USER TRAINING

BEMS/UT/
TYPE CODE : 17882-047,
Defibrillator/Pacemaker, External
(ZOLL, M2)

Prepared by :
IZHAR IZZUDDIN BIN ABDUL AIR
BEMS ENGINEER
 1. EQUIPMENT OVERVIEW
CONTENT
2. BASIC FUNCTION (not to include clinical application)

3. DAILY AND ROUTINE MAINTENANCE

4. SAFETY PRECAUTIONS IN OPERATING EQUIPMENT

5. CAUSES AND CORRECTIVE ACTIONS

6. CLEANLINESS AND DECONTIMINATION AWARENESS

7. MAINTENANCE REQUEST PROCEDURE

8. POTENTIAL HAZARD

9. AWARENESS ON VIGILANCE REPORTING

 ✓ Manual mode for defibrillation is indicated on victims of cardiac arrest where there
1. EQUIPMENT is apparent lack of circulation as indicated by:
OVERVIEW • Unconsciousness
• Absence of breathing
• Absence of pulse.
✓ This equipment should be used only by qualified medical personnel for converting
ventricular fibrillation and rapid ventricular tachycardia to sinus rhythm or other
cardiac rhythms capable of producing hemodynamically significant heart beats.
✓ They are specifically designed for use in early defibrillation programs where the
delivery of a defibrillator shock during resuscitation involving CPR, transportation,
and definitive care are incorporated into a medically-approved patient care protocol.
1. EQUIPMENT
OVERVIEW

EXTERIOR VIEW
EXTERIOR VIEW
13. CHARGER ON
1. SELECTOR SWITCH 14. Paper Tray
2. DEFIB ENERGY SELECT 15. SUMMARY
BUTTONS 16. CODE MARKER
3. DEFIB CHARGE 17. PCMCIA Data Card Slot
4. SHOCK 18. PC Card Modem Slot
5. ANALYZE (12-Lead Option Only)
6. SOFTKEYS 19. PACER OUTPUT mA
7. LEAD (Pacer Version Only)
8. SIZE 20. . 4:1 BUTTON (Pacer
9. ALARM SUSPEND Version Only)
10. RECORDER 21. PACER RATE ppm
11. BEEPER VOLUME (ECG) (Pacer Version Only)
12. BRIGHTNESS/CONTRAS 22. Systole and Alarm
T ADJUSTMENT Speaker
23. Microphone (Optional)
1. EQUIPMENT EXTERIOR VIEW
OVERVIEW
1. PEDIATRIC ELECTRODE
PLATE
2. ADULT ELECTRODE
PLATE
3. BUTTON
 MANUAL DEFIBRILLATION

2. BASIC OPERATIONAL 1. Turn the SELECTOR SWITCH to DEFIB. The unit automatically defaults to 200 Joules
2. Energy Select - Observe the display and verify the selected energy is appropriate. To change
PROCEDURE
the energy setting use either pair of up/down arrow buttons. One pair is located on the front
panel of the unit, the other pair is located on the sternum paddle
3. Prepare Paddles - Remove the paddles from their holders by grasping the handles and
pressing down on the paddle release latch located above each paddle
4. Apply Paddles to Chest - Apply the paddles firmly to the anterior wall of the chest.
 MANUAL DEFIBRILLATION (Cont)

2. BASIC OPERATIONAL 5. If an ECG cable and ECG electrodes are in use, press the LEAD button to select the desired ECG
PROCEDURE lead configuration
6. Press the CHARGE button on the front panel or on the apex paddle handle
7. when the CHARGE button is activated, the device will not charge and a “RELEASE SHOCK BUTTON”
or other message will appear on the display.
8. Using your thumbs, simultaneously press and hold both SHOCK buttons (one on each paddle) until
energy is delivered to the patient.
9. Once energy is delivered, the display will simultaneouslyshow “XXXJ DELIVERED” and “DEFIB XXXJ
SEL.” After approximately 5 seconds the “XXXJ DELIVERED” message will disappear and the
“DEFIB XXXJ SEL” message remains to indicate the selected energy level
10. Paddle plates and handles must be thoroughly cleanedafter each use
 AUTOMATED EXTERNAL DEFIBRILLATOR (AED)
2. BASIC OPERATIONAL OPERATION
PROCEDURE 1. The unit will beep 4 times to indicate that it has passedthe power-on self-test. If
the audio recorder is present,the unit will begin recording audio data immediately

2. Energy Select- For non-Biphasic units shock number 1 is set at 200joules, shock 2
is set at 200 joules and shock 3 and up is set at 360 joules (default setting). For
Biphasic units shock number 1 is set at 120 joules, shock 2 is setat 120 joules and
shock 3 and up is set at 200 joules

3. Press the ANALYZE button to begin analysis of the patient’s ECG rhythm. The
device announces and displays a “STAND CLEAR” message

4. An “ANALYZING ECG” message is then displayed for upto 12 seconds while the
patient’s ECG is analyzed

5. Once the analysis is completed, the unit indicates whether or not a shock is
advised, when a non-shockable rhythm is detected the unit displays a “NO SHOCK
ADV.” message.
 AUTOMATED EXTERNAL DEFIBRILLATOR
(AED) OPERATION (Cont)
2. BASIC OPERATIONAL
6. Immediately check pulse and breathing and resume other treatment per protocol. If the patient’s
PROCEDURE rhythm is shockable the unit will display a “SHOCK ADVISED” message.
7. The defibrillator will begin charging automatically to the pre-configured energy setting and
display a “CHARGING” message
8. When charging is completed the monitor displays the energy level to which the defibrillator has
been charged,“XXXJ READY
9. Once the unit has charged to the selected energy, the SHOCK button will illuminate and the
“PRESS SHOCK”message will be announced and displayed.
10. A continuous tone will sound for 10 seconds, followed byan intermittent beeping for 5 seconds.
The shock must be delivered within this 15 second interval or the defibrillator will disarm itself.
11. Press and hold the illuminated SHOCK button on the front panel until energy is delivered to the
patient.
12. After the energy is delivered to the patient, the displayreturns to XXX J SEL. SHOCKS: 1,
indicating the number of shocks administered to the patient.
13. Press the ANALYZE button to restart an ECG analysisand determine if additional shocks are
required.
 ECG MONITORING
1. Depending upon local usage, the ECG leads are markedeither LA,RA, LL, RL, and V or L, R, F,
2. BASIC OPERATIONAL N and C
IEC Color AHA Color Placement of Electrodes
PROCEDURE Coding Coding
R/Red RA/White Place near right mid- clavicular
Electrode Electrode line, directlybelow clavicle.
L/Yellow LA/Black Place near left mid- clavicular
Electrode Electrode line, directlybelow clavicle. RA LA

F/Green LL/Red Place between 6th and 7th

Electrode Electrode intercostal space on left mid-
clavicular line. V

N/Black RL/Green Place between 6th and 7th

Electrode Electrode intercostal space on right mid- RL LL

clavicular line.
C/White V/Brown Single movable chestelectrode.
Electrode Electrode
2. Peel the protective backing from the ECG electrode. Becareful to keep adhesive surface free of
electrolyte gel.
3. Attach snap-on leads and check for good contact between the electrode and the lead
termination.
4. Plug the patient cable connector into the ECG input connector
 ECG MONITORING (Cont)
5. Set SELECTOR SWITCH to the MONITOR position
2. BASIC OPERATIONAL 6. Press the LEAD button until the desired lead configuration is selected
7. If the “ECG LEAD OFF” message appears on the display, inspect the ECG electrodes, lead wires,
PROCEDURE and associated connections. If a “CHECK PADS” or “POOR PAD CONTACT” message is displayed
inspect the MFE Pads, cable, and associated connections
8. If heart rate alarms are enabled with paddles selected, the unit displays the message “SELECT
LIMB LEADS”.If you see this message, select limb or precordial leads.
9. Press the SIZE button until the desired waveform size isdisplayed.
10. Adjust QRS beeper volume to suitable level using the beeper volume button

Spikes from Implantable Pacemakers

✓ The device is capable of detecting and indicating on the display pacemaker signals from a patient with
an implantable pacemaker
✓ The device displays, a thin, solid line on the ECG trace whenever it detects a pacemaker signal. The
waveform “spike” produced by the pacemaker will be displayed if the pacer is atrial, ventricular, or
both.
If you want to disable pacer detect:
1. Press the Param softkey.
2. Select ECG.
3. Press the Disable Pacer Detect softkey
 Suspending and Silencing Alarms

To suspend the alarm tone for 90 seconds, press and release the ALARM SUSPEND button in less
2. BASIC OPERATIONAL than 1 second. The alarm tone stops

PROCEDURE
After 90 seconds, if the physiological parameter remains at a value that triggers the alarm, the unit
sounds the alarm tone again

If the alarm condition “clears” (the physiologicalparameter returns to a value within range) after you
suspend the alarm tone, the unit resets the alarm and displays the bell icon (no flashing, no “X”). The
alarm parameter displays normally (no highlighting).
 Adding Patient Name
1. Press ID # softkey.
2. BASIC OPERATIONAL 2. Press Prev. Digit or Next Digit softkey to select letter for patient name.
PROCEDURE 3. Press Inc Digit or Dec. Digit softkey to change valueof letter.
Repeat steps 2 and 3 until you have entered the patient’s entire name.
4. Press Enter Name softkey.
5. Press Prev. Digit or Next Digit softkey to select digit or letter for identification
number.
6. Press Inc Digit or Dec. Digit softkey to change valueof digit.
Repeat steps 5 and 6 until you have entered the patient’s entire identification
number.
Press Enter ID and Return softkey.
 Printing a Report
2. BASIC OPERATIONAL 1. Press the SUMMARY button.
PROCEDURE 2. Press the Print Chart softkey.
3. Press the Print Range softkey.
4. Press Prev. Event or Next Event softkey to scroll through
the events.
5. Press Print softkey.
 Cleaning the Recorder Printhead
1. Press down and pull the Paper Compartment drawerwhere the RELEASE label is located.
3. DAILY AND ROUTINE 2. Remove the paper (if necessary).
MAINTENANCE 3. Pull drawer out all the way.
4. Tip unit backwards so that the bottom of the drawer iseasily visible.
5. Locate plastic tab in the back of the drawer.
6. Press tab (disengaging plastic ridge) and pull draweruntil removed.
7. Locate the row of soft, thin bristles.
8. Locate a thin black line (Printhead) adjacent andparallel to the bristles.
9. Gently wipe the thin black line with an alcohol (Isopropyl) moistened Q-tip. Dry any residual
alcoholwith a new Q-tip.
10. Place drawer and paper back into the unit.

Changing Paper
1. Press down and pull the paper tray drawer where the “RELEASE” label is located. The drawer
slides open.
2. Check for adequate paper supply. If paper supply is low,remove paper in the tray. Place a
new pad of thermal paper in the drawer with the paper coming off the top of the pad and the
grid facing up.
3. Pull enough paper off the pad so that the paper extendsout of the strip recorder when the
paper compartment drawer is closed.
4. Close paper compartment drawer by pushing the drawerin and pressing down lightly where
the “RELEASE” labelis located until the drawer is flush with the front of the device.
 MANUAL DEFIBRILLATOR TESTING

3. DAILY AND ROUTINE If a “LOW BATTERY” message appears during testing at the beginning of a shift, the battery currently
in use is close to depletion and should be replaced and charged. The device does not test the battery
MAINTENANCE
for adequate charge to support extended use of the unit, capacity can only bedetermined by testing
the battery in an appropriate ZOLLBattery Charger.

I. Power-Up Sequence Check

Starting with the selector switch OFF, turn the selectorswitch to the MONITOR position and
observe the following:
1. A 4-beep tone indicates the power-up self test has been successfully completed.
2. The ECG size should be x1 and the word “MONITOR” should appear in the center of the display
screen.
3. “PADDLES” or “PADS” should be displayed in the top right center of the monitor.
4. The message “ECG LEAD OFF” will be displayed and the ECG display will be a dashed line
instead of a solid line if no ECG cable is connected to the simulator.
 MANUAL DEFIBRILLATOR TESTING (Cont)

II. Delivered Energy and Shock Buttons

3. DAILY AND ROUTINE Perform this check at the start of each shift using either the paddle or Multi-Function cable setup
MAINTENANCE
Paddle Setup
1. Verify adult paddles are installed and are pushed all the way into their holders on the side of
the M Series unit.
2. Turn the selector switch to DEFIB.
3. Set the defibrillator energy level to 30 joules.
4. Press the CHARGE button on the apex handle.
5. When charge ready tone sounds, use the defibrillator energy select buttons on either the
sternum paddle or defibrillator front panel to change the selected energy to 20 joules.
6. The defibrillator will disarm itself.
7. Use the defibrillator energy select buttons on either the sternum paddle or defibrillator front
panel to change the selected energy back to 30 joules.

Multi-Function Cable Setup

1. The Multi-Function cable should be plugged into the unit. Make sure the Multi-Function cable is
not plugged into its test connector.
2. Switch unit to DEFIB and set energy to 30 joules.
3. The messages “CHECK PADS” and “POOR PAD CONTACT” will be alternately displayed.
4. Plug the Multi-Function Cable into its test connector.
5. The message “DEFIB PAD SHORT” will be displayed
 MANUAL DEFIBRILLATOR TESTING (Cont)

III. Energy Delivery Test (Paddles/MFE Pads)

3. DAILY AND ROUTINE 1. Press the CHARGE button on the front panel or on the apex paddle handle.
MAINTENANCE 2. Wait for the charge ready tone to sound and verify that the energy ready value displayed on
the monitor registers 30 joules (“DEFIB 30J READY”).
3. If paddles are installed, using your thumbs, simultaneously press and firmly hold the SHOCK
buttons (one on each paddle) until discharge occurs.
4. If MFE cable and test connector are installed, press and hold the SHOCK button on the front
panel of the defibrillator until discharge occurs.
5. The stripchart recorder will print a short strip indicating “TEST OK” and energy delivered if
the unit delivered energy within specifications.
6. If “TEST FAILED” appears, contact appropriate technical personnel or ZOLL Technical Service
Department immediately.
 ✓ Turn the SELECTOR SWITCH to MONITOR, OFF or PACER (pacer equipped versions
only)
4. SAFETY
✓ Do not operate the unit without a battery. Keep a fully charged spare battery pack
PRECAUTION with the device at all times.
✓ Emergency defibrillation should be attempted only by appropriately trained, skilled
personnel who are familiar with equipment operation.
✓ Do not disassemble the unit. A shock hazard exists. Refer all problems to
authorized service personnel
✓ Do not use the unit’s ECG out signal as a sync pulse for another defibrillator or
cardioverter.
✓ Do not use in the presence of oxygen- rich atmospheres, flammable anesthetics or
other flammable agents (such as gasoline). Using the instrument near the site of a
gasoline spill may cause an explosion.
✓ Do not discharge with paddles or MFE Pads shorted together or in open air.
 ✓ Do not touch the bed, patient, or any equipment connected to the patient during
4. SAFETY defibrillation. A severe shock can result
PRECAUTION ✓ Avoid contact with conductive fluids during defibrillation as unwanted current
pathways may result.
✓ When defibrillating with paddles use your thumbs to operate the SHOCK buttons in
order to avoid inadvertent operator shock
✓ Do not discharge the defibrillator except as indicated in the instructions. Do not
discharge the defibrillator if the MFE Pads are not properly attached to the patient.
✓ Always check that the equipment functions properly and is in proper condition before
use.
✓ Disconnect all electro-medical equipment that is not defibrillation protected from the
patient prior to defibrillation.
✓ Do not use the unit’s AED function on patients under 8 years of age.
 ✓ If using defibrillator gel pads, make sure that the size of the pad is large enough to
4. SAFETY cover the entire paddle electrode area.
PRECAUTION ✓ Excessive body hair or wet, sweaty skin can inhibit good coupling (contact), which
can lead to the possibility of arcing and skin burns
✓ Warn all persons in attendance of the patient to STAND CLEAR prior to defibrillator
discharge.
 GENERAL
Symptom RecommendedAction
5. CAUSES AND 1. Unit does not turn on or unexpectedly shuts off. • Check that battery pack is properly installed.
• Verify the unit is plugged intoAC power.
CORRECTIVE • Replace battery pack with a fully charged battery pack.
• If the internal lithium battery that powers the Real Time
ACTION Clock is fully depleted, the unit will not power up unless
connected to mains power. Qualified service personnel can
consult the M Series Service Manual for instructions on
replacing the internal battery.You can also contact the ZOLL
Technical Service Department for assistance.
2. “X FAULT XX” message. • A fault has been detected.
• Attempt to clear the “X FAULT XX” message by turning the
SELECTOR SWITCH to OFF then back to the desired
operating mode. Note: Some settings (e.g. alarm settings,
lead selection, ECG size) may need to be restored.
3. “SET CLOCK” or “CLOCK FAULT” message. • Set time and date information.
• Have qualified service personnel verify that the internal
battery has been replaced within the last 5 years, or
contactthe ZOLLTechnical Service Department for
assistance.
Note: If the internal battery becomes fully depleted, the unit
will not power up unless plugged intoAC mains.
4. “ECG LEAD OFF” message. • Check that ECG cable is connected to patient and instrument.
• Check that ECG electrodes are making good contact and
notdried out.
• If changing from 5 lead ECG patient cable to 3 lead ECG
patient cable, turn unit OFF for at least 10 seconds.
• Replace ECG cable.
 GENERAL (Cont)
Symptom Recommended Action
5. CAUSES AND 5. “POOR LEAD CONTACT” message. • Check that ECG cable is connected to patient and
instrument.
CORRECTIVE • Check that ECG electrodes are making good contact
and notdried out.
ACTION • If changing from five (5) lead ECG patient cable to three
(3) lead ECG patient cable, turn unit OFF for at least 10
seconds.
• Replace ECG cable.
6. Noisy ECG, Artifact, Wandering Baseline. • Consider 1 – 21Hz filter bandwidth (see M Series
Configuration Guide)
• Prepare the patient’s skin prior to electrode attachment.
• Check for proper adhesion of electrodes to patient.
• Reduce or eliminate ECG artifact due to electrode or
patientcable movement. Route cables so that they
don’t pull on electrodes or swing excessively.
• Ensure patient is motionless.
• Check for possible excessive radio frequency
interference.
7. Poor ECG signal level, calibration pulse normal. • Select another lead.
• Apply new electrodes using different placement.
8. Inconsistent QRS beep or heart rate. • Increase beeper volume.
• Select another lead.
• Alter ECG electrode placement.
9. Sync marker is absent or inconsistent with QRS • Ensure device is in SYNC mode.
waveform on display and recorder. • Change ECG lead selection.
• Alter ECG electrode placement.
• Paper too narrow. It should be 90 mm wide.
 RECORDER

5. CAUSES AND Symptom Recommended Action

CORRECTIVE 10. Unit displays the CABLE FAULT or PADDLEFAULT • Check the connection between the Multifunction cable
message. andthe MFE pads.
ACTION • Remove the CPRD-to-MFC connector, if in use, and plug
themultifunction cable directly into the CPR-D-padz.

11. “CHECK RECORDER” message. • Recorder out of paper.

• Remove paper, check paper type, check
recorder for paper jam, reload paper.
• Recorder door is open.
12. Recorder makes stuttering sound when • Check recorder for paper jam.
activated.
13. Light or poor quality printing. • Ensure correct paper is in use.
• Ensure paper is installed grid side against
recorder print head.
• Recorder print head requires cleaning
(trained personnel only).
14. Summary Report will not print when • 15 seconds have not elapsed since one of the
SUMMARY events that trigger Summary Report to
button is depressed. record have occurred. Wait 15 seconds and try
again.
 DEFIBRILLATOR
Symptom RecommendedAction
5. CAUSES AND 21. Excessive artifact when using paddles as ECGsource. •
•
Ensure “PADDLES” is selected.
Firmly press paddles against patient skin.
CORRECTIVE •
•
Use gel on paddles.
Clean paddle surface.
ACTION • Check and clean between adult and pediatric shoe.
• Check cable for damage.
• Use ECG electrodes.
22. Defibrillator will not charge (energy level does not • Check SHOCK button(s) on paddles or front panel are not
increment on display). stuck on.
• Charge the battery pack.
23.Charge time to 360 J exceeds 10 seconds. • Typical in a low battery condition (up to 20 seconds)
• Change battery pack.
• Plug device intoAC power.
• Install new fully charged battery pack.
24.Energy does not discharge when the SHOCK • 60 seconds have elapsed in manual mode, since initial charge
button(s) is pressed. ready. Energy was internally discharged.
• 15 seconds have elapsed in automatic mode, since initial
charge ready. Energy was internally discharged.
• Device is in “SYNC” mode and no QRS complex is detected.
• Energy internally discharged because energy selection was
changed during charge or after the device was ready.
• Unit not completely charged when SHOCK buttons were
pressed. Wait for “DEFIB XXXJ READY” message and ready
tone.
• Press and hold SHOCK button(s) until energy is delivered tothe
patient.
 DEFIBRILLATOR (Cont)
Symptom RecommendedAction
5. CAUSES AND 25.Unable to SHOCK when in “SYNC” mode. • Ensure “SYNC XXXJ SEL” is displayed on monitor.
• Check for “SYNC” marker (arrow above R-wave). If not
CORRECTIVE present, change ECG size, lead selection, or electrode
placement.
ACTION • Press and hold SHOCK button(s) until energy is delivered tothe
patient.
• Alter ECG electrode placement.
• Make sure ECG signals are displayed.

26.No apparent energy delivery to patient. • Under certain circumstances, some patients will not “twitch”
when energy is delivered.
• Perform defibrillator self test as described in GENERAL
MAINTENANCE Section.
• Check for “CHECK PADS” and ”POOR PAD CONTACT”
messages alternating on the monitor.
• If Multi-Function Electrodes are used, ensure proper
placement and contact.
5. CAUSES AND Symptom • Recommended Action
27.“CHECK PADS” message. • Verify proper Multi-Function Cable / MFE Pad connection by
CORRECTIVE disconnecting and reconnecting the Mult-Function cable and
MFE Pads.
ACTION • Ensure proper contact of Multi-Function Pads and that the
patient does not have excessive hair beneath the electrodes.
• If message persists, disconnect Multi-Function cable from
MFE Pads and plug cable into test connector. “CHECK
PADS” should change to “DEFIB PAD SHORT” (ManualMode
Only).
• If test fails, try using paddles to defibrillate.
28.“USE PADS” message. • ECGAnalysis will only operate when MFE pads are attachedto
the patient.
• Disconnect paddle and connect MFE Pads for use in Semi-
automatic defibrillation.
• Activate manual mode to use Paddles.
 DEFIBRILLATOR (Cont)
Symptom Recommended action
5. CAUSES AND 29.“NOISY ECG” • Check for proper application and adhesion of Multi-Function
“RETRYANALYSIS” message. Electrodes.
CORRECTIVE • Check to make sure that nobody is touching the patient
andthat the patient is motionless.
ACTION 30.“ECGTOO LARGE” • Press ANALYZE button again to begin analysis.
“RETRYANALYSIS” message.
31. No “TEST OK” message when performing a • Check to make sure unit is set to 30 joules.
defibrillator self-test. • If testing with Multi-Function Cable, make sure that cable is
firmly inserted into test connector.
• If testing with paddles, make sure to press the paddles
firmlyagainst the sides of the unit while discharging.
32.“DEFIB MAINT. REQUIRED” message. • Contact ZOLLTechnical Service Department.
 AC Charger

5. CAUSES AND Symptom RecommendedAction

33. The green and orange-yellow CHARGER ON • Verify battery is installed.
CORRECTIVE indicators are alternately illuminating. • Turn unit ON to identify the fault condition.
• Replace battery pack with a fully charged battery pack.
ACTION • If problem persists, replace battery pack, unplug device
fromAC mains and plug device back into AC mains.

34. “LOW BATTERY” message appears on monitorwhen • Replace battery pack with a fully charged battery pack.
unit is plugged intoAC mains. • Unplug device from AC mains and plug device back into AC
mains.
• Verify AC mains is working properly.

35. None of the CHARGER ON indicators are illuminated • Unplug device from AC mains and plug device back into AC
when the device is plugged into ACmains. mains.
• Verify AC mains is working properly.
 Perkara ini adalah merujuk kepada:
6. CLEANLINESS
AND “MASTER AGREED PROCEDURE : BEM-TS-004 (INCIDENTS, HAZARDS
DECONTIMINATIO AND HANDLING HAZARDOUS AND CONTAMINATED BIOMEDICAL
EQUIPMENT ) PARA 6.3 (Handling Contaminated Biomedical
N AWARENESS equipment )”
6. CLEANLINESS Cleaning and care
1.Wipe the defibrillator monitor screen, Paddle pad and ECG Probe.
AND
DECONTIMINATIO 2.Wipe ECG cable, Paddle cable and Power cable. Avoid excessive use of
liquid.
N AWARENESS
3.Change or sterilize all defibrillator pad and invasive patient accessories.

Points to note:
− Do not use hypochlorite, acetone-, phenol- or ammonia based
cleaners.

− Do not autoclave the device or its parts.

− Do not immerse any part of the device in liquids or allow liquid to

enter the interior.

− Do not apply pressurized air to any outlet or tubing connected to

the monitor.
6. CLEANLINESS
AND
DECONTIMINATION
AWARENESS WARNING: If liquid has accidentally entered the
system or its parts, disconnect the power cord from
the power supply and have the equipment serviced
by authorized service personnel.
 START

Perform Corrective
7. MAINTENANCE User identify faults during use Maintenance

REPORT
Decontaminate faulty Perform performance
PROCEDURE equipment test/electrical safety test

Initiates a request to Complete work order and

Medivest assessment detail
(Emergency call must be
made via direct call to the
Medivest’s help desk ) Authorised Personnel to
verify and close work
order
Request number provided
to the user and generate
User Verify
Corrective Maintenance
Work-Order
Update record in ASIS
Respond to the request
within the specified time
frame
END
7. MAINTENANCE
REPORT
PROCEDURE
7. MAINTENANCE
REPORT
PROCEDURE
7. MAINTENANCE
REPORT
PROCEDURE
7. MAINTENANCE
REPORT
PROCEDURE
7. MAINTENANCE
REPORT
PROCEDURE
8. POTENTIAL
HAZARD 1. TISSUE DAMAGE - can be caused by incorrect application of
(REFER ECRI) defibrillator paddle to the patient. Inspect the paddle as directed in
the Directions for Use.

2. BURNS - Do not use the gel in a rate that is too little because it can
cause burns to the patient skin and can affect for long term patient
lives.

3. ELECTRICAL SHOCK - Direct contact with any power/current

leakage from power cord or main unit can cause electrical shock
and electrocution.
9.AWARENESS OF There is no vigilance report such as Incident
VIGILANCE Reporting, Hazard Alert & Recall for this equipment
REPORTING from manufacturer and Medical Devices Authority
(MDA) as at 2018.