Stryker LIFEPAK 15 User manual

Page A
LIFEPAK 15 Monitor/Defibrillator
Pocket guide
LIFEPAK®15
Monitor/Defibrillator
This is not the complete instructions
for use. Refer to the Operating
Instructions for complete device
information including directions
for use, indications and warnings.

Page 1
LIFEPAK 15 Monitor/Defibrillator
Home screen
HR
SPO2 %
CO2 mmHg
ART mmHg
CVP mmHg
NIBP mmHg
J
150
50
RR
Heart rate
SpO2/SpCO/
SpMet
EtCO2
IP1
or temperature
IP2
NIBP
Channel 1
Channel 2
Channel 3
Message area
Heart symbol
Alarm limits Bluetooth®indicator
Battery indicator
Selected energy
ECG Lead/Size
Alarm indicator
Time
Battery indicators
Indicator Description
Active
battery
Low
battery
Very
low
battery
The debrillator is using the battery in well
1 for power. Battery status indicators display
up to 4 green bars. Each green bar represents
approximately 25% remaining charge. For example,
3 green bars indicate about 75% remaining charge.
Battery in well 1 is in use and is low. One yellow
bar indicates 5% to 10% remaining charge.
Battery in well 1 is in use and is very low; 1 red
ashing bar indicates 0 to 5% remaining charge.
The debrillator automatically switches to the
other battery only if adequate charge is available.
If both batteries show red bars, the REPLACE
BATTERY voice prompt occurs.

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LIFEPAK 15 Monitor/Defibrillator
To connect a therapy cable
to the defibrillator:
To disconnect the therapy cable
from the defibrillator:
QUIK-COMBO®Electrodes
with REDI-PAKTM preconnect system
• Reads ECG with lead II
• Delivers debrillation shock
• Delivers external pacing
Therapy cable
connector
QUIK-COMBO
electrode connector
QUIK-COMBO
Therapy Electrodes
Anterior
Lateral
Connecting therapy electrodes
Connecting therapy cable to debrillator
Listen for click

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LIFEPAK 15 Monitor/Defibrillator
GREEN ON button turns device on and off
ENERGY SELECT increases or decreases
energy level while in Manual Mode
CHARGE charges the device in Manual Mode
SHOCK initiates discharge of the debrillator
energy to the patient
ANALYZE initiates analysis in AED Mode
CPR initiates or silences METRONOME feature CPR
SYNC activates synchronization mode
Manual debrillation controls

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LIFEPAK 15 Monitor/Defibrillator
Noninvasive pacing procedure
Demand pacing
1. Press ON
2. Apply ECG electrodes
3. Apply and connect QUIK-COMBO®therapy electrodes;
consider sedation if patient is conscious
4. Press PACER
5. Conrm placement of the sense marker ( )
is near the middle of each QRS
6. Press RATE to select desired pacing rate
7. Press CURRENT until electrical
capture occurs
8. Check blood pressure and pulse to verify
mechanical capture
PAUSE button facilitates temporary viewing
of underlying rhythm
Note: Heart rate alarms are disabled during pacing.
Observe patient continuously.

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LIFEPAK 15 Monitor/Defibrillator
Control Description
NIBP Initiates blood pressure measurement.
LED illuminated when BP measurement
is being obtained.
ALARMS Activates and silences alarms. LED illuminated
when alarms are enabled and ashes when an
alarm condition occurs.
OPTIONS Accesses optional functions
EVENT Accesses user-dened events
Returns to Home Screen display
SPEED Scrolls through and selects screen or
DIAL menu items
Display mode button switches between color
display and black and white display
Other features, right side

Page 6
LIFEPAK 15 Monitor/Defibrillator
Noninvasive blood pressure
monitoring procedure
1. Press ON
2. Select appropriate sized cuff, attach snugly to extremity;
align cuff marking (if present) with artery
3. Connect tubing to the cuff and to the NIBP port
on the monitor
4. Change initial ination pressure if necessary—Default:
160 mmHg
5. Position extremity in relaxed and supported position
at heart level
6. Inform patient that cuff will inate and squeeze arm
7. Press NIBP to start measurement NIBP
To cancel measurement, press NIBP again
When the measurement is complete, systolic, diastolic, and mean
arterial pressures are displayed.
NIBP measurement typically takes 40
seconds to complete. If the measurement
is not completed in 120 seconds, the cuff
automatically deates.

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LIFEPAK 15 Monitor/Defibrillator
Connection Action
Connect: Open CO2port door, insert FilterLine®
connector and turn clockwise until connector is
rmly seated.
Disconnect: Rotate FilterLine connector
counterclockwise and pull connector out.
Connect: Align cable connector with SpO2port and
push in until connector clicks into place.
Disconnect: Press the gray buttons on each side
of the cable connector simultaneously and pull
connector out.
Connect: Insert NIBP tubing connector into the
NIBP port.
Disconnect: Press the latch on the left side of the
port and pull tubing connector out.
Connect: To connect green ECG connector with
ECG port, align green key on cable with notch on
port. Insert cable until connector is rmly seated.
Disconnect: Use the nger pull to pull the ECG
connector straight out.
Connect: Align the IP (invasive pressure) cable
connector with the P1 or P2 port; position the
gap on the connector facing up. Insert the cable
connector into the port until the connector is
rmly seated.
Disconnect: Grip the connector and pull straight out.
Features, left side,
Invasive pressure option
CO2
SpO2
NIBP
ECG
P1
P2

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LIFEPAK 15 Monitor/Defibrillator
Features, left side,
Continuous temperature option
Connection Action
Connect: Open CO2 port door, insert FilterLine
connector, and turn clockwise until connector is
rmly seated.
Disconnect: Rotate FilterLine connector
counterclockwise and pull connector out.
Connect: Align cable connector with SpO2port
and push in until connector clicks into place.
Disconnect: Press the gray buttons on each side
of the cable connector simultaneously and pull
connector out.
Connect: Insert NIBP tubing connector into the
NIBP port.
Disconnect: Press the latch on the left side of the
port and pull tubing connector out.
Connect: The green ECG connector with the green
ECG port. Insert the cable connector into the port
until the connector is rmly seated.
Disconnect: Use the nger pull to pull the ECG
connector straight out.
Connect: Align the temperature adapter cable to
the temperature port. Attach selected temperature
sensor to adapter cable.
Disconnect: Grip the connector and pull straight out.

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LIFEPAK 15 Monitor/Defibrillator
Acquiring a 12-Lead ECG
1. Press 12-LEAD Button
2. AGE Menu – enter Age
3. SEX Menu – enter Sex
4. 12-Lead acquires, analyses
and automatically prints the
12-Lead ECG
Angle of
Louis
Lead Location
V1/C1 Fourth intercostal space to the
right of the sternum
V2/C2 Fourth intercostal space to the
left of the sternum
V3/C3 Directly between leads V2/C2
and V4/C4
V4/C4 Fifth intercostal space at
midclavicular line
V5/C5 Level with V4/C4 at left anterior
axillary line
V6/C6 Level with V5/C5 at left
midaxillary line
Main Cable
(4-wire)
Protective
ap (open)
Precordial lead
attachment

Page 10
LIFEPAK 15 Monitor/Defibrillator
EtCO2monitoring procedure
1. Press ON
2. Select appropriate EtCO2accessory for the patient
3. Open CO2port door and insert FilterLine connector,
turn connector clockwise until tight
4. Verify CO2area is displayed
5. Display CO2waveform in Channel 2 or 3
6. Connect FilterLine set to the patient
7. Conrm the EtCO2waveform is displayed
Auto-zero is part of initialization self-test performed
by monitor. Scale is automatically selected for
best visualization.
Note: If you use a ventilation system, do not connect FilterLine set
to the patient/ventilation system until self-test is complete
CO2
SpO2
NIBP
ECG
P1
P2

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LIFEPAK 15 Monitor/Defibrillator
SpO2
1. Press ON
2. Connect the pulse
oximeter cable to the
monitor and sensor
3. Attach sensor to ring
nger of the non-
dominant hand and
orient so cable is on
back of patient’s hand
4. Observe the pulse bar
for uctuation, amplitude
of the pulse bar indicates
relative signal quality
5. Conrm SpO2reading
appears and is stable
SpCO & SpMet
Perform steps 1-5, then:
6. Verify that SpCO / SpMet
sensor is in use; ONLY
Rainbow®sensors are
capable of reading
SpCO / SpMet
7. Rotate Speed Dial to
outline SpO2 area
8. Select parameter
9. Select SpCO or SpMet.
Selected value displays
for 10 seconds.
CO2
SpO2
NIBP
ECG
P1
P2
SpO2/ SpCO / SpMet
monitoring procedure
Note: If SpCO or SpMet reading is above
normal limits (SpCO >1 0 % , SpMet >3%)
an Advisory message occurs.

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LIFEPAK 15 Monitor/Defibrillator
Invasive pressure monitoring
CO2
SpO2
NIBP
ECG
P1
P2
Label Description
ART Arterial Pressure
PA Pulmonary Artery Pressure
CVP Central Venous Pressure
ICP Intracranial Pressure
LAP Left Atrial Pressure

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LIFEPAK 15 Monitor/Defibrillator
Invasive pressure
monitoring procedure
1. Prepare transducer system according to local protocol
2. Position transducer at the patients phlebostatic
axis – zero-reference
3. Press ON
4. Connect IP cable to the transducer and to the port on the
monitor, P1 or P2 connector and Channel 2 or 3 can be
used for IP monitoring
5. Use default or select ART, PA, CVP, ICP, LAP
6. Use speed dial to outline and select CHANNEL 2 on
Home Screen
7. Select WAVEFORM and then label as desired
8. Open transducer stopcock to air to zero the transducer
and remove stopcock cap. Select P1 area. Select ZERO
from menu. P1 ZEROED appears once complete and
pressure values displayed as zeros.
9. Close the stopcock to air. Patient’s pressure waveform
should be displayed. Scale automatically selected. Conrm
pressure amplitude correlates with digital readout.
Note: If you place a cap on an open port before you close the port
to air, an error message may appear. You will be required
to zero again.

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LIFEPAK 15 Monitor/Defibrillator
1. Press ON
2. Connect adapter cable to TEMP port on monitor
3. Connect temperature probe to adapter cable
4. Attach temperature probe to patient according to
probe Instructions for Use
5. Conrm temperature reading appears and is stable
Note: The temperature probe may require three minutes
to equilibrate after patient placement.
Monitoring continuous temperature

Page 15
LIFEPAK 15 Monitor/Defibrillator
Auxiliary power management
1. Connect power cord to power adapter and auxiliary
power source
2. Conrm LED strip on power adapter is illuminated
3. Connect power adapter output cable to power adapter
4. Connect green end of output cable to auxiliary power
connector on back of debrillator
5. Conrm (power connected) and (battery
charging) LEDs are illuminated
Note: At least one battery should be installed at all times.
Keep monitor/debrillator connected to auxiliary power
whenever possible to maintain battery charge level.

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LIFEPAK 15 Monitor/Defibrillator
Battery power management
1. Install batteries in battery wells 1 and 2
2. Press ON
3. Check battery indicators for charge level of each battery
4. If battery is low, replace with charged battery
or connect debrillator to auxiliary power using
approved power adapter

Page 17
Troubleshooting Tips
For a complete list of troubleshooting tips, please
consult the LIFEPAK 15 Operating Instructions
LIFEPAK 15 Monitor/Defibrillator
Proper skin preparation is critical to obtaining
a quality signal and successful monitoring using
QUIK-COMBO electrodes
Prepare the patient’s skin:
1. Remove all clothing from the patient’s chest
2. Remove excessive chest hair. Avoid nicking or cutting
the skin. Avoid placing electrodes over broken skin,
implanted devices or medication patches.
3. Clean and dry the skin
4. Briskly wipe the skin dry with a towel or gauze
5. Do not use alcohol, tincture of benzoin or antiperspirant
to prep the skin
6. Discard the electrode if gel is not intact or Use By date
has passed
Therapy electrode placement

Page 18
Troubleshooting Tips
For a complete list of troubleshooting tips, please
consult the LIFEPAK 15 Operating Instructions
LIFEPAK 15 Monitor/Defibrillator
Observation Action
Monitor displays (---)
dashed lines when
therapy electrodes
connected
Limb or precordial leads selected but
patient connected to therapy cable.
Select PADDLES LEAD.
Charge time to 360 J
exceeds 10 seconds
Replace battery with fully charged
battery or connect to AC power
Energy not delivered
to patient when
(shock) button
pressed
• Wait for tone and message indicating
full charge
• Press (shock) button within
60 seconds of full charge
• For hard paddles, simultaneously
press (shock) buttons
CONNECT
CABLE, CONNECT
ELECTRODE or
PADDLES LEADS
OFF message appears
• Check cable connection
• Check therapy electrode connection
• Review skin prep section and reapply
new electrodes
• Replace damaged therapy cable
and perform daily checks per
Operator’s Checklist
Manual debrillation