Physio Control LIFEPAK 12 User manual

LIFEPAK12 DEFIBRILLATOR/MONITOR
®
OPERATING INSTRUCTIONS

LIFEPAK12
DEFIBRILLATOR/MONITOR
®
OPERATING INSTRUCTIONS

ii LIFEPAK 12 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. 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 do one of the
following: register the device at http://www.physio-control.com, 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.
Version History
These operating instructions describe LIFEPAK 12 defibrillator/monitor devices with software version
3011371-065 or later. Older devices may not have all the features described in this manual. Software
version 3011371-106 or later will not work in monophasic devices.
Operating Instructions Version Operating Software Version*
PN 3010012-000 PN 3011371-018
PN 3010012-001 PN 3011371-019 and PN 3011371-022
PN 3010012-003 PN 3011371-030
PN 3010012 (-005 international; -006 USA only) PN 3011371-061
PN 3010012-007 (USA only) PN 3011371-062
PN 3012730-000 (addendum) PN 3011371-065
PN 3010012 (-008 and -009 USA only; -050 international) PN 3011371-065
PN 3010012 (-010 and -011 USA only; -051 international) PN 3011371-067, -070
PN 3010012 (-012 and -013 USA only; -052 international) PN 3011371-072
PN 3010012 (-014 USA only; -053 international) PN 3011371-072
PN 3010012 (-015 USA only; -020 international) PN 3011371-090
PN 3010012 (-016 USA only; -021 international) PN 3011371-099
MIN 3010012 (-017 USA only; -022 international) MIN 3011371-101
MIN 3010012 (-018 USA only; -023 international) MIN 3011371-106
MIN 3010012 (-019 USA only; -024 international) MIN 3011371-106
MIN 3207254 (-001 USA only; -021 international) MIN 3011371-126
MIN 3207254 (-002 USA only; -022 international) MIN 3011371-130
MIN 3207254 (-006 USA only; -026 international) MIN 3011371-134
MIN 3207254 (-007 USA only; -027 international) MIN 3011371-134
* To view the operating software version, turn on the device and note the PN after VERSION on the
opening screen.
LIFEPAK, LIFENET, FASTPAK, FAST-PATCH, QUIK-COMBO, QUIK-LOOK, and QUIK-CHARGE are registered trademarks of Physio-Control, Inc. CODE SUMMARY, Shock
Advisory System, CODE-STAT, cprMAX, and REDI-PAK are trademarks of Physio-Control, Inc. CADEX is a registered trademark of Cadex Electronics Inc. 12SL is a trademark of GE
Medical Systems. C-LOCK, Dura-Y, Durasensor, Nellcor, Oxiband, OxiCliq, and Oxisensor are registered trademarks of Nellcor. PediCheck is a trademark of Nellcor. Microstream
and FilterLine are trademarks of Oridion Medical 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;
5,300,859; 6,437,316 and their foreign equivalents. Additional patent applications pending. PC Card is a trademark of the Personal Computer Memory Card International Association.
Masimo and LNOP are registered trademarks of Masimo Corporation. EDGE System Technology is a trademark of Ludlow Technical Products. UNI-LEAD is a trademark of Unilead
International, Inc. DTXPlus is a trademark of BD Medical. Specifications are subject to change without notice.
© 2008-2010 Physio-Control, Inc. All rights reserved.
!USA
!USA
MIN
3207254-010 Publication date: 07/2010

LIFEPAK 12 Defibrillator/Monitor Operating Instructions iii
© 2008-2010 Physio-Control, Inc.
TABLE OF CONTENTS
Preface
About Automated External Defibrillation .........................................................................................x
About Defibrillation Therapy............................................................................................................x
About Noninvasive Pacing .............................................................................................................xi
About 12-Lead Electrocardiography...............................................................................................xi
About SpO2 Monitoring................................................................................................................. xii
About NIBP Monitoring.................................................................................................................. xii
About End-Tidal CO2 (EtCO2) Monitoring................................................................................... xiii
About Invasive Pressure (IP) Monitoring...................................................................................... xiii
About Vital Sign and ST Monitoring ............................................................................................. xiii
About ECG Monitoring ................................................................................................................. xiii
Text Conventions ......................................................................................................................... xiv
1 Safety Information
Terms .......................................................................................................................................... 1-2
General Warnings and Cautions................................................................................................. 1-2
Symbols ...................................................................................................................................... 1-3
2 Basic Orientation
Introduction ................................................................................................................................. 2-2
Unpacking and Inspecting........................................................................................................... 2-3
Controls, Indicators, and Connectors.......................................................................................... 2-3
Area 3 .................................................................................................................................. 2-8
Area 4 ................................................................................................................................ 2-11
Area 6 ................................................................................................................................ 2-15
Back View .......................................................................................................................... 2-19
Entering Patient Data ................................................................................................................ 2-20
Setting Alarms........................................................................................................................... 2-22
Managing Alarms ...................................................................................................................... 2-24
Connecting to Power................................................................................................................. 2-25
Batteries............................................................................................................................. 2-25
Understanding Batteries and Battery Support Systems..................................................... 2-25
Installing/Removing Batteries ............................................................................................ 2-28

iv LIFEPAK 12 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 Volume...............................................................................................3-4
Monitoring ECG with Paddles Accessories ..........................................................................3-4
Monitoring with the Patient ECG Cable ................................................................................3-5
Troubleshooting Tips for ECG Monitoring ............................................................................3-8
Acquiring a 12-Lead ECG............................................................................................................3-9
12-Lead ECG Warning .........................................................................................................3-9
Identifying Electrode Sites ....................................................................................................3-9
12-Lead ECG Procedure ....................................................................................................3-11
12-Lead ECG Reports ........................................................................................................3-12
Computerized ECG analysis...............................................................................................3-14
Troubleshooting Tips for 12-Lead ECG..............................................................................3-15
Monitoring SpO2........................................................................................................................3-16
SpO2 Warnings and Cautions ............................................................................................3-16
No Implied License .............................................................................................................3-17
When to Use a Pulse Oximeter ..........................................................................................3-17
How a Pulse Oximeter Works.............................................................................................3-17
SpO2 Monitoring Considerations........................................................................................3-18
Masimo SpO2 Monitoring Procedure..................................................................................3-18
Nellcor SpO2 Monitoring Procedure...................................................................................3-20
Cleaning..............................................................................................................................3-22
Troubleshooting Tips for SpO2...........................................................................................3-23
Monitoring Noninvasive Blood Pressure (NIBP) .......................................................................3-24
NIBP Monitoring Warnings .................................................................................................3-24
When to Use NIBP..............................................................................................................3-25
How NIBP Works................................................................................................................3-25
NIBP Monitoring Considerations.........................................................................................3-26
Cuff Selection .....................................................................................................................3-26
NIBP Monitoring Procedures ..............................................................................................3-26
Changing the Initial Inflation Pressure................................................................................3-26
Manual Single-Measurement Procedure ............................................................................3-27
Timer-Controlled Measurement Procedure ........................................................................3-27
Cleaning and Maintenance.................................................................................................3-28
Troubleshooting Tips for NIBP Monitoring..........................................................................3-28
Monitoring EtCO2 ......................................................................................................................3-29
EtCO2 Monitoring Warnings...............................................................................................3-30
When to Use EtCO2 Monitoring .........................................................................................3-30
How Capnography Works...................................................................................................3-30
EtCO2 Monitoring Waveform Analysis ...............................................................................3-31
EtCO2 Monitoring Procedure..............................................................................................3-32
CO2 Scale Options.............................................................................................................3-33
CO2 Alarms ........................................................................................................................3-33
Cleaning and Maintenance.................................................................................................3-33
Troubleshooting Tips for EtCO2 Monitoring .......................................................................3-34
Monitoring Invasive Pressure (IP)..............................................................................................3-35
IP Monitoring Warnings ......................................................................................................3-35
When to Use IP...................................................................................................................3-35
How IP Works.....................................................................................................................3-36
IP Monitoring Considerations..............................................................................................3-36
IP Monitoring Procedure .....................................................................................................3-36
Cleaning and Maintenance.................................................................................................3-37
Troubleshooting Tips for IP Monitoring...............................................................................3-37
Monitoring Vital Signs (VS) and ST Changes ............................................................................3-39
VS and ST Monitoring Warning ..........................................................................................3-39

LIFEPAK 12 Defibrillator/Monitor Operating Instructions v
© 2008-2010 Physio-Control, Inc.
When to Use VS and ST Monitoring ..................................................................................3-39
How VS and ST Monitoring Work.......................................................................................3-40
VS and ST Monitoring Considerations ...............................................................................3-41
VS and ST Monitoring Procedure.......................................................................................3-41
4Therapy
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
Automated External Defibrillation ................................................................................................4-4
AED Warnings......................................................................................................................4-4
AED Configuration................................................................................................................4-4
AED Procedure ....................................................................................................................4-4
Special AED Setup Options .................................................................................................4-9
Advisory Monitoring............................................................................................................4-11
Troubleshooting Tips for AED Mode ..................................................................................4-12
Manual Defibrillation ..................................................................................................................4-13
Manual Defibrillation Warnings...........................................................................................4-13
Switching from AED to Manual Mode.................................................................................4-13
Defibrillation Shock Overlays .............................................................................................4-14
Defibrillation Procedure ......................................................................................................4-15
Synchronized Cardioversion Procedure.............................................................................4-16
Troubleshooting Tips for Defibrillation and Synchronized Cardioversion...........................4-17
Noninvasive Pacing ...................................................................................................................4-18
Noninvasive Pacing Warnings............................................................................................4-18
Demand and Nondemand Pacing ......................................................................................4-19
Noninvasive Pacing Procedure ..........................................................................................4-19
Troubleshooting Tips for Noninvasive Pacing ....................................................................4-20
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
Pediatric Paddles (PN 800418) ...................................................................................................5-6
About Pediatric Paddles .......................................................................................................5-6
Attaching Pediatric Paddles .................................................................................................5-6
Removing Pediatric Paddles ................................................................................................5-7
Paddle Placement ................................................................................................................5-7
Defibrillation Procedure ........................................................................................................5-8
Cleaning ...............................................................................................................................5-9
Internal Handles with Discharge Control (PN 3010901) ..............................................................5-9
About Internal Handles with Discharge Control....................................................................5-9
Inserting the Paddles..........................................................................................................5-10
Removing the Paddles .......................................................................................................5-10
Internal Defibrillation Procedure .........................................................................................5-10
Internal Paddles Synchronized Cardioversion Procedure ..................................................5-10
Handling Internal Paddles ..................................................................................................5-11
Cleaning and Sterilizing......................................................................................................5-11
6 Data Management
Overview of Data Storage and Retrieval .....................................................................................6-2

vi LIFEPAK 12 Defibrillator/Monitor Operating Instructions
Data Storage.........................................................................................................................6-2
Report Types ........................................................................................................................6-2
Memory Capacity..................................................................................................................6-2
Report Retrieval....................................................................................................................6-2
CODE SUMMARY Report ...........................................................................................................6-3
Preamble ..............................................................................................................................6-4
Event/Vital Signs Log............................................................................................................6-4
Waveform Events .................................................................................................................6-5
CODE SUMMARY Format....................................................................................................6-5
Managing Current Patient Records..............................................................................................6-7
Transmitting a Current Patient Report .........................................................................................6-7
Printing a Current Patient Report.................................................................................................6-9
Managing Archived Patient Records..........................................................................................6-11
Transmitting Archived Patient Reports ......................................................................................6-11
Printing Archived Patient Reports ..............................................................................................6-15
Editing Archived Patient Records ..............................................................................................6-17
Deleting Archived Patient Records ............................................................................................6-18
Overview of Connections for Transmitting Reports ...................................................................6-20
Equipment Connections for Internal Modem – Analog Cellular .................................................6-20
Equipment Connections for Internal Modem – Analog Landline................................................6-22
Equipment Connections for External Modem – Analog Landline...............................................6-23
Equipment Connections for Direct Connect...............................................................................6-24
Treatment Protocol When Transmitting Data or Fax .................................................................6-24
Fax Report Format.....................................................................................................................6-25
Troubleshooting Tips for Data Management..............................................................................6-26
7 Power Adapter
Basic Orientation..........................................................................................................................7-2
Power Adapter Warnings......................................................................................................7-2
Unpacking and Inspecting ....................................................................................................7-3
Controls, Indicators, and Connectors ...................................................................................7-4
Using the AC Power Adapter.......................................................................................................7-5
AC Power Adapter Operation ...............................................................................................7-5
Mounting the Power Adapter to the LIFEPAK 12 Defibrillator/Monitor .................................7-6
General Maintenance...................................................................................................................7-7
Maintenance and Service .....................................................................................................7-7
Cleaning................................................................................................................................7-7
Fuse Replacement................................................................................................................7-7
Troubleshooting....................................................................................................................7-8
Warranty ...............................................................................................................................7-8
Replacement Parts and Accessories....................................................................................7-9
8 Maintaining the Equipment
General Maintenance and Testing...............................................................................................8-2
Maintenance and Testing Schedule .....................................................................................8-2
User Test ..............................................................................................................................8-3
Standard Paddles User Test.................................................................................................8-3
Cleaning................................................................................................................................8-4
Function Checks...................................................................................................................8-4
Battery Maintenance....................................................................................................................8-8
Battery Maintenance Warnings.............................................................................................8-8
Battery Description ...............................................................................................................8-8
Battery Charging, Conditioning, and Shelf Life Testing........................................................8-9
NiCd Battery Performance Factors.......................................................................................8-9
SLA Battery Performance Factors......................................................................................8-10
Receiving New Batteries.....................................................................................................8-11
Storing Batteries .................................................................................................................8-11

LIFEPAK 12 Defibrillator/Monitor Operating Instructions vii
© 2008-2010 Physio-Control, Inc.
Recycling Batteries at the End of Useful Life .....................................................................8-11
General Troubleshooting Tips ..................................................................................................8-12
Service and Repair ....................................................................................................................8-13
Product Recycling Information...................................................................................................8-14
Recycling Assistance .........................................................................................................8-14
Preparation.........................................................................................................................8-14
Recycling of Disposable Electrodes ...................................................................................8-14
Packaging...........................................................................................................................8-14
Warranty ....................................................................................................................................8-14
Accessories, Supplies, and Training Tools................................................................................8-14
9 Defining Setup Options
Setup Options..............................................................................................................................9-2
Print Configurations Before Service or Repair......................................................................9-2
Passcode Security................................................................................................................9-2
Entering Setup Options ...............................................................................................................9-3
General Setup Menu ...................................................................................................................9-3
Manual Mode Setup Menu ..........................................................................................................9-4
AED Mode Setup Menu...............................................................................................................9-5
Pacing Setup Menu .....................................................................................................................9-7
Monitoring Menu..........................................................................................................................9-7
Channels Setup Menu..........................................................................................................9-8
Waveform Sets Setup Menu ................................................................................................9-8
CO2 Setup Menu..................................................................................................................9-8
NIBP Setup Menu.................................................................................................................9-8
12-Lead Setup Menu ...................................................................................................................9-9
Events Setup Menu .....................................................................................................................9-9
Alarms Setup Menu ...................................................................................................................9-10
Printer Setup Menu....................................................................................................................9-10
Auto Print Setup Menu .......................................................................................................9-11
Transmission Setup Menu.........................................................................................................9-11
Transmission/Data Setup Menu .........................................................................................9-11
Transmission/Fax Setup Menu...........................................................................................9-14
Clock Setup Menu .....................................................................................................................9-17
Reset Defaults Setup Menu.......................................................................................................9-17
Print Defaults .............................................................................................................................9-18
Send Configuration Setup Menu ...............................................................................................9-18
Set Passcode Setup Menu ........................................................................................................9-18
Service Mode.............................................................................................................................9-18
Entering Telephone Number and Prefix Characters..................................................................9-19
Setting Up Transmit Sites..........................................................................................................9-19
A Specifications and Performance Characteristics
B Screen Messages
C Operator’s Checklist
D Shock Advisory System
E Inservice Mode
F International Transmit Connections
G About cprMAX Technology
H Electromagnetic Compatibility Guidance
Index