Zoll 1400 Operators Manual

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Defibrillator Complications Inappropriate defibrillatron or cardioversion on a patient (e.g., with no malignant arrhythmia) may precipitate ventricular fibrillation, asystole, or other dangerous arrhythmias. Defibrillation without proper application of paddle electrolyte gel may be ineffective and cause burns, particularly when repeated shocks are necessary. Defibrillator Output Energy The ZOLL PD 1400 delivers up to 360 joules into a 50 ohm impedance. The energy delivered through the chest wall, however, is controlled by skin imped antes. An adequate amount of electrolyte gel must be applied to the paddles and a force of 1 O-l 2 kilograms must be applied to each paddle in order to minimize skin impedance. If multi-function electrodes are used, make sure that they are properly applied. (See Chapter 3) MONITOR This product contains a non-fade monitor for observation of the patient’s cardiac FUNCTION rhythm. The monitor displays the ECG in moving trace mode at 25 period of 3.4 seconds. mm/set for a Also displayed on the monitor are: W heart rate, derived from measuring W lead selections � ECG size - .5, 1 .O, 1.5, 2.0, 3.0 W pacemaker output in milliamps � defibrillator output in joules - I, II, III, PADDLES, or ELECTRODES cm/mV R to R intervals � other operational prompts, messages, and diagnostic codes General Information RECORDER The hard copy recorder is used to document events. The recorder normally FUNCTION operates in the delay mode (6 seconds) to insure capture of critical ECG information. It may be activated manually by pressing the RECORDER ON/OFF button. It will be activated automatically whenever the defibrillator discharge buttons have been pressed or a Heart Rate Alarm activates. The recorder may also be configured not to print during these events. (See Recorder Configuration, Chapter 2 for more information.)
PADDLE-ELECTRODE OPTIONS Chapter 1 The ZOLL PD 1400 will pace, defibrillate, cardrovert and monitor usrng either defibrillation paddles and NTP 2000 electrodes or using ZOLL Multi-function electrodes (PD 2200). Operation of the ZOLL PD 1400 is identical for both methods except that defibrillation (Energy Select, Charge, Discharge) and recorder on/off controls located on the paddles are not available when using multi-function electrodes. The operator must use the controls located on the PD 1400 front panel. To switch between paddles and multi-function electrodes, the operator simply unplugs one cable and plugs in another. BATTERIES The ZOLL PD 1400 uses special medical grade, sealed, lead-acid batteries (PD 4410) that, when fully charged, will provide 2.5 hours minimum (3.5 hours typical) of monitoring. Use of the defibrillator, pacemaker, and recorder will reduce this time. A “LOW BATTERY” message appears on the monitor and the unit will beep twice in a row once a minute when the battery must be replaced. (See battery specifications on page 10 for more information.) BAll-ERY Battery charging and charge capacity evaluation is easily performed with the CHARGER ZOLL PD 4420 Battery Support System. Up to four batteries can be charged simultaneously and testing is a simple one step operation. See the ZOLL Battery Support Operator’s Guide for more detailed information on the specifications, use and management of ZOLL PD 1400 batteries. INSTRUMENT The computer contained within the ZOLL PD 1400 performs self-diagnostic tests DIAGNOSTICS on critical circuits when the instrument is initially turned on and periodically during operation. The “READY” message that appears briefly on the monitor during initial power-up verifies proper operation of these circuits. Dunng operation, an “STATUS XX” message will indicate if a problem has been detected. If this occurs, contact authorized service personnel. In the U.S.A., contact ZOLL Medical service, telephone I-800-348-901 I. SERVICE The ZOLL PD 1400 Pacemaker/Defibrillator will provide trouble free operation without periodic recalibration or adjustment. However, it is suggested that appropriately trained and qualified personnel perform periodic routine tests of the device to verify proper operation. (See Chapter 8.)
Page 2 and 3: PREFACE About This Manual.. .......
Page 4 and 5: Table of Contents CHAPTER 9 Trouble
Page 6 and 7: This manual provides information ne
Page 8 and 9: General Information SAFETY The ZOLL
Page 10 and 11: 2. As a standby when standstill or
Page 14 and 15: U.S.A. customers SPECIFICATIONS GEN
Page 16 and 17: Patient Connection input Protection
Page 18 and 19: ACCESSORIES (STANDARD) W Standard A
Page 20 and 21: � � El CHARGE Press the charge
Page 22 and 23: � � H � � Controls and Indi
Page 24 and 25: SUMMARY REPORT Summary Report first
Page 26 and 27: PRINTING A To retrieve recorded eve
Page 28 and 29: INTRODUCTION MULTI-FUNCTION ELECTRO
Page 30 and 31: “ELECTRODES OFF” If the operato
Page 32 and 33: Chapter 4 WARNING To avoid risk of
Page 34 and 35: Chanter 4 NOTES If the defibrillato
Page 36 and 37: Chapter 4 APPLY ELECTRODES TO CHEST
Page 38 and 39: Synchronized Cardioversion WARNINGS
Page 40 and 41: � A “SYNC XXX J SEL” message
Page 42 and 43: After 6-l 0 seconds of charging to
Page 44 and 45: PACING PROCEDURE Noninvasive Tempor
Page 46 and 47: Increase pacer output mA until stim
Page 48 and 49: PACER LEAD FAULT The message “PAC
Page 50 and 51: PREPARATIONS Proper application and
Page 52 and 53: 1. Push ALARM SET button. Low alarm
Page 54 and 55: General Maintenence Resuscitation e
Page 56 and 57: SEll-ING TIME AND DATE Check the ti
Page 58 and 59: NOTE BATTERY CARE THE BATTERY A med
Page 60 and 61: � Noisy ECG display when using pa
Page 62 and 63:
WARNING � � � . Chapter 9 NON
Page 64 and 65:
ChaDter 9 An “STATUS XX” messag
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Zoll 1400 Operators Manual

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