HEARTSTART MRx
Contents
1. ECG out capability Optional Features SpOo with Fourier Artifact Suppression Technology FAST gt Noninvasive Blood Pressure gt Microstream EtCO9 Noninvasive Pacing 12 Lead ECG with Philips interpretation algorithm Standard Accessories gt Lithium ion battery with capacity gauge gt Hands free multifunction electrode cable 3 Lead ECG cable Disposable monitoring electrodes gt Strip chart recorder paper gt Carrying case PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR gt Defibrillator test load Instructions for use User s guide gt Quick reference cards gt User training workbook gt Application notes Package M3536A HeartStart MRx ALS Monitor Ordering Option Information A01 A02 A03 A04 B01 B02 c02 c03 Cos C06 C07 C15 LP1 LP2 LPK SM1 SM3 SpOo SpOpo and NBP SpOo NBP and EtCO9 EtCO9 External Pacing 12 Lead ECG acquisition Water Resistant External Paddles Data Card Additional Battery AC Power Module Barrel style Pad Cable Replacement for Standard Pad Cable 5 Lead ECG Cable Instructions for Use User Training Video English only Alternate Label Set AED Energy Select Service Manual English only Service Training Video English only Upgrades Supplies Accessories Upgrades M3530A M3531A M3532A M3533A M3534A M5527A SpO9 NBP EtCOo Pacing 12 Lead ECG Option BO2 Acquisition Option BOS Tra2. HEARTSTART MRx ALS MONITOR PRODUCT DESCRIPTION The first thing you ll notice about the HeartStart MRx is its large color display Look further and you ll see that it has much more This combination multi parameter monitor defibrillator AED and 12 Lead unites Philips industry leading monitoring and display technologies with superior diagnostic measurements and our patented resuscitation therapies Monitoring starts once a patient cable is connected to the device Equipped for 3 and 5 Lead ECG monitoring with arrhythmia detection and optional 12 Lead ECG pulse oximetry noninvasive blood pressure and end tidal CO2 HeartStart MRx is prepared for today s needs and upgradeable to meet tomorrow s Its therapies manual and semi automatic defibrillation and synchronized cardioversion feature Philips patented low energy SMART Biphasic waveform which is proven effective in emergency resuscitation and for minimizing post resuscitation heart dysfunction No other external defibrillation waveform is supported by more peer reviewed clinical data Transcutaneous pacing can be added and the MRx will pace in either demand or fixed mode HeartStart MRx logically displays measurements and patient care data on its easy to read backlit 8 4 inch screen the largest in its class PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Numerics and waveforms can be reconfigured and the screen reorganized enabling y
3. 20 40 mm mV autogain Frequency Response AC Line Filter 60 Hz or 50 Hz Pads ECG for Display Monitor 0 15 40 Hz or EMS 1 30 Hz Pads ECG for Printer Monitor 0 15 40 Hz or EMS 1 30 Hz Leads ECG for Display Monitor 0 15 40 Hz or EMS 1 30 Hz Leads ECG for Printer Diagnostic 0 05 150 Hz or Monitor 0 15 40 Hz or EMS 1 30 Hz Patient Isolation defibrillation proof ECG Type CF SpOo Type CF EtCOo Type CF NBP Type CF External Defib Type BF Internal Defib Type CF PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Display Size 8 4 in diagonal 128 mm x 171 mm Type TFT Color LCD Resolution 480 x 640 pixels VGA Sweep Speed 25 mm s nominal stationary trace sweeping erase bar for ECG and SpOo 6 25 mm s for CO Wave Viewing Time 5 seconds ECG Battery Type 6 3 Ah 14 8 V rechargeable Lithium lon Dimensions 6 5 in H x 3 8 in W x 1 6 in D 165 mm x 95 mm x 42 mm Weight 1 6 lb 0 73 kg Charge Time Approximately 3 hours to 100 Approximately 2 hours to 80 indicated by battery gauge indicator Charging the battery at temperatures above 45 C may degrade battery life Capacity At least 5 hours of monitoring with ECG SpOg and CO9 monitored continuously and NBP measured every 15 minutes or at least 50 200 joule shocks on a new fully charged battery at room temperature 25 C At least 3 5 hours while pacing at 180 ppm at 160 mA and monitoring as described
4. above Battery Indicators Battery gauge on battery capacity indicator on display flashing RFU indicator chirp and LOW BATTERY message appears on display for low battery condition Low battery condition triggered when 10 minutes of monitoring time and 6 maximum energy discharges remain with a new battery at room temperature 25 C Storage Storing the battery for extended periods at temperatures above 40 C will reduce battery capacity and degrade battery life Thermal Array Printer Continuous ECG Strip The Print key starts and stops the strip The printer can be configured to run real time or with a 10 second delay The strip prints the primary ECG lead with event annotations and measurements Auto Printing The printer can be configured to automatically print on Marked Events Charge Shock and Alarm When an alarm condition occurs the unit prints the primary ECG wave and the alarming wave if configured Reports The following can be printed Event Summary 12 Lead Operational Check Configuration Status Log and Device Information Speed 25 or 50 mm s with an accuracy of 5 Amplitude Accuracy 5 or 40 uV whichever is greater Paper Size 50 mm W by 30 m 100 ft L Noninvasive Pacing Waveform Monophasic Truncated Exponential Current Pulse Amplitude 10 mA to 160 mA 5 mA resolution accuracy 10 or 5 mA whichever is greater Pulse Width 40 ms with 10 accuracy Rate 30 ppm to 180 pp
5. leads Il Il aVR aVL aVF V C1 V C6 can be obtained All 12 Lead ECG waves can be viewed on the display simultaneously All 12 leads can be printed on the strip chart printer in 3x4 format 12 Lead ECG Transmission Data card to a PC Receiver Type HeartStart Event Review Pro Patient Data Storage Internal Event Summary 8 hours of continuous ECG waveforms and events AND 50 12 Lead ECG reports Data Card Event Summary 8 hours of continuous ECG waveforms and events AND 50 12 Lead ECG reports PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Environmental Temperature 0 C to 45 C operating 20 to 70 C storage Humidity Up to 95 relative humidity Altitude Operating O to 15 000 ft O to 4 500 m Storage O to 15 000 ft O to 4 500 m Mechanical Shock Operating Impact Half sine waveform duration lt 3 ms velocity change gt 111 in s 5 3 times on all six faces i e axes Non operating Shipping Trapezoidal waveform acceleration gt 30 g velocity change 742 cm s 10 on all six faces i e axes Bump EN60068 2 29 Bump Half sine 40 g peak 6 msec duration 1 000 bumps x 3 axes Free fall IEC 68 2 32 Free fall Drops on all faces onto a steel surface excluding bed rail hook in cm with carrying case in cm without carrying case 2 in cm onto handle Vibration Operating MIL STD 810E 514 4 Category 6 Helicopter General Storage UH60 Non Operating IEC 68 2
6. Adult 25 160 Pediatric Mean low limit 20 250 Adult 20 155 Pediatric Rated Life 50 000 measurement cycles 36 day for 2 3 years Auto Mode Repetition Time 1 2 5 5 10 15 30 60 or 120 minutes Measurement Time Auto manual mode 30 seconds average HR gt 60 bpm 170 seconds maximum Interconnect Tube Length M1598B Connect tubing 1 5 m M1599B Connect tubing 3 m End Tidal Carbon Dioxide Range 0 to 99 mmHg Resolution 1mmHg 0 1 kPa Accuracy For values between 0 and 38 mmHg 2 mmHg For values between 39 and 99 mmHg 5 of reading 0 08 for every 1 mmHg above 40 mmHg Values read at sea level after gt 20 min warm up Alarm Range Low Limit 10 to 94 mmHg Adult Pediatric High Limit 20 to 95 mmHg Adult Pediatric Sample Size 50 ml per min Airway Respiration Rate Range 0 to 150 rpm Resolution 1 rpm Accuracy 0 to 40 rpm 1 rpm 41 to 70 rom 2 rpm 71 to 100 rpm 3 101 to 150 rpm 5 Alarm Range Low Limit 0 to 99 rpm Adult Pediatric High Limit 10 to 100 rpm Adult Pediatric Apnea Alarm Time 10 40 seconds in increments of 5 Calibration Gas for COs Measurement Ingredients 5 Carbon Dioxide 21 Oxygen 74 Nitrogen Cylinder Size BD Method of Preparation Gravimetric Blend Tolerance 0 03 Accuracy 0 03 absolute Moisture 10 PPM Maximum Expiration Period 2 years Pressure 144 PSIG Volume 1L 12 Lead ECG Inputs With a 10 Lead cable
7. lead ECG Set and Plug with Snap AAMI Add 7 lead ECG Set for 12 Lead use AAMI 3 lead ECG Set and Plug with Snap IEC Add 7 lead ECG Set for 12 Lead use IEC 10 lead ECG Patient Trunk Cable 12 pin ECG Input Connector for 5 Lead and 12 Lead use 10 electrode Cable Set Extremities Grabber use with M1976A AAMI 10 electrode Cable Set Chest Grabber use with M1968A AAMI 10 electrode Cable Set Extremities Grabber use with M1978A IEC 10 electrode Cable Set Chest Grabber use with M1971A IEC 3 Lead Cable Set 3 lead ECG Trunk Cable AAMI 3 lead ECG Lead Set with Snaps AAMI 3 lead ECG Trunk Cable IEC 3 lead ECG Lead Set with Snaps IEC 5 Lead Cable Set 5 lead ECG Trunk Cable AAMI 5 lead ECG Lead Set with Snaps AAMI 5 lead ECG Trunk Cable IEC 5 lead ECG Lead Set with Snaps IEC Sync Cable 8 ft Sync Cable 25 ft SpOs Sensors Cables M1191A M1192A M1193A M1194A M1195A M1941A M1943A NBP M1598B M1599B 40400A 40400B 40401A 40401B 40401C 40401D 40401E M4552A M4553A M4554A M4555A M4557A M4559A M1572A M1573A M1574A M1575A Reusable SpOg Sensor Adult Finger Reusable SpOg Sensor Pediatric Small Adult Finger Reusable SpOg Sensor Adult Thumb Reusable SpOg Sensor Adult Ear Clip Reusable SpO Sensor Infant SpOpo Extension Cable 2 m Nellcor SpO9 Sensor Adapter Cable 1 m use with M1902 3 4B Interconnect Cable Adul
8. 6 Vibration sinusoidal 10 57 Hz 0 15mm 58 150 Hz 2g 20 sweeps x 3 axes IEC 68 2 64 Vibration broad band random 10 20 Hz 0 05 g Hz 20 150 Hz 3 dB octave 150Hz 0 0065g2 Hz 1 5 hours x 3 axes Solids Water Resistance P24 Water testing performed with patient cables connected to the device EMC Meets EN 60601 1 2 2001 Safety Meets EN 60601 1 UL 2601 1 CAN CSA C22 2 No 601 1 Other Considerations Device not suitable for use in the presence of concentrated oxygen or a flammable anesthetic mixture with air oxygen or nitrous oxide Mode of Operation Continuous AC Line Powered Input 100 240 VAC 50 60 Hz 1 0 46 A Output 18 V 5 A 90 W Battery Powered 14 8 V Rechargeable Lithium lon Philips Medical Systems is part of Royal Philips Electronics PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR UNITED STATES Philips Medical Systems Cardiac and Monitoring Systems 3000 Minuteman Road Andover MA 01810 Tel 800 934 7372 CANADA Philips Medical Systems 2660 Matheson Blvd E Mississauga Ontario L4W 5M2 Tel 800 291 6743 EUROPE MIDDLE EAST AND AFRICA Philips Medizinsysteme Boblingen GmbH Cardiac and Monitoring Systems Hewlett Packard Str 2 71034 B blingen Germany Fax 49 7031 463 1552 LATIN AMERICA HEADQUARTERS Philips Medical Systems 5200 Blue Lagoon Drive 9th Floor Miami FL 33126 Tel 305 267 4220 ASIA PACIFIC HEADQUARTERS Philips Medical System
9. e Patient Disposable Cuff Large Adult X Long Soft Single Patient Disposable Cuff Thigh Intubated Circuits Filter Line Set Adult Pediatric 25 sets case Filter H Set Adult Pediatric 25 sets case Filter H Set Infant Neonatal yellow 25 sets case Non Intubated Dual Purpose Circuits CO2 O2 Smart CapnoLine Pediatric Smart CapnoLine Intermediate Smart CapnoLine Adult Non Intubated Single Purpose Circuits CO3 Smart CapnoLine Pediatric Smart CapnoLine Intermediate Smart CapnoLine Adult Lithium lon Battery with Capacity Gauge AC Power Module DC Power Module 50 mm Chemical Thermal Gray Grid 10 rolls 50 mm Chemical Thermal Gray Grid 80 rolls PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Color Handle M5521A Green and color label set M5522A Blue and color label set M5523A Yellow and color label set M5524A Rose and color label set M5525A Gray and color label set Miscellaneous M3725A Test Load for use with M3508A Pad Cable M3541A Carrying Case includes 3 accessory pouches and shoulder strap M3545A Data Card and Tray M5528A Vehicle Wall Mount Specifications General Dimensions with pads 12 4 in W x 8 3 in D x 11 7 in H 31 5 cm x 21 0 cm x 29 5 cm Dimensions with paddles 13 4 in W x 8 3 in D x 13 6 in H 34 0 cm x 21 0 cm x 34 5 cm Weight 13 2 lbs including pads pads cable full roll of paper and battery Incremental wei
10. ght of external standard paddles and paddle tray is 2 5 Ibs Additional battery weighs 1 6 lbs Defibrillator Waveform Biphasic Truncated Exponential Waveform parameters adjusted as a function of patient impedance Shock Delivery Via multifunction defib electrode pads or paddles Delivered Energy Accuracy Selected Nominal Delivered Energy vs Patient Impedance Accuracy Energy Load Impedance 25 50 75 100 125 150 175 we faz fas i2 lia fio Joo fos 23 2 fas 20 20 19 1 7 16 15 227 33 J28 3 0 3 0 3 1 3 0 29 27 2 la 3 7 4 0 4 0 41 42 42 lao faa sr 46 5 0 5 1 5 1 5 2 5 2 5 0 425 6 5 5 60 foi fo2 63 63 J61 25 no 64 70 71 72 173 7 3 71 42 s3 74 s0 81 82 8 4 18 3 faa 227 oy J83 9 0 for fo3 Jo4 94 fon 425 10J 9 2 10 10 10 10 10 10 2J 15J 14 15 15 15 16 16 15 15 20J 18 20 20 21 21 21 20 15 30J 28 30 30 31 31 31 30 15 50J 46 50 51 51 52 52 50 15 70J 64 70 71 72 73 73 71 15 100J 92 100 101 103 104 104 101 15 120J 110 120 121 123 125 125 121 15 150J 138 150 152 154 157 156 151 15 170J 156 170 172 175 177 177 172 15 200J 184 200 202 206 209 209 202 15 PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Charge Time Less than 5 seconds to 200 Joules with a
11. m 10 ppm increments accuracy 1 5 Modes Demand or Fixed Rate Refractory Period 340 msec 30 to 80 ppm 240 msec 90 to 180 ppm SpO Pulse Oximetry Range SpO2 0 100 pulse rate 30 to 300 bpm Resolution 1 Display Update Period 1 sec typical numeric update rate Accuracy with M1191A sensor 1 standard deviation 70 to 100 2 5 M1192A sensor 1 standard deviation 70 to 100 2 5 M1193A sensor 1 standard deviation 70 to 100 2 5 M1194A sensor 1 standard deviation 70 to 100 4 0 M1195A sensor 1 standard deviation 70 to 100 4 0 NELLCOR sensors 1 standard deviation 80 to 100 3 0 Pulse Rate Accuracy 2 or 1 bpm whichever is greater Alarm Range Low Limit 50 to 99 Adult Pediatric High Limit 51 to 100 Adult Pediatric Alarm Delay 10 seconds PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Noninvasive Blood Pressure Pressure Range Systolic 40 260 mmHg Diastolic 20 200 mmHg Initial Pressure 160 mmHg Adult 120 mmHg Pediatric Maximum Pressure 280 mmHg Overpressure Safety Limits Maximum of 300 mmHg Cuff Inflation Time 50 second maximum pediatric or adult Accuracy 3 mmHg Alarm Range Systolic high limit 35 270 Adult 35 180 Pediatric Systolic low limit 30 265 Adult 30 175 Pediatric Diastolic high limit 15 245 Adult 15 150 Pediatric Diastolic low limit 10 240 Adult 10 145 Pediatric Mean high limit 25 255
12. new fully charged Lithium lon battery pack at 25 C Less than 15 seconds when operating without a battery using the M3539A AC power module alone at 90 rated mains voltage Patient Impedance Range Minimum 15 Ohm internal defibrillation 25 Ohm external defibrillation Maximum 180 Ohm Note Actual functional range may exceed the above values Manual Mode Manual Output Energy Selected 1 10 15 20 30 50 70 100 120 150 170 200 Joules Controls On Off Therapy Knob Charge Shock Sync Print Mark Event ECG Lead Select Alarm Pause Event Review Energy Selection Control Front panel therapy knob Charge Control Front panel button button on external paddles Shock Control Front panel button buttons on external or switched internal paddles Synchronized Control Front panel SYNC button Indicators Text prompts audio alerts QRS beeper battery status Ready For Use external power battery charging Sync mode Armed Indicators Charging tone charged tone flashing shock button and energy level indicated on display AED Mode AED Energy Profile 150 Joules nominal into a 50 Ohm test load Text and Voice Prompts Extensive text audible messages guide user through configured protocol AED Controls On Off Shock Indicators Monitor display messages and prompts voice prompts battery status Ready For Use external power battery charging Armed Indicators Flashing shock button charged tone and voice p
13. nsmission Option BO4 Wider Printer External Paddles with Paddle Tray Option C02 Water Resistant Paddles External Paddles M3543A M4745A Water Resistant External Paddles Sterilizable External Paddles Internal Paddles M1741A M1742A M1743A M1744A M4741A M4742A M4743A M4744A 989803127121 989803127131 989803127141 989803127151 989803127161 989803127171 M4740A 7 5 cm Switchless 6 0 cm Switchless 4 5 cm Switchless 2 8 cm Switchless 7 5 cm Switched 6 0 cm Switched 4 5 cm Switched 2 8 cm Switched Large Disposable Switched Medium Disposable Switched Small Disposable Switched Large Disposable Switchless Medium Disposable Switchless Small Disposable Switchless nternal Paddles Adapter Cable Multifunction Electrode Pads M3713A M3716A M3717A M3718A Adult Plus Adult Radiolucent Pediatric Plus Adult Radiotransparent Reduced Skin PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Multifunction Electrode Pads M3719A Pads Cable M3508A Pediatric Radiotransparent Reduced Skin Defib Hands free plug style ECG Monitoring Electrodes M2202A ECG Cables M3525A M3526A M3527A M3528A M3529A M1949A M1968A M1976A M1971A M1978A M1500A M1605A M1510A M1615A M1520A M1625A M1530A M1635A Sync Cables M1783A M5526A High Tack Foam 5 electrodes pack 60 packs case 12 Lead Cable Set 10 lead ECG Trunk Cable 12 pin Connector for 3 Lead and 12 Lead use 3
14. ou to quickly locate the information you need most With wide viewing angles it displays an event timer event markers numeric vital signs and up to four waves as well as text prompts alarms and battery status indicators On screen menus simplify navigation for configuring data setting and responding to alarms and accessing additional functionality And automated self tests straight forward operational checks data collection and two long life batteries make the device easy to operate All of these features measurements and therapies plus its compact size low weight 13 2 pounds and balanced shape mean that HeartStart MRx has the capabilities you need and the performance you demand for rapid intervention thorough care and positive patient outcomes that s the big picture M3536A Features Standard Features gt ST AR Basic algorithm for arrhythmia detection gt ECG monitoring through monitoring electrodes and defibrillation pads gt Synchronized cardioversion Adjustable ECG size and autogain gt Manual and AED operation SMART Biphasic waveform for defibrillation therapy gt Large 4 wave color display gt Strip chart printer gt Individual adjustable volume of QRS beeper voice prompts and alerts gt Event summary Configuration mode Service mode Operational checks gt Automated self tests with ready for use indicator Lithium ion battery with capacity gauge
15. rompts ECG Analysis Evaluates patient ECG and signal quality to determine if a shock is appropriate and evaluates connection impedance for proper defibrillation pad contact Shockable Rhythms Ventricular fibrillation and certain ventricular tachycardias including ventricular flutter and polymorphic ventricular tachycardia Shock Advisory Algorithm Sensitivity and Specificity Meets AAMI DF 39 ECG and Arrhythmia Monitoring Inputs Up to four 4 ECG waves may be viewed on display and up to 2 waves printed simultaneously Lead Il or Ill is obtained through the 3 lead ECG cable With a 5 lead cable leads aVR aVL aVF and V can also be obtained Pads ECG is obtained through 2 multifunction defibrillation electrode pads Lead Fault Leads Off message and dashed line appear on the display if an electrode or lead becomes disconnected Lead Off indicator in wave sector Pad Fault Dashed line appears on the display if a pad becomes disconnected Heart Rate Display Digital readout on display from 15 to 300 bpm with an accuracy of 10 Heart Rate Arrhythmia Alarms HR Asystole VFIB VTACH VTACH Extreme Tachy Extreme Brady PVC rate Pacer not capture Pacer not pacing Hands Free Defibrillation Cable Length M3508A 5 ft 1 6 m M3507A 7 ft 2 2 m ECG Cable Length 9 ft 2 7 m Common Mode Rejection Greater than 90 dB measured per AAMI standard for cardiac monitors EC 13 ECG Size 2 5 5 10
16. s 26 F Hopewell Centre 17 Kennedy Road Wanchai Hong Kong Tel 852 2821 5888 Fax 852 2527 7136 www medical philips com 2003 Koninklijke Philips Electronics North America All rights are reserved Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder Koninklijke Philips Electronics N V reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication Published December 2003 4522 981 85091
17. t Pressure 5 ft Adult Pressure 10 ft Reusable Blood Pressure Cuffs Reusable NBP Cuff Kit 3 sizes pediatric adult large adult Reusable NBP Cuff Kit 5 sizes infant pediatric adult large adult thigh Traditional Reusable NBP Cuff Infant Traditional Reusable NBP Cuff Pediatric Traditional Reusable NBP Cuff Adult Traditional Reusable NBP Cuff Large Adult Traditional Reusable NBP Cuff Thigh Antimicrobial Reusable NBP Cuff Infant Antimicrobial Reusable NBP Cuff Pediatric Antimicrobial Reusable NBP Cuff Small Adult Antimicrobial Reusable NBP Cuff Adult Antimicrobial Reusable NBP Cuff Large Adult Antimicrobial Reusable NBP Cuff Thigh Multi Patient Comfort Cuffs Pediatric Multi Patient Comfort Cuffs Small Adult Multi Patient Comfort Cuffs Adult Multi Patient Comfort Cuffs Large Adult NBP M4572A M4573A M4574A M4575A M4576A M4577A M4578A M4579A EtCO M1920A M1921A M1923A M2520A M2521A M2522A M2524A M2525A M2526A Power M3538A M3539A M5529A Paper 40457C 40457D PHILIPS HEARTSTART MRx MONITOR DEFIBRILLATOR Disposable Blood Pressure Cuffs Soft Single Patient Disposable Cuff Infant Soft Single Patient Disposable Cuff Pediatric Soft Single Patient Disposable Cuff Small Adult Soft Single Patient Disposable Cuff Adult Soft Single Patient Disposable Cuff Adult X Long Soft Single Patient Disposable Cuff Large Adult Soft Singl
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