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 ZOLL AED PLUS Administrator’s Guide

33

Rectilinear Biphasic Waveform Characteristics

The following table shows the Rectilinear Biphasic waveform’s characteristics when discharged into 
25 ohm, 50 ohm, 100 ohm, and 125 ohm loads at a maximum energy setting of 200 Joules.

Table 9: Biphasic Waveform

The efficacy of ZOLL's Rectilinear Biphasic Waveform has been clinically verified during a 
Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT) defibrillation study. This study (which 
was conducted using ZOLL M Series defibrillators) and the findings are described below. Since the 
ZOLL AED Plus's rectilinear biphasic waveform employs the same first and second phase timing, 
similar first and second phase currents/voltages and essentially the same mechanisms for controlling 
defibrillation waveshape, the ZOLL M Series and ZOLL AED Plus defibrillation waveforms are 
considered substantially equivalent. 

Discharged 

into 25 ohm 

load

Discharged 

into 50 ohm 

load

Discharged 

into 100 ohm 

load

Discharged 

into 125 ohm 

load

First Phase
Maximum Initial 
Current

32 A

26 A

21 A

17 A

First Phase
Average Current

28 A

22A

16 A

13 A

First Phase Duration

6 ms

6 ms

6 ms

6 ms

Interphase duration 
between first and second 
phases

150 

µ

sec

150 

µ

sec

150 

µ

sec

 

150 

µ

sec

 

Second Phase Maximum 
Initial Current

33 A

19 A

12 A

11 A

Second Phase Average 
Current

21 A

14 A

11 A

10 A

Second Phase Duration

4 ms

4 ms

4 ms

4 ms

Summary of Contents for Aed Plus

Page 1: ...Administrator s Guide REF 9650 0301 01 Rev M...

Page 2: ...ailable ZOLL AED Pro stat padz pedi padz pro padz and v pack are registered trademarks of ZOLL Medical Corporation AED Plus PowerCharger Preconnect RescueNet Smart Alarms CPR D padz Rectilinear Biphas...

Page 3: ...adz II Infant Child Electrodes 13 Using the CPR Monitoring Function Real CPR Help 14 Using the Audio Recording Option 14 INSTALLATION AND SELF TEST 15 Inspecting the Unit 15 Preparing the ZOLL AED Plu...

Page 4: ...ation Electromagnetic Emissions 29 Rectilinear Biphasic Waveform Characteristics 33 Clinical Trial Results for the M Series Biphasic Waveform 34 Randomized Multi Center Clinical Trial for Defibrillati...

Page 5: ...n The following publications provide supplemental material to be used in conjunction with the ZOLL AED Plus Administrator s Guide and Operator s Guide 1 2005 American Heart Association Guidelines for...

Page 6: ...ent during ECG analysis or defibrillation Move patient away from electrically conductive surfaces prior to use of equipment DO NOT use this unit near or within puddles of water Keep the patient as mot...

Page 7: ...tered when connected to other ZOLL Defibrillators The CPR function does not operate with any device other than the ZOLL AED Plus Indications for Use Use the ZOLL AED Plus when a suspected cardiac arre...

Page 8: ...and possibly to the FDA the occurrence of certain events These events described in 21 CFR Part 803 include device related death and serious injury or illness In any event as part of our Quality Assur...

Page 9: ...nnection ATTENTION Refer to manual for more information DANGEROUS VOLTAGE Not new battery cells New battery cells Do Not push button Push button Do not use this manufacturer Ok to use this manufacture...

Page 10: ...x ZOLL AED PLUS Administrator s Guide...

Page 11: ...s include a cover that can also be used as a PASS Passive Airway Support System to support the patient s neck and shoulders in a position that assists in maintaining an open airway Some versions also...

Page 12: ...fter chest compressions are halted by the rescuer or until the recommended CPR period ends 1 minute for AHA and ERC protocols If the rescuer ceases chest compressions during the CPR period metronome b...

Page 13: ...Pedi Padz II Infant Child Electrodes Using the CPR Monitoring Function Real CPR Help Using the Audio Recording Option Operating Controls and Indicators See Table 1 Control Functions for an explanatio...

Page 14: ...d its last self test and is ready for use Illuminated X indicates unit has failed its self test and is not ready for use LCD Display Displays elapsed time shock count user prompts CPR compression dept...

Page 15: ...splay the acquired ECG signals When the device is turned on the unit automatically initiates the sequence of voice prompts and graphic illuminations for a rescue event The sequence continues until the...

Page 16: ...s Table 2 Clinical Voice Prompts Voice Prompt Definition UNIT OK ZOLL AED Plus has successfully passed its power up self tests UNIT FAILED ZOLL AED Plus has failed its power up self tests and is not u...

Page 17: ...ton to deliver defibrillation therapy RELEASE SHOCK BUTTON Shock Button was depressed before the defibrillator was ready to defibrillate Release the Shock Button and press again after the ready tone s...

Page 18: ...on IF NEW BATTERIES PRESS BUTTON Press the Battery Reset Button located in the battery compartment after replacing ALL batteries in the device with new batteries NON RESCUE MODE ZOLL AED Plus device h...

Page 19: ...ds elapsed time is reset to 00 00 When elapsed time exceeds 99 minutes and 59 seconds the timer wraps around to 00 00 and continues counting CPR Depth of Compression Indicator Right side of screen A b...

Page 20: ...rforming CPR If the patient requires airway support and there is no evidence of head or neck trauma roll the patient on his her side and then roll him her back over so that the PASS is under the patie...

Page 21: ...or a Pediatric Pads voice prompt to indicate the type of electrodes connected to the unit Verify that the connected electrode pads are appropriate for the patient being treated Connect alternate elec...

Page 22: ...ull the number 2 tab to peel the protective backing from the electrode Press the electrode from the center out to make sure it adheres properly to the patient s skin 4 Press the CPR sensor with your l...

Page 23: ...r hand on the electrode s edge and using your other hand roll the electrode onto the patient s skin pushing any air out from beneath the electrode as you go 6 Roll the patient onto his her back and fo...

Page 24: ...OTE If the ZOLL AED Plus prompts you to PUSH HARDER your compressions are less than 1 inches deep Increase your compression depth to improve CPR performance 4 Deliver the appropriate number of rescue...

Page 25: ...them to the patient connector on the device and pack them within the ZOLL AED Plus cover NOTE If the electrodes are not connected to the ZOLL AED Plus unit the device will fail the self test and displ...

Page 26: ...ibrillation electrodes are properly pre connected to the device 2 ECG Circuitry Verifies that the ECG signal acquisition and processing electronics are functional 3 Defibrillator Charge and Discharge...

Page 27: ...all graphic indicators and issues voice and LCD display messages to allow user verification of the device s visual and auditory output functionality In addition the LCD shows the application software...

Page 28: ...rchase these batteries at many department camera or electronics stores These batteries Should be used well before their labeled expiration date Should be checked periodically for the expiration date B...

Page 29: ...ver see Figure 7 Figure 7 Removing the Battery Compartment Door 2 Remove all batteries at once and dispose of batteries properly Place new batteries into the battery bank observing battery polarity ma...

Page 30: ...unit is on displays a red X in the status indicator window indicating that the batteries have less than 50 of full capacity remaining or that the unit has failed other self tests CAUTION You MUST rep...

Page 31: ...you periodically check your unit Table 4 Maintenance Checklist Cleaning the Unit After each use clean and disinfect the unit with a soft damp cloth using 90 isopropyl alcohol or soap and water or chlo...

Page 32: ...of patient assessment prompts it analyzes the ECG rhythm issues the SHOCK ADVISED voice prompt charges the defibrillator issues the DON T TOUCH PATIENT PRESS FLASHING SHOCK BUTTON voice prompt 4 Verif...

Page 33: ...he electrodes Cycle power on the ZOLL AED Plus unit by turning the unit off then on again Replace all batteries at the same time with new batteries Press the Battery Reset Button when prompted If unit...

Page 34: ...t number from the Technical Service representative Units are available on loan at an additional cost while your unit is being repaired Remove all batteries from the unit and return the unit and batter...

Page 35: ...e Review software you can access and review patient event information add or modify patient information view animated versions of ECG traces annotate ECG traces print ECG stripcharts and case reports...

Page 36: ...8000 0800 01 Public Safety PASS 8000 0812 01 PASS Cover 8000 0808 01 Low Profile Cover 8000 0803 01 Soft Case 8000 0802 01 Universal Adapter Cable 8000 0804 01 Administration Guide with ZOLL Administr...

Page 37: ...30 to 60 C PA Model 32 to 122 F 0 to 50 C Humidity 10 to 95 relative humidity non condensing Vibration MIL Std 810F Min Helicopter Test Shock PS Model IEC 68 2 27 100G PA Model IEC 68 2 27 50G Altitud...

Page 38: ...Viewing Time 2 6 seconds Display Sweep Speed 25 mm sec Battery Capacity Typical new battery 20 C stand by life with batteries installed 5 years or 300 continuous shocks or at least 13 hours of continu...

Page 39: ...61000 3 3 Not applicable Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to EMC information provided in this document The...

Page 40: ...or hospital environment NOTE Ut is the a c mains voltage prior to application of the test level The ZOLL AED Plus is intended for use in the electromagnetic environment specified below The customer o...

Page 41: ...MHz 26 957 MHz to 27 283 MHz and 40 66 MHz to 40 70 MHz b The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz are intended to decre...

Page 42: ...ximum output power not listed above the recommended separation distance d in metres m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output...

Page 43: ...ectilinear biphasic waveform employs the same first and second phase timing similar first and second phase currents voltages and essentially the same mechanisms for controlling defibrillation waveshap...

Page 44: ...al of this study was to compare the first shock efficacy of the 120J Rectilinear Biphasic Waveform with a 200J monophasic waveform The secondary goal was to compare all shock three consecutive 120 150...

Page 45: ...ic shocks compared to standard high energy monophasic shocks for transthoracic defibrillation for all patients at the 95 confidence level The data also demonstrate the superior efficacy of low energy...

Page 46: ...into three second segments Filters and measures noise artifact and baseline wander Measures baseline content waviness at the correct frequencies frequency domain analysis of signal Measures QRS rate w...

Page 47: ...J What is confidence Part 2 Detailed definition and determination of confidence intervals Annals of Emergency Medicine September 1997 30 311 218 CRC Standard Mathematical Tables 28th Edition William H...

Page 48: ...38 ZOLL AED PLUS Administrator s Guide...

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