Name: ZOLL X Series
Brand: ZOLL
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Chapter 8 Monitoring Non-Invasive Blood Pressure (NIBP)

8-8 www.zoll.com 9650-001355-01 Rev. M

2. Insert the plastic connectors on the NIBP hose into the cuff hose connector, and twist the

connectors until they lock. The connectors are the same; you can insert either of the plastic

connectors into either of the cuff hose connectors in any order.

Default Chapter3
- Table of Contents3
Chapter 1 General Information13
- Product Description13
  - Series Optional Features15
- How to Use this Manual15
- Operator's Guide Updates15
- Unpacking16
- Symbols Used on the Equipment16
- Conventions19
- Series Indications for Use20
- Series Product Functions23
- Safety Considerations27
- Warnings27
- Cautions36
- Restarting the Defibrillator36
- FDA Tracking Requirements37
  - Notification of Adverse Events37
- Software License38
- Service38
- The ZOLL Serial Number40
Chapter 2 Product Overview41
- Defibrillator Controls and Indicators41
- Navigating the Display Screen56
- Common Tasks60
Chapter 3 Monitoring Overview65
- Series Monitoring Functions65
- Monitoring Display Options68
- Configuring the Waveform Display70
Chapter 4 Trends75
- Displaying the Trends Status Window76
- Printing Trend Information77
- Changing the Trends Status Window Display78
  - Continuous Waveform Recording79
Chapter 5 Alarms81
- Visual Alarm Indicators82
- Audible Alarm Indicators82
- Alarm Indicator Self-Test82
- Patient Alarm Display83
- Life Threatening Rhythm Alarms84
- Equipment Alert Display84
- Responding to Active Alarms85
  - Re-Enabling an Alarm85
  - Latching Alarms85
- Pausing (Suspending) Alarms86
  - Alarm Reminders86
- Alarm Options87
  - Selecting Default Alarm Limits88
  - Setting Alarm Limits Relative to the Patient -- Stat Set Option88
Chapter 6 Monitoring ECG91
- ECG Monitoring Setup93
- ECG Monitoring and Pacemakers99
- ECG System Messages100
Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)101
- Respiration/Breath Rate Meter102
  - Using Impedance Pneumography to Measure Respiration102
- Configuring Respiration (RR/BR) Alarms and Settings103
  - Enabling/Disabling RR/BR Alarms and Setting Alarm Limits103
  - Using the Resp Parameter Control Panel104
- Heart Rate Meter105
- Configuring Heart Rate (HR) Meter Alarms105
- RESP System Message109
Chapter 8 Monitoring Non-Invasive Blood Pressure (NIBP)111
- How Does NIBP Work113
- The NIBP Numeric Display114
- NIBP Setup and Use114
- Selecting the NIBP Cuff115
- Connecting the NIBP Cuff116
- Applying the Cuff to the Patient119
- Ensuring Correct Cuff Inflation Settings120
- Configuring NIBP Alarms and Settings121
  - Enabling/Disabling NIBP Alarms and Setting Alarm Limits121
  - Using the NIBP Parameter Control Panel123
- NIBP System Messages125
Chapter 9 Monitoring CO2127
- Overview127
- CO2 Monitoring Setup and Use128
- Measuring CO2133
- Setting CO2 and Respiration Rate Alarms134
  - Enabling/Disabling Alarms and Setting CO2 Alarm Limits134
  - Using the CO2 Parameter Control Panel136
- CO2 System Messages137
- Patents138
Chapter 10 Pulse CO-Oximetry (Spo2)139
- Warnings -- Spo2 General141
- Cautions143
- Spo2 Setup and Use144
- Selecting the Spo2 Sensor144
- Applying the Spo2 Sensor144
- Connecting the Spo2 Sensor147
- Displaying Measurements148
- Enabling/Disabling Spo2 Alarms and Setting Alarm Limits149
- Using the Spo2 Parameter Control Panel153
- Spo2 System Messages154
- Functional Testers and Patient Simulators155
- Patents155
Chapter 11 Monitoring Invasive Pressures (IBP)157
- Invasive Pressure Transducers157
- IBP Setup158
- Attaching the Invasive Pressure Transducer159
- Zeroing the Transducer160
- Rezeroing a Transducer161
- Displaying IBP Measurements161
  - Conditions Affecting IBP Measurements161
- Enabling/Disabling IBP Alarms and Setting Alarm Limits162
- IBP System Messages165
Chapter 12 Monitoring Temperature167
- Temperature Monitoring Setup167
- Selecting and Applying Temperature Probes168
- Connecting the Temperature Probe168
- Displaying Temperature168
- Enabling/Disabling Temperature Alarms and Setting Alarm Limits169
- Setting Upper and Lower Temperature Alarm Limits169
- Setting Upper and Lower Temperature Alarm Limits170
- Selecting the Temperature Label171
- Temperature System Messages172
Chapter 13 Automated External Defibrillator (AED) Operation173
- AED Operation173
- Switching to Manual Mode Operation182
Chapter 14 12-Lead ECG Interpretive Analysis183
- Entering Patient Information185
  - Entering the Patient Name and ID185
  - Entering Patient Age and Gender186
- 12-Lead ECG Monitoring Setup186
- Printing 12-Lead Waveform Traces194
- 12-Lead Print and Display Options196
Chapter 15 Manual Defibrillation199
- Emergency Defibrillation Procedure with Paddles199
- Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes204
- Internal Paddles207
  - Deliver Shock207
  - Verification Prior to Use208
- Synchronized Cardioversion209
- Synchronized Cardioversion Procedure210
Chapter 16 Advisory Defibrillation213
- Advisory Defibrillation Procedure214
Chapter 17 Analysis/Cpr Protocol Defibrillation219
- Analysis/Cpr Protocol Defibrillation Procedure220
Chapter 18 External Pacing225
- External Pacing225
  - Pacer Modes226
- Pacing in Demand Mode226
- Pacing in Fixed Mode230
Chapter 19 Real CPR Help235
- CPR Voice Prompts (Adult Only)237
- CPR Metronome237
- CPR Dashboard239
- CPR Compression Bar Graph (Adult Only)241
Chapter 20 See-Thru CPR243
- Using See-Thru CPR244
  - Examples245
Chapter 21 Patient Data249
- Storing Data250
  - Log Capacity Indicator250
- Capturing a Data Snapshot250
  - Reviewing and Printing Snapshots251
- Treatment Summary Report251
  - Printing Treatment Summary Report251
- Transferring Data to a USB Device252
  - Clearing the Log253
Chapter 22 Communications255
- The Wireless Icon256
- The Wireless Menu258
- Sending a 12-Lead Report266
- Sending Disclosure Logs267
- Supervisor Communications Menu268
- Communications System Messages286
- Transmission Status Icons286
Chapter 23 Printing287
- Printing Patient Data287
Chapter 24 Maintenance291
- Daily/Shift Check Procedure292
  - Inspection292
- Defibrillator/Pacing Test with Hands-Free Therapy Electrodes293
- Defibrillator Testing with External Paddles295
- Recommended Minimum Preventive Maintenance Schedule296
  - Annually296
- Guidelines for Maintaining Peak Battery Performance296
- Cleaning Instructions297
Appendix A Specifications302
- Defibrillator302
- Monitor/Display314
- Impedance Pneumography315
- Alarms316
- Battery317
- Recorder317
- General318
- Co2319
  - Pulse Oximeter320
  - Noninvasive Blood Pressure323
- Pacer319
- Non-Invasive Blood Pressure323
  - Invasive Pressures324
- Temperature325
- Clinical Trial Results for the Biphasic Waveform326
- Electromagnetic Compatibility Guidance and Manufacturer's Declaration330
- ECG Analysis Algorithm Accuracy336
- Wireless Output Guidance and Manufacturer's Declaration337
Appendix B Accessories339
- Co2340

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ZOLL X Series Specifications

General

Type	Defibrillator/Monitor
Display	Color LCD
ECG Monitoring	Yes
Pacing	Yes
SpO2 Monitoring	Yes
NIBP Monitoring	Yes
Defibrillator Type	Biphasic
EtCO2 Monitoring	Optional
Data Storage	Yes
Battery	Rechargeable Lithium-ion
CPR Feedback	Real CPR Help
Energy Selection	1-360 J
Pacing Rate	30 – 180 ppm
Pacing Output	0 – 140 mA
Display Size	6.5 inches
Invasive Pressure Monitoring	Optional
Temperature Monitoring	Optional
Wireless Connectivity	Wi-Fi, Bluetooth