ZOLL Propaq MD Operator's Manual
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ZOLL Propaq MD Operator's Manual

Defibrillator
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Propaq
MD Operator's Guide
®
9650-0806-01 Rev. D

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  • Page 1 Propaq MD Operator’s Guide ® 9650-0806-01 Rev. D...
  • Page 2 The issue date for the Propaq MD Operator's Guide (REF 9650-0806-01 Rev. D) is June, 2014. If more than 3 years have elapsed since the issue date, contact ZOLL Medical Corporation to determine if additional product information updates are available.

  • Page 3: Table Of Contents

    Operator’s Guide Updates ....................1-3 Unpacking ........................... 1-3 Symbols Used on the Equipment ..................1-4 Conventions ........................1-7 Propaq MD Indications for Use ................... 1-7 Manual Defibrillation ....................1-8 Semiautomatic Operation (AED) ................1-8 ECG Monitoring ......................1-9 CPR Monitoring ......................1-9 External Transcutaneous Pacing ................
  • Page 4 Quick Access Keys ....................2-14 Navigation Keys ......................2-17 Display Brightness ....................2-17 Common Tasks ......................... 2-17 Changing the Display Brightness ................2-18 Replacing a Battery Pack on the Propaq MD ............2-18 Using Treatment Buttons ..................2-19 www.zoll.com 9650-0806-01 Rev. D...
  • Page 5 Preparing the Patient for Electrode Application ............6-2 Applying Electrodes to the Patient ................6-3 Connecting the ECG Cable To the Propaq MD Unit ........... 6-5 Selecting ECG Waveforms for Display ............... 6-6 Selecting the Waveform Trace Size ................6-8 ECG Monitoring and Pacemakers ..................
  • Page 6 Applying a Smart CapnoLine Nasal or Nasal/Oral Cannula ........9-6 Measuring CO ........................9-7 Setting CO and Respiration Rate Alarms................9-8 Enabling/Disabling Alarms and Setting CO Alarm Limits .......... 9-8 Using the CO Parameter Control Panel ..............9-10 System Messages ......................9-11 Patents..........................9-12 www.zoll.com 9650-0806-01 Rev. D...
  • Page 7 Setting Upper and Lower Mean Arterial Pressure (MEAN) Alarm Limits ....11-7 Setting IBP Source Label ..................11-8 IBP System Messages...................... 11-9 Chapter 12 Monitoring Temperature Temperature Monitoring Setup ..................12-1 Selecting and Applying Temperature Probes..............12-1 Connecting the Temperature Probe .................. 12-2 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 8 Specifying the Number of 12-Lead Print Copies ............. 14-14 Specifying the 12-Lead Print Format ..............14-14 Printing 10 Seconds of the Lead ll Waveform Trace ..........14-14 Specifying the 12-Lead Frequency Response ............14-14 Enabling 12-Lead Analysis ..................14-15 www.zoll.com 9650-0806-01 Rev. D...
  • Page 9 Determine the Patient’s Condition Following Local Medical Protocols ..... 17-2 Begin CPR Following Local Medical Protocols ............17-2 Prepare Patient ......................17-2 1 Turn on unit ......................17-3 2 Press ANALYZE ....................17-4 3 Press SHOCK button ..................... 17-5 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 10 Chest Compression Indicator ................... 19-4 CPR Countdown Timer ..................... 19-5 CPR Idle Time Display ....................19-5 FULLY RELEASE Prompt ..................19-5 CPR Compression Bar Graph ..................19-6 Chapter 20 See-Thru CPR Using See-Thru CPR ......................20-2 Examples ........................20-2 viii www.zoll.com 9650-0806-01 Rev. D...
  • Page 11 Inspection ......................... 24-2 Defibrillator/Pacing Test with Hands-Free Therapy Electrodes......... 24-3 Defibrillator Testing with External Paddles................ 24-5 Recommended Minimum Preventive Maintenance Schedule .......... 24-7 Annually ........................24-7 Guidelines for Maintaining Peak Battery Performance ............. 24-7 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 12 ABLE OF ONTENTS Cleaning instructions ......................24-8 Cleaning the Propaq MD unit ..................24-8 Cleaning the NIBP Blood Pressure Cuff ..............24-8 Cleaning SpO Sensors .................... 24-9 Cleaning Cables and Accessories ................24-9 Loading Recorder Paper ................... 24-9 Cleaning the Print Head ..................24-10 ............................

  • Page 13: Chapter 1 General Information

    It is powered by auxiliary power and an easily replaced battery pack that is quickly recharged in the device when it is connected to auxiliary power. In addition, the unit’s battery may be recharged and tested using a ZOLL SurePower™ Battery Charger Station.

  • Page 14: Propaq Md Optional Features

    The Propaq MD has a patient data review and collection system that allows you to view, store, and transfer patient data. The Propaq MD unit contains a printer and USB port, which you can use to print the data and transfer it to a PC.

  • Page 15: How To Use This Manual

    How to Use This Manual The Propaq MD Operator's Guide provides information operators need for the safe and effective use and care of the Propaq MD product. It is important that all persons using this device read and understand all the information contained within.

  • Page 16: Symbols Used On The Equipment

    This end up. Temperature limitation. Conformité Européenne Complies with medical device directive 93/42/EEC. Type B patient connection. Type BF patient connection. Type CF patient connection. Defibrillator-proof type BF patient connection. Defibrillator-proof type CF patient connection. Fusible link. www.zoll.com 9650-0806-01 Rev. D...
  • Page 17 Protective earth (ground). Contains lithium. Recycle or dispose of properly. R E C Y C L E Keep away from open flame and high heat. Do not open, disassemble, or intentionally damage. Do not crush. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 18 (WEEE). Do not dispose of in unsorted trash. Date of manufacture. Use by. Latex-free. Do not reuse. Do not fold. Not sterile. Manufacturer. Authorized representative in the European Community. Serial Number. Catalogue number. Consult instructions for use. Prescription only. www.zoll.com 9650-0806-01 Rev. D...

  • Page 19: Conventions

    Propaq MD. The Propaq MD is also intended for use by (or on the order of) physicians at the scene of an emergency or in a hospital emergency room, intensive care unit, cardiac care unit, or other similar areas of a hospital.

  • Page 20: Manual Defibrillation

    AED mode and ALS rescue protocol are not intended for use on neonatal patients. Manual Defibrillation Use of the Propaq MD in the manual mode for external and internal defibrillation is indicated on victims of cardiac arrest where there is apparent lack of circulation as indicated by: Unconsciousness.

  • Page 21: Ecg Monitoring

    Propaq MD Indications for Use ECG Monitoring The Propaq MD is intended for use to monitor and/or record 3-, 5-, or 12-lead ECG waveform and heart rate, and to alarm when heart rate is above or below limits set by the operator. The patient population will range from newborn (neonate) to adult, with and without heart dysfunction.

  • Page 22: Respiration Monitoring

    Respiration Monitoring The Propaq MD is intended for use to continuously monitor respiration rate and to alarm if the rate falls outside of the range set by the operator. Because the measurement method actually measures respiratory effort, apnea episodes with continued respiratory effort (such as obstructive apnea) may not be detected.

  • Page 23: Defibrillator Output Energy

    Propaq MD Product Functions Defibrillator Output Energy Propaq MD defibrillators can deliver biphasic energy from 1 joule to 200 joules. The energy delivered through the chest wall, however, is determined by the patient’s transthoracic impedance. An adequate amount of electrolyte gel must be applied to the paddles and a force of 10 to 12 kilograms (22 to 26.4 pounds) must be applied to each paddle in order to minimize this...

  • Page 24: Batteries

    Use appropriate precautions when disposing of contaminated electrodes. When the patient is less than 8 years old or weighs less than 55 lb. (25 kg), use ZOLL OneStep Pediatric defibrillation electrodes. Do not delay therapy to determine the patient’s exact age or weight.

  • Page 25: Ready For Use (Rfu) Indicator

    Display button. Ready For Use (RFU) Indicator The Propaq MD has an RFU indicator on the front panel that indicates if the device is ready for use. The RFU indicator has three states which are described in the following table.

  • Page 26: Safety Considerations

    Change the selected energy. • Press the power switch to turn the unit off. • For safety, the Propaq MD automatically disarms if left charged for more than 60 seconds if the shock button ( ) is not pressed. Warnings General Federal (U.S.A.) law restricts this defibrillator to sale by or on the order of a physician.

  • Page 27: Ecg Monitoring

    Warnings The Propaq MD unit might not perform to specifications when stored at the upper or lower extreme limits of storage temperature and then immediately put into use. The Propaq MD unit should not be stored or used outside of the environmental limits provided in Appendix A of this manual.

  • Page 28: Defibrillation

    Monitoring ECG through the paddles may result in inaccurate heart rate display due to artifact. Defibrillation The ZOLL Propaq MD can deliver 200 joules of electrical energy. If this electrical energy is not discharged properly, as described in the this manual, the electrical energy could cause personal injury or death to the operator or bystander.

  • Page 29: Pacing

    Consider using asynchronous pacing mode if a reliable ECG trace is unobtainable. Transcutaneous pacing should not be used to treat V FIB (ventricular fibrillation). In cases of V FIB, immediate defibrillation is advised. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 1-17...

  • Page 30: Cpr

    This device can only be used for external pacing of patients and cannot be used for internal pacing. Do not connect internal pacing lead wires to the Propaq MD defibrillator. The CPR monitoring function is not intended for use on patients under 8 years of age.

  • Page 31: Noninvasive Blood Pressure

    Blood pressure measurement results may be affected by the position of the patient, his or her physiological condition and other factors. Substitution of a component different from that supplied by ZOLL (e.g., cuff, hoses, etc.) may result in measurement error. Use only ZOLL-approved cuffs and hoses. To avoid the risk of intravenous line misconnection and possible introduction of air into a patient’s blood, do not...

  • Page 32: Respiration

    Respiration Do not operate the Propaq MD with any other monitor with respiration measurements on the same patient. The two devices could affect the respiration accuracy. The device should not be used as an apnea monitor.

  • Page 33: Operator Safety

    Warnings If the LOW BATTERY icon appears, plug the Propaq MD unit into a power source or install a fully charged battery pack. When the warning low battery shutdown prompt appears, immediately replace the battery pack with a fully charged pack or plug the Propaq MD unit into a power source, as unit shut down due to a low battery condition is imminent.

  • Page 34: Patient Safety

    To ensure patient safety, do not place the monitor in any position that might cause it to fall on the patient. To ensure patient safety, connect the Propaq MD only to equipment with circuits that are electrically isolated. Use only high-quality ECG electrodes. ECG electrodes are for rhythm acquisition only; you cannot use ECG electrodes for defibrillation or pacing.

  • Page 35: Cautions

    ECG cables specified or supplied by ZOLL. For continued safety and EMI performance, use only the line cord supplied by ZOLL. Electrical installation of the room or the building in which the monitor is to be used must comply with regulations specified by the country in which the equipment is to be used.

  • Page 36: Restarting The Defibrillator

    If the Propaq MD unit is powered off for less than 2 minutes, all patient monitoring parameter settings will be retained. If the unit has been powered off for at least two minutes, it will be considered a New Patient and all of the patient-specific parameters (alarm limits, defibrillator energy, etc.) will be reset to their default values.

  • Page 37: Notification Of Adverse Events

    Notification of Adverse Events As a health care provider, you may have responsibilities under the Safe Medical Devices Act (SMDA), for reporting to ZOLL Medical Corporation, and possibly to the FDA, the occurrence of certain events. These events, described in 21 CFR Part 803, include device-related death and serious injury or illness.

  • Page 38: Service

    Returning a unit for service Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service request (SR) number from the service representative. Remove the battery pack from the unit. Pack the unit with its cables and battery in the original containers (if available) or equivalent packaging.

  • Page 39: The Zoll Serial Number

    “A” for January, “B” for February, “C” for March, and so on through “L” for December. The product serial number is a unique set of alphanumeric characters that ZOLL assigns to each individual unit.
  • Page 40 HAPTER ENERAL NFORMATION 1-28 www.zoll.com 9650-0806-01 Rev. D...

  • Page 41: Chapter 2 Product Overview

    Chapter 2 Product Overview Defibrillator Controls and Indicators 9650-0806-01 Rev. D Propaq MD Operator’s Guide 2–1...

  • Page 42: The Front Panel

    For connecting the device to a docking station. The Front Panel The front panel of the Propaq MD device includes the display screen, quick access keys, battery and auxiliary power indicators, Ready For Use (RFU) indicator, and the defibrillation front panel buttons: Pacer, Sync, Select Energy, Charge, and Shock ( ).
  • Page 43 Defibrillator Controls and Indicators Table 2-2. Propaq MD Controls and Indicators Control or Indicator Description Display screen Shows therapeutic settings, physiological waveforms and other information for each monitored parameter, messages, time, and quick access key labels. Quick access keys Seven buttons control different functions of the unit. Labels for the quick access keys appear on the monitor display to the right of each key.

  • Page 44: Display Screen

    HAPTER RODUCT VERVIEW Table 2-2. Propaq MD Controls and Indicators (continued) Control or Indicator Description Navigation keys The up (clockwise) arrow will cause the cursor to travel in an upward direction if the cursor is being used to navigate through a vertical list or in a clockwise direction if the cursor is being used to navigate around the full screen.
  • Page 45 NIBP data data Current temp Respiration rate Figure 2-2. Propaq MD Display Screen Color coding To differentiate information for various parameters, the unit displays each type of information in a specific user-configurable color. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 46: Battery Status And Auxiliary Power Indicators

    Note: Upon powering up the Propaq MD unit, the battery capacity will be displayed within approximately 15 seconds under normal conditions. Under some circumstances, such as activating the defibrillator immediately after the unit is turned on, the battery icon may display less than one hour battery capacity for up to two minutes after exiting the defibrillation mode.

  • Page 47: Patient Cables And Connectors

    NIBP Exhaust Figure 2-3. Patient Cable Connectors on Left Side of Unit Temp Figure 2-4. Patient Cable Connectors on Right Side of Unit 9650-0806-01 Rev. D Propaq MD Operator’s Guide 2–7...
  • Page 48 Multifunction Cable (MFC) For connecting paddles or ZOLL hands-free therapy and pacing electrodes. For connecting the Propaq MD defibrillator to a USB device. For connecting IBP cable(s). Multifunction Cable (MFC) The unit ships with an MFC that is used to defibrillate the patient. Any other cables that ship with your unit depend on the options you have purchased.
  • Page 49 The OneStep™ cable is used with OneStep electrodes for ECG monitoring and for use with Real CPR Help. Figure 2-6. OneStep Cable When connecting a OneStep electrode to the OneStep cable, push the two connectors together until the latch clicks, as shown. Latch 9650-0806-01 Rev. D Propaq MD Operator’s Guide 2–9...

  • Page 50: External Paddles

    You cannot use paddles for external transcutaneous pacing. Attaching the MFC cable Attach the MFC from the Propaq MD unit to the connector at the base of the APEX paddle. 1. Align MFC as shown. 2. Insert MFC into APEX handle.
  • Page 51 When disconnecting the OneStep electrode and OneStep cable, press down the latch with your thumb as shown. Latch When attaching the OneStep cables to paddles, attach the OneStep cable from the Propaq MD unit to the connector at the base of the apex paddle. 1. Align OneStep cable as shown.
  • Page 52 SHOCK Buttons CHARGE RECORDER Button Button ENERGY Charge Ready SELECT Indicator Buttons Connector and RELEASE button for MFC or OneStep cable STERNUM Paddle APEX Paddle Figure 2-11. External Paddles 2–12 www.zoll.com 9650-0806-01 Rev. D...

  • Page 53: Auxiliary Power Adapter

    Auxiliary Power Adapter The auxiliary power adapter is used as backup power to operate the Propaq MD unit. When it is connected to the unit, it powers the unit and charges the battery that is installed inside it. When...

  • Page 54: Navigating The Display Screen

    Navigating the Display Screen You can access the Propaq MD functions using the quick access keys that are located on the left side of the display screen, and the navigation keys that are located on the right side of the front panel.
  • Page 55 Navigating the Display Screen Table 2-3. Propaq MD Quick Access Keys Quick access key Description Lead Selects the ECG input source for the first waveform trace. I, II, III... 12 lead Displays the 12-lead monitoring screen. Turns CO on and off.
  • Page 56 HAPTER RODUCT VERVIEW Table 2-3. Propaq MD Quick Access Keys Quick access key Description Print Trends Prints the trends that are displayed in the Trend Summary window. Print Trends Trend Settings Displays settings for trend display format, trend on interval, and trend on alarm.

  • Page 57: Navigation Keys

    Common Tasks The section contains procedures for the following tasks: “Changing the Display Brightness” on page 2-18. • “Replacing a Battery Pack on the Propaq MD” on page 2-18. • “Using Treatment Buttons” on page 2-19 • 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 58: Changing The Display Brightness

    Replacing a Battery Pack on the Propaq MD This section describes how to replace a battery pack on the Propaq MD. Replacing a Battery Pack on the Propaq MD To remove a battery pack, use your fingers to grasp and raise the latch and pull the battery pack out of the compartment.

  • Page 59: Using Treatment Buttons

    You can also customize up to 9 treatment buttons by pressing the Setup quick access key ( and then selecting Supervisor>Log>Treatment Options. Highlight Define Custom Labels, and then can customize up to 9 buttons. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 2–19...
  • Page 60 HAPTER RODUCT VERVIEW 2–20 www.zoll.com 9650-0806-01 Rev. D...

  • Page 61: Chapter 3 Monitoring Overview

    If the Propaq MD unit is powered off for less than 2 minutes, all patient monitoring parameter settings are retained. If the Propaq MD unit is powered off for 2 minutes or longer, the unit operates as if there is a New Patient and all patient-specific parameters (alarm limits, defibrillator energy, etc.) are reset to their default values.

  • Page 62: Ecg

    , or Pads and so on, in this area. You can configure the Propaq MD unit to display up to four ECG waveform traces. In addition to being able to specify the ECG source for each waveform trace, you can adjust the display scale of those traces to make them easier to view.

  • Page 63: Capnography (Co 2 )

    Monitoring Display Options The Propaq MD unit gives you great flexibility in how you display a patient’s vital signs information. By pressing the Display/Home button ( ) on the front panel, you can successively display the patient’s vital signs information in these three windows:...
  • Page 64 Trends Status window. The Trends Status window reports the patient’s vital sign measurements, which the Propaq MD logs automatically at a configurable interval (see the following chapter, Trends, for more detailed information about the Trends Status window). The primary ECG waveform trace appears above the Trends report: www.zoll.com...
  • Page 65 1 cm/mV III... NIBP mmHg NIBP Trends (96) SpO2 NIBP Time HR/PR RR/BR mmHg br/min EtCO2 mmHg 12:30:21 122/60 (85) Analyze 12:25:21 122/60 (85) 12:20:21 122/60 (85) SpO2 12:15:21 124/63 (86) ºF 98.6 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 66 (15) Press the Home/Display button to redisplay the Primary Display window. Note: When the Propaq MD unit is displaying the Defibrillation or Pacing Control panels, the unit will not allow the display the Large Numerics Display window. www.zoll.com 9650-0806-01 Rev. D...

  • Page 67: Configuring The Waveform Display

    If configured, the unit can display four ECG traces on startup, when no other monitoring devices are attached. The Propaq MD unit can also cascade a trace onto the adjoining trace area to double the duration of the trace display.
  • Page 68 ECG lead aVR, and fourth trace for EtCO2 (a capnogram). Notice that when the third trace is inserted, the numeric displays move to the right side of the window to allow more room for the waveform traces. www.zoll.com 9650-0806-01 Rev. D...
  • Page 69 1 cm/mV Pads III... Insert Cascade Analyze mmHg mmHg SpO2 NIBP (96) ºF 98.6 06/06/2012 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... NIBP mmHg (96) EtCO2 mmHg Analyze 1 cm/mV SpO2 ºF 98.6 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 70 EtCO2 mmHg Analyze 1 cm/mV Insert Cascade SpO2 Remove ºF 98.6 06/06/2012 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... NIBP mmHg (96) 1 cm/mV EtCO2 mmHg Analyze 0 to 60 mmHg SpO2 ºF 98.6 3-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 71: Chapter 4 Trends

    A patient alarm occurs and the Trend on Alarm option is on • The Propaq MD unit can store at least 24 hours of trend information when logged at a 1 minute trend interval. You can view, print, or save to external memory all logged trend information.

  • Page 72: Displaying And Printing Trend Information

    Press the Print Trend Summary button in the menu. Trend Settings To select which trends to print for the current patient, press the Log quick access key ( Print then press the Print Trends button ( Trends www.zoll.com 9650-0806-01 Rev. D...

  • Page 73: Changing The Trends Status Window Display

    • Impedance The actual information that is stored depends on usage. Also, the specific combination of stored continuous waveform data depends on how the waveform recording settings are configured in the Supervisor menu. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 74 HAPTER RENDS www.zoll.com 9650-0806-01 Rev. D...

  • Page 75: Chapter 5 Alarms

    Visual Alarm Indicators In addition to status messages that appear on the display, the Propaq MD unit lights the red or yellow LED on the front panel to indicate the priority level of the highest-priority active alarm.

  • Page 76: Audible Alarm Indicators

    Alarm Indicator Self-Test The Propaq MD unit performs a self-test of the audio and visual alarm indicators upon power- up. To ensure that the alarms and alerts are functioning properly, verify that two alarm tones are heard and the green, yellow, and red LEDs are illuminated upon power up.

  • Page 77: Patient Alarm Display

    When a patient’s vital signs measurements trigger an alarm, in addition to sounding the patient alarm, the Propaq MD unit displays an alarm message, and changes the display characteristics of the monitoring function’s numeric display (the alarming parameter appears in red against a white background).

  • Page 78: Life Threatening Rhythm Alarms

    LTA monitoring is not available in AED mode. Equipment Alert Display When a problem with the Propaq MD unit or an attached sensor triggers an alert, in addition to sounding an equipment alert, the Propaq MD unit displays an alert message (yellow background, black text).

  • Page 79: Responding To Active Alarms -- Silencing The Alarm

    No alarms will sound while alarms are suspended; however, if an alarm occurs during the suspension period, the Propaq MD unit will display visual alarm indicators -- alarm messages in the message area (white text on a red background) and red/white numeric displays).

  • Page 80: The Alarm Suspension Timer

    During an alarm suspension, the window displays an alarm suspension timer at the top of the display next to the message area: Alarm Suspension Timer 06/06/2012 12:34:56 Adult 00:17:43 1:30 EtCO2 Low Alarm I, II, 1 cm/mV III... Analyze mmHg mmHg mmHg NIBP SpO2 (96) ºF 98.6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 81: Alarm Options

    Alarm Options Alarm Options The Propaq MD unit provides alarm options that you can specify through the Supervisor parameter control panel (access to Supervisor is passcode-controlled). Press the More quick access key ( ), press the Setup quick access key (...

  • Page 82: Selecting Default Alarm Limits

    Do not set alarm limits to such extreme values that render the alarm system useless. Setting Alarm Limits Relative to the Patient -- Stat Set Option The Propaq MD unit also allows you to set all alarm limits relative to the patient’s current vital signs measurements by performing the following actions: 1.
  • Page 83 Limit = Numeric + 5 (mmHg) Temp Entire range Limit = Numeric + 0.5 Limit = Numeric – 0.5 (°C) Temp Entire range Limit = Numeric + 0.9 Limit = Numeric – 0.9 (°F) 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 84 HAPTER LARMS 5-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 85: Chapter 6 Monitoring Ecg

    This chapter describes how to use the Propaq MD unit to monitor ECG. Propaq MD units can perform ECG monitoring through 3-, 5-, or 12-lead ECG patient cables, Multi-Function Pads, or standard defibrillation paddles. The use of an ECG patient cable and electrodes is required, however, to monitor ECG during pacing.

  • Page 86: Ecg Monitoring Setup

    Apply the electrode pads to the patient. Connect each lead of the ECG cable to the appropriate electrode. Insert the patient cable plug into the ECG input connector on the Propaq MD unit. Select the ECG waveforms to be displayed on the waveform trace display screen.

  • Page 87: Applying Electrodes To The Patient

    LA/Black Electrode L/Yellow Electrode Place near patient’s left mid-clavicular line, directly below clavicle. LL/Red Electrode F/Green Electrode Place between 6th and 7th intercostal space on patient’s left mid-clavicular line. Figure 6-1 3-Lead Electrode Placement 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 88 V3 -- Midway between V2 and V4 leads. V4 -- 5th intercostal space at mid-clavicular line. V5 -- Same transverse level as V4 at left anterior-axillary line. V6 -- Same transverse level as V4 at left mid-axillary line. www.zoll.com 9650-0806-01 Rev. D...

  • Page 89: Connecting The Ecg Cable To The Propaq Md Unit

    The Propaq MD unit accepts Welch Allyn Propaq ECG cables as well as ZOLL Propaq MD ECG cables. Connect the ECG cable to the ECG connector on the left side of the Propaq MD unit as follows: Figure 6-3 Connecting ECG Cable to Propaq MD Unit 9650-0806-01 Rev.

  • Page 90: Selecting Ecg Waveforms For Display

    HAPTER ONITORING Selecting ECG Waveforms for Display You can fit up to four waveforms on the Propaq MD display. The first waveform at the top of the display is always an ECG waveform. (If Pads are not connected, the unit can be configured to automatically default to another ECG lead.) In the following example, Lead...
  • Page 91 LEAD FAULT. For more information on how to configure the display of waveforms on the Propaq MD unit, see Chapter 3, Monitoring Overview. 9650-0806-01 Rev. D...

  • Page 92: Selecting The Waveform Trace Size

    ONITORING Selecting the Waveform Trace Size The Propaq MD unit allows you to select the waveform trace size to adjust the size of displayed the ECG waveform. To select the waveform size, use the navigation keys to highlight and select the trace size that...

  • Page 93: Ecg Monitoring And Pacemakers

    , implantable pacemaker signals may cause inaccurate QRS detection and it may be desirable to turn the Pacer Indicator on. ECG System Messages When monitoring ECG, the Propaq MD unit may display the following messages: System Message Cause LEAD FAULT The current ECG source lead is defective (check lead and replace, if necessary).
  • Page 94 HAPTER ONITORING 6-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 95: Chapter 7 Monitoring Respiration (Resp) And Heart Rate (Hr)

    Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR) This chapter describes how to use the Propaq MD unit to monitor Respiration ( ) and Heart Resp Rate ( The Propaq MD unit displays Respiration ) and Heart Rate ( ) meters.

  • Page 96: Respiration/Breath Rate Meter

    ??? on the snapshot. Respiration/Breath Rate Meter If enabled, the Propaq MD unit displays the patient’s respiration in the Respiration/Breath Rate Meter. The respiration meter displays the respiration rate that it derives, by default, from the unit’s monitoring function.

  • Page 97: Configuring Respiration (Rr/Br) Alarms And Settings

    ECG monitoring source for the Respiration rate. Enabling/Disabling RR/BR Alarms and Setting Alarm Limits When enabled, the Propaq MD unit sounds alarms whenever the patient’s respiration rate is above or below the specified respiration rate alarm limits.

  • Page 98: Using The Resp Parameter Control Panel

    -- selects the Resp lead, Lead I (RA-LA) or Lead II (RA-LL), from which the • Resp Lead Propaq MD unit calculates the respiration rate. Resp Lead selection is independent of ECG Lead selection. sets the respiratory sweep speed on the display.

  • Page 99: Heart Rate Meter

    300 as three plus signs ( Configuring Heart Rate (HR) Meter Alarms The Propaq MD unit allows you to enable and disable the Heart Rate (HR) alarm, to set alarm limits, and to select a Heart Rate tone. 9650-0806-01 Rev. D...

  • Page 100: Enabling/Disabling Hr Alarms And Setting Alarm Limits

    Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR) Enabling/Disabling HR Alarms and Setting Alarm Limits When enabled, the Propaq MD unit sounds alarms whenever the patient’s heart rate is above or below the specified heart rate alarm limits. To enable (or disable) HR alarms and set Upper and Lower alarm limits, you can either do so through the Alarms quick access key ( ) or the HR/PR Parameter Control Panel.

  • Page 101: Life Threatening Rhythm Alarms

    Configuring Heart Rate (HR) Meter Alarms Life Threatening Rhythm Alarms When LTA monitoring is enabled, the Propaq MD unit will monitor for the following life threatening ECG rhythms: asystole, ventricular fibrillation, ventricular tachycardia, extreme bradycardia, and extreme tachycardia. These events are also displayed on Treatment Summary Reports, Alarm Snapshots, and Continuous Waveform printouts.
  • Page 102 LTA alarms are latching, which means that the alarm indication will persist until both of the following conditions are met: 1. The alarm has been acknowledged by pressing the Alarm Silence/Reset button on the front panel of the unit. The alarming condition no longer exists. www.zoll.com 9650-0806-01 Rev. D...

  • Page 103: Using The Heart Rate Parameter Control Panel

    HR/PR Alarm Settings menu, on which you HR/PR Alarm can enable/disable Heart Rate alarms and set alarm limits. RESP System Message When monitoring Respiration using impedance pneumography, the Propaq MD unit may display the following message: System Message Cause...
  • Page 104 Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR) 7-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 105: Chapter 8 Monitoring Non-Invasive Blood Pressure (Nibp)

    Monitoring Non-Invasive Blood Pressure (NIBP) The Propaq MD NIBP input is Type CF defibrillator proof. This chapter describes how to use the Propaq MD unit to perform Non-Invasive Blood Pressure (NIBP) measurements using an inflatable cuff to measure arterial pressure.

  • Page 106: How Does Nibp Work

    How does NIBP Work? The blood pressure cuff and hose connect to the Propaq MD unit through the NIBP connector on the side panel of the unit. The NIBP button on the front panel of the unit allows you to initiate and terminate blood pressure measurements, which are displayed in the NIBP area of the monitor.

  • Page 107: The Nibp Numeric Display

    The NIBP Numeric Display When NIBP monitoring has been set up and the Propaq MD unit has begun taking NIBP measurements, the systolic, diastolic, and mean blood pressure measurements appear on the NIBP numeric display as follows:...

  • Page 108: Selecting The Nibp Cuff

    Using a cuff that is too large results in measurements lower than the patient’s actual blood pressure. The Propaq MD unit uses the same definitions of Neonates, Pediatrics, and Adults as defined in the AAMI SP10:2002 standard:...

  • Page 109: Connecting The Nibp Cuff

    Connecting the NIBP Cuff Connecting the NIBP Cuff Connecting the NIBP cuff requires you to attach the inflation hose to the Propaq MD unit and the NIBP cuff. To use the SureBP feature, which enables the Propaq MD unit to measure blood pressure on cuff inflation, you must use the FlexiPort cuff and dual lumen (two-tube) adaptor and hose.
  • Page 110 (NIBP) HAPTER ONITORING NVASIVE LOOD RESSURE Attach a single lumen hose as follows: Figure 8-2 Attaching Single Lumen Hose to the Propaq MD Unit www.zoll.com 9650-0806-01 Rev. D...

  • Page 111: Applying The Cuff To The Patient

    If they do not line up, use a different size cuff. Wrap the deflated cuff snugly around the limb without impeding blood flow. Ensure that the hose is routed to avoid kinking or compression. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 112: Ensuring Correct Cuff Inflation Settings

    120 mmHg 80 mmHg 60 mmHg 140 mmHg 90 mmHg 70 mmHg 160 mmHg 100 mmHg 80 mmHg 180 mmHg 110 mmHg 90 mmHg 200 mmHg 120 mmHg 100 mmHg 220 mmHg 130 mmHg 110 mmHg www.zoll.com 9650-0806-01 Rev. D...

  • Page 113: Configuring Nibp Alarms And Settings

    The maximum cuff inflation pressure for neonates is 153 mmHg. Warning! Before using the Propaq MD unit to monitor a new patient, power down the unit for at least 2 minutes to reset all patient parameters and eliminate all adjustments made for the previous patient.
  • Page 114 Lower: 20-218 mmHg Upper: 110 mmHg Upper: 22-220 mmHg Pediatric Lower: 35 mmHg Lower: 20-128 mmHg Upper: 100 mmHg Upper: 22-130 mmHg Neonate Lower: 30 mmHg Lower: 10-108 mmHg Upper: 70 mmHg Upper: 12-110 mmHg 8-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 115: Using The Nibp Parameter Control Panel

    Parameter Control Panel: NIBP Lower Upper NIBP Systolic Alarm NIBP Diastolic Alarm NIBP MAP Alarm NIBP Mode Manual NIBP Auto Mode Interval 5 min SmartCuf On/Off Start TurboCuf Figure 8-4 NIBP Parameter Control Menu 9650-0806-01 Rev. D Propaq MD Operator’s Guide 8-11...
  • Page 116 ). To repeat the NIBP measurement, you must press the NIBP key again (select Manual In Automatic Mode, the Propaq MD unit takes the first of a series of NIBP measurements when timer expires, and then repeats the NIBP measurement at this specified Auto Interval interval.
  • Page 117 Start/Stop TurboCuf Selecting Start TurboCuf starts Short-term Automatic (STAT) NIBP measurements. The Propaq MD unit begins its first NIBP measurement, after which it continues to perform as many NIBP measurements as possible over a 5-minute period. Select Stop TurboCuf to immediately stop STAT measurements.

  • Page 118: Nibp System Messages

    (NIBP) HAPTER ONITORING NVASIVE LOOD RESSURE NIBP System Messages When monitoring NIBP, the Propaq MD unit may display the following messages: System Message Cause READING IN PROGRESS The unit is taking an NIBP measurement and functioning normally. READING STOPPED The unit has stopped an NIBP measurement, because the operator has pressed the NIBP button and cancelled the measurement.
  • Page 119 The NIBP module is outside of its operating temperature range. Move unit to proper operating temperature and reattempt the NIBP measurement. WEAK PULSE The patient’s pulse is too weak to obtain an NIBP measurement or the cuff requires adjustment. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 8-15...
  • Page 120 (NIBP) HAPTER ONITORING NVASIVE LOOD RESSURE 8-16 www.zoll.com 9650-0806-01 Rev. D...

  • Page 121: Chapter 9 Monitoring Co

    Chapter 9 Monitoring CO This chapter describes how to use the Propaq MD unit to monitor End Tidal Carbon Dioxide (EtCO ), breath rate, and Fractional Inspired Carbon Dioxide (FiCO ). These options use the same connector on the Propaq MD unit and may be used interchangeably.

  • Page 122: Co 2 Monitoring Setup And Use

    Apply the Filterline airway adaptor or Smart CapnoLine Nasal or Nasal/Oral cannula to the patient. Check that the Propaq MD unit is set up for the correct patient type -- Adult, Pediatric, or Neonate. Configure alarms (if the current alarm settings are not appropriate) and other CO features.

  • Page 123: Selecting The Co 2 Sampling Line

    You can use the following Oridion Microstream accessories for sidestream CO monitoring with the Propaq MD unit: Table 7-1. Oridion Microstream CO Sampling Lines for use with Propaq MD units. Accessory Type Part Number FilterLine Set (Adult/Pediatric), box of 25...

  • Page 124: Connecting The Co 2 Sampling Lines

    ONITORING Connecting the CO Sampling Lines To connect the FilterLine or Smart CapnoLine: 1. Slide open the Propaq MD unit’s CO inlet port cover. Put the fitting at the end of the sidestream tubing over the CO inlet port connector.

  • Page 125: Applying A Filterline Set

    To prevent moisture from draining into the sample tubing, ensure that the sampling tube exits from the top of the airway adapter, not its bottom or sides. See the following figure. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 126: Applying A Smart Capnoline Nasal Or Nasal/Oral Cannula

    Placing the Cannula onto the Patient Place the oral/nasal cannula onto the patient as follows: Caution Dispose of Microstream EtCO consumables according to standard operating procedures or local regulations for the disposal of contaminated medical waste. www.zoll.com 9650-0806-01 Rev. D...

  • Page 127: Measuring Co

    Check that connections have been made correctly by verifying the display a proper capnogram (the waveform is inserted automatically on the waveform display window). 06/06/2012 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... 0 to 60 mmHg Analyze mmHg mmHg SpO2 NIBP (96) ºF 98.6 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 128: Setting Co 2 And Respiration Rate Alarms

    HAPTER ONITORING Setting CO and Respiration Rate Alarms The Propaq MD unit sounds alarms whenever measurements are outside set limits for the following: High and Low EtCO • High and Low Respiration Rate (in Breaths/Minute) • High FiCO • No Breath Alarm •...
  • Page 129 In high-altitude environments, EtCO values may be lower than values observed at sea level, as described by Dalton’s law of partial pressures. When using the Propaq MD unit in high-altitude environments, it is advisable to adjust EtCO alarm settings accordingly.

  • Page 130: Using The Co2 Parameter Control Panel

    On the CO2 Parameter Control Panel, you can select a CO alarm (EtCO2, Breath Rate, or FiCO2). On the selected alarm settings menu, you can enable/disable alarms and set alarm limits (as described previously). You can also set the CO sweep speed. 9-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 131: System Messages

    3.13, 6.25, and 12.5 mm/second. The default sweep speed is 6.25 mm/second. System Messages When monitoring CO , the Propaq MD unit may display the following messages: System Message Cause INITIALIZING The unit is initializing the CO...

  • Page 132: Patents

    HAPTER ONITORING Patents The capnography component of the Propaq MD unit is covered by one or more of the following US patents: 6,428,483; 6,997,880;5,3000,859; 6,437,316; 7,488,229; and their foreign equivalents. Additional patent applications pending. NO IMPLIED LICENSE Possession or purchase of this device does not convey any express or implied license to the...

  • Page 133: Chapter 10 Pulse Co-Oximetry (Spo 2 , Spco, And Spmet)

    The Propaq MD SpO input is Type CF defibrillator proof. This chapter describes how to use the Propaq MD unit to monitor Pulse CO-Oximetry (SpO as well as the optional features: SpCO and SpMet. The Propaq MD pulse CO-Oximeter continuously and noninvasively measures the oxygen...

  • Page 134: Warnings -- Spo 2 , General

    Dyes or any substance containing dyes that alter arterial pigmentation might cause erroneous readings. Do not use the Propaq MD pulse oximeter or oximeter sensors during magnetic • resonance imaging (MRI). Induced current could cause burns. The pulse oximeter might affect the MRI image and the MRI unit might interfere with the accuracy of oximetry measurements.

  • Page 135: Warnings -- Spo 2 , Oximeter Sensor

    , Oximeter Sensor Use only ZOLL-approved Masimo oximeter sensors. Other manufacturers’ sensors • might not perform properly with the Propaq MD oximeter. Tissue damage can result from incorrect application or use of a sensor (for example, • wrapping the sensor too tightly, applying supplemental tape, failing to periodically inspect the sensor site).

  • Page 136: Spo 2 Setup And Use

    For more information, refer to the Accessories section of this chapter, which provides a list of ZOLL-approved reusable and single-use SpO sensors for adult, pediatric, and neonate patients.

  • Page 137: Applying A Two-Piece Single-Use Sensor/Cable

    Lift the clear plastic protective cover from the female end of the extension cable, then plug the sensor cable’s male connector into the extension cable connector -- make sure that the plug is all the way into the connector: 9650-0806-01 Rev. D Propaq MD Operator’s Guide 10-5...
  • Page 138 Lower the clear plastic cover over the connection to secure it: Clear Protective Cover Figure 10-2 Lower Plastic Cover Over Cable Connection See “Connecting the SpO Sensor” on page 10-8 to connect the cable to the unit. 10-6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 139: Applying A Reusable Spo 2 Sensor/Cable

    (see Figure 10-1). Lower the clear plastic cover over the connection to secure it (see Figure 10-2). See “Connecting the SpO Sensor” on page 10-8 to connect the cable to the unit. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 10-7...

  • Page 140: Cleaning And Reuse Of Sensors

    1. When using a sensor extension cable, inspect the cable before use. Replace the cable if it shows any signs of wear, breakage, or fraying. Plug the sensor extension cable into the SpO receptacle on the side of the Propaq MD unit: Figure 10-3 Connecting the SpO...

  • Page 141: Enabling/Disabling Spo Alarms And Setting Alarm Limits

    Alarms and Setting Alarm Limits Enabling/Disabling SpO Alarms and Setting Alarm Limits When enabled, the Propaq MD unit sounds alarms whenever measurements are outside set limits for the high and low SpO values (and, if installed, SpCO and SpMet values).

  • Page 142: Setting Upper And Lower Spco And Spmet Alarm Limits

    Sensitivity Normal HR/PR Tone Figure 10-4 SpO2 Parameter Control Menu Selecting the SpCO and SpMet Monitoring If SpCO and SpMet are installed, the Propaq MD unit allows you enable or disable SpCO and SpMet monitoring. 10-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 143: Specifying The Spo Averaging Time

    The unit allows you enable or disable the tone that the monitor uses to indicate detection of the patient’s pulse: (no tone sounds). The default tone is System Messages The Propaq MD unit may display the following system messages when monitoring SpO System Message Cause INITIALIZING The SpO pulse oximeter is initializing.

  • Page 144: Functional Testers And Patient Simulators

    Cause LOW PERFUSION Perfusion has dropped below 20%. SPO2 DISABLED A system error has occurred. The Propaq MD unit cannot take SpO measurements and should be serviced. Functional Testers and Patient Simulators Some models of commercially available bench top functional testers and patient simulators can be used to verify the proper functionality of Masimo pulse oximeter sensors, cables and monitors.

  • Page 145: Chapter 11 Monitoring Invasive Pressures (Ibp)

    This chapter describes how to use the Propaq MD unit to monitor invasive pressures (IBP). The Propaq MD unit has three invasive pressure channels: P1, P2, and P3. You can use these channels to measure arterial, venous, or intracranial pressures using invasive transducers with 5uV/V/mmHg sensitivity.

  • Page 146: Ibp Setup

    • Before you use the Propaq MD unit on a new patient, always turn it off for at least 2 minutes. This clears the previous patient’s trend values, alarm limit settings, and NIBP cuff inflation pressure.

  • Page 147: Zeroing The Transducer

    IBP channel. Zeroing the Transducer To ensure that the Propaq MD unit measures pressure accurately, you must zero the transducer before each use. If you change or disconnect a transducer, you must zero the new transducer before use.

  • Page 148: Rezeroing A Transducer

    Check that the unit is open to atmospheric air and that it is properly connected to the unit, then try zeroing the transducer again. The Propaq MD unit will not zero the transducer if it detects pulsation in the pressure channel, if there is too much noise in the signal, or if transducer’s offset is too great.

  • Page 149: Displaying Ibp Measurements

    MEAN values in the IBP channel’s numeric display and, optionally (if enabled through the unit’s Waveform Select menu) the waveform for that IBP channel: The Propaq MD unit allows you to specify a label that identifies the channel’s IBP measurement, and to select a display format for the numeric display.

  • Page 150: Enabling/Disabling Ibp Alarms And Setting Alarm Limits

    HAPTER ONITORING NVASIVE RESSURES Enabling/Disabling IBP Alarms and Setting Alarm Limits When enabled, the Propaq MD unit sounds alarms whenever IBP measurements are outside set limits for the following: High and Low Systolic Pressure • High and Low Diastolic Pressure •...

  • Page 151: Setting Upper And Lower Diastolic (Dia) Alarm Limits

    Lower: 50 mmHg Lower: -30 to 298 mmHg Upper: 110 mmHg Upper: -28 to 300 mmHg Neonate Lower: 35 mmHg Lower: -30 to 298 mmHg Upper: 80 mmHg Upper: -28 to 300 mmHg 9650-0806-01 Rev. D Propaq MD Operator’s Guide 11-7...

  • Page 152: Setting Ibp Source Label

    Central Venous Pressure Femoral Artery Pressure Intracranial Pressure Labial Artery Pressure Pulmonary Artery Pressure Radial Artery Pressure Umbilical Artery Pressure Umbilical Venous Pressure In the following example, source labels are specified for all three IBP channels: 11-8 www.zoll.com 9650-0806-01 Rev. D...

  • Page 153: Ibp System Messages

    IBP System Messages IBP System Messages The Propaq MD unit may display the following messages when monitoring IBP: System Message Cause TRANSDUCER FAILURE The IBP probe is damaged and needs to be replaced. INCOMPATIBLE TRANSDUCER The IBP probe is not compatible. See the Appendix B, Accessories, for a list of ZOLL-approved IBP probes.
  • Page 154 11 M (IBP) HAPTER ONITORING NVASIVE RESSURES 11-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 155: Chapter 12 Monitoring Temperature

    Selecting and Applying Temperature Probes You should use only temperature probes that are approved for use with the Propaq MD unit. See Appendix B, Accessories for a list of ZOLL-approved temperature probes. The use of other probes that do not match the performance specifications of the ZOLL-approved probes may produce incorrect temperature readings.

  • Page 156: Connecting The Temperature Probe

    To connect the temperature probe, insert the probe’s 1/4” plug into one of the two connection jacks on the side of the Propaq MD unit. Figure 12-1 Connecting the Temperature Probe to the Propaq MD Unit Displaying Temperature When you connect the probe, the unit displays the temperature after a brief pause. The Propaq MD unit displays temperature as a numeric value in the Temperature window.

  • Page 157: Enabling/Disabling Temperature Alarms And Setting Alarm Limits

    Enabling/Disabling Temperature Alarms and Setting Alarm Limits Enabling/Disabling Temperature Alarms and Setting Alarm Limits When enabled, the Propaq MD unit sounds alarms whenever temperature measurements are outside set limits. You can enable (or disable) temperature alarms and set the upper and lower alarm limits through the Alarms quick access key or the Temp Parameter Control Panel.

  • Page 158: Selecting The Temperature Label

    Temp Lower Upper T1 Alarm T2 Alarm T1 Source Label T2 Source Label Figure 12-2 Temp Parameter Control Panel You can select one of the following labels for each temperature channel: 12-4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 159: Temperature System Messages

    If you don’t select a label, the Temperature channels appear with the default labels of T1 and Temperature System Messages The Propaq MD unit may display the following messages when monitoring Temperature. Note: The temperature function performs a self test when initially powered on and also performs system tests automatically, every 10 seconds, while this function is active.
  • Page 160 12 M HAPTER ONITORING EMPERATURE 12-6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 161: Automated External Defibrillator (Aed) Operation

    This chapter describes the recommended method of operation in AED Mode. The Propaq MD unit is configured to operate in compliance with the American Heart Association and European...

  • Page 162: Determine Patient Condition Following Medical Protocols

    CPR interval and then halts and waits for the pads to be reattached. The Propaq MD defibrillator is capable of analyzing a patient’s ECG rhythm in two different ways. The first mode of analyzing is automatic; the other mode of analyzing is user activated analysis and is initiated by pressing the Analyze quick access key.

  • Page 163: Prepare Patient

    SELF TEST PASSED. If no hands-free therapy electrodes have been attached to the patient and connected to the Propaq MD unit, the ATTACH PADS message and voice prompt will be issued. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 164 Shock 3 - 85 joules Note: Pediatric defibrillator energy levels should be selected based on site specific protocols. Note: If the Propaq MD unit has been configured to begin CPR upon start up, it will automatically begin with the CPR interval. 13–4 www.zoll.com...

  • Page 165: Analyze

    Note: If the Propaq MD has been configured to perform extra CPR at startup, it displays a CHECK PULSE voice prompt and the message appears for 10 seconds. Then it displays a PERFORM CPR message along with a voice prompt for the configured duration before analysis begins.
  • Page 166 A continuous tone sounds for 20 or 50 seconds (depending on configuration), followed by a higher pitch tone for 10 seconds.You must deliver the shock within this 30 or 60 second interval (depending on configuration), or the defibrillator will disarm itself. PRESS SHOCK 13–6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 167: Press Shock

    Begin chest compressions and rescue breathing per local protocol as prompted by the unit. Note: If ZOLL OneStep CPR pads, OneStep Complete pads or CPR-D-padz are connected, the unit monitors the rate and depth of chest compressions and can display PUSH HARDER and GOOD COMPRESSIONS messages and voice prompts.

  • Page 168: Operating Messages

    It resets to 0 after the unit has been off for more than two minutes. NO SHOCK ADVISED When ECG analysis detects a nonshockable rhythm, this message is announced and displays for 10 seconds following completion of the analysis. 13–8 www.zoll.com 9650-0806-01 Rev. D...
  • Page 169 This message is displayed and announced when the unit is paused and detects a shockable rhythm during continuous background ECG analysis. The prompt persists as long as a shockable rhythm is being detected. Press the Analyze quick access key to resume ECG analysis. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 13–9...

  • Page 170: Switching To Manual Mode Operation

    30 seconds and less than two minutes, then power it back up. If you wait longer than two minutes, the unit will reset the settings to the defaults and treat the case as a new patient. 13–10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 171: 12-Lead Ecg Interpretive Analysis

    The Propaq MD 12-Lead input is Type CF defibrillator proof. This chapter describes how to use the Propaq MD unit to monitor 12-Lead ECG for adult and pediatric patients, and how to display 12-Lead ECG Interpretive Analysis information for adult patients.

  • Page 172: Entering Patient Information

    To assure protection against the effects of defibrillator discharge, use only 12-lead cables supplied by ZOLL Medical Corporation. • Check the operation and integrity of the Propaq MD unit and 12-lead cable regularly by performing the Daily Operational Verification Test. •...

  • Page 173: Entering The Patient Name And Id

    Entering Patient Information Figure 14-1 Patient Info Control Panel The Propaq MD unit uses the name that you enter in the Patient Info panel to label the 12-lead ECG monitoring snapshots that it saves. To enter patient information, use the navigation keys to highlight and select a parameter on the Patient Info panel, then press the Select key.

  • Page 174: Entering Patient Age And Gender

    Apply the electrodes to the patient. Connect each lead of the ECG cable to the appropriate electrode. Connect the 12-Lead cable to the Propaq MD unit. Observe the patient’s electrocardiogram on the display, and adjust size of the 12-Lead ECG waveform traces, as necessary.

  • Page 175: Applying Electrodes To The Patient

    International Electrotechnical Commission Patients should be in a resting, supine position when performing 12-Lead ECG monitoring. ZOLL Medical Corporation recommends placing the limb electrodes anywhere along the ankles and wrists. When it is difficult for the patient to remain motionless due to shivering, muscle tremors, or transport vehicle movement, place limb electrodes on the patient’s thorax for better results.
  • Page 176 V4/C4 Fifth intercostal space, on the patient’s midclavicular line. V5/C5 Patient’s left anterior axillary line, at the horizontal level of V4. V6/C6 Patient’s left midaxillary line, at the same horizontal level as V4 and V5. 14-6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 177: Connecting The 12-Lead Cable

    Connecting the 12-Lead Cable Connect the 12-Lead ECG cable to the ECG input connector on the left side of the unit as follows: Figure 14-2 Connecting the 12-Lead ECG Cable 9650-0806-01 Rev. D Propaq MD Operator’s Guide 14-7...

  • Page 178: Observing The 12-Lead Waveform Traces

    12-Lead Interpretive Analysis works for only Adult patients. To begin 12-Lead Interpretive Analysis, press the Acquire quick access key ( ). The Propaq MD unit displays the Acquiring 12-Lead Status bar as it collects 10 seconds of 12-Lead ECG data: 14-8 www.zoll.com...
  • Page 179 12-Lead Interpretive Analysis information: In the example above, the interpretive statement, ***STEMI***, indicates the occurrence of ST-Elevation Myocardial Infarction. The interpretive statements that the Propaq MD unit displays are produced by the Audicor software of Inovise Medical, Inc. For more information on these interpretive statements, see the Audicor 200 Physician’s Guide, Software Version 1.00.
  • Page 180 14 12-L ECG I HAPTER NTERPRETIVE NALYSIS Analysis Page 2 displays the identifying information that has been entered for the patient and additional analysis statements: 14-10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 181: Fault Conditions Affecting 12-Lead Interpretive Analysis

    An invalid cable is in use. • If the Propaq MD unit detects one of these fault conditions, Analysis Page 1 indicates that there is No data available for Interpretive Analysis and lists the fault condition; all measurements on Analysis Page 2 appear as N/A.

  • Page 182: Printing 12-Lead Waveform Traces

    NTERPRETIVE NALYSIS Printing 12-Lead Waveform Traces Once you have determined that the Propaq MD unit is correctly setup for 12-Lead ECG monitoring, you can print the 12-Lead ECG traces for review and analysis. Press to collect 10 seconds of 12-Lead data for print.

  • Page 183: 12-Lead Print And Display Options

    3 x 4 Cabrera format: The Propaq MD unit stores a minimum of 32 12-Lead snapshots in a separate log. Once 32 12- lead snapshots are stored, the oldest snapshot in the log is overwritten by subsequent snapshots.

  • Page 184: Selecting 12-Lead Acquire

    Specifying the Number of 12-Lead Print Copies This option allows you to specify that the Propaq MD unit print up to five copies of the 12-lead waveform trace set after pressing . By default, the unit prints only one 12-lead snapshot.

  • Page 185: Enabling 12-Lead Analysis

    AC Mains filter setting. Enabling 12-Lead Analysis This option allows you to enable or disable 12 Lead Analysis. The default is enabled ( 9650-0806-01 Rev. D Propaq MD Operator’s Guide 14-15...
  • Page 186 14 12-L ECG I HAPTER NTERPRETIVE NALYSIS 14-16 www.zoll.com 9650-0806-01 Rev. D...

  • Page 187: Manual Defibrillation

    No portion of the hands should be near the paddle plates. Be sure to use the proper paddles/electrodes based on the size of the patient (adult - large, pediatric - small). 9650-0806-01 Rev. D Propaq MD Operator’s Guide 15–1...

  • Page 188: Determine The Patient's Condition Following Local Medical Protocols

    Shock 2 - 70 joules Shock 3 - 85 joules Note: Neonatal and pediatric defibrillator energy levels should be selected based on site- specific protocols. The selected energy level is displayed at the bottom of the display screen. 15–2 www.zoll.com 9650-0806-01 Rev. D...

  • Page 189: Charge Defibrillator

    Ensure that the paddles are connected to the multi-function (MFC) or OneStep cable, and that the cable is connected to the Propaq MD unit. Apply a liberal amount of electrolyte gel to the electrode surface of each paddle, and rub the electrode surfaces together to evenly distribute the applied gel.
  • Page 190 APEX paddle lights up. 06/06/2011 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... Disarm Defibrillator Selected Energy CHARGED Biphasic Press to Shock 15–4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 191: Deliver Shock

    If additional countershocks are needed, follow steps 1 through 3 of this procedure starting on page 15-2, to readjust the energy settings, charge the unit, and deliver the shock. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 15–5...

  • Page 192: Emergency Defibrillation Procedure With Hands-Free Therapy Electrodes

    ANUAL EFIBRILLATION Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes ZOLL hands-free therapy electrodes are a defibrillation-protected Type BF patient connection. ECG leads are a defibrillation-protected Type CF patient connection. Determine the Patient’s Condition Following Local Medical Protocols Verify: Unconsciousness •...

  • Page 193: Turn On Unit

    The default energy selections for pediatric patients are: Shock 1 - 50 joules Shock 2 - 70 joules Shock 3 - 85 joules Note: Neonatal and pediatric defibrillator energy levels should be selected based on site- specific protocols. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 15–7...

  • Page 194: Charge Defibrillator

    When the unit is fully charged, the tone changes to a continuous charge ready tone, the highlighted energy bar graph includes the selected energy, and the shock button lights up. Selected Energy 15–8 www.zoll.com 9650-0806-01 Rev. D...

  • Page 195: Deliver Shock

    Autoclavable Internal Handles with removable internal defibrillation electrodes • When an internal handle set is connected to the Propaq MD, it automatically limits defibrillator energy output to a maximum of 50 joules. For step-by-step procedures for open chest defibrillation as well as important cleaning and sterilization information regarding the autoclavable electrodes, refer to the Autoclavable Internal Handle and Electrode Operator’s Guide.

  • Page 196: Verification Prior To Use

    APPLY PADDLES TO PATIENT. This message verifies that the Discharge button located on the right handle is operating correctly. Press the Select Energy arrows (located on the front panel of the Propaq MD unit) up or down to select 30 Joules.

  • Page 197: Synchronized Cardioversion

    Verify that markers are clearly visible on the monitor and their location is appropriate and consistent from beat to beat. The synchronized cardioversion procedure for ZOLL hands-free therapy electrodes is identical to that for paddles with the exception of the SHOCK button location.

  • Page 198: Synchronized Cardioversion Procedure

    Sync marker. SYNC Note: If the marker does not appear over the R wave, select a different ECG lead. If the sync marker doesn’t display, the defibrillator will not discharge. 15–12 www.zoll.com 9650-0806-01 Rev. D...

  • Page 199: Select Energy Level

    When the unit is fully charged, the tone changes to a continuous charge ready tone, the highlighted energy bar graph includes the selected energy, and the SHOCK button lights up. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 15–13...

  • Page 200: Deliver Shock

    Sync button again and follow steps 1 through 3 of this procedure starting on page 15-13, to readjust the energy settings, charge the unit, and deliver shock. You can configure the setting through the Setup>Supervisor>Defib/ Sync after Cardioversion Pacer>Default Settings menu. 15–14 www.zoll.com 9650-0806-01 Rev. D...

  • Page 201: Chapter 16 Advisory Defibrillation

    When the Propaq MD unit is configured for Advisory (or single analysis) defibrillation, the Propaq MD unit can identify shockable rhythms using its built in ECG analysis capability. You must read the advisory messages, charge the defibrillator to the preconfigured or user-selected energy level (if automatic charge is disabled), and deliver treatment to the patient when required by protocol and patient condition.

  • Page 202: Advisory Defibrillation Procedure

    CHECK PADS and does not allow delivery of energy. Note: Since analysis is only done using Pads as a lead, even if an ECG cable is connected and Lead II is available, the unit still displays a CHECK PADS message. 16–2 www.zoll.com 9650-0806-01 Rev. D...

  • Page 203: Turn On Unit

    If Unit is in Manual Mode – No additional steps are necessary to proceed. If no hands-free therapy electrodes have been attached to the patient and connected to the Propaq MD unit, the ATTACH PADS message and voice prompt will be issued. Select Energy...

  • Page 204: Press Analyze

    ECG rhythm analysis does not warn of patient asystole, which is not a shockable rhythm. When a nonshockable rhythm is detected, the unit displays a NO SHOCK ADVISED message. Follow the local protocols to continue CPR or other life support, and re-analyze the ECG at appropriate intervals. 16–4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 205: Press Shock Button

    Advisory Defibrillation Procedure Note: When a nonshockable rhythm is detected, the Propaq MD does not prevent the user from manually defibrillating the patient. When a shockable rhythm is detected (ventricular fibrillation or wide-complex tachycardia with heart rate > 150), the unit will display the SHOCK ADVISED message. Press the Charge button, and press the Select Energy arrows up or down to select the desired energy level if needed.
  • Page 206 Press the ANALYZE quick access key to restart an ECG analysis and determine if additional shocks are required. Note: Reanalysis of the ECG rhythm is inhibited for 3 seconds after each shock. Continue Patient Care Continue patient care according to medical protocols. 16–6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 207: Chapter 17 Advisory/Cpr Protocol Defibrillation

    ZOLL hands-free therapy electrodes are a defibrillation-protected Type BF patient connection. When the Propaq MD unit is configured for Advisory/CPR Protocol defibrillation, the unit guides you through a cardiac event by performing ECG analysis, preparing the device for a shock (if needed), and leading you through a CPR interval. This cycle is repeated as long as Advisory/CPR Protocol is active and pads are attached to the patient.

  • Page 208: Advisory/Cpr Protocol Defibrillation Procedure

    Ensure that the electrodes are making good contact with the patient’s skin and are not covering any part of the ECG electrodes. If therapy electrodes are not making good contact with the patient’s skin, the unit issues the message CHECK PADS and does not allow delivery of energy. 17–2 www.zoll.com 9650-0806-01 Rev. D...

  • Page 209: Turn On Unit

    If Unit is in Manual Mode – No additional steps are necessary to proceed. If no hands-free therapy electrodes have been attached to the patient and connected to the Propaq MD unit, the ATTACH PADS message and voice prompt will be issued. Select Energy...

  • Page 210: Press Analyze

    If the first two segments are in agreement with each other, the final shock or no shock rhythm decision is made and a third segment is not processed. WARNING! ECG rhythm analysis does not warn of patient asystole, which is not a shockable rhythm. 17–4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 211: Press Shock Button

    CPR Protocol is active. You can press the Exit quick access key at any time to return to Manual mode. Note: When a nonshockable rhythm is detected, the Propaq MD does not prevent the user from manually defibrillating the patient. Shockable Rhythm If the patient’s rhythm is shockable, the unit displays the SHOCK ADVISED and PRESS...
  • Page 212 17 A /CPR P HAPTER DVISORY ROTOCOL EFIBRILLATION 17–6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 213: External Pacing

    Chapter 18 External Pacing When ZOLL hands-free therapy electrodes are used, the patient connection is considered to be defibrillation-protected Type BF. ECG leads are a defibrillation-protected Type CF patient connection. WARNING! Pacing is intended for use on adult patients and on adolescent, child, and infant pediatric patients.

  • Page 214: Pacer Modes

    ECG monitoring electrodes and hands-free pacing therapy electrodes to the patient. Pacer Modes The Propaq MD has two pacer mode settings: Demand and Fixed. The default factory mode setting is Demand. In Demand mode, pacing pulses are inhibited by the patient’s QRS complexes that occur during an interval that is dependent on the setting of the rate control.

  • Page 215: Apply Ecg Electrodes/Hands-Free Therapy Electrodes

    Pacing in Demand Mode 2 Apply ECG Electrodes/Hands-Free Therapy Electrodes Apply ECG electrodes, attach lead wires, and connect the ECG cable to the Propaq MD side panel (see Chapter 6, "Monitoring ECG" for instructions on attaching ECG electrodes to the patient).

  • Page 216: Set Mode

    Electrical capture is determined by the presence of a widened QRS complex, the loss of any underlying intrinsic rhythm, and the appearance of an extended, and sometimes enlarged, T-wave. Ventricular response is normally characterized by suppression of the intrinsic QRS complex. 18–4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 217: Determine Optimum Threshold

    Determination of electrical capture should only be performed by viewing the ECG trace on the Propaq MD display with its ECG connection directly attached to the patient. Use of other ECG monitoring devices might provide misleading information due to the presence of pacer artifacts.

  • Page 218: Pacing In Fixed Mode

    SELF TEST PASSED. 2 Apply ECG Electrodes/Hands-Free Therapy Electrodes Apply ECG electrodes, attach lead wires, and connect the ECG cable to the Propaq MD side panel (see Chapter 6 for instructions on attaching ECG electrodes to the patient). Attach hands-free therapy electrodes according to instructions on the electrode packaging.

  • Page 219: Press Pacer Button

    In the Pacer Settings window, use the arrow keys and the Select button to adjust the pacer output. The pacer output is adjustable in 10 mA increments when increasing the output, and in 9650-0806-01 Rev. D Propaq MD Operator’s Guide 18–7...

  • Page 220: Determine Capture

    Determination of electrical capture should only be performed by viewing the ECG trace on the Propaq MD display with its ECG connection directly attached to the patient. Use of other ECG monitoring devices might provide misleading information due to the presence of pacer artifacts.

  • Page 221: Pediatric Pacing

    If it is necessary to pace for more than 30 minutes, periodic inspection of the underlying skin is strongly advised. Carefully follow all instructions on electrode packaging. Pace Fault The Propaq MD unit may display the following messages when pacing. System Message Description PAUSED The pacer has paused pacing the patient.
  • Page 222 18 E HAPTER XTERNAL ACING 18–10 www.zoll.com 9650-0806-01 Rev. D...

  • Page 223: Chapter 19 Real Cpr Help

    The Real CPR Help function is not intended for use on patients under 8 years of age. When used with CPR-D-padz or OneStep CPR electrodes, the Propaq MD unit can provide rescuers with feedback about the quality of CPR they are delivering to their patients. The way in which feedback is provided varies with respect to the operational mode and user configuration, but is derived from compression rate and depth measurements.

  • Page 224: Cpr Voice Prompts

    CPR H HAPTER CPR Voice Prompts The Propaq MD unit can be configured to issue voice prompts related to the depth of chest compressions as feedback to rescuers performing CPR. Two voice prompts are available for this purpose: Push Harder •...

  • Page 225: Constant Metronome Disabled

    Never CPR Dashboard Whenever CPR-D-padz or OneStep electrodes are connected to the Propaq MD defibrillator and it senses compression, the unit illuminates the CPR Dashboard in the lower center portion of the display. This field includes the CPR feedback indicators described in the following sections.

  • Page 226: Rate And Depth Measurements

    Following the cessation of compressions, the indicator’s fill level gradually decreases until a hollow outline is displayed after a short period of time. 19–4 www.zoll.com 9650-0806-01 Rev. D...

  • Page 227: Cpr Countdown Timer

    CPR Dashboard CPR Countdown Timer The Propaq MD unit displays a CPR Countdown Timer to indicate the time (in minutes and seconds) left in the current CPR interval. It decrements the time until it reaches zero. The CPR dashboard disappears if the CPR electrodes are disconnected.

  • Page 228: Cpr Compression Bar Graph

    HAPTER CPR Compression Bar Graph The Propaq MD unit can display a CPR compression bar graph next to the dashboard that is computed from the CPR sensor signals. This bar graph, representing depth of compression, is presented on a (AHA/ERC 2005: 0 - 2.1, AHA/ERC 2010: 0 - 2.5) inch displacement scale with reference markers at (AHA/ERC 2005: 1.5 and 2.0, AHA/ERC 2010: 2.0 and 2.4) inches.

  • Page 229: Chapter 20 See-Thru Cpr

    Diagnostic bandwidth is never applied to the See-Thru CPR waveform. See-Thru CPR enables the rescuer to see a close approximation of the patient’s underlying ECG rhythm while performing CPR. See-Thru CPR is available if the Propaq MD is monitoring CPR.

  • Page 230: Using See-Thru Cpr

    To use See-Thru CPR The Propaq MD unit must be monitoring CPR. • ZOLL OneStep CPR pads, OneStep Complete pads, or CPR-D-padz must be attached to the • unit. When chest compressions begin, the Propaq MD unit automatically starts filtering the CPR 1artifact after detecting the first 3 to 6 compressions.
  • Page 231 The following figure shows a patient in Fine VF. It is difficult for a rescuer to discern this rhythm during CPR compressions. When the CPR filter turns on, the Fine VF rhythm becomes more obvious. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 20–3...
  • Page 232 The following figure shows a patient in VF, which, during compressions, is slightly more difficult to discern. When viewing this ECG, it is possible to view the underlying rhythm as the filter is able to reject all of the CPR artifact. 20–4 www.zoll.com 9650-0806-01 Rev. D...
  • Page 233 About 14 seconds into this chart, the rhythm changes to asystole, which could easily be mistaken for coarse VF. When the CPR filter turns on, the CPR compression ripples are still obvious, making the rhythm look like Fine VF. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 20–5...
  • Page 234 20 S HAPTER The following figure shows a patient with an organized rhythm where See-Thru CPR effectively filters out artifact created by CPR. 20–6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 235: Chapter 21 Patient Data

    This chapter describes procedures for storing, viewing, and transferring patient data from the Propaq MD to an external system, such as a personal computer or handheld device. Note: Before deleting log files from the Propaq MD, view the files on a personal computer to verify that they have been successfully transferred. Note: Data transfers will not be successful if the USB flash storage device is full or does not have sufficient memory available.

  • Page 236: Log Capacity Indicator

    When data storage reaches its capacity, the unit performs automatic log management by deleting the oldest full disclosure case. If the log is not cleared or transferred, the Propaq MD unit continues to delete cases as needed to acquire storage capacity. For more information on clearing or transferring the log, see page 21-4.

  • Page 237: Treatment Summary Report

    Some Alarm Limits Disabled Elapsed Time: 00:29:48 # Events: 06:06:20 Self Test Passed Total Shocks: 1 06:06:43 Treatment Snapshot: ASA Total Pace Time: 00:00:00 Total 12 Leads: Dept: ICU Unit: S/N: 0 SW: 00.00.00.00 9650-0806-01 Rev. D Propaq MD Operator’s Guide 21–3...

  • Page 238: Printing Treatment Summary Report

    After transferring data, you must remove the USB drive and reinsert it before attempting another transfer. If the USB device does not establish communication with the Propaq MD unit, try powering off the unit and then on again to establish communication.

  • Page 239: Clearing The Log

    An UNABLE TO READ LOG message indicates that the log contains no information. This message can occur if you clear the log and then immediately enter the Treatment screen or the Trend Summary screen. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 21–5...
  • Page 240 21 P HAPTER ATIENT 21–6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 241: Chapter 22 Communications

    The unit is equipped to communicate through a WiFi access point, Bluetooth-equipped device, Ethernet cable, or USB cellular modem. You can set up a Bluetooth pairing or temporary wireless access point on the Propaq MD unit by selecting the Communications icon on the display screen. Supervisors can set up permanent WiFi, Bluetooth, Ethernet, or Cellular profiles (up to 255) in the Setup/Communications menu, which requires a password.

  • Page 242: The Communications Icon

    View preconfigured WiFi access points, connection details, paired devices or distribution • lists. Set up a temporary WiFi access point or Bluetooth connection. • Use the navigation keys to select the Communications icon. Communications icon 22–2 www.zoll.com 9650-0806-01 Rev. D...

  • Page 243: The Wireless Menu

    Ethernet connection: select View Connection Details, then use the navigation keys to scroll down to Ethernet. The following section describes the features of the Wireless Menu only if wireless capability is installed on your Propaq unit. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–3...

  • Page 244: Creating A Temporary Access Point Profile

    Use the navigation keys to highlight and select Temporary Profile. A green check mark appears to show that the profile has been selected. To edit the profile, use the navigation keys to highlight and select Edit. The unit displays the Edit AP Profile menu. 22–4 www.zoll.com 9650-0806-01 Rev. D...
  • Page 245 Use the alphabetical keypad to enter the SSID name. Press SAVE to save changes and return to the Temporary Profile menu; press Cancel to return to the Temporary Profile menu without saving changes. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–5...
  • Page 246 Non-broadcast SSID Use the navigation keys to enable or disable non-broadcast or hidden SSIDs. This must be set to Enabled to allow the Propaq MD unit to connect to a WiFi network that is configured not to broadcast its SSID.
  • Page 247 Authentication Protocol) is selected, you must enter the Password corresponding to the Identity entered. If the network requires it, you may enter an Anonymous Identity. The CA certificate is also optional. Other options on the screen will be greyed out. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–7...

  • Page 248: Bluetooth Device Pairing

    OMMUNICATIONS Note: The Propaq MD unit only supports PEAPv0/v1 + MSCHAPV2. TLS (Transport Layer Security): If TLS is selected, you must select a Client Certificate and enter the Private Key Password corresponding to the private key in the Certificate file. Other options on the screen will be greyed out.
  • Page 249 ) to return to the list of paired devices. Note: Use Bluetooth devices with DUN or PAN-NAP profiles only. Not all cellular phones transmit reliably; contact your local ZOLL Medical Corporation sales representative for a list of approved devices. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 250: Setting Up Communications In The Supervisor Menu

    OMMUNICATIONS Changing the PIN It may be necessary to change the PIN on the Propaq MD unit; check your device’s documentation. To change the PIN, select Change Pin in the Bluetooth menu, then use the numerical keypad to enter the desired PIN.
  • Page 251 If wireless capability is not installed on your unit, only the Ethernet screen will appear. Wireless Use the navigation keys to enable or disable this function.When disabled, all wireless capabilities are disabled in the Propaq MD unit. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 252 Use the navigation keys to enable or disable this function, and to configure access point profiles (see “WiFi Access Point Profiles” on page 22-13). When disabled, all internal Wi-fi capabilities are disabled in the Propaq MD unit. External devices like USB cellular modems may not be disabled.

  • Page 253: Wifi Access Point Profiles

    Power Management option is enabled by default. To add a new Access Point Profile: Use the navigation keys to highlight and select Add. You can enter the type of network setting, profile name, SSID, authentication, and security key. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–13...
  • Page 254 Use the navigation keys to select either DHCP or Static IP. If you select Static IP, use the numeric keypad to enter values for the IP Address, Subnet Mask, Default Gateway, Preferred DNS Server, and Alternate DNS Server. 22–14 www.zoll.com 9650-0806-01 Rev. D...
  • Page 255 Non-broadcast SSID Use the navigation keys to enable or disable non-broadcast or hidden SSIDs. This must be set to Enabled to allow the Propaq MD to connect to a WiFi network that is configured not to broadcast its SSID. Authenication Protocol Use the navigation keys to select the authentication type.
  • Page 256 Temporary Profile menu; press Cancel to return to the Temporary Profile menu without saving changes. Configuring Enterprise authentication Further configuration is required for Enterprise; use the navigation keys to select Enterprise Settings Configure. You will be asked for the Identity, CA certificate (optional for PEAP), and 22–16 www.zoll.com 9650-0806-01 Rev. D...
  • Page 257 Other options on the screen will be greyed out. Note: The Propaq MD unit only supports PEAPv0/v1 + MSCHAPV2. TLS (Transport Layer Security): If TLS is selected, you must select a Client Certificate and enter the Private Key Password corresponding to the private key in the Certificate file. Other options on the screen will be greyed out.
  • Page 258 Select Load from USB. A list of files on the USB device will appear. Filenames can only be 24 characters long. If the files on the USB device are more than 24 characters, then they will not appear on the Propaq MD unit screen. Note: The Propaq MD unit only supports PFX format client certificates.

  • Page 259: Setting Up Cellular Communications

    Communications menu. Setting up Cellular Communications You can configure your USB cellular modem or Bluetooth device to work with the Propaq MD unit. Under the Communications menu, select Cellular Configure. The Cellular menu appears. You can use the arrow keys to enable or disable all cellular functions, and configure your cell phone provider information.
  • Page 260 Bluetooth devices can also be paired from the main wireless menu, which does not require a password (see “Bluetooth Device Pairing” on page 22-8). To pair Bluetooth devices, select Bluetooth Cell Device Configure in the Cellular menu. To pair a new device, use the navigation keys and select New. 22–20 www.zoll.com 9650-0806-01 Rev. D...
  • Page 261 Select Pair Now to pair the device. On your Bluetooth device, accept the pairing request and enter the PIN, if prompted. The unit then returns to the list of paired devices. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–21...
  • Page 262 ZOLL Medical Corporation sales representative for a list of approved devices. Changing the PIN: It may be necessary to change the PIN on the Propaq MD unit; check your device’s documentation. To change the PIN, select Change Pin in the Pair New Device menu, then use the numerical keypad to enter the desired PIN.

  • Page 263: Setting Up An Ethernet Connection

    Use the navigation keys to select either DHCP or Static IP. If you select Static IP, use the numeric keypad to enter values for the IP Address, Subnet Mask, Default Gateway, Preferred DNS Server, and Alternate DNS Server. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–23...

  • Page 264: Configuring Report Transmissions

    Update Distribution List button to complete the download. The Propaq MD retains the current Distribution List until a new one is downloaded. If you modify the Distribution List entries using RescueNet, you should download a new copy to the Propaq MD device.
  • Page 265 Transmit button is enabled. Press Transmit to initiate the 12-lead transmission. While the transmission is in process, the green LED on top of the unit is illuminated and a message appears on the screen. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–25...

  • Page 266: Communications System Messages

    22 C HAPTER OMMUNICATIONS Communications System Messages The Propaq MD unit may display one of the following status messages during the transmission: System Message Cause TRYING TO CONNECT TO The unit is connecting to the network. NETWORK TRYING TO CONNECT TO The unit is connecting to the ZOLL server.

  • Page 267: Transmission Status Of 12 Lead Snapshots

    Snapshots that do not display an icon are either Snapshots that you have not attempted to transfer, or • A snapshot for which the transfer was in progress, but not complete, when you pressed • 12-Lead Review. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 22–27...
  • Page 268 22 C HAPTER OMMUNICATIONS 22–28 www.zoll.com 9650-0806-01 Rev. D...

  • Page 269: Chapter 23 Printing

    • Note: A date that contains question marks (??/??/??) indicates that the Propaq MD was not able to determine the date and time on power up. Power cycling the unit may correct the problem. If the problem persists, set the date and time by highlighting the Date and Time display field and pressing Select.

  • Page 270: Printer Setup

    Treatment Summary Snapshots • Printing Waveforms You can print waveforms by pressing . The Propaq MD unit will print the displayed waveforms as configured in the Number of Traces option. The Print Number of Traces option can be set to , or .

  • Page 271: Printing Reports

    Use the navigation keys to highlight and select the treatment summary you want to print. Note: The Treatment Summary Report that you selected has a check mark next to it. Use the navigation keys to highlight and select Print Treatment Summary. 9650-0806-01 Rev. D Propaq MD Operator’s Guide 23–3...

  • Page 272: Printing Trends

    Printed trends are useful for reviewing the patient’s vital signs over the last several minutes to the last five hours. The Propaq MD unit enables you to print vital signs data at one selected time or a trend summary showing vital signs values acquired during the current case (up to the last 24 hours).

  • Page 273: Chapter 24 Maintenance

    Maintenance Resuscitation equipment must be maintained to be ready for immediate use. To ensure the readiness and optimum working condition of the Propaq MD unit, you should perform the following inspections and tests daily or at each shift change. In addition to the daily check, authorized personnel should complete performance and calibration testing at regularly scheduled intervals, which should not exceed one year.

  • Page 274: Daily/Shift Check Procedure

    Ensure that the therapy and monitoring electrodes are sealed within the packages and within • the expiration dates printed on the packages. Open the recorder door on the left side of the Propaq MD unit and verify that an adequate • supply of paper is available in the unit.

  • Page 275: Defibrillator/Pacing Test With Hands-Free Therapy Electrodes

    Connect the external AC adapter to a working Verify that the green Auxiliary Power LED AC outlet and to the Propaq MD rear panel. illuminates on the Propaq MD front panel. Insert a battery into the unit (if a battery is not Verify that the Battery Charge LED on the already in the slot).
  • Page 276 SELECT 30J TO TEST Press the Select Energy arrow (up or down) Verify that the defibrillator window shows to select 30 Joules on the Propaq MD unit. 30 J as the selected energy. 10 Press the Charge button on the front panel.

  • Page 277: Defibrillator Testing With External Paddles

    Defibrillator Testing with External Paddles Defibrillator Testing with External Paddles Prior to testing external defibrillator paddles with the Propaq MD unit, complete the testing described in “Defibrillator/Pacing Test with Hands-Free Therapy Electrodes” on page 24-3. Note: If a low battery message appears during any of this testing, the battery is close to depletion and should be replaced or recharged.
  • Page 278 DEFIB SHORT TEST PASSED simultaneously press and hold both the message displays. Apex and Sternum paddle SHOCK buttons. If the message DEFIB SHORT TEST FAILED displays, contact the appropriate technical personnel or the ZOLL Technical Service Department. 24-6 www.zoll.com 9650-0806-01 Rev. D...

  • Page 279: Recommended Minimum Preventive Maintenance Schedule

    Caution DO NOT leave Propaq MD battery packs in a depleted state. Damage to the battery packs can occur if they are left in a depleted state for more than 14 days. 9650-0806-01 Rev. D Propaq MD Operator’s Guide...

  • Page 280: Cleaning Instructions

    Cleaning instructions Cleaning the Propaq MD unit To clean the Propaq MD unit, use a nearly dry cloth containing one of the mild cleaning agents listed below. DO NOT allow cleaning agent or water to run into the crevices or connector openings at any time.

  • Page 281: Cleaning Spo 2 Sensors

    The unit displays the message PRINTER OUT OF PAPER when the printer is activated without recorder paper or if the supply runs out during printing. Use ZOLL recorder paper (part number 8000-000901). To load the recorder paper into the printer: 1.

  • Page 282: Cleaning The Print Head

    Gently wipe the print head with a cotton swab moistened with isopropyl alcohol, and dry any residual alcohol with another dry cotton swab. Figure 24-3. Cleaning the Print Head Place the paper back into the unit and close the cover (see Fig. 24-2). 24-10 www.zoll.com 9650-0806-01 Rev. D...
  • Page 283 Propaq MD OPERATOR’S SHIFT CHECKLIST Date: ________________ Shift: _______________ Location: _______________ Mfr/Model No.: ____________________________ Serial No. or Facility ID No.: _________________ At the beginning of each shift, inspect the unit. Indicate whether all requirements have been met. Note any corrective actions taken. Sign the form.
  • Page 284 24 M HAPTER AINTENANCE 24-12 www.zoll.com 9650-0806-01 Rev. D...
  • Page 285 Appendix A Specifications This chapter provides specification information for the Propaq MD Monitor/Defibrillator. “Defibrillator” on page A-2. • “Monitor/Display” on page A-14 • “Impedance Pneumography” on page A-15 • “Alarms” on page A-16 • “Recorder” on page A-17 • “Battery” on page A-17 •...

  • Page 286: Defibrillator

    R wave and the delivery of energy. Table A-1 shows the characteristics of the Propaq MD Rectilinear Biphasic™ waveform when discharged into 25 ohm, 50 ohm, 100 ohm, 125 ohm, 150 ohm and 175 ohm loads at the maximum energy setting of 200 joules.
  • Page 287 Propaq MD defibrillation waveforms are considered substantially equivalent. Figures A-1 through A-20 show the Rectilinear Biphasic waveforms that are produced when the Propaq MD defibrillator is discharged into loads of 25, 50, 75, 100, 125, 150, and 175 ohms at each energy setting.
  • Page 288 175 Ohm 200 Ohm Figure A-1. Rectilinear Biphasic Waveform at 200 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-2. Rectilinear Biphasic Waveform at 150 Joules www.zoll.com 9650-0806-01 Rev. D...
  • Page 289 200 Ohm Figure A-3. Rectilinear Biphasic Waveform at 120 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-4. Rectilinear Biphasic Waveform at 100 Joules 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 290 175 Ohm 200 Ohm Figure A-5. Rectilinear Biphasic Waveform at 85 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-6. Rectilinear Biphasic Waveform at 70 Joules www.zoll.com 9650-0806-01 Rev. D...
  • Page 291 200 Ohm Figure A-7. Rectilinear Biphasic Waveform at 50 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-8. Rectilinear Biphasic Waveform at 30 Joules 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 292 175 Ohm 200 Ohm Figure A-9. Rectilinear Biphasic Waveform at 20 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-10. Rectilinear Biphasic Waveform at 15 Joules www.zoll.com 9650-0806-01 Rev. D...
  • Page 293 200 Ohm Figure A-11. Rectilinear Biphasic Waveform at 10 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-12. Rectilinear Biphasic Waveform at 9 Joules 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 294 175 Ohm 200 Ohm Figure A-13. Rectilinear Biphasic Waveform at 8 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-14. Rectilinear Biphasic Waveform at 7 Joules A-10 www.zoll.com 9650-0806-01 Rev. D...
  • Page 295 Figure A-15. Rectilinear Biphasic Waveform at 6 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-16. Rectilinear Biphasic Waveform at 5 Joules 9650-0806-01 Rev. D Propaq MD Operator’s Guide A-11...
  • Page 296 175 Ohm 200 Ohm Figure A-17. Rectilinear Biphasic Waveform at 4 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm 175 Ohm 200 Ohm Figure A-18. Rectilinear Biphasic Waveform at 3 Joules A-12 www.zoll.com 9650-0806-01 Rev. D...
  • Page 297 Figure A-19. Rectilinear Biphasic Waveform at 2 Joules 25 Ohm 50 Ohm 75 Ohm 100 Ohm 125 Ohm 150 Ohm -0.5 175 Ohm 200 Ohm -1.5 -2.5 Figure A-20. Rectilinear Biphasic Waveform at 1 Joule 9650-0806-01 Rev. D Propaq MD Operator’s Guide A-13...

  • Page 298: Monitor/Display

    Responds to a 40 BPM step increase in heart rate within 4.5 seconds per AAMI EC-13-2002, section 4.1.2.1.f. Responds to a 40 BPM step decrease within 3.9 seconds per AAMI EC-13-2002, section 4.1.2.1.f. Response times include a 1.0-second display update interval. A-14 www.zoll.com 9650-0806-01 Rev. D...

  • Page 299: Impedance Pneumography

    • may trigger the pacemaker pulse detector. Electrosurgery Protection: The Propaq MD is suitable for use in the presence of electrosurgery as specified in IEC 60601-2-27. Burn hazard protection via a 1K current limiting resistor contained in each ECG leadwire.

  • Page 300: Alarms

    IBP, 5 seconds • if source is NIBP, no hold off • , SpCO, and SpMet Saturation: 10 seconds EtCO : 7 seconds FiCO : 5 seconds IBP (Systolic, Diastolic, Mean): 2 seconds Temperature: 2 seconds A-16 www.zoll.com 9650-0806-01 Rev. D...

  • Page 301: Recorder

    Proper battery care is required to maintain maximum available capacity. Battery Indicators: 5 Battery capacity LED indicators, Fault indicator, Recalibration indicator Recharge Rate: 100% in 4 hours, when initiated at Low Battery indication. 9650-0806-01 Rev. D Propaq MD Operator’s Guide A-17...

  • Page 302: General

    Transport and Storage: Temperature: -30 to 70°C Note: The Propaq MD device may not perform to specifications when stored at the upper or lower extreme limits of storage temperature and immediately put into use. Humidity: 15 to 95% RH (non-condensing) Atmospheric pressure: 572 mbar to 1034 mbar Shock/vibration: MIL STD 810G, Method 514.6, 4.4.2, Procedure II...

  • Page 303: Pacer

    71 to 120 bpm: ±2 bpm 121 to 149 bpm: ±3 bpm Flow rate: 50 ml/min -7.5 + 15 ml/min, flow measured by volume. Total System Response Time: 2.9 seconds typical, 3.9 seconds maximum. 9650-0806-01 Rev. D Propaq MD Operator’s Guide A-19...

  • Page 304: Pulse Oximeter

    Nominal Infrared LED Wavelength: 905 nanometers Energies (Radiant Power) of light for LNCS Sensors at 50 mA pulsed:  15 mW Wavelength for Rainbow Sensors: The Rainbow sensors use 8 different LEDs with wavelengths of 610 - 905 nanometers A-20 www.zoll.com 9650-0806-01 Rev. D...
  • Page 305 AAMI DF-80; EN61000-4-3:2002 to 10 V/m Note: The Propaq MD Pulse Oximetry Option is calibrated for functional saturation. 1 The Masimo SET Technology with LNOP sensors has been validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70 - 100% SpO against a laboratory CO-oximeter and ECG monitor.

  • Page 306: Non-Invasive Blood Pressure

    Neonatal:35 to 220 +/- 5 BPM Default Cuff Inflation Pressure: Adult: 160 mmHg Pediatric:120 mmHg Neonatal:90 mmHg Maximum Cuff Inflation Pressure: Adult: 270 mmHg Pediatric:170 mmHg Neonatal:130 mmHg Single Fault Backup Overpressure Limit: Adult: 308 mmHg Pediatric:205 mmHg Neonatal:154 mmHg A-22 www.zoll.com 9650-0806-01 Rev. D...

  • Page 307: Invasive Pressures

    American National Standards Institute (ANSI-AAMI SP10). To receive a copy of the report containing the AAMI SP10 results, contact the ZOLL Technical Service Department. Invasive Pressures...

  • Page 308: Temperature

    Probe: YSI 400 and 700 series  Display: T1, T2, Minimum Measurement Time: See the probe’s Instructions for Use to obtain minimum measurement times for accurate readings. The Propaq MD does not add any clinically significant time to obtain accurate readings. A-24 www.zoll.com...

  • Page 309: Clinical Trial Results For The Biphasic Waveform

    Clinical Trial Results for the Biphasic Waveform Clinical Trial Results for the Biphasic Waveform The efficacy of the ZOLL Rectilinear Biphasic waveform has been clinically verified during a study of defibrillation of Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT). A feasibility study was performed initially for defibrillation of VF/VT (n=20) on two separate groups of patients to ensure waveform safety and energy selection.

  • Page 310: Randomized Multi-Center Clinical Trial For Cardioversion Of Atrial Fibrillation (Af

    A total of 173 patients entered the study. Seven (7) patients who did not satisfy all protocol criteria were excluded from the analysis. ZOLL disposable gel electrodes with surface areas of 78 cm (anterior) and 113 cm (posterior) were used exclusively for the study.
  • Page 311 Conclusion: The data demonstrate the superior efficacy of low energy rectilinear biphasic shocks compared to high energy monophasic shocks for transthoracic cardioversion of atrial fibrillation. There were no unsafe outcomes or adverse events due to the use of Rectilinear Biphasic Waveform. 9650-0806-01 Rev. D Propaq MD Operator’s Guide A-27...

  • Page 312: Synchronized Cardioversion Of Atrial Fibrillation

    Place the front (apex) pad on the third intercostal space, mid clavicular line on the right anterior chest. The back/posterior pad should be placed in the standard posterior position on the patient’s left as shown. A-28 www.zoll.com 9650-0806-01 Rev. D...

  • Page 313: Electromagnetic Compatibility Guidance And Manufacturer's Declaration

    Guidance and manufacturer’s declaration – electromagnetic emissions The Propaq MD unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Propaq MD unit should assure that it is used in such an environment.

  • Page 314: Electromagnetic Immunity (Iec 60601-1-2

    Guidance and manufacturer’s declaration – electromagnetic immunity The Propaq MD unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Propaq MD should assure that it is used in such an environment. Immunity test...

  • Page 315: Electromagnetic Immunity: Life-Supporting Functions

    The life-supporting functions of the Propaq MD are intended for use in the electromagnetic environment specified below. The customer or user of the Propaq MD should ensure that it is used in such an environment. Immunity...

  • Page 316: Electromagnetic Immunity: Non Life-Supporting Functions

    The non life-supporting functions of the Propaq MD are intended for use in the electromagnetic environment specified below. The customer or user of the Propaq MD should ensure that it is used in such an environment. Immunity test...
  • Page 317 The life-supporting functions of the Propaq MD are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the Propaq MD can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Propaq MD as recommended below, according to the maximum output power of the communications equipment.
  • Page 318 Propaq MD The non life-supporting functions of the Propaq MD are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the Propaq MD can help prevent...

  • Page 319: Ecg Analysis Algorithm Accuracy

    (as a percentage of the total number of non-shockable rhythms). The data in the following table summarizes the accuracy of the ECG analysis algorithm as tested against ZOLL’s ECG Rhythm Database. The algorithm sequence takes approximately 9 seconds and proceeds as follows: •...

  • Page 320: Wireless Output Guidance And Manufacturer's Declaration

    Specifications Wireless Output Guidance and Manufacturer’s Declaration RF Transmission Emitted (IEC 60601-1-2) The Propaq MD unit complies with IEC 60601-1-2 for medical electrical equipment and medical electrical systems that include RF transmitters as specified below. Standard Frequency Effective Radiated Modulation Type...

  • Page 321: Appendix B Accessories

    Appendix B Accessories The following accessories are compatible for use with the Propaq MD unit. To order any of these items, contact your local ZOLL representative. ECG Accessories ECG, 3-Lead Cable, AAMI ECG, 3-Lead Cable, IEC ECG, 5-Lead Cable, AAMI ECG, 5-Lead Cable, IEC ECG, 12-Lead "Breakaway"...
  • Page 322 Rainbow R20, Single use sensor for Pediatrics 10 - 50 kg Rainbow R20-L, Single use sensor for Infants 3 - 10 kg Rainbow Patient Cable RC-4, 4' Reusable Patient Cable Rainbow Patient Cable RC-12, 12' Reusable Patient Cable www.zoll.com 9650-0806-01 Rev. D...
  • Page 323 YSI Disposable Skin Probe Defibrillation Accessories Propaq MD Multifunction Therapy Cable - allows use of disposable multifunction electrodes and ZOLL M Series CCT External and Internal paddles (sold separately) M Series External Paddles set with controls and built-in pediatric electrodes ZOLL Sterilizable Internal Handle (black), with Switch, 1.0"...
  • Page 324 Set of 12 electrodes, stat-padz Single, stat-padz IBP Accessories Transducer Interface cable – Abbott Transducer Interface cable - Edwards Transducers: 5 V/V/mm Hg, IEC 60601-2-34 and AAMI BP-22 compliant CPR Accessories CPR-D-padz CPR-stat-padz CPRD-to-MFC Connector stat-padz pedi-padz II OneStep electrodes www.zoll.com 9650-0806-01 Rev. D...
  • Page 325 SurePower Charger Station SurePower II Battery Charger Battery Adapter Auxiliary Power Adapter, 8300-0004 Replacement Power Cord – U.S. Other Accessories Propaq MD Soft Carrying Case ECG 80 mm Chart Recorder Paper USB Communications Cable 9650-0806-01 Rev. D Propaq MD Operator’s Guide...
  • Page 326 CCESSORIES www.zoll.com 9650-0806-01 Rev. D...

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