Home

Operation and Service Manual

1. Phase 1 Delivered End Volts 997V 1220V 1306V 1351V 1378V 1396V Phase 1 Duration ms 3 3ms 4 5ms 5 8ms 7 0ms 8 3ms 9 5ms Phase 2 Delivered Start Volts 997V 1220V 1306V 1351V 1378V 1396V ENERGY LEVELS AND PATIENT IMPEDANCE The Biphasic Truncated Exponential BTE waveform utilizes variable energy The actual energy delivered will vary with the patient s impedance and the device will deliver a shock when impedance is between 20 180 Ohms Energy will be delivered at three different levels referred to as ultra low variable energy low variable energy and high variable energy as shown in the above waveform tables The accuracy of the energy for the energy in a 50 Ohm resistor is 15 2003 General Electric 201 9198 001 Rev A Phase 2 Delivered End Volts 287V 643V 846V 971V 1054V 1114V Phase 2 Duration ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms Total Energy Delivered J 226 200J 182J 169J 160J 153J Total Energy Delivered J 305 270 246 229J 216J 207J page 53 Responder AED RHYTHMX ECG ANALYSIS PERFORMANCE The AED RHYTHMx ECG Analysis system analyzes the patient s ECG and advises you when the AED detects a shockable or non shockable rhythm This system makes it possible for a person with no training in the interpretation of ECG rhythms to offer defibrillation therapy to victims of sudden cardiac arrest CARDIAC RHYTHMS USED TO TEST
2. SERVICE REQUIRED will repeat until you close the lid After closing the lid an alarm beep will be heard until the battery is removed or becomes completely depleted 201 9198 001 Rev A O 2003 General Electric Section 4 Instructions for Use SECTION 4 INSTRUCTIONS FOR USE OVERVIEW This section presents information about how to use the AED to perform a rescue Topic Page Step 1 Assessment and Electrode Placement 34 Step 2 ECG Analysis 35 Step 3 Shock Delivery and CPR Mode 36 Step 4 Post Rescue 37 Warnings 37 2003 General Electric 201 9198 001 Rev A page 33 Responder AED STEP 1 ASSESSMENT AND ELECTRODE PLACEMENT PREPARATION Determine that the patient is over 8 years of age or weighs more than 55 pounds 25 kg and exhibits the following The patient is unresponsive and The patient is not breathing Remove clothing from the patient s chest Ensure the skin site is clean and dry Dry the patient s chest and shave excessive hair if necessary Open the AED lid and wait until the LEDs are lit Note When the patient is a child under 8 years of age or weighs less than 55 lbs 25kg the AED should be used with the Model 9730 Pediatric Attenuated Defibrillation Electrodes Therapy should not be delayed to determine the patient s exact age or weight See the directions for use accompanying pediatric electrodes for procedure on changing adult electrodes to pediatric PLACE ELECTRODES The AED will issue
3. e Delivers a defibrillation shock e Clears the internal memory of previous rescue data so that new rescue data can be stored CONTINUE SHOCK INDICATOR SHOCK The word SHOCK and the shock button indicator LED will illuminate red when the AED is ready to deliver a defibrillation shock to the patient CONTINUE INDICATOR The word CONTINUE will illuminate yellow and the continue button indicator LED will illuminate red when the previous rescue data has not been cleared from the internal memory CONTINUE The text display has 2 lines of text The text display provides the operator with PUSH BUTTON TO SHOCK information regarding system initialization text prompts and data during a rescue and diagnostics System initialization occurs when the lid is first opened The text display shows the operator the identifiers for the internal code voice prompts and text prompts versions The text display also shows the current date and time During a rescue the text display shows the number of shocks delivered and the elapsed time from the beginning of the rescue when the lid was first opened During CPR a countdown timer will be displayed The text version of the voice prompts will also be displayed Note There is a 3 second delay between the time the AED lid is opened and the start of the rescue This 3 second delay is not included in the elapsed rescue time 2003 General Electric 201 9198 001 Rev A page 29 Responder AED SETTIN
4. Responder AED automated external defibrillator Operation and Service Manual Responder AED automated external defibrillator a What is Covered Cardiac Science Inc Cardiac Science warrants to the original purchaser that its products will be free of any defect in material and workmanship according to the terms and conditions of this Limited Warranty Limited Warranty For purposes of this Limited Warranty the original purchaser is deemed to be the original end user of the product purchased This Limited Warranty is NONTRANSFERABLE and UNASSIGNABLE For How Long Five 5 years from the date of the original shipment to the original pur chaser for Responder AED automated external defibrillators Disposable defibrillation electrodes shall be warranted until the expiration date Lithium batteries have a full operational warranty of Three 3 years from the date of installation into a Responder AED Batteries must be installed by the installation date as labeled on the battery to be covered by this warranty One 1 year from the date of original shipment to the original purchaser for AED accessories The terms of the Limited Warranty in effect as of the date of original purchase will apply to any warranty claims What You Must Do Please complete and submit the Warranty Validation Form within 30 days of original shipment located at http www cardiacscience com products responderaed_warranty cfm To obtain
5. SAFETY ALERT DEFINITIONS BEFORE OPERATING THE RESPONDER AED Become familiar with the various safety alerts in this section Safety alerts identify potential hazards using symbols and words to explain what could potentially harm you the patient or the Responder AED SAFETY TERMS AND DEFINITIONS The triangle attention symbol shown below left identifies the potential hazard categories The definition of each category is as follows A DANGER This alert identifies hazards that will cause serious personal injury or death A WARNING This alert identifies hazards that may cause serious personal injury or death A CAUTION This alert identifies hazards that may cause minor personal injury product damage or property damage PRODUCT REFERENCES For purposes of retaining simple clear instructions in this manual note the product references used Features specifications operating instructions and maintance common to the Responder AED will be referred to as AED Features and specifications vary so please read this manual carefully O 2003 General Electric 201 9198 001 Rev A page 7 Responder AED SAFETY ALERT DESCRIPTIONS The following 15 a list of Responder AED safety alerts that appear in this section and throughout this manual You must read understand and heed these safety alerts before attempting to operate the AED A A gt EE page 8 DANGER Fire and Explosion Hazard Exercise caution when ope
6. Soft sided carrying case for Responder AED Ready Kit includes nitrile gloves razor scissors towel 4 gauze antiseptic wipes one way filter mask AED Wall mount storage case AED Wall mount storage case with strobe light alarm Wall rack Cardiac Science AED Trainer North American Cardiac Science AED Patient Simulator 201 9198 001 Rev A O 2003 General Electric Responder AED automated external defibrillator
7. Placing Electrodes Do not place the electrodes directly over an implanted device Place the electrode pad at least on inch from any implanted device CAUTION Moving the Patient During a Rescue During a rescue attempt excessive jostling or moving of the patient may cause AEDs to improperly analyze the patient s cardiac rhythm Stop all motion or vibration before attempting a rescue 201 9198 001 Rev A 2003 General Electric Section 5 Data Management SECTION 5 DATA MANAGEMENT OVERVIEW The AED is designed for ease of data management and review The data stored in internal memory can be displayed on the PC screen using the RescueLink software Topic Page Recording Rescue Data 39 Review Rescue Data 39 RECORDING RESCUE DATA RECORDING DATA IN INTERNAL MEMORY The AED automatically stores up to 34 minutes of rescue data If the internal memory contains a previously stored rescue when a rescue 15 attempted the voice prompt Data in Memory Push Flashing Button to Erase Data and Perform Rescue will be heard Pressing the CONTINUE button will erase the data and allow the rescue attempt to continue IS Note Do not press the CONTINUE button unless you are sure you want to erase the internal memory in the AED REVIEWING RESCUE DATA RETRIEVING DATA FROM MEMORY 1 Open the AED lid 2 Connect the serial cable to the PC and to the AED s serial port under the blue rubber data access cover The voice prompt
8. REMOVE ELECTRODES initiate the rescue sequence Peel One Electrode from PEEL ELECTRODE FROM Repeats until one electrode is peeled off of the liner Plastic Liner PLASTIC LINER Place One Electrode on PLACE ELECTRODE ON Repeat twice while one electrode is placed Bare Upper Chest UPPER CHEST Peel Second Electrode and PLACE ELECTRODE ON Repeats until both electrodes are placed on the patient Place on Bare Lower Chest LOWER CHEST as Shown Do Not Touch Patient DO NOT TOUCH PATIENT When the AED is analyzing the cardiac rhythm of the Analyzing Rhythm ANALYZING RHYTHM patient Shock Advised SHOCK ADVISED When the AED is preparing to deliver a defibrillation shock Charging CHARGING Repeated while AED is charging page 30 201 9198 001 Rev A 2003 General Electric VOICE PROMPT Stand Clear Push Flashing Button to Deliver Shock Check for Breathing If Not Breathing Give Patient Two Breaths Check for Signs of Circulation If No Circulation Start CPR Check Electrodes Battery Low Analysis Interrupted Stop Patient Motion Open Lid to Continue Rescue Rhythm Changed Shock Cancelled Data in memory Push Flashing Button to Erase Data and Perform Rescue Remove Cable to Continue Rescue 2003 General Electric TEXT DISPLAY STAND CLEAR PUSH BUTTON TO SHOCK IF NOT BREATHING GIVE TWO BREATHS IF NO
9. CPR is disabled however the Medical Director can enable disable this feature via MDLink software 2003 General Electric 201 9198 001 Rev A page 17 Responder AED RESCUE PROTOCOL The AED rescue protocol is consistent with the guidelines recommended by the American Heart Association and the International Liaison Committee on Resuscitation ILCOR Upon detecting a shockable cardiac rhythm the AED advises the operator to press the SHOCK button to deliver a series of up to 3 defibrillation shocks followed by performing 1 minute of CPR The 3 defibrillation shocks are delivered in a pre programmed sequence Note The CPR protocol can be modified for example from 1 to 3 minutes in increments of 5 seconds so CPR may be administered if the first analysis is non shockable or following two consecutive non shockable analysis decisions STAR BIPHASIC WAVEFORM The STAR Biphasic Waveform is designed to measure the patient s impedance and deliver STAR a customized shock This allows the delivery of an optimized energy level to each patient The energy levels for the Responder AED are available in three different defibrillation shock A Y configurations See table on next page and page 48 for additional information See next page STAR BIPHASIC ENERGY PROTOCOLS FOR RESPONDER AED The patented STAR Biphasic defibrillation waveform will deliver variable escalating energy that is customized to each patient s needs based u
10. GEMIS IT Customer Service WARNING Shock Hazard Do not disassemble the AED Failure to observe this warning can result in personal injury or death Refer maintenance issues to GEMS IT authorized service personnel DS Note The warranty will be void upon unauthorized disassembly or service of the AED page 44 201 9198 001 Rev A 2003 General Electric Section 6 Maintenance amp Troubleshooting FREQUENTLY ASKED QUESTIONS QUESTIONS AND ANSWERS 1 Q Can l give CPR while the AED is analyzing A As with all AEDs the operator should stop CPR compressions during the analysis phase 2 Q Canl transport the victim while the AED is analyzing A Vehicle motion may cause noise artifacts that could interfere with proper cardiac rhythm analysis Stop the vehicle when cardiac rhythm analysis is necessary 3 Q Do need to prepare the chest prior to electrode application A Special preparation is not usually necessary The chest should be as clean dry and as oil free as possible Follow your Medical Director s instruction 4 Q What happens if the battery is low when begin a rescue A When the battery indicator is red the AED issues a Battery Low prompt once however the AED is still capable of delivering approximately 9 more defibrillation shocks When the AED is not capable of delivering any more shocks it continuously repeats the Battery Low prompt To continue the rescue attempt leave the lid open and replac
11. OVERVIEW This section presents information about the AED its use and the training requirements for operation Topic Page AED Description 15 Indications for Use 15 RHYTHM x AED ECG Analysis Algorithm 16 Rescue Protocol 18 STAR Biphasic Waveform 18 STAR Biphasic Energy Protocols for Responder 18 Operator Training Requirements 20 AED DESCRIPTION The AED is a self testing battery operated automated external defibrillator AED After applying the AED s electrodes to the patient s chest the AED automatically analyzes the patient s electrocardiogram ECG and advises the operator to push the button and deliver a shock if needed The AED uses one button and guides the operator through the rescue using a combination of voice prompts audible alerts and visible indicators INDICATIONS FOR USE The AED with STAR Biphasic Waveform is intended to be used by personnel who have been trained in its operation The operator should be qualified by training in basic life support CPR AED or other physician authorized emergency medical response The device is indicated for emergency treatment of victims exhibiting symptoms of sudden cardiac arrest who are unresponsive and not breathing If the victim is breathing post resuscitation the AED should be left attached to allow for acquisition and detection of the ECG rhythm If a shockable ventricular tachyarrythmia recurs the device will charge automatically and advise the operator to deliver
12. compatibility of its products with non Cardiac Science products This Limited Warranty is Void if Any Cardiac Science product is serviced or repaired by any person or entity other than Cardiac Science unless specifically authorized by Cardiac Science Any Cardiac Science product case is opened by unauthorized personnel or if a product is used for an unauthorized purpose Any Cardiac Science product is used in conjunction with incompatible parts or accessories including but not limited to batteries Parts and accessories are not compatible if they are not Cardiac Science products or the functional equivalent If The Warranty Period has Expired If your Responder AED is not covered by our Limited Warranty call us for advice as to whether we can repair your Cardiac Science product and for other repair information including charges Charges for non warranty repairs will be assessed and are your responsibility Upon completion of the repair the terms and conditions of this Limited Warranty shall apply to such repair or replacement product for a period of 90 days This warranty gives you specific legal rights and you may also have other rights which vary from state to state and country to country page 1 Responder AED CAUTION Federal law restricts this device to be sold by or on the order of a physician or practitioner licensed by state law in which he she practices to use or order the use of the device IM
13. has been designed and manufactured to conform to the highest standards of safety and performance including electromagnetic compatibility EMC The Responder AED Model 9300E and electrodes conform to the applicable requirements of the following CE CE Marked by TUV Product Services 0123 per the Medical Device Directive 93 42 EEC of European Nations 0123 ETL Classified by ETL Semko with respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 CAN CSA C22 2 No 601 1 M90 EN60601 1 and EN60601 2 4 IL Conforms to UL Standard UL60601 1 Certified to CAN CSA Standard C22 2 No 601 1 M90 Electrical Construction Safety and Performance IEC 60601 1 1998 Amendments 1 1991 amp 2 1995 IEC 60601 2 4 2002 ANSI AAMI DF 39 1993 Electromagnetic Compatibility EMC IEC 60601 1 2 2001 IEC 60601 2 4 Section 36 ANSI AAMI DF 39 1993 Section 3 3 21 The unit is safe for human use in compliance with the IEC 601 1 Safety Analysis Tests standard page 50 201 9198 001 Rev A 2003 General Electric EMISSIONS Field E M Magnetic IMMUNITY Field E M Magnetic ESD Models 9300 9300 Models 9300 9300 9300 ENVIRONMENTAL CONDITIONS Condition Free Fall Drop Bump Vibration Random Vibration Sine Enclosure Protection 2003 General Electric Models 9300 9300 9300 9300 9300 Section 7 Technical Data Standard or Compliance IEC 55011 CI
14. the prompt Tear Open Electrode Package and Remove Electrodes Keep the electrodes connected to the AED tear the electrode package along the dotted line and remove the electrodes from the package Leave the package attached to the electrode wires After the prompt Peel One Electrode From Plastic Liner with a firm steady pull carefully peel one electrode away from the release liner Then after the prompt Place One Electrode on Bare Upper Chest place the electrode with the sticky side of on the patient s skin on the upper right chest placing the top of the electrode on the collarbone Avoid placing the electrode 7 directly over the sternum Finally after the prompt Peel Second Electrode and Place on Bare Lower Chest As Shown pull the second electrode from the release liner and place it on the lower left chest below and left of the breast Note Responder AEDs standard defibrillation electrodes are non polarized and can be placed in either position as shown on the electrode package When using pacing monitoring electrodes refer to placement instructions on the pacing monitoring electrode package page 34 201 9198 001 Rev O 2003 General Electric Section 4 Instructions for Use When the electrodes are placed the voice prompt will say Do Not Touch Patient Analyzing Rhythm f the electrodes are not properly placed or become disconnected at any time during the rescue the voice prompt Check
15. voice prompt Data in Memory Push Flashing Button to Erase Data and Perform Rescue How to get the message to stop occurring This message occurs when there is a previously stored rescue in the internal memory of the AED You can clear the message by 1 Pressing the SHOCK CONTINUE button to erase the internally stored rescue data OR 2 Retrieving the rescue data with RescueLink and erasing the stored data with RescueLink The AED did not sound an audible alert when removed the electrodes and closed the lid Why The lid closed electrode self test only activates the STATUS INDICATOR The AED allows time for replacement of the electrodes as removing electrodes is a normal procedure after a rescue or a battery during the post rescue procedure however an audible maintenance indicator will be triggered after the next Daily Self Test What can do to keep the AED warm when a rescue is in an isolated area and at subzero temperatures When travel to a rescue involves exposing the AED to extremely cold temperatures for an extended period of time keep the electrodes and the battery warm 201 9198 001 Rev A O 2003 General Electric Section 7 Technical Data SECTION 7 TECHNICAL DATA OVERVIEW This section presents technical data about the AED Topic Page Parameters 47 Safety and Performance Standards 50 STAR Biphasic Waveform 52 RHYTHMx ECG analysis performance 54 PARAMETERS OPERATION Semi Automatic shock adviso
16. warranty service for your product call GEMS IT tech support Our customer service representative will try to resolve your issue over the phone If necessary and at our sole discretion we will arrange for service or a replacement of our product What We Will Do If your Responder AED is returned within 30 days of the date it was purchased at the direction of a customer service representative we will replace it with a new product of equal value at no charge to you provided the warranty applies If your Cardiac Science product is returned at the direction of a cus tomer service representative after 30 days but within the warranty peri od Cardiac Science at its sole discretion will repair your product or replace it with a new or reconditioned product of the same or similar design The repaired or replacement product will be warranted subject to the terms and conditions of this Limited Warranty for either a 90 days or b the remainder of the original warranty period whichever is longer provided the warranty applies and the warranty period has not expired Obligations and Warranty Limits Limited Warranty Obligation Exclusive Remedy THE FOREGOING LIMITED WARRANTY IS IN LIEU OF AND SPECIFICALLY EXCLUDES AND REPLACES ALL OTHER EXPRESS OR IMPLIED WARRANTIES INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE 2003 General Electric 201 9198 001 Rev A Limited Warrant
17. will say Communications Mode 3 Run the RescueLink software program 4 Select COMMUNICATIONS GET RESCUE DATA On the RescueLink software program 6 Select INTERNAL MEMORY OF AED then select OK A WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment A CAUTION Serial Communication Cable The serial communication cable is only for use with the AED it is not to be used with a telephone 2003 General Electric 201 9198 001 Rev page 39 Responder AED page 40 201 9198 001 Rev A 2003 General Electric Section 6 Maintenance amp Troubleshooting SECTION 6 MAINTENANCE amp TROUBLESHOOTING OVERVIEW This section presents information about the AED diagnostics self tests maintenance and service indications Topic Page Self Tests 41 Indicator Troubleshooting Table 42 Scheduled Maintenance 43 Authorized Repair Service 44 Frequently Asked Questions 45 SELF TESTS The AED has a comprehensive self test system that automatically tests the electronics battery electrodes and high voltage circuitry Self tests are also activated every time you open and close the AED lid These self tests eliminate the need for in depth periodic annual maintenance testing The comprehensive self tests insure that the Responder AED is RescueReady with minimal user involvement and maintenance costs Once a month during the daily self tests the AED perfor
18. 5 Years 3 Years up to 290 shocks The battery operating life depends on the type of battery 9142 for Responder AED actual usage and environmental factors BATTERIES AND CAPACITOR CHARGE TIMES A new battery typically takes 10 seconds to charge the AED to maximum energy A battery with reduced capacity causes the red LED light to initially turn ON and typically takes 13 seconds to charge a fully discharged AED to maximum energy The maximum time from Power On to Ready to Shock is 28 seconds for a new rescue The maximum time from Analyze to Ready to Shock is 22 seconds for a new rescue DELIVERY OF THREE DEFIBRILLATION SHOCKS 55 seconds nominal 2003 General Electric 201 9198 001 Rev A page 49 Responder AED AED SELF TEST SEQUENCE Frequency of Self Test What is Tested Daily Battery electrodes internal electronics SHOCK CONTINUE button and software no charge Weekly Battery electrodes internal electronics SHOCK CONTINUE button and software partial charge Monthly every 28 days Battery under load electrodes internal electronics full energy charge cycle SHOCK CONTINUE button and software full charge Open Lid when lid is opened Battery electrodes internal electronics SHOCK CONTINUE button and software Close Lid when lid is closed Battery electrodes internal electronics SHOCK CONTINUE button and software SAFETY AND PERFORMANCE STANDARDS AED MODELS 9300 The AED
19. AED or on its component parts regarding the safe and proper use of the AED T Defibrillator Proof Type BF Equipment The AED when connected to the patient s chest by the electrodes can withstand the effects of an externally applied defibrillation shock CE Mark This equipment conforms to essential requirements of the Medical Device Directive 0123 93 42 EEC IP24 The AED is protected against the effects of splashing water in accordance with IEC 60529 Classified by ETL Semko with respect to electric shock fire and mechanical hazards only vs accordance with UL 60601 1 CAN CSA C22 2 No 601 1 M90 EN60601 1 and EN60601 2 4 Conforms to UL Standard UL60601 1 Certified to CAN CSA Standard C22 2 No 601 1 M90 International symbol for ON Open the lid to turn on the AED Open the lid to turn ON the AED angaa Indicates the AED battery status The illuminated areas indicate the remaining battery 100 capacity LL Check electrodes The electrodes are missing not connected or have compromised functionality Indicates AED requires maintenance by authorized service personnel When the SHOCK indicator is lit push this button to deliver a defibrillation shock Q When the CONTINUE indicator is lit push this button to clear the internal memory to allow storage of new rescue data in the AED 2003 General Electric 201 9198 001 Rev A page 11 Responder AED SYMBOL DESCRIPTIONS CONT page 12 A red
20. CIRCULATION START CPR CHECK ELECTRODES BATTERY LOW ANALYSIS INTERRUPTED STOP PATIENT MOTION OPEN LID TO CONTINUE RESCUE RHYTHM CHANGED SHOCK CANCELLED DATA IN MEMORY PUSH BUTTON TO ERASE REMOVE CABLE 201 9198 001 Rev A Section 3 Getting Started SITUATION After the AED is fully charged and ready to deliver the defibrillation shock The RED SHOCK indicator flashes and the phrase repeats for 30 seconds or until the SHOCK button is pushed e After the AED delivers 3 consecutive defibrillation shocks After the AED detects a non shockable cardiac rhythm When 2 1 2 minutes or more has elapsed since CPR was last administered e Note This prompt may be disabled in MDLink e After previous prompt or if previous prompt is disabled e After the AED delivers consecutive defibrillation shocks After the AED detects a non shockable cardiac rhythm during cardiac rhythm analysis When 2 1 2 minutes or more has elapsed since CPR was last administered Occurs when patient impedance is too low or too high Occurs once when the battery voltage becomes low although a rescue can continue for approximately 9 more shocks When the battery is too low to do a rescue the phrase repeats continuously You must replace the battery before continuing with the rescue If completely depleted all AED activity will terminate When the AED detects ECG noise artifact stop moving or touching the patient Remove ot
21. D it is not to be used with a telephone CAUTION Systems Statement Equipment connected to the analog and digital interfaces must be certified to the respective IEC standards i e IEC 950 for data processing equipment and IEC 601 1 for medical equipment Furthermore all configurations shall comply with the system standard IEC 601 1 1 Anybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 601 1 1 2003 General Electric 201 9198 001 Rev A page 9 Responder AED CAUTION Case Cleaning Solutions When disinfecting the case use a non oxidizing disinfectant such as ammonium salts or a glutaraldehyde based cleaning solution to avoid damage to the metal connectors 1 Cummins R ed Advanced Cardiac Life Support AHA 1994 Ch 4 201 9198 001 Rev A O 2003 General Electric page 10 Chapter 1 Setup SYMBOL DESCRIPTIONS The following symbols may appear in this manual on the AED or on its optional components Some of the symbols represent standards and compliances associated with the AED and its use 4 Dangerous Voltage The defibrillator output has high voltage and can present a shock hazard Please read and understand all safety alerts in this manual before attempting to operate the AED A Attention Identifies important information in this manual on the
22. D Accessories 55 AED Delivery Systems 56 Software Accessories 56 Education Accessories 56 RESPONDER AEDs Responder AED with text display biphasic waveform IntelliSense lithium battery Model 9142 internal memory and 1 pair of adult defibrillation electrodes WITH AED QUICK WITHOUT AED QUICK DESCRIPTION RESOURCE GUIDE KIT RESOURCE GUIDE KIT 2019198 001 2019436 001 American English 2019198 002 2019436 002 British English 2019198 004 2019436 004 Portuguese 2019198 005 2019436 005 Spanish 2019198 008 2019436 008 German 2019198 010 2019436 010 Italian 2019198 011 2019436 011 French 2019198 013 2019436 013 Swedish 2019198 014 2019436 014 Danish 2019198 015 2019436 015 Dutch 2019198 016 2019436 016 Finnish 2019198 017 2019436 017 Norwegian 2003 General Electric 201 9198 001 Rev page 55 Responder AED AED ACCESSORIES PART NUMBER 2019199 002 2019199 003 2019437 001 2019438 001 2019439 001 201616 001 AED DELIVERY SYSTEMS 2019199 001 2019615 001 2019199 005 2019199 006 2019199 004 EDUCATION ACCESSORIES 2019199 007 2019613 001 page 56 DESCRIPTION Defibrillation electrodes adult with two year shelf life Pediatric Defibrillation Electrodes with two year shelf life IntelliSense Lithium battery for Responder AEDs AED Quick Resource Guide AED Quick Resource Guide kit including Quick Resource Guide serial cable and CD ROM containing manual RescueLink and MDLink AED Quick Start Tool Kit CD ROM
23. DELIVERY AND CPR MODE 36 STEP A POST RESCUE e ta 37 WARNINGS csi di A AAR N 37 SECTION 5 DATA MANAGEMENT OVERVIEW dida 39 RECORDING RESCUE DATA nar a A a a aa dete 39 REVIEWING RESCUE DATA ia 39 O 2003 General Electric 201 9198 001 Rev A page 5 Responder AED SECTION 6 MAINTENANCE TROUBLESHOOTING OVERVIEW cuina ici DELP o INDICATOR TROUBLESHOOTING SCHEDULED MAINTENANCE AUTHORIZED REPAIR SERVICE FREQUENTLY ASKED QUESTIONS SECTION 7 TECHNICAL DATA OVERVIEW PARAMETERS ia SAFETY AND PERFORMANCE STAR BIPHASIC WAVEFORM coran arc RHYTHMx ECG ANALYSIS PERFORMANCE SECTION 8 ACCESSORIES OVERVIEW iee nicol dar RESPONDER AEDS 34m nana ais AED ACCESSORIES ivei aiarad iias aiaei AED DELIVERY SYSTEMS SOFTWARE ACCESSORIES EDUCATION ACCESSORIES page 6 201 9198 001 Rev 2003 General Electric Section 1 Safety SECTION 1 SAFETY OVERVIEW This section presents safety information to guard against injury to persons and damage to the Responder AED TOPIC PAGE Safety Alert Definitions 7 Safety Alert Descriptions 8 Symbols Descriptions 11
24. E 190J 360J Protocol 2 1 200VE 140J 250J 2 200VE 140J 250J 8 300VE 190J 360J Protocol 3 1 150VE 105J 195J 2 200VE 140J 250J 3 200VE 140J 250J Protocol 4 1 150VE 105J 195J 2 150VE 105J 195J 200VE 140J 250J Protocol 5 1 200VE 140J 250J 2 200VE 140J 250J 3 200VE 140J 250J 1 The ultra low current low current and high current shocks are variable energy The actual energy is determined by the patient s impedance 2003 General Electric 201 9198 001 Rev A page 19 Responder AED OPERATOR TRAINING REQUIREMENTS Persons authorized to operate the AED must have all of the following minimum training Defibrillation training and other training as required by state province or country regulations Training on operation and use of the AED Additional training as required by the physician or Medical Director A thorough understanding of the procedures in this manual Notes Keep valid certificates of training and certification as required by state province or country regulations page 20 201 9198 001 Rev 2003 General Electric Section 3 Getting Started SECTION 3 GETTING STARTED OVERVIEW This section presents information on unpacking and setting up the AED Topic Page Unpacking and Inspecting 21 AED Parts 22 IntelliSense Battery 24 Electrodes 26 AED Indicators 27 Setting the AED Internal Clock 30 Voice Prompts and Text Display 30 UNPACKING AND INSPECTING Every attempt is made to ensure yo
25. Electrodes will be heard When this occurs ensure that Electrodes are firmly placed on clean dry skin Electrode cable is securely plugged into the AED STEP 2 ECG ANALYSIS As soon as the AED detects proper electrode placement the voice prompt Do Not Touch Patient Analyzing Rhythm will be heard The AED will begin to analyze the cardiac rhythm of the patient ante Ifa shock is advised the voice prompt will say Shock Advised Charging When the AED is ready to deliver a defibrillation shock the SHOCK button will flash and the prompt Stand Clear Push Fashing Button to Deliver Shock will be heard The tone flashing button and voice prompt will continue until the shock is delivered or change in rhythm 15 detected or 30 seconds elapse When the AED 15 charged it continues to analyze the patient s heart rhythm If the rhythm changes and a shock is no longer needed the AED will issue the prompt Rhythm Changed Shock Cancelled disarm and reanalyze If no shock is advised the AED will prompt to start CPR with the prompt Check for Breathing If Not Breathing Give Patient Two Breaths if this prompt is enabled then Check for Signs of Circulation If No Circulation Start CPR If noise is detected during analysis the AED will warn you with the prompt Analysis Interrupted Stop Patient Motion and restart the analysis This usually occurs if the patient is excessively jostled or there is a stro
26. G THE AED INTERNAL CLOCK The internal clock is preset at Central Standard Time GMT 6 hours and should be reset to the correct date and local time The AED will automatically adjust itself for Daylight Savings Time This feature can be turned off using the MDLink software To set the clock you will need a Windows 98 or newer PC RescueLink software installed and the AED serial cable connected to the PC To set the clock settings Ensure that the PC is set at the correct local time and date Open the lid of the AED and run the RescueLink software on the PC Connect the cable to the serial port on the AED Verify that the voice prompt states Communications Mode Click COMMUNICATIONS on the main menu Select AED DATE AND TIME Click on the GET button to review the current time in the AED If the time and date is incorrect click SET to set new time and date The AED date and time will automatically be updated to the PC s time and date VOICE PROMPTS AND TEXT DISPLAY The voice prompts activate when the AED lid is opened and help guide the operator through the rescue The Responder AED text display provides a visual display of most of the audible voice prompts The following table lists the voice and text prompts and a description of when the prompts are issued VOICE PROMPT TEXT DISPLAY SITUATION Tear Open Electrode Package PACKAGE AND When the lid is opened this phrase is repeated twice to and Remove Electrodes
27. Manual and any and all information contained herein do not constitute any warranty as to the Responder AED or any related products in any manner whatsoever The Limited Warranty is shipped with the AED and serves as the sole and exclusive warranty provided by Cardiac Science regarding Responder AED products HOW TO REACH US To order supplies or accessories contact your representative or distributor For tech support contact one of the offices listed below For additional information please visit our Web site at http www gemedical com HEADQUARTERS GE Medical Systems Information Technologies 8200 West Tower Avenue Milwaukee WI 53223 USA Telephone 414 355 5000 Fax 414 355 3790 EUROPE GE Medical Systems Information Technologies Postfach 60 02 65 D 79032 Freiburg Germany Telephone 49 761 4543 0 Fax 49 761 4543 233 UK Customer One Number 0800 018 8678 Eire Customer One Number 1800 931 752 Northern Ireland Customer One Numb 0800 072 0248 UK Service Freefax 0800 018 8680 Belgium Customer One Number 800 74074 Belgium Service Freefax 800 72235 Italy Customer One Number 800 782118 Italy Service Freefax 800 785474 France Customer One Number 800 919935 France Service Freefax 800 916798 Netherlands Customer One Number 800 0222271 Netherlands Service Freefax 800 0227559 Spain Customer One Number 900 931854 Spain Service Freefax 900 978908 Central Europe Customer One Number 0761 4543 222 Central Europe Service Fre
28. PORTANT Read this carefully It contains information about your safety and the safety of others Become familiar with the controls and how to use the AED properly before operating the product Manufactured for GE Medical Systems Information Technologies by Cardiac Science Inc 5474 Feltl Road Minnetonka MN 55343 7982 USA Authorized European Representative Cardiac Science International Kirke Vaerloesevej 14 3500 Vaerloese DENMARK TRADEMARK INFORMATION MDLink Saving Minutes Saving Lives SmartGauge STAR IntelliSense RescueReady RescueLink RHYTHMx and Survivalink are trademarks and registered trademarks of Cardiac Science Inc Responder is a registered trademark of General Electric Microsoft and Windows are registered trademarks of Microsoft Corporation All other trademarks are the property of their respective owners PATENTS This device is covered by the following U S and foreign patents 5 792 190 5 999 493 5 402 884 5 579 919 5 749 902 5 645 571 6 029 085 5 984 102 5 919 212 5 891 172 5 674 266 5 700 281 5 891 173 5 968 080 6 263 239 5 797 969 D402 758 D405 754 5 909 138 6 173 203 6 088 616 5 897 576 5 955 956 6 083 246 6 064 909 6 038 473 5 868 794 6 115 638 6 366 809 5 474 574 6 246 907 6 289 243 6 411 846 6 480 734 00756878 Other U S and foreign patents pending page 2 201 9198 001 Rev 2003 General Electric LIMITED WARRANTY Responder AED Manual The Responder AED
29. Rev A page 43 Responder AED Check the Integrity of the Service Indicator LED and Circuitry 1 1 Immediately after opening the AED lid press and hold the SHOCK CONTINUE 7 button and confirm that the SERVICE LED is lit Release the SHOCK CONTINUE button Close the lid Verify that the STATUS INDICATOR returns to GREEN Open the lid and confirm that no diagnostic indicators are lit Close the lid gt Check the Integrity of the Case Examine the molded case of the AED for any visible signs of stress If the case shows signs of stress contact GEMS IT Customer Service at one of the following telephone numbers 49 761 4543 0 Europe 61 2 9975 5501 Australia 852 2100 6300 Hong Kong 65 277 7620 Southeast Asia or contact your local GEMS IT distributor Cleaning the AED Case Gently clean the surface of the AED case with a damp sponge or with a cloth and mild soap N CAUTION Case Cleaning Solutions When disinfecting the case use a non oxidizing disinfectant such as ammonium salts or a glutaraldehyde based cleaning solution to avoid damage to the metal connectors No periodic safety analysis tests referred to by the IEC 601 1 international standard are required AUTHORIZED REPAIR SERVICE The AED has no user serviceable internal components Try to resolve any maintenance issues with the AED by using the Troubleshooting Table presented in this chapter If you are unable to resolve the problem contact
30. SPR 11 Group 1 Class ANSI AAMI DF39 lt 0 5mT on surface except for within 5cm of the lid magnet and the speaker Standard or Compliance IEC 61000 4 3 Level X 20V m IEC 60601 2 4 Section 36 202 3 20 V m AAMI DF39 Section 3 3 21 2 1 IEC 61000 4 8 2001 IEC 60601 2 4 2002 Section 36 202 8 AAMI DF39 Section 3 3 21 2 3 80A m 47 5Hz 1 320Hz IEC 61000 4 2 Level 3 IEC 60601 2 4 2002 Section 36 202 2 6KV contact discharge 8KV air gap discharge Standard or Compliance IEC 60068 2 32 1975 AM 2 1990 1 meter IEC 60068 2 29 1987 40g and 6000 bumps IEC 60068 2 64 1993 10Hz 2KHz 0 005 0 0012 g Hz IEC 60068 2 6 1995 10Hz 60Hz 0 15 mm and 60Hz 150 Hz 20 IEC 60529 2001 IP24 201 9198 001 Rev A page 51 Responder AED SHIPPING AND TRANSPORTATION CONDITIONS ISTA Procedure 2A STAR BIPHASIC WAVEFORM The waveform generated by the Responder AED is a BIPHASIC TRUNCATED EXPONENTIAL waveform that is compliant with ANSI AAMI DF2 and DF39 The following is a graph of the waveform voltage as a function of time when the AED is connected to a 50 Ohm resistive load See figure 1 and Tables Althrough High Energy Waveform with 50 Ohm Resistive Load 2000 0 1500 0 1000 0 500 0 VOLTS 500 0 1000 0 1500 0 1 000 0 000 1 000 2 000 3 000 4 000 5 000 6 000 7 000 8 000 9 000 10 000 TIME ms FIGURE A1 STAR BIPHASIC WAVEFORM Table A1 Ultra Low V
31. THE RHYTHM RECOGNITION DETECTION SYSTEM FOR CARDIAC SCIENCE AED Rhythm Class Specifications Shockable Rhythm VF Meets AAMI DF 39 requirement and AHA recommendation of Sensitivity of gt 90 Shockable Rhythm VT Meets AAMI DF 39 requirement and AHA recommendation of Sensitivity of gt 75 Non Shockable Rhythm NSR Meets AAMI DF 39 requirement gt 95 and AHA recommendation gt 99 of Specificity Non Shockable Asystole Meets AAMI DF 39 requirement and AHA recommendation of Specificity of gt 95 Non Shockable Meets AAMI DF 39 requirement and AHA recommendation of Specificity all other rhythms of gt 95 For detailed information contact GEMS IT for white papers P N 112 2013rD Pediatric Defibrillation Instructions P N 110 0033 001 RHYTHMx White Paper P N 400781 Star Biphasic White Paper Automatic External Defibrillators for Public Access Defibrillation Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance Incorporating New Waveforms and Enhancing Safety AHA AED Task Force and approved by the AHA Science Advisory and Coordinating Committee Circulation 1997 95 pp 1677 1682 page 54 201 9198 001 Rev A O 2003 General Electric Section 8 Accessories SECTION 8 ACCESSORIES OVERVIEW This section contains a list of parts and software accessories for Responder AEDs To place an order contact your representative or distributor Topic Page Responder AEDs 55 AE
32. ariable Energy 150 VE Waveform into Different Resistive Loads Typical Values Patient s Phase 1 Phase 1 Phase 1 Phase 2 Phase 2 Phase 2 Total Energy Impedance Delivered Delivered Duration Delivered Delivered Duration Delivered Ohms Start Volts End Volts ms Start Volts End Volts ms J 25 1393V 743V 3 3 ms 743V 214V 3 2 ms 170J 50 1420V 909V 4 5 ms 909V 479V 3 2 ms 150 75 1430V 973V 5 8 ms 973V 630V 3 2 ms 136J 100 1434V 1007V 7 0 ms 1007V 724V 3 2 ms 127J 125 1437V 1027V 8 3 ms 1027V 786V 3 2 ms 120J 150 1439V 1040V 9 5 ms 1040V 830V 3 2 ms 115J page 52 201 9198 001 Rev 2003 General Electric Section 7 Technical Data Table A2 Low Variable Energy 200VE Waveform into Different Resistive Loads Typical Values Patient s Phase 1 Impedance Delivered Ohms Start Volts 25 1609V 50 1640V 75 1651V 100 1656V 125 1660V 150 1662V Phase 1 Delivered End Volts 858V 1050V 1124V 1163V 1186V 1201V Phase 1 Duration ms 3 3 ms 4 5 ms 5 8 ms 7 0 ms 8 3 ms 9 5 ms Phase 2 Delivered Start Volts 858V 1050V 1124V 1163V 1186V 1201V Phase 2 Delivered End Volts 247V 553V 728V 835V 907V 959V Phase 2 Duration ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms 3 2 ms Table A3 High Variable Energy 270VE Waveform into Different Resistive Loads Typical Values Patient s Phase 1 Impedance Delivered Ohms Start Volts 25 1869V 50 1906V 75 1918V 100 1925V 125 1928V 150 1931V
33. aveforms and distinguish VENT from SVT and Normal Sinus Rhythms NSR The SVT Discriminator will only be applied to rhythms that fall between the Detection Rate and the SVT Rate The factory default setting for this feature is NO THERAPY FOR SVT however the Medical Director can enable this feature using MDLink on the Responder AED SVT RATE All rhythms with rates between the Detection Rate and SVT Rate will be screened through a number of SVT Discriminators to classify them into VF VT or SVT Rhythms classified as SVT between the two set rates are not shockable All SVT rhythms above the rates will be classified as shockable The SVT Rate must be greater than the Detection Rate and is selectable between 160 and 300 bpm or NO THERAPY FOR SVT can be selected via MDLink Software by the Medical Director on the Responder AED only CONTINUOUS MONITORING Responder AEDs are supplied with the Continuous Monitoring disabled This is the factory default setting The Responder AED can monitor the ECG rhythms continuously throughout the rescue including during Charge and CPR mode Continuous Monitoring will interrupt CPR if a shockable rhythm is detected When CPR is interrupted the prompt DO NOT TOUCH PATIENT ANALYZING RHYTHM will be issued Only one false interruption will be allowed during a single rescue cycle CPR mode will not be interrupted if preceded by three consecutive shocks The factory default setting for Continuous Monitoring in
34. duced by excessive moving of the patient or electronic noise from external sources like cellular and radiotelephones When noise is detected the AED will issue the prompt ANALYSIS INTERRUPTED STOP PATIENT MOTION to warn the operator The AED will then proceed to reanalyze the rhythm and continue with the rescue NON COMMITTED SHOCK After the AED advises a shock it continues to monitor the patient ECG rhythm If the patient s rhythm changes to a non shockable rhythm before the actual shock 15 delivered the AED will advise that the rhythm has changed and issue the prompt RHYTHM CHANGED SHOCK CANCELLED The AED will override the charge and continue ECG analysis page 16 201 9198 001 Rev A 2003 General Electric Section 2 Introduction SYNCHRONIZED SHOCK The AED is designed to synchronize shock delivery on the R wave The AED will automatically attempt to synchronize to the R wave If delivery cannot be synchronized within one second a non synchronized shock will be delivered PACEMAKER PULSE DETECTION The AED contains pacemaker pulse detection circuitry to detect pulses from an implanted pacemaker SVT DISCRIMINATORS The Responder AED is supplied with the SVT Discriminator enabled and with the default setting NO THERAPY FOR SVT With the factory default setting of NO THERAPY FOR SVT the Responder AED will not shock an SVT rhythm SVT Discriminators are sophisticated filters that analyze the morphology of the ECG w
35. e green LEDs gradually go out from right to left as battery capacity decreases When the green LEDs go out and the red LED lights up replace the battery Note When the red LED initially lights up upon lid opening or at any time during a rescue a BATTERY LOW prompt will be issued at once However the AED is capable of delivering at least 9 more defibrillation shocks after the first BATTERY LOW prompt is issued When the AED battery cannot deliver any more shocks it continuously repeats the BATTERY LOW voice prompt To continue the rescue leave the lid open remove the battery and replace with a fresh battery If battery replacement takes longer than 60 seconds the first rescue will be terminated and a second rescue will begin upon opening the lid ELECTRODES INDICATOR The ELECTRODES LED lights up when the electrodes are e properly connected to the AED e Not within operational specifications cold dried damaged This feature applies to the Responder AED only e Disconnected from the patient during a rescue page 28 201 9198 001 Rev A 2003 General Electric Section 3 Getting Started SERVICE INDICATOR 0 The SERVICE LED lights up when the AED requires maintenance that can only be performed by qualified service personnel SHOCK CONTINUE BUTTON SHOCK The AED has one button called the SHOCK CONTINUE button This button is located on the diagnostic panel and serves two functions
36. e serial communication cable is connected to its serial port When the serial communication cable is connected to the AED during a rescue the prompt Remove Cable to Continue Rescue will be heard until you remove the serial communication cable CAUTION Possible Radio Frequency RF Susceptibility RF susceptibility from cellular phones CB radios and FM 2 way radio may cause incorrect rhythm recognition and subsequent shock advisory When attempting a rescue using the AED do not operate wireless radiotelephones within 1 meter of the AED turn power OFF to the radiotelephone and other like equipment near the incident CAUTION Possible Interference with Implanted Pacemaker Therapy should not be delayed for patients with implanted pacemakers and a defibrillation attempt should be made if the patient is unconscious and not breathing The AED has pacemaker detection and rejection however with some pacemakers the AED may not advise a defibrillation shock Placing Electrodes Do not place the electrodes directly over an implanted device Place the electrode pad at least one inch from any implanted device CAUTION Moving the Patient During a Rescue During a rescue attempt excessive jostling or moving of the patient may cause AEDs to improperly analyze the patient s cardiac rhythm Stop all motion or vibration before attempting a rescue CAUTION Serial Communication Cable The serial communication cable is only for use with the AE
37. e the battery When the battery replacement takes longer than 60 seconds the first rescue is terminated and the AED will begin to record the events from then on as a separate rescue 5 Q How do l set the AED internal clock A Set the clock by using the RescueLink Software Program and a PC See Setting the AED Internal Clock in Chapter 3 6 0 What happens if close the lid in the middle of a rescue attempt A If you close the lid during a rescue you must re open the lid within 15 seconds to continue the rescue You will hear the prompt Open Lid to Continue Rescue If the lid remains closed for more than 15 seconds a new rescue will initiate when the lid is reopened IS Note If the lid is closed during a rescue while the electrodes are connected to the patient the STATUS INDICATOR may turn RED When the lid is reopened however the rescue may be continued even though the STATUS INDICATOR remains RED 7 Q My AED is sounding an audible alert Why How do stop it A The audible alert indicates that the self test detected a need for maintenance or corrective action Determine the maintenance required by using the Troubleshooting Table in this chapter Opening and closing the lid may turn OFF the audible alert until the next self test However the STATUS INDICATOR will remain RED 2003 General Electric 201 9198 001 Rev A page 45 Responder AED 8 Q A 9 Q A 10 Q A page 46 When open the lid why do I get the
38. efax 0761 4543 773 AUSTRALIA GE Medical Systems Australia Pty Ltd 13 South Street Rydalmere NSW 2116 Australia Telephone 61 2 9975 5501 Fax 61 2 9975 5503 HONG KONG GE Medical Systems Hong Kong Limited 11th Floor The Lee Gardens 33 Hysan Avenue Causeway Bay Hong Kong Telephone 852 2100 6300 Fax 852 2100 6292 SOUTHEAST ASIA GE Pacific 298 Tion Bahru Road 15 01 06 Central Plaza Singapore 168730 Telephone 65 277 7620 Fax 65 277 7600 There is no charge to the customer for a customer support call Please have the serial and model numbers available when contacting Customer Service The serial and model numbers are located on the underside of the Responder AED 2003 General Electric 201 9198 001 Rev A page 3 Responder AED NOTICE OF RIGHTS All rights reserved No part of this documentation may be reproduced or transmitted in any form by any means without the express written permission of General Electric Company Information in this documentation is subject to change without notice Names and data used in the examples are fictitious unless otherwise noted DEFIBRILLATOR TRACKING Defibrillator manufacturers and distributors are required under the Safe Medical Devices Act of 1990 to track the location of defibrillators they sell Please notify GEMS IT Customer Service in the event that your defibrillator is sold donated lost stolen exported destroyed or if it was not purchased directly
39. est if the electrodes are missing unplugged or damaged A CAUTION Possible Improper AED Performance Using electrodes that are damaged or expired may result in improper AED performance ELECTRODE INSTALLATION Open the lid of the AED 4 MN Place the electrode package into the lid so that the expiration label is visible through the clear window on the lid The expiration date of the electrodes will then be readable without opening the lid of the AED Match the color of the connectors red to red then plug the electrode connector into the AED case as shown in the drawing D Tuck the excess cable length in the bottom holder as shown in the drawing With the electrode package completely secured to the AED lid close the lid Make sure the expiration date is visible through the clear window of the lid Make sure that the STATUS INDICATOR s GREEN CAUTION Use only Approved Equipment Using batteries electrodes cables or optional equipment other than those approved by General Electric may cause the AED to function improperly during a rescue CAUTION Possible Improper AED Performance Using electrodes that are damaged or expired may result in improper AED performance page 26 201 9198 001 Rev A 2003 General Electric Section 3 Getting Started DIRECTIONS FOR USE 1 2 3 4 5 Do NOT open until ready to use short term use only Ensure the skin site is clean and dry Se
40. from General Electric or an authorized distributor page 4 201 9198 001 Rev A 2003 General Electric Responder AED Manual TABLE OF CONTENTS SECTION 1 SAFETY OVERVIEW einean a nt tante Ans nt 7 SAFETY ALERT DEFINITION Soil bla 7 SAFETY ALERT DESCRIPTION Suicida ada 8 SYMBOL DESCRIPTIONS ita 11 SECTION 2 INTRODUCTION OVERVIEW a rd ella a 15 AED DESCRIPT ON ios a E o nn 15 INDIGATIONS FOR USE oca nia 15 RHYTHMx AED ECG ANALYSIS ALGORITHM nara 16 RESCUE PROTOCOL cirio eis nn ele le eal tae eae 18 STAR BIPHASIC WAVEFORM cocina a iio lia arabes 18 STAR BIPHASIC ENERGY PROTOCOLS FOR RESPONDER AED 18 OPERATOR TRAINING REQUIREMENTS uu eesesesesseseseeesteseeeeeeseseeeeneneeeensesnsasaneeeeeeeeeeeeeneaeeees 20 SECTION 3 GETTING STARTED OVERVIEW set mn his A aan ttes 21 UNPACKING AND INSPECTING een 21 AED PAR TS Annies un alana RE ia atta 22 INTELEISENSE BATTERY adn 24 ELECTRODES cuac Ailing is ea LA aos 26 AED INDICATORS cts sic eae al a edi lean een ore GN eG alee 27 SETTING THE AED INTERNAL CLOCK nes 30 VOICE PROMPTS AND TEXT DISPLAYS csesesesseeseeeseseeeeeeseeesessneaserseseecaeeeeeeaeasecsnseeasasenentes 30 SECTION 4 INSTRUCTIONS FOR USE OVERVIEW fetes car Oo ite ress ered dada 33 STEP 1 ASSESSMENT AND ELECTRODE PLACEMENT 34 STEP 2 EGG ANALYSIS caia Paid 35 STEP 3 SHOCK
41. her electronic devices within a 5 meter radius When the lid is inadvertently closed during a rescue this prompt will repeat for 15 seconds When the AED detects a change in rhythm when the device is prepared to shock When there is a previously stored rescue in internal memory the yellow CONTINUE button will flash and the phrase will repeat The message can be cleared by pressing the SHOCK CONTINUE button to erase the internally stored rescue data or retrieving the rescue data with RescueLink and erasing the stored data with RescueLink When a serial communication cable is connected to the AED during a rescue the phrase repeats until the cable is disconnected page 31 Responder AED VOICE PROMPT Communications Mode Beep Continue CPR Service Required page 32 TEXT DISPLAY COMMUNICATIONS MODE CONTINUE CPR SERVICE REQUIRED SITUATION When the lid is open and the serial communication cable is plugged into the AED One Beep occurs in 15 second intervals during CPR when enabled by the MDLink software program Warble Beep occurs when the AED requires mainte nance During CPR mode when enabled or when a rescue is resumed in CPR mode after being interrupted by the lid closing Occurs after the self tests determine that the AED is not functioning properly The prompt SERVICE REQUIRED will be heard when the lid is opened The red SERVICE indicator will illuminate and
42. hours minutes Days of Standby Operation Battery Capacity Remaining y x i BATTERY OPERATING LIFE The battery operating life depends on the type of battery 9142 for Responder AED actual usage and environmental factors The following table represents the expected life of the Responder AED when used in Standby Mode Estimated Typical Model Shelf Lite Warranty Shocks 9142 Lithium 5 Years 3 Years up to 290 shocks page 24 201 9198 001 Rev A 2003 General Electric Section 3 Getting Started BATTERY SHELF LIFE The Responder AED batteries have a shelf life of five years Shelf life is defined as the length of time a bat tery can be stored prior to installation into AED without degrading its performance Note Storing the battery outside its specific range 0 50 C will decrease battery life BATTERY INSTALLATION 1 With the label on the battery facing the AED battery compartment insert the battery as shown in the drawing 2 Push the latched end of the battery firmly into the AED as shown in the drawing until the battery snaps into place The exposed side of the battery should be flush with the outside of the AED case 3 For the Responder AED open the lid for 5 seconds to initiate self test If the battery is installed properly the STATUS INDICATOR will turn GREEN Close the lid WARNING Battery is Not Rechargeable Do not attempt to recharge the battery Any attempt to
43. indicator with a BLACK X means the Responder AED requires operator attention or maintenance and is not RescueReady This symbol will be referred to as RED in the remainder of this manual A green indicator without a BLACK X means the Responder AED is RescueReady This symbol will be referred to as GREEN in the remainder of this manual Use electrodes by this date install battery by this date Expiration Date Replace by this date Date of manufacture Latex Free Disposable Single patient use only Tear here to open Do not recharge battery Position of electrodes on the chest of patient For use by or on the order of a Physician or persons licensed by state law Dispose of properly in accordance with all state province and country regulations Do not incinerate or expose to open flame Explosion Hazard Do not use in the presence of a flammable gas including concentrated oxygen Upper and lower temperature limits Device Model Number Serial Number 201 9198 001 Rev A 2003 General Electric Section 1 Safety Lot Number Option Number Lis0 J Lithium Sulfur Dioxide IOIOI Serial Communication Port OE Additional information is provided in the AED Manual Points to important information regarding the use of the AED Lift Here 2003 General Electric 201 9198 001 Rev A page 13 Responder AED page 14 201 9198 001 Rev A O 2003 General Electric Section 2 Introduction SECTION 2 INTRODUCTION
44. ms a full charge of the capacitors During this test the AED monitors the charge time voltage level and proper discharge function When the Responder AED requires maintenance audible and or visual indicators are activated By monitoring the visual and audible indicators the user can be assured that the Responder AED is ready to conduct a rescue When performing the self tests the AED completes the following steps automatically Turns itself ON and the STATUS INDICATOR changes to RED Performs the self test If successful the STATUS INDICATOR reverts to GREEN Turns itself OFF if the lid is closed There are three types of automatic self tests The Daily Self Test checks the battery electrodes and the electronic components The Weekly Self Test completes a partial charge of the high voltage electronics current in addition to the items tested in the Daily Self Test During the Monthly Self Test the high voltage electronics are charged to full energy Self tests will be initiated upon opening the lid and again upon closing the lid If the self test detects an error the STATUS INDICATOR will remain RED Upon closing the lid an audible alert will be issued The Diagnostic Panel under the lid will indicate the source of the problem according to the Indicator Troubleshooting Guide Table on the next page 2003 General Electric 201 9198 001 Rev A page 41 Responder AED INDICATOR TROUBLESHOOTING TABLE The following is a troubleshooting
45. ng electromagnetic emitting electronic device nearby within 5 meters Remove the electronic device or stop the excessive motion when you hear this prompt O 2003 General Electric 201 9198 001 Rev A page 35 Responder AED STEP 3 SHOCK DELIVERY AND CPR MODE When the AED is ready to deliver a defibrillation shock the SHOCK button will flash and the prompt Stand Clear Push Flashing Button to Deliver Shock will be heard SHOCK Make sure no one is touching the patient and push the SHOCK button to deliver a defibrillation shock If you do not push the SHOCK button within 30 seconds of hearing the prompt the AED will disarm and reanalyze the cardiac rhythm After the AED delivers the first defibrillation shock it reanalyzes the patient s rhythm to determine if the shock was successful If the AED determines that a shockable cardiac rhythm still exists it will continue to guide you through additional shocks as needed following the AHA and ILCOR protocols Note During a rescue the text screen displays voice prompts elapsed time of rescue and number of shocks delivered CPR MODE After delivery of three consecutive defibrillation shocks or detection of a non shockable rhythm the AED automatically enters CPR mode The voice prompt will say Check for Breathing If Not Breathing Give Patient Two Breaths if this prompt is enabled then Check for Signs of Circulation If No Circulation Start CPR Perform CPR if the pa
46. omise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED by checking temperature humidity and pressure if the daily self test determines environmental conditions outside of the AED s operating parameters for 5 consecutive days a SERVICE REQUIRED alert will be issued to prompt the user to move the AED to environmental conditions within the acceptable operating parameters at once See Section 7 Technical Data Parameters Operation and Standby Conditions on page 48 CAUTION Lithium Sulfur Dioxide Battery Pressurized contents Never recharge short circuit puncture deform or expose to temperatures above 65 C 149 F Remove the battery when discharged 201 9198 001 Rev A 2003 General Electric gt gt gt gt Section 1 Safety CAUTION Battery Disposal Recycle or dispose of the lithium battery in accordance with all federal state and local laws To avoid fire and explosion hazard do not burn or incinerate the battery CAUTION Use only Approved Equipment Using batteries electrodes cables or optional equipment other than those approved by GE may cause the AED to function improperly during a rescue CAUTION Possible Improper AED Performance Using electrodes that are damaged or expired may result in improper AED performance CAUTION Serial Communication Cable The AED will not function during a rescue when th
47. parate one electrode from liner Place one electrode on skin in either direction Peel and place remaining electrode AED INDICATORS The following indicators are located on the AED Key RESCUE READY 9 Les RESCUE READY The STATUS INDICATOR is located on the Responder AED handle When this indicator is GREEN the device is RescueReady This means the Responder AED self tests have verified the following e Battery has an adequate charge e Electrodes are properly connected to the Responder AED and in working order e Integrity of the internal circuitry is good When the STATUS INDICATOR is RED maintenance is required AUDIBLE MAINTENANCE INDICATOR When the daily weekly or monthly self test determines service is required an audible beep is sounded every 30 seconds until the lid is opened or the battery power is depleted Opening and closing the lid may deactivate the beep If the error is not corrected by the next automatic self test the beep will be reactivated 2003 General Electric 201 9198 001 Rev A page 27 Responder AED DIAGNOSTIC PANEL A SMARTGAUGE BATTERY Indicator B ELECTRODES Indicator SERVICE Indicator D SHOCK CONTINUE Button CONTINUE SMARTGAUGE BATTERY STATUS INDICATOR The SMARTGAUGE Battery Status Indicator has five 5 LEDs four 4 green and one 1 red The right four green LEDs display the remaining capacity of the battery much like a fuel gauge With use th
48. pon a patient s thoracic impedance This customization adjusts for the unique physical differences between patients The range of impedance over which the device will deliver a shock is 20 180 Ohms The Responder AED comes equipped with five different FDA cleared biphasic energy protocols The operator with guidance direction and implementation from its designated AED program Medical Director may select from one of these five protocols when placing the Responder AED into service The Responder AED s factory default energy protocol is 200 300 300 Joule J escalating Variable Energy VE The first shock is delivered within the range of 140J 250J 200J nominal Subsequent shocks are delivered within a range of 190J 360J 300J nominal The accuracy of the energy for the energy in a 50 Ohm resistor is 15 1 Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care American Heart Association 2000 Suppl Circulation 102 8 August 22 2000 2 The ultra low current low current and high current shocks are variable energy The actual energy is determined by the patient s impedance page 18 201 9198 001 Rev O 2003 General Electric Section 2 Introduction These protocols are selected by using our MDLink software program The five biphasic energy protocols available are as follows Energy Shock Energy Protocols Sequence Level Energy Range J Factory Default 1 200VE 140J 250J 2 300VE 190J 360J 3 300V
49. rameters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED by checking temperature humidity and pressure if the daily self test determines environmental conditions outside of the AED s operating parameters for 5 consecutive days a SERVICE REQUIRED alert will be issued to prompt the user to move the AED to environmental conditions within the acceptable operating parameters at once See Section 7 Technical Data Parameters Operation and Standby Conditions on page 48 SHIPPING AND TRANSPORT CONDITIONS For up to 1 week See Section 7 Technical Data Safety and Performance Standards Shipping and Transportation Conditions on page 52 O 2003 General Electric 201 9198 001 Rev A page 23 Responder AED INTELLISENSE BATTERY The Responder AED IntelliSense battery technology offers you the most advanced battery capabilities available for defibrillators Responder AED IntelliSense batteries contain an integrated memory chip that automatically stores important usage information enabling the battery to maintain a complete history of its operating life The actual battery history can be reviewed using the RescueLink software This history includes Battery Identification Battery Type Original Date of Installation in an AED Number of Charges completed Time in Operation
50. rating the AED close to flammable gases including concentrated oxygen to avoid possible explosion or fire hazard WARNING Shock Hazard Defibrillation shock current flowing through unwanted pathways is potentially a serious electrical shock hazard To avoid this hazard during defibrillation abide by all of the following e not touch the patient unless performance of CPR is indicated e not touch metal objects in contact with the patient e Keep defibrillation electrodes clear of other electrodes or metal parts in contact with patient e Disconnect all non defibrillator proof equipment from the patient before defibrillation WARNING Shock and Possible Equipment Damage Disconnect all non defibrillator proof equipment from the patient before defibrillation to prevent electrical shock and potential damage to the equipment WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment WARNING Battery is Not Rechargeable Do not attempt to recharge the battery Any attempt to recharge the battery may result in an explosion or fire hazard WARNING Shock Hazard Do not disassemble the AED Failure to observe this warning can result in personal injury or death Refer maintenance issues to GEMS IT authorized service personnel CAUTION Temperature Humidity Pressure Extremes Exposing the AED to extreme environmental conditions outside of its operating parameters may compr
51. recharge the battery may result in an explosion or fire hazard CAUTION Lithium Sulfur Dioxide Battery Pressurized contents Never recharge short circuit puncture deform or expose to temperatures above 65 C 149 F Remove the battery when discharged CAUTION Battery Disposal Recycle or dispose of the lithium battery in accordance with all federal state and local laws To avoid fire and explosion hazard do not burn or incinerate the battery CAUTION Use only General Electric Approved Equipment Using batteries electrodes cables or optional equipment other than those approved by General Electric may cause the Responder AED to function improperly during a rescue A A A A A CAUTION Possible Improper AED Performance Using electrodes that are damaged or expired may result in improper AED performance 2003 General Electric 201 9198 001 Rev A page 25 Responder AED ELECTRODES The defibrillation electrodes come in a ready to use sealed package containing pair of self adhesive electrodes with an attached cable and connector The electrodes are disposable and should be discarded after each rescue The electrodes have a limited shelf life and should not be used beyond the expiration date Keep a fresh unopened pair of electrodes plugged into the AED at all times Refer to the electrode package label for operation temperatures On the Responder AED an audible and visual alert will indicate after the self t
52. ry AUDIBLE ALERTS Voice Prompt Maintenance Alert VISIBLE INDICATORS Status Indicator Battery Status Indicator Service Indicator Electrodes Indicator Text Display 2003 General Electric 201 9198 001 Rev A page 47 Responder AED RESCUE DATA STORAGE Storage Internal DIMENSIONS Measurement Height Width Depth WEIGHT Model 9300 Capacity 34 minutes ECG data with event annotation Dimension 8 cm 3 3 in 27 cm 10 6 in 31 cm 12 4 in Weight with Batteries and Electrodes 3 10 kg 6 6 Ib ENVIRONMENTAL OPERATION AND STANDBY CONDITIONS Atmosphere Temperature Humidity Pressure Condition 0 C to 50 C 32 F to 122 F 5 to 95 non condensing 57kPa 15 000ft to 103kPa 500ft SHIPMENT AND TRANSPORT ENVIRONMENTAL CONDITIONS for up to 1 week Atmosphere Condition 30 to 65 C 22 F to 149 F Temperature Humidity Atmospheric Pressure page 48 5 to 95 non condensing 57kPa 15 000ft to 103kPa 500ft 201 9198 001 Rev A O 2003 General Electric Section 7 Technical Data ELECTRODES e Self adhesive disposable defibrillation electrodes e Minimum combined surface area 228cm e Extended length of lead wire 1 3m LITHIUM BATTERY SPECIFICATIONS Output voltage 12VDC max Batteries are non rechargeable Lithium contents 9 2g max Check local regulations for disposal information Estimated Typical Model Shelf Life Warranty Shocks 9142 Lithium
53. table for the AED indicators VIEW SYMPTOM SOLUTION Red SERVICE indicator LED is Maintenance by authorized service personnel is required lit Call GEMS IT see page 4 or your local distributor rr Red ELECTRODES indicator Connect the electrodes or replace with a new pair LED is lit The last battery indicator LED The battery is low Replace with a new battery is red STATUS INDICATOR is RED and The battery power is completely depleted Replace with no other indicators on the new battery If STATUS INDICATOR remains RED refer diagnostic panel are lit to the Responder AED for maintenance Call GEMS IT Customer Service or your local distributor A CAUTION Temperature Humidity Pressure Extremes Exposing the AED to extreme environmental conditions outside of its operating parameters may compromise the ability of the AED to function properly The RescueReady daily self test verifies the impact of extreme environmental conditions on the AED by checking temperature humidity and pressure if the daily self test determines environmental conditions outside of the AED s operating parameters for 5 consecutive days a SERVICE REQUIRED alert will be issued to prompt the user to move the AED to environmental conditions within the acceptable operating parameters at once See Section 7 Technical Data Parameters Operation and Standby Conditions on page 48 page 42 201 9198 001 Rev 2003 General Electric Section 6 Main
54. tenance amp Troubleshooting SCHEDULED MAINTENANCE DAILY MAINTENANCE Check the STATUS INDICATOR to ensure that it is GREEN When the indicator is GREEN the Responder AED is ready for a rescue If the indicator is RED refer to the Troubleshooting Table in this chapter MONTHLY MAINTENANCE 1 Open the AED lid 2 Wait for the AED to indicate status Observe the change of the STATUS INDICATOR to RED After less than 5 seconds verify that the STATUS INDICATOR returns to GREEN 3 Observe the expiration date on the electrodes 4 Listen for the voice prompts 5 Close the lid and confirm that STATUS INDICATOR remains GREEN ANNUAL MAINTENANCE Perform the following tests annually to confirm that the diagnostics are functioning properly and to verify the integrity of the case Check the Integrity of the Electrodes and Circuitry Open the AED lid Remove the electrodes Close the lid Confirm that the STATUS INDICATOR turns red Open the lid and confirm that the ELECTRODE indicator is lit Reconnect the electrodes and close the lid Make sure the expiration date is visible through the clear window of the lid Check to make sure that the STATUS INDICATOR is GREEN 8 Open the lid and confirm that no diagnostic indicators are lit 9 Check the expiration date of the electrodes if expired replace them 10 Check the electrode s packaging integrity 11 Close the lid LOUE ON 2003 General Electric 201 9198 001
55. therapy When the patient is a child under 8 years of age or weighs less than 55 Ibs 25kg the AED should be used with the Model 9730 Pediatric Attenuated Defibrillation Electrodes Therapy should not be delayed to determine the patient s exact age or weight 2003 General Electric 201 9198 001 Rev A page 15 Responder AED RHYTHMX AED ECG ANALYSIS ALGORITHM The RhythmX AED ECG analysis algorithm provides superior ECG detection capabilities allowing it to be placed on patients at risk for sudden cardiac arrest The features available with the AED include the following e Detection Rate Asystole Threshold Noise Detection Non Committed Shock Synchronized Shock Pacemaker Pulse Rejection SVT Discriminators Supraventricular Tachycardia SVT Rate Continuous Monitoring DETECTION RATE All ventricular fibrillation VF and ventricular tachycardia VT rhythms at or above this rate will be classified as shockable All rhythms below this rate will be classified as non shockable This rate is programmable between 120 bpm beats per minute and 240 bpm via MDLink Software by the Medical Director The default Detection Rate is 160 bpm The Responder AED detection rate is 160 bpm ASYSTOLE THRESHOLD The asystole peak to peak threshold is set at 0 08 mV ECG rhythms at or below 0 08 mV will be classified as Asystole and will not be shockable NOISE DETECTION The AED will detect noise artifact in the ECG Noise could be intro
56. tient is not responsive and not breathing During this time out for CPR the Responder AED can continue to monitor the patient s heart rhythm If the patient s condition changes and the Responder AED detects a shockable rhythm during the CPR period the voice prompt will say Do Not Touch Patient Analyzing Rhythm This feature is disabled but can be enabled in MDLink by the Medical Director After delivery of three consecutive defibrillation shocks the AED automatically enters a mandatory CPR time out period During this time out the AED will not interrupt the CPR mode if the patient s condition changes and the AED detects a shockable rhythm After the CPR time out period has expired the voice prompt Do Not Touch Patient Analyzing Rhythm will be heard IS Note During CPR mode the text screen displays a countdown timer If the patient is conscious and breathing normally leave the electrodes on the patient s chest connected to the AED Make the patient as comfortable as possible and wait for Advanced Life Support ALS personnel to arrive Continue to follow the voice prompts until the ALS personnel arrive or proceed as recommended by the Medical Director page 36 201 9198 001 Rev 2003 General Electric Section 4 Instructions for Use STEP 4 POST RESCUE After transferring the patient to ALS personnel prepare the AED for the next rescue 1 Retrieve the rescue data stored in the internal memory of the AED b
57. uipment Using batteries electrodes cables or optional equipment other than those approved by General Electric may cause the Responder AED to function improperly during a rescue CAUTION Possible Improper AED Performance Using electrodes that are damaged or expired may result in improper AED performance 2003 General Electric 201 9198 001 Rev A page 37 Responder AED A page 38 CAUTION Serial Communication Cable The AED will not function during a rescue when the serial communication cable is connected to its serial port When the serial communication cable is connected to the AED during a rescue the prompt Remove cable to continue rescue will be heard until you remove the serial communication cable from the AED CAUTION Possible Radio Frequency RF Susceptibility RF susceptibility from cellular phones CB radios and FM 2 way radio may cause incorrect rhythm recognition and subsequent shock advisory When attempting a rescue using the AED do not operate wireless radiotelephones within 1 meter of the AED turn power OFF to the radiotelephone and other like equipment near the incident CAUTION Possible Interference with Implanted Pacemaker Therapy should not be delayed for patients with implanted pacemakers and a defibrillation attempt should be made if the patient is unconscious and not breathing The AED has pacemaker detection and rejection however with some pacemakers the AED may not advise a defibrillation shock
58. ur order is accurate and complete However to be sure that your order is correct verify the contents of the box against your packing slip 2003 General Electric 201 9198 001 Rev A page 21 Responder AED AED PARTS The following drawings show the AED parts and their locations Battery Compariment RescueReady Status Indicator Electrode Expiration Window Serial Communication Port Behind blue rubber data access cover Electrode Holders Speaker Z gt KS D gt Electrode Connector SS Text Display SHOCK CONTINUE Button page 22 201 9198 001 Rev A 2003 General Electric Section 3 Getting Started THE AED HAS THREE MODES Operating Mode Defined as having the battery installed and the lid open This is the mode the AED would be in during an actual rescue situation Standby Mode When the battery is installed but the lid is closed In this mode the AED is not being used in a rescue The device will conduct its routine self tests to ensure proper operation Storage Mode When the battery is removed such as during shipping or transport With the battery removed the AED is unable to perform self tests or rescues ENVIRONMENTAL OPERATING AND STANDBY CONDITIONS See Section 7 Technical Data Parameters Environmental Operation and Standby Conditions on page 48 A CAUTION Temperature Humidity Pressure Extremes Exposing the AED to extreme environmental conditions outside of its operating pa
59. y for Responder AED Some states do not allow limitations on how long an implied warranty lasts so this limitation may not apply to you NO PERSON INCLUDING ANY AGENT DEALER OR REPRESENTATIVE OF CARDIAC SCIENCE IS AUTHORIZED TO MAKE ANY REPRESENTATION OR WARRANTY CONCERNING CARDIAC SCIENCE PRODUCTS EXCEPT TO REFER PURCHASERS TO THIS LIMITED WARRANTY YOUR EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSSES OR DAMAGES RESULTING FROM ANY CAUSE WHATSOEVER SHALL BE AS SPECIFIED ABOVE NEITHER GE NOR CARDIAC SCIENCE SHALL IN ANY EVENT BE LIABLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES OF ANY KIND INCLUDING BUT NOT LIMITED TO EXEMPLARY DAMAGES COMMERCIAL LOSS FROM ANY CAUSE BUSINESS INTERRUPTION OF ANY NATURE LOSS OF PROFITS OR PERSONAL INJURY EVEN IF CARDIAC SCIENCE HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES HOWEVER OCCASIONED WHETHER BY NEGLIGENCE OR OTHERWISE Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you What This Warranty Does Not Cover This Limited Warranty does not cover defects or damages of any sort resulting from but not limited to accidents damage while in transit to our service location alterations unauthorized service unauthorized product case opening failure to follow instructions improper use abuse neglect fire flood war or acts of God Cardiac Science makes no warranty claim as to the
60. y using RescueLink software installed on a PC see detailed procedure in the Data Management section Erase the internal memory of the AED Connect a new pair of electrodes to the AED Close the lid Verify that the STATUS INDICATOR on the Responder AED handle is GREEN EUR WARNINGS The following cautions must be observed to prevent problems during the rescue A A gt bb P DANGER Fire and Explosion Hazard Exercise caution when operating the AED close to flammable gases including concentrated oxygen to avoid possible explosion or fire hazard WARNING Shock Hazard Defibrillation shock current flowing through unwanted pathways is potentially a serious electrical shock hazard To avoid this hazard during defibrillation abide by all of the following e not touch the patient unless performance of CPR is indicated e not touch metal objects in contact with the patient e Keep defibrillation electrodes clear of other electrodes or metal parts in contact with patient e Disconnect all non defibrillator proof equipment from the patient before defibrillation WARNING Shock and Possible Equipment Damage Disconnect all non defibrillator proof equipment from the patient before defibrillation to prevent electrical shock and potential damage to the equipment WARNING Electric Shock and Fire Hazard Do not connect any telephones or unauthorized connectors to the socket on this equipment CAUTION Use only Approved Eq

Operation and Service Manual

Contents

Download Pdf Manuals

Related Search

Related Contents