Appendix, Operator control of shock therapy, Continuous patient surveillance system – Physio-Control LIFEPAK 15 User Manual

Page 267

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APPENDIX

C

©2007-2013 Physio-Control, Inc.

LIFEPAK 15 Monitor/Defibrillator Operating Instructions

C-3

1

Each sample is run 10 times asynchronously.

2

Association for the Advancement of Medical Instrumentation. DF80: 2003 Medical electrical equipment-Part2-4, Section

6.8.3 aa) 3) essential performance data of the rhythm recognition detector. Arlington, VA: AAMI, 2004.

3

Automatic External Defibrillators for Public Access Defibrillation: Recommendations for Specifying and Reporting Arrhythmia

Analysis Algorithm Performance, Incorporating New Waveforms, and Enhancing Safety. American Heart Association (AHA)
Task Force on Automatic External Defibrillation, Subcommittee on AED Safety and Efficacy. Circulation, 1997: Vol. 95: 1677-
1682.
VF = ventricular fibrillation
VT = ventricular tachycardia
NSR = normal sinus rhythm

Operator Control of Shock Therapy

The Shock Advisory System causes the AED to charge automatically when it detects the presence of

a shockable rhythm. When a shock is advised, the operator presses the

SHOCK

button to deliver the

energy to the patient.

Continuous Patient Surveillance System

The Continuous Patient Surveillance System (CPSS) automatically monitors the patient's ECG

rhythm for a potentially shockable rhythm while the electrodes are attached and the AED is turned

on. CPSS is not active during ECG analysis or when the AED is in a CPR cycle.

Table C-2 LIFEPAK 15 Monitor/Defibrillator SAS Performance by Rhythm Category

RHYTHM CLASS

ECG TEST

1

SAMPLE
SIZE

PERFORMANCE
GOAL

OBSERVED PERFORMANCE

Shockable:
Coarse VF

168

>90% sensitivity

LIFEPAK 15 monitor/defibrillator meets the
AAMI

2

DF80 requirements and AHA

3

recommendations.

Shockable: VT

65

>75% sensitivity

LIFEPAK 15 monitor/defibrillator meets the
AAMI DF80 requirements and AHA
recommendations.

Nonshockable:

NSR

144

>99% specificity

for NSR (AHA)

LIFEPAK 15 monitor/defibrillator meets the
AHA recommendations.

Nonshockable:
asystole

43

>95% specificity

LIFEPAK 15 monitor/defibrillator meets the
AAMI DF80 requirements and AHA
recommendations.

Nonshockable:
all other rhythms

531

>95% specificity

LIFEPAK 15 monitor/defibrillator meets the
AAMI DF80 requirements and AHA
recommendations.

Intermediate:

fine VF

29

Report only

>75% sensitivity

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