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Philips HeartStart MRx User Manual Manual

Philips HeartStart MRx Manual Online:

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Philips HeartStart MRx User Manual
Philips HeartStart MRx User Guide
Philips HeartStart MRx Online Manual

Text of Philips HeartStart MRx User Guide:

  • Philips HeartStart MRx, Preparing for Defibrillation 6 Manual Defibrillation and Cardioversion 75 Using External Paddles To defibrillate using external paddles: 1 If not pre-connected, connect the paddles cable to the HeartStart MRx by aligning the white pointer on the paddles cable connector with the white arrow on the green Therapy port. Then push until you hear it click into place. See Figure 48. Figure 48 Paddles Cable Connection 2 Remove the Paddle Set from the Paddle Tray by pulling the paddles straight up and

  • ix 21 Specifications and Safety 273 Specifications 273 General 273 Defibrillator 273 Manual Defib Mode 275 AED Mode 275 ECG and Arrhythmia Monitoring 276 Display 278 Battery 278 Thermal Array Printer 279 Noninvasive Pacing 279 SpO2 Pulse Oximetry 280 NBP 281 Invasive Pressures 282 Tem pera tu re 283 EtCO2 283 AwRR 284 Calibration Gas for CO 2 Measurement System 284 12-Lead ECG 285 Patient Data

  • Connecting the NBP Interconnect Tubing 3 Setting Up 37 Connecting the NBP Interconnect Tubing To connect the NBP Interconnect Tubing: 1 Insert the NBP Interconnect Tubing into the red NBP port as shown in Figure 20. 2 Attach the NBP Interconnect Tubing fitting to the NBP cuff. Figure 20 Connecting NBP Interconnect Tubing / NBP Cuff CO 2 2 1 ECG ECG

  • Philips HeartStart MRx, Applying the Sensor 8Pulse Oximetry 97 Applying the Sensor Follow the manufacturer’s directions for applying and using the sensor, making sure to observe any warnings or cautions. For the best results: • Make sure the sensor is dry. • If the patient is moving, secure the sensor cable loosely to the patient. • Make sure the transducer is not too tight. Too much pressure can cause venous pulsation or can impede the blood flow, resulting in low readings. • Keep power cables away from the sensor cable and connection. • Avoid placing the sensor in an environment with bright lights. If necessary, cover the sensor with opaque material. • Avoid placing the sensor on an extremity wi

  • Philips HeartStart MRx, 13 12-Lead ECG Acquiring the 12-Lead ECG 140 Acquiring the 12-Lead ECG Once preparation is complete, to acquire a 12-lead ECG in Monitor Mode: 1 Press the [12-Lead] soft key. The Preview Screen is displayed, as shown in Figure 65. 2 Check the signal quality on each lead and, if necessary, make adjustments as described in “Improving Signal Quality” on page 143. 3 Check filter settings. 4 Press the [Start Acquire] soft key. The message Acquiring 12-Lead is then displayed while the HeartStart MRx acq

  • Philips HeartStart MRx, 14 12-Lead ECG Transmission Setting Up for Bluetooth Transmission 148 Once the Bluetooth device is paired with the HeartStart MRx and the profile selected, the HeartStart MRx performs a transmission test. After successfully connecting to the device and network, the message Transmission Test Passed is displayed. Press the Menu Select button to acknowledge the message. Should the transmission test fail, the message Transmission Test Failed is displayed, along with additional information about where the

  • Philips HeartStart MRx, 9 2 2Getting Acquainted The HeartStart MRx is designed with your needs in mind. Controls, indicators, and menus are carefully organized to facilitate ease of use. Display information is tailored to the current task. This chapter will acquaint you with the HeartStart MRx operational modes, display views, controls, and indicators. It also provides general information on use of the device. NOTE If your HeartStart MRx does not have some of the optional functionality listed in this chapter, disregard these controls and the related information described throughout this manual.

  • 17 Configuration Configurable Parameters 186 Table 26 Invasive Pressure Settings - Default Labels Table 27 Invasive Pressure Settings - P1 Parameter Description Values / Default Unit and Default Labels Selects measurement units for all invasive pressures mmHg, kPa Press 1 Label Selects default label for pressure channel 1 P1, ABP, ART, Ao, CVP, ICP, LAP, PAP, RAP Press 2 Label Selec

  • Philips HeartStart MRx, Setting Alarms 4 ECG and Arrhythmia Monitoring 59 Setting Alarms Alarms are automatically enabled in Monitor and Pacer modes. In Manual Defib Mode alarms are automatically enabled if the Sync function is enabled. If the Sync function is not enabled, alarms are enabled in Manual Defib mode using the Alarm Pause button. Alarm settings for Heart Rate (HR) and VTACH are as configured but may be changed during operation for the current patient incident. The setting for PVC Rate Limit may only be changed in response to a PVC Rate alarm condition. Settings fo

  • 13 12-Lead ECG 12-Lead Report 142 Figure 66 Displayed Report Mark Event 10 Feb 2006 11:20 Jones, Samuel A dul t N on - P ace d 02:42 36.9 80 120/80 (95) P ul se NB P mm H g q 120 10 : 40 bp m C T e m p SYS 160 90 II V HR bp m 80 120 50 39 . 0 36 . 0 S p O 2 % E t C O 2 100 A w RR mm H g r p m P A P AB P 160 SYS 118/77 (95) mm H g mm H g 90 24/10 (15) 16 D I A 0 100 90 38 50 30 1

  • Philips HeartStart MRx, 16 Q-CPR and Data Capture CPR Feedback 176 CPR Feedback Adjusting CPR Feedback Volume To adjust the volume of CPR feedback voice prompts: 1 Press the Menu Select button. 2 Using the Navigation buttons, select Volume from the menu and press the Menu Select button. 3 Select Voice and press the Menu Select button. 4 Select the desired volume level and press the Menu Select button. A sample voice prompt is annunciated to confirm your selection. NOTE In AED Mode, steps 2 and 3 are not applicable unless Q-CPR is active. If desired, CPR feedback voice prompts may also be muted. When muted, a CPR Voice Muted text message displays in the middle of the wave sector containing the compression

  • Philips HeartStart MRx, Shift Checklist 19 Maintenance 219 Shift Checklist In order to ensure defibrillators are ready when needed, the American Heart Association (AHA) recommends that users complete a checklist, often referred to as a shift check, at the beginning of each change in personnel. The activities on this check list include verifying that the appropriate supplies and accessories are present, the device is plugged in and has sufficient battery power, and the device is ready for use. Philips Medical Systems sup

  • Philips HeartStart MRx, Configurable Parameters 17 Configuration 193 Table 38 Temperature Settings Table 39 Wave Sector Settings Table 40 Alarm Settings Parameter Description Values / Default Unit Selects measurement units °C, °F Label Selects the default temperature label Te m p, Tskin, Trect, Tnaso, Tesoph, Tart, Tven, Tvesic, Tcore High Limit Selects the high limit value. Adult: 0.1 to 45.0, 39.0 °C (32.2 to 113 °F) Ped: 0.1 to 45.0, 39.0 °C Adjusted in increments of 0.1 °C or 0.2 °F. Low Limit Selects the low limit value. Adult: 0.0 to 44.9, 36.0 °C (32.0 to 112.8 °F) Ped: 0.0 to 44.9, 36.0 °C Adjusted in increments of 0.1 °C or 0.2 °F. Color Selects the

  • Philips HeartStart MRx, Selecting a Sensor 8Pulse Oximetry 95 Selecting a Sensor Table 9 shows the SpO 2 sensors that may be used with the HeartStart MRx. Table 9 SpO 2 Sensors NOTE M1903B and M1904B sensors are only available outside the US. CAUTION • Do not use disposable sensors in high humidity environments or in the presence of fluids which may contaminate sensor and electrical connections, causing unreliable or intermittent measurements. • Do not use disposable sensors on patients who have allergic reactions to the adhesive. • Do not use the ear transducer on patients with small ear lobes, as incorrect measurements may result. N

  • Philips HeartStart MRx, 21 Specifications and Safety Specifications 290 IP24 Protected against ingress of solid foreign objects >12.5mm in diameter. Protected against access to hazardous parts with a finger. Protected against splashing water. IP2X Protected against ingress of solid foreign objects >12.5mm in diameter. Protected against access to hazardous parts with a finger. Data In/Out Electrostic sensitive device Invasive Pressure Port (Number indicates Port 1 or Port 2) NBP port SpO 2 port Temperature port Table 79 Monitor/Defibrillator and Battery Symbols (Continued) Symbol Definition

  • Preparing to Measure NBP 9 Noninvasive Blood Pressure 107 4 Apply the blood pressure cuff to the patient’s arm or leg as follows: a. Ensure that the cuff is completely deflated. b. The cuff should not be placed on the same extremity as an SpO 2 sensor. Wrap the cuff around the arm, making sure that the artery marker is aligned over the brachial artery. Ensure that the cu

  • Philips HeartStart MRx, Basic Orientation 2 Getting Acquainted 11 Side Panels The left side of the HeartStart MRx has ports for monitoring cables, including ECG, pulse oximetry (SpO2), noninvasive blood pressure (NBP), invasive pressure (2), temperature and carbon dioxide (CO 2 ). The ECG port may be used to connect a 3-, 5-, or 10-lead patient cable. The ECG Out jack may be used to connect to an external monitor. The right side of the HeartStart MRx has a therapy port for paddles (external or internal) or multifunction electrode pads. It also has a slot for a data card to transfer patient information. Figure 2 Basic Orientation (Right/Left Sides) NOTE Some devices may

  • Philips HeartStart MRx, Audio Tones and Alarm Indications 20 Troubleshooting 269 Audio Tones and Alarm Indications The following table describes the audio tones and alarm indications, when they occur, and their meaning. NOTE Alarm tone volume levels exceed 60 dB. See the HeartStart MRx Service Manual for alarm signal pressure ranges. Table 7 6 Audio Tones Tone/Indication Definition Single beep. Message tone. Accompanies a new message on the display. Informational such as switching to the other battery. Continuous tone, lower pitch than charged tone. Charging tone. Generated when the Charge button is pressed and continues un

  • Philips HeartStart MRx, 10 Monitoring Carbon Dioxide Measuring EtCO 2 114 WARNING When using the Microstream EtCO 2 measurement on patients who are receiving or have recently received anesthetics, connect exhaust tubing from the CO 2 Outlet port to a scavenging system or to the anesthesia machine/ventilator to prevent exposing medical staff to anesthetics. Use an exhaust tube to remove the sample gas to a scavenging system. Attach scavenging tube to the CO 2 outlet port. NOTE Should the FilterLine or exhaust tubing be blocked when

  • Philips HeartStart MRx, Entering Patient Information 2 Getting Acquainted 27 Entering Patient Information Patient information may be entered for the following: •Name •ID •Patient Category •Age •Sex • Paced (internal paced status) Information is entered using the Patient Info menu. Patient Name is entered using 2 alphabetical lists, one to enter the last name, followed by another to enter the first name. When each name is complete, select Done. Select Cancel to close the patient name menu without saving. Continued Use Once a patient incident begins, the Continued Use featur

  • Philips HeartStart MRx, Calling for Service 20 Troubleshooting 271 Calling for Service For telephone assistance, call the Response Center nearest to you, or visit our website at: www.medical.philips.com/cms and follow the links for “CMS Response Center.” Table 77 Response Center Phone Numbers North America Canada 800-323-2280 United States of America 800-722-9377 Europe European International Sales 41 22 354 6464 Austria 01 25125 333 Belgium 02 778 3531 Finland 010 855 2455 France 0803 35 34 33 Germany 0180 5 47 50 00 Italy 800 825087 Netherlands 040 278 7630 Sweden 08

  • Philips HeartStart MRx, 16 Q-CPR and Data Capture Using Q-CPR in Manual Defib Mode 172 Parameter Block 2 In the CPR sub view, Parameter Block 2 contains the numeric values for compression rate, as well as ventilation rate. Both rates are a moving average rate, measured per minute. Based on the Q-CPR algorithm, the target compression rate is 100 compressions per minute within an acceptable range of 90-120 compressions per minute. The acceptable range for ventilation rate while CPR is being administered is 4-16 ventilations per minute (to reflect 2005 resuscitation guidelines). The acceptable range for ventilation rate following 60 sec

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