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LIFEPAK CR® Plus LIFEPAK EXPRESS®

Defibrillatorswith ADAPTIV™ Biphasic Technology

1

Service Manual

LIFEPAK CR Plus/EXPRESS Defibrillator Table of Contents

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1 Preface

2 Safety

3 Device Description

4 OperatingInstructions

5 Modes of Operation

6 Performance InspectionProcedure

7 Preventive Maintenance

Index

LIFEPAK CR Plus/EXPRESS Defibrillator Section Contents

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Preface This electronic service manual is intended for use by qualified service personnel. It describes how to maintain and inspect LIFEPAK CR Plus or LIFEPAK EXPRESS defibrillator. The LIFEPAK CR Plus and LIFEPAK EXPRESS Defibrillators Operating Instructions, intended for use by physicians, clinicians, and emergency care providers, provides step-by-step instructions for operating the device, as well as operator-level testing and maintenance.

Click any of the links below to jump to a topic in this section.

TrademarksAdobe ReaderNavigating Through the ManualContacting Physio-ControlResponsibility for InformationDevice TrackingRecycling InformationWarrantyProduct Useful LifeGlossary

Previous Page Table of Contents Section Contents Back Index Next Page

LIFEPAK CR Plus/EXPRESS Defibrillator Preface

Trademarks

LIFEPAK, LIFEPAK CR, LIFEPAK EXPRESS, and FAST-PATCH are registered trademarks of Physio-Control, Inc.

ADAPTIV, CODE SUMMARY, QUIK-COMBO, QUIK-PAK, DATA TRANSFER, REDI-PAK, Shock Advisory System, CODE-STAT, Partner Plus, CHARGE-PAK and PARTSLINE are trademarks of Physio-Control, Inc.

Physio-Control is a registered trademark of Physio-Control, Inc.

Microsoft and Windows are registered trademarks of Microsoft Corporation.

Pentium is a trademark of Intel Corporation.

QED is a trademark and Dale and Fluke are registered trademarks of Fluke Corporation.

Adobe is a trademark of Adobe Systems Incorporated.

Specifications are subject to change without notice.

© 2006 - 2015 Physio-Control, Inc.

MIN 3202308-002 / CAT. 26500-002365

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Contacting Physio-Control

Physio-Control, Inc.11811 Willows Road NortheastRedmond, WA 98052-2003 USATelephone: 1.425.867.4000Toll Free (USA only): 1.800.442.1142Fax: 1.425.867.4121Internet: www.physio-control.com

Physio-Control Operations Netherlands B.V.Galjoenweg 686222 NV MaastrichtThe Netherlands

Physio-Control Australia Pty LtdSuite 4.0115 Orion RoadLane CoveNSW 2066Australia

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http://www.physio-control.com



Responsibility for Information

This service manual describes the methods required for routine maintenance and acceptance testing of the defibrillator. It does not address operation of the device in the clinical setting. Qualified service personnel must consult the operating instructions and this service manual to obtain a complete understanding of the use and maintenance of the defibrillator.

Failures that may occur during product introduction are addressed under the warranty, and the need to disassemble or repair/replace internal components is not necessary. Contact Physio-Control for additional information. In the USA, contact Technical Support Services at 1.800.442.1142. Outside the USA, contact your local Physio-Control representative.

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 all warnings and cautions.

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Device Tracking

General Device Tracking Information

It is important to maintain accurate records of defibrillator location within your facility or system. Maintenance of such records eases the process of locating defibrillators should it be necessary to modify them. Defibrillators should be tracked by both the manufacturer’s part number and serial number. Internal asset or tracking numbers may also be useful in maintaining adequate control of defibrillators.

Device Tracking The U.S. Food and Drug Administration requires defibrillator manufacturers and distributors to track the location of their defibrillators. The address to which this particular device was shipped is now listed as the current tracking location. If the device is located somewhere other than the shipping address or the device has been sold, donated, lost, stolen, exported, or destroyed, or if it was not obtained directly from Physio-Control, please call the device tracking coordinator at 1.800.426.4448 to update this vital tracking information.

!USA

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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, or go to www.physio-control.com/recycling.

■ 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 — Save or recycle packaging materials.

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http://www.physio-control.com/recycling



Warranty

Before requesting warranty service for your defibrillator, refer to the operating instructions to ensure that your device is set up properly, and that you are operating the device correctly.

If you determine that service or technical support is necessary, please record the device’s serial number and part number and have them available when you contact Physio-Control.

To obtain a detailed warranty statement, contact your local Physio-Control representative or go to www.physio-control.com.

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Product Useful Life

The defibrillators and subassemblies are subjected to rigorous life testing. This testing and the routine testing and preventative maintenance recommended in this service manual will help provide reliable unit operation for many years.

However, both rapid technological changes and the availability of older replacement parts limit the useful life of all modern medical devices. The American Hospital Association suggests a five-year useful life expectancy for defibrillators (Estimated Useful Lives of Depreciable Hospital Assets, Revised 1998 Edition). Similarly, the U.S. Army lists an eight-year life expectancy for defibrillators (technical bulletin: Maintenance Expenditure Limits for Medical Materiel, TB MED 7 Revision 8 October 1993). Physio-Control recommends that you adopt an eight-year useful life expectancy for this device.

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Glossary

The following are definitions of terms used throughout this service manual.

■ Automated external defibrillator (AED) — The defibrillator uses an ECG analysis Shock Advisory System™ (SAS) to advise the device operator if it detects a shockable or nonshockable rhythm. Refer to Appendix B of the operating instructions for additional information.

■ ADAPTIV biphasic technology — Property of the shock waveform generated by the device. 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).

■ CHARGE-PAK™ battery charger — An energy storage device that delivers a trickle charge to the defibrillator.

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Safety 2This section describes the safety conventions, terms, and symbols used in this service manual or on the defibrillator. This information is intended to alert service personnel to recommended precautions in the care, use, and handling of this device.

Terms

General Warnings and Cautions

Symbols


LIFEPAK CR Plus/EXPRESS Defibrillator Safety

Terms

The following terms are used in this service manual or on the various configurations of the defibrillator. Familiarize yourself with their definitions and significance.

Danger: Immediate hazards that will result in serious personal injury or death.

Warning: Hazards or unsafe practices that could result in serious personal injury or death.

Caution: Hazards or unsafe practices that could result in device or property damage.

Note: Points of particular interest for more efficient or convenient device operation; additional information or explanation concerning the subject under discussion.

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General Warnings and Cautions

This section contains general warnings and cautions. Keep these warnings and cautions in mind when working with the defibrillator. More specific warnings and cautions appear throughout this service manual and the operating instructions.

WARNINGS!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).Shock or fire hazard. Do not immerse any portion of this device in water or other fluids. Avoid spilling any fluids on the device or accessories. If the device is ever immersed in water or other fluids, remove the battery until the unit can be serviced.Patient hazard. Do not mount the device directly above the patient. Place the device in a location where it cannot harm the patient should it fall from its shelf or other mount.Shock or fire hazard. Equipment or accessories improperly interconnected to each other can be a source of ignition or cause a shock. Make sure that all equipment is interconnected safely.

(Continued on next page)

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General Warnings and Cautions (continued)

WARNING!Shock hazard. Servicing of this defibrillator must be performed by properly trained individuals. This defibrillator may retain potentially lethal charges accessible inside the defibrillator at any time — even when off.

CAUTIONS!Possible device damage. This defibrillator may be damaged by mechanical/physical abuse (for example: immersion in water, drop exceeding 18 inches).Possible component damage. Do not mount the device near vibrationsources.Possible device damage. Broken or frayed wires, or loose snap fittings may cause interference or loss of signal. Pay particular attention to the point at which the wires enter the terminals. Repeated flexing at these points eventually causes the wire strands to break. Perform frequent electrical and visual inspections of cables and wires.

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Symbols

The following list includes symbols that may be used in this service manual or on various configurations of the defibrillator and accessories. Some of these symbols may not be relevant to your device or used in every country.

OK indicator. The defibrillator is ready for use.

Attention. On the readiness display—the internal battery is low.

Attention, on the CHARGE-PAK battery charger. Consult accompanying documents.

Attention, on the back of the defibrillator. Consult accompanying documents.

Attention, on the electrode pads. Consult accompanying documents.

Warning, high voltage.

CHARGE-PAK battery charger indicator. Battery charger needs to be replaced.


OK

or

or

or

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Symbols (continued)

Wrench indicator. There is a condition that prevents or could prevent normal defibrillator operation.

This end up.

Fragile/breakable. Handle with care.

Protect from water.

Power On/Off button.

Type BF patient connection.

Not intended for use on children who are less than eight years of age or who weigh less than 25 kg (55 pounds).


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Symbols (continued)

Infant Child Reduced Energy Electrodes are not compatible with QUIK-COMBO defibrillation and therapy cables. To use Infant/Child Electrodes, connect Infant/Child Electrodes directly to the AED.

Not intended for use on adults.

Physio-Control electrodes are not made with natural rubber latex.

Arrow indicates On/Off button location.

Symbol denotes a defibrillator and identifies the SHOCK button.

Lot code.

Do not reuse—single use only.


LOT YYWW

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Symbols (continued)

Use By date shown: yyyy-mm-dd.

Refer to instructions for recycling procedure.

Refer to instructions for disposal procedure.

Do not dispose of this product in the unsorted municipal waste stream. Dispose of this product according to local regulations. See www.physio-control.com/recycling for instructions on the proper disposal of this product.

Symbol for China RoHS indicating the Environmentally Friendly Use Period (EFUP) denoting the number of years before any substance is likely to leak out into the environment.

Mark of conformity according to the European Medical Device Directive 93/42/EEC.


0123

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Canadian Standards Association certification for Canada and the United States.

For USA audiences only.

Atmospheric pressure limitation.

Relative humidity range 5% to 95%.

Store in a cool, dry location (0° to 50°C or 32° to 122°F).

Recommended storage temperature: 15° to 35°C (59° to 95°F). Storage at extreme temperatures of -40° or 70°C (-40° or 158°F) is limited to seven days. If storage at these temperatures exceeds one week, the electrode shelf-life will be reduced.

!USA

35°C

15°C

95°F

59°F

50°C

0°C

122°F

32°F

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Symbols (continued)

Date of manufacture.

Do not place near an open flame.

Do not crush, puncture, or disassemble battery.

Rx OnlyFederal (U.S.) law restricts this device to sale by, or on the order of, a physician.

MIN Manufacturer’s Item Number.

CAT Catalog number used for placing orders.

Reorder number.

YYYY

REF

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Device Description

3This section includes the following topics:

Introduction

Physical Description and Features

Functional Description

Supplies and Accessories


LIFEPAK CR Plus/EXPRESS Defibrillator

Introduction

About the Defibrillator The defibrillator is a portable, battery-powered therapeutic device that analyzes the electrocardiographic (ECG) signal of a patient, interprets the indications, advises the operator, and delivers defibrillation therapy. If the defibrillator detects a shockable cardiac arrhythmia, it either automatically delivers a brief, high-energy pulse of electricity to the heart of the patient or it prompts the user to press the SHOCK button, depending on your model. The defibrillator delivers energy through self-adhesive, disposable defibrillation electrodes. Internal circuitry continuously measures the impedance between the electrodes and allows defibrillation only when the defibrillation electrodes are attached to the patient. Advanced arrhythmia analysis controls the critical shock/no-shock decisions.

Main Components The common subassemblies of the defibrillator are two, double-sided, surface-mounted, printed circuit boards (PCBs); Readiness Display (an abbreviated status display); a CHARGE-PAK battery charger; a QUIK-COMBO™ patient connector; wiring; and hardware.

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Physical Description and Features

For information on any of the numbered defibrillator controls, indicators, and connectors shown below, select the appropriate link at the bottom of the page.

9

1

2

3

7

8

4 6 5

10

11


Parts 1–7 Parts 8–11

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Physical Description and Features (continued)

Number Description

1 Quick Reference card — Step-by-step directions for using the defibrillator to treat a patient in cardiac arrest.

2 Electrode connector — Connects the electrode pads to the defibrillator.

3 QUIK-PAK electrodes — A set of electrode pads.

4 IrDA port — Infrared data port provides wireless communication for transferring data from the defibrillator to a computer.

5 SHOCK button — Press to discharge the defibrillator. Available only on the semiautomatic defibrillator model.

6 LID RELEASE/ON-OFF button — Opens the defibrillator lid and turns on the device. Pressing and holding the button for approximately two seconds after the lid is open turns off the defibrillator.

7 CHARGE-PAK battery charger — Functions as a battery charger, delivering a trickle charge to the internal battery.


Parts 8–11 Back to Device

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Number Description

8 Electrode Indicators — The indicators flash red until the electrode pads are applied to the patient’s exposed chest and then turn solid green when the pads have been applied.

9 Speaker — Provides audio prompts and alert tones.

10 Readiness Display — Four indicators: OK indicator, BATTERY

indicator, ATTENTION indicator, WRENCH indicator. These indicators are visible when the defibrillator is turned off and enable you to determine the state of the defibrillator.

11 Lid — The top of the defibrillator.


Parts 1–7 Back to Device

OK

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For information on any of the components shown below, select the appropriate button at the bottom of the page.

1

2

3


Parts 1–3

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Number Description

1 Safety Warnings — Provide important information concerning the defibrillator’s use and service.

2 Serial Number Label — Displays the defibrillator identification number.

3 Carrying Handle — Used to transport the defibrillator.

Back to Device

3-7



Functional Description

The defibrillator is a portable, battery-powered therapeutic device. It consists of the following components:

■ Two PCBs — Two printed circuit boards control defibrillator functions, including ECG signal processing, mode control, rhythm and motion analysis, energy storage capacitor charging, impedance sensing, voice prompting, generate biphasic defibrillation waveform, and record patient events.

■ Inductive Resistor — A resistor that conditions the energy storage capacitor output.

■ Energy Storage Capacitor — A metallized film capacitor used for energy storage.

■ Patient Connector — A connection used for connecting patient electrodes and unit testing.

■ Function keys — LID RELEASE/ON-OFF button and SHOCK button (semiautomatic units only).

■ Readiness Display — A four-field LCD, including OK, BATTERY, ATTENTION, and SERVICE indicators.

■ Speaker — Emits voice prompts and tones.■ IrDA Connector — Infrared port enabling the transfer of patient records and

setup data.

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Supplies and Accessories

The following table summarizes supplies and accessories that are available. For ordering instructions, refer to Ordering Supplies and Accessories.

Description MIN CAT.

LIFEPAK CR Plus and LIFEPAK EXPRESS Owner’s Manual

3205285 26500-001999

LIFEPAK CR Plus and LIFEPAK EXPRESS Reference Manual

3206089 26500-002069

Warranty 3202474 26500-001274

Implementation Kit 3202563 26500-001319

Accessory Catalog 3201619 26500-001314

Replacement Kit 3201616 11403-000002

Carrying Case 3201918-010 21300-004576

Replacement Shoulder Strap for Carrying Case

3201918-003 21300-004579

Hard Shell Carrying Case 3201582 11260-000015

AED Instruction Card 3201508 26500-001096

Wall Mount Bracket 3201124 11210-000010


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Supplies and Accessories (continued)

Ordering Supplies and Accessories

To order supplies and accessories, contact your local Physio-Control representative. In the USA, call 1.800.442.1142. Outside the USA, contact your local Physio-Control representative. Provide the part number and serial number located on the bottom of the device. Specify all assembly numbers, part numbers, reference designations, and descriptions. Accessories may be substituted to reflect device modifications and improvements.

Serial Number The serial number of the device identifies the manufacturing conditions and elements used in producing your device. When ordering accessories, use the serial number (SN) listed on the label on the bottom of the defibrillator.

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Operating Instructions

4The LIFEPAK CR Plus and LIFEPAK EXPRESS Defibrillators Operating Instructions familiarizes the operator with basic defibrillator functions and identifies defibrillator controls, indicators, and connectors. Qualified service personnel must consult the operating instructions and this service manual for a complete understanding of the use and maintenance of the defibrillator.

The operating instructions include the following topics.

■ Introduction– About Automated External Defibrillators

– Safety Information

– Symbols

– About the LIFEPAK CR Plus and LIFEPAK EXPRESS Defibrillators

■ Getting Started– Unpacking and Inspecting the LIFEPAK CR Plus or LIFEPAK EXPRESS

Defibrillator

– Where to Locate Your LIFEPAK CR Plus or LIFEPAK EXPRESS Defibrillator

– Controls, Indicators, and Labels




Operating Instructions (continued)

■ Using the Defibrillator– Warnings and Cautions

– Responding to a Sudden Cardiac Arrest Emergency

– Voice Instructions and Tones

– Troubleshooting

■ Data Storage– Overview of Data Storage

■ Caring for Your Defibrillator– Maintaining a State of Readiness

– Cleaning Your Defibrillator

– Replacing the CHARGE-PAK Battery Charger and the QUIK-PAK Electrode Packet

– Obtaining Authorized Service

– Recycling Information

– Supplies, Accessories, and Training Tools

– Warranty Information


4-2



Operating Instructions (continued)

■ Defibrillator Operating Settings– Operating Settings and Setup Configuration

■ Appendix A — Specifications■ Appendix B — Shock Advisory System■ Appendix C — User’s Checklist■ Appendix D — Declaration of Conformity/Electromagnetic

Compatibility Guidance

4-3



Modes of Operation

5This section explains the operating modes of the defibrillator.

Normal Mode

Auto Test Modes


LIFEPAK CR Plus/EXPRESS Defibrillator Modes of Operation

Normal Mode

The defibrillator operates in normal mode for emergency patient care when the following conditions are met:

■ The lid is opened and the defibrillator is turned on.■ The QUIK-PAK electrodes are properly connected to the patient (the

electrode indicators change from red to green).

5-2



Auto Test Modes

The defibrillator periodically performs routine tests to detect problems that could affect defibrillator performance. These tests include:

– Initialization test

– Weekly test

– Monthly test

– Low power test

Initialization Test The initialization test is performed each time the defibrillator is turned on (all the defibrillator indicators will light momentarily, indicating that the test is in process).

The initialization test includes the following memory tests:

– RAM test

– Processor test

– Watchdog timer test

If the initialization test completes successfully and verifies that it is not part of another test, the defibrillator enters normal mode.


5-3



Auto Test Modes (continued)

Weekly Test The weekly test is performed each Monday at 03:00 A.M. If the defibrillator is in use, the test will be performed at 03:00 A.M. the following week. The weekly test consists of an initialization test.

Monthly Test The monthly test is performed on the first Monday of each month at 03:00 A.M. if the defibrillator is in use, the test will be performed at 03:00 A.M the following month. If a weekly test and a monthly test are scheduled to occur at the same time, the monthly test will occur.

WARNING!Shock Hazard. During the monthly auto test, the defibrillator will automatically charge the main capacitor. Do not attempt to disassemble the defibrillator.

In addition to performing an initialization test, the monthly test evaluates the following circuits and systems:

– ECG/impedance

– High-voltage charging system and discharge circuit

– Power system


5-4



Auto Test Modes (continued)

Low-Power Test When the ATTENTION indicator first illuminates on the Readiness Display, the internal battery is capable of providing at least six 360-joule discharges or 42 minutes of operation before shutting down. Install a new CHARGE-PAK battery charger at this time.

After the new CHARGE-PAK is installed, the defibrillator periodically completes a low-power test to check the internal battery. When the internal battery has sufficiently charged, the OK indicator appears in the Readiness Display and the defibrillator will stop performing low-power tests.

Failing an Auto Test If a device fails an auto test, the failure will cause the wrench indicator to appear on the Readiness Display.

5-5



Performance Inspection Procedure

The Performance Inspection Procedure (PIP), 3202983, is a set of manual and computer assisted test procedures used by authorized Physio-Control service representatives as an operational closed-case evaluation of the defibrillator. The PIP describes the test procedures you will perform to determine if the defibrillator is operating within the required specifications. Investigate and correct any malfunctions or out-of-tolerance conditions detected during the PIP.The PIP comprises safety and performance tests recommended by AHA/ASHE (American Hospital Association/American Society for Hospital Engineering) Maintenance Management for Medical Equipment and International Electrotechnical Commission (IEC) Technical Report 1288-2, Maintenance of Cardiac Defibrillators-Monitors. Perform the PIP as part of a regularly scheduled preventive maintenance routine. Also, perform the PIP after any repair, replacement, or calibration procedure. Print the PIP Checklist to record the test results. Also refer to the Operator Checklist for additional items.



Preventive Maintenance

9

Periodic preventive maintenance and inspection of the device will help prevent and detect possible electrical and mechanical problems. This section provides instructions recommended by Physio-Control for inspecting, maintaining, and cleaning the defibrillator and accessories.

Maintenance and Inspection Schedule

CHARGE-PAK Battery Charger Maintenance

Replacing the QUIK-PAK Electrodes

Replacing the CHARGE-PAK Battery Charger

Battery Charger Troubleshooting

Defibrillator Cleaning

Product Support Policy

WARNING!Shock or fire hazard. Servicing this defibrillator must be performed by qualified personnel. This defibrillator may retain potentially lethal charges accessible inside the defibrillator at any time — even when off.


LIFEPAK CR Plus/EXPRESS Defibrillator Preventive Maintenance

Maintenance and Inspection Schedule

Introduction The defibrillator, as described within this service manual, is supported by a warranty. For malfunctions encountered during use or inspection, contact Physio-Control. In the USA, contact Physio-Control Technical Services at 1.800.442.1142 and select option 5 for service. Outside the USA, contact your local Physio-Control representative.

The defibrillator does not require routine maintenance. The defibrillator performs various automatic self-tests to ensure readiness. The results of these tests are displayed in the Readiness Display.

■ If the defibrillator passes the test, the OK indicator appears, indicating that the device is ready for use.

■ If the defibrillator fails a test, the BATTERY indicator appears, indicating that the CHARGE-PAK battery charger needs to be replaced.

■ If the defibrillator fails a test because it detects low device power, the ATTENTION indicator appears, indicating that the device has a low internal battery. It may take from one to ten days before the battery is adequately charged and the OK indicator appears.

■ If the defibrillator fails a test because it detects a fault, the WRENCH indicator appears, indicating that the device should be removed from service.


7-2



Maintenance and Inspection Schedule (continued)

Routine Inspections The defibrillator should be inspected by trained operators on a regular basis. If the defibrillator is rarely used, monthly inspections may be all that is required. If the defibrillator is located in a high-use area, more frequent inspections may be required.

The inspection should include the following:

■ Check to ensure that the OK indicator is visible in the Readiness Display.■ Check the Use By date on the QUIK-PAK electrodes. The date is visible

through the clear plastic lid. If the Use By date has passed, replace the QUIK-PAK electrodes and the CHARGE-PAK battery charger.

■ Check to ensure that emergency supplies stored with or near the defibrillator are fully stocked and ready for use.

7-3



CHARGE-PAK Battery Charger Maintenance

The CHARGE-PAK battery charger provides a trickle charge to the defibrillator’s internal battery. To prevent damage to the internal battery, always keep a functional battery charger in the defibrillator, including during storage and shipping.

Replace the battery charger if:

■ The device has been attached to a patient during an event, and the battery charger has not been replaced.

■ The device has been on for more than 30 cumulative minutes without a patient connected to it, the battery charger has not been replaced, and the device is turned off.

■ The battery charger has been in the device two years or more and the device is turned off.

■ The BATTERY indicator appears in the Readiness Display.Note: It is important to store the defibrillator at an operating temperature range of 0° to 50° C (32° to 122° F) when the battery is installed. If the ambient temperature is outside this range, the defibrillator may erroneously detect and report a problem.


7-4



CHARGE-PAK Battery Charger Maintenance (continued)

■ The battery charger is placed into one device, after having previously been installed in another device, and the device is turned off.

■ The Use By date on the electrode packet has expired. (Use the Physio-Control replacement kit to replace both the battery charger and the QUIK-PAK electrodes at this time.)

The ATTENTION indicator may remain lit for a period of time after you replace the battery charger. This is normal because the internal battery requires a period of time to charge.

7-5



Replacing the QUIK-PAK Electrodes

Use a new set of QUIK-PAK electrodes on each patient. Replace the QUIK-PAK electrodes after each use or when the Use By date is passed. Replace the QUIK-PAK electrodes and CHARGE-PAK battery charger at the same time because their Use By date is the same. Discard used electrode pads and any unused, spare electrode pads according to recycling instructions.

To replace the QUIK-PAK electrodes:

1. Open the lid (voice prompts will begin).

2. Press and hold the LID RELEASE/ON-OFF button for approximately two seconds to turn off the defibrillator.

3. Unplug the electrode connector.

4. Remove the electrode packet anchor pin from the slot in the defibrillator.

5. Inspect the new electrode packet and confirm that the Use By date has not passed.

6. Slide the electrode anchor pin into the slot on the defibrillator.

7. Plug in the new electrode connector.


7-6



Replacing the QUIK-PAK Electrodes (continued)

8. Ensure that the new electrode packet is centered on the defibrillator and tucked behind the lip before closing the lid.

9. Close the lid and confirm that the packet Use By date is visible in the upper right corner.

7.

6.

8.

yyyy-mm-dd

7-7



Replacing the CHARGE-PAK Battery Charger

Note: The QUIK-PAK electrodes and the CHARGE-PAK battery charger must be replaced at the same time.

To replace the battery charger:

1. Remove the used battery charger by pressing down on the battery charger latch. The battery charger will spring outward from the defibrillator. (Refer to the illustration below for the battery charger location.)

2. Slide the used battery charger out of the defibrillator..


7-8



Replacing the CHARGE-PAK Battery Charger (continued)

3. Discharge the used battery charger using the discharge tool that is supplied with the replacement kit

4. Insert the new battery charger into the defibrillator until you hear it “click” into position. If the battery charger is not completely inserted, it will spring back out.

5. Confirm that the BATTERY indicator disappears and that the OK indicator appears on the Readiness Display before returning the defibrillator to service. (The internal battery must charge for a period of time before the OK indicator appears.)

7-9



Battery Charger Troubleshooting

If the BATTERY indicator displays on the device, additional information can be obtained by listening to the number of beeps that occur when the battery charger is removed and then reinserted. With the device turned off for at least 60 seconds, pull the battery charger out of the defibrillator and then reinsert it. Refer to the following table for the meaning of the tones.

Number of Tones

Indication Action

1 Internal error Call Physio-Control Technical Support

2 Patient load previously connected Replace battery charger

3 Cumulative ON time > 30 minutes Replace battery charger

4 Battery charger expiration date passed

Replace battery charger

5 Battery charger incorrectly homed Replace battery charger

7-10



Defibrillator Cleaning

WARNING!Shock or fire hazard. Do not immerse any portion of this defibrillator in water or other fluids. Avoid spilling any fluids on the defibrillator or accessories. The defibrillator should be cleaned after each use to ensure proper device operation before the next patient use.

Do not clean any part of the defibrillator or accessories with bleach, bleach dilution, or phenolic compounds. Do not use abrasive or flammable cleaning agents. Do not steam, autoclave, or gas-sterilize the defibrillator or its accessories. Follow the cleaning guidelines provided below.

Item Cleaning Method Cleaning Agent

Defibrillator exterior case, readiness display, and crevices

Clean with damp sponge or cloth

■ Nonabrasive soap and water ■ Quaternary ammonium compounds■ Rubbing (isopropyl) alcohol■ Peroxide (peracetic acid) solutions

CHARGE-PAK battery charger

None None — dispose of or recycle after use


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Defibrillator Cleaning (continued)

Item Cleaning Method Cleaning Agent

Electrode pads None — do not remove electrode pads from the packet until use

None — dispose of or recycle after use

Carrying case Wipe with damp cloth or sponge

Water

Quick Reference Guide Wipe with damp cloth or sponge

Water

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Product Support Policy

Physio-Control provides full technical subassembly-level support and subassembly replacement parts for a period of eight years beyond the device’s production retirement date. After this eight-year period, Physio-Control provides technical support and subassembly replacement parts as available.

7-13

LIFEPAK CR Plus/EXPRESS Defibrillator Index

Previous Page Table of ContentsTitle Page Back Next Page

AAED

DefinitionAuto Tests

Failing

BBattery Charger

DefinitionMaintenanceReplacingTroubleshooting

Biphasic Definition

CCHARGE-PAK. See Battery ChargerCleaning the DefibrillatorContacting Physio-Control

DDefibrillator

CleaningComponentsDescriptionIllustrations and Features

Routine InspectionStorage Temperature

Device DescriptionDevice TrackingDocument Navigation Instructions

EElectrodes, Replacing

FFunctional Description

GGeneral Warnings and CautionsGlossary

IInitialization TestInspection Procedures. See PIP

LLow Power Test

MMaintenance and Inspection ScheduleModes of OperationMonthly Auto Test

NNavigation

Using HyperlinksNormal Mode

OOperating InstructionsOrdering Supplies and Accessories

PPerformance Inspection Procedure. See

PIPPIPPreventive MaintenanceProduct Support PolicyProduct Useful Life

Previous Page Table of ContentsTitle Back

LIFEPAK CR Plus/EXPRESS Defibrillator Index

QQUIK-PAK Electrodes

Replacing

RRecycling InformationResponsibility for Information

SSafetyStoring the DefibrillatorSupplies and AccessoriesSymbols

TTermsTests

Failing an Auto TestInitializationLow-Power AutoMonthly AutoWeekly Auto

Trademarks

WWarrantyWeekly Auto Test

LIFEPAK CR® Plus/LIFEPAK EXPRESS® Defibrillator

Performance Inspection Procedure (PIP) Checklist

Model # __________________________________

Serial # __________________________________ Department/Location _______________________

Date _____________________________________ Performed By ______________________________

LIFEPAK CR/CR PLUS Defibrillator Service Manual©September 2015, Physio-Control, Inc.

Action Pass Comments

A Physical Inspection

Record the result of physical inspection test.

Testing Pass Comments

1 Initalization Test

Record the result of Initalization test.

2 Computer Assisted Tests

Record the result of computer-assisted test.

3 Electrode Impedance

Record the result of electrode impedance test.

4 Automatic Advisory Operation

a a- Confirm unit completes automatic advisory operation tests.

Shock # 1 Observed (J) _________________

2 _________________

3 _________________

b- Confirm energy sequence is correct per device setup.

c- Confirm the device used the correct discharge method .

d- Record the result of automatic advisory operation test.

5 Leakage Current

Record the result of Leakage current test.

6 Installation of new QUIK-PAK electrodes and CHARGE-PAK battery charger

Record the result of installation of new QUIK-PAK electrodes and CHARGE-PAK battery charger.

7 Final Status

Record the result of final status test.

A

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