Mediana D500 User manual

SERVICE MANUAL
Defibrillator/Monitor D500
EU representative
OBELIS S.A
Bd. Général Wahis, 53, 1030 Brussels, Belgium
Local Distributor
Manufacturer
Mediana Co., Ltd.
132, Donghwagongdan-ro, Munmak-eup,
Wonju-si, Gangwon-do, Korea
Tel: [phone] (82) 33 742 5400
Fax: [phone] (82) 33 742 5483
D500 Service Manual
Part Number: A7225-4
Revised Date: 2016-09
Copyright © 2016 All rights reserved.

Directive
Copyright law allows no part of this instruction manual to be reproduced without
permission.
The content of this manual are subject to change without notice.
The contents of this manual should be correct. If, for some reason, there are any
questionable points, please do not hesitate to contact our service center.
The manual will be replaced if any pages are missing or collation is incorrect.
Warranty
Please contact your local distributor about the warranty period.
Device failure or damage related to the following situations during the guarantee period is
not covered by this warranty:
Installation, transfer installation, maintenance and repairs by any person other than
an authorized employee or technician by Mediana.
Damage sustained to the Mediana product(s) caused by product(s) from another
company excluding products delivered by Mediana.
Damage – caused by mishandling and/or misuse – is the responsibility of the user.
Maintenance and repairs utilizing maintenance components that are not specified
by Mediana.
Device modifications or use of accessories not recommended by Mediana.
Damage caused by accidents or natural disasters (earthquakes, flooding, etc.).
Damage resulting from usage where caution statements and operating instructions
shown in this manual have not been followed.
Damage due to neglect of specified maintenance checks.
This warranty only covers the hardware of the D500. The warranty does not cover the
following selections:
Whatever damage or loss results from the attachment of accessories or their
operation.
In the event of a defect in the product, contact our sales outlet or EU representative
as noted on the back cover.
The D500 conforms to the EMC standard IEC60601-1-2.
Note that mobile phones should not be used in the vicinity of the D500.
Note, however, any device not complying to the EMC standard that is used with the D500 renders
the D500 as non-compliable to the EMC standard.
Trademark
Product brand names shown in this manual are likely to be the trademark or registered
trademark of the company concerned.
This defibrillator/monitor is equipped with epoch-making ECG monitoring
function incorporating the cutting edge software for analysis of
electrocardiograms developed by the University of Glasgow in UK, which includes signal processing,
diagnostic interpretation of electrocardiograms from individuals of all ages and analysis of cardiac
rhythm.

i
Contents
Safety Information..................................................................................................................................1
General Safety Information ..............................................................................................................1
Cautions ...........................................................................................................................................4
Manual Overview .............................................................................................................................5
Related Documents.......................................................................................................................... 5
Intended Use for the D500 ...............................................................................................................5
Indications for Use ...........................................................................................................................6
Identifying the D500 Configurations.................................................................................................7
Defibrillator / Monitor Controls..........................................................................................................8
Front Panel Components .................................................................................................................8
Top Panel Components..................................................................................................................10
Rear Panel Components................................................................................................................ 11
Left Panel Components.................................................................................................................. 12
Right Panel Components ...............................................................................................................12
Routine Maintenance ...........................................................................................................................15
Cleaning .........................................................................................................................................15
Periodic Safety and Functional Checks .........................................................................................15
Batteries .........................................................................................................................................16
Environmental Protection ............................................................................................................... 16
Performance Verification..................................................................................................................... 17
General...........................................................................................................................................17
Required Equipment ......................................................................................................................17
Performance Tests .........................................................................................................................18
Safety Tests....................................................................................................................................39
Service Menu and Parameter Default Settings .................................................................................47
General...........................................................................................................................................47
Service Menu .................................................................................................................................47
Factory Default Settings................................................................................................................. 74
Software Update ...................................................................................................................................81
Troubleshooting ...................................................................................................................................83
General...........................................................................................................................................83
How to Use This Section................................................................................................................ 83
Who Should Perform Repairs ........................................................................................................83
Replacement Level Supported....................................................................................................... 83
Troubleshooting Guide ...................................................................................................................84
Disassembly Guide ..............................................................................................................................99
General...........................................................................................................................................99
Prior to Disassembly ....................................................................................................................100
Battery Replacement....................................................................................................................100
Side Option Case Disassembly (A).............................................................................................. 101
Front Case Disassembly (B) ........................................................................................................104
Rear Case Disassembly (C)......................................................................................................... 110
Spare Parts.......................................................................................................................................... 117
General......................................................................................................................................... 117
Obtaining Replacement Parts ...................................................................................................... 117
Packing for Shipment ........................................................................................................................121
General Instructions .....................................................................................................................121
Returning the Defibrillator/Monitor ...............................................................................................121
Repacking In Original Carton .......................................................................................................121
Repacking In a Different Carton...................................................................................................122
Specification.......................................................................................................................................123
Display..........................................................................................................................................123

ii
Controls ........................................................................................................................................123
Alarms ..........................................................................................................................................123
Physical Characteristics and Printer ............................................................................................123
Electrical.......................................................................................................................................124
Environmental Conditions ............................................................................................................ 125
Tone Definition .............................................................................................................................126
Measurement Parameters............................................................................................................ 127
Event ............................................................................................................................................133
Defibrillator (Technical Specification) ...........................................................................................134
Compliance ..................................................................................................................................149
System Processing Description .......................................................................................................153
System Overview .........................................................................................................................153
System Block Diagram.................................................................................................................153
ECG Processing...........................................................................................................................159
NIBP Processing ..........................................................................................................................159
SpO2Processing ..........................................................................................................................161
Respiration Processing ................................................................................................................163
Temperature Processing .............................................................................................................. 163
Invasive Blood Pressure Processing ...........................................................................................164

iii
Figures
Figure 1. Front panel components ..........................................................................................................8
Figure 2. Top panel components...........................................................................................................10
Figure 3. Rear panel components......................................................................................................... 11
Figure 4. Left panel components...........................................................................................................12
Figure 5. Right panel components ........................................................................................................12
Figure 6. Manual Self-Test .................................................................................................................... 19
Figure 7. Parameter Default Setting .....................................................................................................25
Figure 8. Pressure Sensor Accuracy Test.............................................................................................32
Figure 9. Air Leakage Test ....................................................................................................................33
Figure 10. Inflation Time Measurement ................................................................................................34
Figure 11. Deflation Rate Measurement ...............................................................................................35
Figure 12. The access of Service menu via Setup menu .....................................................................47
Figure 13. Entering the pass code ........................................................................................................48
Figure 14. System Setting I...................................................................................................................49
Figure 15. System Setting II..................................................................................................................52
Figure 16. Printer Setting ......................................................................................................................55
Figure 17. Parameter Default Setting ...................................................................................................56
Figure 18. ECG Setting .........................................................................................................................63
Figure 19. 12 Lead ECG Setting...........................................................................................................64
Figure 20. Shock Setting.......................................................................................................................66
Figure 21. AED Mode Setting ...............................................................................................................68
Figure 22. Pacing Mode Setting............................................................................................................70
Figure 23. 3G Network Setting..............................................................................................................71
Figure 24. Wi-Fi Network Setting ..........................................................................................................72
Figure 25. Software update display....................................................................................................... 81
Figure 26. Disassembly Sequence Flow Chart...................................................................................100
Figure 27. Side option case disassembly (1) ......................................................................................101
Figure 28. Side option case disassembly (2) ......................................................................................102
Figure 29. Front case disassembly (1)................................................................................................104
Figure 30. Front case disassembly (2)................................................................................................106
Figure 31. Front case disassembly (3)................................................................................................108
Figure 32. Front case disassembly (4)................................................................................................109
Figure 33. Rear case disassembly (1) ................................................................................................ 110
Figure 34. Rear case disassembly (2) ................................................................................................ 111
Figure 35. Paddle mounting plate disassembly .................................................................................. 113
Figure 36. AC power supply (SMPS) disassembly ............................................................................. 115
Figure 37. D500 Exploded view .......................................................................................................... 116
Figure 38. Exploded View – Spare Parts ............................................................................................ 117
Figure 39. Biphasic Waveforms at 360 Joules and 360 Joules ..........................................................138
Figure 40. Biphasic Waveforms at 200 Joules....................................................................................138
Figure 41. Biphasic Waveforms at 175 Joules....................................................................................139
Figure 42. Biphasic Waveforms at 150 Joules....................................................................................139
Figure 43. Biphasic Waveforms at 125 Joules....................................................................................140
Figure 44. Biphasic Waveforms at 100 Joules....................................................................................140
Figure 45. Biphasic Waveforms at 75 Joules......................................................................................141
Figure 46. Biphasic Waveforms at 50 Joules......................................................................................141
Figure 47. Biphasic Waveforms at 40 Joules......................................................................................142
Figure 48. Biphasic Waveforms at 30 Joules......................................................................................142
Figure 49. Biphasic Waveforms at 20 Joules......................................................................................143
Figure 50. Biphasic Waveforms at 10 Joules......................................................................................143
Figure 51. Biphasic Waveforms at 9 Joules........................................................................................144
Figure 52. Biphasic Waveforms at 8 Joules........................................................................................144
Figure 53. Biphasic Waveforms at 7 Joules........................................................................................145
Figure 54. Biphasic Waveforms at 6 Joules........................................................................................145
Figure 55. Biphasic Waveforms at 5 Joules........................................................................................146

iv
Figure 56. Biphasic Waveforms at 4 Joules........................................................................................146
Figure 57. Biphasic Waveforms at 3 Joules........................................................................................147
Figure 58. Biphasic Waveforms at 2 Joules........................................................................................147
Figure 59. Biphasic Waveforms at 1 Joules........................................................................................148
Figure 60. System Block Diagram ......................................................................................................153
Figure 61. Power Unit Block Diagram.................................................................................................154
Figure 62. Main Process Unit Block Diagram .....................................................................................154
Figure 63. Display Unit Block Diagram ............................................................................................... 155
Figure 64. User-Control Unit Block Diagram.......................................................................................155
Figure 65. Audio Unit Block Diagram ..................................................................................................155
Figure 66. Communication Unit Block Diagram..................................................................................156
Figure 67. GUI Unit Block Diagram.....................................................................................................156
Figure 68. Thermal Printer Unit Block Diagram ..................................................................................156
Figure 69. NIBP Unit Block Diagram...................................................................................................157
Figure 70. EtCO2Unit Block Diagram.................................................................................................157
Figure 71. ECG Unit Block Diagram ...................................................................................................157
Figure 72. SpO2Unit Block Diagram...................................................................................................158
Figure 73. Temperature Unit Block Diagram.......................................................................................158
Figure 74. IBP Unit Block Diagram .....................................................................................................158
Figure 75. Oxyhemoglobin Dissociation Curve...................................................................................162

v
Tables
Table 1. The defibrillator/monitor controls on front panel........................................................................9
Table 2. The defibrillator/monitor controls on paddle ............................................................................10
Table 3. Panel and Label Symbols........................................................................................................ 13
Table 4. Required Equipment................................................................................................................17
Table 5. Earth Leakage Current Values ................................................................................................39
Table 6. Enclosure Leakage Current Values......................................................................................... 40
Table 7. Patient Leakage Current Values .............................................................................................41
Table 8. Patient Leakage Current Values - Mains Voltage on Applied Part..........................................42
Table 9. Test Lead Combinations..........................................................................................................42
Table 10. Allowable Leakage Current ...................................................................................................43
Table 11. System Setting I.....................................................................................................................49
Table 12. System Setting II ...................................................................................................................52
Table 13. Printer Setting........................................................................................................................55
Table 14. Parameter Default Setting .....................................................................................................56
Table 15. ECG Setting...........................................................................................................................63
Table 16. 12 Lead ECG Setting ............................................................................................................64
Table 17. Shock Setting ........................................................................................................................66
Table 18. AED Mode Setting ................................................................................................................. 68
Table 19. Pacing Mode Setting ............................................................................................................. 70
Table 20. 3G Network Setting ...............................................................................................................71
Table 21. Wi-Fi Network Setting............................................................................................................72
Table 22. Parameter ranges and factory defaults .................................................................................74
Table 23. Required Equipments for software update ............................................................................ 81
Table 24. Problem Categories...............................................................................................................84
Table 25. Technical error codes ............................................................................................................96
Table 26. Part descriptions – Side option case disassembly (1) ........................................................101
Table 27. Part descriptions – Side option case disassembly (2) ........................................................102
Table 28. Part descriptions – Front case (1) .......................................................................................104
Table 29. Part descriptions – Front case (2) .......................................................................................106
Table 30. Part descriptions – Front case (3) .......................................................................................108
Table 31. Part descriptions – Front case (4) .......................................................................................109
Table 32. Part descriptions – Rear case (1)........................................................................................ 110
Table 33. Part descriptions – Rear case (2)........................................................................................ 111
Table 34. Part descriptions – Paddle mounting plate.......................................................................... 113
Table 35. Part descriptions – AC power supply (SMPS)..................................................................... 115
Table 36. Part list................................................................................................................................. 118
Table 37. Delivered Energy at Every Defibrillator Settings into a Range of Loads.............................137

vi
This page is intentionally left blank.

1
Safety Information
General Safety Information
This section contains important safety information related to general use of the
defibrillator/monitor. Other important safety information appears throughout the
manual. The defibrillator/monitor may be referred to as the defibrillator/monitor
throughout this manual.
Important! Before use, read carefully the manual, accessory directions for use,
all precautionary information and specifications.
Warnings
Warnings alert you to potential serious outcomes (death, injury, or adverse
events) to the patient or user.
Do not take into or use the defibrillator/monitor in locations where
highly combustible anesthetics or flammable gases are used or in high-
pressure oxygen rooms or inside oxygen tents, as this may cause a
flammable explosion. Turn off the gas source or move the source away
from patient during defibrillation.
When using the defibrillator/monitor with a commercial electric power
source, use the D500 with an electric power wall socket with a
grounding wire for medical use. Not doing so could cause electric
shock.
Do not connect grounding wire to gas pipes. This could cause fire.
Only doctors and officially certified personnel should use this D500. Do
not allow patients to touch this defibrillator/monitor. Allowing patients
to touch this defibrillator/monitor could cause accidents.
This defibrillator/monitor cannot be used when MRI is in progress. If
MRI is in use, keep patient attachments away from patients to prevent
accidents.
The defibrillator/monitor conforms to the requirements of the EMC
standard (IEC60601-1-2), and may therefore be used simultaneously
with pacemakers and other electrical simulators. It should, however, be
noted that the defibrillator/monitor may be affected by electrical
scalpels and microwave therapeutic apparatus. Please check operation
of the defibrillator/monitor during and after use of such equipment.
Do not take mobile phones or transceivers into a room where this
defibrillator/monitor is installed, as such devices may cause accidents.
In order to avoid accidents, do not use any unauthorized accessories or
options.
Thoroughly read the instruction manuals supplied with accessories and
options to ensure correct use. This instruction manual does not carry
the caution selections for such equipment.
Do not open cover or disassemble this defibrillator/monitor. Doing so
could cause electric shock or fire. It is prohibited by law to modify the

2
defibrillator/monitor without authorization.
Do not use power source other than the specified voltage, (100-
240V~50/60Hz) as this may cause fire or electric shock.
Pre-use inspection and preventive maintenance must be performed for
safe use.
The defibrillator/monitor may be used with electrical surgical
equipment.
Follow the instruction manuals for medical instruments – notably
electrosurgical and diathermy instruments – when used, as their high–
frequency energy units may cause burns to patients via attachments.
This defibrillator/monitor is protected against the discharge of a
defibrillator. However, do not touch the defibrillator/monitor when a
defibrillator is being discharged (electrified), as doing so may cause
electric shock.
The following cautions apply when connecting the defibrillator/monitor
with other equipment.
1. Ensure that the connected equipment is in accordance with the
IEC60601-1 or IEC safety standards, so that the system complies
with IEC60601-1.
2. Employ additional protective measures (e.g. additional protective
earthing) as necessary.
Do not connect devices that do not meet medical safety standards
(such as commercial PCs), as they may cause electric shock. This
defibrillator/monitor meets the restricted level of leakage current
required for medical devices. Therefore, this defibrillator/monitor
cannot be connected to a device that would give a combined total of
leakage current beyond the restricted level.
Avoid connecting the patient to several devices at once. Leakage
current limits may be exceeded. Do not use a second defibrillator on the
patient while pacing with the Mediana defibrillator/monitor.
Do not place anything on top of this defibrillator/monitor. If something
is spilled over the defibrillator/monitor or gets into it, such spillage may
cause fire or electric shock. If fluid spills on the defibrillator/monitor
accidentally, disconnect power cord, wipe dry immediately, and have
the defibrillator/monitor serviced to make sure that no hazard exists.
Do not place heavy objects on the power cord, as doing so may cause
fire or electric shock.
Before conducting maintenance work, turn the power Off and unplug
the power cord from the wall socket to prevent electric shock.
When the following occur, turn the power Off immediately and unplug
the power cord from the wall socket. Continued use in such situations
may cause fire or electric shock.
There is smoke or a strange odor leaking out of the device.
The device has been dropped or impacted by an object.
Liquid or foreign matter gets inside the device.
Device failure has occurred.
Also, when any of the above occurs, promptly do the following:
1. Check to see that the power cord has been unplugged from the
wall socket.
2. Place an “Out of Order” sign on the device and do not use it.
Do not connect more than one patient to the defibrillator/monitor. Do

3
not connect more than one defibrillator/monitor to a patient.
The defibrillator/monitor is a prescription device and is to be operated
by qualified personnel only.
As with any medical equipment, carefully route patient cabling to
reduce the possibility of patient entanglement or strangulation.
Never lift the defibrillator/monitor by the sensor cable, blood pressure
hose, power cord, or any other accessory. Such accessories could
detach, causing the defibrillator/monitor to fall on the patient.
Do not make any clinical judgments based on this
defibrillator/monitor’s measurement only.
Emergency defibrillation should be performed only by appropriately
trained, skilled and qualified personnel who are aware of the protocol
for handling a patient in medical emergency such as cardiac arrest and
have been certified in Advanced Cardiac Life Support (ACLS) or Basic
Life Support (BLS).
Synchronized electrical cardioversion should be performed only by
skilled personnel trained in Advanced Cardiac Life Support (ACLS) and
practiced in equipment operation. The precise cardiac arrhythmia must
be determined prior to performing defibrillation.
The defibrillator delivers up to 360 joules of electrical energy. Unless
properly used as described in this manual, this electrical energy may
cause serious injury or death. Do not attempt to operate this
defibrillator/monitor unless thoroughly familiar with this manual and the
function of all controls, indicators, connectors and accessories.
Do not discharge standard paddles on top of pads or ECG electrodes.
Do not allow standard paddles (or pads) to touch each other, ECG
electrodes, lead wires, dressings, transdermal patches, etc. Such
contact can cause electrical arcing and patient skin burns during
defibrillation and may divert defibrillating energy away from the heart
muscle.
Discharging the defibrillator with the standard paddle surfaces shorted
together can pit or damage the paddle electrode surface. Pitted or
damaged paddle surfaces may cause patient skin burns during
defibrillation. Discharge the defibrillator only as described in theses
operating instructions.
If a person is touching the patient, bed, or any conductive material in
contact with the patient during defibrillation, the delivered energy may
be partially discharged through that person. Clear every away from
contact with the patient, bed, and other conductive material before
discharging the defibrillator.
Do not discharge the defibrillator into the open air. To remove an
unwanted charge, change the energy selection, or change the mode, or
turn off the defibrillator.
Conductive gel on the paddle handles can allow the electrical energy to
discharge through the operator during defibrillation. Completely clean
the paddle electrode surfaces, handles, and storage area after
defibrillation.
A gel pathway on the skin between the standard paddles will cause
defibrillating energy to arc between paddles and delivery energy away
from the heart muscle. Do not allow conductive gel (wet or dry) to
become continuous between paddle sites.
During defibrillation checks, the discharged energy passes through the

4
cable connectors. Securely attach cable connectors to the simulator.
Do not touch the patient or any equipment connected to the patient
during defibrillation. Warn all persons around patient to STAY AWAY
prior to defibrillation.
The defibrillator/monitor should be out of contact with water (puddles
or water spray). It may cause electrical shocks and device failure.
Electrical safety of the device may not work properly when wet.
Defibrillation may cause implanted devices to malfunction. Place
standard paddles or pads away from implanted devices if possible.
Check implanted device function after defibrillation.
Implanted pacemakers may cause the heart rate meter to count the
pacemaker rate during incidents of cardiac arrest or other arrhythmias.
Pacemaker patients should be carefully observed. Check the patient’s
pulse; do not rely solely on heart rate meters. Dedicated pacemaker
detection circuitry may not detect all implanted pacemaker spikes.
Patient history and physical exam are important in determining the
presence of an implanted pacemaker.
Cautions
Caution statements identify conditions or practices that could result in damage
to the equipment or other property.
Always check that the defibrillator/monitor functions properly and is in
proper condition before use.
Federal law restricts this device to sale by or on the order of a
physician.
The defibrillator/monitor may not operate properly if it is operated or
stored at conditions outside the ranges stated in this manual, or
subjected to excessive shock or dropping.
When connecting the defibrillator/monitor to any instrument, verify
proper operation before clinical use. Both the defibrillator/monitor and
the instrument connected to it must be connected to a grounded outlet.
Accessory equipment connected to the defibrillator/monitor’s data
interface must be certified according to IEC60950 for data-processing
equipment or IEC60601-1 for electromedical equipment. All
combinations of equipment must be in compliance with IEC60601-1-1
system requirements. Anyone who connects additional equipment to
the signal input or signal output port configures a medical system and
is therefore responsible that the system complies with the requirements
of IEC 60601-1-1 and the electromagnetic compatibility system standard
IEC60601-1-2. If in doubt, consult Mediana Technical Support
Representative.
Where the integrity of the external protective conductor in the
installation or its arrangement is in doubt, equipment shall be operated
from its internal electrical power source.
Risk of explosion if battery is replaced by an incorrect type.

5
Manual Overview
This manual contains information for servicing the D500 defibrillator/monitor. The
D500 defibrillator/monitor will be referred to as the defibrillator/monitor throughout this
manual.
The defibrillator/monitor is subsequently referred to as the defibrillator/monitor
throughout this manual. Only qualified service personnel should service this product.
Before servicing the defibrillator/monitor, read the operator’s manual carefully for a
thorough understanding of safe operation.
Read and understand all safety warnings and service notes printed in this service
manual and the operator’s manual.
Related Documents
To perform tests and troubleshooting procedures, and to understand the principles of
operation and circuit analysis sections of this manual, you must know how to operate
the defibrillator/monitor. Refer to the defibrillator/monitor operator’s manual.
To understand the various paddle and pads, SpO2sensors, ECG leads, blood
pressure cuffs, IBP transducer, capnography accessories and temperature probes
that work with the defibrillator/monitor, refer to the individual directions for use that
accompany these accessories.
Intended Use for the D500
The defibrillator/monitor is intended for use by trained medical technician, doctor,
nurse or medical specialist in outdoor and indoor emergency care settings including
air and ground ambulances within the environmental conditions specified. Manual and
Automated external defibrillation, External pacing, Diagnostic electrocardiography (12-
lead ECG) are intended for use on adult and pediatric patients.
The other monitoring functions (Electrocardiography (ECG, Heart Rate), Non-invasive
blood pressure (NIBP), functional arterial oxygen saturation(SpO2), respiration(RESP),
temperature(TEMP), invasive blood pressure(IBP) and end tidal CO2(EtCO2)) are
intended for use on adult, pediatric and neonatal patients.

6
Indications for Use
Indications Contraindications
Manual
Defibrillation
Manual defibrillation is
indicated for the termination
of certain potentially fatal
arrhythmias, such as
ventricular fibrillation and
ventricular tachycardia.
Delivery of this energy in the
synchronized mode is a
method for treating atrial
fibrillation, atrial flutter.
Defibrillation is
contraindicated in the
treatment of Pulseless
Electrical Activity (PEA),
such as idioventricular or
ventricular escape
rhythms, and in the
treatment if asystole.
Defibrillation is not
intended for patient who is
conscious and has a
palpable pulse and is
contraindicated for use on
neonates.
Automated External
Defibrillation
AED mode is to be used only
on patients of at least 8 years
of age in cardiopulmonary
arrest. The patient must be
unconscious, pulseless, and
not breathing normally before
using the defibrillator to
analyze the patient’s ECG
rhythm.
AED is not intended for
patient who is conscious
and has a palpable pulse
and is contraindicated for
use on neonates.
External Pacing External pacing is indicated
for symptomatic bradycardia
in patients with a pulse.
Increased heart rates in
response to external pacing
often suppress ventricular
ectopic activity and may
prevent tachycardia.
External pacing is
contraindicated for the
treatment of ventricular
fibrillation and asystole.
External pacing in the
presence of severe
hypothermia may be
contraindicated and is
contraindicated for use on
neonates.
Electrocardiography The 12-lead
electrocardiogram is used to
identify, diagnose and treat
patients with cardiac
disorders and is useful in the
early detection.
No known
contraindications
Noninvasive Blood
Pressure
Noninvasive blood pressure
monitoring is intended for
detection of hypertension or
hypotension and monitoring
BP trends in patient
conditions such as, but not
limited to, shock, acute
dysrhythmia, or major fluid
imbalance.
Noninvasive Blood
Pressure is not intended
for use with severe
arrhythmia. Noninvasive
Blood Pressure is not
intended for patients who
are experiencing
convulsion or tremors.
Pulse Oximetry Pulse oximetry monitoring is
intended to be used to
monitor functional arterial
Pulse Oximetry is not
intended for use with
severe peripheral vascular

7
Indications Contraindications
oxygen saturation and pulse
rate.
disease and severe
anemia (decreased
Hemoglobin).
Invasive Blood
Pressure
Invasive pressure monitor is
indicated for use in
measuring arterial, venous,
intracranial and other
physiological pressures using
and invasive catheter system
with a compatible transducer.
No known
contraindications
End-Tidal CO2EtCO2monitoring is indicated
for detection of trends in the
level of expired CO2. It is
used for monitoring breathing
efficacy and treatment
effectiveness in acute
cardiopulmonary care.
No known
contraindications
Temperature Temperature monitoring is
indicated for use in patients
who require continuous
monitoring of body
temperature.
No known
contraindications
Identifying the D500 Configurations
The following table identifies defibrillator/monitor configurations and how they are
indicated. The reference number and serial number are located on the back of the
product.
All information in this manual, including the illustrations, is based on a device
configured with the 12lead ECG, SpO2 module, Temperature(TEMP) module,
Capnography (EtCO2and InCO2) (Mainstream or Sidestream) module, IBP module
and Printer module.
Product Code Description
D500M-0 Basic (Manual Defibrillation, Automated External Defibrillation,
Pacing, ECG (3 lead, 5 lead), Respiration, Printer)
D500M-S Basic + SpO2
D500M-L Basic + 12lead ECG
D500M-LS Basic + 12lead ECG + SpO2
D500M-LSNT Basic + 12lead ECG + SpO2+ NIBP/TEMP
D500M-LSNTB Basic + 12lead ECG + SpO2+ NIBP/TEMP + 2CH IBP
D500M-SNTEM Basic + SpO2+ NIBP/TEMP + Capnography (Mainstream)
D500M-SNTES Basic + SpO2+ NIBP/TEMP + Capnography (Sidestream)
D500M-LSNTEM Basic + 12lead ECG + SpO2+ NIBP/TEMP + Capnography
(Mainstream)
D500M-LSNTES Basic + 12lead ECG + SpO2+ NIBP/TEMP + Capnography
(Sidestream)
D500M-LSNTBEM Basic + 12lead ECG + SpO2+ NIBP/Temp +2CH IBP +
Capnography (Mainstream)
D500M-LSNTBES Basic + 12lead ECG + SpO2+ NIBP/Temp +2CH IBP +
Capnography (Sidestream)

8
Defibrillator / Monitor Controls
Front Panel Components
Figure 1. Front panel components
1 Paddle 17 MIC
2 NIBP connector 18 Mode select knob
3 LCD 19 ANALYZE button
4 Temperature1 connector 20 CHARGE button
5 Temperature2 connector 21 Energy Level button
6 IBP1 connector 22 SHOCK button
7 IBP2 connector 23 Multi function knob
8 Soft key 24 RATE button
9 EtCO2Connector 25 mA button
10 SpO2connector 26 NIBP button
11 Printer door 27 PRINT button
12 Handle 28 ALARM button
13 AC/DC in LED 29 LEAD button
14 Battery A charging status LED 30 SIZE button
15 Battery B charging status LED 31 ECG connector
16 Service LED 32 Paddle/Pads connector
2
3
4
5
6
7
8
9
10
11
12
13 - 16
17
18
19 - 21
22
23
24 - 25
26 - 30
1
31 32

9
Table 1. The defibrillator/monitor controls on front panel
Symbols Description
Mode select knob
selects five modes of operation. (Pacing, Manual, Monitor, OFF
and AED)
ANALYZE button
analyzes the patient’s ECG to determine whether or not to
deliver a shock.
CHARGE button
charges to the desired energy level automatically.
Energy Level button
selects the defibrillation energy level.
SHOCK button
delivers a shock.
Multi function knob
provides user interaction with the defibrillator/monitor to control
the functions.
RATE button
adjusts the rate of pacing waveform.
mA button
adjusts the current of pacing waveform.
NIBP button
toggles between starting and stopping NIBP measurements.
PRINT button
prints measured data.
Alarm button
pauses the audible alarm temporarily.
turns off the audible alarm by pressing over 2 seconds.
LEAD button
selects to display the desired ECG lead on the screen.
SIZE button
adjusts and selects the amplitude of an ECG waveform.

10
Top Panel Components
Figure 2. Top panel components
1 Paddle 4 SHOCK button
2 Energy level button 5 CHARGE button
3 REC button
Table 2. The defibrillator/monitor controls on paddle
Symbols Description
CHARGE button
charges to the desired energy level automatically.
Energy Level button
selects the defibrillation energy level.
REC button
Prints the measured data.
1 2 3 4 5

11
Rear Panel Components
Figure 3. Rear panel components
1 SMPS/battery push button 5 AC power supply (SMPS)
2 DC input connector 6 Speaker
3 AC power inlet 7 Li-ion battery
4 GND terminal
3 4 5 6 7
1
2

12
Left Panel Components
Figure 4. Left panel components
Right Panel Components
Figure 5. Right panel components
1 Side Option Case
1 Wireless(3G, Wi-Fi) module
2 USB/SD Card Slot
1
2
1