Physio Control LIFEPAK 20 User manual

LIFEPAK20 DEFIBRILLATOR / MONITOR
®
OPERATING INSTRUCTIONS

LIFEP
AK20
DEFIBRILLATOR / MONITOR
®
OPERATING INSTRUCTIONS

Important Information
Rx Only
Device Tracking
The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors to track the
location of their defibrillators. The address to which this particular device was shipped is now listed as the
current tracking location. If the device is located somewhere other than the shipping address or the device
has been sold, donated, lost, stolen, exported, destroyed, permanently retired from use, or if the device
was not obtained directly from Physio-Control, please either call the device tracking coordinator at
1.800.426.4448 or use one of the postage-paid address change cards located in the back of this manual to
update this vital tracking information.
Responsibility for Information
It is the responsibility of our customers to ensure that the appropriate person(s) within their organization
have access to this information, including general safety information provided in Section 1.
Text Conventions
Throughout these operating instructions, special text characters are used to indicate labels, screen
messages, and voice prompts:
• Operating control labels: CAPITAL LETTERS such as ON/OFF and SHOCK.
•Screen messages and voice prompts: CAPITAL ITALICIZED LETTERS such as CONNECT ELECTRODES.
Version History
These operating instructions describe LIFEPAK 20 defibrillator/monitor devices
with Operating Software Version 3202609-064 or later.
!USA
!USA
LIFEPAK, FAST-PATCH, DERMA JEL, QUIK-LOOK, QUIK-COMBO, and LIFE•PATCH are registered trademarks of Physio-Control, Inc.
ADAPTIV, CODE-STAT, CODE SUMMARY, REDI-PAK, and Shock Advisory System are trademarks of Physio-Control, Inc. Masimo and
LNOP are registered trademarks of Masimo Corporation. Microstream, CapnoLine, and FilterLine are registered trademarks of Oridion Systems
Ltd. The Oridion medical capnography in this product is covered by one or more of the following US patents: 6,428,483; 6,997,880; 6,437,316;
7,448,229; 7,726,954 and their foreign equivalents. Additional patent applications pending. EDGE System is a trademark of Ludlow Technical
Products. Microsoft and Windows are registered trademarks of Microsoft Corporation. Specifications are subject to change without notice.
©2002-2013 Physio-Control, Inc.
MIN 3313180-023
Publication Date: 03/2013

LIFEPAK 20 Defibrillator/Monitor Operating Instructions iii
©2002–2013 Physio-Control, Inc.
TABLE OF CONTENTS
Preface
About Automated External Defibrillation...................................................................................... viii
About Defibrillation Therapy ........................................................................................................ viii
About Noninvasive Pacing ............................................................................................................ ix
About SpO2 Monitoring ................................................................................................................. x
About ECG Monitoring .................................................................................................................. x
About EtCO2 Monitoring ............................................................................................................... x
1 Safety Information
Terms .......................................................................................................................................... 1-2
General Warnings and Cautions ................................................................................................. 1-2
Symbols....................................................................................................................................... 1-3
2 Basic Orientation
Introduction.................................................................................................................................. 2-2
Unpacking and Inspecting ........................................................................................................... 2-2
Controls, Indicators, and Connectors .......................................................................................... 2-3
Area 3................................................................................................................................... 2-6
Area 4................................................................................................................................... 2-8
Area 7................................................................................................................................. 2-11
Changing Printer Paper...................................................................................................... 2-13
Back View .......................................................................................................................... 2-14
Side View of CodeManagement Module............................................................................ 2-15
Entering Patient Data ................................................................................................................ 2-16
Setting Alarms ........................................................................................................................... 2-17
Managing Alarms ...................................................................................................................... 2-19
Connecting to Power ................................................................................................................. 2-19
AC Operation ..................................................................................................................... 2-19
Battery Operation ...................................................................................................................... 2-20
LIFEPAK 20 Defibrillator/Monitor Battery........................................................................... 2-20
CodeManagement Module Battery .................................................................................... 2-20

iv LIFEPAK 20 Defibrillator/Monitor Operating Instructions
3 Monitoring
Monitoring the ECG .....................................................................................................................3-2
ECG Monitoring Warning .....................................................................................................3-2
Selecting ECG Lead and Size..............................................................................................3-2
Adjusting the Systole Tone Volume .....................................................................................3-3
Monitoring ECG with Paddles Accessories ..........................................................................3-4
Monitoring with the Patient ECG Cable................................................................................3-5
Troubleshooting Tips for ECG Monitoring ............................................................................3-7
Monitoring SpO2..........................................................................................................................3-8
SpO2 Warnings and Cautions..............................................................................................3-8
When to Use a Pulse Oximeter ............................................................................................3-9
How a Pulse Oximeter Works.............................................................................................3-10
SpO2 Monitoring Considerations .......................................................................................3-10
SpO2 Monitoring Procedure...............................................................................................3-11
SpO2 Waveform.................................................................................................................3-11
SpO2 Volume .....................................................................................................................3-12
Sensitivity ...........................................................................................................................3-12
Averaging Time ..................................................................................................................3-12
Pulse Oximeter Sensors.....................................................................................................3-12
No Implied License.............................................................................................................3-12
Cleaning .............................................................................................................................3-12
Troubleshooting Tips for SpO2 ..........................................................................................3-13
Monitoring EtCO2 ......................................................................................................................3-14
EtCO2 Warnings and Cautions ..........................................................................................3-14
How Capnography Works ..................................................................................................3-15
EtCO2 Monitoring Waveform Analysis ...............................................................................3-15
EtCO2 Monitoring Procedure .............................................................................................3-16
CO2 Display .......................................................................................................................3-17
CO2 Alarms........................................................................................................................3-18
CO2 Detection....................................................................................................................3-18
Cleaning .............................................................................................................................3-18
Troubleshooting Tips for EtCO2 .........................................................................................3-19
4 Therapy
General Therapy Warnings and Cautions ...................................................................................4-2
Therapy Electrode and Standard Paddle Placement...................................................................4-3
Anterior-lateral Placement ....................................................................................................4-3
Anterior-posterior Placement................................................................................................4-3
Special Placement Situations...............................................................................................4-4
Automated External Defibrillation ................................................................................................4-5
AED Warnings......................................................................................................................4-5
AED Setup............................................................................................................................4-5
AED Procedure ....................................................................................................................4-6
Special AED Setup Options ...............................................................................................4-10
Troubleshooting Tips for AED Mode ..................................................................................4-12
Switching from AED to Manual Mode.................................................................................4-13
Manual Defibrillation ..................................................................................................................4-14
Manual Defibrillation Warnings...........................................................................................4-14
Impedance..........................................................................................................................4-15
Defibrillation Procedure ......................................................................................................4-15
CPR Metronome.................................................................................................................4-16
Synchronized Cardioversion Procedure.............................................................................4-18
Remote Synchronization Procedure...................................................................................4-19
Pediatric Defibrillation................................................................................................................4-20
Pediatric Paddle Placement ...............................................................................................4-20
Defibrillation Procedure ......................................................................................................4-21
Troubleshooting Tips for Defibrillation and Synchronized Cardioversion...........................4-21

LIFEPAK 20 Defibrillator/Monitor Operating Instructions v
©2002–2013 Physio-Control, Inc.
Noninvasive Pacing ...................................................................................................................4-24
Noninvasive Pacing Warnings............................................................................................4-24
Demand and Nondemand Pacing ......................................................................................4-24
Noninvasive Pacing Procedure ..........................................................................................4-24
Troubleshooting Tips for Noninvasive Pacing ....................................................................4-26
5 Paddle Accessory Options
Therapy Electrodes .....................................................................................................................5-2
About Therapy Electrodes....................................................................................................5-2
Electrode Placement ............................................................................................................5-3
Cable Connection .................................................................................................................5-4
ECG Monitoring and Therapy Procedures ...........................................................................5-4
Replacing and Removing Electrodes ...................................................................................5-5
Testing..................................................................................................................................5-6
Cleaning and Sterilizing........................................................................................................5-6
Standard Paddle Set (Optional)...................................................................................................5-7
About the Standard Paddle Set............................................................................................5-7
Accessing the Pediatric Paddles ..........................................................................................5-7
Replacing the Adult Paddle Attachment...............................................................................5-8
Cleaning the Standard Paddle Set .......................................................................................5-8
Sterilizable Internal Defibrillation Paddles ...................................................................................5-9
6 Data Management
Overview of Data Storage and Retrieval .....................................................................................6-2
Data Storage ........................................................................................................................6-2
Report Types........................................................................................................................6-2
Memory Capacity .................................................................................................................6-2
CODE SUMMARY Report ...........................................................................................................6-2
Preamble ..............................................................................................................................6-3
Event/Vital Signs Log ...........................................................................................................6-3
Waveform Events .................................................................................................................6-4
CODE SUMMARY Format ...................................................................................................6-5
Managing Archived Patient Records ...........................................................................................6-6
Entering Archives Mode ..............................................................................................................6-6
Printing Archived Patient Reports................................................................................................6-7
Transmitting Archived Patient Records .......................................................................................6-8
Editing Archived Patient Records ..............................................................................................6-10
Deleting Archived Patient Records............................................................................................6-11
Overview of Connections for Transmitting Reports ...................................................................6-12
Data Transfer from TrueCPR Device.........................................................................................6-13
Troubleshooting Tips for Data Transmission.............................................................................6-14
7 Maintaining the Equipment
General Maintenance and Testing ..............................................................................................7-2
Maintenance and Testing Schedule .....................................................................................7-2
Daily Auto Test .....................................................................................................................7-3
User Test..............................................................................................................................7-4
Cleaning ...............................................................................................................................7-5
Function Checks...................................................................................................................7-5
Patient ECG Cable Check....................................................................................................7-5
General Troubleshooting Tips ..................................................................................................7-10
Service and Repair ....................................................................................................................7-12
Product Recycling Information...................................................................................................7-12
Recycling Assistance .........................................................................................................7-12
Preparation.........................................................................................................................7-12
Recycling of Disposable Electrodes ...................................................................................7-12
Packaging...........................................................................................................................7-12

vi LIFEPAK 20 Defibrillator/Monitor Operating Instructions
Warranty ....................................................................................................................................7-12
Accessories, Supplies, and Training Tools ...............................................................................7-13
8 Defining Setup Options
Setup Options..............................................................................................................................8-2
Print Configurations Before Service or Repair......................................................................8-2
Passcode Security................................................................................................................8-2
Entering Setup Options ...............................................................................................................8-3
General Setup Menu ...................................................................................................................8-3
Manual Mode Setup Menu ..........................................................................................................8-4
AED Mode Setup Menu...............................................................................................................8-6
CPR Metronome Setup Menu......................................................................................................8-7
Pacing Setup Menu .....................................................................................................................8-8
Monitoring Menu..........................................................................................................................8-8
Channels Setup Menu..........................................................................................................8-8
Waveform Sets Setup Menu ................................................................................................8-9
CO2 Setup Menu..................................................................................................................8-9
Events Setup Menu .....................................................................................................................8-9
Alarms Setup Menu ...................................................................................................................8-10
Printer Setup Menu....................................................................................................................8-10
Auto Print Setup Menu .......................................................................................................8-11
Clock Setup Menu .....................................................................................................................8-11
Reset Defaults Setup Menu.......................................................................................................8-11
Print Defaults .............................................................................................................................8-12
Send Configuration Setup Menu ...............................................................................................8-12
Set Passcode Setup Menu ........................................................................................................8-13
Service Mode.............................................................................................................................8-13
A Specifications and Performance Characteristics
B Clinical Summaries
C Screen Messages
D Operator’s Checklist
E Shock Advisory System
F About cprMAX Technology
G Docking Station
H Electromagnetic Compatibility Guidance
Index

LIFEPAK 20 Defibrillator/Monitor Operating Instructions vii
©2002–2013 Physio-Control, Inc.
Preface
PREFACE
About Automated External Defibrillation page viii
About Defibrillation Therapy viii
About Noninvasive Pacing ix
About SpO2 Monitoring x
About ECG Monitoring x
About EtCO2 Monitoring x

Preface
viii LIFEPAK 20 Defibrillator/Monitor Operating Instructions
ABOUT AUTOMATED EXTERNAL DEFIBRILLATION
The following considerations and guidelines apply when using the LIFEPAK 20 defibrillator/monitor as
an automated external defibrillator (AED).
Operator Considerations
The LIFEPAK 20 defibrillator/monitor, when in AED mode, is a semiautomatic defibrillator that uses a
patented Shock Advisory System™. This software algorithm analyzes the patient’s electrocardiographic
(ECG) rhythm and indicates whether or not it detects a shockable rhythm. The LIFEPAK 20
defibrillator/monitor in AED mode requires operator interaction to defibrillate the patient.
The LIFEPAK 20 defibrillator/monitor in AED mode is intended for use by personnel who are
authorized by a physician/medical director and have, at a minimum, the following skills and training:
• CPR training.
• AED training equivalent to that recommended by the American Heart Association.
• Training in the use of the LIFEPAK 20 defibrillator/monitor in AED mode.
Indications
The AED mode is to be used only on patients in cardiopulmonary arrest. The patient must be
unconscious, pulseless, and not breathing normally before using the defibrillator to analyze the
patient’s ECG rhythm.
In AED mode, the LIFEPAK 20 defibrillator/monitor is not intended for use on pediatric patients less
than 8 years old.
Contraindications
None known.
ABOUT DEFIBRILLATION THERAPY
Operator Considerations
A direct current defibrillator applies a brief, intense pulse of electricity to the heart muscle. The
LIFEPAK 20 defibrillator/monitor delivers this energy through disposable electrodes, standard paddles
or internal paddles applied to the patient’s chest.
Defibrillation is only one aspect of the medical care required to resuscitate a patient with a shockable
ECG rhythm. Depending on the situation, other supportive measures may include:
• Cardiopulmonary resuscitation (CPR)
• Administration of supplemental oxygen
• Drug therapy
Successful resuscitation is related to the length of time between the onset of a heart rhythm that does
not circulate blood (ventricular fibrillation, pulseless ventricular tachycardia) and defibrillation. The
American Heart Association has identified the following as critical links in the chain of survival from
cardiac arrest:
• Early access
• Early CPR by first responders or bystanders
• Early defibrillation
• Early advanced life support

Preface
Preface
LIFEPAK 20 Defibrillator/Monitor Operating Instructions ix
©2002–2013 Physio-Control, Inc.
The physiological state of the patient may affect the likelihood of successful defibrillation. Thus, failure
to resuscitate a patient is not a reliable indicator of defibrillator performance. Patients will often exhibit
a muscular response (such as jumping or twitching) during an energy transfer. The absence of such a
response is not a reliable indicator of actual energy delivery or device performance. For further
information, refer to the booklet, Defibrillation: What You Should Know.
Indications
Defibrillation is a recognized means of terminating certain potentially fatal arrhythmias, such as
ventricular fibrillation and symptomatic ventricular tachycardia. Delivery of this energy in the
synchronized mode is a method for treating atrial fibrillation, atrial flutter, paroxysmal supraventricular
tachycardia, and, in relatively stable patients, ventricular tachycardia.
Contraindications
Defibrillation is contraindicated in the treatment of Pulseless Electrical Activity (PEA) such as
idioventricular or ventricular escape rhythms, and in the treatment of asystole.
ABOUT NONINVASIVE PACING
A noninvasive pacemaker is a device that delivers an electrical stimulus to the heart, causing cardiac
depolarization and myocardial contraction. The energy is delivered through large adhesive electrodes
placed on the chest. In addition to noninvasive pacing, other supportive measures may be necessary.
Among other factors, it is recognized that 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. Refer to the booklet, Noninvasive Pacing: What You Should Know for further
information.
Indications
Noninvasive pacing is indicated for symptomatic bradycardia in patients with a pulse.
Contraindications
Noninvasive pacing is contraindicated for the treatment of ventricular fibrillation and asystole.

Preface
xLIFEPAK 20 Defibrillator/Monitor Operating Instructions
ABOUT SPO2 MONITORING
A pulse oximeter is a noninvasive device that checks the saturation of oxygen in arterial blood (SpO2).
It uses an optical sensor that directs light through the patient’s finger and then measures the received
light with a detector. This received light is translated into a saturation percentage and is displayed as
an SpO2 reading.
Indications
The pulse oximeter is indicated for use in any patient who is at risk of developing hypoxemia.
Contraindications
None known.
ABOUT ECG MONITORING
The ECG (electrocardiogram) is a recording of the electrical activity of the heart. ECG monitoring
allows for identification and interpretation of cardiac rhythms or dysrhythmias and calculation of heart
rate. The ECG is obtained by placing either electrodes or paddles on the patient and allows the heart’s
electrical activity to be monitored and recorded.
ABOUT ETCO2 MONITORING
The end-tidal carbon dioxide (EtCO2) monitor is a capnograph device that uses non-dispersive
infrared spectroscopy to continuously measure the amount of CO2 during each breath and report the
amount present at the end of exhalation (EtCO2). The sample is obtained by the side stream method
and can be used with intubated or nonintubated patients. Respiration rate is also measured and
displayed in breaths per minute.
The EtCO2 monitor is a tool to be used in addition to patient assessment. Care should be taken to
assess the patient at all times; do not rely solely on the EtCO2 monitor.
Indications
EtCO2 monitoring is used to detect the level of expired CO2. It is used for monitoring breathing
efficacy and treatment effectiveness in acute cardiopulmonary care, for example, to determine if
adequate compressions are being performed during CPR or to rapidly detect whether an endotracheal
tube has been placed successfully.
Contraindications
None known.

LIFEPAK 20 Defibrillator/Monitor Operating Instructions 1-1
©2002–2013 Physio-Control, Inc.
1 Safety Information
SAFETY INFORMATION
This section provides important information to help you operate the LIFEPAK 20 defibrillator/monitor.
Familiarize yourself with all of these terms, warnings, and symbols.
Te r m s page 1-2
General Warnings and Cautions 1-2
Symbols 1-3

Safety Information
1-2 LIFEPAK 20 Defibrillator/Monitor Operating Instructions
TERMS
The following terms are used either in these Operating Instructions or on the LIFEPAK 20 defibrillator/
monitor:
Danger: Immediate hazards that will result in serious personal injury or death.
Warning: Hazards or unsafe practices that may result in serious personal injury or death.
Caution: Hazards or unsafe practices that may result in minor personal injury, product damage, or
property damage.
GENERAL WARNINGS AND CAUTIONS
The following are general warning and caution statements. Other specific warnings and cautions are
provided as needed in other sections of these operating instructions.
WARNINGS!
Shock hazard.
The defibrillator delivers up to 360 J of electrical energy. Unless properly used as described in these
Operating Instructions, this electrical energy may cause serious injury or death. Do not attempt to
operate this device unless thoroughly familiar with these operating instructions and the function of all
controls, indicators, connectors, and accessories.
Shock hazard.
Do not disassemble the defibrillator. It contains no operator serviceable components and dangerous
high voltages may be present. Contact authorized service personnel for repair.
Shock hazard.
To avoid the risk of electrical shock, this equipment must only be connected to a supply mains with
protective earth.
Shock or fire hazard.
Do not immerse any portion of this defibrillator in water or other fluids. Avoid spilling any fluids on
defibrillator or accessories. Spilled liquids may cause the defibrillator and accessories to perform
inaccurately or fail. Do not clean with ketones or other flammable agents. Do not autoclave or sterilize
this defibrillator or accessories unless otherwise specified.
Possible fire or explosion.
Do not use this device in the presence of flammable gases or anesthetics. Use care when operating
this device close to oxygen sources (such as bag-valve-mask devices or ventilator tubing). Turn off
gas source or move source away from patient during defibrillation.
Possible electrical interference with device performance.
Equipment operating in close proximity may emit strong electromagnetic or radio frequency
interference (RFI) which could affect the performance of this device. RFI may result in improper device
operation, distorted ECG, failure to detect a shockable rhythm, or cessation of pacing. Avoid operating
the device near cauterizers, diathermy equipment, cellular phones, or other portable and mobile RF
communications equipment. Maintain equipment separation of at least 1.2 m (4 ft) and do not rapidly
key EMS radios on and off. Contact a technical support representative if assistance is required.
Possible electrical interference
Using cables, electrodes, or accessories not specified for use with this device may result in increased
emissions or decreased resistance to electromagnetic interference which could affect the
performance of this device or of equipment in close proximity. Use only parts and accessories
specified in these operating instructions.

1 Safety Information
Safety Information
LIFEPAK 20 Defibrillator/Monitor Operating Instructions 1-3
©2002–2013 Physio-Control, Inc.
SYMBOLS
The symbols below may be found in these operating instructions or on various configurations of
LIFEPAK 20 defibrillator/monitor and accessories:
Possible electrical interference.
This defibrillator may cause electromagnetic interference (EMI) especially during charge and energy
transfers. EMI may affect the performance of equipment operating in close proximity. Verify the
effects of defibrillator discharge on other equipment prior to using defibrillator in an emergency
situation, if possible.
Possible defibrillator shutdown.
When operating on battery power, the large current draw required for defibrillator changing may cause
the defibrillator to reach shutdown voltage levels with no low battery warning. If the defibrillator shuts
down without warning, or if a LOW BATTERY: CONNECT TO AC POWER message appears on the
monitor screen, immediately connect the AC power cord to an outlet.
Possible improper device performance.
Changing factory default settings will change the behavior of the device. Changes to the default
settings must only be made by authorized personnel.
Possible device failure.
Do not modify the defibrillator or CodeManagement Module.
Possible improper device performance.
Using other manufacturers’ cables, electrodes, or batteries may cause the device to perform
improperly and invalidates the safety agency certification. Use only the accessories specified in these
Operating Instructions.
Possible failure to detect an out of range condition.
Reselecting QUICK SET will reset the alarm limits around the patient’s current vital sign values. This
may be outside the safe range for the patient.
Safety risk and possible equipment damage.
Monitors, defibrillators, and their accessories (including electrodes and cables) contain ferromagnetic
materials. As with all ferromagnetic equipment, these products must not be used in the presence of
the high magnetic field created by a Magnetic Resonance Imaging (MRI) device. The high magnetic
field created by an MRI device will attract the equipment with a force sufficient to cause death or
serious personal injury to persons between the equipment and the MRI device. This magnetic
attraction may also damage the equipment and affect the performance of the equipment. Skin burns
will also occur due to heating of electrically conductive materials such as patient leads and pulse
oximeter sensors. Consult the MRI manufacturer for more information.
Defibrillation-proof type CF terminal
Defibrillation protected, type BF patient connection
Attention, consult accompanying documents
WARNINGS!

Safety Information
1-4 LIFEPAK 20 Defibrillator/Monitor Operating Instructions
Attention, consult accompanying documents. (Symbol has blue
background and graphical symbol is white.)
Warning, high voltage
Type BF patient connection
Static sensitive device (SSD)
Safety ground. Protective earth connection
Fuse
Equipotential connector
Positive terminal
Negative terminal
Device includes RF transmitter
Lot number (batch code): yyww or yymmdd
Use by date shown: yyyy-mm-dd
Reorder number
Date of manufacture
Manufacturer
Authorized European Community Representative
Single use only
Indoor use only
Alarm on
YYYY

1 Safety Information
Safety Information
LIFEPAK 20 Defibrillator/Monitor Operating Instructions 1-5
©2002–2013 Physio-Control, Inc.
Alarm off
VF/VT alarm on
VF/VT alarm silenced
Greater than
Less than
Joules
Contrast
Adult defibrillation paddle
Infant defibrillation paddle
Home screen button
Heart rate/pulse rate indicator
Shock count (x) on screen
Mark of conformity according to the European Medical Device Directive
93/42/EEC.
Canadian Standards Association certification for Canada and the
United States.
Recognized component mark for Canada and the United States
Mark of conformity to ACA standards
DC voltage
AC voltage
J
(x)
0123

Safety Information
1-6 LIFEPAK 20 Defibrillator/Monitor Operating Instructions
On (power: connection to the AC mains)
Off (power: disconnection from the AC mains)
Power on/off
AC power indicator (CodeManagement Module only)
[signal] Input
[signal] Output
CO2 Input
CO2 Exhaust
ECG/SYNC connector
This end up
Fragile/breakable
Handle with care
Protect from water
Recommended storage temperature: 5° to 45°C (41° to 113°F).
Storage at extreme temperatures of -20° or 60°C (-4° or 140°F) is
limited to seven days. If storage at these temperatures exceeds one
week, the electrode shelf-life is reduced.
Recycle this item
System connector/Data in
LIFEPAK 20 defibrillator/monitor to LIFEPAK 20 defibrillator/monitor
cable (Refer to Send Configuration Setup Menu, page 8-12)
Turn counterclockwise to unlock

1 Safety Information
Safety Information
LIFEPAK 20 Defibrillator/Monitor Operating Instructions 1-7
©2002–2013 Physio-Control, Inc.
Switch on
Switch off
Pace arrow, noninvasive pacing
Pace arrow, internal pacing
R-wave sense marker
Event marker
Biphasic defibrillation shock
Shock button
For USA audiences only
CAT Catalog number used for placing orders
MIN or PN Manufacturer’s Item Number (Part Number)
SN Serial Number
IPX1Protected from dripping water per IEC 60529
Do not dispose of this product in the unsorted municipal waste stream.
Dispose of this product according to local regulations. See
www.physio-control.com/recycling for instructions on disposing of this
product.
Rx Only Federal law restricts this device to sale by or on the order of a
physician
!USA