HP Codemaster 100 User manual

User’s Guide
Including:
•HP M2475B CodeMaster 100 Portable Defibrillator/Monitor with 12-Lead
ECG option
•HP M2480B Battery Support System
•HP M2478A DC Power Module
•HP M2479A AC Power Module
HP CodeMaster 100 Portable
Defibrillator/Monitor
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Notice
ii
0Notice
The information in this document is subject to change without notice.
Hewlett-Packard makes no warranty of any kind on this material, including
but not limited to, the implied warranties ofmerchantabilityand fitness for a
particular purpose. Hewlett-Packard shall not be liable for errors contained
herein, or for incidental or consequential damages in connection with the
furnishing, performance, or use of this material.
This document contains proprietary information which is protected by
copyright. All rights are reserved. No part of this document may be
photocopied, reproduced, or translated to another language without the prior
written consent of Hewlett-Packard Company.
Before using the HP CodeMaster 100 , the battery support system, or the
power modules, read this guide and become thoroughly familiar with the
contents.
Responsibility of the Manufacturer
Hewlett-Packard only considers itself responsible for any effects on safety,
reliability and performance of the HP CodeMaster 100 , the battery support
system and the power modules if:
•assembly operations, extensions, re-adjustments, modifications or repairs
are done by persons authorized by Hewlett-Packard, and
•the electrical installation complies with the IEC or national requirements,
and
•the instrument is used according to the instructions for use presented in
this manual.

Notice
iii
As with all electronic equipment, Electromagnetic Interference (EMI)
between the defibrillator and any existing EMI transmitting or receiving
equipment at the installation site, including electrosurgical equipment,
should be evaluated carefully and any limitations noted before the
equipment is placed in service.
Do not attempt to perform pacing during surgery. Monitoring during
quiescent periods of electrosurgery is possible but electromagnetic
interference generated by electrosurgical tools during operation is
sufficient to mask cardiac signals. A momentary recovery period is required
for the monitor to return to normal operation and will be longer if the
diagnostic monitoring mode is used. Defib or monitoring electrodes should
be placed as far from the surgical area as reasonable while still performing
normal functions to minimize the possibility of burns. EMI frequency
generation from electrosurgical equipment and close proximity
transmitters may seriously degrade performance of the HP CodeMaster
100 .
Hewlett-Packard assumes no liability for failures resulting from EMI
between HP medical electronics and any radio frequency generating
equipment at levels exceeding those established by applicable standards.
Federal law (USA) restricts this device to sale by or on the order of a
physician.
THIS PRODUCT IS NOT INTENDED FOR HOME USE.
This product complies with therequirements of the Medical Device Directive
93/42/EEC and carries the CE0123 marking accordingly. Authorized EU-
representative: Hewlett-Packard GmbH, Department MPG-E Regulations,
Herrenberger Str. 110-140, 71034 Boblingen (FAX: [phone])
This product complies with the telecom regulatory standards for internal
modems set by the Federal Communications Commission (FCC) in the
United States, Industry Canada, and the Department of Trade and Industry in
the United Kingdom.
WARNING
CAUTION

Notice
iv
Associated Documents
Printing History
February 26, 1999 Edition1
Copyright © 1999
Hewlett-Packard Company
Andover, MA 01810, USA
Document Title HP Part Number
HP M2475B CodeMaster 100 Portable
Defibrillator/Monitor Quick Reference
Guide
M2475-97800
HPCodeMasterSeries Defibrillator/Monitor
Pacing Application Note M1722-94920
Understanding Pulse Oximetry
SpO2Concepts M1722-93950
HP M2475B CodeMaster 100 Portable
Defibrillator/Monitor Service Manual M2475-90905
Sensor Guide M1722-93970
Predictive Instruments Physician’s Guide M1792-93900
HP M2476B & M2477B Battery Evaluation
and Care M2475-92100
M3710A Carry Bag Instructions for Use M2475-94000

Symbol Definitions
v
0Symbol Definitions
The following symbols appear on the HP CodeMaster 100 :
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0HHWV,(&W\SH%)OHDNDJHFXUUHQWUHTXLUHPHQWVDQGLVGHILEULOODWRUSURWHFWHG
3DWLHQW$SSOLHG3DUWLVLVRODWHGDQGGHILESURRIVXLWDEOHIRUGLUHFWSDWLHQWFRQWDFWH[FHSWWKH
KHDUWRUPDMRUDUWHULHV
0HHWV,(&W\SH&)OHDNDJHFXUUHQWUHTXLUHPHQWVDQGLVGHILEULOODWRUSURWHFWHG
3DWLHQW$SSOLHG3DUWLVLVRODWHGDQGGHILESURRIVXLWDEOHIRUGLUHFWSDWLHQWFRQWDFWLQFOXGLQJWKH
KHDUWDQGPDMRUDUWHULHV
(TXLSRWHQWLDO
3URWHFWLYHHDUWKJURXQG
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5HF\FODEOHPDWHULDO
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Symbol Definitions
vi
The following symbols appear on the HP M2480B battery support system.
The following symbols appear on the HP M2478A DC power module.
The following symbols appear on the HP M2479A AC power module:
'RQRWXVHLQWKHSUHVHQFHRIIODPPDEOHDQHVWKHWLFVRULQR[\JHQULFKHQYLURQPHQWV
$&SRZHURQ
6WDUWEDWWHU\FDSDFLW\WHVW
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$GGLWLRQDOLQIRUPDWLRQ
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LQVWUXFWLRQV
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)XVHUHSODFHPHQWYDOXH 2XWSXW

Conventions
vii
0Conventions
This manual uses the following conventions:
Warning statements describe conditions or actions that can result in
personal injury or loss of life.
Caution statements describe conditions or actions that can result in damage to the
equipment or loss of data.
Notes contain additional information on usage.
TEXT represents the labels that appear on the display.
Bold represents buttons/controls on the device.
Bold Italic represents softkeys (temporary key labels) that appear on the
12-Lead display.
WARNING
CAUTION
NOTE

Preface
viii
0Preface
Introduction
This Preface provides general information which you should review before
using the HP M2475B CodeMaster 100 Portable Defibrillator/Monitor with
12-Lead ECG option.
About the HP Codemaster 100
The HP CodeMaster 100 is a portable, battery-powered
defibrillator/monitor with built in non-invasive pacing, pulse oximetry
(SpO2), and 3- or 5-wire ECG monitoring capability. It also offers an
optional Shock Advisory mode as well as an option to acquire a 12-lead
ECG. The Shock Advisory mode detects whether the rhythm is shockable
and guides the user through the process of defibrillation. It comes with an
Advisory Event Summary to simplify documentation. The 12-lead ECG
option allows users to acquire, store, and transmit 12-lead ECGs for help
with early detection of acute cardiac ischemia, acute myocardial infarction
and other arrhythmias.
The HP CodeMaster 100 is used as an advanced defibrillator/monitor in the
pre-hospital arena and as a transport defibrillator in the hospital
environment. It can be used with adult paddles, pediatric paddles, and multi-
function defib electrodes. Multi-function defib electrodes allow the user to
pace, monitor, and defibrillate from the same electrodes.
Theory of Defibrillator Operation
Defibrillation is a recognized means of terminating certain potentially fatal
arrhythmias, such as ventricular fibrillation and symptomatic ventricular
tachycardia. A direct current defibrillator applies a brief, high-energy pulse
of electricity to the heart muscle (up to 360 joules). The HP CodeMaster 100
delivers this energy through multi-function defib electrodes or paddles
applied to the patient’s chest. Delivery of this energy in the synchronized
mode is useful in treating supraventricular tachycardia, atrial fibrillation,
atrial flutter, and, in relatively stable patients, ventricular tachycardia.

Preface
ix
Intended Use
The HP CodeMaster 100 is for use by emergency care personnel specifically
trained in the operation of the device and qualified by training in advanced
cardiac life support, basic life support or other physician-authorized
emergency medical response. It must be used by or on the order of a
physician.
When operating as a manual defibrillator, the HP CodeMaster 100 is
suitable for use by personnel trained in advanced cardiac life support. In
Shock Advisory Mode, the HP CodeMaster 100 is suitable for use by EMS
personnel with basic life support training.
Indications and Contraindications
Defibrillation
Indications
Defibrillation therapy is indicated for patients that exhibit the following
combination of symptoms:
•unconsciousness
•absence of breathing
•absence of detectable pulse
•ventricular fibrillation or ventricular tachycardia

Preface
x
Defibrillation
Contraindications
Defibrillation therapy is contraindicated for patient that exhibit any of the
following:
•consciousness
•presence of breathing
•presence of detectable pulse
In addition, the HP CodeMaster 100 should not be used in Shock Advisory
Mode (where it functions like an AED) for:
•children who weigh under 90 pounds
•patients who have an implanted pacemaker
The shock advisory algorithm is not designed or tested to interpret pediatric
cardiac arrhythmias or administer energy at pediatric joule settings. For
children older than 8 years, the American heart Associationrecommends that
standard operating procedures for AEDs be followed. American heart
Association Textbook of Advanced Cardiac Life Support. Dallas, Tex.:
AHA;1994.
The shock advisory algorithm is not designed to handle erratic spiking
problems caused by a properly or improperly functioning pacemaker.
NOTE
NOTE

Preface
xi
Noninvasive Pacing
Indications
The HP CodeMaster 100 provides non-invasive pacing that delivers an
electrical stimulus to the heart, causing cardiac depolarization and
myocardial contraction. The energy is delivered through multifunction defib
electrodes placed on the chest. Non-invasive pacing, as a therapy, is
indicated for use in patients with symptomatic bradycardia or asystole. In
addition to noninvasive pacing, other supportive measures may be
necessary.
Among other factors, successful pacing of a patient is related to the length
of time between the onset of a dysrhythmia and the initiation of pacing.
Rapid pacing and prompt follow-up care are essential. The physiologic state
of the patient may affect the likelihood of successful pacing or of skeletal
muscle activity. The failure to successfully pace a patient is not a reliable
indicator of pacemaker performance. Similarly, the patient’s muscular
response to pacing is not a reliable indicator of energy delivered.
Contraindications
Contraindications for noninvasive pacing include ventricular fibrillation.

Preface
xii
12-Lead Electrocardiography
Indications
The American Heart Association (AHA) and the National Heart Attack Alert
Program (NHAAP) recommend prehospital 12-Lead ECG with computer
analysis and transmission to the emergency department for patients with
chest pain and possible Acute Myocardial Infarction (AMI).
The prehospital 12-Lead ECG offers paramedics and emergency physicians
significant advantages over the single lead ECG typically available in EMS.
The prehospital 12-Lead ECG not only provides a diagnostic quality ECG for
use in the detection of AMI, but also allows the knowledgeable paramedic to
determine the area of myocardial injury, anticipate associated potential
complications, and implement treatment strategies accordingly. In addition,
the prehospital 12-Lead ECG provides a baseline for serial ECG evaluations.
Contraindications
None known.
SpO2 Monitoring
Indications
Pulse oximetry through plethmography (SpO2) is a measure of oxygen
saturation in arterial blood. It is indicated for use when determining a
patient’s level of hypoxemia.
Contraindications
None known.

Preface
xiii
Electromagnetic Compatibility
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Reducing Electromagnetic Interference
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Preface
xiv
Restrictions for Use
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Immunity Level
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SOHDVHVHHWKH'HFODUDWLRQRI&RQIRUPLW\6WDWHPHQWVKLSSHGZLWKWKHGHYLFH
NOTE

Telecom Regulatory Information
xv
0Telecom Regulatory Information
United States
In compliance with the Federal Communications Commission (FCC), the following
information is provided:
• This equipment complies with Part 68 of the FCC rules. This unit bears a label
which contains the FCC registration number and Ringer Equivalence Number. If
requested, this information must be provided to the telephone company.
• This equipment uses the following standard jack types for network connection:
RJ11C.
• This equipment contains an FCC compliant modular jack. It is designed to be con-
nected to the on-premises telephone network wiring using compatible modular
plugs and cabling which complies with the requirements of FCC Part 68 rules.
• The Ringer Equivalence Number, or REN, is used to determine the number of
devices that may be connected to the telephone line. An excessive REN may cause
the equipment not to ring in response to an incoming call. In most areas, the sum of
the REN’s of all equipment on a line should not exceed five (5.0).
• In the unlikely event that this equipment causes harm to the telephone network, the
telephone company can temporarily disconnect your service. The telephone com-
pany will try to warn you in advance of any such disconnection, but if advance
notice isn’t practical, it may disconnect the service first and notify you afterwards.
In the event such a disconnection is deemed necessary, you will be advised of your
right to file a complaint with the FCC.
• From time to time, the telephone company may make changes in its facilities,
equipment, or operations which could affect the operation of this equipment. If this
occurs, the telephone company is required to provide you with advance notice so
that you can make the modifications necessary to maintain uninterrupted service.
• For servicing information, see “Service” on page 12-21.
• For troubleshooting transmission problems, see “Identifying Transmission Prob-
lems” on page 12-17.

Telecom Regulatory Information
xvi
Canada
In compliance with the Industry Canada, the following information is provided:
• NOTICE: The Industry Canada label identifies certified equipment. This certifica-
tion means that the equipment meets telecommunications network protective
Technical Requirements document(s). The department does not guarantee the
equipment will operate to the user’s satisfaction.
• Before connecting this equipment, users should ensure that it is permissible to be
connected to the facilities of the local telecommunications company. The equip-
ment must also use an acceptable method of connection. The customer should be
aware that compliance with the above conditions may not prevent degradation of
service in some situations.
• Repairs to certified equipment should be coordinated by a representative desig-
nated by Hewlett-Packard. Any repairs or alterations made by the user to this
equipment, or equipment malfunctions, may give the telecommunications com-
pany cause to request the user to disconnect the equipment.
• Users should ensure, for their own protection, that the electrical ground connec-
tions of the power utility, telephone lines and internal metallic water pipe system,
if present, are connected together. This precaution may not be particularly impor-
tant in rural areas.
Users should not attempt to make electrical ground connections themselves, but
should contact the appropriate electric inspection authority, or electrician, as
appropriate.
• NOTICE: The Ringer Equivalence Number (REN) assigned to each terminal
device provides an indication of the maximum number of terminals allowed to be
connected to a telephone interface. The termination on an interface may consist of
any combination of devices subject only to the requirement that the sum of the
Ringer Equivalence Numbers of all the devices does not exceed five (5.0).
CAUTION

Telecom Regulatory Information
xvii
United Kingdom
In compliance with the Department of Trade and Industry, the following
information is provided:
Although this equipment can use either loop disconnect or DTMF signaling, only
DTMF signaling is subject to regulatory requirements for correct operation. It is,
therefore, strongly recommended that the equipment is set to use DTMF signaling
for access to public or private emergency services. DTMF signaling also provides
faster call set up.

Telecom Regulatory Information
xviii

xix
Contents
Notice ii
Responsibility of the Manufacturer ii
Associated Documents iv
Printing History iv
Symbol Definitions v
Conventions vii
Preface viii
Introduction viii
About the HP Codemaster 100 viii
Theory of Defibrillator Operation viii
Intended Use ix
Indications and Contraindications ix
Defibrillation ix
Defibrillation x
Noninvasive Pacing xi
12-Lead Electrocardiography xii
Indications xii
Contraindications xii
SpO2 Monitoring xii
Indications xii
Contraindications xii
Electromagnetic Compatibility xiii
Reducing Electromagnetic Interference xiii
Restrictions for Use xiv
Immunity Level xiv
Telecom Regulatory Information xv
United States xv
Canada xvi
United Kingdom xvii
1 Getting Acquainted
Operating Controls and Indicators 1-4
Defibrillator Operating Controls 1-4
Monitor Operating Controls 1-7

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Recorder Operating Controls 1-9
Pacer Operating Controls 1-11
SpO2 Operating Controls 1-13
SpO2 Operating Controls 1-14
Advisory Mode Operating Controls (Optional) 1-15
12-Lead Operating Controls 1-16
Indicator Lights 1-18
Safety Considerations 1-21
Disarming the Defibrillator 1-21
Battery Operation 1-23
Supported Battery Replacements 1-24
Testing a Battery 1-24
Recharging a Battery 1-24
2 Setup and Configuration
Setting Up the CodeMaster 100 2-1
Inserting the Battery 2-2
Loading the Recorder Paper 2-3
Connecting the Paddles or Multifunction Defib Electrodes and
Patient Cables 2-3
Connecting Paddles or Multifunction Defib Electrodes 2-4
ECG Input Connector 2-5
Configuring the CodeMaster 100 and 12-Lead ECG Option 2-7
Configuring the CodeMaster 100 2-8
Restoring Factory Settings 2-9
Configuring the 12-Lead Option 2-13
Navigating the Configuration Menus 2-14
Adjusting Display Screen Contrast 2-14
Using the 12-Lead Configuration Menu 2-15
Setting Up Patient Information 2-16
Setting Up 12-Lead Fields 2-17
Setting Up Filters 2-19
Setting Up Interpretation, Copy Count, Institution Label, and