Warnings
9650-0912-01 Rev. N ZOLL R Series Operator’s Guide 1–17
• Evidence that the safety certification of the accessory has been performed in accordance
with the appropriate IEC (EN) 60601-1 and/or IEC (EN) 60601-1-1 harmonized national
standards.
Always check that the equipment functions properly and is in proper condition before use.
Disconnect all electro-medical equipment that is not defibrillation-protected from the patient
prior to defibrillation.
Before discharging the defibrillator, warn everyone to STAND CLEAR of the patient.
Do not touch the bed, patient, or any equipment connected to the patient during defibrillation.
A severe shock can result. To avoid hazardous pathways for the defibrillation current, do not
allow exposed portions of the patient's body to touch any metal objects, such as a bed frame.
When the R Series is performing a Code Readiness test, as indicated on the display, do not
touch the connected paddles, electrodes, or OneStep cable connector.
Patient Safety
This equipment should be connected to only one patient at a time.
Use only OneStep Pediatric electrodes to defibrillate patients under 8 years of age in Advisory
modes. Use of adult electrodes, or pediatric electrodes other than OneStep Pediatric electrodes,
can result in the delivery of excessive energy doses.
Neonatal and pediatric defibrillation energy level settings should be based on site-specific
clinical protocols.
To ensure patient safety, connect the R Series only to equipment with galvanically isolated
circuits.
Use only high-quality ECG electrodes. ECG electrodes are for rhythm acquisition only; you
cannot use ECG electrodes for defibrillation or pacing.
Do not use therapy or ECG electrodes if the gel is dried, separated, torn or split from the foil;
patient burns may result from using such electrodes. Poor adherence and/or air pockets under
therapy electrodes can cause arcing and skin burns.
Check the expiration date on the electrode packaging. Do not use electrodes after their
expiration date.
Excessive body hair or wet, diaphoretic skin can inhibit electrode coupling to the skin. Clip
excess hair and dry any moisture from the area where an electrode is to be attached.
Therapy electrodes should be replaced periodically during continuous pacing. Consult
electrode directions for proper replacement instructions.
Prolonged pacing (more than 30 minutes), particularly in neonates or adults with severely
restricted blood flow, may cause burns. Periodically inspect the skin under the electrodes.
Carefully route the patient cables to reduce the possibility of patient entanglement or
strangulation.
To avoid electrosurgery burns at monitoring sites, ensure proper connection of the
electrosurgery return circuit so that a return path cannot be made through monitoring electrodes
or probes.
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