Zoll AED Plus Users Manual X PDF
Zoll AED Plus Users Manual X PDF
Zoll AED Plus Users Manual X PDF
Administrator’s Guide
9650-0301-01 Rev. X
This issue date for the ZOLL AED Plus Administrator’s Guide, (REF 9650-0301-01 Rev X) is
March, 2016.
If more than 3 years have elapsed since the issue date, contact ZOLL Medical Corporation to determine if
additional product information updates are available.
Copyright © 2016 ZOLL Medical Corporation. All rights reserved. AED Plus, AED Pro, CPR-D-padz,
M Series, pedi-padz, Real CPR Help, Rectilinear Biphasic, RescueNet, stat-padz and ZOLL are
trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other
countries.
All other trademarks and registered trademarks are property of their respective owners.
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Table of Contents
PREFACE ................................................................................................................................................................................................... v
SAFETY SUMMARY.................................................................................................................................................................................. vi
Warnings..................................................................................................................................................................................................... vi
Cautions ..................................................................................................................................................................................................... vii
Indications for Use................................................................................................................................................................................... vii
Contraindications for Use ..................................................................................................................................................................... vii
Intended Users of the Device ............................................................................................................................................................... vii
Tracking Requirements.......................................................................................................................................................................... viii
Notification of Adverse Events............................................................................................................................................................ viii
Unpacking ................................................................................................................................................................................................. viii
Conventions ............................................................................................................................................................................................. viii
Symbols .......................................................................................................................................................................................................ix
INTRODUCTION ..................................................................................................................................................................................... 1
Using the ZOLL AED Plus .......................................................................................................................................................................1
Using Real CPR Help® ..............................................................................................................................................................................2
OPERATION............................................................................................................................................................................................. 3
Operating Controls and Indicators........................................................................................................................................................3
Using the AED Plus Graphical User Interface.....................................................................................................................................5
Voice Prompts ............................................................................................................................................................................................6
Using the LCD Display .............................................................................................................................................................................9
Using the Passive Airway Support System (PASS) .......................................................................................................................... 10
Using Electrodes...................................................................................................................................................................................... 11
Applying CPR-D-padz ............................................................................................................................................................................ 12
Applying pedi-padz II (Infant/Child Electrodes)................................................................................................................................ 13
Using the CPR Monitoring Function — Real CPR Help................................................................................................................ 14
Using the Audio Recording Option .................................................................................................................................................... 14
INSTALLATION AND SELF TEST...........................................................................................................................................................15
Inspecting the Unit.................................................................................................................................................................................. 15
Preparing the AED Plus for Use.......................................................................................................................................................... 15
Using the Self Test Feature................................................................................................................................................................... 16
Battery Installation Self Test ...................................................................................................................................................................................... 16
Power On Self Test ..................................................................................................................................................................................................... 17
Manual Self Test............................................................................................................................................................................................................ 17
Automatic Self Test...................................................................................................................................................................................................... 18
Automatic Monthly Test (software version 5.32 or higher only) ..................................................................................................................... 18
Installing or Replacing Batteries........................................................................................................................................................... 18
Identifying Battery Condition ............................................................................................................................................................... 20
MAINTENANCE AND TROUBLESHOOTING .......................................................................................................................................22
Maintaining the AED Plus...................................................................................................................................................................... 22
Maintenance Checklist ................................................................................................................................................................................................ 22
Cleaning the AED Plus........................................................................................................................................................................... 22
Optional Maintenance for Technical Professionals ......................................................................................................................... 23
Troubleshooting...................................................................................................................................................................................... 24
Contacting Technical Service ............................................................................................................................................................... 25
International Customers............................................................................................................................................................................................. 25
Warnings
• Use the AED Plus unit only as described in this manual. Improper use of the device can cause death
or injury.
• DO NOT use or place the AED Plus unit in service until you have read the AED Plus Operator’s and
Administrator’s Guides.
• DO NOT use or place the AED Plus unit in service if the unit’s status indicator window (located on
the left side of the handle) displays a red “X”.
• DO NOT use or place the AED Plus unit in service if the unit emits a beeping tone.
• Connect the electrode cable to the AED Plus unit after installing batteries.
• Keep the electrode cable connected to the AED Plus unit at all times.
• This device should only be used by properly trained individuals.
• Only use electrodes labeled “Infant/Child” on children less than 8 years old or weighing less than
55 lbs (25 kg). Use CPR-D-padz® if victim is older than 8 years or weighs more than 55 lbs (25 kg).
• Always stand clear of victim when delivering a shock. Defibrillation energy delivered to the victim
may be conducted through the victim’s body and cause a lethal shock to those touching the victim.
• DO NOT TOUCH the electrode surfaces, the victim, or any conductive material touching the victim
during ECG analysis or defibrillation.
• Move victim away from electrically conductive surfaces prior to use of equipment.
• DO NOT use this unit near or within puddles of water.
• Keep the victim as motionless as possible during ECG analysis.
• DO NOT use this unit near flammable agents, such as gasoline, oxygen-rich atmospheres or
flammable anesthetics.
• Avoid radio frequency interference from high-power sources that might cause the defibrillator to
interpret cardiac rhythms incorrectly by turning off cell phones and 2 way-radios.
• Disconnect non-defibrillation protected electronic devices or equipment from victim before
defibrillation.
• Dry victim’s chest, if wet, before attaching electrodes.
• Apply freshly opened and undamaged electrodes, within the electrode expiration date, to clean and
dry skin to minimize burning.
• DO NOT place the electrodes directly over the victim’s implanted pacemaker. Pacemaker stimuli
may degrade the accuracy of ECG rhythm analyses or the pacemaker may be damaged by
defibrillator discharges.
• Check labeling inside the AED Plus cover before using the cover as a Passive Airway Support
System (PASS) device. Ensure it is intended for this use.
• DO NOT use Passive Airway Support System (PASS) if there is a suspected head or neck injury.
Place victim on a firm surface before performing cardiopulmonary resuscitation.
• DO NOT recharge, disassemble, or dispose of batteries in fire. Batteries may explode, if mistreated.
• Do not use or stack the AED Plus unit with other equipment. If the unit is used or stacked with other
equipment, verify proper operation prior to use.
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.
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.
Unpacking
• Carefully inspect each packing container for damage.
• Examine the unit for any signs of damage that may have occurred during shipping.
• If the contents are incomplete or damaged or if the unit fails to pass its self test as indicated by a Red
“X” in the status indicator window after battery installation, contact ZOLL Medical Corporation’s
Technical Service Department.
• Review the shipping list to insure that all items ordered were received.
Conventions
Throughout this document, 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
unit.
DANGEROUS VOLTAGE
Push button
Manufacturer
Serial Number
Catalogue number
WARNING! Real CPR Help is intended for use on adult victims only; do not use on victims
under 8 years of age.
The adaptive metronome function is disabled during periods when CPR should not be performed (for
example, during ECG analyses and defibrillation shock sequences). During periods when CPR may be
indicated, the metronome begins issuing audible beeps following detection of the rescuer’s first few
compressions. The beeps continue automatically (at rates described below) until a few seconds after
chest compressions are halted by the rescuer or until the recommended “CPR period” ends (2 minutes
for AHA and ERC protocols). If the rescuer ceases chest compressions during the CPR period,
metronome beeps stop within a few seconds after compressions are halted. Audible beeps resume
during the CPR period following any re-initiation of CPR compressions. If no CPR compressions are
detected during “CPR periods”, the AED Plus periodically re-issues the CONTINUE CPR prompt.
The rate of beeps issued by the AED Plus adaptive metronome function adapts to the rescuer’s actual
chest compression rate. The metronome will beep at 100 CPM when chest compressions are delivered
at greater than 80 compressions per minute (CPM). Should the rescuer fail to deliver compressions at
80 CPM or greater, the metronome will beep at a rate that is approximately 15 CPM higher than the
rescuer’s actual rate. This increased metronome rate is intended to encourage the rescuer to increase
his/her chest compression rate until the recommended 100 CPM rate is achieved. The metronome beeps
at a minimum rate of 60 CPM in cases where the rescuer’s compression rate is substantially below
60 CPM.
During CPR, the AED Plus may issue one or more audible prompts based on the depth of chest
compressions detected. When Real CPR Help determines that compression depth is consistently less
than 2 inches, a PUSH HARDER prompt will be issued. A GOOD COMPRESSION prompt will be
issued if the rescuer responds by increasing compression depth to 2 inches or more.
The AED Plus unit can be configured to display the FULLY RELEASE text prompt to remind the user
to lift the hands off the chest during CPR. By default, this text prompt is not enabled.
Status
Indicator
On/Off Button
Speaker (bottom)
Shock Button
Control/Indicator Description
Indicator lights Illuminates to indicate which step rescuer must take to treat a victim.
Shock Button Illuminates when the AED Plus is charged and ready to deliver a shock to the
victim.
When pressed, causes the charged and ready AED Plus to discharge its
energy into the victim.
When the AED Plus is not charged the lighted button is extinguished.
Pressing this button initiates a voice prompt that indicates the number of
defibrillator shocks delivered since the unit was powered on.
Pictograms Icons that explain the series of steps needed for resuscitation and
defibrillation.
Status Indicator
Illuminated check mark indicates the unit passed its last self test and is ready
for use.
Illuminated “X” indicates unit has failed its self test and is not ready for use
LCD Display Displays elapsed time, shock count, user prompts, CPR compression depths
and ECG waveforms.
IrDA Port Provides a communications link between the defibrillator and a personal
computer or another IrDA equipped device.
PASS Cover Some AED Plus models include a cover that may be used as a shoulder
(optional) support to aid victim airway management. The PASS can be ordered
separately for other AED Plus models (see “Ordering Accessories” on
page 27).
Battery Holds 10 123A lithium manganese dioxide batteries used to power the unit.
Compartment
Speaker Provides audio prompts and metronome beeps that direct rescuers on what to
do during a rescue; also provides voice prompts to indicate if service is
required.
Microphone When voice recording option is installed, this microphone picks up and
(optional) records ambient sounds, including rescuer’s voice.
The AED Plus unit contains an LCD display (some special models do not have an LCD) that displays
elapsed time, number of shocks delivered, text messages corresponding to the voice prompts, and
depth of CPR compressions. The LCD can also be configured to display the acquired ECG signals.
When the AED Plus is turned on, the unit automatically initiates the sequence of voice prompts and
graphic illuminations for a rescue event. The sequence continues until the AED Plus is turned off or
the electrodes are disconnected from the victim for an extended period of time. As soon as electrodes
are attached to the victim and impedance of the connection is verified, the unit stops cycling through
the above-mentioned voice and graphic illumination sequence and automatically begins analysis of
the ECG rhythm.
Following the results of this ECG analysis, voice prompts tell the rescuer whether a shockable or
non-shockable rhythm has been detected. If a shockable ECG rhythm is present, the graphics
illuminate and voice prompts guide the rescuer through the defibrillation sequence. When no shock is
advised, the AED Plus issues the audio prompts, NO SHOCK ADVISED and START CPR, and
illuminates the CPR-related graphics. A period of 2 minutes (depending upon device configuration)
is then allowed for rescuer CPR. Following this “CPR period”, the AED Plus automatically re-initiates
a new ECG rhythm analysis.
Voice Prompts
During clinical use of the AED Plus, you may hear the following voice prompts.
Table 2: Clinical Voice Prompts
UNIT OK. AED Plus has successfully passed its power up self tests.
UNIT FAILED. AED Plus has failed its power up self tests and is not usable for
victim care.
CHANGE BATTERIES. AED Plus self test has detected a low battery condition that is
insufficient for the device’s use for victim care. Replace batteries
immediately.
STAY CALM. Relax as much as possible and focus on the rescue effort.
CALL FOR HELP. Activate the EMS system or ask a bystander to do it for you.
OPEN AIRWAY. Place victim in the supine position and perform Head Tilt – Chin
Lift or Jaw – Thrust maneuver to open victim’s airway. (This
prompt is off by default.)
CHECK BREATHING. Look, listen or feel for the presence of breathing and/or airflow
from the victim’s lungs. (This prompt is off by default.)
GIVE TWO BREATHS. If victim is not breathing, give two rescue breaths. (This prompt
is off by default.)
PLUG IN CABLE. Ensure that the electrode cable is properly connected to the AED
Plus electrode connector.
ATTACH DEFIB PADS TO Attach defibrillation pads to the victim’s bare chest.
PATIENT’S BARE CHEST.
CHECK ELECTRODE PADS. Previously attached electrodes are not making good contact with
the victim’s skin or the electrodes are defective.
ADULT PADS. AED Plus has detected adult electrode pads connected to it and
adjusted defibrillation energy settings to adult levels.
PEDIATRIC PADS. AED Plus has detected pediatric electrode pads connected to it
and adjusted defibrillation energy settings to pediatric levels.
DON’T TOUCH PATIENT, Do not touch victim, an ECG rhythm analysis is in progress or
ANALYZING. about to begin.
SHOCK ADVISED. ECG rhythm analysis has detected the presence of ventricular
fibrillation or shockable ventricular tachycardia.
NO SHOCK ADVISED. ECG rhythm analysis has detected a rhythm that is not treatable
by defibrillation.
ANALYSIS HALTED. KEEP ECG rhythm analysis has been halted due to excessive ECG
PATIENT STILL. signal artifact. Stop any ongoing CPR and keep the victim as
motionless as possible.
DON’T TOUCH PATIENT. Warn all persons in attendance of the victim to stand clear and
PRESS FLASHING SHOCK stop touching the victim. Press the Shock Button to deliver
BUTTON. defibrillation therapy.
RELEASE SHOCK BUTTON. Shock Button was depressed before the defibrillator was ready to
defibrillate. Release the Shock Button and press again after the
ready tone sounds.
SHOCK DELIVERED. A defibrillation shock has just been delivered to the victim.
NO SHOCK DELIVERED. No shock was delivered to the victim because rescuer failed to
press Shock Button or an error condition was detected.
n SHOCKS DELIVERED. A total of n shocks have been delivered since the AED Plus was
turned on.
CONTINUE CPR. Continue providing CPR. This prompt may also be issued if
Real CPR Help fails to detect chest compressions at least ¾ of an
inch deep.
PUSH HARDER. CPR compressions are consistently less than 2 inches deep.
STOP CPR. Stop CPR, the AED Plus is about to begin an ECG rhythm
analysis.
IF NEW BATTERIES, Press the Battery Reset Button located in the battery compartment
PRESS BUTTON. after replacing ALL batteries in the device with new batteries.
NON-RESCUE MODE. AED Plus device has entered the diagnostics/data communications
mode.
CPR Depth of
Shock Count Elapsed Time Compression Indicator
CHECK
2” (5 cm) RESPONSIVENESS 2” (5 cm)
depth depth
CHECK
2.4” (6 cm) 2.4” (6 cm)
RESPONSIVENESS depth depth
Shock Count (Upper left corner of screen): Indicates the total number of defibrillation shocks
delivered by the AED Plus since it was last powered on. Shock count is saved through brief power off
periods (< 5 seconds). When the AED Plus is turned off for more than 5 seconds, the shock count is
reset to 0.
Elapsed Time (Upper right corner of screen): Indicates the total time in minutes and seconds that has
elapsed since the AED Plus was last powered on. Elapsed time continues to be counted through brief
power off periods (< 5 seconds). When the AED Plus is turned off for more than 5 seconds, elapsed
time is reset to 00:00. When elapsed time exceeds 99 minutes and 59 seconds, the timer wraps around
to 00:00 and continues counting.
CPR Depth of Compression Indicator (Right side of screen): A bar graph is displayed that shows
the depth of chest compressions measured during the delivery of CPR. Indicator lines are displayed in
the bar graph area at 2 and 2.4 inches of compression depth to provide reference points for rescuers
performing CPR.
Visual User Prompts (Lower 1/3 of screen): Whenever the AED Plus issues a voice prompt, the text
of the voice prompt is simultaneously displayed on the LCD display.
ECG Waveform (Center portion of screen): Although AED Plus units do not display ECG waveforms
in their factory default configuration, the device can be specifically set up to continuously display
ECG signals as they are acquired.
WARNING! DO NOT use PASS if suspected head or neck injury. Place victim on a firm
surface before performing CPR.
If the victim requires airway support and there is no evidence of head or neck trauma, roll the victim on
his/her side and then roll him/her back over so that the PASS is under the victim’s shoulders causing the
head to tilt backwards.
For PASS COVERS only: The shape of the PASS, when placed under the shoulders of the victim, can
be used to help maintain an open airway (see Figure 4).
The unit cover also functions as the Passive Airway Place the PASS under the victim to lift his/her shoulders.
Support System (PASS). Do not use the PASS if there is a suspected head or neck
injury.
The AED Plus supports both adult and pediatric electrode pads. The device automatically adjusts
defibrillation energy to adult or pediatric levels depending on the type of electrodes connected to it.
Make sure that the electrode pads used are appropriate for the victim.
WARNING! DO NOT use adult electrode pads or CPR-D•padz on victims under 8 years
of age.
The AED Plus uses electrode packs that are connected to the unit by a cable. The package contains
electrodes that you attach to the victim.
• Make sure to install a new package of electrodes and connect the electrode cable to the unit after
each use, to prepare for future emergencies.
• Check the electrode expiration date regularly to ensure that electrodes are fresh and ready to use
in an emergency situation.
• Replace electrodes, if expired
• After the AED Plus is powered on and completes its self-test, the unit will issue an “Adult Pads”
voice prompt or a “Pediatric Pads” voice prompt to indicate the type of electrodes connected to the
unit. Verify that the connected electrode pads are appropriate for the victim being treated. Connect
alternate electrode pads if necessary.
If the electrodes are not attached properly, the unit issues the CHECK ELECTRODE PADS or the
ATTACH ELECTRODE PADS voice prompt during operation. If the electrode cable is not properly
attached to the unit, the unit issues the PLUG IN CABLE prompt. Make certain to connect the electrode
cable to the AED Plus unit and attach the electrodes to the victim properly.
WARNING! Electrodes must be pre-attached to the device. Keep the electrode cable
connected to the AED Plus unit at all times.
NOTE Electrodes 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! CPR-D-padz are intended for use on adult victims only; do not use on victims
under 8 years of age.
NOTE If the victim is large or there is a need to place the electrode under a breast, you may need to tear away
the lower pad at the perforated line (see Figure 5) and extend the pad. Place the pad slightly to the victim’s
left and below the victim’s left breast.
NOTE If the victim has an implanted pacemaker or defibrillator in the upper right chest, angle the electrodes
slightly to avoid placing the electrodes over either device. Make certain that the CPR sensor maintains a
position over the lower half of the breastbone.
0123
®
ZOLL Medical Corporation 269 Mill Road
Chelmsford, MA 01824-4105 USA 978-421-9655
NOTE The pedi-padz II (infant/child electrodes) can also be used with ZOLL pacemaker products for up to one
hour of pacing (see the M Series Operator’s Guide for information about pacing).
®
II
Infant/Child Defibrillation Electrodes
0-8 Years <55lbs / 25kg
3
2
0123
®
ZOLL Medical Corporation 269 Mill Road
Chelmsford, MA 01824-4105 USA 978-421-9655
9305-0627-01 Rev. 1
NOTE If the AED Plus prompts you to PUSH HARDER, your compressions are less than 2 inches deep. Increase
your compression depth to improve CPR performance.
4. Deliver the appropriate number of rescue breaths then resume chest compressions. The metronome
will begin to beep again after your first few compressions have been delivered.
NOTE The AED Plus allows for up to 3 minutes of audio recording prior to electrode attachment. When you
turn the unit off, the first indicator light (LED) on the graphical user interface illuminates and the second
indicator light (LED) flashes intermittently while the unit stores the data in memory.
Whenever the device detects a clinical event in rescue mode, the AED Plus deletes previously stored
data (ECG, Audio and Event) from memory before data for the current rescue is recorded. Overwriting
of old ECG, audio and event data begins 10 seconds after the electrodes are properly connected to the
victim. However, if the AED Plus is started in Non-rescue Mode, the recorded data of the last rescue is
retained and may be uploaded to a data storage or archiving system.
NOTE If the electrodes are not connected to the AED Plus unit, the device will fail the self test and display
a red “X” in the status indicator window.
5. If the status indicator displays a red X, install new batteries. (See “Installing or Replacing
Batteries” on page 18.)
6. Close the top cover of the AED Plus unit and initiate a self test by pressing the Power Button.
Verify that the unit issues the UNIT OK voice prompt. This prompt indicates that the new batteries
and electrodes are properly installed and that the unit is ready for service.
7. Verify that the AED Plus unit issues the appropriate “Adult Pads” or “Pediatric Pads” voice
prompt.
8. Turn the AED Plus unit off.
9. Wait 2 minutes. Verify that the green check symbol () appears in the status indicator window
and that the unit does not emit a beeping tone.
10. Place the AED Plus unit in service.
11. Check the AED Plus unit periodically to ensure that the green check symbol () appears in the
status indicator window.
NOTE If the status indicator displays a red X following completion of the above test, the AED Plus is not
ready for use and may be defective. Remove the AED Plus from service and consult the
Troubleshooting section on page 23 of this guide to help determine the problem.
CAUTION! DO NOT press the Battery Reset Button unless all batteries are new. Pressing the Battery Reset
Button when used batteries are installed may result in a false high reading of battery capacity. See
the “Installing or Replacing Batteries” on page 18 for more information.
SHOCKS: 00 00:12
Boot File Version B:03.31 P:05.10 Application Software Version
Language File Version L:05.00 C:02.00 Firmware Version
H:10.00
Hardware Version
NOTE For units with software below version 5.32, batteries must be replaced every 3 years regardless of test
results.
2. Defibrillation Electrodes Connection: Verifies that the defibrillation electrodes are properly pre-
connected to the device.
3. ECG Circuitry: Verifies that the ECG signal acquisition and processing electronics are functional.
4. Defibrillator Charge and Discharge Circuitry: Verifies that the device’s defibrillator electronics
are functional and can charge and discharge at 200 joules.
5. Microprocessor Hardware/Software: Verifies proper function of the AED Plus microprocessor
electronics and the integrity of its software.
6. CPR Circuitry and Sensor: Verifies that CPR monitoring and compression depth detection are
functional.
7. Audio Circuitry: Verifies that voice prompts are functional.
8. Display: Verifies that visual indicators are functional.
NOTE For units with softeware below version 5.32, batteries must be replaced every 3 years regardless of test
results.
2. Defibrillation Electrodes Connection: Verifies that the defibrillation electrodes are properly pre-
connected to the device.
3. ECG Circuitry: Verifies that the ECG signal acquisition and processing electronics are functional.
4. Defibrillator Charge and Discharge Circuitry: Verifies that the device’s defibrillator electronics are
functional and can charge and discharge at 2 joules.
5. Microprocessor Hardware/Software: Verifies proper function of the AED Plus microprocessor
electronics and the integrity of its software.
6. CPR Circuitry and Sensor: Verifies that CPR monitoring and compression depth detection are
functional.
CAUTION! Use Duracell or power one batteries only. Do not use Panasonic, Rayovac, or Varta
batteries. Use of Panasonic, Rayovac, or Varta batteries may result in significantly longer
defibrillator charging times than those required during emergency situations.
These batteries:
• Should be used well before their labeled expiration date.
• Should be checked periodically for the expiration date.
Batteries produced by all recommended manufacturers have a 10 year from date of manufacture shelf
life when not installed in an AED Plus unit.
The following examples demonstrate how to read date codes on Duracell and power one batteries.
Duracell:
The cell date of manufacture is located on each cell label. Format is YYYY/MM, where YYYY = Year
and MM = Month. (Example 2009/08 = August 2009)
power one:
The cell date of manufacture is located on each cell label. Format is MMYY, where MM = Month and
YY = Year. (Example 0809 = August 2009)
To install the batteries:
1. Ensure that the AED Plus is turned off. Open the battery compartment by removing the battery
cover from the back of the unit.
To remove the battery cover, insert a small tool (e.g., flat blade screw driver) into the two slots on
the rear of the unit to depress the latches, then insert the tool into the groove on the bottom to lift
the cover (see Figure 7).
2) Lift cover here
Battery
Compartment
Door
1) Depress latch
here
3. After installing new batteries, press the Battery Reset Button inside the battery compartment when
prompted (see Figure 8). Pressing the button resets the battery usage indicator to full charge.
CAUTION! You MUST replace all 10 batteries at once. Do not replace individual batteries. The AED
Plus cannot detect whether all batteries or only a few batteries have been replaced. Do
not place used batteries into the AED Plus. Using less than fully charged batteries
can affect the unit when performing a rescue. DO NOT press the Battery Reset
Button if all the batteries are not new. The AED Plus then assumes that they are the same
batteries that were just removed.
NOTE If you do not press the Battery Reset Button in the battery well within 15 seconds after installing all
batteries, the AED Plus assumes that the batteries installed in the device were temporarily removed, and
are not fully charged.
NOTE Because Lithium Manganese Dioxide battery cells do not contain toxic materials, they may be disposed of
in general trash after discharge or when properly protected against shorting between terminals.
Low Battery with AED Audible beep from AED Plus Replace batteries.
Plus off. once every minute.
Low Battery or other self Status Indicator has red “X” Replace batteries. Check or
test failure with AED Plus indicating failure to operate replace electrodes. If red “X”
powered off or during self (when off). remains, return to ZOLL
test. Technical Support for service.
Low Battery with AED CHANGE BATTERIES prompt Replace batteries as soon as
Plus powered on. (unit powered on). possible.
Dead Battery Status Indicator has red “X” Replace batteries. If red “X”
indicating failure to operate remains, return to ZOLL
(when off). Technical Support for service.
Maintenance Checklist
Use the following maintenance checklist when you periodically check your AED Plus.
Table 4: Maintenance Checklist
Are all cables free of cracks, cuts and exposed or broken wires?
Turn the AED Plus on and off and verify the green check indicates ready for
use.
Table 5: Troubleshooting
Self test failed. Initiate manual self test by pressing and holding the
ON/OFF Button for more than 5 seconds. Attempt to
repair the device by replacing the batteries or
electrodes. If the AED Plus fails test again, remove the
AED Plus from service and contact ZOLL Technical
Service.
CHANGE BATTERIES prompt. Replace all batteries with new batteries at the same
time. Press the Battery Reset Button when prompted.
Red “X” in status indicator window. Initiate manual self test by pressing and holding the
ON/OFF Button for more than 5 seconds.
Check to see if cable is attached properly to the AED
Plus or replace the electrodes.
Cycle power on the AED Plus by turning the unit off,
then on again.
Replace all batteries at the same time with new
batteries that are less than 1 year old. Press the Battery
Reset Button when prompted.
If the AED Plus still does not operate correctly, remove
unit from service and contact ZOLL Technical Service.
Beeping noise when AED Plus is off. Remove AED Plus from service and replace batteries.
Replace all batteries at the same time with new
batteries. Press the Battery Reset Button when
prompted.
If beeping continues, contact ZOLL Technical Service.
PLUG IN CABLE prompt. Check cable connection between electrodes and the
AED Plus.
ANALYSIS HALTED. KEEP VICTIM Excessive artifact detected during ECG analysis.
STILL prompt. Victim must be motionless during ECG analysis. Do
not touch the victim during analysis. Keep the victim
still. If the rescuer is using the AED Plus in an
emergency vehicle, bring the vehicle to a halt before
performing ECG analysis.
RELEASE SHOCK BUTTON prompt. Release Shock Button, then press and hold Shock
Button until discharge occurs. If voice prompt
continues, contact ZOLL Technical Service.
Have the following information available for the Technical Service representative:
• Unit serial number.
• Description of the problem.
• Purchase Order or credit card number to allow tracking of loan equipment.
• Purchase Order or credit card number for a unit with an expired warranty.
If you need to send the AED Plus to ZOLL Medical Corporation, obtain a service order request
number from the Technical Service representative. AED Plus units are available on loan at an
additional cost while your AED Plus is being repaired.
Remove all batteries from the AED Plus and return the unit and batteries 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
International Customers
Customers outside of the United States should remove all batteries from the unit and return the unit
and batteries 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.
DEVICE
ENVIRONMENT
DEFIBRILLATOR
The AED Plus is intended for use in the electromagnetic environment specified below. The
customer or the user of the AED Plus should assure that it is used in such an environment.
Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and
put into service according to EMC information provided in this document.
The AED Plus is intended for use in the electromagnetic environment specified below. The
customer or the user of the AED Plus should assure that it is used in such an environment.
NOTE Ut is the a.c. mains voltage prior to application of the test level.
The AED Plus is intended for use in the electromagnetic environment specified below. The
customer or the user of the AED Plus should assure that it is used in such an environment.
The AED Plus is intended for use in an environment in which radiated RF disturbances are controlled. The
customer or the user of the AED Plus can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the AED Plus as
recommended below, according to the maximum output power of the communications equipment.
Rated maximum 150 kHz to 80 150 kHz to 80 80 MHz to 800 800MHz to 2.5
output power of MHz outside MHz in ISM MHz GHz
transmitter ISM bands bands
W d =[ 3.5
3
] P d = [ 12
10 P
] d = [ 12
10 P
] d =[ 23 ]
10 P
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in metres (m) can be determined using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765
MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to
40.70 MHz.
NOTE 3 An additional factor of 10/3 is used in calculating the recommended separation distance for
transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
80 MHz to 2.5 GHz to decrease the likelihood that mobile/portable communications equipment
could cause interference if it is inadvertently brought into patient areas.
NOTE 4 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
First Phase 32 A 26 A 21 A 17 A
Maximum Initial
Current
Interphase duration 150 sec 150 sec 150 sec 150 sec
between first and second
phases
Table 10: Delivered Energy at Each Defibrillator Setting into a Range of Loads
Selected Energy
Load 50 J 70 J 85 J 120 J 150 J 200 J
25 40 J 61 J 66 J 95 J 111 J 146 J
50 51 J 80 J 85 J 124 J 144 J 183 J
75 64 J 89 J 111 J 148 J 172 J 204 J
100 62 J 86 J 108 J 147 J 171 J 201 J
125 63 J 89 J 110 J 137 J 160 J 184 J
150 67 J 93 J 116 J 127 J 148 J 168 J
175 61 J 86 J 107 J 119 J 138 J 155 J
Accuracy ±15% ±15% ±15% ±15% ±15% ±15%
The efficacy of ZOLL’s Rectilinear Biphasic Waveform has been clinically verified during a Ventricular
Fibrillation (VF) and Ventricular Tachycardia (VT) defibrillation study. This study (which was
conducted using ZOLL M Series defibrillators) and the findings are described below. Since the AED
Plus’s Rectilinear Biphasic Waveform employs the same first and second phase timing, similar first and
second phase currents/voltages and essentially the same mechanisms for controlling defibrillation
waveshape, the M Series® and AED Plus defibrillation waveforms are considered substantially
equivalent.
35
Patient
30 Impedance
25 25ohms
50ohms
20 75ohms
100ohms
15 125ohms
150ohms
10 175ohms
Current (A)
-5
-10
-15
-20
-25
-30
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
30
Patient
25 Impedance
25ohms
20 50ohms
75ohms
15 100ohms
125ohms
150ohms
10
175ohms
Current (A)
-5
-10
-15
-20
-25
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
Current (A)
5
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
25
Patient
20 Impedance
25ohms
50ohms
15 75ohms
100ohms
125ohms
10 150ohms
175ohms
Current (A)
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
25
Patient
20 Impedance
25ohms
50ohms
15 75ohms
100ohms
125ohms
10 150ohms
175ohms
Current (A)
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
20
Patient
Impedance
15 25ohms
50ohms
75ohms
100ohms
10 125ohms
150ohms
175ohms
Current (A)
5
-5
-10
-15
0 2 4 6 8 10 12 14 16 18 20
Time (ms)
Monophasic Biphasic
p-value 0.0517
Successful defibrillation with rectilinear biphasic shocks was achieved with 58% less delivered
current than with monophasic shocks (14 ±1 vs. 33 ±7 A, p=0.0001).
Monophasic Biphasic
p-value 0.02
A single patient required a second biphasic shock at 150J to achieve 100% efficacy versus six patients
for whom monophasic shocks of up to 360J were required for 100% total defibrillation efficacy.
Conclusion: The data demonstrate the equivalent efficacy of low energy rectilinear biphasic shocks
compared to standard high energy monophasic shocks for transthoracic defibrillation for all patients
at the 95% confidence level. The data also demonstrate the superior efficacy of low energy rectilinear
biphasic shocks compared to standard high energy monophasic shocks in patients with high
transthoracic impedance at the 90% confidence level. There were no unsafe outcomes or adverse
events due to the use of the rectilinear biphasic waveform.
* Kerber, R., et. al., AHA Scientific Statement, Circulation, 1997; 95: 1677-1682:
“... the task force suggests that to demonstrate superiority of an alternative waveform over standard
waveforms, the upper boundary of the 90% confidence interval of the difference between standard and
alternative waveforms must be < 0% (i.e., alternative is greater than standard).”