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Defibrillation made simple - InCenter
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1. Dimensions 2 4 in H x 0 94 in W x 7 2 in D 61 7 mm x 23 9 mm x 182 mm Weight 1 4 Ibs 0 65 kg Charge Time Approximately 14 5 hours to 100 Approximately 3 hours to 90 indicated by LED on front panel Capacity 100 minutes ECG monitoring or 50 full energy discharges or 75 minutes ECG monitoring while pacing with a new fully charged battery at room temperature 25 C Battery Indicators LOW BATTERY message appears on display when at least 10 minutes of monitoring time and 5 maximum energy discharges remain with a new battery at room temperature 25 C Battery Storage Should not be stored above 40 C for extended periods of time Charger Output Unit can be operated using only AC Power with no battery installed Thermal Array Printer Continuous Real Time Strip User starts and stops the strip The strip prints the selected ECG lead with the following data Header Date Time Heart Rate the SpO Value if available and the text Delayed if printing has been configured for Delayed Mode Prints every 2 seconds Header 2 Current mode AED Manual Lead Gain filter setting the text Sync if Sync has been enabled and Pacer Settings consisting of the Pacer Mode Rate and Current if presently pacing the patient Prints every 12 seconds with Header Header 3 Changes in Mode Gain Lead Sync and Pacer Settings Footer Drug Annotations HR SpO limits on a Limit
2. x AL Power Ger Carge TEMARI Energy Select tes gh l LEAD Spo2 Strip so 79 300 HRALARM seLecr onsorr d ot Y12053 Summary VV W M j V Stand Clear 150J a Dita 4 j Press SHOCK Soasi 00 02 50 _ i T SHOCK a Defibrillation made simple Product Description M4735A HeartStart XL Defibrillator Monitor Philips Healthcare s M4735A HeartStart XL offers advanced The HeartStart XL charges to its highest energy level in less and basic life support clinicians a compact lightweight easy to than 3 seconds ALS providers can also perform synchronized use defibrillator monitor with both Manual and AED cardioversion and deliver non invasive pacing therapy capabilities HeartStart XL features Philips patented SMART Biphasic waveform ECG monitoring synchronized cardioversion and optional non invasive pacing and SpO gt In AED Mode the HeartStart XL meets the needs of BLS users by offering a range of functions from basic AED to AED with monitoring BLS clinicians will find these intuitive AED features A biphasic waveform is energy delivered in two phases During supported by straightforward voice prompts and displayed text the first phase the electrical current passes through the heart messages muscle reverses direction and then passes through the heart a The HeartStart XL records a patient summary in either mode of operation Patient data such as con
3. Alarm the Results of Analysis in AED Mode No Shock Advised Shock Advised or Cannot Analyze Charging to xxx J Shock Delivered No Shock Delivered Disarm Battery Low Symbols Mark Triangle for presses of the Mark key an Alarm Bell Alarm Limits Violations Lightning Bolt Shock Delivered followed by b for biphasic Vertical Strip Boundaries Pacer Sync Tick marks Event printing Mark key automatically documents ECG and events during defibrillation episodes The Mark key can annotate the event with one of the following labels Epinephrine Adrenaline in U K and Australia Atropine Lidocaine and Other Auto Printing The printer can be configured to automatically print on Mark Charge Shock and Alarm Delayed Printing The printer can be configured to run real time or with a 6 second delay Reports The following can be printed Event Summary Configuration Extended Self Test System Log Battery Capacity Test Shift System Check Speed 25 mm s with an accuracy of 5 Amplitude Accuracy 10 or 50 uV whichever is greater Paper Size 50 mm by 30 m 100 ft Noninvasive Pacing Waveform Monophasic Truncated Exponential Current Pulse Amplitude 10 mA to 200 mA 5 mA resolution accuracy 10 mA to 50 mA 5 mA 50 mA to 200 mA 10 Pulse Width 20 ms with accuracy 0 5 ms Rate 30 ppm to 180 ppm 10 ppm increments accuracy 5 Modes Demand or Fixed Rate Refractory
4. line appear on the display if an electrode or lead wire becomes disconnected Paddle Fault NO PADDLES CONNECTED message and dashed ine appear on the display if paddles become disconnected Pad Fault PADS OFF message and dashed line appear on the display if the pads become disconnected Heart Rate Display Digital readout on display from 15 to 300 bpm with an accuracy of 10 Heart Rate Alarms Configurable pairs of low and high heart rate alarm limits 30 to 100 60 to 140 90 to 160 and 120 to 200 bpm Hands Free Defibrillation Cable Length 7 ft 2 13 m ECG Cable Length 12 ft 3 7 m Common Mode Rejection Greater than 90 dB measured per AAMI standard for cardiac monitors EC 3 ECG Size 2 5 5 10 20 40 mm mvV Frequency Response AC Line Filter 60 Hz or 50 Hz Pads ECG for Display Monitor 15 40 Hz or EMS 1 30 Hz Pads ECG for Printer Monitor 15 40 Hz or EMS 1 30 Hz Leads ECG for Display Monitor 15 40 Hz or EMS 1 30 Hz Leads ECG for Printer Diagnostic 05 150 Hz or EMS 1 30 Hz or Monitor 15 40 Hz Patient Isolation defibrillation proof ECG Type CF SpO3 Type CF Defib Type BF Display Type LCD TFT Color Liquid Crystal Display Size 1 4 mm x 83 5 mm Resolution 320 x 240 pixels Sweep Speed 29 mm s nominal stationary trace sweeping erase bar Viewing Time 4 seconds Battery Type 2 Ah 2V rechargeable Sealed Lead Acid
5. use with M3508A 989803147711 Data Card M3516A HeartStart Sealed Lead Acid Battery 453564045111 User Training CD ROM M4747A Battery Charger Kit 40457C box 50 mm Strip Chart Thermal Paper 10 rolls box 40457D box 50 mm Strip Chart Thermal Paper 80 rolls box 989803135291 Cadex C7200 Battery Charger holds 2 XL batteries 989803135321 Cadex C7400 Battery Charger holds 4 XL batteries 989803135341 Cadex C7400 Battery Charger holds 2 XL and 2 MRx batteries Specifications General Dimensions 19 0 cm H x 37 6 cm W x 34 6 cm L 7 5 in x 14 8 in x 13 7 in Weight 6 0 kg 13 3 Ibs including battery and full roll of paper Defibrillator Waveform Biphasic Truncated Exponential Waveform parameters adjusted as a function of patient impedance Shock Delivery Via multifunction defib electrode pads or paddles Delivered Energy Accuracy Selected Delivered Energy J Accuracy Energy Load Impedance Ohms 25 50 100 125 150 5J 47 5 0 5 2 5 4 5 2 2 10 9 3 10 10 4 10 7 10 4 2 20 18 6 20 20 8 21 4 208 15 30 279 30 312 32 1 31 2 15 50 46 7 50 523 53 5 52 1 15 70 65 4 70 73 1 75 0 72 9 15 100J 93 5 100 104 7 107 2 104 4 15 150J 140 3 150 156 8 161 0 156 5 15 200J 187 200 209 3 214 6 208 6 15 Charge Time Less than 3 seconds to 200 Joules with a ne
6. 888 EUROPE MIDDLE EAST AND AFRICA Tel 49 7031 463 2254 LATIN AMERICA Tel 55 11 2125 0764 NORTH AMERICA Tel 425 487 7000 800 285 5585 toll free U S only 2008 Koninklijke Philips Electronics N V All rights are reserved Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder Philips Medical Systems Nederland B V reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication Printed in The Netherlands 452296232531 March 2008
7. Paddles MI741A M1742A M1743A MI744A MA741A M4742A M4743A M4744A M4740A 7 5 cm Switchless 6 0 cm Switchless 4 5 cm Switchless 2 8 cm Switchless 7 5 cm Switched 6 0 cm Switched 4 5 cm Switched 2 8 cm Switched Internal Paddles Adapter Cable Pads Electrodes M3713A M3716A M3717A M3718A M3719A M3501A M3502A M3503A M3504A DP2 DP6 tart Multifunction Adult Plus tart Multifunction Adult Radiolucent Hear ear tart Multifunction Pediatric Plus tart Multifunction Adult Radiotransparent educed Skin Irritation eartStart Multifunction Pediatric adiotransparent Reduced Skin Irritation Multifunction Defib Adult Electrode AAMI Multifunction Defib Adult Electrode IEC Multifunction Defib Pediatric Electrode IEC Multifunction Defib Pediatric Electrode AAMI HeartStart AED Defibrillation Pads 2 pack HeartStart AED Defibrillation Pads 6 pack H H H R H R Pads Paddle Cables M3507A M3508A 05 10200 M4748A Multifunction Defib Pads Connector Cable HeartStart Pads Connector Cable Pads Adapter use with M3507A Adapter Extension Cable ECG Monitoring Electrodes M2202A High Tack Foam ECG Electrode 5 electrodes pouch 300 electrodes case ECG Cables MI500A 3 Lead ECG Trunk Cable AAMI M1663A 10 Lead Trunk Cable M1668A 5 Lead Trunk Cable MI669A 3 Lead Trunk Cable MI949A 0 Lead Trunk Cable MI605A 3 Lead ECG Pa
8. Period 340 msec 30 to 80 ppm 240 msec 90 to 180 ppm SpO Pulse Oximetry Accuracy with 91A sensor standard deviation 70 to 100 2 5 AL sensor 70 to 100 2 5 B sensor 70 to 100 2 5 BL sensor 70 to 100 2 5 2A sensor standard deviation 70 to 100 2 5 4A sensor standard deviation 70 to 100 4 0 A sensor standard deviation 70 to 100 3 0 T sensor 70 to 100 3 0 92T sensor 70 to 100 3 0 96T sensor 70 to 100 3 0 96A sensor 70 to 100 3 0 Oo WO 0 0 O O SKK RRR RS AS U ulse Rate Accuracy 2 or bpm whichever is greater Wavelength Range 500 to 1000 nm Emitted Light Energy Less than or equal to 15 mW Display Update Interval Less than or equal to 60 seconds Resolution SpO Alarm Limits Three preset low alarm limits 90 85 and 80 INOP Alerts Triggered by disconnected sensor noisy signal light interference or low signal non pulsatile Event Storage Internal Event Summary The Internal Event Summary stores up to 300 events and up to 50 waveforms Events can be marked with a Mark symbol and if configured for drug annotation the following labels can be added Epinephrine Adrenaline in U K and Australia Atropine Lidocaine or Other The Summary key on the front panel is used to print the internal Event Summary Data Card Event Summary The Data Card stores continuou
9. labeling Standard Accessories gt Sealed Lead Acid Battery gt Hands Free Multifunction Defib Electrode Cable gt ECG Patient Cable 3 lead gt Di sposable Monitoring Electrodes 5 gt Rolls of printer paper 2 gt Instructions for Use gt Quick Reference Card gt User Training Workbook gt Test Load gt AC Power Cord Ordering Option Information OB3 Service Manual OBP User Training Video COI SpO Monitoring with adult reusable transducer C02 Non invasive Pacing C03 2 pin 5 lead ECG Cable C05 User Training CD ROM CO7 Hands free cable M3507A barrel connector and Text Load M1781A barrel connector C08 Hands free cable M3508A flat connector and Test Load M3725A flat connector Default option C10 Data Card Cl3 External paddles with Paddle Contact Indicator C24 External Sterilizable Paddles Option not available in the U S and Canada J03 2 pin Sync Cable W18 Extends year CE On site to 2 Year CE On site Warranty WI9 Extends year CE On site to 3 Year CE On site Warranty W20 Extends year CE On Site to 5 Year CE On site Warranty WAO Provides a 5 year bench repair with loaner U S Canada only WAI Converts standard warranty to a 5 year BioMed Warranty U S only Upgrades Supplies Accessories Upgrades M4738A Pacing Upgrade M4739A SpO Upgrade External Paddles M4745A Sterilizable External Paddles M4746A External Paddles with PCI Internal
10. ofile Fixed energy 150 Joules AED Shock Series 2 3 4 shocks per series Shock Series Timer off 30 60 90 120 150 180 or 210 seconds Text and Voice Prompts Extensive text audible messages guide user through protocol AED Controls On Off Pause Resume Analyze Stop Analysis Shock Lead Select SpO On Off SpO Alarms HR Alarms ECG Gain Volume Strip Summary Mark ndicators LCD display for ECG waveforms and text prompts Audio alerts voice prompts QRS Beeper Charging tones Charge Done Tone Printer AC Power LED Battery Charging LED Armed Indicators Charge Done tone available energy indicated on display Voice Message Patient Analysis Per protocol evaluates patient ECG and signal quality to determine if a shock is appropriate and evaluates connection impedance for proper defibrillation pad contact Shockable Rhythms Ventricular fibrillation with amplitude greater than 100 uV and wide complex ventricular tachycardia with rates greater than 150 bpm Sensitivity and Specificity Meets AAMI guidelines ECG Monitoring Inputs Single channel ECG may be viewed on display and printed Pads ECG is obtained through 2 multifunction defibrillation electrode pads Lead Il or Ill is obtained through the 3 lead ECG cable and separate monitoring electrodes With a 5 lead cable ead aVR aVL aVF and any one of the V 1 6 leads can also be obtained Lead Fault LEADS OFF message and dashed
11. s ECG waveforms and events on a Type Il PCMCIA card Environmental Temperature 0 C to 55 C operating 20 to 70 C storage Charging the battery at temperatures above 35 C may degrade battery life Storing the battery for extended periods at temperatures above 40 C will reduce battery capacity and degrade battery life Humidity Up to 95 Relative Humidity Printer paper may jam if paper is wet Thermal Printer may be damaged if wet paper is allowed to dry while in contact with printer elements Altitude Operating up to 15 000 ft Storage up to 15 000 ft Shock Philips Medical Systems Section 760 Class BI Drop Test 200 G s lt 3 msec pulse Vibration Philips Medical Systems Section 759 Class BI Vibration Water Resistance Meets IEC 6060 1 2 4 IPX 0 EMC Meets EN 60601 1 2 Safety Meets IEC 60601 1 EN 60601 1 UL 2601 1 CAN CSA C22 2 No 601 1 Other Considerations Equipment not suitable for use in the presence of a flammable anesthetic mixture with air oxygen or nitrous oxide Mode of Operation Continuous AC Line Powered 00 240 VAC 50 60 Hz 5A Class 1 Battery Powered 2 V rechargeable SLA PHILIPS Philips Healthcare is part of Royal Philips Electronics On the web www philips com healthcare Via email healthcare philips com Via fax 31 40 27 64 887 By postal service Philips Healthcare 3000 Minuteman Road Andover MA 01810 1085 Asia Tel 852 2821 5
12. tient Cable with Snaps AAMI MI6Z7IA 3 Lead ICU Grabber AAMI MI672A 3 Lead ICU Grabber IEC M1673A 3 Lead ICU Snap AAMI MI674A 3 Lead ICU Snap IEC MI675A 3 Lead OR Grabber AAMI M1678A 3 Lead OR Grabber IEC MI5I0A 3 Lead ECG Trunk Cable IEC MI6I5A 3 Lead ECG Patient Cable with Snaps IEC MI520A 5 Lead ECG Trunk Cable AAMI M1625A 5 Lead ECG Patient Cable with Snaps AAMI M1I530A 5 Lead ECG Trunk Cable IEC M1635A 5 Lead ECG Patient Cable with Snaps IEC MI968A 5 Lead ICU Grabber AAMI MI644A 5 Lead ICU Snap AAMI MI973A 5 Lead OR Grabber AAMI MI97IA 5 Lead ICU Grabber IEC MI645A 5 Lead ICU Snap IEC MI974A 5 Lead OR Grabber IEC Sync Cables M1783A 2 pin Sync Cable SpO Sensors Cables MIISIA Adult Finger Reusable SpO gt Sensor 2 meters MII9IB Adult Finger Reusable SPO Sensor 2 meters MIIDIAL Adult Finger Reusable SPO Sensor 3 meters MIISIBL Adult Finger Reusable SpO gt Sensor 3 meters MII92A Pediatric Finger Reusable SpO Sensor 1 5 meters MI192T Pediatric Finger Reusable SpO Sensor 45 cm MI 194A Adult Pediatric Ear Clip Reusable SpO Sensor MII96A Reuseable Adult SpO Clip Sensor 3 meters MI196T Reuseable Adult SPO Clip Sensor 0 9 meters MI94IA M1943A MII3IA 2 meter extension cable Nellcor SPO Sensor Adapter Cable Disposable SpO gt Sensor Adult Pediatric Miscellaneous M4751A Accessory Pouch MI781A Test Load for use with M3507A M3725A Test Load for
13. tinuous ECG shocks and alarm violations are stored in the unit s internal memory Downloading and reporting data is available by using a data card The Event Review Pro data management system allows authorized users to edit store and print reports second time This efficient transmission of energy requires less current than that delivered by a monophasic waveform Manual Mode operation is as easy as 2 3 Select an energy level from 2 to 200 Joules 2 Charge the unit The HeartStart XL is designed to meet a wide variety of 3 Deliver the shock resuscitation and monitoring needs in one lightweight easy to use device PHILIPS Features Standard Features gt SMART Biphasic waveform for defibrillation therapy gt ECG monitoring through pads and separate monitoring electrodes gt Alarms on HR limits and shockable rhythms gt Synchronized cardioversion gt Manual and AED operation gt Built in 50 mm strip chart printer gt Bright Liquid Crystal Display LCD display for viewing waveforms and messages Internally stored event summary which may be printed Voice prompts in AED mode Adjustable ECG size Adjustable volume gt Setup mode automatic self tests and error handling gt Integrated AC power Optional Features gt SpO Pulse Oximetry with alarms gt Non invasive pacing using a monophasic truncated exponential current waveform 5 lead ECG monitoring cable AAMI or IEC
14. w fully charged M35 6A SLA battery pack at 25 C Less than 15 seconds to 200 Joules when powered by AC with no battery installed Patient Impedance Range Minimum 10 25 Ohm depending upon energy level Maximum 180 Ohm Manual Mode Manual Output Energy Delivered 2 3 5 7 10 20 30 50 70 100 150 200 Joules Energy limited to 50 Joules for internal defibrillation Controls Manual AED On Energy Select knob Charge Disarm Shock ECG Lead Select SpO7 On Off SpO Alarm HR Alarm Sync On Off Pacer Pacer Start Stop Pacer Rate Pacer Current Pacer Mode ECG Gain Volume Strip Summary Mark Indicators LCD display for ECG waveforms and text prompts Audio alerts QRS Beeper Charging tones for sync and asychronous modes AC Power LED Battery Charging LED Sync LED Pacer LED Armed Indicators Charge Done tone and available energy indicated on display Energy Selection Front panel rotary knob Charge Control Front panel 2 key or buttons on paddles Shock Control Front panel 3 key or buttons on paddles Synchronizer SYNC message appears on the monitor and is annotated on the printer if printing while in Sync mode An audible beep sounds with each detected R wave while a tick mark on the monitor and printed strip indicate the discharge points Synchronizer delay is less than 60 msec from peak R wave to peak current of the defibrillation discharge AED Mode AED Energy Pr
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