OPERATING INSTRUCTIONS

LIFEPAK ® 12
defibrillator/monitor series
 OPERATING INSTRUCTIONS

LIFEPAK ® 12
defibrillator/monitor series
IMPORTANT
Federal (USA) law restricts this device to sale by or on the order of a physician.
This instrument is to be used by authorized personnel only.

Device Tracking
(USA only, including US government-owned units) Under the Safe Medical Devices Act of 1990,
defibrillator manufacturers and distributors are required to track the location of defibrillators. If your
defibrillator has been sold, donated, lost, stolen, exported, or destroyed or if it was not obtained directly
from Physio-Control Corporation, please notify Physio-Control Corporation at 1.800.442.1142,
extension 4530.

Responsibility for Information

It is the responsibility of our customers to ensure that the appropriate person(s) within their organization
have access to this information, including general safety information provided in Section 1.

Corporate Headquarters PHYSIO-CONTROL, LIFEPAK, FASTPAK, FAST-PATCH,

11811 Willows Road Northeast DERMA JEL, and LIFE•PATCH are registered trademarks of
Post Office Box 97006 Physio-Control Corporation. CODE SUMMARY, QUIK-
Redmond, WA 98073-9706 USA COMBO, Shock Advisory System, CODE-STAT, QUIK-VIEW,
Telephone: 425.867.4000 and REDI-PAK are trademarks of Physio-Control Corporation.
Toll Free (USA only): 800.442.1142 12SL is a trademark of Marquette Medical Systems. C-LOCK,
Fax: 425.867.4121 Durasensor Oxiband, OxiCliq, and Oxisensor are registered
Internet: www.physio-control.com trademarks of Nellcor Puritan Bennett. PediCheck is a
trademark of Nellcor Puritan Bennett.
STERRAD is a trademark of Advanced Sterilization Products.
European Union Contact
PC Card is a trademark of the Personal Computer Memory
Physio-Control UK Ltd.
Card International Association.
Leamington Court
Specifications and prices subject to change without notice.
Andover Road, Newfound
Litho in USA.
Basingstoke, Hampshire
©February 1998 Physio-Control Corporation.
RG23 7HE United Kingdom
P/N 3010012-000
Telephone: 44.1256.782.727
Fax: 44.1256.782.728

ii LIFEPAK 12 defibrillator/monitor series Operating Instructions

TABLE OF CONTENTS

Preface
About Automated External Defibrillation ........................................................................................ xiv
About Defibrillation Therapy ........................................................................................................... xiv
About Noninvasive Pacing .............................................................................................................. xv
About 12-lead Electrocardiography.................................................................................................. xv
About SPO2 Monitoring .................................................................................................................. xvi
Text Conventions ........................................................................................................................... xvi

1 Safety Information
Terms ............................................................................................................................................ 1-2
General Warnings and Cautions.................................................................................................... 1-2
Symbols ......................................................................................................................................... 1-3
Declaration of Conformity .............................................................................................................. 1-7

2 Basic Orientation
Introduction ................................................................................................................................... 2-2
Unpacking and Inspecting.............................................................................................................. 2-2
Controls, Indicators, and Connectors ............................................................................................ 2-2
Area 3 ..................................................................................................................................... 2-7
Area 4 ................................................................................................................................... 2-10
Area 6 .................................................................................................................................. 2-14
Back View ............................................................................................................................ 2-17
Entering Patient Data ........................................................................................................... 2-18
Connecting to Power.................................................................................................................... 2-21
Batteries................................................................................................................................ 2-22
Installing/Removing Batteries .............................................................................................. 2-22

3 Monitoring
Monitoring the ECG ....................................................................................................................... 3-2
ECG Monitoring Warning ........................................................................................................ 3-2
Selecting ECG Lead and Size ............................................................................................... 3-2

LIFEPAK 12 defibrillator/monitor series Operating Instructions iii

 Adjusting the Systole Volume ................................................................................................. 3-3
Monitoring ECG with Paddles Accessories ........................................................................... 3-3
Monitoring with the Patient ECG Cable ................................................................................. 3-4
Troubleshooting Tips for ECG Monitoring .............................................................................. 3-7
Acquiring a 12-lead ECG .............................................................................................................. 3-8
12-lead ECG Warning ............................................................................................................ 3-8
Identifying Electrode Sites ...................................................................................................... 3-8
12-lead Procedure ................................................................................................................ 3-10
12-lead ECG Reports .......................................................................................................... 3-11
Computerized ECG analysis ................................................................................................ 3-13
Troubleshooting Tips for 12-lead ECG ................................................................................ 3-14
Monitoring SpO2 .......................................................................................................................... 3-15
SpO2 Warnings and Cautions .............................................................................................. 3-15
When to Use a Pulse Oximeter ........................................................................................... 3-16
How a Pulse Oximeter Works .............................................................................................. 3-16
SpO2 Monitoring Considerations .......................................................................................... 3-16
SpO2 Monitoring Procedure ................................................................................................. 3-17
Pulse Oximeter Sensors ...................................................................................................... 3-18
SpO2 Volume ........................................................................................................................ 3-19
C-LOCK ............................................................................................................................... 3-19
Troubleshooting Tips for SpO2 .............................................................................................. 3-20

4 Therapy
General Therapy Warnings and Cautions...................................................................................... 4-2
Therapy Electrode and Standard Paddle Placement .................................................................... 4-3
Anterior-lateral Placement ..................................................................................................... 4-3
Anterior-posterior Placement .................................................................................................. 4-3
Special Placement Situations ................................................................................................ 4-4
Automated External Defibrillation................................................................................................... 4-4
AED Warnings ....................................................................................................................... 4-4
AED Configuration .................................................................................................................. 4-5
AED Procedure ...................................................................................................................... 4-5
Troubleshooting Tips for AED Mode .................................................................................... 4-10
Manual Defibrillation .................................................................................................................... 4-12
Manual Defibrillation Warnings ............................................................................................. 4-12
Switching from AED to Manual Mode ................................................................................... 4-12
Defibrillation Shock Overlays ................................................................................................ 4-14
Defibrillation Procedure ....................................................................................................... 4-15
Synchronized Cardioversion Procedure ............................................................................... 4-15
Troubleshooting Tips for Defibrillation and Synchronized Cardioversion ............................ 4-16
Noninvasive Pacing ..................................................................................................................... 4-17
Noninvasive Pacing Warnings .............................................................................................. 4-17
Demand and Nondemand Pacing ........................................................................................ 4-18
Noninvasive Pacing Procedure............................................................................................. 4-18
Troubleshooting Tips for Noninvasive Pacing ..................................................................... 4-19

5 Paddle Accessory Options

Therapy Electrodes........................................................................................................................ 5-2
About Therapy Electrodes ...................................................................................................... 5-2
Electrode Placement............................................................................................................... 5-3
Cable Connection ................................................................................................................... 5-4
ECG Monitoring and Therapy Procedures.............................................................................. 5-5
Replacing and Removing Electrodes...................................................................................... 5-5
Testing ................................................................................................................................... 5-6
Pediatric Paddles ........................................................................................................................... 5-7

iv LIFEPAK 12 defibrillator/monitor series Operating Instructions

 About Pediatric Paddles ........................................................................................................ 5-7
Attaching Pediatric Paddles .................................................................................................... 5-7
Removing Pediatric Paddles .................................................................................................. 5-8
Paddle Placement................................................................................................................... 5-8
Defibrillation Procedure ......................................................................................................... 5-9
Cleaning ................................................................................................................................. 5-9
Posterior Defibrillation Paddle ..................................................................................................... 5-10
About the Posterior Defibrillation Paddle ............................................................................. 5-10
Installing the Paddle ............................................................................................................ 5-10
Removing the Paddle ........................................................................................................... 5-11
Paddle Placement ................................................................................................................ 5-11
Cleaning ............................................................................................................................... 5-12
External Sterilizable Paddles ...................................................................................................... 5-12
About External Sterilizable Paddles ..................................................................................... 5-12
ECG Monitoring and Therapy Procedures ........................................................................... 5-13
Cleaning ............................................................................................................................... 5-13
Internal Handles with Discharge Control ..................................................................................... 5-13
About Internal Handles with Discharge Control ................................................................... 5-13
Inserting the Paddles ........................................................................................................... 5-14
Removing the Paddles .......................................................................................................... 5-15
Internal Defibrillation Procedure .......................................................................................... 5-15
Internal Synchronized Cardioversion ................................................................................... 5-15
Cleaning ............................................................................................................................... 5-15
Testing ................................................................................................................................. 5-16
Hydrogen Peroxide Plasma Sterilization Protocol ....................................................................... 5-16

6 Data Management
Overview of Data Storage and Retrieval ....................................................................................... 6-2
Data Storage .......................................................................................................................... 6-2
Memory Capacity .................................................................................................................... 6-2
Data Retrieval ......................................................................................................................... 6-2
Code Summary Critical Event Record .......................................................................................... 6-3
Preamble ............................................................................................................................... 6-4
Event/Vital Signs Log ............................................................................................................. 6-4
Waveform Events ................................................................................................................... 6-5
Retrieving Patient Records ........................................................................................................... 6-8
Current Patient and Previous Patients ................................................................................... 6-8
Equipment Connections for Data Transmission .......................................................................... 6-13
Transmitting from the PC Card Modem ............................................................................... 6-13
Transmitting From the System Connector ........................................................................... 6-14
Treatment Protocol When Transmitting Data ...................................................................... 6-14

7 AC and DC Power Adapters

Basic Orientation ........................................................................................................................... 7-2
AC and DC Power Adapter Warnings .................................................................................... 7-2
Unpacking and Inspecting ...................................................................................................... 7-3
Controls, Indicators, and Connectors ..................................................................................... 7-4
Using the AC or DC Power Adapters............................................................................................. 7-6
Power Adapter Operation ...................................................................................................... 7-6
Connecting the DC Power Adapter to Vehicle Battery Power ............................................... 7-6
Mounting the Power Adapter to the LIFEPAK 12 defibrillator/monitor .................................... 7-8
General Maintenance..................................................................................................................... 7-9
Maintenance and Service ...................................................................................................... 7-9
Cleaning.................................................................................................................................. 7-9
Fuse Replacement/Circuit Breaker ........................................................................................ 7-9
Troubleshooting ................................................................................................................... 7-10

LIFEPAK 12 defibrillator/monitor series Operating Instructions v

 Warranty ............................................................................................................................... 7-10
Replacement Parts and Accessories .................................................................................... 7-11

8 Maintaining the Equipment

General Maintenance and Testing................................................................................................. 8-2
Maintenance and Testing Schedule ....................................................................................... 8-2
User Test ............................................................................................................................... 8-3
Standard Paddles User Test .................................................................................................. 8-3
Cleaning ................................................................................................................................. 8-4
Function Checks ..................................................................................................................... 8-4
Standard Paddles Synchronized Cardioversion Check .......................................................... 8-6
Battery Maintenance ..................................................................................................................... 8-9
Battery Maintenance Warnings .............................................................................................. 8-9
Battery Description .............................................................................................................. 8-10
Battery Charging, Conditioning, and Shelf Life Testing ........................................................ 8-10
NiCd Battery Performance Factors ....................................................................................... 8-10
SLA Battery Performance Factors ........................................................................................ 8-11
Receiving New Batteries ...................................................................................................... 8-11
Storing Batteries .................................................................................................................. 8-11
Recycling Batteries at the End of Useful Life........................................................................ 8-12
General Troubleshooting Tips ..................................................................................................... 8-13
Service and Repair ...................................................................................................................... 8-14
Product Recycling Information ..................................................................................................... 8-14
Recycling Assistance............................................................................................................ 8-14
Preparation ........................................................................................................................... 8-14
Recycling of Disposable Electrodes .................................................................................... 8-14
Packaging ............................................................................................................................ 8-14
Warranty ...................................................................................................................................... 8-14
Accessories, Supplies, and Training Tools .................................................................................. 8-15

9 Defining Setup Options

Setup Options ............................................................................................................................... 9-2
Print Configurations Before Service or Repair ....................................................................... 9-2
Passcode Security ................................................................................................................. 9-2
Entering Setup Options ................................................................................................................. 9-2
Setup Menus ................................................................................................................................. 9-3
General Setup Menu .............................................................................................................. 9-3
Manual Mode Setup Menu ..................................................................................................... 9-4
Advisory Mode Setup Menu ................................................................................................... 9-4
Pacing Setup Menu ............................................................................................................... 9-5
ECG Setup Menu ................................................................................................................... 9-5
12-lead Setup Menu .............................................................................................................. 9-5
Events Setup Menu ................................................................................................................ 9-6
Alarms Setup Menu ............................................................................................................... 9-6
Printer Setup Menu ................................................................................................................ 9-6
Transmission Setup Menu ..................................................................................................... 9-7
Clock Setup Menu ............................................................................................................... 9-10
Reset Defaults Setup Menu ................................................................................................. 9-11
Print Defaults ........................................................................................................................ 9-11
Send Configuration Setup Menu .......................................................................................... 9-11
Set Passcode Setup Menu .................................................................................................. 9-11
Service Mode ....................................................................................................................... 9-11
Entering Telephone Number and Prefix Characters ................................................................... 9-12
Entering Initialization Strings ....................................................................................................... 9-13

vi LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Appendixes
A Specifications and Performance Characteristics
B Screen Messages
C Operator’s Checklist
D Shock Advisory System
E Inservice Mode
Index

LIFEPAK 12 defibrillator/monitor series Operating Instructions vii

LIST OF FIGURES

Figure 2-1 Front View............................................................................................................................... 2-3

Figure 2-2 Defibrillation Controls ............................................................................................................. 2-4
Figure 2-3 Pacing Controls ...................................................................................................................... 2-5
Figure 2-4 User Controls .......................................................................................................................... 2-6
Figure 2-5 Options .................................................................................................................................. 2-8
Figure 2-6 Cable Connectors, Speaker, and Printer ................................................................................ 2-9
Figure 2-7 Therapy Cable Orientation.................................................................................................... 2-10
Figure 2-8 Disconnecting the Therapy Cable ........................................................................................ 2-10
Figure 2-9 Loading 50mm Paper .......................................................................................................... 2-11
Figure 2-10 Loading 100mm Paper ........................................................................................................ 2-11
Figure 2-11 12-lead ECG and Print Controls ........................................................................................... 2-12
Figure 2-12 Screen ................................................................................................................................. 2-13
Figure 2-13 Back View ............................................................................................................................ 2-16
Figure 2-14 Standard Paddles ................................................................................................................. 2-17
Figure 3-1 Anterior-lateral Placement ..................................................................................................... 3-3
Figure 3-2 12-lead and 3-lead ECG Cables ............................................................................................. 3-4
Figure 3-3 Limb Lead Electrode Placement ............................................................................................ 3-5
Figure 3-4 Limb Lead Electrode Placement for 12-lead ECG ................................................................. 3-8
Figure 3-5 Precordial Lead Electrode Placement .................................................................................... 3-9
Figure 3-6 12-lead ECG Cable............................................................................................................... 3-10
Figure 3-7 Example of Printed Standard 3-channel 12-lead ECG Report.............................................. 3-11
Figure 3-8 Example of Printed Cabrera 3-channel 12-lead ECG Report ............................................... 3-12
Figure 3-9 Example of Printed Standard 4-channel 12-lead ECG Report.............................................. 3-12
Figure 3-10 Example of Printed Cabrera 4-channel 12-lead ECG Report .............................................. 3-13
Figure 3-11 How a Pulse Oximeter Works .............................................................................................. 3-16
Figure 4-1 Anterior-lateral Placement ...................................................................................................... 4-3
Figure 4-2 Anterior-posterior Placement ................................................................................................. 4-3

viii LIFEPAK 12 defibrillator/monitor series Operating Instructions

Figure 5-1 QUIK-COMBO and FAST-PATCH Electrodes ...................................................................... 5-2
Figure 5-2 Peeling the Liner from the Electrode ..................................................................................... 5-3
Figure 5-3 Connecting QUIK-COMBO Electrodes to Therapy Cable ..................................................... 5-4
Figure 5-4 Connecting FAST-PATCH Electrodes to Defibrillation Cable................................................. 5-4
Figure 5-5 Removing Therapy Electrodes from Skin ............................................................................... 5-5
Figure 5-6 Disconnecting Defibrillation Cable from FAST-PATCH Electrodes ........................................ 5-6
Figure 5-7 Disconnecting Defibrillation Cable from Test Post ................................................................ 5-6
Figure 5-8 Pediatric Paddles ................................................................................................................... 5-7
Figure 5-9 Attaching a Pediatric Paddle ................................................................................................. 5-7
Figure 5-10 Removing a Pediatric Paddle ................................................................................................ 5-8
Figure 5-11 Anterior-lateral Paddle Position 5-8
Figure 5-12 Anterior-posterior Paddle Position ......................................................................................... 5-9
Figure 5-13 Posterior Defibrillation Paddle .............................................................................................. 5-10
Figure 5-14 Removing the Paddle Attachment ....................................................................................... 5-11
Figure 5-15 Anterior-posterior Paddle Position........................................................................................ 5-12
Figure 5-16 External Sterilizable Paddles................................................................................................ 5-12
Figure 5-17 Internal Handles with Discharge Control .............................................................................. 5-14
Figure 5-18 Internal Paddle .................................................................................................................... 5-14
Figure 6-1 CODE SUMMARY critical event record (100mm) ................................................................. 6-3
Figure 6-2 Waveform Event Printout Examples (50mm) ......................................................................... 6-7
Figure 6-3 Transmitting from the PC Card Modem ................................................................................ 6-13
Figure 6-4 Transmitting from the System Connector ............................................................................ 6-14
Figure 7-1 The Power Adapter ................................................................................................................ 7-3
Figure 7-2 Power Adapter Front Panel ................................................................................................... 7-4
Figure 7-3 DC Output and Extension Cables .......................................................................................... 7-4
Figure 7-4 Rear View of AC Power Adapter ............................................................................................ 7-5
Figure 7-5 Rear View of DC Power Adapter ........................................................................................... 7-5
Figure 7-6 Battery Cable Installation for DC Power Adapter .................................................................. 7-7
Figure 7-7 Mounting the Power Adapter to the LIFEPAK 12 defibrillator/monitor ................................... 7-8
Figure 9-1 Transmission Site Telephone Number/Prefix Examples ..................................................... 9-12
Figure 9-2 Initialization Strings for the Motorola Montana 33.6 PC Card Fax/Modem........................... 9-13

LIFEPAK 12 defibrillator/monitor series Operating Instructions ix

LIST OF TABLES

Table 2-1 LIFEPAK 12 defibrillator/monitor Batteries ........................................................................... 2-22

Table 3-1 ECG Leads Color Codes ......................................................................................................... 3-6
Table 3-2 Troubleshooting Tips for ECG Monitoring ............................................................................... 3-7
Table 3-3 Precordial Lead Electrode Placement .................................................................................... 3-9
Table 3-4 Troubleshooting Tips for 12-lead ECG ................................................................................. 3-14
Table 3-5 Sensors and Extension Cables ............................................................................................. 3-18
Table 3-6 Troubleshooting Tips for SpO 2 .............................................................................................. 3-20
Table 4-1 Troubleshooting Tips for AED Mode ..................................................................................... 4-10
Table 4-2 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion ............................. 4-16
Table 4-3 Troubleshooting Tips for Noninvasive Pacing ....................................................................... 4-19
Table 5-1 QUIK-COMBO Electrodes ....................................................................................................... 5-3
Table 5-2 Paddle Part Numbers............................................................................................................. 5-14
Table 6-1 Report Retrieval Methods ....................................................................................................... 6-2
Table 6-2 CODE SUMMARY Formats .................................................................................................... 6-4
Table 6-3 Event Types ............................................................................................................................ 6-5
Table 6-4 Waveform Events..................................................................................................................... 6-5
Table 6-5 Troubleshooting Tips for Data Management.......................................................................... 6-15
Table 7-1 Troubleshooting Tips for the AC and DC Power Adapters .................................................... 7-10
Table 7-2 Replacement Parts and Accessories ..................................................................................... 7-11
Table 8-1 Recommended Maintenance Schedule for Clinical Personnel ................................................ 8-2
Table 8-2 General Troubleshooting Tips................................................................................................ 8-13
Table 8-3 Accessories, Supplies, and Training Tools ........................................................................... 8-15
Table 9-1 General Setup Menu................................................................................................................ 9-3
Table 9-2 Manual Mode Setup Menu ...................................................................................................... 9-4
Table 9-3 Advisory Mode Setup Menu .................................................................................................... 9-4

x LIFEPAK 12 defibrillator/monitor series Operating Instructions

Table 9-4 Pacing Setup Menu ................................................................................................................. 9-5
Table 9-5 ECG Setup Menu ..................................................................................................................... 9-5
Table 9-6 12-lead Setup Menu ................................................................................................................ 9-5
Table 9-7 Events Setup Menu ................................................................................................................. 9-6
Table 9-8 Alarms Setup Menu ................................................................................................................. 9-6
Table 9-9 Printer Setup Menu .................................................................................................................. 9-6
Table 9-10 Printer/Auto Print Setup Menu ................................................................................................. 9-7
Table 9-11 Transmission Setup Menu ....................................................................................................... 9-7
Table 9-12 Transmission/Sites Setup Menu .............................................................................................. 9-7
Table 9-13 Transmission/Sites/Site 1 Setup Menu .................................................................................... 9-8
Table 9-14 Transmission/Ports Setup Menu ............................................................................................. 9-8
Table 9-15 Internal Modem Setup Menu ................................................................................................... 9-9
Table 9-16 Transmission/Ports/Direct Connect Setup Menu ..................................................................... 9-9
Table 9-17 External Modem Setup Menu ................................................................................................ 9-10
Table 9-18 Clock Setup Menu .................................................................................................................. 9-10
Table 9-19 Reset Defaults Setup Menu ................................................................................................... 9-11
Table 9-20 Send Configuration Setup Menu ........................................................................................... 9-11
Table 9-21 Set Passcode Setup Menu .................................................................................................... 9-11
Table 9-22 AT Command Dialing Prefix Characters ................................................................................ 9-12
Table 9-23 Internal Fax/Modem Initialization String Examples ................................................................ 9-14
Table 9-24 External Fax/Modem Initialization String Examples .............................................................. 9-14
Table A-1 LIFEPAK 12 defibrillator/monitor Specifications....................................................................... A-2
Table A-2 AC and DC Power Adapter Specifications ............................................................................... A-6
Table A-3 FASTPAK and LIFEPAK Battery Specifications....................................................................... A-7
Table A-4 Performance Characteristics .................................................................................................... A-8
Table B-1 Summary of Screen Messages ............................................................................................... B-2

LIFEPAK 12 defibrillator/monitor series Operating Instructions xi

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xii LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Preface

PREFACE

About Automated External Defibrillation page xiv

About Defibrillation Therapy xiv
About Noninvasive Pacing xv
About 12-lead Electrocardiography xv
About SpO2 Monitoring xvi
Text Conventions xvi

LIFEPAK 12 defibrillator/monitor series Operating Instructions xiii

Preface

ABOUT AUTOMATED EXTERNAL DEFIBRILLATION

The following considerations and guidelines apply when using the LIFEPAK 12 defibrillator/monitor as
an automated external defibrillator (AED).

Operator Considerations
The LIFEPAK 12 defibrillator/monitor, when in AED mode, is a semiautomatic defibrillator that uses a
patented Shock Advisory System™. This software algorithm analyzes the patient’s
electrocardiographic (ECG) rhythm and indicates whether or not it detects a shockable rhythm. The
LIFEPAK 12 defibrillator/monitor in AED mode requires operator interaction in order to defibrillate the
patient.
The LIFEPAK 12 defibrillator/monitor in AED mode is intended for use by personnel who are authorized
by a physician/medical director and have, at a minimum, the following skills and training:
• CPR training
• AED training equivalent to that recommended by the American Heart Association.
• Training in the use of the LIFEPAK 12 defibrillator/monitor in AED mode.

Indications
The AED mode is to be used only on patients in cardiopulmonary arrest. The patient must be
unconscious, pulseless, and not breathing spontaneously before using the defibrillator to analyze the
patient’s ECG rhythm.

Contraindications
In AED mode, the LIFEPAK 12 defibrillator/monitor is contraindicated for use on pediatric patients less
than eight years old.
In AED mode, the LIFEPAK 12 defibrillator/monitor is not to be used on patients who are breathing,
have a pulse, and/or are conscious.

ABOUT DEFIBRILLATION THERAPY

Indications
Defibrillation is a recognized means of terminating certain potentially fatal arrhythmias, such as
ventricular fibrillation and symptomatic ventricular tachycardia. A direct current defibrillator applies a
brief, high-energy pulse of electricity to the heart muscle. The LIFEPAK 12 defibrillator/monitor delivers
this energy through disposable electrodes or standard paddles applied to the patient’s chest. Delivery
of this energy in the synchronized mode is a method for treating supraventricular tachycardia, atrial
fibrillation, atrial flutter, and, in relatively stable patients, ventricular tachycardia.
Defibrillation is only one aspect of the medical care required to resuscitate a patient with a shockable
ECG rhythm. Depending on the situation, other supportive measures may include:
• Cardiopulmonary resuscitation (CPR)
• Administration of supplemental oxygen
• Drug therapy
Successful resuscitation is related to the length of time between the onset of a heart rhythm that does
not circulate blood (ventricular fibrillation, pulseless ventricular tachycardia) and defibrillation. The
American Heart Association has identified the following as critical links in the chain of survival from
cardiac arrest:
• Early access

xiv LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Preface

• Early CPR by first responders or bystanders

• Early defibrillation
• Early advanced life support
The physiological state of the patient may affect the likelihood of successful defibrillation. Thus, failure
to resuscitate a patient is not a reliable indicator of defibrillator performance. Patients will often exhibit a
muscular response (such as jumping or twitching) during an energy transfer. The absence of such a
response is not a reliable indicator of actual energy delivery or device performance. For further
information, refer to the booklet, Defibrillation: What You Should Know.

Contraindications
Defibrillation is contraindicated in the treatment of Pulseless Electrical Activity (PEA) such as
idioventricular or ventricular escape rhythms, and in the treatment of asystole.

ABOUT NONINVASIVE PACING

Indications
A noninvasive pacemaker is a device that delivers an electrical stimulus to the heart, causing cardiac
depolarization and myocardial contraction. The energy is delivered through large adhesive electrodes
placed on the chest. Noninvasive pacing as a therapy is indicated for use in patients with symptomatic
bradycardia or asystole. In addition to noninvasive pacing, other supportive measures may be
necessary.
Among other factors, it is recognized that successful pacing of a patient is related to the length of time
between the onset of a dysrhythmia and the initiation of pacing. Rapid pacing and prompt follow-up care
are essential. The physiologic state of the patient may affect the likelihood of successful pacing or of
skeletal muscle activity. The failure to successfully pace a patient is not a reliable indicator of pacemaker
performance. Similarly, the patient’s muscular response to pacing is not a reliable indicator of energy
delivered. Refer to the booklet, Noninvasive Pacing: What You Should Know for further information.

Contraindications
Noninvasive pacing is contraindicated for the treatment of ventricular fibrillation. Severe hypothermia is
a relative contraindication to pacing a patient with bradycardia.

ABOUT 12-LEAD ELECTROCARDIOGRAPHY

Indications
The 12-lead electrocardiogram (ECG) has traditionally been used in the hospital setting to help
physicians identify, diagnose, and treat patients with cardiac disorders. Advances in technology now
make acquiring and transmitting 12-lead ECGs in the prehospital setting both feasible and beneficial.
Prehospital 12-lead ECG with computer analysis and transmission to the emergency department is
recommended by the American Heart Association (AHA) and the National Heart Attack Alert Program
(NHAAP) for patients with chest pain and possible acute myocardial infarction (AMI). The LIFEPAK 12
defibrillator/monitor incorporates the Marquette Medical Systems 12SL™ ECG analysis program.
A 12-lead ECG is useful in the early detection and prompt treatment of patients with acute myocardial
infarction. When transmitted from the field, the procedure has been shown to shorten time to in-hospital
treatment by roughly 30 to 60 minutes. Patients may also benefit from triage and transport to the most
appropriate facility. Documentation of transient or intermittent arrhythmias and other electrophysiologic
events that occur in the prehospital setting can assist in diagnosis and treatment decisions in the ED.

LIFEPAK 12 defibrillator/monitor series Operating Instructions xv

Preface

The prehospital 12-lead ECG offers paramedics and emergency physicians significant advantages over
the single lead cardiac typically available in EMS. The prehospital 12-lead ECG not only provides a
diagnostic quality ECG for use in the detection of AMI, but also allows the knowledgeable paramedic to
determine the area of myocardial injury, anticipate associated potential complications, and implement
treatment strategies accordingly. In addition, the prehospital 12-lead ECG provides a baseline for serial
ECG evaluations. For further information, refer to the booklet, Prehospital 12-Lead ECG: What You
Should Know.

Contraindications
None known.

ABOUT SPO2 MONITORING

Indications
A pulse oximeter is a noninvasive device that checks the saturation of oxygen in arterial blood (SPO2).
It is indicated for use with any patient who is at risk of developing hypoxemia. The pulse oximeter uses
a finger cuff that directs light through the patient’s finger and then measures the received light with a
detector. This received light is translated into a saturation percentage and is displayed as an SPO2
reading.

Contraindications
None known.

TEXT CONVENTIONS
Throughout these Operating Instructions, special text characters are used to indicate labels, screen
messages, and voice prompts:
• Operating control labels: CAPITAL LETTERS such as ON/OFF and SHOCK.
• Screen messages: CAPITAL LETTERS such as CONNECT ELECTRODES.

xvi LIFEPAK 12 defibrillator/monitor series Operating Instructions

1

SAFETY INFORMATION

This section provides important information to help you operate the LIFEPAK 12
defibrillator/monitor series. Familiarize yourself with all of these terms, warnings, and symbols.

Terms page 1-2

General Warnings and Cautions 1-2
Symbols 1-3
Declaration of Conformity 1-7

LIFEPAK 12 defibrillator/monitor series Operating Instructions 1-1

Safety Information

TERMS
The following terms are used either in these Operating Instructions or on the LIFEPAK 12 defibrillator/
monitor:
Danger: Immediate hazards that will result in serious personal injury or death.
Warning: Hazards or unsafe practices that may result in serious personal injury or
death.
Caution: Hazards or unsafe practices that may result in minor personal injury,
product damage, or property damage.

GENERAL WARNINGS AND CAUTIONS

The following are general warning and caution statements. Other specific warnings and cautions are
provided as needed in other sections of these operating instructions.

WARNINGS!

Shock hazard.

The defibrillator delivers up to 360 joules of electrical energy. Unless properly used as described in
these Operating Instructions, this electrical energy may cause serious injury or death. Do not attempt to
operate this device unless thoroughly familiar with these operating instructions and the function of all
controls, indicators, connectors, and accessories.
Shock hazard.

Do not disassemble the defibrillator. It contains no operator serviceable components and dangerous
high voltages may be present. Contact authorized service personnel for repair.
Shock or fire hazard.

Do not immerse any portion of this device in water or other fluids. Avoid spilling any fluids on device or
accessories. Do not clean with alcohol, ketones, or other flammable agents. Do not autoclave or
sterilize this device or accessories unless otherwise specified.
Possible fire or explosion.

Do not use this device in the presence of flammable gases or anesthetics. Use care when operating
this device close to oxygen sources (such as bag-valve-mask devices or ventilator tubing). Turn off gas
source or move source away from patient during defibrillation.
Possible electrical interference with device performance.

Equipment operating in close proximity may emit strong electromagnetic or radio frequency
interference (RFI), which may affect the performance of this device. RFI may result in distorted ECG,
failure to detect a shockable rhythm, or cessation of pacing. Avoid operating device near cauterizers,
diathermy equipment, or cellular phones. Maintain equipment separation of at least 4 feet and do not
rapidly key EMS radios on and off. Contact Physio-Control technical support if assistance is required.
Possible electrical interference.

This defibrillator may cause electromagnetic interference (EMI) especially during charge and energy
transfers. EMI may affect the performance of equipment operating in close proximity. Verify the effects
of defibrillator discharge on other equipment prior to using defibrillator in an emergency situation, if
possible.

1-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Safety Information

WARNINGS!

Possible device shutdown.

Always have immediate access to a spare, fully charged, properly maintained battery. Replace the
battery or connect the defibrillator to ac power when the device displays a low battery warning.
Possible improper device performance.

Using other manufacturers’ cables, electrodes, or batteries may cause the device to perform improperly
and invalidates the safety agency certification. Use only the accessories specified in these Operating
Instructions.
Possible failure to detect an out of range condition.

Reselecting QUICK SET will reset the alarm limits around the patient’s current vital sign values. This
may be outside the safe range for the patient.
Safety risk and possible equipment damage.

Monitors, defibrillators, and their accessories (including electrodes and cables) contain ferromagnetic
materials. As with all ferromagnetic equipment, these products must not be used in the presence of the
high magnetic field created by a Magnetic Resonance Imaging (MRI) device. The high magnetic field
created by an MRI device will attract the equipment with a force sufficient to cause death or serious
personal injury to persons between the equipment and the MRI device. This magnetic attraction may
also damage the equipment. Consult the MRI manufacturer for more information.

CAUTION!

Possible device damage.

To help prevent component damage, do not mount device near vibration sources such as engine struts
and landing gear.

Note: Physio-Control devices, electrodes, and cables are latex-free.

SYMBOLS
The symbols below may be found in these operating instructions or on various configurations of
LIFEPAK 12 defibrillator/monitor and accessories:

Defibrillation-proof type CF terminal

Defibrillation protected, type BF patient connection

Attention, consult accompanying documents

Warning, high voltage

Type BF patient connection

LIFEPAK 12 defibrillator/monitor series Operating Instructions 1-3

Safety Information

Static sensitive device (SSD)

Safety Class II equipment (reinforced insulation)

Type B equipment

Fuse

Positive terminal

Negative terminal

LOT YYWW Lot number (batch code)

Use by expiration date

REF Reorder number (catalog number)

Date of manufacture
YYYY

Single use only

Indoor use only

Alarm on

Alarm off

VF/VT alarm on

VF/VT alarm silenced

Greater than

Less than

J Joules

1-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Safety Information

Contrast

Home screen button

No battery in well

FASTPAK battery in well, fully charged

FASTPAK battery in well, discharged

Heart rate/pulse rate indicator

(x) Shock count (x) on screen

Marking of conformity according to the medical device

directive 93/42/EEC

Canadian Standards Association certification for United States

NRTL/C (Nationally Recognized Test Laboratory) and Canada

Recognized component mark for Canada and the United States

DC voltage

AC voltage

On (power: connection to the AC mains)

Off (power: disconnection from the AC mains)

Power on/off

[signal] Input

[signal] Output

or Recycle this product

LIFEPAK 12 defibrillator/monitor series Operating Instructions 1-5

Safety Information

RB
RC
Recycle Ni-Cd battery
C
RBR
Ni-Cd

Recycle PB battery

See instructions for recycling instructions

See instructions for disposal procedure

AC to DC adapter

System connector

LIFEPAK 12 to LIFEPAK 12 cable

(See Send Configuration Setup Menu, page 9-11)

Telephone line connector

Switch on

Switch off

Pace arrow, noninvasive pacing

Pace arrow, internal pacing

R-wave sense marker

Event marker

1-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Safety Information

DECLARATION OF CONFORMITY
according to ISO/IEC Guide 22 and EN 45014
Manufacturer’s Name: Physio-Control Corporation

Manufacturer’s Address: 11811 Willows Road NE

P.O. Box 97006
Redmond, WA 98073-9706 USA

declares that the CE-marked product

Product Name: LIFEPAK 12 defibrillator/monitor series

Part Number(s): 3006112

complies with 93/42/EEC (Medical Device Directive) class II b

This product complies with:

Safety: EN60601-1:1990/IEC 601-1:1988 with amendments 1 and 2

Internally powered, Type BF with CF parts/Continuous operation
IEC 601-2-4:1983

EMC: EN60601-1-2: 1993, EN865

EN 55011:1991 − Class B, Group 1
IEC 1000 PT4-2/EN61000 PT4-2 1st edition − 3kV CD, 8 kV AD
IEC 1000 PT4-3 1st edition − 3 V/m
IEC 1000 PT4-4/EN61000 PT4-4 1st edition − 0.5 kV Signal lines
IEC 1000 PT4-5/EN61000 PT4-5 1st edition − 1 kV Power Lines
IEC 1000 PT4-5/EN61000 PT4-5 1st edition − per EN60601-1-2
(formerly IEC 801-5)

Supplementary Information
Included are the following accessories and interconnecting cables:

QUIK-COMBO™ pacing/ Internal handles with discharge controls

defibrillation/ECG electrodes QUIK-COMBO pacing/defibrillation/ECG electrodes with
SpO2 Option REDI-PAK preconnect system
12-lead ECG Option SpO2 cable EC 4 (4 feet) and EC 8 (8 feet)
AC Power Adapter SpO2 sensor, hard shell, finger
FAST-PATCH disposable Disposable sensors (NELLCOR compatible)
defibrillation/ECG electrodes 3-lead ECG cable
FAST-PATCH defibrillation cable 12-lead ECG cable (includes main cable, limb lead attachment,
Standard paddles and precordial lead attachment)
Pediatric paddle (two required) DC Output Cable (long)
Posterior paddles Cellular modem cable
External sterilizable paddles Modem

Redmond, February 13, 1998 _____________________________________________

Michael D. Willingham
Vice President of Quality and Regulatory Affairs

LIFEPAK 12 defibrillator/monitor series Operating Instructions 1-7

2

BASIC ORIENTATION

This section provides a basic orientation to the LIFEPAK 12 defibrillator/monitor.

Introduction page 2-2

Unpacking and Inspecting 2-2
Controls, Indicators, and Connectors 2-2
Connecting to Power 2-21

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-1

 Basic Orientation

INTRODUCTION
The LIFEPAK 12 defibrillator/monitor series is a complete acute cardiac care response system with
manual and semi-automatic defibrillation used by authorized healthcare providers in and out of the
hospital.
The LIFEPAK 12 defibrillator/monitor series offers the following options:
• Noninvasive pacemaker
• Pulse oximeter
• Interpretive 12-lead ECG
• 100mm printer
Note: These operating instructions include information and procedures related to all features of the
LIFEPAK 12 defibrillator/monitor series. For more information, contact your Physio-Control
representative or call the number listed on page ii of these operating instructions.
The LIFEPAK 12 defibrillator/monitor uses QUIK-COMBO™ pacing/defibrillation/ECG electrodes or
FAST-PATCH disposable defibrillation/ECG electrodes for ECG monitoring and patient therapy. The
therapy cable connects the QUIK-COMBO or FAST-PATCH electrodes to the defibrillator. For more
information about QUIK-COMBO or FAST-PATCH electrodes, refer to Section 5 of these operating
instructions.
Standard paddles (adult defibrillation paddles) are an option for the LIFEPAK 12 defibrillator/monitor.
The standard paddles can be used for QUIK-LOOK ECG monitoring, defibrillation, and synchronized
cardioversion therapies. When using standard paddles, a conductive interface designed for
defibrillation, such as defibrillation gel or gel pads, must be used between the paddle electrode surface
and the skin.
Optional pediatric, posterior, internal and external sterilizable paddles accessories are also available.
The standard adult paddles can be used for any pediatric patient weighing greater than approximately
10kg (22 lbs) as long as the paddles fit completely on the chest and there is at least one inch of space
between the paddle electrodes. Pediatric paddles should be used for patients less than 10kg (22 lbs) or
those whose chests are too small to accommodate the standard paddles.
For more information about using paddle accessories refer to Section 5 of these operating instructions.

UNPACKING AND INSPECTING

Once you have removed the LIFEPAK 12 defibrillator/monitor from the shipping container, examine the
device and all accessories for any sign of damage. Make sure you have all the required supplies and
accessories including cables, batteries, and ECG paper. Save the shipping container and foam inserts
for possibly shipping the device at a later date.

CONTROLS, INDICATORS, AND CONNECTORS

The following figures provide a brief description of the controls, indicators, and connectors for the
LIFEPAK 12 defibrillator/monitor. Figure 2-1 shows the front view of the LIFEPAK 12 defibrillator/
monitor divided into six areas. Figures 2-2 through 2-12 show details of each area. Figure 2-13 shows
the back view of the defibrillator. Additional information about areas 3, 4, and 6 follow the applicable
figures.
Note: The light emitting diode (LED) in a function key is on when the corresponding function is
active. For example, the ADVISORY key LED is on when the advisory function is active.

2-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Front View
Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

SYNC
SPO2
PACER

ALARMS RATE

12-LEAD OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE
E C T O R
SUMMARY E L
ECG S
PRINT
Home
Screen

Area 5 Area 6 Area 1

MANUAL DEFIBRILLATION
1 Push ON. Apply conductive gel to hard paddles or
apply combination electrodes.

2 Select ENERGY.
See Pulse 3 Push CHARGE. Stand clear.
Push SHOCK to deliver energy.

AED OPERATION
Oximeter • Push ON.

PHYSIO-CONTROL
• Push ANALYZE.

Sensors,
LIFEPAK 12
• Push SHOCK when directed to deliver energy.

PACER OPERATION
• Push PACER to turn pacer on.

page 3-18. DEFIBRILLATOR/MONITOR SERIES • Push RATE button and adjust up or down as needed.

• Push CURRENT button and adjust to capture.

Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

SYNC

SPO2
PACER

ALARMS RATE

12-LEAD CURRENT
OPTIONS

TRANSMIT
EVENT PAUSE

CODE
C T O
SUMMARY L E R
ECG E
S
PRINT
Home
Screen

DANGER EXPLOSION HAZARD. DO NOT USE IN THE PRESENCE OF FLAMMABLE GASES.

WARNING HAZARDOUS ELECTRICAL OUTPUT. FOR USE ONLY BY QUALIFIED PERSONNEL.

Area 3
Area 4 Area 2
Figure 2-1 Front View

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-3

 Basic Orientation

Area 1
Batt Chg
ON
Service

!
SPO2
1
ADVISORY

ANALYZE
ENERGY
SELECT

CHARGE

SHOCK

SYNC

PACER

ALARMS RATE

12-LEAD OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE
SUMMARY L E C T O R
E
ECG S
PRINT
Home
Screen

BATT CHG
Indicates line
ON
power connected.
Switches power
on or off.

SERVICE ENERGY SELECT

Indicates internal Selects energy levels
self-check failed. in manual mode.
See page 4-15.
Batt Chg
Service 1 ON

ADVISORY
ADVISORY 2 ENERGY
SELECT
Activates Continuous
Patient Surveillance
ANALYZE 3 CHARGE CHARGE
Charges the defibrillator
System (CPSS). in manual mode.
SHOCK
See page 4-5. See page 4-15.
SYNC

SHOCK
ANALYZE Discharges the
Activates defibrillator energy to
Shock Advisory patient. See page 4-15.
System (SAS).
See page 4-5.

SYNC
Activates
sychronized mode.
See page 4-15.

Figure 2-2 Defibrillation Controls

2-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Area 2
Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

!
SYNC
SPO2

2
PACER

ALARMS RATE

12-LEAD OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE E C T O R
SUMMARY E L
ECG S
PRINT
Home
Screen

PACER
Activates the pacer function.
See page 4-18.

RATE
PACER
Selects pacing rate.
CURRENT See page 4-18.
RATE
Adjusts
pacing current. CURRENT
See page 4-18.
PAUSE

PAUSE
Temporarily slows
pacing rate.
See page 4-18.

Note: Noninvasive pacing is an optional feature.

Figure 2-3 Pacing Controls

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-5

Basic Orientation

Area 3
Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

! SYNC
SPO2
PACER

ALARMS RATE

12-LEAD OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE
SUMMARY L E C T O R
ECG E
S
PRINT

3
Home
Screen

ALARMS
Activates and
silences alarms. LED
See page 2-20. Flashes when
selector is
active.
OPTIONS
Accesses ALARMS
optional CONTRAST
functions. OPTIONS Adjusts screen
See page 2-8. contrast.
EVENT

EVENT C T O
L E R
Activates user- S
E

defined events.
See page 2-7.
Home
Screen

HOME SCREEN
Returns
immediately to
Home Screen.

SELECTOR
Scrolls through and
selects menu items.
See page 2-7.

Figure 2-4 User Controls

2-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Area 3
The following paragraphs provide additional information about the controls shown in Area 3 on
page 2-6.

Contrast
Press the contrast button and rotate the Selector to adjust the screen contrast. At power on, the
contrast setting defaults to the previously adjusted setting.

Selector
The Selector allows you to navigate through and select functions that display on the LIFEPAK 12
defibrillator/monitor screen. The Selector is active when the indicator LED to the left is illuminated.
When active, you can rotate the Selector to highlight and select certain areas of the screen and
displayed menu items. Pressing the Selector activates the highlighted menu item. Default menu items
are highlighted with a gray background; when a menu item is selected, the background is black.

Home Screen
The HOME SCREEN is the background screen that displays during ECG monitoring. Pressing HOME
SCREEN returns you to the home screen from any menu screen or overlay except during AED analysis
or manual defibrillation charging and shocking.

Event
Pressing EVENT displays the following overlay.

Events
Use the Selector to scroll through and select
Generic CPR choices.

Adenosine Dopamine
Atropine Epinephrine
Bicarb Intubation
Bretylium More...

The selected event and time stamp appear in the message/status area on the screen. Events are
printed in the CODE SUMMARY Event Log. See page 9-6 for information about configuring events.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-7

Basic Orientation

Options
Pressing OPTIONS displays the overlay shown in Figure 2-5. Use the Selector to scroll through and
select the choices.

REPORTS
PATIENT
Accesses previous
Enters patient age,
patient reports. See
name, and sex.
page 6-8.
Options

Patient... Reports... PRINTER

PACING
Pacing... Printer... Selects diagnostic or
Selects demand or
monitor frequency
nondemand pacing. Date/Time... User Test response.
Alarm Volume...

DATE/TIME USER TEST

Sets the date and Activates automatic
ALARM VOLUME
time. For changes self-test. See
Adjusts volume for
to take effect, page 8-3.
alarms, tones, and
cycle power.
voice prompts.

Figure 2-5 Options

Alarms
See page 2-20 for information about setting alarms.

2-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Area 4
Batt Chg
Service 1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

!
SYNC
SPO2
PACER

ALARMS RATE

12-LEAD OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE E C T O R
SUMMARY E L
ECG S
PRINT
Home
Screen

See Pulse Oximeter

Sensors, page 3-18.

SpO2 CABLE CONNECTOR

See page 3-17.
Note: Pulse oximetry is an optional feature.
SPO2

ECG CABLE CONNECTOR

ECG

SPEAKER PRINTER THERAPY

CABLE
Note: 50mm is
CONNECTOR
standard, 100mm is
optional.

Figure 2-6 Cable Connectors, Speaker, and Printer

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-9

Basic Orientation

Area 4
The following paragraphs provide additional information about the therapy cable connector and printer
shown in Area 4 on page 2-9.

Connecting the Therapy Cable

To connect a therapy cable to the therapy cable connector:
1 Orient the therapy cable so that the arrow is on top with the cable angled to the right (see
Figure 2-7).

Locking Ring

Figure 2-7 Therapy Cable Orientation

2 Insert the therapy cable into the therapy cable connector on the defibrillator.
3 Push the therapy cable until you feel the connector lock in place.

Disconnecting the Therapy Cable

To disconnect a therapy cable from the defibrillator:
1 Rotate the locking ring on the therapy cable in the direction of the arrow (counterclockwise) until it
stops (see Figure 2-8).
2 Gently pull the cable out.

Figure 2-8 Disconnecting the Therapy Cable

WARNING!

Possible equipment damage and inability to deliver therapy.

To protect the therapy cable connector from damage or contamination, keep therapy cable connected
to the defibrillator at all times.

2-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Loading 50mm Paper

The printer is equipped with an out-of-paper sensor to protect the printhead. The sensor automatically
turns off the printer if paper runs out or if the printer door is open.
To load the paper:
1 Pull the slotted edge of the front printer door to open the printer.
2 Remove empty paper roll.
3 Insert new paper roll, grid facing forward.
4 Pull out a short length of paper.
5 Push the rear printer door in and push down on the front printer door to close.

1
5
2 4
3
2

Figure 2-9 Loading 50mm Paper

Loading 100mm Paper

The printer is equipped with an out-of-paper sensor to protect the recorder printhead. The sensor
automatically turns off the recorder if paper runs out or the recorder door is open.
To load the paper:
1 Lift the printer door latch to release the door.
2 Pull out the printer door.
3 Remove the empty paper spool.
4 Insert a new paper roll with the graph side facing up. Make sure the end of the paper extends
outward so it is exposed when the printer door is closed.
5 Close the printer door and push down on the latch until the door clicks shut.

2
4 5
3

Figure 2-10 Loading 100mm Paper

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-11

Basic Orientation

Area 5
Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

SYNC
!
SPO2
PACER

ALARMS RATE

12-LEAD

5
OPTIONS CURRENT

TRANSMIT EVENT PAUSE

CODE
SUMMARY L E C T O R
E
ECG S
PRINT
Home
Screen

12-LEAD
Initiates acquisition
of a 12-lead ECG.
See page 3-8.
Note: 12-lead ECG is
an optional feature.
12-LEAD CODE SUMMARY
Prints a CODE
TRANSMIT SUMMARY critical
event record.
CODE See page 6-3.
SUMMARY

PRINT
TRANSMIT
Transmits current
patient data.
See page 6-9.

PRINT
Starts or stops
the printer.

Figure 2-11 12-lead ECG and Print Controls

2-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Area 6
Batt Chg
Service
1 ON

ENERGY
ADVISORY 2 SELECT

ANALYZE 3 CHARGE

SHOCK

!
SPO2

12-LEAD

TRANSMIT
6 ALARMS

OPTIONS

EVENT
SYNC

PACER

RATE

CURRENT

PAUSE
CODE
SUMMARY L E C T O R
E
ECG S
PRINT
Home
Screen

TOP SCREEN AREA

Displays ECG size, time, indicators for
VF/VT alarm, battery charge, and
selected energy.

WAVEFORM
CHANNEL
MONITORING AREA
AREA Displays up to
Displays three waveform
patient channels.
monitoring See page 2-14.
parameters
and alarm
indicators. See
page 2-14.

STATUS MESSAGE AREA

Displays messages and alarms.

Figure 2-12 Screen

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-13

Basic Orientation

Area 6
The following paragraphs provide additional information about Area 6 on page 2-13.

Monitoring Area — Heart Rate

The LIFEPAK 12 defibrillator/monitor displays a heart rate between 20 and 300bpm. A heart rate
symbol flashes with each beat. If the heart rate is below 20bpm or pacing is active, the screen displays
dashes (– – –). Heart rates above 300bpm do not yield valid systole tones and the displayed heart rate
will not be valid. The heart rate indicator is a tool to be used in addition to patient assessment. Care
should be taken to assess the patient at all times and not rely solely on the heart rate displayed.

WARNING!

Failure to detect a change in ECG rhythm.

Heart rate meters may continue to count the internal pacing pulses during occurrences of cardiac arrest
or some arrhythmias. Do not rely entirely on heart rate meter alarms. Keep pacemaker patients under
close surveillance.

QRS detection is essential for using the digital heart rate display, systole tone, synchronized
cardioversion, and noninvasive demand pacing.
The QRS detector in the LIFEPAK 12 defibrillator/monitor selectively detects QRS complexes. It
discriminates against most noise, muscle artifact, T-waves, and other spurious signals.
Detection of QRS complexes and rejection of other signals require the proper setting of ECG size. If
ECG size is set too low, QRS complexes will not be detected, no systole tones or sense (synchronizer)
markers will appear, and the heart rate display will be incorrect. If ECG size is set too high, systole
tones and sense markers may occur on spurious signals and the heart rate display may be incorrect.

Monitoring Area — SpO2 (pulse oximeter)

The oxygen saturation level displays as a percentage from 50 to 100. Saturation below 50% displays as
<50%. A fluctuating bar graph represents the pulse signal strength.

Waveform Channel Area

Channel 1. This is the top channel. It displays the primary ECG waveform. It is always visible.

Channel 2. This is the middle channel. It can display an additional waveform or a continuation of the
Channel 1 ECG.

Channel 3. This is the bottom channel. It is active only when a 100mm printer is installed in the
monitor. It can display an additional waveform.

2-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Selecting Waveform Channels

The monitor power must be on.

1 At the home screen, rotate the

Selector to highlight channel 1, 2, or 3.
2 Press the Selector. An overlay
appears with the monitoring choices
for the selected channel.
3 Rotate and press Selector to select
monitoring choices for that channel.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-15

Basic Orientation

Back View GURNEY HOOKS MODEM

ACCESS DOOR

STANDARD See Warnings,

PADDLE WELLS pages 2-21 and 8-9.

2 1
LIFEPAK 12 NRTL/C 0123

CLASS 1 IPX4

PN

SN

V A/W Hz
Patents Pending

PHYSIO-CONTROL CORPORATION
Redmond, Washington
Made in U.S.A.

BATTERY See Warning, POWER

WELLS page 2-17. ADAPTER
CONNECTOR
SYSTEM
CONNECTOR

Figure 2-13 Back View

2-16 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

Back View
The following paragraphs provide additional information about the Back View on page 2-15.

System Connector
The system connector allows you to connect the LIFEPAK 12 defibrillator/monitor to an external
modem or computer for telecommunication of patient reports. It also allows access to another
LIFEPAK 12 defibrillator/monitor so that you can transfer setup information. In addition, the system
connector enables a real-time ECG output.

WARNING!

Shock hazard.

If you are monitoring a patient and using the system connector, all equipment connected to the system
connector must be battery powered or electrically isolated from AC power according to EN 60601-1. If
in doubt, disconnect the patient from the monitor before using the system connector. For more
information, contact Physio-Control Technical Support.

Power Adapter Connector

The power adapter allows you to connect the PHYSIO-CONTROL® AC or DC Power Adapter only to
the LIFEPAK 12 defibrillator/monitor.
The power adapter may not be available for use in all countries. For more information, contact your
local Physio-Control representative.

Standard Paddles (Optional)

Figure 2-14 describes the standard paddles’ features.

SHOCK BUTTONS
Discharge the
defibrillator. Both buttons PRINT BUTTON
must be pressed Activates printer.
simultaneously to Functions identically to
deliver energy. PRINT button on front
panel.

CHARGE BUTTON
Charges the defibrillator.
Adjacent CHARGE
indicator flashes when
device is charging and
glows steadily when fully
charged.

ENERGY SELECT DIAL

Rotary dial changes
energy levels displayed on
the screen.
Figure 2-14 Standard Paddles

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-17

Basic Orientation

Entering Patient Data

The following paragraphs describe how to enter or edit a patient’s name, age, or sex.

Options
1 Press OPTIONS.
Patient... Reports... 2 Select PATIENT.
Pacing... Printer...
Date/Time... User Test...
Alarm Volume...

To enter or edit a patient’s name:

Options / Patient
1 Select last or first name.
Last Name
First Name
40
Age
Gender Male

2 Rotate the Selector to scroll through the

alphabet to display the desired letter.
3 Press the Selector.
The letter will appear in the highlighted
area.

2-18 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

4 Repeat steps 2 and 3 until the name is

complete.
5 Scroll and select END when the name is
complete.
There are two additional commands:
BACKUP (moves highlight bar left one
space) and a blank space (inserts a
blank space).

To enter or edit a patient’s age:

1 Select AGE.
2 Rotate the Selector to scroll to the desired
age.
3 Press the Selector.

To enter or edit a patient’s sex:

1 Select SEX.
2 Rotate the Selector to highlight MALE or
FEMALE.
3 Press the Selector.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-19

Basic Orientation

Setting Alarms
When you press the ALARMS button, the following ALARMS overlay appears:

Alarms
Select QUICK SET to activate the alarms for all
Quick Set active parameters. The QUICK SET limits are
Wide automatically set based on the patient’s
Limits current vital sign values. The alarm limits
2 min
Silence default to the displayed setting (WIDE or
Off NARROW).
VT/VF Alarm

Alarms
Select LIMITS to change the alarm limits to
Quick Set WIDE or NARROW.

Limits Wide

2 min
Silence
Off
VT/VF Alarm

Alarms
Select SILENCE to turn off the audible alarm
Quick Set for up to 15 minutes. If an alarm limit is
Wide exceeded while the alarm is silenced, the
Limits violated parameter flashes, an alarm
2 min
Silence message appears, but the alarm tone
Off remains silent.
VT/VF Alarm

2-20 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Basic Orientation

1 Select VF/VT ALARM to turn on continuous

Alarms monitoring for ventricular fibrillation and
ventricular tachycardia in manual mode.
Quick Set
Wide
When the alarm is on, a symbol
Limits appears above the primary ECG. When
2 min the alarm is silenced or suspended, an X
Silence
Off
appears over the symbol.
VT/VF Alarm 2 Reselect VF/VT to turn off this alarm.
Note: When VF/VT ALARM is on, you are
limited to Paddles lead or Lead II.
See Selecting ECG Lead and Size on
page 3-2.
Note: The VF/VT alarm will be
suspended when the pacer is on and
when Standard Paddles are attached to
the LIFEPAK 12 defibrillator/monitor
and PADDLES LEAD is selected.

Managing Alarms
The alarm bell symbol indicates when alarms are on or off . When alarms are on and an alarm
limit is exceeded, a tone sounds, the violated parameter flashes, and an alarm message appears.
To manage an alarm:
1 Press ALARMS. This silences the alarm for 2 minutes.
2 Assess the cause of the alarm.
3 Assess the appropriateness of the limits settings (WIDE or NARROW).
4 If the patient is unstable, consider silencing the alarms for up to 15 minutes. Do not reselect QUICK
SET.

WARNING!

Possible failure to detect an out of range condition.

Reselecting QUICK SET will reset the alarm limits around the patient’s current vital sign values. This
may be outside the safe range for the patient.

5 Once the patient is stable, reselect QUICK SET if necessary.

When alarms are on, you can silence them preemptively for up to 15 minutes.
To silence alarms preemptively:
1 Press ALARMS.
2 Select SILENCE.
3 Select SILENCE duration of 2, 5, 10, or 15 minutes.
4 The message ALARMS SILENCED appears on the bottom of the display screen.

CONNECTING TO POWER
The LIFEPAK 12 defibrillator/monitor series operates using external removable batteries. Depending on
your usage requirements, the batteries can be nickel-cadmium (NiCd) or sealed lead acid (SLA). NiCd
batteries are best suited for high use, transport environments where the batteries are cycled frequently.
SLA batteries are best suited for low use transport, or crash cart environments where the batteries are
continuously charged. For further information, refer to Section 8, Battery Maintenance.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 2-21

 Basic Orientation

The defibrillator/monitor can also operate using the PHYSIO-CONTROL® AC or DC Power Adapter. For
further information regarding the Power Adapters, see Section 7.

Batteries
Table 2-1 describes the different batteries available.
Table 2-1 LIFEPAK 12 defibrillator/monitor Batteries
Name Type Amp Hours Fuel Gauge Charger

FASTPAK NiCd 1.2 no BSS or BSS 2

FASTPAK 2 NiCd 1.2 yes BSS 2
LIFEPAK SLA SLA 2.5 no BSS 2
Battery Type: NiCd or SLA.
Amp Hours: The amount of capacity the battery has when new and fully charged.
Fuel Gauge: Tracks capacity to show how much charge is left in the battery.
Charger: Identifies which Battery Support System to use for charging, conditioning, and shelf life
testing. For more information, refer to the applicable Battery Support System Operating Instructions.

Installing/Removing Batteries

WARNING!

Possible loss of power during patient care.

Stored batteries lose charge. Failure to charge a stored battery before use may cause device power
failure without warning. Always charge a stored battery before placing it in active use.

CAUTION!

Possible equipment damage.

Battery pins in the defibrillator may be damaged if batteries are dropped or forced into battery wells.
Inspect pins routinely for signs of damage.

Routinely inspect batteries for damage or leakage. Discard/recycle damaged or leaking batteries.
Charge batteries before placing in use.
To install batteries:
1 Inspect the battery pins in the battery wells for signs of damage.
2 Align the battery so that the battery clip is over the pins in the battery well.
3 Insert the end of the battery opposite the battery clip into the battery well.
4 Firmly press the other end of the battery into the battery well until it clicks into place.
To remove the battery, press the battery clip in and lift the battery out of the battery well.

2-22 LIFEPAK 12 defibrillator/monitor series Operating Instructions

3

MONITORING

This section describes the monitoring features of the LIFEPAK 12 defibrillator/monitor series.

Monitoring the ECG page 3-2

Acquiring a 12-lead ECG 3-8
Monitoring SpO2 3-15

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-1

 Monitoring

MONITORING THE ECG

The following paragraphs describe:
• ECG Monitoring Warning
• Selecting ECG Lead and Size
• Adjusting the Systole Volume
• Monitoring ECG with Paddles Accessories
• Monitoring with Patient ECG Cable
• Troubleshooting Tips for ECG Monitoring

ECG Monitoring Warning

WARNING!

Possible misinterpretation of ECG data.

The frequency response of the monitor screen is intended only for basic ECG rhythm identification; it
does not provide the resolution required for diagnostic and ST segment interpretation. For diagnostic or
ST segment interpretation, or to enhance internal pacemaker pulses, attach the 3-lead or 12-lead ECG
cable. Then print the ECG rhythm in diagnostic frequency response (DIAG) or obtain a 12-lead ECG.

Selecting ECG Lead and Size

To select or change ECG LEAD:

1 For the primary ECG, highlight and

select Channel 1.
2 Select LEAD.
3 Rotate the Selector to scroll through the
ECG leads. The highlighted selection
shows the displayed ECG lead.
Note: When the VF/VT ALARM is on,
you are limited to Paddles lead or
Lead II. See Setting Alarms on page
2-20.

To select or change ECG SIZE:

1 For the primary ECG, highlight and select

Channel 1.
2 Select SIZE.
3 Rotate the Selector to scroll through the
ECG sizes. The highlighted selection
shows the current ECG size.

Note: Repeat these procedures to select or change ECG LEAD and SIZE for channels 2 and 3.

3-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

Adjusting the Systole Volume

To adjust the systole beep volume, highlight and select HR on the Home Screen.
The following overlay appears:

HR
1 Select QRS Volume.
2 Rotate the Selector to the desired volume.
3 Press the Selector to set the volume.
QRS Volume

Monitoring ECG with Paddles Accessories

Anterior-lateral Placement
Anterior-lateral placement is the only placement that should be used for ECG monitoring with paddles
accessories.
1 Place either the ♥ or + therapy electrode, or APEX paddle lateral to the patient's left nipple in the
midaxillary line, with the center of the electrode in the midaxillary line, if possible. See Figure 3-1.

Anterior (Sternum) STERNUM

Lateral (Apex) APEX

QUIK-COMBO FAST-PATCH Standard

Electrodes Electrodes Paddles

Figure 3-1 Anterior-lateral Placement

2 Place the other therapy electrode or STERNUM paddle on the patient's upper right torso, lateral to the
sternum and below the clavicle as shown in Figure 3-1.

Special Placement Situations

When placing therapy electrodes or standard paddles, be aware of the special requirements in the
following possible situations.
Obese Patients or Patients with Large Breasts. Apply therapy electrodes or standard paddles to a
flat area on the chest, if possible. If skin folds or breast tissue prevent good adhesion, it may be
necessary to spread skin folds apart to create a flat surface.
Thin Patients. Follow the contour of the ribs and spaces when pressing the therapy electrodes or
standard paddles onto the torso. This limits air spaces or gaps under the electrodes and promotes good
skin contact.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-3

Monitoring

Patients with Implanted Pacemakers. If possible, place therapy electrodes or standard paddles away
from internal pacemaker generator.
Patients with Implanted Defibrillators. Apply therapy electrodes or standard paddles in the anterior-
lateral position and treat this patient as any other patient requiring emergency care.

Paddles Monitoring Procedure

To monitor using therapy electrodes or standard paddles:
1 Press ON. Adjust contrast if necessary.
2 Prepare the patient’s skin:
• Remove excessive chest hair as much as possible. Avoid nicking or cutting the skin. If possible,
avoid placing therapy electrodes or standard paddles over broken skin.
• Clean and dry the skin.
• Do not use alcohol, tincture of benzoin, or antiperspirant to prep the skin.
3 Apply the therapy electrodes or standard paddles in the anterior-lateral position.
For therapy electrodes, confirm that the package is sealed and the date is not expired. For standard
paddles, apply conductive gel over the entire electrode surface.
4 Connect the therapy electrodes to the therapy cable.
5 Select PADDLES lead.

Monitoring with the Patient ECG Cable

There are two ECG cables available for ECG monitoring as shown in Figure 3-2: the 3-lead cable and
the 12-lead cable.

Connecting the Patient ECG Cable

Connect the cable by inserting the main cable connector into the green electrically isolated ECG
connector on the monitor. For the 12-lead cable, be sure the limb lead attachment is connected to the
main cable. (If the precordial lead attachment is not needed, close the protective flap.)
To monitor using a precordial lead or to obtain a 12-lead ECG, connect the precordial lead attachment
of the 12-lead cable.

12-Lead cable
Main cable
Limb lead
attachment
3-Lead cable

Precordial lead
attachment

Figure 3-2 12-lead and 3-lead ECG Cables

3-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

ECG Monitoring Procedure

1 Press ON. Adjust contrast if necessary.
2 Attach the ECG cable to the monitor.
3 Identify the appropriate electrode sites on the patient as shown in Figure 3-3.

AHA Labels IEC Labels

RA/R LA/L RA Right Arm R Right
LA Left Arm L Left
*RL Right Leg N Negative
LL Left Leg F Foot

*Note: Not used for 3-lead cable.

RL/N LL/F
Figure 3-3 Limb Lead Electrode Placement

4 Prepare the patient’s skin for electrode application:

• Shave excessive hair at electrode site. Avoid locating electrodes over tendons and major muscle
masses.
• For oily skin, clean skin with alcohol pad.
• Dry site with brisk rub.
5 Apply ECG electrodes:
• Confirm package is sealed and date is not expired.
• Attach an electrode to each of the lead wires.
• Grasp electrode tab and peel electrode from carrier.
• Inspect electrode gel and make sure gel is intact (discard electrode if gel is not intact).
• Hold electrode taut with both hands. Apply the electrode flat to the skin. Smooth tape outwardly.
Avoid pressing the center of the electrode.
• Secure the cable using the cable clasp.
6 Select the desired limb lead on the monitor screen.
7 If necessary, adjust ECG size for accurate heart rate counting.
8 Press PRINT to obtain an ECG printout.

Precordial Lead ECG Monitoring

The precordial (chest) leads (V1 through V6 for AHA, or C1 through C6 for IEC) can be used for
monitoring when using the 12-lead cable.
1 Insert the precordial lead attachment into the main cable as shown in Figure 3-2.
2 Place the precordial lead electrodes on the chest as described in the 12-lead ECG procedure and
shown in Figure 3-5 on page 3-9.

ECG Electrode Requirements

Electrode quality is critical for obtaining an undistorted ECG signal. Always check the date code on
electrode packages for expiration date before using on a patient. Do not use electrodes with expired
date codes. Disposable electrodes are intended for a single use.
For best ECG monitoring results, use silver/silver chloride (Ag/AgCl) electrodes such as Physio-Control
LIFE•PATCH® ECG electrodes. Post-defibrillation display of ECG on the screen is faster using silver/
silver chloride electrodes than with other electrode types.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-5

Monitoring

Leads Off Messages

If an electrode or lead wire disconnects during ECG monitoring, the monitor emits an audible alarm and
displays a leads off message. The ECG trace becomes a dashed line. The alarm and messages
continue until the electrode or lead wire is replaced.

Color Coding for ECG Leads

The lead wires and the electrode snaps for the patient ECG cable are color coded according to AHA or
IEC standards as listed in Table 3-1.
Table 3-1 ECG Leads Color Codes

Leads AHA Label AHA Color IEC Label IEC Color

Limb Leads RA White R Red

LA Black L Yellow
RL Green N Black
LL Red F Green
Precordial Leads V1 Red C1 Red
V2 Yellow C2 Yellow
V3 Green C3 Green
V4 Blue C4 Brown
V5 Orange C5 Black
V6 Violet C6 Violet

Monitoring Patients with Internal Pacemakers

The LIFEPAK 12 defibrillator/monitor typically does not use internal pacemaker pulses to calculate the
heart rate. However, when using therapy electrodes or standard paddles to monitor in paddles lead,
the monitor may detect internal pacemaker pulses as QRS complexes. This may result in an
inaccurate heart rate display.
Smaller amplitude internal pacemaker pulses may not be distinguished clearly in paddles lead. For
greater visibility of internal pacemaker pulses, connect the ECG cable and print the ECG in diagnostic
frequency response.
Large amplitude pacemaker pulses may overload the QRS complex detector circuitry so that no paced
QRS complexes are counted. To help minimize ECG pickup of large unipolar pacemaker pulses when
monitoring patients with internal pacemakers, place ECG electrodes so the line between the positive
and negative electrodes is perpendicular to the line between the pacemaker generator and the heart.
The LIFEPAK 12 defibrillator/monitor annotates internal pacemaker pulses with a hollow arrow on
the printed ECG. False annotations of this arrow may occur if ECG artifacts mimic internal pacer
pulses. Patient history and other ECG waveform data, such as wide QRS complexes, should be used to
verify the presence of an internal pacemaker.

3-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

Troubleshooting Tips for ECG Monitoring

If problems occur while monitoring the ECG, check the list of observations in Table 3-2 for aid in
troubleshooting. For basic troubleshooting problems such as no power, refer to General
Troubleshooting Tips in Section 8.
Table 3-2 Troubleshooting Tips for ECG Monitoring

Observation Possible Cause Corrective Action

1 Screen blank and ON LED CONTRAST needs adjustment. • Adjust contrast.

lighted. Screen not functioning properly. • Print ECG on recorder as backup.
• Contact service personnel for repair.
2 Any of these messages Therapy electrodes not connected. • Confirm therapy electrode
displayed: connections.
CONNECT ELECTRODES One or more ECG electrodes • Confirm ECG electrode connections.
CONNECT ECG LEADS disconnected.
ECG LEADS OFF ECG cable is not connected to • Confirm ECG cable connections.
XX LEADS OFF monitor.
Poor electrode-to-patient • Reposition cable and/or lead wires to
adhesion. prevent electrodes from pulling away
from patient.
• Prepare skin and replace electrode(s).
• Select another lead.
Broken ECG cable lead wire. • Select PADDLES lead and use standard
paddles or therapy electrodes for ECG
monitoring.
• Check ECG cable continuity.
3 Poor ECG signal quality. Poor electrode-skin contact. • Reposition cable and/or lead wires to
prevent electrodes from pulling away
from patient.
• Prepare skin and replace electrode(s).
Outdated, corroded, or dried-out • Check date codes on electrode
electrodes. packages.
• Use only unexpired silver/silver
chloride electrodes.
• Leave electrodes in sealed pouch until
time of use.
Loose connection. • Check/reconnect cable connections.
Damaged cable or connector/lead • Inspect ECG and therapy cables.
wire. Replace if damaged.
• Check cable with simulator and
replace if malfunction observed.
Noise because of radio frequency • Check for equipment causing RFI
interference (RFI). (such as a radio transmitter) and
relocate or turn off equipment power.
4 Baseline wander Inadequate skin preparation. • Prepare skin and reapply electrodes.
(low frequency/high Poor electrode-skin contact. • Check electrodes for proper adhesion.
amplitude artifact). Diagnostic frequency response. • Print ECG and monitor frequency
response.
5 Fine baseline artifact Inadequate skin preparation. • Prepare skin and reapply electrodes.
(high frequency/low Isometric muscle tension in arms/ • Confirm that limbs are resting on a
amplitude). legs. supportive surface.
• Check electrodes for proper adhesion.
6 Systole beeps not heard Volume too low. • Adjust volume.
or do not occur with each QRS amplitude too small to detect. • Adjust ECG size.
QRS complex.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-7

Monitoring

Observation Possible Cause Corrective Action

7 Monitor displays dashed PADDLES lead selected but patient • Select one of the limb or precordial
lines with no ECG leads connected to ECG cable. leads.
off messages.
8 Heart rate (HR) display ECG size set too high or too low. • Adjust ECG size up or down.
different than pulse rate. Monitor detecting the patient’s • Change monitor lead to reduce internal
internal pacemaker pulses. pacemaker pulse size.

ACQUIRING A 12-LEAD ECG

The following paragraphs describe:
• 12-lead ECG Warning
• Identifying Electrode Sites
• 12-lead Procedure
• 12-lead ECG Reports
• Troubleshooting Tips for 12-lead ECG

12-lead ECG Warning

WARNING!

Possible inability to obtain a diagnostic 12-lead ECG.

Using previously unpackaged electrodes or electrodes with expired date codes may impair ECG signal
quality. Remove electrodes from a sealed package immediately before use and follow the procedure for
applying the electrodes.

Identifying Electrode Sites

To obtain a 12-lead ECG, place the electrodes on the limbs and the chest (precordium), as described in
the following paragraph.

Limb Lead Electrode Sites

When acquiring a 12-lead ECG, limb lead electrodes are typically placed on the wrists and ankles as
shown in Figure 3-4. The limb lead electrodes can be placed anywhere along the limbs. Do not place
the limb lead electrodes on the torso when acquiring a 12-lead ECG.

RA/R LA/L
AHA Labels IEC Labels
RA Right Arm R Right
LA Left Arm L Left
RL Right Leg N Negative
LL Left Leg F Foot

RL/N LL/F

Figure 3-4 Limb Lead Electrode Placement for 12-lead ECG

3-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

Precordial Lead Electrode Sites

The six precordial (chest) leads are placed on specific locations as shown in Figure 3-5 and
summarized in Table 3-3. Proper placement is important for accurate diagnosis and should be identified
as follows (leads are V1 through V6 for AHA, or C1 through C6 for IEC; refer to Table 3-1 on page 3-6
for color codes).

Table 3-3 Precordial Lead Electrode Placement

Lead Location

Angle of V1 C1 Fourth intercostal space to the right of the sternum

Louis V2 C2 Fourth intercostal space to the left of the sternum
V3 C3 Directly between leads V2/C2 and V4/C4
1 2
3 V4 C4 Fifth intercostal space at midclavicular line
4 5 6
V5 C5 Level with V4/C4 at left anterior auxiliary line
V6 C6 Level with V5/C5 at left midaxillary line

Figure 3-5 Precordial Lead Electrode Placement

Locating the V1/C1 position (fourth intercostal space) is critically important because it is the reference
point for locating the placement of the remaining V/C leads. To locate the V1/C1 position:
1 Place your finger at the notch in the top of the sternum.
2 Move your finger slowly downward about 1.5 inches (3.8 centimeters) until you feel a slight
horizontal ridge or elevation. This is the Angle of Louis where the manubrium joins the body of the
sternum.
3 Locate the second intercostal space on the patient’s right side, lateral to and just below the Angle of
Louis.
4 Move your finger down two more intercostal spaces to the fourth intercostal space, which is the
V1/C1 position.
5 Continue locating other positions from V1 (see Table 3-3).
Other important considerations:
• When placing electrodes on female patients, always place leads V3-V6 and C3-C6 under the breast
rather than on the breast.
• Never use the nipples as reference points for locating the electrodes for men or women patients,
because nipple locations may vary widely.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-9

Monitoring

12-lead Procedure
To acquire a 12-lead ECG:
1 Press ON.
2 Insert the limb lead and the precordial lead attachments into the main cable as shown in Figure 3-6.

Main cable
Limb lead
attachment

Protective flap
(open)

Precordial lead
attachment

Figure 3-6 12-lead ECG Cable

3 Insert the cable connector into the green ELECTRICALLY ISOLATED ECG connector on the monitor.
4 Prepare patient’s skin for electrode application as described on page 3-5.
5 Apply ECG electrodes as described on page 3-5.
6 Encourage the patient to remain as still as possible.
7 Press 12-LEAD.
The 12-lead/age menu appears, prompting you to enter the patient’s age. If you do not enter an age,
age 40 is automatically selected.
8 If the monitor detects signal noise (such as patient motion or a disconnected electrode), the 12-lead
acquisition is interrupted until noise is removed. Take appropriate action as required to eliminate
noise, or press 12-LEAD again to override. Troubleshooting tips are provided in Table 3-4.
9 A 12-lead ECG report automatically prints if so configured. (See Table 9-6, 12-lead Setup menu.)

Data Acquisition Mode

The defibrillator requires 10 seconds of ECG data for each 12-lead ECG requested. The monitor can be
configured to analyze the 10 seconds of data before you press 12-LEAD (the PRE option) or 10 seconds
of data after you press 12-LEAD (the POST option).

ECG Override
If the monitor detects signal noise while acquiring data (such as patient motion or a disconnected
electrode), the screen displays the message NOISY DATA! PRESS 12-LEAD TO ACCEPT. This message
remains as long as signal noise is detected. When signal noise is eliminated, the monitor resumes
acquiring data. If the signal noise persists for longer than 30 seconds, the 12-lead acquisition stops.
The screen displays EXCESSIVE NOISE–12-LEAD CANCELLED. You must then press 12-LEAD to restart
12-lead ECG acquisition.
While the monitor displays the message NOISY DATA! PRESS 12-LEAD TO ACCEPT, you can choose to
press 12-LEAD again and force the monitor to acquire the 12-lead ECG report regardless of detected
signal noise or disconnected leads. Any 12-lead ECG reports acquired in this way are annotated with
the following message:
***ECG OVERRIDE: DATA QUALITY PROHIBITS INTERPRETATION***
No interpretation information prints on this type of 12-lead ECG report.

3-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

12-lead ECG Reports

The monitor prints the 12-lead ECG report in a standard three- or four-channel format. To select the
desired format, refer to Section 6, Options/Reports/Print.
To protect reports after printing:
• Avoid extended exposure to direct sunlight
• Do not store in plastic folders (use paper only)
• Do not apply tape or adhesives to the printed side
An ECG leads-off condition for any lead is indicated on the report by a dashed line.

The 3-channel Format

Figure 3-7 is an example of a 12-lead ECG report printed in the 3-channel format that includes 2.5
seconds of data from each of the 12 leads. The sequence of leads for the 3-channel format is always
printed in the order shown in Figure 3-7. Twelve-lead ECG reports are always acquired and printed in
diagnostic frequency response. The 12-lead ECG reports can be reprinted in monitor frequency
response if desired.
In addition to the standard formats, the reports can be printed in Cabrera format. To set the 12-lead
printout to Cabrera format, refer to Section 9, 12-lead Setup Menu.

Patient ID Standard measurements Computerized ECG analysis

Report
type and Name: John Clayton HR 89bpm • ***ACUTE MI SUSPECTED***
sequence ID 012098144924 PR 0.172s QRS 0. 100s • Abnormal ECG **Unconfirmed**
Age: 40 Sex: M QT/QTc 0.380s/0.462s • Normal sinus rhythm
number 12-Lead 1 P-QRS-T Axes: 64° 61° 101° • ST elevation consider inferior injury or
20 Jan 98 14:52:32 acute infarct
aVR V1 V4

Time/date of
recording aVL V2 V5

aVF V3 V6
1mV reference
pulse
x1.0 .05-150Hz 25mm/sec 000 000 AD MN PF 3 e3

ECG Frequency Printer Lead Device # Site # Monitor Model,

size response speed annotation software serial
version number
Figure 3-7 Example of Printed Standard 3-channel 12-lead ECG Report

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-11

Monitoring

Name: John Clayton HR 89bpm • ***ACUTE MI SUSPECTED***

ID 012498103253 PR 0.166s QRS 0. 100s • Abnormal ECG **Unconfirmed**
Age: 40 Sex: M QT/QTc 0.380s/0.462s • Normal sinus rhythm
12-Lead 1 P-QRS-T Axes: 69° 68° 101° • ST elevation consider inferior injury or
24 Jan 98 10:35:14 acute infarct
aVL V1 V4

aVF V2 V5

-aVR V3 V6

x1.0 .05-150Hz 25mm/sec 000 000 AD MN PF 3 e3

Figure 3-8 Example of Printed Cabrera 3-channel 12-lead ECG Report

The 4-channel Format

Figures 3-9 and Figure 3-10 are examples of 12-lead ECG reports printed in the 4-channel format. The
4-channel format consists of the median complex (or median beat) derived for each of the 12 leads and
10 seconds of data for Lead II.
The interpretation statements pertaining to myocardial injury, infarct, and ischemia are derived from
measurements made on a signal-averaged beat (median beat) formed for each of the 12 leads. The
computerized ECG analysis selects three representative beats from the ten seconds of data for each
lead and averages the three beats to derive the median beat for that lead.

aVR V1 V4 Name: John Clayton HR 89bpm

ID 012098144924 PR 0.172s QRS 0. 100s
Age: 40 Sex: M QT/QTc 0.380s/0.462s
12-Lead 1 P-QRS-T Axes: 64° 61° 101°
20 Jan 98 14:52:32
aVL V2 V5
• ***ACUTE MI SUSPECTED***
• Abnormal ECG **Unconfirmed**
• Normal sinus rhythm
• ST elevation consider inferior injury or acute infarct
aVF V3 V6

x1.0 .05-150Hz 25mm/sec 000 000 AD MN PF 3 e3

Figure 3-9 Example of Printed Standard 4-channel 12-lead ECG Report

3-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

aVL V1 V4 Name: John Clayton HR 89bpm

ID 012498103253 PR 0.166s QRS 0. 100s
Age: 40 Sex: M QT/QTc 0.380s/0.462s
12-Lead 1 P-QRS-T Axes: 69° 68° 101°
24 Jan 98 10:35:14
aVF V2 V5
• ***ACUTE MI SUSPECTED***
• Abnormal ECG **Unconfirmed**
• Normal sinus rhythm
• ST elevation consider inferior injury or acute infarct
-aVR V3 V6

x1.0 .05-150Hz 25mm/sec 000 000 AD MN PF 3 e3

Figure 3-10 Example of Printed Cabrera 4-channel 12-lead ECG Report

Computerized ECG analysis

Computerized ECG analysis statements are available for printing on LIFEPAK 12 monitor 12-lead ECG
reports. For more information, refer to the 12SL™ ECG Analysis Program Physician’s Guide.
Computerized ECG analysis should not be used to withhold or prescribe patient treatment without
review by qualified medical personnel. All 12-lead ECG interpretation statements provided by the
LIFEPAK 12 monitor include the printed message **UNCONFIRMED**.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-13

Monitoring

Troubleshooting Tips for 12-lead ECG

Table 3-4 Troubleshooting Tips for 12-lead ECG

Observation Possible Cause Corrective Action

1 Any of these messages One or more ECG electrodes • Confirm ECG electrode connections.
displayed: disconnected.
CONNECT ECG LEADS ECG cable is not connected • Confirm ECG cable connections.
ECG LEADS OFF
XX LEADS OFF
to monitor.
Poor electrode-to-patient • Reposition cable and/or lead wires to
adhesion. prevent electrodes from pulling away from
patient.
• Prepare skin and replace electrode(s).
Broken lead wire. • Select another lead.
• Select PADDLES lead and use standard
paddles or therapy electrodes for ECG
monitoring.
• Check ECG cable continuity.
2 Noisy signal and/or Noise in a lead(s) other than • Press 12-LEAD again to override the
message displayed: the displayed lead. message. Examine the printout to
NOISY DATA! PRESS determine which lead(s) affected by
12-LEAD TO ACCEPT noise. Replace or reposition the affected
electrodes(s) and lead wire(s).
Poor electrode-skin contact. • Reposition cable and/or lead wires to
prevent electrodes from pulling away from
patient.
• Prepare skin and replace electrode(s).
Loose connection. • Check/reconnect cable connections.
Patient motion. • Encourage patient to lie quietly.
• Support patient’s limbs.
Vehicle motion. • Stop vehicle while acquiring 12-lead ECG
data.
Outdated, corroded, or dried- • Check date codes on electrode
out electrodes. packages.
• Use only unexpired silver/silver chloride
electrodes. Leave electrodes in sealed
pouch until time of use.
Radio Frequency • Check for equipment causing RFI (such
Interference (RFI). as a radio transmitter) and relocate or turn
off equipment power.
Damaged cable or connector/ • Inspect main cable and attachments.
lead wire. Replace if damaged.
3 Monitor does not complete Operator pressed another • Press 12-LEAD to acquire another 12-lead
12-lead ECG operation function button (such as ECG. Allow enough time for sequence to
sequence. PRINT) before 12-lead ECG complete.
sequence completed.
4 Noisy signal and message Signal noise for more than 30 • Press 12-LEAD to acquire another 12-lead
displayed: EXCESSIVE seconds. ECG.
NOISE–12-LEAD
CANCELLED

5 Baseline wander (low Inadequate skin preparation. • Prepare skin as described on page 3-5
frequency/high amplitude and reapply electrodes.
artifact). Poor electrode-skin contact. • Check electrodes for proper adhesion.

3-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

Observation Possible Cause Corrective Action

6 Fine baseline artifact (high Inadequate skin preparation. • Prepare skin as described on page 3-5
frequency/low amplitude). and reapply electrodes.
Isometric muscle tension in • Confirm that limbs are resting on a
arms/legs. supportive surface.
• Check electrodes for proper adhesion.

MONITORING SPO2
The following paragraphs describe:
• SpO2 Warnings and Cautions
• When to Use a Pulse Oximeter
• How a Pulse Oximeter Works
• SpO2 Monitoring Considerations
• SpO2 Monitoring Procedure
• Pulse Oximeter Sensors
• SpO2 Volume
• C-LOCK®
• Troubleshooting Tips for SpO2

SpO2 Warnings and Cautions

WARNINGS!

Shock or burn hazard.

Before use, carefully read these operating instructions, the Nellcor Puritan Bennett sensor and
extension cable directions for use, and precautionary information.
Shock or burn hazard.

Other manufacturers’ oxygen transducers may cause improper oximeter performance and invalidate
safety agency certification. Use only Nellcor Puritan Bennett oxygen transducers.
Inaccurate pulse oximeter readings.

Do not use a damaged extension cable or one with exposed electrical contacts. Never use more than
one extension cable between the pulse oximeter and the Nellcor Puritan Bennett sensor.
Inaccurate pulse oximeter readings.

Sensors exposed to ambient light when incorrectly applied to a patient may exhibit inaccurate
saturation readings. Securely place the sensor on the patient and check the sensor’s application
frequently to help ensure accurate readings.
Inaccurate pulse oximeter readings.

Significant blood levels of carboxyhemoglobin or methemoglobin, excessive patient movement, venous

pulsations, electrosurgical interference, and placement of the sensor on an extremity that has a blood
pressure cuff or intravascular line may interfere with oximeter performance. The operator should be
thoroughly familiar with the operation of the oximeter prior to use.
Skin injury.

Prolonged, continuous use of a sensor may cause irritation, blistering, or pressure necrosis of the skin.
Check the sensor site regularly based on patient condition. Change the sensor site if skin changes
occur.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-15

 Monitoring

CAUTION!

Possible equipment damage.

To avoid damaging the extension cable or the sensor, hold the connectors, rather than the cables,
when disconnecting.

When to Use a Pulse Oximeter

A pulse oximeter is a noninvasive device that checks the saturation of oxygen in arterial blood (SpO 2).
It is used for monitoring patients who are at risk of developing hypoxemia. If a pulse oximeter is not
used, the only indications of hypoxemia are a patient’s dusky skin, nail beds, and mucous membranes,
accompanied by restlessness and confusion. These indications are not conclusive, however, and do
not appear until after the patient has developed hypoxemia. Pulse oximetry is a tool to be used in
addition to patient assessment. Care should be taken to assess the patient at all times and not rely
solely on the SpO2 monitor.

How a Pulse Oximeter Works

A pulse oximeter sensor directs light through a patient’s fleshy body site (usually the finger or earlobe).
The sensor sends light from the emitting diodes to the receiving detector as shown in Figure 3-11. The
pulse oximeter translates the amount of light received into a saturation percentage and displays an
SpO2 reading.

Finger cuff (holds LEDs Light emitting

and detector) diodes

Red Infrared

Light receiving
detector

Figure 3-11 How a Pulse Oximeter Works

The quality of the SpO2 reading depends on correct sensor size and placement, adequate blood flow
through the sensor site, patient motion, and exposure to ambient light. Test methods for accuracy are
available on request.

SpO2 Monitoring Considerations

Each Nellcor Puritan Bennett oximeter sensor is designed to be applied to a specific site on a patient
according to patient weight. Use the following criteria to select the appropriate sensor:
• Patient weight
• Patient perfusion to extremities
• Patient activity level
• Available application sites on the patient's body
• Sterility requirements

3-16 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

• Anticipated duration of monitoring

To help ensure optimal performance:
• Use a dry and appropriate sensor.
• Keep the sensor site at the same level as the patient's heart.
• Apply it according to the Directions for Use provided with the sensor.
• Observe all warnings and cautions noted in the sensor's Directions for Use.
The sensors are sensitive to light. If excessive ambient light is present, cover the sensor site with an
opaque material to block the light. Failure to do so could result in inaccurate measurements.
If patient movements present a problem, consider the following possible solutions:
• Be sure the sensor is secure and properly aligned.
• Use a new sensor with fresh adhesive backing.
• If possible, move the sensor to a less active site.
• Connect 3-lead ECG electrodes to the patient. SpO 2 readings will be synchronized with ECG
R-waves, which improves artifact rejection.

SpO2 Monitoring Procedure

Power to the pulse oximeter is controlled by the defibrillator. When the defibrillator is turned on, the
oximeter powers up and performs a self-test and self-calibration that requires up to 17 seconds. The
oximeter also performs a 3-second self-calibration approximately every 15 minutes. When the
defibrillator is turned off, the oximeter also turns off.
To conserve battery power, the pulse oximeter goes into “sleep mode” when not in use. Sleep mode is
activated within 10 seconds of disconnecting the sensor. The oximeter will return to normal mode after
detecting a sensor or a patient signal. The oximeter performs the self-test when it returns from sleep
mode to active mode. During sleep mode, the screen does not display SpO 2 information.
The pulse oximeter measures SpO2 levels between 50% and 100%. When SpO2 levels are between
70% and 100%, oximeter measurements are accurate from + 2.0% to + 3.5%, depending on the sensor
used.
1 Connect the SpO2 cable to the monitor.
2 Attach the sensor to the SpO2 cable and the patient.
3 Press ON.
4 Observe the pulse bar for fluctuation.
Amplitude of the pulse bar indicates relative signal strength. Pulse tone pitch indicates the
relative saturation level.
5 Adjust volume or invoke C-LOCK as needed.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-17

Monitoring

Pulse Oximeter Sensors

Table 3-5 lists the Nellcor Puritan Bennett sensors and extension cables to be used with the LIFEPAK
12 defibrillator/monitor series. Carefully read the directions for use provided with these sensors for
complete description, instructions, warnings, cautions, and specifications. To order sensors and
extension cables, call Nellcor Puritan Bennett. In the USA call 1.800.635.5267. Outside the USA
contact your local Nellcor Puritan Bennett representative.
Table 3-5 Sensors and Extension Cables

Description and Model Numbers Patient Size

Adhesive Sensors
Oxisensor® II oxygen transducers
D-25/D25L Adult Digital >30kg >66lbs
N-25 Neonatal/Adult less than 3kg or less than 7lbs or
greater than 40kg greater than 88lbs
I-20 Infant Digital 3 to 20kg 7 to 44lbs
D-20 Pediatric Digital 10 to 50kg 22 to 110lbs
R-15 Adult Nasal >50kg >110lbs
Oxiband® oxygen transducers
OxiCliq®-A Adult >30kg >66lbs
OxiCliq-N Neonatal/Adult less than 3kg or less than 7lbs or
greater than 40kg greater than 88lbs
OxiCliq-I Infant 3 to 20kg 7 to 44lbs
OxiCliq-P Pediatric 10 to 50kg 22 to 110lbs
Reusable Sensors
Durasensor® DS-100A Adult >40kg >88lbs
®
Oxiband OXI-A/N Adult/Neonatal less than 3kg or less than 7lbs or
greater than 40kg greater than 88lbs
Oxiband OXI-P/I Pediatric/Infant 3 to 40kg 7lbs to 88lbs
RS-10 Adult >40kg >88lbs
®
Dura-Y D-YS Multisite >1kg >2.2lbs
D-YSE Ear Clip >30kg >66lbs
PediCheck™ D-YSPD Pediatric 3 to 40kg 7 to 88lbs
Extension Cables
NELLCOR EC-4 cable – 121.92cm (4 feet)
NELLCOR EC-8 cable – 243.84cm (8 feet)

3-18 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Monitoring

SpO2 Volume
To adjust the pulse tone volume, highlight and select SpO2 on the Home Screen.
The following overlay appears:

1 Highlight and select SpO2 volume.

2 Rotate Selector to the desired volume.
3 Press Selector to set the volume.

C-LOCK
C-LOCK is a patented Nellcor Puritan Bennett function.
When C-LOCK is active, the saturation measurements are synchronized to each detected QRS to
reduce the effects of any artifact on the SpO2 measurements. If there is no ECG signal, C-LOCK will
not be active. With C-LOCK on during Paddles lead monitoring, the pulse bar fluctuation and pulse tone
may appear erratic. If this occurs, turn off C-LOCK.
With C-LOCK on during Noninvasive pacing, the pulse bar fluctuation and SpO2 value may appear
erratic. This could be due to the refractory period of the pacemaker. If this occurs, turn off C-LOCK.
To invoke the C-LOCK function, highlight and select SpO 2 on the Home Screen.
The following overlay appears:

1 Highlight and select C-LOCK.

2 Select ON.
To deselect C-LOCK, repeat step 1 and
select OFF.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 3-19

Monitoring

Troubleshooting Tips for SpO2

Table 3-6 Troubleshooting Tips for SpO2
Observation Possible Cause Corrective Action

1 The monitor measures a pulse, Excessive patient motion. • Keep patient still.
but there is no oxygen • Check that sensor is secure.
saturation or pulse rate. • Relocate sensor.
• Replace sensor.
Patient perfusion may be too low. • Check patient.
2 SpO2 or pulse rate changes Excessive patient motion. • Keep patient still.
rapidly, pulse amplitude is • Check that sensor is secure.
erratic. • Relocate sensor.
• Replace sensor.
An electrosurgical unit (ESU) may • Move the monitor as far as
be interfering with performance. possible from the ESU.
• Plug the ESU and monitor into
different circuits.
• Move the ESU ground pad as
close to the surgical site as
possible.
• Sensor may be damp, replace it.
• Remove sensor extension cable
and connect the sensor directly.
Refractory period of the external • Turn off C-LOCK.
pacemaker inhibits sensing of the
ECG.
3 No SpO2 value is displayed. Oximeter may be performing self- • Wait for completion.
calibration (requires 3 seconds) or
self-test (requires 17 seconds).
4 SpO2: NO SENSOR DETECTED Sensor not connected to patient or • Check that sensor and cable are
message appears. cable disconnects from device. connected properly.
• Check that appropriate sensor is
in use.
Patient has a weak pulse or low • Test sensor on someone else.
blood pressure. • Check if patient perfusion is
adequate for sensor location.
• Check if sensor is secure and
not too tight.
• Check that sensor is not on
extremity with blood pressure
cuff or intravascular line.
• Change sensor location.
5 SPO2: SENSOR OFF message Sensor is disconnected from • Re-attach sensor.
appears. patient or cable. • Check that sensor is secure.

Excessive ambient light. • Remove or block light source if

possible.
• Cover sensor with opaque
material, if necessary.

3-20 LIFEPAK 12 defibrillator/monitor series Operating Instructions

4

THERAPY

This section describes patient therapy.

General Therapy Warnings and Cautions page 4-2

Therapy Electrode and Standard Paddle Placement 4-3
Automated External Defibrillation 4-4
Manual Defibrillation 4-12
Noninvasive Pacing 4-17

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-1

Therapy

GENERAL THERAPY WARNINGS AND CAUTIONS

WARNINGS!

Shock hazard.

The defibrillator delivers up to 360 joules of electrical energy. When discharging the defibrillator, do not
touch the paddle electrode surfaces or disposable therapy electrodes.
Shock hazard.

If a person is touching the patient, bed, or any conductive material in contact with the patient during
defibrillation, the delivered energy may be partially discharged through that person. Clear everyone
away from contact with the patient, bed, and other conductive material before discharging the
defibrillator.
Shock hazard.

Do not discharge the defibrillator into the open air. To remove an unwanted charge, change the energy
selection, select disarm, or turn off the defibrillator.
Possible fire, burns, and ineffective energy delivery.

Do not discharge standard paddles on top of therapy electrodes or ECG electrodes. Do not allow
standard paddles (or therapy electrodes) to touch each other, ECG electrodes, lead wires, dressings,
transdermal patches, etc. Such contact can cause electrical arcing and patient skin burns during
defibrillation and may divert defibrillating energy away from the heart muscle.
Possible defibrillator shutdown.

The large current draw required for defibrillator charging may cause the defibrillator to reach a
shutdown voltage level with no low battery indication. If the defibrillator shuts down without warning or if
a replace battery warning occurs, immediately replace the battery with another fully charged battery.
Possible skin burns.

During defibrillation or pacing, air pockets between the skin and therapy electrodes may cause patient
skin burns. Apply therapy electrodes so that entire electrode adheres to skin. Do not reposition the
electrodes once applied. If the position must be changed, remove and replace with new electrodes.
Possible skin burns and ineffective energy delivery.

Therapy electrodes that are dried out or damaged may cause electrical arcing and patient skin burns
during defibrillation. Do not use therapy electrodes that have been removed from foil package for more
than 24 hours. Do not use electrodes beyond expiration date. Check that electrode adhesive is intact
and undamaged. Replace therapy electrodes after 50 shocks.
Possible interference with implanted electrical device.

Defibrillation may cause implanted devices to malfunction. Place standard paddles or therapy
electrodes away from implanted devices if possible. Check implanted device function after defibrillation.

CAUTION!

Possible equipment damage.

Prior to using this defibrillator, disconnect from the patient all equipment that is not defibrillator-
protected.

4-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

THERAPY ELECTRODE AND STANDARD PADDLE PLACEMENT

The following paragraphs describe therapy electrode and standard paddle placement, including special
placement situations.

Anterior-lateral Placement
Anterior-lateral placement allows for ECG monitoring, defibrillation, synchronized cardioversion, and
noninvasive pacing. This placement is the only placement that should be used for AED operation.
1 Place either the ♥ or + therapy electrode, or APEX paddle lateral to the patient's left nipple in the
midaxillary line, with the center of the electrode in the midaxillary line, if possible. See Figure 4-1.

Anterior (Sternum) STERNUM

Lateral (Apex) APEX

QUIK-COMBO FAST-PATCH Standard

Electrodes Electrodes Paddles

Figure 4-1 Anterior-lateral Placement

2 Place the other therapy electrode or STERNUM paddle on the patient’s upper right torso, lateral to the
sternum, and below the clavicle as shown in Figure 4-1.

Anterior-posterior Placement
Anterior-posterior is an alternative position for noninvasive pacing, manual defibrillation, and
synchronized cardioversion, but not for ECG monitoring or automated defibrillation. The ECG signal
obtained through electrodes in this position is not a standard lead. This position must not be used with
the defibrillator in AED mode.
1 Place either the ♥ or – therapy electrode over the left precordium as shown in Figure 4-2. The upper
edge of the electrode should be below the nipple. Avoid placement over the nipple, the diaphragm,
or the bony prominence of the sternum if possible.
2 Place the other electrode behind the heart in the infrascapular area as shown in Figure 4-2. For
patient comfort, place the cable connection away from the spine. Do not place the electrode over the
bony prominences of the spine or scapula.

ANTERIOR POSTERIOR STERNUM APEX

Figure 4-2 Anterior-posterior Placement

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-3

 Therapy

To use standard paddles for anterior-posterior placement, use the posterior paddle (PN 802461) and
refer to Section 5, Paddle Accessory Options.

Special Placement Situations

When placing therapy electrodes or standard paddles, be aware of the special requirements in the
following possible situations.

Obese Patients or Patients with Large Breasts

Apply therapy electrodes or standard paddles to a flat area on the chest, if possible. If skin folds or
breast tissue prevent good adhesion, it may be necessary to spread skin folds apart to create a flat
surface.

Thin Patients
Follow the contour of the ribs and spaces when pressing the therapy electrodes onto the torso. This
limits air spaces or gaps under the electrodes and promotes good skin contact.

Patients with Implanted Pacemakers

If possible, place therapy electrodes or standard paddles away from the internal pacemaker generator
to help prevent damage to the pacemaker. Treat the patient like any other patient requiring care. When
operating the defibrillator in AED mode, pacemaker pulses may prevent advisement of an appropriate
shock, regardless of the patient’s underlying rhythm.

Patients with Implanted Defibrillators

Apply therapy electrodes or standard paddles in the anterior-lateral position and treat this patient as any
other patient requiring emergency care. If defibrillation is unsuccessful, it may be necessary to try
alternate electrode placement (anterior-posterior) due to the insulative properties of implanted
defibrillator electrodes.

AUTOMATED EXTERNAL DEFIBRILLATION

The following paragraphs include:
• AED Warnings
• AED Configuration
• AED Procedure
• Troubleshooting Tips for AED Mode

AED Warnings

WARNINGS!

Possible misinterpretation of data.

Do not analyze in a moving vehicle. Motion artifact may affect the ECG signal resulting in an
inappropriate shock or no shock advised message. Motion detection may delay analysis. Stop vehicle
and stand clear of patient during analysis.
Possible ECG misinterpretation.

Do not place therapy electrodes in the anterior-posterior position when operating this defibrillator in
AED mode. A shock or no shock decision may be inappropriately advised. The shock advisory
algorithm requires the electrodes to be placed in the anterior-lateral (Lead II) position.

4-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

WARNING!

Pediatric patient safety risk.

In AED mode, this defibrillator is not designed or tested to interpret pediatric rhythms or administer
energy at pediatric joule settings. The American Heart Association recommends AEDs be used only on
patients who are more than eight years old.

AED Configuration
You can configure the LIFEPAK 12 defibrillator/monitor to power on in the automated external
defibrillator (AED) mode before placing the device in use (see Section 9). When configured to power on
in the AED mode, you will see the ADVISORY LED illuminated when the defibrillator is on.
The illuminated ADVISORY LED indicates that the Continuous Patient Surveillance System (CPSS) is
active. CPSS automatically monitors the patient ECG for a potentially shockable rhythm.
When illuminated, the ANALYZE LED indicates the Shock Advisory System (SAS) is active. SAS is an
ECG analysis system that advises the user if it detects a shockable or nonshockable rhythm.

AED Procedure
1 Verify that the patient is in cardiac arrest (unconscious, no respiration, no pulse).
2 Press ON.
3 Prepare the patient for electrode placement (see Paddles Monitoring Procedure on page 3-4).
The CONNECT ELECTRODES message and voice prompt occur until the patient is connected
to the AED.
4 Apply the electrodes to the patient’s chest in the anterior-lateral position (see Anterior-lateral
Placement on page 4-3).
5 Press ANALYZE to initiate analysis. Stop CPR.
6 Follow screen messages and voice prompts provided by the AED.

You will see and hear ANALYZING NOW, STAND

CLEAR. Do not touch or move the patient or
therapy cable during analysis. ECG analysis
requires approximately 6 to 9 seconds. The
ANALYZE LED is on during analysis.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-5

Therapy

Shock Advised

If the AED detects a shockable ECG rhythm,

you will see and hear SHOCK ADVISED. The
AED begins charging to 200 joules for shock
#1. A rising tone indicates that the AED is
charging.

When charging is complete, the AED displays

the available energy.

200J

You will see and hear STAND CLEAR, PUSH TO

SHOCK followed by a “shock ready” tone. The
SHOCK LED flashes. Clear everyone away
from the patient, bed, or any equipment con-
nected to the patient.

Press SHOCK to discharge the AED.

If you do not press SHOCK within 60 seconds,

the AED disarms the SHOCK button, and the
CHARGE REMOVED message appears.

After delivering the shock, an

ENERGY DELIVERED message appears.

4-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

If AUTO ANALYZE is on, the AED automatically analyzes the patient’s ECG rhythm after shock 1 is given.
If AUTO ANALYZE is off, the PUSH ANALYZE message and voice prompt occurs. You must press ANALYZE to
begin the analysis.
The second analysis and shock sequence is the same as described for shock 1. The energy level for
shock 2 is 200 or 300 joules, depending on device configuration. The energy level is 360 joules for
shock 3 and subsequent shocks.

No Shock Advised

If the AED detects a nonshockable rhythm,

you will see and hear NO SHOCK ADVISED. The
AED will not charge, and no shock can be
delivered.

After NO SHOCK ADVISED, the AED enters CPR

TIME (if configured on).

CPR Time On

After either a NO SHOCK ADVISED prompt or

three consecutive shocks, you will see and
hear CHECK FOR PULSE.

After 5 seconds, you will see and hear IF NO

PULSE, START CPR if CPR TIME is configured
on.

This message displays for the remaining CPR

time. If a pulse is present, proceed with stan-
dard protocol. If not, start CPR.

You can press ANALYZE at any time to start an

analysis cycle.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-7

Therapy

After CPR time, you will see and hear CHECK

FOR PULSE.

After 5 seconds, you will see and hear IF NO

PULSE, PUSH ANALYZE.

If a pulse is present, proceed with standard

protocol. If not, press ANALYZE.

CPR Time Off

After a NO SHOCK ADVISED prompt or three

consecutive shocks, you will see and hear
CHECK FOR PULSE.

After 5 seconds, you will see and hear IF NO

PULSE, PUSH ANALYZE if CPR TIME is
configured off.

If a pulse is present, proceed with standard

protocol. If not, press ANALYZE.

4-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

Motion Detected

If the AED detects motion during the ECG

analysis, you will see and hear MOTION
DETECTED, STOP MOTION followed by a
warning tone. If the motion ceases within 20
seconds, analysis will continue. If the motion
does not cease within 20 seconds, analysis
will stop. You must then push ANALYZE to
restart analysis. See Table 4-1, page 4-11 for
possible causes and suggested solutions.

Electrodes Off

If therapy electrodes are not connected, the

CONNECT ELECTRODES message and voice
prompt occur until the patient is connected to
the AED.

If the therapy cable is not connected to the

defibrillator, you will see the CONNECT CABLE
message until the cable is connected.

Shock Counter

The shock counter (x) indicates how many

shocks have been delivered to the patient.
The shock counter resets to zero whenever
the AED is turned off for longer than 30
seconds.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-9

Therapy

Check Patient

When the AED is not analyzing the ECG or in

CPR TIME, it continuously monitors the ECG
for a potentially shockable rhythm (CPSS).
If the AED determines that a rhythm is
shockable, you will see and hear CHECK
PATIENT.

You should:
1 Confirm the patient is unconscious,
pulseless, and without respirations.
2 Confirm no motion is present.

After 5 seconds, you will see and hear PUSH

ANALYZE and see the ANALYZE LED flashing.

Press ANALYZE. The AED begins to analyze

the patient’s ECG.

4-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

Troubleshooting Tips for AED Mode

Table 4-1 Troubleshooting Tips for AED Mode
Observation Possible Cause Corrective Action

1 CONNECT ELECTRODES Inadequate connection to AED. • Check for electrode connection.

message appears.
Electrodes do not adhere properly • Press electrodes firmly on
to the patient. patient’s skin.
• Clean, shave, and dry the
patient’s skin as recommended.
Electrodes are dry, damaged, or • Replace the electrodes.
out of date.
2 MOTION DETECTED and STOP Patient movement. • Stop CPR during analysis.
MOTION messages appear • When patient is being manually
during analysis. ventilated, press ANALYZE after
complete exhalation.

Patient movement because of • Press ANALYZE immediately after

agonal respirations. exhalation or wait until agonal
respirations are slower or
absent.

Electrical/radio frequency • Move hand-held communication

interference. devices or other suspected
devices away from the
defibrillator when possible.

Vehicle motion. • Stop vehicle during analysis.

• Move patient to stable location
when possible.
3 CHARGE REMOVED message Electrode disconnected from • Replace electrode and press
appears. patient or AED. ANALYZE.
Shock button not pressed within • Press ANALYZE again.
60 seconds. • Press SHOCK immediately when
directed.
4 Voice prompts sound faint or Low battery power. • Replace the battery immediately.
distorted.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-11

 Therapy

MANUAL DEFIBRILLATION
The following paragraphs describe:
• Manual Defibrillation Warnings
• Switching from AED to Manual Mode
• Defibrillation Shock Overlays
• Defibrillation Procedure
• Synchronized Cardioversion Procedure
• Troubleshooting Tips for Defibrillation and Synchronized Cardioversion

Manual Defibrillation Warnings

WARNINGS!

Possible fire, burns, and ineffective energy delivery.

Precordial lead electrodes and lead wires may interfere with the placement of standard paddles or
therapy electrodes. Before defibrillation, remove any interfering precordial lead electrodes and lead
wires.
Shock hazard.

Conductive gel (wet or dry) on the paddle handles can allow the electrical energy to discharge through
the operator during defibrillation. Completely clean the paddle electrode surfaces, handles, and storage
area after defibrillation.
Possible patient skin burns.

During defibrillation, air pockets between the skin and standard paddles can cause patient skin burns.
Completely cover paddle electrode surfaces with fresh conductive gel and apply 25lbs. of pressure per
paddle during discharge.
Possible paddle damage and patient skin burns.

Discharging the defibrillator with the standard paddle surfaces shorted together can pit or damage the
paddle electrode surface. Pitted or damaged paddle surfaces may cause patient skin burns during
defibrillation. Discharge the defibrillator only as described in these Operating Instructions.
Possible burns and ineffective energy delivery.

A gel pathway on the skin between the standard paddles will cause defibrillating energy to arc between
paddles and divert energy away from the heart muscle. Do not allow conductive gel (wet or dry) to
become continuous between paddle sites.

To use the LIFEPAK 12 defibrillator/monitor primarily as a manual defibrillator, configure the defibrillator
before placing the device in use. To configure the defibrillator, see Section 9.

Switching from AED to Manual Mode

To change to manual mode when the defibrillator is in AED mode, press one of the following:
• ENERGY SELECT
• CHARGE
• PACER
• ADVISORY

4-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

Depending on how the defibrillator is configured, continue to manual mode as follows:

• Direct. No restrictions to manual mode access.
• Confirmed. A confirmation overlay appears:

Manual Mode
Select YES to change to manual mode.
Enter Manual Mode?

Yes No

Push Selector knob to confirm

• Passcode. A passcode overlay appears:

Enter the Passcode to change to manual

mode.

• Restricted. The defibrillator can also be configured to deny access to manual mode. If you try to
access the manual mode when it is configured to restrict access, a MANUAL DISABLED message
flashes, a tone sounds, and the defibrillator stays in AED mode.
See Section 9 for information about changing the defibrillation mode configuration.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-13

Therapy

Defibrillation Shock Overlays

Depending on the paddles accessory connected for defibrillation, you will see the following overlays
when the defibrillator is fully charged.

QUIK-COMBO or FAST-PATCH Electrodes

Press SHOCK on front panel to discharge

energy.

Standard Paddles

Press both shock buttons simultaneously to

discharge energy.
Front panel SHOCK button is disabled.

Internal Handles with Discharge Control

Press shock button on internal handle to

discharge energy.
Front panel SHOCK button is disabled.

4-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

Defibrillation Procedure
1 Press ON.
2 Identify the electrode or paddle sites on the patient. Use either the anterior-lateral or anterior-
posterior position as described on page 4-3.
3 Prepare the patient’s skin for electrode application:
• If possible, place the patient on a hard surface away from standing water or conductive material.
• Remove clothing from the patient’s upper torso.
• Remove excessive hair from the electrode sites; if shaving is necessary, avoid cutting the skin.
• Clean the skin and dry it briskly with a towel or gauze.
• Do not apply alcohol, tincture of benzoin, or antiperspirant to the skin.
4 Connect the therapy electrodes to the therapy cable.
5 Apply therapy electrodes to the patient in anterior-lateral or anterior-posterior position. If using
standard paddles, apply conductive gel to the paddles and place paddles on the patient’s chest.
6 Press ENERGY SELECT or rotate ENERGY SELECT dial on standard paddles.
7 Press CHARGE. While the defibrillator is charging, a charging bar appears and a ramping tone
sounds, indicating the charging energy level. When the defibrillator is fully charged, an overlay
appears (see Defibrillation Shock Overlays, page 4-14).
8 Make certain all personnel, including the operator, stand clear of the patient, bed, and any
equipment connected to the patient.
9 Confirm ECG rhythm.
10 Press the SHOCK button(s) to discharge energy to the patient or press the Selector to remove the charge.
If discharge buttons are not pressed within 60 seconds, the stored energy is internally removed.
Note: If you change the energy selection after charging has started, the energy is removed
internally. Press CHARGE to restart charging.
11 Observe the patient and the ECG rhythm. If an additional shock is necessary, repeat the procedure
beginning at step 6.
Note: You can configure the LIFEPAK 12 defibrillator/monitor to automatically sequence energy
levels: 200-200-360J or 200-300-360J. See Manual Mode Setup Menu on page 9-4.
For more information about defibrillation, refer to the booklet, Defibrillation: What You Should Know.

Synchronized Cardioversion Procedure

Note: The LIFEPAK 12 defibrillator can be configured to remain in SYNC mode or to return to
asynchronous mode after discharge. It is important that you know how your defibrillator is
configured. See Manual Mode Setup Menu on page 9-4.

1 Press ON.
2 Attach patient ECG cable and ECG electrodes as previously described on pages 3-4 and 3-5.
3 Select Lead II or lead with greatest QRS complex amplitude (positive or negative).
4 Press SYNC. Confirm the SYNC LED blinks with each detected QRS complex.
Note: Press SYNC again to deactivate sync mode.
5 Observe the ECG rhythm. Confirm that a triangle sense marker appears near the middle of each
QRS complex. If the sense markers do not appear or are displayed in the wrong locations (for
example, on the T-wave), adjust ECG SIZE or select another lead. (It is normal for the sense marker
location to vary slightly on each QRS complex.)
6 Prepare the patient's skin for therapy electrode application as described in step 3 of the Defibrillation
Procedure.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-15

Therapy

7 Apply therapy electrodes to the patient in the anterior-lateral position. If using standard paddles,
apply conductive gel to the paddles and place paddles on the patient's chest.
8 Press ENERGY SELECT or rotate the ENERGY SELECT dial on the standard paddles.
9 Press CHARGE.
10 Make certain all personnel, including operator, stand clear of the patient, bed, and any equipment
connected to the patient.
11 Press and hold SHOCK button(s) until discharge occurs with next detected QRS complex. Release
SHOCK buttons.
If discharge buttons are not pressed within 60 seconds, the stored energy is internally removed.
Note: If you change the energy selection after charging has started, the energy is removed
internally. Press CHARGE to restart charging.
12 Observe patient and ECG rhythm. Repeat procedure from step 4, if necessary.

Troubleshooting Tips for Defibrillation and Synchronized Cardioversion

Table 4-2 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion

Observation Possible Cause Corrective Action

1 Charge time to 360 joules Battery low. • Replace battery with fully
exceeds 10 seconds. charged battery.
• Use power adapter.
• Device operating in low
temperature environment
(<25°C).
2 Energy not delivered to patient Device in SYNC mode and QRS • Adjust ECG size for optimum
when SHOCK button(s) are complexes are not detected. sensing QRS or deactivate
pressed. SYNC.

Device in SYNC mode and • Hold SHOCK buttons until

button(s) not pressed and held discharge occurs or next
until next detected QRS. detected QRS.

SHOCK button(s) pressed before • Wait for tone and message

full charge reached. indicating full charge.

Sixty seconds elapsed before • Press Shock button(s) within 60

SHOCK button(s) pressed after full seconds of full charge.
charge. Energy internally
removed.

ENERGY Selection changed. • Press CHARGE again.

3 CONNECT CABLE or ENERGY Therapy cable became • Reconnect cable and press
NOT DELIVERED message disconnected and energy removed charge again.
appears. internally.
4 ENERGY FAULT message Defibrillator is out of calibration. • May transfer energy.
appears (selected and • Contact a qualified service
available energy). technician.

4-16 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

Observation Possible Cause Corrective Action

5 Disarming message appears. Discharge button not pressed • Recharge the defibrillator if
within 60 seconds after charge desired.
complete.
Energy selected after charge • Recharge the defibrillator.
complete.
Therapy cable disconnects. • Reconnect electrode/cable.
6 Patient didn’t “jump” (no muscle Patient muscle response is • No action needed.
response) during defibrillator variable and depends on patient
discharge. condition. Lack of visible
response to defibrillation does not
necessarily mean the discharge
did not occur.
7 ENERGY NOT DELIVERED Open air discharge with standard • Press paddles firmly on patient’s
message appears. paddles. chest when discharging.
• Perform test discharges with
standard paddle tester.

NONINVASIVE PACING
The LIFEPAK 12 defibrillator/monitor provides noninvasive pacing using QUIK-COMBO electrodes.
The following paragraphs include:
• Noninvasive Pacing Warnings
• Demand and Nondemand Pacing
• Noninvasive Pacing Procedure
• Troubleshooting Tips for Noninvasive Pacing
For information about noninvasive pediatric pacing, refer to Physio-Control Pediatric QUIK-COMBO
pacing/defibrillation/ECG electrodes Operating Instructions.

Noninvasive Pacing Warnings

WARNINGS!

Possible interruption of therapy.

Observe the patient continuously while the pacemaker is in use. Patient response to pacing therapy,
e.g., capture threshold, may change over time.
Possible inability to pace.

Using other manufacturers’ combination therapy electrodes with this device could cause a decrease in
pacing efficacy or the inability to pace because of unacceptably high impedance levels.
Possible ineffective pacing.

The ECG size must be properly adjusted so that the patient’s own beats are detected. If ECG size is set
too high or too low, pacing pulses may not be delivered when required. Adjust ECG size so that sense
markers are placed on the patient’s QRS complexes.
Possible patient skin burns.

Prolonged noninvasive pacing may cause patient skin irritation and burns, especially with higher pacing
current levels. Discontinue noninvasive pacing if skin becomes burned and another method of pacing is
available.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-17

Therapy

Demand and Nondemand Pacing

The LIFEPAK 12 defibrillator/monitor can be used for either demand or nondemand (asynchronous)
pacing.
The demand mode is used for most patients. In the demand mode, the LIFEPAK 12 defibrillator/
monitor/pacemaker inhibits pacing output when it “senses” the patient’s own beats (intrinsic QRSs). In
demand mode, if the ECG SIZE is set too low to detect the patient’s beats, or if an ECG lead becomes
detached so that the ECG rhythm is not present, the pacemaker generates pacing pulses
asynchronously. This means that the pacemaker generates pacing pulses at the selected rate
regardless of the patient’s ECG rhythm.
Asynchronous or nondemand mode can be selected if noise or artifact interferes with proper sensing of
QRS complexes. Press the OPTIONS button to access the nondemand mode. See page 2-8.

Noninvasive Pacing Procedure

ECG monitoring during pacing must be performed with the ECG electrodes and patient ECG cable.
Pacing therapy electrodes cannot be used to monitor ECG rhythm and deliver pacing current at the
same time. Be sure to place the therapy electrodes in the proper locations as described in the pacing
procedure. Improper placement of the electrodes may make a difference in the capture threshold.
To pace, perform the following:
1 Press ON.
2 Connect the patient ECG cable, apply ECG electrodes to the ECG cable and patient, and select
Lead I, II, or III. To receive the best monitoring signal, make sure there is adequate space between
the ECG electrodes and the therapy electrodes.
3 Identify the QUIK-COMBO electrode sites on the patient. For pacing, use either the anterior-lateral
or anterior-posterior position (refer to page 4-3).
4 Prepare patient's skin for electrode application as described in step 3 of the Defibrillation Procedure.
5 Apply QUIK-COMBO electrodes to the patient.
6 Connect the therapy electrodes to the therapy cable.
7 Press PACER. Confirm the LED illuminates, indicating that the pacemaker power is on.
8 Observe the ECG rhythm. Confirm that a triangle sense marker appears near the middle of each
QRS complex. If the sense markers do not appear or are displayed in the wrong location (e.g., on
the T-wave), adjust ECG SIZE, or select another lead. (It is normal for the sense marker location to
vary slightly on each QRS complex.)
9 Press RATE or rotate the Selector to select the desired pacing rate.
Note: The RATE button changes the rate in 10ppm increments; the Selector changes the rate in
5ppm increments.
10 Press CURRENT or rotate the Selector to increase current until electrical capture occurs. For each
delivered pacing stimulus, the PACER indicator flashes off and a positive pace marker displays on the
ECG waveform. Palpate patient's pulse or check blood pressure to assess for mechanical capture.
Consider use of sedation or analgesia if patient is uncomfortable.
Note: The CURRENT button changes the current in 10mA increments; the Selector changes the
current in 5mA increments.
Note: To change rate or current during pacing, press RATE or CURRENT. Then, rotate the
Selector.
Note: To interrupt pacing and view the patient's intrinsic rhythm, press and hold the PAUSE
button. This causes the pacer to pace at 25% of the set rate. Release the PAUSE button to
resume pacing at the set rate.
11 To stop pacing, reduce current to zero or press PACER.
Note: To defibrillate and stop noninvasive pacing, select energy or charge the defibrillator.
Pacing automatically stops. Proceed with defibrillation.

4-18 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Therapy

If the monitor detects ECG LEADS OFF during pacing, pacing continues at a fixed rate until the ECG lead
is reattached. During fixed-rate pacing, the pacemaker delivers pulses at the set pace rate regardless of
any intrinsic beats that the patient may have. The monitor continues to display the pacing rate (ppm)
and the current (mA). To reestablish demand pacing, reattach the ECG lead.
While pacing, visually monitor the patient at all times, do not rely on the ECG LEADS OFF warning to
detect changes in pacing function. Routinely assess for proper ECG sensing, pace pulse delivery,
electrical capture, and mechanical capture.
If pacing electrodes detach during pacing, you will see CONNECT ELECTRODES and PACING STOPPED
messages and hear an alarm. The pacing rate is maintained and the current resets to 0mA.
Reattaching the pacing electrodes silences the alarm and removes the CONNECT ELECTRODES message.
The current remains at 0mA until you increase the current manually.

Troubleshooting Tips for Noninvasive Pacing

Table 4-3 Troubleshooting Tips for Noninvasive Pacing
Observation Possible Cause Corrective Action

1 Device does not function when Power off. • Check if power is ON.
PACER is pressed. Low battery. • Replace battery with fully
charged battery.
• Use auxiliary power supply if
available.
2 PACER LED on, but Therapy electrodes off. • Check for message displayed.
CURRENT (MA) will not increase. • Inspect therapy cable and
electrode connections.
3 PACER LED on, Pacing rate set below patient's • Increase PPM.
CURRENT (MA) >0, but pace intrinsic rate.
markers absent (not pacing). Pacer oversensing (ECG artifact, • Establish clean ECG; decrease
ECG size too high). ECG size.
• Select nondemand pacing.
4 Pacing stops spontaneously. PACER button pressed off. • Press PACER and increase the
current.
Internal fault detected. Service • Check for service indicator.
message indicates an internal • Cycle power and start pacing
failure. again.
• Obtain service by a qualified
service technician.
Therapy electrode off. • Check for message. Check
pacing cable and electrode
connections.
ENERGY SELECT or CHARGE • Press PACER and increase
pressed. current.
• Check for service message.
• Cycle power and start pacing
again.
Radio frequency interference. • Move radio equipment away
from pacemaker.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 4-19

Therapy

Observation Possible Cause Corrective Action

5 Monitor screen displays ECG electrodes not optimally • Reposition electrodes away from
distortion while pacing. placed with respect to pacing pacing electrodes.
electrodes.
Patient response to pacing is • Select another lead (I, II, or III).
highly variable with respect to • Consider changing pacing rate.
capture threshold and ECG
distortion.
6 Capture does not occur with Current (mA) set too low. • Increase pacing current.
pacing stimulus. (Administer sedation/analgesia
as needed.)
7 CONNECT ELECTRODES Pacing cable/electrode • Reconnect and set current.
message appears. disconnected.
Electrodes not adhering to skin. • Prepare skin.
Electrodes outdated. • Replace electrodes and set
current.
8 Pacing stops spontaneously Internal error detected. • Cycle power and start pacing
and PACER FAULT message again.
appears. • Obtain service by a qualified
service technician.
9 Intrinsic QRS complexes not ECG size too low. • Increase ECG SIZE or select
sensed when pacing. another lead.
Intrinsic QRS complexes are • Adjust PPM.
occurring during pacemaker's
refractory period.
10 Pacing starts spontaneously. Patient’s heart rate falls below set • Appropriate pacemaker function
pacing rate. assess patient.
During standby pacing, ECG lead • Reconnect ECG lead.
disconnects.
11 Set pacing rate (ppm) and ECG Internal error detected. • Print ECG and calculate the
paced rate do not appear to pace rate.
match.

4-20 LIFEPAK 12 defibrillator/monitor series Operating Instructions

5

PADDLE ACCESSORY OPTIONS

Therapy Electrodes page 5-2

Pediatric Paddles 5-7
Posterior Defibrillation Paddle 5-10
External Sterilizable Paddles 5-12
Internal Handles with Discharge Control 5-13
Hydrogen Peroxide Plasma Sterilization Protocol 5-16

LIFEPAK 12 defibrillator/monitor series Operating Instructions Important 5 5-1

 Paddle Accessory Options

THERAPY ELECTRODES
The following paragraphs describe:
• About Therapy Electrodes
• Electrode Placement
• Cable Connection
• ECG Monitoring and Therapy Procedures
• Replacing and Removing Electrodes
• Testing

About Therapy Electrodes

There are two styles of pre-gelled, self-adhesive therapy electrodes available: QUIK-COMBO pacing/
defibrillation/ECG electrodes and FAST-PATCH defibrillation/ECG electrodes (Figure 5-1).
QUIK-COMBO electrodes are used for defibrillation, synchronized cardioversion, ECG monitoring, and
pacing. FAST-PATCH electrodes can be used for defibrillation, synchronized cardioversion, and ECG
monitoring, but not for pacing. To use FAST-PATCH electrodes with the LIFEPAK 12 defibrillator
requires the addition of a FAST-PATCH to QUIK-COMBO cable adapter (P/N 3011030).

Figure 5-1 QUIK-COMBO and FAST-PATCH Electrodes

A QUIK-COMBO or FAST-PATCH electrode set:

• Is a substitute for standard paddles.
• Provides a Lead II monitoring signal when placed in the anterior-lateral position.
• Quickly restores the ECG trace on the monitor following defibrillation.
QUIK-COMBO and FAST-PATCH electrodes are not sterile or sterilizable. They are disposable and are
for a single patient application. Once applied, they should not be repositioned.
To help prevent electrode damage:
• Do not fold the electrodes.
• Do not trim the electrodes.
• Do not crush, fold, or store the electrodes under heavy objects.
• Do not autoclave, gas sterilize, immerse in fluids, or clean electrodes with alcohol or solvents.
• Store electrodes in a cool, dry location (59° to 95°F or 15° to 35°C).

5-2 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

There are several types of QUIK-COMBO electrodes available as described in Table 5-1:
Table 5-1 QUIK-COMBO Electrodes

Type Description

QUIK-COMBO Electrodes, with 2 feet of lead wire, designed for patients

weighing 15kg (33lbs) or more.
QUIK-COMBO - LLW Electrodes, with 3.5 feet of lead wire, designed for patients
weighing 15kg (33lbs) or more.
QUIK-COMBO - RTS Electrodes, providing a radio-transparent electrode and
lead wire set, designed for patients weighing 15kg (33lbs)
or more.
QUIK-COMBO with REDI-PAK™ preconnect Electrodes designed for patients weighing 15kg (33lbs) or
system more and allow preconnection of the electrode set to the
device while maintaining electrode shelf life and integrity.
Pediatric QUIK-COMBO Electrodes designed for patients weighing 15kg (33lbs) or
less.

FAST-PATCH electrodes can be used on pediatric patients if the placement meets conditions noted
directly below. These conditions can normally be met with children weighing 15kg (33lbs) or more.

Electrode Placement
When using QUIK-COMBO or FAST-PATCH electrodes, make sure the electrodes:
• Fit completely on the chest as described on page 3-3 or 4-3.
• Have at least one inch of space between electrodes.
• Do not overlap bony prominences of sternum or spine.
To place the electrodes:
1 Prepare the patient for electrode placement:
• Remove all clothing from the patient’s chest.
• Remove excessive chest hair as much as possible. Avoid nicking or cutting the skin if using a
shaver or razor. If possible, avoid placing the electrodes over broken skin.
• Clean and dry the skin. If there is ointment on the patient’s chest, use soap and water to clean the
skin. Briskly wipe the skin dry with a towel or gauze. This mildly abrades the skin and removes oils,
dirt, and other debris for better electrode adhesion to the skin. Do not use alcohol, tincture of
benzoin, or antiperspirant to prep the skin.
2 Slowly peel back the protective liner on the electrodes, beginning with the cable connection end (see
Figure 5-2).

Figure 5-2 Peeling the Liner from the Electrode

3 Place the electrodes in the anterior-lateral or anterior-posterior position, as described on page 3-3 or
page 4-3, depending on the therapy to be provided and special placement considerations.
4 Starting from one edge, firmly press the electrode on the patient’s chest to eliminate air pockets
between the gel surface and the skin. Firmly press all adhesive edges to the skin.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-3

Paddle Accessory Options

Cable Connection
To connect QUIK-COMBO electrodes to the QUIK-COMBO therapy cable:
1 Open the protective cover on the QUIK-COMBO therapy cable connector (see Figure 5-3).
2 Insert the QUIK-COMBO electrode connector into the therapy cable connector by aligning the
arrows and pressing the connectors firmly together for proper attachment.

QUIK-COMBO
electrode connector

Therapy cable
connector

Figure 5-3 Connecting QUIK-COMBO Electrodes to Therapy Cable

To properly connect FAST-PATCH electrodes to the FAST-PATCH defibrillation adapter cable and
ensure energy delivery:
1 When possible, attach the defibrillation cable to the electrode post before applying electrodes to the
patient.
2 Support the electrode post when attaching the defibrillation cable (see Figure 5-4). Firmly press the
cable onto the electrode until a click is heard or felt.

Figure 5-4 Connecting FAST-PATCH Electrodes to Defibrillation Cable

3 Pull up gently on the connector to confirm that the defibrillation cable is securely connected to the
electrode.
Note: If you are reattaching the defibrillation cable to an electrode that is already on the patient, lift
the adhesive edge under the electrode post slightly and place your finger under the post. Connect
the cable as described in the preceding steps.

5-4 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

ECG Monitoring and Therapy Procedures

WARNINGS!

Possible patient skin burns.

Do not use Pediatric QUIK-COMBO electrodes on adults or larger children. Delivery of defibrillation
energies equal to or greater than 100 joules (typically used on adults) through these smaller electrodes
increases the possibility of skin burns.
Possible pediatric patient skin burns.

Noninvasive pacing may cause patient skin irritation and burns, especially with higher pacing current
levels. Inspect underlying skin of the ♥ electrode frequently after 30 minutes of continuous pacing.
Discontinue noninvasive pacing if skin burn develops and another method of pacing is available. On
cessation of pacing, immediately remove or replace electrodes with new ones.

For adult patients, follow the procedures for ECG monitoring, AED defibrillation, manual defibrillation,
synchronized cardioversion, and pacing described in Section 3 or Section 4.
For pediatric patients, follow the procedures for ECG monitoring, manual defibrillation, synchronized
cardioversion, and pacing except for the following:
• Select the appropriate defibrillation energy for the weight of the child according to the American Heart
Association (AHA) recommendations or local protocol. Using energy levels of 100 joules or greater is
likely to cause burns.
• When pacing, inspect the patient’s skin under the heart electrode frequently for signs of burns.
Note: The amount of pacing current needed for capture is similar to the pacing current needed for
adults.

Replacing and Removing Electrodes

Replace QUIK-COMBO or FAST-PATCH electrodes after 50 defibrillation shocks or 24 hours on the
patient’s skin. Replace QUIK-COMBO RTS electrodes after 8 hours of continuous pacing, Pediatric
QUIK-COMBO electrodes after 8 hours of continuous pacing, and all other QUIK-COMBO electrodes
after 12 hours of continuous pacing.
To remove QUIK-COMBO or FAST-PATCH electrodes from the patient:
1 Slowly peel back the electrode from the edge, supporting the skin as shown in Figure 5-5.

Figure 5-5 Removing Therapy Electrodes from Skin

2 Clean and dry the patient’s skin.

3 When replacing electrodes, adjust the electrode positions slightly to help prevent skin burns.
4 Close the protective cover on the QUIK-COMBO therapy cable connector when the cable is not in
use.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-5

 Paddle Accessory Options

In addition, disconnect the defibrillation cable from the FAST-PATCH electrodes.

1 Press down around the electrode post.
2 Pinch the snap connector with the fingers of the other hand and pull straight up (see Figure 5-6).

Figure 5-6 Disconnecting Defibrillation Cable from FAST-PATCH Electrodes

WARNING!

Possible cable damage and ineffective energy delivery or loss of monitoring.

Improper disconnection of the defibrillation cable may damage the cable wires. This can result in failure
to deliver energy or loss of ECG signal during patient care. Position the cable so that it will not be
pulled, snagged, or tripped over. Do not disconnect the defibrillation cable snap connectors from
electrode posts or posts on testing devices by pulling on the cable. Disconnect the cable by pulling
each cable connector straight out (see Figure 5-7).

Figure 5-7 Disconnecting Defibrillation Cable from Test Post

Testing
Include inspecting and testing of the QUIK-COMBO therapy cable or FAST-PATCH defibrillation
adapter cable as part or your defibrillator test routine. Daily inspection and testing will help ensure that
the defibrillator cable and the therapy cable are in good operating condition and are ready for use when
needed. (Refer to Operator’s Checklist on page C-2.)
If you detect any discrepancy during inspection and testing, remove the therapy cable from use and
immediately notify a qualified service technician.

5-6 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

PEDIATRIC PADDLES
The following paragraphs describe:
• About Pediatric Paddles
• Attaching Pediatric Paddles
• Removing Pediatric Paddles
• Paddle Placement
• Defibrillation Procedure
• Cleaning

About Pediatric Paddles

Pediatric paddles slide onto adult paddles. Features of the QUIK-LOOK® and QUIK-CHARGE®
defibrillation paddles can be used with pediatric paddles in place.
Pediatric paddles should be used for patients weighing less than 15kg (33 lbs) or for patients whose
chest size cannot accommodate the adult hard paddles.

Figure 5-8 Pediatric Paddles

Each pediatric paddle attachment has a metal spring plate with a button on it to transfer defibrillation
energy from the adult paddle electrode to the pediatric paddle. This solid cadmium-silver button will not
scratch the adult paddle electrode.
Note: Inspect the spring plates and the buttons routinely to make sure that they are clean and
intact.

Attaching Pediatric Paddles

To attach the pediatric paddles, slide the paddles onto clean adult paddles, starting at the front of the
adult paddle (See Figure 5-9).
Note: Do not use conductive gel between adult and pediatric paddles.

Pediatric paddle
attachment Adult
paddle

Figure 5-9 Attaching a Pediatric Paddle

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-7

 Paddle Accessory Options

Removing Pediatric Paddles

To remove the pediatric paddles:
1 Press down on the rear tab.
2 Slide the pediatric paddle off (see Figure 5-10).

2
1

Figure 5-10 Removing a Pediatric Paddle

Paddle Placement
Adult paddles are recommended if the paddles will fit completely on the child’s chest. Allow at least
1 inch of space between the paddles.
For neonates with very small chests, pediatric paddles may be too large to place in the anterior-lateral
position. In this situation, place paddles in the anterior-posterior position. Holding the paddles against
the chest and back will support the patient on his/her side.
Do not use the pediatric paddles on adults or older children. Delivery of recommended adult energies
through this relatively small electrode surface increases the possibility of skin burns.

Anterior-Lateral
The following is the standard pediatric paddle placement (see Figure 5-11):
• STERNUM paddle to the patient’s right upper torso, lateral to the sternum and below the clavicle.
• APEX paddle lateral to the patient’s left nipple in the midaxillary line, with the center of the paddle in
the midaxillary line if possible.

STERNUM

APEX

Figure 5-11 Anterior-lateral Paddle Position

5-8 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

Anterior-Posterior
Place the STERNUM paddle anteriorly over the left precordium and the APEX paddle posteriorly behind
the heart in the infrascapular area (see Figure 5-12).

APEX

STERNUM

Figure 5-12 Anterior-posterior Paddle Position

Defibrillation Procedure
To defibrillate the patient:
1 Press ON to turn on the defibrillator.
2 Slide the pediatric paddles onto clean adult paddles. A click will be heard when fully engaged.
3 Apply defibrillation gel to the pediatric paddle electrode surfaces.
4 Select the appropriate energy for the weight of the child according to American Heart Association
recommendations (or equivalent guidelines).
5 Place the paddles firmly on the patient's chest.
6 Press CHARGE.
7 Make certain all personnel, including the operator, are clear of the patient, the bed, and any
equipment connected to the patient.
8 Discharge the defibrillator when it reaches full charge by pressing both discharge buttons
simultaneously on the adult hard paddles. The defibrillator does not discharge until it completes
charging to the selected energy level. If the discharge buttons are not pressed within 60 seconds,
stored energy is removed automatically.
9 To remove an unwanted charge, press SELECTOR.
10 Observe the patient and the ECG rhythm. If an additional shock is necessary, repeat steps 4 through
10 of this procedure.

Cleaning
Pediatric paddles are approved for ethylene oxide gas or hydrogen peroxide plasma sterilization.
The frequency of sterilization, rather than the age of the paddles, affects the useful life of the pediatric
paddles. After each use:
1 Wipe or rinse paddle electrodes, cable connector, paddle handles, and cables with mild soap and
water or disinfectant using a damp sponge, towel or brush. Do not immerse or soak.
2 Dry thoroughly.
3 Examine electrodes, handles, cables, and connector for damage or signs of wear.
Cables showing signs of wear such as loose cable connections, exposed wires, or cable
connector corrosion should be removed from use immediately.
Paddles with rough and/or pitted electrodes should be removed from use immediately.
4 If choosing to ethylene oxide gas sterilize the paddle, use temperatures up to 55°C (131°F). If
choosing to hydrogen peroxide plasma sterilize the paddle, see page 5-16.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-9

 Paddle Accessory Options

POSTERIOR DEFIBRILLATION PADDLE

The following paragraphs describe:
• About the Posterior Defibrillation Paddle
• Installing the Paddle
• Removing the Paddle
• Paddle Placement
• Cleaning

About the Posterior Defibrillation Paddle

The posterior paddle slides onto a standard paddle when anterior-posterior placement is desired.
Features of the QUIK-LOOK® and QUIK-CHARGE® defibrillation paddles can be used with the posterior
paddle in place.

Figure 5-13 Posterior Defibrillation Paddle

The posterior paddle attachment has a metal spring plate with a button on it to transfer defibrillation
energy from the standard paddle electrode to the posterior paddle. This solid cadmium-silver button will
not scratch the standard paddle electrode surface.
Note: Inspect the spring plate and button routinely to check that they are clean and intact.

Installing the Paddle

To install the posterior paddle:
1 Insert the posterior paddle into the handle.

Posterior paddle Handle

2 Turn clockwise until a positive stop is reached.

5-10 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

3 Slide the front end of the clean APEX paddle onto the posterior paddle attachment. A click will be
heard when fully engaged.

Paddle
Posterior paddle
attachment

Note: Do not use conductive gel between the APEX paddle and the posterior paddle attachment.

Removing the Paddle

To remove the posterior paddle:
1 Press down on the rear tab of the posterior paddle attachment (Figure 5-14, Arrow 1).
2 Slide the APEX paddle off the paddle attachment (Figure 5-14, Arrow 2).

1
2

Figure 5-14 Removing the Paddle Attachment

3 Turn the posterior paddle counterclockwise until released from the handle.

4 Remove the paddle from the handle.

Paddle Placement
This accessory can only be used for anterior-posterior placement.

Anterior-Posterior
Place the STERNUM paddle anteriorly over the left precordium and the posterior paddle posteriorly
behind the heart in the infrascapular area (see Figure 5-15).
Follow procedures for manual defibrillation or synchronized cardioversion in Section 4.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-11

 Paddle Accessory Options

STERNUM

Figure 5-15 Anterior-posterior Paddle Position

Cleaning
The posterior paddle is approved for ethylene oxide gas or hydrogen peroxide plasma sterilization.
The frequency of sterilization, rather than the age of the paddle, affects the useful life of the posterior
defibrillation paddle. After each use:
1 Wipe or rinse paddle electrode, cable connector, paddle handle, and cable with mild soap and water
or disinfectant using a damp sponge, towel or brush. Do not immerse or soak.
2 Dry thoroughly.
3 Examine electrode, handle, cable, and connector for damage or signs of wear.
Cables showing signs of wear such as loose cable connections, exposed wires, or cable
connector corrosion should be removed from use immediately.
A paddle with a rough and/or pitted electrode should be removed from use immediately.
4 Coil cable loosely away from the paddle to sterilize. Wrapping cable around the paddle may damage
the cable.
5 If choosing to ethylene oxide gas sterilize the paddle, use temperatures up to 55°C (131°F). If
choosing to hydrogen peroxide plasma sterilize the paddle, see page 5-16.

EXTERNAL STERILIZABLE PADDLES

The following paragraphs describe:
• About External Sterilizable Paddles
• Monitoring and Therapy Procedures
• Cleaning

About External Sterilizable Paddles

External sterilizable paddles (Figure 5-16) are specifically designed to be used for cardiac defibrillation
in a sterile environment. These paddles can be used for defibrillation, monitoring, and synchronized
cardioversion and connect directly to the LIFEPAK 12 defibrillator/monitor.

Figure 5-16 External Sterilizable Paddles

5-12 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

ECG Monitoring and Therapy Procedures

To use the external sterilizable paddles for ECG monitoring, defibrillation or synchronized
cardioversion:
1 Connect the external sterilizable paddle cable to the therapy cable connector on the defibrillator.
(For detailed instructions, refer to page 2-10.)
2 Proceed with ECG monitoring, defibrillation, or synchronized cardioversion as described in Section 3
or Section 4.
Note: To select energy, charge, or discharge, use the controls on the front panel, Area 1
(see page 2-4).

Cleaning
External sterilizable paddles are approved for ethylene oxide gas or hydrogen peroxide plasma
sterilization.
The frequency of sterilization, rather than the age of the paddle, affects the useful life of the posterior
defibrillation paddle:
1 Wipe or rinse paddle electrodes, cable connector, paddle handles, and cables with mild soap and
water or disinfectant using a damp sponge, towel or brush. Do not immerse or soak.
2 Dry thoroughly.
3 Examine electrodes, handles, cables, and connector for damage or signs of wear.
Cables showing signs of wear such as loose cable connections, exposed wires, or cable
connector corrosion should be removed from use immediately.
Paddles with rough and/or pitted electrodes should be removed from use immediately.
4 Coil cable loosely away from the paddle to sterilize. Wrapping cable around the paddle may damage
the cable.
5 If choosing to ethylene oxide gas sterilize the paddle, use temperatures up to 55°C (131°F). If
choosing to hydrogen peroxide plasma sterilize the paddle, see page 5-16.

INTERNAL HANDLES WITH DISCHARGE CONTROL

The following paragraphs describe:
• About Internal Handles with Discharge Control
• Inserting the Paddles
• Removing the Paddles
• Internal Defibrillation Procedure
• Internal Synchronized Cardioversion Procedure
• Cleaning
• Testing

About Internal Handles with Discharge Control

Internal handles with discharge control (Figure 5-17) are specifically designed for open chest cardiac
defibrillation and connect directly to the LIFEPAK 12 defibrillator/monitor.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-13

 Paddle Accessory Options

Figure 5-17 Internal Handles with Discharge Control

Internal handles with discharge control are designed to be used only with internal paddles with the cam
locking end as shown in Figure 5-18. No other paddles are compatible with these handles.

Electrode
surface
Cam locking
end

Figure 5-18 Internal Paddle

The internal paddles are available in the sizes listed in Table 5-2:
Table 5-2 Paddle Part Numbers

Size in Inches Size in Centimeters Part Number

1 inch 2.5 cm 805355-10

1.5 inch 3.8 cm 805355-11
2.0 inch 5.1 cm 805355-12
2.5 inch 6.4 cm 805355-13
3.5 inch 8.9 cm 805355-14

Inserting the Paddles

To insert the paddles:
1 Using sterile technique, insert paddle fully into handle until a positive stop is reached.

2 Press and rotate paddle as shown (clockwise) until a second stop is reached.

3 Release paddle to lock in place. A correctly installed and locked paddle cannot be directly withdrawn
or rotated.

5-14 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Paddle Accessory Options

Removing the Paddles

To remove the paddles:
1 Push paddle into handle until a positive stop is reached.
2 Rotate handle counterclockwise until a second stop is reached.
3 Slide paddle out of handle.

Internal Defibrillation Procedure

Energy selection is automatically limited to 50 joules when internal handles are connected. To initiate
internal defibrillation:
1 Press ON. The JOULES SELECTED symbol appears in the upper right corner of the monitor screen.
2 Press ENERGY SELECT if energy other than 10 joules is desired.
3 Press CHARGE.
4 Place conductive surface of paddles against the right atrium and left ventricle.
5 Make certain that all personnel, including the operator, are clear of the patient, operating table or
bed, or any other equipment that is connected to the patient.
6 Press the discharge control located on the internal handle when the defibrillator has reached the
selected energy level. The defibrillator will not discharge until it completes charging to the selected
energy level. If discharge control is not pressed within 60 seconds, stored energy is removed
automatically.
7 Press SELECTOR to manually remove an unwanted charge.

Internal Synchronized Cardioversion

Synchronized cardioversion requires that the patient’s ECG signal be acquired through the 3-lead
patient ECG cable using Lead I, II, or III. Refer to Section 4 for the synchronized cardioversion
procedure.

Cleaning
Internal handles and paddles with discharge control may be ethylene oxide gas, steam, or hydrogen
peroxide plasma sterilized. The useful life of internal paddles and handles is affected by the number of
sterilization cycles rather than age.
After each use:
1 Detach paddles from handles.
2 Wipe or rinse paddles, handles, and cables with mild soap and water using a damp sponge, towel,
or brush. Do not immerse or soak.
3 Examine handles, cables, and connector for damaged pins or signs of wear (i.e., loose cable
connections, exposed wires, and cable connector corrosion). Examine paddles for scratched, pitted,
or chipped electrode surfaces and bubbled, scratched, or chipped epoxy coating. If any of these
conditions are found, remove the affected component from use immediately.
4 If choosing to ethylene oxide gas sterilize the paddle, use temperatures up to 55°C (131°F). Steam
sterilize at temperatures up to 132°C (270°F). If choosing to hydrogen peroxide plasma sterilize the
paddle, see page 5-16.
5 Coil cables loosely away from handles to gas or steam sterilize. Wrapping the cables around the
handles may damage the cables.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 5-15

Paddle Accessory Options

Testing
Perform comprehensive electrical testing using a defibrillator analyzer no less than quarterly or after ten
sterilization cycles, whichever comes first.

HYDROGEN PEROXIDE PLASMA STERILIZATION PROTOCOL

Physio-Control has tested the following accessories to 100 cycles using the STERRAD™ gas plasma
system after which no adverse functional or visual effects were detected: Posterior Paddle (802461),
Pediatric Paddles (800418), Internal Handles with Discharge Control (3010901), Internal Defibrillation
Paddles (805355), and External Sterilizable Paddles (3009166). The STERRAD system is an
automated process with a total cycle time of approximately 75 minutes. The chamber temperature is
maintained at 45° to 55°C (113° to 131°F), and uses the following set parameters for each cycle:

Vacuum Phase
Pressure Evacuation of chamber to 300 mTorr
Duration 5 to 20 minutes

Injection Phase
Injection2 Automatic injection of 1.8 ml aqueous solution of H2O2 and vaporization
Duration 6 to 12 minutes

Diffusion Phase
Diffusion2 Diffusion of H2O2 in chamber and throughout load
Duration 42 minutes

Plasma Phase
Plasma Low temperature gas plasma with 400 W power at 500 mTorr
Duration 15 minutes

Vent Phase
Pressure Return chamber to atmospheric pressure
Duration 5 minutes

5-16 510k LIFEPAK 12 defibrillator/monitor series Operating Instructions

6

DATA MANAGEMENT

This section describes data management functions.

Overview of Data Storage and Retrieval page 6-2

CODE SUMMARY Critical Event Record 6-3
Retrieving Patient Records 6-8
Equipment Connections for Data Transmission 6-13

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-1

Data Management

OVERVIEW OF DATA STORAGE AND RETRIEVAL

The following paragraphs describe how you can store and retrieve patient data using the LIFEPAK 12
defibrillator/monitor.

Data Storage
Every time you use the LIFEPAK 12 defibrillator/monitor, data is stored digitally. Data is stored as three
report types:
• The CODE SUMMARYTM critical event record - Includes patient information, event and vital sign logs,
and waveforms associated with events (for example, defibrillation) as described on page 6-3.
• The 12-Lead ECG Report - Is the diagnostic 12-lead ECG report described in Section 3.
• The Continuous ECG Report - Provides real-time single lead ECG data, acquired when the device is
powered on and electrodes are connected to the patient.
These report types constitute the Patient Record.

Memory Capacity
The LIFEPAK 12 defibrillator/monitor retains data for two or more patients when you switch power off or
remove the batteries. The number of patient reports that the defibrillator can store depends on various
factors, including the number of displayed waveforms, the duration of each use, and the type of
therapy. Typically, memory capacity includes up to 100 single waveform reports and 45 minutes of
continuous ECG. When the defibrillator reaches the limits of its memory capacity, the defibrillator
deletes an entire Patient Record using a “first in, first out” priority to accommodate a new Patient
Record. Deleted Patient Records cannot be retrieved.

Data Retrieval
Table 6-1 shows how you can retrieve the various reports.
Table 6-1 Report Retrieval Methods

Report Type Print Fax Transmit

CODE SUMMARY record Yes Yes Yes

Individual event reports No Yes Yes
12-lead Report Yes Yes Yes
Continuous ECG Report 1 No No Yes
1
Can only be transmitted to a computer and viewed with CODE-STATTM Reviewer.
For more information, contact your Physio-Control sales representative.
To retrieve patient records, refer to pages 6-8 through 6-12.

6-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

CODE SUMMARY CRITICAL EVENT RECORD

The LIFEPAK 12 defibrillator/monitor automatically stores a CODE SUMMARY critical event record for
each patient that consists of the following:
• Preamble
• Event/vital signs log
• Waveforms associated with certain events
Figure 6-1 is an example of a CODE SUMMARY report.
Preamble Event/Vital Signs Log

Name: JOHN CLAYTON Time Event HR/PR Sp02

ID#: 041495094B2 07:15:34 Power On

Date: 06 APR 96 07:18:24 Initial Rhythm 95 99
Age: 45 Sex: M 07:20:34 Vital Signs 98 87
07:23:31 Pacing 1 Started 95 98
CODE SUMMARY™ 07:24:36 Pacing 2 Set 93 99
Critical Event Record 07:25:10 Intubation 100 96
Power On:06 APR 95 06:03:12 07:25:34 Vital Signs 96 98
Device #: 010 07:27:04 Pacing 3 Stopped 91 98
Site #: 123 07:29:20 Alarm HR 161 98
Total Shocks: 3 07:30:34 Vital Signs 96 98
Total Time Paced: 00:15:00 07:31:18 Adenosine 88 97
Total 12-Leads: 6 07:32:22 Check Patient -- 96
Elapsed Time: 00:52:43 07:33:11 Shock 1 200J -- 96
COMMENTS: 07:33:59 Shock 2 200J -- 96
07:35:11 Shock 3 360J -- 96
07:35:34 Vital Signs 35 98
07:36:11 Shock 4 Not Delivered 70 96
07:40:34 Transmit Harborview 72 98
3011371-002 e3 7379351

Figure 6-1 CODE SUMMARY critical event record (100mm)

To print the current patient’s CODE SUMMARY report, press CODE SUMMARY.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-3

Data Management

You can configure the LIFEPAK 12 defibrillator/monitor to print CODE SUMMARY in one of the formats
described in Table 6-2.
Table 6-2 CODE SUMMARY Formats

Format Attributes

Long format • Preamble

• Event/vital signs log
• Event waveforms
• 12-lead ECG report(s)

Medium format • Preamble

• Event/vital signs log
• Event waveforms

Short format • Preamble

• Event/vital signs log

The 12-lead ECG reports are always accessible as individual reports. The configured format
determines only which reports are printed when the CODE SUMMARY button is pressed. If you interrupt
printing of a CODE SUMMARY report, this results in the reprinting of the entire CODE SUMMARY report when
printing is resumed.

Preamble
The preamble consists of patient information (name, age, and sex) and device information (date, time,
and therapy information) as shown in Figure 6-1. The defibrillator automatically enters a unique
identifier for each Patient Record. This identifier is composed of the date and time that the defibrillator is
turned on.

Event/Vital Signs Log

The LIFEPAK 12 defibrillator/monitor documents events and vital signs in chronological order. Events
are operator or device actions that are related to monitoring, pacing, AED therapy, data transmission,
and more. Table 6-3 shows a complete listing of events that can be found in the event log.
Vital signs (or active parameters) are entered into the log automatically every 5 minutes and when
alarm limits are exceeded.

6-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

Table 6-3 Event Types

Event Types Events

Monitoring • Initial rhythm • 12-lead • Alarm events • Vital signs

Operator • Event • Print • Sync on/off

initiated

Transmission • Transmit • Transmit cancelled • Transmit failed

Therapy
AED • Advisory mode • Analysis
• Check patient • Analysis stopped
• Connect electrodes • Shock advised
• Motion • No shock advised

Defibrillation • Manual mode

• Shock
• Charge removed

Pacing • Started • Stopped

• Set • Paused
• Charged

Therapy and other selected events also have waveform data as described in Table 6-4. The defibrillator
automatically enters the vital signs of all active parameters into the event/vital signs log every five
minutes. This is also true of waveform events, such as alarm violations.

Waveform Events
Therapy and other selected events also include waveform data. Table 6-4 defines these waveform
events.
Table 6-4 Waveform Events

Event Name Waveform Data

INITIAL RHYTHM • 8 seconds after leads on.

CHECK PATIENT • 8 seconds prior to alert.
SHOCK or NO SHOCK ADVISED • 2-3 segments of analyzed ECG. Each segment is 2.7 seconds.
ANALYSIS X STOPPED • 8 seconds of data prior to cessation of analysis.
SHOCK X • 3 seconds prior to shock and 5 seconds after shock.
PACING X STARTED • 8 seconds prior to increase of current from 0.
PACING X SET • 8 seconds after ppm and mA are stable for 10 seconds.
PACING X CHANGED • 8 seconds after pacing rate, current, or mode is changed.
PACING X STOPPED • 3 seconds prior to pacing and 5 seconds after current is zero.
PACING X PAUSED • Initial 8 seconds while PAUSE is pressed.
ALARM • 3 seconds prior to violated parameter and 5 seconds after.
EVENT • 3 seconds prior to event selection and 5 seconds after.
PRINT • 3 seconds prior to pressing PRINT and 5 seconds after.
12-LEAD • 12-lead ECG data.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-5

Data Management

Waveforms are preceded by a header that includes the following information:

• Patient data
• Event name
• Vital signs
• Therapy data
• Device configuration information
CODE SUMMARY COMPLETE is printed immediately following the last waveform event.
See Figure 6-2 for examples of waveform event printouts in the CODE SUMMARY record.

6-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

Name: JOHN CLAYTON Check Patient

ID#: 052094051417
Age: 45 Sex: M 24Apr 95 II
Check Patient 14:49:52

HR ---
SPO2 98

x1.0 2.5-30Hz 25mm/sec 3011371-002 e3 7379351

Check Patient Report (CPSS)

Preshock Shock 1 200J Postshock Hard Paddles

Name: JOHN CLAYTON
ID#: 052094051417
Age: 45 Sex: M 24 Apr 95

Shock 1 200J 14:49:52

HR 80
SPO2 98
x1.0 .50-40Hz 25mm/sec 3011371-002 e3 7379351

Shock Report

Name: JOHN CLAYTON Demand Pacing Sensing Lead II Pacing 1 Started

ID#: 052094051417
Age: 45 Sex: M 24 Apr 95 II
Pacing 1 Started 14:49:52
Demand Pacing 80PPM 40mA

HR 75
SPO2 98
x1.0 .50-40Hz 25 mm/sec 3011371-002 e3 7379351

Pacing Report

Name: JOHN CLAYTON 14:49:52 Segment 1 Shockable 14:49:59 Segment 2 Nonshockable 14:50:08 Segment 3 Shockable
ID#: 052094051417
Age: 45 Sex: M 24 Apr 95

Analysis 1 14:49:52
Shock Advised 14:50:10
Shock 1 200 J 14:51:44

HR ---
SPO2 98 x1.0 2.5-30Hz 25 mm/sec 3011371-002 e3 7379351

Analysis Report (SAS)

Name: JOHN CLAYTON Alarm Sp02 <90

ID#: 052094051417
Age: 45 Sex: M 24 Apr 95
II
Alarm Sp02 <90 14:49:52

HR 121
SPO2 98

x1.0 .50-40Hz 25 mm/sec 3011371-002 e3 7379351

Alarm Report
Figure 6-2 Waveform Event Printout Examples (50mm)

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-7

Data Management

RETRIEVING PATIENT RECORDS

The following paragraphs describe how to retrieve patient records for current or previous patients.

Current Patient and Previous Patients

To retrieve Patient Records, it is important to understand the difference between the current patient and
previous patients.
• Current patient is the patient currently connected to the monitor.
• Previous patients are patients who were previously connected to the monitor and have reports
stored in memory.
To avoid confusion, do not access a previous Patient Record when the LIFEPAK 12 defibrillator/monitor
is connected to a patient.
You can print or transmit stored reports for current and previous patients.

Printing a Current Patient Report

Options
1 Press OPTIONS.
Patient... Reports... 2 Select REPORTS.
Pacing... Printer...
Date/Time... User Test
Alarm Volume

Options / Reports
3 Select PRINT.

Transmit...
Print...
Delete

Options / Reports / Print

The current patient’s name or ID displays.
Print 4 Confirm the desired report. To change the
ID:051597150238 report type, select REPORT.
Patient
5 Select PRINT.
Code Summary
Report Note: FORMAT appears if the 12-lead

Format 3-Channel option is installed.

6-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

Transmitting a Current Patient Report

Transmit
1 Connect the phone system.
2 Press TRANSMIT.
Send 3 Confirm the desired report. To change the
report type, select REPORT.
Report All
4 Confirm the desired site. To change the
HARBORVIEW
Site phone number, select SITE.
None 5 Confirm the prefix. To change the
Prefix
number, select PREFIX.
6 Select SEND.

Printing a Previous Patient Report.

Options
1 Press ON.
Patient... Reports... 2 Press OPTIONS
Pacing... Printer... 3 Select REPORTS.

Date/Time... User Test

Alarm Volume...

Options / Reports
4 Select PRINT.

Transmit...
Print...
Delete...

Options / Reports / Print

5 Confirm the desired patient. To choose a
Print new patient, select PATIENT.
Patient ID:051597150238

Code Summary
Report
3-Channel
Format

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-9

 Data Management

Options / Reports / Print

6 Confirm the desired report. To change the
Print report type, select REPORT.
ID:051597150238 7 Select PRINT.
Patient
Code Summary
Report
3-Channel
Format

Transmitting a Previous Patient Report

.

Options
1 Press ON.
Patient... Reports... 2 Press OPTIONS.
Pacing... Printer... 3 Select REPORTS.

Date/Time... User Test

Alarm Volume...

Options / Reports
4 Select TRANSMIT.

Transmit...
Print...
Delete...

6-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

Options / Reports / Transmit

5 Confirm the desired patient. To choose a
Send new patient, select PATIENT.

Patient All Patients

All
Report
Site HARBORVIEW

Prefix None

Options / Reports / Transmit

6 Confirm the desired report. To change the
Send report type, select REPORT.

Patient All Patients

All
Report
HARBORVIEW
Site
Prefix None

Options / Reports / Transmit

7 Confirm the desired site. To change the
Send phone number, select the SITE.
All Patients 8 Confirm the prefix. To change the
Patient number, select PREFIX.
All
Report 9 Select SEND.
Site HARBORVIEW

Prefix None

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-11

Data Management

Deleting a Previous Patient Record

Only the complete Patient Record stored in the LIFEPAK 12 defibrillator/monitor can be deleted.
Individual patient reports cannot be deleted. You can undo a deletion only if you select UNDO
immediately after the deletion.

Options
1 Press ON.
Patient... Reports... 2 Press OPTIONS.
Pacing... Printer... 3 Select REPORTS.

Date/Time... User Test

Alarm Volume...

Options / Reports
4 Select DELETE.

Transmit...
Print...
Delete...

Options / Reports / Delete

5 Confirm desired patient. To choose a new
patient, select PATIENT.
6 Select DELETE.
Delete
ID:051597144435
Patient
Undo

6-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

EQUIPMENT CONNECTIONS FOR DATA TRANSMISSION

The following paragraphs describe:
• Transmitting from the PC Card™ Modem
• Transmitting from the System Connector
• Treatment Protocol When Transmitting Data
For specific information and procedures concerning printing and transmitting patient reports, refer to
Retrieving Patient Records, pages 6-8 through 6-11.
The LIFEPAK 12 defibrillator/monitor can transmit patient data to a PC-compatible computer or fax
machine. In addition, patient data can be integrated into Marquette Medical System’s MUSE® CV
information system. You can transmit to these devices through the PC Card modem or system
connector located on the back of the LIFEPAK 12 defibrillator/monitor (see Figures 6-3 and 6-4).
Patient data can be transmitted landline or cellular.
To transmit patient data, the PC Card modem or external modem must be AT command set compatible
(TIA/EIA 602).
Before patient data can be transmitted, the transmission port defaults must be at the correct settings.
To change defaults, refer to Section 9, Defining Setup Options.
The capacity to transmit patient data using telecommunications may not be available in all countries.
Contact your local Physio-Control representative for more information.

Transmitting from the PC Card Modem

You can transmit to a computer or fax machine from the PC Card modem using the LIFEPAK 12
defibrillator/monitor internal modem. Figure 6-3 shows the connections.

Computer
Landline
OR
Cellular Phone

Fax
Public Switched
Telephone Network
PC Card
Modem

MUSE
Figure 6-3 Transmitting from the PC Card Modem

To connect the defibrillator as in Figure 6-3, you will need:

• Modem Door Assembly Kit, part number 3010296
• PC Card modem, version 2.1 type II

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-13

 Data Management

You need to install the Modem Door Assembly Kit to transmit from the PC Modem Card Connector.
Refer to the instructions that accompany the kit to install the modem door assembly.

Transmitting From the System Connector

You can transmit to a computer or fax machine from the system connector using an external modem.
Additionally, you can transmit directly to a computer. Figure 6-4 shows the connections.
.
Direct Connection

Computer
Landline
OR
Cellular Phone
External
Modem Fax

System Public Switched

Connector Telephone Network

MUSE
Figure 6-4 Transmitting from the System Connector

To connect the defibrillator as in Figure 6-4, you will need:

• AT command set compatible external modem (TIA/EIA 602)
• Serial Port Interface Cable, part number 3009817 (direct connection)
• External modem cable: 6ft, part number 3010727-00; or 10ft, part number 3010727-01

Treatment Protocol When Transmitting Data

When considering any treatment protocol that involves transmitting patient data by telecommunication,
you must be aware of possible limitations. Successful communication depends on access to public or
private network services that may or may not always be available. This is especially true for cellular
communication, which is influenced by many factors, such as:
• Geography
• Location
• Weather
• The number of cellular service users
Treatment protocol must always take into account the fact that data transmission cannot be assured
using landline or cellular communications. Your treatment protocol must include contingency planning
for incomplete data transmission.

6-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Data Management

Table 6-5 Troubleshooting Tips for Data Management

Observation Possible Cause Corrective Action

1 BUSY/WAITING TO REDIAL Destination may be busy • Retry in 30 to 60 seconds. If

message appears. receiving report from another busy persists, use phone hand-
device. set to call destination and deter-
mine whether receiving modem
answers.
2 Repeated ringing followed by Destination device power not • Call and confirm destination
TRANSMISSION FAILED connected. device power is on and cables
message appears. are properly connected.
Wrong phone number. • Confirm phone number.
Receiving phone line not active. • Confirm destination phone line is
active.
3 NO DIAL TONE message Disconnected cable or phone • Check phone cable and service.
appears. service not active.

RJ11 telephone cord not plugged • Confirm RJ11 cord plugged into
in. defibrillator and phone jack.
RJ11 telephone cord plugged into • Plug RJ11 cord into different
inactive or digital phone jack. analog jack and retransmit (ana-
log jacks are the type used for a
FAX machine or computer
modem).

Phone power off. • Turn on phone power.

Cable not connected or is • Check connections and retry. If
damaged. problem persists, replace cable.
Phone battery low. • Install charged phone battery.
Antenna not extended or securely • Confirm antenna is properly con-
connected. nected and extended.
Cable is not properly connected. • Check connections.
4 NO MODEM FOUND message Modem disconnected. • Connect modem.
appears.
Modem is not connected to an • Confirm that the telephone line is
analog telephone line. analog (not digital).
5 DIALING message displays for Destination power not on or cables • Call and confirm destination
up to two minutes. not connected at destination. power is on and cables are prop-
erly connected.
Wrong phone number. • Confirm phone number.
Receiving phone line not active or • Confirm destination phone line is
busy. active and clear.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 6-15

Data Management

Observation Possible Cause Corrective Action

6 TRANSMISSION FAILED Noisy phone connection or poor • Retry transmission.

message appears. cellular service.
Defibrillator or phone battery low. • Replace with fully charged, prop-
erly maintained battery.
Damaged or disconnected • Check antenna and connections.
antenna (cellular).
Modem initialization string is • Check Modem initialization string
incorrect. in Setup menu.
Computer power at destination is • Make sure power is on.
not on.
Computer application program is • Make sure that the program is
not ready. ready to receive data.
Connection is busy, defibrillator • Resend the data.
has tried to send data three times.

Wrong phone number. • Check destination phone num-

ber and phone number setup
option.

6-16 LIFEPAK 12 defibrillator/monitor series Operating Instructions

7

AC AND DC POWER ADAPTERS

This section describes the AC and DC Power Adapters.

Basic Orientation page 7-2

Using the AC or DC Power Adapters 7-6
General Maintenance 7-9

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-1

 AC and DC Power Adapters

BASIC ORIENTATION
The PHYSIO-CONTROL® AC and DC Power Adapters (see Figure 7-1) are optional accessories only
for the LIFEPAK® 12 defibrillator/monitor series. These power adapters:
• Provide operating power to the defibrillator/monitor with or without batteries
• Simultaneously charge the batteries installed in the defibrillator/monitor
• Indicate whether the batteries are charging, ready for service, or failed
The AC Power Adapter operates with line power while the DC Power Adapter uses +12Vdc power,
such as in an ambulance or other vehicle that does not have a DC to AC converter. The power adapters
will not overcharge the batteries. The power adapters can be permanently attached to the defibrillator.
The power adapter charges one battery at a time; it automatically charges the battery with the greatest
remaining charge first. Once fully charged, the power adapter trickle-charges the batteries to maintain
the charge level.
Note: Power adapters do not maintain batteries. Battery maintenance requires using a
PHYSIO-CONTROL® Battery Support System. For further information regarding battery
maintenance, refer to Section 8.
The following paragraphs include:
• AC and DC Power Adapter Warnings
• Unpacking and Inspecting the Power Adapter
• Controls, Indicators and Connectors
• Mounting the Power Adapter to the LIFEPAK 12 defibrillator/monitor

AC and DC Power Adapter Warnings

WARNINGS!

Possible device shutdown during patient care.

The AC and DC Power Adapters charge batteries; they do not maintain batteries. Maintain batteries
with the appropriate Physio-Control Battery Support System.
Possible loss of power during patient care.

Do not connect more than one DC output extension cable between the AC or DC Power Adapter and
the defibrillator. The resultant voltage drop may prevent the power adapter from charging the batteries
or operating the defibrillator. Always connect the power adapter directly to the defibrillator or use only
one extension cable.
Shock hazard.

Using a power line cord other than the one supplied with the AC Power Adapter could cause excess
leakage currents. Use only the AC Power Adapter power cord (P/N 803650).

CAUTION!

Potential performance degradation.

Using the AC or DC Power Adapter with a voltage converter or inverter could degrade the performance
of the power adapter. Verify that all performance parameters of the LIFEPAK 12 defibrillator/monitor
meet factory specifications before using a voltage converter or inverter with the AC or DC Power
Adapter.

7-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 AC and DC Power Adapters

DC Output Cable

POWER
SERVIC
E
READY
CHARGIN
G FAILE
PHYS D
AC PO IO-CONT READY
WER AD RO
APTER L
CHARGI
1 NG FA
ILE D

Figure 7-1 The Power Adapter

Unpacking and Inspecting

Once you have removed the power adapter from the shipping container, examine the power adapter
and accessories for signs of damage. Make sure you have all the supplies and accessories. Save the
shipping container and the foam inserts for shipping the device.
Check the voltage indicator to ensure that the correct voltage (110/230) of your power source is
selected (see Figure 7-4). If the voltage displayed is incorrect, contact a qualified service technician.

CAUTION!

Power adapter damage.

If the voltage indicator is not set to the corresponding ac line voltage when the AC Power Adapter is
connected to line power, the power adapter will be damaged beyond repair. Verify that the voltage
indicator matches the ac voltage of your local power source.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-3

AC and DC Power Adapters

Controls, Indicators, and Connectors

Figure 7-2 through Figure 7-5 show the controls, indicators, and connectors for the AC Power Adapter
and DC Power Adapter.
READY FAILED
Green LED indicates Red LED indicates
batteries are ready batteries should be
POWER for use. discarded/recycled.
Green LED indicates
power is on. CHARGING
SERVICE Amber LED
Red LED indicates batteries
indicates power are charging.
adapter requires
servicing.

POWER SERVICE READY CHARGING FAILED READY CHARGING FAILED

PHYSIO-CONTROL
AC POWER ADAPTER 1 2

Corresponds to
batteries 1 and 2.
Figure 7-2 Power Adapter Front Panel

DC Output
Cable Extension
Cable

Figure 7-3 DC Output and Extension Cables

7-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 AC and DC Power Adapters

AC Power Adapter

POWER VOLTAGE FUSES (2) DC OUTPUT

INPUT INDICATOR Protect the CABLE
Connector Shows voltage power 12-volt power output
for AC (110/230) adapter cable to defibrillator
power cord. selected for from current Refer to Fuse POWER ADAPTER
power input. surges. Replacement/Circuit connector.
Breaker, page 7-9.

FUSES
110Vac

100-120V: T 5A 250V 12VDC 3.5A OUTPUT

220-240V: T 2.5A 250V 12V 3.5A

Figure 7-4 Rear View of AC Power Adapter

DC OUTPUT
DC Power Adapter
CABLE
12-volt power output
Refer to Fuse ON/OFF/CIRCUIT BREAKER cable to defibrillator
Replacement/Circuit Powers the device on or resets POWER ADAPTER
Breaker, page 7-9. the circuit breaker. connector.

10-16V 16A MAX

12V 3.5A

NEGATIVE TERMINAL POSITIVE TERMINAL

Connection for negative cable Connection for positive cable
from 12Vdc supply. from 12Vdc supply.
Figure 7-5 Rear View of DC Power Adapter

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-5

 AC and DC Power Adapters

USING THE AC OR DC POWER ADAPTERS

.

CAUTION!

Possible power adapter damage.

Unless permanently mounted, moving the defibrillator while connected to the power adapter may
damage the power adapter and output cable. Before moving the defibrillator, disconnect the output
cable.

Power Adapter Operation

For the AC Power Adapter:
1 Connect the ac power cord to the power adapter and a grounded ac outlet of the correct voltage.
2 Verify that the green power LED illuminates.
When the power adapter is first turned on, it performs a brief self-test. During this test all LEDs
light for a few seconds. If the test is successful, all the LEDs extinguish with the exception of the
green POWER LED.
3 Connect the output cable to the power adapter and the defibrillator POWER ADAPTER connector.
4 Press the defibrillator ON button. Verify that the Batt Chg LED illuminates.
For the DC Power Adapter:
1 Connect the vehicle battery cables to the DC Power Adapter. (Refer to Figure 7-6).
2 Press the power switch to the ON position. (Refer to Figure 7-5).
When the power adapter is first turned on, it performs a brief self-test. During this test all LEDs
light for a few seconds. If the test is successful, all the LEDs extinguish with the exception of the
green POWER LED.
3 Connect the output cable to the power adapter and the defibrillator POWER ADAPTER connector.
4 Verify that the defibrillator’s Batt Chg LED is illuminated.
For both the AC and DC Power Adapters:
If batteries are installed in the defibrillator, the power adapter LEDs illuminate as follows:
• READY (green): battery is fully charged.
• CHARGING (amber): battery is charging.
• FAILED (red): discard/recycle batteries.
• SERVICE (red): power adapter needs service immediately. Remove power adapter from use
immediately.

Connecting the DC Power Adapter to Vehicle Battery Power

CAUTIONS!

Possible loss of vehicle battery power.

Any time the DC Power Adapter is connected to a dc power source and powered-on, it continually
draws current from the power source, whether or not it is connected to a defibrillator. To prevent
draining vehicle battery power, turn off the power adapter whenever the vehicle will not be operated for
an extended period of time (such as overnight).
Possible power adapter damage.

Properly connect the dc power source cable to the positive and negative terminals on the DC Power
Adapter. Reverse polarity connections may damage the power adapter. Connect only to vehicles with
negative ground electrical systems.

The rear panel of the DC Power Adapter has positive and negative spade-type terminals for connection
to a vehicle’s 12Vdc battery. To connect the power adapter to battery power:
1 Connect the positive and negative terminals from the cable (see Figure 7-6) to their respective positive
and negative terminals on the vehicle’s 12-volt battery (see Figure 7-6 for description of the cable).

7-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 AC and DC Power Adapters

2 Connect the spade connectors at other end of the12-volt output cable to their respective positive
and negative terminals on the back of the DC Power Adapter.

10-16V 16A MAX

12V 3.5A

A 10-gauge wire is recommended for

the cable coming from the 12V supply. 12V
The combined length of the positive VEHICLE
and negative wire should not exceed BATTERY
30 feet in length for the defibrillator to
work properly.
All connections to the vehicle battery
should be properly fused.

Figure 7-6 Battery Cable Installation for DC Power Adapter

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-7

AC and DC Power Adapters

Mounting the Power Adapter to the LIFEPAK 12 defibrillator/monitor

The power adapter has four mounting holes to permanently mount the power adapter to the bottom of
the LIFEPAK 12 defibrillator/monitor. To mount the power adapter to the defibrillator (refer to
Figure 7-7):
1 Place the power adapter right-side-up on a stable surface.
2 Place the defibrillator on top of the power adapter. While holding the two devices in position, tilt them
slightly to one side to expose the mounting holes on the bottom of the power adapter.
3 Using the 4 screws, insert the screws through the bottom of the power adapter case and into the
corresponding mounting hole in the defibrillator. Hand-tighten the screws one turn after they are
seated.

DC Output
Cable

Figure 7-7 Mounting the Power Adapter to the LIFEPAK 12 defibrillator/monitor

Once the power adapter is permanently mounted to the defibrillator, connect the DC output cable to the
defibrillator’s POWER ADAPTER connector.

7-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 AC and DC Power Adapters

GENERAL MAINTENANCE
The following paragraphs contain information about:
• Maintenance and Service
• Cleaning
• Fuse Replacement/Circuit Breaker
• Troubleshooting
• Warranty
• Replacement Parts and Accessories
• Specifications

Maintenance and Service

Maintenance and service instructions, including periodic tests, inspections, and part replacement
intervals are described in the LIFEPAK 12 defibrillator/monitor series Service Manual, P/N 3010013-00.
The power adapter does not contain any operator-serviceable components. If the power adapter needs
servicing, contact a Physio-Control representative. In the USA, call 1.800.442.1142. Outside the USA,
contact your local Physio-Control representative.

Cleaning

WARNING!

Shock or fire hazard.

Do not immerse any portion of this device in water or other fluids. Avoid spilling any fluids on device or
accessories. Do not clean with alcohol, ketones, or other flammable agents. Do not autoclave or
sterilize this device or accessories unless otherwise specified.

CAUTION!

Possible equipment damage.

Do not clean any part of this device or accessories with bleach, bleach dilution, or phenolic compounds.
Do not use abrasive or flammable cleaning agents. Do not attempt to sterilize this device or any
accessories unless specified in accessory Operating Instructions.

Clean the power adapter by wiping the surface with any of the following solutions:
• Soap and water
• Quaternary ammonium compounds
• Isopropyl alcohol
• Peracetic (peroxide) acid solutions

Fuse Replacement/Circuit Breaker

The AC and DC Power Adapters are protected from overcurrent differently: the AC Power Adapter has
two fuses; the DC Power Adapter has a circuit breaker.
To replace the fuses in the AC Power Adapter, unplug the ac power cord and open the fuse carrier door
located in the power input module with a flat-bladed screw driver (refer to Figure 7-4). Ensure that the
replacement fuses are the same type and rating as listed in the specifications in Table A-1.
The DC Power Adapter POWER/RESET switch is also a circuit breaker. If the power adapter senses an
overcurrent, the switch automatically resets to the OFF position. The power adapter will be without
power until the switch is manually reset to the ON position.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-9

AC and DC Power Adapters

When replacing fuses on the AC Power Adapter, use only 5 x 20 mm F 250V fuses approved to IEC
127-2 sheet 1 or 2, such as:
• Schurter SP or FSF
• Bussman GDA or GDB
• Littelfuse 216
Note: Use of other fuse types may cause premature failure of the mains fuse.
The back panel of the Adapter (see Figure 7-4) shows the correct fuse rating for the input voltage:
• 100-120V: T 5A
• 220-240V: T 2.5A

Troubleshooting
Table 7-1 contains corrective actions intended as an aid for non-technical personnel. If trouble persists
after consulting this guide, contact a Physio-Control authorized service technician or call
1.800.442.1142 (in the USA).

Table 7-1 Troubleshooting Tips for the AC and DC Power Adapters

Observation Possible Cause Corrective Action

1 POWER does not light. AC power cord not plugged into • Connect power cord.
unit or line power.
DC adapter ON/OFF switch not • Check that ON/OFF switch is in
pressed. ON position.
Blown fuse/circuit breaker. • Replace using the procedure
described on page 7-9 with the
correct fuses or reset the ON/OFF
switch.
Blown fuse or tripped circuit • Contact a qualified service
breaker in building. technician.
2 CHARGING does not light. DC output cable not connected to • Connect cable to defibrillator and
defibrillator. power adapter.
Power adapter malfunction. • Contact a qualified service
technician.
3 Battery power limited during Battery requires conditioning. • Condition battery with Battery
use. Support System.
4 FAILED illuminates. Battery voltage capacity is • Remove battery from use and
depleted. discard/recycle.
5 SERVICE illuminates. Internal fault detected. • Power adapter requires
servicing. Contact a qualified
service technician.
6 Not all LEDs on the FASTPAK 2 Normal condition. Battery needs • Allow battery to trickle charge to
battery illuminate when READY additional trickle charge time. full capacity.
LED is lit. • Maintain batteries with BSS 2
Battery is at end of useful life. • Remove battery from use and
discard/recycle.

Warranty
Refer to the warranty statement shipped with the power adapter. For duplicate copies, contact your
local Physio-Control representative. In the USA, call 1.800.442.1142. Outside the USA, contact your
local Physio-Control sales or service office.

7-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 AC and DC Power Adapters

Replacement Parts and Accessories

In the USA, call 1.800.442.1142 to order parts and accessories. Outside the USA, contact your local
Physio-Control sales or service office.
Table 7-2 Replacement Parts and Accessories

Description Part Number

AC and DC Power Adapter Service Manual 3010013

Extension Cable 3010910-01
AC Input Power Cord 803650

LIFEPAK 12 defibrillator/monitor series Operating Instructions 7-11

8

MAINTAINING THE EQUIPMENT

This section describes how to perform operator-level maintenance, testing, and troubleshooting for the
LIFEPAK 12 defibrillator/monitor series and selected accessories. For additional information about
accessories, refer to specific accessory Operating Instructions.

General Maintenance and Testing page 8-2

Battery Maintenance 8-9
General Troubleshooting Tips 8-13
Service and Repair 8-14
Product Recycling Information 8-14
Warranty 8-14
Accessories, Supplies, and Training Tools 8-15

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-1

Maintaining the Equipment

GENERAL MAINTENANCE AND TESTING

Periodic maintenance and testing of the LIFEPAK 12 defibrillator/monitor and accessories are
important to help prevent and detect possible electrical and mechanical discrepancies. If testing reveals
a possible discrepancy with the defibrillator or accessories, refer to General Troubleshooting Tips on
page 8-13. If the discrepancy cannot be corrected, immediately remove the device from service and
contact a qualified service technician. For testing information regarding accessories, refer to the
accessory Operating Instructions.
Each time you turn on the defibrillator/monitor, it performs self tests. If the defibrillator/monitor detects a
failure, the Service LED will light.

Maintenance and Testing Schedule

Table 8-1 lists the recommended maintenance and testing schedule. This schedule may be used in
conjunction with the internal quality assurance program of the hospital, clinic, or emergency medical
service where the defibrillator is used. An Operator's Checklist is included in these operating
instructions (see Appendix C).
Additional periodic preventive maintenance and testing such as electrical safety tests, performance
inspection, and required calibration should be performed regularly by qualified service technician.
Table 8-1 Recommended Maintenance Schedule for Clinical Personnel

After As 3 6 12
Operation Daily
Use Required Months Months Months

Inspect defibrillator. X X X
Clean defibrillator. X X
Check that all necessary supplies and accessories X X X
are present (e.g., fully charged batteries, gel,
electrodes, ECG paper, etc.).
Complete Operator’s Checklist (See Appendix C). X X
User Test (QUIK-COMBO Therapy cable only) X
Function Checks:
Standard Paddles User Test X
Standard Paddles monitoring check X
Standard Paddles defibrillation check X
Standard Paddles synchronized cardioversion
check X
Therapy Cable monitoring check X
Therapy Cable defibrillation check X
Therapy Cable synchronized cardioversion check X
Therapy Cable pacing check X
AC/DC Power Adapter check X
NiCd batteries: Reconditioning (alternate with Shelf
Life Test). (SLA optional.) X
NiCd batteries: Shelf Life Test. (SLA optional.) X
Preventive Maintenance and Testing. X

8-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

WARNING!

Possible loss of power during patient care.

Battery pins in the defibrillator may be damaged if batteries are dropped or forced into battery wells.
Inspect pins routinely for signs of damage.

User Test
The User Test is a functional test of the LIFEPAK 12 defibrillator/monitor and may be performed in
place of the daily defibrillator charging and discharging when the defibrillator is configured to use the
QUIK-COMBO or FAST-PATCH therapy cable. When the defibrillator is configured to use standard
(hard) paddles, the Standard Paddles User Test should be followed.
Press OPTIONS to access User Test. When selected, the User Test automatically performs the following
tasks:
• Performs self-tests
• Charges to 10J and discharges internally (this energy is not accessible at the therapy connector)
• Prints a Pass/Fail report
If the LIFEPAK 12 defibrillator/monitor detects a failure during the User Test, the Service LED lights and
the printed report indicates that the test failed. Turn off the defibrillator and then repeat the User Test. If
the Service LED remains lit, contact a qualified service technician.
If it is necessary to interrupt the User Test, turn the power off and then on again. The test will stop and
the defibrillator will operate normally. A Pass/Fail report will not print.
Note: During the User Test, all front panel controls (exept ON) and Standard Paddle controls are
disabled. Routinely testing the defibrillator consumes battery power; maintain all batteries as
described on page 8-9.
Note: It is important to understand defibrillator operation. Refer to pages 8-2 through 8-8 for
suggested procedures to help keep personnel acquainted with normal defibrillator operation and to
troubleshoot device performance. The procedures used may vary according to your local protocols.
To test the defibrillator by performing the function checks requires the use of an optional test load or
simulator.

Standard Paddles User Test

The Standard Paddles User Test is a functional test of the LIFEPAK 12 defibrillator/monitor that should
be performed if the defibrillator is configured to use standard (hard) paddles.
To perform the Standard Paddles User Test:
1 Remove the paddles and check that the paddle surfaces and paddle wells are clean and dry and
free of any debris.

WARNING!

Shock hazard.

Conductive gel (wet or dry) on the paddle handles and in the paddle wells may allow the electrical
energy to arc between paddles during discharge. Thoroughly clean and dry the paddles and paddle
wells after use and before performing the Standard Paddles User Test.

2 Replace the paddles in the paddle wells.

3 Press ON.
4 Select 10 joules.
5 Press the CHARGE button on the APEX paddle.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-3

Maintaining the Equipment

6 Confirm the tone indicates full charge within 5 seconds.

7 Press only the APEX discharge button and confirm that the defibrillator does not discharge. Release
the APEX discharge button.
8 Press only the STERNUM discharge button and confirm that the defibrillator does not discharge.
Release the STERNUM discharge button.
9 With the paddles still in the paddle wells, press both discharge buttons simultaneously.
10 Confirm ENERGY NOT DELIVERED message appears, indicating energy was removed internally.

Cleaning
CAUTION!

Possible equipment damage.

Do not clean any part of this device or accessories with bleach, bleach dilution, or phenolic compounds.
Do not use abrasive or flammable cleaning agents. Do not attempt to sterilize this device or any
accessories unless otherwise specified in accessory Operating Instructions.

Clean the LIFEPAK 12 defibrillator/monitor, cables, and accessories with a damp sponge or cloth. Use
only the cleaning agents listed below:
• Quaternary ammonium compounds
• Isopropyl alcohol
• Peracetic (peroxide) acid solutions

Function Checks
CAUTION!

Possible simulator damage.

Do not discharge more than 30 shocks within an hour or 10 shocks within a five-minute period, or pace
continually into Physio-Control patient simulators. Simulators may overheat.

The following function checks are provided to help personnel keep acquainted with normal operating
procedures and to troubleshoot device performance.

Patient ECG Cable Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• Fully charged batteries
• Patient ECG cable (3-lead or 12-lead)
• 3-lead or 12-lead simulator
Procedure:
1 Press ON.
2 Connect the ECG cable to the defibrillator.
3 Connect all cable leads to the simulator.
4 Turn on the simulator and select a rhythm.
5 After a few seconds confirm that the screen displays a rhythm and no LEADS OFF or SERVICE
messages appear.
6 For 12-lead cable, press 12-LEAD and wait for printout. Confirm a rhythm prints for each lead.

Standard Paddles Monitoring Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• Standard Paddles

8-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

• Fully charged batteries

Procedure:
1 Press ON.
2 Select PADDLES lead.
3 Press the paddle electrode surfaces together.
4 Confirm that a flat line appears.
5 Shake each paddle in the air and confirm that irregular noise signals appear.
6 Install the paddles in the paddle wells.

Standard Paddles Defibrillation Check

WARNING!

Shock hazard.

When discharged as described in this test, the defibrillator delivers up to 360 joules of electrical energy.
Unless discharged properly as described in this test, this electrical energy may cause serious personal
injury or death. Do not attempt to perform this test unless you are qualified by training and experience
and thoroughly familiar with these operating instructions.

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• Standard paddles
• Fully charged batteries
• Hard paddles tester
Procedure:
1 Press ON.
2 Place the standard paddles on the hard paddles tester paddle plates.
3 Select 200 joules.
4 Press CHARGE.
5 Confirm that the tone indicating full charge sounds within 10 seconds or less.
6 Press only the APEX discharge button and confirm that the defibrillator does not discharge. Release
the APEX discharge button.
7 Press only the STERNUM discharge button and confirm that the defibrillator does not discharge.
Release the STERNUM discharge button.
8 Press PRINT.
WARNING!

Possible paddle damage and patient burns.

Press paddles firmly onto test load plates when discharging to prevent arcing and formation of pits on
paddle surfaces. Pitted or damaged paddles may cause patient skin burns during defibrillation.

9 Apply firm pressure with both paddles on the hard paddles tester plates and press both paddle
discharge buttons simultaneously.
10 Confirm that the defibrillator discharges.
11 Confirm that the printer annotates the time, date, and energy selected on the ECG strip.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-5

Maintaining the Equipment

Standard Paddles Synchronized Cardioversion Check

WARNING!

Shock hazard.

When discharged as described in this test, the defibrillator delivers up to 360 joules of electrical energy.
Unless discharged properly as described in this test, this electrical energy may cause serious personal
injury or death. Do not attempt to perform this test unless you are qualified by training and experience
and thoroughly familiar with these operating instructions.

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• Standard paddles
• Hard paddles tester
• Patient ECG cable
• 3-lead or 12-lead patient simulator
• Fully charged batteries
Procedure
1 Press ON.
2 Connect the ECG cable.
3 Connect the ECG cable to the monitor and the patient simulator.
4 Place the standard paddles on the hard paddles tester paddle plates.
5 Turn on the simulator and select any rhythm except asystole or ventricular fibrillation.
6 Select Lead II.
7 Press SYNC. Confirm the SYNC LED lights. Adjust ECG size until the sense markers appear on the
QRS complexes. Confirm that the SYNC LED blinks off with each detected QRS complex and the
heart rate is displayed.
8 Select 50 joules.
9 Press CHARGE.
10 Press PRINT.
11 After the tone sounds indicating full charge:
• Apply firm pressure with both paddles on the standard paddles tester.
WARNING!

Possible paddle damage and patient burns.

Press paddles firmly onto test load plates when discharging to prevent arcing and formation of pits on
paddle surfaces. Pitted or damaged paddles may cause patient skin burns during defibrillation.

• Simultaneously press and hold both discharge buttons while observing the screen.
12 Confirm the defibrillator discharges on the next sensed QRS complex.
13 Confirm the defibrillator returns to asynchronous mode (sense markers are no longer displayed and
SYNC LED is off).
Note: Defibrillator may be configured to remain in sync mode after discharge.

Therapy Cable Monitoring Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• QUIK-COMBO™ (or FAST-PATCH®) therapy cable
• QUIK-COMBO 3-lead or 12-lead patient simulator, or posted patient simulator
• Fully charged batteries

8-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

Procedure:
1 Press ON.
2 Turn on the simulator and select normal sinus rhythm.
3 Connect the therapy cable to the patient simulator.
4 Select PADDLES lead.
5 Confirm that the screen shows a normal sinus rhythm and that no PADDLES LEADS OFF or SERVICE
message appears.
6 Disconnect the therapy cable from the simulator. Confirm the PADDLES LEADS OFF message appears
and an audible alarm sounds.

Therapy Cable Defibrillation Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• QUIK-COMBO or FAST-PATCH therapy cable
• 3-lead or 12-lead patient simulator, posted patient simulator, or Physio-Control test load
• Fully charged batteries
Procedure:
1 Press ON.
2 Connect the therapy cable to the simulator or test load.
3 Turn on the simulator.
4 Select 200 joules.
5 Press CHARGE.
6 Confirm that the tone indicating full charge sounds within 10 seconds or less.
7 Press PRINT.
WARNING!

Shock hazard.

During defibrillation checks, the discharged energy passes through the cable connectors. Securely
attach cable connectors to the simulator.

8 Press SHOCK.
9 Confirm that the defibrillator discharges.
10 Confirm that the printer annotates the time, date, and energy selected on the ECG strip.
11 Disconnect the therapy cable from the simulator. Confirm the PADDLES LEADS OFF message appears
and an audible alarm sounds.

Therapy Cable Synchronized Cardioversion Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• QUIK-COMBO (or FAST-PATCH) therapy cable
• Patient ECG cable
• QUIK-COMBO 3-lead or 12-lead patient simulator, or posted patient simulator
• Fully charged batteries
Procedure:
1 Press ON.
2 Connect the ECG cable to the defibrillator and the simulator.
3 Connect the therapy cable to the simulator.
4 Turn on the simulator and select any rhythm except asystole or ventricular fibrillation.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-7

Maintaining the Equipment

5 Select Lead II.

6 Press the SYNC. Confirm that the SYNC LED lights. Adjust ECG size until sense markers appear on
the QRS complexes. Confirm that the SYNC LED blinks off with each detected QRS complex and that
the heart rate is displayed.
7 Select 50 joules.
8 Press CHARGE
9 Press PRINT.

WARNING!

Shock hazard.

During defibrillation checks, the discharged energy passes through the cable connectors. Securely
attach cable connectors to the simulator.

10 After the tone sounds indicating full charge, press and hold SHOCK while observing the monitor
screen.
11 Confirm that the defibrillator discharges on the next sensed QRS complex.
12 Confirm that the defibrillator returns to asynchronous mode (sense markers no longer displayed and
SYNC LED is off).
13 Disconnect the therapy cable from the simulator. Confirm the PADDLES LEADS OFF message appears
and an audible alarm sounds.
Note: Defibrillator may be configured to remain in sync mode after discharge.

Therapy Cable Pacing Check

Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• QUIK-COMBO therapy cable
• Patient ECG cable
• QUIK-COMBO 3- or 12-lead patient simulator
• Fully charged batteries
Procedure:
1 Press ON.
2 Connect the QUIK-COMBO therapy cable to the QUIK-COMBO simulator.
3 Turn on the simulator and select BRADY.
4 Connect the ECG cable to the defibrillator and the simulator.
5 Select Lead II.
6 Press PACER.
7 Confirm that sense markers appear on each QRS complex. If sense markers do not appear, or
appear elsewhere on the ECG, press the Selector on waveform Channel 1 and adjust ECG size
from the overlay.
8 Confirm that the RATE overlay appears.
9 Press CURRENT and increase the current 80mA.
10 Observe the screen for captured complexes. Confirm the PACER LED flashes with each delivered
pacing pulse.
11 Disconnect the QUIK-COMBO therapy cable from the simulator. Confirm the pacemaker stops
pacing, the CONNECT ELECTRODES message appears, and an audible alarm sounds.
12 Reconnect the QUIK-COMBO therapy cable to the simulator. Confirm audible alarm stops and
PACING STOPPED message is displayed and current is 0 mA.
13 Increase current to 80 mA.
14 Press CHARGE. Confirm the PACER LED goes off and heart rate and available energy are displayed.

8-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

AC and DC Power Adapter Check

The AC/DC Power Adapter may not be available for use in all countries. Contact your local Physio-
Control representative.
Equipment Needed:
• LIFEPAK 12 defibrillator/monitor
• AC/DC Power Adapter with access to power source
• Fully charged batteries
Procedure:
1 Connect the AC/DC Power Adapter to ac or dc power and set the rear panel MAINS POWER switch to
I (ON).
2 Confirm the AC/DC Power Adapter front panel POWER light is illuminated.
3 Remove the batteries from the defibrillator.
4 Connect the DC output cable to the Power Adapter connector at the back of the defibrillator.
5 Confirm the defibrillator powers on without the SERVICE LED illuminated.
6 Install fully charged batteries in the defibrillator and confirm the battery charging light illuminates on
the defibrillator.

BATTERY MAINTENANCE
The following paragraphs describe:
• Battery Maintenance Warnings
• Battery Description
• NiCd Battery Performance Factors
• SLA Battery Performance Factors
• Receiving New Batteries
• Storing Batteries
• Recycling Batteries at the End of Useful Life

Battery Maintenance Warnings

WARNINGS!

Possible loss of power and delay of therapy during patient care.

Using an improperly maintained battery to power the defibrillator may cause power failure without
warning. Use the appropriate PHYSIO-CONTROL Battery Support System to charge and condition
batteries.
Possible loss of power during patient care.

Physio-Control has no information regarding the performance or effectiveness of its LIFEPAK

defibrillator/monitors if they are used with other manufacturers’ batteries or battery chargers. Using
other manufacturers’ batteries or battery chargers may result in device failure and may void the
warranty. Use only Physio-Control batteries and the appropriate PHYSIO-CONTROL Battery Support
System for the battery used.

CAUTION!

Possible battery damage.

Overdischarging may shorten battery life. When the low or replace battery indicator appears, replace
the battery or connect the power adapter. Do not continue using the battery.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-9

Maintaining the Equipment

CAUTION!

Possible inaccurate battery charge indicator.

Using the PHYSIO-CONTROL Battery Support System (P/N 801807) or the two-well Battery Charger
(P/Ns 9-00284, 9-00288, and 801530) to charge and maintain a FASTPAK 2 battery will eventually
result in an inaccurate battery charge level indicator. Use only the BSS2 (P/N 3010035) to charge and
maintain FASTPAK 2 batteries.

The following paragraphs contain general information concerning Physio-Control batteries. Using
batteries from sources other than Physio-Control is not recommended. Physio-Control has no
information regarding the performance or effectiveness of its LIFEPAK defibrillators if they are used in
conjunction with batteries from other sources.
Batteries require maintenance to help maximize battery life and performance. For more information,
refer to the Battery Support System 2 Operating Instructions and the LIFEPAK 12 defibrillator/monitor
Service Manual.

Battery Description
The LIFEPAK 12 defibrillator/monitor is powered by Physio-Control FASTPAK, FASTPAK 2, or
LIFEPAK SLA batteries. FASTPAK and FASTPAK 2 batteries have a nickel cadmium (NiCd) chemistry
and LIFEPAK SLA batteries have a sealed lead acid (SLA) chemistry.

Battery Charging, Conditioning, and Shelf Life Testing

Charge FASTPAK batteries in either the Battery Support System (BSS) (P/N 801807), the Battery
Support System 2 (BSS 2) (P/N 3010035), or the LIFEPAK 12 defibrillator when it is powered by the AC
or DC Power Adapter. FASTPAK batteries require periodic conditioning and shelf life testing to
optimize performance. Condition and shelf life test FASTPAK batteries in the BSS or BSS 2.
Charge the FASTPAK 2 battery in the BSS 2 or in the LIFEPAK 12 defibrillator when it is powered by
the AC or DC Power Adapter. Using the BSS (P/N 801807) or the two-well Battery Charger (P/Ns 9-
00284, 9-00288, and 801530) to charge and maintain a FASTPAK 2 battery will eventually result in an
inaccurate battery charge level indicator. FASTPAK 2 batteries require periodic conditioning and shelf
life testing to optimize performance. Condition and shelf life test FASTPAK 2 batteries only in the BSS
2. Refer to the Battery Support System or Battery Support System 2 Operating Instructions for more
information about NiCd battery maintenance.
Charge SLA batteries either in the BSS 2 or in the LIFEPAK 12 defibrillator when it is powered by the
AC or DC Power Adapter. Periodic conditioning and shelf life testing may optimize SLA battery
performance. Condition and shelf life test LIFEPAK SLA batteries in the BSS 2. Refer to the Battery
Support System 2 Operating Instructions for more information about SLA battery maintenance.
Rotate all batteries in active use so that they are used with equal frequency.

NiCd Battery Performance Factors

Three major factors affect the performance of NiCd batteries: temperature, voltage depression, and the
self-discharge rate.

Temperature
Charging batteries at room temperature 20°C to 25°C (68°F to 78°F) is preferred to maximize battery
performance and life. The extreme temperature range for charging batteries is 5°C to 35°C
(41°F to 95°F).

CAUTION!

Possible battery damage.

Charging a battery at temperatures below 5° C (41° F) or above 35° C (95° F) prevents the battery
from reaching its full capacity and may lead to irreversible cell damage.

8-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

Voltage Depression
Voltage depression is a condition that reduces battery performance. When NiCd batteries repeatedly
receive a shallow discharge (that is, not allowed to drain completely between charging cycles) voltage
depression occurs. This condition is often mistakenly called “memory.”
Voltage depression can usually be reversed by conditioning the battery every three months.

Self-Discharge Rate
Batteries self-discharge when not used. A new NiCd battery self-discharges approximately 1% of its
capacity each day when stored at room temperature. In 10 days a new NiCd battery not installed in the
defibrillator loses approximately 10% of its capacity.
Use the Battery Support System 2 to evaluate the self-discharge rate of a FASTPAK battery by
performing a shelf life test.
The actual battery self-discharge rate depends on:
• Battery age
• Temperature
• Frequency of use
• Length of time in storage
• Physical battery condition
These factors can combine to significantly increase the battery discharge rate. For example, an older
battery stored in higher temperatures may have an accelerated self-discharge rate much greater than
1% a day.
The self-discharge rate increases as the battery ages.

SLA Battery Performance Factors

Three major factors affect the performance of SLA batteries: storage, undercharging, and self-
discharge rate.

Storage
Storing a battery that is less than 100% charged can result in permanent damage.

Undercharging
Fully charge SLA batteries between uses. If SLA batteries are not 100% recharged between uses,
sulfation (lead sulfate buildup on electrode surfaces inside the battery) can occur. Sulfation reduces
battery capacity and may result in premature battery failure.

Self-Discharge Rate
SLA batteries have a low self-discharge rate. A new SLA battery self-discharges approximately 0.1% of
its capacity each day when stored at room temperature. In 10 days a new SLA battery loses
approximately 1.0% of its capacity.
The self-discharge rate increases as the battery ages.

Receiving New Batteries

When newly-purchased batteries are received, charge each new battery. Because batteries self-
discharge during storage, a new battery may not be fully charged when it is received.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-11

Maintaining the Equipment

Storing Batteries
WARNING!

Possible loss of power during patient care.

Stored batteries lose charge. Failure to charge a stored battery before use may cause device power
failure without warning. Always charge a stored battery before placing it in active use.

Store batteries in or out of the Battery Support System 2 except when performing a shelf life test.
Batteries still require routine maintenance, even while in storage.
When storing batteries:
• Store batteries between 4.4° and 26.7° C (40° and 80° F). Lower temperatures reduce the battery
self-discharge rate. Higher temperatures increase the self-discharge rate.
• Fully charge SLA batteries before storing.
• Do not freeze batteries. Damage to the battery may result.
• Charge stored batteries before placing in use.

Recycling Batteries at the End of Useful Life

Properly maintained FASTPAK batteries have a useful life of approximately two years. Properly
maintained FASTPAK 2 batteries have a useful life up to five years. Properly maintained LIFEPAK SLA
batteries have a useful life of up to three years. A FASTPAK, FASTPAK 2, or LIFEPAK SLA battery has
reached the end of useful life if one or more of the following circumstances occur:
• Battery fails conditioning or shelf life test
• There is physical damage to the battery case
• The battery is leaking
• The Battery Support System 2 indicates DISCARD during any battery maintenance procedure
Note: The FASTPAK 2 and LIFEPAK SLA batteries have internal parameters that establish limits
for useful life. If these parameters are exceeded, the BSS 2 will indicate DISCARD when the battery is
inserted into the battery well.
To promote awareness of battery recycling, Physio-Control batteries are marked with one of these
symbols:
RB
RC
C
RBR

Ni-Cd

When a Physio-Control battery has reached the end of its useful life, recycle the battery as follows:

Battery Recycling in the USA

Recycle batteries by participating with Physio-Control Corporation in a national recycling program.
Contact your Physio-Control representative to obtain shipping instructions and shipping containers. Do
not return your batteries to the Physio-Control Corporate Headquarters in Redmond, Washington,
unless instructed to do so by your Physio-Control representative.

Battery Recycling Outside the USA

Recycle batteries according to national and local regulations. Contact your local Physio-Control
representative for assistance.

8-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

GENERAL TROUBLESHOOTING TIPS

If a problem is detected with the defibrillator/monitor during operation or testing, refer to the
troubleshooting tips in Table 8-2. If the problem cannot be corrected, remove the defibrillator/monitor
from active use and contact a qualified service technician for service and repair.
Table 8-2 General Troubleshooting Tips

Observation Possible Cause Corrective Action

1 No power when defibrillator/ Low battery voltage. • Replace with fully charged,
monitor is turned ON. properly maintained battery.
Battery connector pin loose, • Remove battery and inspect
covered with foreign substance, pins. Clean if foreign substance
or damaged. present. Contact a qualified
service technician to replace if
bent, cracked, or loose.
2 Defibrillator/monitor operates Operating temperature is too low • Replace the battery immediately.
but display is blank. or too high.
Display not operating properly. • Contact qualified service
technician.
3 CHECK PRINTER message Printer paper jams, slips, or • Reinstall paper.
displays. misfeeds.
Printer is out of paper. • Add new paper.
• If problem persists, contact
qualified service technician.
4 No power when power adapter Improper connection between • Check power adapter
connected. power adapter and defibrillator or connections and cables.
power source. • Check DC Power Adapter
MAINS POWER is set to I (ON) and
connected to vehicle power.
• Check AC Power Adapter is
connected to ac line power.
5 Service message. Defibrillator self-test circuitry • Turn defibrillator off then on
detects service condition. again. Note that this creates a
new “patient.”
• Continue to use defibrillator if
needed.
• If service message does not
clear, remove defibrillator from
active use.
• Report occurrence of message
to qualified service technician.
6 ECG monitoring problems. • Refer to Section 3, page 3-4.
7 Problems with AED operation. • Refer to Section 4, page 4-5.
8 Problems with defibrillation/ • Refer to Section 4, page 4-16.
synchronized cardioversion.
9 Problems with pacing. • Refer to Section 4, page 4-17.
10 Displayed time is incorrect. Time is incorrectly set. • Change the time setting. Refer to
Section 2, page 2-8
11 Date printed on report is Date is incorrectly set. • Change the date setting. Refer
incorrect. to Section 2, page 2-8
12 Displayed messages are faint Low battery power • Replace the battery immediately.
or flicker. Out of temperature range.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-13

Maintaining the Equipment

SERVICE AND REPAIR

WARNINGS!

Shock hazard.

Do not disassemble the defibrillator. It contains no operator serviceable components and dangerous
high voltages may be present. Contact a qualified service technician for repair.
Possible ineffective energy delivery.

Service mode is for authorized personnel only. Improper use of service mode may inappropriately alter
the device’s configuration and may change energy output levels. Contact qualified service technician
for assistance or information about device configuration.

If the LIFEPAK 12 defibrillator/monitor requires service as indicated by testing, troubleshooting, or a

service message, contact a qualified service technician, or in the USA, call Physio-Control Technical
Services at 1.800.442.1142. Outside the USA, see page ii.
When calling Physio-Control to request service, identify the model and serial number and describe the
observation. If the device must be shipped to a service center or the factory, pack the device in the
original shipping container, if possible, or in protective packing to prevent shipping damage.
The LIFEPAK 12 defibrillator/monitor Service Manual provides detailed technical information to support
service and repair by a qualified service technician.

PRODUCT RECYCLING INFORMATION

Recycle the device at the end of its useful life.

Recycling Assistance
The device should be recycled according to national and local regulations. Contact your local
Physio-Control representative for assistance.

Preparation
The device should be clean and contaminant-free prior to being recycled.

Recycling of Disposable Electrodes

After using disposable electrodes, follow your local clinical procedures for recycling.

Packaging
Packaging should be recycled according to national and local regulations.

WARRANTY
Refer to the warranty statement included in the accessory kit shipped with the product. For duplicate
copies, contact the local Physio-Control representative. In the US, call 1.800.442.1142. Outside the
USA, contact your local Physio-Control sales or service office as described on page ii.
Using defibrillation electrodes, adapter devices or other parts and supplies from sources other than
Physio-Control is not recommended. Physio-Control has no information regarding the performance or
effectiveness of its LIFEPAK defibrillators if they are used in conjunction with defibrillation electrodes or
other parts and supplies from other sources. If device failure is attributable to defibrillation electrodes or
other parts or supplies not manufactured by Physio-Control, this may void the warranty.

8-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Maintaining the Equipment

ACCESSORIES, SUPPLIES, AND TRAINING TOOLS

Accessories, supplies, and training tools for the LIFEPAK 12 defibrillator/monitor series are listed in
Table 8-3. For information about ordering, contact the local Physio-Control representative. In the USA,
call 1.800.442.1142.
Table 8-3 Accessories, Supplies, and Training Tools

Description Part Number

Maintenance and Power Accessories

Battery Support System 2 BSS2
Battery Support System 2 wall mount bracket 3010932
FASTPAK® battery 09-10424
FASTPAK 2 battery 3009375
LIFEPAK SLA battery 3009378
AC Power Adapter (includes AC Input Power Cord) LP12 PA-AC
DC Power Adapter LP12 PA-DC
Power Adapter Extension cable 3010910-00
Defibrillator Checker 3011412
Physio-Control Test Load (for use with QUIK-COMBO therapy cable only) 3005389
Therapy Accessories
QUIK-COMBO therapy cable 3006570
QUIK-COMBO pacing/defibrillation/ECG electrodes (2 ft lead wire) 806086
Pediatric QUIK-COMBO pacing/defibrillation/ECG electrodes (2 ft lead wire) 3006478
QUIK-COMBO pacing/defibrillation/ECG electrodes with REDI-PAK preconnect system 3008497
QUIK-COMBO RTS pacing/defibrillation/ECG electrodes LLW (3.5 ft) (1.07m) 3008826
QUIK-COMBO RTS pacing/defibrillation/ECG electrodes, RTS (radiotransparent system) 3010188
FAST-PATCH disposable defibrillation/ECG electrodes 3006292
FAST-PATCH defibrillation adapter cable (2 ft) 3011030
Standard paddles 3006228
Pediatric paddle (two required) 800418
Posterior paddle 802461
External sterilizable paddles 3009166
Internal handles with discharge control 3010901
Internal paddles (various sizes 1-3.5 inches) 805355
SpO2 Accessories
Note: To order pulse oximetry sensors and cables, or to obtain clinical literature
call Nellcor Puritan Bennett. In the USA, call 1.800.635.5267.
Other ECG Accessories
3-lead ECG cable 3006218
12-lead ECG cable
Main Trunk Cable 805265-18
4-wire limb lead attachment 805265-03
6-wire precordial lead attachment 805265-04
®
LIFE•PATCH ECG electrodes 800139
Analog ECG output cable 3010484

LIFEPAK 12 defibrillator/monitor series Operating Instructions 8-15

Maintaining the Equipment

Description Part Number

Data Management Software and Accessories

Internal Modem (PC Card and cable) 3010294
External Modem 3011570
Modem Door Assembly 3011422
Modem cable (6 feet) 3010727-00
Modem cable (10 feet) 3010727-01
LIFEPAK 12 to PC Serial Port Cable 3009817
Configuration transfer cable 3011538-00
CODE-STAT Suite data management platform 3011520
Carrying Case, Accessories, and Replacement Parts
Carrying Case - LP12 only (base, front right pouch, and shoulder strap) 3011086-00
Carrying Case - LP12 with AC/DC Power Adapter (Power Adapter base, front right pouch 3011086-01
and shoulder strap)
Base (replacement) 3010265
Shoulder strap (replacement) 3010268
Front left pouch 3010266
Top pouch 3010267
Back pouch - small 3011087-00
Back pouch - large 3011087-01
Front cover 3011085
Supplies
Recorder paper, 50 mm 804700
Recorder paper, 100 mm 805319
Derma Jel® electrode gel 9-10236
Training Tools
QUIK-COMBO 3-lead simulator 806223
QUIK-COMBO 12-lead simulator 806395
QUIK-COMBO pacing/defibrillation/ECG training electrodes 3005903
QUIK-COMBO training electrodes cable (extension wire) 3004474
QUIK-COMBO Test Post Adapter (for use with posted simulator) 3005302-00
Physio-Control Patient simulator (for use with FAST-PATCH defibrillation adapter cable) 803499-08
FAST-PATCH Training Electrodes 805565-01
FAST-PATCH Training Electrode Cable 803177-06
Literature:
LIFEPAK 12 defibrillator/monitor series Operating Instructions 3010012
LIFEPAK 12 defibrillator/monitor series Service Manual 3010013
LIFEPAK 12 defibrillator/monitor series Inservice video 3011208
Noninvasive Pacing: What You Should Know booklet 805074
Defibrillation: What You Should Know booklet 805662
12-lead ECG: What You Should Know booklet 3009852
Physician’s Guide to 12SL™ ECG Analysis (Marquette Medical Systems) 3010984

8-16 LIFEPAK 12 defibrillator/monitor series Operating Instructions

9

DEFINING SETUP OPTIONS

This section describes how to define setup options for the LIFEPAK 12 defibrillator/monitor.

Setup Options page 9-2

Entering Setup Options 9-2
Setup Menus 9-3
Entering Telephone Number and Prefix Characters 9-12
Entering Initialization Strings 9-13

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-1

Defining Setup Options

SETUP OPTIONS
The user setup options allow you to define operating features for the LIFEPAK 12 defibrillator/monitor
such as device identification numbers, power-on default settings, and 12-lead ECG operating functions.
Tables 9-1 through 9-21 list all user setup options along with the factory settings.

Print Configurations Before Service or Repair

If the defibrillator receives service or repair that affects the internal memory components, such as
replacement of the main printed circuit board, any changes previously made to the option definitions
may be lost from memory. Before allowing service or repair, be sure to print the current user setup
options so the customized definitions may be reentered after service or repair.

Passcode Security
To prevent unauthorized access, a security passcode is required for access to the setup menu and
service mode (see page 9-11). The LIFEPAK 12 defibrillator/monitor allows you to change both of these
passcodes. The passcode definition is part of the device identification option and may be changed.
Note: To use the defibrillator with any new settings, you must turn it off and on again.

WARNING!

Possible ineffective energy delivery.

Service mode is for authorized personnel only. Improper use of service mode may inappropriately alter
the device’s configuration and may change energy output levels. Contact service personnel for
assistance or information about device configuration.

ENTERING SETUP OPTIONS

To enter the SETUP menu the defibrillator power must be off.
1 Press ON while holding down OPTIONS and EVENT. Continue to hold these buttons down until the
PASSCODE screen appears.

2 Enter the passcode by scrolling through

the digits in the highlighted fields.
3 Select the digit. The digit changes to a
dot to protect the passcode. If you enter
the passcode correctly, the next
number in line highlights automatically
If you enter the passcode incorrectly,
the message INCORRECT TRY AGAIN
appears in the status message area.
You have three chances to enter the
passcode correctly. Cycle power to
start again.
4 When you have entered the correct
passcode, the SETUP overlay appears.

9-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

Setup

General... Printer...
Manual Mode... Transmission...
Advisory Mode... Clock...
Pacing... Reset Defaults...
ECG... Print Defaults
12-Lead... Send Config...
Events... Set Passcode...
Alarms... Service...

Pressing HOME SCREEN returns you to the SETUP screen.

SETUP MENUS
When you select an item from the menu, a help message displays. The options in bold are the factory
defaults.

General Setup Menu

The General Setup menu allows you to configure general purpose functions.
Table 9-1 General Setup Menu

Menu Item Help Message Options

LANGUAGE Language used for all messages, Options are: ENGLISH, GERMAN, FRENCH,
prompts SPANISH, SWEDISH, ITALIAN, DUTCH, FINNISH,
DANISH, NORWEGIAN, POLISH, RUSSIAN,
PORTUGUESE, JAPANESE, CHINESE, OR ARABIC.

CODE SUMMARY Code Summary Formats Options are: SHORT, MEDIUM, LONG (refer to page
6-3).
SITE NUMBER Site ID Number Prints on reports. 0-999 available.
DEVICE NUMBER Device ID Number Prints on reports. 0-999 available.
AUTO LOG Auto vital sign event capture ON: Vital sign data entered into Event/Vital sign
every 5 minutes logs every 5 minutes.
OFF: Vital sign entered only when events occur.

ADULT/PEDI Default to adult or pediatric mode ADULT or PEDIATRIC.

LINE FILTER Line filter center frequency 50 or 60Hz.

TIMEOUT SPEED Delay before a menu is dismissed Time that menus stay on screen (30, 10, or 5
seconds).

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-3

Defining Setup Options

Manual Mode Setup Menu

The Manual Mode Setup menu allows you to configure defibrillation and synchronized cardioversion
defaults.
Table 9-2 Manual Mode Setup Menu

Menu Item Help Message Options

SYNC AFTER Resume sync after energy ON: Defibrillator returns to sync after energy
SHOCK transfer transfer.
OFF: Defibrillator returns to asynchronous mode.

PADS DEFAULT Default energy for paddles or Power-on energy setting for standard paddles
QUIK-COMBO electrodes
TM
and therapy electrodes: 5, 10, 50, 100, 200, or
300 (joules). Auto energy sequence: 200; 200,
360; or 200, 300, 360.
Note: Auto energy sequences are disabled if you
press the ENERGY SELECT button.
INTERNAL DEFAULT Default energy for internal Power-on energy setting for internal paddles: 5,
paddles 10, 20, 30, or 50.
VOICE PROMPTS Voice prompts active in Manual ON: Voice prompts active.
Mode OFF: Voice prompts inactive.

SHOCK TONE Tone when defibrillator is fully ON: A tone sounds.

charged OFF: No tone.

MANUAL ACCESS Means for accessing Manual DIRECT: No restrictions to manual mode.
Mode CONFIRMED: Confirmation required to gain
manual access.
PASSCODE: Passcode required to enter manual
mode.
RESTRICTED: Manual mode access is denied.
Manual/Direct, AED/Direct, AED/Confirm Once,
AED/Confirm Always, AED/Passcode Once,
AED/Passcode Always, AED/Restricted.
SET PASSCODE Passcode required to enter If configured for passcode access.
Manual Mode None: Default passcode enabled.
New: User-defined 4-digit code enabled.

Advisory Mode Setup Menu

The Advisory Mode Setup menu allows you to configure automated external defibrillator (AED) defaults.
Table 9-3 Advisory Mode Setup Menu

Menu Item Help Message Options

ENERGY Sequence of defibrillation Options are: 200, 200, 360, or 200, 300, 360.
PROTOCOL energies

VOICE PROMPTS Voice prompts on in Advisory ON: Voice prompt active.

Mode OFF: Voice prompt inactive.

AUTO ANALYZE Automatically analyzes after ON: Auto analyze active.

shock OFF: auto analyze inactive.

MOTION Alert when motion is detected? ON or OFF.

DETECTION

CPR TIME Set time for CPR interval OFF, 15, 30, 45, 60, 90, 120, or 180 seconds.

9-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

Pacing Setup Menu

The Pacing Setup menu allows you to configure noninvasive pacemaker defaults.
Table 9-4 Pacing Setup Menu

Menu Item Help Message Options

RATE Default pacing rate 40 - 170, 60.

CURRENT Default pacing current 0 - 200 mA.
MODE Default pacing mode DEMAND or NONDEMAND.

ECG Setup Menu

Use the ECG Setup menu to configure defaults for the ECG.
Table 9-5 ECG Setup Menu

Menu Item Help Message Options

DEFAULT LEAD Default primary lead LEAD II or PADDLES.

CONTINUOUS ECG Continuously store ECG ON or OFF.

waveform

12-lead Setup Menu

Use the 12-lead Setup menu to configure defaults for 12-lead acquisition.
Table 9-6 12-lead Setup Menu

Menu Item Help Message Options

AUTO TRANSMIT Transmit automatically on ON or OFF.

acquisition
AUTO PRINT Print automatically on acquisition ON or OFF.

INTERPRETATION Print 12-lead interpretation ON or OFF.

ACUTE MI Print Acute MI message ON: Prints on the 12-lead reports when criteria
are met.
OFF: If print interpretation is OFF, this option is off.

PRE/POST DATA Pre or post acquisition of 12-lead PRE: Acquires data previous to button press.
data POST: Acquires data after button press.

FORMAT Standard or Cabrera STANDARD or CABRERA.

12-lead format

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-5

Defining Setup Options

Events Setup Menu

Use the Events Setup menu to configure or create user-annotated events.
Table 9-7 Events Setup Menu

Menu Item Help Message Options

EVENTS PAGE 1 Select events for Page 1 Select events 2 through 9 from a preconfigured
list.
EVENTS PAGE 2 Select events for Page 2 Select events 10 through 18 from a
preconfigured list.
CUSTOM EVENTS Create custom events to use in Create up to 16 event names for inclusion in the
event screen preconfigured list.
Note: Resetting to defaults deletes custom list.

Alarms Setup Menu

The ALARMS Setup menu allows you to configure alarms and set the alarm volume level.
Table 9-8 Alarms Setup Menu

Menu Item Help Message Options

VOLUME Set volume for alarms, tones and Select volume level from gradient display. The
voice prompts minimum setting reduces but does not silence
alarms.
ALARMS Enable or disable parameter ON: Enables alarms for Heart Rate and SPO2,
alarms at power up whenever defibrillator turned on.
OFF: Alarms available through ALARMS button.

VF/VT ALARM Alarms when VF or VT detected ON: Enables VF/VT Alarm whenever defibrillator
turned on.
OFF: VF/VT alarm available through ALARMS
button.

Printer Setup Menu

The PRINTER Setup menu allows you to configure automatic event printing and ECG frequency
response.
Table 9-9 Printer Setup Menu

Menu Item Help Message Options

AUTO PRINT Specify Auto Print Event See Table 9-10.

ECG FREQUENCY Default ECG frequency response Monitor: 0.5 - 40 Hz
Diagnostic: 0.05 - 150 Hz

9-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

Auto Print Setup Menu

Table 9-10 Printer/Auto Print Setup Menu

Menu Item Help Message Options

DEFIBRILLATION Auto print defibrillation events ON/OFF.

PACING Auto print pacing events ON/OFF.

CHECK PATIENT Auto print Check Patient events ON/OFF.

SAS Auto print SAS events ON/OFF.

PATIENT ALARMS Auto print patient alarms ON/OFF.

EVENTS Auto print operator annotated ON/OFF.

events
INITIAL RHYTHM Auto print initial rhythm ON/OFF.

PREVIOUS PAGE Go back to previous page Returns to the printer.

Transmission Setup Menu

The TRANSMISSION setup menu is the first level menu for setting up the report transmission feature.
Table 9-11 Transmission Setup Menu

Menu Item Help Message Options

SITES Setup transmission sites See Table 9-12.

DEFAULT Select default destination site Select any location in list of configured sites.
PORTS Setup output port configurations See Table 9-14.

Transmission/Sites Setup Menu

The TRANSMISSION/SITES setup menu allows you to select data receiving locations, Site 1 to Site 10, for
configuration. The SITE 1 text changes to the name of the site, for example, GENERAL HOSP, after the
information has been entered in the next menu.
Table 9-12 Transmission/Sites Setup Menu

Menu Item Help Message Options

SITE 1 [Setup Site 1] Displays the SITE 1 setup menu.

SITE 2 [Setup Site 2] Displays the SITE 2 setup menu.
SITE 3 [Setup Site 3] Displays the SITE 3 setup menu.
SITE 4 [Setup Site 4] Displays the SITE 4 setup menu.
SITE 5 [Setup Site 5] Displays the SITE 5 setup menu.
SITE 6 [Setup Site 6] Displays the SITE 6 setup menu.
SITE 7 [Setup Site 7] Displays the SITE 7 setup menu.
SITE 8 [Setup Site 8] Displays the SITE 8 setup menu.
SITE 9 [Setup Site 9] Displays the SITE 9 setup menu.
SITE 10 [Setup Site 10] Displays the SITE 10 setup menu.
PREVIOUS PAGE [Go back to previous page] Returns to the Transmission menu.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-7

Defining Setup Options

Transmission/Sites/Site 1 Setup Menu

The TRANSMISSION/SITES/SITE 1 setup menu allows you to configure Site 1, or other selected sites, for
data transmission.
Table 9-13 Transmission/Sites/Site 1 Setup Menu

Menu Item Help Message Options

NAME Enter name for destination site Up to 14 characters.

PHONE # Enter phone number for Up to 14 characters. See Entering Telephone
destination site Number and Prefix Characters on page 9-12.
PREFIX 1 Enter area code or other prefix to Up to 14 characters. See Entering Telephone
site phone number Number and Prefix Characters on page 9-12.
PREFIX 2 Enter area code or other prefix to Up to 14 characters. See Entering Telephone
site phone number Number and Prefix Characters on page 9-12.
OUTPUT PORT Select output port for data INTERNAL CELL, INTERNAL CELL FAX, INTERNAL,
transmission INTERNAL FAX, EXTERNAL CELL, EXTERNAL CELL
FAX, EXTERNAL, EXTERNAL FAX, and DIRECT
CONNECT.

TEST Test the connection to this site Tests PHONE # connection (without PREFIX 1 or
2.)
CLEAR Clear this site from site list Clear site NAME, PHONE #, and so on.
PREVIOUS PAGE Go back to previous page Return to transmission screen.

Transmission/Default Setup Menu

The Transmission/DEFAULT setup menu allows you to select a configured site as the default
transmission location. Your default selection appears when you press the TRANSMIT key.

Transmission/Ports Setup Menu

The Transmission/PORTS setup menu allows you to configure defaults for the data transmission ports.
Table 9-14 Transmission/Ports Setup Menu

Menu Item Help Message Description

INTERNAL CELL [Setup internal cellular modem] Options are: INIT STRING, PREVIOUS PAGE
INTERNAL CELL FAX [Setup internal cellular fax modem] Options are: INIT STRING, PREVIOUS PAGE
INTERNAL [Setup internal modem] Options are: INIT STRING, PREVIOUS PAGE
INTERNAL FAX [Setup internal fax modem] Options are: INIT STRING, PREVIOUS PAGE
DIRECT CONNECT [Setup direct connection] Options are: BAUD RATE, PREVIOUS PAGE
EXTERNAL CELL [Setup external cellular modem] Options are: INIT STRING, BAUD RATE, PREVIOUS
PAGE

EXTERNAL CELL [Setup external cellular fax Options are: INIT STRING, BAUD RATE, PREVIOUS
FAX modem] PAGE

EXTERNAL [Setup external modem] Options are: INIT STRING, BAUD RATE, PREVIOUS
PAGE

EXTERNAL FAX [Setup external fax modem] Options are: INIT STRING, BAUD RATE, PREVIOUS
PAGE

PREVIOUS PAGE [Go back to previous page Return to transmission screen.

9-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

Transmission/Ports/Internal Cell Setup Menu

The TRANSMISSION/PORTS/INTERNAL CELL setup menu allows you to configure the port for cellular
transmission with an internal PC Card modem. For initialization string information Entering Initialization
Strings on page 9-13. Table 9-15 shows you the Internal Modem Menu Items.

Transmission/Ports/Internal Cell Fax Setup Menu

The TRANSMISSION/PORTS/INTERNAL CELL FAX setup menu allows you to configure the port for cellular
fascimile transmission with an internal PC Card modem. For initialization string information
see Entering Initialization Strings on page 9-13. Table 9-15 shows you the Internal Modem Menu Items.

Transmission/Ports/Internal Setup Menu

The TRANSMISSION/PORTS/INTERNAL setup menu allows you to configure the port for landline
transmission with an internal PC Card modem. For initialization string information see Entering
Initialization Strings on page 9-13. Table 9-15 shows you the Internal Modem Menu Items.

Transmission/Ports/Internal Fax Setup Menu

The TRANSMISSION/PORTS/INTERNAL FAX setup menu allows you to configure the port for landline
fascimile transmission with an internal PC Card modem. For initialization string information
see Entering Initialization Strings on page 9-13. Table 9-15 shows you the Internal Modem Menu Items.
Table 9-15 Internal Modem Setup Menu

Menu Item Help Message Description

EDIT STRING 1 Change first init string Enter the first initialization character string.
EDIT STRING 2 Change second init string Enter the second initialization character string.
EDIT STRING 3 Change third init string Enter the second initialization character string.
EDIT STRING 4 Change fourth init string Enter the second initialization character string.
CLEAR Clear init strings Clears all the initialization character strings.
PREVIOUS PAGE Go back to previous page. Returns you to the previous page.

Transmission/Ports/Direct Connect Setup Menu

The TRANSMISSION/PORTS/DIRECT CONNECT setup menu allows you to configure the device System
Interface port baud rate for a direct connection with a Personal Computer (PC) or other data processing
equipment. The connection baud rate is 38400.
Table 9-16 Transmission/Ports/Direct Connect Setup Menu

Menu Item Help Message Description

BAUD RATE Select baud rate. Select baud rate 38400.

PREVIOUS PAGE Go back to previous page. Returns you to the previous page.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-9

Defining Setup Options

Transmission/Ports/External Cell Setup Menu

The TRANSMISSION/PORTS/EXTERNAL CELL setup menu allows you to configure the port for cellular
transmission with an external modem connected to the System Interface connector. For initialization
string information see Entering Initialization Strings on page 9-13. Table 9-17 shows you the External
Modem Menu Items.

Transmission/Ports/External Cell Fax Setup Menu

The TRANSMISSION/PORTS/EXTERNAL CELL FAX setup menu allows you to configure the port for cellular
fascimile transmission with an external modem connected to the System Interface connector. For
initialization string information see Entering Initialization Strings on page 9-13. Table 9-17 shows you
the External Modem Menu Items.

Transmission/Ports/External Setup Menu

The TRANSMISSION/PORTS/EXTERNAL setup menu allows you to configure the port for landline
transmission with an external modem connected to the System Interface connector. For initialization
string information see Entering Initialization Strings on page 9-13. Table 9-17 shows you the External
Modem Menu Items.

Transmission/Ports/External Fax Setup Menu

The TRANSMISSION/PORTS/EXTERNAL FAX setup menu allows you to configure the port for landline
fascimile transmission with an external modem connected to the System Interface connector. For
initialization string information see Entering Initialization Strings on page 9-13. Table 9-17 shows you
the External Modem Menu Items.
Table 9-17 External Modem Setup Menu

Menu Item Help Message Description

INIT STRING Enter initialization strings Enter the transmission port initilization strings
(see Table 9-15 on page 9-9 for overlay).
BAUD RATE Select modem baud rate Select a baud rate 9600, 19200, 38400, 57600,
and 115200.
PREVIOUS PAGE Go back to previous page. Returns you to the previous page.

Clock Setup Menu

Use the CLOCK setup menu to configure defaults for the time displayed.
Table 9-18 Clock Setup Menu

Menu Item Help Message Options

DATE/TIME Set current date and time. Current date active next time atu power up.
CLOCK MODE Real or elapsed time on display. REAL TIME or ELAPSED TIME.

DST Daylight savings time. ON or OFF

9-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

Reset Defaults Setup Menu

Use the RESET DEFAULTS menu to configure the device for all factory defaults.
Table 9-19 Reset Defaults Setup Menu

Menu Item Help Message Options

CANCEL Cancel and return to Setup Screen. Cancels reset operation.

RESET Resets unit setup to factory Resets setup parameters to the factory defaults,
defaults (no recovery). except for transmission sites, output ports,
initialization strings, and the maintenance
interval, which remains unchanged.

Print Defaults
Use the PRINT DEFAULTS menu item to printout the current device configuration setup.

Send Configuration Setup Menu

Use the SEND CONFIG menu to transfer this device setup configuration to another device.
Table 9-20 Send Configuration Setup Menu

Menu Item Help Message Options

SEND Send device configuration to Connect devices with a cable (P/N 3011538),
another device. display this screen on both devices, then SEND.
PREVIOUS PAGE Go back to previous page. Cancels the operation.

Set Passcode Setup Menu

Use the PASSCODE menu to change the factory default passcode of 0000 to some other number. If you
lose the Setup Passcode, you will have to telephone the factory for assistance.
Table 9-21 Set Passcode Setup Menu

Menu Item Help Message Options

SET SETUP (The current Passcode appears.) Rotate the Selector to select digits.
PASSCODE

Press the HOME SCREEN key to cancel.

Service Mode
The service mode contains tests and logs intended for service personnel. For specific information
concerning access to the service mode, refer to the LIFEPAK 12 defibrillator/monitor Service Manual.

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-11

Defining Setup Options

ENTERING TELEPHONE NUMBER AND PREFIX CHARACTERS

Table 9-22 shows you typical characters used for the transmission site telephone/prefix numbers, while
Figure 9-1 shows you several examples.
Table 9-22 AT Command Dialing Prefix Characters

Character Description

∅ to 9 Touch tone and pulse dial characters

A to D plus * and # Extended touch tone dial characters
P Pulse dialing
T Touch tone dialing
W Wait for second dial tone
, Wait 2 seconds before continuing
@ Wait for Quiet Answer (5 seconds of silence after answering) before continuing

Transmission / Sites / Site 1 IF you press the TRANSMIT

key and select SEND to
transmit ECG data, the site
Enter name for destination site prefix always defaults to
“none.” You can then
choose Prefix 1 or Prefix 2,
Name GENERAL HOSP
as setup in this menu. For
Phone # 3257743 this example, if you allow
the prefix “none” to remain,
Prefix 1 9,, only the telephone number
325-7743 is dialed. If you
Prefix 2 9,,136∅
select Prefix 1, then 9 is
Output Port Internal dialed, followed by a pause
of 4 seconds, then
Test 325-7743 is dialed. If you
select Prefix 2, then 9 is
Clear dialed, followed by a pause
Previous Page... of 4 seconds, then 1 (36∅)
325-7743 is dialed.

No Prefix: Dial 9, wait for a

Phone # 9W12064258242 second dial tone, then dial 1
(2∅6) 425-8242.
Prefix 1
Prefix 2

Prefix 1: Dial 1 (5∅9)

425-8242, wait for Quiet
Phone # 4258242@1756
Answer, then dial extension
Prefix 1 15∅9 1756.
Prefix 2: Dial 1 425-8242,
Prefix 2 1 wait for Quiet Answer, then
dial extension 1756.
Figure 9-1 Transmission Site Telephone Number/Prefix Examples

9-12 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Defining Setup Options

ENTERING INITIALIZATION STRINGS

Initialization strings consist of ASCII characters coded into commands that are used to configure your
internal or external modem for operation with the LIFEPAK 12 defibrillator/monitor. These commands
are based on the EIA/TIA-602 standard and are widely known at the AT Command Set for Hayes® -
compatible modems.
Figure 9-2 shows the initialization strings for the Motorola Montana 33.6 modem/fax PC Card, which
supports landline fax, landline modem, cellular fax, and cellular modem communications. This PC Card
also detects when you connect to a digital telephone network. Landline fax/modem operations must be
over analog telephone lines, like the type used for fax machines, and not over digital telephone lines
found in many offices, hotels, and other large institutions.
For more initialization string examples, see Table 9-23 for internal and Table 9-24 for external modems.

Transmission / Port Setup / Init String

Internal
Change first init string
(Landline Modem)
Internal
A T E ‡ V 1W2 Initialization string for the
internal (PC Card) Motorola
Montana 33.6 modem

Note: If not using this

modem, you must
Edit String 1 Clear enter the initialization
string that is specific to
Edit String 2 Previous Page... the modem you are
Edit String 3 selecting.

Edit String 4

Transmission / Port Setup / Init String

Internal Cell
Change first init string (Cellular Modem)
Internal Cell
A T &F 6 Initialization string for the
internal (PC Card) Motorola
A TE∅V1 \ P 3
Montana 33.6 PC modem

Note: If not using this

modem, you must
Edit String 1 Clear enter the initialization
string that is specific to
Edit String 2 Previous Page... the modem you are
selecting.
Edit String 3
Edit String 4

Figure 9-2 Initialization Strings for the Motorola Montana 33.6 PC Card Fax/Modem

LIFEPAK 12 defibrillator/monitor series Operating Instructions 9-13

Defining Setup Options

Table 9-23 Internal Fax/Modem Initialization String Examples

Fax/Modem Landline Initialization String Cellular Initialization String

Motorola ATE∅V1W2 AT&F6

Montana ATE∅V1\P3
MegaHertz ATE∅V1 AT&F1
XJ4336 ATE∅V1
CC4336 ATS12=38S7=6∅S1∅=5∅

Table 9-24 External Fax/Modem Initialization String Examples

Fax/Modem Landline Initialization String Cellular Initialization String

Hayes ATE∅M1V1Q∅X4S7=5∅&D∅&Q9&K4
Accura 28.8 V.34
US Robotics ATE∅M1V1Q∅X4S7=5∅&D∅&H2&I2&B1
Sportster 28.8
Motorola ATE∅M1V1Q∅X4S7=5∅&D∅\\Q1\\J∅
Lifestyle 28.8
SupraExpress ATE∅M1V1Q∅X4S7=5∅&D∅%C2&K4&Q5
33.6 fax/modem

9-14 LIFEPAK 12 defibrillator/monitor series Operating Instructions

A

APPENDIX A
SPECIFICATIONS AND PERFORMANCE CHARACTERISTICS

Table A-1 LIFEPAK 12 defibrillator/monitor Specifications

Table A-2 AC and DC Power Adapter Specifications
Table A-3 FASTPAK Battery Specifications
Table A-4 Performance Characteristics

LIFEPAK 12 defibrillator/monitor series Operating Instructions A-1

Specifications and Performance Characteristics

SPECIFICATIONS AND PERFORMANCE CHARACTERISTICS

Table A-1 lists the specifications for the LIFEPAK 12 defibrillator/monitor series.
Table A-2 lists the specifications for the AC and DC Power Adapters that service batteries for the
LIFEPAK 12 defibrillator/monitor series.
Table A-3 lists the specifications for the LIFEPAK batteries that support the LIFEPAK 12 defibrillator/
monitor series.
Table A-4 lists performance characteristics of the LIFEPAK 12 defibrillator/monitor series in
conformance to AAMI requirements for defibrillators, external pacemakers, monitors, and others.
Table A-1 LIFEPAK 12 defibrillator/monitor Specifications*

GENERAL
The LIFEPAK 12 defibrillator/monitor series has five main operating modes:
Advisory Mode (SAS) Provides all features available except manual defibrillation,
synchronous cardioversion, and pacing.
Manual Mode Provides normal operating capability for ALS users.
Setup Mode Allows operator to configure the device.
Service Mode Allows operator to execute device diagnostic tests and
calibrations.
Inservice Mode Provides simulated waveforms for demonstration purposes.
POWER
Battery Only Configuration Choice of NiCd (FASTPAK battery, FASTPAK 2 battery) or SLA
(LIFEPAK SLA battery)
Dual battery capability
Optional external AC and 12VDC Power Adapters
Batteries charge while device operates from Power Adapter
Operating Time—NiCd (FASTPAK battery, FASTPAK 2 battery) and SLA (LIFEPAK SLA battery)
Two new fully charged batteries will provide the following prior to shutdown:
---total--- ---after low battery--

Typical Min. Typical Min.

Monitoring (minutes) NiCD 110 60 10 2
SLA 180 100 16 2

Defibrillation (360 Joule discharges) NiCD 80 45 7 3

SLA 145 85 12 3

Monitoring Plus Pacing NiCD 105 60 9 2

(minutes at 100ma, 60ppm) SLA 170 100 14 2
Low Battery Indication and Message Low battery icon at top of display and low battery
message in status area for each battery. When low
battery is indicated, device autoswitches to second
battery. When both batteries reach a low battery
condition, there is a voice prompt to replace battery.
Warmstart With inadvertent loss of power (<30 seconds) device
retains settings.
A Service Indicator When Error
Detected

A-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Specifications and Performance Characteristics

PHYSICAL
Physical Characteristics
Weight Basic defibrillator/monitor with QUIK-COMBO cable:
6.0kg (13.3lbs) (unit and QUIK-COMBO cable only – no
batteries)
Standard paddles (hard): .9kg (1.9lbs)
Height 31.7cm(12.5in)
Width 38.9cm (15.3in)
Depth 21.7cm (8.5in)
DISPLAY
Size (active viewing area) 140.8mm (5.5in) wide x 105.6mm (4.2in) high
Display 640 x 480 black and white LCD
User selectable display contrast
Displays a minimum of 4 seconds of ECG and alphanumerics
for values, device instructions, or prompts.
Option to display one or two additional waveforms
DATA MANAGEMENT
The device captures and stores patient data, events (including
waveforms and annotations), and continuous ECG waveform
records in internal memory.
The user can select and print reports and transfer the stored
information via an internal modem and various serial transfer
protocols.
Report Types Three format types of CODE SUMMARY critical event record
(short, medium, and long)
• Initial ECG (except short format)
• Auto vital sign measurements every 5 minutes
3-channel or 4-channel 12-lead ECG report
Continuous waveform records (transfer only)
Memory Capacity Two full-capacity/patient records that include:
CODE SUMMARY critical event record - up to 100 single
waveform events
Continuous Waveform - 45-minute continuous ECG record
COMMUNICATIONS
The device is capable of transferring data records by PC Card
internal modem, external EIA/TIA modem, cellular modem, or
serial connection.
Supports EIA/TIA-602 compatible modems using Xon/Xoff or
RTS/CTS flow control at 9600-38400 bps.
EIA/TIA-232E compatible at 9600, 19200, 38400, 57600 bps.

LIFEPAK 12 defibrillator/monitor series Operating Instructions A-3

Specifications and Performance Characteristics

MONITOR
ECG ECG is monitored via several cable arrangements. A 3-wire
cable is used for 3-lead ECG monitoring. A 10-wire cable is
used for 12-lead acquisition. When the chest electrodes are
removed, the 10-wire cable functions as a 4-wire cable.
Standard paddles or QUIK-COMBO pacing/defibrillation/ECG
electrodes and FAST-PATCH disposable defibrillation/ECG
electrodes are used for paddles lead monitoring.
Lead Selection Leads I, II, III, (3-wire ECG cable)
Leads I, II, III, AVR, AVL, and AVF acquired simultaneously,
(4-wire ECG cable)
Leads I, II, III, AVR, AVL, AVF, V1, V2, V3, V4, V5, and V6
acquired simultaneously, (10-wire ECG cable)
ECG Size 4, 3, 2.5, 2, 1.5, 1, 0.5, 0.25 cm/mV (fixed at 1 cm/mV for
12-lead)
Heart Rate Display 20 - 300bpm digital display
Out of range indication:Display symbol "---"
Heart symbol flashes for each QRS detection
Continuous Patient Surveillance In advisory mode while Shock Advisory System is not active,
System (CPSS) CPSS monitors the patient, via QUIK-COMBO paddles or Lead
II ECG, for potentially shockable rhythms.
Voice Prompts Used for selected warnings and alarms (configurable
on/off).
Analog ECG Output 1V/mV x 1.0 gain
Common Mode Rejection 90dB at 50/60Hz
SpO2 NELLCOR sensors
Saturation range: 50 to 100%
SpO2 update rate: as each pulse is detected
Calibration range: 70% to 100%
SpO2 measurement: Functional SpO2 values are displayed
and stored
Pulse rate: +/- 3 pulses per minute
Dynamic signal strength bar graph
Pulse tone proportional to value of displayed oxygen saturation
ALARMS
Quick Set Activates alarms for all parameters
VF/VT Alarm Activates continuous CPSS monitoring in Manual Mode
PRINTER
Prints continuous strip of the displayed patient information
Paper Size 50 mm (2.0 in) or optional 100 mm (3.9 in)
Print Speed 25 mm/Sec +/- 5% (measured in accordance with AAMI
EC-11, 4.2.5.2)
Delay 8 seconds
Autoprint Waveform events print automatically (user configurable)

A-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Specifications and Performance Characteristics

FREQUENCY RESPONSE
Diagnostic Frequency Response 0.05 to 150Hz
Monitor Frequency Response 0.67 to 40Hz
Paddles Frequency Response 2.5 to 30Hz
Analog ECG Output Frequency 0.67 to 32Hz (except 2.5 to 30Hz for Paddles ECG)
Response
DEFIBRILLATOR
Waveform Damped sinusoid (Edmark) in shape per AAMI DF2-1989,
3.2.1.5.1

Paddle Options QUIK-COMBO pacing/defibrillation/ECG electrodes

(standard)
FAST-PATCH disposable defibrillation/ECG electrodes
(optional)
Standard Paddles (optional)
Internal Handles with discharge control (optional)
External Sterilizable Paddle (optional)
Cable Length 8-foot long QUIK-COMBO cable (not including electrode
assembly)
MANUAL
Energy Select 2, 3, 5, 7, 10, 20, 30, 50, 70, 100, 150, 200, 300, and 360 joules
or user configurable sequence 200/200/360 or 200/300/360
joules.
Charge Time For battery-only operation (using a fully charged battery): The
defibrillator charge time to 360 Joules is less than 10 seconds,
typical.
Synchronous Cardioversion Energy transfer begins within 60mS of the QRS peak
ADVISORY Shock Advisory System (SAS) is an
ECG analysis system that advises the
operator if the algorithm detects a
shockable or nonshockable ECG
rhythm. SAS acquires ECG via therapy
electrodes only.

LIFEPAK 12 defibrillator/monitor series Operating Instructions A-5

Specifications and Performance Characteristics

Shock Ready Time Using a fully charged battery at normal room temperature,
the device is ready to shock within 20 seconds if the initial
rhythm finding is SHOCK ADVISED.
Output Energy User configurable, sequence of 200/200/360 or
200/300/360 joules
PACER
Pacing Mode Demand or non-demand
Rate and current defaults (user configurable)
Pacing Rate 40 to 170 ppm
Rate Accuracy +/- 1.5% over entire range
Output Waveform Monophasic, truncated exponential current pulse (20+ 1ms)
Output Current 0 to 200mA
Pause Pacing pulse frequency reduced by a factor of 4 when activated
Refractory Period 200 to 300mS +/-3% (function of rate)
ENVIRONMENTAL
Temperature, Operating 0° to 50°C (32° to 122°F)
SpO2: 5° to 45°C (41° to 113°F)
Temperature, Non-Operating -20° to +60°C (-4° to 140°F) except therapy electrodes and
batteries
Relative Humidity, Operating 5 to 95%, non-condensing
Atmospheric Pressure, Operating Ambient to 429 mmHg (0 to 4572 meters) (0 to 15,000 feet)
Water Resistance, Operating IPX4 (splash proof) per IEC 529 (with batteries and cables
installed)
EMC Emissions: MIL-STD-461D, RE101; EN55011, class B, Group 1
Susceptibility: MIL-STD-461D, CS114, RS101
Shock (drop) 5 drops on each side from 18 inches onto a steel surface
Vibration MIL-STD-810E Method 514.4, Propeller Aircraft - category 4
(figure 5-14.4-7 spectrum a), Helicopter - category 6
(3.75Grms), and Ground Mobile - category 8 (3.14Grms)
*All specifications are at 20°C unless otherwise stated.
Table A-2 AC and DC Power Adapter Specifications*

FUNCTION
Dimensions 27.7 cm x 16.8 cm (10.9 in x 6.6 in)
Weight <2.3 kg (<5 lbs) (including cables)
Charge Time (with fully depleted battery) FASTPAK and FASTPAK 2: 1.5 hours
LIFEPAK SLA: 6 hours typical
12 hours maximum

AC Input Accepts line power from both:

90 - 132/198-264Vac, 47 - 63Hz (domestic/international)
108 - 118Vac, 380 - 420Hz (military)
DC Input 10Vdc - 16Vdc
Fuses Two 250V fuses (90-132Vac, 5A Slow Blow), (198-264
Vac, 2.5A Slow Blow) in the power input module (AC
Power Adapter only)

A-6 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Specifications and Performance Characteristics

ENVIRONMENTAL

Liquid Ingress IPX1 per IEC 529

Altitude, Operating To 5468 m (15,000 ft)
Altitude, Non-operating To 6578 m (18,000 ft)
Humidity 5 to 95% non-condensing
Temperature, Operating 0° to 50°C (32°to 122°F)
Temperature, Storage -40° to 71°C (-40° to 158°F) (followed by one hour
temperature stabilization in operating temperature range)
Vibration, Operating and Non-operating MIL-STD-810E, Method 514.4 Categories 4, 6, 8

*All specifications are at 20°C unless otherwise stated.

Table A-3 FASTPAK and LIFEPAK Battery Specifications*

FASTPAK and FASTPAK 2

Battery Type Nickel cadmium
Weight .7 kg (1.5 lbs)
Voltage 12Vdc
Capacity 1.2 amp hours
Charge Time (with fully depleted battery) 1.5 hours
Conditioning Time in BSS 2 7 hours typical, 8 hours maximum
Charging Temperature Range +5° to 35° C (41° to 95°F)
Operating Temperature Range 0° to 50° C (32° to 122°F)
Long Term (>1 day) Storage Temperature
Range 0° to 35° C (32° to 95°F)
LIFEPAK SLA

Battery Type Sealed lead acid

Weight 1.4 kg (3.0 lbs)
Voltage 12Vdc
Capacity 2.5 amp hours
Charge Time (with fully depleted battery) 6 hours typical, 12 hours maximum
Conditioning Time in BSS 2 28 hours typical, 56 hours maximum
Charging Temperature Range 5° to 35°C (41° to 95°F)
Operating Temperature Range 0° to 50°C (32° to 122°F)
Long Term (>1 day) Storage Temperature
Range 0° to 35°C (32° to 95°F)

*All battery specifications are at 20°C unless otherwise stated.

LIFEPAK 12 defibrillator/monitor series Operating Instructions A-7

Specifications and Performance Characteristics

Table A-4 Performance Characteristics

CHARACTERISTIC
Respiration, Leads Off Sensing, Noise The ECG leads off function uses DC current for sensing
Cancellation Current, and Voltage leads off, the disposable defibrillation electrodes use AC
current for leads off, and the ECG leads use a noise
cancellation signal which ranges from DC to approximately
5k Hz. The amplitude of these signals conforms to AAMI
EC-11 3.2.10 & EC-13 3.2.5.

Heart Rate Averaging Method The heart rate average is formed by a weighted average of
approximately 8 seconds duration. When the input rate is
trending rapidly, the rate meter will track more quickly. See
heart rate response time disclosure. The display update
interval is every heartbeat or every 2 seconds, whichever
is shorter.
Heart Rate Response Time Heart rate meter response time: For an 80 to 120 bpm
step change, the response time is 2.7 seconds average
with a range of 2.2 to 3.5 sec when tested per AAMI
4.1.2.1 f. For an 80 to 40 bpm step change, the response
time is 5.06 seconds with a range of 4.7 to 5.4 seconds.
Heart Rate With Irregular Rhythm All complexes are detected. The rate meter output can
range from the heart rate associated with the shortest R-R
interval to the heart rate associated with the longest R-R
interval. When present, intermediate length R-R intervals
are favored as the basis for the rate.
Heart Rate Alarm Time In five trials for a 1mV, 206 bpm tachycardia, the average
detection time was 4.6 seconds. The maximum detection
time was 5.7 seconds. The minimum time was 3.9
seconds.
For a test signal half as large, the average was 4.1
seconds, the maximum was 4.9, and the minimum was
3.2. In this case the device sensitivity was increased to
5mV/cm.
For a test signal twice as large, the average was 3.1
seconds, the maximum was 4.0, and the minimum was
2.3.
In five trials for a 2mV, 195 bpm tachycardia, the average
detection time was 2.5 seconds. The maximum detection
time was 3.3 seconds. The minimum time was 1.5
seconds.
For a test signal half as large, the average was 2.2
seconds, the maximum was 2.8, and the minimum was
1.7. In this case the device sensitivity was increased to
5mV/cm.
For a test signal twice as large, the average was 1.5
seconds, the maximum was 2.2, and the minimum was
0.75.

A-8 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Specifications and Performance Characteristics

CHARACTERISTIC
Accuracy Of Signal Reproduction The device is a digital sampled data system. It meets
requirements for both test methods for diagnostic
frequency response described in EC11 section 3.2.7.2.
Audible Alarms This is a standalone device. All alarm tones are internal to
the LIFEPAK 12 defibrillator/monitor.
Alarm violations are manifest by tones, voice prompts, and
visual indications.
Alarm manifestation occurs within 1 second after a
displayed parameter violates its alarm limit. User
selectable alarm volume adjustment is provided. This
adjustment does not allow alarm volume to attain/reach a
zero level.
SAS tones reinforce SAS messages provided on the
product display.
The following identifies the tone assignments for each type
of alarm:
• The priority 1 tone is used to alert the user to the
possibility of imminent death. This tone is a 440 Hz
and 880 Hz alternating tone with a 50% duty cycle
and a 4 Hz alternation frequency. This tone has a
volume of 70±5 dB (A) as measured at a distance of
1 meter from the display.
• The priority 2 tone is used to alert the user that a
possible life-threatening condition exists. This tone is
a continuous 698 Hz tone.
• The priority 3 tone is used to alert the user that an
abnormal condition exists. Three beeps at 1046 Hz
for 100mS duration each with a 150 mS silence
between the first and second and the second and
third, followed by a 200 mS silence.
Priority 3 tones come in single and repeating types:
for a single tone, the 3-beep sequence sounds only
once. For a repeating tone, the 3-beep sequence
sounds every 20 seconds.
• The priority 4 tone is a momentary tone between 500
and 1500Hz. Specific characteristics are:
- QRS and Volume Setting Tone - 100 mS duration
at 1397 Hz.
- Key click - 4 mS duration at 1319 Hz.
The alert tone shall consist of one set of two tones to pre-
cede voice prompts and to draw attention to the display.
Specific characteristics shall be:
• 1000 Hz square wave, 100 mS duration.
• Silence, 100 mS duration.

LIFEPAK 12 defibrillator/monitor series Operating Instructions A-9

Specifications and Performance Characteristics

CHARACTERISTIC
• Silence, 140 mS duration (when preceding a voice
prompt).
• Voice prompt, when used.
Visual Alarms Alarms are indicated visually by:

The violated parameter flashes in inverse video with a

message in the status region of the display.

These visual indications remain on the display until the

alarm is corrected. Visual indication of alarms continue
even when the tones have been silenced.
Alarm Silencing If a violated parameter alarms, the tone may be silenced
for two minutes by pressing the Alarms button.

A preemptive alarm silence is provided with selectable

settings of 2, 5, 10, and 15 minutes.

Visual alarms remain on at all times.

VF/VT Alarm Automatically monitors the patient’s ECG rhythm for a
potentially shockable rhythm using the Continuous Patient
Surveillance System (CPSS). The VF/VT alarm requires
that the patient’s ECG be monitored in Lead II or Paddles
lead using therapy electrodes. The VF/VT alarm will be
suspended if pacing is enabled or Standard paddles are
connected and Paddles is the displayed lead.
Energy Shunting If the paddles input is connected in parallel with a second
defibrillator, energy delivery to the patient is reduced by
less than 15 percent.
Tall T-wave Rejection T-waves that are 1mV high are not detected by the monitor
when the R-wave size is 1mV and input rate is 80 ppm.
Charge Time For battery-only operation (using a fully charged battery):
The defibrillator charge time to 360 Joules is less than 10
seconds, following 15 full energy discharges, per IEC
601-2-4.
For operation with ACPA: The defibrillator charge time to
360 Joules is less than 10 seconds, at 90% of rated
nominal Mains voltage, per IEC 601-2-4.

A-10 LIFEPAK 12 defibrillator/monitor series Operating Instructions

B

APPENDIX B
SCREEN MESSAGES

Table B-1 lists and describes screen messages that the LIFEPAK 12 defibrillator/monitor may display
during operation.

LIFEPAK 12 defibrillator/monitor series Operating Instructions B-1

Screen Messages

Table B-1 Summary of Screen Messages

Message Description

ACCESS DENIED Message appears after 3 consecutive incorrect attempts to enter the passcode.

ACQUIRING 12-LEAD Monitor is acquiring the data for 12-Lead ECG report.

ADVISORY MODE Advisory SAS operating mode in which the unit is monitoring the patient
condition and functioning as a semi-automatic external defibrillator.

ALARMS SILENCED Message appears whenever alarms are silenced. An alert tone with status
message ALARMS SILENCED occurs periodically to remind you that alarms have
been silenced.

ANALYZING 12-LEAD Monitor is analyzing the data for 12-lead ECG report.

ANALYZING NOW–STAND The AED is analyzing the patient ECG rhythm.

CLEAR

BATTERY X LOW Advises you when there is a low battery condition in one of the two installed
batteries.

BUSY/WAITING TO RE- Indicates that destination phone line is busy. Indicates remaining time delay
DIAL until next dialing attempt.

CANNOT CHARGE Message appears when CHARGE button is pressed and the synchronize source
is missing for synchronized cardioversion, the therapy cable is not connected, or
QUIK-COMBO electrodes are not attached to the therapy cable.

CHARGING TO XXX J This message appears when you press the front panel or the standard paddles
CHARGE button.

CHECK BATTERY Message appears if communication with a FASTPAK 2 battery is lost.

CHECK FOR PULSE AED prompt after each standard 3 shock sequence or NO SHOCK ADVISED
message.

CHECK PATIENT! This message appears if a potentially shockable rhythm appears when in CPSS
or if the VF/VT alarm is on.

CHECK PRINTER Message appears when either the printer door is open, there is no paper in the
printer, or there is any other printer malfunction.

CONNECT CABLE Message appears in Manual Mode if therapy cable is not connected when you
press charge. Message appears in pacing mode if QUIK-COMBO cable is not
connected when you increase current. Message appears in AED Advisory Mode
if QUIK-COMBO cable is not connected when you press ANALYZE.

CONNECT CHEST LEADS Message appears if the limb lead attachment is connected when 12-lead
analysis is selected or active until you connect Leads V1-V6 or select another
function.

CONNECT ELECTRODES The defibrillator has detected that the therapy electrodes are disconnected.

CONNECTING Message appears when transferring data using a direct connection between the
defibrillator and a PC or other data processing equipment.

CURRENT FAULT This message appears when the comparison between delivered and selected
pacing current is out of tolerance.

B-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Screen Messages

Message Description

DATA ERROR Report contains a data error (cannot be transmitted).

DEMAND Message appears when the pacemaker is in the Demand Mode.

DIALING Monitor is waiting for dial tone or dialing the phone number.

DISARMING... The disarming screen appears when the decision is made to dump the energy
charge.

ECG CABLE OFF Message appears when printing and the ECG cable is removed.

ECG LEADS OFF Multiple ECG electrodes are disconnected either at power up or during
monitoring.

ENERGY DELIVERED Message appears following energy transfer.

ENERGY FAULT Message appears when the comparison between stored and selected energy is
out of tolerance. This message may display during defibrillation in Manual Mode
or Advisory Mode.

ENERGY NOT DELIVERED Message appears when an open air discharge is detected with standard
paddles. This is usually due to the electrodes not being in contact with a patient
or test load when the shock is requested.

ENERGY SELECT/XXX J Message appears when you press the Front Panel or standard paddles ENERGY
SELECT button.

EXCESSIVE NOISE This message appears if the defibrillator detects noise for longer than 30
12-LEAD CANCELED seconds that is too great to record a 12-Lead ECG report.

ALARM HR <XXX HR vital signs alarm values area flashes in reverse video for duration of alarm
violation.

ALARM HR >XXX HR vital signs alarm values area flashes in reverse video for duration of alarm
violation.

IF NO PULSE, PUSH Message appears following CPR interval if so configured.

ANALYZE

IF NO PULSE, START CPR Prompts you to initiate CPR if no pulse and to continue with CPR until
completion tone.

LA LEADS OFF ECG electrode LA disconnected.

LL LEADS OFF ECG electrode LL is disconnected.

MANUAL MODE DISABLED Message appears in the status region when Manual Mode is configured with
Restricted Access.

MOTION DETECTED!/STOP The defibrillator detects motion during ECG analysis, thereby inhibiting analysis.
MOTION!

NO DIAL TONE Monitor waiting for response from modem. Disconnected cable or phone service
not active.

NO MODEM FOUND Message appears when you attempt to transmit without a modem connected to
the defibrillator.

LIFEPAK 12 defibrillator/monitor series Operating Instructions B-3

Screen Messages

Message Description

NO PHONE NUMBER Appears if a site or phone number have not been configured in Setup whenever
a transmission is attempted.

NO SHOCK ADVISED The defibrillator did not detect a shockable rhythm.

NOISY DATA! PRESS Monitor detects excessive signal interference, such as patient motion, while
12-LEAD TO ACCEPT acquiring data. Message remains displayed while the monitor attempts to
acquire data without interference. You may press the 12-LEAD button to
override noisy data.

NON-DEMAND Message appears when the pacemaker is in Non-demand (asynchronous)

Mode.

PACER FAULT Pacemaker has detected a pacing fault condition due to high pacing rate or loss
of interprocessor communication. Pacing function stops.

PACING STOPPED Message appears and pacing stops whenever any of the following occurs:
pacer electrodes off, pacer cable disconnected, or pacer failure due to high
pacing rate or high impedance.

PASSCODE FAILED Message appears in status region when an incorrect passcode has been
entered.

PAUSED Message appears when/while the pacing PAUSE button is pressed and held.
Current pulses are applied at reduced frequency while the MA and PPM settings
are maintained.

PUSH ANALYZE Press ANALYZE to begin ECG analysis.

PUSH SELECTOR KNOB Message appears on the charging screen overlays to instruct you how to disarm
TO DISARM the charge.

PUSH PADDLE BUTTON If internal paddles are attached, the front panel SHOCK button is disabled.
TO SHOCK! Message appears if you attempt to transfer energy by pressing the front panel
SHOCK button.

PUSH PADDLE BUTTONS If standard paddles are attached, the front panel SHOCK button is disabled.
TO SHOCK! Message appears if you attempt to transfer energy by pressing the front panel
SHOCK button.

PUSH SHOCK BUTTON! The defibrillator is fully charged and ready to provide therapy. This prompt
appears when a therapy cable or internal paddles are connected.

RA LEADS OFF ECG electrode RA is disconnected.

REPLACE BATTERY Message appears when power loss is imminent due to a low battery condition.

RL LEADS OFF ECG electrode LA is disconnected.

SHOCK ADVISED! The defibrillator has analyzed the patient ECG rhythm and detected a shockable
ECG rhythm.

ALARM SPO2 <XX SpO2 vital sign alarm values area flashes in reverse video for duration of alarm
violation.

SPO2: NO SENSOR Indicates a sensor has disconnected from the monitor.

DETECTED

B-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Screen Messages

Message Description

SPO2: SEARCHING FOR Displays after the pulse oximetry sensor is first connected to the defibrillator.
PULSE

SPO2: SENSOR OFF This message appears if the SpO2 sensor comes off the patient for any reason
once a measurement has been obtained.

STAND CLEAR/PUSH Prompts you to stand clear and push SHOCK button.
SHOCK BUTTON

SWITCHING PRIMARY TO This message appears when PADDLES LEAD is not available and you have
LEAD II pressed the ADVISORY button.

SWITCHING PRIMARY TO This message appears when PADDLES LEAD is available and you have pressed
PADDLES the ADVISORY or ANALYZE button.

TRANSMISSION Defibrillator successfully transmits.

COMPLETED

TRANSMISSION FAILED Defibrillator could not complete transmission.

USE ECG LEADS Message appears when attempting synchronized cardioversion and PADDLES
LEAD is selected.

USER TEST FAILED Message appears following an unsuccessful User Test.

USER TEST IN PROGRESS Message appears in the status region after you select the USER TEST Button
from the OPTIONS overlay.

USER TEST PASSED Message appears following a successful User Test.

VX LEADS OFF ECG electrode “VX” (such as “V1”) is disconnected.

XX LEADS OFF ECG electrode “XX” (such as “RA”) is disconnected.

XX% TRANSMITTED xx% of the message has been transmitted.

LIFEPAK 12 defibrillator/monitor series Operating Instructions B-5

C

APPENDIX C
OPERATOR’S CHECKLIST

This Operator’s Checklist may be reproduced.

LIFEPAK 12 defibrillator/monitor series Operating Instructions C-1

LIFEPAK® 12 defibrillator/monitor Series This is a suggested checklist to inspect and test this device.
OPERATOR’S CHECKLIST Inspection and testing of this device on a daily basis is
recommended. You may also consult JAMA, August 22/29, 1990,
Unit Serial No.: Vol. 264, No. 8, Table 2 for the Defibrillator Working Group’s
Location: manual defibrillator checklist.
This form may be reproduced.

Recommended Date
Instruction
Corrective Action Initials
Insert a ✔ in the box after completing each instruction.
1 Inspect physical condition for:
Foreign substances Clean the device.

Damage or cracks Contact qualified service technician.

2 Inspect Power Source for:

Broken, loose, or worn battery pins Contact qualified service technician.

Damaged or leaking battery Discard/recycle battery

Two fully charged batteries installed Replace battery.

Fully charged spare batteries available Obtain battery.

Optional Power Adapter plugged into unit and ac Contact qualified service technician.
or dc power source LEDs are lit

Broken, loose, or worn optional power adapter Replace damaged or broken parts.
cables

3 Check therapy and ECG electrodes for:

Expiration date Replace if expired.

Spare electrodes available Obtain spare electrodes.

4 Examine accessory cables for cracking, Replace damaged or broken parts.

damage, broken or bent parts or pins, and
paddle surfaces for pitting.

5 With the battery installed and the device

disconnected from ac power, press ON
and look for:
Self-test messages If absent, contact qualified
service technician.

Momentary illumination of each LED If absent, contact qualified

and all LCD segments service technician.

LOW BATTERY or REPLACE BATTERY messages Replace the battery immediately.

Service indicator message Contact qualified service technician.

Perform User Test (QUIK-COMBO therapy cable If test failed, repeat. If failed twice,
only) contact qualified service technician.

Perform Standard Paddles User Test If test failed, repeat. If failed twice,
contact qualified service technician.

6 Check ECG printer for:

Adequate paper supply. Replace if necessary.

Ability to print. If not working, contact qualified

service technician.

C-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

D

APPENDIX D
SHOCK ADVISORY SYSTEM

This appendix describes the basic function of the Shock Advisory System (SAS).

LIFEPAK 12 defibrillator/monitor series Operating Instructions D-1

Shock Advisory System

OVERVIEW OF THE SHOCK ADVISORY SYSTEM

The Shock Advisory System (SAS) is an ECG analysis system built into the LIFEPAK 12 defibrillator/
monitor that advises the operator if it detects a shockable or nonshockable rhythm. This system makes
it possible for individuals who are not trained to interpret ECG rhythms to provide potentially lifesaving
therapy to victims of ventricular fibrillation or pulseless ventricular tachycardia. The Shock Advisory
System contains the following features:
• Electrode Contact Determination
• Automated Interpretation of the ECG
• Operator Control of Shock Therapy
• Continuous Patient Surveillance System (CPSS)
• Motion Detection
The Shock Advisory System is active when the LIFEPAK 12 defibrillator/monitor is used as an
automated external defibrillator (AED).

Electrode Contact Determination

The Shock Advisory System measures the patient's transthoracic impedance through the therapy
electrodes. If the baseline impedance is higher than a maximum limit, it determines that the electrodes
do not have sufficient contact with the patient or are not properly connected to the AED. When this
occurs, ECG analysis and shock delivery are inhibited. The AED advises the operator to connect
electrodes when there is insufficient electrode contact.

Automated Interpretation of the ECG

The Shock Advisory System recommends a shock if it detects the following:
• Ventricular fibrillation - with a peak-to-peak amplitude of at least 0.08mV.
• Ventricular tachycardia - defined as having a heart rate of at least 120 beats per minute, QRS width
of at least 0.16 seconds, and no apparent P waves.
The Shock Advisory System recommends no shock for all other ECG rhythms including asystole,
pulseless electrical activity, idioventricular rhythms, bradycardia, supraventricular tachycardias, and
normal sinus rhythms.
ECG analysis is performed on consecutive 2.7-second segments of ECG. The analysis of two out of
three consecutive segments must agree before a decision (SHOCK ADVISED or NO SHOCK ADVISED) is
made.

Operator Control of Shock Therapy

The Shock Advisory System causes the AED to charge automatically when it detects the presence of a
shockable rhythm. When a shock is advised, the operator presses the SHOCK button to deliver the
energy to the patient.

Continuous Patient Surveillance System

The Continuous Patient Surveillance System (CPSS) automatically monitors the patient's ECG rhythm
for a potentially shockable rhythm while the electrodes are attached and the AED is turned on. CPSS is
not active during ECG analysis or when the AED is in a CPR cycle.
The Shock Advisory System does not detect motion while CPSS is active. Therefore, there is a chance
that motion distortion in the ECG rhythm may be interpreted by CPSS as a potentially shockable
rhythm.

D-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Shock Advisory System

Motion Detection
The Shock Advisory System detects patient motion independent of ECG analysis. A motion detector is
designed into the LIFEPAK 12 defibrillator/monitor.
A number of activities can create motion, including CPR, rescuer movement, patient movement, or
vehicle movement. If variations in the transthoracic impedance signal exceed a maximum limit, the
Shock Advisory System determines that patient motion of some kind is present. ECG analysis is
inhibited until the motion ceases. The operator is advised any time motion is detected during an
analysis by a displayed message, a voice prompt, and an audible alert. If the motion does not cease
within 20 seconds, analysis attempts will stop until the operator presses the ANALYZE button again. If the
motion ceases within 20 seconds, ECG analysis proceeds automatically.
There are two reasons why ECG analysis is inhibited when motion is detected:
1 Such motion may cause artifact in the ECG signal. This artifact can cause a nonshockable ECG
rhythm to look like a shockable rhythm. For example, chest compressions during asystole can look
like shockable ventricular tachycardia. Artifact can also cause a shockable ECG rhythm to look like a
nonshockable rhythm. For example, chest compressions during ventricular fibrillation can look like
an organized and, therefore, nonshockable rhythm.
2 The motion may be caused by a rescuer's interventions. To reduce the risk of inadvertently shocking
a rescuer, the motion alert prompts the rescuer to move away from the patient. This will stop the
motion and ECG analysis will proceed.

LIFEPAK 12 defibrillator/monitor series Operating Instructions D-3

E

APPENDIX E
INSERVICE MODE

This appendix describes the inservice mode.

LIFEPAK 12 defibrillator/monitor series Operating Instructions E-1

 Inservice Mode

INTRODUCTION
The inservice mode allows you to practice or demonstrate monitoring functions of the LIFEPAK 12
defibrillator/monitor without the device being connected to a patient or patient simulator. The following
functions are active in inservice mode:
• ECG lead selection
• SpO2
• Alarms
• Events

Accessing the Inservice Mode

To access the inservice mode:
1 Check that the defibrillator power is off and that all cables are disconnected.
2 While pressing the HOME and EVENT buttons, press the ON button. Continue to press all three buttons
until the inservice screen appears:
Inservice Screen
Exit the inservice mode by turning off the defibrillator power.

Changing the ECG Lead

1 Rotate the SELECTOR to select Channel 1. The Channel 1 area at the top of the screen is highlighted.
2 Press the SELECTOR. The Channel 1 overlay appears.
3 Rotate the SELECTOR to Lead and press. The list of ECG Leads I, II, and III appears.
4 Rotate to Lead I, II or III, as desired, and press. The selected Lead appears on the display screen.

Selecting SpO2
1 Rotate the SELECTOR to highlight the SpO2 parameter at the left side of the screen.
2 Press the SELECTOR. The following overlay appears:
SpO2
You can change the SpO2 volume by pressing and rotating the SELECTOR.

Changing Alarm Settings

1 Press ALARMS. The Alarms overlay appears.
2 Rotate the SELECTOR to Quick Set and press. The Heart Rate display changes to show alarm limits.
3 Observe the Heart Rate display. After about 1 minute, the Heart Rate goes into alarm.
4 Press the ALARMS key. Alarms are silenced for 2 minutes.
Note: The Heart Rate alternates every 2 minutes between alarm and non-alarm states.

Selecting Patient Events

1 Press EVENT. The following overlay appears:
Event
2 Rotate the SELECTOR to highlight the desired event.
3 Press and rotate the SELECTOR to change an event.
Note: You cannot enter a self-created event.

E-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

INDEX

Numerics Auto analyze, 4-7 Setting, 2-20

3-lead cable, 3-4 Configuration, 4-5 Setup menu, 9-6
12-LEAD Contraindications, xiv Silence, 2-20
Control, location of, 2-12 Electrodes off, 4-9 Silencing, preemptively, 2-21
12-lead ECG Indications for, xiv VT/VF Alarm, 2-20
About, xv MOTION DETECTED message, Wide or narrow limits, 2-20
Acquiring a 12-lead ECG, 3-8 4-9 American Heart Association
Cable, 3-4 Operator considerations, xiv Prehospital recommendations,
Data acquisition mode, 3-10 Procedure, 4-5 xv
Identifying sites, 3-8 Setup menu, 9-4 Surviving cardiac arrest, xiv
Limb lead electrode Shock counter, 4-9 ANALYZE
placement, 3-8 Therapy, 4-4 Control, location of, 2-4
Limb lead electrode sites, 3-8 Troubleshooting tips, 4-10 Anterior-lateral placement, 3-3,
Override, 3-10 AED Configuration, 4-5 4-3, 5-8
Post-option, 3-10 AED Mode (see AED) Anterior-posterior placement,
Precordial lead electrode sites, AED procedure 4-3, 5-9
3-9 CPR time off, 4-8 Applying ECG electrodes, 3-5
Pre-option, 3-10 CPR time on, 4-7 AT Commands, 9-12
Procedure, 3-10 Electrodes off, 4-9 Auto Analyze, 4-7
Report, 3-channel format, 3-11 Motion detected, 4-9 Automated External Defibrillation
Report, 4-channel format, 3-12 No shock advised, 4-7 (see AED)
Setup menu, 9-5 Shock advised, 4-6
Shock counter, 4-9 B
A ALARMS Basic Orientation, 2-1
AC Power Adapter, 7-1 Control, location of, 2-6 BATT CHG
Accessories, 8-15 Alarms Indicator, location of, 2-4
ADVISORY Adjusting volume in OPTIONS, Batteries
Control, location of, 2-2 2-8 About types of, 2-22
Use in AED, 4-5 Inservice Mode operation, E-2 Battery pins, 2-22
Advisory Mode (see AED) Limits, 2-20 Description, 8-10
AED Managing, 2-21 Inspection, 2-22
About, xiv Quick Set, 2-20 Installing, 2-22

LIFEPAK 12 defibrillator/monitor series Operating Instructions Index-1

Index

Maintenance, 8-9 How to use, 2-7 Precordial lead electrode sites,

NiCd battery performance, Controls, indicators, and 3-9
8-10 connectors, 2-2 Precordial lead monitoring, 3-5
Receiving new, 8-11 CPR Pre-option, 3-10
Recycling, 8-12 Defibrillation therapy and, xiv Selecting lead and size, 3-2
Removing, 2-22 Relation to CPSS, D-2 Setup Menu, 9-5
Self-discharge rate, 8-11 Time off in AED, 4-8 ECG Connector
SLA Performance Factors, Using ANALYZE to stop, 4-5 Location of, 2-9
8-11 CPSS ECG size (screen), 2-13
Storing, 8-11 Activate with ADVISORY control, Electrocardiography (see ECG)
Temperature, battery charging, 2-4 Electrodes
8-10 Operation in AED, 4-5 Placement, 3-3, 4-3
Voltage depression, 8-10 Overview, D-2 Placement, special situations,
Battery charge (screen), 2-13 Critical Event Record, 6-3 4-4
Battery wells, 2-16 CURRENT Replacing and removing, 5-5
Bradycardia, xv Control, location of, 2-5 ENERGY SELECT
Control, location of, 2-4
C D EVENT
Cable connectors, 2-9 Data Management, 6-1 Control, location of, 2-6
Cabrera format, 3-11 Data storage and retrieval, 6-2 Screen overlay, 2-6
Canadian Standards Association, Memory capacity, 6-2 Event Log, 2-7
1-5 DC Power Adapter, 7-1 Event marker, 1-6
Cardiopulmonary Resuscitation Defibrillation Shock Overlays, Events
(see CPR) 4-14 Inservice Mode operation, E-2
Cellular modems, 9-13 Defibrillation Therapy Monitoring, 6-5
CHARGE About, xiv Operator initiated, 6-5
Control, location of, 2-4 Contraindications, xv Setup menu, 9-6
Checklist, Operator’s, C-1 Internal, 5-15 Therapy, 6-5
Checks, function Internal Handles with Defibrillation, 6-5
Patient ECG cable, 8-4 Discharge Control, 5-13 Pacing, 6-5
QUIK-COMBO cable pacing, Procedure for pediatric Transmission, 6-5
8-8 patients, 5-9 External sterilizable paddles
Standard paddles defibrillation, With external sterilizable About, 5-12
8-5 paddles, 5-13 Cleaning, 5-12, 5-13
Standard paddles monitoring, Device tracking, ii
8-4 Display (see Screen) F
Standard paddles FAST-PATCH
synchronized E Disconnecting defibrillation
cardioversion, 8-6 ECG cable, 5-6
Therapy cable defibrillation, 3-lead cable, 3-4 Electrode placement, 3-3, 4-3
8-7 12-lead cable, 3-4 Manual Mode overlay, 4-14
Therapy cable monitoring, 8-6 12-lead procedures, 3-10
Therapy cable synchronized 12-lead troubleshooting, 3-14 G
cardioversion, 8-7 Adjusting systole volume, 3-3 Gurney hooks
Cleaning, 8-4 Channels on screen, 2-14 Location of, 2-16
Clock Setup menu, 9-10 Connecting the ECG cable, 3-4
CODE SUMMARY Data acquisition mode, 3-10 H
Control, location of, 2-12 ECG size and QRS complexes, Heart Rate Monitor, 2-14
Code Summary 2-14 Heart rate/pulse rate indicator,
Critical event record, 6-3 Electrode requirements, 3-5 1-5
Event/vital signs log, 6-4 Inservice Mode operation, E-2 HOME SCREEN
Preamble, 6-4 Monitoring, 3-2 Control, location of, 2-6
Printing, 6-3 Procedure, 3-5 How to use, 2-7
Report Formats, 6-4 Troubleshooting, 3-7 Hypothermia, xv
Color coding for ECG leads, 3-6 With external sterilizable Hypoxemia, xvi
Computerized ECG analysis, paddles, 5-13
3-13 With paddles and paddles I
Connecting the patient ECG Implanted Defibrillators, 4-4
accessories, 3-3, 3-4
cables, 3-4 Implanted Defibrillators, patients
CONTRAST
Override, 3-10
with, 3-4
Control, location of, 2-6

Index-2 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Index

Implanted Pacemakers, 4-4 Monitoring area Adjust current with CURRENT

Implanted Pacemakers, patients Heart rate, 2-14 Control, 2-5
with, 3-4 Screen, 2-13 Demand and nondemand, 4-18
Initialization Strings, 9-13 SpO2 (pulse oximeter), 2-14 Noninvasive, 4-3
Inservice Mode, E-1 Monitoring patients with internal Noninvasive pacing procedure,
Internal handles pacemakers, 3-6 4-18
Cleaning, 5-15 Monitoring SpO2 Setup menu, 9-5
Defibrillation, 5-15 C-LOCK, 3-19 Slow rate using PAUSE control,
Inserting the paddles, 5-14 Considerations, 3-16 2-5
Removing, 5-15 How a pulse oximeter works, Troubleshooting tips, 4-19
Synchronized cardioversion, 3-16 Paddle Accessory Options, 5-1
5-15 Procedure, 3-17 Paper
Testing, 5-16 SpO2 volume, 3-19 Loading 50mm, 2-11
Internal Handles with Discharge Monitoring the ECG, 3-2 Loading 100mm, 2-11
Control, 4-14, 5-13 Adjusting the systole volume, Passcode
Internal modem 3-3 Manual Mode, 4-13
Cellular, 9-13 Motion Detection, D-3 Set for Setup Mode, 9-11
Landline, 9-13 Setup mode, 9-2
Internal pacemakers, 3-6, 4-4 N Patient data, entering
Internal paddles, About, 2-2 Nellcor Puritan Bennett Sensors, Using OPTIONS, 2-8
3-18 Patient Reports, 6-3
L Noninvasive Pacing, 4-3 Accessing previous, 2-8
Landline modems, 9-13 Therapy, 4-17 Deleting a previous patient
Leads off messages, 3-6 Troubleshooting tips, 4-19 record, 6-12
LIFE•PATCH, 3-5 Noninvasive Pacing (see Pacing) Retrieving, 6-8
Limb lead electrode placement, Patient Reports (see Data
3-5 O Management)
Limb lead electrode sites ON
PAUSE
12-lead ECG, 3-8 Control, location of, 2-4 Control, location of, 2-5
Limb Leads, 3-6 Operator’s Checklist, C-1 Pediatric paddles, 5-1, 5-7
Loading OPTIONS
Attaching, 5-7
50mm paper, 2-11 How to use, 2-18, 6-9, 9-2 Cleaning, 5-9
100mm paper, 2-11 Screen overlay, 2-8 Defibrillation procedure, 5-9
Options Placement, 5-8
M 12-lead, 2-12 Removing, 5-8
Maintaining the Equipment, 8-1 Overlay Posterior paddles, 5-10
Maintenance and testing Advisory Mode, 4-5 Installing, 5-10
schedule, 8-2 Alarms, 2-20 Placement, 5-11
Manual defibrillation procedure, Channel 1, 3-2 Removing, 5-11
4-15 HR, 3-3 Power Adapter, 7-1
Manual Mode Manual Mode, 4-13 Cleaning, 7-9
Defibrillation procedure, 4-15 Options, 2-8, 2-18, 6-8 Comprehensive maintenance,
Entering passcode, 4-13 Options/Patient, 2-18 7-9
Setup menu, 9-4 Options/Reports, 6-8, 6-9 Connecting to vehicle battery
Switching from AED, 4-12 Options/Reports/Print, 6-8, 6-9 power, 7-6
Troubleshooting tips, 4-16 Options/Reports/Transmit, Controls, indicators, and
Marquette 12SL ECG analysis 6-11 connectors, 7-4
program, xv Setup passcode, 9-2 Fuse replacement/circuit
Modem access door, 2-16 SpO2, 3-19 breaker, 7-9
Modem commands, 9-13 Transmission/Port Setup/Init Mounting to defibrillator, 7-8
Modes of Operation Operation, 7-6
Strings, 9-13
Advisory Mode, 4-5 Transmission/Sites/Site 1, 9-12 Replacement parts and
AED, 4-5 Override, ECG, 3-10 accessories, 7-11
Inservice, E-1 Troubleshooting, 7-10
Manual Mode, 4-12 P Unpacking and inspecting, 7-3
Service Mode, 9-11 Warranty, 7-10
Pace arrow
Setup Mode, 9-2 Power Adapter Connector
Internal pacing, 1-6
Monitoring, 3-1 About, 2-17
Noninvasive pacing, 1-6
Procedure, 3-4 Connecting AC Power Adapter,
PACER
Special placement situations, 7-6
Control, location of, 2-5
3-3 Connecting DC Power
Pacing
Adapter, 7-8
About, xv
Control, location of, 2-16

LIFEPAK 12 defibrillator/monitor series Operating Instructions Index-3

Index

Precordial Leads, 3-6 Symbols, 1-3 Transmission/Ports, 9-8

Electrode sites, 3-9 Terms, 1-2 Transmission/Ports/Direct
Monitoring, 3-5 SAS Connect, 9-9
Prefix numbers for transmitting, Activate with ANALYZE control, Transmission/Ports/External,
9-12 2-4 9-10
PRINT Algorithm requirements, 4-4 Transmission/Ports/Internal,
Control, location of, 2-12 Electrode contact impedance, 9-9
Print configurations before D-2 Transmission/Sites, 9-7
service or repair, 9-2 How SAS operates, D-1 Transmission/Sites/Site 1, 9-8
Print Defaults, 9-11 Operation in AED, 4-5 Setup Mode Passcode, 9-11
Printer Overview, D-2 Setup Options, 9-1
50mm, 2-9 When recommends shock, D-2 Entering, 9-2
100mm, 2-9 Screen SHOCK
Controls, location of, 2-12 Alarms, 2-13 Control and Indicator, location
Loading 50mm paper, 2-11 Battery charge, 2-13 of, 2-4
Loading 100mm paper, 2-11 ECG size display, 2-13 Indicator, using the, 4-14, D-2
Setup menu, 9-6 Messages, B-1 Shock counter, 4-9
Printing Monitoring alarms, 2-13 Speaker, location of, 2-9
Auto Print Setup menu, 9-7 Monitoring parameters, 2-13 SpO2
Print a previous patient report, Selected energy, 2-13 (also see Monitoring SpO2)
6-9 Selecting waveform channels, Adjusting pulse tone volume,
Starting, 2-12 2-15 3-19
Stopping, 2-12 Status message area, 2-13 Cable connector, 2-9
Pulse Oximeter Sensors, 3-18 Time display, 2-13 C-LOCK, 3-19
VF/VT Alarm display Contraindications, xvi
Q Warning messages, 2-13 How a pulse oximeter works,
QRS complex, 3-6, 4-18 Waveform channel areas, 2-13, 3-16
QRS detection, 2-14 2-14 Indications, xv
Quick Set (alarms) Screen Overlay (see Overlay) Inservice Mode operation, E-2
Alarms Selected energy (screen), 2-13 Monitoring, xvi, 3-15
Setting, 2-20 SELECTOR Monitoring area on screen,
QUIK-COMBO Electrodes, 5-3 Control, location of, 2-6 2-14
Connecting to therapy cable, How to use, 2-7 Monitoring considerations,
5-4 Knob, using the, 3-2, 3-3, 3-19, 3-16
Electrode placement, 3-3, 4-3 4-13, 4-15, 4-18, 5-9, Monitoring procedure, 3-17
Manual Mode overlay, 4-14 5-15, E-2 Pulse Oximeter sensors, 3-18
Removing electrodes, 5-5 Send Configuration Setup menu, Troubleshooting tips, 3-19
Replacing electrodes, 5-5 9-11 SpO2 Connector
Using when pacing, 4-17 SERVICE Connecting a cable, 3-17
Indicator, location of, 2-4 Location of, 2-9
R Service and Repair, 8-14 Standard Paddles, 4-3
RATE Service Manual, 8-16 Features, 2-17
Control, location of, 2-5 Setup Configuration Manual Mode overlay, 4-14
Recycling Information Printing before service or Placement, 3-3
Device, 8-14 repair, 9-2 User Test, 8-3
Batteries, 8-12 Setup Menus Wells, 2-16
Reports 12-Lead, 9-5 Status messages (screen), 2-13
Deleting a previous patient, Advisory Mode, 9-4 Sterilizable paddles, 2-2
6-12 Alarms, 9-6 Sterilization Protocol, 5-16
Printing a current patient, 6-8 Auto Print, 9-7 Sternum paddle, 3-3
Printing a previous patient, 6-9 Clock, 9-10 Storing batteries, 8-11
Retrieving, 6-8 ECG, 9-5 Supplies, accessories, and
Transmitting a previous patient, External Modem, 9-10 training tools, 8-15
6-10 General, 9-3 Switching from AED to manual
Reports (see Data Management) Internal Modem, 9-9 mode, 4-12
Reset Defaults Setup menu, 9-11 Manual Mode, 9-4 SYNC
Responsibility for information, ii Pacing, 9-5 Control, location of, 2-4
Resuscitation (see CPR) Printer, 9-6 Synchronized Cardioversion, 4-3
R-wave sense marker, 1-6 Reset Defaults, 9-11 Internal, 5-15
Send Config, 9-11 Procedure, 4-15
S Set Passcode (Setup), 9-11 Troubleshooting tips, 4-16
Safety Transmission, 9-7 With external sterilizable
Information, 1-1 Transmission/Default, 9-8 paddles, 5-13

Index-4 LIFEPAK 12 defibrillator/monitor series Operating Instructions

 Index

System Connector Troubleshooting tips

Connections to, 6-14 12-lead ECG, 3-14
Location of, 2-16 AED mode, 4-10
Transmitting from, 6-13 Data Management, 6-15
Defibrillation and synchronized
T cardioversion, 4-16
Testing, 5-6 ECG monitoring, 3-7
Checklist, C-1 General, 8-13
Schedule, 8-2 Modem data transfer, 6-15
User, 8-3 Noninvasive pacing, 4-19
Text conventions, xvi SpO2, 3-20
Therapy, 4-1
Defibrillation, 4-3 U
Electrode and standard paddle Unpacking and inspecting, 2-2
placement, 4-3 User Controls, 2-6
Noninvasive pacing, 4-3 User test, how to activate, 2-8
Synchronized cardioversion, User testing, 8-3
4-3
Therapy cable V
Connecting, 2-10 VF/VT Alarm
Disconnecting, 2-10 On screen, 2-13
Therapy Connector Turning on and off, 2-21
Connecting electrodes to, 4-15
Location of, 2-9 W
Message if no connection, 4-9 Warranty, 8-14
Time (screen), 2-13 Waveform
Training Tools, 8-15 Alarm event, 6-7
Transmission Setup menu, 9-7 CPSS event, 6-7
Transmission/Default Setup Events, examples of, 6-7
menu, 9-8 Pacing report, 6-7
Transmission/Ports Setup menu, SAS event, 6-7
9-8 Shock report, 6-7
Transmission/Sites Setup menu, Waveform channel (screen), 2-13
9-7 Waveform channel areas, 2-14
Transmission/Sites/Site 1 Setup Waveforms
menu, 9-8 Events, 6-5
TRANSMIT Selecting channels, 2-15
Control, location of, 2-12
Transmitting
Current patient report, 6-9
Entering initialization strings,
9-13
Entering telephone prefix, 9-12
Equipment connections, 6-13
Equipment connections for PC
Card modem, 6-13
Equipment connections with
System Connector, 6-14
External Modem Setup menu,
9-10
From the PC Card modem,
6-13
From the system connector,
6-14
Init string examples, 9-13
Internal Modem Setup menu,
9-9
Previous patient report, 6-10
Transmission/Ports/Direct
Connect Setup menu, 9-9
Treatment protocol, 6-14

LIFEPAK 12 defibrillator/monitor series Operating Instructions Index-5

Corporate Headquarters PHYSIO-CONTROL, LIFEPAK, FASTPAK, FAST-PATCH,
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Fax: 44.1256.782.728 ©February 1998 Physio-Control Corporation.
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