Stryker Physio-Control Lifepak 20e – Lifepak Defibrillator/Monitor

Specifications

Dimensions

• Height: 8.4” (21.3 cm)
• Width: 10.3” (26.2 cm)
• Depth: 10.3” (26.2 cm)
• Weight: 12.3 lb (5.58 kg)

Display

• Size (active viewing area): 115.18 mm (4.53 in) wide x 86.38 mm (3.4 in) high
• Resolution: 320 x 240 dot color active LCD. Displays a minimum of 3.7 seconds of ECG and alphanumeric for values, instructions, or prompts. Option to display one additional waveform.
• Waveform display sweep speed: 25 mm/sec for ECG and SpO2

Power

• The Lifepak 20e is an AC line-operated defibrillator with an internal battery as backup.
• AC Powered: 100–120 VAC 50/60Hz, 220–240 VAC 50/60 Hz, total power draw less than 120 Volt-Amperes (VA).

Battery

• Battery Charge Time on the AED: <4 hours when it’s powered off and AC power is applied.
• Run Time on the AED: A new fully-charged internal backup battery will provide between 110-210 minutes of run time, depending on how it’s being used.

Printer

• The 20e Series prints continuous strips of the displayed patient care information and defibrillator information.
• Lifepak Paper Size: 50 mm (2.0 in)
• Print Speed of the 20e: Continuous ECG 25 mm/sec +/- 5% (measured in accordance with AAMI EC-11, 4.2.5.2)
• Delay: 8 seconds
• Autoprint: Waveform events print automatically (user configurable)
• Print Speed for CODE SUMMARY Reports: 25 mm/sec

Frequency Response

• Diagnostic: 0.05 to 150 Hz or 0.05 to 40 Hz (user configurable)
• Monitor: 0.67 to 40 Hz or 1 to 30 Hz (user configurable)
• Paddles: 2.5 to 30 Hz
• Analog ECG Output: 0.67 to 32 Hz (except 2.5 to 30 Hz for paddles)

Alarms

• Quick Set: Activates alarms for all parameters
• VF/VT Alarm: Activates continuous CPSS monitoring in Manual Mode

Defib / AED / Monitor

• Waveform: Biphasic Truncated Exponential. The following specifications apply from 25 to 200 ohms unless otherwise specified.
• Energy Accuracy: ±1 joule or 10% of setting, whichever is greater, into 50 ohms ±2 joule or 15% of setting, whichever is greater, into any impedance from 25–100 ohms.
• Voltage Compensation: Active when disposable therapy electrodes are attached. Energy output within ± 5% or ± 1 joule, whichever is greater, of 50-ohm value, limited to the available energy, which results in the delivery of 360 joules into 50 ohms.

ECG

• Physio-Control Lifepak ECG can be monitored through 3-wire or 5-wire ECG cables.
• Standard paddles or therapy electrodes (QUIK-COMBO pacing/defibrillation ECG electrodes or FAST-PATCH disposable defibrillation/ECG electrodes) are used for paddles lead monitoring.
• Compatible with LIFEPAK 12 ECG and therapy cables.
• Lead Selection
  • Leads I, II, and III (3-wire ECG cable)
  • Leads I, II, III, AVR, AVL, and AVF, V (c) acquired simultaneously, (5-wire ECG cable)
• ECG size: 4, 3, 2.5, 2, 1.5, 1, 0.5, 0.25 cm/mV
• Heart Rate Display: 20–300 bpm digital display
• Out of Range Indication: Display symbol “—” Heart symbol flash for each QRS detection
• Continuous Surveillance System (CPSS): In AED mode, while the Shock Advisory System is not active, CPSS monitors the individual via QUIK-COMBO paddles or Lead II ECG for potentially shockable rhythms.
• Lifepak Voice Prompts: Used for selected warnings and alarms (Configurable On/Off)
• Analog ECG Output: 1V/mV x 1.0 gain < 35 ms delay
• Common Mode Rejection: 90 db at 50/60 Hz

SpO2

• Masimo SET
• Additional configuration available for compatibility with select Nellcor sensors
• Saturation Range: 1 to 100%
• Saturation Accuracy: 70–100% (0–69% unspecified)
• Adults/Pediatrics:
• +/- 2 digits (during no motion conditions)
• +/- 3 digits (during motion conditions)
• Neonates:
• +/- 3 digits (during no motion conditions)
• +/- 3 digits (during motion conditions)
• Dynamic signal strength bar graph
• Pulse tone at the onset of the pleth waveform
• SpO2 Update Averaging Rate: User selectable 4, 8, 12, or 16 seconds
• SpO2 Measurement: Functional Sp02 values are displayed and stored
• Pulse Rate Range: 25 to 240 pulses per minute
• Pulse Rate Accuracy: (Adults/Pediatrics/Neonates)
  • +/- 3 digits (during no motion conditions)
  • +/- 5 digits (during motion conditions)
• SpO2 waveform with autogain control

Communications

• The AEDs are capable of transferring data records by IrDA.

Data Management

• The Lifepak Products capture and store individual care data, events (including waveforms and annotations), and continuous ECG waveform records in internal memory.
• The user can select and print reports and transfer the stored information.
• Report Types
  • Two format types of CODE SUMMARY critical event record: (short and medium)
  • Initial ECG (except short format)
  • Auto vital sign measurements every 5 minutes
  • Continuous ECG waveform records (transfer only)
• Memory Capacity
  • Two full-capacity individual records that include:
  • Code Summary critical event record – up to 100 single waveform events
  • Continuous Waveform – 45-minute continuous ECG record

Defibrillator/Monitors with Code Management Module Accessories

Easy for both BLS and ALS Teams

With the door closed, the Lifepak can function as an Automated External Defibrillator (AED) for your BLS trained EMS healthcare teams to begin early defibrillation before the code team arrives. It features a standard and clear user interface that is recognizable if you have ever used Lifepak 12 or Lifepak 15 defib. It has a larger code clock that provides better visibility throughout the room and standardized devices to use for time management, documentation, and solutions. Ensuring stability and efficiency during transport with its compact design and ergonomic footprint, this defibrillation also can be set up to Auto-send individual care and product data facilities quality improvements review and hospital-wide tracking when equipped with the optional Code Management accessories.

Improves your Resuscitation Management

The 20e series AEDs also have Capnography aids, ET tube placement, and CPR effectiveness, as well as other advanced monitoring management, including; ECG (3 or 5 wire), pacing, and pulse oximetry. An integrated metronome helps CPR rescuers perform CPR compressions at the AHA Guideline for CPR at a rate of 100/minute. The 20e can deliver up to 360J with biphasic technology, which is the highest available energy for difficult-to-defibrillate individuals.

Ready when your Team is ready

The 20e automatically performs a daily readiness self-check. Using LIFENET Asset status, you can wirelessly monitor the product’s data including battery charger, updates, and self-tests, and even allows your Biomed team to complete upgrades that would have previously required a service call. The 20e runs on a long-lasting lithium-ion internal battery and can be connected to an AC power source.

General Information About Defibrillators

Why Defibrillation?

• Sudden Cardiac Arrest (SCR)-Rapid, irregular rhythm causing the heart to quiver
• Cause: Ventricular Fibrillation (VF)
  • Can lead to death if shock not delivered
• Defibrillation – to counteract fibrillation

Defibrillator

• Products that are used to administer an electric current (shock) to the heart
• Types of Defibrillators
  • Manual external
  • Manual internal
  • Automated External (AED)
  • Semi-Automated External
  • Implantable cardioverter-defibrillator (ICD)

Manual External Defibrillator

• Widely used in Hospitals and clinics by medical personnel
• Inbuilt EKG reader
• Clinician Diagnoses the condition and accordingly administers the shock through paddles or pads

Manual Internal Defibrillator

• Exclusively Used in Operating Rooms
• Charge delivered through internal paddles in direct contact with the heart

Automated External Defibs (AEDs)

• Used by lay persons requiring little training
• Built in heart rhythm analyzer
• Advices whether shock is required

Semi-Automated External Defibrillators

• AED is used by paramedics and other medical technicians
• Automated capabilities of AED
• With ECG display and manual override option

Implantable Cardioverter Defibrillator

• Implants similar to pacemakers
• Constantly monitor heart rhythm
• Automatically administers shock for arrhythmias

Types of waveform – Shape of defibrillation current

• Monophasic damped sine waveform – delivers energy in one direction
  • Relies on adjustment of joule settings
• Biphasic damped sine waveform – bi-directional current flow
  • Measures impedance and delivers a precise dose of electricity
  • Uses significantly low energy levels
  • Decreases risk of burn-in Myocardial damage