ZOLL Cardiac Monitor User manual

Cardiac Monitor
User Manual
23C0001 REV D

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Content
INTRODUCTION
About the ZOLL Cardiac Monitor ..................................................................1
Where Do My Recordings Go? .....................................................................1
This Manual .................................................................................................. 1
What’s In This Manual? ................................................................................ 1
Safety Precauons ........................................................................................2
Indicaons For Use ....................................................................................... 2-3
Contraindicaons ......................................................................................... 3
DEVICE OVERVIEW
System Components ..................................................................................... 4
Monitor — Front View .................................................................................. 5
Monitor — Side and Back View .................................................................... 5
Monitor Touchscreen ................................................................................... 6
OPERATION
Charging the Monitor Baery....................................................................... 7
Starng a Study ............................................................................................ 8-9
Marking an Event .......................................................................................... 10-11
Symptom Diary .............................................................................. 10
Acvity Diary .................................................................................11
Conrm Event ............................................................................... 11
Electrode Applicaon ...................................................................................12
Electrode Replacement ................................................................................12
Monitoring a Study ....................................................................................... 13
Ending a Study ..............................................................................................13
Returning Your Device .................................................................................. 13
MAINTENANCE
Cleaning ........................................................................................................ 14
TROUBLESHOOTING
Error Messages ............................................................................................. 14
SYSTEM INFORMATION
Equipment Symbols ......................................................................................15
Wireless Compliance .................................................................................... 16-17
Contact Informaon ..................................................................................... 18

1
About the ZOLL Cardiac Monitor
The ZOLL Cardiac Monitor uses advanced heart monitoring technology along with
mobile communicaon to detect, record, and transmit cardiac rhythms based on
parameters predetermined by your prescriber, without interfering with normal daily
acvies.
Your interacon is not required for events to be detected by the system. However,
you can record any symptoms you experience by pressing the Plus Sign on
the Monitor Display Screen.
Where Do My Recordings Go?
All your cardiac monitor recordings are sent to ZOLL for evaluaon. Depending on
your prescripon, the recordings are transmied and monitored 24 hours a day, 7
days a week, or they are downloaded when you return your device to ZOLL at the
end of your prescripon period. ZOLL provides reports to your prescriber based on
your recordings.
This Manual:
• Supports paents who are using the ZOLL Cardiac Monitor.
• Provides instrucons on the use and care of the device.
• Supplements training you may have received from your prescriber.
What’s In This Manual?
•Device Overview describes the basics of how the system works.
•Operaon goes into specic details about how to use the device.
•Maintenance covers the daily care involved in using this device.
•Troubleshoong explains situaons that might occur and what to do if
they happen.
•System Informaon covers equipment symbols, wireless compliance, and
contact informaon.
NOTE: The ZOLL Cardiac Monitor does not provide interpreve or diagnosc
statements. Interpretaon and diagnosis are the responsibilies of a physician or
other trained healthcare professional.
Introducon

2
Introducon
Safety Precauons
• Use only cables provided by ZOLL with the ZOLL Cardiac Monitor.
• Disconnect paent leads before debrillaon.
• To reduce the risks of strangulaon or asphyxiaon do not leave electrode
cables accessible to infants or children. Carefully route the electrode cables
to reduce the possibility of entanglement or strangulaon during use.
• To achieve the best recordings results, stay away from heavy electrical
equipment or other sources of electromagnec interference. This includes
equipment such as electric blankets and heang pads.
• Avoid exposing device to water or excessive moisture.
• Do not expose device to extreme temperatures.
• Use only the electrodes provided by ZOLL with the ZOLL Cardiac Monitor.
• Do not allow conducve parts of the ZOLL Cardiac Monitor paent
electrodes to contact other conducve parts including earth.
Indicaons For Use
The ZOLL Cardiac Monitor is intended for acquiring ambulatory ECG signals from
paents who either are at risk of having cardiac disease or have intermient
symptoms indicave of cardiac disease and who have demonstrated a need to be
monitored on a connuing basis.
Indicaons for conducng ambulatory recording include:
• Paents requiring monitoring for non-life-threatening arrhythmias such as
supraventricular tachycardias and ventricular ectopy.
• Paents requiring monitoring for evaluaon of bradyarrhythmias and
intermient bundle branch block including aer cardiovascular surgery and
myocardial infarcon.
• Paents requiring monitoring for arrhythmias associated with co-morbid
condions such as hyperthyroidism or chronic lung disease.
• Paents experiencing symptoms such as a) syncope of unknown eology or
b) shortness of breath which may be due to cardiac arrhythmias.
• Paents with palpitaons with or without known arrhythmias to obtain
correlaon of arrhythmias with symptoms.
• Paents who require monitoring of the eects of drugs to control
ventricular rate in atrial arrhythmias.
• Paents recovering from cardiac surgery who are indicated for outpaent
arrhythmia monitoring.
• Paents with diagnosed sleep disordered breathing including sleep apnea
(obstrucve central) to evaluate possible nocturnal arrhythmias.
• Paents requiring arrhythmia evaluaon of eology of stroke or transient
cerebral ischemia, possibly secondary to atrial brillaon or uer.

3
Introducon
Data from this device may be used by another device to discover, measure, or report
QT interval. The device is not intended to sound any alarms for QT interval changes.
Contraindicaons
The ZOLL Cardiac Monitor is not intended for use under the following condions:
• Paents with potenally life-threatening arrhythmias who require inpaent
monitoring.
• Paents who the aending physician thinks should be hospitalized.

4
Device Overview - Components
System Components
Figure 1
Major components of the system.
ITEM DESCRIPTION
1. Monitor Main unit of the ZOLL Cardiac Monitor.
2. Paent Cable Connects the Monitor to the Electrodes to monitor your
heart rhythm.
3. Power Charging
Cable
Recharges the Monitor baery. Plugs into a standard power
outlet to provide power to the Monitor (details on page 7).
4. Holster Allows you to aach the Monitor to your clothes or belt. The
Monitor is placed into the Holster with the Display Screen
facing toward your body. Once in the Holster, the Monitor
Display Screen is no longer visible.

5
Monitor — Front View (Fig. 2)
For details about operang and caring for the Monitor, see pages 7-14.
Figure 2
Front view of the ZOLL Cardiac Monitor
ITEM DESCRIPTION
1. Display Screen Color touchscreen used to show all device messages and use
opons.
2. Power Buon Pressing this buon powers the Monitor on and o. To power
o the device, you may press and hold the Power Buon for
approximately ve seconds or unl the display powers o. If the
Display Screen is dark, press the Power Buon to turn on the
Display Screen.
Figure 3
Side and back view of the ZOLL Cardiac Monitor
Monitor — Side and Back View (Fig. 3)
ITEM DESCRIPTION
3. Serial Number Idencaon number used if communicang with ZOLL
technical support. Also found on the boom of the Display
Screen.
4. Paent Cable and
Power Charging
Port
This port serves two purposes. When wearing the device,
the Paent Cable is aached to this port. When charging the
device, the Power Charging Cable is connected.
Device Overview - Components

6
Monitor Touchscreen
Shown below is an example of the Monitor Touchscreen when the device is turned
on. The menu on the device can be navigated by gently touching and releasing the
graphic buons on the touchscreen.
Figure 4
Monitor inial screen.
ITEM DESCRIPTION
1. Network Status
Indicator
Indicates the status of the network connecon. The device
periodically turns o its modem to save power.
2. Baery Level Displays the approximate charge remaining in the baery.
3. Serial Number Idencaon number used if communicang with ZOLL
technical support. Also found on the back of the Monitor.
Device Overview

7
Charging the Monitor Baery
Charge the Monitor Baery every 48 hours or as indicated by Baery Level on the
Display Screen.
1. To charge the Monitor baery during a Study, disconnect the Paent Cable from
the Monitor and then connect the Power Charging Cable to the Monitor (Fig. 5).
Figure 5
2. Connect the Power Charging Cable to
a standard power outlet to charge the
baery (Fig. 5). The ZOLL Cardiac Monitor
indicates that the baery is charging
by replacing the Baery Level on the
touchscreen with a charging indicator
(Fig. 6).
3. Once the Monitor is fully charged, the Baery Level on the Monitor is a solid
blue.
4. Disconnect the Power Charging Cable from the Monitor and standard power
outlet.
5. Connect the Paent Cable to the Monitor.
NOTE: When plugging the Paent Cable into the Monitor the cord should face
up and away from your body. The Paent Cable might need some gentle force
to be inserted completely.
6. Place the Electrodes on your body as indicated in Fig. 9. For more details on
Electrode Applicaon see page 12.
NOTE: The ZOLL Cardiac Monitor baery cannot be recharged in the device without
interrupng the data recording.
Operaon
Figure 6
The screen displays the charging
indicator in the top right corner.