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- ZOLL X Series Monitor Defibrillator Rev D User Manual | pages

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Page LTA alarms are latching, which means that the alarm indication will persist until both of the following conditions are met: 1. The alarming condition no longer exists. The SureBP monitoring software allows the X Series unit to take an NIBP measurement as the cuff is inflating, which saves time -- the measurement takes about 15 seconds -- and improves patient comfort.

If you are still uncertain about the measurement, use another method. The blood pressure cuff and hose connect to the X Series unit through the NIBP connector on the side panel of the unit.

The NIBP button on the front panel of the unit allows you to initiate and terminate blood pressure measurements, which are displayed in the NIBP area of the monitor. To use the SureBP feature, which enables the X Series unit to measure blood pressure on cuff inflation, you must use the FlexiPort cuff and dual lumen two-tube adaptor and hose. Page Insert the plastic connectors on the NIBP hose into the cuff hose connector, and twist the connectors until they lock. The connectors are the same; you can insert either of the plastic connectors into either of the cuff hose connectors in any order.

Before using the X Series unit to monitor a new patient, power down the unit for at least 2 minutes to reset all patient parameters and eliminate all adjustments made for the previous patient.

If artifact is severe, a special symbol appears on the display and printouts: Figure High Artifact Symbol By default, Smartcuf is Enabled. These options use the same connector on the X Series unit and may be used interchangeably. Configure alarms if the current alarm settings are not appropriate and other CO features. Put the fitting at the end of the sidestream tubing over the CO inlet port connector. Page Applying A Filterline Set To prevent moisture from draining into the sample tubing, ensure that the sampling tube exits from the top of the airway adapter, not its bottom or sides.

See the following figure. Page Measuring Co2 Check that connections have been made correctly by verifying the display a proper capnogram the waveform is inserted automatically on the waveform display window.

When using the X Series unit in high-altitude environments, it is advisable to adjust EtCO alarm settings accordingly. For patients with slower respiration rates, a slower sweep speed will make the capnogram easier to view. You can specify sweep speeds of 3. The default sweep speed is 6. Page Patents Chapter 9 Monitoring CO2 Patents The capnography component of the X Series unit is covered by one or more of the following US patents: 6,,; 6,,;5,,; 6,,; 7,,; and their foreign equivalents.

Additional patent applications pending. The transmitted light is then received by a photodetector, which converts it to an electronic signal. This will seriously damage the pulse co-oximeter. Page Spo2 Setup And Use For more information, refer to the Accessories section of this chapter, which provides a list of ZOLL-approved reusable and single-use sensors for adult, pediatric, and neonate patients.

Before applying the sensor, always familiarize yourself with the Directions for Use that the manufacturer provides with the sensor. Allow the sensor to air dry before returning it to use. Page Averaging Time The Masimo SpO module in the X Series unit provides three different time periods over which values are averaged: 4 seconds, 8 seconds default and 16 seconds. The averaging period is rarely changed from the 8 second default setting.

For high risk patients with rapidly changing conditions, use the 4 second setting. When Off default the X Series uses arterial as the blood sample source. Page Functional Testers And Patient Simulators For a properly functioning monitor, this difference will be reproducible over time and from monitor to monitor within the performance specifications of the test device. Patents All patent information related to the SpO2 component of the X Series unit can be found at the following: www.

Page Zeroing The Transducer Check that the unit is open to atmospheric air and that it is properly connected to the unit, then try zeroing the transducer again.

Page Chapter 12 Monitoring Temperature This chapter describes how to use the X Series unit to monitor temperature. The X Series unit provides two temperature channels. The use of other probes that do not match the performance specifications of the ZOLL-approved probes may produce incorrect temperature readings.

You can enable or disable temperature alarms and set the upper and lower alarm limits through the Alarms quick access key or the Temp Parameter Control Panel. Note: The temperature function performs a self test when initially powered on and also performs system tests automatically, every 10 seconds, while this function is active.

The first mode of analyzing is automatic; the other mode of analyzing is user activated analysis and is initiated by pressing the ANALYZE button. Effective defibrillation will result, but pacing will usually be less effective.

Page Turn On Unit Shock 3 - 85 joules Note: Pediatric defibrillator energy levels should be selected based on site specific protocols. Page Analyze Analyze to resume the analysis process.

Page A continuous tone sounds for 20 or 50 seconds depending on configuration , followed by a higher pitch tone for 10 seconds. You must deliver the shock within this 30 or 60 second interval depending on configuration , or the defibrillator will disarm itself. Page Press Shock Begin chest compressions and rescue breathing per local protocol as prompted by the unit. Page Operating Messages It resets to 0 after the unit has been off for more than two minutes.

Page This message is displayed and announced when the unit is paused and detects a shockable rhythm during continuous background ECG analysis. The prompt persists as long as a shockable rhythm is being detected. Page Switching To Manual Mode Operation 30 seconds and less than two minutes, then power it back up. If you wait longer than two minutes, the unit will reset the settings to the defaults and treat the case as a new patient. Page To assure protection against the effects of defibrillator discharge, use only lead cables supplied by ZOLL Medical Corporation.

ZOLL Medical Corporation recommends placing the limb electrodes anywhere along the ankles and wrists. Avoid placing electrodes over tendons and major muscle masses. Page Move your finger down two more intercostal spaces to the fourth intercostal space which is the V1 position.

Note: When placing electrodes on female patients, always place leads V3-V6 under the breast rather than on the breast. Page Connecting The Lead Cable. Entering the correct age and gender ensures that the highest degree of ECG analysis is obtained.

The interpretive statements that the X Series unit displays are produced by the Audicor software of Inovise Medical, Inc. Press to collect 10 seconds of Lead data for print. Once 32 lead snapshots are stored, the oldest snapshot in the log is overwritten by subsequent snapshots. By default, the unit prints only one lead snapshot.

The default is enabled Rev. Page Chapter 15 Manual Defibrillation No portion of the hands should be near the paddle plates. Page Determine The Patient's Condition Following Local Medical Protocols Shock 2 - 70 joules Shock 3 - 85 joules Note: Neonatal and pediatric defibrillator energy levels should be selected based on site- specific protocols.

Apply a liberal amount of electrolyte gel to the electrode surface of each paddle, and rub the electrode surfaces together to evenly distribute the applied gel. Page APEX paddle lights up. Page Deliver Shock If additional countershocks are needed, follow steps 1 through 3 of this procedure starting on page , to readjust the energy settings, charge the unit, and deliver the shock. Page Turn On Unit Shock 2 - 70 joules Shock 3 - 85 joules Note: Neonatal and pediatric defibrillator energy levels should be selected based on site- specific protocols.

Page Charge Defibrillator When the unit is fully charged, the tone changes to a continuous charge ready tone, the highlighted energy bar graph includes the selected energy, and the SHOCK button lights up. Selected Energy www. Page Internal Paddles , to readjust the energy settings, charge the unit, and deliver shock.

Two types of Autoclavable Internal Handles are This message verifies that the Discharge button located on the right handle is operating correctly. Press the Energy Select arrows located on the front panel of the X Series unit up or down to select 30 Joules. Page Synchronized Cardioversion Verify that markers are clearly visible on the monitor and their location is appropriate and consistent from beat to beat.

Changing the selected energy levels does not cause the unit to leave SYNC mode. Page Select Energy Level When the unit is fully charged, the tone changes to a continuous charge ready tone, the highlighted energy bar graph includes the selected energy, and the SHOCK button lights up.

Page Deliver Shock Sync quick access key again and follow steps 1 through 3 of this procedure starting on page , to readjust the energy settings, charge the unit, and deliver shock. Page Chapter 16 Advisory Defibrillation When the X Series unit is configured for Advisory or single analysis defibrillation, the X Series unit can identify shockable rhythms using its built in ECG analysis capability. You must read the advisory messages, charge the defibrillator to the preconfigured or user-selected energy level if automatic charge is disabled , and deliver treatment to the patient when required by protocol and patient condition.

Energy Select Note: When a nonshockable rhythm is detected, the X Series does not prevent the user from manually defibrillating the patient. Note: Reanalysis of the ECG rhythm is inhibited for 3 seconds after each shock. Continue Patient Care Continue patient care according to medical protocols. Page Chapter 16 Advisory Defibrillation www. Page Press Analyze Button If the analysis does not detect a shockable rhythm, the unit alerts the operator that no shock is advised.

ECG rhythm analysis does not warn of patient asystole, which is not a shockable rhythm. You can press the Exit quick access key at any time to return to Manual mode. Pacing is intended for use on adult patients and on adolescent, child, and infant pediatric patients. Page Pacer Modes ECG monitoring electrodes and hands-free pacing therapy electrodes to the patient. The default factory mode setting is Demand. Page Set Mode Select the lowest output current that achieves both electrical and mechanical capture.

Use of other ECG monitoring devices might provide misleading information due to the presence of pacer artifacts. Attach hands-free therapy electrodes according to instructions on the electrode packaging. The Pacing window displays behind the Pacer Settings window.

Page Pediatric Pacing If it is necessary to pace for more than 30 minutes, periodic inspection of the underlying skin is strongly advised. Carefully follow all instructions on electrode packaging. Pace Fault The X Series unit may display the following messages when pacing. Page Chapter 18 External Pacing www.

The way in which feedback is provided varies with respect to the operational mode and user configuration, but is derived from compression rate and depth measurements. Two voice prompts are available for This prompt occurs 45 seconds into the CPR interval. It decrements the time until it reaches zero. See-Thru CPR uses a filter It is difficult for a rescuer to discern this rhythm during CPR compressions.

Page The following figure shows a patient in VF, which, during compressions, is slightly more difficult to discern. When viewing this ECG, it is possible to view the underlying rhythm as the filter is able to reject all of the CPR artifact. Page About 14 seconds into this chart, the rhythm changes to asystole, which could easily be mistaken for coarse VF.

Page Chapter 21 Patient Data This chapter describes procedures for storing, viewing, and transferring patient data from the X Series to an external system, such as a personal computer or handheld device. Note: Before deleting log files from the X Series, view the files on a personal computer to verify that they have been successfully transferred. Note: Data transfers will not be successful if the USB flash storage device is full or does not have sufficient memory available.

Page Storing Data When data storage reaches its capacity, the unit performs automatic log management by deleting the oldest full disclosure case. If the log is not cleared or transferred, the X Series unit continues to delete cases as needed to acquire storage capacity. For more information on clearing or transferring the log, see page Page Reviewing And Printing Snapshots Use the navigation keys to highlight and select the treatment summary you want to print.

Note: The Treatment Summary Report that you selected has a check mark next to it. Use the navigation keys to highlight and select Print Treatment Summary. Note: Wait for the log transfer to complete and for the green light on the top of the X Series to turn off before removing the USB drive. This message can occur if you clear the log and then immediately enter the Treatment screen or the Trend Summary screen.

Page Chapter 21 Patient Data www. You can set up a Bluetooth pairing or temporary wireless access point on the X Series unit by selecting the wireless icon on the display screen. Once you have set An adapter is connected, and the connection is operating. Ethernet Not Replaces the wireless icon when Ethernet is enabled.

An Ethernet Connected adapter is connected, but the connection is not operating. No icon All wireless connectivity is disabled. Wireless icon Rev. Use the navigation keys to navigate the menu items; press the back arrow to exit the wireless menu. A green check mark appears to show that the profile has been selected. Press the back arrow to return to the Wireless menu. To edit the profile, use the navigation keys to highlight and select Edit.

The unit displays the Edit AP Profile menu. Use the alphabetical keypad to enter the security key. Page Other options on the screen will be greyed out. Other options on the screen will be greyed out. On your Bluetooth device, accept the pairing request and enter the PIN, if prompted.

The unit then returns to the list of paired devices. Page Sending A Lead Report Sending a Lead Report When a lead report has been acquired or a previously acquired lead has been selected for review, the X Series unit prepares the report for transmission.

When this is complete, the Transmit quick access key displays. Page Sending Disclosure Logs Sending Disclosure Logs Sending Disclosure Logs For systems with a Disclosure log server configured, the X Series unit allows you to send patient disclosure logs for up to 15 cases at one time to a remote server through a wireless connection. Use the navigation keys to scroll down to Supervisor. Press Enter the password. The Supervisor menu appears.

Use the navigation keys to highlight and select Communications. The options for Communications are displayed. Page Disclosure Log The X Series unit allows you to send the Disclosure Logs and audio for up to 15 cases at one time to a remote server.

You can enter the type of network setting, profile name, SSID, authentication, and security key. Page Use the alphabetical keypad to enter the security key. Page If the network requires it, you may enter an Anonymous Identity. The CA certificate is also optional. Page Filenames can only be 24 characters long. If the files on the USB device are more than 24 characters, then they will not appear on the X Series unit screen. Under the Communications menu, select Cellular Configure.

The Cellular menu appears. You can use the arrow keys to enable or disable all cellular functions, and configure your cell phone provider information. Page Call number is an access number sometime referred to as a Dial String. If your provider does not require these fields, leave them blank. Page Select Pair Now to pair the device.

Page to return to the list of paired devices. Not all cellular phones Note: transmit reliably; contact your local ZOLL Medical Corporation sales representative for a list of approved devices. The X-Series retains the current Distribution List until a new one is downloaded. Page Configuring Disclosure Log Transmissions lead snapshots and analysis. Page Configuring Clock Synchronization To ensure that the real time clock never changes during patient treatments, the X Series will make adjustments to its clock, if necessary, after the unit has been off for at least two minutes and prior to the start of a new case.

Page 1. The Clock Synchronization menu displays. In the Clock Sync field, specify whether or not to synchronize the X Series internal real time clock to an external time source.

Power cycling the unit may correct the problem. If the problem persists, set the date and time by highlighting the Date and Time display field and pressing Select.

The X Series unit will print the displayed waveforms as configured in the Number of Traces option. The Print Number of Traces option can be set to , or. Page Printing Reports Use the navigation keys to highlight and select the treatment summary you want to print.

The X Series unit enables you to print vital signs data at one selected time or a trend summary showing vital signs values acquired during the current case up to the last 24 hours.

Page Chapter 24 Maintenance Maintenance Resuscitation equipment must be maintained to be ready for immediate use. To ensure the readiness and optimum working condition of the X Series unit, you should perform the following inspections and tests daily or at each shift change. In addition to the daily check, authorized personnel should complete performance and calibration testing at regularly scheduled intervals, which should not exceed one year.

Verify that a periodic tone sounds while the defibrillator is charging. Note: If a low battery message appears during any of this testing, the battery is close to depletion and should be replaced or recharged. Damage to the battery packs can occur if they are left in a depleted state for more than 14 days.

Page Cleaning Instructions Cleaning instructions Cleaning the X Series unit To clean the X Series unit, use a nearly dry cloth containing one of the mild cleaning agents listed below.

DO NOT allow cleaning agent or water to run into the crevices or connector openings at any time. Use ZOLL recorder paper part number To load the recorder paper into the printer: 1. Page Cleaning The Print Head Gently wipe the print head with a cotton swab moistened with isopropyl alcohol, and dry any residual alcohol with another dry cotton swab. Figure Cleaning the Print Head Place the paper back into the unit and close the cover see Fig. Indicate whether all requirements have been met.

Page Defibrillator R wave and the delivery of energy. Page Series defibrillation waveforms are considered substantially equivalent. Figures A-1 through A show the Rectilinear Biphasic waveforms that are produced when the X Series defibrillator is discharged into loads of 25, 50, 75, , , , and ohms at each energy setting. Page Ohm Ohm Figure A Rectilinear Biphasic Waveform at Joules www.

Page Ohm Figure A The charge time should be less than 7 seconds. Verify that the Shock button. Verify that the Pacer Settings dialog displays with the pacer status bar behind it. Set the Pacer mode to Fixed. Set the Pacer Rate to 60 ppm. Set the Output to mA. Select the Start Pacer button. Verify that the green pace indicator on the pacer status bar flashes once each second.

Verify that pace markers are printed every 25 mm on the chart recorder printout. Note : If a printout does not automatically begin after starting the pacer, select the Print quick access key to start a continuous printout. Press the Print quick access key again to stop the printout. Verify that the green pace indicator continues to flash once each second. Verify that no pacer-related error messages display. Verify that the pacer status bar displays:. Select Turn Pacer Off to turn off the pacer.

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Zoll x series manual.ZOLL X Series Operator's Manual



  WebThe ZOLL ® X Series ® Configuration Manual provides information on how to configure the X Series defibrillator. It is important that all users who are involved with configuring the . Web Service Manual, X Series® Details Service Manual, X Series®, English, Paper Format More Information All orders over $ get free shipping, excluding AK and . Web1 Process for Cleaning the ZOLL X Series Advanced 2 Products for Cleaning the ZOLL X Series Advanced 3 Documents / Resources Related Manuals / Resources Process .    


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