Primedic Defi-Monitor ECO 1 User manual

Instructions for use PRIMEDIC™Defi-Monitor ECO 1 / DM 1 / DM 3
19499 / 05.03 59
Table of contents Page
1. Safety instructions 61
2. Device specification 63
3. Preliminary measures 71
3.1 Accumulator charging 71
3.2 Configuration of the defibrillator / ECG monitor (set-up menu) 72
4. Operation of the defibrillator 73
4.1 Switching the defibrillator on and off / self-test 73
4.2 Synchronous and asynchronous operation 74
4.3 Energy selection 75
4.4 Energy charging 75
4.5 Positioning of paddles 76
4.6 Discharging of energy (shock) 76
4.7 Paediatric paddles 77
5. Operation of the ECG monitor 78
5.1 Selection of ECG leads 78
5.2 Setting of signal amplification 79
5.3 Volume of systole beep 79
5.4 Activation of heartrate alarms 79
5.5 Contrast-Settings (only for ECO 1) 80
5.6 Filter 80
5.7 Positioning of ECG electrodes 81
6. Operation of SpO2monitor (only model DM 3) 82
6.1 Connection of SpO2sensor 82
6.2 Selection of correct SpO2sensor 83
6.3 Setting of alarms for SpO284
7. Operation of printer 86
7.1 Protocol of the ECG signal 86
7.2 Automatic printout after every shock (auto print) 87
7.3 Printing of the event memory 88
7.4 Insertion of printing paper 89
8. Handling of the charging unit 89
9. Handling of the changeable accumulator 90
9.1 Changing of the accumulators 91
9.2 Parallel accumulator charging in the charging unit 91
10. Maintenance and care 92
11. Waste Treatment 93
12. Technical data, accessories, symbols 94
12.1 Technical data PRIMEDIC™ Defi-Monitor ECO 1 / DM 1 / DM 3 94
12.2 Accessories 96
12.3 Symbols 97

Instructions for use PRIMEDIC™Defi-Monitor ECO 1 / DM 1 / DM 3
60 19499 / 05.03
13. Conditions of Guarantee 98
14. Appendix 99
A1 General instructions and rules for the use of accumulators 99
A2 General instructions and rules for the handling of defibrillators 101
A3 General instructions for the use of pulsoximeters 107
A4 Voltage - time graphs 109
A5 Description of monitor screen and printouts 111
A6 Safety control 114
PRIMEDIC™is registered trademark of METRAX GmbH, D-Rottweil

Instructions for use PRIMEDIC™Defi-Monitor ECO 1 / DM 1 / DM 3
19499 / 05.03 61
1. Safety instructions
Your PRIMEDIC™Defi-Monitor was designed in accordance with the high requirements of the use
in emergency situations. Modern technology based on the many years of experience in the
development and production of defibrillators together with new shock absorbing materials and new
ideas offer the necessary support when every second counts.
The following has to be considered in order to ensure safe and perfect function of the PRIMEDIC™
Defi-Monitor and to avoid risk to human beings and other material property:
1. Any use of the PRIMEDIC™Defi-Monitor requires the knowledge and strict compliance of
these instructions for use.
2. The PRIMEDIC™Defi-Monitor is designed and suitable exclusively for the applications set
out or described in this manual. Using the device for purposes any other than those mentioned
in this manual may constitute a risk and has to be omitted.
3. Operation of the PRIMEDIC™Defi-Monitor, as well as basically all other defibrillators, in
areas subject to explosion hazards is not allowed.
4. The PRIMEDIC™Defi-Monitor may only be used by trained and authorised personnel.
Reading the instructions for use does not replace any training.
5. Improper use or excessive operating duration of the SpO2sensor can cause tissue damages.
6. Strong light, movements and certain physical conditions of the patient, intravascular dye,
incorrect attaching of the SpO2sensor could also result in wrong indications of oxygen
saturation. Do not use the SpO2measure as single method to monitor the vital functions.
The instructions for the use of pulsoximeters have to be complied with (appendix A3).
7. Any repair work, modifications, additions and installations of the PRIMEDIC™Defi-Monitor
may only be carried out by personnel authorised and trained by METRAX. The parts of the
PRIMEDIC™Defi-Monitor may not be repaired by the user.
8. The device may only be used with accessories, wearing parts and disposable parts the secure
use of which is proofed by an inspection office authorised to tests of devices ready-to-use.
Otherwise a safe and reliable function of PRIMEDIC™Defi-Monitor is not guaranteed. The
original PRIMEDIC™accessories and wearing parts comply with this condition.
9. Before using the device the user has to check that the device is in a safe and reliable state.
If e.g. the pacer / defibrillator cable is damaged the defibrillator / pacer may not be used.
10. The instructions and rules set out in appendix A1, A2 and A3 have to be complied with when
using the PRIMEDIC™Defi-Monitor.
11. The unit must be under operating conditions before using. This is e.g. essential when storing
the defibrillator in an ambulance car during winter.
12. Do not use the PRIMEDIC™Defi-Monitor near devices (e.g. measuring devices) sensible to
magnetic fields or disturbing sources, which could interfere with the functions of
PRIMEDIC™Defi-Monitor. Keep sufficient distance.
For the other states of the European Union the national regulations for the use of medical devices are
applicable.
Manufacturer: METRAX GmbH
Rheinwaldstraße 22
D-78628 Rottweil
Phone ++49 (0)741 / 257-0

Instructions for use PRIMEDIC™Defi-Monitor ECO 1 / DM 1 / DM 3
62 19499 / 05.03
Fax ++49 (0)741 / 257-235

Instructions for use PRIMEDIC™Defi-Monitor ECO 1 / DM 1 / DM 3
19499 / 05.03 63
2. Device specification
12 34
5
6
7
7
8
89
10
11
12
13
16
14
15 17
Fig.: 1 General view of the PRIMEDIC™Defi-Monitor
1 ECG-unit with monitor and operating elements
2 Carrying handle
3 Input socket for ECG patient cable
4 ECG patient cable for recording the ECG
5 Defibrillator unit with operating elements
6 Paddle cable for APEX paddle
7 Release button for accumulator
8 Changeable accumulator
9 Paddle for APEX position
10 Release button
11 Printer with cover and compartment for paper reel
12 Release button
13 Paddle for STERNUM position
14 Paddle cable for sternum paddle
15 PRIMEDIC™modular plug to connect modules as e.g. pacer module, I/D module for
internal defibrillation (only models DM 10 and DM 30)
16 Input socket for SpO2patient cable (only model DM 3)
17 SpO2patient cable to connect NELLCOR® sensors (connector plug)
(only model DM 3)