Philips HeartStart XL+ - ECG Monitoring Problems

3: Troubleshooting Components Troubleshooting
54
ECG Monitoring Problems
TIP: When troubleshooting problems with paddles or pads, try replacing the paddles or pads first.
When troubleshooting ECG problems, try replacing the ECG cable first.
Table 17 ECG Monitoring Problems
Symptom Possible Causes Suggested Solution
Flat line – no waveform, no Leads
Off, or Pads Off, or Paddles Off
message
Short in ECG cable or leads • Replace ECG cable
• Replace Measurement Module Panel
Short in Therapy Cable • Replace Therapy Cable
• Replace Therapy Port
Processor PCA failure (if using ECG
Leads)
Replace Processor PCA
Therapy PCA failure (if using Pads) Replace Therapy PCA
Poor ECG signal quality – (noisy
trace, wandering baseline, etc.)
from signal acquired from
monitoring electrodes.
Poor skin preparation or electrode
contact
Ensure that the user is properly connecting
electrodes and preparing patient’s skin
Radio frequency interference (RFI) is
causing artefact
Relocate or turn off equipment that may be
causing RFI
Defective ECG cable or leads Replace ECG cable and leads
Equipment Malfunction: ECG
message
ECG cable or leads failure Replace ECG cable and leads
Internal cables failure Replace ECG Port
Processor PCA failure Replace Processor PCA
Equipment Malfunction: Pads
ECG message
Bad connection from Therapy Port
to Therapy PCA
Replace Therapy Cable
Therapy Port failure Replace Therapy Port
Therapy PCA failure Replace Therapy PCA
Leads Off / Pads Off / Paddles
Off
message even though ECG
cable and leads are properly
connected.
Cannot Analyze ECG message
Poor skin preparation or electrode
contact
Ensure that the user is properly connecting
electrodes and preparing patient’s skin
Excessive motion artifact Ensure that the user reduces patient
movement
Pads/Paddles Type
Undetermined message
Wrong pads or paddles type Use only Philips-approved pads or paddles
Pads or paddles failure Replace pads or paddles