Stryker LIFEPAK 20e Instructor Manual
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Stryker LIFEPAK 20e Instructor Manual

Stryker LIFEPAK 20e Instructor Manual

Defibrillator/monitor
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LIFEPAK
20e
®
defibrillator/monitor
Instructor
guide

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Summary of Contents for Stryker LIFEPAK 20e

  • Page 1 LIFEPAK ® defibrillator/monitor Instructor guide...

  • Page 3: Table Of Contents

    Device maintenance ......................6 AED operation ........................8 Manual training course .....................11 Learning objectives ......................11 Equipment and materials ....................11 LIFEPAK 20e defibrillator/monitor Manual User Training Class .........12 Early defibrillation ......................12 Biphasic energy ......................13 Controls and features ....................13 Additional areas not shown ...................21 Device maintenance ....................22...

  • Page 5: How To Use This Guide

    This guide is designed for use with the factory default configuration of the LIFEPAK 20e defibrillator/monitor, which is compliant with the 2015 American Heart Association Guidelines. It is important to be familiar with the configuration of your particular defibrillator.
  • Page 6 Back to contents...

  • Page 7: Operation

    operation Back to contents...
  • Page 8 Back to contents...

  • Page 9: Aed Training Course

    Learning objectives The overall objective of this inservice is to provide an overview of the basic steps of operation of the identified controls, indicators, and connectors of the LIFEPAK 20e defibrillator/monitor. Upon completion of this course, participants will be able to: •...

  • Page 10: Early Defibrillation

    AEDs can help your hospital staff improve their ability to deliver the first shock within the recommended 2 minute guidelines. The LIFEPAK 20e defibrillator/monitor can be used in AED mode to defibrillate without having to learn ECG interpretation. The AED is simple to use because it is designed to automatically analyze the patient’s heart rhythm...

  • Page 11: Controls And Features

    Used to enter Manual Mode; pressing it opens the door and automatically takes the LIFEPAK 20e defibrillator/monitor out of AED mode and puts it into Manual Mode. *Note: If the defibrillator is in AED mode and the door is open, or off, press ENERGY SELECT once to enter Manual Mode.

  • Page 12: Device Maintenance

    Device maintenance Most hospitals have specific protocols for maintaining their defibrillators. Stryker provides a variety of tools designed to help manage inspection and maintenance procedures. Training for staff would depend on a hospital’s particular approach. BLS-trained responders should be familiar with several of the device maintenance procedures.
  • Page 13 Discuss User action, defibrillator labels, text/voice prompts & information Cleaning Clean the LIFEPAK 20e defibrillator/monitor, cables and accessories with a damp sponge or cloth. Do not use bleach. Use only the agents listed below: • Quarternary ammonium compounds • Isopropyl alcohol •...

  • Page 14: Aed Operation

    AED operation The AED mode on the LIFEPAK 20e defibrillator/monitor is easy to use because it automatically analyzes the patient’s heart rhythm and advises you which steps to take. In AED mode the device automatically selects the appropriate energy dosing.
  • Page 15 Task User action, defibrillator labels, text/voice prompts & information Confirm everyone is clear. You will see and hear ANALYZING NOW STAND CLEAR, The AED analyzes the patient’s ECG and Press (Shock) advises either SHOCK ADVISED or NO SHOCK button to discharge ADVISED.
  • Page 16 • If there is no door, or the door is open, press ENERGY SELECT button once to switch to manual mode. • Pressing ANALYZE while the device is in manual mode will return device to AED mode. 10 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 17 Manual operation Instructor guide | A Back to contents...
  • Page 18 B | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 19: Manual Training Course

    Equipment and materials The following is a list of accessories and support material recommended for ACLS training on the LIFEPAK 20e defibrillator/monitor. It is essential that all equipment be inspected and tested to ensure proper function prior to training. Equipment •...

  • Page 20: Lifepak 20E Defibrillator/Monitor Manual User Training Class

    AEDs can help your hospital staff improve their ability to deliver the first shock within the recommended 2 minute guidelines. The LIFEPAK 20e defibrillator/monitor can be used in AED mode to defibrillate without having to learn ECG interpretation. The AED is simple to use because it is designed to automatically analyze the patient’s heart rhythm...

  • Page 21: Biphasic Energy

    A biphasic shock is a gentler but more effective shock. Stryker recommends a dosing protocol of 200-300-360 joules and is the factory default setting in all LIFEPAK defibrillators. Stryker believes this energy protocol can help minimize unnecessary CPR interruptions that result from ineffective defibrillation shocks.
  • Page 22 SHOCK Discharges defibrillator energy to the patient. SYNC Activates synchronized mode. ANALYZE Activates Shock Advisory System (SAS). AED MODE LED illuminates when AED mode is active. 14 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 23 Area 2 Buttons • PACER • RATE • CURRENT • PAUSE PACER Activates the pacing function. RATE Selects pacing rate. CURRENT Adjusts pacing current. PAUSE Temporarily slows pacing rate. Back to contents Instructor guide | 15...
  • Page 24 Activates user-defined events. OPTIONS Illuminates when the Accesses optional Speed Dial is active. functions. Home screen ALARMS Returns immediately to Activates and home screen. silences alarms. Contrast Adjusts screen contrast. 16 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 25 Area 4 • ECG cable connector • SpO cable connector (if applicable) • Therapy cable connector • Speed dial • IrDA port • Speaker Ecg cable receptacle Speed dial Scrolls through and selects menu items. LED illuminates when Speed Dial is active. IrDA port cable receptacle...
  • Page 26 CODE SUMMARY Prints a CODE SUMMARY critical event record. Service Indicates that service is required. AC Mains LED illuminates when AC power (line power) is connected and providing power. 18 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 27 Area 4 • Power indicator • CO port port Power indicator LED illuminates when AC power (line power) is connected and providing power Back to contents Instructor guide | 19...
  • Page 28 Displays heart rate, time, SpO , battery status indicator, indicators for VF/VT alarm and selected energy. Channel 1 Channel 2 Status message area Displays status and alarm messages. 20 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 29: Additional Areas Not Shown

    Additional areas not shown Door with manual access button (if applicable) Left side • Printer To load the paper: 1. Press the black button to open the printer door. 2. Remove the empty paper roll. 3. Insert the new paper roll, grid facing upward. 4.

  • Page 30: Device Maintenance

    Device maintenance Most hospitals have specific protocols for maintaining their defibrillators. Stryker provides a variety of tools designed to help manage inspection and maintenance procedures. Training for staff would depend on a hospital’s particular approach. BLS-trained responders should be familiar with several of the device maintenance procedures.
  • Page 31 User action, defibrillator labels, text/voice prompts & information Reconnect the defibrillator to AC Confirm that the AC Mains LED light is on power and turn the LIFEPAK 20e defibrillator/monitor and device off. CodeManagement Module (if applicable). Task User action, defibrillator labels, text/voice Instructor activity prompts &...

  • Page 32: Manual Defibrillation

    Manual defibrillation A direct current defibrillator applies a brief, intense pulse of electricity to the heart muscle. The LIFEPAK 20e defibrillator/monitor delivers this energy through disposable electrodes, standard paddles or internal paddles applied to the patient’s chest. Defibrillation is only one aspect of the medical care required to resuscitate a patient with a shockable ECG rhythm.
  • Page 33 Task User action, defibrillator labels, text/voice Instructor activity prompts & information Prepare the patient Demonstrate anterior • Remove all clothing from the patient’s chest. for therapy electrode lateral position with • Remove excessive chest hair. placement. therapy electrodes • Clean and dry the skin. Apply therapy •...

  • Page 34: Synchronized Cardioversion Procedure

    Synchronized cardioversion procedure The LIFEPAK 20e defibrillator/monitor can be configured to remain in synchronous mode or to return to asynchronous mode after discharge. It is important that you know how your defibrillator is configured. References to buttons are indicated in BOLD and display messages are indicated in ITALICS.
  • Page 35 Task Make certain all personnel, including operator, stand clear of the patient, bed, and any equipment connect to the patient. Confirm rhythm and available energy. Task User action, defibrillator labels, text/voice prompts & information Press and hold (SHOCK) (SHOCK) buttons are not pressed within button(s) until 60 seconds, stored energy is internally removed.

  • Page 36: Noninvasive Pacing

    The noninvasive pacemaker can be used for either demand (synchronous) or nondemand (asynchronous) pacing modes. The demand mode is used for most patients. In the demand mode, the LIFEPAK 20e defibrillator/monitor/pacemaker inhibits pacing when it senses the patient’s own beats, if the ECG amplitude is too low to detect the patient’s beats, or if an ECG lead becomes detached so...
  • Page 37 Task User action, defibrillator labels, text/voice prompts & information Press the RATE • Turn SPEED DIAL (changes rate in increments button. of 5 ppm) or press RATE button (changes rate in increments of 10 ppm) to desired pacing rate. • Pacing rate range from 40 to 170 ppm. •...
  • Page 38 0mA. Reattaching the electrodes silences the alarm and removes the CONNECT ELECTRODES message. The current remains at 0mA until the current is increased manually. 30 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 39: Ecg Monitoring

    ECG monitoring There are two methods for selecting or changing the ECG lead. Both methods are available on your LIFEPAK 20e defibrillator/monitor. The leads available depend on the ECG cable (3-wire or 5-wire) connected to the defibrillator. References to buttons are indicated in BOLD and display messages are indicated in ITALICS.
  • Page 40 User action, defibrillator labels, text/voice prompts & information • Press PRINT to obtain an Prints continuously until you press the PRINT button ECG printout. again to stop printing. 32 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 41: Optional Feature: Pulse Oximetry

    Optional feature: Pulse oximetry A pulse oximeter is a noninvasive tool that checks the saturation of oxygen in arterial blood (SpO2) and is not to be used as an apnea monitor. It is used for monitoring patients who are at risk of developing hypoxemia. Pulse oximetry can be used in addition to patient assessment.

  • Page 42: Optional Feature: Etco

    • 0–50 mmHg (0–7 Vol% or kPa) • 0–100 mmHg (0–14 Vol% or kPa) 5. Press the SPEED DIAL to set the scale. 6. Press the HOME SCREEN button to clear the menu. 34 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 43: Data Management

    Data management and other functions Instructor guide | A Back to contents...
  • Page 44 B | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 45 Data management When you turn on the LIFEPAK 20e defibrillator/monitor, you create a new Patient Record stamped with the current date and time. All events and associated waveforms are digitally stored in the Patient Record as patient reports. When you turn the device off, the current Patient Record data is saved in the patient archives.
  • Page 46 Discuss To exit Archives, turn off the defibrillator. Memory Capacity. Discuss Uploading data to CODE-STAT with Advanced CPR Analytics. Discuss Printing a record. 36 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...

  • Page 47: Other Functions

    Other functions Setup options allow you to define operating features for the LIFEPAK 20e defibrillator/ monitor such as device identification numbers and default settings. References to buttons are indicated in BOLD and display messages are indicated in . For complete information, review the Operating Instructions for the device.
  • Page 48 38 | Instructor guide for the LIFEPAK 20e defibrillator/monitor Back to contents...
  • Page 49 LIFEPAK 20e defibrillator/monitor is an acute cardiac care response system intended for use by authorized healthcare providers in hospital and clinic settings. It is to be used on one patient at a time. LIFEPAK 20e is intended for use by personnel who have been trained in its operation. AED MODE. Indications for Use: To be used only on patients in cardiopulmonary arrest.
  • Page 50 Stryker’s products in your area. Specifications Stryker Canada subject to change without notice. 2 Medicorum Place Stryker or its affiliated entities own, use, or have applied for the following trademarks Waterdown, Ontario or service marks: CodeManagement Module, CODE-STAT, CODE SUMMARY, EDGE L8B 1W2 System, LIFEPAK, QUIK-COMBO, REDI-PAK, Stryker.

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