ZOLL Stat-padz II Gebrauchsanleitung

Stat-padz II Multi-function
®
OPERATING TEMPERATURE:
SHORT TERM STORAGE TEMPERATURE:
LONG TERM STORAGE TEMPERATURE:
ENGLISH / Page 1 of 25
Intended Purpose: To transfer energy for de brillation, cardioversion, non-invasive pacing therapy to the heart and provide ECG monitoring.
Indications for use: For use on adult patients with ZOLL® AED Pro®, AED Plus®, AED 3®, AED 3® BLS, R Series®, X Series®, X Series® Advanced and Propaq® MD by trained
personnel including Physicians, Nurses, Paramedics, Emergency Medical Technicians and Cardiovascular Laboratory Technicians. The Stat-padz electrodes are not indicated
for use on a patient less than 8 years of age or weighing less than 55lbs (25kg).
1. Do not open until ready to use.
2. Periodically inspect electrode packaging for integrity & expiration date.
3. Attach to ZOLL AED Plus, ZOLL AED Pro, or to ZOLL multifunction cable.
Instructions
1. Remove excess chest hair. Clip if necessary to maximize gel to skin contact. Clipping is recommended since shaving
can leave tiny microabrasions that can lead to patient discomfort during pacing.
2. Ensure skin is clean and dry under electrode. Remove any debris, ointments, skin preps, etc. with water
(and mild soap if needed). Wipe o moisture/diaphoresis with dry cloth.
Instructions
1
1. Apply one edge of the pad securely to the patient.
2. "Roll" the electrode smoothly from that edge to the other. Be careful not to trap any pockets of
Pad Skin
air between the gel and skin.
2
Anterior-Posterior
Recommended for defibrillation, non-invasive pacing, ventricular cardioversion,
and ECG monitoring. Optimal for non-invasive pacing because it increases patient
tolerance and decreases capture thresholds.
Posterior:
Grasp the Posterior electrode at the red tab and peel
away from the plastic liner. Place to the left of the spine
just below the scapula at the heart level.
Always apply Posterior electrode first. If Anterior
electrode is already in place when patient is being
maneuvered for placement of the Posterior, the
Anterior may become partially lifted. This could
lead to arcing and skin burns.
Anterior Apical:
Grasp the Anterior Apical electrode at
the red tab and peel away from the
plastic liner. Apply over cardiac apex
with the nipple under adhesive area on
a male patient. Position under breast
on a female patient.
Avoid any contact between nipple
and gel treatment area. Skin of
the nipple area is more susceptible
to burning.
CARDIOVERSION
1.
Elective cardioversion may cause
visible reddening under the surface
of a defibrillation / pacing /
2.
monitoring electrode. This effect is
likely caused by hyperemia (excess
blood) under the surface of the skin
3.
and is probably not a "burn".
During cardioversion, in contrast to
4.
a standard defibrillation, the patient
is normally perfused. The impact of
the energy passing through
engorged capillaries under the skin's
5.
surface can cause blood to diffuse
out, creating an effect that often
looks 6.
like a burn or rash. The reddening
typically goes away within a few
7.
days.
8.
Among the factors that contribute to
this phenomenon are:
1) high energy settings
9.
2) multiple, successive shocks
3) skin integrity
4) patient age
10. Avoid electrode placement near the generator of an internal pacemaker, other electrodes or
5) certain antiarrhythmic drugs
Blistering and/or sloughing do not
11. Some current generated by electrosurgical units (ESU) may concentrate in the conductive gel
typically result from cardioversion
and should be considered an
indication of burning due to other
factors.
° ° ° °
0 C to 50 C (32 F to 122 F)
° ° ° °
-30 C to 65 C (-22 F to 149 F)
° ° ° °
0 C to 35 C (32 F to 95 F)
Preconnecting the Electrodes (Optional)
POSTERIOR
ANTERIOR APICAL
After patient movement due to muscle contraction or patient repositioning, press pads to skin
to ensure good coupling between pads and skin.
Do not conduct chest compressions through the pads. Doing so may cause damage to the
pads that could lead to the possibility of arcing and skin burns.
Transcutaneous pacing may cause burns to the skin. Periodically check the electrode site to
ensure that the electrodes are well adhered to the skin.
During transcutaneous pacing, do not exceed the maximum pacing settings of 1 hour of
pacing (140 mA/180 ppm) or 8 hours of pacing (100 mA/100 ppm). Doing so can
increase the possibility of skin burns.
Replace electrodes after 24 hours of skin contact or 8 hours of pacing to maximize patient
benefit.
Do not use if gel is dry. Dried out gel can lead to skin burning. Do not open until ready to
use. Do not use electrodes past the expiration date printed on the pouch label.
To avoid electrical shock, do not touch the pads, patient, or bed when defibrillating.
Do not discharge standard paddles on or through electrodes or place separate ECG leads
under pads. Doing so could lead to arcing and/or skin burning.
Always apply electrodes to flat areas of skin. If possible, avoid folds of skin such as those
underneath the breast or those visible on obese individuals.
metal parts in contact with the patient.
of pacing / defibrillation electrodes, especially if an ESU grounding pad other than that
recommended by the ESU manufacturer is used. Consult the ESU operator's manual for further
details.
50° C
122° F IPX2
Rx
ONLY
0° C
32° F
SKIN PREPARATION
ELECTRODE APPLICATION
ELECTRODE PLACEMENT
Recommended for defibrillation and ECG monitoring only.
Not optimal for non-invasive pacing. Non-invasive pacing with this
configuration can lead to decreased patient tolerance and increased
capture thresholds.
Anterior Sternal:
Grasp the Anterior Sternal electrode at the red tab and
peel away from the plastic liner. Apply on the patient's
upper right torso.
Avoid any contact between nipple
and gel treatment area. Skin of the
nipple area is more susceptible to
burning.
Anterior Lateral:
Grasp the Anterior Lateral electrode at the red tab
and peel away from the plastic liner. Apply so that
the top of the gel treatment area lines up with the
bottom of the pectoral muscle on a male patient.
Position electrode under the breast on a female
patient.
Placement of Anterior Lateral electrode varies
slightly in anterior-anterior configuration. The
more lateral placement increases the
likelihood that more of the heart musculature
will be within the current pathway.
WARNINGS
Instructions for Use
MD
NOT MADE WITH
NATURAL RUBBER LATEX.
ZOLL AED Plus or
ZOLL AED Pro
Excessive hair can inhibit good
coupling (contact), which can
lead to the possibility of arcing
and skin burns.
Poor adherence and/or air
under the electrodes can lead
to the possibility of arcing and
skin burns.
Anterior-Anterior
12. Do not fold the electrodes or packaging. Any fold in or other damage to the
conductive element could lead to the possibility of arcing and/or skin burns.
13. Use only with ZOLL Pacemaker/Defibrillator products.
14. Device disposal should follow hospital protocol.
15. Do not use electrodes in the presence of oxygen-rich environment or other
flammable agents. Doing so could cause explosion.
16. If any serious incident has occurred in relation to the device, the incident should
be reported to the manufacturer and the competent authority of the Member State
in which the user and/or patient is established.
17. If repositioning of the electrodes is needed, consider replacement with a new
electrode.
January 2024 / R2001-67 Rev. M
ZOLL multifunction cable
ANTERIOR STERNAL
ANTERIOR LATERAL
®
ZOLL Medical Corporation
269 Mill Road
Chelmsford, MA 01824-4105 USA
800-348-9011 Made in USA
ZOLL International Holding B.V.
Einsteinweg 8A
6662 PW Elst, Netherlands
ZOLL Medical Switzerland AG
Baarerstrasse 8
6300 Zug, Switzerland