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Zoll_M_CCT_Defibrillator_-_Configuration_guide


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            CONFIGURATION GUIDE




9650-0204-01 Rev A                October 2006
An issue or revision date for this manual is shown on the front cover.
If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if additional
product information updates are available.
ZOLL, M Series, and stat.padz are registered trademarks, and PD, and XL are trademarks of ZOLL Medical
Corporation.


12SL and Catalyst MUSE are trademarks of GE Medical Systems.
Copyright 2006 by ZOLL Medical Corporation. All rights reserved.
                                                                                                              Table of Contents

INTRODUCTION............................................................................................................................. 1
CONFIGURING THE UNIT ............................................................................................................1
   SELECT LANGUAGE 2
   MAIN CONFIGURATION MENU ...................................................................................................3
   PRINT CONFIG .............................................................................................................................3
   RESTORE DEFAULTS ...................................................................................................................3
   READ FROM CARD .....................................................................................................................4
   CHANGE CONFIG ........................................................................................................................5
CONFIGURATION SETTINGS ......................................................................................................7
   NOTCH FILTER ............................................................................................................................7
   ALLOW CARD ERASE .................................................................................................................7
   DISPLAY ELAPSED TIME .............................................................................................................7
   VOICE MARKERS ENABLED ........................................................................................................7
   SET REPORT RESTART DELAYS ..................................................................................................8
   PRINT 12 LEAD 4X3 ....................................................................................................................8
   AUTO SELF-TEST TIMEOUT PERIOD ...........................................................................................8
   ASYNC SOFTKEY IN PACE MODE ...............................................................................................8
   CODE MARKERS ......................................................................................................................... 8
   DEVICE IDENTIFIER ..................................................................................................................10
   MANUAL MODE PASSCODE (ADVANCED AED MODELS) ........................................................11
   CONFIGURATION MODE PASSCODE ..........................................................................................11
   ENERGY LEVEL: SHOCK 1, 2, 3 ................................................................................................12
   AUTO ANALYZE 3 TIMES ......................................................................................................... 12
   "NO SHOCK ADVISED" PROMPT .........................................................................................12
   "CHECK PATIENT" PROMPT .................................................................................................12
   DISPLAY DO CPR MESSAGE ....................................................................................................12
   DISPLAY ECG IN SEMI-AUTO MODE .......................................................................................12
   STORE TO CARD IN AUTO MONITOR MODE (AED MODELS) ...................................................13
   AUTO CHARGE IN ADVISORY MODE ........................................................................................13
   RECORD TO CARD IN ADVISORY MODE ...................................................................................13
   ENABLE VOICE IN ADVISORY MODE .......................................................................................13
   DISPLAY HEART RATE IN SEMI-AUTO MODE ..........................................................................13
   DISPLAY LEAD ON POWER-UP .................................................................................................13
   FREQUENCY RESPONSE ............................................................................................................13
   ENABLE 12-LEAD IN SEMI-AUTO MODE (AED WITH 12-LEAD) .............................................13
   QRS VOLUME ON POWER-UP ..................................................................................................13
   PACE RATE SETTING ON POWER-UP ........................................................................................14
   DISPLAY IMPLANTED PACE SPIKES ..........................................................................................14
   GAIN ON POWER-UP ................................................................................................................14
   RETAIN SYNC AFTER DEFIB ....................................................................................................14
   AUTO GENERATE STRIPS ..........................................................................................................14
   PRINT 3 LEADS WHEN LEADS SEL ...........................................................................................14
   REPORT MEMORY CARD ERRORS ............................................................................................14
   AUTO ANALYZE ON POWER UP (AED SEMI-AUTOMATIC MODE) ..........................................14
   AUTO TRANSMIT AFTER 12 LEAD ............................................................................................14
   FAX/COMMUNICATION PHONE NUMBERS ................................................................................15
   12 LEAD ANALYSIS ..................................................................................................................17
   12 LEAD PRINTOUT ..................................................................................................................17
   PRINT 12 LEAD MEASUREMENTS .............................................................................................17
   12 LEAD FAX FORMAT .............................................................................................................17
   PRINT 2 COPIES 12 LEAD .........................................................................................................17
   SET LEAD GROUPS ...................................................................................................................18
   12 LEAD FREQ RESPONSE ........................................................................................................18


                                                       1-1
M SERIES OPERATOR'S GUIDE

                  LEAD GROUP DEFAULT ............................................................................................................18
                  PRINT 12 LEAD INTERPRETATION ............................................................................................18
                  DEFIB DEFAULT TO PADS .........................................................................................................18
                  CELL PHONE TYPE ....................................................................................................................19
                  ETCO2 OPTIONS .......................................................................................................................19
                  ENABLE LEADS OFF .................................................................................................................19
                  BLOOD PRESSURE UNITS ..........................................................................................................19
                  NIBP AUTO INTERVAL DEFAULT .............................................................................................19
                  TRIGGER NIBP MEAS ON BP ALARM ......................................................................................19
                  TRIGGER NIBP MEAS ON HR ALARM .....................................................................................19
                  NIBP FIRST INFLATE PRESSURE DEFAULT ..............................................................................19
                  BASIC AUTO ENERGY ESCALATION .........................................................................................20
                  MUSE SITE AND LOCATION .....................................................................................................21
                  12 LEAD SECS PER LEAD .........................................................................................................21
                  12 LEAD PRINT SPEED ..............................................................................................................21
                  UPLOAD BAUD RATE ................................................................................................................21
                  TRENDING REPORT ZOOM LEVEL ............................................................................................21
                  TRENDING ENABLED ................................................................................................................22
                  AED DEFIB READY HOLD TIME (AED SEMI-AUTOMATIC MODE) .........................................22
                  BATTERY TYPE USED ...............................................................................................................22
                  ALARM LIMITS AT POWER UP ..................................................................................................23
                  ALARMS ACTIVE AT POWER UP ...............................................................................................23
                  LOW BATTERY TONE ................................................................................................................23
                  CLOCK SYNCHRONIZATION ......................................................................................................23
                  DAYLIGHT SAVINGS .................................................................................................................24
                  CARD CAPACITY MESSAGE ENABLED ......................................................................................24
                  ERASE CARD PROMPT AT PWR OFF .........................................................................................24
                  REMOVE CARD PROMPT AT PWR OFF ......................................................................................25
                  SYNC DEFIB EXCLUDED ...........................................................................................................25
                  PTCA SETTINGS .......................................................................................................................25
                  POWER UP PATIENT TYPE (NIBP) ...........................................................................................25
                  TEMPERATURE UNITS ...............................................................................................................26
                  DISPLAY COLORS .....................................................................................................................26
                  POWER UP TRACE SELECTION ..................................................................................................26
                  IBP1 LABEL AT POWER UP ......................................................................................................27
                  IBP2 LABEL AT POWER UP ......................................................................................................27
                  IBP1 RANGE AT POWER UP .....................................................................................................27
                  IBP2 RANGE AT POWER UP .....................................................................................................27
            CONFIGURATION OPTION TABLES ........................................................................................29
               GENERAL ..................................................................................................................................29
               ADVISORY AND SEMI-AUTOMATIC MODES ..............................................................................31
               MANUAL MODE ........................................................................................................................32
               ETCO2 OPTION ........................................................................................................................33
               NIBP OPTION ...........................................................................................................................33
               PTCA SETTINGS OPTION ..........................................................................................................33
               EXPANDED DISPLAY OPTION ....................................................................................................33
               IBP OPTION ..............................................................................................................................34
               TEMPERATURE OPTION ............................................................................................................34




                                                                   1-2
Introduction
       The M Series CCT is designed with several user selectable features that allow operators to
       configure the device according to their protocols and local requirements. This manual describes
       the configuration options and how to change them. This manual also lists the configurable
       features, options and default settings. Some features are available to manual mode operators
       only.
       The default settings shown below are for North American units only. To print the current
       configuration of your unit, while the unit is in the configuration mode, press the Print Config
       softkey.



                                               CAUTION
       The following features are not currently implemented on the M Series CCT: Voice Markers and
       Auto Self-Test.



Configuring the Unit
       After the unit has been off for 10 seconds or more, simultaneously press and hold the rightmost
       and leftmost softkeys. Turn the selector switch to MONITOR or ON while holding the buttons
       depressed for approximately four (4) seconds. After four (4) seconds the following screen will
       appear.




       Users entering System Configuration for the first time must enter the default passcode
       (00000000) for System Configuration to continue.
       Press the 0 (zero) softkey. This moves the highlight to the next digit. Repeatedly press the 0
       (zero) softkey until all eight digits have been entered. The Configuration Passcode screen will
       then automatically advance to the Select Language menu.
       To change one of the entered digits use the Delete softkey to highlight the incorrect digit and
       reenter the correct code.




                                           1
M SERIES CCT CONFIGURATION GUIDE


               Select Language




               The first configurable option displayed after entering the correct pass code is the Select
               Language option. Press the Prev Value and Next Value softkeys to move the highlight from
               one language to the other.
               Some M Series CCT units include software that allows the device to operate in either of two
               languages. If the languages displayed do not meet your needs, contact ZOLL Technical Service
               for a language upgrade.
               Caution: Print out the summary report before changing languages. If a summary report
                          containing Code Marker events is printed after changing languages, the Code
                          Marker events will not match.
               Press the Enter softkey to select the highlighted language and move to the Main Configuration
               menu. All subsequent configuration menus will be in the selected language. Press the Exit
               Config softkey to display the following three choices:




               Press the Prev Item or Next Item softkey to scroll the highlight to the desired function. Press
               the Enter softkey to activate the selected function.
               If the Return to Main Menu is selected, the unit will then display the Select Language menu
               described in the previous section.




                                                   2
                                                                        Configuring the Unit


Main Configuration Menu
The Main Configuration menu is displayed whenever the Enter softkey is depressed from the
Language Select menu or the Main Menu softkey is depressed while displaying other system
configuration screens.




This menu provides the following five (5) softkey options: Print Config, Restore Defaults,
Read From Card, Change Config, and Exit Config.

Print Config
Pressing the Print Config softkey will cause the unit to print the current unit configuration
settings.

Restore Defaults
Pressing the Restore Defaults softkey causes the unit to reconfigure to its default settings. (See
the "Configuration Option Tables" on page 29). The display language is the only setting that
will not revert to default. Once the default settings have been restored, the "Defaults Restored"
and "Press Change Config to View" messages are displayed.




                                     3
M SERIES CCT CONFIGURATION GUIDE


               Read From Card
               Pressing the Read From Card softkey prompts the user to choose either a language or
               configuration card. The following screen will be displayed.




               To move the highlighted area from LANGUAGE to CONFIGURATION and vice versa, press
               the Prev Item and Next Item softkeys. Press the Enter softkey to begin reading and storing the
               language settings or configuration settings from the user installed memory card.
               If a language card has been read and loaded, the "Card Read" message displays. If a configura-
               tion card has been read and loaded, the "Card Read" and "Press Change Config to View" mes-
               sages display (see below):




               If there is an error reading the memory card, one of the following error messages will be
               displayed on the monitor.
                EROR MESSAGE                                 DEFINITION
                CARD READ FAILED                             No response from card reader
                BAD CARD                                     Cannot read from card
                WRONG CARD TYPE                              Card is the wrong type
                CONFIG DATA NOT COMPATIBLE                   Internal software is unable to read card data
                NO CARD INSERTED                             Card is not installed in PCMCIA slot
                CARD EMPTY                                   No data on card




                                                   4
                                                                      Configuring the Unit


Change Config
Pressing the Change Config softkey causes the unit to display the first configuration option
menu.
There are three user configurable features contained within each option menu. (Refer to the
"Configuration Option Tables" on page 29 for all available options and default settings).




                                    5
M SERIES CCT CONFIGURATION GUIDE




                       (This page has intentionally been left blank.)




                                             6
                                                                            Configuration Settings


Configuration Settings




       The name of each configurable feature is displayed in the left column of the option menu and
       that feature's current setting is shown in the right column.
       Pressing the Change Value softkey allows you to sequence through the available settings for
       the highlighted feature. When the desired setting is displayed, pressing the Next Item softkey
       will enter the selection and move the highlight to the next feature. Pressing the Prev Item
       softkey will enter the selected setting and move the highlight to the previously selected feature.
       Pressing the Main Menu softkey will cause the unit to return to the Main Configuration menu.
       Pressing the Exit Config softkey will cause the unit to display the "Save Changes and Exit"
       screen.
       NEXT MENU is displayed on the screen when other option menus are available. Press the Next
       Item softkey until the new menu is displayed.
       PREV MENU is displayed on the screen when other previously displayed option menus are
       available. Press the Prev Item softkey until the previous menu is displayed.

       Notch Filter
       Sets the ECG Notch Filter frequency for proper AC mains interference rejection.

       Allow Card Erase
       Allows the user to erase PCMCIA data cards on the M Series CCT unit when set to "Yes".

       Display Elapsed Time
       Allows the user to display the elapsed time since the unit was turned on, when enabled. The
       elapsed time will continue to be counted for up to 10 seconds after power down. This will give
       the operator adequate time to change the battery without resetting the elapsed timer.
       Elapsed time will be reset to zero (0:00) whenever the unit has been off for more than 10
       seconds.

       Voice Markers Enabled
       When voice markers are enabled, the unit will record five seconds of audio data in internal
       memory immediately following each depression of the CODE MARKER button. This audio
       recording along with a time stamp can be played back when the SUMMARY button is pressed.
       Note: This option is not yet implemented.




                                            7
M SERIES CCT CONFIGURATION GUIDE


               Set Report Restart Delays
               Allows review of, or changes to the length of time the device must be turned off before it erases
               all data stored in either summary report memory or trend memory.
               With Set Report Restart Delay highlighted and Set/Review selected, press the Change Value
               softkey. The following screen displays:




               Pressing the Change Value softkey will scroll the highlight through the available delay times.
               Pressing the Prev Item and Next Item softkeys will scroll the highlight to the next or previous
               restart delay feature.
               Pressing the Enter softkey will cause the unit to return to the main configuration menu.

               Print 12 Lead 4x3
               Determines how many copies of a 12-lead 4x3 report will print after pressing and holding the
               RECORDER button for three seconds. When set to "1 Copy" or "2 Copies" one or two copies
               of the 12-lead 4x3 report will print. When set to "None", pressing and holding the
               RECORDER button will cause a one or three lead DIAG BANDWIDTH ECG strip to be
               printed.

               Auto Self-Test Timeout Period
               Allows the user to set the time between tests or disable the automatic tests. The unit is capable
               of automatically running a self-test at seven to thirty day intervals. If the unit is off, plugged in,
               and the test connector is attached to the Multi-Function cable, the unit will test the battery
               status, charge and discharge the defibrillator, measure the amplitude and timing of the pacing
               waveform, and measure the impedance of the test port.
               Note: This option is not yet implemented.

               Async Softkey in Pace Mode
               Sets the unit to display the Async Pacing On/Off softkey when the unit is in pace mode.

               Code Markers
               Allows review of or changes to the preconfigured list of Code Markers available for use in
               PACER, MONITOR, and DEFIB modes.
               Note: MONITOR Code Markers are not used in AED Models.




                                                     8
                                                                    Configuration Settings

With Code Markers highlighted and Config/Review selected, press the Change Value softkey.
The following screen displays:




Pressing the Change Value softkey will change the highlighted setting from Change/Review to
Set to Defaults and vice versa.
Pressing the Prev Item and Next Item softkeys will scroll the highlight to the next or
previously highlighted code markers feature.
Pressing the Enter softkey when the Change/Review option is highlighted for one of the code
markers features causes the following screen to be displayed (this example shows the Defib
Code Markers screen).




Pressing the Change Value softkey will highlight the first clinical action in the Marker List
column and change the softkeys so that a new clinical action may be entered (shown below).
Pressing the Prev Marker and Next Marker softkeys scroll the highlight through the entire
Marker List. Press the Enter Marker softkey to replace the highlighted item in the Defib
markers column with the highlighted clinical action in the Marker List.
Pressing the Prev Item or Next Item softkeys will scroll the highlight to a different item
number in the Defib Markers column.
Pressing the Delete to End softkey will delete all configured Defib markers from the
highlighted item number to the end of the list. The user can then enter new clinical actions for
each item.
Pressing the Return softkey will return the unit to the Change/Review Code Markers display
where the user can choose Defib, Monitor or Pace Code Markers.
Pressing the Return softkey again causes the unit to return to the previous menu.




                                     9
M SERIES CCT CONFIGURATION GUIDE


               Device Identifier
               Sets an eleven-digit device identifier code. This code is divided into two sub codes (Site ID,
               eight alphanumeric characters, and Device ID, three alphanumeric characters). The device
               identifier is printed on the 12-lead strip chart, summary report, fax and CatalystTM MUSE



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