LIFEPAK® 1000 Defibrillator Orientation Guide ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Important Safety Information This orientation program is not a substitute for hands-on device training. The LIFEPAK 1000 defibrillator is intended for use by personnel who have been trained in the use of the LIFEPAK 1000 defibrillator ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Objectives Review the operation and features of the LIFEPAK 1000 defibrillator including: Electrode pad placement AED mode Pediatric patient Battery Troubleshooting Maintenance Setup ©2010 Physio-Control, Inc. All rights reserved.

LIFEPAK 1000 Defibrillator Uses: Automated External Defibrillation (AED) For use only on patients in cardiopulmonary arrest ECG monitoring For the purpose of ECG rhythm recognition and heart rate monitoring ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Get to know the device ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Basic steps for AED use Establish patient is in cardiac arrest Turn on the 1000 Apply electrodes Follow screen messages and voice prompts ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Electrode placement Remove clothing from patient’s chest Remove excessive hair Clean and dry the skin Shave, if necessary, avoiding nicking the skin Do not apply alcohol, tincture of benzoin, or antiperspirant to the skin ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Electrode placement Press electrodes firmly onto patient’s skin ©2010 Physio-Control, Inc. All rights reserved.

Electrode placement Correct electrode position optimizes the amount of current flowing through the ventricles Correct electrode position Incorrect electrode position ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. ECG analysis When an analysis occurs, the 1000 will prompt to stand clear of the patient Do not touch the patient during analysis Make sure everyone is clear of the patient Analysis takes 6-9 seconds ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Shock advised! The 1000 has detected a shockable ECG rhythm The 1000 will charge automatically ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Shock advised! Clear everyone from the patient or any equipment touching the patient Press the SHOCK button within 15 seconds or else it disarms ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. CPR time Start CPR prompt occurs immediately after shock is delivered A text message and countdown timer appear for the remaining CPR time At the end of CPR time, the 1000 automatically reanalyzes the heart rhythm ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Shock advised Continue to follow prompts until patient has return of spontaneous circulation or until advanced life support provider arrives ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. ‘No shock advised’ The 1000 has determined the heart rhythm is not shockable The 1000 will prompt to start CPR Perform CPR until the patient has return of spontaneous circulation or the 1000 automatically reanalyzes the heart rhythm ©2010 Physio-Control, Inc. All rights reserved.

Return of spontaneous circulation Position the patient according to training if consciousness and/or signs of circulation and breathing return Leave electrodes attached Keep patient as still as possible Electrodes may be connected to another LIFEPAK defibrillator ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Battery Non-rechargeable lithium manganese dioxide battery Charge level indicated by battery pak fuel gauge Fully charged battery: all green lights illuminated ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Battery Low battery: single steady green light. Replace battery as soon as possible. Empty battery: single flashing green light Replace battery immediately ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Battery The approximate level of charge in the battery appears on the readiness display when the 1000 is off Low battery: battery symbol has one bar Replace battery: battery symbol has no bars ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Battery The approximate level of charge in the battery appears on the screen when the 1000 is on Replace the battery when the device displays a low battery warning ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Troubleshooting tips Message: “Connect electrodes” “Check connector and electrodes” Possible causes: Electrodes are not adhered to the patient’s skin Electrodes are disconnected from the 1000 Patient impedance measurement outside of range ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Troubleshooting tips Message: “Connect electrodes” “Check connector and electrodes” What to do Firmly press electrodes onto skin Check that connector is completely inserted into 1000 Clean, shave and dry skin Replace electrode pads If prompt continues, perform CPR until ALS arrives ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Troubleshooting tips Message: “Motion detected, stop motion” Possible causes: Patient movement due to: breathing, CPR being performed during analysis, some internal pacemakers, vehicle motion, or electrical/radio frequency interference What to do: Check patient for normal breathing Stop CPR during analysis Stop vehicle during analysis Move communication or other suspected devices away from 1000 when possible ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Maintenance Daily Self Test The 1000 performs automatic tests daily at 3:00 AM OK symbol visible: AED is ready for use Daily Auto Test will test for low or replace battery conditions Battery gauge on the readiness display updates daily ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Maintenance Self-test Each time the 1000 is powered on, it performs internal self-tests to check that the internal electrical components and circuits are working properly Also detects a low or replace battery condition ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Maintenance If the 1000 requires service, the wrench symbol appears If the wrench is visible, remove the 1000 from service and contact authorized service personnel ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. After-use care After the 1000 has been used: Clean foreign substances from the 1000 Replace electrodes Replenish supplies as needed Check battery symbol for battery status and replace battery if low ©2010 Physio-Control, Inc. All rights reserved.

©2010 Physio-Control, Inc. All rights reserved. Routine maintenance The 1000 is easy to maintain On a periodic basis check the following: OK symbol is visible Battery fuel gauge level Use By date on electrode pads is not passed Check for damage to or foreign substances on the 1000 ©2010 Physio-Control, Inc. All rights reserved.

Thats it! To exit, click the ‘Esc’ button on your keyboard. Thanks for reading this manual. To exit, click the ‘Esc’ button on your keyboard. ©2010 Physio-Control, Inc. All rights reserved.