Zoll Propaq MD Rev A User Manual

Propaq® MD Operator’s Guide9650-0805-01 Rev. A

TABLE OF CONTENTSviii www.zoll.com 9650-0805-01 Rev. AAppendix A SpecificationsDefibrillator...

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-4 www.zoll.com 9650-0805-01- Rev. ASelecting the NIBP CuffTo take accurate measurements, you

Selecting the NIBP Cuff9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-5Caution Selection of the correct cuff is critical to the accuracy of NIBP me

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-6 www.zoll.com 9650-0805-01- Rev. AConnecting the NIBP CuffConnecting the NIBP cuff requires

Connecting the NIBP Cuff9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-7Attach a single lumen hose as follows:Figure 8-2 Attaching Single Lumen Hos

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-8 www.zoll.com 9650-0805-01- Rev. A2. Insert the plastic connectors on the NIBP hose into the

Ensuring Correct Cuff Inflation Settings9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-9Caution • Using a cuff that is loosely applied or too small

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-10 www.zoll.com 9650-0805-01- Rev. AIn order to accurately measure systolic pressure, the CIT

Configuring NIBP Alarms and Settings9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-115. On the selected NIBP alarm settings menu, use the navigatio

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-12 www.zoll.com 9650-0805-01- Rev. ASetting Upper and Lower NIBP MAP Alarm LimitsInitially, t

Configuring NIBP Alarms and Settings9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-13On the NIBP Parameter Control Panel, you can select an alarm c

9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-1Chapter 1General InformationProduct DescriptionThe ZOLL® Propaq® MD unit is an easy-to-use portable

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-14 www.zoll.com 9650-0805-01- Rev. ABy default, Smartcuf is Enabled.There are situations wher

NIBP System Messages9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-15NIBP System MessagesWhen monitoring NIBP, the Propaq MD unit may display the f

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-16 www.zoll.com 9650-0805-01- Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 9-1Chapter 9Monitoring Pulse Oximetry (SpO2)The Propaq MD SpO2 input is Type CF defibrillator proof.Thi

CHAPTER 9MONITORING PULSE OXIMETRY (SPO2)9-2 www.zoll.com 9650-0805-01 Rev. AWarnings -- SpO2, General • SpO2 style pulse oximeter measurements may b

SpO2 Setup and Use9650-0805-01 Rev. A Propaq MD Operator’s Guide 9-3SpO2 Setup and UseTo take accurate SpO2 measurements using the Propaq MD unit, you

CHAPTER 9MONITORING PULSE OXIMETRY (SPO2)9-4 www.zoll.com 9650-0805-01 Rev. AApplying a Reusable SpO2 SensorThe following instructions describe how t

Applying the SpO2 Sensor9650-0805-01 Rev. A Propaq MD Operator’s Guide 9-5Applying a Single-Use SensorWhen applying a single-use SpO2 sensor, be caref

CHAPTER 9MONITORING PULSE OXIMETRY (SPO2)9-6 www.zoll.com 9650-0805-01 Rev. AConnecting the SpO2 SensorTo connect the SpO2 sensor to the Propaq MD un

Displaying SpO2 Measurements9650-0805-01 Rev. A Propaq MD Operator’s Guide 9-73. Lower the clear plastic cover over the connection to secure it:Figure

CHAPTER 1GENERAL INFORMATION1-2 www.zoll.com 9650-0805-01 Rev. APropaq MD Optional FeaturesThe following features are optional in the Propaq MD unit.

CHAPTER 9MONITORING PULSE OXIMETRY (SPO2)9-8 www.zoll.com 9650-0805-01 Rev. A6. When you are finished changing values on the alarm menu, navigate to

SpO2 System Messages9650-0805-01 Rev. A Propaq MD Operator’s Guide 9-9Selecting the Heart Rate/ Pulse Rate (HR/PR) ToneThe unit allows you enable or d

CHAPTER 9MONITORING PULSE OXIMETRY (SPO2)9-10 www.zoll.com 9650-0805-01 Rev. AFunctional Testers and Patient SimulatorsSome models of commercially av

9650-0805-01 Rev. A Propaq MD Operator’s Guide 10-1Chapter 10Monitoring CO2This chapter describes how to use the Propaq MD unit to monitor End Tidal C

CHAPTER 10 MONITORING CO210-2 www.zoll.com 9650-0805-01 Rev. AWarning! • When using a sampling line for intubated patients with a closed suction syst

CO2 Monitoring Setup and Use9650-0805-01 Rev. A Propaq MD Operator’s Guide 10-3Selecting the CO2 Sampling LineTo select the correct CO2 sampling line,

CHAPTER 10 MONITORING CO210-4 www.zoll.com 9650-0805-01 Rev. AConnecting the CO2 Sampling LinesTo connect the FilterLine or Smart CapnoLine:1. Slide

CO2 Monitoring Setup and Use9650-0805-01 Rev. A Propaq MD Operator’s Guide 10-5WAR NIN G! • The exhaust port for the Microstream sidestream CO2 appara

CHAPTER 10 MONITORING CO210-6 www.zoll.com 9650-0805-01 Rev. AApplying a Smart CapnoLine Nasal or Nasal/Oral CannulaThe nasal and nasal/oral cannulas

Measuring CO29650-0805-01 Rev. A Propaq MD Operator’s Guide 10-7Measuring CO2Once setup is complete, press to begin monitoring CO2. The numeric CO2

Symbols Used on the Equipment9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-3Symbols Used on the EquipmentAny or all of the following symbols may be

CHAPTER 10 MONITORING CO210-8 www.zoll.com 9650-0805-01 Rev. ASetting CO2 and Respiration Rate AlarmsThe Propaq MD unit sounds alarms whenever measur

Setting CO2 and Respiration Rate Alarms9650-0805-01 Rev. A Propaq MD Operator’s Guide 10-9Setting Upper and Lower EtCO2 LimitsInitially, the EtCO2 Ala

CHAPTER 10 MONITORING CO210-10 www.zoll.com 9650-0805-01 Rev. ASetting Upper and Lower Respiratory Rate (RR/BR) LimitsInitially, the RR/BR Alarm menu

System Messages9650-0805-01 Rev. A Propaq MD Operator’s Guide 10-11Setting the CO2 Sweep SpeedThe EtCO2 sweep speed determines the X-axis scale of the

CHAPTER 10 MONITORING CO210-12 www.zoll.com 9650-0805-01 Rev. APatentsThe capnography component of the Propaq MD unit is covered by one or more of th

9650-0805-01 Rev. A Propaq MD Operator’s Guide 11-1Chapter 11Monitoring Invasive Pressures (IBP)The Propaq MD IBP inputs are Type CF defibrillator pro

CHAPTER 11 MONITORING INVASIVE PRESSURES (IBP)11-2 www.zoll.com 9650-0805-01 Rev. AWarning! • If electrocautery is used, always avoid using any trans

Zeroing the Transducer9650-0805-01 Rev. A Propaq MD Operator’s Guide 11-3Figure 11-1 Plugging the Transducer into the Propaq MDWhen you plug the trans

CHAPTER 11 MONITORING INVASIVE PRESSURES (IBP)11-4 www.zoll.com 9650-0805-01 Rev. AFigure 11-2 IBP Channel Parameter Control Panel6. Select Zero Prob

Displaying IBP Measurements9650-0805-01 Rev. A Propaq MD Operator’s Guide 11-5Displaying IBP MeasurementsAfter attaching and zeroing a transducer, the

CHAPTER 1GENERAL INFORMATION1-4 www.zoll.com 9650-0805-01 Rev. AEquipotentiality.Alternating current (ac).Direct current (dc).Auxiliary power adapter

CHAPTER 11 MONITORING INVASIVE PRESSURES (IBP)11-6 www.zoll.com 9650-0805-01 Rev. AEnabling/Disabling IBP Alarms and Setting Alarm LimitsWhen enabled

Enabling/Disabling IBP Alarms and Setting Alarm Limits9650-0805-01 Rev. A Propaq MD Operator’s Guide 11-7Setting Upper and Lower Diastolic (DIA) Alarm

CHAPTER 11 MONITORING INVASIVE PRESSURES (IBP)11-8 www.zoll.com 9650-0805-01 Rev. ASetting IBP Source LabelIn the IBP channel menu, you can select a

IBP System Messages9650-0805-01 Rev. A Propaq MD Operator’s Guide 11-9IBP System MessagesThe Propaq MD unit may display the following messages when mo

CHAPTER 11 MONITORING INVASIVE PRESSURES (IBP)11-10 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 12-1Chapter 12Monitoring TemperatureThe Propaq MD Temperature inputs are Type CF defibrillator proof.Th

CHAPTER 12 MONITORING TEMPERATURE12-2 www.zoll.com 9650-0805-01 Rev. AWarning! • The application and use of metal-jacketed temperature probes that co

Enabling/Disabling Temperature Alarms and Setting Alarm Limits9650-0805-01 Rev. A Propaq MD Operator’s Guide 12-3Enabling/Disabling Temperature Alarms

CHAPTER 12 MONITORING TEMPERATURE12-4 www.zoll.com 9650-0805-01 Rev. ASetting Upper and Lower Temperature Alarm LimitsInitially, the Temperature

Temperature System Messages9650-0805-01 Rev. A Propaq MD Operator’s Guide 12-5If you don’t select a label, the Temperature channels appear with the de

Symbols Used on the Equipment9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-5Do not discard in trash. Recycle or dispose of properly.Return to a col

CHAPTER 12 MONITORING TEMPERATURE12-6 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-1Chapter 13Monitoring 12-Lead ECGThe Propaq MD 12-Lead input is Type CF defibrillator proof.This cha

CHAPTER 13 MONITORING 12-LEAD ECG13-2 www.zoll.com 9650-0805-01 Rev. A• When not in use, cover the patient cable's V-lead connector with the sup

Entering Patient Information9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-3To enter patient information, use the navigation keys to highlight and

CHAPTER 13 MONITORING 12-LEAD ECG13-4 www.zoll.com 9650-0805-01 Rev. AEntering Patient Age and GenderThe Patient Info parameter panel provides defaul

12-Lead ECG Monitoring Setup9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-5Applying Electrodes to the PatientDepending on local usage, ECG lead wi

CHAPTER 13 MONITORING 12-LEAD ECG13-6 www.zoll.com 9650-0805-01 Rev. AAvoid placing electrodes over tendons and major muscle masses.Make sure that th

12-Lead ECG Monitoring Setup9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-7Locating the V1/C1 position (fourth intercostal space) is critically im

CHAPTER 13 MONITORING 12-LEAD ECG13-8 www.zoll.com 9650-0805-01 Rev. AObserving the 12-Lead Waveform TracesTo observe the 12-Lead waveform traces, pr

Printing 12-Lead Waveform Traces9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-9Printing 12-Lead Waveform TracesOnce you have determined that the P

CHAPTER 1GENERAL INFORMATION1-6 www.zoll.com 9650-0805-01 Rev. AConventionsThis guide uses the following conventions:Within text, the names and label

CHAPTER 13 MONITORING 12-LEAD ECG13-10 www.zoll.com 9650-0805-01 Rev. A12-Lead Print and Display OptionsThe Propaq MD unit provides additional 12-Lea

12-Lead Print and Display Options9650-0805-01 Rev. A Propaq MD Operator’s Guide 13-11Specifying the 12-Lead Print FormatThis option allows you to spec

CHAPTER 13 MONITORING 12-LEAD ECG13-12 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–1Chapter 14Manual DefibrillationEmergency Defibrillation Procedure with PaddlesWarning! To avoid ris

MANUAL DEFIBRILLATION14-2 www.zoll.com 9650-0805-01 Rev. ADetermine the Patient’s Condition Following Local Medical ProtocolsVerify the following:• Un

Emergency Defibrillation Procedure with Paddles9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–3Apply Paddles to ChestApply the paddles firmly to th

MANUAL DEFIBRILLATION14-4 www.zoll.com 9650-0805-01 Rev. AA charging message displays at the bottom of the screen, and a distinctive charging tone sou

Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–5Note: The front panel Shock bu

MANUAL DEFIBRILLATION14-6 www.zoll.com 9650-0805-01 Rev. ABegin CPR Following Medical ProtocolsRequest additional assistance.Prepare PatientRemove all

Emergency Defibrillation Procedure with Hands-Free Therapy Electrodes9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–71 Select Energy LevelPress the

Propaq MD Indications for Use9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-7When the pediatric patient is less than 8 years of age or weighs less t

MANUAL DEFIBRILLATION14-8 www.zoll.com 9650-0805-01 Rev. AA charging message displays at the bottom of the screen, and a distinctive charging tone sou

Internal Paddles9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–9Note: If at any time you want to cancel the defibrillation, press the Disarm softke

MANUAL DEFIBRILLATION14-10 www.zoll.com 9650-0805-01 Rev. A7. Discharge the energy in the following manner.• For internal handles with a Discharge but

Synchronized Cardioversion Procedure9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–11Synchronized Cardioversion ProcedureDetermine the Patient’s Co

MANUAL DEFIBRILLATION14-12 www.zoll.com 9650-0805-01 Rev. ANote: The unit can be configured to stay in SYNC mode after defibrillation inDefib/Pacer de

Synchronized Cardioversion Procedure9650-0805-01 Rev. A Propaq MD Operator’s Guide 14–133 Deliver ShockWarning! Warn all persons in attendance of the

MANUAL DEFIBRILLATION14-14 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 15–1Chapter 15External PacingWarning! Pacing is intended for use on adult patients and on adolescent, c

EXTERNAL PACING15-2 www.zoll.com 9650-0805-01 Rev. AExternal PacingPropaq MD defibrillators contain a pacemaker for the emergency treatment of hemodyn

Pacing in Demand Mode9650-0805-01 Rev. A Propaq MD Operator’s Guide 15–3patient). Attach hands-free therapy electrodes according to instructions on th

CHAPTER 1GENERAL INFORMATION1-8 www.zoll.com 9650-0805-01 Rev. ATemperature MonitoringThe Propaq MD is intended for use to make continuous temperatur

EXTERNAL PACING15-4 www.zoll.com 9650-0805-01 Rev. ANote: The initial pacing mode can be set in Defib/Pacer Default settings in the Supervisor Setup m

Pacing in Fixed Mode9650-0805-01 Rev. A Propaq MD Operator’s Guide 15–5Warning! Determination of electrical capture should only be performed by viewin

EXTERNAL PACING15-6 www.zoll.com 9650-0805-01 Rev. ATherapy Electrode ApplicationWarning! Poor adherence and/or air under the therapy electrodes can l

Pacing in Fixed Mode9650-0805-01 Rev. A Propaq MD Operator’s Guide 15–75 Set Pacer RateUse the arrow keys to navigate to Rate, press the Select button

EXTERNAL PACING15-8 www.zoll.com 9650-0805-01 Rev. AMechanical capture is assessed by palpation of the peripheral pulse.To avoid mistaking muscular re

9650-0805-01 Rev. A Propaq MD Operator’s Guide 16–1Chapter 16Patient DataThis chapter describes procedures for storing, viewing, and transferring pati

PATIENT DATA16–2 www.zoll.com 9650-0805-01 Rev. ACapturing a Data SnapshotPress the Snapshot button ( ) on the front panel to capture a 24-second peri

Transferring Data to a USB Device9650-0805-01 Rev. A Propaq MD Operator’s Guide 16–3Printing Treatment Summary ReportTo print a treatment summary repo

PATIENT DATA16–4 www.zoll.com 9650-0805-01 Rev. AAfter transferring data, you must remove the USB drive and reinsert it before attempting another tran

9650-0805-01 Rev. A Propaq MD Operator’s Guide 17–1Chapter 17PrintingThis chapter describes procedures for printing permanent records of pertinent pat

Propaq MD Product Functions9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-9Propaq MD Product FunctionsDefibrillator FunctionThe Propaq MD contains a

CHAPTER 17 PRINTING17–2 www.zoll.com 9650-0805-01 Rev. APrinter SetupTo configure the printer functions, press the More quick access key ( ), press th

Printing Patient Data9650-0805-01 Rev. A Propaq MD Operator’s Guide 17–3The SpO2 PlethysmographThe SpO2 plethysmograph is printed with major divisions

CHAPTER 17 PRINTING17–4 www.zoll.com 9650-0805-01 Rev. APrinting TrendsPrinted trends are useful for reviewing the patient’s vital signs over the last

9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-1Chapter 18MaintenanceResuscitation equipment must be maintained to be ready for immediate use. To e

CHAPTER 18 MAINTENANCE18-2 www.zoll.com 9650-0805-01 Rev. ADaily/Shift Check ProcedureInspectionEquipment and Accessories• Ensure that the Propaq MD

Defibrillator/Pacing Test with Hands-Free Therapy Electrodes9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-3Defibrillator/Pacing Test with Hands-Fr

CHAPTER 18 MAINTENANCE18-4 www.zoll.com 9650-0805-01 Rev. A8 Press the Select Energy arrow (up or down). Verify that the defibrillation window displa

Defibrillator Testing with External Paddles9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-5Defibrillator Testing with External PaddlesPrior to test

CHAPTER 18 MAINTENANCE18-6 www.zoll.com 9650-0805-01 Rev. A12 While the defibrillator is still charged, press the paddles electrodes together then pr

Recommended Minimum Preventive Maintenance Schedule9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-7Recommended Minimum Preventive Maintenance Sched

The issue date for the Propaq MD Operator's Guide (REF 9650-0805-01 Rev. A) is March, 2012.If more than 3 years have elapsed since the issue date

CHAPTER 1GENERAL INFORMATION1-10 www.zoll.com 9650-0805-01 Rev. AElectrodesThe Propaq MD will defibrillate, cardiovert, and monitor ECG using hands-f

CHAPTER 18 MAINTENANCE18-8 www.zoll.com 9650-0805-01 Rev. ACleaning instructionsCleaning the Propaq MD unitTo clean the Propaq MD unit, use a nearly

Cleaning instructions9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-9Cleaning SpO2 SensorsClean the SpO2 sensors with a cloth that has been slightl

CHAPTER 18 MAINTENANCE18-10 www.zoll.com 9650-0805-01 Rev. A2. Refer to the illustration inside of the paper compartment for proper paper orientation

9650-0805-01 Rev. A Propaq MD Operator’s Guide 18-11Signature _______________________________________________Propaq MD OPERATOR’S SHIFT CHECKLISTDate:

CHAPTER 18 MAINTENANCE18-12 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide A-1Appendix ASpecificationsThis chapter provides specification information for the Propaq MD Monitor/De

SpecificationsA-2 www.zoll.com 9650-0805-01 Rev. ADefibrillatorCharge Time:• Less than 7 seconds with a new, fully charged battery (first 15 charges

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-3* For all energy levels, accuracy is equal to either ±15% or 3 joules, whichever is gre

SpecificationsA-4 www.zoll.com 9650-0805-01 Rev. AThe vertical axis shows the current in amperes (A); the horizontal axis shows the duration of time

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-5Figure A-3. Rectilinear Biphasic Waveform at 120 JoulesFigure A-4. Rectilinear Biphasic

Propaq MD Product Functions9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-11• External charging — use the ZOLL SurePower™ Battery Charger with the P

SpecificationsA-6 www.zoll.com 9650-0805-01 Rev. AFigure A-5. Rectilinear Biphasic Waveform at 85 JoulesFigure A-6. Rectilinear Biphasic Waveform at

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-7Figure A-7. Rectilinear Biphasic Waveform at 50 JoulesFigure A-8. Rectilinear Biphasic

SpecificationsA-8 www.zoll.com 9650-0805-01 Rev. AFigure A-9. Rectilinear Biphasic Waveform at 20 JoulesFigure A-10. Rectilinear Biphasic Waveform at

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-9Figure A-11. Rectilinear Biphasic Waveform at 10 JoulesFigure A-12. Rectilinear Biphasi

SpecificationsA-10 www.zoll.com 9650-0805-01 Rev. AFigure A-13. Rectilinear Biphasic Waveform at 8 JoulesFigure A-14. Rectilinear Biphasic Waveform a

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-11Figure A-15. Rectilinear Biphasic Waveform at 6 JoulesFigure A-16. Rectilinear Biphasi

SpecificationsA-12 www.zoll.com 9650-0805-01 Rev. AFigure A-17. Rectilinear Biphasic Waveform at 4 JoulesFigure A-18. Rectilinear Biphasic Waveform a

Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide A-13Figure A-19. Rectilinear Biphasic Waveform at 2 JoulesFigure A-20. Rectilinear Biphasi

SpecificationsA-14 www.zoll.com 9650-0805-01 Rev. AMonitor/DisplayInput: 3-lead, 5-lead, or 12-lead patient cable, paddles, or Multifunction electrod

Impedance Pneumography9650-0805-01 Rev. A Propaq MD Operator’s Guide A-15Heart Rate Response to Irregular Rhythm: (AAMI EC13-2002, section 4.1.2.1.e.)

CHAPTER 1GENERAL INFORMATION1-12 www.zoll.com 9650-0805-01 Rev. AReady For Use (RFU) IndicatorThe Propaq MD has an RFU indicator on the front panel t

SpecificationsA-16 www.zoll.com 9650-0805-01 Rev. AAlarmsHeart Rate Alarms:Audible: 5 pulse, 900 Hz tone, with a PW of 125 msec, a PRI of 250 msec, a

Recorder9650-0805-01 Rev. A Propaq MD Operator’s Guide A-17RecorderType: High-resolution thermal array.Annotation: Time, date, ECG lead, ECG gain, hea

SpecificationsA-18 www.zoll.com 9650-0805-01 Rev. AGeneralWeight: 9.9 lbs.without battery and paper11.6 lbs.with battery and paperDimensions: Without

Pacer9650-0805-01 Rev. A Propaq MD Operator’s Guide A-19PacerType: External transcutaneous pacingPacer Rate: 30 to 180 BPM ± 1.5%.Output Current: 0 to

SpecificationsA-20 www.zoll.com 9650-0805-01 Rev. ARespiration Rate Accuracy: 0 to 70 bpm: ±1 bpm71 to 120 bpm: ±2 bpm121 to 149 bpm: ±3 bpmFlow

Non-Invasive Blood Pressure9650-0805-01 Rev. A Propaq MD Operator’s Guide A-21Non-Invasive Blood PressureTechnique: Non-invasive oscillometric methodO

SpecificationsA-22 www.zoll.com 9650-0805-01 Rev. ABlood Pressure Validation:Blood pressure measurements determined with this device are equivalent t

Clinical Trial Results for the Biphasic Waveform9650-0805-01 Rev. A Propaq MD Operator’s Guide A-23Clinical Trial Results for the Biphasic WaveformThe

SpecificationsA-24 www.zoll.com 9650-0805-01 Rev. ASuccessful defibrillation with rectilinear biphasic shocks was achieved with 58% less delivered cu

Clinical Trial Results for the Biphasic Waveform9650-0805-01 Rev. A Propaq MD Operator’s Guide A-25The total efficacy of consecutive rectilinear bipha

Safety Considerations9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-13Safety ConsiderationsAll operators should review these safety considerations b

SpecificationsA-26 www.zoll.com 9650-0805-01 Rev. ASynchronized Cardioversion of Atrial FibrillationCardioversion of atrial fibrillation (AF) and ove

Electromagnetic Compatibility Guidance and Manufacturer’s Declaration9650-0805-01 Rev. A Propaq MD Operator’s Guide A-27Electromagnetic Compatibility

SpecificationsA-28 www.zoll.com 9650-0805-01 Rev. AGuidance and Manufacturer’s Declaration – Electromagnetic(IEC 60601-1-2 Table 202)The Propaq MD un

Electromagnetic Compatibility Guidance and Manufacturer’s Declaration9650-0805-01 Rev. A Propaq MD Operator’s Guide A-29Guidance and Manufacturer’s De

SpecificationsA-30 www.zoll.com 9650-0805-01 Rev. ARecommended Separation Distances Between Portable and Mobile RF Communications Equipment and the P

9650-0805-01 Rev. A Propaq MD Operator’s Guide B-1Appendix BAccessoriesThe following accessories are compatible for use with the Propaq MD. To order a

ACCESSORIESB-2 www.zoll.com 9650-0805-01 Rev. AFilterLine H Set, Adult/Pediatric, box of 25FilterLine H Set, Infant/Neonate, box of 25FilterLine Set,

9650-0805-01 Rev. A Propaq MD Operator’s Guide B-3YSI Reusable Adult, Esophageal/RectalYSI Reusable Pediatric, Esophageal/RectalSensor Adapter Cable f

ACCESSORIESB-4 www.zoll.com 9650-0805-01 Rev. AOther AccessoriesPropaq MD Molded Carrying CaseECG 50mm Chart Recorder Paper

CHAPTER 1GENERAL INFORMATION1-14 www.zoll.com 9650-0805-01 Rev. AThe Propaq MD unit might not perform to specifications when stored at the upper or l

Warnings9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-15Equipment such as electrocautery or diathermy equipment, RFID readers, electronic article s

CHAPTER 1GENERAL INFORMATION1-16 www.zoll.com 9650-0805-01 Rev. ABefore charging the defibrillator, verify that the energy selected on the display is

Warnings9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-17Transcutaneous pacing may cause discomfort ranging from mild to severe, depending on the pa

CHAPTER 1GENERAL INFORMATION1-18 www.zoll.com 9650-0805-01 Rev. ANoninvasive Blood PressureOnly a physician can interpret pressure measurements.Blood

Warnings9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-19CO2During MRI scanning, the monitor must be placed outside the MRI suite. When the monitor

9650-0805-01 Rev. A Propaq MD Operator’s Guide iTable of ContentsChapter 1 General InformationProduct Description ...

CHAPTER 1GENERAL INFORMATION1-20 www.zoll.com 9650-0805-01 Rev. AIf the LOW BATTERY icon appears, plug the Propaq MD unit into a power source or inst

Warnings9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-21Do not touch the bed, patient, or any equipment connected to the patient during defibrillat

CHAPTER 1GENERAL INFORMATION1-22 www.zoll.com 9650-0805-01 Rev. ADuring electrosurgery, observe the following guidelines to minimize electrosurgery u

Restarting the Defibrillator9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-23Restarting the DefibrillatorCertain events require the Propaq MD produc

CHAPTER 1GENERAL INFORMATION1-24 www.zoll.com 9650-0805-01 Rev. ANotification of Adverse EventsAs a health care provider, you may have responsibiliti

Service9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-25ServiceThe Propaq MD only requires recalibration of the CO2 module. Service is required afte

CHAPTER 1GENERAL INFORMATION1-26 www.zoll.com 9650-0805-01 Rev. AReturning a unit for serviceBefore sending a unit to the ZOLL Technical Service Depa

9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–1Chapter 2Product OverviewDefibrillator Controls and Indicators52916457835

CHAPTER 2PRODUCT OVERVIEW2–2 www.zoll.com 9650-0805-01 Rev. AThe Front PanelThe front panel of the Propaq MD device includes the display screen, quick

Defibrillator Controls and Indicators9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–3Table 2-2. Propaq Controls and IndicatorsControl or Indicator D

TABLE OF CONTENTSii www.zoll.com 9650-0805-01 Rev. ARestarting the Defibrillator ...

CHAPTER 2PRODUCT OVERVIEW2–4 www.zoll.com 9650-0805-01 Rev. ADisplay ScreenThe front panel includes a color display which shows:• Date and time• Patie

Defibrillator Controls and Indicators9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–5• EtCO2 numeric data• Invasive pressure numeric data• The selec

CHAPTER 2PRODUCT OVERVIEW2–6 www.zoll.com 9650-0805-01 Rev. ABattery Status and Auxiliary Power IndicatorsThe battery status indicator displays variou

Defibrillator Controls and Indicators9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–7Patient Cables and ConnectorsThe left and right sides of the un

CHAPTER 2PRODUCT OVERVIEW2–8 www.zoll.com 9650-0805-01 Rev. AMultifunction Cable (MFC)The unit ships with an MFC that is used to defibrillate the pati

Defibrillator Controls and Indicators9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–9Removing MFC from UnitTwist the connector to the left to unlock

CHAPTER 2PRODUCT OVERVIEW2–10 www.zoll.com 9650-0805-01 Rev. AFigure 2-7. MFC Connected to APEX PaddleIf you need to detach the MFC from the APEX pad

Defibrillator Controls and Indicators9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–11Pediatric-size electrodes are built in to the paddle assembly

CHAPTER 2PRODUCT OVERVIEW2–12 www.zoll.com 9650-0805-01 Rev. ATo connect the auxiliary power adapter, align the white arrow of the auxiliary power con

Navigating the Display Screen9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–13Table 2-3. Propaq MD Quick Access KeysQuick access key DescriptionLead

9650-0805-01 Rev. A Propaq MD Operator’s Guide iiiChapter 5 AlarmsVisual Alarm Indicators ...

CHAPTER 2PRODUCT OVERVIEW2–14 www.zoll.com 9650-0805-01 Rev. ATransfer Log Transfers the current data in the log to a USB drive.Clear Log Deletes the

Navigating the Display Screen9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–15Navigation Keys Use the navigation keys (up/clockwise arrow, down/coun

CHAPTER 2PRODUCT OVERVIEW2–16 www.zoll.com 9650-0805-01 Rev. ACommon TasksThe section contains procedures for the following tasks:• “Changing the Disp

Common Tasks9650-0805-01 Rev. A Propaq MD Operator’s Guide 2–172. Push the battery into place.Figure 2-13. Installing a Battery PackUsing Treatment Bu

CHAPTER 2PRODUCT OVERVIEW2–18 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 3-1Chapter 3Monitoring OverviewThis chapter provides an overview of the Propaq MD unit’s monitoring fun

CHAPTER 3MONITORING OVERVIEW3-2 www.zoll.com 9650-0805-01 Rev. AECG An ECG waveform trace appears at the top of the display area. You can specify tha

Monitoring Display Options9650-0805-01 Rev. A Propaq MD Operator’s Guide 3-3Capnography (CO2) CO2 monitoring measures the CO2 concentration in a patie

CHAPTER 3MONITORING OVERVIEW3-4 www.zoll.com 9650-0805-01 Rev. AYou can display up to four waveform traces that you specify on the Waveform Display w

Monitoring Display Options9650-0805-01 Rev. A Propaq MD Operator’s Guide 3-5 03/23/2009 12:34:56Adult00:17:43I, II,III...IBP12CO2Analyze1 cm/mV

TABLE OF CONTENTSiv www.zoll.com 9650-0805-01 Rev. AApplying the Cuff to the Patient ...

CHAPTER 3MONITORING OVERVIEW3-6 www.zoll.com 9650-0805-01 Rev. APress the Home/Display button when viewing the Trends Status window and the Large Num

Configuring the Waveform Display9650-0805-01 Rev. A Propaq MD Operator’s Guide 3-7Configuring the Waveform DisplayYou can display up to four waveform

CHAPTER 3MONITORING OVERVIEW3-8 www.zoll.com 9650-0805-01 Rev. AWhen the unit cascades the ECG Lead lI trace, the Waveform Display window appears as

Configuring the Waveform Display9650-0805-01 Rev. A Propaq MD Operator’s Guide 3-9Inserting a third waveform trace for ECG lead aVR:03/23/2009

CHAPTER 3MONITORING OVERVIEW3-10 www.zoll.com 9650-0805-01 Rev. AInserting a capnogram (CO2) into the fourth trace area: 03/23/2009 12:34:56 A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 4-1Chapter 4TrendsThe Propaq MD unit accumulates a patient’s trend information by logging all monitored

CHAPTER 4TRENDS4-2 www.zoll.com 9650-0805-01 Rev. AFigure 4-1 Trends Status windowThe Trends status window displays the logged trend information and

Changing the Trends Status Window Display9650-0805-01 Rev. A Propaq MD Operator’s Guide 4-3Changing the Trends Status Window DisplayBy default, the Tr

CHAPTER 4TRENDS4-4 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 5-1Chapter 5AlarmsThe Propaq MD unit supports the detection and indication of patient alarms and techni

9650-0805-01 Rev. A Propaq MD Operator’s Guide vChapter 11 Monitoring Invasive Pressures (IBP)Invasive Pressure Transducers ...

CHAPTER 5ALARMS5-2 www.zoll.com 9650-0805-01 Rev. AAudible Alarm IndicatorsThe Propaq MD unit sounds an audible alarm to indicate the priority level

Patient Alarm Display9650-0805-01 Rev. A Propaq MD Operator’s Guide 5-3Patient Alarm DisplayWhen a patient’s vital signs measurements trigger an alarm

CHAPTER 5ALARMS5-4 www.zoll.com 9650-0805-01 Rev. AIn the following example, an equipment alert message indicates that the SpO2 sensor has become una

Suspending Alarms9650-0805-01 Rev. A Propaq MD Operator’s Guide 5-5Re-enabling an AlarmTo re-enable an alarm before the alarm silence period has expir

CHAPTER 5ALARMS5-6 www.zoll.com 9650-0805-01 Rev. AThe Alarm Suspension TimerDuring an alarm suspension, the window displays an alarm suspension time

Alarm Options9650-0805-01 Rev. A Propaq MD Operator’s Guide 5-7Alarm OptionsThe Propaq MD unit provides alarm options that you can specify through the

CHAPTER 5ALARMS5-8 www.zoll.com 9650-0805-01 Rev. ASelecting Default Alarm LimitsThe first three options -- Default Adult, Default Pediatric, Default

Alarm Options9650-0805-01 Rev. A Propaq MD Operator’s Guide 5-9SpO2(%)Entire range Limit = 100 (Adult and Pediatric)Limit = Numeric + 5 (Neo-nate)Limi

CHAPTER 5ALARMS5-10 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 6-1Chapter 6Monitoring ECGThis chapter describes how to use the Propaq MD unit to monitor ECG.Propaq MD

TABLE OF CONTENTSvi www.zoll.com 9650-0805-01 Rev. AChapter 14 Manual DefibrillationEmergency Defibrillation Procedure with Paddles...

CHAPTER 6MONITORING ECG6-2 www.zoll.com 9650-0805-01 Rev. A• To avoid a shock hazard and interference from nearby electrical equipment, keep electrod

ECG Monitoring Setup9650-0805-01 Rev. A Propaq MD Operator’s Guide 6-3Applying Electrodes to the PatientThe following sections show where to place ele

CHAPTER 6MONITORING ECG6-4 www.zoll.com 9650-0805-01 Rev. A5-Lead Electrode PlacementDepending upon local usage, the ECG leads are marked either RA,

ECG Monitoring Setup9650-0805-01 Rev. A Propaq MD Operator’s Guide 6-5Figure 6-2 5-Lead Electrode PlacementConnecting the ECG Cable To the Propaq MD U

CHAPTER 6MONITORING ECG6-6 www.zoll.com 9650-0805-01 Rev. ASelecting ECG Waveforms for DisplayYou can fit up to four waveforms on the Propaq MD displ

ECG Monitoring Setup9650-0805-01 Rev. A Propaq MD Operator’s Guide 6-7Select a current waveform source, and the unit displays the waveform immediately

CHAPTER 6MONITORING ECG6-8 www.zoll.com 9650-0805-01 Rev. ASelecting the Waveform Trace SizeThe Propaq MD unit allows you to select the waveform trac

ECG Monitoring and Pacemakers9650-0805-01 Rev. A Propaq MD Operator’s Guide 6-9ECG Monitoring and PacemakersWhen the unit performs ECG monitoring on a

CHAPTER 6MONITORING ECG6-10 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01 Rev. A Propaq MD Operator’s Guide 7-1Chapter 7Monitoring Respiration (Resp) and Heart Rate (HR)This chapter describes how to use the Prop

9650-0805-01 Rev. A Propaq MD Operator’s Guide viiPacing in Fixed Mode ...

Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)7-2 www.zoll.com 9650-0805-01 Rev. ARespiration/Breath Rate MeterIf enabled, the Propaq MD

Configuring Respiration (RR/BR) Alarms and Settings9650-0805-01 Rev. A Propaq MD Operator’s Guide 7-3Configuring Respiration (RR/BR) Alarms and Settin

Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)7-4 www.zoll.com 9650-0805-01 Rev. ARespiration Rate Alarm LimitsInitially, the Resp Alarm

Heart Rate Meter9650-0805-01 Rev. A Propaq MD Operator’s Guide 7-5Enabling/Disabling Resp MonitoringSelect the Resp Monitoring prompt to enable or dis

Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)7-6 www.zoll.com 9650-0805-01 Rev. AEnabling/Disabling HR Alarms and Setting Alarm LimitsW

Configuring Heart Rate (HR) Meter Alarms9650-0805-01 Rev. A Propaq MD Operator’s Guide 7-7Using the Heart Rate Parameter Control PanelTo configure ala

Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)7-8 www.zoll.com 9650-0805-01 Rev. A

9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-1Chapter 8Monitoring Non-Invasive Blood Pressure (NIBP)The Propaq MD NIBP input is Type CF defibrill

CHAPTER 8MONITORING NON-INVASIVE BLOOD PRESSURE (NIBP)8-2 www.zoll.com 9650-0805-01- Rev. A• Do not use NIBP without proper training. Check that the

The NIBP Numeric Display9650-0805-01- Rev. A Propaq MD Operator’s Guide 8-33. The NIBP option automatically adjusts the blood pressure measurement pro