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Instramed CardioMax User Manual

Instramed CardioMax
205 pages
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User manual
Cardioverter/Biphasic Defibrillator Monitor

Table of Contents

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Instramed CardioMax Specifications

General IconGeneral
BrandInstramed
ModelCardioMax
CategoryMedical Equipment
LanguageEnglish

Summary

Manufacturer

Instramed Indústria Médico Hospitalar Ltda.

Company details and contact information.

Battery Use

First Use

Initial battery charging procedure.

Occasional Use

Guidelines for maintaining battery charge.

Storage

Battery removal recommendation for storage.

Replacement

Battery lifespan and replacement guidance.

Package Contents

Included Items

List of items in the product package.

Replacement Parts

Contact Instramed

How to obtain replacement parts.

Introduction

Purpose and Application

Overview of device functions and intended uses.

Characteristics

Key features and optional parameters.

Optional Items

Identification of optional features not included in all models.

About the Manual

Information about the manual's content and copyright.

Safety Information

Warnings

Critical safety warnings for device operation.

Adverse or Side Effects

Potential negative reactions from device use.

Classification and Symbols

Explanation of device symbols and classification standards.

Standards

List of national and international standards followed.

Device Care

Guidelines for proper device maintenance.

Connection to Other Equipment

Precautions for connecting CardioMax to other medical devices.

Disposing of the Device

Instructions for safe and environmentally sound disposal.

The Equipment

Front Panel Overview

Identification of front panel components.

Screen and Controls

Details on the LCD screen, e-Jog control, and selector switch functions.

Quick Access Buttons

Explanation of the functions of the quick access buttons.

Power and Battery Charging Indications

Information on power status and battery charging indicators.

Side View Connectors

Identification of device side connectors.

Rear Panel Components

Description of rear panel components.

Rear Connectors

Identification and description of connectors on the rear panel.

Screen and Operation

Turning On and Operating

Steps for powering on and selecting operational modes.

Configuration Menu

Overview of device settings and parameter configuration.

Alarms and Limits

Physiological Alarm

How physiological alarms are enabled and their features.

Technical Alarm

Types of technical alarms and their indicators.

Minimum/Maximum Limit Adjustment

Procedures for setting parameter alarm limits.

Defibrillator Mode

Warnings

Critical safety warnings for defibrillator use.

Use Criteria

Conditions for using defibrillation mode.

External Pads Use

Guide for applying external defibrillation pads.

About Shock Delivery

Information on patient impedance and energy delivery.

Child Pads Use

Specific instructions for using pediatric pads.

Using Multifunction Pads

Guide for connecting and applying multifunction pads.

Defibrillation Steps

Steps for selecting energy, charging, and shock delivery.

Synchronism - Cardioversion

How to perform synchronized discharge for cardioversion.

Disarm Key

Function and use of the disarm key to release stored energy.

Defibrillation Display Information

Explanation of data shown on the defibrillation display.

Charge Auto-Sequencing

Configuration and operation of the auto-sequencing shock feature.

Defibrillation Setup

Settings for internal discharge time, SDP, and auto-sequencing.

AED Mode

Introduction and Characteristics

Overview of AED technology and its features.

Warnings

Safety warnings specific to AED operation.

Operation Steps

Step-by-step guide for AED pad connection and operation.

Patient Pad Placement

Correct placement of AED pads on the patient's chest.

Selecting AED Mode

How to set the selector switch to the AED position.

Delivering Shock

Procedure for delivering an electrical shock in AED mode.

Starting CPR

Instructions for initiating cardiopulmonary resuscitation after shock delivery.

Performing Mouth-to-Mouth Breathing

Technique for artificial respiration during CPR.

Using CardioMax on Children

Precautions and guidelines for pediatric patients.

Alarm System in AED Mode

Description of the alarm system and information signals in AED mode.

Pacemaker Mode

Warnings

Safety warnings related to pacemaker use.

Fixed Mode

Operation of the pacemaker in fixed stimulation mode.

Demand Mode (Synchronous)

Operation of the pacemaker synchronized with patient's heart rate.

Operating in Pacemaker Mode

Steps for configuring and using pacemaker parameters.

Starting Stimulation

Procedures for initiating pacemaker stimulation.

Fixed Stimulation

Detailed steps for setting up and using fixed stimulation.

Under Demand Stimulation

Detailed steps for setting up and using demand stimulation.

Defibrillation During Pacemaker Use

How defibrillation mode interacts with pacemaker function.

Monitor Mode - ECG

Warnings

Safety precautions for ECG monitoring.

Monitoring ECG

Steps for connecting ECG cables and electrodes.

Leads and Color Patterns

Information on ECG lead placement and color coding.

Operating in Monitor Mode - ECG

How to use the ECG monitoring function.

ECG Setup

Configuration options for ECG response, cable, and sensitivity.

ST Segment

Relation to Myocardial Infarction

How ST segment anomalies relate to heart attacks.

ST Elevation Characterization

Identifying and interpreting ST segment changes on ECG.

ST Segment Configuration

Settings for enabling and configuring ST segment analysis.

NIBP Monitoring

Warnings

Safety precautions related to NIBP monitoring.

Armband Selection and Placement

Guidelines for choosing and applying the NIBP armband.

Measurement Modes

Explanation of manual, automatic, and STAT NIBP measurement modes.

NIBP Numeric Indicator and Setup

Understanding the NIBP display and configuring settings.

NIBP Setup Options

Detailed setup options for NIBP measurement.

Monitor Mode - SpO2

Warnings

Safety precautions for SpO2 sensor use.

Factors Affecting SpO2 Precision

Factors that can influence the accuracy of SpO2 readings.

Sensor Selection

Guidelines for choosing the appropriate SpO2 sensor.

Operating in Monitor Mode - SpO2

How to use the SpO2 monitoring function.

SpO2 Setup

Configuration options for SpO2 response and alarms.

Monitor Mode - Capnography

Warnings

Safety warnings related to the EtCO2 sample line.

Capnography Monitoring

Steps for connecting accessories and starting EtCO2 monitoring.

Sampling Line and T-Connector

Details on the sampling line and T-connector for capnography.

EtCO2 Numeric Indicator and Setup

Understanding the EtCO2 display and configuring settings.

EtCO2 Setup Options

Configuration options for CO2 ON/OFF, units, scale, and calibration.

Monitor Mode - Respiration

Warnings

Safety warnings related to respiration monitoring.

Respiration Monitoring

How to connect electrodes and optimize breathing signal detection.

Respiration Numeric Indicator

Understanding the respiration rate display.

Respiration Setup

Configuration options for respiration monitoring and apnea alarm.

Event and Data Storage

Data Storage

Information on event data and ECG recording storage.

Events Stored

List of events that are recorded by the device.

Viewing and Managing Events

How to access, view, and manage stored patient events.

Printing

Instant Printing

How to print a quick report of current data.

Printer Configurations

Settings for alarm printing, shock printing, and paper size.

RTC - Real Time Check

Automatic Test

Procedure for performing automated device self-tests.

Manual Test

Procedure for manually initiating device self-tests.

Status of the Last Test

How to view the results of the most recent RTC test.

RTC Operation without Transmitter

RTC functionality when the transmitter module is not installed.

CPR Maestro

Using the CPR Maestro

Steps for connecting and preparing the CPR Maestro accessory.

CPR Maestro Feedback

How the device provides feedback on compression quality.

CPR Maestro Messages

Explanation of messages displayed during CPR Maestro use.

CPR Graphic Display

Interpretation of visual feedback on compression depth and frequency.

PC Connection

Introduction and Requirements

Overview of PC connection capabilities and system requirements.

SoftDEA Installation

Steps for installing the SoftDEA software.

Connecting CardioMax to PC

Procedure for establishing a physical connection between device and PC.

Startup Screen and Display Button

Understanding the SoftDEA startup screen and display button.

Graphic Display Screen Functions

Details on download, open, print, and PDF functions.

Settings and Language Options

Configuring software settings and changing device language.

RTC Software Installation and Operation

Installing and operating the RTC software for device monitoring.

Care and Maintenance

Preventive Maintenance

Recommended periodic inspections by qualified technicians.

Cleaning the Equipment

Instructions for cleaning the device and its accessories.

Removable Battery

Information on battery life, charging, and replacement.

Removable Battery Replacement

Step-by-step guide for replacing the device's battery.

Replacing Printer Thermal Paper

Instructions for replacing paper in GSI and Bixolon printers.

Repairs

Procedures for returning equipment for repair and contacting support.

Precautions, Restrictions and Warnings

Electromagnetic Compatibility

Precautions regarding electromagnetic interference.

Electromagnetic Immunity - General

Immunity standards and directives for the device.

Electromagnetic Immunity - Life Support Functions

Advisable separation distances for RF communications equipment.

Troubleshooting

Common Symptoms and Solutions

Table of common issues and their probable causes/solutions.

Accessories

Basic Accessories

List of essential accessories included with the device.

Defibrillator Accessories

List of accessories for defibrillation function.

ECG Accessories

List of accessories for ECG monitoring.

NIBP Accessories

List of accessories for NIBP monitoring.

SpO2 Accessories

List of accessories for SpO2 monitoring.

Pacemaker Accessories

List of accessories for pacemaker functionality.

Optional Accessories

List of optional accessories available for purchase.

Parts

List of internal device parts and their codes.

Specifications and Safety

General Specifications

Physical dimensions, weight, power, and fuse details.

Defibrillator Specifications

Technical details of the defibrillator function.

AED Mode Specifications

Technical details specific to AED mode operation.

ECG Analysis Algorithm

Details on the algorithm used for ECG rhythm analysis.

Types of Arrhythmia Analyzed

Classification of shockable and non-shockable arrhythmias analyzed.

Precision of Applied Energy

Table showing energy precision across different impedances.

Pacemaker Specifications

Technical parameters for the pacemaker function.

ECG Specifications

Technical parameters related to ECG monitoring.

NIBP Specifications

Technical parameters for Non-Invasive Blood Pressure monitoring.

SpO2 Specifications

Technical parameters for SpO2 monitoring.

CPR Maestro Specifications

Technical details of the CPR Maestro accessory.

Respiration Specifications

Technical parameters for respiration monitoring.

Capnography Specifications

Technical parameters for capnography monitoring.

Warranty Certificate

Equipment and Serial Number

Fields for recording equipment details for warranty.