Defibrillation made simple

Defibrillation made simple
Defibrillation made simple
Product Description: M4735A HeartStart XL Defibrillator/Monitor
Philips Healthcare’s M4735A HeartStart XL offers advanced
and basic life-support clinicians a compact, lightweight, easy-touse defibrillator/monitor with both Manual and AED
capabilities. HeartStart XL features Philips’ patented SMART
Biphasic waveform, ECG monitoring, synchronized
cardioversion, and optional non-invasive pacing and SpO2.
A biphasic waveform is energy delivered in two phases. During
the first phase, the electrical current passes through the heart
muscle, reverses direction, and then passes through the heart a
second time. This efficient transmission of energy requires less
current than that delivered by a monophasic waveform.
Manual Mode operation is as easy as 1-2-3:
1 - Select an energy level from 2 to 200 Joules.
2 - Charge the unit.
3 - Deliver the shock.
The HeartStart XL charges to its highest energy level in less
than 3 seconds. ALS providers can also perform synchronized
cardioversion and deliver non-invasive pacing therapy.
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
supported by straightforward voice prompts and displayed text
messages.
The HeartStart XL records a patient summary in either mode
of operation. Patient data such as continuous 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.
The HeartStart XL is designed to meet a wide variety of
resuscitation and monitoring needs in one lightweight, easy-touse device.
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Features
Standard Features
Ordering Option Information
SMART Biphasic waveform for defibrillation therapy
0B3
Service Manual
ECG monitoring through pads and separate monitoring
electrodes
OBP
User Training Video
C01
SpO2 Monitoring with adult reusable transducer
Alarms on HR limits and shockable rhythms
C02
Non-invasive Pacing
Synchronized cardioversion
C03
12-pin, 5 lead ECG Cable
Manual and AED operation
C05
User Training CD-ROM
Built-in 50 mm strip chart printer
C07
Bright Liquid Crystal Display (LCD) display for viewing
waveforms and messages
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
Voice prompts in AED mode
C10
Data Card
Adjustable ECG size
C13
External paddles with Paddle Contact Indicator
Adjustable volume
C24
External Sterilizable Paddles
(Option not available in the U.S. and Canada)
J03
12-pin Sync Cable
W18
Extends 1-year CE On-site to 2-Year CE On-site
Warranty
W19
Extends 1-year CE On-site to 3-Year CE On-site
Warranty
Non-invasive pacing (using a monophasic truncated
exponential current waveform)
W20
Extends 1-year CE On-Site to 5-Year CE On-site
Warranty
5-lead ECG monitoring cable, AAMI or IEC labeling
WA0
Provides a 5-year bench repair with loaner
Internally stored event summary which may be printed
Setup mode, automatic self-tests and error handling
Integrated AC power
Optional Features
SpO2/Pulse Oximetry with alarms
Standard Accessories
Sealed Lead Acid Battery
(U.S./Canada only)
WA1
Converts standard warranty to a 5-year BioMed
Warranty (U.S. only)
Hands-Free Multifunction Defib Electrode Cable
ECG Patient Cable (3 lead)
Disposable Monitoring Electrodes (5)
Rolls of printer paper (2)
Upgrades/Supplies/Accessories
Upgrades
Instructions for Use
M4738A
Pacing Upgrade
Quick Reference Card
M4739A
SpO2 Upgrade
User Training Workbook
Test Load
AC Power Cord
External Paddles
M4745A
Sterilizable External Paddles
M4746A
External Paddles with PCI
2
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Internal Paddles
ECG Cables
M1741A
7.5 cm Switchless
M1500A
3-Lead ECG Trunk Cable (AAMI)
M1742A
6.0 cm Switchless
M1663A
10-Lead Trunk Cable
M1743A
4.5 cm Switchless
M1668A
5-Lead Trunk Cable
M1744A
2.8 cm Switchless
M1669A
3-Lead Trunk Cable
M4741A
7.5 cm Switched
M1949A
10-Lead Trunk Cable
M4742A
6.0 cm Switched
M1605A
3-Lead ECG Patient Cable with Snaps (AAMI)
M4743A
4.5 cm Switched
M1671A
3-Lead ICU Grabber (AAMI)
M4744A
2.8 cm Switched
M1672A
3-Lead ICU Grabber (IEC)
M4740A
Internal Paddles Adapter Cable
M1673A
3-Lead ICU Snap (AAMI)
M1674A
3-Lead ICU Snap (IEC)
M1675A
3-Lead OR Grabber (AAMI)
Pads/Electrodes
M3713A
HeartStart Multifunction Adult Plus
M1678A
3-Lead OR Grabber (IEC)
M3716A
HeartStart Multifunction Adult Radiolucent
M1510A
3-Lead ECG Trunk Cable (IEC)
M3717A
HeartStart Multifunction Pediatric Plus
M1615A
3-Lead ECG Patient Cable with Snaps (IEC)
M3718A
HeartStart Multifunction Adult Radiotransparent/
Reduced Skin Irritation
M1520A
5-Lead ECG Trunk Cable (AAMI)
M1625A
5-Lead ECG Patient Cable with Snaps (AAMI)
M3719A
HeartStart Multifunction Pediatric
Radiotransparent/Reduced Skin Irritation
M1530A
5-Lead ECG Trunk Cable (IEC)
M1635A
5-Lead ECG Patient Cable with Snaps (IEC)
M3501A
Multifunction Defib Adult Electrode, AAMI
M1968A
5-Lead ICU Grabber (AAMI)
M3502A
Multifunction Defib Adult Electrode, IEC
M1644A
5-Lead ICU Snap (AAMI)
M3503A
Multifunction Defib Pediatric Electrode, IEC
M1973A
5-Lead OR Grabber (AAMI)
M3504A
Multifunction Defib Pediatric Electrode, AAMI
M1971A
5-Lead ICU Grabber (IEC)
DP2
HeartStart AED Defibrillation Pads (2 pack)
M1645A
5-Lead ICU Snap (IEC)
DP6
HeartStart AED Defibrillation Pads (6 pack)
M1974A
5-Lead OR Grabber (IEC)
Pads/Paddle Cables
M3507A
Multifunction Defib Pads Connector Cable
M3508A
HeartStart Pads Connector Cable
05-10200
Pads Adapter (use with M3507A)
M4748A
Adapter Extension Cable
ECG Monitoring Electrodes
M2202A
High Tack Foam ECG Electrode 5 electrodes/
pouch (300 electrodes/case)
Sync Cables
M1783A
12-pin Sync Cable
SpO2 Sensors/Cables
M1191A
Adult Finger Reusable SpO2 Sensor (2 meters)
M1191B
Adult Finger Reusable SpO2 Sensor (2 meters)
M1191AL
Adult Finger Reusable SpO2 Sensor (3 meters)
M1191BL
Adult Finger Reusable SpO2 Sensor (3 meters)
M1192A
Pediatric Finger Reusable SpO2 Sensor (1.5
meters)
M1192T
Pediatric Finger Reusable SpO2 Sensor (45 cm)
M1194A
Adult/Pediatric Ear Clip, Reusable SpO2 Sensor
M1196A
Reuseable Adult SpO2 Clip Sensor (3 meters)
M1196T
Reuseable Adult SpO2 Clip Sensor (0.9 meters)
3
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M1941A
2-meter extension cable
M1943A
Nellcor SpO2 Sensor Adapter Cable
M1131A
Disposable SpO2 Sensor - Adult/Pediatric
Miscellaneous
M4751A
Accessory Pouch
M1781A
Test Load for use with M3507A
M3725A
Test Load for use with M3508A
989803147711 Data Card
M3516A
HeartStart Sealed Lead Acid Battery
453564045111 User Training CD-ROM
M4747A
Battery Charger Kit
40457C
1 box 50 mm Strip Chart Thermal Paper
(10 rolls/box)
40457D
1 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 lbs.) including battery and full roll of paper.
Defibrillator
Delivered Energy Accuracy:
Selected
Delivered Energy (J)
Energy
Load Impedance (Ohms)
Accuracy
25
50
100
125
150
5J
4.7
5.0
5.2
5.4
5.2
±2J
10J
9.3
10
10.4
10.7
10.4
±2J
20J
18.6
20
20.8
21.4
20.8
±15%
30J
27.9
30
31.2
32.1
31.2
±15%
50J
46.7
50
52.3
53.5
52.1
±15%
70J
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 new, fully
charged M3516A SLA battery pack at 25ºC. 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, SpO2 On/Off, SpO2 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.
Waveform: Biphasic Truncated Exponential. Waveform
parameters adjusted as a function of patient impedance.
Energy Selection: Front panel rotary knob.
Shock Delivery: Via multifunction defib electrode pads or paddles.
Shock Control: Front panel “3” key or buttons on paddles.
Charge Control: Front panel “2” 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.
4
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Synchronizer delay is less than 60 msec from peak R-wave to peak
current of the defibrillation discharge.
AED Mode
AED Energy Profile: Fixed energy (150 Joules).
AED Shock Series: 1, 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, SpO2 On/Off, SpO2 Alarms, HR Alarms, ECG
Gain, Volume, Strip, Summary Mark.
Indicators: 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 I, II, or III is obtained through the 3-lead ECG
cable and separate monitoring electrodes. With a 5-lead cable,
lead aVR, aVL, aVF, and any one of the V (1-6) leads can also be
obtained.
Lead Fault: LEADS OFF message and dashed line appear on the
display if an electrode or lead wire becomes disconnected.
Paddle Fault: NO PADDLES CONNECTED message and dashed
line 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 13).
ECG Size: 2.5, 5, 10, 20, 40 mm/mV.
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
SpO2: Type CF
Defib: Type BF
Display
Type: LCD - TFT Color Liquid Crystal Display.
Size: 111.4 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, 12V, rechargeable, Sealed Lead Acid.
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 lbs. (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, 25º C).
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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, 25º C).
Waveform: Monophasic Truncated Exponential
Battery Storage: Should not be stored above 40ºC for extended
periods of time.
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%.
Charger Output: Unit can be operated using only AC Power, with
no battery installed.
Pulse Width: 20 ms with accuracy +0, -5 ms.
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 1: Date, Time, Heart Rate, the SpO2 Value (if available)
and the text “Delayed” if printing has been configured for Delayed
Mode. Prints every 12 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 1.
Header 3: Changes in Mode, Gain, Lead, Sync, and Pacer Settings.
Footer: Drug Annotations, HR/SpO2 limits on a Limit 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.
Noninvasive Pacing
Rate: 30 ppm to 180 ppm (10 ppm increments); accuracy ± 1.5%.
Modes: Demand or Fixed Rate
Refractory Period: 340 msec (30 to 80 ppm); 240 msec (90 to
180 ppm).
SpO2 Pulse Oximetry
Accuracy with:
M1191A sensor - 1 standard deviation 70% to 100%, ± 2.5%
M1191AL sensor - 70% to 100%, ± 2.5%
M1191B sensor - 70% to 100%, ± 2.5%
M1191BL sensor - 70% to 100%, ± 2.5%
M1192A sensor - 1 standard deviation 70% to 100%, ± 2.5%
M1194A sensor - 1 standard deviation 70% to 100%, ± 4.0%
M1131A sensor - 1 standard deviation 70% to 100%, ± 3.0%
M1191T sensor - 70% to 100%, ± 3.0%
M1192T sensor - 70% to 100%, ± 3.0%
M1196T sensor - 70% to 100%, ± 3.0%
M1196A sensor - 70% to 100%, ± 3.0%
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.
Pulse Rate Accuracy: 2% or 1 bpm (whichever is greater).
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.
Display Update Interval: Less than or equal to 60 seconds.
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.).
Wavelength Range: 500 to 1000 nm.
Emitted Light Energy: Less than or equal to 15 mW.
Resolution: 1%.
SpO2 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.
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The Summary key on the front panel is used to print the internal
Event Summary.
Data Card Event Summary: The Data Card stores continuous
ECG waveforms and events on a Type II PCMCIA card.
Environmental
Temperature: 0º C to 55ºC operating; -20º to 70ºC storage.
Charging the battery at temperatures above 35ºC may degrade
battery life.
Storing the battery for extended periods at temperatures above
40ºC 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 B1 Drop Test
(200 G’s <3 msec pulse).
Vibration: Philips Medical Systems, Section 759 Class B1 Vibration.
Water Resistance: Meets IEC 60601-2-4, 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: 100-240 VAC, 50/60 Hz, 1.5A (Class 1)
Battery Powered: 12 V rechargeable, SLA
7
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Philips Healthcare is part of
Royal Philips Electronics
How to reach us
www.philips.com/healthcare
healthcare@philips.com
fax: +31 40 27 64 887
Asia
+852 2821 5888
Europe, Middle East, Africa
+49 7031 463 2254
Latin America
+55 11 2125 0744
North America
+1 425 487 7000
800 285 5585 (toll free, US only)
Philips Healthcare
Global Information Center
P.O. Box 1286
5602 BG Eindhoven
The Netherlands
© 2008 Koninklijke Philips Electronics N.V.
All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/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.
4522 962 32531/861 * MAY 2008
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