HP CodeMaster XL+ M1722A User manual

M1722A/B CodeMaster XL+
Defibrillator/Monitor User's Guide
H
HP Part No. M1722-91908
Printed in USA November 1994
Edition 6
E1194

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 of merchantability and 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 instrument, 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 equipment if:
assembly operations, extensions, re-adjustments, modifications or repairs are done
by persons authorized by Hewlett-Packard, and
the electrical installation of the relevant room complies with the IEC or national
requirements, and
the instrument is used according to the instructions for use presented in this man-
ual.
As with all electronic equipment, radio frequency interference between the
defibrillator and any existing RF 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. Hewlett-
NOTE

iii
Packard assumes no liability for failures resulting from RF interference between HP
medical electronics and any radio frequency generating equipment.
THIS PRODUCT IS NOT INTENDED FOR HOME USE.
This is to certify that this equipment is in accordance with the Radio Interference
Requirements of Directive FTZ 1046/84. The German Bundespost was notified that
this equipment was put into circulation, the right to check the device for compliance
with the requirements was granted.
If Test and Measurement Equipment is operated with unscreened cables and/or used
for measurements in open set-ups, the user has to assure that under these operating
conditions the Radio Interference Limits are still met at the border of his premises.
Use of accessories other than those recommended by Hewlett-Packard may
compromise product performance.
Printing History
March 1992 Edition 1
June 1992 Edition 2
December 1992 Edition 3
July 1993 Edition 4
October 1994 Edition 5
November 1994 Edition 6
© Copyright 1994, Hewlett-Packard Company
CAUTION

iv
0Safety Symbols
Conventions Used in This Manual
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.
Monitor On (Do not confuse with 1 Joule)
Off (Standby)
On/Off
Ground
Shock hazard
Caution - See operating instructions
Meets IEC type BF leakage current requirements and is defibrillator
protected.
Meets IEC type CF leakage current requirements and is defibrillator
protected.
Equipotential (rear of unit, adjacent to a.c. input)
Protective earth (ground)
WARNING
CAUTION

v
Notes contain additional information on usage.
TEXT represents the labels that appear on the display.
represents keys on the key panel.
represents lighted indicators on the key panel.
NOTE
Key
LIGHT

vi

Contents-1
1Contents
Getting acquainted
Operating Controls and Indications1-1
Safety considerations1-8
AC and DC (Battery) Operation1-10
Battery Life 1-11
Defibrillating
Defibrillating a Patient2-1
1. Select Energy 2-2
2. Charge 2-2
3. Shock 2-3
After Using the Defibrillator 2-4
Defibrillating with Alternate Paddle Sets 2-4
Monitoring
Using Leads to Monitor3-1
Preparing the Leads for Monitoring 3-2
Preparing the Patient3-4
Monitoring Electrodes 3-5
Monitoring3-6
Heart Rate Alarms3-7
Printing the Event Summary Record3-8
Recording3-9
Automatic Recordings 3-9
Post Shock Data 3-10
Recorder Errors 3-10
External Monitoring3-11
Performing Synchronized Cardioversion
Performing Cardioversion4-1
Monitoring During Cardioversion 4-1

Contents-2
Performing Synchronized Cardioversion 4-2
Pacing (Optional)
Using the Pacer5-2
Defibrillation During Pacing 5-4
SpO2Monitoring (Optional)
SaO2and SpO26-1
Application Notes6-1
Using SpO2to Monitor a Patient6-2
Apply the Sensor to the Patient 6-3
Troubleshooting Sensor Application 6-5
Connect the Sensor to the CodeMaster XL+ 6-6
Start Monitoring 6-7
SpO2Readings 6-7
SpO2Alarms6-8
Activating SpO2Alarms 6-8
Deactivating SpO2Alarms 6-8
Recorder Output 6-9
Troubleshooting
Troubleshooting7-1
Troubleshooting the Defibrillator 7-2
Troubleshooting the Pacer 7-5
Troubleshooting SpO27-6
Performing Diagnostics7-7
Operational Checks7-8
Every Shift 7-9
Every Day 7-9
Every Week 7-12
Every Three Months 7-12
Every Six Months 7-12

Contents-3
Maintaining the Defibrillator
Changing the Recorder Paper8-1
Cleaning the Recorder Printhead8-2
Maintaining the Battery8-3
Battery Capacity Check 8-4
Replacing the Battery 8-5
Cleaning Exterior Surfaces8-6
Cleaning and Sterilizing the Internal Paddles8-7
Steam Sterilizing the Internal Paddles 8-7
Ethylene Oxide Sterilization 8-8
Supplies8-8
Installation and Setup
InstallationA-1
Line Voltage Settings A-1
Installing and Charging the Battery A-1
Loading the Recorder Paper A-3
Connecting Paddles and Patient Cables A-3
SetupA-7
SpecificationsA-11
Defibrillator A-11
Monitor A-12
Thermal Array Recorder A-12
Size and Weight A-13
Battery A-13
External Pacemaker (Optional) A-14
SpO2(Optional) A-14
Calling for ServiceA-15

List of Tables
Contents - 5
Defibrillator Operating Controls 1-2
Recorder Operating Controls 1-3
Monitor Operating Controls 1-4
Pacer Operating Controls 1-5
SpO2Operating Controls 1-6
Indicator Lights 1-7
Audible Indicators 1-8
Switchless Internal Paddles Selection 2-8
Switched Internal Paddles Selection 2-9
Cardiac Monitoring Configurations 3-1
3-Wire Electrode Placement 3-2
Lead Formation 3-3
5-Wire Electrode Placement 3-3
Lead Configurations 3-3
Event Summary Record Information 3-8
Automatic Recordings 3-10
External Monitoring Cables 3-11
Failure Messages 7-1
Defibrillator Messages 7-2
Pacer Messages 7-5
SpO2Messages 7-6
Setup Menu 1 Settings A-9
Setup Menu 2 Settings A-10

List of Tables
Contents - 6

List of figures
Contents - 4
The CodeMaster XL+ Defibrillator/Monitor 1-1
Defibrillator Operating Controls 1-2
Recorder Operating Controls 1-3
Monitor Operating Controls 1-4
Pacer Operating Controls 1-5
SpO2Operating Controls 1-6
Indicator Lights 1-7
Defibrillator Control Panel 2-1
The Monitor Control Panel 3-6
The Pacer Control Panel 5-1
Positioning of the Light Emitters and Photodetector 6-2
Application of the HP M1190A Reusable Sensor 6-4
Connecting the SpO2Sensor to the CodeMaster XL+ 6-6
CodeMaster XL+ display with SpO2reading 6-7
Changing the Recorder Paper 8-1
Installing the Battery A-3
Connecting External Paddles, Adhesive Pads, or Internal Paddles A-5
Connecting a Patient Cable A-7

1-1
1Getting acquainted
This User’s Guide provides operational and basic maintenance instructions for safe
use and proper care of the Hewlett-Packard M1722A/BCodeMaster XL+
defibrillator/monitor.
Figure 1-1
The CodeMaster XL+Defibrillator/Monitor
1Operating Controls and Indications
The following figures and tables detail the controls and indications on the
CodeMaster XL+defibrillator/monitor.

Getting acquainted
Operating Controls and Indications
1-2
Figure 1-2
Defibrillator Operating Controls
Table 1-1 Defibrillator Operating Controls
ControlDescription
Energy Select/
power controlTurns the instrument power on and off and selects energy level.
buttonCharges defibrillator to energy level set on Energy Select control.
but-
tonsAdministers shock. Labelled .
buttonChanges operating mode between immediate shock (normal)
mode and synchronized with next R-wave shock (Sync) mode.
Charge button
Shock buttons
Sync button
Energy Select/power control
Charg
Shock
Sync

Getting acquainted
Operating Controls and Indications
1-3
Figure 1-3
Recorder Operating Controls
Table 1-2 Recorder Operating Controls
ControlDescription
Starts and stops the recorder.
•When the recorder is on, pressing will annotate the
ECG at that point.
•If the recorder is not on and the unit is set up to do so, pressing
will print an ECG strip.
See Appendix A for information about setting up the CodeMaster
XL+for recording when you press (Record on Mark).
Record button
Mark button
Recor
Mar
k
Mar
k
Mar
k
Mar
k

Getting acquainted
Operating Controls and Indications
1-4
Figure 1-4
Monitor Operating Controls
Table 1-3 Monitor Operating Controls
ControlDescription
Selects an ECG source to monitor.
Changes displayed ECG size.
Controls HR Alarms.
Prints an Event Summary record. The message "ES" is printed at the
top of the ECG strip when you print the Event Summary record. The
recorder must be off to print an Event Summary with this key.
QRS Beeper Vol-
umeControls volume of QRS beeper.
ECG OutputProvides analog 1V/mV output for external monitoring.
Lead Select button
ECG Size button
HR Alarm button
Review button
QRS Beeper Volume
ECG Output
Lead
ECG Size
HR
Review

Getting acquainted
Operating Controls and Indications
1-5
Figure 1-5
Pacer Operating Controls
Table 1-4 Pacer Operating Controls
ControlDescription
Turns pacer on or off.
Adjusts pacer rate (ppm) up or down.
Starts and stops pacing.
Adjusts pacer output current (mA) up or down.
Changes between fixed and demand pacing modes.
Start/Stop button
Output button
Mode button
Rate button
Pacer On button
Pacer
Rate
Start/
Output
Mode

Getting acquainted
Operating Controls and Indications
1-6
Figure 1-6
SpO2Operating Controls
Table 1-5 SpO2Operating Controls
ControlDescription
Turns pulse oximeter on or off.
Activates, selects and deactivates SpO2alarms.
SpO2inputConnector for SpO2sensor or sensor adaptor cable.
SpO2Input
SpO2Alarm button
SpO2On/Off button
Sp
O
2On/
Sp
O
2

Getting acquainted
Operating Controls and Indications
1-7
Figure 1-7
Indicator Lights
Table 1-6 Indicator Lights
IndicatorDescription
Charge DoneIndicates that unit is charged and ready to use. lights on
key panel and on Apex paddle.
Paddle Contact
Indicator (PCI)
on Sternum pad-
dle
IIndicates how well paddles contact patient.
LightIndicates that unit is in synchronized shock mode as opposed to
defibrillator mode. Flashes off each time an R-wave is detected.
AC PowerIndicates that unit is plugged in to AC power.
Battery ChargeIndicates that the unit is plugged into AC power and that the battery
is being charged.
Charge Done
Paddle Contact Indicator
Sync Light
AC Power
Battery Charge
Charge
Sync

Getting acquainted
Safety considerations
1-8
1Safety considerations
The CodeMaster XL+stores high voltage energy and is capable of delivering up to
360 joules of DC energy to a 50 ohm impedance.
•To remove power from the instrument, you must turn the Energy Select control to
Off (Standby). Disconnecting the CodeMaster XL+from an AC outlet will not
remove power because the instrument is battery powered.
•To disarm a charged instrument, use one of three methods:
mTurn the Energy Select control from an energy level setting to the Monitor On or
Off (Standby) position.
or
Table 1-7 Audible Indicators
IndicatorDescription
Charge Done toneSounds when instrument is charged and ready to deliver a shock.
Can be disabled in setup.
Auto disarm toneSounds during the last ten seconds of the Charge Done tone. Beeps
intermittently until disarmed.
QRS beeperSounds whenever an R-wave is detected. Volume controlled by front
panel adjustment.
CRT alertsThree beeps each time a message appears on the screen. Can be dis-
abled in setup.
HR alarmsSounds if the heart rate is above the higher alarm limit or below the
lower alarm limit.
SpO2alarmSounds if the SpO2level is above the high SpO2alarm limit or
below the low SpO2alarm limit.
Shutdown warn-
ingAlternating pitch sounds for 60 seconds when the system is about to turn off. An alert to plug the unit into AC power.