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Philips Product Detail
Model: HeartStart XL
The Philips HeartStart XL Monitor/Defibrillator, at just under 14 lbs., is easily transported throughout the hospital to the site where cardiac care is needed. A combination manual device with automated external defibrillator capabilities, HeartStart XL enables the first caregiver on the scene, whether an ALS or BLS clinician, to deliver lifesaving defibrillation therapy.
Philips HeartStart Defibrillators enable system-wide standardization and consistency of care. All HeartStart Defibrillators feature Philips’ patented low-energy SMART Biphasic waveform, and use a 3-shock, 150 Joule protocol for adults in ventricular fibrillation (VF). This technology is proven effective in emergency resuscitation, exhibiting superior performance at terminating VF when compared with monophasic waveforms.
In AED mode, voice prompts and text messages guide BLS users through the defibrillation process, while the HeartStart XL continuously monitors and displays the patient's ECG.
Upon the arrival of ALS personnel, HeartStart XL is easily switched from AED to manual mode, allowing operators to access the unit's advanced therapeutic features such as selectable energy (from 2 to 200 Joules), non-invasive pacing (optional), SpO2 (optional) and synchronized cardioversion.
Features:
- Manual and AED operation
- ECG monitoring with pads or electrodes
- Selectable limits and alarms
- Electroluminescent display
- 50 mm strip chart printer
- Data storage/event summary
- Mark events
- SMART Biphasic waveform for defibrillation
Benefits:
- SMART Biphasic Technology - Philips patented SMART Biphasic waveform is clinically proven superior to high-energy, monophasic waveforms for efficacy and for minimizing post-defibrillation heart dysfunction. 1,2,3
- Impedance Compensation. Measures chest impedance and delivers a low-energy shock based on patient's unique physical requirements.
- Quick Charging. Charges to highest energy level, 200 Joules, in less than 3 seconds.
- Synchronized Cardioversion. Philips' SMART Biphasic waveform has undergone clinical testing, demonstrating its effectiveness for cardioversion of atrial fibrillation. 4
- Easy to Use:
- 1-2-3 Operation. True 1-2-3 operation makes defibrillation intuitive for all users.
- AED Mode. Voice and text prompts guide users through the defibrillation process. 150 Joules non-escalating, pre-set energy level.
- Paddles (optional). Anterior/anterior adult paddles convert to pediatric by removing the outer contacts.
- Multi-function Defibrillator Pads. Adult and pediatric pads for defibrillation, ECG monitoring, pacing, and synchronized cardioversion.
- Data Management and Reporting - All patient data, including continuous ECG and events (i.e. shock and alarms), are stored in the unit's internal memory and on an optional data card. When used with the Philips CodeRunner Web data management system, users can edit, store, and print reports required for quality control and reporting.
- Lightweight, Compact, Durable:
- Grab and Go. Less than 14 pounds (6.35kg).
- Compact. Easily fits on a standard hospital stretcher.
- Rugged. Withstands the rigors of hospital use and patient transport.
- Service Solutions - You Choose the Warranty. Five-year unit exchange (North America only), or one-year on-site service with extended warranty options, or 5 year BioMedical warranty (U.S. only).
- Dependability. Part of the complete family of Philips resuscitation products used by healthcare providers for over 30 years.
Specifications:
- General:
- Dimensions: 19.0 cm (H) x 37.6 cm (W) x 34.6 cm (L) (7.5 in. x 14.8 in. x 13.7 in.)
- Weight: 6.0 kg (13.3 lbs.) including battery and full roll of paper.
- Defibrillator:
- Waveform: Biphasic Truncated Exponential. Waveform parameters adjusted as a function of patient impedance.
- Shock Delivery: Via multifunction defib electrode pads or paddles.
- Charge Time: Less than 3 seconds to 200 Joules with a new, fully charged M3516A SLA battery pack at 25ºC. Less than 15 seconds to 200 Joules when powered by AC with no battery installed.
- Patient Impedance Range:
- Minimum: 10-25 Ohm, depending upon energy level
- Maximum: 180 Ohm
- Manual Mode:
- Manual Output Energy (Delivered): 2, 3, 5, 7, 10, 20, 30, 50, 70, 100, 150, 200 Joules. Energy limited to 50 Joules for internal defibrillation.
- Controls: Manual/AED On/Energy Select knob, Charge/Disarm, Shock, ECG Lead Select, SpO2 On/Off, SpO2 Alarm, HR Alarm, Sync On/Off, Pacer, Pacer Start/Stop, Pacer Rate, Pacer Current, Pacer Mode, ECG Gain, Volume, Strip, Summary Mark.
- Indicators: LCD display for ECG waveforms and text prompts, Audio alerts, QRS Beeper, Charging tones (for sync and asychronous modes), AC Power LED, Battery Charging LED, Sync LED, Pacer LED.
- Armed Indicators: Charge Done tone and available energy indicated on display.
- Energy Selection: Front panel rotary knob.
- Charge Control: Front panel “2” key or buttons on paddles.
- Shock Control: Front panel “3” key or buttons on paddles.
- Synchronizer: SYNC message appears on the monitor and is annotated on the printer (if printing while in Sync mode). An audible beep sounds with each detected R-wave while a tick mark on the monitor and printed strip indicate the discharge points. Synchronizer delay is less than 60 msec from peak R-wave to peak current of the defibrillation discharge.
- AED Mode
- AED Energy Profile: Fixed energy (150 Joules).
- AED Shock Series: 1, 2, 3, 4 shocks per series.
- Shock Series Timer: off, 30, 60, 90, 120, 150, 180, or 210 seconds.
- Text and Voice Prompts: Extensive text/audible messages guide user through protocol.
- AED Controls: On, Off, Pause/Resume, Analyze/Stop Analysis, Shock, Lead Select, SpO2 On/Off, SpO2 Alarms, HR Alarms, ECG Gain, Volume, Strip, Summary Mark.
- Indicators: LCD display for ECG waveforms and text prompts, Audio alerts, voice prompts, QRS Beeper, Charging tones, Charge Done Tone, Printer, AC Power LED, Battery Charging LED.
- Armed Indicators: Charge Done tone, available energy indicated on display; Voice Message.
- Patient Analysis: Per protocol, evaluates patient ECG and signal quality to determine if a shock is appropriate and evaluates connection impedance for proper defibrillation pad contact.
- Shockable Rhythms: Ventricular fibrillation with amplitude greater than 100 uV and wide complex ventricular tachycardia with rates greater than 150 bpm.
- Sensitivity and Specificity: Meets AAMI guidelines.
- ECG Monitoring:
- Inputs: Single channel ECG may be viewed on display and printed. Pads ECG is obtained through 2 multifunction defibrillation electrode pads. Lead I, II, or III is obtained through the 3-lead ECG cable and separate monitoring electrodes. With a 5-lead cable, lead aVR, aVL, aVF, and any one of the V (1-6) leads can also be obtained.
- Lead Fault: LEADS OFF message and dashed line appear on the display if an electrode or lead wire becomes disconnected.
- Paddle Fault: NO PADDLES CONNECTED message and dashed line appear on the display if paddles become disconnected.
- Pad Fault: PADS OFF message and dashed line appear on the display if the pads become disconnected.
- Heart Rate Display: Digital readout on display from 15 to 300 bpm, with an accuracy of ±10%.
- Heart Rate Alarms: Configurable pairs of low and high heart rate alarm limits: 30 to 100, 60 to 140, 90 to 160 and 120 to 200 bpm.
- Hands Free Defibrillation Cable Length: 7 ft. (2.13 m).
- ECG Cable Length: 12 ft. (3.7 m).
- Common Mode Rejection: Greater than 90 dB measured per AAMI standard for cardiac monitors (EC 13).
- ECG Size: 2.5, 5, 10, 20, 40 mm/mV.
- Frequency Response:
- AC Line Filter: 60 Hz or 50 Hz.
- Pads ECG for Display: Monitor (.15-40 Hz) or EMS (1-30 Hz).
- Pads ECG for Printer: Monitor (.15-40 Hz) or EMS (1-30 Hz).
- Leads ECG for Display: Monitor (.15-40 Hz) or EMS (1-30 Hz).
- Leads ECG for Printer: Diagnostic (.05-150 Hz) or EMS (1-30 Hz) or Monitor (.15-40 Hz).
- Patient Isolation (defibrillation proof):
- ECG: Type CF
- SpO2: Type CF
- Defib: Type BF
- Display:
- Type: LCD - TFT Color Liquid Crystal Display.
- Size: 111.4 mm x 83.5 mm.
- Resolution: 320 x 240 pixels.
- Sweep Speed: 29 mm/s nominal (stationary trace; sweeping erase bar).
- Viewing Time: 4 seconds.
- Battery:
- Type: 2 Ah, 12V, rechargeable, Sealed Lead Acid.
- Dimensions: 2.4 in. (H) x 0.94 in. (W) x 7.2 in. (D) (61.7 mm x 23.9 mm x 182 mm).
- Weight: 1.4 lbs. (0.65 kg)
- Charge Time: Approximately 14.5 hours to 100%. Approximately 3 hours to 90%, indicated by LED on front panel.
- Capacity: 100 minutes ECG monitoring or 50 full-energy discharges or 75 minutes ECG monitoring while pacing (with a new, fully charged battery at room temperature, 25º C).
- Battery Indicators: LOW BATTERY message appears on display when at least 10 minutes of monitoring time and 5 maximum energy discharges remain (with a new battery at room temperature, 25º C).
- Battery Storage: Should not be stored above 40ºC for extended periods of time.
- Charger Output: Unit can be operated using only AC Power, with no battery installed.
- Thermal Array Printer:
- Continuous Real-Time Strip: User starts and stops the strip. The strip prints the selected ECG lead with the following data:
- Header 1: Date, Time, Heart Rate, the SpO2 Value (if available) and the text “Delayed” if printing has been configured for Delayed Mode. Prints every 12 seconds.
- Header 2: Current mode (AED/Manual), Lead, Gain, filter setting, the text “Sync” (if Sync has been enabled), and Pacer Settings (consisting of the Pacer Mode, Rate and Current, if presently pacing the patient). Prints every 12 seconds with Header 1.
- Header 3: Changes in Mode, Gain, Lead, Sync, and Pacer Settings.
- Footer: Drug Annotations, HR/SpO2 limits on a Limit Alarm, the Results of Analysis in AED Mode (No Shock Advised, Shock Advised or Cannot Analyze), Charging to xxx J, Shock Delivered, No Shock Delivered, Disarm, Battery Low.
- Symbols: Mark Triangle (for presses of the Mark key), an Alarm Bell (Alarm Limits Violations), Lightning Bolt (Shock Delivered; followed by “b” for biphasic), Vertical Strip Boundaries/Pacer/Sync Tick marks.
- Event printing: Mark key automatically documents ECG and events during defibrillation episodes. The Mark key can annotate the event with one of the following labels: Epinephrine (Adrenaline in U.K. and Australia), Atropine, Lidocaine and Other.
- Auto Printing: The printer can be configured to automatically print on Mark, Charge, Shock and Alarm.
- Delayed Printing: The printer can be configured to run real time or with a 6 second delay.
- Reports: The following can be printed: Event Summary, Configuration, Extended Self Test, System Log, Battery Capacity Test, Shift/System Check.
- Speed: 25 mm/s with an accuracy of ± 5%.
- Amplitude Accuracy: ± 10% or ± 50 uV, whichever is greater.
- Paper Size: 50 mm by 30 m (100 ft.).
- Noninvasive Pacing:
- Waveform: Monophasic Truncated Exponential
- Current Pulse Amplitude: 10 mA to 200 mA (5 mA resolution); accuracy 10 mA to 50 mA ± 5 mA, 50 mA to 200 mA ± 10%.
- Pulse Width: 20 ms with accuracy +0, -5 ms.
- Rate: 30 ppm to 180 ppm (10 ppm increments); accuracy ± 1.5%.
- Modes: Demand or Fixed Rate
- Refractory Period: 340 msec (30 to 80 ppm); 240 msec (90 to 180 ppm).
- SpO2 Pulse Oximetry:
- Accuracy with:
- M1191A sensor - 1 standard deviation 70% to 100%, ± 2.5%
- M1192A sensor - 1 standard deviation 70% to 100%, ± 2.5%
- M1194A sensor - 1 standard deviation 70% to 100%, ± 4.0%
- M1131A sensor - 1 standard deviation 70% to 100%, ± 3.0%
- M1903B sensor - 1 standard deviation 70% to 100%, ± 3.0%
- M1904B sensor - 1 standard deviation 70% to 100%, ± 3.0%
- Pulse Rate Accuracy: 2% or 1 bpm (whichever is greater).
- Wavelength Range: 500 to 1000 nm.
- Emitted Light Energy: Less than or equal to 15 mW.
- Display Update Interval: Less than or equal to 60 seconds.
- Resolution: 1%.
- SpO2 Alarm Limits: Three preset low alarm limits: 90%, 85% and 80%.
- INOP Alerts: Triggered by disconnected sensor, noisy signal, light interference or low signal (non-pulsatile).
- Event Storage:
- Internal Event Summary: The Internal Event Summary stores up to 300 events and up to 50 waveforms.
- Events can be marked with a Mark symbol and, if configured for drug annotation, the following labels can be added: Epinephrine (Adrenaline in U.K. and Australia), Atropine, Lidocaine or Other.
- The Summary key on the front panel is used to print the internal Event Summary.
- Data Card Event Summary: The Data Card stores continuous ECG waveforms and events on a Type II PCMCIA card.
- Environmental:
- Temperature: 0º C to 55ºC operating; -20º to 70ºC storage.
- Charging the battery at temperatures above 35ºC may degrade battery life.
- Storing the battery for extended periods at temperatures above 40ºC will reduce battery capacity and degrade battery life.
- Humidity: Up to 95% Relative Humidity
- Printer paper may jam if paper is wet.
- Thermal Printer may be damaged if wet paper is allowed to dry while in contact with printer elements.
- Altitude:
- Operating: up to 15,000 ft.
- Storage: up to 15,000 ft.
- Shock: Philips Medical Systems, Section 760 Class B1 Drop Test (200 G’s <3 msec pulse).
- Vibration: Philips Medical Systems, Section 759 Class B1 Vibration.
- Water Resistance: Meets IEC 60601-2-4, IPX 0.
- EMC: Meets EN 60601-1-2
- Safety: Meets IEC 60601-1 (EN 60601-1), UL 2601-1, CAN/CSA C22.2 No. 601-1.
- Other Considerations: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide.
- Mode of Operation: Continuous
- AC Line Powered: 100-240 VAC, 50/60 Hz, 1.5A (Class 1)
- Battery Powered: 12 V rechargeable, SLA
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