ZOLL M Series Defibrillator Rev E BiPhasic - Manual (Page 2)

OPTION INSERT
9650-0209-01 Biphasic- 2
Defibrillator Function
The M Series Rectilinear Biphasic Waveform Defibrillator
Option is a DC defibrillator capable of delivering up to 200
joules of energy. It can be used for defibrillation or in a
synchronized mode for Cardioversion using the R-wave of
the patient’s ECG as a timing reference. The unit operates
with external paddles, or disposable pre-gelled, MFE Pads
for defibrillation and cardioversion.
Energy Selection and Displays
Multiple energy levels, and the ability to program initial and
subsequent shock energies, allow users to set the
M Series to either a non-progressive or progressive
sequence of shocks.
The M Series supports the use of progressive shock
sequences to provide an energy reserve, allowing the
delivery of a higher energy shock if a lower energy shock
fails to terminate the arrhythmia. A sequence of 120J
Biphasic, 150J Biphasic and 200J Biphasic would most
closely approximate the current AHA recommended
escalating energy sequence of 200J, 300J, and 360J for
adult defibrillation using a monophasic
defibrillator.
When an M Series device is equipped with the Biphasic
Option, all Energy Displays shown in Section 3, Section 4,
and Section 5 (for Manual Defibrillation, Advisory
Defibrillation and Automated Defibrillation) of this M Series
Operator’s Guide are modified to add the word “BIPHASIC”
to the energy display as shown below.
The M Series is capable of delivering energy up to 200
Joules with external paddles or Multi-Function Pads. The
initial default energy setting for the M Series Biphasic option
is 120J with external paddles or Multi-Function Pads. The
energy settings available with the M Series Bi-Phasic device
are 1,2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 30, 50, 75, 100, 120,
150 and 200 Joules. Energy settings are selected by using
the controls located on the Sternum Paddle or on the front
panel of the unit.
The maximum energy available from the M Series with
Rectilinear Biphasic Waveform Option is 200 Joules. If the
operator attempts to increase the energy level above 200
Joules the error message “200 Joules Max Biphasic” will be
displayed.
Upon power-up M Series units equipped with the Rectilinear
Biphasic Waveform Defibrillator Option automatically default
to the 120 Joule setting. In units with automatic progressive
energy selection enabled, Shock No. 1 is set at 120J; Shock
No. 2 is set at 150J and Shock No. 3 is set at 200J. These
are the default energy settings. They may be modified
following the instructions in the M Series Configuration
Guide.
Charge Time
Charge time: < 6 seconds with a new fully charged battery
(first 15 charges to 200 Joules). Depleted batteries will result
in a longer Defibrillator charge time.
All other operational aspects of the M Series Rectilinear
Biphasic Waveform Defibrillator are identical to those
described in the M Series Operator’s Guide.
Recorder Printer Annotations
In addition to the information normally printed on the
M Series recorder and the M Series Summary Reports
described in Section 2, units equipped with the Biphasic
Option will also print Defibrillation Impedance (DEFIB
IMPEDANCE), and Delivered Current (PATIENT
CURRENT). This information will be included in the
Summary Report for each defibrillation shock.
30
34
34 A
71 Ohms
PRE SHOCK 15:18:45 10 MAY 93
BIPHASIC DEFIBRILLATION
ECG LEAD PADS
NAME
ECG SIZE 3.0
JOULES SELECTED
JOULES DELIVERED
PATIENT CURRENT
DEFIB IMPEDANCE
POST SHOCK 15:18:45