® LIFEPAK 15 MONITOR/DEFIBRILLATOR OPERATING INSTRUCTIONS LIFEPAK®15 MONITOR/DEFIBRILLATOR OPERATING INSTRUCTIONS Important Information !USA Rx Only !USA Device Tracking The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors to track the location of their defibrillators. If the device is located somewhere other than the shipping address or the device has been sold, donated, lost, stolen, exported, destroyed, permanently retired from use, or if the device was not obtained directly from Physio-Control, please do one of the following: register the device at http://www.physio-control.com, call the device registration phone line at 1.800.426.4448, or use one of the postage-paid address change cards located in the back of this manual to update this vital tracking information. Text Conventions Throughout these operating instructions, special text characters (for example, CAPITAL LETTERS such as CHECK PATIENT and SPEED DIAL) are used to indicate labels, screen messages, and voice prompts. Version History These operating instructions describe LIFEPAK 15 monitor/defibrillator devices with software revision 3306808-001 or later. LIFEPAK, LIFENET, QUIK-LOOK, and QUIK-COMBO are registered trademarks of Physio-Control, Inc. CODE SUMMARY, Shock Advisory System, CODE-STAT, DT EXPRESS, LIFEPAK CR, REDI-PAK, LIFEPAK EXPRESS, SunVue, and cprMAX are trademarks of Physio-Control, Inc. Bluetooth is a registered trademark of Bluetooth SIG, Inc. CADEX is a registered trademark of Cadex Electronics Inc. Microstream, CapnoLine, and FilterLine are registered trademarks of Oridion Systems Ltd. The Oridion medical capnography in this product is covered by one or more of the following US patents: 6,428,483; 6,997,880; 5,300,859; 6,437,316 and their foreign equivalents. Additional patent applications pending. PC Card is a trademark of the Personal Computer Memory Card International Association. Masimo, the Radical logo, Rainbow, and SET are registered trademarks of Masimo Corporation. EDGE System Technology is a trademark of Ludlow Technical Products. Formula 409 is a registered trademark of The Clorox Company. Specifications are subject to change without notice. ©2007-2010 Physio-Control, Inc. All rights reserved. Publication Date: 05/2010 MIN 3306222-002 CONTENTS 1Preface Introduction ...................................................................................................................1-3 Intended Use..................................................................................................................1-4 Modes of Operation .........................................................................................................1-5 2 Safety Information Terms ............................................................................................................................2-3 General Dangers and Warnings .........................................................................................2-3 3 Basic Orientation Front View ......................................................................................................................3-3 Back View ....................................................................................................................3-13 Batteries ......................................................................................................................3-15 Home Screen................................................................................................................3-17 Alarms .........................................................................................................................3-21 Options ........................................................................................................................3-23 Events..........................................................................................................................3-25 4 Monitoring Monitoring the ECG .........................................................................................................4-3 Acquiring a 12-Lead ECG ..............................................................................................4-15 Monitoring SpO2, SpCO, and SpMet ...............................................................................4-25 Monitoring Noninvasive Blood Pressure ...........................................................................4-37 Monitoring ETCO2.........................................................................................................4-45 Monitoring Invasive Pressure ..........................................................................................4-54 Monitoring Continuous Temperature................................................................................4-61 Vital Sign and ST Segment Trends..................................................................................4-66 5 Therapy General Therapy Warnings and Cautions ............................................................................5-3 Therapy Electrode and Standard Paddle Placement ............................................................5-4 Automated External Defibrillation (AED)............................................................................5-7 Manual Defibrillation.....................................................................................................5-22 Synchronized Cardioversion Procedure ............................................................................5-27 Noninvasive Pacing .......................................................................................................5-32 Pediatric ECG Monitoring and Manual Mode Therapy Procedures.......................................5-39 6 Paddle Accessory Options QUIK-COMBO Therapy Electrodes ....................................................................................6-3 Standard Paddles............................................................................................................6-6 ©2007-2010 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions iii 7 Data Management Patient Records and Reports ............................................................................................7-3 Memory Capacity ............................................................................................................7-9 Managing Current Patient Records..................................................................................7-10 Managing Archived Patient Records ................................................................................7-11 8 Data Transmission About Transmitting Patient Records and Reports................................................................8-3 Preparing the Monitor for Transmission .............................................................................8-4 Using Bluetooth Wireless Communication..........................................................................8-5 Using a Direct Connection..............................................................................................8-10 Transmitting Reports .....................................................................................................8-12 Considerations When Transmitting Data ..........................................................................8-14 Troubleshooting Tips ....................................................................................................8-15 9 Power Adapter Basic Orientation ............................................................................................................9-3 Using the Power Adapter..................................................................................................9-5 General Maintenance.......................................................................................................9-8 Warranty ......................................................................................................................9-10 10 Maintaining the Equipment General Maintenance and Testing ...................................................................................10-3 Battery Maintenance ...................................................................................................10-12 Cleaning the Device.....................................................................................................10-15 Storing the Device.......................................................................................................10-16 Loading Paper ............................................................................................................10-17 General Troubleshooting Tips .......................................................................................10-18 Service and Repair .....................................................................................................10-22 Product Recycling Information .....................................................................................10-23 Warranty ....................................................................................................................10-23 Accessories ................................................................................................................10-24 Appendix A: Specifications and Performance Characteristics Appendix B: Screen Messages Appendix C: Shock Advisory System Appendix D: Electromagnetic Compatibility Guidance Appendix E: Symbols iv LIFEPAK 15 Monitor/Defibrillator Operating Instructions 1 PREFACE This chapter provides a brief introduction