ZOLL PD 1400 Manual

Operator's
Guide
ZOLL PD 1400
Pacemaker/De

...........................................................................................
PREFACE About This Manual v
. .
......................................................................................
4 Chapter Descr~pt~ons v
.............................................................................................
Initial Inspection vi
.....................................................................................................
4 Parts List vi
CHAPTER 1
General Information ............................................................................................... 1
.....................................................................................
4 Safety Considerations 1
4 Warnings .........................................................................................................
. .
........................... ........................................................
4 Product Descr~pt~on .. 2
.......................................................................................
4 Pacemaker Function 2
......................................................................................
4 Defibrillator Function 4
4 Monitor and Recorder Function ...................................................................... 5
...............................................................................
4 Paddle-Electrode Options 5
......................................................................................................
4 Batteries 6
..............................................................................................
4 Battery Charger 6
..................................................................................
4 Instrument Diagnostics 6
............................................................................................................
4 Service 6
...
4 Spec~f~cat~ons ................................................................................................. 7
CHAPTER
2
Operating Controls and Indicators ...................................................................... 13
.......................................................................
4 Switch and Control Locations 12
...................................................................
4 Switch and Control Functions 13
..........................................................................................
4 Summary Report 16
....................................................................................
CHAPTER 3 Multi-Function Electrodes 21
.................................................................................................
4 Introduction 21
......................................................................................................
4 Warnings 21
.................
4 Multi-Function Electrode Cable - Installation, Operation, Testing 21
................... ......................................................
4 Placement of Electrodes .. 22

Table of Contents
CHAPTER 4 Defibrillation .......................................................................................................... 25
W Warnings ................................................................................................... 25
Defibrillation with Paddles
.......................................................................... 25
H Defibrillation with Multi-Function Electrodes ............................................... 29
CHAPTER 5
SynchronizedCardioversionWith Paddles ........................................................ 33
H Warnings ...................................................................................................... 33
H Explanation ................................................................................................... 33
.............................................................................. W Cardioversion Procedure 33
..........................................................................
CHAPTER 6 NoninvasiveTemporary Pacing 39
W Warnings ...................................................................................................... 39
.......................................................................................... H Pacing Procedure 39
.......................................................................... Special PacingApplications 43
....................................................................................... Standby Pacing 43
.............................................................................. Asynchronous Pacing 44
....................................................................................... Pediatric Pacing 44
CHAPTER 7 ECG Monitoring .................................................................................................... 45
.................................................................... H Warnings ........................... .... 45
W Electrode Placement .................................................................................... 46
H Monitoring Procedure ................................................................................. 46
CHAPTER 8 GeneralMaintenence ........................................................................................... 49
H Inspection ..................................................................................................... 49
W Power Up Sequence Check ....................................................................... 49
H Pacer Operation ........................................................................................... 50
......................................... Delivered Energy and Discharge Buttons Check 50
Recorder Check ......................................................................................... 51
............................................................................... W Recorder Paper Change 51
................................................................................. SettingTime and Date 51
H Battery Care ................................................................................................. 52

Table of Contents
CHAPTER 9
Troubleshooting Guides ...................................................................................... 55
Monitor ........................................................................................................ 55
Recorder ....................................................................................................... 57
...........................................................................................................
Pacing
58
Defibrillator ................................................................................................... 59

WARNING TheZOLL PD
1400 DefibrillatorIPacemaker andcablesandelectrodes used
for pacinganddefibrillation are designed andtestedas a unittoensure safe
andeffective delivery of therapies.
Effectiveness isdependent onthecombination of thedefibrillation or pacing
waveform, patentedelectrode designs andproprietary gel formulas.
Useof pacing or defibrillationcables andelectrodes notprovidedbyZOLL
MedicalCorporation isa safety hazardandpacing anddefibrillation functions
willbeseverely compromised.
Useof equipment notrecommended byZOLL MedicalCorporation iscon-
trarytothe manufacturer's recommendationsand intended usefor the
product andvoidsthewarranty for thisdevice.

This manualprovides information necessaryfor the safe and effective use and care
of the ZOLL PD 1400
PacemakerlDefibrillator.
Persons using the ZOLL PD 1400 should be appropriatelytrained, skilled personnel
familiar with the use of this device. Training appropriateness, such as Advanced
Cardiac Life Support (ACLS)should be the determination of the prescribing
physician.
ZOLL Medical Corporationmanufactures a comprehensive and compatible line of
cardiac resuscitation equipment. The ZOLL D 900 Defibrillator, PD 1200 Pace-
maker/Defibrillator, and PD 1400 PacemakerlDefibrillator have been designed so
use of each model is complimentary. The operator will find that each model is
similar in look and operation. Controls and switches have been designed to
operate in a similar manner, and therapies are applied inthe same sequence. The
PD
1200 and PD 1400 use the same NoninvasiveTemporary Pacing(NTP 2000)
electrodes, and all ZOLL models can be configured to use PD 2200 Multi-Function
PacingIDefibrillationElectrodes.
This manualshould be kept with the PD 1400at all times.
CHAPTER Chapter 1
DESCRIPTIONS General Information
- Provides cautions and warnings and ageneral product
overview. Describes basic pacemaker,defibrillator, monitor and recorder functions
as well as batteries, battery charger, diagnostics and Multi-Function electrode1
paddle options. Includesdetailed product specifications, important ZOLL service
information, and ZOLL's warranty statement.
Chapter 2
OperatingControlsand Indicators - Locates and describes the function of all
switches, controls, and indicator lights. DescribesSummary Reportoperation and
recorder configuration.
Chapter
3
Multi-FunctionElectrodes - Introducesthe ZOLL Multi-function electrodes.
Describes general applicationand use of the multi-function cable and ZOLL PD
2200 Multi-function electrodes.
Chapter 4
Defibrillation - Divided intotwo sections, Chapter 4 describes the defibrillation
procedure when using paddles or multi-functionelectrodes.
Chapter
5
SynchronizedCardioversion - Chapter 5 explainsand describes the procedure for
synchronized cardioversionwhen using paddlesor multi-function electrodes.

Chapter 6
NoninvasiveTemporary Pacing - Describes the pacing procedure with NTP 2000
electrodes and multi-function electrodes. Also describes special pacingapplications.
Chapter
7
ECG Monitoring - Describes ECG electrode placement and ECG monitoring
procedures.
Chapter
8
General Maintenence - Describes several routine checks and procedures to assure
proper unit operation. Includes instructionsfor battery care and for setting operator
defined values such as time and date.
Chapter
9
Troubleshootingguides - Includestroubleshooting guides intended for use by non-
technical medical personnel during
PD 1400operation.
INITIAL
Carefully inspect each container for damage. If the shipping container or cushion
INSPECTION
material is damaged, it should be kept until the contents have been checked for
completeness and the instrument has been checked for mechanicaland electrical
integrity. The contents of the shipment should be as shown below. Procedures
for installation and initial checks are presented in Chapter 1.
PARTS LIST
ZOLL PD 1400 Pacemaker1Defibrillator
H 1 rechargeablebattery pack
H Standard ApexlSternum defibrillator paddleswith built-in pediatric paddles
H 1 ECG cable
H 1 pacer cable
H 1 set adult pacing electrodes
W 1 set pediatric pacing electrodes
H 2 rolls recorder paper
2 Operator's Manuals
W Service Manual (not included inshipment - supplied on request)

General Information
SAFETY
The ZOLL PD 1400 is a high energy device capable of delivering up to360
CONSIDERATIONS
joules. To completely deactivate the PD 1400,you must turn the selector
switch tothe OFF position.
In order to disarm a chargeddefibrillator:
Turn the selector switch to MONITOR ON or PACER ON,
Change the defibrillator energy selected value,
If using paddles,place them intheir holders and depress both
discharge buttons.
As a safety feature, the ZOLL PD 1400 will automatically discharge
internally if it has been left chargedfor more than 60 seconds.
WARNING Federal(U.S.A.) lawrestrictsthisdevicetouse byor ontheorder of a
physician.
Do notusetheZOLL PD
1400 inthe presence of flammable agents
(suchas gasoline) or anesthetics. Usingthe instrument near thesite
of a gasoline spill maycausean explosion.
Do notdischarge with paddlesshorted together or inopenair. Stand
clear of patientwhen defibrillating.
Do notdischarge intomulti-functionelectrodesthat are notproperly
placedona patient.
Usingthedevice near or within puddlesof water isashock hazardto
theoperator, patient, and nearby personnel.
Internalpacemakers may causethe heart rate metertocountthe
pacemaker rateduring incidences of cardiac arrest or other arrhyth-
mias. Pacemakerpatientsshould becarefully observed. Do notrely
solely onheart ratemeters.

Chapter 1
PRODUCT The ZOLL PD 1400 Pacemaker/Defibrillatorcombines a patented noninvasive
DESCRIPTION
temporary pacemaker,a DC defibrillator, a non-fademonitor, and an annotating
strip chart recorder in an integral, self-contained instrument. The PD 1400 is
lightweight, compact, and can be transported with a patient. Power is provided by
an easily replaceablebattery pack.The battery pack can be quickly recharged and
tested, using the ZOLL Battery Support System.
PACEMAKER
NoninvasiveTemporary Pacing (NTP)is an established and proven technique.
FUNCTION This therapy is safe and is easily and rapidlyapplied in both emergency and
non-emergency situations when temporary cardiac stimulation is indicated.
The ZOLL PD 1400 Pacemaker/Defibrillatorcontains a demand pacemaker
consisting of a pulse generator and ECG sensing circuitry. The output current of
the pacemakeris continuously variable up to 140 mA and the rate is continuously
variable from 30 to
180 pulses per minute (ppm).
The pacing output pulse is delivered to the heart by specially designed ZOLL NTP
pacing electrodes or ZOLL multi-function electrodes placed on the back and the
precordium. Only ZOLL NTP or ZOLL multi-functionelectrodes should be con-
nectedto this instrument.
The characteristics of the output pulse, together with the design and placement of
the electrodes, minimize cutaneous nerve stimulation, lower cardiac stimulation
thresholds, and reduce discomfort due to skeletal muscle contraction.
The unique design of the ZOLL PD 1400allows clear viewing and interpretationof
the electrocardiogram (ECG)on the monitor during external pacing, without offset
or distortion.
Proper operation of the PD 1400,together with correct electrode placement is
critical to obtaining the optimum results. The operator must be thoroughly familiar
withthese operating instructions.
IntendedUse - Pacemaker
This product may be used for cardiac pacingfor any purpose inconscious or
unconscious patients for up to a few hours duration as an alternative to endocardial
stimulation. The purposes of pacing include:
1. Resuscitation from standstill or bradycardia of any etiology-
Noninvasivepacing has been used for resuscitation from standstill or temporary
acceleration of bradycardia in Stokes-Adams disease, sick-sinus syndrome,
reflex vagal standstill and drug-induced standstill (dueto procainamide,quini-

General Information
dine, digitalis, b-blockers,verapamil, etc.), and unexpected circulatory arrest
(duetoanesthesia, surgery, angiography, and other therapeutic or diagnostic
procedures). Itis safer, more reliable, and more rapidly applied in an emer-
gency than endocardialor other temporary electrodes.
2. As a standby when standstill or bradycardia might beexpected-
As a stand-bywhen arrest or symptomatic bradycardia might be expected, the
external pacer is used especially in pacemaker procedures (e.g.,acute myocar-
dial infarction, drug toxicity, anesthesia, or surgery, especiallywhen distur-
bances of rhythmicity or conduction are present). Prophylacticplacement of
endocardialelectrode, which carries risks of displacement, infection, hemor-
rhage, embolization, perforation, phlebitis, and mechanicalor electrical stimula-
tion of ventricular tachycardia and fibrillation, can be avoided.
3. Suppression of tachycardia-
An increase in heart rate from external pacingoften suppresses ventricular
ectopic activity and may prevent tachycardia.
Pacemaker Complications
Ventricular fibrillation will not respondto pacingand requires immediate defibrilla-
tion. (SeeChapter
4 for Emergency Defibrillation Procedure.) The patient's
dysryhthmia must therefore be determined immediately, so that appropriate
therapy can be employed. If the patient is in ventricular fibrillation and defibrillation
is successful, but cardiac standstill ensues (asystole),the pacemaker should be
used.
Ventricular or supraventriculartachycardias may be interruptedwith pacing but in
emergency or circulatory collapse, synchronized cardioversion is faster and more
certain. (SeeChapter
5 for SynchronizedCardioversion Procedure.)
Electromechanicaldissociation may occur following prolonged cardiac arrest
or in other disease states with myocardialdepression. Pacingmay then produce
ECG responses without effective mechanicalcontractions, and other treatment is
required.
Pacing may evoke repetitive responses, tachycardia, or fibrillation in the presence
of generalized hypoxia, myocardial ischemia, cardiac drug toxicity, electrolyte
imbalance,and other cardiac diseases.
Pacingby any methodtends to inhibit intrinsic rhythmicity. Abrupt cessation of
pacing, particularlyat rapid rates, can cause ventricular standstill and should be
avoided.

Chapter 1
Pacemaker Complications
The NoninvasiveTemporary Pacemaker may cause discomfort of varying intensity,
which mayoccasionallybe severe and preclude its continued use in conscious
patients. Similarly, unavoidableskeletal muscle contraction may be troublesome in
very sick patients and may limit continuous use to afew hours. Erythema of the
skin underthe electrodes often occurs but is inconsequential.
There are reports of transient inhibition of spontaneous respiration in unconscious
patientswith previously available units when the anterior electrode was placedtoo
lowon the abdomen.
This device may not be connected to internal pacemakerelectrodes in contact with
the myocardium. Only electrodes supplied by ZOLL Medical Corporation should be
used.
There have been rare reports of burns under the anterior electrode when pacing
adult patients with severely restricted bloodflow tothe skin. Prolongedpacing
should be avoided inthese cases and periodic inspection of the skin is advised.
Pediatric Pacing
Pacingcan be performed on pediatric patients (1 5kg or less) using special pediatric
electrodes (ZOLLNTP 2100). Prolongedpacing (in excess of 30 minutes), particu-
larly in neonates,could cause burns. Cautionand periodic inspection of the
underlying skin are recommended.
DEFIBRILLATOR
The ZOLL PacemakerIDefibrillatorcontains a standard DC defibrillator capable
FUNCTION
of delivering up to 360 joules of energy. Itmay be used in synchronized mode
for performance of synchronized cardioversion by using the R-wave of the
patient's ECG as atiming reference. The ZOLL
PD 1400 uses conventional
paddles or disposable, pre-gelled, multi-function electrodes for defibrillation.
Intended Use - Defibrillator
This product is to be used only by qualified medical personnel for the purposes of
converting ventricular fibrillation
(VF), a cardiac rhythm incompatible with life, to
sinus rhythm or other cardiac rhythms capable of producing hemodynamically
significant heart beats.
In addition, this product may be used in the synchronized mode to terminate
certain atrialand ventricular tachycardias and other arrhythmias resistant to drug
therapy.
A qualified physician must decide when synchronized cardioversion is

General Information
Defibrillator Complications
Inappropriatedefibrillation or cardioversionon a patient (e.g.,with no malignant
arrhythmia) may precipitate ventricular fibrillation, asystole, or other dangerous
arrhythmias. Defibrillation without proper application of paddle electrolyte
gel may be ineffective and cause burns, particularlywhen repeated shocks
are necessary.
Defibrillator Output Energy
The ZOLL PD 1400 delivers up to 360 joules into a 50 ohm impedance. The
energy delivered through the chest wall, however, is controlled by skin imped-
ances. An adequateamount of electrolyte gel must be appliedto the paddles
and aforce of 10-1
2 kilograms must be appliedto each paddle in order to
minimize skin impedance. If multi-function electrodes are used, make sure
that they are properly applied. (SeeChapter
3)
MONITOR
This product contains a non-fademonitor for observation of the patient's cardiac
FUNCTION
rhythm. The monitor displays the ECG in moving trace mode at 25 mmlsec for a
period of 3.4 seconds.
Also displayed on the monitor are:
4 heart rate, derived from measuring Rto Rintervals
4 lead selections - I, 11, Ill, PADDLES, or ELECTRODES
4 ECG size - .5, 1.0, 1.5, 2.0, 3.0 cm/mV
4 pacemakeroutput in milliamps
4 defibrillator output injoules
4 other operational prompts, messages, and diagnostic codes
RECORDER
The hardcopy recorder is used to document events. The recorder normally
FUNCTION operates inthe delay mode (6 seconds)to insure capture of critical ECG informa-
tion. It may be activated manually by pressing the RECORDER ONIOFF button.
It
will be activated automatically whenever the defibrillator discharge buttons have
been pressed or a Heart Rate Alarm activates. The recorder may also be config-
ured notto print during these events. (SeeRecorder Configuration, Chapter
2 for
more information.)

Chapter 1
PADDLE-ELECTRODE
The ZOLL PD 1400will pace, defibrillate, cardiovert and monitor using either
OPTIONS
defibrillation paddlesand NTP 2000 electrodes or using ZOLL Multi-function
electrodes (PD2200).
Operation of the ZOLL PD 1400 is identical for both methods except that defibrilla-
tion (EnergySelect, Charge, Discharge)and recorder onloff controls located on the
paddles are not available when using multi-function electrodes. The operator must
usethe controls located onthe PD 1400front panel. To switch between paddles
and multi-functionelectrodes, the operator simply unplugs one cable and plugs in
another.
BATTERIES
The ZOLL PD 1400 uses spec~almedlcal grade, sealed, lead-ac~dbatter~es
(PD4410)that, when fully charged, w~llprov~de 2.5 hours mlnlmum (3 5 hours
typ~cal)of mon~tor~ng.Use of the def~br~llator,pacemaker, and recorder wrll reduce
th~stlme. A "LOW BATTERY" message appears on the monltor and the unit w~ll
beep twlce In a rowonce a m~nutewhen the battery must be replaced.(See
battery spec~f~cat~onson page 10for more ~nformat~on.)
BAlTERY
Battery chargingand charge capacity evaluation is easily performed with the
CHARGER
ZOLL PD 4420 Battery Support System. Up to four batteries can be charged
simultaneously and testing is a simple one step operation. See the ZOLL Battery
Support Operator'sGuidefor more detailed informationon the specifications, use
and management of ZOLL PD 1400 batteries.
INSTRUMENT
The computer contained within the ZOLL PD 1400performs self-diagnostic tests
DIAGNOSTICS
on critical circuits when the instrument is initially turned on and periodically during
operation. The "READY" message that appears briefly on the monitor during
initial power-upverifies proper operation of these circuits. During operation,
an "STATUS
XX" message will indicate if a problem has been detected. If this
occurs, contact authorized service personnel.
SERVICE
The ZOLL PD 1400 PacemakerIDefibrillatorwill providetrouble free operation
without periodic recalibrationor adjustment. However, it is suggested that
appropriatelytrained and qualified personnel perform periodic routine tests of the
device to verify proper operation. (SeeChapter
8.)

SPECIFICATIONS
Size
Weight
Power
Warranty
Design
Standards
PatientSafety
Environmental
General Information
GENERAL
10.7cm high x 33.5 cmwide x 31 cm long (4.2 in. x 13.2 in x 12.2 in).
5.9 kg. (13 Ibs.)with PD 4400 multi-function cable; 6.8 kg
(1 5 Ibs.)with paddles
Sealed lead acid battery
- 2.5V/cell, 5 cells -wired in series.
In North America: 1year, including use of a loaner.
Outside North America: consult ZOLL authorized representative.
Meets or exceeds all AAMI specifications for defibrillators.
Meets or exceeds UL544, IEC 601 and CSA standardsfor medical equipment and
MIL-STD-81OD, Method 514.3, Figure 514.3-35 (Cat6), Swept Sine, Random
Vibration, Universal Helicopter, MIL-STDBIOD, Method 514.3 (Cat.3).
All patient connections are isolated.
Temperature: 0°Cto 55°C (operating).
-40°Cto 75°C(storage and shipping).
Humidity: 5% to 95% relative humidity.

Type
PulseType
PulseDuration
Pulse Amplitude
Pacing Rate
Output Protection
Pacer On
Pacer Electrodes
Waveform
Output Energy
(delivered)
Energy Selection
ChargeTime
Delivered
Energy Display
SynchronizedMode
ChargeControls
Paddles
Defibrillation
Electrodes
Integral
DefibrillatorTester
Defib On
PACEMAKER
WIdemand; asynchronous (fixedrate)when used without ECG leads.
Rectilinear,constant current.
40 milliseconds.
Variableto 140 mA.
Variablefrom 30 to 180 ppm.
Fully defibrillator protected and isolated.
Message display on monitor.
Specificallydesigned adult anteriorlposterior pre-gelledZOLL NTP 2000 or ZOLL
PD 2200 multi-function pacingldefibrillation electrodes, packagedin pairs. ZOLL
NTP 2100 pediatric electrodes are also available.
DEFIBRILLATOR
Damped sinusoid.
Selectableat 2, 3,
5, 7, 10, 20, 30, 50, 100, 150, 200, 300, 360 joules.
Control on sternum paddleand unit front panel.
Less than 10seconds. Depletedbatteries will result in a longer defibrillator
chargetime.
CRT monitor displaysdelivered energy.
Synchronizes defibrillator pulse to patient's R-wave. "SYNC" message
displayed on monitor. Marker on monitor and on recorder paper identifies R-wave.
Control on apex paddle and on front panel.
Standard paddlesare anteriorlanterior adult and pediatric. Adult paddlesslide
off to expose pediatric paddles.
Specificallydesigned pre-gelledZOLL PD 2200 Multi-Function electrodes,
packaged in pairs, can be used in the anteriorlposterior or anteriorlanterior position.
Integralcircuitry allows complete test of defibrillator charge and discharge
without removingpaddlesfrom storage wells. Identical circuitry allows complete
test of unit configured with multi-function electrode cable.
Message display on monitor

General Information
PatientConnection
lnput Protection
Electrical Isolation
andShielding
Bandwidth
Display Format
MonitorOn
ScreenType
ScreenSize
Sweep Speed
Viewing Time
HeartRate
Pacer Output Current
LeadSelection
ECG Size
Alarm OnIOff Status
ECG LeadFault
Pacer ElectrodeFault
Defibrillator
PaddleFault
Defibrillator
ElectrodeFault
Recorder
Paper Out
LowBattery
Voltage
MONITORAND DISPLAY
Via 3 lead ECG cable, paddlesand electrodes. Selectableby front panel switch.
Fully defibrillator protected. Special circuit prevents distortion of ECG by
pacer pulse.
Input protected against high-voltagedefibrillator pulses and radiofrequency
interference.
0.5-35 HZ (-3dB)standard
- .05-35 Hz Diagnostic (optional).
Non-fade, movingtrace.
Message display on monitor.
High resolutionCRT display.
4.5 inches diagonally (56mm
x 86 mm, viewing area).
25 mmlsec.
3.4 seconds.
Digitaldisplay on monitor 0-400 bpm.
Digital display on monitor 0-140 mA.
Display on monitor.
.5, 1.O, 1.5, 2.0, 3.0 cm/mV
- display on monitor.
Displayon monitor. User selectable, High 60-280 bpm, Low 20-100 bpm.
Message display on monitor.
Message display on monitor.
Message display on monitor.
Message display on monitor.
Message display on monitor
Message display on monitor.

Paper
Speed
Delay
Annotations
Writing Method
Print-outModes
Control
Automatic
Function
Type
Voltage
RechargeTime
Service
Low Battery
Indicator
OperatingTime
Charger
Chapter 1
I
RECORDER
Standard 40 mmthermal (gridwidth). 50 mm(paperwidth)
25 mmlsec.
6 seconds.
Time, date, defib energy, heart rate, pacer output, QRS sync marker, ECG size,
lead, alarm, defib test OKIFail.
High resolution, thermal array print head
Manual or automatic
- user configurable
Front panel and paddle.
15 second recording initiated by alarm conditions and defibrillator discharge.
BATTERIES
Rechargeable,sealed lead acid, medical grade
2.5 Vlcell; 5 cells wired in series.
2 hoursfor depleted pack to90% of battery capacity. 16 hours for full recharge.
Battery pack is easily removedas a unit.
Message displayed on monitor and 2-beep low battery tone sounds once a minute.
For 20 seconds before shut-off from a low battery the PD 1400will beep twice
every
2 seconds. The time from display of the "LOW BATTERY" message until
the instrument shuts down will vary depending on the battery condition. For a
battery in good condition (fullycharged prior to initiating battery operation), the
message display-to-shut down time will be approximately 40 minutes in monitor
mode. Defibrillator chargetime may be extendedwhen batteries are depleted.
35 defibrillator chargingsto maximum energy (360J),or
2.5 hours minimum, (3.5
hours typical) of continuous monitoring, or 2.5 hours of continuous monitoring1
pacing at 60 mA, 80 beatslmin.
Use ZOLL PD 4420 Battery Support System only for proper operation. See Battery
Support System Operator's Guide for detailed informationabout battery charging
and capacityevaluation.

General Information
ACCESSORIES (STANDARD)
. Standard ApexISternum defibrillator paddles with built-in pediatric paddles
.1 ECG cable
1 paceroutput cable
. 1set adult pacer electrodes
.1 set pediatric pacer electrodes
H 1 roll recorder paper
. 1 Battery Pack
W 2 Operator's manuals
1 Service manual (not included in shipment - supplied on request)
. 1 inservice video tape
OTHER ACCESSORIES
.NTP-2000 Adult pacingelectrodes (12 pairlbox)
H NTP-2100 Pediatric pacingelectrodes (6 pairlbox)
PD-2200 Adult, Multi-function pacingldefibrillation electrodes (I 2 pairlbox)
.PD-2900 Standard ApexISternum paddles
NTP-3002 Pacer output cable
NTP-4450 Output verification unit for noninvasive pacer
@ PD-4400 Multi-function cable assembly for Multi-function pacing/defibrillation
electrodes
PD 4410 Replacement battery
H PD 4420 Battery Support Charger System
@PD 4450 Carrying Case
H PD 3001 AHA Standard 3-wire ECG cable
. 9500-0003 IEC Standard 3-wire ECG cable

Chapter 1
PD 1400WlTH
STANDARD
PADDLESAND
NTP PACING
ELECTRODES
PD 1400WlTH
MULTI-FUNCTION
ELECTRODES

Operating Controls and Indicators
SELECTOR SWITCH
The selector switchallows selection of any of the three operating modes:
MONITOR ON
DEFlB ON
PACER ON
It also turns the power off. The monitor is always on except inthe OFF position
DEFlB ENERGY SELECTOR BUTTONS
Two sets of up-down arrow buttons -one set located on the front panel and the
other located on the sternum paddle-control the defibrillator energy level. Press
and hold the appropriate up
A or down V arrow button until the desired energy
level is displayed on the monitor.
CHARGE
Pressthe charge button on the front panel or, if using paddles, on the apex paddle
handle, to chargethe defibrillator to the energy level selected with the defib
energy selector buttons. When the charge button is pressed, the defibrillator
charges tothe selected energy level in
10 seconds or less, when using fully
charged batteries.
To changethe selected energy level after the charge button has been pressed,
simply select a different energy level using the appropriate defib energy selector
button and press charge again.
If both discharge buttons are pressed during the charge cycle, the
PD 1400 will not
chargeand a "CANNOTCHARGE"message will appear on the monitor.
DISCHARGE
The multi-function electrode cable has two reddischarge buttons mounted in the
instrument connector. Both must be pressed and held simultaneously to dis-
chargethe defibrillator.
Each paddle has a red discharge button located near the forward end of the handle.
Press and briefly hold both buttons simultaneously to dischargethe defibrillator.
CHARGE INDICATOR LIGHT
Locatedon the apex paddle, this light turns on when the defibrillator is charged
and ready.