©2006 Medtronic Emergency Response Systems You’re Ready. LIFEPAK ® 1000 Defibrillator...

©2006 Medtronic Emergency Response SystemsYou’re Ready.

LIFEPAK® 1000 Defibrillator

Orientation Guide

©2006 Medtronic Emergency Response Systems

Your LIFEPAK 1000 defibrillator may not have all the settings or features (e.g. ECG monitoring) shown in this presentation. Please be familiar with the features available on your 1000 and how they are programmed. Additional information is provided in the notes section of this presentation. Refer to Operating Instructions for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.

Important User Instructions


Objectives

Review the operation and features of the LIFEPAK 1000 defibrillator including:

Electrode pad placement AED and Manual mode ECG monitoring Pediatric patient Battery Troubleshooting Maintenance


LIFEPAK 1000 Defibrillator

Uses: AED therapy

- For use only on patients in cardiopulmonary arrest

Manual defibrillation therapy- For the treatment of certain fatal arrhythmias

ECG monitoring- For the purpose of ECG rhythm recognition and

heart rate monitoring


Basic Steps for Use

Establish that patient is in cardiac arrest

Turn on the 1000 Place electrodes Follow screen messages

and voice prompts


Electrode Placement

Remove clothing from patient’s chest Remove excessive hair Clean and dry the skin Do not apply alcohol, tincture of benzoin,

or antiperspirant to the skin


Electrode Placement

Press electrode firmly onto patient’s skin


Electrode Placement

Correct electrode position optimizes the amount of current flowing through the ventricles

Correct electrode position Incorrect electrode position


ECG Analysis

When an analysis occurs, the 1000 will prompt to clear the patient

Do not touch the patient during analysis

Make sure everyone is clear of the patient

Prompt:


Shock Advised!

The 1000 has detected a shockable ECG rhythm

The 1000 will charge automatically


Shock Advised!

Clear everyone from the patient or any equipment connected to the patient

Press the shock button Prompt:


CPR Time

Start CPR prompt occurs immediately after shock is delivered

A text message and countdown timer appear for the remaining CPR time

At the end of CPR time, the 1000 automatically reanalyzes the heart rhythm

Prompts:


Shock Advised!

Repeat delivering shocks and providing CPR as directed until patient has return of spontaneous circulation or until advanced EMS provider arrive


No Shock Advised The 1000 has determined

the heart rhythm is not shockable

The 1000 will prompt to start CPR

Perform CPR until the patient has return of spontaneous circulation or the 1000 automatically reanalyzes the heart rhythm after the CPR Time interval is ended

Prompts:


Return of Spontaneous Circulation

Position the patient according to training if consciousness and/or signs of circulation and breathing return

Leave electrodes attached

Keep patient as still as possible

Electrodes may be connected to another LIFEPAK defibrillator


Manual Mode

Overrides the AED features Provides responder-initiated charge,

shock, and disarm functions


Basic Steps

Press the MENU key Select YES to enter manual mode ECG trace and HR appear on screen Press CHARGE if heart rhythm is shockable Press SHOCK when charge is complete Press DISARM to remove an unwanted charge


Pediatric Patient

Use the 1000 with adult pads on children older than 8 years old or more than 55 lbs (25kg)

Use the 1000 with Infant/Child Reduced Energy Defibrillation Electrodes on children less than 8 years old or 55 lbs (25kg)


Pediatric Patient With Infant/Child Electrodes, energy from

the 1000 is reduced by a factor of 4 Approximately 50-75-86 Joules is delivered

if the1000 is set at 200-300-360 Joules


Pediatric Patient

Basic Steps: Remove Infant/Child Electrodes from package Disconnect and remove any electrodes

or cables from the 1000 Insert the Infant/Child

Electrode connector directly into the 1000

Apply electrodes to patient’s chest Follow voice prompts


Pediatric Patient

Infant/Child Electrodes are not compatible with manual defibrillation cables or QUIK-COMBO defibrillation cable (CAT. 11110-000054)


Pediatric Patient

Place the Infant/Child Electrodes in the anterior-lateral position


Pediatric Patient

Alternate placement: anterior-posterior position


ECG Mode

Provides ECG display of the patient’s heart rhythm using a 3-wire cable

Basic steps: Connect the ECG cable Attach ECG electrodes

to ECG cable Apply ECG electrodes

to patient’s chest The 1000 displays the

heart rhythm and heart rate in a Lead II configuration


ECG Mode

ECG electrode placement


ECG Mode

If a shockable rhythm is detected: Follow voice and screen prompts Remove ECG cable Connect therapy cable Apply therapy electrodes to chest Prompt:


Battery

The 1000 is powered by a nonrechargeable lithium manganese dioxide battery pak

Battery pak fuel gauge indicates battery’s charge level

Fully charged battery: all green lights illuminated


Battery

Low battery: single steady green light

Empty battery: single flashing green light


Battery

The approximate level of charge in the battery appears on the readiness display when the 1000 is off

Battery low: battery symbol has one bar Battery empty: battery symbol has no bars


Battery

The approximate level of charge in the battery appears on the screen when the 1000 is in use

Battery low: battery symbol has one bar Battery empty:

battery symbol has one bar flashing on and off

Prompt:


Troubleshooting Tips

Message: “Connect electrodes” “Check connector and electrodes”

Possible causes: Electrodes are not adhered to the patient’s skin Electrodes are disconnected from the 1000 Patient impedance measurement outside

of range



Message: “Connect electrodes”

“Check connector and electrodes” What to do

Firmly press electrode onto the skin Check to be sure connector is

completely inserted into the 1000 Clean, shave and dry the skin Replace the electrode pads If prompt continues, perform CPR until ALS arrives

Prompt:



Message: “Motion detected, stop motion” Possible causes:

Patient movement due to: breathing, CPR being performed during analysis, some internal pacemakers, vehicle motion, or electrical/radio frequency interference

What to do: Check patient for normal breathing Stop CPR during analysis Stop vehicle during analysis Move communication or other suspected

devices away from 1000 when possible Prompt:



Message: “Replace battery” Possible causes:

Battery pak has exceeded specified “on time” and/or energy discharges

What to do: Continue to use during resuscitation Obtain a replacement battery Prompt:


Data Management

Every time the 1000 is used it digitally saves patient data that can be transferred to a PC equipped with a Medtronic LIFENET® system product

The 1000 provides an infrared method to transfer data


Maintenance

Daily Auto Test The 1000 performs automatic tests

daily at 3:00 AM OK symbol visible: AED is ready for use Daily Auto Test will test for low or replace

battery conditions Battery gauge on the readiness display

updates every day


Maintenance

Self-test Each time the 1000 is manually turned on, it

performs internal self-tests to check that the internal electrical components and circuits work properly

Also indicates a low or replace battery condition


Maintenance

If the 1000 requires service, the wrench symbol appears

If the wrench is visible, remove the 1000 from service and contact authorized service personnel


After-use Care

After the 1000 has been used: Clean foreign substances from the 1000 Replace electrodes Replenish supplies as needed Check battery symbol for battery status

and replace battery if low Download patient data per local protocol


Routine Maintenance

The 1000 is easy to maintain On a periodic basis check the following:

OK symbol is visible Battery gauge level Use-by date on electrode pads is not passed Other emergency supplies stored with the

1000 are present (e.g., face masks, gloves, razors, etc.)

Damage to or foreign substances on the 1000


Recommended Corrective Actions

Wrench symbol visible: contact authorized service personnel

Battery symbol visible: replace if low battery indicated

Use-by date passed: replace electrode packet Supplies missing: replenish as needed Damage noted: contact authorized

service personnel Foreign substance visible: clean with damp sponge

or cloth with recommended cleaning agents


cprMAX™ Technology cprMAX technology is designed to allow resuscitation protocols to

maximize the quantity of CPR administered during treatment Consistent with 2005 American Heart Association Guidelines for

Cardiopulmonary Resuscitation and Emergency Cardiovascular Care1 and the European Resuscitation Council Guidelines for Resuscitation 20052

Know which features are programmed by your Medical Director

1 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112 (Supplement IV).

2 European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation 2005; 67S1.


Summary

The LIFEPAK 1000 defibrillator is designed to be the most powerful BLS tool for emergency medical services (EMS) and patients: Indicated for use on patients of all ages Utilizes ADAPTIV™ biphasic technology Includes manual mode capability Incorporates fuel gauge indicators for battery Includes cprMAX technology


LIFEPAK and LIFENET are registered trademarks of Medtronic Emergency Response Systems, Inc. ADAPTIV, cprMAX, CODE-SUMMARY, REDI-PAK and QUIK-COMBO are trademarks of Medtronic Emergency Response Systems, Inc. ©2006 Medtronic Emergency Response Systems, Inc.MIN 3206133-001 / CAT. 26500-002074

You’re Ready. Always.

Refer to Operating Instructions for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.


The following slides are only to be used if a pulse check has been selected in the setup option.


Pulse Prompt

You may be prompted to check for a pulse after every shock or no shock advised decision or only after a no shock advised.


Check for Pulse

YES and NO soft keys appear on the screen

If patient does not have a pulse, press the NO soft key and CPR time begins

Prompt:


Check For Pulse

If patient has pulse, press the YES soft key

The 1000 will prompt the user to provide rescue breaths, if needed

The 1000 enters a continuous monitoring state

Prompts:

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