Medtronic LIFEPAK 12 User manual

Type
User manual
SERVICE MANUAL
LIFEPAK® 12
Defibrillator/Monitor Series
LIFEPAK 12 Defibrillator/Monitor Series Table of Contents
2
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Click a Topic
1 Preface
page 3
2 Safety
page 24
3 Device
Description
page 35
4 Modes of
Operation
page 89
5 Troubleshoot-
ing
page 100
6 Preventive
Maintenance
page 191
7 Battery
Maintenance
page 206
8 Replacement
Procedures
page 241
9 Parts Lists and
Assembly
Diagrams
page 391
LIFEPAK 12 Defibrillator/Monitor Series Section 1 Contents
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Preface This service manual describes how to maintain, test, troubleshoot, and repair the
LIFEPAK 12 defibrillator/monitor (device). A separate publication, the
LIFEPAK 12 Defibrillator/Monitor Series Operating Instructions, is for use by
physicians, clinicians, and emergency care providers. The operating instructions
provide step-by-step instructions as well as operator-level testing and
maintenance.
Note: Hyperlinks appear in blue text. Text that indicates the name of a button,
menu, menu item, indicator, screen message, or screen overlay appears in all
caps, for example, ADVISORY button and SETUP menu.
This section covers the following topics:
Trademarks
Using Adobe Reader
Navigating Through the Manual
Service Personnel Qualifications
Contacting Physio-Control
Responsibility for Information
(Continued on next page)
LIFEPAK 12 Defibrillator/Monitor Series Section 1 Contents
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Preface
(continued) Device Tracking
Service Information
Recycling Information
Warranty
Configuration Information
Glossary
Acronyms
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Trademarks
LIFEPAK, FASTPAK, FAST-PATCH, LIFENET, LIFEPATCH, QUIK-COMBO, and DERMA-JEL
are registered trademarks of Physio-Control, Inc. CODE SUMMARY, CODE-STAT, REDI-PAK,
PARTSLINE, Shock Advisory System, EDGE System, and ADAPTIV are trademarks of
Physio-Control, Inc. Microsoft and Windows are registered trademarks of Microsoft
Corporation in the US and/or other countries. Adobe is a trademark of Adobe Systems
Incorporated. CASMED is a registered trademark of CAS Medical Systems, Inc. Oridion and
FilterLine are registered trademarks of Oridion Medical, Ltd. Nellcor is a registered trademark
of Nellcor. Masimo is a registered trademark of Masimo Corporation. Fluke is a registered
trademark and QED 6 is a trademark of Fluke Biomedical Corporation. PC Card is a
trademark of the Personal Computer Memory Card International Association. Bluetooth is a
registered trademark of Bluetooth SIG, Inc. Duracell is a registered trademark of Duracell, a
wholly-owned subsidiary of The Gillette Co. Specifications are subject to change without
notice.
© 2008-2015 Physio-Control, Inc.
MIN 3010013-021 CAT 21300-007585
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Using Adobe Reader
Accessing Adobe
Reader Help
This service manual opens in Adobe Reader, which is included on this
documentation CD. For additional assistance using the Adobe Reader program,
access ADOBE READER HELP in the HELP menu.
Using Bookmarks Bookmarks appear in a column on the left side of the screen. They enable you to
easily navigate to main sections of the manual, similar to a table of contents.
To view or hide the bookmarks column, click the BOOKMARKS tab located along
the left side of the screen.
To jump to a bookmark topic, click the desired topic.
Note: A plus sign to the left of a bookmark topic indicates additional topics exist
under that bookmark level. Click the plus sign to expand or collapse the
bookmarks.
Using Page View Click the PAGES tab located to the far left of the screen to view miniature images
of each page in the document. Scroll through the pages and click an image to
jump quickly to that page.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Navigating Through the Manual
Blue text indicates a hyperlink. Click a link to jump to that topic or page. Click
in the navigation bar (at the bottom of each page) to return to your
previous location. The pointer changes to a pointing finger when positioned
over a link. A navigation bar at the bottom of each page also provides helpful
links.
The navigation bar includes:
Click to jump to the main table of contents for the
manual.
Click to jump to the table of contents for the section
you are currently viewing.
Click to jump to the manual’s index.
Click to retrace your steps in a document, returning to each
page in the reverse order visited.
Click to jump to the next page of the manual.
Click to jump to the previous page of the manual.
Back
Table of Contents
Section Contents
Index
Back
Next Page
Previous Page
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Service Personnel Qualifications
Service technicians must be properly qualified and thoroughly familiar with the
operation of the LIFEPAK 12 defibrillator/monitor. They must meet at least one of
the following requirements (or the equivalent):
Associate of Applied Science, with an emphasis in biomedical electronics
Certificate of Technical Training, with an emphasis in biomedical electronics
Equivalent biomedical electronics experience
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Contacting Physio-Control
Physio-Control, Inc.
11811 Willows Road NE
Redmond, WA 98052-2003 USA
Telephone: 425.867.4000
Toll Free (USA only): 800.442.1142
Fax: 1.425.867.4121
Internet: www.physiocontrol.com
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Responsibility for Information
This service manual describes the methods required to maintain, test, and repair
the LIFEPAK 12 defibrillator/monitor. This manual does not address the
operation of the LIFEPAK 12 defibrillator/monitor. Qualified service personnel
must consult this manual and the LIFEPAK 12 Defibrillator/Monitor Series
Operating Instructions to obtain a complete understanding of the use and
maintenance of the LIFEPAK 12 defibrillator/monitor.
It is the responsibility of our customers to ensure that the appropriate person(s)
within their organization has access to the information in this service manual,
including any warnings and cautions used throughout the manual.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Device Tracking
Device Tracking:
The U.S. Food and Drug Administration requires defibrillator manufacturers and
distributors to track the location of their defibrillators. If your device has been
sold, donated, lost, stolen, exported, or destroyed, or if it was not obtained
directly from Physio-Control, please notify the device-tracking coordinator at
1.800.426.4448. See your LIFEPAK 12 Defibrillator/Monitor Series Operating
Instructions for more information regarding device tracking.
!USA
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Service Information
Before attempting to clean or repair any assembly in the LIFEPAK 12
defibrillator/monitor (device), the service technician should be familiar with the
information provided in the Preventive Maintenance section of this manual.
A qualified service technician should inspect any device that has been
dropped, damaged, or abused to verify that the device is operating within
performance standards listed in the Performance Inspection Procedures (PIP),
and that the leakage current values are acceptable.
Replacement procedures for the device are limited to those items accessible at
the final assembly level. Replacements and adjustments must be made by
qualified service personnel. Replacements at the final assembly level simplify
repair and servicing procedures and help ensure correct device operation and
calibration.
To obtain service and maintenance for your device, contact your local Physio-
Control service or sales representative. In the USA, call Physio-Control
Technical Service at 1.800.442.1142. Outside the USA, contact your local
Physio-Control representative. When you call Physio-Control to request service,
provide the following information:
Model number and part number
Serial number
Observation of the problem that led to the call
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Recycling Information
Recycle the LIFEPAK 12 defibrillator/monitor 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.
Recycling of batteries – The device uses rechargeable FASTPAK®,
FASTPAK®2 NiCd (nickel-cadmium) and LIFEPAK® NiCd, and LIFEPAK®
SLA (sealed lead-acid) batteries. Follow local guidelines and instructions
provided in this service manual for discarding/recycling batteries.
Packaging – Packaging should be recycled according to national and local
regulations.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Warranty
See the warranty statement included in the “Maintaining the Equipment” section
of the operating instructions.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Configuration Information
This service manual is relevant for existing LIFEPAK 12 defibrillator/monitor
series devices and options through the following revisions:
LIFEPAK 12 monophasic basic device with LCD display and 3-lead ECG
LIFEPAK 12 biphasic basic device with LCD display and 3-lead ECG
Pacing option
Nellcor® SpO2 option
– or –
Masimo® SpO2 option
12-lead ECG option
NIBP monitoring option
CASMED® NIBP monitoring option
Oridion® CO2 option
Fax/data communication option
Bluetooth® communication option
100-mm printing option
Electroluminescent (EL) display option
Invasive pressure option
Vital signs trending option
Voice recording accessory option
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Glossary
The following are definitions of terms used throughout this service manual.
ADAPTIV biphasic technology — Property of the shock waveform
generated by the biphasic LIFEPAK 12 defibrillator/monitor. The biphasic
waveform is characterized by a positive current phase followed by a reverse
current phase of shorter duration and decreased magnitude. The waveform
pulse characteristic is biphasic truncated exponential (BTE).
Automated external defibrillator (AED) — The LIFEPAK 12 defibrillator/
monitor uses an ECG analysis Shock Advisory System (SAS) to advise the
device operator if it detects a shockable or nonshockable rhythm. For more
information about CPSS and SAS, see Appendix D in the operating
instructions.
CODE SUMMARY report — A summary report that includes the ECG
segments associated with key events, such as analysis or shock. See “Data
Management” in the operating instructions for a sample CODE SUMMARY
report.
(Continued on next page)
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Glossary (continued)
Continuous patient surveillance system (CPSS) — A feature that monitors
the patient ECG in LEADS or PADDLES for a potentially shockable rhythm.
CPSS is active when the front panel ADVISORY indicator is on (AED mode) or
the VF/VT ALARM is selected after pressing ALARMS (manual mode). The
CPSS operates in conjunction with the Shock Advisory System (SAS). For
more information about CPSS and SAS, see Appendix D in the operating
instructions.
End-tidal carbon dioxide (CO2) monitoring — The EtCO2 monitor is a
capnometric and capnographic device that measures the amount of CO2
during each breath, displays the CO2 waveform, and reports the amount
present at the end of exhalation as an indication of breathing efficacy
(EtCO2).
Event log summary — A report summarizing important events for a particular
patient record; part of the CODE SUMMARY report.
FAST-PATCH® disposable defibrillation/ECG electrodes — An electrode
system that allows delivery of defibrillation therapy to the patient.
Monophasic — Property of the shock waveform generated by the
LIFEPAK 12 defibrillator/monitor with monophasic technology. The
monophasic pulse characteristic is monophasic damped sinusoid (MDS) per
AAMI DF2-1989 3.2.1.5.1.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Glossary (continued)
Noninvasive blood pressure (NIBP) monitoring
The NIBP monitor is a
noninvasive oscillometric blood pressure monitor. The NIBP monitor inflates
an occluding cuff and determines systolic and diastolic pressures, mean
arterial pressure (MAP), and pulse rate. Pressure measurements are
reported in mmHg or kPa, and pulse rate is measured in beats per minute
(bpm).
QUIK-COMBO® pacing/defibrillation/ECG electrodes — An electrode system
that allows delivery of pacing and defibrillation therapy to the patient.
QUIK-COMBO patient simulator — A combination lead tester/patient cardiac
rhythm simulator. The simulator is designed for use in training clinical
personnel to operate the LIFEPAK 12 defibrillator/monitor.
REDI-PAK preconnect system — A variant of the QUIK-COMBO pacing/
defibrillation/ECG electrode system. The system allows QUIK-COMBO
pacing/defibrillation/ECG electrode cable connection without removing the
electrodes from their air-tight sealed pouch until needed.
Shock Advisory System (SAS) — A computerized ECG analysis system for
use in detecting a shockable rhythm. For more information about CPSS and
SAS, see Appendix D in the operating instructions.
(Continued on next page)
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Glossary (continued)
Pulse Oximeter (SpO2) monitoring — A pulse oximeter is a noninvasive
device that checks the saturation of oxygen in arterial blood (SpO2).
Test load — Equipment that provides an external defibrillation test load for
the defibrillator/monitor. The test load connects to the patient connector on
the device.
LIFEPAK 12 Defibrillator/Monitor Series Preface
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Acronyms
The following is a list of acronyms and abbreviations used in this manual.
Term Description
AAMI Association for the Advancement of Medical Instrumentation
ADC Analog-to-digital conversion
AED Automated external defibrillator
Ah Ampere hour
AHA American Heart Association
AMI Acute myocardial infarction
ANSI American National Standards Institute
ASIC Application-specific integrated circuit
BTE Biphasic truncated exponential
BF Electrically isolated, external body connection
BPM Beats per minute
CF Electrically isolated, direct cardiac connection
CO2 Carbon dioxide
CPR Cardiopulmonary resuscitation
CPU Central processing unit
CPSS Continuous patient surveillance system
(Continued on next page)
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Medtronic LIFEPAK 12 User manual

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User manual

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