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Resumen del manual
Via adhesive pads typically placed in the anterior-posterior position. Philips Medical Systems HEARTSTART M5066A Philips Medical Systems E-5 ECG analysis system category specifications function Evaluates impedance of adhesive pads for proper contact with the patient’s skin, and evaluates the ECG rhythm and signal quality to determine if a shock is appropriate. shockable rhythms Ventricular fibrillation (VF) and some ventricular tachycardias associated with a lack of circulation, including ventricular flutter and polymorphic ventricular tachycardia (VT). The HeartStart uses multiple parameters to determine if a rhythm is shockable. NOTE: For patient safety reasons, some very low-amplitude or low-frequency rhythms may not be interpreted as shockable VF rhythms. Also, some VT rhythms usually associated with circulation will not be interpreted as shockable rhythms. non-shockable rhythms SMART Analysis is designed to detect non-shockable rhythms as defined by AHA/AAMI DF-80. See following table. On detection of any non-shockable rhythm, the HeartStart prompts user to perform CPR if needed. pacemaker detection Pacemaker artifact is removed from the signal for rhythm analysis. artifact detection If electrical “noise” (artifact) is detected which interferes with accurate rhythm analysis, analysis will be delayed until the ECG signal is clean. analysis protocol Depending on results of analysis, either prepares for shock delivery or provides a pause. For details of protocol, see Appendix F, “Configuration.” E ECG analysis performance rhythm class shockable rhythm — ventricular fibrillation shockable rhythm — ventricular tachycardia non-shockable rhythm — normal sinus rhythm non-shockable rhythm — asystole non-shockable rhythm — all other non-shockable rhythmsc meets AHA recommendationsb for adult defibrillation ECG test observed 90% one-sided samplea size performance lower confidence limit 300 sensitivity >90% (87%) (meets AAMI DF80 requirement) 100 sensitivity >75% (67%) (meets AAMI DF80 requirement) 300 specificity >99% (97%) (meets AAMI DF80 requirement) 100 specificity >95% (92%) (meets AAMI DF80 requirement) 450 specificity >95% (88%) (meets AAMI DF80 requirement) a. From Philips Medical Systems Heartstream ECG rhythm databases. b. American Heart Association (AHA) AED Task Force, Subcommittee on AED Safety & Efficacy. Automatic External Defibrillators for Public Access Use: Recommendations for Specifying and Reporting Arrhythmia Analysis Algorithm Performance, Incorporation of New Waveforms, and Enhancing Safety. Circulation 1997;95:1677-1682. c. Supraventricular tachycardia (SVT) is specifically included in the non-shockable rhythm class, in accordance with AHA recommendationsb and the AAMI standard DF80. Philips Medical Systems HEARTSTART M5066A E-7 Accessories specifications Battery M5070A category specifications battery type 9 VDC, 4.2 Ah, lithium manganese dioxide. Disposable, long-life primary cell. capacity When new, a minimum of 200 shocks or 4 hours of operating time at 77° F (25° C). (IEC 60601-2-4 2002) shelf life (prior to insertion) A minimum of 5 years from date of manufacture when stored and maintained according to directions provided in this Owner’s Manual. standby life (after insertion) Typically, 4 years when stored and maintained according to directions provided in this Owner’s Manual. training life Supports 10 hours of use in training mode. HeartStart Adult SMART Pads M5071A and Infant/Child SMART Pads M5072A Philips Medical Systems category specifications adult pads Disposable, adhesive defibrillation pads with a nominal active surface area of 85 cm2 each, provided in a snap-in cartridge with an integrated 54” (137.1 cm), typical, cable. infant/child pads Disposable, adhesive defibrillation pads with a nominal active surface area of 85 cm2 each, provided in a snap-in cartridge with an integrated 40 inch (101.6 cm), typical, cable. Cartridge incorporates teddy bear icon on cover of seal for ready identification. defibrillation pad requirements Use only HeartStart Adult SMART Pads M5071A or Infant/Child SMART Pads M5072A with the HeartStart Defibrillator. E E-8 Environmental considerations By complying with your national regulations regarding disposal of electric, electronic, and battery waste, you can make a positive contribution to our shared environment. Such waste can introduce harmful elements into the environment as a whole and may also endanger human health. product information defibrillator The defibrillator contains electronic components. Do not dispose of it as unsorted municipal waste. Collect such electronic waste separately and dispose of it at an appropriate recycling facility according to your country's regulations. battery The battery cells contain chemicals. The chemistry used in each battery is identified by a symbol on the label; symbols are defined in the defibrillator User's Guide/Instructions for Use/Owner's Manual. Recycle the battery at an appropriate recycling facility...