Defibtech DDU-2300 Semi-Automatic External Defibrillator AED User Manual
Below you will find brief information for AED DDU-2300 Semi-Automatic External Defibrillator. The DDU-2300 AED is a Semi-Automatic External Defibrillator that is designed to be easy to use, portable, and battery powered. It has two primary user controls: the ON/OFF and SHOCK buttons. Voice prompts, text prompts, and a display screen with visual prompts provide a simple interface for the operator. The DDU-2300 AED is capable of recording event information, including ECG, audio data (optional), and SHOCK/NO-SHOCK recommendations.
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Defibtech DDU-2300 Semi-Automatic External Defibrillator User Manual DAC-2513EN-AB PRESS “ON” BUTTON 1 APPLY PADS FOLLOW AED INSTRUCTIONS 2 IF INSTRUCTED, PRESS“SHOCK” BUTTON 3 B Notices Defibtech shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. Information in this document is subject to change without notice. Names and data used in the examples are fictitious unless otherwise noted. Limited Warranty The “Limited Warranty” shipped with Defibtech AED products serves as the sole and exclusive warranty provided by Defibtech, LLC with respect to the products contained herein. Copyright Copyright © 2010 Defibtech, LLC All rights reserved. Copyright questions should be directed to Defibtech. For contact information, refer to Chapter 12 of this manual. ! CAUTION Federal Law (USA) restricts this device to sale by or on the order of a physician. iii DAC-2513EN-AB Contents 1 Introduction To The DDU-2300 AED ........................................................... 1-1 Overview ............................................................................................................................ 1-1 The Defibtech DDU-2300 AED ...........................................................................................1-2 Indications...........................................................................................................................1- 4 Contraindications ................................................................................................................1- 4 Operator Training Requirements .........................................................................................1- 4 2 Dangers, Warnings, And Cautions ............................................................... 2-1 Dangers .............................................................................................................................. 2-1 Warnings ............................................................................................................................. 2-1 Cautions .............................................................................................................................. 2-2 3 Setting Up The DDU-2300 AED ................................................................... 3-1 Overview ............................................................................................................................ 3-1 Connecting The Pads .......................................................................................................... 3-1 Installing The Defibtech Data Card (DDC card) (Optional) .................................................. 3-2 Installing And Removing the Battery Pack .......................................................................... 3-3 Checking The DDU-2300 AED Status ................................................................................. 3-3 Completing The Installation ................................................................................................ 3-4 Storing The DDU-2300 AED ............................................................................................... 3-4 4 Using The DDU-2300 AED In Rescue Mode................................................. 4-1 Overview ............................................................................................................................ 4-1 Preparation.......................................................................................................................... 4-2 Heart Rhythm Analysis ....................................................................................................... 4-5 Delivering The Shock .......................................................................................................... 4-5 CPR Period.......................................................................................................................... 4-5 Post Use Procedures .......................................................................................................... 4-6 Rescue Mode Voice And Text Prompts .............................................................................. 4-6 Operational Environment .................................................................................................. 4-10 5 Maintenance And Troubleshooting ............................................................. 5-1 Routine Unit Maintenance .................................................................................................. 5-1 Self-Tests ............................................................................................................................ 5-5 Cleaning .............................................................................................................................. 5-5 Storage ............................................................................................................................... 5-5 Operator’s Checklist............................................................................................................ 5-6 Troubleshooting .................................................................................................................. 5-7 Repair.................................................................................................................................. 5-8 Click any of the section headings above to be automatically re-directed to that page. See page references noted in green throughout this book for other interactive links. iv DAC-2513EN-AB 6 Maintenance Mode ...................................................................................... 6-1 Overview ............................................................................................................................ 6-1 Navigation (in Maintenance Mode) ..................................................................................... 6-1 Entering Maintenance Mode .............................................................................................. 6-2 AED Main Menu Screen ..................................................................................................... 6-2 AED Status Screen ............................................................................................................. 6-2 AED Maintenance Screen ................................................................................................... 6-3 AED Options Screen ........................................................................................................... 6-5 Rescue Options Screen ...................................................................................................... 6-7 Help Topics Screen ............................................................................................................. 6-9 7 DDU-2300 AED Accessories........................................................................ 7-1 Defibrillation Pads ............................................................................................................... 7-1 Battery Packs ...................................................................................................................... 7-1 Data Cards .......................................................................................................................... 7-1 USB Cable........................................................................................................................... 7-1 8 Event Viewing ............................................................................................. 8-1 DefibView II ........................................................................................................................ 8-1 Defibtech Data Cards (DDC cards) .................................................................................... 8-1 Downloading The Internal Data Log ................................................................................... 8-1 9 Technical Specifications.............................................................................. 9-1 Defibtech DDU-2300 AED .................................................................................................. 9-1 Battery Packs ...................................................................................................................... 9-5 Self-Adhesive Defibrillation Pads ........................................................................................ 9-5 Event Documentation ......................................................................................................... 9-6 Defibtech Event Viewer ...................................................................................................... 9-6 Recycling Information ......................................................................................................... 9-6 Notice To European Union Customers ............................................................................... 9-6 10 Electromagnetic Conformity ..................................................................... 10-1 Guidance And Manufacturer’s Declaration ........................................................................ 10-1 11 Glossary Of Symbols ................................................................................. 11-1 12 Contacts .................................................................................................... 12-1 Click any of the section headings above to be automatically re-directed to that page. See page references noted in green throughout this book for other interactive links. v DAC-2513EN-AB Introduction To The DDU-2300 AED 1. Introduction 1 This User Manual provides information to guide trained operators in the use and maintenance of the Defibtech DDU-2300 Semi-Automatic External Defibrillator (“AED”) and its accessories. The DDU-2300 refers to all AEDs in the DDU-2300 series of AEDs. This chapter includes intended use, an overview of the AED, a discussion of when it should and should not be used, and information on operator training. Overview The DDU-2300 AED is a Semi-Automatic External Defibrillator (“AED”) that is designed to be easy to use, portable, and battery powered. It has two primary user controls: the ON/OFF and SHOCK buttons. Voice prompts, text prompts, and a display screen with visual prompts provide a simple interface for the operator. The DDU-2300 AED is capable of recording event information, including ECG, audio data (optional), and SHOCK/NO-SHOCK recommendations. When connected to a patient who is unconscious and not breathing, the DDU-2300 AED performs the following tasks: UÊ*À«ÌÃÊÌ iÊ«iÀ>ÌÀ]ÊÌ ÀÕ} Ê>Õ`]ÊÌiÝÌ]Ê>`ÊÛ`iÊ«À«ÌÃ]ÊÌÊ«Ài«>ÀiÊÌ iÊ«>ÌiÌÊvÀÊÌÀi>ÌiÌ° UÊÕÌ>ÌV>ÞÊ>>ÞâiÃÊÌ iÊ«>Ìi̽ÃÊ ° UÊiÌiÀiÃÊÜ iÌ iÀÊ>Êà V>LiÊÀ ÞÌ ÊÃÊ«ÀiÃiÌ° UÊ >À}iÃÊÌ iÊ`iwLÀ>ÌÊV>«>VÌÀÊ>`Ê>ÀÃÊÌ iÊ-" ÊLÕÌÌÊvÊÌ iÊÊ`iÌiVÌÃÊ>Êà V>LiÊÀ ÞÌ ° UÊ*À«ÌÃÊÌ iÊ«iÀ>ÌÀÊÌÊ«ÀiÃÃÊÌ iÊ-" ÊLÕÌÌÊÜ iÊÌ iÊ`iÛViÊÃÊÀi>`ÞÊ>`Ê>Êà VÊÃÊÀiVi`i`° UÊiÛiÀÃÊ>Êà VÊViÊÌ iÊ`iÛViÊ >ÃÊ`iÌiÀi`Ê>Êà VÊÃÊÀiµÕÀi`Ê>`ÊÌ iÊ-" ÊLÕÌÌÊ >ÃÊLiiÊ«ÀiÃÃi`°Ê UÊ*ÀÛ`iÃÊÃÌÀÕVÌÃÊÌÊ«iÀvÀÊ *,° UÊ,i«i>ÌÃÊÌ iÊ«ÀViÃÃÊvÊ>``Ì>Êà VÃÊ>ÀiÊÀiµÕÀi`° The Defibtech AED will NOT shock a patient automatically; it will only advise the operator. The SHOCK button is enabled only when a shockable rhythm is detected and the device is charged and ready to shock. Charging occurs automatically when the device detects a shockable rhythm. The operator must press the SHOCK button to initiate defibrillation. The DDU-2300 AED uses two self-adhesive defibrillation pads (also known as electrode pads, electrodes, monitoring pads, or pads) to monitor ECG signals and, if necessary, to deliver defibrillation energy to the patient. These pads are provided in a single-use, disposable package. The DDU-2300 AED determines proper pad-to-patient contact by monitoring the impedance between the two pads (impedance varies with the electrical resistance of the patient’s body). The DDU-2300 AED user interface is clear and concise. It has two primary push-button controls and a display screen. Easily understandable voice messages and text and video prompts guide the operator through the use of the unit. The device communicates the status of the AED and of the patient to the operator. Defibrillation energy is delivered as an impedance compensated biphasic truncated exponential waveform. The device delivers 150 Joules of defibrillation energy (into a 50-ohm load) when using adult pads and 50J of defibrillation energy (into a 50-ohm load) when using attenuated child/infant pads (also known as pediatric pads). Energy delivered does not change significantly with patient impedance, although the duration of the generated waveform will vary. Defibrillation and AED operating power is supplied by a replaceable (non-rechargeable) battery pack that provides vÀÊ}ÊÃÌ>`LÞÊviÊ>`ÊÜÊ>Ìi>ViÊ«iÀ>Ì°ÊÊ>ÌÌiÀÞÊ«>VÃÊ>ÀiÊ>Û>>LiÊÊÃiÛiÀ>ÊVw}ÕÀ>ÌÃÊ«Ìâi`Ê for use in specific applications. Each battery pack is marked with an expiration date. The DDU-2300 AED records event documentation internally and, optionally, on Defibtech Data Cards (“DDC cards”). The optional DDC card plugs into a slot in the AED and enables the AED to record event documentation and, optionally, audio data onto the card. Audio recording is selectable through configuration settings. Event documentation stored internally can be downloaded onto a DDC card for review. A USB port is provided to perform maintenance and data recovery. The USB interface allows connection to a personal computer. Defibtech PC maintenance software helps support event downloading and unit maintenance operations. 1-1 DAC-2513EN-AB 1. Introduction DAC-2513EN-AB 1-2 I. Defibtech Data Card (DDC card). This optional plug-in card provides enhanced storage capabilities to the DDU-2300 AED. H. USB Port. The USB port is provided to perform data recovery and maintenance. Not to be used during rescue operation. G. Softkey Buttons. Three context sensitive softkey buttons are used to navigate menus or select actions. F. Active Status Indicator (ASI). The ASI indicates the current status of the AED. This indicator flashes green to indicate the unit is ready for use and flashes red to indicate unit needs attention from the user or needs servicing. E. Pads Connector Socket. The Pads Connector (item O) is inserted into this socket. D. ON/OFF Button. This button is used to turn the DDU-2300 AED on and off. C. Display Screen. Color display panel used to display text and video prompts, messages, indicators for rescue, unit status, and maintenance operations. The display screen provides visual prompts, including CPR coaching, to assist rescuers with step-by-step instruction. B. SHOCK Button. This button will flash when a shock is recommended. Pressing this button will deliver a shock when the button is flashing. This button is disabled at all other times. A. Speaker. The speaker projects the voice prompts when the DDU-2300 AED is on. The speaker also emits a “beep” when the unit is off and has detected a condition that requires attention from the user or needs servicing. T. Battery Pack Expiration Date. The battery pack expiration date is printed on the label on the battery pack. Do not use the battery pack after the printed date has past. S. Battery Pack. The battery pack provides a replaceable main power source for the DDU-2300 AED. R. Battery Pack Serial Number. The battery pack’s serial number is located on the label on the battery pack. Q. Defibrillation Pads Expiration Date (back side). The defibrillation pads expiration date is located on the back side of the pads package. Do not use the pads after the printed date has passed. P. Defibrillation Pads. The defibrillation pads are pads that are placed on the patient. The pads may be stored in the pad storage area on the back of the unit. O. Pads Connector. This connector attaches the patient pads to the unit at the Pads Connector Socket (item E). N. Pad Storage Area. The pad storage area is found on the back of the AED allowing the pads to be stored in a pre-connected state for rapid deployment during an emergency. M. Battery Pack Eject Release Latch. This release latch releases the battery pack from the DDU-2300 AED. L. Battery Pack Opening. This opening is where the battery pack is inserted into the unit. K. Unit Serial Number. The unit’s serial number can be found on the back of the AED, above the battery pack opening. J. USB and Defibtech Data Card (DDC card) Access Door. Behind the access door is the USB connector port and Defibtech Data Card (DDC card) slot. P. Defibrillation Pads BATTERY PACK R. Battery Pack Serial Number 1-3 DAC-2513EN-AB T. Battery Pack Expiration Date S. Battery Pack Q. Defibrillation Pads Expiration Date (on back of package) N. Pad Storage Area BACK OF AED L. Battery Pack Opening K. Unit Serial Number J. USB and Defibtech Data Card (DDC Card) Access Door I. Defibtech Data Card (DDC Card) (optional) H. USB Port G. Softkey Buttons (Top, Center, Bottom) F. Active Status Indicator (ASI) M. Battery Pack Eject Release Latch DEFIBRILLATION PADS PACKAGE O. Pads Connector FRONT OF AED A. Speaker B. SHOCK Button C. Display Screen D. ON/OFF Button E. Pads Connector Socket AW -102 The Defibtech DDU-2300 AED 1. Introduction 1. Introduction Indications The DDU-2300 Semi-Automatic External Defibrillator (“AED”) is indicated for use on victims of sudden cardiac arrest (SCA) who are: UÊ1VÃVÕÃÊ>`ÊÕÀiëÃÛi UÊ ÌÊLÀi>Ì } For patients under 8 years old or less than 55 pounds (25kg), use child/infant electrode pads. Do not delay therapy to determine exact age or weight. The DDU-2300 AED must be used by or on the order of a physician. Contraindications The DDU-2300 AED should not be used if the patient shows any of the following signs: UÊ ÃVÕÃÊ>`ÉÀÊÀiëÃÛi UÊÀi>Ì } UÊ>ÃÊ>Ê`iÌiVÌ>LiÊ«ÕÃi Operator Training Requirements In order to safely and effectively operate the DDU-2300 AED, a person shall have met the following requirements: UÊ1ÓÎääÊÊ>`ÉÀÊ`iwLÀ>ÌÊÌÀ>}Ê>ÃÊÀiµÕÀi`ÊLÞÊV>]ÊÃÌ>Ìi]Ê«ÀÛV>]ÊÀÊ>Ì>ÊÀi}Õ>ÌÃ°Ê UÊÞÊ>``Ì>ÊÌÀ>}Ê>ÃÊÀiµÕÀi`ÊLÞÊÌ iÊ>ÕÌ Àâ}Ê« ÞÃV>° UÊ/ ÀÕ} ÊÜi`}iÊ>`ÊÕ`iÀÃÌ>`}ÊvÊÌ iÊ>ÌiÀ>Ê«ÀiÃiÌi`ÊÊÌ ÃÊ1ÃiÀÊ>Õ>° 1-4 DAC-2513EN-AB 2 Dangers, Warnings, And Cautions This chapter includes a list of danger, warning, and caution messages that relate to the Defibtech DDU-2300 AED and its accessories. Many of these messages are repeated elsewhere in this User Manual and on the DDU-2300 AED or accessories. The entire list is presented here for convenience. ! DANGERS: Immediate hazards that will result in serious personal injury or death. UÊÊ>â>À`ÕÃÊiiVÌÀV>ÊÕÌ«ÕÌ°Ê/ ÃÊiµÕ«iÌÊÃÊvÀÊÕÃiÊÞÊLÞʵÕ>wi`Ê«iÀÃi° UÊÊ/ iÊ1ÓÎääÊÊÃÊÌÊÃÕÌ>LiÊvÀÊÕÃiÊÊÌ iÊ«ÀiÃiViÊvÊ>Êy>>LiÊ>iÃÌ iÌVÊÝÌÕÀi°Ê UÊÊ ÌÊÃÕÌ>LiÊvÀÊÕÃiÊÊÝÞ}iÊiÀV i`Ê>Ìë iÀi° 2. Dangers, Warnings, And Cautions UÊÊ/ iÊ1ÓÎääÊÊ >ÃÊÌÊLiiÊiÛ>Õ>Ìi`ÊÀÊ>««ÀÛi`ÊvÀÊÕÃiÊÊ >â>À`ÕÃÊV>ÌÃÊ>ÃÊ`iwi`ÊÊÌ iÊ >Ì>Ê Electric Code standard. In compliance with IEC classification, the DDU-2300 AED is not to be used in the presence of flammable substance/air mixtures. ! WARNINGS: Conditions, hazards, or unsafe practices that may result in serious personal injury or death. UÊÊ«À«iÀÊÕÃiÊV>ÊV>ÕÃiÊÕÀÞ°Ê1ÃiÊÌ iÊ1ÓÎääÊÊÞÊ>ÃÊÃÌÀÕVÌi`ÊÊÌ iÊ1ÃiÀÊ>Õ>°Ê/ iÊ1ÓÎääÊÊ delivers electrical energy that can potentially cause death or injury if it is used or discharged improperly. UÊÊ«À«iÀÊ>Ìi>ViÊV>ÊV>ÕÃiÊÌ iÊ1ÓÎääÊÊÌÊÌÊvÕVÌ°Ê>Ì>ÊÌ iÊ1ÓÎääÊÊÞÊ>ÃÊ`iÃVÀLi`Ê in the User Manual. The AED contains no user serviceable parts – do not take the unit apart. UÊÊÊiVÌÀV>Ê- VÊ>â>À`°Ê>}iÀÕÃÊ } ÊÛÌ>}iÃÊ>`ÊVÕÀÀiÌÃÊ>ÀiÊ«ÀiÃiÌ°ÊÊÌÊ«iÊÕÌ]ÊÀiÛiÊVÛiÀÊ­ÀÊL>V®]Ê or attempt repair. There are no user serviceable components in the DDU-2300 AED. Refer servicing to qualified service personnel. UÊÊÌ ÕÊL>ÌÌiÀÞÊ«>VÃÊ>ÀiÊÌÊÀiV >À}i>Li°ÊÞÊ>ÌÌi«ÌÊÌÊÀiV >À}iÊ>ÊÌ ÕÊL>ÌÌiÀÞÊ«>VÊ>ÞÊÀiÃÕÌÊÊwÀiÊÀÊiݫð UÊÊÊÌÊiÀÃiÊL>ÌÌiÀÞÊ«>VÊÊÜ>ÌiÀÊÀÊÌ iÀʵÕ`ðÊiÀÃÊÊyÕ`ÃÊ>ÞÊÀiÃÕÌÊÊwÀiÊÀÊiݫð UÊÊÊÌÊiÌÊyÕ`ÃÊ}iÌÊÌÊÌ iÊ1ÓÎääÊ°ÊÛ`Êë}ÊyÕ`ÃÊÊÌ iÊÊÀÊÌÃÊ>VViÃÃÀiðÊ-«}ÊyÕ`ÃÊÌÊ Ì iÊ1ÓÎääÊÊ>ÞÊ`>>}iÊÌÊÀÊV>ÕÃiÊ>ÊwÀiÊÀÊà VÊ >â>À`°Ê UÊÊÊÌÊÃÌiÀâiÊÌ iÊ1ÓÎääÊÊÀÊÌÃÊ>VViÃÃÀið UÊÊ1ÃiÊ ÞÊ iwLÌiV Ê `ëÃ>LiÊ Ãiv>` iÃÛiÊ `iwLÀ>ÌÊ «>`Ã]Ê L>ÌÌiÀÞÊ «>VÃ]Ê >`Ê Ì iÀÊ >VViÃÃÀiÃÊ ÃÕ««i`Ê LÞÊ iwLÌiV ÊÀÊÌÃÊ>ÕÌ Àâi`Ê`ÃÌÀLÕÌÀðÊ-ÕLÃÌÌÕÌÊvÊiwLÌiV Ê>««ÀÛi`Ê>VViÃÃÀiÃÊ>ÞÊV>ÕÃiÊÌ iÊ`iÛViÊ to perform improperly. UÊÊÌÊ«iÊÃi>i`Ê«>`ÃÊ«>V>}iÊÕÌÊ«>`ÃÊ>ÀiÊÌÊLiÊÕÃi`°Ê UÊÊÊÌÊÌÕV ÊÌ iÊ«>ÌiÌÊ`ÕÀ}Ê`iwLÀ>Ì°ÊÊiwLÀ>ÌÊVÕÀÀiÌÊV>ÊV>ÕÃiÊ«iÀ>ÌÀÊÀÊLÞÃÌ>`iÀÊÕÀÞ°ÊÊÊ UÊÊÊÌÊ>ÜÊ«>`ÃÊÌÊÌÕV ÊiÌ>ÊLiVÌÃÊÀÊiµÕ«iÌÊÊVÌ>VÌÊÜÌ ÊÌ iÊ«>ÌiÌ°ÊÊÌÊÌÕV ÊiµÕ«iÌÊViVÌi`Ê to the patient during defibrillation. Disconnect other electrical equipment from the patient before defibrillation. UÊÊÊÌÊà VÊÜÌ Ê`iwLÀ>ÌÊ«>`ÃÊÌÕV }Êi>V ÊÌ iÀ°ÊÊÌÊà VÊÜÌ Ê}iÊÃÕÀv>ViÊiÝ«Ãi`° UÊÊÊ ÌÊ >ÜÊ `iwLÀ>ÌÊ «>`ÃÊ ÌÊ ÌÕV Ê i>V Ê Ì iÀ]Ê ÀÊ ÌÊ ÌÕV Ê Ì iÀÊ Ê iiVÌÀ`iÃ]Ê i>`Ê ÜÀiÃ]Ê `ÀiÃÃ}Ã]Ê transdermal patches, etc. Such contact can cause electrical arcing and patient skin burns during defibrillation and may divert defibrillating energy away from the heart. UÊÊ/ iÊ `iwLÀ>ÌÊ «>`ÃÊ >ÀiÊ Ìi`i`Ê vÀÊ iÊ ÌiÊ ÕÃiÊ ÞÊ >`Ê ÕÃÌÊ LiÊ `ÃV>À`i`Ê >vÌiÀÊ ÕÃi°Ê ,iÕÃiÊ V>Ê i>`Ê ÌÊ potential cross infection, improper performance of the device, inadequate delivery of therapy and/or injury to the patient or operator. UÊÊÛ`ÊVÌ>VÌÊLiÌÜiiÊ«>ÀÌÃÊvÊÌ iÊ«>Ìi̽ÃÊL`ÞÊ>`ÊV`ÕVÌÛiÊyÕ`ÃÊÃÕV Ê>ÃÊÜ>ÌiÀ]Ê}i]ÊL`ÊÀÊÃ>i]Ê>`ÊiÌ>Ê objects, which may provide unwanted pathways for defibrillating current. 2-1 DAC-2513EN-AB WARNINGS (continued) UÊÊÃViVÌÊ>Ê`iwLÀ>ÌÀÊ«ÀvÊiµÕ«iÌÊvÀÊÌ iÊ«>ÌiÌÊLivÀiÊ`iwLÀ>ÌÊÌÊ«ÀiÛiÌÊiiVÌÀV>Êà VÊ >âard and potential damage to that equipment. UÊÊ}}ÀiÃÃÛiÊÀÊ«À}i`Ê *,ÊÌÊ>Ê«>ÌiÌÊÜÌ Ê`iwLÀ>ÌÊ«>`ÃÊ>ÌÌ>V i`ÊV>ÊV>ÕÃiÊ`>>}iÊÌÊÌ iÊ«>`ðÊ,i«>ViÊ the defibrillation pads if they become damaged during use. UÊÊ*ÃÃLiÊ,>`ÊvÀiµÕiVÞÊ­,®ÊÌiÀviÀiViÊvÀÊ,Ê`iÛViÃÊÃÕV Ê>ÃÊViÕ>ÀÊ« iÃÊ>`ÊÌÜÜ>ÞÊÀ>`ÃÊV>ÊV>ÕÃiÊ improper AED operation. Normally using a cell phone near the AED should not cause a problem; however, a distance of 2 meters (6 feet) between RF devices and the DDU-2300 AED is recommended. UÊ *,Ê`ÕÀ}Ê>>ÞÃÃÊV>ÊV>ÕÃiÊVÀÀiVÌÊÀÊ`i>Þi`Ê`>}ÃÃÊLÞÊÌ iÊ«>ÌiÌÊ>>ÞÃÃÊÃÞÃÌi°Ê UÊÊ>`}ÊÀÊÌÀ>ëÀÌ}ÊÌ iÊ«>ÌiÌÊ`ÕÀ}Ê Ê>>ÞÃÃÊV>ÊV>ÕÃiÊVÀÀiVÌÊÀÊ`i>Þi`Ê`>}ÃÃ]ÊiëiV>ÞÊvÊÛiÀÞÊ low amplitude or low frequency rhythms are present. UÊÊÊ«>ÌiÌÃÊÜÌ ÊV>À`>VÊ«>Vi>iÀÃ]ÊÌ iÊ1ÓÎääÊÊ>ÞÊ >ÛiÊÀi`ÕVi`ÊÃiÃÌÛÌÞÊ>`ÊÌÊ`iÌiVÌÊ>Êà V>LiÊÀ ÞÌ Ã°Ê If you know the patient has an implanted pacemaker, do not place electrodes directly over an implanted device. 2. Dangers, Warnings, And Cautions UÊÊÕÀ}Ê `iwLÀ>Ì]Ê >ÀÊ «ViÌÃÊ LiÌÜiiÊ Ì iÊ ÃÊ >`Ê `iwLÀ>ÌÊ «>`ÃÊ V>Ê V>ÕÃiÊ «>ÌiÌÊ ÃÊ LÕÀÃ°Ê /Ê i«Ê prevent air pockets, make sure self-adhesive defibrillation pads completely adhere to the skin. Do not use dried out or expired defibrillation pads. UÊÊ1ÃiÀÌ>Ìi`Ê>`Ê>ÕÌ>ÌVÊÃivÌiÃÌÃÊ>ÀiÊ`iÃ}i`ÊÌÊ>ÃÃiÃÃÊÌ iÊ1ÓÎääʽÃÊÀi>`iÃÃÊvÀÊÕÃi°ÊÜiÛiÀ]ÊÊ degree of testing can assure performance or detect abuse, damage, or a defect that occurred after the most recent test is completed. UÊÊ1ÃiÊvÊ`>>}i`ÊiµÕ«iÌÊÀÊ>VViÃÃÀiÃÊ>ÞÊV>ÕÃiÊÌ iÊ`iÛViÊÌÊ«iÀvÀÊ«À«iÀÞÊ>`ÉÀÊÀiÃÕÌÊÊÕÀÞÊÌÊÌ iÊ patient or operator. ! CAUTIONS: Conditions, hazards, or unsafe practices that may result in minor personal injury, damage to the DDU-2300 AED, or loss of data. UÊÊÜÊ>ÊL>ÌÌiÀÞÊ«>VÊ>Li}ÊÃÌÀÕVÌðÊÊÌÊÃÌ>ÊL>ÌÌiÀÞÊ«>VÃÊ>vÌiÀÊÌ iÊiÝ«À>ÌÊ`>Ìi° UÊÊÜÊ >Ê `iwLÀ>ÌÊ «>`Ê >LiÊ ÃÌÀÕVÌÃ°Ê 1ÃiÊ `iwLÀ>ÌÊ «>`ÃÊ «ÀÀÊ ÌÊ Ì iÀÊ iÝ«À>ÌÊ `>Ìi°Ê Ê ÌÊ ÀiÕÃiÊ defibrillation pads. Discard defibrillation pads after use (in the event of suspected pad malfunction, return pads to Defibtech for testing). UÊÊ,iVÞViÊÀÊ`ëÃiÊvÊÌ ÕÊL>ÌÌiÀÞÊ«>VÃÊÊ>VVÀ`>ViÊÜÌ Êvi`iÀ>]ÊÃÌ>Ìi]Ê>`ÉÀÊV>Ê>ÜðÊ/Ê>Û`ÊwÀiÊ>`Ê iÝ«ÃÊ >â>À`]Ê`ÊÌÊLÕÀÊÀÊViÀ>ÌiÊÌ iÊL>ÌÌiÀÞÊ«>V°ÊÊÊÌÊVÀÕà °ÊÊ UÊÊ1ÃiÊ >`Ê ÃÌÀiÊ Ì iÊ 1ÓÎääÊ Ê ÞÊ ÜÌ Ê Ì iÊ À>}iÊ vÊ iÛÀiÌ>Ê V`ÌÃÊ Ã«iVwi`Ê Ê Ì iÊ ÌiV V>Ê specifications. UÊÊvÊ«ÃÃLi]Ê`ÃViVÌÊÌ iÊ1ÓÎääÊÊvÀÊÌ iÊ«>ÌiÌÊ«ÀÀÊÌÊÕÃiÊvÊÌ iÀÊ`iwLÀ>ÌÀð UÊÊÊ ÌÊ ViVÌÊ Ì iÊ 1ÓÎääÊ ÌÊ >Ê * Ê ÀÊ Ì iÀÊ `iÛViÊ ­ÕÃ}Ê Ì iÊ 1-Ê «ÀÌ®Ê Ü iÊ Ì iÊ Õ̽ÃÊ iiVÌÀ`iÃÊ >ÀiÊ ÃÌÊ connected to the patient. UÊ1Ã}ÊiwLÌiV Ê>Ì>Ê >À`ÃÊ­ ÊV>À`îÊ>ÞÊ`>>}iÊÌ iÊÕÌÊ>`ÊÜÊÛ`ÊÌ iÊÜ>ÀÀ>ÌÞ° UÊÊÌ Õ} ÊÌ iÊ1ÓÎääÊÊÃÊ`iÃ}i`ÊvÀÊ>ÊÜ`iÊÛ>ÀiÌÞÊvÊwi`ÊÕÃiÊV`ÌÃ]ÊÀÕ} Ê >`}ÊLiÞ`ÊëiVwV>ÌÃÊ may result in damage to the unit. UÊÊi`iÀ>Ê>ÜÊ­1-®ÊÀiÃÌÀVÌÃÊÌ ÃÊ`iÛViÊÌÊÃ>iÊLÞÊÀÊÊÌ iÊÀ`iÀÊvÊ>Ê« ÞÃV>° 2-2 DAC-2513EN-AB 3 Setting Up The DDU-2300 AED This chapter describes the steps required to make your Defibtech DDU-2300 AED operational. The DDU-2300 AED is designed to be stored in a “ready” state. This chapter tells you how to make the device ready, so that if and when you need it, few steps are required to begin using the device. Overview The following components and accessories are included with your DDU-2300 AED. Replacement and other accessories are detailed in the “DDU-2300 AED Accessories” section. Before getting started, identify each component and ensure that your package is complete. DDU-2300 AED Battery Pack Defibrillation Pads Package Defibtech Data Card (DDC card) (optional) Defibtech DDU-2300 Semi-Automatic External Defibrillator 3. Setting Up The DDU-2300 AED User Manual (on Defibtech User CD) Operating Guide (Booklet) Operating Guide Connecting The Pads The DDU-2300 AED defibrillation pads are supplied sealed in a package with the connector and part of the cable exposed. This allows the pads to be stored in a pre-connected state for rapid deployment during an emergency. DO NOT open the sealed pads package until the pads are to be used. The packaging should be opened only immediately prior to use, otherwise the pads may dry WARNING out and become non-functional. ! Note: The DDU-2300 AED is designed to be stored with the pads connector already installed. This simplifies the procedure for deploying and operating the device in an emergency. First, check to ensure that the pads package has not expired. The expiration date is printed on the pad pouch and is also reported in the AED status screen. Do not use pads past expiration date. Discard expired pads. 3-1 DAC-2513EN-AB Connecting The Pads (continued) Insert the connector end of the defibrillation pad cable into the pads connector socket on the top-left corner of the DDU-2300 AED as shown. Insert pads connector firmly until it is fully seated in the unit. The connector will only fit in one way – if the connector does not fit, rotate the connector before trying again. The connected pads package can then be stored in the pad storage slot in the back of the DDU-2300 AED. After connecting the pads connector to the unit, push the pads package, rounded end first, with the pictures on the package facing out, into the pad holder compartment on the back of the AED. When the pads package is fully inserted, press the pad cable into the groove in the back of the unit to hold the cable in place and tuck any excess cable behind the pads package. The pads are intended for one time use only and must be discarded after use or if the package has been opened CAUTION or damaged. ! Installing The Defibtech Data Card (DDC card) (Optional) The Defibtech Data Card (“DDC card”) is used to store event and audio information collected by the AED. All DDU2300 AEDs will operate without DDC cards and will still store critical event information internally. DDC cards may be reviewed with a separate Defibtech PC-based software package. (Refer to the “DefibView II” section in Chapter 8 of this manual.) 3. Setting Up The DDU-2300 AED Before installing the DDC card, ensure the AED is turned OFF. Locate the data card/USB port access door on the right hand side of the unit. Open the data card/USB port access door by slightly pushing and then sliding the door down to release the latch. The door will spring open. Insert the DDC card, into the thin slot in the side of the AED centered above the USB port opening, notched end first, label side up until it clicks into place. The card should be flush with the surface of the slot. If the card does not push in all the way, it may have been inserted upside down. In that case, remove the card, flip it over, and try inserting it again. To remove the DDC card, press the card as far as it will go and then release. Upon release, the DDC card will be partially ejected and can be removed by pulling the DDC card the rest of the way out. Close the data card/USB port access door by closing and then pushing the door up until the door latch engages. Using non-Defibtech Data Cards (DDC cards) may damage the unit CAUTION and will void the warranty. ! 3-2 DAC-2513EN-AB Installing And Removing The Battery Pack The battery pack provides power to the DDU-2300 AED. Do not install the battery pack after the expiration date printed on the label. The battery pack is non-rechargeable. Before inserting the battery pack into the DDU-2300 AED, ensure that the battery pack opening in the back of the AED is clean and clear of any foreign objects. Insert the battery pack into the opening in the back of the AED. Push the pack all the way in until the latch clicks. The battery pack will only fit in one way – if the battery pack does not fit, rotate the battery pack before trying again. Once fully inserted, the battery pack surface should be flush with the back of the AED. Within moments of insertion the DDU-2300 AED will turn on and run a battery pack insertion self-test.* When the test is completed, the unit will report the status of the battery pack and shut down. Afterwards, the Active Status Indicator, adjacent to the ON/OFF button of the DDU-2300 AED, will periodically flash. If the indicator flashes green, the AED and battery pack are ready for use. If the indicator flashes red, is solid red, or there is no flashing light, the AED requires service. (Refer to the “Checking The DDU-2300 AED Status” section below for more details on the meaning of the indicator.) *Note: The battery pack must be removed from the unit for more than 10 seconds for the battery pack self-test to be performed automatically. To remove the battery pack, push the battery pack eject release latch. After the battery pack is partially ejected, pull the battery pack out. Checking The DDU-2300 AED Status Active Status Indicator (ASI) 3. Setting Up The DDU-2300 AED Once a fully functional battery pack is installed in the DDU-2300 AED, an LED indicator located to the right of the ON/OFF button actively indicates unit status. If the unit is ready for use, the Active Status Indicator (“ASI”) will flash green. Ready for use means that the DDU-2300 has passed the most recent self-test (scheduled or user initiated). If the unit needs service, the ASI will flash red. Anytime the ASI flashs red, the unit will also “beep” periodically to call attention to itself. The ASI also uses a distinct flash pattern to assist people with color blindness: green will flash a single flash and red will flash a double flash. The ASI is powered by the battery pack. If the battery pack has been completely discharged or is not installed in the unit, the active status indication will be off. In this case, immediately replace the battery pack or reinsert it into the unit to restore active status indication. UÊ Flashing Green: DDU-2300 AED is OFF and ready for use. UÊ Solid Green: DDU-2300 AED is ON and ready for use. UÊ Flashing or Solid Red: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service Active Status Indicator UÊ No Flashing Light: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service. 3-3 DAC-2513EN-AB Checking The DDU-2300 AED Status (continued) AED Status Screen To check the status of the unit when the unit is off, press the center softkey button. The display screen will show unit status, battery pack status, and pad status. After a short period of time, the display screen, and the unit will turn off. Completing The Installation Once you have completed the previous steps to set up your DDU-2300 AED, follow this procedure: 1. Turn the unit on by pressing the power ON/OFF button. 2. Listen for the “Call for Help” voice prompt. 3. Turn unit off by pressing and holding the ON/OFF button. 4. Listen for the “Powering Off ” voice prompt. 5. Check Active Status Indicator to verify that it is flashing green. (Refer to the ”Self-Tests” section in Chapter 5 of this manual for instructions on how to run a manually initiated self-test.) Storing The DDU-2300 AED Store the DDU-2300 AED, with pads attached, in environmental conditions within range of the specifications. (Refer to the “Environmental” section in Chapter 9 of this manual.) The unit should also be stored so that the Active Status Indicator can be readily seen. 3. Setting Up The DDU-2300 AED The Active Status Indicator should periodically flash with a green light. If it flashes with a red light or does not flash at all, the DDU-2300 AED needs servicing. (Refer to the “Checking The DDU-2300 AED Status” section in this chapter for more information.) Defibtech recommends storing your AED in an easily accessible location. 3-4 DAC-2513EN-AB 4. Using The DDU-2300 AED 4 Using The DDU-2300 AED In Rescue Mode This chapter describes how to use the DDU-2300 AED in rescue mode. The DDU-2300 AED was designed for simple operation, allowing the operator to focus on the patient. There are two primary control buttons and a display screen. Concise and easily understandable voice messages and text and video prompts guide the operator through the use of the unit. The following sections describe in detail how to use the DDU-2300 AED. The basic steps for use are: UÊ/ÕÀÊÌ iÊ1ÓÎääÊÊ" ÊLÞÊ«ÀiÃÃ}ÊÌ iÊON/OFF button. UÊ*Õ}ÊÊ«>`ÃÊViVÌÀÊÌÊ*>`Ê iVÌÀÊ-ViÌÊÊÊvÊÌÊÞiÌÊ«Õ}}i`Ê° UÊ*>ViÊ«>`ÃÊÊ«>ÌiÌÊ­follow instructions on pads package). UÊÜÊÛViÊ>`Ê`ë>ÞÊ«À«Ìð UÊ*ÀiÃÃÊSHOCK button if instructed by the AED. Overview Pads Connector Socket – Socket for pads connector Active Status Indicator (ASI) – Indicates the current status of the AED ON/OFF Button – Turns AED on and off Display Screen – Displays video, text prompts, and information Softkey Buttons (Top, Center, Bottom) – Buttons used to navigate menus or select actions Speaker – Creates audio output from device SHOCK Button – Enabled/disabled by software to allow the user to discharge a shock to the patient 4-1 DAC-2513EN-AB 4. Using The DDU-2300 AED Overview (continued) Unit Display Screen (During Rescue Mode) Battery Indicator Main Screen Rescue Breathing Options Softkey Icon Information Softkey Icon Text Prompts (Sample display screen during Rescue Mode) Battery Indicator – The Battery Indicator indicates the approximate remaining battery capacity. Main Screen – The Main Screen displays video instructions to guide the user during a rescue. Text Prompts – The Text Prompt Area displays text prompts to guide the user during a rescue. Softkey Buttons (not pictured) – The Softkey Buttons are located to the right of the display screen. If a softkey button is active, it will have a softkey icon displayed next to it. The softkey buttons are used to navigate menus or select actions. Rescue Breathing Options Softkey Icon – When this icon is present on the screen (during a rescue), the user may press the corresponding softkey button to select CPR coaching with compressions only (no breathing) or CPR coaching with compressions and breathing. Information Softkey Icon – When this icon is present on the screen, the user may press the corresponding softkey button for additional information with video instruction. The additional information is context dependent; topics include preparing the patient and performing CPR. To exit, press the softkey button again. Preparation Checking The DDU-2300 AED Status Visually check the Active Status Indicator (ASI). The ASI should flash green. The ASI flashes green to indicate ready for use status. The ASI flashes red, solid red, or is not lit at all to indicate that service is required. The ASI is powered by the battery pack. If the battery pack has been completely discharged or is not installed in the unit, the active status indication will not be available. In this case, immediately replace the battery pack or reinsert it into the unit to restore active status indication. UÊ Flashing Green: DDU-2300 AED is OFF and ready for use. UÊ Solid Green: DDU-2300 AED is ON and ready for use. UÊ Flashing or Solid Red: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service Active Status Indicator UÊ No Flashing Light: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service. 4-2 DAC-2513EN-AB 4. Using The DDU-2300 AED Turning On The DDU-2300 AED Press the green ON/OFF button to turn the DDU-2300 AED on. The unit will emit a “beep” and the display screen will turn on. The ASI indicator next to the ON/OFF button will illuminate green anytime the AED is on. (To turn the unit off, press AND HOLD the ON/OFF button for approximately two seconds; the unit will emit a “beep” and power off.) Call For Help Call professional emergency services for help. As soon as the AED is turned on the unit will prompt the user to “Call for help.” This is a reminder that the first step in a rescue should always be to contact professional emergency services. If another person is available, the user should direct that person to call for help and then continue the rescue without delay. Preparing The Patient Prepare the patient by removing any clothing from the patient’s chest. Wipe away moisture from the chest if necessary (the defibrillation pads will stick better on dry skin). If necessary, shave excessive chest hair, which can prevent effective patient-electrode contact. To ensure that defibrillation pads fully contact the patient’s skin, check that no jewelry or other objects are directly underneath where the pads will be placed. Connecting Defibrillation Pads To The DDU-2300 AED Connect pads to unit, if not already connected. Follow AED voice and display instructions. The DDU-2300 AED is designed to be stored with the defibrillation pads connector attached to the unit, while the pads themselves remain sealed in their package. This reduces the time needed to setup and start treatment in an emergency. The Defibtech AED should be stored with the pads connector attached to the unit. However, if pads were damaged or not properly connected, you may need to substitute a new set of pads during an emergency. The pads connector socket is on the top left corner of the AED. To detach a set of pads from the unit, pull firmly on the pad connector. Do not reuse used pads. Insert the connector for the new pads as shown above. The connector will only fit in one way – if the connector does not fit, rotate the connector before trying again. Insert connector firmly until it is completely seated in the unit. When this Information Softkey Icon is present on the screen, the user may press the corresponding softkey button for additional information with video instruction. To exit, press the softkey button again. Opening The Pads Package Remove the pads package from the pad storage slot at the back of the AED. Open the pads package by tearing along the dotted line, starting at the black arrow (follow directions on the package). Check that the pads are: UÊÀiiÊvÀÊLÛÕÃÊÃ}ÃÊvÊ`>>}i° UÊ i>ÊvÊiÝViÃÃÛiÊ`iLÀÃÊ­vÀÊiÝ>«i]Ê`ÀÌÊvÊÌ iÊ«>`ÊÜ>ÃÊ`À««i`®° UÊ ÌÊ`Ài`ÊÕÌ]Ê>`ÊÌ >ÌÊÌ iÊ}iÊÃÊÃÌVÞÊ>`ÊÜÊ>` iÀiÊÌÊÌ iÊ«>ÌiÌ° UÊ ÌÊiÝ«Ài`°ÊÊÌÊÕÃiÊ«>`ÃÊ>vÌiÀÊÌ iÊiÝ«À>ÌÊ`>ÌiÊ«ÀÌi`ÊÊÌ iÊ«>V>}i° If any of these conditions are found, use a new set of pads, if possible. 4-3 DAC-2513EN-AB 4. Using The DDU-2300 AED Applying Pads To The Patient Apply pads correctly to patient. Follow AED voice and text prompts. Correct pad placement is essential for effective analysis of the patient’s cardiac rhythm and subsequent shock delivery (if required). Remove the pads from the pads package by tearing the package along the dotted line near the top of the package. Follow the directions and diagram showing proper defibrillation pad placement located on the defibrillation pads package and on the pads. Peel off each pad from the blue liner before placing it as shown on the picture on the pad. Peel the pad off the blue liner only when the pad is ready to be placed on the patient. Place the pads with the sticky side of the pad on the patient’s skin. Pad placement on infants and children under 8 years or less than 55 pounds (25kgs) is different than placement for adults and children 8 years or older or over 55 pounds (25kgs). If you are unsure of a child’s age or weight or do not have child/infant pads, do not delay treatment. Place the pads on the patients bare chest exactly as shown in the picture on the pad. See diagrams below: Sample Adult Pads Sample Child/Infant Pads For adults and children 8 years or older or over 55 pounds (25kgs), use adult pads: Place one pad just below the patient’s right collar bone as shown in the picture. Place the second pad over the ribs on the patient’s left side below the left breast. Use picture on pad to determine individual pad placement. For infants and children under 8 years or less than 55 pounds (25kgs), use child/infant pads (Note: Child/infant pads can be identified by their blue connector and pads package): Place one pad in the center of chest and one pad on the center of the back, as shown. Use picture on pad to determine individual pad placement. 4-4 DAC-2513EN-AB 4. Using The DDU-2300 AED Follow DDU-2300 AED Instructions At this point, the DDU-2300 AED will check to make sure that the pads are well connected to the patient and that an adequate ECG signal is being received. Do not touch the patient. Eliminate any patient movement, and cease CPR at this time. If there is a problem with the pad connection, socket connection, patient motion, or other interference, the AED will guide the operator with both audible and displayed instructions. Text prompts are identical to or are an abbreviated form of the audio prompts. Video prompts reinforce the audio and text prompts and aid in high ambient noise environments. Heart Rhythm Analysis Once the DDU-2300 AED has determined that the pads are making a good connection to the patient, the AED ÜÊÃÌ>ÀÌÊÌ iÊ ÊÀ ÞÌ Ê>>ÞÃðÊÊ/ iÊÕÌÊ>>ÞâiÃÊÌ iÊ ÊÃ}>Ê>`Ê`iÌiÀiÃÊÜ iÌ iÀÊ>Êà V>LiÊÀÊ Ã V>LiÊÀ ÞÌ ÊÃÊ«ÀiÃiÌ°ÊÊ7 iÊ>>Þâ}]ÊÌ iÊÊÜÊVÌÕiÊÌÊÌÀÊÃ}>Ê>`Ê«>`ÊV`ÌÃÊ>`ÊÜÊ reassess analysis and prompt the user if additional user action is needed. Delivering The Shock If the DDU-2300 AED ECG analysis algorithm has determined that a shock is required, the unit will automatically charge in preparation for shock delivery. While the AED charges, the unit may emit a charging tone and will continue ÌÊ>>ÞâiÊÌ iÊ«>Ìi̽ÃÊ i>ÀÌÊÀ ÞÌ °ÊÊvÊÌ iÊÕÌÊ`iÌiVÌÃÊÌ >ÌÊÌ iÊ i>ÀÌÊÀ ÞÌ Ê >ÃÊV >}i`ÊÌÊiÊÌ >ÌÊ`iÃÊÌÊ ÀiµÕÀiÊ>Êà V]ÊÌ iÊÕÌÊÜÊ«À«ÌÊÌ iÊÕÃiÀÊÌÊLi}Ê *,°ÊÊ7 iÊ>>Þâ}]ÊÌ iÊÊÜÊVÌÕiÊÌÊÌÀÊÃ}>Ê and pad conditions. If the unit has determined that a shock is required and has completed charging, the SHOCK button will flash and the user will be instructed to press the flashing SHOCK button. The user should follow the AED instructions and press the SHOCK button. Important: The DDU-2300 AED will not automatically deliver a shock – the user must press the flashing SHOCK button. The user can abort charging or shock delivery at any time by pressing and holding the ON/OFF button for approximately two seconds to turn the unit off. CPR Period The operator will be prompted to begin CPR. The unit will not monitor the patient’s ECG rhythm during the CPR period. During the CPR period, the AED will not advise the user to “stop motion” even if motion is present. The user should follow the AED instructions during this time. Once the CPR period is complete, the unit will continue in Heart Rhythm Analysis mode. CPR coaching is provided through a series of voice and visual prompts and audible tones. The factory default setting provides prompts for chest compressions only (no breathing). However, breathing prompts can be enabled/disabled by pressing the softkey button next to the Rescue Breathing Options icon displayed on the screen during rescue. (Refer to the “Rescue Breathing Options Softkey Icon” section below.) Breathing prompts can also be enabled/disabled by setting the menu option in Maintenance Mode. (Refer to the “CPR Breathing” section in Chapter 6 of this manual.) Rescue Breathing Options Softkey Icon: During a rescue, when this icon is present on the sreen, the user may press the corresponding softkey button to select CPR coaching with compressions only (no breathing) or CPR coaching with compressions and breathing. Note: Refer to the “CPR Breathing” section of Chapter 6 for instructions on how to change the factory default setting. When this Information Softkey Icon is present on the screen, the user may press the corresponding softkey button for additional information with video instruction. To exit, press the softkey button again. 4-5 DAC-2513EN-AB 4. Using The DDU-2300 AED Post Use Procedures After the DDU-2300 AED has been used on a patient, the unit should be cleaned following procedures in the “Cleaning” section in Chapter 5 of this manual and prepared for the next use. The following steps should be performed: 1. Connect a new pads package (check to make sure the package is not expired and package is not damaged). 2. Perform a self-test manually. Unit will report status at the end of the self-test. (Refer to the “Self-Tests” section in Chapter 5 of this manual for instructions on how to run a manually initiated self-test.) 3. Turn off the unit by pressing the ON/OFF button. 4. Check to make sure that the Active Status Indicator is flashing green. Rescue Mode Voice And Text Prompts The following section provides brief descriptions of some of the voice and text prompts that the user will hear and see in Rescue Mode. General Prompts Voice Text “Call for help” Call For Help Purpose: As soon as the DDU-2300 is turned on, the user will be prompted to “call for help.” This indicates that the first step in a rescue should always be to contact professional emergency services. If another person is available, the user should direct that person to call for help and then continue the rescue without delay. “Pediatric mode” Pediatric Mode Purpose: This informs the user that child/infant pads are attached to the unit. Child/infant pads should only be used if the patient is an infant or a child under the age of 8 or less than 55 pounds (25kgs.). For children 8 years or older or over 55 pounds (25kgs.) and for adults, adult pads should be used. Do not delay therapy to determine exact age or weight. “Training pads” Training Pads Purpose: This informs the user that training pads are attached to the unit. Training pads are used for training purposes only and will not deliver a shock. In a rescue, immediately replace the training pads with defibrillation pads. “Powering off” Powering Off Purpose: This informs the user that the unit is turning off. Pad Connection/Pad Application Related Prompts Voice Text “Follow instructions to apply pads” Follow Instructions Purpose: This instructs the user to follow the AED prompts in order to apply the pads to the patient. “Remove clothing from patient’s chest” Remove Clothing Purpose: This instructs the user to remove all clothing from patient’s chest. Pads must be applied to the patient’s bare chest. “Locate pads package in back of AED” Locate Pads Purpose: This helps the user locate the pads in the pad storage area, which is located on the back of the unit. “Plug in pads connector” Plug In Pads Purpose: The DDU-2300 is unable to detect that the pads are plugged in. Check that the connector is fully inserted into the unit. If the pads are properly plugged in, continue to follow audio and visual instructions. “Tear open pads package” Open Pads Package Purpose: This instructs the user to tear open the pads package on the dotted line on the top of the package. Once the package is open, the user will be able to remove the pads from inside the package. 4-6 DAC-2513EN-AB 4. Using The DDU-2300 AED Pad Connection/ Pad Application Related Prompts (continued) Voice Text “Peel pads from blue liner” Peel Pads Purpose: This instructs the user to peel each pad from the blue liner before placing the pads on the patient. Peel the pads from the blue liner only when the pad is ready to be placed. Place the pads with the sticky side of the pad on the patient’s bare skin. “Apply pads to patient’s bare chest as shown” Apply Pads to Patient Purpose: The DDU-2300 AED has determined that the pads are not placed on the patient or not properly applied. Place pads on the patient following instructions on the pads package. If the prompts continue, try replacing the pads with a new set. “Poor pad contact to patient” “Press pads firmly” Poor Pad Contact Press Pads Firmly Purpose: The pads are not making proper contact with the patient and the impedance is out of range for proper ECG analysis and shock delivery. Check that the pads are properly placed and fully adhering to the patient and that there are no air bubbles between the pads and the patient. If the pads are not sticking due to moisture, dry the patient. If the pads are not sticking due to excessive hair, shave or clip excessive chest hair. If the prompts continue, try replacing the pads with a new set. “Check pads” Check Pads Purpose: The pads are making improper contact with the patient or touching each other and the impedance is out of range for proper ECG analysis and shock delivery. Check that the pads are not touching each other and that the patient is dry. If the prompts continue, try replacing the pads with a new set. “Pausing for CPR” Pausing for CPR Purpose: If too long a period of time has passed, the user should stop attempting to resolve problems with the pads and assess the condition of the patient. The user will be prompted to begin CPR. “Replace pads” Replace Pads Purpose: The pads are making improper contact with the patient or touching each other and the impedance is out of range for proper ECG analysis and shock delivery. If another set of pads is available, replace the pads, otherwise check that the pads are properly placed and fully adhering to the patient. Make sure that the pads are not touching each other. If the pads are not sticking due to moisture, dry the patient. If the pads are not sticking due to excessive hair, shave or clip excessive chest hair. If the prompts continue, try replacing the pads with a new set. Motion/Interference Prompts Voice Text “Stop motion” Stop Motion Purpose: The DDU-2300 AED has detected possible motion in the patient. Stop all patient motion, including CPR, in response to this prompt. “Stop interference” Stop Interference Purpose: The DDU-2300 AED has detected interference on the ECG signal. Eliminate any radio or electrical sources of interference. Check the pads to make sure they are adhering properly to the patient. If the iÛÀiÌÊÃÊÛiÀÞÊ`ÀÞ]ÊâiÊÛiiÌÊ>ÀÕ`ÊÌ iÊ«>ÌiÌÊÌÊÀi`ÕViÊÃÌ>ÌVÊ`ÃV >À}iÃ°Ê “Pausing for CPR” Pausing for CPR Purpose: The user should stop attempting to resolve motion and/or interference problems and assess the condition of the patient. The user will be prompted to begin CPR. 4-7 DAC-2513EN-AB 4. Using The DDU-2300 AED Heart Rhythm Analysis Prompts Voice Text “Analyzing heart rhythm” “Analyzing” Analyzing Rhythm Analyzing Purpose:Ê/ iÊ1ÓÎääÊÊÃÊ>VÌÛiÞÊ>>Þâ}ÊÌ iÊ«>Ìi̽ÃÊ ÊÃ}>°ÊÊ/ iÊÊÜÊVÌÕiÊ>>Þâ}ÊÕÌÊ ÌÊ >ÃÊ`iÌiÀi`ÊÜ iÌ iÀÊ>ÊÀ ÞÌ ÊÃÊà V>LiÊÀÊà V>LiÊÀÊvÊ>>Þâ}ÊÃÊÌiÀÀÕ«Ìi`ÊvÀÊÃiÊÀi>ðÊÊ “Do not touch the patient” Do Not Touch Patient Purpose:Ê/ iÊ1ÓÎääÊÊÃÊÌÀÞ}ÊÌÊ>>ÞâiÊÌ iÊ«>Ìi̽ÃÊ i>ÀÌÊÀ ÞÌ °ÊÊ/ iÊ«iÀ>ÌÀÊà Õ`ÊÌÊÌÕV ÊÌ iÊ patient. This prompt will be spoken at the beginning of the analysis period and also if motion or interference has been detected. “Analyzing interrupted” Analyzing Interrupted Purpose: The DDU-2300 AED has determined that accurate ECG analysis is not possible and has ceased >>Þâ}°ÊÊ/ iÊ«iÀ>ÌÀÊÃÊ«À«Ìi`ÊÌÊÀiÃÛiÊÌ iÊ«ÀLi°ÊÊ­,iviÀÊÌÊÌ iʺMotion/Interference Prompts” and the “Pad Connection/Pad Application Related Prompts” section in this chapter.) Once the problem is resolved, the unit will enter analysis mode again. “No shock advised” No Shock Advised Purpose: The DDU-2300 AED has determined that a shock is not required. The unit will NOT charge and the SHOCK button will NOT be enabled. The user will be prompted to begin CPR. “Shock advised” Shock Advised Purpose: The DDU-2300 AED has determined that a shock is recommended and the unit will begin charging in anticipation of delivering a defibrillation shock. Shock Related Prompts Voice Text “Charging” Charging Purpose: The DDU-2300 AED has determined that a shock is recommended and is charging the unit in anticipation of a defibrillation shock. Analysis will continue during this phase. A tone will sound to indicate charging progress. If the unit detects a rhythm change to a non-shockable one, charging will abort and the user will be prompted to begin CPR. “Stand clear” Stand Clear Purpose: The DDU-2300 AED is charging and the operator and others should stand clear of the patient. Analysis ÜÊVÌÕiÊ`ÕÀ}ÊÌ ÃÊ« >ÃiÊ>`Ê>>Þâ}Ê«À«ÌÃÊÜÊVÌÕiÊÌÊLiÊ`ë>Þi`°ÊÊÊÌiÊÜÊÃÕ`ÊÌÊ indicate charging progress. If the unit detects a rhythm change to a non-shockable one, charging will abort and the user will be prompted to begin CPR. “Press flashing SHOCK button” Press SHOCK Button Purpose: The DDU-2300 AED has fully charged, the heart rhythm analysis algorithm still indicates that a shock is recommended, and the unit is ready to deliver a shock. The operator should press the SHOCK button to deliver the shock. The SHOCK button will flash during this phase and will cancel after 30 seconds. Important: The DDU-2300 AED will not automatically deliver a shock – the user must press the SHOCK button. “Shock ‘x’ delivered” Shock “x” Delivered Purpose: The DDU-2300 AED has delivered the shock. The ‘x’ indicates the number of shocks that have been delivered since the unit was turned on. After each shock, the AED will enter Post-Shock CPR mode. (AHA 2005 Protocol) “Shock cancelled” Shock Cancelled Purpose: The DDU-2300 AED has aborted shock mode. If while waiting for the SHOCK button to be pressed, the unit detects a rhythm change to a non-shockable rhythm, the unit will cancel the shock. Also, if the SHOCK button is not pressed within 30 seconds of the initial “press flashing SHOCK button” prompt, the unit will automatically cancel the shock. 4-8 DAC-2513EN-AB 4. Using The DDU-2300 AED Shock Related Prompts (continued) Voice Text “SHOCK button not pressed” Button Not Pressed Purpose: After shock is advised, the DDU-2300 AED will prompt user to press the flashing shock button. If after 30 seconds the shock button is not pressed, the DDU-2300 AED will give this prompt and immediately go to CPR mode. No Shock Required Prompts Voice Text “No shock advised” No Shock Advised “It is safe to touch the patient” OK to Touch Patient Purpose: The DDU-2300 AED has determined that a shock is not required. The unit will not charge and the SHOCK button will not be enabled. The user will be prompted to begin CPR. “Check airway” “Check breathing” Check Airway Check Breathing Purpose: The user should check the condition of the patient in order to determine if it is appropriate to perform CPR. CPR Prompts Note: CPR breathing coaching prompts can be set through the Rescue options menu option listed on the AED Main Menu screen. The factory default setting provides prompts for chest compressions only (no breathing). Breathing prompts can be included either by changing the menu option (refer to the “CPR Breathing” section in Chapter 6 of this manual) or by pressing a softkey button during rescue. (Refer to ”Rescue Breathing Options Softkey Icon” section of this chapter.) Voice Text “Begin CPR now” Begin CPR Now Purpose: This indicates that the user should begin performing CPR immediately. The unit will not monitor the patient’s ECG rhythm during this CPR period. “Give Compressions” Give Compressions Purpose: This indicates that the user should begin CPR compressions immediately. The unit will emit a beep at the rate that compressions should be given. “Continue” “Continue for 1 minute ‘xx’ seconds” Continue “xx” Seconds Purpose: This indicates that the user should continue performing CPR. This phrase is spoken to let the user know that the unit is still operating normally. The unit will not be monitoring the patient’s ECG rhythm during this mandatory two minute CPR period. (AHA 2005 Protocol) “Ending in 5, 4, 3, 2, 1” Ending in “xx” Seconds Purpose: This indicates that the user should prepare to finish performing CPR. This phrase is spoken during the last several seconds of the CPR period to let the operator know that the unit is still operating normally and that the CPR period is ending. “Stop CPR” “Stop Now” Stop CPR Stop Now Purpose: This indicates that the CPR period has ended and the user should stop CPR. The unit will enter >ÞâiÊ`i° “Do not touch the patient” “Analyzing heart rhythm” Do Not Touch Patient Analyzing Rhythm Purpose:Ê/ ÃÊ`V>ÌiÃÊÌ iÊÕÌÊ >ÃÊiÌiÀi`Ê>ÞâiÊ`iÊ>`ÊÃÊ«iÀvÀ}Ê>Ê Ê>>ÞÃðÊ/ iÊÕÃiÀÊà Õ`Ê not touch the patient during the ECG analysis. 4-9 DAC-2513EN-AB 4. Using The DDU-2300 AED CPR Coaching Help Prompts Voice Text “Place hands” Place Hands Purpose: This reminds the user of the correct placement of hands for CPR. “Press” “Compress Chest” Press... Compress Chest Purpose: This reminds the user to perform CPR compressions. “Tilt head back” “Pinch nose” “Give rescue breaths” Tilt Head Back Pinch Nose Give Breaths Purpose: This guides the user to prepare the patient for rescue breaths and to give breaths. “Breathe” Give “x” Breaths Purpose: This instructs the user to give rescue breaths. Each time the instruction is given, the user should give the patient a rescue breath. Operational Environment The Defibtech AED is designed to operate in a wide range of environmental conditions. To ensure the reliability and safety of the AED in a given environment, refer to the “Environmental” section in Chapter 9 of this manual for a detailed list of approved environmental conditions. 4-10 DAC-2513EN-AB 5 Maintenance And Troubleshooting This chapter describes the maintenance and troubleshooting procedures for the DDU-2300 AED. The self-tests that are performed by the device are described along with the frequency and nature of routine maintenance for which the owner/operator is responsible. A troubleshooting guide is provided to help diagnose user serviceable problems. The DDU-2300 AED contains no user serviceable parts. Routine Unit Maintenance Although the DDU-2300 AED is designed to be very low maintenance, simple maintenance tasks must be performed by the owner/operator on a regular basis to ensure the unit’s dependability. Monthly After Each Use U U U Check that the Active Status Indicator (ASI) is flashing green U U Check the condition of the unit and accessories U Run manually initiated self-test U Replace pads U Action 5. Maintenance And Troubleshooting Daily Check pad and battery pack expiration dates U Check the DDC card, if one was installed Note: If the unit has been dropped, mishandled, or abused, a manually initiated self-test should be performed. Checking The Active Status Indicator The Active Status Indicator (“ASI”) is located to the right of the ON/OFF button of the DDU-2300 AED and indicates the operational readiness state of the unit. The ASI will periodically flash green to indicate that the unit is ready for use. Ready for use means that the DDU-2300 has passed the most recent self test (scheduled or user initiated). If it is flashing red, solid red, or not flashing at all, the AED needs service. Anytime the ASI is flashing red, the unit will periodically emit two “beeps” to call attention to it. If the ASI is not flashing at all, the most likely cause is that the battery pack needs to be replaced. (Refer to the “Installing And Removing The Battery Pack” section in Chapter 3 of this manual.) Once the battery pack has been replaced with a fresh battery pack, the ASI should once again flash green. If it still does not flash green after inserting a new battery pack, the DDU-2300 AED is non-operational and may need servicing. Call Defibtech for service. (Refer to the “Contacts” section in Chapter 12 of this manual.) If the ASI is flashing red, turn the DDU-2300 AED on. If the unit does not turn on or does not speak, the AED is nonoperational and requires servicing. If the unit does turn on, then turn the unit off and the voice prompts will indicate the nature of the problem. UÊ Flashing Green: DDU-2300 AED is OFF and ready for use. UÊ Solid Green: DDU-2300 AED is ON and ready for use. UÊ Flashing or Solid Red: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service Active Status Indicator UÊ No Flashing Light: DDU-2300 AED needs immediate service. Refer to the “Troubleshooting” section in Chapter 5 of this manual or call Defibtech for service. 5-1 DAC-2513EN-AB Checking The AED Status Using The AED Status Screen You may also check the status of the unit when it is off by pressing the center softkey button to enter Maintenance Mode and display the AED Status Screen. The AED Status Screen is used to provide a quick overview of the DDU-2300 AED’s status and to display select information without turning the unit on in Rescue Mode. With the AED off, press and release the CENTER softkey button to display the AED Status Screen. The AED Status Screen will be displayed for a short period of time. If the unit does not turn on, check to make sure a good battery pack is installed. (Refer to the “Troubleshooting” section in this chapter.) From the AED Status Screen you can enter Maintenance Mode by pressing the softkey button to the right of the tool icon. 5. Maintenance And Troubleshooting Note: If the unit requires service, the AED Status Screen will present information about the problem to the user. The user should follow the text prompts to address the condition requiring attention. Card Application Softkey Icon: If an application is present on an inserted Defibtech Data Card (DDC card), a card icon will also appear next to the center softkey button. Pressing this button will load and run the application contained on the card. Maintenance Related Voice Prompts Voice Text “Power-on test failed” “Service code ‘xxxx’ ” Power On Test Failed Service Code “xxxx” Purpose: This indicates that the DDU-2300 AED has failed the power-on self-test and is non-operational and needs servicing. The code number will indicate to service personnel the type of problem the unit is experiencing. “Battery pack self-test failed, service code ‘xxxx’ ” Battery Pack Self-Test Failed, Service Code“xxxx” Purpose: This indicates that the DDU-2300 AED’s battery pack is non-operational and needs servicing. The code number will indicate to the service personnel the type of problem that the unit is experiencing. “Service code ‘xxxx’ ” Service Code “xxxx” Purpose: The DDU-2300 AED will report this message when it powers off, indicating a service code that was previously detected. “Service required” Service Required Purpose: This indicates that the DDU-2300 AED has detected an internal error, is non-operational, and needs servicing. “Battery low” Battery Low Purpose: This indicates that the battery pack capacity is low and that the battery pack should be replaced soon. The AED will still be able to deliver at least six defibrillation shocks the first time this message is spoken. “Replace battery now” Replace Battery Now Purpose: This indicates that the battery pack is almost discharged and that the AED may not be able to deliver defibrillation shocks. Replace the battery pack immediately. “Pads missing” Pads Missing Purpose: This indicates that the unit did not detect connected pads during a self-test. “Pads expired” Pads Expired Purpose: This indicates that pads have expired. Replace the pads immediately. 5-2 DAC-2513EN-AB Checking The Condition Of The Unit And Accessories Inspect the unit for dirt and contamination, especially in the pads connector socket and around the battery pack opening. (Refer to the “Cleaning” section in this chapter of this manual for guidance on cleaning your AED.) Inspect the unit display screen for damage. Look for cracks or other signs of damage on the case, especially near the connector socket. vÊ >ÞÊ VÀ>VÃÊ ÀÊ Ì iÀÊ Ã}ÃÊ vÊ `>>}iÊ >ÀiÊ ÛÃLi]Ê ÀiÛiÊ Ì iÊ Ê vÀÊ ÃiÀÛViÊ >`Ê VÌ>VÌÊ >Ê >ÕÌ Àâi`Ê service center. Replacing Pads The Defibtech defibrillation pads are intended for one time use only. The pads must be replaced after each use or if the package has been damaged. The DDU-2300 AED defibrillation pads are supplied in a sealed pouch with the connector and part of the cable exposed. The DDU-2300 AED is designed to be stored with the electrode cable already installed. This allows the pads to be stored in a pre-connected state for rapid deployment during an emergency. 5. Maintenance And Troubleshooting DO NOT remove the defibrillation pads from the sealed package until the pads are to be used. The packaging should be opened only immediately prior to use, otherwise CAUTION the pads may dry out and become non-functional. ! STEP 1 – Inspect The Pads – First, check to ensure that the pads package has not expired. Do not use pads past their expiration date. Discard expired pads. Next, check to ensure that the pads package has not been torn, opened, or damaged. Dispose of the pads if the package is open or damaged. Inspect the pads cable and replace pads if any nicks, cuts, or broken cables are found. STEP 2 – Connect The Pads To The Unit – Insert the connector end of the defibrillation pad cable into the pads connector socket on the top-left corner of the DDU-2300 AED as shown. Press the pads connector in firmly until it is fully seated in the unit. STEP 3 – Store The Pads In Back Of Unit – The pads package can then be stored in the pad storage slot in the back of the DDU-2300 AED. After connecting the pads connector to the unit, push the pads package, rounded end first, with the pictures on the package facing up and out, into the pad holder compartment on the back of the AED. When the pads package is fully inserted, press the pad cable into the groove in the back of the unit to hold it in place and tuck any excess cable behind the pads package. ! CAUTION The pads are intended for one time use only and must be discarded after use or if the package has been opened. 5-3 DAC-2513EN-AB Checking Pad And Battery Pack Expiration Dates It is important to check the expiration dates of the pads and battery pack. The expiration date of the pads package is printed on the outside of the sealed package. The expiration date of the battery pack is printed on the label on the battery pack. Once an accessory is past its expiration date, it should be taken out of service and replaced as soon as possible. Follow the instructions in the “Installing And Removing The Battery Pack” and “Connecting The Pads” sections of Chapter 3 in this manual to replace an expired part with an un-expired part. Pads should be discarded. Battery packs should be appropriately recycled. You may also check the status of pads and battery pack when the unit is off by pressing the center softkey button to display the AED Status Screen and enter Maintenance Mode. (Refer to the “AED Status Screen” section in Chapter 6 of this manual.) Checking The DDC Card, If One Is Installed Each time the DDU-2300 AED is used, an event file is created on the DDC card (if installed). If the unit was used to treat a patient, the DDC card in the unit should be removed and provided to the patient’s care provider. A new DDC card should be installed before the next use. 5. Maintenance And Troubleshooting To remove the DDC card, ensure the AED is OFF. Locate the data card/USB port access door on the right-hand side of the unit. Open the data card/USB port access door by slightly pushing and then sliding the door down to release the latch. The door will spring open. To remove the DDC card, press the card in as fas as it will go, and then release. Upon release, the DDC card will be partially ejected and can be removed by pulling the DDC card the rest of the way out. To install a new DDC card, insert the DDC card into the thin slot in the side of the AED centered above the USB port opening, notched end first, label side up, until it clicks into place. The card should be flush with the surface of the slot. If the card does not push in all the way, it may have been inserted upside down. In that case, remove the card, flip it over, and try inserting it again. Close the data card/USB port access door by closing and then pushing up the door until the door latch engages. Note: A DDC card is not required for the DDU-2300 AED to operate. Even if a DDC card is not installed, the unit will still record basic essential information internally. The AED will still operate properly even after a “replace data card” message. 5-4 DAC-2513EN-AB Self-Tests The DDU-2300 AED provides for both automatic and manually initiated self-tests. These self-tests test various components of the AED, including the system controls, battery pack condition, charge/discharge functions, and measurement and signal acquisition functions. Automatic Unit Self-Tests Every time the unit is turned on, power-on self-tests are performed to test the basic operation of the unit. The unit also performs daily, weekly, monthly, and quarterly self-tests automatically (without any intervention from the operator) to check the integrity of the unit’s hardware and software. The unit will also perform a battery insert self-test when the battery pack is inserted. Manual Self-Tests Manually initiated self-tests may be run at any time by the user to test the DDU-2300 AED’s systems, including the charging and shocking functions (the shock is internally dissipated; i.e., no voltage will be present at the pads). 5. Maintenance And Troubleshooting To run a manually initiated AED test, the unit must be put into Maintenance Mode of operation. (Refer to the “AED Maintenance Screen” section in Chapter 6 of this manual for detailed information on performing these self-tests.) Note: Running a manually initiated self-test will consume approximately one shock’s worth of energy from the battery. Cleaning After each use, clean the DDU-2300 AED of any dirt or contaminants on the case and connector socket. The following are important guidelines to be adhered to when cleaning the device: UÊ/ iÊL>ÌÌiÀÞÊ«>VÊà Õ`ÊLiÊÃÌ>i`ÊÜ iÊVi>}ÊÌ iÊ1ÓÎää° UÊÊÌÊiÀÃiÊÌ iÊ1ÓÎääÊÊyÕ`ÃÊÀÊ>ÜÊyÕ`ÃÊÌÊiÌiÀÊÌ iÊÕÌ°Ê UÊÊÌÊëÀ>ÞÊVi>}ÊÃÕÌÃÊ`ÀiVÌÞÊÊÌ iÊÕÌÊÀÊÌÃÊViVÌÀð UÊÊÌÊÕÃiÊ>LÀ>ÃÛiÊ>ÌiÀ>ÃÊÀÊÃÌÀ}ÊÃÛiÌÃÊÃÕV Ê>ÃÊ>ViÌiÊÀÊ>ViÌiÊL>Ãi`ÊVi>}Ê>}iÌð UÊÊ/Ê Ü«iÊ Ì iÊ 1ÓÎääÊ V>ÃiÊ Vi>]Ê ÕÃiÊ >Ê ÃvÌÊ VÌ Ê `>«ii`Ê ÜÌ Ê iÊ vÊ Ì iÊ vÜ}Ê ÀiVi`i`Ê cleaning agents: – Soapy water – Ammonia based cleaners (e.g., Windex®, Formula 409®, Fantastik®) – Hydrogen peroxide – Isopropyl alcohol (70 percent solution) – Chlorine bleach (30 ml/liter water) UÊÊÃÕÀiÊÌ >ÌÊÌ iÊViVÌÀÊÃViÌÊÃÊV«iÌiÞÊ`ÀÞÊLivÀiÊÀiÃÌ>}ÊÌ iÊ«>`ÃÊV>Li°ÊÊvÌiÀÊVi>}]Ê>ÜÊ the unit to completely dry. Before returning it to service, always turn the unit on for a few seconds. If the unit detects a problem, a service code voice prompt will be heard. Otherwise, turn the unit off. Storage The DDU-2300 AED should be placed in a readily accessible location in an orientation where the Active Status Indicator next to the ON/OFF button can be easily seen. In general, the unit should be stored in clean, dry and moderate temperature conditions. Make sure that the environmental conditions of the storage location are within the ranges detailed in the “Environmental” section in Chapter 9 of this manual. 5-5 DAC-2513EN-AB Operator’s Checklist The following checklist may be used as the basis for an Operator’s Checklist. The table should be copied and filled out as recommend by the schedule in the “Routine Maintenance” section of this chapter. As each item is completed it should be checked off. Defibtech DDU-2300 Operator’s Checklist Defibtech DDU-2300 Serial Number: ___________________________________________________ Defibtech DDU-2300 Location: __________________________________________________________ 5. Maintenance And Troubleshooting Date: Check unit and accessories for damage, dirt, and contamination. Clean or replace as necessary. Check that spare battery pack and pads are available. Check that battery pack and pads are not past expiration dates. Check that the ASI is flashing green. Comments: Inspection by: (initials or signature) 5-6 DAC-2513EN-AB Troubleshooting The following table lists the symptoms, the possible causes, and the possible corrective actions for common problems. Refer to the other sections of the user manual for detailed explanations on how to implement the corrective actions. If the unit continues to be non-functional, refer the unit for servicing. (Refer to Chapter 12 of this manual for contact information.) Symptom Possible Cause Corrective Action Insert battery pack Battery pack depleted or needs servicing Replace battery pack or call for service. Unit needs servicing Call for service Battery pack depleted Replace battery pack Unit needs servicing Call for service Unit needs servicing Go to AED Status Screen by pressing the CENTER softkey button or call for service Battery pack non-functional Replace battery pack Defibrillation pads are not pre-connected to unit Connect defibrillation pads to unit Defibrillation pads or battery pack expired Replace expired component Battery pack not inserted Insert battery pack Battery pack is low or needs servicing Replace battery pack or call for service. Unit needs servicing Call for service Power on self-test failed, service code “xxxx” Unit needs servicing Record code number and call for service Battery pack self-test failed, service code “xxxx” Battery pack needs servicing Record code number and call for service Service required Unit needs servicing Call for service “Replace battery now” prompt Battery pack capacity is critically low Unit may not deliver a shock, replace battery pack immediately “Battery low” prompt Battery pack capacity is getting low Replace battery pack as soon as possible Battery pack depleted Replace battery pack Battery pack not inserted properly Make sure battery pack is oriented correctly and fully inserted Unit needs servicing Call for service Pads connector not plugged in Plug in pads connector Pads connector broken Replace pads Unit’s connector broken Call for service Unit will not turn on Unit immediately turns off ASI flashes red and/or unit makes periodic ”beep” sound. ASI does not flash at all Display screen does not work “Plug in pads connector” prompt 5. Maintenance And Troubleshooting Battery pack not inserted 5-7 DAC-2513EN-AB Troubleshooting (continued) Symptom Possible Cause Corrective Action Place pads on patient Pads not making good connection to patient Check pad connection to patient Pads or pad cable damaged Replace pads Dry pads Replace pads “Poor pad contact to patient” or “Press pads firmly” prompt Partial pad connection Check that pads are placed securely on patient “Check pads” prompt Pads touching Separate pads and place correctly on patient “Stop motion” prompt Patient motion has been detected Stop patient motion “Stop interference” prompt External interference has been detected Stop external interference “Analyzing interrupted” prompt Motion or interference detected Stop motion or interference Patient’s ECG rhythm changed No action necessary Shock button not pressed within 30 seconds Press shock button within 30 seconds Low battery – insufficient to charge Replace battery pack Bad pad to patient connection Check that pads are placed securely on patient Dry pads Replace pads DDC card is full Replace DDC card with a card that is not full DDC card has failed Replace DDC card Pads not connected to unit Make sure pads connector is oriented correctly and fully inserted into unit “Apply pads to patient’s bare chest as shown” prompt “Shock cancelled” prompt “Replace data card” prompt “Pads missing” prompt 5. Maintenance And Troubleshooting Pads not connected to patient Repair The DDU-2300 AED contains no user serviceable parts. If the unit needs servicing, call Defibtech. (Refer to Chapter 12 of this manual for contact information.) 5-8 DAC-2513EN-AB 6 Maintenance Mode Overview Maintenance Mode for the Defibtech DDU-2300 permits the user to perform maintenance-related actions such as viewing unit information, initiating unit self-tests, changing unit parameters, downloading rescue data, and upgrading software. Maintenance Mode is navigated through a series of screens, menus, and menu options. In Maintenance Mode, the softkey buttons located directly to the right of the display screen are used to scroll through and select menu options. When a softkey icon (for example, an arrow) appears on the display screen directly to the left of a softkey button, the softkey button is functional for that screen. If a softkey icon is not displayed on the screen, then the corresponding softkey button has no functionality for that screen. Note: While the unit is in Maintenance Mode, it cannot perform a rescue. Maintenance Mode allows the user to go directly to Rescue Mode by selecting the Rescue now option. The Rescue now option appears at the top of every screen/menu when the unit is in Maintenance Mode. The user can also exit Maintenance Mode at any time and go to Rescue Mode by pressing the ON/OFF button to turn the unit off and then immediately pressing the ON/OFF button again to turn the unit back on. The Display Screen (During Maintenance Mode): Title Top Menu Options Center Softkey Buttons Bottom 6. Maintenance Mode Title – The name of the menu appears in a banner across the top of the screen. Softkey Buttons – Softkey buttons are used to scroll through menus and to select menu options. Softkey Button Icons – The presence of an on-screen icon located directly to the left of a softkey button indicates that the softkey is functional. Menu Options – The list of options available from a particular menu. Use the top or bottom softkey buttons to scroll through the list of options. Select an option by pressing the center softkey button once an option is highlighted (with a box). Navigation (in Maintenance Mode) The three softkey buttons located to the right of the display screen are used to navigate in Maintenance Mode. Typical functions of the softkey buttons are the following: Top softkey button: Scroll up Center softkey button: Select highlighted option Bottom softkey button: Scroll down When a menu option is highlighted and then selected (typically by pressing the CENTER softkey button), either another screen will be displayed with additional menu options or an action will be performed. Exiting Maintenance Mode To exit Maintenance Mode and return to Rescue Mode, scroll to and select Rescue now or simply turn the unit off and then back on. To exit Maintenance Mode and turn the unit off, scroll to and select Turn AED off or simply turn the unit off by pressing the ON/OFF button. 6-1 DAC-2513EN-AB Entering Maintenance Mode Before You Begin: Make certain the DDU-2300 is turned off and a battery pack is installed. STEP 1 – Press and release the CENTER softkey button. Result – The unit will turn on and display the AED Status Screen for short period of time. If the unit does not turn on, check to make sure a good battery pack is installed. (Refer to the “Troubleshooting” section in Chapter 5 of this manual.) STEP 2 – Press the BOTTOM softkey button (to the right of the tool icon). Note: If the bottom softkey button is not pressed within a short period of time, the unit will automatically turn off. Result – The unit will enter Maintenance Mode and display the AED Main Menu screen. AED Main Menu Screen The AED Main Menu Screen allows the user to view the status of the AED, perform maintenance functions, change AED options, and access help topics. All maintenance functions are accessed through the AED Main Menu Screen. The user may select from the following options using the softkey buttons: Rescue now – Puts device in Rescue Mode AED status – Displays current AED status information AED maintenance – Displays AED Maintenance Menu screen AED options – Displays AED Options Menu screen Rescue options – Displays Rescue Options Menu screen 6. Maintenance Mode Help topics – Displays Help Topics screen Turn AED off – Turns unit off When the user selects “Rescue now,” the unit will exit Maintenance Mode and proceed directly to Rescue Mode. The other menu options will perform different functions and are described in detail below. AED Status Screen The AED Status Screen displays unit-specific data such as current status, battery pack charge state, battery pack expiration date, pads expiration date, unit serial number, battery pack serial number, and software version number. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to AED status: AED Main Menu ➜ AED status Note: When the unit is turned off, the AED Status Screen can also be accessed by pressing the center softkey button. What it does: The unit will display the AED Status Screen. This is an informational screen only; no action is taken by the AED. To exit: To exit the AED Status Screen, press and release the BOTTOM softkey button. The unit will exit the AED Status Screen and return to the AED Main Menu screen. 6-2 DAC-2513EN-AB AED Maintenance Screen The AED Maintenance screen allows the user to select such options as AED tests, software upgrades, data backups, and data card functions. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to AED Maintenance: AED Main Menu ➜ AED maintenance What it does: The unit will display the AED Maintenance menu screen. This screen will allow the user to navigate further to perform various maintenance tasks: UÊ*iÀvÀÊÊÌiÃÌ UÊ1«}À>`iÊ UÊ/À>ÃviÀÊ`>Ì>ÊÌÊV>À` UÊÀ>ÌÊ`>Ì>ÊV>À` UÊ,ÕÊ>««V>ÌÊvÀÊV>À` To exit: Use the TOP or BOTTOM softkey buttons to scroll to and highlight the selection “Go to main menu.” Press the CENTER softkey button. The unit will exit the AED Maintenance screen and return to the AED Main Menu screen. ➜ Perform AED Test Perform AED test will initiate a system hardware and software self-test. Note: Running manually initiated AED tests will consume approximately one shock’s worth of battery life. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Perform AED test: AED Main Menu ➜ AED maintenance ➜ Perform AED test 6. Maintenance Mode What it does: When the user selects “Perform AED test” selection and presses the CENTER softkey button, the unit will begin performing the self-test procedure: The unit says: “Performing AED test“ The unit displays: Testing AED The unit will then prompt the user to “Press flashing shock button.” Continue to follow the directions until the test is complete. Once the AED test is complete the unit will verbally and visually report the status of the AED. The information will be displayed in a pop-up window. The user must press any softkey button to confirm the test status and return to the AED Maintenance screen. If self-test passes: The unit will speak and display: “AED OK” If self-test fails: The unit will display an error screen with text prompts providing instructions to address the condition. Note: If self-test fails, the user should follow the text prompts to address the condition requiring attention or refer to the “Troubleshooting” section in Chapter 5 of this manual. To exit: Press any softkey button. The self-test status pop-up window will clear and the display will return to the AED Maintenance menu screen. ➜ Upgrade AED The Upgrade AED menu selection is a method of performing a unit upgrade and will activate the system upgrade procedure from a Defibtech Data Card (DDC card) containing an upgrade application. Note: Upgrades can also be performed directly from the AED Status Screen if an upgrade card is present when the AED Status Screen mode is launched. Before you begin: Be sure the unit is in Maintenance Mode. 6-3 DAC-2513EN-AB To enter: Navigate to Upgrade AED: AED Main Menu ➜ AED maintenance ➜ Upgrade AED What it does: If an upgrade data card is present, the unit will start performing the upgrade process. Follow any prompts and instructions that the upgrade application provides. ! WARNING Do not turn off the unit or remove the battery pack or data card until the operation is complete. Note: If the DDC card is not inserted, the unit will speak and display “Data Card Missing.” (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) Press any softkey button to acknowledge the message and then install a Defibtech Data Card (DDC card). To exit: When the unit finishes performing the AED upgrade, follow the displayed and spoken instructions. ➜ Transfer Data To Card Transfer data to card will initiate a data transfer from the DDU-2300 AED to a Defibtech Data Card (DDC card) inserted in the device. Internal event data and device history is written to the DDC card. Before you begin: Be sure the unit is in Maintenance Mode. Be sure a DDC Card is installed in the device. (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To enter: Navigate to Transfer data to card: AED Main Menu ➜ AED maintenance ➜ Transfer data to card What it does: The unit begins transferring rescue data to the card: The unit says: “Transferring data to data card” The unit displays: Transferring Data ! WARNING 6. Maintenance Mode The unit will finish transferring data to the data card and will speak and display: “data transfer complete” Do not turn off the unit or remove the battery pack or data card until the operation is complete. Note: If a data card is not inserted, the unit will speak and display “Data Card Missing.” (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To exit: When the unit finishes transferring the data to the data card, it will automatically return to the AED Maintenance menu screen. ➜ Format Data Card Format data card is a maintenance tool used to repair corrupted cards. It is unnecessary to perform this step on cards purchased with your DDU-2300 AED. ! This step will erase all data on the data card! WARNING Before you begin: Be sure the unit is in Maintenance Mode. Be sure a Defibtech Data Card (DDC card) is currently installed in the device. (Refer to the “IInstalling The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To enter: Navigate to Format data card: AED Main Menu ➜ AED maintenance ➜ Format data card 6-4 DAC-2513EN-AB What it does: The unit will format the DDC card that is inserted in the AED: The unit says: “ Formatting data card” The unit displays: Formatting Data Card When unit finishes formatting the DDC card, the unit will return to the menu. ! WARNING Do not turn off the unit or remove the battery pack or data card until the operation is complete. Note: If the data card is not inserted, the unit will speak and display “Data Card Missing.” (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To exit: When the unit finishes formatting the data card, it will automatically return to the AED Maintenance menu screen. ! CAUTION Using non-Defibtech Data Cards (DDC cards) may damage the unit and will void the warranty. ➜ Run Application From Card Run application from card will initiate a card application on the Defibtech Data Card (DDC card). The most typical application is a software upgrade. Before you begin: Be sure the unit is in Maintenance Mode. Be sure a DDC Card, with a card application, is installed in the device. (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To enter: Navigate to Run application from card: AED Main Menu ➜ AED maintenance ➜ Run application from card WARNING 6. Maintenance Mode ! Do not turn off the unit or remove the battery pack or data card until the operation is complete. Note: If a data card is not inserted, the unit will speak and display “Data Card Missing.” Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) To exit: When the unit finishes performing the application, follow the displayed and spoken instructions. AED Options Screen To manually configure AED options such as time, date, volume, and audio recording, select the AED options from the AED Main Menu screen. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to AED Options: AED Main Menu ➜ AED options What it does: The unit will display the AED Options menu screen. This screen will allow the user to modify the following user changeable parameters: UÊ-ÞÃÌiÊÌi UÊ-ÞÃÌiÊ`>Ìi UÊ6ÕiÊiÛi UÊÕ`ÊÀiVÀ`} To exit: Using the TOP or BOTTOM softkey buttons, scroll to and highlight the selection Go to main menu. Press the CENTER softkey button. The unit will exit the AED Options menu screen and return to the AED Main Menu. 6-5 DAC-2513EN-AB ➜ System Time The System time option allows the user to set the time of the internal AED clock. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to System time: AED Main Menu ➜ AED options ➜ System time What it does: The System time option allows the user to set the time of internal AED clock (using the 24 hour clock). Once the System time option is selected, press the CENTER softkey button to enter set time mode: The hours selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊ ÕÀÃÊÌÊÌ iÊ`iÃÀi`ÊÌi° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊ ÕÀÃÊÃiÌÌ}° The minutes selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊÕÌiÃÊÌÊÌ iÊ`iÃÀi`ÊÌi° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊÕÌiÃÊÃiÌÌ}° The seconds selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊÃiV`ÃÊÌÊÌ iÊ`iÃÀi`ÊÌi° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊÃiV`ÃÊÃiÌÌ}° The time is now set and the user may use TOP or BOTTOM softkey buttons to navigate to other choices in the menu. Note: The factory default setting of the internal AED clock is Universal Time (GMT). ➜ System Date The System date option allows the user to set the date of the internal AED clock. Before you begin: Be sure the unit is in Maintenance Mode. 6. Maintenance Mode To enter: Navigate to System date: AED Main Menu ➜ AED options ➜ System date What it does: The System date option allows the user to set the date of internal AED clock. Once the System date option is selected, press the CENTER softkey button to enter set date mode: The year selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊÞi>À° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊÞi>ÀÊÃiÌÌ}° The month selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊÌ ° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊÌ ÊÃiÌÌ}° The day selection will be highlighted green: Ê UÊ*ÀiÃÃÊÌ iÊ/"*ÊÀÊ"//"ÊÃvÌiÞÊLÕÌÌÃÊÌÊ>`ÕÃÌÊÌ iÊ`>Þ° Ê UÊ*ÀiÃÃÊÌ iÊ /,ÊÃvÌiÞÊLÕÌÌÊÌÊ>VVi«ÌÊÌ iÊ`>ÞÊÃiÌÌ}° The date is now set and the user may use TOP or BOTTOM softkey buttons to navigate to other choices in the menu. Note: The factory default setting of the internal AED clock is Universal Time (GMT). 6-6 DAC-2513EN-AB ➜ Volume Level The 6ÕiÊiÛi option allows the user to set AED audio output to high, medium, or low volume. Changing the volume level will not change the volume of the Active Status Indicator “beep.” Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to 6ÕiÊiÛi: AED Main Menu ➜ AED options ➜ 6ÕiÊiÛi What it does: The 6ÕiÊiÛiÊoption allows the user to set AED audio to high, medium or low volume. Once the 6ÕiÊiÛi option is selected, use the TOP and BOTTOM softkey buttons to cycle through the different volume settings. When the desired volume selection is chosen, press the CENTER softkey button to set that volume level. The AED will now use that volume setting for all audio (except the volume of the Active Status Indicator “beep”). The user may use the TOP or BOTTOM softkey buttons to navigate to other choices in the menu. Note: The factory default setting of the volume level is “high.” ➜ Audio Recording The Audio recording option allows the user to enable or disable recording of event audio data to a Defibtech Data Card (DDC card). Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Audio recording: AED Main Menu ➜ AED options ➜ Audio recording What it does: The Audio recording option allows the user to enable/disable recording of event audio data. Once the Audio recording option item is selected, use the TOP and BOTTOM softkey buttons to select either enabled or disabled settings. When the desired selection is chosen, press the CENTER softkey button to set the feature. The AED will now use that audio recording setting. The user may use the TOP or BOTTOM softkey buttons to navigate to other choices in the menu. 6. Maintenance Mode Note: The factory default setting of the audio recording is “disabled.” Rescue Options Screen To manually configure rescue options such as Rescue protocol and CPR breathing, select the Rescue options from the AED Main Menu screen. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Rescue Options: AED Main Menu ➜ Rescue options What it does: The unit will display the Rescue Options menu screen. This screen will allow the user to modify certain user changeable parameters: UÊ *,ÊLÀi>Ì } UÊ,iÃVÕiÊ«ÀÌV – Settings To exit: Using the TOP or BOTTOM softkey buttons, scroll to and highlight the selection Go to main menu. Press the CENTER softkey button. The unit will exit the Rescue Options menu screen and return to the AED Main Menu. 6-7 DAC-2513EN-AB ➜ CPR Breathing The CPR breathing option allows the user to enable or disable the CPR breathing coaching prompts during CPR. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to CPR breathing: AED Main Menu ➜ Rescue options ➜ CPR breathing What it does: CPR breathing allows the user to enable/disable CPR breathing coaching prompts. Use the TOP and BOTTOM softkey buttons to select the desired mode. When the desired selection is chosen, press the CENTER softkey button to set the feature. The AED will now use that coaching setting. Note: The factory default setting of CPR breathing is set to “disabled.” ➜ Rescue Protcol The Rescue protocol option allows the user to select a rescue protocol. Rescue protocol options include the AHA 2005 protocol or “Custom.” Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Rescue protocol: AED Main Menu ➜ Rescue options ➜ Rescue protocol What it does: The rescue protocol option allows the user to select between up to two rescue protocols that have been enabled in the unit. The factory default setting of the rescue protocol is AHA 2005. To change the protocol, press the CENTER softkey button to highlight the protocol. The user will be prompted to enter a password to proceed. The password may be obtained from your medical director or from Defibtech. (For Defibtech contact information, please refer to the “Contacts” section in Chapter 12 of this manual.) Once the password has been entered, the user may select between the two protocols. 6. Maintenance Mode To enter the password use the TOP softkey button to scroll through numbers. Once the correct number appears, use the CENTER softkey button to move to the next space. Once all of the numbers have been entered press the CENTER softkey button. The user will now be able to choose a different rescue protocol. ➜ Settings Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Settings: AED Main Menu ➜ Rescue options ➜ Settings What it does: The Settings option allows the user to change the currently enabled protocol by entering a special protocol code. This code is a special code that encodes all the important information regarding the protocol. This code is custom generated by Defibtech. If the code is not entered correctly the protocol will not be changed. Based on the protocol code entered, the currently selected protocol will be changed to that described by the special protocol code. You can obtain this code from your medical director or from Defibtech. (For Defibtech contact information, please refer to the “Contacts” section in Chapter 12 of this manual.) Once the code has been entered, the settings will have been changed. To enter the code use the TOP softkey button to scroll through numbers/letters. Once the correct number/letter appears, use the CENTER softkey button to move to the next space. Once all of the numbers/letters have been entered, press the CENTER softkey button. The settings will have been changed based on the code entered. 6-8 DAC-2513EN-AB Help Topics Screen The Help Topics option on the AED Main Menu provides a list of available help topics. Before you begin: Be sure the unit is in Maintenance Mode. To enter: Navigate to Help topics: AED Main Menu ➜ Help topics What it does: The Help topics provides a list of available help topics. The Help topics are the following: UÊ*Ài«>À}ÊÌ iÊ«>ÌiÌ UÊ>Þâ}Ê>`Êà V} UÊ*iÀvÀ}Ê *, UÊ,i«>V}ÊÌ iÊL>ÌÌiÀÞ UÊ,i«>V}ÊÌ iÊ«>`à UÊ iV}ÊÌ iÊÊÃÌ>ÌÕà UÊ,i«>V}ÊÌ iÊ`>Ì>ÊV>À` Use the TOP and BOTTOM softkey buttons to scroll through the different Help topics items. When the desired help selection is highlighted (with a box), press the CENTER softkey button to get more information. To exit: Using the TOP or BOTTOM softkey buttons, scroll and highlight the selection Go to main menu. Press the CENTER softkey button. The unit will exit the Help Topics menu screen and return to the AED Main Menu. 6. Maintenance Mode 6-9 DAC-2513EN-AB DDU-2300 AED Accessories 7. DDU-2300 AED Accessories 7 This chapter describes the component parts and the accessories that can be used with the Defibtech DDU-2300 AED. For contact information on obtaining replacement component parts and accessories, refer to Chapter 12 in this manual. Defibrillation Pads The DDU-2300 AED must be used with Defibtech self-adhesive defibrillation pads for adults or with child/infant pads for infants and children. These pads serve two functions: UÊÜÊÌ iÊÕÌÊÌÊÀi>`ÊÌ iÊ«>Ìi̽ÃÊiiVÌÀV>À`}À>« Ê­ ®ÊÀ ÞÌ ° UÊiÛiÀÊ`iwLÀ>ÌÊiiÀ}ÞÊÌÊÌ iÊ«>ÌiÌÊvÊii`i`° The Defibtech self-adhesive defibrillation pad assembly comes in a “leads-out” sealed package that allows the device to be stored with the pads connected to the AED. When the DDU-2300 AED is used, the operator needs only to turn the device on, remove the pad package, tear open the package, remove the pads from the blue liner, apply the pads to the patient, and administer care. The AED has a storage area in the back of the unit that allows for storage of a single sealed adult pads package. Battery Packs The DDU-2300 AED uses a lithium battery pack to provide the AED with a long shelf and standby life. The battery pack is inserted into the battery pack opening on the back of the AED and latches into place. Battery packs are not rechargeable. Data Cards DDU-2300 AED is designed to optionally use Defibtech Data Cards (“DDC cards”). The AED will operate with or without a DDC card, but if a DDC card is installed, additional event storage capacity is available. The DDU-2300 AED accepts DDC cards capable of recording an assortment of data for a given period of time. The DDU-2300 allows the user to enable or disable recording of audio data. (Refer to the “AED Options Screen” section in Chapter 6 of this manual.) The DDC card is inserted into a slot behind the data card/USB port access door found on the side of the AED. (Refer to the “Installing The Defibtech Data Card (DDC card)” section in Chapter 3 of this manual.) A new event file is created on the DDC card each time the AED is turned on, and the following information is recorded: UÊ/ iÊÌiÊÌ iÊÊÜ>ÃÊÌÕÀi`Ê° UÊÊ"Ì iÀÊ `>Ì>Ê ÃÕV Ê >Ã\Ê Ê `>Ì>]Ê ÌiÊ `>Ì>]Ê >Õ`Ê `>Ì>Ê ­>Õ`Ê i>Li`Ê V>À`Ê Þ®]Ê iÛiÌÊ iÃÌiÃÊ ÃÕV Ê >Ã\Ê motion detection, shock advice, shock delivery information. Multiple events may be recorded on a single DDC card. If the DDC card becomes full, the AED will stop recording to the card, however, the most critical event documentation for the current session will still be recorded internally. Internally recorded event information can be downloaded for external review by inserting a blank DDC card into the unit and following the Data Download procedure. (Refer to the “Downloading The Internal Data Log” section in Chapter 8 of this manual.) Using non-Defibtech Data Cards (DDC cards) may damage the unit CAUTION and will void the warranty. ! USB Cable An optional USB cable may be used with the DDU-2300 AED for connecting the AED to a personal computer running Defibtech maintenance software. The AED has a mini-USB connector located on the right side of the unit behind the data card/USB port access door. ! WARNING Do not have a USB cable attached to the unit during a rescue. 7-1 DAC-2513EN-AB 8 Event Viewing This chapter includes information about DefibView II, Defibtech Data Cards (DDC cards), and downloading internal data logs. DefibView II DefibView II is a Windows-based software application that reads data stored on a DDC card or downloaded through the USB port and displays the data on a personal computer. DefibView II serves the following primary functions: UÊÊ>LiÃÊiiÀ}iVÞÊV>ÀiÊ«iÀÃiÊÌÊÀiÛiÜÊ>ÊV>À`>VÊi«Ã`iÊvÀÊÌ iÊÌiÊÌ iÊÊÜ>ÃÊÌÕÀi`ÊÊ>`Ê connected to the patient until the unit is turned off. UÊÊ*ÀÛ`iÃÊ>Ìi>ViÊ«iÀÃiÊÜÌ Ê>``Ì>Ê«>À>iÌiÀÊvÀ>ÌÊÌÊ>ÃÃÃÌÊÊÌÀÕLià Ì}Ê>Ê`iÛViÊ suspected of malfunctioning. DefibView II is a stand-alone software application. DefibView II cannot be used while the AED is in operation, and its function is solely to support post-event review. CAUTION Not intended for clinical use. Information presented by DefibView II should not be used for making clinical decisions. 8. Event Viewing ! Defibtech Data Cards (DDC cards) If a DDC card is installed in the unit, every time the DDU-2300 AED is turned on, the following information is recorded on a new file on the card: UÊ/ iÊÌiÊÌ iÊÊÜ>ÃÊÌÕÀi`Ê° UÊÊ"Ì iÀÊ`>Ì>ÊÃÕV Ê>Ã\Ê Ê`>Ì>]ÊÌiÊ`>Ì>]Ê>Õ`Ê`>Ì>Ê­>Õ`Êi>Li`ÊV>À`ÃÊÞ®]ÊiÛiÌÊiÃÌiÃÊÃÕV Ê>Ã\Ê motion detection, shock advice, shock delivery information. This information can be reviewed using the DefibView II application. Using non-Defibtech Data Cards (DDC cards) may damage the unit CAUTION and will void the warranty. ! Downloading The Internal Data Log Regardless of whether a DDC card is installed in the unit, select information is recorded internally within the DDU2300 AED. The information recorded is limited to: UÊ/ iÊÌiÊÌ iÊÊÜ>ÃÊÌÕÀi`Ê° UÊ"Ì iÀÊ`>Ì>ÊÃÕV Ê>ÃÊiÛiÌÊiÃÌiÃÊ­ÌÊ`iÌiVÌ]Êà VÊ>`ÛVi]Êà VÊ`iÛiÀÞÊvÀ>Ì]ÊiÌV°® UÊ«ÀÌ>ÌÊ ÊvÀ>Ì° Note: Audio data is not logged internally. Downloading The Internal Data Log Using The DDC Card To download the internally logged information, perform the following procedure: UÊÃiÀÌÊ>Ê ÊV>À`ÊÌÊÌ iÊÕÌ° UÊ/ÕÀÊÌ iÊÕÌÊÊÊ>Ìi>ViÊ`iÊLÞÊ«ÀiÃÃ}ÊÌ iÊViÌiÀÊÃvÌiÞÊLÕÌÌ° UÊ*ÀiÃÃÊÌ iÊÌÊVÊÌÊiÌiÀÊÌ iÊÊ>Ìi>ViÊÃVÀii° UÊÀÊÌ iÊÊ>Ìi>ViÊÃVÀiiÊÃiiVÌÊÌ iÊTransfer Data To Card option. UÊÊÜÊÌ iÊÕÌÊÌÊÜÀÌiÊÌ iÊVÌiÌÃÊvÊÌ iÊÌiÀ>Ê}ÊÌÊÌ iÊ ÊV>À`° The DDU-2300 AED will write the contents of the internal log onto the DDC card. This information can then be reviewed using DefibView II software. Downloading The Internal Data Log Using The USB Port To download the internal data log using the USB port in the unit, connect a USB cable between the unit and a PC. Launch the DefibView II software and follow USB download directions. 8-1 ! WARNING Do not operate the DDU-2300 AED in Rescue Mode while a USB cable is plugged into the unit. DAC-2513EN-AB 9 Technical Specifications Defibtech DDU-2300 AED General Category Specification -âi 7.3 x 9.5 x 2.3 inches 18.5 x 24 x 5.8 cm Weight Less than 3 lbs (1.4 kg) (with battery) Power Battery Pack (not rechargeable) Design standards Meets applicable requirements of UÊ ÊÈäÈ䣣 UÊ1ÊÈäÈ䣣 UÊ É -Ê ÓÓ°ÓÊ °È䣰£ä UÊ ÊÈäÈä££Ó UÊ ÊÈäÈä£Ó{ UÊÊnä Patient safety All patient connections are electrically isolated. Defibrillator Category Specification Waveform Impedance Compensated Biphasic Truncated Exponential Adult: 150 Joules (nominal [+/-15%] delivered into a 50 ohm load) Energy Child/Infant: 50 Joules (nominal [+/-15%] delivered into a 50 ohm load) Automatic by Patient Analysis System 9. Technical Specifications Charge control < 4 seconds* Charge time from shock-advised Charge complete indication Shock delivery Charge time may increase at the end of battery life and for temperatures below 10°C. UÊ-" ÊLÕÌÌÊy>à } Uʺ*ÀiÃÃÊ- VÊLÕÌÌ»ÊÛViÊ«À«Ì Shock is delivered by a single SHOCK button UÊvÊ*>ÌiÌÊ>ÞÃÃÊ-ÞÃÌiÊ`iV`iÃÊÀ ÞÌ ÊÃÊÊ}iÀÊà V>Li]ÊÀ Automatic UÊÊ7Ì ÊÎäÊÃiV`ÃÊ>vÌiÀÊV >À}iÊV«iÌi]ÊvÊ«iÀ>ÌÀÊ >ÃÊÌÊ«ÀiÃÃi`Ê SHOCK button, or DISARM UÊvÊ`iwLÀ>ÌÊ«>`ÃÊ>ÀiÊÀiÛi`ÊvÀÊ«>ÌiÌÊÀÊÕ«Õ}}i`ÊvÀÊÕÌ° Manual UÊÊvÊ«iÀ>ÌÀÊ«ÀiÃÃiÃÊ>`Ê `ÃÊÌ iÊ" É"ÊLÕÌÌÊvÀÊ>««ÀÝ>ÌiÞÊÌÜÊ seconds, device will disarm and turn off. *typical, new battery, at 25°C 9-1 DAC-2513EN-AB Defibtech DDU-2300 AED (continued) Waveform Specifications The DDU-2300 AED delivers a 150J Biphasic Truncated Exponential waveform to patients with impedances ranging from 25 to 180 ohms. V V max V1 A t B V min V1' The waveform is adjusted to compensate for measured patient impedance. Nominal phase times and energy delivered are shown in the tables below. ADULT Phase A Duration (ms) Phase B Duration (ms) Energy Delivered (Joules) 25 2.8 2.8 153 50 4.1 4.1 151 75 7.2 4.8 152 100 9.0 6.0 151 125 12.0 8.0 153 150 12.0 8.0 146 175 12.0 8.0 142 Patient Impedance (Ohms) Phase A Duration (ms) Phase B Duration (ms) Energy Delivered (Joules) 25 4.1 4.1 35 50 5.8 3.8 47 75 5.8 3.8 51 100 7.2 4.8 53 125 7.2 4.8 52 150 9.0 6.0 53 175 9.0 6.0 51 9. Technical Specifications Patient Impedance (Ohms) PEDIATRIC If impedance is out of range for proper analysis and shock delivery, voice and/or visual prompts will inform the user. 9-2 DAC-2513EN-AB Defibtech DDU-2300 AED (continued) Environmental Category Specification Temperature Operating/ Maintenance Standby/Storage/ Transport 0 – 50°C (32 – 122°F) Humidity 5% – 95% (non-condensing) Air Pressure 700 to 1060 hPa (21 to 31 inHg) Temperature 0 – 50°C (32 – 122°F) Humidity 5% – 95% (non-condensing) Air Pressure 500 to 1060 hPa (15 to 31 inHg) Altitude -150 to 4500 meters (-500 to 15,000 feet) per MIL-STD-810F 500.4 Procedure II Shock/Drop Abuse Tolerance MIL-STD-810F 516.5 Procedure IV 48 in, (1.2 meters), any edge, corner, or surface, in standby mode Crush test 1,000 lbs (450 kg) MIL-STD-810F 514.5 Category 20 (Ground) Vibration RTCA/DO-160D, Section 8.8.2, Cat R, Zone 2, Curve G (Helicopter) RTCA/DO-160D, Section 8, Cat H, Zone 2, Curves B & R (Jet Aircraft) Sealing/Water Resistance IEC60529 class IP55; Dust Protected, Protected against water jets (Battery pack installed) ESD and EMI (radiated and immunity) Refer to Chapter 10 for details R&TTE Directive 1999/5/EC Radio Frequency Emissions Applicable Directive and Standards ETSI EN 300 220-2 V2.1.2 (2007-06) ERC RECOMMENDATION 70-03 ETSI EN 301 489-3 V1.4.1 (2002-08) 9. Technical Specifications Patient Analysis System The DDU-2300 Patient Analysis System ensures that the pad/patient impedance is within the proper range and >>ÞâiÃÊ Ì iÊ «>Ìi̽ÃÊ Ê À ÞÌ Ê ÌÊ `iÌiÀiÊ Ü iÌ iÀÊ >Ê Ã VÊ ÃÊ ÀiµÕÀi`°Ê Ê "Ê `iÌiVÌÊ vÊ >Ê Ã V>LiÊ rhythm, the user is prompted to perform CPR. For shockable rhythms, the AED automatically charges in preparation for shock delivery. The patient analysis system will detect electrical “noise” or artifact in the ECG signal that may interfere with accurate rhythm analysis. This artifact may be caused by excessive motion to the patient or by external electrical noise. When this artifact is present, the AED will prompt the user to “Stop motion” or “Stop Interference” until the ECG signal is free of noise and then proceed to analysis. 9-3 DAC-2513EN-AB Defibtech DDU-2300 AED (continued) Shockable Rhythm Criteria When placed on a patient meeting the indications for use criteria, the DDU-2300 AED is designed to recommend a defibrillation shock when it detects proper pad impedance and one of the following: Ventricular Fibrillation: Peak-to-peak amplitude at least 200 μVolts. ! Some very low amplitude or low frequency VF rhythms may not be interpreted as shockable. WARNING Ventricular Tachycardia (Including ventricular flutter and polymorphic VT): Cardiac rhythm rate of at least 180 bpm and peak-to-peak amplitude at least 200 μVolts. ! Some very low amplitude or low frequency VT rhythms may not be interpreted as shockable. WARNING The DDU-2300 AED is designed to recommend no shock for all other rhythms, including Normal Sinus Rhythms, fine Ventricular Fibrillation (<200 μVolts), and some slow Ventricular Tachycardia and Asystole. Patient Analysis System Performance Rhythm Class ECG Test Sample1 Size Shockable Rhythm – Ventricular Fibrillation Non-Shockable Rhythm – Normal Sinus Rhythm Non-Shockable Rhythm – Asystole Non-Shockable Rhythm – All other non-shockable rhythms 101 213 113 248 2 Performance >97% 99% 100% 100% >99% Specifications 90% Lower Confidence Limit2 >95% Meets the AAMI DF80 requirement and AHA recommendation2 of Sensitivity > 90% >97% Meets the AAMI DF80 requirement and AHA recommendation2 of Sensitivity > 75% 100% Meets the AAMI DF80 requirement of Specificity >95% and the AHA recommendation2 of Specificity > 99% 100% Meets the AAMI DF80 requirement and the AHA recommendation2 of Specificity > 95% >98% Meets the AAMI DF80 requirement and the AHA recommendation2 of Specificity > 95% 9. Technical Specifications Shockable Rhythm – Ventricular Tachycardia 227 Algorithm Performance3 1. From Defibtech ECG Rhythm Databases. 2. Automatic External Defibrillators for Public Access Defibrillation: Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance, Incorporating New Waveforms, and Enhancing Safety. American Heart Association (AHA) Task Force on Automatic External Defibrillation, Subcommittee on AED Safety and Efficacy. Circulation, 1997;95:1677-1682. ΰÊÊ-V i`iÀÊ/]Ê>ÀÌiÃÊ*,]Ê*>ÃV iÊ]ÊiÌÊ>°ÊÊÕÌViÌiÀ]ÊÀ>`âi`]ÊVÌÀi`ÊÌÀ>ÊvÊ£xäÊL« >ÃVÊà VÃÊV«>Ài`ÊÜÌ ÊÓääÊÌÊÎÈäÊ« >ÃVÊà VÃÊÊÌ iÊÀiÃÕÃVÌ>ÌÊvÊ out-of-hospital cardiac arrest victims. Circulation 2000;102:1780-1787. Note: Additional information available upon request. 9-4 DAC-2513EN-AB Battery Packs Use only Defibtech battery packs in the DDU-2300 AED. DBP-2003 Battery Pack Category Specification Model number DBP-2003 Main battery type 12VDC, 2800 mAh, Lithium/Manganese Dioxide. Disposable, recyclable, non-rechargeable. Capacity 125 shocks or 8 hours of continuous operation.* Charge time < 4 seconds* Charge time from the initiation of rhythm analysis to readiness for discharge with a fresh battery and on the charge after 6 discharges Meets or exceeds AAMI DF80 and IEC 60601-2-4 requirements Charge time measured from initially switching power on to charge ready on the charge after 6 discharges Meets or exceeds AAMI DF80 and IEC 60601-2-4 requirements Standby-life (installed in unit) 4 years* *typical, new battery, at 25°C Self-Adhesive Defibrillation Pads Use only Defibtech Pads with your DDU-2300 AED. Defibtech self-adhesive defibrillation pads have the following characteristics: DDP-2001 DDP-2002 Type Adult Child/Infant < 8 years < 55 lbs. (25kgs) Intended use Disposable Disposable Adhesion Self-adhesive Self-adhesive 2 Active gel surface area 77 cm each (nominal) 50 cm2 each (nominal) Cable/connector type Integrated Integrated Cable length 122 cm (typical) 122 cm (typical) Expiration date 2.5 years from date of manufacture 2.5 years from date of manufacture 9. Technical Specifications Model number Note: In the event of a suspected pad defect, the pads should be clearly marked “Not for Use” and returned to Defibtech, LLC for analysis. (Refer to Chapter 12 of this manual for contact information regarding returns.) 9-5 DAC-2513EN-AB Event Documentation Internal Event Record Critical ECG segments and rescue event parameters are recorded (greater than 60 minutes) and can be downloaded to a removable data card. Removable Storage (optional) Up to 30 hours of ECG and event data storage (no audio option) or up to 3 hours of audio (audio option). ECG and event storage on a removable data card. Actual length of storage is dependent on card capacity. Defibtech Event Viewer DefibView II is a PC-based application program that allows review of ECG data and other patient and device performance parameters after an emergency event. DefibView II runs on various Windows platforms including Windows XP and newer versions. Minimum system requirements for adequate performance are as follows: UÊ*iÌÕÊ{Ê*ÀViÃÃÀ° UÊx£ÓÊÞÌiÊ-ÞÃÌiÊiÀÞ° UÊ£ÊÞÌiÊvÀiiÊë>ViÊÊ >À`Ê`ð UÊ1-Ê£°äÊViVÌÛÌÞ° Recycling Information At the end of useful life, recycle the defibrillator and its accessories. Recycling Assistance For recycling assistance contact your local Defibtech distributor. Recycle in accordance with local and national regulations. Preparation For Recycling 9. Technical Specifications Items should be clean and contaminant-free prior to being recycled. When recycling used disposable electrodes, follow local clinical procedures. Packaging For Recycling Packaging should be recycled in accordance with local and national requirements. Notice To European Union Customers The crossed-out wheeled bin symbol on this device indicates that this equipment has been put on the market after 13 August 2005, and is included in the scope of the directive 2002/96/ EEC on Waste Electrical and Electronic Equipment (WEEE) and of the national decree(s), which transpose provisions of such directive. At the end of its lifetime, this device can only be disposed of in compliance with the provisions of the above-mentioned European directive (and following possible revisions) as well as with the corresponding national regulation. Severe «i>ÌiÃÊ>ÀiÊ«ÃÃLiÊvÀÊÕ>ÕÌ Àâi`Ê`ëÃ>°Ê iVÌÀV>Ê >`Ê iVÌÀVÊ µÕ«iÌÊ ­®Ê >ÞÊ VÌ>Ê «ÕÌ}Ê V«iÌÃÊ >`Ê >â>À`ÕÃÊ ÃÕLÃÌ>ViÃ]Ê Ì iÊ accumulation of which could pose serious risk for the environment and human health. It is for this reason that local administrations provide regulations, which encourage reuse and recycling, and prohibit the disposal of WEEE as ÕÃÀÌi`ÊÕV«>ÊÜ>ÃÌiÊ>`ÊÀiµÕÀiÊÌ iÊViVÌÊvÊÃÕV Ê7ÊÃi«>À>ÌiÞÊ­>ÌÊëiVwV>ÞÊ>ÕÌ Àâi`ÊÌÀi>ÌiÌÊ v>VÌiî°ÊÊ>Õv>VÌÕÀiÀÊ>`Ê>ÕÌ Àâi`Ê`ÃÌÀLÕÌÀÃÊ>ÀiÊÀiµÕÀi`ÊÌÊÃÕ««ÞÊvÀ>ÌÊ>LÕÌÊ>ÊÃ>viÊÌÀi>ÌiÌÊ>`Ê disposition of the specific device. You may also return this equipment to your distributor when purchasing a new one. As for reuse and recycling, notwithstanding the limits imposed by the nature and the use of this device, the manufacturer will do its best to develop recovery processes. Please contact the local distributor for information. 9-6 DAC-2513EN-AB 10 Electromagnetic Conformity Guidance And Manufacturer’s Declaration The DDU-2300 is intended for use in the electromagnetic environment specified below. The customer or the user of the DDU-2300 should assure that it is used in such an environment. ELECTROMAGNETIC EMISSIONS Emissions test Compliance Electromagnetic environment – guidance RF emissions The DDU-2300 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Group 1 Class B CISPR 22 Class B FCC Part 15 Class B Harmonic emissions IEC 61000-3-2 Not applicable Battery operated equipment Voltage fluctuations/flicker emissions IEC 61000-3-3 Not applicable Battery operated equipment 10. Electromagnetic Conformity CISPR 11 ELECTROMAGNETIC IMMUNITY Immunity test Electrostatic discharge (ESD) IEC 60601-4-2 Electrical fast transient/burst IEC 61000-4-4 Surge IEC 61000-4-5 Voltage dips, short interruptions and voltage variations on power supply input lines IEC 60601 test level Compliance level Electromagnetic environment guidance ±6 kV contact ±6 kV contact ±8 kV air ±8 kV air There are no special requirements with respect to electrostatic discharge. Not applicable Battery operated equipment Not applicable Battery operated equipment Not applicable Not applicable Battery operated equipment ±2 kV for power line supply lines ±1 kV for input/output lines ±1 kV line(s) to line(s) ±2 kV line(s) to earth IEC 61000-4-11 *ÜiÀÊvÀiµÕiVÞÊ­xäÉÈäÊâ®Ê>}iÌVÊ field 3 A/m IEC 61000-4-8 3 A/m Power frequency magnetic fields should not be greater than levels characteristic of a typical location in a commercial or hospital environment. 10-1 DAC-2513EN-AB Electromagnetic Immunity (continued) IEC 60601 test level Immunity test Compliance level 10 V/m näÊâÊÌÊ Ó°xÊâ Radiated RF 10 V/m IEC 61000-4-3 nä¯ÊxâÊÊ Modulation Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the DDU-2300, including cables, than necessary. The recommended separation distance calculated from the equation applicable to the frequency of the transmitter is shown in the following table. 10. Electromagnetic Conformity Interference may occur in the vicinity of equipment marked with this symbol. Note 1\ÊÌÊnäÊâÊ>`ÊnääÊâ]ÊÌ iÊ } iÀÊvÀiµÕiVÞÊÀ>}iÊ>««ið Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. / iÊ-Ê­`ÕÃÌÀ>]ÊÃViÌwVÊ>`Êi`V>®ÊL>`ÃÊLiÌÜiiÊ£xäÊâÊ>`ÊnäÊâÊ>ÀiÊÈ]ÇÈxÊâÊÌÊÈ]ÇxÊâÆÊ £Î]xxÎÊâÊÌÊ£Î]xÈÇÆÊÓÈ]xÇÊâÊÌÊÓÇ]ÓnÎÊâÆÊ>`Ê{ä]ÈÈÊâÊÌÊ{ä]ÇäÊâ° Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the DDU-2300 is used exceeds the applicable RF compliance level above, the DDU-2300 should be observed to verify normal operation. If abnormal performance is observed additional measures may be necessary, such as reorienting or relocating the DDU-2300. Separation Distances The DDU-2300 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the DDU-2300 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the DDU-2300 as recommended below, according to the maximum output of the communications equipment. Recommended separation distances between portable and mobile RF communications equipment and the DDU-2300 Separation distance according to frequency of transmitter (m) Rated maximum output power of transmitter (W) 80 MHz to 800 MHz 800 MHz to 2.5 GHz d = 1.2√P d = 2.3√P 0.01 0.12 0.23 0.1 0.38 0.73 1 1.20 2.30 10 3.79 7.27 100 12.00 23.00 10-2 DAC-2513EN-AB Separation Distances (continued) For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1\ÊÊÃÊnäÊâÊ>`ÊnääÊâ]ÊÌ iÊÃi«>À>ÌÊ`ÃÌ>ViÊvÀÊÌ iÊ } iÀÊvÀiµÕiVÞÊÀ>}iÊ>««ið Note 2\ÊÊ/ iÊ-Ê­`ÕÃÌÀ>]ÊÃViÌwVÊ>`Êi`V>®ÊL>`ÃÊLiÌÜiiÊ£xäÊâÊ>`ÊnäÊâÊ>ÀiÊÈ]ÇÈxÊâÊÌÊÈ]ÇxÊâÆÊ £Î]xxÎÊâÊÌÊ£Î]xÈÇÆÊÓÈ]xÇÊâÊÌÊÓÇ]ÓnÎÊâÆÊ>`Ê{ä]ÈÈÊâÊÌÊ{ä]ÇäÊâ° Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM vÀiµÕiVÞÊL>`ÃÊLiÌÜiiÊ£xäÊâÊ>`ÊnäÊâÊ>`ÊÊÌ iÊvÀiµÕiVÞÊÀ>}iÊnäÊâÊÌÊÓ°xÊâÊÌÊ`iVÀi>ÃiÊÌ iÊi `Ê that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas. Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Regulatory Compliance 10. Electromagnetic Conformity Changes or modifications of this product, not expressly approved by Defibtech, may void the user’s authority to operate the equipment. This device complies with part 15 of the FCC Rules and Industry Canada Radio Standard RSS-210. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: UÊ,iÀiÌÊÀÊÀiV>ÌiÊÌ iÊÀiViÛ}Ê>Ìi>° UÊVÀi>ÃiÊÌ iÊÃi«>À>ÌÊLiÌÜiiÊÌ iÊiµÕ«iÌÊ>`ÊÀiViÛiÀ° UÊ iVÌÊÌ iÊiµÕ«iÌÊÌÊ>ÊÕÌiÌÊÊ>ÊVÀVÕÌÊ`vviÀiÌÊvÀÊÌ >ÌÊÌÊÜ V ÊÌ iÊÀiViÛiÀÊÃÊViVÌi`° UÊ ÃÕÌÊÌ iÊ`i>iÀÊÀÊ>ÊiÝ«iÀiVi`ÊÀ>`É/6ÊÌiV V>ÊvÀÊ i«° CE Marking And European Union Compliance – Radio Transmitter Defibtech, LLC declares that the DDU-2300 AED radio transmitter is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. Applicable standards are listed in the “Environmental” section in Chapter 9 of this manual. 10-3 DAC-2513EN-AB 11. Glossary Of Symbols 11 Glossary Of Symbols Symbol Meaning High voltage present. SHOCK Button – Delivers defibrillation shock to the patient when the device is ready to shock. ON/OFF Button UÊÊ/ÕÀÃÊÌ iÊ`iÛViÊ" ÊÜ iÊÌÊÃÊ"° UÊÊ/ÕÀÃÊÌ iÊ`iÛViÊ"ÊÜ iÊÌÊÃÊ" ° ! Caution, consult accompanying documents. Do not expose to high heat or open flame. Do not incinerate. Recyclable. Consult operating instructions. Do not damage or crush. Follow proper disposal procedures. Meets the requirements of the European Medical Device Directive. Note: XXXX represents the identification number of the notified body. XXXX Temperature limitation. Use by (yyyy-mm). Defibrillation proof - Can withstand the effects of an externally applied defibrillation shock. Internally powered with defibrillator-proof BF-type patient applied parts (per EN 60601-1) Manufacturer. Date of manufacture. YYYY Do not reuse. For USA users only. 11-1 DAC-2513EN-AB 11. Glossary Of Symbols Glossary Of Symbols (continued) Symbol Meaning Catalogue number. Keep dry. Handle with care. Transportation and storage requirements. See environmental requirements. EC REP LATEX ÕÌ Àâi`ÊÕÀ«i>Ê,i«ÀiÃiÌ>ÌÛi°Ê Does not contain latex. Lot number. IP55 Dust protected; Protected against water jets. >ÃÃwi`ÊLÞÊ/16Ê, i>`ÊvÊ ÊÜÌ ÊÀiëiVÌÊÌÊiiVÌÀVÊà V]ÊwÀi]Ê>`ÊiV >V>Ê >â>À`ÊÞÊ in accordance with UL 60601-1, CAN/CSA C22.2 No.601.1-M90, IEC 60601-1, and IEC 60601-2-4. Conforms to UL Standard UL 60601-1. Certified to CAN/CSA Standard C22.2 No. 601.1-M90. Serial number. Lithium Manganese Dioxide Battery. Product is not sterile. 11-2 DAC-2513EN-AB 12 Contacts Manufacturer Defibtech, LLC 741 Boston Post Road Guilford, CT 06437 Tel.: (866) 333-4241 (Toll-free within North America) (203) 453-4507 Fax: (203) 453-6657 Emails: sales@defibtech.com reporting@defibtech.com service@defibtech.com (Sales) (Medical Device Reporting) (Service and Repair) European Authorized Representative EC REP Emergo Europe Molenstraat 15 2513 BH The Hague The Netherlands Tel.: +31 70 345 8570 Fax: +31 70 346 7299 Patents pending. 12. Contacts This product and its accessories are manufactured and sold under one or more of the following United States patents: D523,393, D548,346, D551,628. This product and its accessories are manufactured and sold under license to at least one or more of the following United States patents: 5,591,213; 5,593,427; 5,601,612; 5,607,454; 5,611,815; 5,617,853; 5,620,470; 5,662,690; 5,735,879; 5,749,904; 5,749,905; 5,776,166; 5,800,460; 5,803,927; 5,836,978; 5,836,993; 5,879,374; 6,016,059; 6,047,212; 6,075,369; 6,438,415; 6,441,582. 12-1 DAC-2513EN-AB
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Key Features
- Easy to use
- Portable
- Battery powered
- Voice prompts
- Text prompts
- Display screen
- Event information
- SHOCK/NO-SHOCK recommendations