Physio Control LIFEPAK 20 User manual

SERVICE MANUAL
LIFEPAK
®
20
LIFEPAK 20e
Defibrillator/Monitor
©2002-2016 Physio-Control, Inc.
3202007-005

LIFEPAK 20/20e Defibrillator/Monitor Table of Contents
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Preface Safety Device
Description
Modes of
Operation
Performance
Inspection
Procedures
Troubleshooting Preventive
Maintenance
Battery
Maintenance
Replacement
Procedures
LIFEPAK 20/20e
Specifications

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LIFEPAK 20/20e Defibrillator/Monitor Section Contents
Preface This service manual describes how to maintain, test, troubleshoot, and repair the
LIFEPAK 20 defibrillator/monitor or LIFEPAK 20e defibrillator/monitor (device).
Separate publications, the LIFEPAK 20 Defibrillator/Monitor Operating
Instructions (MIN 3200750) and LIFEPAK 20e Defibrillator/Monitor Operating
Instructions (MIN 3205878), are used by physicians, clinicians, and emergency
care providers. The operating instructions provide step-by-step instructions, as
well as operator-level testing and maintenance.
Note: Hyperlinks appear in blue text. Text that indicates the name of a button,
menu, menu item, screen message, or screen overlay appears in all
caps, for example, ANALYZE button and SETUP menu.
This section covers the following topics:
Trademarks
Using Adobe Acrobat Reader
Navigating Through the Manual
Viewing the PIP Checklist
Service Personnel Qualifications
(Continued on next page)

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LIFEPAK 20/20e Defibrillator/Monitor Section Contents
Preface (continued) Contacting Physio-Control
Responsibility for Information
Device Tracking
Service Information
Warranty Information
Configuration Information
Glossary
Acronyms

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LIFEPAK 20/20e Defibrillator/Monitor Preface
Trademarks
LIFEPAK, FAST-PATCH, and QUIK-COMBO are registered trademarks of
Physio-Control, Inc.
CODE SUMMARY, REDI-PAK, and Shock Advisory System are trademarks of
Physio-Control, Inc.
Adobe and Acrobat are registered trademarks of Adobe Systems Incorporated.
Fluke and Fluke Biomedical are registered trademarks.
Tektronix is a registered trademark of Tektronix Incorporated
Masimo, SET, and LNOP are registered trademarks of Masimo Corporation.
© 2002–2016 Physio-Control, Inc.
PN 3202007-005
Publication date: 03/2016
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Using Adobe Acrobat Reader
Accessing Adobe
Reader Help
This service manual opens in AdobeAcrobat Reader. The Adobe Reader can
be downloaded for free at the Adobe internet URL http://www.adobe.com/
products/reader.html. For additional assistance using the Adobe Reader
program, access ACROBAT READER HELP in the HELP menu.
Using Bookmarks Bookmarks appear in a column on the left side of the screen. They enable you to
easily navigate to main sections of the manual, similar to a table of contents.
To view or hide the bookmarks column, click the BOOKMARKS tab located to the
far left of the screen.
To jump to a bookmark topic, click the desired topic.
Note: A plus sign to the left of a bookmark topic indicates additional topics exist
under that bookmark level. Click the plus sign to expand or collapse the
bookmarks.
Using Page View Click the PAGES tab located to the far left of the screen to view miniature images
of each page in the document. Scroll through the pages and click an image to
jump quickly to that page.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Navigating Through the Manual
Blue text indicates a hyperlink. Click a link to jump to that topic. Click
in the navigation bar at the bottom of each page to return to your previous
location. The pointer changes to a pointing finger when positioned over a link.
A navigation bar at the bottom of each page also provides helpful links. The
navigation bar includes:
■Click to jump to the main table of contents for the
manual.
■Click to jump to the table of contents for the section
you are currently viewing.
■Click to jump to the index.
■Click to retrace your steps in a document, returning to each page
in the reverse order visited.
■Click to jump to the next page of the manual.
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Some pages include an additional navigation bar above the main bar that
provides access to closely related topics.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Viewing the PIP Checklist
The LIFEPAK 20/20e device Performance Inspection Procedure Checklist is
included on this CD-ROM.
You can view this document by opening the file in Acrobat Reader.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Service Personnel Qualifications
Service technicians must be properly qualified and thoroughly familiar with the
operation of the device. They must be familiar with and be able to read and
understand the service manual. They must meet at least one of the following
requirements (or the equivalent):
■Associate of Applied Science, with an emphasis in biomedical electronics
■Certificate of Technical Training, with an emphasis in biomedical electronics
■Equivalent biomedical electronics experience
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Contacting Physio-Control
Physio-Control, Inc.
11811 Willows Road Northeast
Redmond, WA 98052-2003 USA
Telephone: [phone]
Toll Free (USA only): 1.800.442.1142
Fax: [phone]
Internet: www.physio-control.com
Physio-Control Operations Netherlands B.V.
Galjoenweg 68
6222 NV Maastricht
The Netherlands
Physio-Control Australia Pty Ltd
Suite 4.01
15 Orion Road
Lane Cove
NSW 2066
Australia
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Responsibility for Information
This service manual describes the methods required to maintain, test, and repair
the device. It does not address the operation of the device. Qualified service
personnel must consult the appropriate operating instructions and this service
manual to obtain a complete understanding of the use and maintenance of the
device.
It is the responsibility of our customers to ensure that the appropriate person(s)
within their organization has access to the information in this service manual,
including any warnings and cautions used throughout the manual.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Device Tracking
Device Tracking:
The U.S. Food and Drug Administration requires defibrillator manufacturers and
distributors to track the location of their devices. If your device has been sold,
donated, lost, stolen, exported, or destroyed, or if it was not obtained directly
from Physio-Control, please notify the device-tracking coordinator at
1.800.426.4448. Refer to your operating instructions for more information
concerning device tracking.
!USA
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Service Information
Before attempting to clean or repair any assembly in the device, the service
technician should be familiar with the information provided in the Preventive
Maintenance section of this manual.
A qualified service technician should inspect any device that has been
dropped, damaged, or abused to verify that the device is operating within
performance standards listed in the Performance Inspection Procedure (PIP),
and that the leakage current values are acceptable.
Replacement procedures for the device are limited to those items accessible at
the subassembly level. Replacements and adjustments must be made by
qualified service personnel. Replacements at the subassembly level simplify
repair and servicing procedures and help ensure correct device operation and
calibration. Printed circuit board assemblies that require software may require
installation by a Physio-Control Service representative.
To obtain Physio-Control service and maintenance for your device, contact your
local service or sales representative. In the USA, call Physio-Control Technical
Support at 1.800.442.1142. Outside the USA, contact your local Physio-Control
representative.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Warranty Information
Refer to the warranty statement provided with the LIFEPAK 20 defibrillator/
monitor.
Masimo®Use
Agreement
No Implied License — Possession or purchase of this device does not convey
any express or implied license to use the device with replacement parts that
would, alone, or in combination with this device, fall within the scope of one or
more of the patents relating to this device.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Battery Recycling Information
Recycle the device at the end of its useful life.
■Recycling assistance – The device should be recycled according to national
and local regulations. For instructions on disposing of this product or its
accessories, see http://www.Physio-Control.com/recycling
■Preparation – The device should be clean and contaminant-free prior to
being recycled.
■Recycling of disposable electrodes – After using disposable electrodes,
follow your local clinical procedures for recycling.
■Recycling of batteries – The device uses rechargeable Lithium-ion batteries.
Follow local guidelines and instructions provided in this service manual for
discarding and recycling batteries as described.
■Packaging – packaging should be recycled according to national and local
regulations.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Configuration Information
This service manual covers existing devices and options through the following
revisions:
■LIFEPAK 20/20e defibrillator/monitor basic device with ECG
■Pacing option
■SpO2 option
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Glossary
The following are definitions of terms used throughout this service manual.
■Automated external defibrillator (AED) — The device uses an ECG analysis
Shock Advisory System™ to advise the device operator if it detects a
shockable or nonshockable rhythm. For more information, refer to the Shock
Advisory System section in the operating instructions.
■Biphasic technology — The shock waveform generated by the device. The
biphasic waveform is characterized by a positive current phase, followed by
a reverse current phase of shorter duration and decreased magnitude. The
waveform pulse characteristic is biphasic truncated exponential (BTE).
■CODE SUMMARY™ report — A summary report that consists of a
preamble, an event/vital signs log, and waveforms associated with certain
events. Refer to the Data Management section in the operating instructions
for a sample CODE SUMMARY report.
(Continued on next page)
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Glossary (continued)
■Continuous patient surveillance system (CPSS) — A feature that monitors
the patient ECG in LEADS or PADDLES for a potentially shockable rhythm.
CPSS is active when the AED MODE indicator is on or the VF/VT ALARM is
selected after pressing the ALARMS button (manual mode). The CPSS
operates in conjunction with the Shock Advisory System. For more
information, refer to the Shock Advisory System section in the operating
instructions.
■FAST-PATCH®disposable defibrillation/ECG electrodes — An electrode
system that allows delivery of defibrillation therapy to the patient.
■QUIK-COMBO®pacing/defibrillation/ECG electrodes — An electrode system
that allows delivery of pacing and defibrillation therapy to the patient.
■QUIK-COMBO patient simulator — A combination lead tester/patient cardiac
rhythm simulator. The simulator is designed for use in training clinical
personnel in the operation of the device.
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Glossary (continued)
■REDI-PAK™ preconnect system — A variant of the QUIK-COMBO pacing/
defibrillation/ECG electrodes system. The system allows QUIK-COMBO
pacing/defibrillation/ECG electrode cable connection without removing the
electrodes from their air-tight sealed pouch until needed.
■Shock Advisory System — A computerized ECG analysis system used to
detect a shockable rhythm. For more information, refer to the Shock
Advisory System section in the operating instructions.
■SpO2 — A noninvasive pulse oximeter that checks the saturation of oxygen
in arterial blood.
■Test plug — An accessory used to connect the test load to the patient
connector on the device.
■LIFENET Asset, LIFENET Device Agent — Software application that allows
the user to change device user configuration and software updates. For
more information about LIFENET System refer to internet: www.physio-
control.com
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LIFEPAK 20/20e Defibrillator/Monitor Preface
Acronyms
The following is a list of acronyms and abbreviations used in this manual.
Term Description
AAMI Association for the Advancement of Medical Instrumentation
ADC Analog-to-digital conversion
AED Automated external defibrillator
Ah Ampere hour
AHA American Heart Association
ANSI American National Standards Institute
BTE Biphasic truncated exponential
BF Electrically isolated, external body connection
BPM Beats per minute
CF Electrically isolated, direct cardiac connection
CPR Cardiopulmonary resuscitation
CPU Central processing unit
CPSS Continuous patient surveillance system
DMM Digital multimeter
DSP Digital signal processor
(Continued on next page)
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