: Preparation
4 Preparation Preparation 4.1 Mounting the device 4.1.1 Mounting the device in the protective transport bag Required auxiliary Phillips screwdriver, size PH1 equipment 1. Place the device on a smooth, firm surface with the control panel membrane facing down. 2. Put the retaining plate on the device. When doing so, please note: The holes of device and retaining plate must line up.
Page 75 4 Preparation 6. Introduce the device on the retaining plate into the protective transport bag from above until the snap fasteners on the protective transport bag and the retaining plate line up. 7. Use both hands simultaneously to push opposing snap fasteners together until you hear them engage.
Page 76: Stowing Components And Accessories
4 Preparation 4.1.2 Mounting the device on the portable unit Follow the instructions for use of the portable unit. 4.2 Stowing components and accessories 4.2.1 Stowing components and accessories in the protective transport bag Requirement The device is mounted in the protective transport bag (see “4.1.1 Mounting the device in the protective transport bag”, page 74).
Page 77 4 Preparation 6. Put the divider back into the left-hand side compartment. 7. When using defibrillation electrodes: Attach the Pad connector of the defibrillation electrodes to the master cable. When doing so, please note: The Pad connector must be plugged in firmly. 8.
Page 78 4 Preparation 9. When using paddles: Remove dividers from the side compartment. When doing so, please note: The paddles can only be stowed in the large versions of the protective transport bag and the protective bags for the portable units. 10.
Page 79 4 Preparation 12. Connect the Pad connector of the paddles to the master cable. When doing so, please note: The Pad connector must be plugged in firmly. 13. Route the master cable in the groove between the device compartment and the side compartment of the protective transport bag.
Page 80 4 Preparation 15. Connect the NIBP connecting tube to the device and the NIBP cuff (see “6.12.1 Preparing non-invasive blood pressure measurement (NIBP measurement)”, page 182). 16. Wind up the NIBP connecting tube and the tube for the NIBP cuff and surround them with the NIBP cuff. 17.
Page 81 4 Preparation 18. Connect the pulse oximetry sensor connecting cable to the device and to the pulse oximetry sensor (see “6.9.1 Preparing pulse oximetry monitoring”, page 157). When doing so, please note: MCS2-SoftTip pulse oximetry sensors which have been turned inside out during hygienic reprocessing must be turned the right way out again.
Page 82 4 Preparation 20. Connect the selected ECG cable to the device (see “6.10.1 Preparing 6-lead ECG monitoring”, page 164). 21. Wind up the ECG cable and stow it in the side compartment. 22. Stow ECG electrodes in their pack in the side compartment. 23.
Page 83: Connecting A Power Supply
4 Preparation 4.2.2 Stowing components and accessories on the portable unit Follow the instructions for use of the portable unit. 4.3 Connecting a power supply Risk of injury due to missing battery! Operation with line power without a battery prevents the device being fully ready for use as the shock capacitor in the device cannot charge.
Page 84 4 Preparation 3. Slide the fully charged battery into the battery compartment until you hear it engage. When doing so, please note: If the battery is not inserted properly, or not inserted at all, defibrillation/cardioversion is not possible and the following message appears: 4.
Page 85 4 Preparation Connect the device to line power using the charging adapter and power supply unit and charger. Alternatively: Connect the device to a 12 V on-board power supply with the charging adapter and the adapter cable for 12 V on-board power supply/circular connector.
Page 86: Using The Battery
4 Preparation 4.4 Using the battery 4.4.1 General instructions • Always operate the device with a battery. • Note the methods of storing the battery and the charging intervals for extended storage (see “15.2 Storing the battery”, page 355). • The intended lifetime of the battery is 2 years.
Page 87 4 Preparation • If the device is switched on, the green arrow appears in the battery status symbol in the display (example: and the battery status indicator on the device flashes green. • If the device is switched off, only the battery status indicator flashes green.
Page 88 4 Preparation • Battery not fully charged (< 95 % charge) • Battery temperature between 0 °C and 45 °C The battery status LEDs flash green during the charging process. 2. Once the status LEDs go permanently green: Release the battery latch and take the battery out of the charging station.
Page 89: Using The Charging Station
4 Preparation 4.5 Using the charging station 4.5.1 Mounting the charging station on the wall Risk of injury from incorrectly mounted charging station! If a charging station is mounted incorrectly, the charging station may come off the wall or the battery may fall out. ...
Page 90 4 Preparation 4.5.3 Connecting the charging station to line power 1. Remove the protective cap from the line power connection. 2. Connect power supply unit and charger WM 28937 to the line power connection. 3. Connect the power supply unit and charger to line power. Result The charging station is connected to line power.
Page 91 4 Preparation 5. Connect the red wire of the 12 V supply cable to the positive terminal of the 12 V on-board power supply in the vehicle. 6. Connect the black wire of the 12 V supply cable to the negative terminal of the 12 V on-board power supply in the vehicle.
Page 92: Using An Sd Card
Functionality may be restricted or data may be lost in the case of SD cards not ordered via WEINMANN Emergency.  Only use SD cards approved by WEINMANN Emergency for use with this device.  Do not use the SD card for third-party files.
Page 93 4 Preparation 4.6.2 Removing the SD card Requirement There is an SD card in the SD card slot. 1. Open the water jet protection of the SD card slot. Incorrect use may result in loss of data! If you remove the SD card while data is being written to it, data may be lost or the SD card damaged.
Page 94: Preparing Printer (Only With Printing Option)
4 Preparation 4.7 Preparing printer (only with Printing option) 4.7.1 Charging the printer battery Requirement • The printer has been removed from the printer case. • The printer is switched off. 1. Turn over the printer. 2. Release the printer battery latch. 3.
Page 95 4 Preparation 4. Connect the charging station for the printer battery to line power. Alternatively: Connect the quadruple charging station for the printer battery to line power. MEDUCORE Standard...
Page 96 4 Preparation 5. Insert the printer battery in the charging station for the printer battery until you hear it engage. Alternatively: Insert the printer battery in the quadruple charging station for the printer battery until you hear it engage. When doing so, please note: •...
Page 97 4 Preparation 6. When the LED on the power supply unit and charger is green: Take the printer battery out of the charging station for the printer battery. Alternatively: If the FULL CHARGED LED is green: Take the printer battery out of the quadruple charging station for the printer battery.
Page 98 4.7.3 Inserting printer paper Requirement • The printer is not printing. • The printer paper provided by WEINMANN Emergency is in use. • The printer has been removed from the printer case. Risk of injury from electric shock when simultaneously...
Page 99 4 Preparation 3. Insert printer paper in the paper compartment. The start of the printer paper must be at the bottom of the printer. 4. Guide the printer paper over the tear-off edge. 5. Close the paper compartment cover. MEDUCORE Standard...
Page 100 4 Preparation 6. Press and hold the feed button (FEED) on the printer for a few seconds to feed printer paper about another 10 cm. Result The printer paper is inserted. 4.7.4 Stowing the printer in the printer case Requirement •...
Page 101 4 Preparation 4. Guide printer paper through the slot in the printer case to the outside. 5. Close the zip on the printer case. Result The printer is stowed in the printer case ready for printing. 4.7.5 Mounting the printer case on the protective transport bag or the protective bag of the portable unit Requirement...
Page 102 4 Preparation 1. Push the tab of the printer case through the side holder on a protective transport bag or a protective bag of the portable unit. When doing so, please note: Not all protective bags for the portable unit have a tab for mounting the printer case. For these portable units, the printer needs to be stowed in the accessories bag of the portable unit.
Page 103: Function Check
5 Function check Function check Disrupted or failed therapy due to defective device, defective components or defective accessories! Using defective devices, defective components or defective accessories may result in malfunctions of the device, the components, and the accessories. This may cause the patient and the user serious or life-threatening injury.
Page 104: Intervals
5 Function check 5.1 Intervals Part concerned Interval • Before every use • After every hygienic reprocessing Device including accessories • After every repair • After every software update 5.2 Carrying out a function check Requirement • The device is disconnected from the patient. •...
Page 105 5 Function check 2. If necessary: Replace parts. 3. Check the expiry date on the packaging for the ECG electrodes and the defibrillation electrodes. If necessary: Replace ECG electrodes and/or defibrillation electrodes. 4. Switch on the device (see “6.1 Switching on the device”, page 118).
Page 106 5 Function check 8. Press the Charge function button. The shock capacitor is charged to 30 J and the shock energy is maintained for 30 s. 9. When the shock capacitor is fully charged and the shock button flashes: Press shock button MEDUCORE Standard...
Page 107 5 Function check 10. If an audible alarm is emitted: Press the Yes function button. 11. If no audible alarm is emitted: Press the No function button. 12. When the alarm light is red: Press the Yes function button. MEDUCORE Standard...
Page 108 5 Function check 13. If the alarm light is not red: Press the No function button. 14. In the button function check, press all of the controls one after the other except for the On/Off button 15. To cancel the button function test: Press menu button twice.
Page 109 5 Function check 16. If defibrillation electrodes are being used: Disconnect the function test resistor from the master cable and connect defibrillation electrodes to the master cable. 17. If paddles are being used: Disconnect the function test resistor from the master cable and connect paddles to the master cable.
Page 110 5 Function check 18. Press both buttons on the paddles. 19. Briefly press the paddles together. MEDUCORE Standard...
Page 111 20. Print the function check report by pressing the Print function button (only with Printing option) (see “6.16.5 Printing a function check report”, page 201). 21. Upload the function check to WEINMANN Connect with the Upload function button (see “5.3 Uploading function check to WEINMANN Connect”, page 112).
Page 112: Uploading Function Check To Weinmann Connect
• A default network has been configured (see “12.3 Configuring default network”, page 292). • The device has been registered with WEINMANN Connect (see “12.4 Registering the device with WEINMANN Connect”, page 298). • A function check has been carried out.
Page 113: Checking Ecg Cables
2. Select a network within range. 3. Confirm with the OK function button. The device connects to the selected network and uploads the result of the function check to WEINMANN Connect. When upload is successful, the symbol appears in the display. If...
Page 114 5 Function check 1. Connect the ECG cable to the ECG connection for ECG cable. Alternatively: Connect the ECG cable to the ECG connection for ECG cable using the connection for 12-lead ECG extension cable. 2. To check 12-lead ECG recording and assessment: Connect the 12-lead ECG extension cable to the ECG cable with connection for 12-lead ECG extension cable.
Page 115 5 Function check 3. Connect the terminals of the ECG cables used to an ECG simulator: • ECG simulator, 6-lead ECG, shockable WM 45444 • ECG simulator, 12-lead ECG, shockable WM 45445 In principle, any ECG simulator can be used. Alternatively, the ECG cables can also be tested on a volunteer test subject.
Page 116: Checking Nibp Cuff And Nibp Connecting Tube
6. Repeat non-invasive blood pressure measurement. 7. If the non-invasive blood pressure measurement again takes too long or produces incorrect results: Contact WEINMANN Emergency or a technician expressly authorized by WEINMANN Emergency. Result The NIBP cuff and NIBP connecting tube have been checked.
Page 117: Carrying Out A Function Check On The Printer (Only With Printing Option)
5 Function check 5.6 Carrying out a function check on the printer (only with Printing option) At the end of the device function check you can print out a function check report. By assessing this report, you can check that the printer is working properly.
Page 118: Operation
6 Operation Operation 6.1 Switching on the device Requirement • The ECG cable is not connected to the patient. • The defibrillation electrodes or paddles are not connected to the patient. • A fully charged battery is inserted in the device. 1.
Page 119: Switching The Device Off
6 Operation 3. Carry out a function check (see “5.2 Carrying out a function check”, page 104). Result The device is switched on. 6.2 Switching the device off Requirement The device is switched on (see “6.1 Switching on the device”, page 118).
Page 120: Selecting Patient Group
6 Operation Result Action Within a menu In the start In a menu In a mode item menu Switch view: • Parameter view • Curve view In 12-lead ECG function mode (only Press the view with 12-lead ECG button option): Change the number of leads displayed Opens the events list.
Page 121 6 Operation Risk of injury due to incorrectly selected patient group! If the wrong patient group is selected, the shock energy may be insufficient or too high for the selected patient group and may injure the patient.  Adapt the patient group to the patient. ...
Page 122: Preparing For Shock Delivery
6 Operation 2. During ongoing operation: Open the application menu with the navigation knob and change the patient group. When doing so, please note: The Infant patient group is not available in AED mode. Result The selected patient group is shown in the top right-hand corner next to mode display.
Page 123 6 Operation 1. Connect the master cable connector to the Pad connection for master cable on the device. Risk of injury due to incorrectly selected size of defibrillation electrodes! If the wrong size of defibrillation electrodes is selected, this may result in sub-optimal defibrillation results or in burns.
Page 124 6 Operation 4. Attach the Pad connector of the defibrillation electrodes to the master cable. When doing so, please note: The Pad connector must be plugged in firmly. 5. Bare the patient's torso. MEDUCORE Standard...
Page 125 6 Operation Risk of injury from incorrect positioning of the defibrillation electrodes! Incorrectly positioned defibrillation electrodes lead to a sub- optimal defibrillation/cardioversion result.  Select the correct electrode position in line with currently applicable guidelines.  Maintain distance from ECG electrodes. 6.
Page 126 6 Operation 12. Attach defibrillation electrodes and press in place firmly. Risk of injury from defibrillation electrodes not adhering correctly! If defibrillation electrodes have been attached incorrectly and are attached again, they no longer adhere correctly and may lead to inadequate shock delivery.
Page 127 6 Operation 2. Connect the Pad connector of the paddles to the master cable. When doing so, please note: The Pad connector must be plugged in firmly. Risk of injury due to air/moisture between the paddles and the patient’s skin! Air (e.g.
Page 128 6 Operation Electrode surface area for adults Electrode surface area for children/ infants 6. Select the electrode surface area of the paddles to suit the patient group: • Adults: Use attachments for large electrode surface areas. • Children/infants: Twist off and remove attachments for large electrode surface areas.
Page 129 The incorrect electrode gel may trigger intolerance reactions and lead to ineffective shock delivery. This may injure the patient.  Only use electrode gel recommended by WEINMANN Emergency. 7. Wet the electrode surfaces of the paddles completely with electrode gel.
Page 130: Semi-Automatic Defibrillation In Aed Mode With Defibrillation Electrodes
6 Operation 6.6 Semi-automatic defibrillation in AED mode with defibrillation electrodes The defibrillation sequence in AED mode described here corresponds to the device settings as delivered. The operator menu enables you to adapt the device to users’ qualification level and to provide optimal support to users during resuscitation measures whilst taking regional features into account.
Page 131 6 Operation Delay in treatment due to simultaneous voice prompts from defibrillator and ventilator! If the defibrillator in AED mode is used in conjunction with a ventilator (MEDUMAT Easy CPR) which also guides the user through CPR by means of voice prompts, the simultaneous voice prompts from the defibrillator and ventilator may confuse the user and delay treatment.
Page 132 6 Operation Delayed or failed therapy due to defective defibrillation electrodes! Defective defibrillation electrodes may delay or prevent analysis and continued therapy in AED mode and injure the patient.  Always keep spare defibrillation electrodes to hand. 2. If the AED instruction Plug in defibrillation electrodes appears in spite of correctly connected defibrillation electrodes: Use spare defibrillation electrodes.
Page 133 6 Operation Result The device carries out a cardiac rhythm analysis. The cardiac rhythm analysis has one of two results: • Shock required (see “ Shock required”, page 133) • Shock not possible (see “ Shock not possible”, page 135) Shock required The device carries out a cardiac rhythm analysis, charges for shock delivery and outputs the message:...
Page 134 6 Operation Failure of therapy due to defibrillation electrodes accidentally coming loose during shock delivery! Defibrillation electrodes accidentally coming loose during shock delivery may lead to damage to the device and thus to the failure of treatment. This may injure the patient. ...
Page 135 6 Operation Shock not possible The device carries out a cardiac rhythm analysis, charges for shock delivery and outputs the message: Voice prompt AED instruction Stand clear of the patient Stand clear of the patient Cardiac rhythm is being analyzed Analysis If, based on the cardiac rhythm analysis, the device determines that a shock is not required, the device outputs the message:...
Page 136 6 Operation Patient group Setting Adult Child Audio outputs CPR voice prompts Deactivated Deactivated Metronome 15:2/30:2 15:2/30:2 CV ratio 30:2 15:2 Metronome frequency 100/min 100/min Start analysis automatically Start analysis automatically Activated Activated After cardiac rhythm analysis and shock delivery (if necessary), the device instructs you to carry out CPR.
Page 137: Manual Defibrillation (Only With Manual Defibrillation Option)
6 Operation After 30/15 metronome beats, there is a pause to allow for ventilation: Voice prompt (optional) AED instruction Ventilate twice Ventilate twice 2. Ventilate the patient twice. The device outputs the message: Voice prompt (optional) AED instruction Carry out cardiopulmonary resuscitation 3.
Page 138 6 Operation Requirement • A charged battery is inserted in the device. • The device is switched on (see “6.1 Switching on the device”, page 118). • A patient group is selected (see “6.4 Selecting patient group”, page 120). • Shock delivery via defibrillation electrodes is prepared (see “6.5.1 Preparing for shock delivery using defibrillation...
Page 139 6 Operation • It is not possible to switch to parameter view in manual mode. If you activate manual mode from parameter view, the device automatically switches to curve view, since for manual shock delivery the ECG analysis is required in the display.
Page 140 6 Operation Failure of therapy due to defibrillation electrodes accidentally coming loose during shock delivery! Defibrillation electrodes accidentally coming loose during shock delivery may lead to damage to the device and thus to the failure of treatment. This may injure the patient. ...
Page 141 6 Operation • Shock delivery via paddles is prepared (see “6.5.2 Preparing for shock delivery using paddles”, page 126). Risk of injury due to lack of knowledge and failure to follow guidelines in manual mode! The use of manual mode by users without medical qualifications and training in defibrillation/cardioversion and/or failure to follow guidelines may result in injury to the patient, user or bystanders.
Page 142 6 Operation 4. To activate audio alarm output: Briefly press the alarm button Risk of injury from movement artifacts during rapid derivation! Movement artifacts may falsify the ECG and lead to misinterpretations. This may injure the patient.  In the normal case, use 6-lead ECG monitoring. ...
Page 143 6 Operation 9. Position paddles on the upper torso in accordance with currently applicable guidelines. 10. Briefly press and release the charge button (CHARGE) on the APEX paddle. When doing so, please note: The shock capacitor can only be charged if the user menu is not activated. The charge progress bar appears.
Page 144 6 Operation 13. Press on paddles with a contact pressure of about 8 kg to keep resistance to the patient low. Risk of injury from electric shock! The electric shock administered to the patient may injure the user or bystanders. ...
Page 145: Cardioversion (Only With Cardioversion Option)
6 Operation 6.8 Cardioversion (only with Cardioversion option) 6.8.1 Carrying out cardioversion using defibrillation electrodes In cardioversion, shock delivery is synchronized with the R wave of the ECG (SYNC). Requirement • A charged battery is inserted in the device. • The patient is prepared in line with currently applicable guidelines.
Page 146 6 Operation Risk of injury due to lack of knowledge and failure to follow guidelines in manual mode! The use of manual mode by users without medical qualifications and training in defibrillation/cardioversion and/or failure to follow guidelines may result in injury to the patient, user or bystanders. ...
Page 147 6 Operation 6. If cardioversion is required: Select shock energy using the Energy function button. 7. Open the application menu using the navigation knob. 8. Select and activate the SYNC menu item. Manual mode switches to cardioversion: • The SYNC marking indicates that the next shock delivery will be synchronized with the R wave.
Page 148 6 Operation Risk of injury due to shock being delivered at the wrong time during cardioversion! A cardioversion carried out at the wrong time may lead to cardiac arrhythmias and cause the patient severe or life-threatening injury.  Ensure that the ECG is stable. ...
Page 149 6 Operation Risk of injury due to movement artifacts! Movement artifacts erroneously detected as R waves may cause the device to deliver a shock at the wrong time and thus injure the patient.  Prepare the patient for cardioversion in line with currently applicable guidelines in order to avoid patient movements.
Page 150 6 Operation • Only with Printing option: If the printer is connected to the device and the Defibrillation report menu item is activated (see “13.9 Printer settings (only with Printing option)”, page 332), the printer prints a defibrillation report (see “6.16.4 Printing a defibrillation report”, page 201).
Page 151 6 Operation Risk of injury due to lack of knowledge and failure to follow guidelines in manual mode! The use of manual mode by users without medical qualifications and training in defibrillation/cardioversion and/or failure to follow guidelines may result in injury to the patient, user or bystanders. ...
Page 152 6 Operation 6. If necessary: Select another ECG lead using the Lead function button. Risk of injury due to incorrectly selected shock energy in children! If the attachments for small electrode surfaces are used in combination with too high a shock energy on the paddles, this may lead to injuries in children/infants.
Page 153 6 Operation Risk of injury due to shock delivery with an unstable ECG curve! An unstable ECG curve may lead to shock delivery at the wrong time. This may injure the patient.  Always wait until the ECG curve has stabilized. 10.
Page 154 6 Operation • The triangles must mark every R wave reliably. 13. Position paddles on the upper torso in accordance with currently applicable guidelines. 14. Briefly press and release the charge button (CHARGE) on the APEX paddle. When doing so, please note: The shock capacitor can only be charged if the user menu is not activated.
Page 155 6 Operation Risk of injury due to paddles having an inadequate contact pressure! Too low a contact pressure of the paddles leads to a high resistance against the patient and may prevent shock delivery (at a resistance > 400 Ω). This may injure the patient. ...
Page 156 6 Operation 19. Press and hold both (SHOCK) buttons on the paddles simultaneously. When doing so, please note: • The device synchronizes shock delivery with the next R wave. • Only with Printing option: If the printer is connected to the device and the Defibrillation report menu item is activated (see “13.9 Printer settings (only with Printing...
Page 157: Pulse Oximetry Monitoring
6 Operation 6.9 Pulse oximetry monitoring 6.9.1 Preparing pulse oximetry monitoring Requirement • The device is switched on (see “6.1 Switching on the device”, page 118). • A patient group is selected (see “6.4 Selecting patient group”, page 120). Risk of injury due to incorrect use of the pulse oximetry sensor! Incorrect use of the pulse oximetry sensor may falsify measurement results and lead to patient injury.
Page 158 6 Operation  Only use undamaged pulse oximetry sensors.  Only use the pulse oximetry sensors and pulse oximetry sensor connecting cables quoted in the scope of supply and in the accessories. 1. Connect the SpO connector of the pulse oximetry sensor connecting cable to the SpO connection on the device.
Page 159 6 Operation 3. Connect the selected pulse oximetry sensor to the pulse oximetry sensor connecting cable. 4. Press the safety closure until you hear it engage. MEDUCORE Standard...
Page 160 6 Operation 5. Attach the pulse oximetry sensor: Pulse oximetry Point of attachment sensor MCS2-SoftTip pulse oximetry sensor Special feature: The finger mark must point upwards MCS2-Wrap pulse oximetry sensor Special feature: The transmitter and receiver of the pulse oximetry sensor must be aligned to face each other on one...
Page 161 6 Operation Pulse oximetry Point of attachment sensor MCS2-Earclip pulse oximetry sensor MCS2-Wrap pulse oximetry sensor, disposable Special feature: The transmitter and receiver of the disposable pulse oximetry sensor must be aligned to face each other on one axis. When doing so, please note: •...
Page 162 6 Operation 6. Check whether the oxygen saturation values displayed on the device are plausible. Result A pulse oximetry sensor is connected. 6.9.2 Carrying out pulse oximetry monitoring Requirement • The device is switched on (see “6.1 Switching on the device”, page 118).
Page 163 6 Operation 4. In parameter view: Read off the measured values for arterial oxygen saturation (SpO ) and pulse rate (Pulse). Alternatively: In curve view: Evaluate the SpO curve (Pleth) and read off the measured values for arterial oxygen saturation (SpO ) and pulse rate (Pulse).
Page 164: 6-Lead Ecg Monitoring
6 Operation 5. If necessary: Make the following SpO settings in the user menu (see “10.3.4 SpO settings”, page 261): • Adapt the feed rate of the plethysmogram. • Give audio pulse tone output priority over heart rate tone output so that the tone level is dependent on oxygen saturation even when the ECG cable or defibrillation electrodes are connected to the patient.
Page 165 6 Operation 1. Connect the ECG connector of the ECG cable to the ECG connection for ECG cable on the device. Alternatively: Connect the ECG connector of the ECG cable to the ECG connection for ECG cable on the device using the connection for the 12-lead ECG extension cable.
Page 166 6 Operation Risk of injury due to air/moisture between ECG electrodes and the patient's skin! Air (e.g. in the case of hirsute patients) or moisture between the ECG electrodes and the patient's skin impair the quality of the ECG signal and falsify measurement results. This may injure the patient.
Page 167 6 Operation Shortened position R/RA L/LA R/RA L/LA N/RL F/LL N/RL F/LL Regular position 7. Attach and firmly press on the ECG electrodes (limb electrodes) as follows: Code 1/ERC (Europe) Code 2/AHA (USA) Electrode Electrode Color coding Color coding Application site marking marking Limb electrodes...
Page 168 6 Operation 8. If ECG electrodes are used at the same time as defibrillation electrodes: Do not allow ECG electrodes and defibrillation electrodes to overlap. 9. If necessary: Stroke out any air trapped under the ECG electrodes. 10. Clip the ECG cable to the individual ECG electrodes. 11.
Page 169 6 Operation 5. Evaluate the ECG leads and heart rate. 6. If necessary: Select another ECG lead using the Lead function button. 7. If necessary: Make the following ECG settings in the user menu (see “10.3.2 ECG settings”, page 259): •...
Page 170: 12-Lead Ecg Recording And Assessment (Only With 12-Lead Ecg Option)
6 Operation 9. If necessary: Switch off heart rate tone/pulse tone with the function button. The symbol appears. 10. If desired: Print a live printout of a 6-lead ECG (see “6.16.2 Printing a live printout of ECG and measured values”, page 198).
Page 171 6 Operation 6.11.1 Preparing 12-lead ECG recording and assessment Requirement • The device is switched on (see “6.1 Switching on the device”, page 118). • A patient group is selected (see “6.4 Selecting patient group”, page 120). 1. Connect the ECG connector of the ECG cable to the ECG connection for ECG cable on the device using the connection for the 12-lead ECG extension cable.
Page 172 6 Operation 2. Connect the connector of the 12-lead ECG extension cable to the connector of the ECG cable with a connection for the 12- lead ECG extension cable. 3. Open the application menu using the navigation knob. 4. Select the 12-lead ECG menu item. 5.
Page 173 6 Operation Risk of injury due to air/moisture between ECG electrodes and the patient's skin! Air (e.g. in the case of hirsute patients) or moisture between the ECG electrodes and the patient's skin impair the quality of the ECG signal and falsify measurement results. This may injure the patient.
Page 174 6 Operation C1/V1 C2/V2 C3/V3 R/RA L/LA C4/V4 C5/V5 C6/V6 N/RL F/LL 11. Attach and firmly press on the ECG electrodes as follows: Code 1/ERC (Europe) Code 2/AHA (USA) Electrode Electrode Color coding Color coding Application site marking marking Limb electrodes White Right arm Yellow...
Page 175 6 Operation Code 1/ERC (Europe) Code 2/AHA (USA) Electrode Electrode Color coding Color coding Application site marking marking Chest wall electrodes Fourth intercostal space on the right-hand edge of the breastbone Fourth intercostal space Yellow Yellow on the left-hand edge of the breastbone Centrally between V2/ Green...
Page 176 6 Operation 14. Clip the ECG cables to the individual ECG electrodes. Correctly connected ECG electrodes are indicated by a check mark. The limb electrodes are only displayed once all the limb electrodes have been attached. With chest wall electrodes, each chest wall electrode is displayed individually.
Page 177 6 Operation Result The ECG electrodes and ECG cable for 12-lead ECG recording and assessment are connected. 12-lead ECG recording and assessment is prepared. 6.11.2 Carrying out and delivering 12-lead ECG recording and assessment Requirement • The device is switched on (see “6.1 Switching on the device”, page 118).
Page 178 6 Operation Risk to therapy from movement artifacts when recording the 12-lead ECG! Movement artifacts falsify the 12-lead ECG. They may result in the user or the device interpreting the 12-lead ECG incorrectly, delaying treatment. During recording of the 12-lead ECG: ...
Page 179 6 Operation 5. Wait until the 12-lead ECG recording is finished. When doing so, please note: The patient must not be moved. 6. If the 12-lead ECG has been recorded: Assess the ECG leads. 7. If the low-pass filter is incorrect: Set the low-pass filter in the user menu (see “10.3.3 12-lead ECG settings (only with 12- lead ECG option)”, page...
Page 180 6 Operation 8. If a different view is required: Set the view in the user menu (see “10.3.3 12-lead ECG settings (only with 12-lead ECG option)”, page 260). 9. Switch between the individual views using the view button • Display 1 curve •...
Page 181 6 Operation Delayed therapy due to severely delayed reception of the 12-lead ECG! If the infrastructure of the monitoring station/hospital is not configured by the operator to receive 12-lead ECGs, receipt of the 12-lead ECG may be severely delayed. This may lead to delayed therapy and injure the patient.
Page 182: Non-Invasive Blood Pressure Measurement (Nibp Measurement)
6 Operation 16. If desired (only with Printing option): Print 12-lead ECG (see “6.16.3 Printing 12-lead ECG (only with 12-lead ECG option)”, page 199). 17. Exit 12-lead ECG function mode using the Finish function button. Result A 12-lead ECG has been recorded and assessed. 6.12 Non-invasive blood pressure measurement (NIBP measurement) NIBP measurement technology has been optimized for measuring...
Page 183 6 Operation Risk of injury if NIBP cuff selected or put on incorrectly! An NIBP cuff selected or put on incorrectly may interrupt the blood supply or falsify measurement results due to excessive contact pressure. This may result in injury to the patient. ...
Page 184 6 Operation 1. If the NIBP connection for NIBP connecting tube is latched: Push the latch of the NIBP connection to the right to release the NIBP connecting tube from the NIBP connection. 2. Connect NIBP connecting tube to the NIBP connection for NIBP connecting tube.
Page 185 6 Operation 3. Select the NIBP cuff which is suitable for the patient's limb as per the following table: Designation Color Limb circumference Thigh Thigh Brown 38 cm-50 cm Upper arm Large Adult plus Dark red 40 cm-55 cm Adult plus Dark blue 28 cm-40 cm Adult...
Page 186 6 Operation 4. Connect the NIBP connecting tube to the tube of the NIBP cuff. 5. Turn the two tubes against each other until they lock into place. 6. Attach the empty NIBP cuff to fit snugly around the patient's limb.
Page 187 6 Operation • The NIBP cuff must fit snugly around the limb. • When applying to the arm: The artery marking (ARTERY) of the NIBP cuff must be positioned over the brachial artery and point toward the hand. • When applying to the leg: The artery marking (ARTERY) of the NIBP cuff must be positioned over the femoral artery and point toward the foot.
Page 188 6 Operation • A patient group is selected (see “6.4 Selecting patient group”, page 120). • A non-invasive blood pressure measurement (NIBP measurement) is prepared (see “6.12.1 Preparing non-invasive blood pressure measurement (NIBP measurement)”, page 182). 1. Press the NIBP button for <...
Page 189 6 Operation 3. Adapt the initial NIBP cuff pressure to the patient using the Initial function button and navigation knob. When doing so, please note: Following successful NIBP measurement, the initial NIBP cuff pressure adapts to the patient (approximately 30 mmHg above the systolic measured value of the previous NIBP measurement).
Page 190 6 Operation 8. If necessary: Set alarm limits in the user menu (see “10.3.1 Alarm settings”, page 255). Alternatively: Set automatic alarm limits in the application menu (see “9 Application menu”, page 248). 9. If necessary: Press the Back function button. Alternatively: Press the NIBP button for <...
Page 191 6 Operation Risk of injury due to incorrectly selected patient group! The device only delivers correct measured values if the appropriate patient group is selected. An incorrect patient group may lead to incorrect measurements and injure the patient.  Adapt the patient group to the patient. ...
Page 192 6 Operation 9. If necessary: Press the Back function button. Alternatively: Press the NIBP button for < 2 s. The device exits NIBP function mode and switches to the set mode. 10. Once the measurement is finished: Remove the NIBP cuff. Result An interval measurement has been carried out.
Page 193: Using Audio Alarm Output
6 Operation 3. Create the intravenous access. 4. Once the access has been created: Release the pressure from the NIBP cuff using the Stop function button. 5. Once venous stasis is finished: Remove the NIBP cuff. Result Venous stasis has been carried out. 6.13 Using audio alarm output 6.13.1 Canceling audio alarm output Requirement...
Page 194: Changing The Volume Of The Device
6 Operation 6.13.3 Canceling muting or pausing of audio alarm output Requirement An alarm is active and is muted or paused. 1. Briefly (< 2 s) press the alarm button Alternatively: Switch mode. Result Muting or pausing of audio alarm output is canceled. 6.14 Changing the volume of the device Requirement •...
Page 195 6 Operation Requirement • The device is switched on (see “6.1 Switching on the device”, page 118). • A patient group is selected (see “6.4 Selecting patient group”, page 120). 1. Press the event button The events list opens. 2. Select and confirm an event from the events list using the navigation knob.
Page 196: Printing Ecgs And Reports (Only With Printing Option)
6 Operation 6.16 Printing ECGs and reports (only with Printing option) Delayed therapy due to incorrect storage of the printer! Storage outside the specified ambient conditions may lead to printer malfunctions or damage the printer. This may delay the patient’s therapy. ...
Page 197 6 Operation Printer function restricted due to excessive distance between printer and device! An excessive distance between the printer and the device may lead to special characters in the printout and confuse the user.  Reduce the distance between the printer and the device. 1.
Page 198 6 Operation 6.16.2 Printing a live printout of ECG and measured values Requirement A printer has been connected to the device (see “6.16.1 Connecting the printer to the device”, page 196). 1. If necessary: In the user menu, set the feed rate for the ECG to be printed out (see “10.3.5 Printer settings (only with Printing option)”, page...
Page 199 6 Operation 3. Select the Print menu item. The printer prints current measured values and the curves currently shown in the display on printer paper for 10 s (shown in abstract form here): 4. To stop printing manually: Select the Stop print xx s menu item.
Page 200 6 Operation 2. If necessary: Use the Amplitude function button to change the amplitude scaling in order to adapt the displayed height of the ECG curve to the ECG measuring signal. 3. Open the application menu using the navigation knob. 4.
Page 201 6 Operation 6.16.4 Printing a defibrillation report Requirement • A printer has been connected to the device (see “6.16.1 Connecting the printer to the device”, page 196). • The Defibrillation report menu item is activated in the operator menu (see “13.9 Printer settings (only with Printing option)”, page 332).
Page 202 6 Operation 2. When the status report appears: Select the Print function button. The printer prints a report with the results of the function check (shown in abstract form here): Result A function check report has been printed. MEDUCORE Standard...
Page 203 6 Operation 6.16.6 Printing replay view (only with Printing and Replay view options) Requirement • A printer has been connected to the device (see “6.16.1 Connecting the printer to the device”, page 196). • The Printing option is enabled and activated (see “13.12 System settings”, page 342).
Page 204 6 Operation 2. Select the Print menu item. The printer prints the replay view of the event on printer paper (10 s from the time of the event, shown in abstract form here): 3. To stop printing manually: Select the Stop print xx s menu item.
Page 205: Analyzing Sessions
6 Operation 1. Select the Print session report menu item. The device prints the session report with all the details specified in the operator menu (abstract example shown here): When doing so, please note: • The device only prints a resuscitation report in the session report if a shock was delivered or a resuscitation mode (AED mode or manual mode) was activated for >...
Page 206 6 Operation 1. Select the Session archive menu item. The session archive appears: 2. Select the session by session time and the following criteria: • Resuscitation (defibrillation or cardioversion) carried out during the session: Yes in the CPR column • One or more 12-lead ECGs recorded during the session: Yes in the 12-lead column 3.
Page 207 6 Operation 4. Analyze the session in replay view on the device (see “6.17.2 Analyzing the session in replay view on the device (only with Replay view option)”, page 207). Alternatively: Analyze the 12-lead ECG of the session (see “6.17.3 Analyzing and delivering a 12-lead ECG of a session (only with 12-lead ECG option)”, page 209).
Page 208 6 Operation 1. Select the Replay view menu item. The device displays a selection of events during a session. 2. Select event. 3. Confirm with the OK function button. The device displays the event in replay view. 4. Select another ECG lead or the plethysmogram using the Curve function button.
Page 209 6 Operation 5. Use the Amplitude function button to adapt the amplitude scaling to adapt the displayed height of the ECG curve to the ECG measuring signal. 6. Use the Feed function button to adapt the feed rate of the ECG curve.
Page 210 1. Export session data from the internal memory to SD card (see “6.20.1 Exporting session data from the internal memory to SD card”, page 213). Alternatively: Upload session data to WEINMANN Connect (see “6.20.2 Uploading session data to WEINMANN Connect (only with Upload session data option)”, page 214). MEDUCORE Standard...
Page 211: Reprocessing The Device After Use
6 Operation 2. Analyze session data with the DEFIview PC software in accordance with the DEFIview instructions for use. Result The session data have been analyzed using the DEFIview PC software. 6.18 Reprocessing the device after use 1. Remove disposable articles from the patient and dispose of them: •...
Page 212: Uploading Data To An External Device Via Bluetooth ® Interface (Only With Bluetooth ® Data Transmission Option)
6 Operation 6.19 Uploading data to an external device ® via Bluetooth interface (only with ® Bluetooth data transmission option) ® Requirement • The Bluetooth data transmission option is enabled and activated (see “13.12 System settings”, page 342). ® • An external device with a Bluetooth interface (Example: System for digital patient data recording) is within range.
Page 213: Archiving Session Data
6 Operation 6.20 Archiving session data From 60 seconds after the start of a session, the device permanently saves session data to its internal memory and on the SD card if the SD card is in the SD card slot at the beginning of the session.
Page 214 • A default network has been configured (see “12.3 Configuring default network”, page 292). • The device has been registered with WEINMANN Connect (see “12.4 Registering the device with WEINMANN Connect”, page 298). • The device has been switched off for > 30 s.
Page 215 6. If desired: Deselect all sessions using the None function button. Alternatively: Select all sessions using the All function button. 7. Upload the selected session data to WEINMANN Connect using the Upload function button. When upload is successful, the symbol appears in the display.
Page 216: Using Service Data
6 Operation 6.21 Using service data Service data are device data which WEINMANN Emergency can use to analyze the device in the event of a fault. Service data do not contain any patient data. There are two options for making service...
Page 217 Removing the SD card”, page 93). 4. Insert the SD card in the SD card slot of a PC. 5. E-mail service data to WEINMANN Emergency Technical Service for further analysis. Result Service data have been exported to the SD card and made available to WEINMANN Emergency Technical Service.
Page 218: Disassembling
7 Disassembling Disassembling 7.1 Disassembling the power supply 7.1.1 Removing battery Requirement The device is switched off. 1. When used in a protective transport bag: • Open the left-hand side compartment of the protective transport bag. • Take components and accessories out of the side compartment.
Page 219 7 Disassembling 7.1.2 Disconnecting the device from line power Requirement The device is switched off. 1. When used in a protective transport bag: Open the rear of the device compartment of the protective transport bag. 2. Disconnect the charging adapter from the power supply connection.
Page 220 7 Disassembling 7.1.3 Disconnecting the device from the 12 V on-board power supply Requirement The device is switched off. 1. When used in a protective transport bag: Open the rear of the device compartment of the protective transport bag. 2. Disconnect the charging adapter from the power supply connection.
Page 221: Disassembling Defibrillation Electrodes/Paddles And Master Cable
7 Disassembling 7.2 Disassembling defibrillation electrodes/paddles and master cable Requirement • The device is switched off (see “6.2 Switching the device off”, page 119). • The device is disconnected from the patient. 1. When used in a protective transport bag: Open the viewing window and side compartments of the protective transport bag.
Page 222: Disassembling Pulse Oximetry Sensor And Pulse Oximetry Sensor Connecting Cable
7 Disassembling 4. Dispose of used defibrillation electrodes. 5. When used in a protective transport bag: Guide the master cable through the opening between the side compartment and the device compartment of the protective transport bag. Result The defibrillation electrodes/paddles and the master cable have been disassembled.
Page 223 7 Disassembling 3. Open the safety closure. 4. Disconnect the selected pulse oximetry sensor from the pulse oximetry sensor connecting cable. Result A pulse oximetry sensor and the pulse oximetry sensor connecting cable have been disassembled. MEDUCORE Standard...
Page 224: Disassembling Ecg Cable
7 Disassembling 7.4 Disassembling ECG cable Requirement • The device is switched off (see “6.2 Switching the device off”, page 119). • The device is disconnected from the patient. 1. Disconnect the selected ECG cable from the ECG connection on the device. MEDUCORE Standard...
Page 225: Disassembling The Nibp Cuff And Nibp Connecting Tube
7 Disassembling 2. If the 12-lead ECG extension cable is connected: Disconnect the 12-lead ECG extension cable from the ECG cable with connection for 12-lead ECG extension cable. 3. Disconnect the ECG electrodes from the ECG cable clips and dispose of them. Result An ECG cable has been disassembled.
Page 226 7 Disassembling 2. Disconnect the NIBP connecting tube with the selected NIBP cuff from the NIBP connection on the device. When doing so, please note: The latch of the NIBP connection must be pushed to the right to release the NIBP connecting tube from the NIBP connection.
Page 227: Disassembling The Device From The Protective Transport Bag And The Retaining Plate
7 Disassembling 3. Open the safety closure. 4. Disconnect the NIBP cuff from the NIBP connecting tube. 5. If necessary: Pass all tubes through the respective openings in the protective transport bag. Result An NIBP cuff and the NIBP connecting tube have been disassembled.
Page 228 7 Disassembling 5. Take the device on the retaining plate up out of the protective transport bag. 6. Put the device on the retaining plate on a smooth, firm surface with the control panel membrane facing down. 7. Undo the screws from the retaining plate. 8.
Page 229: Disassembling The Device From The Portable Unit
7 Disassembling Result The device has been disassembled from the protective transport bag and the retaining plate. 7.7 Disassembling the device from the portable unit Follow the instructions for use of the portable unit. MEDUCORE Standard...
Page 230: Hygienic Reprocessing
The following sections set out the procedures necessary for hygienic reprocessing. Read this chapter in full before starting hygienic reprocessing. If you have any questions regarding hygienic reprocessing, contact the manufacturer WEINMANN Emergency, or a technician expressly authorized by it. Risk of infection resulting from poor hygienic reprocessing!
Page 231 8 Hygienic reprocessing Disrupted and failed therapy due to incorrect use of disposables! Reusing and reprocessing disposables might induce unpredictable reactions as a result of aging, embrittlement, wear, thermal stress, and chemical action. This may put the functionality and safety of the device at risk, and cause the patient and user serious or life- threatening injury.
Page 232: Intervals
8 Hygienic reprocessing Failure of therapy due to disinfection by immersion, mechanical reprocessing and sterilization! If the device, or components or accessories not designed for these processes are subjected to disinfection by immersion, mechanical reprocessing or sterilization, they may be damaged. ...
Page 233: Cleaning Parts Manually
8 Hygienic reprocessing 3. Disassemble the pulse oximetry sensor and pulse oximetry sensor connecting cable (see “7.3 Disassembling pulse oximetry sensor and pulse oximetry sensor connecting cable”, page 222). 4. Disassemble the ECG cable (see “7.4 Disassembling ECG cable”, page 224).
Page 234 8 Hygienic reprocessing 3. Prepare the cleaning solution as specified by the cleaning agent manufacturer. 4. To remove all visible dirt: Brush parts thoroughly using a commercially available soft brush suitable for plastic and wetted with the cleaning agent. When doing so, please note: Uneven surfaces and grooves (e.g.
Page 235 8 Hygienic reprocessing 6. Surround cables/tubes firmly with the cloth and draw them through the cloth so that they are completely wetted. When doing so, please note: Stretch out coiled cables. 7. If visible dirt is still present: Repeat manual cleaning. 8.
Page 236: Disinfecting Parts By Wiping
8 Hygienic reprocessing 8.4 Disinfecting parts by wiping Requirement • Hygienic reprocessing is prepared (see “8.2 Preparing hygienic reprocessing”, page 232). • The parts have been cleaned manually and look clean (see “8.3 Cleaning parts manually”, page 233). 1. For parts approved for disinfection by wiping, refer to the cleaning and disinfection plan (see “8.7 Cleaning and disinfection plan”, page...
Page 237 8 Hygienic reprocessing • The attachments for large electrode surfaces must be removed to clean the attachments for small electrode surfaces (children/infants). 5. Surround cables/tubes firmly with the cloth and draw them through the cloth so that they are completely wetted. When doing so, please note: Stretch out coiled cables.
Page 238: Subjecting Bags To Hygienic Reprocessing
8 Hygienic reprocessing 8.5 Subjecting bags to hygienic reprocessing Requirement Hygienic reprocessing is prepared (see “8.2 Preparing hygienic reprocessing”, page 232). 1. For the agents, dose, and exposure time for the bags, refer to the cleaning and disinfection plan. 2. Soak the bag in mains water for at least 10 minutes. 3.
Page 239 8 Hygienic reprocessing When the device has been disassembled from the portable unit: Mount the device on the portable unit (see “4.1.2 Mounting the device on the portable unit”, page 76). 4. Stow components and accessories in the protective transport (see “4.2.1 Stowing components and accessories in the protective transport bag”, page 76).
Page 240: Cleaning And Disinfection Plan
8 Hygienic reprocessing 8.7 Cleaning and disinfection plan Carry out hygienic reprocessing according to the table below after every use: Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Device Wipe down with ®...
Page 241 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Power information Accu-Pack Wipe down with ® battery neodisher MediClean forte Wipe down all (Dr. Weigert). surfaces with Dose: Incidin™...
Page 242 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Defibrillation/cardioversion MCS2-Connect Wipe down with ® master cable neodisher MediClean forte Wipe down all MCS2-Hardpads (Dr. Weigert). surfaces with paddles Dose: Incidin™...
Page 243 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Pulse oximetry monitoring Wipe down with ® neodisher MediClean forte Wipe down all MCS2-Adapt (Dr. Weigert). surfaces with pulse oximetry Dose: Incidin™...
Page 244 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) 6-lead ECG monitoring/12-lead ECG recording and assessment MCS2-Line ECG Wipe down with ® cables (all neodisher versions) MediClean forte Wipe down all (Dr.
Page 245 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Printing Printer Printer battery Wipe down with ® neodisher Charging station MediClean forte Wipe down all for printer (Dr.
Page 246 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Bags and portable unit Printer case Wash in a washing Wipe down machine with no smooth surfaces spin cycle. ®...
Page 247 8 Hygienic reprocessing Manual cleaning Disinfection (only Disinfection Mechanical Part Sterilization necessary in by wiping reprocessing immersion the event of visible dirt) Accessories for training ECG simulator, 6-lead ECG, Wipe down with shockable ® neodisher ECG simulator, MediClean forte 12-lead ECG, (Dr.
Page 248: Application Menu
9 Application menu Application menu The application menu contains functions and settings which can be accessed quickly and easily during the session. 9.1 Navigating the application menu Requirement • The device is switched on (see “6.1 Switching on the device”, page 118).
Page 249: Menu Structure
9 Application menu 4. To exit the menu without making any entries: Select the Back menu item. Alternatively: Wait 3 seconds. Result Functions are carried out or settings are made. 9.2 Menu structure " & # ! &...
Page 250: Settings
9 Application menu 9.3 Settings Possible Parameter Description Factory setting values • AED mode adult: 15:2 (only in 30:2 manual and • AED mode child: AED modes, 15:2 child) • Manual mode: Metronome (only 30:2 (only in in manual and AED Here you can set the metronome rhythm.
Page 251 9 Application menu Possible Parameter Description Factory setting values 25 % Here you can set the volume of the device for 50 % the current session. The operator specifies 75 % Volume 75 % minimum volume (see “13.12 System 100 % settings”, page 342).
Page 252: User Menu
10 User menu 10 User menu The user menu contains functions and settings which affect the current session and which are not saved permanently as device presets (except: date and time settings). If the device was switched off for < 30 s and if, while switched on previously, patient measured values were determined or a manual event was saved, the settings made previously in the user menu are retained.
Page 253 10 User menu 3. Change the setting with the navigation knob and confirm. 4. To exit the menu: Select the Back function button. Alternatively: Press the menu button Result Settings are made and apply to the current session. MEDUCORE Standard...
Page 254: Menu Structure
10 User menu 10.2 Menu structure Alarm limit settings Heart rate ↑ Automatic alarm limits Heart rate ↓ Pulse rate ↑ Amplitude scaling Pulse rate ↓ Feed rate saturation ↑ Line filter saturation ↓ NIBP systolic ↑ NIBP systolic ↓...
Page 255: Settings
10 User menu 10.3 Settings 10.3.1 Alarm settings Risk of injury due to alarm limits which are too high or too low! Alarm limits which are either too high or too low may prevent the device triggering an alarm, thereby putting the patient at risk. ...
Page 256 10 User menu Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 120/min in increments of 5 30/min - 245/min, Heart rate 50/min Here you can set the upper in increments of 5 ( ) and lower ( ) limit 35/min - 250/min, values as of which the device Pulse rate...
Page 257 10 User menu Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 150/min in increments of 5 30/min - 245/min, Heart rate 50/min Here you can set the upper in increments of 5 ( ) and lower ( ) limit 35/min - 250/min, values as of which the device Pulse rate...
Page 258 10 User menu Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 200/min in increments of 5 30/min - 245/min, Heart rate 100/min Here you can set the upper in increments of 5 ( ) and lower ( ) limit 35/min - 250/min, values as of which the device Pulse rate...
Page 259 10 User menu 10.3.2 ECG settings 10-3 ECG settings submenu Parameter Possible values Description Factory setting Here you can set the amplification of the ECG signal and thus the Autom. height of the ECG curve. 2 mm/mV If the Autom. setting has been Amplitude scaling 5 mm/mV selected, the amplification of the...
Page 260 10 User menu 10.3.3 12-lead ECG settings (only with 12-lead ECG option) 10-4 12-lead ECG settings submenu Parameter Possible values Description Factory setting 50 Hz Here you can set a low-pass filter to Low-pass filter 150 Hz 150 Hz filter out artifacts. Here you can set the sequence in which the leads are displayed in 12-lead ECG function mode:...
Page 261 10 User menu 10.3.4 SpO settings 10-5 SpO settings submenu Parameter Possible values Description Factory setting 12.5 mm/s Here you can set the feed rate of the Feed rate 25 mm/s curve display and so change 25 mm/s 50 mm/s the time resolution.
Page 262 10 User menu 10.3.5 Printer settings (only with Printing option) 10-6 Printer settings submenu Parameter Possible values Description Factory setting 12.5 mm/s Here you can set the feed rate at Feed rate 25 mm/s which the printer prints a live 25 mm/s 50 mm/s printout and a replay printout.
Page 263 10 User menu 10.3.6 Communication settings 10-7 Communication settings submenu Parameter Possible values Description Factory setting Activated Here you can activate or deactivate Airplane mode all the wireless interfaces of the Deactivated Deactivated device (example: WiFi interface). Here you can select a network configured in the operator menu as Select network the default network.
Page 264 10 User menu 10.3.7 System settings 10-8 System settings submenu Possible Factory Parameter Description values setting 10 %-100 %, in Here you can set the display Brightness 70 % 10 % increments brightness. Year Here you can set the date and time.
Page 265 10 User menu Possible Factory Parameter Description values setting Here you can find out the telephone number the Telephone operator has assigned to the contact device (example: The number for a cellphone on the emergency vehicle). Here you can find out the device serial number.
Page 266 Device software software version is currently information installed on the device. Here you can upload the device service data to Upload service WEINMANN Emergency. If data to you cancel the process, the WEINMANN menu item is grayed out Service briefly.
Page 267 10 User menu Parameter Possible values Description Factory setting Here you can have all the sessions saved in the internal memory of the device displayed (approx. the last 9.5 h). The following actions are possible for any session: • Analyze the session in replay view on the device (only with Replay view option) (see...
Page 268: Alarms And Faults
11 Alarms and faults 11 Alarms and faults 11.1 General instructions The device emits an alarm as long as the cause continues to exist. Once the cause of the alarm no longer exists, the device no longer emits the alarm. Some alarms are excepted from this. The duration of these alarms is marked in the tables.
Page 269 11 Alarms and faults 11-1 Alarm line with VF/VT alarm (example) The device displays alarms as follows: • As text in the alarm line in the display • As audio alarm tones (via the loudspeaker) • With the alarm light (in the top right-hand corner on the front of the device) Alarms are outputted according to their priority: Type of alarm...
Page 270 11 Alarms and faults Type of alarm Medium High priority Low priority signal priority Audio alarm Number of pulses 5 Duration of 120 ms 200 ms 200 ms pulses Pulse interval 240 ms 200 ms Not applicable Pulse frequency 480 Hz 840 Hz 1200 Hz Alarm light...
Page 271: Alarm Messages
11 Alarms and faults 11.2 Alarm messages 11.2.1 High-priority alarm (red) Alarm Cause Remedy Act in accordance with currently applicable guidelines. Asystole detected Asystole If medically indicated, carry out suitable treatment. Let the device run on battery power without line power until it switches off.
Page 272 11 Alarms and faults Alarm Cause Remedy Act in accordance with currently applicable guidelines. Ventricular fibrillation or Switch to AED mode or manual VF/VT* ventricular tachycardia detected mode and carry out defibrillation, if medically indicated (see 6.5, p. 122). * In the operator menu, the device can be preset so that the VF/VT alarm can be deactivated and activated by the user.
Page 273 11 Alarms and faults Alarm Cause Remedy Internal ECG module defective Have the device repaired. ECG module defective Check connection to network (see Server not accessible 12.3, p. 292). Check preset e-mail recipient (see 12.5, p. 299). E-mail delivery error Check connection to network (see (Alarm deactivated after 60 s)
Page 274 11 Alarms and faults Alarm Cause Remedy If medically indicated, carry out suitable treatment. Measured diastolic blood pressure NIBP diastolic is below the set lower alarm limit (Alarm deactivated after 10 s) Adapt alarm limits (see 10.3.1, p. 255). • Make sure that the patient lies still during the measurement.
Page 275 11 Alarms and faults Alarm Cause Remedy • Make sure that the patient lies still during the measurement. • Rule out the risk of patient vibration. • Use a suitable size of NIBP Unable to detect pulse wave signal NIBP signal disrupted cuff.
Page 276 Internal SpO module defective Have the device repaired. module defective Unknown defibrillation electrodes Only use defibrillation electrodes connected to the master cable from WEINMANN Emergency. Unknown defibrillation Unknown paddles connected to Only use paddles from electrodes the master cable WEINMANN Emergency.
Page 277 11 Alarms and faults 11.2.3 Low-priority alarm (turquoise) Alarm Cause Remedy Line power too low Line power disconnected by Battery operation Restore line power. (Alarm deactivated after 10 s) removing from the wall mounting Power outage Pulse oximetry sensor not Attach pulse oximetry sensor to attached/not attached correctly to the patient correctly...
Page 278: Faults
11.3 Faults If you are unable to remedy faults with the aid of the table, you should contact the manufacturer WEINMANN Emergency, or technicians expressly authorized by WEINMANN Emergency, to have the device repaired. To avoid more serious damage, do not continue using the device.
Page 279 11 Alarms and faults 11.3.1 Device Fault Cause Remedy Battery not correctly inserted in Check battery. device, or battery empty Device cannot be switched on Battery empty and device not Check power supply. connected to line power Device defective Have the device repaired. Press and hold On/Off button Operating error for at least 2 s.
Page 280 11 Alarms and faults Fault Cause Remedy Increase volume in application menu (see 9, p. 248). Alarm output too quiet Volume set to 25 % Increase volume preset in operator menu (see 13.12, p. 342). Battery empty and device not Check power supply.
Page 281 11 Alarms and faults Fault Cause Remedy Charge battery within permitted Battery temperature < 0 °C or temperature range (see 18.5, p. Battery not charging although it is > 45 °C 371). not full Battery defective Replace battery. Check battery. Battery not inserted correctly in charging station Insert battery correctly.
Page 282 11 Alarms and faults 11.3.4 6-lead ECG monitoring/12-lead ECG recording and assessment Fault Cause Remedy Check plug connection. The Plug in ECG connector Device not detecting connected alarm occurs although the ECG Change ECG cable. ECG cable cable is connected to the device Have the device repaired.
Page 283 11 Alarms and faults 11.3.5 Pulse oximetry monitoring Fault Cause Remedy Check plug connection. Change pulse oximetry sensor The Plug in SpO sensor alarm Device does not detect connected connecting cable. occurs although the pulse oximetry pulse oximetry sensor sensor is connected to the device Change pulse oximetry sensor.
Page 284 11 Alarms and faults Fault Cause Remedy Remove or reduce light source. Protect pulse oximetry sensor from light incidence. Attach pulse oximetry sensor to Strong ambient light or direct light, another site which is better UV light or infrared light protected from light.
Page 285 11 Alarms and faults 11.3.6 Non-invasive blood pressure measurement (NIBP monitoring) Fault Cause Remedy Reattach NIBP cuff (see 6.12.1, p. NIBP cuff attached incorrectly 182). NIBP cuff leaking Replace the NIBP cuff. Adapter tube for connecting Connect adapter tube for disposable NIBP cuffs not connecting disposable NIBP cuffs correctly.
Page 286 11 Alarms and faults 11.3.7 Printing Fault Cause Remedy Wait until e-mail delivery 12-lead E-mail delivery 12-lead ECG or ECG or network data transmission network data transmission is finished. If necessary: Switch the occurring in parallel printer on again. Printer not connecting to the Put printer within range of the device Poor reception quality...
Page 287 Unable to connect network connected to the Internet. Check whether port 443 is enabled. Request connection data for the network from the system administrator. Register the device with Device not registered with WEINMANN Connect (see 12.4, p. WEINMANN Connect 298). MEDUCORE Standard...
Page 288 Configure default network (see 12.3, p. 292). Function check is not uploaded to Check whether network is WEINMANN Connect Unable to connect network connected to the Internet. Check whether port 443 is enabled. Request connection data for the network from the system administrator.
Page 289 Configure default network (see 12.3, p. 292). Service data are not uploaded to Check whether network is WEINMANN Emergency Unable to connect network connected to the Internet. Check whether port 443 is enabled. Request connection data for the network from the system administrator.
Page 290: Configuration By The Operator
12 Configuration by the operator 12 Configuration by the operator 12.1 Enabling options Requirement There is an enable code for a new option. 1. Activate the operator menu (see “13.1 Activating the operator menu”, page 307). 2. Select System settings | Enable options | Enter enable code.
Page 291 12 Configuration by the operator 5. Select Printer settings | Pair printer. The device displays printers available in the vicinity. 6. If necessary: Cancel printer search and connection setup by pressing the Cancel function button. 7. If several printers are available: Briefly press the On/Off button of the printer.
Page 292: Configuring Default Network
12 Configuration by the operator 13. Check the printer connection log and confirm successful printout with the OK function button. 14. Exit operator menu. Result A printer has been paired with the device. From now on, the device will always set up a connection to this printer automatically when the device and printer are switched on and are within range.
Page 293 12 Configuration by the operator 12.3.1 Activating the WiFi interface 1. Activate the operator menu (see “13.1 Activating the operator menu”, page 307). 2. Select System settings | Regional settings | Network region. 3. Select network region. 4. Select the Back function button 2x. 5.
Page 294 12 Configuration by the operator 12.3.2 Add network automatically Requirement The WiFi interface of the device has been activated (see “12.3.1 Activating the WiFi interface”, page 293). 1. Select the Add network automatically menu item. When doing so, please note: Some smartphones automatically switch off the WiFi hotspot.
Page 295 12 Configuration by the operator New risks from integrating the device in an IT network! When integrating the device in an IT network, new risks may arise for patients, users or third parties which need to be determined, analyzed, and managed. ...
Page 296 12 Configuration by the operator 12.3.3 Adding network manually Requirement • The WiFi interface of the device has been activated (see “12.3.1 Activating the WiFi interface”, page 293). • The network configuration of the network to be added manually is known. 1.
Page 297 12 Configuration by the operator 2. Make the settings for the network. 3. Select the Add network menu item. 4. Confirm with the OK function button. The network is added as an available network. Result A network has been manually configured for the device. 12.3.4 Specifying a network as the default network Requirement •...
Page 298: Registering The Device With Weinmann Connect
2. Log in to WEINMANN Connect at www.weinmann- connect.com using the user account data (in accordance with the WEINMANN Connect user manual). 3. Add a new device to WEINMANN Connect in accordance with the WEINMANN Connect user manual. When doing so, please note: A WEINMANN Connect registration code is generated for the device.
Page 299: Configuring E-Mail Delivery 12-Lead Ecg (Only With E-Mail Delivery 12-Lead Ecg Option)
12 Configuration by the operator 7. When registration is successful: Confirm with OK. Result The device has been registered with WEINMANN Connect. The device can upload data to WEINMANN Connect with immediate effect. 12.5 Configuring e-mail delivery 12-lead ECG (only with E-mail delivery 12-lead...
Page 300 12 Configuration by the operator • The device has been registered with WEINMANN Connect (see “12.4 Registering the device with WEINMANN Connect”, page 298). 1. Activate the operator menu (see “13.1 Activating the operator menu”, page 307). 2. Select Communication settings | E-mail delivery 12-lead ECG.
Page 301 12 Configuration by the operator 8. Test e-mail delivery in accordance with the instructions in the display. When doing so, please note: The duration for setting up the connection and delivering the e-mail may vary depending on reception quality. 9. Confirm with OK. 10.
Page 302: Pairing The Device With An External Device Via The
12 Configuration by the operator 12.6 Pairing the device with an external ® device via the Bluetooth interface ® (only with Bluetooth data transmission option) ® Requirement • The Bluetooth data transmission option is enabled and activated (see “13.12 System settings”, page 342).
Page 303: Transferring The Device Configuration To Another Device
12 Configuration by the operator 12.7 Transferring the device configuration to another device Using the device’s SD card, you can transfer device settings saved in the operator menu to another device. Risk of injury from different alarm presets in the same or similar devices! Different alarm presets in the same or similar devices in different application areas may confuse the user and result in injury to the...
Page 304: Carrying Out A Software Update
12 Configuration by the operator 12.8 Carrying out a software update Requirement • A charged battery is inserted in the device. • The device is connected to line power. • The device is switched off and an SD card with new software is in the SD card slot.
Page 305 12 Configuration by the operator 9. Activate the operator menu (see “13.1 Activating the operator menu”, page 307). 10. Select Device information | Device. The device displays the installed software version. 11. Press and hold the On/Off button for at least 2 s to switch off the device and save the settings.
Page 306: Operator Menu
13 Operator menu 13 Operator menu Risk of injury due to incorrectly set parameters or too few/too many enabled functions in the operator menu! Incorrectly set parameters or too few/too many enabled functions in the operator menu may result in incorrect settings in the user menu or too limited/too extensive device functions.
Page 307: Activating The Operator Menu
13 Operator menu Examples: • Enable options (see “12.1 Enabling options”, page 290) • Configure default network (see “12.3 Configuring default network”, page 292) • Configure e-mail delivery 12-lead ECG (see “12.5 Configuring e-mail delivery 12-lead ECG (only with E-mail delivery 12-lead ECG option)”, page 299) •...
Page 308 Restart device. The operator menu is protected by an access code. When the device is supplied, this code is 000000. WEINMANN Emergency urgently recommends changing this access code when the device is put into operation. As long as the access code has not been changed, the Update operator menu access code alarm is outputted for 10 seconds.
Page 309: Navigating The Operator Menu
13 Operator menu 5. If any digit is entered incorrectly: Wait 5 s. Alternatively: Fill all fields with values and select Cancel. Alternatively: When input of all numerals is complete, select an individual digit and correct it. Result The operator menu is activated. 13.2 Navigating the operator menu Requirement The operator menu is activated...
Page 310: Aed Settings
13 Operator menu 4. Restart device. Result Settings have been made and apply to all sessions. 13.3 AED settings You can make presets for AED mode in the AED settings submenu. The factory settings are selected to meet currently applicable ERC guidelines.
Page 311 13 Operator menu 13.3.1 Menu structure "##" Adult AED settings Child First shock ! "##" AED settings Energy progression Further shocks Pictograms in parameter view $ "##" Duration ' &# $ Charging during CPR phase !# # analysis Pause for ventilation "##"...
Page 312 13 Operator menu 13.3.2 Possible values Possible Factory Parameter Description values setting Adult AED settings/Child AED settings • AED mode Here you can set the shock adult: 150 J First shock energy of the first shock in • AED mode AED mode.
Page 313 13 Operator menu Possible Factory Parameter Description values setting Adult AED settings/Child AED settings Here you can set whether the Activated voice prompts for guiding chest compressions and for CPR voice ventilation are to be given. Deactivated prompts Deactivated The voice prompt Ventilate twice is only given if the metronome is set to the rhythm 15:2/30:2.
Page 314: Alarm Settings
13 Operator menu Possible Factory Parameter Description values setting Adult AED settings/Child AED settings Activated Here you can set whether Start analysis cardiac rhythm analysis starts Activated automatically Deactivated automatically, or manually at the touch of a button. Activated Here you can set whether pictograms instead of Pictograms in parameters are displayed in...
Page 315 13 Operator menu You can make presets for the alarm system in the Alarm settings submenu. The factory settings are selected to meet the guidelines required by the standards and achieve a high level of safety. Changes to the alarm settings may lead to an increased risk for the user and the patient, for example if the alarm limit range is expanded or if Pause audio is extended.
Page 316 13 Operator menu 13.4.1 Menu structure Heart rate ↑ "##" Heart rate ↓ ! "##" Pulse rate ↑ Pulse rate ↓ Adult alarm limit settings $ "##" saturation ↑ ' &# $ !# # saturation ↓ Child alarm limit settings NIBP systolic ↑...
Page 317 13 Operator menu 13.4.2 Possible values Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 120/min in increments of 5 Here you can set the upper 30/min - 245/min, Heart rate 50/min ( ) and lower ( ) limit in increments of 5 values for the patient group 35/min - 250/min,...
Page 318 13 Operator menu Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 150/min in increments of 5 Here you can set the upper 30/min - 245/min, Heart rate 50/min ( ) and lower ( ) limit in increments of 5 values for the patient group 35/min - 250/min, as of which the device is to...
Page 319 13 Operator menu Possible Factory Parameter Description values setting 35/min - 250/min, Heart rate 200/min in increments of 5 Here you can set the upper 30/min - 245/min, Heart rate 100/min ( ) and lower ( ) limit in increments of 5 values for the patient group 35/min - 250/min, as of which the device is to...
Page 320 13 Operator menu Possible Factory Parameter Description values setting Here you can set the time after which a reminder signal 1 min Reminder signal - is to remind you that audio 2 min 2 min alarm output is paused or 5 min muted.
Page 321: Manual Mode Settings (Only With Manual Defibrillation Option)
13 Operator menu 13.5 Manual mode settings (only with Manual defibrillation option) You can make presets for shock energies in the Manual mode settings submenu. The factory settings are selected to meet currently applicable ERC guidelines. Adjustments to manual mode settings may result in the user no longer being supported in compliance with currently applicable ERC guidelines.
Page 322 13 Operator menu 13.5.1 Menu structure "##" ! "##" Adult Shock energy $ "##" ' &# $ Metronome Child !# # Infant Metronome frequency "##" Pause for ventilation Defibrillation after cardioversion (only with "##" Cardioversion option) "##"...
Page 323 13 Operator menu 13.5.2 Possible values Possible Factory Parameter Description values setting Here you can set what Shock energy 1 J to 200 J defibrillation energy is to be 150 J preset in manual mode. 15:2 Here you can set the Metronome 30:2 metronome rhythm.
Page 324: Ecg Settings
13 Operator menu 13.6 ECG settings In the ECG settings submenu, you can make the presets for showing ECG curves in the display. 13-7 ECG settings submenu MEDUCORE Standard...
Page 325 13 Operator menu 13.6.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # Amplitude scaling "##" Feed rate Line filter "##" "##" !#! "##" ' &# !# # "##" ' &# # $# "##"...
Page 326 13 Operator menu 13.6.2 Possible values Possible Parameter Description Factory setting values Autom. 2 mm/mV Here you can set the amplification of the Amplitude scaling 5 mm/mV ECG signal and thus the height of the Autom. 10 mm/mV ECG curve. 20 mm/mV 12.5 mm/s Here you can set the feed rate of the ECG...
Page 327: Spo 2 Settings
13 Operator menu 13.7 SpO settings In the SpO settings submenu, you can make the presets for display of the plethysmogram and output of the pulse tone. 13-9 SpO settings submenu MEDUCORE Standard...
Page 328 13 Operator menu 13.7.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # "##" Feed rate "##" Pulse tone priority "##" !#! "##" ' &# !# # "##" ' &# # $# "##"...
Page 329: Nibp Settings
13 Operator menu 13.7.2 Possible values Parameter Possible values Description Factory setting 12.5 mm/s Here you can set the feed rate of the Feed rate 25 mm/s curve display and so change 25 mm/s 50 mm/s the time resolution. Activated Here you can set whether pulse tone is to take priority over heart rate tone.
Page 330 13 Operator menu 13.8.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # "##" Adult Initial "##" cuff pressure Child Interval Infant "##" Venous stasis pressure !#! "##" Venous stasis duration ' &# !# # "##"...
Page 331 13 Operator menu 13.8.2 Possible values Possible Factory Parameter Description values setting 120 mmHg - Adult 280 mmHg, 180 mmHg in increments of 5 Here you can set the NIBP 80 mmHg - cuff pressure to which the Initial cuff Child 170 mmHg, device must inflate the NIBP...
Page 332: Printer Settings (Only With Printing Option)
13 Operator menu 13.9 Printer settings (only with Printing option) In the Printer settings submenu, you can make the presets for the printer and connect the device to a printer. 13-13 Printer settings submenu MEDUCORE Standard...
Page 333 13 Operator menu 13.9.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # "##" "##" Session report Automatic stop print "##" Feed rate !#! "##" Defibrillation report ' &# !# # Pair printer "##"...
Page 334 13 Operator menu 13.9.2 Possible values Possible Factory Parameter Description values setting Resuscitation report Resuscitation Vital signs Here you can set the details report Session report Events the session report contains. Vital signs Events and vital Events signs Here you can set the time Automatic stop after which printing of a live 5 s to 120 s...
Page 335: 12-Lead Ecg Settings (Only With 12-Lead Ecg Option)
13 Operator menu 13.10 12-lead ECG settings (only with 12- lead ECG option) You can make presets for the 12-lead ECG in the 12-lead ECG settings submenu. 13-15 12-lead ECG settings submenu MEDUCORE Standard...
Page 336 13 Operator menu 13.10.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # "##" "##" "##" !#! "##" ' &# !# # Low-pass filter "##" Amplitude scaling ' &# # Feed rate...
Page 337 13 Operator menu 13.10.2 Possible values Possible Factory Parameter Description values setting 50 Hz Here you can set a low-pass Low-pass filter 150 Hz 150 Hz filter to filter out artifacts. 2 mm/mV Here you can set the 5 mm/mV amplification of the ECG Amplitude scaling - 10 mm/mV...
Page 338: Communication Settings
12-lead ECG (only with E-mail delivery 12-lead ECG option)”, page 299) • Upload session data to WEINMANN Connect (see “6.20.2 Uploading session data to WEINMANN Connect (only with Upload session data option)”, page 214) • Register the device with WEINMANN Connect (see “12.4 Registering the device with WEINMANN Connect”, page 298)
Page 339 !#! "##" ' &# !# # View "##" ' &# Upload session data # $# "##" Register device with '"# "##" WEINMANN Connect % !# 13-18 Operator menu: Communication settings submenu MEDUCORE Standard...
Page 340 13 Operator menu 13.11.2 Possible values Possible Factory Parameter Description values setting Activated Here you can activate or Activate network deactivate the WiFi interface Deactivated Deactivated of your device. Here you can search for an Add network available network and automatically automatically add it as the default network.
Page 341 Manual data you select are Manual data Automatic automatically uploaded to WEINMANN Connect. Here you can enter the Register device registration code generated with WEINMANN by WEINMANN Connect in Connect order to register your device with WEINMANN Connect. MEDUCORE Standard...
Page 342: System Settings
13 Operator menu 13.12 System settings You can make presets for the system in the System settings submenu. 13-19 System settings submenu MEDUCORE Standard...
Page 343 Session data upload "##" Operator menu Disable functions Manual mode !#! "##" (optional) ' &# !# # Upload service data to WEINMANN Cardioversion (optional) Export service data "##" Service to SD card Curve view ' &#...
Page 344 13 Operator menu 13.12.2 Possible values Possible Factory Parameter Description values setting Here you can enter the device name, the location of the device or some other identification. The device name appears on the MEDUCORE Device name printout and in the PDF of the Standard2 12-lead ECG.
Page 345 13 Operator menu Possible Factory Parameter Description values setting 25 % - 100 %, Here you can set the volume Volume in increments of 75 % of the device. 25 % - 100 %, Here you can specify the Minimum volume - in increments of minimum volume which can 25 %...
Page 346 13 Operator menu Possible Factory Parameter Description values setting Operator menu Here you can disable functions for the user and Manual mode protect them from (only with unauthorized access using an Manual individual access code. When defibrillation doing so, please note: option) •...
Page 347 Factory Parameter Description values setting Here you can upload your device service data to Upload service WEINMANN Emergency. If data to you cancel the process, the WEINMANN menu item is grayed out briefly. Here you can export your Export service...
Page 348 13 Operator menu Possible Factory Parameter Description values setting Here you can set whether the Activated paddles are included in the function check. If you Function check activate paddles on the Deactivated including paddles Deactivated device, the function check including paddles will be activated automatically.
Page 349: Device Information
13 Operator menu 13.13 Device information You will find information about the device and the battery in the Device information submenu. 13-21 Device information submenu MEDUCORE Standard...
Page 350 13 Operator menu 13.13.1 Menu structure "##" ! "##" $ "##" ' &# $ !# # "##" "##" "##" !#! "##" ' &# !# # "##" ' &# # $# "##"...
Page 351 13 Operator menu 13.13.2 Information displayed Information Description displayed Device Here you can find out the telephone number which the operator has assigned to Telephone contact the device for teleconsulting queries. Here you can find out the device serial number. This is also located on the device Serial number information label.
Page 352: Maintenance
14 Maintenance 14 Maintenance Risk of injury from impaired device functions or defects, lack of testing and excessive service life! If the device is not correctly tested, or is operated for too long, impaired device functions, deviations or defects may occur. The device cannot be used correctly, and may injure the patient and the user.
Page 353: Sending In The Device
 Do not send in parts which are potentially contaminated. 1. Disassemble parts. 2. Clean and disinfect parts (see “8 Hygienic reprocessing”, page 230). 3. Send parts to WEINMANN Emergency or to technicians expressly authorized by WEINMANN Emergency. MEDUCORE Standard...
Page 354: Storage
15 Storage 15 Storage Disrupted or failed therapy due to device being defective or not ready for use following incorrect storage! Incorrect storage may damage the device, components, and accessories, and lead to disruption or failure of therapy. This may cause serious or life-threatening injury to the patient.
Page 355: Storing The Battery
15 Storage 15.2 Storing the battery Requirement • The device and the battery have been cleaned and disinfected (see “8 Hygienic reprocessing”, page 230). • The battery is fully charged. • If available: The replacement battery is fully charged. 1. Insert the battery in the battery compartment and store the device in a dry place.
Page 356: Storing Printer
15 Storage 15.3 Storing printer Delayed therapy due to incorrect storage of the printer! Storage outside the specified ambient conditions may lead to printer malfunctions or damage the printer. This may delay the patient’s therapy.  Always store the printer within the specified ambient conditions.
Page 357: Disposal
Electronic waste poses an environmental hazard, and must be subjected to proper disposal.  Do not dispose of electronic waste in domestic waste.  Contact WEINMANN Emergency or a licensed, certified electronic waste dealer for proper disposal. The following products are categorized as electronic waste: •...
Page 358: Battery/Printer Battery
Used batteries are a risk to the environment and must be subjected to proper disposal.  Do not dispose of used batteries in domestic waste.  Contact WEINMANN Emergency or a licensed, certified electronic waste dealer for proper disposal. 16.3 Plastics Dispose of plastics in a proper manner applicable to plastics at the end of their useful lives.
Page 359: Scope Of Supply
17 Scope of supply 17 Scope of supply 17.1 Version supplied (example) This sub-section describes just one version supplied. Functions, accessories, and other parts depend on the version purchased, and are not available in every case. Medical devices and accessories are marked with a UDI-DI. Other parts do not have a UDI-DI.
Page 360: Accessories And Other Parts
17 Scope of supply Supplementary Designation UDI-DI Article no. information SD card, 32 GB – – WM 39510 Function test resistor – – WM 45428 MEDUCORE Standard – – WM 68401 instructions for use 17.2 Accessories and other parts This sub-section describes accessories and other parts in accordance with the Medical Device Regulation (MDR).
Page 361 MCS2-Softpads defibrillation electrodes – – WM 45419 for children Set of 12, electrode gel – – WM 14292 Pulse oximetry monitoring (WEINMANN Emergency) MCS2-Adapt pulse oximetry sensor – 04054685265953 WM 45430 connecting cable MCS2-SoftTip pulse Reusable 04054685265960 WM 45431...
Page 362 17 Scope of supply Supplementary Designation UDI-DI Article no. information Set of 24, MCS2-Wrap pulse oximetry sensor, Disposable 04054685266776 WM 45436 adult Set of 24, MCS2-Wrap pulse oximetry sensor, Disposable 04054685266783 WM 45437 infant Set of 24, MCS2-Wrap pulse oximetry sensor, Disposable 04054685266790 WM 45439...
Page 363 17 Scope of supply Supplementary Designation UDI-DI Article no. information MCS2-Line ECG cable, – 04054685265229 WM 45453 AHA, 2 m MCS2-Line ECG cable, – 04054685265236 WM 45454 AHA, 3 m MCS2-Line ECG cable with connection for 12- – 04054685275112 WM 45457 lead ECG extension cable, AHA, 2.4 m MCS2-Line ECG cable...
Page 364 17 Scope of supply Supplementary Designation UDI-DI Article no. information NIBP cuff, adult, 38- 50 cm thigh Reusable – WM 45466 circumference Adapter tube for connecting NIBP – – WM 45467 disposable cuffs for neonates Set of 20, NIBP cuff, neonate, size 1, 3-6 cm Disposable –...
Page 365 17 Scope of supply Supplementary Designation UDI-DI Article no. information Printing Set, printer* – – Comprising: Printer Third-party product – Printer battery Third-party product – WM 45640 Charging station for printer battery with – – power supply unit and charger Printer case –...
Page 366 17 Scope of supply Supplementary Designation UDI-DI Article no. information Raised countersunk head – – WM 51398 screw ISO 7047 M4 x 8 DEFIview PC software – – WM 45120 Kit, mounting elements – – WM 17806 SD card, 32 GB –...
Page 367: Technical Data
18 Technical data 18 Technical data 18.1 Device Risk of injury due to ignoring the technical data of components and accessories! The technical data of components and accessories may differ from device technical data. Ignoring the technical data of components and accessories may injure the patient, the user, and bystanders.
Page 368 Mechanical resistance to falls Electromagnetic compatibility (EMC) Test parameters and limit values can be requested from the acc. to EN 60601-1-2: manufacturer WEINMANN Emergency if required. Radio interference suppression EN 55011 Radio interference immunity EN 61000-4 (parts 2 to 6, 8, and 11)
Page 369 18 Technical data Specification Device EUROCAE ED-14G (RTCA DO 160 G), Section 21, Category M Electromagnetic compatibility (EMC) in EUROCAE ED-14G (RTCA DO 160 G), Section 20, Category T accordance with EN 60601-12 and The device is not intended for connection to the power supply EUROCAE ED-14G (RTCA DO 160 G) network in aircraft in accordance with RTCA DO 160 G.
Page 370: Defibrillation Electrodes
18 Technical data Specification Device EN 60601-1 EN 60601-1-2 EN 60601-1-6 EN 60601-1-8 EN 60601-1-12 EN 60601-2-4 EN 60601-2-25 Standards used EN 60601-2-27 EN 60601-2-49 EN 80601-2-30 EN 80601-2-61 EN 1789 EUROCAE ED-14G (RTCA DO 160 G) MIL-STD 810 G Resuscitation report ERC 2015 Service life...
Page 371: Master Cable
18 Technical data 18.4 Master cable Specification Master cable Service life 5000 connector/connection cycles 18.5 Battery Specification Battery Type Li-ion Dimensions (W x H x D) 97 mm x 127 mm x 33 mm Weight 450 g Shock capacity (at 20 °C with new and fully charged 350 shocks at 200 J battery) Monitoring capacity...
Page 372: Charging Station
-30 °C to +70 °C • Humidity 5 % rh to 95 % rh, no condensation Short circuit resistance • WEINMANN Emergency-specific plug connection Connection to power supply network • Hard-wired power connection on the rear of the charging station for on-board power supply Electromagnetic compatibility (EMC) acc.
Page 373 18 Technical data Specification Printer and printer paper • LCD display with blue background illumination Display • Resolution 128 pixels x 32 pixels Printer Degree of protection against • Ingress of solid objects IP54: Protected against dust and splashes • Ingress of dust •...
Page 374: Cardiobiphasic Defibrillation System
18 Technical data 18.9 CARDIObiphasic defibrillation system Specification Defibrillation system Semi-automatic (AED mode) Operating mode Manual (manual mode) Shock form Biphasic, current-limited, impedance-compensated Patient impedance: Maximum 200 Ω Minimum 5 Ω Adjustable: Energy progression: Shock sequence • First shock: 1 J to 200 J •...
Page 375: 6-Lead Ecg Monitoring/12-Lead Ecg Recording And Assessment
18 Technical data 18.10 6-lead ECG monitoring/12-lead ECG recording and assessment 6-lead ECG monitoring/12-lead ECG Specification recording and assessment Maximum patient impedance 500 kΩ Detected heart rate (with ECG derivation via ECG 30 bpm to 250 bpm cable or derivation via defibrillation electrodes) Suitability for direct use on the heart Type CF Displayed heart rates with pacemaker pulses (with...
Page 376: Cardiologic Ecg Analysis System
18 Technical data 6-lead ECG monitoring/12-lead ECG Specification recording and assessment Response time of heart rate display: Steep rise 80/min to 120/min: 4.5 s Steep drop 80/min to 40/min: 8 s • Signal A1: 40/min Displayed heart rate for varying ECG complexes •...
Page 377 18 Technical data The performance of the rhythm detector was validated with a representative cross-section of ECG data from the following databases: • Creighton University Ventricular Tachyarrhythmia Database • American Heart Association ECG Database • MIT-BIH Malignant Ventricular Arrhythmia Database Effectiveness results are shown in the tables below: Objectives for Rhythms...
Page 378 18 Technical data These parameters were determined on the basis of the following data: Non-shockable rhythms (normal sinus rhythm (NSR), Shockable supraventricular tachycardia (SVT), atrial fibrillation/flutter signals (AF), ventricular extrasystoles (PVC), pacemaker ECG) Shock 1165 (A) 11 (B) No shock 31 (C) 3059 (D) A = Number of correct positive decisions...
Page 379: Pulse Oximetry Monitoring
18 Technical data 18.12 Pulse oximetry monitoring The statistical distribution of the measured values of pulse oximetry sensors means that an average of two-thirds of all measurements are within the ±A value of CO-oximeters as a reference method (see table). To determine bpm accuracy, comparative measurements were carried out with an original sensor and original monitor.
Page 380: Non-Invasive Blood Pressure Measurement (Nibp Monitoring)
18 Technical data 18.13 Non-invasive blood pressure measurement (NIBP monitoring) Non-invasive blood pressure Specification measurement Manufacturer SunTech Medical Oscillometric, diastolic values correspond to phase 5 Measuring method Korotkoff sounds Measurement range (systolic): • Adults 40 mmHg to 260 mmHg • Children 40 mmHg to 230 mmHg •...
Page 381: Alarm Delay Times
18 Technical data 18.15 Alarm delay times Alarm Delay time 10.0 s Battery defective 10.0 s Insert battery Asystole • Patient is connected with this condition 9.6 s • Patient already connected 8.5 s 10.0 s ECG module defective Heart rate (with derivation via defibrillation electrodes) •...
Page 382: Saving Of Session Data
18 Technical data 18.16 Saving of session data Storage medium Memory hours assuming typical use Internal device memory (100 MB)* 9 h 30 min SD card WM 39510 (32 GB)* 1675 h * Since different curve forms can be compressed to differing degrees, the actual number of storage hours may deviate.
Page 383 18 Technical data Risk of injury from overly powerful high-frequency interference signals or electromagnetic fields! Overly strong high-frequency interference signals from portable high-frequency communications equipment (e.g. radios) or electromagnetic fields may lead to incorrect analysis, incorrect measurement results, and incorrect alarms, and thus impair the functioning of the device and injure the patient.
Page 384 18 Technical data Electromagnetic emission Electromagnetic emission MEDUCORE Standard is designed for operation in the electromagnetic environment described below. The operator or the user must ensure that he or she operates MEDUCORE Standard in an environment of this kind. Emission Compliance Electromagnetic environment guidelines measurements...
Page 385 18 Technical data Electromagnetic immunity Conducted interference induced 0.15 MHz to 80 MHz 0.15 MHz to 80 MHz by high-frequency fields acc. to 6 V in the ISM bands between 6 V in the ISM bands between IEC 61000-4-6 0.15 MHz and 80 MHz 0.15 MHz and 80 MHz 80 % AM at 1 kHz 80 % AM at 1 kHz...
Page 386: The Cardiobiphasic Shock Pulse
18 Hz can be used, as this would represent the worst-case scenario even if it is not the actual modulation. Further technical data can be obtained from the manufacturer WEINMANN Emergency on request. 18.18 The CARDIObiphasic shock pulse A characteristic of the CARDIObiphasic shock pulse is that it limits the maximum current.
Page 387 18 Technical data 18.18.1 Functional principle A setpoint controls the delivered current, producing a sawtooth- shaped pulse. Current Time 18-1 Basic shape of the CARDIObiphasic shock pulse The mean ratio of electric charge delivered between the second (negative) and the first (positive) phase is 0.38. For safety reasons, voltages of no higher than 2000 V are used.
Page 388 18 Technical data 18.18.2 Accuracy of the delivered energies The shock pulse is generated on a current-controlled basis (I = const.) and for a fixed duration (t = const.). Patient impedance is the only variable. The shock pulse energy is the result of current, pulse duration and patient impedance.
Page 389: Labeling
19 Labeling 19 Labeling Symbol Description Article no. Serial number Production batch number Unique Device Identifier (UDI): Allows individual products to be uniquely identified in the (xx)xxxxxxxxxxxxxx market (xx)xxxxx Medical device Manufacturer Date of manufacture Follow instructions for use Follow instructions for use Attention CE mark (confirms that the product complies with the applicable European directives) FCC mark (confirms that the product has a market license in the USA for devices with...
Page 390 19 Labeling Symbol Description China RoHS label (confirms that the product does not emit toxic substances for the number of years indicated) Safety check label (STK, only applies to Germany): Indicates when the next Technical Safety Check (“Sicherheitstechnische Kontrolle” in accordance with § 11 of the German regulation MPBetreibV) is required.
Page 391 19 Labeling Symbol Description Direct voltage Type of protection against electric shock: Protection class II device Degree of protection against IP55 • Ingress of solid objects • Ingress of dust IPX1 • Ingress of water with harmful effect Degree of protection against temporary immersion in water IPX7 Degree of protection against water dripping at an angle, 15°...
Page 392 19 Labeling Symbol Description Marks the button which can be used to charge the shock capacitor. Marks the two buttons which have to be pressed simultaneously for shock delivery. APEX Marks the paddle which has to be held at the apex position. STERNUM Marks the paddle which has to be held at the sternum position.
Page 393 20 Warranty 20 Warranty Starting from the date of purchase, WEINMANN Emergency offers the customer a limited manufacturer’s warranty on a new original WEINMANN Emergency product or spare part installed by WEINMANN Emergency in accordance with applicable warranty terms and conditions for the particular product and the warranty periods listed below.
Page 396 Manufacturer Center for Production, Logistics, Service WEINMANN Emergency WEINMANN Emergency Medical Technology GmbH + Co. KG Medical Technology GmbH + Co. KG Frohbösestraße 12 Siebenstücken 14 22525 Hamburg 24558 Henstedt-Ulzburg GERMANY GERMANY T: +49 40 88 18 96-120 E: customerservice@weinmann-emt.de...

Weinmann MEDUCORE Standard2 Instructions For Use Manual

1 Introduction

2 Safety

3 Description

4 Preparation

5 Function Check

6 Operation

7 Disassembling

8 Hygienic Reprocessing

9 Application Menu

10 User Menu

11 Alarms and Faults

12 Configuration by the Operator

13 Operator Menu

14 Maintenance

15 Storage

16 Disposal

17 Scope of Supply

18 Technical Data

19 Labeling

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