ZOLL OneStep CPR II Instructions For Use Manual

OneStep
CPR II Resuscitation Electrodes
TM
Only for use with ZOLL R Series
OPERATING TEMPERATURE:
SHORT TERM STORAGE TEMPERATURE:
LONG TERM STORAGE TEMPERATURE:
ENGLISH / Page 1 of 6
Intended Purpose: To transfer energy for de brillation, cardioversion, non-invasive pacing therapy to the heart and provide CPR assistance/feedback
and ECG monitoring.
Indications for use: For use on adult patients with ZOLL® R Series® de brillator by trained personnel only including Physicians, Nurses, Paramedics, Emergency
Medical Technicians and Cardiovascular Laboratory Technicians. The OneStep CPR II Adult electrodes are not indicated for use on a patient less than 8 years
of age or weighing less than 55lbs (25kg).
Instructions
1. Remove excess chest hair. Clip if necessary to maximize gel to skin contact. Clipping is recommended
since shaving can leave tiny microabrasions that can lead to patient discomfort during pacing.
2. Ensure skin is clean and dry under electrode. Remove any debris, ointments, skin preps, etc.
with water (and mild soap if needed). Wipe off excess moisture/diaphoresis with dry cloth.
Instructions
1
1. Apply one edge of the electrode securely to the patient.
Pad Skin
2. "Roll" the electrode smoothly from that edge to the other. Be careful not to trap
any pockets of air between the gel and skin.
2
Recommended for de brillation, non-invasive pacing, ventricular cardioversion and ECG
monitoring. Optimal for non-invasive pacing because it increases patient tolerance and decreases
capture thresholds.
Posterior:
POSTERIOR
Grasp the Posterior electrode at the red tab and peel
away the plastic liner. Place to the left of the spine
just below the scapula at the heart level.
Always apply Posterior electrode rst. If Anterior
electrode is already in place when patient
is being maneuvered for placement of the Posterior,
the Anterior may become partially lifted. This could
lead to arcing and skin burns.
1. After patient movement due to muscle contraction or patient
repositioning, press electrodes to skin to ensure good
coupling between electrodes and skin.
2. Do not conduct manual chest compressions through the
electrodes. Doing so may cause damage to the electrodes
that could lead to the possibility of arcing and skin burns. For
electrodes with the CPR sensor, place hands directly on the
CPR sensor when conducting chest compressions.n.
3. Transcutaneous pacing may cause burns to the skin.
Periodically check the electrode site to ensure that the
electrodes are well adhered to the skin.
4. During transcutaneous pacing, do not exceed the maximum
pacing settings of 1 hour of pacing (140 mA/180 ppm) or 8
hours of pacing (100 mA/100 ppm). Doing so can increase
the possibility of skin burns.
5. Replace electrodes after 24 hours of skin contact or 8 hours
of pacing to maximize patient bene t.
6. To avoid electrical shock, do not touch the electrodes, patient,
or bed when de brillating.
7. Always apply electrodes to at areas of skin. If possible,
avoid folds of skin such as those underneath the breast or
those visible on obese individuals.
De brillator by trained personnel
®
° ° ° °
0 C to 50 C (32 F to 122 F)
° ° ° °
-30 C to 65 C (-22 F to 149 F)
° ° ° °
0 C to 35 C (32 F to 95 F)
PRECONNECTING THE ELECTRODES
1. Do not open until ready to use.
2. Periodically inspect electrode packaging for seal integrity.
3. Attach electrode connector to ZOLL OneStep cable or multifunction cable.
4. Open electrode package by pulling apart at yellow arrow.
5. Self test connection disengages after the electrode has been removed from the liner.
ELECTRODE APPLICATION
ELECTRODE PLACEMENT
Anterior-Posterior
DO NOT locate the
back sensor directly
under the spine. Doing
so could cause injury.
Anterior Apical:
Grasp the Anterior Apical electrode at the red tab and
peel away the plastic liner. Apply over cardiac apex
between the mid line of the chest and nipple on a male
patient, with the shaded "point" facing up. Position
under breast on female patient.
Avoid any contact between nipple and gel treatment
area. Skin of the nipple area is more susceptible to
burning.
8. Avoid electrode placement near the generator of an internal
pacemaker, other electrodes or metal parts in contact with the
patient.
9. Use only with ZOLL Pacemaker/De brillator products.
10. Do not use if gel is dry. Dried out gel can lead to skin
burning. Do not open pouch until ready to use. Do not use
electrodes past the expiration date printed on the pouch
label.
11. Do not discharge standard paddles on or through electrodes
or place separate ECG leads under pads. Doing so could
lead to arcing and/or skin burning.
12. Some current generated by electrosurgical units (ESU) may
concentrate in the conductive gel of pacing / de brillation
electrodes, especially if an ESU grounding pad other than
that recommended by the ESU manufacturer is used. Consult
the ESU operator's manual for further details.
13. Do not fold the electrodes or packaging. Any fold in or other
damage to the conductive element could lead to the
possibility of arcing and/or skin burns.
14. Electrode types equipped with ECG Electrodes embedded in
the front pad produce modi ed ECG vectors. Attach
conventional ECG electrodes to the patient for diagnostic
purposes.
For use when performing CPR on rm or soft surfaces
50° C
MD
122° F IPXX
Rx
ONLY
0° C
32° F
SKIN PREPARATION
ANTERIOR APICAL
WARNINGS
Instructions for Use
ENGLISH Page 1 of 1
NOT MADE WITH
NATURAL RUBBER LATEX.
Excessive hair can inhibit good
coupling (contact), which can
lead to the possibility of arcing
and skin burns.
Poor adherence and/or air
under the electrodes can lead
to the possibility of arcing and
skin burns.
Atrial Cardioversion
Anterior / Posterior Electrode Placement
(Recommended)
POSTERIOR
ANTERIOR STERNAL
Posterior:
Grasp the Posterior electrode at the red tab and peel
away the plastic liner. Place to the left of the spine just
below the scapula at the heart level.
Anterior Sternal:
Grasp the Anterior Sternal electrode at the red tab and
peel away the plastic liner. Apply to upper right torso
on the third intercostal space, midclavicular line.
15. Device disposal should follow hospital protocol.
16. Do not use electrodes in the presence of oxygen-rich
environment or other ammable agents. Doing so could
cause explosion.
17. If any serious incident has occurred in relation to the device,
the incident should be reported to the manufacturer and the
competent authority of the Member State in which the user
and/or patient is established.
18. If repositioning of the electrodes is needed, consider
replacement with a new electrode.
ZOLL Medical Corporation
269 Mill Road
Chelmsford, MA 01824-4105 USA
800-348-9011
January 2024
R2167-02 Rev. E
®
Made in USA
ZOLL International Holding B.V.
Einsteinweg 8A
6662 PW Elst, Netherlands
ZOLL Medical Switzerland AG
Baarerstrasse 8
6300 Zug, Switzerland