Name: ZOLL X Series
Brand: ZOLL
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Chapter 9 Monitoring CO2

9-4 www.zoll.com 9650-001355-01 Rev. M

Connecting the CO

Sampling Lines

To connect the FilterLine or Smart CapnoLine:

1. Slide open the X Series unit’s CO

inlet port cover.

2. Put the fitting at the end of the sidestream tubing over the CO

inlet port connector.

3. Turn the fitting clockwise to tighten.

Figure 9-1 Connecting the Sampling Line Connector to the CO

Inlet Port

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