ZOLL R Series ALS Operator's Guide

ZOLL®

R Series $ ^{\circledR} $ ALS Operator's Guide

3 SHOCK 2 LEAD ANALYZE CHARGE CPR ECG x1 177 PADS PPI 97 RECORDER DEFID ONION OFF PACER ONION Sync Code Monitor Report Alarms On/Off OUTPUT mA RATE ppm ZOLL

The issue date for the R Series Operator's Guide ALS (REF 9650-0912-05 Rev. C) is June, 2012.

If more than 3 years have elapsed since the issue date, contact ZOLL Medical Corporation to determine if additional product information updates are available.

Copyright © 2012 ZOLL Medical Corporation. All rights reserved.

R Series, M Series, pedi-padz, pro-padz, stat-padz, CodeNet, Real CPR Help, RescueNet, See-Thru CPR, Code-Ready, SurePower, OneStep, Smart Alarms, CPR Index, Defib Mentor, Rectilinear Biphasic, and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.

Masimo is a registered trademark of Masimo Corporation in the United States and/or other countries.

All other trademarks are property of their respective owners.

M

ZOLL Medical Corporation

269 Mill Road

Chelmsford, MA USA

01824-4105

ECREP ZOLL International Holding B.V.

Newtonweg 18

6662 PV ELST

The Netherlands

C€

0123

Table of Contents

Product Description ..... 1-1
How to Use This Manual ..... 1-2
Operator's Guide Updates ..... 1-3
Unpacking ..... 1-3
Symbols Used on the Equipment ..... 1-3
Conventions ..... 1-6
Defibrillator Function ..... 1-6
Intended Use — Manual Operation ..... 1-6
Intended Use — ECG Monitoring ..... 1-7
Intended Use — Real CPR Help ..... 1-7
Defibrillator Complications ..... 1-7
Defibrillator Output Energy ..... 1-7
External Pacemaker (Optional) ..... 1-8
Intended Use — Pacemaker ..... 1-8
Pacemaker Complications ..... 1-9
Pediatric Pacing ..... 1-10
Intended Use — SpO₂ Monitoring ..... 1-10
Intended Use — EtCO₂ Monitoring ..... 1-10
Intended Use — NIBP ..... 1-11
ECG Monitoring ..... 1-11
Recorder Function ..... 1-11
Paddles and Electrodes ..... 1-12
Batteries ..... 1-12
Code-Ready System ..... 1-13
Safety Considerations ..... 1-13
Warnings ..... 1-14
Operator Safety ..... 1-15
Patient Safety ..... 1-16
Cautions ..... 1-18
Restarting the Defibrillator ..... 1-18
FDA Tracking Requirements ..... 1-19
Notification of Adverse Events ..... 1-19
Software License ..... 1-20
Service ..... 1-20
The ZOLL Serial Number ..... 1-21

Chapter 2 Product Overview

Chapter 2 Product Overview

Defibrillator Controls and Indicators ..... 2-1
The Front Panel ..... 2-3
Display Screen ..... 2-5
Patient Cables and Connectors ..... 2-7
External Paddles ..... 2-9
Working with Menus ..... 2-11
Defib Mentor Mode (Optional) ..... 2-12
Common Tasks ..... 2-13
Replacing a Battery Pack ..... 2-13
Adjusting Display Brightness ..... 2-13
Using Code Markers ..... 2-14

Chapter 3 Manual Defibrillation

Emergency Defibrillation Procedure with Paddles ..... 3-1
Determine the Patient's Condition Following Local Medical Protocols ..... 3-1
Begin CPR Following Local Medical Protocols ..... 3-2
1 Select DEFIB ..... 3-2
2 Charge Defibrillator ..... 3-4
3 Deliver Shock ..... 3-5
Autoclavable External Paddles ..... 3-5
Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes ..... 3-6
Determine the Patient's Condition Following Local Medical Protocols ..... 3-6
Begin CPR Following Medical Protocols ..... 3-6
Prepare Patient ..... 3-6
1 Select DEFIB ..... 3-7
2 Charge Defibrillator ..... 3-9
3 Deliver Shock ..... 3-9
Autoclavable Electrodes ..... 3-10

Chapter 4 Advisory Defibrillation

Advisory Defibrillation Procedure ..... 4-2
Determine the Patient's Condition Following Local Medical Protocols ..... 4-2
Begin CPR Following Local Medical Protocols ..... 4-2
Prepare Patient ..... 4-2
1 Select DEFIB ..... 4-2
2 Press ANALYZE Button ..... 4-3
3 Press SHOCK ..... 4-5
Advisory Function Messages ..... 4-7
Warning Messages ..... 4-7

Chapter 5 Synchronized Cardioversion

Chapter 3 Synchronized Cardioversion
Synchronized Cardioversion Procedure ..... 5-2
Determine the Patient's Condition and Provide Care Following Local Medical Protocols ..... 5-2
Prepare Patient ..... 5-2
1 Select DEFIB ..... 5-3
2 Charge Defibrillator ..... 5-4
3 Deliver SHOCK ..... 5-5
Remote Synchronized Cardioversion Procedure ..... 5-5
Determine the Patient's Condition and Provide Care Following Local Medical Protocols ..... 5-6
Prepare Patient ..... 5-6
1 Select DEFIB ..... 5-6
2