ZOLL WCD 3100 Installation guide

Model WCD 3100
Training Manual
Prerequisite: WCD 3000 training
Rev B

LifeVest System WCD 3100 Training Manual
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Contents
1: Introduction .............................................................................................................................1-1
About this manual ............................................................................................................1-1
What you will learn...........................................................................................................1-1
What’s in this manual.......................................................................................................1-1
2: What’s new and different? .....................................................................................................2-1
Overview of the changes ................................................................................................. 2-1
Response buttons relocated ............................................................................................ 2-1
Navigation buttons new.................................................................................................... 2-1
Simplified patient interface............................................................................................... 2-2
Speaker relocated............................................................................................................2-2
No way to see rate ...........................................................................................................2-2
3: Patient training........................................................................................................................3-1
What to tell patients (and their caregivers) about the 3100 .............................................3-1
Main points to teach the patient ....................................................................................... 3-2
Summary of operating modes..........................................................................................3-3
Demonstrating the alarms................................................................................................ 3-4
4: New patient setup ...................................................................................................................4-1
About this section.............................................................................................................4-1
What you need to know ................................................................................................... 4-1
Menu structure .................................................................................................................4-2
How to put the monitor in setup mode ............................................................................. 4-3
How to program for a new patient....................................................................................4-5
How to baseline a patient.................................................................................................4-6
5: Other procedures....................................................................................................................5-1
About this section.............................................................................................................5-1
How to make a manual recording ....................................................................................5-1
How to send data ............................................................................................................. 5-2
How to test the monitor ....................................................................................................5-5
Appendix A: Quick charts ......................................................................................................... A-1
Appendix B: Advanced programming ..................................................................................... B-1
Index

Introduction
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1: Introduction
About this manual
This manual:
yis for ZOLL Lifecor PSRs and Sales Representatives.
ycovers the differences between the LifeVest®WCD™3100 wearable
defibrillator system and the previous generation WCD 3000 system.
ysupplements what you already know about the WCD 3000 system.
What you will learn
After completing this training, you will know:
ywhat’s new and different about the 3100
ywhat to tell patients about the 3100
yhow to program the monitor
yhow to send data (download)
yhow to record a manual event
yhow to do a pulse test
What’s in this manual
Here’s how to use this manual:
yWhat’s new and different compares the 3100 to the 3000.
yPatient training tells you what to teach a patient about the 3100 system.
yNew patient setup covers the basic procedure for setting up the monitor for
a new patient.
yOther procedures explains how to instruct the patient to connect the modem
and send data, and how to instruct the patient to record a manual event. This
section also tells you how to test the monitor.
yQuick charts in the back are helpful reminders of how to do things.
yAdvanced programming covers programming beyond the basic monitor
setup.
yUse the Index to help you find the details later.

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What’s new and different?
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2: What’s new and different?
Overview of the changes
The WCD 3100 is our next generation of wearable defibrillator. The essential
difference is that there’s no more alarm module. The functions that were on the
alarm module have either been incorporated into the monitor or eliminated.
It’s important to remember that the majority of the LifeVest device DID NOT
change from the model 3000. Specifically, the electrode belt and accessories did
not change. Beyond the differences explained below, the 3100 is identical in
function and operation to the 3000.
Response buttons relocated
You’ll notice that the response buttons are on
either side of the monitor near the top.
Not only did we move them, we improved how
they work. They feel better, they click when
you press them, and they’re easier to hold for
prolonged periods.
They light red when the device detects an
arrhythmia, to make it easier to find the
response buttons in the dark.
Navigation buttons new
The four buttons with arrows on them are called
the navigation buttons.
You use these buttons to program the device.
Patients do not use these buttons. Patients use
only the response buttons.

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Simplified patient interface
The other controls and indicators that were on the alarm module have been
eliminated. For instance, there is no RECORD button, no TRANSMIT button, and
no OK button. These functions are handled in other ways, explained later in this
manual.
The three yellow and red lights for an ARRHYTHMIA, NOISE ALARM, and
WRENCH CODE have been eliminated because they provide no additional
information beyond what’s displayed on the monitor.
Patient interaction with the device involves the alarms, the response buttons, and
the display.
Basically this is the extent of the patient’s interactions (more about what to teach
patients is contained in section 3):
yIf you get the vibration alarm or the siren alarm, press the response buttons.
yIf you get the gong alarm, read the display and take the action indicated.
For the other procedures, they too have been simplified (more details are
contained in section 5):
yTo manually record the ECG, just press the response buttons.
yTo send data, just connect the modem. There’s no button to press.
Speaker relocated
You’ll also notice that the speaker is now in the top of the monitor. By putting it in
the monitor we think it sounds better, clearer, and is easier to understand.
No way to see rate
With the WCD 3000, you could press the response buttons to see the patient’s
heart rate. This has been eliminated from the 3100.

Patient training
3: Patient training
This section gives guidelines for instructing the patient about the LifeVest system
and how to respond to alarms.
We suggest that you:
1 Know what to tell patients and their caregivers (see below)
2 Go over the main points on the next page.
3 Explain the operating modes and alarms as described on page 3-3.
4 Demonstrate the types of alarms that can occur as described on page 3-4.
What to tell patients (and their caregivers) about the 3100
Patients getting the 3100 need to get the same information as patients who
received the 3000 regarding:
yassembling and wearing the system
ychanging and charging the batteries
yresponding to alarms, and
ysending data using the modem.
This section tells you specifically what to cover about dealing with alarms and
what to do if treated. Be sure to stress that patients are to interact with only the
response buttons and the display. There is no need for the patient to press the
navigation buttons.
The key points to stress:
yIf you get a siren alarm, press the response buttons. Remember the response
buttons light to help you find them, even in the dark.
yIf you get a gong alarm, look at the display and do what it says. The display
will tell you the problem, perhaps indicate what to do, including to press the
response buttons to stop the alarm after reading the display.
It’s important for anyone who lives with the patient to be instructed not to remove
the 3100 from the patient, and not to remove the battery from the device, even if
the patient appears to be unconscious. The device is still monitoring the patient.
The device should only be removed by someone who is prepared to perform
cardiopulmonary resuscitation, such as an EMS technician or hospital ER
personnel.
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Main points to teach the patient
When you instruct the patient, stress the following points, explained below and
on the following page:
yIf you get a siren alarm, hold the response buttons.
yIf you get a gong alarm, read the message.
yIf you get shocked, call your doctor and send data.
If you get a siren alarm, hold the response buttons
yThe response buttons will light red when you are to press them so they will be
easy to find, even in the dark.
yAs long as you are able to, hold the response buttons to stop a treatment. As
long as you remain conscious and hold the response buttons, you are in no
danger of receiving a treatment shock.
yIf you lose consciousness, of course you will not be able to hold the response
buttons. In this case, and if the lethal heart rhythm continues, the device will
go through the treatment cycle and deliver a treatment shock.
yIt is very important that only you (the patient) hold the response buttons. This
is how the monitor knows whether or not you are conscious. DO NOT let
anyone else hold the response buttons for you.
If you get a gong alarm, read the message
yRead the display and do what it says to fix the problem.
yKeep in mind that the monitor gives alarms, messages, and voice prompts to
guide you in what to do.
If you have an event, call your doctor and send data
yIf you have any kind of cardiac event, even if you manage to stay conscious
and hold the response buttons, you should contact your physician and report
the incident.
yAny cardiac event is recorded by the monitor so you can send the data later.
yAs soon as possible after any cardiac event, you should send data using the
modem.

Patient training
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Summary of operating modes
As you instruct the patient, keep in mind that the device has basically three
operating modes:
Mode Message What it means What the patient needs to do
Normal
monitoring – no
alarms
Monitor is operating
normally.
Nothing.
Gong alarm Various messages can
appear, for example:
Patient needs to take
action.
Read monitor and do what it
says.
Siren alarm
and
An arrhythmia is
being detected.
Press and hold the response
buttons if conscious.

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Demonstrating the alarms
Demonstrate the alarms to help the patient learn how to respond. Follow the
procedures below to:
yPlace the system in training mode, then
ySimulate alarm conditions.
How to enter training mode
View the navigation buttons from the top of the monitor with the
display facing you.
1 Remove and reinsert the battery.
2 While the opening screen is displayed, hold the response
buttons and hold ◄at the same time. Continue holding these
buttons until the screen changes.
This screen may be displayed for more than 10 seconds.
3 Press ▲or ▼to choose a language, then press ►.
Note: The language you choose only affects the setup
screens and will not affect the patient screens.

Patient training
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4 With PATIENT selected, press ►.
5 Press ▲or ▼to select TRAINING, then press ►.
6 Press ►to select OK, then press the response buttons.
7 Press the response buttons again.
8 The monitor is now in training mode, with these messages
alternating.
Press the response buttons to silence the gong alarm.
9 The monitor is ready to demonstrate the noise and
arrhythmia alarms.

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Connect patient for training mode
1 Outfit the patient with the electrode belt and garment.
2 Connect the electrode belt to the monitor.
3 Continue with the procedures on the next page.

Patient training
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How to demonstrate the arrhythmia alarms
1 With this screen displayed, press ▼.
The device runs through the alarm sequence that will occur if
an arrhythmia is detected:
yVibration alarm activates and response buttons light red.
ySiren alarm sounds.
yDisplay shows that an arrhythmia has been detected and
tells patient to press response buttons.
yVoice prompts announce to bystanders that that patient is
going to be shocked.
2 Tell the patient to press and hold the response button during
the alarms.
The alarms stop as long as the patient holds the response
buttons.
Tell the patient to release the response buttons to show that
the alarm sequence resumes.
3 To stop the arrhythmia demonstration, press ▼.

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How to demonstrate a noise alarm
1 With this screen displayed, press ▲.
2 Tell the patient what to do when the gong alarm sounds:
yRead the display. This particular message states that
ECG signal is not clear. The ECG electrodes are not
sending a good signal to the monitor.
yTake action to correct problem. In this case, adjust the
belt so that the ECG electrodes make better contact with
the skin.
yPress response buttons if display so states. This stops
the gong alarm.
3 With a noise alarm, when you press the response buttons,
the monitor checks for an improvement in the ECG signal.
For the demonstration, the ADJUST BELT message returns.
4 After three cycles, the monitor displays this message.
When this happens, the patient is expected to check the belt.
Pressing the response buttons does not make this message
go away.
5 To stop the noise alarm demonstration, press ▲.

Patient training
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How to exit training mode
1 Remove and reinsert the battery.
2 Press the response buttons as normal.
3 Monitor resumes normal operation.

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New patient setup
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4: New patient setup
About this section
yThis section covers the basic procedures for setting up the monitor for each
new patient.
yThis section applies to the WCD 3100 equipped with software version 5.1.
yIf you need to change any other settings, see Appendix B on advanced
programming.
What you need to know
Programming the WCD 3100 is almost the same as programming the 3000. The
main difference is that you use the navigation buttons to move around the menus
and options.
Each time you fit a new patient, you’ll need to program the device with basic
patient information, same as with the 3000.
Programming the monitor for a new patient consists of entering the patient’s
name and the rate thresholds. In most cases, that’s all you’ll need to program. In
the rare case where you need to change any other settings, you will need to go
deeper into the programming.
Step-by-step instructions are provided on the following pages for the basic setup
for a new patient. Familiarize yourself with this procedure.
Step-by-step instructions for the more advanced programming are also provided
in Appendix B. Review this information so that you are somewhat familar with the
procedure and options if you ever need to make any changes.

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Menu structure

New patient setup
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How to put the monitor in setup mode
Before entering new patient information, follow this procedure to place the
monitor in setup mode.
View the navigation buttons from the top of the monitor with the display
facing you.
1 Remove and reinsert the battery.
2 While the opening screen is displayed, hold the response buttons and
hold ◄at the same time. Continue holding these buttons until the
screen changes.
This screen may be displayed for more than 10 seconds.
3 Press ▲or ▼to choose a language, then press ►.
Note: The language you choose only affects the setup screens and
will not affect the patient screens.
4 The main menu displays, showing that the monitor is in setup mode.
You may now proceed to program the monitor. See page 4-5 for
details on setting up a new patient.

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5 When you are finished programming the monitor, do one of the
following to return to normal operation:
yNavigate back to the main menu, select EXIT, then press ►.
yWherever you are in any menu, remove and reinsert the battery.