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Rescue Life User Manual vers. 2.3 March 2010 External Biphasic Defibrillator/monitor U U U U s s s s e e e e r r r r M M M M a a a a n n n n u u u u...
Rescue Life User Manual vers. 2.3 March 2010 INDEX Safety Instructions Page 3 Introduction Page 5 Warranty Page 6 Service Page 7 How to use this manual Page 8 Electrical safety guidelines Page 8 Device operation and storage guidelines Page 9...
SAFETY INSTRUCTIONS GENERAL Assure yourself prior and after the use of the RESCUE LIFE that the unit is in safe and usable condition (cables integrity, pads, battery status). Assure that the battery charge , ECG trace, selected energy value, SYNC mode and status battery are well functioning.
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Rescue Life User Manual vers. 2.3 March 2010 SHOCK OR FIRE HAZARDS The defibrillator delivers up to 230 joules of electrical energy. Unless properly used as described in these operating instructions, this electrical energy may cause serious injury or death.
RESCUE LIFE monitor/defibrillator. Your RESCUE LIFE monitor/defibrillator may not have all of these features. Please read this Operator’s Manual carefully and thoroughly before using the RESCUE LIFE. This Manual contains instructions on how to operate and maintain the RESCUE LIFE.
Rescue Life User Manual vers. 2.3 March 2010 WARRANTY Every device that goes out of the assembly line passes through a full reliability tests. In case of problems, our maintenance and exchange policies are in accordance with the relevant consumer protection laws and regulations in the particular country where the device is sold.
Rescue Life User Manual vers. 2.3 March 2010 SERVICE Only ELPRO S.r.l. or its authorized representatives should service the device. If unauthorized personnel service the device during the warranty period, the warranty will become null and void. When the device is not functioning properly, it has to be submitted for maintenance immediately.
HOW TO USE THIS MANUAL This Operator’s Manual contains all the information a user needs to operate the RESCUE LIFE properly. RESCUE LIFE is designed for monitoring the patient ECG signals and to deliver defibrillation shocks in MANUAL, ADVISORY or AED mode.
Rescue Life User Manual vers. 2.3 March 2010 DEVICE OPERATION AND STORAGE GUIDELINES Do not operate or store the device in conditions that are beyond the following specified limits. Operating Conditions Temperature -10 °C to 50 °C Humidity 5 % to 95 % (non-condensing)
Rescue Life User Manual vers. 2.3 March 2010 CLEANING AND MAINTENANCE After each use, clean the defibrillator and the reusable pads using a soft, damp cloth moistened with any of the following solvents: Water and soap; Clorexina and water mixture (30 ml clorexina/liter of water);...
ECG 'R' peak. The RESCUE LIFE in the basic configuration has only the manual mode available and the ECG monitoring can be done by defibrillation pads (1 trace) or by 3 leads ECG monitoring cable assembly from PROGETTI S.r.l.
Have detectable pulse. INTENDED USERS In manual mode the RESCUE LIFE is intended for use by health care professionals and emergency rescue personnel who have been trained in advanced cardiac life support. The user must know how to interpret ECG's, decide the energy level required and when the defibrillation is necessary.
Rescue Life User Manual vers. 2.3 March 2010 OPERATIONAL CONTROLS AND INDICATORS Shock Key (defibrillation) Charge Speed Dial ON status Battery Charge LED ON/OFF Switch Function Keys Shock Key: To be used to deliver the shock when using disposable pads.
Rescue Life User Manual vers. 2.3 March 2010 FRONT PANEL KEYS Power On-Off push button of RESCUE LIFE. At switch on, if the paddles are disconnected, the battery status and colck set-up screen will appear. In this case to start ECG monitoring press F1 ON/OFF Key key.
Rescue Life User Manual vers. 2.3 March 2010 FUNCTION KEYS (F1-F5) START OPERATIONAL SCREEN PACE MAKER MENU SCREEN Select the pace maker rhythm. To START DISARM – internal set the requested rhythm use the operation discharge Speed dial. Select pace maker current. Set the PRINT –...
Rescue Life User Manual vers. 2.3 March 2010 START SCREEN The start screen will be displayed when RESCUE LIFE is switched on with the defibrillation pads disconnected. Start operation (F1) Enter Data Base(F3) Set Clock(F5) Available only on Use the Speed Dial...
Rescue Life User Manual vers. 2.3 March 2010 OPERATIONAL SCREEN At power ON, if the pads are connected the RESCUE LIFE will start the operation. If the pads are not connected the start screen will be displayed. ALARM BATTERY HEART...
Rescue Life User Manual vers. 2.3 March 2010 START-UP MENU The START-UP menu is accessible pressing the F5 key (MENU) on the operational screen and all the values can be changed using the Speed Dial. Pressing the Speed Dial will select the field to change and rotating the Speed dial will change the field value.
Rescue Life User Manual vers. 2.3 March 2010 OPERATIONAL SCREEN GUIDE SPEED DIAL USE The Speed Dial allows to set the parameters displayed in the right side of the screen. Press the Speed Dial in order to highlight them. When a parameter has been selected, rotate the Speed Dial for changing its value.
Rescue Life User Manual vers. 2.3 March 2010 INPUT PORTS, PRINTER Paper Feed Button Cable Input Printer cover Button SpO2 Sensor Input Defibrillation Pads Input Printer Input Connectors It connects the defibrillation pads lead (APEX,STERNUM) to RESCUE LIFE. Defibrillation pads...
Rescue Life User Manual vers. 2.3 March 2010 DEVICE PREPARATION Product Check 1. Check carefully the content of the packing for any damage that might have been occured during shipping. 2. Check carefully all the accessories to ensure that the unit comes with the complete accessories necessary for a proper use of the device.
Connect the patient cable in its proper port ‘ECG’, placed on the frontal panel of the device. The basic version of RESCUE LIFE has only a 3 wire patient cable. When the cable is connected to the machine, it will switch automatically to the ECG cable monitoring.
Rescue Life User Manual vers. 2.3 March 2010 DEFIBRILLATION PROCEDURE IN MANUAL OR ADVISORY (ADV) MODE Switch on the device pressing the ON/OFF button. Connect the pads to start the operation. The ECG signal will be displayed and by default the energy is set to 150 J.
' Semiautomatic AED Option chapter' Make sure that all electronic devices which may disturb the ECG signal must be switched off or placed at a safe distance from RESCUE LIFE before defibrillation. Please make sure nobody touches the patient during the defibrillation.
To stop the printing, press again the PRINT (F2) key. In automatic mode: RESCUE LIFE will print an ECG frame of 6 seconds when the charge starts. When the shock is released the energy delivered, as well as the time stamp will be printed together with a 6 seconds after shock ECG frame.
When the message of the battery status displays a value under 70%, batteries have to be charged. Insert the power supply cord in the RESCUE LIFE socket (located on the back side) and connect to the AC line. The battery status led will switch on.
Rescue Life User Manual vers. 2.3 March 2010 PACEMAKER (OPTIONAL) On the operational screen, pressing the F3 key (PACER) the RESCUE LIFE will open the pacemaker mode and will display the pacemaker menu. If the paddles are not attached to the patient the machine will not enter the pacemaker mode.
The operator should only deliver the shock and perform CPR when indicated. INDICATIONS FOR USE The RESCUE LIFE with the semiautomatic option is intended to be used by personnel who have been trained in its operation. The operator should be qualified by training in basic life support, CPR/AED.
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Rescue Life User Manual vers. 2.3 March 2010 Upon detecting a shockable cardiac rhythm, the RESCUE LIFE charges automatically at a 150J energy level and advises the operator to press the SHOCK button to deliver a shock; then advises the operator to check the patient pulse and start CPR for 120 seconds with a chest compression to ventilation ratio of 30:2.
In AED mode the recording will start automatically each time the ANALISYS starts. When RESCUE LIFE is recording, on the top side of the graphic window (display) a red line advances together with the ECG graph (for 1 minute which is the Record length).
Rescue Life User Manual vers. 2.3 March 2010 DATA BASE SCREEN FILE NUMBER REGISTRATION DATE FILE DATE 0000001 0000001 01/01/00 0000002 01/01/00 0000003 01/01/00 0000004 01/01/00 FREE MEMORY SPACE (MINUTES AND HOURS) FREE MEMORY: 166666 Min, 2777 hours PG DOWN...
Rescue Life User Manual vers. 2.3 March 2010 APPENDIX What is defibrillation? Sudden cardiac arrest (SCA) associated with ventricular fibrillation (VF) remains a leading cause of unexpected death in the Western world. It has been estimated that chances for survival from SCA decrease approximately 7% to 10% with each passing minute and that survival rates after 12 minutes are only 2% to 5%.
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Rescue Life User Manual vers. 2.3 March 2010 Too little current to the myocardial tissue cells will not depolarize the cells and result in an unsuccessful defibrillation. The waveform biphasic technology: 5) Makes it easy to compensate the shock waveform to match the patient impedance, 6) Is more efficient than monophasic technology, 7) Delivers enough energy for restoring heart rhythm.
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Rescue Life User Manual vers. 2.3 March 2010 2. Piu’ efficiente della forma d’onda monofasica.
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Rescue Life User Manual vers. 2.3 March 2010 Extensive animal and human data with implanted devices demonstrate that biphasic waveforms offer substantial reductions in defibrillation thresholds and produce less myocardial dysfunction than monophasic waveforms. [1], [2], [3], [4] The defibrillation efficacy of the 150-J biphasic waveform was superior to that of the 200-J to 360-...
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Rescue Life User Manual vers. 2.3 March 2010 The difference between monophasic and biphasic waveform is qualitatively similar but varies quantitatively for different parameter values. The fundamental difference is that first phase of the biphasic pulse acts as a pre-pulse to remove inactivation from the heart cell, accelerating its recovery, and thereby lowering the activation threshold for defibrillation prior to second phase of biphasic pulse which is reversed current flow.
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Rescue Life User Manual vers. 2.3 March 2010 canine internal defibrillation. J Am Coll Cardiol. 1989;14:242.5. 2. Kavanagh KM, Tang ASL, Rollins DL, Smith WM, Ideker RE. Comparison of the internal defibrillation thresholds for monophasic and double and single capacitor biphasic waveforms. J Am Coll Cardiol.
Rescue Life User Manual vers. 2.3 March 2010 APPENDIX C TECHNICAL SPECIFICATIONS Waveform time-impedance Following flow-charts show typical defibrillation impulses considering the impedance between the defibrillation electrodes for a maximum of 230 Joule: For impedance values different from 50 ohm the accuracy of the released energy is +/- 15%;...
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Rescue Life User Manual vers. 2.3 March 2010 IMPENDANCE LIMITS RESCUE LIFE does not release the shock if the patient impedance is less than 20 ohm or over 200 ohm. SYNC/NO SYNC MODE When the RESCUE LIFE is on it is automatically set on no-sync mode.
APPENDIX D CE DECLARATION OF CONFORMITY ELPRO s.r.l. declare that the device RESCUE LIFE with all its accessories Is conform to the quality assurance system - 93/42/CEE. ELPRO S.r.l. is conforming with the quality system Annex II of the Directive 93/42/CEE.
Rescue Life User Manual vers. 2.3 March 2010 APPENDIX E WARRANTY CERTIFICATE WARRANTY CONDITIONS This device is warranted against defects in materials and workmanship. The warranty does not apply if the product has not been properly used as suggested in the user manual, has been damaged by accident or misuse, has been damaged as the result of service or modification by an entity other than ELPRO S.r.l..
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