ZOLL X Series Monitor Defibrillator Rev H - Manual (Page 29)

Warnings
9650-001355-01 Rev. H X Series Operator’s Guide 1-17
Equipment such as electrocautery or diathermy equipment, RFID readers, electronic article
surveillance (EAS) systems, or metal detectors that emit strong radio frequency signals can
cause electrical interference and distort the ECG signal displayed by the monitor, thereby
preventing accurate rhythm analysis. Ensure adequate separation between such emitters, the
device, and the patient when performing rhythm analysis.
Shock Hazard: Use of accessories, other than those specified in the operating instructions, may
adversely affect patient leakage currents.
Certain line-isolation monitors may cause interference on the ECG display and may inhibit
heart rate alarms.
Monitoring ECG through the paddles may result in inaccurate heart rate display due to artifact.
Defibrillation
The ZOLL X Series 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.
To avoid possible damage to the X Series unit, turn off pacing before defibrillating the patient
with a second defibrillator.
After a synchronized cardioversion, the SYNC mode may be cleared after each shock or
disarm. The user may have to reselect (press) the SYNC button after each synchronized
cardioversion shock performed on a patient. In Defib/Pacer Default settings in the Supervisor
Setup menu, the X Series can be configured to remain in the SYNC mode after each
synchronized cardioversion.
Synchronized cardioversion can be performed in the paddle monitoring mode. However, it is
possible that artifact can be produced by the moving paddles, which could cause the
defibrillator to trigger on the artifact. It is recommended that monitoring in leads I, II or III be
used during synchronized cardioversion. Paddle monitoring should not be used for elective
cardioversions procedures.
To avoid stress to the defibrillator or the tester, never attempt to repeatedly charge and
discharge the defibrillator in rapid succession. If a need for repetitive testing arises, allow a
waiting period of at least 2 minutes after every third discharge.
In the SYNC mode, the defibrillator does not discharge without a command signal (R-wave
detection) from the ECG monitor indicated by a SYNC marker on the trace and a flashing
SYNC indicator.
If conductive gel forms a continuous path between the defibrillator electrodes, delivered energy
may be dramatically reduced to zero. In this case, reposition the electrodes to eliminate the
shunting path before attempting additional shocks.
Improper defibrillation technique can cause skin burns. To limit possible skin burns, use only
ZOLL defibrillation gel on paddles, ensure the gel covers the entire paddle surface and press
firmly against patient’s chest.
If a new energy level is selected after the CHARGE button is pushed and while the defibrillator
is charging or charged, the defibrillator will disarm. The CHARGE button will need to be
pressed again to charge to the new energy level.
Prior to defibrillation, disconnect from the patient any medical electronic device that is not
labeled “defibrillation protected.”