X Series Configuration Manual Rev C May 2018

The issue date for the Configuration Manual (REF 9650-001358-05 Rev. C) is May, 2018. Copyright © 2018 Medical Corporation. All rights reserved. AutoPulse, Shock Sync, ResQCPR, AED Pro, AED Plus, RapidShock, CPR-D-padz, Pedi-padz, OneStep, Real CPR Help, Rectilinear Biphasic, See-Thru CPR, Stat-padz, SurePower, RescueNet, Perfusion Performance Indicator,X Series , and ZOLL are trademarks or registered trademarks of Medical Corporation in the United States and/or other countries. All other trademarks are the property of their respective owners. Masimo, Rainbow, SET, SpCO, SpMet, SpHb, SpOC, and PVI are trademarks or registered trademarks of Masimo Corporation in the United States and/or other countries. Propaq is a registered trademark of Welch Allyn Inc. Oridion Microstream FilterLine® and Smart CapnoLine® are registered trademarks of Medtronic plc.

CONTENTS

CHAPTER 1 Introduction

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Overview

2

Setup Menu

3

Parameter Menus

4

Supervisor Menu

5

Exporting and Importing Configuration Settings

6

Exporting Configuration Information to USB

6

Importing Configuration Information from USB

7

Export/Import System Messages

7

Restoring Factory Default Configuration Settings

9

Restoring Default Values

9

Configuration Manual Updates

10

Symbols

11

Conventions

12

CHAPTER 2 Setup Menu Accessing the Setup Menu

14

ECG Monitoring Parameters

15

Filter Response

15

HR/PR Tone

15

Resp Monitoring

15

Resp Lead

16

Patient Pace Marker

16

ECG Sweep Speed

16

NIBP Monitoring Parameters

17

NIBP Cuff Inflation Target

17

i

Contents

Display/Volume Parameters

18

Display Brightness

18

HR/PR Tone

18

Volume

18

Printer Parameters

19

Print Speed

19

Print Number of Traces

19

Print Grid

19

Print on Snapshot

20

Print on Patient Alarm

20

Print on NIBP

20

Print on Trend

20

Trends Parameters

21

Trend Display Format

21

Trend Display Interval

21

Trend on Alarm

22

Operational Tests

23

Device Info

24

Readiness Test Log Review

24

CHAPTER 3 Parameter Menus Accessing the Parameter Menus

26

HR/PR Parameter Settings

27

HR/PR Alarm

27

Extreme Brady/Tachy Alarms

28

LTA Monitoring

28

HR/PR Tone

28

HR/PR Selected Source

29

ECG Sweep Speed

29

NIBP Parameter Settings

30

NIBP Systolic Alarm

30

NIBP Diastolic Alarm

31

NIBP MAP Alarm

33

NIBP Mode

34

NIBP Auto Mode Interval

34

SmartCuf On/Off

34

Resp Parameter Settings

ii

35

RR/BR Alarm

35

No Breath Alarm

36

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Contents Resp Monitoring

36

Resp Lead

36

CO2/Resp Sweep Speed

37

SpO2 Parameter Settings

38

SpO2 Alarm

38

SpCO Alarm

39

SpMet Alarm

40

SpHb Alarm

41

SpOC Alarm

43

PVI Alarm

44

PI Alarm

45

SpCO Monitoring

46

SpMet Monitoring

46

SpHb Monitoring

46

SpOC Monitoring

47

PVI Monitoring

47

PI Monitoring

47

Averaging Time

47

Sensitivity

48

SpHb Venous Mode

48

SpHb Averaging Time

48

HR/PR Tone

48

Temp Parameter Settings

49

T1 Alarm

49

T2 Alarm

50

DTAlarm

51

T1 Source Label

52

T2 Source Label

52

IBP1 Parameter Settings

53

P1 Systolic Alarm

53

P1 Diastolic Alarm

54

P1 Mean Alarm

55

Source Label

56

Display Format

56

IBP2 Parameter Settings

57

P2 Systolic Alarm

57

P2 Diastolic Alarm

58

P2 Mean Alarm

59

Source Label

60

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Contents

Display Format IBP3 Parameter Settings

60 61

P3 Systolic Alarm

61

P3 Diastolic Alarm

62

P3 Mean Alarm

63

Source Label

64

Display Format

64

CHAPTER 4 Supervisor Menu Accessing the Supervisor Menu

66

Alarms Parameters

67

General

67

Default Adult

69

Default Pediatric

95 122

Default Neonate Log Parameters

150

Treatment Options

150

Waveform Recording

153

Defib/Pacer Parameters

154

Default Settings

154

Energy Escalation

157

ECG Parameters

159

General

159

12-Lead ECG

160

NIBP Parameters

164

Default NIBP Mode

164

Default Auto Mode Interval

164

Default Cuff Inflation Target (Adult)

165

Default Cuff Inflation Target (Ped.)

165

Default Cuff Inflation Target (Neo.)

165

Printer Parameters

iv

123

166

Print on Defib/Pacer Events

166

Print on Event

166

Print on Treatment Snapshot

166

Print Treatment Summary Snapshots

167

Print on Analysis Results

167

Print on Presenting Rhythm

167

Print On Readiness Test Results

167

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Contents Display/Configuration Parameters

168

Localization

168

Color

172

Device Info

179

Display Setup

179

Supervisor Code

182

Log Clear Code

182

AED/Advisory Parameters

183

General

183

Energy Protocol

186

AED Mode

188

CPR Parameters

190

AHA/ERC Guidelines

190

CPR Time

190

Enable Metronome

190

Constant Metronome

193

Enable CPR Prompts

194

Display “Fully Release” Prompt

194

Log CPR Metrics

194

Auto Display Compression Trace

194

ResQCPR™

195

Communications Parameters

196

Wireless

197

Bluetooth

197

Wi-Fi

197

Cellular

202

Ethernet

204

12-Lead Reports

205

Disclosure Log

207

Data Services

209

Clock Sync

211

Readiness Test

213

Service Parameters

214

Device Tests

214

Device Configuration

214

Update/Upgrade

214

Diagnostic

215

Device Monitoring

216

Research Options

216

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Contents

Service Code

217

APPENDIX A Configuration Tables

vi

Setup Menu

220

Parameter Menus

223

Supervisor Menu

237

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Introduction CHAPTER 1

This chapter provides an overview of the Setup, Parameter, and Supervisor Menus.

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It includes the following sections: Overview

2

Exporting and Importing Configuration Settings

6

Restoring Factory Default Configuration Settings

9

Configuration Manual Updates

10

Symbols

11

Conventions

12

1

CHAPTER 1 Introduction

Overview The X Series unit has many user accessible settings that allow you to configure the device according to your protocols and local requirements. This manual describes how to view and modify configuration settings. Your unit only contains the features you have purchased. It may not contain all of the features listed in this manual. You can view and modify configuration settings through the Setup, Parameter, and Supervisor menus. The Setup and Parameter menus are available to all users, while the Supervisor menu is restricted to authorized users and requires a passcode for entry. The Setup menu allows you to change configuration settings such as display, printer, and trends. The Parameter menus allow you to change current configuration settings such as NIBP and SpO2. The Supervisor menu allows you to configure default settings such as alarms, NIBP, and Defib/Pacer. The X Series unit ships from ZOLL with both the default supervisor passcode and the service passcode set to 1234. ZOLL strongly recommends changing both when you receive the unit. The Parameter menus share many of the same settings as the Supervisor menu. If the shared settings have been configured in the Supervisor menu, they can be modified in the Parameter menus, but they will default back to the Supervisor settings once the unit is turned off for two minutes. The Setup, Parameter, and Supervisor menus are described in detail in separate chapters of this manual. These chapters contain information on how to access the menus as well as the settings that are contained in each menu and their default values. The following sections contain an general overview of the settings that can be accessed and modified in these menus. Each of these menus has a separate chapter in this manual that includes all the settings and their default values.

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Overview

Setup Menu The Setup menu allows you to view and modify parameters for the following features: ECG The basic ECG settings which include Filter Response, Heart Rate/Pulse Rate Tone, and Respiration Monitoring. NIBP The basic NIBP settings which consist of the NIBP Cuff Inflation Target Pressure. Display/Volume The basic visual settings and volume which include Display Brightness and Heart Rate/Pulse Rate Tone. Printer The basic printer settings which include Print Speed, Print Grid, and Print on Snapshot. Trends The basic trend settings which include Trend Display Format, logging trends in response to Interval, and logging trends in response to Alarms. Operational Tests The operational tests which include a Keypad Test, LED Test, and LCD Test. Device Info The technical information which includes Application Version, Serial Number, and Unit ID. In addition, from the Device Info menu, you can transmit or print the results of the most recent device readiness test.

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CHAPTER 1 Introduction

Parameter Menus The Parameter menus allows you to view and modify parameters for the following features: HR/PR Settings The heart monitoring protocols which include HR/PR Alarm, LTA Monitor, and Extreme Brady/Tachy Alarm. NIBP Settings The noninvasive blood pressure monitoring protocols which include NIBP Systolic Alarm, NIBP Diastolic Alarm, NIBP MAP Alarm. Resp Settings The respiration monitoring protocols which include RR/BR Alarm, No Breath Alarm, and Respiration Monitoring. SpO2 Settings The pulse CO-oximetry monitoring protocols which include SpO2 Alarm and HR/PR Tone. Temp Settings The temperature monitoring protocols which include the alarm for channel 1, the alarm for channel 2, and the alarm for the difference between the two channels. IBP1 Settings The invasive blood pressure monitoring protocols for the first channel, which include Systolic Pressure Alarm, Diastolic Pressure Alarm, and Mean Pressure Alarm. IBP2 Settings The invasive blood pressure monitoring protocols for the second channel, which include Systolic Pressure Alarm, Diastolic Pressure Alarm, and Mean Pressure Alarm. IBP3 Settings The invasive blood pressure monitoring protocols for the third channel, which include Systolic Pressure Alarm, Diastolic Pressure Alarm, and Mean Pressure Alarm.

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Overview

Supervisor Menu The Supervisor menu allows you to view and modify the default technical settings of the unit. Access to the Supervisor menu is passcode-protected, and only those users who are authorized to view and modify the configuration settings in the Supervisor menu may do so. The Supervisor menu allows you to view and modify parameters for the following features: Alarms Settings Enable or disable alarms on the unit and specify the alarm limits. Log Settings The Data recording settings which includes Treatment Buttons and Waveform Recording. Defib/Pacer Settings The defibrillation and pacer settings which include external and internal paddle energy settings and Default Pacer Mode. ECG Settings The ECG settings which include AC Mains Filter and 12-Lead ECG. NIBP Settings The NIBP settings which include Default NIBP Mode, Default Auto Mode Interval, and default cuff inflation target pressures. Printer Settings The printer settings which include Print on Defib/Pacer Events, Print on Event, and Print on Treatment Snapshot. Display/Configuration Settings The display settings which include language, unit settings, and color settings. AED Settings The AED settings which include voice prompts, CPR time, and energy protocols. CPR Settings The CPR settings which include CPR Time, Enable Metronome, and Enable CPR Prompts. Communications Settings The communications settings which include Wireless, Bluetooth, and Wi-Fi communication. Service Settings The technical maintenance settings which include Device Tests, software updates and upgrades, and diagnostics.

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CHAPTER 1 Introduction

Exporting and Importing Configuration Settings You can use a USB device to export and import a configuration file that contains system and patient setup information. Once a configuration file is exported to a USB device, it can be imported to other X Series units. If you are planning on exporting a configuration to multiple units, perform the export operation with a unit that has the most features or options. Otherwise, you may inadvertently modify configuration settings on the units that receive the imported file. For example, if you export a configuration file from a unit that does not have SpO2 or NIBP options and import that file to a unit that does have SpO2 and NIBP, the configuration settings for those options may revert to the default settings.

Exporting Configuration Information to USB Exporting a configuration file exports the system and patient setup information to a file named ZollConfig.xml. If you currently have a file named ZollConfig.xml on the USB device, this procedure will cause the file to be overwritten. Follow these steps to export a configuration to a USB device: 1. Insert the USB device into the X Series unit. 2. Press the More ( ) and Setup ( visor>Display/Configuration.

) quick access keys, and select Super-

3. Select Exporting to USB. The message DO NOT DISCONNECT THE USB displays. 4. When the export is complete, the message EXPORT IS COMPLETE. YOU MAY NOW REMOVE THE USB DRIVE displays. 5. Press OK. Caution

Apply an adhesive label to the USB device to clearly identify the configuration settings you have exported.

If you make any changes to the configuration file you have just exported, you will not be able to import the file to another X Series unit. See "Export/Import System Messages " on the facing pagefor a listing of error messages that may occur while you are importing or exporting configuration information.

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Exporting and Importing Configuration Settings

Importing Configuration Information from USB Importing a configuration file imports the system and patient setup information from a file named ZollConfig.xml on the USB device. Make sure the file you are importing is named ZollConfig.xml. Otherwise, the import will not work. Follow these steps to import a configuration from a USB device: 1. Insert the USB device into the X Series unit, and turn it on. 2. Press the More ( ) and Setup ( visor>Display/Configuration.

) quick access keys, and select Super-

3. Select Importing from USB. The message OPERATION WILL OVERWRITE SYSTEM CONFIGURATIONS AND ALARM SETTINGS. ARE YOU SURE? displays. 4. Press YES to complete the import process. The message DO NOT DISCONNECT THE USB displays. When the import is complete, the message IMPORT IS COMPLETE. YOU MAY NOW REMOVE THE USB DRIVE. THE DEVICE WILL AUTOMATICALLY RESET AFTER PRESSING THE “OK” BUTTON displays. 5. Press OK. Review critical configuration values such as alarm, AED, defibrillator, and pacer settings to verify that you imported the correct configuration file. See "Export/Import System Messages " below

Export/Import System Messages When exporting and importing system and patient information, the X Series unit may display the following error messages: System Message

Cause/Action

CONFIGURATION FILE NOT FOUND

The configuration file (ZollConfig.xml) was not found on the USB device. Ensure that the connected USB device contains the configuration file. If required, generate a configuration file using the Export operation.

EXPORT OPERATION FAILED

An internal error occurred during the export process. Try repeating the export operation. If failure occurs again, try a different USB drive.

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CHAPTER 1 Introduction

System Message

Cause/Action

IMPORT OPERATION FAILED INVALID CONFIGURATION FILE

If the USB device is not new, retry the export and then retry the import operation. If the USB device is new and has not been formatted, reformat the device by selecting the FAT32 File System, changing the Allocation unit size to Default, and choosing the Quick Format option. Retry import operation.

8

IMPORT OPERATION FAILED A RESTORE ALL TO FACTORY DEFAULTS HAS BEEN PERFORMED

During the import process an unexpected failure occurred. All system and patient parameters have been restored to factory defaults. Retry import operation.

INCOMPATIBLE CONFIGURATION FILE

The device that exported the configuration file is not compatible with the device that is importing the file. This is caused by incompatible software releases. Contact the ZOLL Technical Service Department to update the earlier software version.

INSUFFICIENT SPACE ON USB DRIVE

The USB device did not have enough space to save the configuration file. The configuration file requires at least 1MB of free space.

INVALID USB DRIVE CONNECTED

The USB device connected was not recognized. Try a different USB device.

NO USB DRIVE INSERTED

No USB device was inserted in the side panel. Insert USB drive and retry.

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Restoring Factory Default Configuration Settings

Restoring Factory Default Configuration Settings You can restore all the current configuration settings to their factory default settings. However, if the language is different than the default setting, it will not change. You must have authorized supervisor access to restore the factory default settings.

Restoring Default Values 1. Press the More (

) and Setup (

) quick access keys, and select Supervisor.

2. Enter the Supervisor passcode and select Display/Configuration. 3. Use the navigation keys to select Restore All Factory Defaults.

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CHAPTER 1 Introduction

Configuration Manual Updates 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. All users should carefully review each manual update to understand its significance and then file it in its appropriate section within this manual for subsequent reference. Product documentation is available through the ZOLL website at www.zoll.com. From the Products menu, choose Product Manuals.

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Symbols

Symbols The following symbols are used in this manual: Symbol

Description Attention, consult accompanying documents

Authorized representative in the European Community

Catalogue number

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11

CHAPTER 1 Introduction

Conventions This guide uses the following conventions: Within text, the names and labels for physical buttons and soft keys appear in boldface type (for example, “Press the OK button”). This guide uses uppercase italics for audible prompts and for text messages displayed on the screen (for example, CONFIGURATION FILE NOT FOUND). Warning!

Warning statements alert you to conditions or actions that can result in personal injury or death.

Caution

Caution statements alert you to conditions or actions that can result in damage to the unit.

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