Physio Control LIFEPAK CR Plus Service Manual
Defibrillator
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Summary of Contents for Physio Control LIFEPAK CR Plus
- Page 1 LIFEPAK CR Plus ® LIFEPAK EXPRESS ® Defibrillators with ADAPTIV Biphasic Technology ™ Service Manual Click Here for Table of Contents Click Here for Navigation Help...
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Page 2: Click A Topic
LIFEPAK CR Plus/EXPRESS Defibrillator Table of Contents Click a Topic 1 Preface 2 Safety 3 Device Description 4 Operating 5 Modes of 6 Performance Instructions Operation Inspection Procedure 7 Preventive Maintenance Index Title Page Back Index Next Page... -
Page 3: Section Contents
Preface This electronic service manual is intended for use by qualified service personnel. It describes how to maintain and inspect LIFEPAK CR Plus or LIFEPAK EXPRESS defibrillator. The LIFEPAK CR Plus and LIFEPAK EXPRESS Defibrillators Operating Instructions, intended for use by physicians, clinicians, and emergency care providers, provides step-by-step instructions for operating the device, as well as operator-level testing and maintenance. - Page 4 LIFEPAK CR Plus/EXPRESS Defibrillator Preface Trademarks LIFEPAK, LIFEPAK CR, LIFEPAK EXPRESS, and FAST-PATCH are registered trademarks of Physio-Control, Inc. ADAPTIV, CODE SUMMARY, QUIK-COMBO, QUIK-PAK, DATA TRANSFER, REDI-PAK, Shock Advisory System, CODE-STAT, Partner Plus, CHARGE-PAK and PARTSLINE are trademarks of Physio-Control, Inc.
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Page 5: Adobe Reader
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Adobe Reader Accessing Adobe This service manual opens in Adobe Acrobat Reader. The Adobe Reader can be downloaded for free at the Adobe internet URL Reader Help http://www.adobe.com/products/reader.html. For additional assistance using the Adobe Reader program, access ACROBAT READER HELP in the HELP menu. -
Page 6: Navigating Through The Manual
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Navigating Through the Manual Blue text indicates a hyperlink. Click a link to jump to that topic or page. Click Back in the navigation bar to return to your previous location. The pointer changes to a pointing finger when positioned over a link. -
Page 7: Contacting Physio-Control
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Contacting Physio-Control Physio-Control, Inc. 11811 Willows Road Northeast Redmond, WA 98052-2003 USA Telephone: 1.425.867.4000 Toll Free (USA only): 1.800.442.1142 Fax: 1.425.867.4121 Internet: www.physio-control.com Physio-Control Operations Netherlands B.V. Galjoenweg 68 6222 NV Maastricht The Netherlands Physio-Control Australia Pty Ltd Suite 4.01... -
Page 8: Responsibility For Information
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Responsibility for Information This service manual describes the methods required for routine maintenance and acceptance testing of the defibrillator. It does not address operation of the device in the clinical setting. Qualified service personnel must consult the operating instructions and this service manual to obtain a complete understanding of the use and maintenance of the defibrillator. -
Page 9: Device Tracking
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Device Tracking General Device It is important to maintain accurate records of defibrillator location within your facility or system. Maintenance of such records eases the process of locating Tracking Information defibrillators should it be necessary to modify them. Defibrillators should be tracked by both the manufacturer’s part number and serial number. -
Page 10: Recycling Information
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Recycling Information Recycle the device at the end of its useful life. ■ Recycling assistance — The device should be recycled according to national and local regulations. Contact your local Physio-Control representative for assistance, or go to www.physio-control.com/recycling. -
Page 11: Warranty
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Warranty Before requesting warranty service for your defibrillator, refer to the operating instructions to ensure that your device is set up properly, and that you are operating the device correctly. If you determine that service or technical support is necessary, please record the device’s serial number and part number and have them available when you... -
Page 12: Product Useful Life
LIFEPAK CR Plus/EXPRESS Defibrillator Preface Product Useful Life 1-10 The defibrillators and subassemblies are subjected to rigorous life testing. This testing and the routine testing and preventative maintenance recommended in this service manual will help provide reliable unit operation for many years. - Page 13 LIFEPAK CR Plus/EXPRESS Defibrillator Preface Glossary 1-11 The following are definitions of terms used throughout this service manual. ■ Automated external defibrillator (AED) — The defibrillator uses an ECG analysis Shock Advisory System™ (SAS) to advise the device operator if it detects a shockable or nonshockable rhythm.
- Page 14 LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Safety This section describes the safety conventions, terms, and symbols used in this service manual or on the defibrillator. This information is intended to alert service personnel to recommended precautions in the care, use, and handling of this device.
- Page 15 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Terms The following terms are used in this service manual or on the various configurations of the defibrillator. Familiarize yourself with their definitions and significance. Danger: Immediate hazards that will result in serious personal injury or death.
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Page 16: General Warnings And Cautions
LIFEPAK CR Plus/EXPRESS Defibrillator Safety General Warnings and Cautions This section contains general warnings and cautions. Keep these warnings and cautions in mind when working with the defibrillator. More specific warnings and cautions appear throughout this service manual and the operating instructions. - Page 17 LIFEPAK CR Plus/EXPRESS Defibrillator Safety General Warnings and Cautions (continued) WARNING! Shock hazard. Servicing of this defibrillator must be performed by properly trained individuals. This defibrillator may retain potentially lethal charges accessible inside the defibrillator at any time — even when off.
- Page 18 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Symbols The following list includes symbols that may be used in this service manual or on various configurations of the defibrillator and accessories. Some of these symbols may not be relevant to your device or used in every country.
- Page 19 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Symbols (continued) Wrench indicator. There is a condition that prevents or could prevent normal defibrillator operation. This end up. Fragile/breakable. Handle with care. Protect from water. Power On/Off button. Type BF patient connection. Not intended for use on children who are less than eight years of age or who weigh less than 25 kg (55 pounds).
- Page 20 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Symbols (continued) Infant Child Reduced Energy Electrodes are not compatible with QUIK-COMBO defibrillation and therapy cables. To use Infant/Child Electrodes, connect Infant/ Child Electrodes directly to the AED. Not intended for use on adults. Physio-Control electrodes are not made with natural rubber latex.
- Page 21 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Symbols (continued) Use By date shown: yyyy-mm-dd. Refer to instructions for recycling procedure. Refer to instructions for disposal procedure. Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product according to local regulations.
- Page 22 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Canadian Standards Association certification for Canada and the United States. For USA audiences only. !USA Atmospheric pressure limitation. Relative humidity range 5% to 95%. Store in a cool, dry location (0° to 50°C or 32° to 122°F).
- Page 23 LIFEPAK CR Plus/EXPRESS Defibrillator Safety Symbols (continued) 2-10 Date of manufacture. YYYY Do not place near an open flame. Do not crush, puncture, or disassemble battery. Federal (U.S.) law restricts this device to sale by, or on the Rx Only order of, a physician.
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Page 24: Device Description
LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Device This section includes the following topics: Description Introduction Physical Description and Features Functional Description Supplies and Accessories Back Index Next Page Previous Page Table of Contents... -
Page 25: Main Components
LIFEPAK CR Plus/EXPRESS Defibrillator Introduction About the Defibrillator The defibrillator is a portable, battery-powered therapeutic device that analyzes the electrocardiographic (ECG) signal of a patient, interprets the indications, advises the operator, and delivers defibrillation therapy. If the defibrillator detects a shockable cardiac arrhythmia, it either automatically delivers a brief, high-... -
Page 26: Physical Description And Features
LIFEPAK CR Plus/EXPRESS Defibrillator Physical Description and Features For information on any of the numbered defibrillator controls, indicators, and connectors shown below, select the appropriate link at the bottom of the page. (Continued on next page) Parts 1–7 Parts 8–11... - Page 27 LIFEPAK CR Plus/EXPRESS Defibrillator Physical Description and Features (continued) Number Description Quick Reference card — Step-by-step directions for using the defibrillator to treat a patient in cardiac arrest. Electrode connector — Connects the electrode pads to the defibrillator. QUIK-PAK electrodes — A set of electrode pads.
- Page 28 LIFEPAK CR Plus/EXPRESS Defibrillator Physical Description and Features (continued) Number Description Electrode Indicators — The indicators flash red until the electrode pads are applied to the patient’s exposed chest and then turn solid green when the pads have been applied.
- Page 29 LIFEPAK CR Plus/EXPRESS Defibrillator Physical Description and Features (continued) For information on any of the components shown below, select the appropriate button at the bottom of the page. (Continued on next page) Parts 1–3 Previous Page Table of Contents Section Contents...
- Page 30 LIFEPAK CR Plus/EXPRESS Defibrillator Physical Description and Features (continued) Number Description Safety Warnings — Provide important information concerning the defibrillator’s use and service. Serial Number Label — Displays the defibrillator identification number. Carrying Handle — Used to transport the defibrillator.
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Page 31: Functional Description
LIFEPAK CR Plus/EXPRESS Defibrillator Functional Description The defibrillator is a portable, battery-powered therapeutic device. It consists of the following components: ■ Two PCBs — Two printed circuit boards control defibrillator functions, including ECG signal processing, mode control, rhythm and motion analysis, energy storage capacitor charging, impedance sensing, voice prompting, generate biphasic defibrillation waveform, and record patient events. -
Page 32: Supplies And Accessories
Supplies and Accessories The following table summarizes supplies and accessories that are available. For ordering instructions, refer to Ordering Supplies and Accessories. Description CAT. LIFEPAK CR Plus and LIFEPAK 3205285 26500-001999 EXPRESS Owner’s Manual LIFEPAK CR Plus and LIFEPAK 3206089 26500-002069... -
Page 33: Ordering Supplies And Accessories
LIFEPAK CR Plus/EXPRESS Defibrillator Supplies and Accessories (continued) 3-10 Ordering Supplies and To order supplies and accessories, contact your local Physio-Control representative. In the USA, call 1.800.442.1142. Outside the USA, contact your Accessories local Physio-Control representative. Provide the part number and serial number located on the bottom of the device. -
Page 34: Section Contents
Symbols – About the LIFEPAK CR Plus and LIFEPAK EXPRESS Defibrillators – ■ Getting Started Unpacking and Inspecting the LIFEPAK CR Plus or LIFEPAK EXPRESS – Defibrillator Where to Locate Your LIFEPAK CR Plus or LIFEPAK EXPRESS – Defibrillator Controls, Indicators, and Labels –... - Page 35 LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Operating Instructions (continued) ■ Using the Defibrillator Warnings and Cautions – Responding to a Sudden Cardiac Arrest Emergency – Voice Instructions and Tones – Troubleshooting – ■ Data Storage – Overview of Data Storage ■...
- Page 36 LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Operating Instructions (continued) ■ Defibrillator Operating Settings Operating Settings and Setup Configuration – ■ Appendix A — Specifications ■ Appendix B — Shock Advisory System ■ Appendix C — User’s Checklist ■ Appendix D — Declaration of Conformity/Electromagnetic...
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Page 37: Modes Of Operation
LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Modes of This section explains the operating modes of the defibrillator. Operation Normal Mode Auto Test Modes Back Index Next Page Previous Page Table of Contents... -
Page 38: Normal Mode
LIFEPAK CR Plus/EXPRESS Defibrillator Modes of Operation Normal Mode The defibrillator operates in normal mode for emergency patient care when the following conditions are met: ■ is opened and the defibrillator is turned on. ■ QUIK-PAK electrodes are properly connected to the patient (the electrode indicators change from red to green). - Page 39 LIFEPAK CR Plus/EXPRESS Defibrillator Modes of Operation Auto Test Modes The defibrillator periodically performs routine tests to detect problems that could affect defibrillator performance. These tests include: Initialization test – Weekly test – Monthly test – – Low power test...
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Page 40: Weekly Test
LIFEPAK CR Plus/EXPRESS Defibrillator Modes of Operation Auto Test Modes (continued) Weekly Test The weekly test is performed each Monday at 03:00 A.M. If the defibrillator is in use, the test will be performed at 03:00 A.M. the following week. The weekly test consists of an initialization test. - Page 41 LIFEPAK CR Plus/EXPRESS Defibrillator Modes of Operation Auto Test Modes (continued) Low-Power Test When the indicator first illuminates on the Readiness Display, the ATTENTION internal battery is capable of providing at least six 360-joule discharges or 42 minutes of operation before shutting down.
- Page 42 LIFEPAK CR Plus/EXPRESS Defibrillator Performance The Performance Inspection Procedure (PIP), 3202983, is a set of manual and computer assisted test procedures used by authorized Physio-Control service Inspection representatives as an operational closed-case evaluation of the defibrillator. The PIP describes the test procedures you will perform to determine if the defibrillator Procedure is operating within the required specifications.
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Page 43: Preventive Maintenance
LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents Preventive Periodic preventive maintenance and inspection of the device will help prevent Maintenance and detect possible electrical and mechanical problems. This section provides instructions recommended by Physio-Control for inspecting, maintaining, and cleaning the defibrillator and accessories. -
Page 44: Maintenance And Inspection Schedule
LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Maintenance and Inspection Schedule Introduction The defibrillator, as described within this service manual, is supported by a warranty. For malfunctions encountered during use or inspection, contact Physio-Control. In the USA, contact Physio-Control Technical Services at 1.800.442.1142 and select option 5 for service. -
Page 45: Routine Inspections
LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Maintenance and Inspection Schedule (continued) Routine Inspections The defibrillator should be inspected by trained operators on a regular basis. If the defibrillator is rarely used, monthly inspections may be all that is required. If the defibrillator is located in a high-use area, more frequent inspections may be required. - Page 46 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance CHARGE-PAK Battery Charger Maintenance The CHARGE-PAK battery charger provides a trickle charge to the defibrillator’s internal battery. To prevent damage to the internal battery, always keep a functional battery charger in the defibrillator, including during storage and shipping.
- Page 47 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance CHARGE-PAK Battery Charger Maintenance (continued) ■ The battery charger is placed into one device, after having previously been installed in another device, and the device is turned off. ■ The Use By date on the electrode packet has expired. (Use the...
- Page 48 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Replacing the QUIK-PAK Electrodes Use a new set of QUIK-PAK electrodes on each patient. Replace the QUIK-PAK electrodes after each use or when the Use By date is passed. Replace the QUIK-PAK electrodes and...
- Page 49 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Replacing the QUIK-PAK Electrodes (continued) 8. Ensure that the new electrode packet is centered on the defibrillator and tucked behind the lip before closing the lid. 9. Close the lid and confirm that the packet Use By date is visible in the upper right corner.
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Page 50: Replacing The Charge-Pak Battery Charger
LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Replacing the CHARGE-PAK Battery Charger Note: The QUIK-PAK electrodes and the CHARGE-PAK battery charger must be replaced at the same time. To replace the battery charger: 1. Remove the used battery charger by pressing down on the battery charger latch. - Page 51 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Replacing the CHARGE-PAK Battery Charger (continued) 3. Discharge the used battery charger using the discharge tool that is supplied with the replacement kit 4. Insert the new battery charger into the defibrillator until you hear it “click” into position.
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Page 52: Battery Charger Troubleshooting
LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Battery Charger Troubleshooting 7-10 If the indicator displays on the device, additional information can be BATTERY obtained by listening to the number of beeps that occur when the battery charger is removed and then reinserted. With the device turned off for at least 60 seconds, pull the battery charger out of the defibrillator and then reinsert it. - Page 53 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Defibrillator Cleaning 7-11 WARNING! Shock or fire hazard. Do not immerse any portion of this defibrillator in water or other fluids. Avoid spilling any fluids on the defibrillator or accessories. The defibrillator should be cleaned after each use to ensure proper device operation before the next patient use.
- Page 54 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Defibrillator Cleaning (continued) 7-12 Item Cleaning Method Cleaning Agent Electrode pads None — do not remove None — dispose of or recycle after electrode pads from the packet until use Carrying case Wipe with damp cloth or...
- Page 55 LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance Product Support Policy 7-13 Physio-Control provides full technical subassembly-level support and subassembly replacement parts for a period of eight years beyond the device’s production retirement date. After this eight-year period, Physio-Control provides technical support and subassembly replacement parts as available.
- Page 56 LIFEPAK CR Plus/EXPRESS Defibrillator Index Routine Inspection Storage Temperature Maintenance and Inspection Schedule Device Description Definition Modes of Operation Device Tracking Auto Tests Monthly Auto Test Document Navigation Instructions Failing Navigation Electrodes, Replacing Battery Charger Using Hyperlinks Definition Normal Mode...
- Page 57 LIFEPAK CR Plus/EXPRESS Defibrillator Index QUIK-PAK Electrodes Warranty Replacing Weekly Auto Test Recycling Information Responsibility for Information Safety Storing the Defibrillator Supplies and Accessories Symbols Terms Tests Failing an Auto Test Initialization Low-Power Auto Monthly Auto Weekly Auto Trademarks Title...
- Page 58 LIFEPAK CR Plus/LIFEPAK EXPRESS ® ® Defibrillator Performance Inspection Procedure (PIP) Checklist Model # __________________________________ Serial # __________________________________ Department/Location _______________________ Date _____________________________________ Performed By ______________________________ Action Pass Comments Physical Inspection Record the result of physical inspection test. Testing Pass Comments Initalization Test ...
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