Primedic DefiMonitor XD Series - User Manual

DefiMonitor XD Operating Manual
21324 / 09.05 / 02 / GB I
© by METRAX GmbH
This operating manual or any part thereof shall not be reproduced, transmitted, saved
on electronic media or translated into any human or computer language without our
approval. Any violations of this restriction not only infringe our copyright, but also
limit our ability to provide accurate and up-to-date information to the user and the
operator of this device.
Right to make changes to this operating manual are reserved.
METRAX GmbH
Rheinwaldstrasse 22
D-78628 Rottweil
Tel.: + 49 (0)741 257-0
Fax: + 49 (0)741 257-235
www.metrax.de
Printed in Germany

Summary

Introduction

1.1 Foreword

Introduction to the DefiMonitor XD and its operating manual.

1.2 Scope

Information in the manual refers to all models of the DefiMonitor XD.

1.3 Guarantee

METRAX GmbH offers a 24-month guarantee on the PRIMEDIC DefiMonitor.

Liability Exemptions

Symbols In This Operating Manual

Symbols On The Device

Symbols On The SavePads

Intended Use

2.1 Indications;Contraindications of Defibrillation

Conditions for using and not using the DefiMonitor XD for defibrillation.

2.2 Indications of Complications

Lists potential complications that may arise from the use of the defibrillator.

2.3 User Group

Specifies the authorized personnel for operating the DefiMonitor XD device.

Safety Instructions

3.1 General Instructions

Overall safety norms and essential precautions for using the DefiMonitor XD.

3.2 General Safety Instructions

Important safety rules to follow when using the device in various environments.

3.3 Safety Instructions For You, The User

Critical safety instructions for the operator of the DefiMonitor XD.

3.4 Safety Instructions for the Patient

Essential safety guidelines to ensure the patient's well-being during device operation.

3.5 Safety Instructions For A Third Person

Instructions for ensuring the safety of bystanders during defibrillation.

3.6 Safety Instructions For The Device

Guidelines for proper maintenance, repairs, and use of original accessories for the device.

Device description

4.1 General Description

Overview of the DefiMonitor XD's features, design principles, and model variations.

4.2 Description of Device Details

Identifies and describes the physical components of the DefiMonitor XD from front and back views.

4.3 Capacity Display

Explains the different levels of battery charge displayed on the DefiMonitor.

4.4 Data Management

Describes how ECG data and audio are recorded and managed using the SaveCard.

4.5 Accessory Description

Details the various accessories available for the DefiMonitor XD.

4.5.1 Paddles

Details the adult and paediatric paddles and their proper usage.

4.5.2 SavePads AED

Description and image of the SavePads AED, 2-pole.

4.5.3 EKG-Patient cable, 2-pole

Description and image of the 2-pole ECG-Patient cable and electrodes.

4.5.4 ECG-Patient cable, 3-pole

Description and image of the 3-pole ECG-Patient cable and electrodes.

4.5.5 SpO2-Sensor (only for DefiMonitor XD3;30;330)

Description of the SpO2-Sensor and its adapter cable for specific models.

Preparatory Measures Before (First) Operation

5.1 Unpacking

Instructions for checking the device for damage and ensuring all equipment is delivered.

5.2 Inserting; Changing The SaveCard

Procedure for inserting or changing the SaveCard in the DefiMonitor.

5.2.1 Inserting the SaveCard

Step-by-step guide to insert the SaveCard into the device after disconnecting the accumulator.

5.2.2 Changing The SaveCard

Instructions for removing and replacing the SaveCard, including data transfer.

5.3 Inserting; Changing the Power Supply Unit (Power Module)

Guidelines for inserting or changing the power module (AkuPak or mains).

5.3.1 Inserting The Power Module

Detailed steps for inserting the power module into the DefiMonitor.

5.3.2 Removing The Power Module From The Device

Procedure for safely removing the power module from the DefiMonitor.

5.4 Charging The AkuPak

Information on how to charge the AkuPak using integrated or external charging units.

5.4.1 Charging The AkuPak With The External Charging unit

Reference to a separate manual for charging the AkuPak with an external unit.

5.5 Connecting The Powercord

Instructions for connecting the power cord to the device and power socket.

5.6 Inserting the printer paper

Procedure for installing the printer paper roll into the device.

5.7 Device Self Test

Details on the automatic and periodical self-tests performed by the device.

Operation Of The DefiMonitor XD

6.1 Switching On And Off

Steps for turning the DefiMonitor XD on and off, including self-test procedures.

6.1.1 Switching PRIMEDIC DefiMonitor XD On

Detailed steps for powering on the DefiMonitor XD and its initial self-test.

6.1.2 Switching PRIMEDIC DefiMonitor XD Off

Various methods to switch off or put the DefiMonitor XD into standby mode.

6.2 Choosing Operating Mode and Changing the Configuration

How to select operating modes and change device configuration settings.

6.2.1 Choosing The Operation Mode

Explains the AUTO-Mode and MANUAL Mode options for the DefiMonitor XD.

6.2.2 Auto Mode

Details the automatic ECG-Rhythm-Analysis performed in Auto Mode.

6.2.3 Manual Mode

Instructions for switching to and operating the DefiMonitor XD in Manual Mode.

6.3 Alarms

Information on device alarms, their display, and acknowledgement.

6.4 Event

How to mark and log events using the EKG and event memory.

6.5 Operating The Printer

Instructions for using the device's printer for EKG logging and printouts.

6.5.1 Log of the ECG Signal

Details on EKG logging, print speed, and channel selection for printouts.

6.5.2 Automatic Printout after Each Shock (Autoprint)

How to configure and use the Autoprint function for post-shock EKG logging.

6.5.3 Printout of the Result Memory

Instructions for printing saved defibrillation events and results from the memory.

Positioning Of The Electrodes

7.1 Undressing The Patient

Guidance on preparing the patient by undressing the upper body for electrode placement.

7.1.1 Determining The Position Of Electrodes

Specifies the correct placement points for defibrillation electrodes on the patient.

7.1.2 Positioning of Pacer -; Defibrillator electrodes for Pacing

Details electrode positions for heart stimulation (pacing) and their polarity.

7.2 Opening SavePads

Instructions for opening the packaging of the SavePads electrodes.

7.3 Removing the Chest Hair

Procedure for shaving chest hair at electrode positions for better contact.

7.4 Connecting The Electrodes

Steps for connecting the electrodes to the DefiMonitor and patient.

7.4.1 Pulling Off The Protective Sheet On The Electrodes And Placing the Electrodes

Detailed steps for removing electrode protective sheets and placing them on the patient.

7.5 Check Electrodes

Troubleshooting common errors related to electrode contact and function.

Auto Mode

8.1 Voice Prompts; Preliminary Examination Of The Patient

Guidance on patient examination using voice prompts during Auto Mode.

8.2 Carrying Out The ECG Analysis in Auto Mode

Process of ECG analysis in Auto Mode and operator actions during it.

8.3 Defibrillation Required

Procedure when the device detects a shockable rhythm and recommends defibrillation.

8.4 Defibrillation Not Required

Actions to take when the device does not detect a shockable rhythm.

8.5 Keeping The Defibrillator Ready For Use

Steps for preparing the device for future use after resuscitation.

Manual Mode

9.1 Carrying out of the Defibrillation

Steps for performing defibrillation in Manual Mode, including shock methods.

9.1.1 Choose Energy

How to select the appropriate energy level for defibrillation based on patient factors.

9.1.2 Charge Energy

Procedure for charging the defibrillation energy using the device controls.

9.1.3 Discharge Energy

Instructions for discharging the charged energy and safety precautions.

9.2 SYNC and ASYNC Mode

Explanation of Synchronised (SYNC) and Asynchronous (ASYNC) modes for cardioversion.

9.3 Keeping The Defibrillator Ready For Use

Steps for preparing the device for future use after resuscitation.

Apply the SpO2-Sensor

10.1 Connect the SpO2-Sensor

Instructions for connecting the SpO2 sensor to the patient and the device.

Operation Of The Pacer

11.1 Switching On and Off

Procedure for turning the Pacer XD on and off and initial parameter settings.

11.2 Operation Pacer mode setting

Details the three operation modes for the Pacer: DEMAND, FIX, and OVERDRIVE.

11.3 Stimulation frequency setting

How to set the stimulation frequency for different Pacer modes.

11.4 Stimulation intensity setting

How to adjust the stimulation intensity for effective heart pacing.

11.5 Start And Stop Pacing

Instructions for starting, stopping, and managing pacing sessions.

11.6 Defibrillation during pacing with adhesive electrodes

Procedure for performing defibrillation while the Pacer is active.

Cleaning, Servicing And Despatching

12.1 Cleaning

Guidelines for cleaning the DefiMonitor and its accessories safely.

12.2 Servicing

Recommendations for regular inspection and servicing of the device.

12.3 Despatching PRIMEDIC DefiMonitor XD

Instructions for preparing the device for shipping for upgrades or servicing.

Disposal

Technical Data

Defibrillation

Technical specifications related to defibrillation modes, impulse shape, and energy output.

ECG

Technical specifications for the ECG monitoring functions.

SpO2 NELLCOR-pulseoximetry-module

Technical specifications for the SpO2 monitoring module.

Accessory list

Warranty Conditions

Representation of the Current-Time Function

System of Rhythm Detection

General instructions for the use of pulsoximeters

Guidelines And Manufacturers Statement - Electromagnetic Emissions

General Instructions And Rules For Using The Optional AkuPak

Recommended Safety Checks

Primedic DefiMonitor XD Series Specifications

General

Display	Yes
Resolution	800 x 600 pixels
ECG Monitoring	Yes
SpO2 Measurement	Yes
NIBP Measurement	Yes
Battery Type	Lithium-ion
Device Type	Defibrillator Monitor
ECG Channels	12-lead ECG
Temperature Measurement	Yes
EtCO2 Measurement	Yes
Defibrillation	Yes
Data Storage	Yes
Connectivity	USB
Power Source	AC power, Battery