ZOLL E Series Monitor Defibrillator Rev R - Manual (Page 17)

General Information
9650-1210-01 Rev. R 1-9
This reddening should substantially lessen within 72
hours.
There have been reports of burns under the anterior
electrode when pacing adult patients with severely
restricted blood flow to the skin. Prolonged pacing should
be avoided in these cases and periodic inspection of the
underlying skin is advised.
There are reports of transient inhibition of spontaneous
respiration in unconscious patients with previously
available units when the anterior electrode was placed
too low on the abdomen.
WARNING!: This device must not be connected to
internal pacemaker electrodes.
Pediatric Pacing
Pacing can be performed on pediatric patients weighing
33lbs / 15kg or less using special ZOLL pediatric MFE
Pads. Prolonged pacing (in excess of 30 minutes),
particularly in neonates, could cause burns. Periodic
inspection of the underlying skin is recommended.
Paddle and Electrode Options
The E Series products will defibrillate, cardiovert and
monitor ECG using either defibrillation paddles or ZOLL
Multi-Function Electrode (MFE) Pads.
The pacer version of the E Series paces using ZOLL
MFE Pads.
ENERGY SELECT, CHARGE, and SHOCK controls are
located on the paddles and front panel. When using MFE
Pads, you must use the controls on the front panel of the
unit. To switch from paddles to MFE Pads, remove the
Multi-Function cable from the apex paddle and connect
the MFE pads to the Multi-Function cable.
You cannot activate the Advisory function unless MFE
Pads are attached to the Multi-Function Cable and used
as the ECG monitoring lead.
Adult and pediatric MFE Pads, stat-padz, and ECG
electrodes (not the ECG cable) are disposable, single-
use items.
MFE Pad Application/Connection
This section describes how to prepare the patient and
attach and connect MFE pads. Attach the MFE pads
according to the instructions on the electrode packaging.
1. Prepare the patient by:
• Removing all clothing covering the patient's chest.
• Drying chest if necessary
• Clipping excessive chest hair, if necessary, to
ensure proper adhesion of electrodes.
2. Connect MFE Pads to the multi-function cable (if not
already connected), as shown below.
3. Open the pad packaging and apply one edge of the
pad securely to the patient.
4. Roll the pad smoothly from that edge to the other
being careful not to trap any air pockets between the
gel and skin.
If it is not possible to place the back MFE Pad on the
patient's back, place it on the standard apex position
of the apex-sternum configuration. Effective
defibrillation will result, but pacing with the device is
usually less effective.
Ensure that all MFE Pads are making good contact with
the patient’s skin and are not covering any part of the
ECG electrodes. Note that:
• If the MFE Pads are not making good contact with the
patient, the messages CHECK PADS and POOR
CAUTION
Only use pads that are well within the expiration date
indicated on the package. Failure to do so could result
in false patient impedance readings and may affect
delivered energy.
WARNING
Poor adherence and/or air under the MFE Pads can
lead to the possibility of arcing and skin burns.
1.
2.