Intended Use; Indications/Contraindications Of Defibrillation - Primedic DefiMonitor XD Series Operating Manual

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DefiMonitor XD

Intended Use

The DefiMonitor XD is intended for use by properly trained first responders, trained
emergency medical technicians and physicians in daily clinical situations as well as in
clinics in the pre-clinic area of emergency medicine and can be powered either by a
chargeable, removable energy module or by the power mains. The compact and light
construction makes it possible to bring along the DefiMonitor when a patient is
transported. In the maximum version, the DefiMonitor consists of a defibrillator, EKG,
external pacemaker, data recorder, pulsoximetry and printer.
The device is used to perform trans-thoraxal defibrillations. The main application is
defibrillation in asynchronous manual mode, an additional application is the cardio
version of atrial flutters in synchronous, manual mode. The decision on the necessity
to provide a shock can either be by the user in automatic mode and automated by
shock recommendation by the divide in AED mode.
When in automated mode, the energy levels of the initial, second and third shock
with maximum current nominal values of 20A, 25A and 30A as well as the capacitor
voltage dependant on the patient impedance are provided by default. In manual
mode, it is possible to select the energy levels of 5-360J in order to facilitate a
weight-adequate setting of the defibrillation energy according to the experiences of
the physician. Thus, the defibrillation of children is possible with the appropriate elec-
trodes in manual mode.
In addition, the device can be used to record and display electrocardiograms. The de-
fibrillation electrodes are derived from the Einthoven II derivation in proper use. If an
EKG cable is used instead of the defibrillation electrodes and commercial EKG elec-
trodes, dual-channel monitoring is possible. Here any (logical) selection of 2 signals
from the Einthoven I, II, III or Goldberger aVR, aVL, aVF – analog derivations can be
shown. The prerequisite for this is correct positioning.
A printer is used to document the current EKG curves before and, if necessary, after
defibrillation for purposes and issues arising as part of emergency application.
The device is intended for portable as well as stationary use and for frequent trans-
port in civilian vehicles, particularly ambulances, outside, inside of buildings.
Any other use that is beyond the scope of such use shall be deemed as improper
and can lead to personal or material damage!
PRIMEDIC™ DefiMonitor XD must only be used under conditions described in this
operating manual and only in the manner described!

Indications/Contraindications of Defibrillation

The PRIMEDIC™ DefiMonitor XD shall ony be used, if atrial flutters/ fibrillations or
certain arterial and ventrical tachycardial rhythm disorders exist which are accompa-
nied by the following symptoms (indication):
– Unconscious and
– is not breathing and
– has no pulse or other signs of circulations.
Operating Manual
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