43130A DEFIBRILLATOR
Contents
1. POM S WONT Ro oen d oorr RECHARGE POWER ENERGY SELECT PREPARE PADDLES Remove the paddles from their holders by grasping the handles and lifting straight up Applyaliberal amount of Redux paste to the electrode surface of each paddle or use defibrillator pads TO AVOID RISK OF ELECTRICAL SHOCK TO THE OPERATOR DO NOT ALLOW PASTE TO ACCUMU LATE ON THE HANDS OR THE PADDLE HANDLES Gently rub the electrode surfaces together to evenly distribute the ap plied paste l APPLY PADDLES TO CHEST Apply the paddles firmly to the anterior wall of the chest The left STER NUM paddle should be placed to the right of the sternum just below the clavicle the right APEX paddle should be placed on the chest wall just below and to the left of the left nipple in the anterior axillary line Rub the paddles slightly against the skin to maximize the paddle to patient contact DO NOT ALLOW PASTE TO ACCUMULATE BETWEEN THE PADDLE ELECTRODES ON THE CHEST WALL THIS COULD CAUSE BURNS Recommended applied pressure is 10 12 kg 22 25 Ib per paddle 17 3 EMERGENCY DEFIBRILLATION PROCEDURES 18 CHARGE DEFIBRILLATOR Press the CHARGE button on either the right APEX paddle or on the instrument front panel When the CHARGE DONE tone sounds and the CHARGE DONE lamps light the DELIVERED ENERGY display will indicate the availa ble energy NOTE Should you need to disarm the charged de2. The HP 43130A Defibrillator stores sufficient energy to discharge 360 joules into a 50 ohm impedance However the actual energy delivered into a pa tient is a function of the total impedance to the defibrillator discharge As a practical matter the operator controls the largest portion of this impedance by the quality of skin preparation paddle placement and pressure If suffi cient electrolyte is utilized and pressure of 10 12 kilograms per paddle ap plied then an impedance of approximately 50 ohms would be expected with the average patient In this case the energy delivered to the patient would equal the energy setting selected The output waveforms shown in the figure below indicate that with decreas ing impedance higher peak current is obtained Recent clinical evidence in dicates that the peak current value must reach a critical threshold for defibril lation and should therefore be maximized The primary method available to the operator to accomplish this is proper paddle application technique 90 80 70 60 360 JOULES 50 1 258 ohms 2 50 ohms 3 100 ohms 40 30 20 10 MILLISECONDS GENERAL INFORMATION 1 INITIAL INSPECTION Carefully inspect each container for damage If the shipping container or cushion material is damaged it should be kept until the contents have been checked for completeness and the instrument has been checked for mechan ical and electrical integrity The contents of the sh
3. in their holders press and briefly hold both DISCHARGE buttons simultaneously The DELI VERED ENERGY display will indicate the actual energy 10 deli vered into the internal 50ohm test load Notify service personnel if any delivered energy value other than 100 joules is indicated See the HP 43130A SERVICE MANUAL for extensive electrical operational and safety tests which should be performed by a qualified Biomedical Elec tronics Technician BMET or equivalent service technician every 6 months 31 For more information call your local HP sales office or East 301 948 6370 Midwest 312 255 9800 South 404 955 1500 West 213 877 1282 or write Hewlett Packard 1501 Page Mill Road Palo Alto California 94304 In Europe Hewlett Packard S A 7 rue du Bois du lan P O Box CH 1217 Mevrin 2 Geneva Switzerland In Japan Yokogawa Hewlett Packard Ltd 29 21 Takaido Higashi 3 chome Suginami ku Tokyo 168 43130 91908 Printed in U S A 4 91 PACKARD
4. their holders press either CHARGE button Wait for the CHARGE DONE indicators and for the DELIVERED ENER GY display to read 100 joules With the paddles pressed firmly into their holders press and briefly hold both discharge buttons simultaneously the defibrillator will discharge with the next detected R wave After discharge the DELIVERED ENER GY display should indicate 100 joules the actual measured energy delivered to the internal test load 21 4 ELECTIVE CARDIOVERSION 22 SELECT ENERGY Select the desired energy level with the ENERGY SELECT control PREPARE PADDLES Remove paddles from their holders by grasping the handles and lifting straight up Apply a liberal amount of REDUX paste to the electrode surface on each paddle or use defibrillator pads TO AVOID RISK OF ELECTRI CAL SHOCK TO THE OPERATOR DO NOT ALLOW PASTE TO AC CUMULATE ON THE HANDS OR THE PADDLE HANDLES Gently rub the electrode surfaces together to evenly distribute the ap plied paste APPLY PADDLES TO CHEST Apply the paddles firmly to the anterior wall of the chest The left STER NUM paddle should be placed to the right of the sternum just below the clavicle the right APEX paddle should be placed on the chest wall just below and to the left of the left nipple in the anterior axillary line Rub the paddles slightly against the skin to maximize the paddle to patient contact DO NOT ALLOW PASTE TO ACCUMULATE BETW
5. 1 This document contains or refers to proprietary information which is protected by copyright All rights are reserved Copying or other reproduction of this document is prohibited without the prior written of Hewlett Packard Company CARDIOLOGY BUSINESS UNIT 1700 South Baker Street McMinnville Oregon 97128 Sixth Edition 4 91 TABLE OF CONTENTS Section Page ENERAL INFORMATION GENERAL INFORMATION SECTION 1 INTRODUCTION This Operating Guide provides installation operational and basic main tenance instructions for the safe use and proper care of the Hewlett Packard Model 43130A Defibrillator BEFORE USING THE INSTRU MENT READ THIS MANUAL AND BECOME THOROUGHLY FAMILIAR WITH ITS CONTENTS SAFETY CONSIDERATIONS The HP 43130A stores high voltage energy and is capable of delivering up to 360 joules of DC energy to a 50 ohm impedance Disconnecting the Model 43130A from an AC outlet will not remove power the instru ment is battery powered meaning that the ENERGY SELECT control must also be placed in the OFF position In order to disarm a charged unit turn the ENERGY SELECT control to the ON or OFF positions or place the paddles in their holders and depress both DISCHARGE buttons As a safety feature the HP 43130A is designed to automatically discharge internally if it has been left charged for more than 60 seconds The HP 43130A is designed with all plastic handles and controls to minimize shock hazard When not plug
6. E button located near the forward end of the handle Press and briefly hold both buttons simultaneously to discharge the defibrillator 5 CHARGE DONE indicators CHARGE DONE lamps located on the APEX paddle and front panel light and a CHARGE DONE tone sounds when the selected energy level has been reached The DELIVERED ENERGY display indicates the actual energy available NOTE The CHARGE DONE tone may be eliminated by if desired by removing a single diode Refer to the HP 43130A Service Manual for further information 11 2 OPERATING CONTROLS and INDICATORS 12 6 SYNC DEFIB button Pressing the SYNC DEFIB button on the front panel changes the operating mode of the defibrillator In DEFIB normal mode the unit discharges im mediately when both discharge buttons are pressed In SYNC mode the unit synchronizes discharge with the next detected R wave after both discharge buttons are pressed This mode is typically used for cardioversion procedures with the defibrillator connected to an external monitor The instrument defaults to DEFIB normal mode when power is turned ON For synchronized operation press the SYNC DEFIB button once the SYNC indicator on the front panel lights while in SYNC mode To return to normal DEFIB mode for instant discharge press the SYNC DEFIB button again The HP 43130A is designed to remain in SYNC mode after discharge until the operator chooses to return the instrume
7. EEN THE PADDLE ELECTRODES ON THE CHEST WALL THIS COULD CAUSE BURNS Recommended applied pressure is 10 12 kg 22 25 Ib per paddle ELECTIVE CARDIOVERSION 4 CHARGE DEFIBRILLATOR Press the CHARGE button on either the right APEX paddle or on the instrument front panel When the CHARGE DONE tone sounds and the CHARGE DONE lamp lights the DELIVERED ENERGY display on the monitor will indi cate the available energy NOTE Should you need to disarm the charged defibrillator if countershock is not needed turn the ENERGY SELECT control to the ON position Any stored energy will be discharged internally and the monitor DELIVERED ENER GY display will return to 0 NOTE If the defibrillator does not charge verify proper setting of the ENER GY SELECT control If it is correct turn the ENERGY SELECT control to OFF and then back to the desired energy setting reset the SYNC DEFIB and ECG SIZE controls and press the CHARGE button again If the unit remains una ble to charge turn the ENERGY SELECT control to OFF and use a back up defibrillator Alert appropriate service personnel As a safety feature if the defibrillator is not discharged within 60 seconds of reaching the selected energy level it will automatically discharge the stored energy internally During the ten seconds just prior to this internal disarm the CHARGE DONE tone will beep intermittently When the internal dis charge is complete the CHAR
8. ERAL INFORMATION ORDERING INFORMATION OPTIONS C02 Add 6 0 cm Internal Paddle Set Includes J02 EC Lead Set handle set part number 14990B and 6 0 cm diameter electrode set part num ber 14995A K01 Add Accessories Pouch P N 43100 69500 CO3 AddAnterior Posterior Paddle Set includes Ko2 Defibrillator Carrying Case paddle set part number 14412D LO1 French Language C04 Add 7 5 cm Internal Paddle Set Includes LO2 German Language handle set part number 14990B and 7 5 cm diameter adult electrode set part number 14993A L04 Spanish Language CO5 Add 4 5 cm Internal Paddle Set Includes LOS Italian Language handle set part number 14990B and 4 5 cm diameter pediatric electrode set LOS Dutch Language LO6 Swedish Language part number 149924 NO1 CSA Approval C06 Add 2 8 cm Internal Paddle Set Includes NO2 IEC VDE Approval handle set part number 14990B and 2 8 cm diameter infant electrode set part NOS NEMKO Approval number 149944 Z01 50Hz Power C07 Technical Documentation Option includes 202 100V Power HP 43130A Service Manual part number 43130 91909 Z05 230V Power C09 Delete Anterior Anterior Paddle Set 900 UK Power Cord 901 Australian Power Cord 902 European Power Cord 906 Swiss Power Cord 917 South Africa Power Cord NOTES Standard Power is 120V 60Hz Standard language is English Standard Power cord is U S 1 1 GENERAL INFORMATION AMPERES DEFIBRILLATOR ENERGY OUTPUT INFORMATION
9. GE DONE tone will terminate the CHARGE DONE lamp will go off the recorder will annotate DISARMED and the monitor DELIVERED ENERGY display will return to 0 TO RESET SELECTED ENERGY LEVEL To increase or decrease the selected energy level after the CHARGE button has been pressed simply move the ENERGY SELECT control to the new energy level and wait for the CHARGE DONE tone 23 4 ELECTIVE CARDIOVERSION 24 DISCHARGE Verify again that the ECG waveform is stable and that a marker pulse appears ONLY with each R wave of the cardiac cycle Briefly adjust paddle pressure and placement to optimize contact Press and briefly hold both DISCHARGE buttons one on each paddle simultaneously The defibrillator will discharge with the next detected R wave e f additional countershocks are required readjust the ENERGY SELECT control as necessary and repeat the above procedure NOTE If the defibrillator does not discharge press the CHARGE button again wait for the CHARGE DONE tone and press the DISCHARGE buttons again If it still will not discharge turn the ENERGY SELECT con trol to the ON or OFF position and use a back up defibrillator Alert appropriate service personnel immediately AFTER USE Turn the ENERGY SELECT control to OFF Return the instrument to its storage location and plug the power cord into an AC power outlet Verify that the BATTERY CHARGING LED lights Clean all padd
10. HEWLETT 43130A PACKARD DEFIBRILLATOR U ING E MEAS I EE E TPYSEYITITITEITE degentes a oe aor i y E DEFIBRILLATOR ee ar I o REL M M PIECE OPERATING GUIDE AC ADDENDUM EMERGENCY BACKUP OPERATION Defibrillators with this label have emergency A C power backup capability This allows limited operation under most battery failed conditions as long as the defibrillator is connected to the AC power line The defibrillator will also operate if the battery is removed and the instrument is connected to the A C power line When operating the instrument in this mode some performance differences will be observed l The time to charge the defibrillator to the maximum energy level 360 joules will be approximately 20 to 30 seconds Normal charge time with a fully charged battery is less than ten seconds 2 During defibrillator charging flickering of the CRT display will be evident LA eackaro 43130A DEFIBRILLATOR OPERATING GUIDE 43130 91908 DO Read the OPERATING GUIDE before operating the instrument Exercise CAUTION when using the instrument Keep a battery installed in the instrument at all times Keep the battery charging during standby periods Recharge the battery when LOW BATTERY condition occurs DON T Open the instrument case Use the defibrillator in a flammable atmosphere Allow excess electrolyte paste or gel to accumulate Copyright Hewlett Packard Company 1985 1986 1988 199
11. ble from the defibrillator Replace with a new battery and secure the compartment door Charge battery for 24 hours before putting into service to achieve maximum battery capacity OPERATOR SERVICE BATTERY STORAGE Beyond a preliminary full charge no preparation is required for storage of the battery A 48 hour charge is sufficient preparation Batteries should be stored in a cool dry location Lead acid batteries have a finite shelf life storage time before they become non functional A lead acid battery in storage should be recharged for at least 24 hours every six months This will help ensure the battery does not become excessively discharged while in storage even though the shelf discharge rate is low The shelf life is longer with colder temperatures but do not store below freezing level Prolonged storage of the battery off charge could result in an abnormal condi tion where it will not recharge even when the defibrillator is connected to AC power The condition open circuit voltage below about 10 8 volts could occur if the battery is stored longer than six months without recharging or left in the instrument off charge for more than four months from a fully charged state The difference in time is because the instrument draws a small amount of current even when the power switch is off The diagnosis of this condiiton is simple When the unit is plugged into AC line power the BATTERY CHARGING indi cator will fla
12. ble paddle sets and ordering information To disconnect a paddle set from the defibrillator slide the latch cover A toward you rock the connector forward and back and pull the connector block straight up To install an alternate paddle set press the paddle connector down into place and slide the latch back 15 POWER CORD STORAGE RECESS The power cord may be quickly and easily coiled into the recessed compart ment located in the rear of the instrument case when transport is necessary The compartment captures the cord keeping it out of the way during an emergency episode and allows easy removal when the unit is returned to AC line power The power cord plugs into the receptacle located in this com partment and may be secured with the power cord retainer included in the accessory kit 16 ECG SYNC Input The standard phone jack allows the HP 43130A to be synchronized with the signal from an HP bedside monitor Connect the SYNC cable to the ECG or SYNC output of the monitor and to the ECG SYNC input on the HP 43130A The defibrillator will synchronize from the signal return a marker pulse to the monitor for verification and time the energy discharge to occur at the trigger point 15 2 OPERATING CONTROLS and INDICATORS NOTES 16 EMERGENCY DEFIBRILLATION PROCEDURES SECTION 3 SELECT ENERGY Turn the ENERGY SELECT control to the desired energy level This turns the instrument power on automatically
13. e buttons are pressed the unit will discharge with the next detected R wave thus avoiding the vulnerable T wave segment of the cardiac cycle When the HP 43130A is placed in SYNC mode for synchronized cardiover sion a marker pulse is superimposed on the ECG as it appears on the moni tor to indicate the point in the cardiac cycle where discharge will occur Place the ENERGY SELECT control in the ON position Select desired ECG lead on the monitor Connect the ECG SYNC out put jack to the ECG SYNC input jack on the HP 43130A using cable part number 8120 1022 Press the SYNC DEFIB button once to place the HP 43130A in SYNC mode The SYNC indicator will light on the front panel and will flash OFF with each detected R wave Always inspect the displayed ECG before delivering the countershock and verify that a marker pulse indicating discharge point appears only with each R wave Should a marker pulse not appear or if a marker pulse is viewed on the T wave segment of the ECG adjust the ECG size until the marker pulse appears only with each R wave Select a different lead or adjust electrode placement if necesary to improve ECG R wave quality VERIFY DEFIBRILLATOR OPERATION BEFORE PROCEEDING Perform the following brief test to ensure proper defibrillator performance Place the ENERGY SELECT control in the 100 joules position Verify that the adult paddle electrodes are installed Leaving the paddles in
14. e the container Protect the contro panel with cardboard Seal the shipping container securely OPERATING CONTROLS and INDICATORS SECTION 2 chance DONE LAMP SYNC INDICATOR 4 CHARGE DONE LAMP Model 43130A Defibrillator 1 ENERGY SELECT control The ENERGY SELECT control turns the instrument power ON and OFF and also selects the desired energy level in 14 discrete steps Switch po sitions are OFF ON 2 3 5 7 10 20 30 50 70 100 150 200 300 and 360 joules watt seconds 4 OFF achaca POWER ENERGY SELECT 2 OPERATING CONTROLS and INDICATORS 10 2 CHARGE button Press the CHARGE button on either the APEX paddle or the front panel to charge the defibrillator to the level selected with the ENERGY SELECT con trol When the CHARGE button is pressed the defibrillator charges to the selected level in 10 seconds or less when operated from a fully charged bat tery To change the selected energy level AFTER the CHARGE button has been pressed simply reset the ENERGY SELECT control The defibrillator will automatically charge to the new level 3 DELIVERED ENERGY display The digital display on the front panel displays the energy available for defibril lator discharge With the defibrillator disarmed this DELIVERED ENERGY display indicates 0 CHARGE DONE CHARGING OPERATING CONTROLS and INDICATORS 2 4 DISCHARGE buttons Each paddle has a DISCHARG
15. ed by a fully charged battery Delivered Energy Display digital display in dicates energy which will be delivered into 50 ohms impedance Armed Indicators Charge done tone charge done lamp on apex paddle and delivered energy display Safety Interlock Output energy limited to 50 joules when interna paddles are installed Paddles Standard paddles are anteri or anterior adult and pediatric Adult elec trodes slide off to expose pediatric elec trodes Full range of anterior posterior and internal paddles are available Synchronizer SYNC indicator on front panel lights while in synchronous mode There is an audible beep with each detect ed R wave while a marker pulse on the monitor indicates discharge point Upon activation discharge occurs within 30ms of marker pulse SIZE AND WEIGHT Dimensions 21 5 cm H x 29 8 cm W x 43 2 cm L 8 4 x 11 7 x 17 Weight 9 kg 20 Ib BATTERIES Type 2 5 Ampere hour rechargeable starved electrolyte sealed lead acid Charge Time 2 hours for 9096 capacity from depleted state Capacity Fifty 50 full energy 360 joule discharges Charging Indicator An LED on the front panel lights when the battery is charging A second LED indicates limited available battery capacity Maximum Power Consumption 100 VA STANDARD ACCESORIES Redux 651 1008 Paste 5 oz part number SYNC Cable part number 8120 1022 Operating Manual Operating Instruction Card GEN
16. fibrillator if countershock is not needed turn the ENERGY SELECT control to the ON position Any stored energy will be discharged internally and the monitor DELIVERED ENER GY display will return to 0 NOTE If the defibrillator will not charge verify proper setting of the ENER GY SELECT control If it is correct turn the ENERGY SELECT control to OFF and then back to the desired energy setting and press the CHARGE button again If the unit remains unable to charge turn the ENERGY SELECT con trol to the ON or OFF position and use a back up defibrillator Alert appropri ate service personnel as soon as possible As a Safety feature if the defibrillator is not discharged within 60 seconds of reaching the selected energy level it will automatically discharge the stored energy internally During the ten seconds just prior to this internal disarm the CHARGE DONE tone will beep intermittently When the internal dis charge occurs the CHARGE DONE tone will stop the CHARGE DONE lamp will go off and the DELIVERED ENERGY display will return to 0 TO RESET SELECTED ENERGY LEVEL To increase or decrease the selected energy level after the CHARGE button has been pressed simply move the ENERGY SELECT control to the new energy level and wait for the CHARGE DONE tone and lamp to activate EMERGENCY DEFIBRILLATION PROCEDURES 3 DISCHARGE Briefly adjust paddle pressure and placement to optimize patient contact Ver
17. ged into an AC line it is a battery powered instrument with no reference to earth ground and small static charges may be generated during defibrillator discharges These static charges present a minor shock potential to the operator but ONLY through the exposed metal surfaces Avoid touching these surfaces during defibrillator discharge Medical electronic equipment which may not incorporate defibrillation protection e g blood flow meters should be disconnected from the pa tient during defibrillation discharge Never touch the bed the patient or any equipment connected to the patient e g patient leads during defibrillation Fluids such as Ringer s saline solution and blood are excellent electrical conductors to avoid creating potentially dangerous electrical paths keep the 43130A and the immediate area clean and dry at all times NEVER open the instrument case there are no operator controls inside and dangerous high voltages may be exposed Refer servicing to quali fied service personnel 1 GENERAL INFORMATION DO NOT use the defibrillator in a flammable atmosphere i e oxygen tents or other areas of concentrated flammable anesthetics Avoid us ing portable or emergency vehicle mounted defibrillators immediately near the site of an automobile wreck spilled gasoline and puddles of water present extremely dangerous explosion and shock hazards Contact your local He wlett Packard sales or service engineer when any unan
18. ify that no one is in contact with the patient monitoring cable or leads bed rails or any other potential current pathway Call out CLEAR to alert other personnel to stand clear of the patient Press and briefly hold both DISCHARGE buttons one on each paddle simultaneously to deliver energy to the patient e NOTE If the defibrillator does not discharge press the CHARGE button again wait for the CHARGE DONE tone and press the DISCHARGE buttons again If it still will not discharge turn the ENERGY SELECT control to the ON or OFF position and use a back up defibrillator Alert appropriate serv ice personnel immediately AFTER USE Turn the ENERGY SELECT control to OFF Return the instrument to its storage location and plug the power cord into an AC power outlet Verify that the BATTERY CHARGING LED lights Clean all paddles controls and cables as necessary Refer to Section 6 for detailed cleaning information Check that adequate remaining recorder paper and electrolyte paste or defibrillator pads are available for the next use of the defibrillator 19 3 EMERGENCY DEFIBRILLATION PROCEDURES NOTES 20 ELECTIVE CARDIOVERSION SECTION 4 Certain arrhythmias require synchronizing defibrillator discharge with the ECG R wave to avoid inducing ventricular fibrillation In this case a synchronizing SYNC circuit within the instrument detects the patient s R waves When the discharg
19. ipment should be as shown below procedures for installation and initial checks are presented in Section 5 If the contents are incomplete if there is mechanical damage or if the instru ment does not pass its electrical self test described earlier notify your local Hewlett Packard sales office If the shipping container is damaged notify the carrier also 1 GENERAL INFORMATION PACKAGING Containers and materials used for original shipment of your HP 43130A are specifically designed for the instrument and are not readily available through Hewlett Packard sales offices it is recommended that you keep the packing materials for future use If the instrument is returned to Hewlett Packard for servicing attach a tag indicating the product model number serial number return address and a description of the problems encountered and service required Mark the container FRAGILE to ensure careful handling In every correspondence refer to the instrument by product number and full serial number e g HP43130A serial number 2500A00000 Follow these general instructions when re packaging with commercially avail able materials Wrap the instrument in heavy cushioning material Use a strong shipping container A double wall carton made of 350 pound test material is adequate Use enough shock absorbing material 3 or 4 inch layer around all sides of the instrument to provide firm cushioning andto prevent movement insid
20. l 50ohm test load The defibrillator is ready for use if it passes the above checklist CAUTION DO NOT DISCHARGE THE DEFIBRILLATOR WITH THE WARNING PADDLES SHORTED TOGETHER TO DO SO CAN CAUSE BURNING AND PITTING OF THE METAL PADDLE CONTACTS AVOID OPEN PADDLE DISCHARGES DANGEROUS HIGH VOLTAGE EXISTS ON THE PADDLES WHEN THE DEFIBRIL LATOR IS DISCHARGED CONTACT WITH THIS HIGH VOLT AGE COULD CAUSE DEATH OR SERIOUS INJURY 25 PB CHECKOUT PROCEDURES NOTES 26 OPERATOR SERVICE SECTION 6 BATTERY INFORMATION The following information will help you gain the most benefit from the lead acid battery HP part number 1420 0339 which is used in the HP 43130A defibrillator As soon as your new defibrillator arrives check it out according to the Checkout Procedure Section 5 and connect it to AC power for at least 24 hours 48 hours or more is preferred The battery is charged at the factory but some discharging will occur even when the defibrillator power control is in the OFF position or when the battery is out of the instrument To prolong battery life Hewlett Packard defibrillators have a feature which turns off the instrument when battery capacity is low IMPORTANT A battery dis charged to the defibrillator shutdown point will still allow immediate AC line power operation A DEFECTIVE SHORT CIRCUIT OR OPEN CIRCUIT BATTERY WILL PREVENT THE USE OF THE DEFIBRILLATOR EVEN WHILE ON AC POWER As with most ba
21. les controls and cables as necessary Refer to Section 6 for information on cleaning the defibrillator Check that adequate remaining recorder paper and electrolyte paste or defibrillator pads are available for the next use of the defibrillator CHECKOUT PROCEDURE SECTION 5 The following procedure allows complete functional inspection of the Model 43130A Defibrillator Monitor A simplified inspection routine for daily and week ly testing is included in Section 7 l Plug the power cord into suitable AC power outlet and check that the power line switch located at the rear of the unit if installed is on Place the ENERGY SELECT control in the ON position The POWER ON indicator will light Verify that the adult paddle electrodes are installed Place the ENERGY SELECT control in the 100 joules position Leaving the paddles in their holders press either CHARGE button The CHARGE DONE tone should sound and the CHARGE DONE lamp should light within 10 seconds when operated with a fully charged battery and the DELIVERED ENERGY display should register 100 joules WARNING Ensure that hands are kept clear of the paddle electrode edges use thumbs to depress DISCHARGE buttons Grasp the paddle handles and without removing the paddles from their holders press both DISCHARGE buttons simultaneously The DELI VERED ENERGY display will indicate the actual energy 4 10 deli vered to the the interna
22. nt to DEFIB mode to avoid inad vertent non synchronized shock delivery during cardioversion procedures This design may differ from other manufacturers instruments Become familiar with the SYNC DEFIB operation of each defibrillator you use f 2 ELE oe ee d a SYNC d A INESSE gi DEFIB amp Ethel os pi RC RAE Neh m IB ai d ar eut i 7 POWER ON LED The POWER ON indicator lights when the instrument is turned on POWER ON 8 SYNC The SYNC indicator lights when the instrument is placed in synchronized SYNC mode of operation It flashes OFF with each detected R wave OPERATING CONTROLS and INDICATORS 2 9 CHARGE DONE LED The CHARGE DONE indicator lights when the defibrillator is charged to the selected energy level and ready for discharge CHARGE DONE 10 LOW BATTERY LED The LOW BATTERY indicator lights when the battery runs low and warns that a limited number of energy shocks are available The defibrillator may be returned to AC line power plugged in at any time for unlimited use BATTERY vow CHARGING POWER ON 11 BATTERY CHARGING LED The BATTERY CHARGING LED indicates that the defibrillator battery is being charged It is lit whenever the instrument is connected to a suitable wall outlet supplying AC power and the power line switch located at the rear of the unit if installed is ON To ensure that the unit has sufficient battery po
23. perform a self diagnostic routine Critical circuits within the unit s defibrillator section are monitored and checked periodically during operation Each time the instrument power is turned ON proper operation of these circuits is verified and the DELIVERED ENERGY display will briefly flash HP and 888 Should a problem be detected an appropriate ERROR message will be generated on the digital display The defibrillator should immediately be turned OFF and service personnel noti fied should an ERROR condition arise DEFIBRILLATOR CHARGE TIME The defibrillator will charge to 360 joules in less than 10 seconds when powered from a fully charged battery After several full energy discharges on battery power the charge time may become slightly longer OPERATING ENVIRONMENT The location of your HP 43130A should be reasonably free from vibration dust corrosive or explosive vapors or gases extreme temperature and ex cessive humidity The operating environment limits for the HP 431304 in cluding all options are Temperature 0 C to 55 C Relative Humidity 5 to 95 Altitude 4 600 m maximum The instrument may exhibit decreased useable battery capacity i e less than 2 5 hours monitoring time available from a fully charged battery when oper ated outside these temperature limits This condition will only be seen during use outside of the listed temperature limits normal battery performance will resume when retu
24. rned to standard operating temperatures Temperature while charging battery 15 C to 4 35 C The battery may not reach 100 full charge using either direct AC power or the Model 43190A or 431S2A Power Converters if charged at tempera tures below 15 C If charged repeatedly at temperatures exceeding 15 C If charged repeatedly at temperatures exceeding 35 C the useful life of the battery will be limited 1 1 GENERAL INFORMATION NOTE As with all electronic equipment radio frequency interference between the defibrillator or power converter and any existing radio transmitting or receiv ing equipment at the installation site or in a vehicle should be evaluated care fully and any limitations noted before the equipment is placed in service Hewlett Packard assumes no liability for failures resulting from RF interfer ence between HP medical electronics and any radio frequency generating equipment STORAGE AND SHIPMENT ENVIRONMENT The storage and shipping environment limits for the 43130A including all options are Temperature 40 C to 75 C Relative Humidity 5 to 95 40 C Altitude 15 300 m maximum SPECIFICATIONS DEFIBRILLATOR Waveform Lown Waveform Damped sinusoidal Output Energy delivered 2 3 5 7 10 20 30 50 70 100 150 200 300 and 360 joules Charge Control Push button on APEX pad dle and on front panel Charge Time Less than 10 seconds to 360 joules when power
25. s to penetrate the instrument case and avoid pouring fluid on the unit while cleaning DO NOT use abrasive cleaners or strong solvents such as acetone or acetone based componas DO NOT steam or gas ETO sterilize the external paddle set NOTE For information regarding the use and sterilization of HP Internal Handle and Electrode sets consult the documentation accompanying those products OPERATIONAL CHECKS SECTION 7 These checks are intended to briefly verity proper operation of the 43130A Defibrllator A test routine incorporating these checks along with visual in spection for mechanical integrity of all cables paddles and controls should be performed regularly as indicated below EVERY SHIFT Verify that the instrument is connected to AC power and that the BAT TERY CHARGING LED is lit Check for presence of adequate REDUX electrolyte paste or defibril lator pads EVERY WEEK Delivered energy check Place the ENERGY SELECT control in the 100 position Verify that the adult paddle electrodes are installed Leaving the paddles in their holders press either CHARGE button Wait for the CHARGE DONE tone to sound and thee CHARGE DONE lamp to light and verify that the DELIVERED ENERGY display registers 100 joules WARNING Ensure that hands are kept clear of the paddle electrode edges use thumbs to depress DISCHARGE buttons Grasp the paddle handles and leaving the paddles
26. sh briefly once approximately every five seconds and will be ac companied by a relay click within the instrument The battery must be replaced in this situation For best results observe the battery recharge recommendations which have been added to the shipping carton and battery labels A label on the shipping carton next to the packing slip provides a date prior to which the instrument should be plugged in and the battery must be recharged In addition a cau tion label on the battery pack states that the battery should be recharged for at least 24 hours every six months Observe the same storage environment limits for the battery as suggest ed for the instrument Section 1 Temperature 40 C to 75 C Relative Humidity 50 to 95 40 C NOTE The battery must be charged if stored below zero C to avoid damage 6 29 6 30 OPERATOR SERVICE CLEANING EXTERIOR SUFACES The 43130A and its acessories are chemically resistant to common hospi tal cleaning solutions and non caustic detergents Some approved clean ing solutions are Alcohol Soap and water Chlorine bleach 30ml I water Ammonia based cleaners Keep the outside surface of the instrument clean and free of dust and dirt Clean the paddles thorughly to prevent build up of dried electrolyte When alternate paddle sets are used be especially careful to avoid the accumulation of fluids in the paddle connector well DO NOT allow any fluid
27. swered questions arise concerning safe operation of the HP Defibrillator ABOUT THE HP 43130A DEFIBRILLATOR Your Hewlett Packard 43130A is a DC defibrillator only it does not contain its own ECG monitor or strip chart recorder ECG input for synchronized cardi oversion must be provided from an external monitoring system Energy is selectable from 2 to 360 joules calibrated for 50 ohms impedance in 14 dis crete steps The HP 43130A operates from either AC line power or the integrated recharge able battery The fully charged battery is capable of providing fifty 360 joule discharges An indicator on the front panel lights when the defibrillator is con nected to AC power and the battery is charging A second indicator will light indicating a LOW BATTERY WARNING PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rates during occurrences of cardiac arrest or some arrhyth mias Do not rely entirely upon rate meter alarms Keep pacemaker patients under close surveilance The compact lightweight instrument design along with battery operation per mit use of the defibrillator in portable applications The optional accessories pouch provides convenient storage for Redux paste or defibrillator pads Marr eT YL sa Model 43130A GENERAL INFORMATION SELF DIAGNOSTICS The HP 43130A Defibrillator uses microprocessor technology to control and monitor system operation This advanced design enables the unit to
28. ttery operated equipment IT IS STRONGLY RECOMMENDED THAT THE DEFIBRILLATOR BE LEFT PLUGGED INTO AC LINE POWER DURING STANDBY PERIODS TO PROVIDE CONSTANT BATTERY CHARGING Always verify that the BATTERY CHARGING indicator is on when the unit is on AC power The battery does not require periodic discharge cycling maintenance to correct voltage depression or memory problems common with NiCad nickel cadmium batteries 27 OPERATOR SERVICE 28 BATTERY CHECK Hewlett Packard recommends that the battery HP part number 1420 0339 Capacity be checked periodically every three months or when questionable ity is noticed Since the 43130A Defibrillator does not include a monitor which provides a convenient method of capacity determination we recommend that 1 for capacity checking the battery be installed in an HP unit with a monitor Models 43100A 43110A 43120A or 43200A or 2 the battery be replaced after being in service one year In general use of this check should not exceed the frequency recommended by Hewlett Packard since repeated deep discharges will tend to decrease the battery s total useful life REMEMBER THAT THE BATTERY SHOULD BE LEFT ON CHARGE WHENEVER POSSIBLE FOR BEST PERFORMANCE AND LIFE CHANGING THE BATTERY PACK THE HP 43130A MUST HAVE A BATTERY INSTALLED TO OPERATE Place the unit on its back or side Open the battery compartment door by rotating the two latches Unplug the battery ca
29. wer to ac commodate emergency episodes and to maximize the useful life of the bat tery it is recommended that the instrument remain connected to AC power during standby periods 13 2 OPERATING CONTROLS and INDICATORS 14 BATTERY Low METUIT POWER ON 12 BATTERY PACK The replaceable battery pack is located inside a compartment on the under side of the unit The compartment lid is held closed by two rotating latches Refer to Section 6 for information regarding battery pack replacement storage and care 13 PADDLES The HP 43130A paddle set includes both adult and pediatric electrode sizes The adult electrodes are always exposed To use the pediatric electrodes remove the adult electrodes from each paddle by pressing down on the adap ter locking lever and sliding the adult electrode forward To replace the adult electrode simply slide it back into place making sure that the locking lever engages NOTE The adult electrodes should be installed whenever the defibrillator is discharged with the paddles in their holders If adult electrodes are not used the paddles must be pressed firmly against the metal test contacts to avoid damage OPERATING CONTROLS and INDICATORS 2 14 INTERCHANGEABLE PADDLE CONNECTOR Located at the front right of the unit the paddle connector enables quick easy changing of the various paddle sets available for use with the 43130A See page 5 for a description of availa
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