AED 3 Administrators Guide Rev M

The issue date for the ZOLL AED 3 Administrator’s Guide (REF 9650-000752-12 Rev. M) is January, 2022. Copyright © 2022 ZOLL Medical Corporation. All rights reserved. AED Pro, CPR-D-padz, Pedi-padz, RapidShock, Real CPR Help, Rectilinear Biphasic, RescueNet, Stat-padz, Uni-padz, ZOLL, and ZOLL AED 3 are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.

ZOLL Medical Corporation 269 Mill Road Chelmsford, MA USA 01824-4105 ZOLL International Holding B.V. Newtonweg 18 6662 PV ELST The Netherlands ZOLL Medical Switzerland A.G. Bahnhofstrasse 20 6300, Zug Switzerland

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Indications for Use The ZOLL AED 3 system is indicated for use when a suspected cardiac arrest victim has an apparent lack of circulation as indicated by: •

Unconsciousness

•

Absence of breathing, and

•

Absence of pulse and other signs of circulation.

The AED 3 system is indicated for adult and pediatric patients.

Contraindications for Use Never use the ZOLL AED 3 unit for defibrillation when the patient •

Is conscious

•

Is breathing, or

•

Has a detectable pulse or other sign of circulation.

General Information Federal (U.S.A.) law restricts this defibrillator to sale by or on the order of a physician.

Table of Contents Preface Conventions... iv ZOLL AED 3 Safety Considerations ... iv Tracking Requirements ... iv Notification of Adverse Events ... v Technical Service ... v International Customers ... vi Software Licensing Statement ... vi

Chapter 1 Overview ZOLL AED 3 User Interface... 2 Child Mode... 2 Real CPR Help ... 2 Using Defibrillation Pads ... 3 Data Recording and Storage... 4 Post Event Analysis ... 4 Transferring Files Using a USB Flash Drive ... 4 Wi-Fi Communication ... 4 ZOLL AED 3 Operation... 5 Operating Controls and Indicators ... 5 Graphical Display Area... 6 AED Management Mode ... 6 Rescue Mode... 7 Audio Prompts... 9

Chapter 2 Data Transfer Data Storage ... 14 Data and Audio Recording ... 14 Exporting Files From the AED ... 15 Exporting Files... 15 Using RescueNet Code Review Software... 16 Using Case Review Software... 16 Importing Files from a USB Flash Drive ... 16 Importing Files ... 17 Troubleshooting Communication Issues ... 18

Chapter 3 Maintenance Self Tests ... 21 Self Test Functions... 22 Automatic Self-Test Report Transfer ... 22 Optional Maintenance Tests... 24 Physical Inspection ... 24 Cleaning the ZOLL AED 3 Defibrillator ... 24

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Optional Maintenance Test for Technical Professionals... 25 Test Procedure (ZOLL AED 3 and ZOLL AED 3 BLS Models) ... 25 Test Procedure (ZOLL AED 3 Automatic Models) ... 26 Battery Maintenance ... 27 Identifying Battery Conditions ... 27

Chapter 4 Troubleshooting Troubleshooting the AED ... 29

Appendix A Symbols Symbols ... 33

Appendix B Specifications Defibrillator Specifications... 37 Guidance and Manufacturer’s Declaration - Electromagnetic Compatibility Guidance ... 40 Rectilinear Biphasic Waveform Characteristics... 44 Clinical Trial Results for the M Series Biphasic Waveform... 49 Randomized Multicenter Clinical Trial for Defibrillation of Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT) ... 49 Pre-Clinical Study ... 50 Published Clinical Data... 52 ECG Analysis Algorithm Accuracy ... 53 Wireless Output Guidance and Manufacturer’s Declaration (for units equipped with Wi-fi) ... 57 RF Transmission Emitted (IEC 60601-1-2)... 57 FCC Notice ... 57 Canada, Industry Canada (IC) Notices ... 57

Appendix C Accessories Accessories ... 59

Appendix D Configuration Settings Overview ... 61 Setting Up Your Wireless Configuration ... 69 Setting Up Your Wireless Configuration (for units equipped with Wi-fi) 69 For IT Setup Only ... 69 Entering Supervisor Configuration Mode... 70 Setting Up Clinical Archive Wi-Fi Configuration ... 70 Setting Up Device History Wi-Fi Configuration ... 73 Setting Up Your Wireless Configuration (Software version 04.03.xxx.yyyy and higher) ... 77 Entering Supervisor Configuration Mode... 77 Setting Up the Network Settings ... 78 Configuring the Access Point List... 79 Setting Up Clinical Archive Wi-Fi Configuration ... 80 Setting Up Device History Wi-Fi Configuration ... 81

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Preface

The ZOLL AED 3® defibrillator is an Automated External Defibrillator (AED) that is designed to be used for both adult and child victims of sudden cardiac arrest. The defibrillator incorporates a sequence of audio and visual prompts to help rescuers follow established current AHA/ERC/ILCOR Guidelines for use of AEDs. This guide provides information about the operation and care of the ZOLL AED 3 defibrillator. The ZOLL AED 3 Administrator’s Guide is to be used by trained medical personnel in conjunction with the ZOLL AED 3 Operator’s Manual. This guide contains the following sections: Chapter 1-Overview describes a general product overview of the ZOLL AED 3 defibrillator. Chapter 2-Data Transfer provides instructions on how to transfer data that is stored on the AED. Chapter 3-Maintenance provides the recommended procedures for evaluating the condition and performance of the ZOLL AED 3 defibrillator. Chapter 4-Troubleshooting describes possible problems and solutions and lists the error log messages that indicate the AED requires technical service. Appendix A-Contains a list of symbols that may be used in this guide or on the ZOLL AED 3 defibrillator.

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Appendix B-Contains specification information and the ZOLL® Rectilinear BiphasicTM waveforms that are produced when the ZOLL AED 3 defibrillator is discharged into loads of 25, 50, 75, 100, 125, 150, and 175 ohms at each energy setting (200, 150, 120, 85, 70, and 50 joules). Appendix C-Contains a list of accessories for the ZOLL AED 3 defibrillator. Appendix D-Contains definitions of all configuration settings for the ZOLL AED 3 defibrillator and provides instructions for setting up your wireless configuration.

Conventions Throughout this document, text prompts and voice prompts are indicated by capital italicized letters, such as CALL FOR HELP. WARNING! Warning statements describe conditions or actions that can result in personal injury or death. CAUTION Caution statements describe conditions or actions that can result in damage to the defibrillator.

NOTE Notes contain important additional information on using the defibrillator.

ZOLL AED 3 Safety Considerations Only qualified personnel should service an ZOLL AED 3 defibrillator. Before using this defibrillator, read the ZOLL AED 3 Operator’s Manual. Before servicing any equipment, review these safety considerations and read this manual carefully. WARNING! The ZOLL AED 3 defibrillator can generate as much as 2250 volts with sufficient current to cause lethal shocks.

Before discharging the defibrillator, warn everyone near the equipment to STAND CLEAR. Do not recharge, disassemble, or dispose of the battery in fire. The battery might explode if mishandled.

Tracking Requirements U.S Federal Law (21 CFR 821) requires the tracking of defibrillators. As an owner of this defibrillator, you have the responsibility under this law to notify ZOLL Medical Corporation if this product has been received, lost, stolen or destroyed or has been donated, resold or otherwise distributed to a different organization. If any of the events described above occur, please contact ZOLL Medical Corporation in writing with the following information: 1. Originator’s organization - Company Name, Address, Contact Name and Contact Phone Number. 2. Part Number/Model Number and Serial Number.

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3. Disposition of Device (e.g. received, lost, stolen destroyed, distributed to another organization). 4. New Location and/or Organization (if different from #1 above) - Company Name, Address, Contact Name and Contact Phone number. 5. Date change took effect.

Notification of Adverse Events As a health care provider, you may have responsibilities under the Safe Medical Devices Act (SMDA) for reporting to ZOLL and possibly to the Food and Drug Administration (FDA), the occurrence of certain events. These events, described in 21 CFR Part 803, include device related death and serious injury or illness. In any event, as part of our Quality Assurance Program, ZOLL should be notified of any device failure or malfunction. This information is required to assure that ZOLL provides only the highest quality products. If any serious incident has occurred in relation to the device, the incident should be reported to the manufacturer and the competent authority of the Member State in which the user and/or patient is established.

Technical Service If a ZOLL product requires service, contact the ZOLL Technical Service Department or the nearest ZOLL sales office or distributor: Telephone: 1-978-421-9655 Fax: 1-978-421-0010 Email: [email protected] Have the following information available for the Technical Service representative:

• Serial number • Description of the problem If you need to send the ZOLL AED 3 defibrillator to ZOLL Medical Corporation, obtain a service order request number from the Technical Service representative. NOTE Before sending the defibrillator and battery to ZOLL, check with your local shipping company to see if there are any restrictions on shipping lithium batteries. Remove the battery pack from the defibrillator and return the AED and battery pack in its original container (or equivalent packaging) with the service order request number on it to the following address: ZOLL Medical Corporation 269 Mill Road Chelmsford, MA 01824-4105 Attn: Technical Service Department

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International Customers Customers outside of the United States should remove the battery pack from the AED and return the AED and battery pack in its original container (or equivalent packaging) to the nearest authorized ZOLL Medical Corporation Service Center. To locate an authorized service center, contact the nearest ZOLL sales office or authorized distributor. For a list of ZOLL offices, please visit: http://www.zoll.com/contact/worldwide-locations/.

Software Licensing Statement Some software components included in this product are licensed by ZOLL Medical Corporation under various open source licenses. For more information, see https://info.zoll.com/aed-3-software-licenses.

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Chapter 1 Overview The ZOLL AED 3 defibrillator is an Automated External Defibrillator (AED) that is designed to be used for both adult and child victims of sudden cardiac arrest. The AED uses audio and visual prompts to guide the rescuer through a resuscitation sequence that may include defibrillation and/or cardiopulmonary resuscitation (CPR). The ZOLL AED 3 defibrillator has a liquid crystal display (LCD) touch screen and uses detachable defibrillation pads. The defibrillation pads include an intelligent CPR sensor that allows the AED to monitor chest compressions and provide feedback during CPR. This guide contains instructions for all ZOLL AED 3 models: • ZOLL AED 3 - Operates in Semi-Automatic Mode. Includes lay rescuer prompts and graphics, and Real CPR Help® for CPR monitoring and feedback. • ZOLL AED 3 Automatic - Operates in Fully Automatic Mode. Includes lay rescuer prompts and graphics, and Real CPR Help for CPR monitoring and feedback. • ZOLL AED 3 BLS - Operates in Semi-Automatic Mode. Includes Real CPR Help for CPR monitoring and feedback, optional patient ECG display, CPR Dashboard, optional lay rescuer graphics, and optional audio recording.

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When the rescuer attaches defibrillation pads to a patient’s chest, the AED monitors and analyzes the electrocardiographic (ECG) rhythm of the patient’s heart to determine whether or not the ECG rhythm is shockable. If the AED detects a shockable rhythm, it either issues instructions to deliver the shock (semi-automatic) or automatically delivers the shock (fully automatic). The ZOLL AED 3 defibrillator then prompts the rescuer to perform CPR for a period of time (configured by the AED Administrator), after which the AED automatically initiates a new ECG analysis.

ZOLL AED 3 User Interface The ZOLL AED 3 defibrillator has a Status Indicator that allows you to quickly see if it has passed its last self test and is ready for use. An LCD screen in the center of the front panel provides text prompts, rescue graphics, and incident information. The AED defibrillator provides audio prompts through a speaker located on the front of the AED. The front panel of the AED has an On/Off button on the top left side of the device and a Shock button beneath the LCD screen. It also has a Child button for patients that are less than 8 years old or weigh less than 55 pounds (25 kg). The ZOLL AED 3 defibrillator has two operating modes: AED Management Mode and Rescue Mode. In AED Management Mode, the icons on the touch screen allow you to change configuration settings and upload clinical archives, device history, and configuration files. There is also a Supervisor menu for advanced users to make more complex changes to the AED, such as device configuration, shock settings, and CPR settings. In Rescue Mode, the LCD screen displays graphics that are coordinated with audio prompts to guide the rescuer through the necessary steps to perform a rescue. The steps that include graphics and audio prompts are defined by local protocols for use of an AED.

Child Mode The ZOLL AED 3 defibrillator has a Child mode that can be enabled in two ways: when the rescuer uses ZOLL CPR Uni-padzTM defibrillation pads and presses the Child button, or when the rescuer uses ZOLL Pedi-padz® II defibrillation pads. In this mode, the AED uses configured pediatric energy settings that are lower doses of energy than those used for adults. The ZOLL AED 3 defibrillator also uses a pediatric AED analysis algorithm that is specifically designed for a child’s ECG. This algorithm accurately distinguishes shockable versus non-shockable rhythms in the pediatric patient.

Real CPR Help The ZOLL AED 3 CPR Uni-padz defibrillation pads include a sensor that detects the rate and depth of chest compressions. This sensor is part of the defibrillation pads that the rescuer places on the patient’s chest, and must be located between

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your hands and the patient’s lower sternum. When the rescuer performs CPR compressions, the sensor detects the rate and depth and sends the information to the AED. The ZOLL AED 3 defibrillator includes a CPR audio metronome function designed to encourage the rescuer to perform chest compressions at the AHA/ERC/ILCOR recommended minimum rate of at least 100 compressions per minute (CPM). The AED performs CPR monitoring, prompts the rescuer, and records chest compressions in the clinical patient file. WARNING! Real CPR Help audio prompts are not enabled in Child mode.

When performing CPR on adult patients, the ZOLL AED 3 defibrillator may issue one or more audible prompts based on the depth of chest compressions detected. If Real CPR Help determines that compression depth is consistently less than the value of the Good CPR Depth Indication setting, the AED issues a PUSH HARDER prompt. The AED issues a GOOD COMPRESSIONS prompt if the rescuer responds by increasing compression depth to the value of the Good CPR Depth Indication setting or more.

Using Defibrillation Pads The ZOLL AED 3 defibrillator is compatible with the following adult and child defibrillation pads:

• • • • • • •

CPR Uni-padz (for adults and children)

•

OneStep Pediatric Electrodes with Green Connector

CPR-D-padz® (for adults only) CPR Stat-padz® (for adults only) Stat-padz II (for adults only) Pedi-padz II (for children only) OneStep Basic Electrodes with Green Connector

OneStep CPR A/A Electrodes with Green Connector

Make sure that the defibrillation pads used are appropriate for the patient. NOTE When using CPR Uni-padz with a child patient, the rescuer must press the Child button. NOTE When using Pedi-padz II, the Child button automatically lights up. NOTE Lay rescuer graphics are only displayed when using CPR Uni-padz. The CPR Uni-padz package is connected to the AED by a cable. The package contains defibrillation pads that the rescuer attaches to the patient. The pad package includes scissors for cutting clothing or chest hair off the patient. If the defibrillation pads cable is not attached properly, the AED issues the PLUG IN PADS CABLE prompt. Make certain to connect the defibrillation pad cable to the ZOLL AED 3 defibrillator and attach the pads to the patient properly. WARNING! Defibrillation pads must be pre-attached to the device. Keep the defibrillation pad cable connected to the AED at all times.

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NOTE Defibrillation pads contain no hazardous materials and may be disposed of in general trash unless contaminated with pathogens. If contaminated, appropriate precautions should be used in their disposal. WARNING! DO NOT reuse defibrillation pads.

Data Recording and Storage All ZOLL AED 3 models can record and store up to 120 minutes of continuous ECG/audio and clinical event data during a rescue or patient case. See “Data and Audio Recording” on page 14 for more detailed information about this function.

Post Event Analysis All ZOLL AED 3 models automatically store patient clinical data and device history in long-term memory.

• Patient clinical data (clinical archives) - Includes date and time notation that you can view and analyze using ZOLL’s clinical review software products.

• Device history - A log of device status information that you can view and analyze. You can transfer this file over Wi-Fi (if installed) or upload it using a USB flash drive.

Transferring Files Using a USB Flash Drive All ZOLL AED 3 models have a USB port that allows you to export and save configuration settings, clinical archives, and device history to a USB flash drive. This feature allows you to easily copy a configuration from one AED to other AEDs. The USB port also allows you to import new system software to quickly upgrade the AED.

Wi-Fi Communication Some ZOLL AED 3 models have wireless communication that provides automatic upload of self-test reports and on-demand transfer of patient clinical archives and device history information through a wireless access point.

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ZOLL AED 3 Operation Operating Controls and Indicators This section describes the functions of the controls on the front of the ZOLL AED 3 defibrillator. ON/OFF Button

Defibrillation Pad Connector Liquid Crystal Display (LCD) Screen

Status Indicator Window

Shock Button Child Button

Speaker

Carrying Handle

USB Connector Compartment

Battery Compartment Support Bar

ON/OFF Button - Turns power ON or OFF. When pressed and held for at least 5 seconds, the AED initiates a self test and enters AED Management Mode. AED Passed Self Test AED Failed Self Test

Status Indicator Window - Green check indicates that the AED passed its last self test and is ready for use. A blank window indicates that the AED has failed its self test and is not ready for use. Speaker - Provides audio prompts and metronome beeps that direct rescuers on what to do during a rescue; also provides audio prompts to indicate if service is required. Defibrillation Pad Connector - This connector is used to attach defibrillation pads to the AED.

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Liquid Crystal Display (LCD) Screen - A 5.3 x 9.5 centimeter touch screen for display and user input. During a rescue, it displays graphics and text messages to guide the rescuer. Shock Button - Illuminates when the AED is charged and ready to deliver a shock to the patient. When pressed, the charged and ready AED discharges its energy into the patient. Child Button - If using CPR Uni-padz, illuminates when pressed. Illuminated button indicates the AED is in Child Mode to prepare a rescue for a pediatric patient. Automatically illuminates when using Pedi-padz II. USB Connector Compartment - Contains a connection for a USB flash drive when importing or exporting files to or from the AED. Battery Compartment - Holds the battery pack used to power the AED. Carrying Handle - The strap designed for carrying the AED. Support Bar - The brace that opens to hold the AED in an upright position.

Graphical Display Area The ZOLL AED 3 defibrillator has a 5.3 x 9.5 centimeter LCD screen that displays the following information in the modes in this section: AED Management Mode and Rescue Mode.

AED Management Mode Press icon to enter Rescue Mode Press icon to enter Rescue Mode

Press icon to access configuration settings

Press information icon to show data such as defibrillation pad expiration date Battery icon shows remaining battery life

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Current time

Display message USB icon displays when USB device is connected

Unit device identifier

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Rescue Mode The ZOLL AED 3 and ZOLL AED 3 Automatic models show the Lay Rescuer display, while the ZOLL AED 3 BLS model can be configured to show the Lay Rescuer display, CPR only display, or CPR and ECG display. Lay Rescuer Display

CPR countdown timer CPR depth compression indicator

User prompt

Number of shocks

Elapsed event time

CPR Countdown Timer -- Indicates the amount of time remaining in the CPR interval. CPR Depth of Compression Indicator (Adult Patients Only) -- A bar graph that displays the depth of chest compressions measured while the rescuer is performing CPR. Indicator lines are displayed in the bar graph at the Good CPR Depth Indication and Max CPR Depth Indication settings and provide reference points for rescuers performing CPR. User Prompt -- Displays a visual message on the screen while simultaneously issuing an audio prompt. Elapsed Event Time -- Indicates the amount of time that has elapsed since the start of the rescue. Number of Shocks -- Indicates the total number of defibrillation shocks delivered during the rescue.

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CPR Only/CPR and ECG Displays (ZOLL AED 3 BLS models only) Chest compression rate Depth (cm)

5.3

Chest compression depth

CPR countdown timer Rate (cpm)

107

CPR Time

0:15

ECG rhythm (optional)

ECG scale marker Number of shocks

1

GOOD COMPRESSIONS

User prompt

0:02:15 Event elapsed time

Chest Compression Depth - Indicates the depth of the current CPR compressions. NOTE (Adult patients only) If the chest compression depth is outside of the recommended AHA/ERC range, the AED highlights the depth value inside a red box. Chest Compression Rate -Indicates the rate of the current CPR compressions. NOTE (Adult patients only) If the chest compression rate is outside of the recommended AHA/ERC range, the AED highlights the rate value inside a red box. CPR Countdown Timer - Indicates the amount of time remaining in the CPR interval. ECG Rhythm (optional) - Displays the current ECG waveform. User Prompt - Displays a visual message on the screen while simultaneously issuing an audio prompt. Event Elapsed Time - Indicates the amount of time that has elapsed since the start of the rescue. Number of Shocks - Indicates the total number of defibrillation shocks during the rescue.

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Audio Prompts During clinical use of the ZOLL AED 3 defibrillator, you may hear the following audio prompts: Table 1. Clinical Audio Prompts

Audio Prompt

Definition/Action

AUTOMATIC DEFIBRILLATOR

The AED is the fully automatic model that has the capability to automatically shock the patient without the rescuer having to press the Shock button.

UNIT OK

The AED has successfully passed its power up self tests.

UNIT FAILED

The AED has failed its power up self tests and is not usable for patient care.

CHANGE BATTERY

The ZOLL AED 3 self test has detected a low battery condition that is insufficient for the AED’s use for patient care. Replace battery pack with a new one as soon as possible.

BATTERY HAS BEEN REPLACED

The AED has detected that the battery has been changed.

PLUG IN PADS CABLE

Ensure that the defibrillation cable is properly connected to the ZOLL AED 3 defibrillation connector.

ATTACH CORRECT DEFIB PADS

Pads that are connected to the AED are not compatible with the ZOLL AED 3 defibrillator.

CHECK PADS

Previously attached defibrillation pads are not making good contact with the patient’s skin or the pads are defective.

REPLACE PADS

There is a problem with the pads connected to the AED. Attach new pads to the AED.

ADULT PADS

Adult pads (CPR-D-padz, CPR Stat-padz, Statpadz II) are attached to the AED.

PEDIATRIC PADS

Pedi-padz II are attached to the AED.

STAY CALM

Relax as much as possible and focus on the rescue effort.

CHECK RESPONSIVENESS

Check patient for responsiveness/consciousness by gently shaking the patient and shouting “Are you all right?”

CALL FOR HELP

Call EMS for assistance or ask a bystander to do it for you.

OPEN AIRWAY

Place patient in the supine position and perform Head Tilt – Chin Lift or Jaw – Thrust maneuver to open patient’s airway.

CHECK BREATHING

Look, listen, or feel for the presence of breathing and/or airflow from the patient’s lungs.

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Audio Prompt

Definition/Action

ADULT PATIENT SELECTED

CPR Uni-padz are attached to the AED and the Child button has not been pressed.

IF PATIENT IS A CHILD, PRESS CHILD BUTTON

If patient is less than 8 years old or weighs less than 55 pounds (25 kg), press the Child Button.

CHILD PATIENT SELECTED

The rescuer pressed the Child Button to indicate that the patient is a child.

REMOVE PAD PACKAGE

Remove the defibrillation pad package from the back of the AED.

CUT OR TEAR CLOTHING TO EXPOSE PATIENT’S BARE CHEST

If needed, use scissors to completely remove the patient’s shirt.

COMPLETELY REMOVE CHILD’S SHIRT, CUTTING OR TEARING IF NEEDED

If needed, use scissors to completely remove child’s shirt.

OPEN PAD PACKAGE

Tear open the defibrillation pad package to access the defibrillation pads.

ATTACH PADS TO PATIENT’S BARE CHEST

Attach defibrillation pads to the patient’s bare chest.

ATTACH BLUE PAD TO CHILD’S BACK

Attach the blue defibrillation pad to the child’s bare back as shown.

TEAR PURPLE SENSOR AWAY FROM GREEN PAD

Separate the purple sensor from the green defibrillation pad.

PLACE PURPLE SENSOR ON GREEN PAD

Place the adhesive side of the purple sensor onto the green defibrillation pad.

ATTACH GREEN PAD TO CENTER OF CHILD’S CHEST

Attach the green defibrillation pad to the child’s bare chest as shown.

ATTACH PADS TO CHILD’S BACK AND CHEST

Attach defibrillation pads to child’s bare back and chest as shown.

DON’T TOUCH PATIENT ANALYZING

Do not touch the patient; an ECG rhythm analysis is in progress or about to begin.

NO SHOCK ADVISED

ECG rhythm analysis has detected a rhythm that is not treatable by defibrillation.

SHOCK ADVISED

ECG rhythm analysis has detected the presence of ventricular fibrillation or shockable ventricular tachycardia.

DON’T TOUCH PATIENT. PRESS THE FLASHING SHOCK BUTTON.

Warn all persons in attendance to stand clear and stop touching the patient. Press the Shock Button to deliver defibrillation therapy.

RELEASE SHOCK BUTTON

The Shock Button was pressed before the defibrillator was ready to defibrillate. Release the Shock Button and press again after the ready tone sounds.

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Audio Prompt

Definition/Action

SHOCK WILL BE DELIVERED IN THREE, TWO, ONE

(ZOLL AED 3 Automatic model only) The AED will automatically deliver shock after the countdown completes.

SHOCK DELIVERED

A defibrillation shock has just been delivered to the patient.

NO SHOCK DELIVERED

No shock was delivered to the patient because rescuer failed to press Shock Button or an error condition was detected.

START CPR

Begin CPR.

PUSH TO MATCH THE TONE

Announced at the start of the CPR period.

PUSH HARDER

CPR compressions are consistently less than 5 centimeters deep. (Adult patients only)

GOOD COMPRESSIONS

After prompting to Push Harder, rescuer has succeeded in delivering chest compressions at least 5 centimeters deep. (Adult patients only)

CONTINUE CPR

Continue providing CPR. This prompt may also be issued if Real CPR Help fails to detect chest compressions at least 2 centimeters deep.

ANALYSIS HALTED. KEEP PATIENT STILL.

ECG rhythm analysis has been halted due to excessive ECG signal artifact. Stop any ongoing CPR and keep the patient as motionless as possible.

GIVE TWO BREATHS

If patient is not breathing, give two rescue breaths.

STOP CPR

Stop CPR. The AED is about to begin an ECG rhythm analysis.

CPR ONLY MODE

Defibrillation is not working properly; AED will only provide CPR support.

Prompts that you may hear during non-clinical use of the ZOLL AED 3 defibrillator include: Table 2. Non-Clinical Audio Prompts

Audio Prompt

Definition

REPLACE PADS

The ZOLL AED 3 self test has detected that the defibrillation pads have passed their expiration date. Replace the defibrillation pads immediately.

CHANGE BATTERY

The ZOLL AED 3 self test has detected that the battery has passed its install by date. Replace the battery pack immediately.

UNIT POWERING OFF

The AED is shutting down.

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