Corpuls 3 инструкция на русском языке pdf

Quick Links

• Page 1
  corpuls User Manual…

• Page 2: Eng — Version 2.1 – P/N

  User Manual corpuls Contents ENG — Version 2.1 – P/N 04130.2…

• Page 3
  No part of the user manual may be reproduced, saved, processed, copied or circulated by means of electronic systems in any form whatsoever without the written agreement of GS Elektromedizinische Geräte G. Stemple GmbH. ENG — Version 2.1 – P/N 04130.2…
• Page 4
  User Manual corpuls Contents Service address In case of enquiries, please contact: Address of the sales and service partner Information on the authorised service and sales partners can also be found on the following website: www.corpuls.com ENG — Version 2.1 – P/N 04130.2…
• Page 5
  User Manual corpuls Contents corpuls Versions of the user manual Issue Date User manual version Software version 06/2007 ENG V1.1 – 04130.2 1.1.0 08/2007 ENG V1.2 – 04130.2 1.2.0 11/2007 ENG V1.3 – 04130.2 1.3.0 07/2008 ENG V1.4 – 04130.2 1.4.1 07/2009 ENG V1.5 –…
• Page 6
  User Manual corpuls Contents Contents Safety ………………..1 General ………………. 1 Operating Staff …………….1 1.2.1 Restrictions of Therapeutic Functions ……..1 1.2.2 Maintenance …………….2 Information and Warning Labels on the Device ……2 Warning Notices and Symbols …………3 Special Types of Risk …………..
• Page 7
  User Manual corpuls Contents Menu Control …………….. 46 4.3.1 Softkey Context Menu………….. 46 4.3.2 Parameter Context Menu and Curve Context Menu ….47 4.3.3 Main Menu …………….49 4.3.4 Configuration Dialogue …………50 Disconnecting and Connecting Modules ……..51 4.4.1 Disconnecting the Monitoring Unit from the Defibrillator/Pacer …………..
• Page 8
  User Manual corpuls Contents 5.5.3 Starting the Pacer Function …………. 85 Metronome ………………89 5.6.1 Information on the Metronome ……….89 5.6.2 Starting the Metronome …………90 CPR Feedback …………….91 5.7.1 Information on CPR Feedback ……….91 5.7.2 Preparing CPR Feedback …………93 5.7.3 Working with CPR Feedback ………..
• Page 9
  User Manual corpuls Contents 6.7.4 Performing Blood Pressure Interval Monitoring ….. 131 Invasive Blood Pressure Monitoring (Option) ……131 6.8.1 Information on IBP Monitoring ……….131 6.8.2 Preparing Invasive Blood Pressure Monitoring ….. 132 6.8.3 Performing Invasive Blood Pressure Monitoring ….134 Temperature Monitoring (Option) ……….
• Page 10
  User Manual corpuls Contents 7.4.10 Configuration of ECG Measurement and ECG Interpretation (Persons Responsible for the Device) ….. 179 7.4.11 Demo Mode (Persons Responsible for the Device) ….181 7.4.12 Data Protection Settings (Persons responsible for the device) ………………. 182 7.4.13 Configuration of the Metronome (Persons Responsible for the Device) ………..
• Page 11
  Biphasic Defibrillator …………..300 Safety Information …………… 303 ECG Analysis during Semi-automatic Defibrillation (AED mode) ………………307 corpuls3 HYPERBARIC (HBO) ……….. 310 Guidelines and Manufacturer’s Declaration …….. 311 Warranty ………………316 Protection Rights and Patents ………… 317 Disposal of the Device and Accessories ……..318 Note on Data Protection …………..
• Page 12
  User Manual corpuls Contents Conventions The following conventions apply in this user manual: Key on monitoring unit, patient box and defibrillator/pacer [Softkey] Softkey on the monitoring unit «Menu item» ► «Submenu item» Menu items of the main menu and parameter and curve context menus «Alarm message»…

• Page 13: Safety

  For the product variant HYPERBARIC please read and understand Hyperbaric oxygen therapy Appendix H corpuls3 HYPERBARIC (HBO). Operating Staff corpuls may only be operated by trained medical staff of for example hospitals, doctor’s offices and emergency medical services, as well as of authorities and public safety organisations.

• Page 14: Maintenance

  User Manual corpuls Intended Use 1.2.2 Maintenance Maintenance work may only be performed by persons who are appropriately trained and authorised by the manufacturer. Failure to observe this will result in invalidation of claims under the warranty. Information and Warning Labels on the Device Please read and follow the instructions in the user manual Please read the additional instructions in the user manual USB interface (Devices up to 09/2010)

• Page 15: Warning Notices And Symbols

  User Manual corpuls Safety Warning Notices and Symbols A number of actions during the operation of the corpuls carry risks for patients, users and third parties. Such actions are indicated by warning notices in this user manual. The following symbols are used: «Warning»…

• Page 16: Intended Use

  Intended Use The corpuls is intended Intended use • for measurement and monitoring of vital functions in addition to • defibrillation, cardioversion or cardiac pacing of patients in the preclinical and clinical field by qualified medical staff trained in the use of the device. The following monitoring functions are available: •…

• Page 17
  User Manual corpuls Intended Use If monitoring functions are performed, the patient’s condition must also be regularly monitored even when the alarm function is enabled. corpuls Usage other than is not intended for as intended • operation in the vicinity of readily inflammable substances, •…

• Page 18: Introduction

  User Manual corpuls Introduction Introduction Components corpuls is a portable device with a modular structure which can be used • as a defibrillator/monitor or • as a full patient monitor in its own right. The corpuls Monitoring, provides comprehensive monitoring, diagnostic and therapeutic diagnostic and functions for treatment of emergency and intensive-care patients.

• Page 19
  User Manual corpuls Introduction Fig. 3-1 Compact device 1 Accessory bag 2 Shock paddles (2 x) 3 Printer The corpuls Pivoting device can be tilted vertically up to 30°. Depending on the mission conditions, the monitor can be adjusted to the appropriate visual angle.

• Page 20: Device Design

  User Manual corpuls Introduction Device Design Usage options The three modules monitoring unit, patient box and defibrillator/pacer can operate via an infrared connection or, if separated, via radio connection. The connection status is shown on the display of the monitoring unit (see Table 4-2, page 36) and the patient box (see Table 4-3, page 39).

• Page 21
  User Manual corpuls Introduction 4. Modular use: Monitoring unit, patient box and defibrillator/pacer are disconnected mechanically Usage options of the modular corpuls Fig. 3-3 The following combinations are possible when used as a stand-alone patient monitoring system: 1. Compact monitor: Monitoring unit and patient box are connected mechanically 2.

• Page 22: Pairing (Connection Authorisation)

  User Manual corpuls Introduction 3.2.1 Pairing (Connection Authorisation) The modules of the corpuls can be connected to form a functional unit by means of two procedures: • Pairing and • Ad-hoc connection The corpuls thus provides the option of substituting individual modules of one compact device for individual modules of the same type from another corpuls Note It is not possible to connect a monitoring unit to more than one patient box or…

• Page 23
  User Manual corpuls Introduction Starting a Pairing To star a pairing, proceed as follows: Connect the monitoring unit, the patient box and, if present, the defibrillator/pacer mechanically. There are the following options: The message Perform pairing? appears: Confirm the message by pressing the softkey [Start]. The message Perform pairing? does not appear: Select in the main menu «System“►…

• Page 24: Monitoring Unit

  User Manual corpuls Introduction 3.2.2 Monitoring Unit Fig. 3-5 Monitoring Unit 1 Display 2 Alarm and event function keys 3 Status LED power supply/charging status 4 On/Off key with operating status LED 5 Defibrillation mode function keys 6 Insurance card reader 7 Jog dial and alarm light 8 Function keys for navigation 9 Print key…

• Page 25
  User Manual corpuls Introduction Interfaces Fig. 3-6 shows the interfaces on the monitoring unit Fig. 3-6 Monitoring unit, rear view 1 Cover for LAN interface (option) 2 SIM card slot (slot for SIM card tray) 3 Contact element with patient box 4 Infrared interface with patient box 5 Infrared interface with defibrillator/pacer 6 Charging cable magnetic plug socket…

• Page 26: Patient Box And Accessory Bag

  User Manual corpuls Introduction 3.2.3 Patient Box and Accessory Bag Fig. 3-7 Patient Box (illustration may differ) 1 Sensor interfaces 2 Multifunction key 3 Multifunction LED operating status/HR/alarm 4 On/Off key 5 Status LED power supply/charging status 6 Display 7 Microphone 8 Acoustic alarm (pulse signal indicator) 9 Infrared interface with monitoring unit 10 Contact element…

• Page 27
  User Manual corpuls Introduction Patient Box Interfaces Right-hand side Fig. 3-8 Patient Box Interfaces, right hand side, ports for: 1 CO : sensor for capnometry 2 NIBP: sensor for non-invasive blood pressure monitoring 3 Temp-1: temperature sensor 4 Temp-2: temperature sensor 5 P1 P2: sensor for invasive blood pressure monitoring (channels 1 and 2) 6 P3 P4: sensor for invasive blood pressure monitoring (channels 3 and 4) 7 CPR: CPR feedback sensor…
• Page 28
  User Manual corpuls Introduction At the moment, connecting USB devices or –cables to the USB slot is not allowed. Caution Accessory Bag An accessory bag is available for the patient box (P/N 04221.1). The accessory bag is used to store the preconnected cables as well as the sensors and ECG electrodes, so that they are quickly accessible during use.

• Page 29: Defibrillator/Pacer

  User Manual corpuls Introduction 3.2.4 Defibrillator/Pacer Fig. 3-11 Defibrillator/Pacer 1 Equipotential bonding pin with insulating cap 2 Shock paddle 3 On/Off key 4 Therapy master cable with plug 5 Cable socket with test contact 6 Stand and storage compartments 7 Contact element with monitoring unit 8 Infrared interface with monitoring unit 9 Compartment for corPatch electrodes The therapy electrodes have to be connected to the therapy master cable…

• Page 30: Defibrillator/Pacer Slim

  User Manual corpuls Introduction 3.2.5 Defibrillator/Pacer SLIM The defibrillator/pacer SLIM differs from the previous defibrillator/pacer unit only in terms of form and weight. The basic functions are identical. Fig. 3-12 Defibrillator/Schrittmacher Slim 1 Carrying handle and lock 2 Therapy socket 3 Contact element with monitoring unit 4 Infrared interface with monitoring unit 5 Equipotential bonding pin with insulating cover…

• Page 31: Brackets

  User Manual corpuls Introduction 3.2.6 Brackets Various brackets, with and without power supply, are available for the device in compact, semi-modular or modular use. Fig. 3-13 Brackets 1 Defibrillator/compact device bracket 2 Monitoring unit bracket 3 Patient box bracket Chapter 4.6 Inserting the Device into the Brackets, p. 60 contains information on inserting the modules into the brackets.

• Page 32: Description Of The Monitoring, Diagnostic And Therapeutic Functions

  User Manual corpuls Introduction Description of the Monitoring, Diagnostic and Therapeutic Functions 3.3.1 Monitoring and Diagnostic Functions The corpuls has the following monitoring and diagnostic functions: • ECG • Diagnostic ECG • CPR feedback Optional: • oximetry (SpO ®, ® SpCO SpHb, SpMet •…

• Page 33: Therapeutic Functions

  User Manual corpuls Introduction Non-invasive The non-invasive blood pressure function (NIBP) allows blood pressure blood pressure monitoring on one extremity. A selection of operating modes for adults, children (NIBP) and infants is available. Invasive blood The invasive blood pressure function (IBP) allows the invasive measurement of pressure (IBP) various different pressures as part of intensive medical care of the patient.

• Page 34
  User Manual corpuls Introduction In AED mode, the user is assisted by an automated ECG analysis, verbal instructions (configurable) and a metronome (configurable). The defibrillation pulse is triggered by the user. The AED mode algorithm is governed by the current recommendations of the European Resuscitation Council of 2010 (ERC, see www.erc.edu).

• Page 35: Alarm Management

  User Manual corpuls Introduction Frequency and Minimum Maximum Increment intensity Pacing frequency 30/min 150/min 5/min FIX operating mode Pacing frequency 30/min 150/min 5/min DEMAND operating mode Pacing frequency 30/min 300/min 1/min OVERDRIVE function Intensity 10 mA 150 mA 5 mA Table 3-2 Frequency and intensity Alarm management…

• Page 36: Alarm Signals At The Monitoring Unit

  User Manual corpuls Introduction 3.4.1 Alarm Signals at the Monitoring unit Physiological and technical alarms are signalled at the monitoring unit via the status line, the vital parameter field, the jog dial and by acoustic signals. The positions of the operation- and display elements are described in chapter 4.1 Operating and Display Elements, page 31.

• Page 37
  User Manual corpuls Introduction Alarm signal via the jog dial: Fig. 3-17 Jog dial 1 Not illuminated 2 Illuminated to indicate an alarm − The alarm with the currently highest priority is indicated by the colour blue, yellow or red (in older devices only red) as well as by the flashing speed of the jog dial.

• Page 38: Alarm Signals At The Patient Box

  User Manual corpuls Introduction 3.4.2 Alarm Signals at the Patient box Physiological and technical alarms are signalled on the patient box in various ways: Alarm message on the patient box display: Fig. 3-18 Alarm message on the patient box display −…

• Page 39: Energy Management

  User Manual corpuls Introduction Energy Management Energy management is of paramount importance owing to the modular structure Influence of the of the corpuls modular structure The corpuls and the individual modules can be operated on battery alone or on 12 V DC power supply or via a separate charger (only 230 V AC). 3.5.1 Battery Operation The three modules of corpuls Identical lithium-…

• Page 40
  User Manual corpuls Introduction In case of modular use of the patient box, the remaining running time of the patient box, taking into account the current energy consumption, is displayed (Fig. 3-20). Fig. 3-20 Remaining running time of the patient box 1 Battery symbol and remaining running time in minutes Alternatively, the charging status of the batteries in percent can be viewed in the system info.

• Page 41: Mains Operation

  User Manual corpuls Introduction 3.5.2 Mains Operation Operation with The compact device and each individual module can be operated directly with 12 V DC 12 V DC. Use of a mains In combination with a multi-range mains charger, the compact device and the charger individual modules can also be connected to and operated with voltage sources of 100 V to 250 V AC.

• Page 42
  User Manual corpuls Introduction Fig. 3-22 Compact device, power supply (illustration may differ) 1 Power supply connection 2 Magnetic clip Fig. 3-23 Monitoring unit, power supply 1 Power supply connection 2 Magnetic clip Fig. 3-24 Patient box, power supply (illustration may differ) 1 Power supply connection 2 Magnetic clip ENG — Version 2.1 –…

• Page 43: General Operating Instructions

  User Manual corpuls General Operating Instructions General Operating Instructions Operating and Display Elements 4.1.1 Operating Elements and LEDs on the Monitoring Unit Energie Manual Analyse Analyse Laden Charge Schock Monitor Pacer Browser Fig. 4-1 Monitoring unit, operating elements and LEDs 1 Alarm key 2 Event key 3 On/Off key…

• Page 44
  User Manual corpuls General Operating Instructions On/Off key The following modules are switched on or off by pressing the On/Off key on the monitoring unit: • all modules during use as a compact device; • the monitoring unit and all the modules connected mechanically to the monitoring unit during semi-modular use;…
• Page 45
  User Manual corpuls General Operating Instructions Jog dial With the jog dial, it is possible to: • navigate on the display; • open a parameter context menu or curve context menu pertaining to a parameter or curve and adjust settings (see chapter 4.3.2 Parameter Context Menu and Curve Context Menu, p.
• Page 46
  User Manual corpuls General Operating Instructions The time span after which the printer stops automatically can be pre-set in the printer configuration. For more information see chapter 7.1.3 Printer settings, p. 143. Softkeys The softkeys (Fig. 4-1, item 12) are assigned different functions, depending on the current operating mode or selected dialogue.

• Page 47: Basic Structure Of The Display Pages On The Monitoring Unit

  User Manual corpuls General Operating Instructions 4.1.2 Basic Structure of the Display Pages on the Monitoring Unit The display has the following structure: Fig. 4-2 Monitoring unit, example of basic structure of the display pages 1 Status line 2 Parameter area 3 Curve and display area 4 Message line 5 Softkey line…

• Page 48
  User Manual corpuls General Operating Instructions Connection status Meaning The monitoring unit and defibrillator are connected mechanically and communicate visually via an infrared interface. The patient box is disconnected mechanically, but there is a radio connection with the patient box. The monitoring unit and patient box are connected mechanically and communicate visually via an infrared interface.
• Page 49
  User Manual corpuls General Operating Instructions If the device is in defibrillator or pacer mode, the parameters of the respective operating mode are displayed in the bottom half of the display. In case of a diagnostic ECG, all 12 leads are displayed simultaneously as curves.
• Page 50
  User Manual corpuls General Operating Instructions Screen inverted If necessary under particular lighting conditions, the screen can be displayed in video display inverted video. If the Monitor key is held down for more than 3 seconds, the screen display is inverted (see also chapter 7.1.1 General System Settings, p.

• Page 51: Patient Box Display

  User Manual corpuls General Operating Instructions 4.1.3 Patient Box Display The patient data are displayed on a separate screen during modular use. The screen has the following structure: Fig. 4-5 Patient box, displays on the screen (illustration may differ) 1 Connection status with the monitoring unit 2 Remaining running time of the patient box on battery operation 3 Display of a selected vital parameter For the status of the network connection (item 1) of the patient box, the…

• Page 52: Control Keys And Leds On The Patient Box

  User Manual corpuls General Operating Instructions 4.1.4 Control Keys and LEDs on the Patient Box Fig. 4-6 Patient box, control keys and LEDs (illustration may differ) 1 On/Off key 2 LED power supply/charging status 3 Multifunction LED operating status/HR/alarm 4 Multifunction key On/Off key The patient box is switched on or off during modular use by pressing the On/Off key (item 1).

• Page 53: Control Key And Leds On The Defibrillator/Pacer

  User Manual corpuls General Operating Instructions 4.1.5 Control Key and LEDs on the Defibrillator/Pacer Fig. 4-7 Defibrillator, control key and status LEDs 1 On/Off key 2 Operating status LED 3 Power supply/charging status LED On/Off key By pressing the On/Off key (item 1), the defibrillator is switched on or off during modular use.

• Page 54: Control Key And Leds On The Defibrillator/Pacer Slim

  User Manual corpuls General Operating Instructions 4.1.6 Control Key and LEDs on the Defibrillator/Pacer SLIM Fig. 4-8 Defibrillator SLIM, control key and status LEDs 1 On/Off key 2 Operating status LED 3 Power supply/charging status LED On/Off key By pressing the On/Off key (item 1), the defibrillator is switched on or off during modular use.

• Page 55: Switching On And Off

  User Manual corpuls General Operating Instructions Switching On and Off 4.2.1 Switching On Compact device Press the On/Off key on the monitoring unit. All modules are switched on. Switching on in Manuell Manual defibrillation Press the key on the monitoring unit. mode The corpuls either starts in AED mode or in manual defibrillation mode,…

• Page 56: Switching Off

  User Manual corpuls General Operating Instructions 4.2.2 Switching Off Press the On/Off key on the monitoring unit. Compact device All modules are switched off if the softkey [OK] is pressed after the confirmation prompt appears. Fig. 4-9 Confirmation prompt before switching off (Semi) modular use Press the On/Off key on the monitoring unit.

• Page 57
  User Manual corpuls General Operating Instructions Warnings on If no connection with the patient box and/or defibrillator/pacer exists at the time switching off of switching off the monitoring unit or if a timing problem exists between the modules, this is indicated to the user by the message “Check modules”: Fig.

• Page 58: Menu Control

  User Manual corpuls General Operating Instructions Menu Control The menus are controlled with the jog dial, softkeys and the function keys Back and Home. There are four different menu types: • softkey context menu • parameter context menu or curve context menu •…

• Page 59: Parameter Context Menu And Curve Context Menu

  User Manual corpuls General Operating Instructions 4.3.2 Parameter Context Menu and Curve Context Menu Parameter context menus and curve context menus only contain menu items that are relevant for the highlighted field. They can be called up for parameter fields and curve fields and open directly in the highlighted field. Proceed as follows to open a parameter context menu or curve context menu and adjust settings: Rotate the jog dial to highlight the required parameter field or curve.

• Page 60
  User Manual corpuls General Operating Instructions Fig. 4-14 Curve context menu If another value is to be assigned to the parameter field or the curve field for display, press the jog dial and select the required parameter by rotating. Press the jog dial again to confirm selection of the required parameter. Select further parameters of the parameter context menu or curve context menu by rotating the jog dial and confirm by pressing the jog dial.

• Page 61: Main Menu

  User Manual corpuls General Operating Instructions 4.3.3 Main Menu To select the main menu of the device and adjust settings, proceed as follows: Press the jog dial to open the main menu of the device. Fig. 4-15 Main menu Select the required item in the main menu by rotating the jog dial and confirm by pressing the jog dial.

• Page 62: Configuration Dialogue

  User Manual corpuls General Operating Instructions 4.3.4 Configuration Dialogue To adjust settings in the configuration dialogue, proceed as follows: Fig. 4-16 Configuration dialogue Open the configuration dialogue (see chapter 4.3.3 Main Menu, p. 49). Rotate the jog dial to highlight the required configuration field. Press the jog dial to select the highlighted configuration field.

• Page 63: Disconnecting And Connecting Modules

  User Manual corpuls General Operating Instructions Disconnecting and Connecting Modules Note The separating or connecting of modules should be avoided, if possible, when verbal instructions are being played as they can be interrupted. 4.4.1 Disconnecting the Monitoring Unit from the Defibrillator/Pacer Note This procedure applies regardless of whether the patient box is connected to…

• Page 64: Disconnecting The Patient Box From The Monitoring Unit

  User Manual corpuls General Operating Instructions 4.4.2 Disconnecting the Patient Box from the Monitoring Unit Grasp the monitoring unit by the carrying handle and press the snap lock of the patient box downwards (item A). Tilt the patient box rearwards (item B) and remove from the monitoring unit (item C).

• Page 65: Connecting The Patient Box To The Monitoring Unit

  User Manual corpuls General Operating Instructions 4.4.3 Connecting the Patient Box to the Monitoring Unit Position the patient box with the display facing the monitoring unit. Fit the patient box at the bottom on the monitoring unit (item A): The recesses (item 3) of the patient box engage in the two pins (item 5) of the monitoring unit.

• Page 66: Connecting The Monitoring Unit To The Defibrillator/Pacer

  User Manual corpuls General Operating Instructions 4.4.4 Connecting the Monitoring Unit to the Defibrillator/Pacer Note This procedure applies regardless of whether the patient box is connected to the monitoring unit or not. Raise and tilt the monitoring unit forwards. Fit the monitoring unit onto the defibrillator/pacer at the bottom (item A): Both pins (item 4) of the monitoring unit engage in the two recesses (item 3) on top of the base of the defibrillator/pacer.

• Page 67: Removing The Patient Box From The Compact Device

  User Manual corpuls General Operating Instructions Before connecting the modules, make sure that there are no metallic objects, e. g. conductive foils, between the individual modules. Attention 4.4.5 Removing the Patient Box from the Compact Device Grasp the monitoring unit by the carrying handle and pull both snap locks simultaneously forwards and upwards with your thumbs or push them rearwards and downwards.

• Page 68: Accessory Bag

  User Manual corpuls General Operating Instructions Accessory Bag 4.5.1 Fitting the Accessory Bag Insert the patient box (item 1) into the protective cover (item 6). Fig. 4-25 Accessory bag and patient box, front view (illustration may differ) 1 Patient box 2 Accessory bag 3 Lateral press stud 4 Rear press stud…

• Page 69: Packing The Accessory Bag

  User Manual corpuls General Operating Instructions Fig. 4-26 Accessory bag with patient box, rear view (illustration may differ) 4.5.2 Packing the Accessory Bag When inserting the sensor cables and ECG cables, make sure that the plugs snap in place beyond the perceptible pressure point. Fold (gather in loops) but do not roll up the connected cable to avoid damage to the cable and allow rapid removal during mission without forming Caution…

• Page 70
  User Manual corpuls General Operating Instructions Right-hand bag Accessory Position Temperature sensor (item 1) Outermost pocket NIBP cuff (item 2) Wide elastic band at the side of outermost pocket sensor (item 4) Left-hand pocket on central section intermediate cable (item 3) Right-hand pocket on central section adapter, mainstream (item 5) Elastic band below the patient box…
• Page 71
  User Manual corpuls General Operating Instructions Connecting cables on left-hand side Rainbow ECG-D ECG-M Fig. 4-29 Connecting the plugs on the left-hand side of the patient box Left-hand bag Accessory Position 4-pole ECG monitoring cable (item 1) Outermost pocket Pack of ECG electrodes (item 2) Left-hand pocket on central section Oximetry intermediate cable (item 3) Right-hand pocket on central section…

• Page 72: Inserting The Device Into The Brackets

  User Manual corpuls General Operating Instructions Inserting the Device into the Brackets 4.6.1 Defibrillator/Compact Device Bracket Insertion Insertion Fit the recesses at the bottom of the defibrillator onto the pins of the defibrillator/compact device bracket (item A). The lock on the bracket engages automatically.

• Page 73: Monitoring Unit Bracket

  User Manual corpuls General Operating Instructions 4.6.2 Monitoring Unit Bracket Note This procedure applies regardless of whether the patient box is connected to the monitoring unit or not. Insertion The monitoring unit is inserted into the bracket in the same manner as it is connected to the defibrillator/pacer (see chapter 4.4.4 Connecting the Monitoring Unit to the Defibrillator/Pacer, p.

• Page 74: Patient Box Charging Bracket

  User Manual corpuls General Operating Instructions 4.6.3 Patient Box Charging Bracket Insertion Position the patient box as shown in Fig. 4-33. Fit the patient box with its bottom side onto the long part of the charging bracket (item A): The recesses on the patient box engage in both pins (item 4) on the charging bracket.

• Page 75: Operation – Therapy

  User Manual corpuls Operation – Therapy Operation – Therapy Therapy Electrodes for Defibrillation and Pacing 5.1.1 Types of Therapy Electrodes With the introduction of the corPatch easy pre-connected therapy electrodes Note (P/N 05120.1), for adults (P/N 04324.3) and Pediatric (P/N 05120.1) the higher limits for the body weight of patients have been set.

• Page 76
  User Manual corpuls Operation – Therapy Internal shock The internal shock spoons consist of the shock spoon-electrodes and the spoons handles. Before use the electrodes have to be screwed onto the handles. The handles are already connected to an electrode cable and only need to be connected to the therapy master cable of the defibrillator/pacer.

• Page 77: Connecting The Electrode Cable

  User Manual corpuls Operation – Therapy 5.1.2 Connecting the Electrode Cable To connect the therapy electrodes, connect the corresponding plug (item 2 or item 3 in Fig 5-1) to the therapy master cable (item 1). To disconnect, pull back the red sliding sleeve at the therapy master cable and pull apart the plugs. The plug connectors are twistproof.

• Page 78: Removing The Shock Paddles From Their Holders And Re-Inserting Them

  User Manual corpuls Operation – Therapy If the electrode plug is turned the wrong way and connected by force to the therapy master cable, there will be a malfunction in the paddle interface and an alarm message will be issued. Caution The plug connector has to be disconnected and checked for damage.

• Page 79: Preparing The Patient For Defibrillation, Cardioversion And Pacer Therapy

  User Manual corpuls Operation – Therapy Preparing the Patient for Defibrillation, Cardioversion and Pacer Therapy As a side effect of the defibrillation, a reddening of the skin and, in case of excessive hair, burn injuries may occur. Caution Recording of the ECG with therapy electrodes or via the 4 pole ECG monitoring cable is impaired if the skin is contaminated or in case of excessive hair.

• Page 80: Defibrillation In Aed Mode

  User Manual corpuls Operation – Therapy Defibrillation in AED Mode 5.3.1 Information on the AED Mode The use of a defibrillator in AED mode is not recommended for patients of less Note than 12 months of age. If no special paediatric AED device is available for patients aged between 1 and AED mode 8 years, it is recommended to use the defibrillator in AED mode with corPatch for children…

• Page 81
  User Manual corpuls Operation – Therapy The curve field in the first line of the screen is pre-set and cannot be configured. The first curve field displays the ECG recorded by the respective defibrillation electrodes, switching automatically between IIauto and DEauto: •…

• Page 82: Defibrillation In Aed Mode With Corpatch Electrodes

  User Manual corpuls Operation – Therapy If the network configuration of the corpuls is modified during ECG analysis in AED mode (change from a wireless radio connection to a mechanical connection or vice versa), the ECG analysis will be interrupted. WARNING The ECG analysis must be restarted in this case.

• Page 83: Defibrillation In Aed Mode With Shock Paddles

  User Manual corpuls Operation – Therapy With the introduction of the corPatch easy pre-connected therapy electrodes Note (P/N 05120.1), for adults (P/N 04324.3) and Pediatric (P/N 05120.1) the higher limits for the body weight of patients have been set. The manufacturer assures that also the previously supplied therapy electrodes corPatch easy Neonate (P/N 04324.2) can be used for defibrillations with an energy level of up to 100 Joule maximum and up to a body weight of 25 kg.

• Page 84
  User Manual corpuls Operation – Therapy Place the APEX shock paddle (Fig. 5-5, item 1) on the lower left of the thorax beside apex of the heart (5th ICS). Place the STERNUM shock paddle (Fig. 5-5, item 2) to the right of the sternum.
• Page 85
  User Manual corpuls Operation – Therapy During ECG analysis, it is essential to avoid external commotion and vibration. Keep the patient lying down calmly. Do not touch the patient. It is essential to discontinue artificial respiration during ECG analysis. This WARNING leads to false analysis results since the periodic expansion of the chest may simulate an ECG rhythm.

• Page 86: Manual Defibrillation And Cardioversion

  User Manual corpuls Operation – Therapy Manual Defibrillation and Cardioversion 5.4.1 Information on Manual Defibrillation and Cardioversion In the manual defibrillation mode of corpuls , the users have full freedom of action and decision-making concerning operation of the defibrillator. They have to assess the ECG and can, depending on the patient, select the necessary energy and trigger the defibrillation- or cardioversion shock.

• Page 87
  User Manual corpuls Operation – Therapy The curve field in the first line of the screen is pre-set and cannot be configured. There, the ECG recorded by the respective therapy electrodes is displayed, switching automatically between IIauto and DEauto: • corPatch electrodes: — DEauto recording, via the corPatch electrodes &…

• Page 88: Manual Defibrillation With Corpatch Electrodes

  User Manual corpuls Operation – Therapy In manual mode, a configurable audio recording option is available which is Audio recording disabled by default. If the audio recording option is enabled by the person responsible for the device, all surrounding noises are recorded (see chapter 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) , page 163).

• Page 89: Manual Defibrillation And Cardioversion With Shock Paddles

  User Manual corpuls Operation – Therapy To start the charging process, press the Charge key. Charge Laden The charging process takes a maximum of 5 seconds depending on the selected energy setting. Wait until the message Ready for shock is displayed on the screen and the ready-signal is sounding.

• Page 90
  User Manual corpuls Operation – Therapy Place the APEX shock paddle (Fig. 5-8, item 1) on the lower left of the thorax beside apex of the heart (5th ICS). Place the STERNUM shock paddle (Fig. 5-8, item 2) to the right of the sternum.

• Page 91: Manual Defibrillation And Cardioversion With Shock Spoons

  User Manual corpuls Operation – Therapy Note The charging process can be interrupted by pressing simultaneously both shock paddle buttons briefly. Pressing one of the shock paddle buttons again, continues the charging process. Note Energy selection can be performed by connecting both electrode surfaces of the shock paddles (short-circuiting).

• Page 92: Manual Defibrillation And Cardioversion Of Neonates And Children

  User Manual corpuls Operation – Therapy Wait until the message Ready for shock is displayed on the screen and the ready-signal is sounding. The device is ready for releasing a defibrillation shock. Keep the Shock key depressed until the shock is delivered to perform defibrillation or cardioversion.

• Page 93: External Pacer

  User Manual corpuls Operation – Therapy Fit the baby shock electrodes (item 2) onto the shock paddles (item 1) and press until the curved edge engages perceptibly. Perform a functional test: Trigger a 10 J shock with short-circuited baby shock electrodes. The two diodes (item 3) light up.

• Page 94
  User Manual corpuls Operation – Therapy In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent. WARNING Do not operate the external pacer of the device near high frequency surgical devices.

• Page 95: Preparing The Pacer Function

  User Manual corpuls Operation – Therapy «STIM» message Pacer operation is indicated by the message “STIM” in the upper left corner of the curve field. When stimulation is performed, the message “STIM” is flashing. When “STIM” is permanently displayed, the pacer is switched on (e.g. in DEMAND mode in a frequency range in which no stimulation is necessary), but is not active (no stimulation).

• Page 96
  User Manual corpuls Operation – Therapy Place the blue-labelled corPatch electrode on the back beside vertebral column beneath the shoulder blade (item 1). Place the red-labelled corPatch electrode on the thorax at the level of the bottom third of the sternum (between 4th and 5th ICS) (item 2). Connect the corPatch electrodes to the therapy master cable.

• Page 97: Starting The Pacer Function

  User Manual corpuls Operation – Therapy 5.5.3 Starting the Pacer Function Preparing the Prerequisite: Device is switched on. device Press the Pacer key to run the pacer function. The following screen structure appears: Pacer Fig. 5-13 Pacer, initial screen 1 Heart rate parameter field 2 Current ECG (recording II/DEauto) 3 Configurable curve field 4 Pacer operating mode…

• Page 98
  User Manual corpuls Operation – Therapy Note The pacing intensity can be adjusted in 5 mA increments within the range of 0 to 150 mA. Regularly check effectiveness of the pacer by checking the central pulse. WARNING In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent.
• Page 99
  User Manual corpuls Operation – Therapy OVERDRIVE Press the Pacer key to run the pacer function. function Press the softkey [Mode] to leave the operating mode DEMAND. Press the softkey [OVR] to select the OVERDRIVE function. The pacing frequency will be automatically adjusted to a value just below the patient’s frequency.
• Page 100
  User Manual corpuls Operation – Therapy Regularly check effectiveness of the pacer by checking the central pulse. WARNING If the defibrillator/pacer battery enters a low state of charge in pacer mode while the modules are being operated separately from one another, a alarm message “Battery low (Defib)“…

• Page 101: Metronome

  User Manual corpuls Operation – Therapy Metronome 5.6.1 Information on the Metronome The corpuls comes with a metronome (smartMetronome) that supports the user acoustically during CPR. Configurations of the metronome are set according to the current scientific recommendations of international associations for resuscitation (e.g.

• Page 102: Starting The Metronome

  User Manual corpuls Operation – Therapy 5.6.2 Starting the Metronome Preparing the Prerequisite: The device is in AED- or manual defibrillation mode. device 1. Press the softkey [Metronome] repeatedly until the required mode is selected. Fig. 5-16 Softkey context menu metronome 2.

• Page 103: Cpr Feedback

  User Manual corpuls Operation – Therapy By selecting the pacer mode, the metronome is deactivated. Caution CPR Feedback 5.7.1 Information on CPR Feedback If a corPatch CPR sensor is used, the rate and depth of a thorax compression can be measured by the corpuls .

• Page 104
  User Manual corpuls Operation – Therapy Note The CPR feedback will be available in devices as of May 2013. Older devices can be retrofitted. For further information, please contact your authorised sales and service partner. The corPatch CPR sensor is a disposable article. Note The corPatch CPR sensor is covered under one or more of the following Note…

• Page 105: Preparing Cpr Feedback

  User Manual corpuls Operation – Therapy 5.7.2 Preparing CPR Feedback How to handle the corPatch CPR sensor is described in the following. Connect the corPatch CPR sensor (item 1) to the corPatch CPR intermediate cable (item 2) leading to the patient box. Fig.

• Page 106: Working With Cpr Feedback

  User Manual corpuls Operation – Therapy 5.7.3 Working with CPR Feedback Prerequisite: Device is switched on. The CPR feedback system starts automatically when the corPatch CPR sensor is applied. If necessary, select a curve field for displaying the compression progression (CPR) and call up the curve context menu. Assign the CPR curve to the selected curve field.

• Page 107: Operation – Monitoring And Diagnosis

  User Manual corpuls Operation – Monitoring and Diagnosis Operation – Monitoring and Diagnosis Information on Monitoring and Diagnosis The corpuls offers comprehensive options for monitoring vital parameters and for diagnosis of critical patients. The device starts automatically in monitoring mode when it is switched on. Press the Monitor key to switch from the therapeutic mode to monitoring mode.

• Page 108: Ecg Lead Colour Coding

  User Manual corpuls Operation – Monitoring and Diagnosis Additional use of a nerve stimulator may modify or completely suppress the ECG representation. In some cases, the ECG of an implanted pacer is displayed instead. Warning In patients with an implanted pacer, it is possible that shockable ECG rhythms or arrhythmias will only be detected to a limited extent.

• Page 109: Preparing Ecg Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.2.3 Preparing ECG Monitoring The ECG can be recorded with the following cables: • 4-pole ECG monitoring cable, (for leads I, II, III, aVR, aVL and aVF) • complementary 6-pole diagnostic cable, (for leads V1 to V6) as a supplement to ECG monitoring (for positioning of ECG electrodes C1 to C6, see chapter 6.3.2 Preparing the Patient for a D-ECG, page 103)

• Page 110: Performing Ecg Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-2 ECG monitoring, applying the ECG electrodes (shortened form) 1 Position of the red ECG electrode 2 Position of the yellow ECG electrode 3 Position of the green ECG electrode 4 Position of the black ECG electrode Note Connecting and disconnecting ECG electrodes may simulate false-positive pacer pulses.

• Page 111
  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-3 ECG monitoring, initial screen 1 Heart rate parameter field 2 ECG curves Adapt the representation of the ECG curve, if necessary (see chapter 0 Adapting the Representation of the ECG Curve, p. 100). Configure the device alarms, if necessary (see chapter 7.3 Alarm Configuration, p.

• Page 112: Adapting The Representation Of The Ecg Curve

  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-4 Real-time printout, section mV-mark The millivolt mark (in form of a rectangular impulse) is located at the left margin of the curve field (mV-mark). Its height depends on the set amplification of the ECG curve.

• Page 113
  User Manual corpuls Operation – Monitoring and Diagnosis With automatic adjustment, the device selects the amplification so that the ECG curve with the greatest amplitude overwrites 50% of the area available on the screen. Consequently, individual, greater ECG swings can be displayed. With manual adjustment, the amplification affecting the amplitude display can be selected (x 0.25 / x 0.5 / x 1 / x 2).

• Page 114: Heart Rate Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.2.6 Heart Rate Monitoring In addition to the ECG curves, the heart rate is evaluated and displayed on the screen when monitoring the ECG. To display the heart rate, select the parameter field and open the parameter context menu (see chapter 4.3.2 Parameter Context Menu and Curve Context Menu, p.

• Page 115: Preparing The Patient For A D-Ecg

  User Manual corpuls Operation – Monitoring and Diagnosis Abbreviations for AMI: Anterior Myocardial Infarction ECG Measurement/ IMI: Inferior Myocardial Infarction EKG Interpretation PCI: Percutaneous Coronary Intervention ® : Hannover ECG System STEMI:ST-Elevation Myocardial Infarction NSTEMI: Non-ST-Elevation Myocardial Infarction With the complementary 6-pole ECG diagnostic cable, the six unipolar thoracic wall leads according to Wilson (C1-C6) can be recorded.

• Page 116
  User Manual corpuls Operation – Monitoring and Diagnosis • Red ECG electrode: right arm (Fig. 6-7, item 1) • Yellow ECG electrode: left arm (Fig. 6-7, item 2) • Green ECG electrode: left leg (Fig. 6-7, item 3) • Black ECG electrode: right leg (Fig. 6-7, item 4) Fig.
• Page 117
  User Manual corpuls Operation – Monitoring and Diagnosis • Red V1-ECG electrode: intercostal space, right parasternally • Yellow V2-ECG electrode: intercostal space, left parasternally • Brown V4-ECG electrode: intercostal space, left medioclavicular line • Green V3-ECG electrode: between V2 and V4 on the 5 •…

• Page 118: Recording And Measuring A Diagnostic Ecg

  User Manual corpuls Operation – Monitoring and Diagnosis Note To check the ECG cables for functional readiness, the use ot the optionally available ECG cable tester is recommended (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p. 224). The ECG function is compromised if adhesion of the electrodes is impaired due to contaminated skin or excessive hair.

• Page 119
  User Manual corpuls Operation – Monitoring and Diagnosis the right corner at the bottom of the preview screen. It is possible, however, to switch to an alternative diagnostic filter setting, e.g.0.05 – 40 Hz. For this ® ® purpose press the softkey [Filter]. HES Light and HES are not affected by these filter settings.
• Page 120
  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-11 Printout of 12-lead ECG (illustration may differ) Note The D-ECG printout contains the trend values of the last minute at the time the softkey [Print] is pressed. For this reason the D-ECG recorded may originate from an earlier time.
• Page 121
  User Manual corpuls Operation – Monitoring and Diagnosis ® Fig. 6-12 D-ECG printout of the representative cycle with HES Light (illustration may differ) ENG — Version 2.1 – P/N 04130.2…
• Page 122
  User Manual corpuls Operation – Monitoring and Diagnosis ® Fig. 6-13 D-ECG printout with ECG analysis and ECG interpretation HES (option) (illustration may differ) ENG — Version 2.1 – P/N 04130.2…

• Page 123: Representative Cycle

  User Manual corpuls Operation – Monitoring and Diagnosis ® Coded In case no therapy suggestion can be made for certain reasons, HES provides Explanation a coded explanation. See the following list for relevant codes: Type Code Explanation Localisation More than 30 QRS complexes found of complexes Too few QRS complexes found Too much line frequency noise (50 Hz)

• Page 124
  User Manual corpuls Operation – Monitoring and Diagnosis Designation Explanation Excluded due to a too small/large distance to earlier or following cycle. Measurement error possible! Excluded due to ECG complex being located too much outside of the examined interval (P- or T-wave partially missing) Table 6-3 Criteria of the representative cycle…

• Page 125: Longterm Ecg

  User Manual corpuls Operation – Monitoring and Diagnosis Note In general, a visual check of the rhythm- and typing diagram as well as a check of the fiducials should be integral part of the quality check of the computerised ECG evaluation. Note For further information, the HES ECG manual is available in German and English.

• Page 126: Preparing Longterm Ecg

  User Manual corpuls Operation – Monitoring and Diagnosis 6.4.2 Preparing Longterm ECG Prerequisite for the longterm ECG is a 4-pole ECG monitoring cable connected to the patient (see chapter 6.2.4 Performing ECG Monitoring, p. 98). If no 4-pole ECG monitoring cable is present, the DE-lead (if connected) will be recorded. If both lead II and lead DE are present, only lead DE is recorded.

• Page 127: Oximetry Monitoring (Option)

  User Manual corpuls Operation – Monitoring and Diagnosis Oximetry Monitoring (Option) Oximetry 6.5.1 Information on Monitoring Oximetry is a non-invasive monitoring method for continuous measurement of the arterial oxygen saturation (SpO ), the level of methemoglobin (SpMet) and, depending on the used oximetry sensor (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, page 224), the level of carboxyhemogolobin (SpCO or the level of total hemoglobin (SpHb) in the blood.

• Page 128
  User Manual corpuls Operation – Monitoring and Diagnosis The oximeter may not be operated in the vicinity of ionising (radioactive) radiation, because the measured values might be falsified. Warning Refer to the list of approved accessories (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p.

• Page 129: Preparing Oximetry Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.5.2 Preparing Oximetry Monitoring Handling of a oximetry finger sensor is described below. Please read and understand the warning notices of the oximetry sensor manufacturer. Warning Do not place the oximetry sensor on the same limb as an NIBP cuff for non- invasive blood pressure monitoring, a catheter or an intravascular access.

• Page 130: Performing Oximetry Measurement

  User Manual corpuls Operation – Monitoring and Diagnosis 6.5.3 Performing Oximetry Measurement Oximetry measurement begins automatically after the sensor has been attached. If necessary, select the curve field for displaying course of SpO measurement (pleth) and open the curve context menu. Assign the plethysmogram to the selected curve field.

• Page 131
  User Manual corpuls Operation – Monitoring and Diagnosis Printing the The pleth curve can be printed out with the integrated printer. See chapter 7.1.3 plethysmogram Printer settings, p. 143 for more information on configuring the printout. Press the Print key to start or stop real-time printing. Fig.

• Page 132: Adjusting The Representation Of The Oximetry Parameters

  User Manual corpuls Operation – Monitoring and Diagnosis 6.5.4 Adjusting the Representation of the Oximetry Parameters Modifying the The sweep speed of the display on the screen can be selected for the pleth sweep speed curve. The following sweep speeds can be configured: •…

• Page 133
  User Manual corpuls Operation – Monitoring and Diagnosis Monitoring (option) 6.6.1 Information on CO Monitoring monitoring allows recording of the end-expiratory, end-tidal CO concentration (EtCO ) and provides information on ventilation, haemodynamics and metabolism in both intubated and non-intubated patients. The semi-quantitative measurement method uses infrared technology and is based on the assumption that there is no CO present in the patient’s…
• Page 134
  User Manual corpuls Operation – Monitoring and Diagnosis 6.6.2 Preparing CO Monitoring Attach the appropriate disposable adapter to the capONE sensor (item 3). Fig. 6-22 shows the three nasal adapters, Fig. 6-23 the endotracheal tube adapter. Fig. 6-22 CO monitoring, nasal adapter 1 CO disposable nasal adapter (YG-120T) 2 CO…
• Page 135
  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-23 CO monitoring, disposable endotracheal tube adapter 1 Respirator/ventilation bag connection 2 CO sensor connection 3 Endotracheal tube connection (YG-111T) Attach the CO sensor unit to the patient according to the manufacturer’s instructions: •…
• Page 136
  User Manual corpuls Operation – Monitoring and Diagnosis 6.6.3 Performing CO Measurement Measurement begins automatically after the sensor has been attached. Select the curve field for display of CO trend and open the curve context menu Assign CO monitoring to the selected curve field (capnogram). Select the parameter field for display of the end-expiratory CO concentration and open the parameter context menu.

• Page 137: Monitoring Respiratory Rate

  User Manual corpuls Operation – Monitoring and Diagnosis 6.6.4 Adjusting the Representation of the CO Values Modifying the The sweep speed of the display on the screen can be selected for the sweep speed configured curves. The following sweep speeds can be set: •…

• Page 138: Non-Invasive Blood Pressure Monitoring (Option)

  User Manual corpuls Operation – Monitoring and Diagnosis Non-invasive Blood Pressure Monitoring (option) 6.7.1 Information on NIBP Monitoring Non-invasive blood pressure monitoring (NIBP) is used for routine monitoring of the blood pressure on an extremity. The pressure of a pulse wave in the blood is measured with the oscillometry method.

• Page 139
  User Manual corpuls Operation – Monitoring and Diagnosis The measurements can either be performed as individual measurements or automatically at configurable intervals (1 to 60 minutes). Only use NIBP cuffs mentioned in the list of approved accessories (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p. 224). Caution The corpuls can indicate the results of non-invasive blood pressure…
• Page 140
  User Manual corpuls Operation – Monitoring and Diagnosis Press the softkey [View] to switch to the trend view. Fig. 6-29 NIBP user surface in trend view Three operating modes can be set with the softkey [Mode]: • adult • child •…

• Page 141: Preparing Blood Pressure Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.7.2 Preparing Blood Pressure Monitoring NIBP monitoring on the upper arm is described below: The index printed on the NIBP cuff may not exceed or fall below the range, also printed on the NIBP cuff. Otherwise, a larger or smaller NIBP cuff has to be used.

• Page 142
  User Manual corpuls Operation – Monitoring and Diagnosis Before starting the NIBP measurement, make sure that the selected initial pressure is appropriate for the patient. Caution In monitoring mode press the softkey [NIBP]. Press the softkey [Mode] repeatedly until the required mode «Adult“, «Child» or «Neonate»…

• Page 143: Performing Blood Pressure Interval Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.7.4 Performing Blood Pressure Interval Monitoring Make sure that the blood circulation is not impaired in the extremity to which the NIBP cuff is attached. Warning Note Set the time value for interval monitoring (see chapter 7.4.14 Configuration of Non-Invasive Blood Pressure Measurement (NIBP) (Persons Responsible for the Device), page 184).

• Page 144: Preparing Invasive Blood Pressure Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis The following table gives an overview of the current assignment: Assignment Connection Single pressure Double pressure channel channel IBP-1 «P1» «P1» and «P2» IBP-2 «P3» «P3» and «P4» Table 6-4 IBP monitoring, pressure channel assignment Special convertible adapters for transducer cables from established manufacturers (e.g.

• Page 145
  User Manual corpuls Operation – Monitoring and Diagnosis Fig. 6-32 IBP calibration Repeat steps 3 to 4 to calibrate further transducer cables. If auto-scaling of the display of the pressure channel is not required, adjust the display range in the main menu «IBP» ► «Settings» (for further information see chapter 7.2.4 IBP, p.

• Page 146: Performing Invasive Blood Pressure Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.8.3 Performing Invasive Blood Pressure Monitoring Invasive blood pressure monitoring starts automatically after application of the transducer(s). Select the curve field for display of the pressure curves and open the curve context menu Assign the corresponding pressure curve (P1-P4) to the selected curve field.

• Page 147: Temperature Monitoring (Option)

  User Manual corpuls Operation – Monitoring and Diagnosis Press the Print key to start or stop real-time printing Fig. 6-34 IBP monitoring, section of a printout Invasive blood pressure curve P1 Temperature Monitoring (Option) 6.9.1 Information on Temperature Monitoring Temperature monitoring enables continuous measurement and monitoring of the body core temperature (e.g.

• Page 148: Performing Temperature Monitoring

  User Manual corpuls Operation – Monitoring and Diagnosis 6.9.3 Performing Temperature Monitoring Monitoring starts automatically after the sensor has been attached. Select the parameter field for display of the first temperature value and open the parameter context menu. Assign T1 monitoring to the selected parameter field. Fig.

• Page 149: Configuration

  User Manual corpuls Configuration Configuration Various different settings of the corpuls can be configured: • System settings • Monitoring functions (ECG, Oximetry, CO , NIBP, IBP) • Alarms • Advanced settings (for persons responsible for the device) The corpuls has user administration. Certain settings are therefore only Note acessible for users with a higher authorisation level (such as persons responsible for the device or service technicians).

• Page 150
  User Manual corpuls Configuration Select the menu items «System» ► “Settings” in the main menu. The configuration dialogue opens. Fig. 7-1 System settings, default user level Select the required setting with the jog dial. Table 7-1 shows the possible values Note Some configuration fields can only be edited if the user has the necessary authorisation.
• Page 151
  User Manual corpuls Configuration Display The following settings are possible for the display: • brightness level of the backlit display (not in night mode) • dimmed brightness level for energy saving (not in night mode) • time interval after which the display switches from normal to dimmed in the absence of operating actions or alarms (not in night mode) •…

• Page 152: Display Configuration

  User Manual corpuls Configuration 7.1.2 Display Configuration The following settings can be configured: • number and type of the curves displayed • number and type of the parameters displayed • pre-set views In the main menu, select «Signals» ► «Curves». Curves The configuration dialogue opens.

• Page 153
  User Manual corpuls Configuration 1. In the main menu, select «Signals» ► «Parameters». Parameters The configuration dialogue opens. Fig. 7-3 Displaying parameter fields 2. Select the arrangement of the parameters in the group «Settings» for the following fields: • Horizontal and/or •…
• Page 154
  User Manual corpuls Configuration 1. In the main menu, select «Signals» ► “Views”. Selecting pre-set views The configuration dialogue opens. Fig. 7-4 Selecting pre-set views 2. Select the required configured view with the jog dial and press to confirm. 3. To confirm the settings and close the configuration dialogue, press the softkey [OK].

• Page 155: Printer Settings

  User Manual corpuls Configuration 7.1.3 Printer settings In the main menu, select «Printer» ► «Curves». Curves The configuration dialogue opens. Fig. 7-5 Printer setting «Same as screen» If in the group “Settings” the checkbox “Same as screen” is ticked, the curves currently displayed on the monitor are printed.

• Page 156
  User Manual corpuls Configuration Fig. 7-6 Selecting printer curves Note In real-time printing, up to six curves can be printed simultaneously one below the other. Preceding every real-time printout is the designation “REAL-TIME PRINTOUT” on the first page. In the field “Speed” in the group «Settings», select the sweep speed and the time interval after which the printer should stop printing automatically (see Table 7-2 for the values).
• Page 157
  User Manual corpuls Configuration In the main menu, select «Printer» ► «Trend». Trends and Printer protocol The configuration dialogue opens. Fig. 7-7 Printer Protocol To obtain in the protocol a chronological list of minute mean values of vital parameters in table form, tick the checkbox “Trends” in the group “Protocol”. If the checkbox “Same as screen”…
• Page 158
  User Manual corpuls Configuration Printing To enable printing of the trend values as a single page: individual In the main menu, select «Printer» ► «Trend page». trend pages For the trend the minute mean values of the parameters are saved. One minute mean value is calculated from all measured values within one minute as the arithmetic average.
• Page 159
  User Manual corpuls Configuration Field Setting Values Incre- ments 12-lead ECG 12-lead ECG printout Enabled, disabled – Printout of the Enabled, disabled – Rep. cycle representative cycle Global info Printout of diagnosis Enabled, disabled – Sweep speed of the D- 25 mm/s, 50 mm/s –…

• Page 160: Configuration Of The Fax Transmission (Default User)

  User Manual corpuls Configuration 7.1.4 Configuration of the Fax Transmission (Default User) Settings for Fax The following settings can be configured by the default user for transmitting a Transmission fax: (optional) • Enabling and disabling of the GSM connection (aircraft mode) •…

• Page 161
  User Manual corpuls Configuration In the main menu, select «ECG» ► «Settings». General settings The configuration dialogue opens. Fig. 7-9 ECG settings Select the settings. Table 7-5 shows the possible values. Field Setting Values Speed 12.5 mm/s, 25 mm/s, 50 mm/s Amplitude AUTO;…

• Page 162: Oximetry

  User Manual corpuls Configuration 7.2.2 Oximetry In the main menu, select «Oximetry» ► «Settings». Settings The configuration dialogue opens. Fig. 7-10 Settings for oximetry monitoring Select the settings. Table 7-6 contains the possible values. Field Setting Values Increment 12.5 mm/s, –…

• Page 163
  User Manual corpuls Configuration If the check box «Auto Curve» is ticked, the pleth curve will be displayed on the screen as soon as valid oximetry values are measured. Dynamic If the pitch of the QRS tone is to indicate a change in oxygen saturation (SpO Pulse Tone value), tick the checkbox in the “Dynamic”…
• Page 164
  User Manual corpuls Configuration Select the settings. Table 7-7 contains the possible values. Field Setting Values 3.13 mm/s, 6.25 mm/s, Sweep speed 12.5 mm/s Curve Enabled, Auto Curve disabled Current unit Unit mmHg, kPa Table 7-7 monitoring values If the check box «Auto Curve» is ticked, the CO curve will be displayed on the screen as soon as valid CO values are measured.
• Page 165
  User Manual corpuls Configuration Select the settings. Table 7-8 contains the possible values. Field Setting Values General Sweep speed 12.5 mm/s, 25 mm/s, 50 mm/s Auto; 0 to 30; 0 to 60; 0 to 120; 0 to 180; 0 to 300 Scale -10 to 10;…

• Page 166: Cpr Feedback

  User Manual corpuls Configuration 7.2.5 CPR Feedback In the main menu, select «Defib» ► «CPR». Setting The configuration dialogue opens. Fig. 7-13 Settings for CPR feedback Select required settings. Table 7-9 shows the possible values. Field Setting Values CPR depth Unit cm;…

• Page 167: Alarm Configuration

  User Manual corpuls Configuration Alarm Configuration 7.3.1 Configuring Alarm Settings In the main menu, select the menu items «Alarm» ► «Settings». The configuration dialogue opens. Fig. 7-14 Alarm settings Select the required setting with the jog dial. The alarm for the occurrence of a ventricular tachykardia (VT) or a ventricular fibrillation (VF) can be disabled.

• Page 168: Configuring Alarm Settings

  User Manual corpuls Configuration 7.3.2 Configuring Alarm Settings If the value of a vital parameter falls below or exceeds the limit values, an alarm is triggered if the following conditions are met: • Device is not in defibrillation mode. • Alarm mode is set to «Alarm ON»: Select the parameter field of the vital parameter and open the parameter context menu;…

• Page 169
  User Manual corpuls Configuration Note The actually available value range indicated in Table 7-11 depends on the selected upper and lower limit values, as the upper and lower limits may not overlap. Function Lower limit Upper limit Increment HR 1/min —;…

• Page 170: Setting The Alarm Limits For Monitoring Functions Automatically

  User Manual corpuls Configuration 7.3.4 Setting the Alarm Limits for Monitoring Functions Automatically Fig. 7-16 Setting automatic alarm limits In the main menu, select «Alarm» ► «Auto limits». The corpuls sets alarm limits automatically depending on the current patient readings. A configuration dialogue with all the automatically set alarm limits appears (see p.

• Page 171: Advanced Settings (Persons Responsible For The Device)

  User Manual corpuls Configuration Advanced Settings (Persons Responsible for the Device) 7.4.1 Authorisation for Persons Responsible for the Device User In contrast to the default user, the person responsible for the device has a authorisation higher authorisation level to perform configurations. The different user levels are protected by access codes.

• Page 172: General System Settings (Person Responsible For The Device)

  User Manual corpuls Configuration 7.4.2 General System Settings (Person responsible for the device) General system Persons responsible for the device can configure the following (advanced) settings settings in addition to those described in chapter 7.1.1 General System Settings, p. 137: •…

• Page 173
  User Manual corpuls Configuration Select the required setting with the jog dial. Table 7-12 shows the possible values. Field Setting Value Increment German Language German English, etc. Set time hours:minutes 0-23:00-59 Set date DD.MM.YY from 2000 Time/Date UTC offset hours:minutes 0±12:00-59 Enabled, Autom.
• Page 174
  User Manual corpuls Configuration Saving the All the settings configured, except date and time, must be saved if they are to be available the next time the corpuls configuration is switched on. Loading The «Load» function allows a reset to the last version saved while device is configuration running.

• Page 175: Configuration Of The Defibrillation Function (Persons Responsible For The Device)

  User Manual corpuls Configuration 7.4.3 Configuration of the Defibrillation Function (Persons Responsible for the Device) Persons responsible for the device can configure further defibrillation function settings in addition to those described in chapter 5.3.1 Information on the AED Mode, page 68 and chapter 5.4.1 Information on Manual Defibrillation and Cardioversion, page 74.

• Page 176
  User Manual corpuls Configuration In the main menu, select «Defib» ► “Settings”. Settings The configuration dialogue opens. Fig. 7-19 Defibrillation function settings (persons responsible for the device) Select the settings. Table 7-13 shows the possible values. Group Settings Values Off, 2, 3, 4, 5, 10, 15 to 200 J Adult Auto energy Man.

• Page 177: Filter Settings (Persons Responsible For The Device)

  User Manual corpuls Configuration 7.4.4 Filter Settings (Persons Responsible for the Device) ECG monitoring Persons responsible for the device can adjust further settings in addition to those described in chapter 7.2.1 ECG Monitoring, p. 148. In the main menu, select «ECG» ► “Settings”. Settings The configuration dialogue opens.

• Page 178: Alarm Configuration (Persons Responsible For The Device)

  User Manual corpuls Configuration Note The filter value of the high pass filter corresponds to the lower limit frequency of the filter. The filter value of the low pass filter corresponds to the upper limit frequency of the filter. Select the settings. Table 7-14 contains the possible values.

• Page 179
  User Manual corpuls Configuration In the main menu, select «Alarm» ► “Settings”. Settings The configuration dialogue opens. Fig. 7-21 Alarm settings (persons responsible for the device) Select the settings. Table 7-15 shows the possible values. Fields Settings Values perm.; 15 s; 30 s; 45 s; 60 s; Alarm OFF 75 s, 90 s;…

• Page 180: Basic Configuration Of The Views (Persons Responsible For The Device)

  User Manual corpuls Configuration Covert mode If the covert mode function is enabled, all signalisations of the device via speakers (start-up tone, speech messages, ready signal, key tones, alarms etc.) as well as the lightening up of the jog dial are completely disabled. It is recommended to use this function only for special surroundings and not for everyday missions.

• Page 181: Configuration Of Master Data (Persons Responsible For The Device)

  User Manual corpuls Configuration Select the required view with the jog dial and press the Back button to save the currently configured view (only select the required field with the jog dial, but do not press the jog dial to confirm). A tick is entered in the check box in the top right corner of the selected view.

• Page 182: Configuration Of Telemetry (Persons Responsible For The Device)

  User Manual corpuls Configuration Fig. 7-23 Entering master data (persons responsible for the device) The standard user can modify some of these master data during the mission, but cannot permanently save these changes (see chapter 8.4 Master Data, p. 188). 7.4.8 Configuration of Telemetry (Persons Responsible for the Device) Abbreviations…

• Page 183
  User Manual corpuls Configuration Configuration Persons responsible for the device can configure the options as follows: Telemetry (Option) • Data transmission (Telemetry), • Fax transmission, • Save the connections to fax recipients as short code, • Copy saved connections to fax recipients from the SIM card into the internal memory or vice versa, •…
• Page 184
  User Manual corpuls Configuration Group Field Setting Value Active Enabled, Enable or disable (aircraft disabled aircraft mode mode off) Code number Numbers from 0-9 Phonebook Memory location internal, SIM D-ECG speed at fax 25 mm/s; Speed transmission 50 mm/s D-ECG Fax Server Network address Numbers, symbols…
• Page 185
  User Manual corpuls Configuration Enter the 4-digit PIN and confirm. The PIN is assigned to you by your mobile communication provider. Select the memory location of the phonebook: • „SIM“ for saving the phonebook on the SIM card or • „internal“…
• Page 186
  User Manual corpuls Configuration For a D-ECG transmission to a fax server, tick the checkbox «Fax server». If this field is not enabled, the D-ECG will be sent to a fax machine selected in the phone book. Enter the network address of the server (IP address or domain) and confirm.
• Page 187
  User Manual corpuls Configuration Select in the main menu «Telemetry» ► «Connections». Saving telemetry connections The configuration dialogue opens. (Fax recipients) Fig. 7-25 Telemetry connections (Persons responsible for the device) Select „Add destination“ by pressing the jog dial. Enter the recipient‘s name. Enter the recipient type.
• Page 188
  User Manual corpuls Configuration Select in the main menu «Telemetry» ► «Conn. SIM -> Intern» to copy data from the SIM card into the internal memory of the corpuls The connection data are copied by selecting the menu item with the jog dial. Into the opposite direction: Select in the main menu «Telemetry»…
• Page 189
  User Manual corpuls Configuration ® 7.4.9 Bluetooth data interface (Persons Responsible for the Device) ® Bluetooth Data Persons responsible for the device can set the following configurations: interface • Activation of the Bluetooth® data interface (option) (Option) • Configuration of the device PIN (option) The corpuls can wirelessly import and export data via the optional ®…
• Page 190
  User Manual corpuls Configuration The MAC address is the unambiguous identification number of the corpuls Note that has to be used to connect the corpuls ® to other Bluetooth devices. In the main menu, select «Bluetooth» ► «Connections». ® Bluetooth connections The configuration dialogue opens.

• Page 191: Configuration Of Ecg Measurement And Ecg Interpretation (Persons Responsible For The Device)

  User Manual corpuls Configuration 7.4.10 Configuration of ECG Measurement and ECG Interpretation (Persons Responsible for the Device) Settings for ECG Persons responsible for the device can perform the following configurations: measurement and • ECG measurement and ECG interpretation mode ECG interpretation •…

• Page 192
  User Manual corpuls Configuration The possible values for configuration are shown in Table 7-19: Field Setting Value corpuls Selection of the measure- Therapy Algo. ment/interpretation method STEMI 500 µV – 2500 µV Limit for AMI increments of 100 µV corpuls 300 µV –…

• Page 193: Demo Mode (Persons Responsible For The Device)

  User Manual corpuls Configuration If the checkbox at the field «ERC» is deactivated, additional measurements and interpretations of the D-ECG are performed besides the one based on the «STEMI»-algorithm. This include checking for the presence of the Wolff- Parkinson-White (WPW) syndrome, of intraventricular excitation propagation disorders, of an implanted pacer, of QRS intervals longer than 120 ms and of a left branch bundle block.

• Page 194: Data Protection Settings (Persons Responsible For The Device)

  User Manual corpuls Configuration The use of the demo mode during patient care is strictly forbidden. The demo mode may only be used for training purposes. Warning If the corpuls is currently in demo mode and should be used for patient care, the device has to be restarted first.

• Page 195: Configuration Of The Metronome (Persons Responsible For The Device)

  User Manual corpuls Configuration 7.4.13 Configuration of the Metronome (Persons Responsible for the Device) Persons responsible for the device can select advanced settings for the Advanced metronome and for the CPR feedback system in order to adapt to local Metronome Settings variations of resuscitation algorithms.

• Page 196: Measurement (Nibp) (Persons Responsible For The Device)

  User Manual corpuls Configuration 7.4.14 Configuration of Non-Invasive Blood Pressure Measurement (NIBP) (Persons Responsible for the Device) Persons responsible for the device can configure advanced settings for interval settings, the initial mode and the initial pressure. In the main menu, select «NIBP» ► «Settings». Settings The configuration dialogue opens.

• Page 197
  User Manual corpuls Configuration To confirm the settings and close the configuration dialogue, press the softkey [OK]. To retain the previous settings and close the configuration dialogue, press the softkey [Cancel]. Note NIBP monitoring is performed in the mode that was last selected: «Adult», «Child»…

• Page 198: Data Management

  User Manual corpuls Data Management Data Management Creating a Patient File A new data record is automatically created each time the corpuls Switching the is switched device on/off on (new mission). An unambiguous mission number is generated, which is printed in the first line on the first page of each printout.

• Page 199: Event Key

  User Manual corpuls Data Management Event Key The corpuls has an event key located in the top left-hand corner of the monitoring unit. When the Event key is pressed, a time stamp is saved which marks the current ECG data and parameter values. On the basis of this marking, this data can be located, viewed and assessed in the data memory.

• Page 200: Master Data

  User Manual corpuls Data Management Master Data Master data Persons responsible for the device can configure and save master data (see chapter 7.4.7 Configuration of Master Data (Persons Responsible for the Device), p. 169. These master data are partly contained in the D-ECG printout. If a D-ECG is transmitted to the hospital by fax (optional), this D-ECG can be identified unambiguously by means of these master data.

• Page 201: Browser Key

  User Manual corpuls Data Management Fig. 8-2 Entering master data Browser Key 8.5.1 Protocol The corpuls automatically generates a log which can be printed out by Browser pressing the Browser key. Each log printout is preceded by the designation «PROTOCOL PRINTOUT» on the first page.

• Page 202
  User Manual corpuls Data Management The log overview contains the following data: Data Explanation Mission Mission number; generated automatically when switching on the device Printout Time of protocol printout Mission start Date and time at switch-on of the device Universal Time Coordinated Patient Family name, first name Can be edited via the main menu «Patient»…
• Page 203
  User Manual corpuls Data Management The following example shows an extract from a printed protocol: Fig. 8-3 Example of an ECG in the protocol at the time of an event The following entries are included in the chronological list: • alarms, physiological and technical (configurable, see chapter 7.4.5 Alarm Configuration (Persons Responsible for the Device), p.

• Page 204: Mission Browser

  User Manual corpuls Data Management 8.5.2 Mission Browser If the Browser key is pressed for more than 3 sec., the operation browser Browser opens. The operation browser gives an overview of all the missions saved on ® the Compact Flash card and its current free memory capacity.

• Page 205: Analysis Of The Data With Corview2

  User Manual corpuls Data Management Note A protocol that has been compiled with an older software version cannot be printed at a later point. The softkey [Protocol] is greyed out in this case. Note The intended use of the operation browser and of the D-ECG browser is limited to the analysis of the mission after monitoring of the patient.

• Page 206: Screenshot

  User Manual corpuls Data Management Information regarding data protection can be found in Appendix M Note on Data Note Protection, page 319 Note For the analysis of data that have been saved with the software version 1.7.1 or lower of the corpuls , the PC application corpuls.net in the corresponding version is needed.

• Page 207
  User Manual corpuls Data Management The corpuls Fax transmission can send a complete report of a 12 lead ECG recording (diagnostic ECG) to any fax machine, fax server, to an e-mail address or the corpuls.web server via the optionally available GSM modem or the LAN interface.

• Page 208: Installing The Sim Card

  User Manual corpuls Data Management 8.8.1 Installing the SIM Card For fax transmission you need a SIM card and a PIN number from your local network service provider. The SIM card must be inserted in the SIM card slot on the rear side of the monitoring unit (see p.

• Page 209
  User Manual corpuls Data Management Select a destination with the jog dial and confirm by pressing the jog dial. 8. The connection is being established. In the status line the status symbol of a flashing fax machine is displayed. 9. By pressing the softkey [Cancel] the monitoring mode for patient monitoring can be called up again.

• Page 210: Starting Live Data Transmission With Corpuls.web

  User Manual corpuls Data Management Note Via the mission browser, D-ECGs from the current mission can be sent again, see chapter 8.5.2 Mission Browser, page 192. Note Note Depending on the volume of data and the signal level, it may take a few minutes to send the fax.

• Page 211: Bluetooth ® Data Interface

  User Manual corpuls Data Management If the user of the corpuls records a D-ECG, it is transferred live to the server Live transmission and can immediately be reviewed via the PC program corpuls.web. The of D-ECGs observer on the other side is informed when the D-ECG is being transferred. If the connection could not be established or if the live data transmission was aborted, this is being signaled via diverse symbols and alarms in the status line.

• Page 212
  User Manual corpuls Data Management configuration can only be changed by the person responsible for the device who ® can activate this option permanently (see chapter 7.4.9 Bluetooth data interface (Persons Responsible for the Device) , page 177). If the Bluetooth® data interface is activated, the corpuls Connection can receive authorisation…

• Page 213: Establishing And Interrupting A Bluetooth® Connection

  User Manual corpuls Data Management MAC address The MAC address is the hardware address of the Bluetooth module and serves as identification of the device in a network. The MAC address cannot be changed. Events and When connecting with a ventilator (e. g. Weinmann Medumat Transport), the corpuls trends can store the events and trends received from the ventilator on the…

• Page 214: Insurance Card Reader (Option)

  User Manual corpuls Data Management Symbol If a connection to an external documentation system has been established via Bluetooth® Data the Bluetooth® data interface, the symbol for „Bluetooth® connection“ is interface displayed in the status line. Depending on the status there are additional markings of the above described symbols for telemetry connections.

• Page 215
  User Manual corpuls Data Management Fig. 8-9 Readout of patient data from insurance card reader With the softkeys [OK] and [Edit] the data set from the insurance card can be accepted or edited. Press the softkey [Print] to print out the data set from the insurance card and save the data set.

• Page 216: Data Transmission Via Bluetooth

  User Manual corpuls Data Management ® 8.10.1 Data Transmission via Bluetooth The corpuls ® can import and export data by radio via the optionally available Bluetooth data bluetooth data interface (P/N. 04211) With the radio module in the patient box interface (option) the user can transfer for example the process data of the corpuls to external…

• Page 217
  User Manual corpuls Data Management Fig. 8-10 Readout of patient information from insurance card reader With the softkeys [OK] and [Edit] the data set from the insurance card can be accepted or edited. Press the softkey [Print] to print out the data set from the insurance card and save the data set.

• Page 218: Maintenance And Tests

  User Manual corpuls Maintenance and tests Maintenance and Tests General Information Regular maintenance and testing guarantee permanent functional and operational readiness of the corpuls Function Check Therefore, make sure that the device and the accessories are in good working condition before each mission by performing a full function and visual check on the corpuls This way, electrical and mechanical malfunctions may be either prevented or detected early on and eliminated quickly.

• Page 219: Function Checks

  User Manual corpuls Maintenance and tests Measure Function check, visual inspection Visual check of the accessories and consumables User test/device checklist Cleaning the corpuls Disinfecting the corpuls Shock paddles, visual inspection Module connection test Safety-related check (SC) Metrological check (MC) Table 9-1 Maintenance intervals *Recommended by the manufacturer…

• Page 220: Function Check Of The Device

  User Manual corpuls Maintenance and tests 9.2.1 Function check of the Device For a function check of the compact device, all the modules of the corpuls must be connected mechanically. The mechanical connections have to be heard to click into place. The following measures must be taken: Functional Description…

• Page 221
  User Manual corpuls Maintenance and tests Functional Description Measures by the user Correct result test  By pressing the shock paddle Function When using shock paddles: check of the buttons a confirmative tone  Insert shock paddles into defibrillator/ sounds. the shock paddle holder.
• Page 222
  User Manual corpuls Maintenance and tests Functional Description Measures by the user Correct result test  If no obvious damage to Function The ECG is displayed as monitoring check of the the ECG monitoring cable expected in the configured curve or the complementary ECG fields.
• Page 223
  User Manual corpuls Maintenance and tests Functional Description Measures by the user Correct result test  Connect a temperature  Display of the room Temperature Function measurement check of sensor to the patient box. temperature. temperature  If the temperature value is …
• Page 224
  User Manual corpuls Maintenance and tests Functional Description Measures by the user Correct result test  Select manual mode of the  The compression rate (CPR Function Feedback check of the defibrillator. rate) is displayed in a CPR feedback parameter field. …

• Page 225: Function Check Of The Power Supply

  User Manual corpuls Maintenance and tests 9.2.2 Function check of the Power Supply Check Description Measures by the user Correct result All modules of corpuls Batteries for Check for presence Check if each module of the corpuls individual has a battery have an inserted battery.

• Page 226
  User Manual corpuls Maintenance and tests Check Description Measures by the user Correct result corPatch  Check if the corPatch The corPatch Check of the corPatch intermediate intermediate cable is intermediate cable is cable (if intermediate cable present present and undamaged available) …

• Page 227: Automatic Self Test

  User Manual corpuls Maintenance and tests Check Description Measures by the user Correct result corPatch  Check if at least two pairs  At least two pairs of Check for presence of functional corPatch functional corPatch CPR CPR sensors and functionality of corPatch CPR CPR sensors are present.

• Page 228: Metrological Check

  If technical repairs are not performed by trained technicians instructed by the manufacturer, this many result in damage to the corpuls and loss of any claim under the warranty of GS Elektromedizinische Geräte G. Stemple GmbH. To avoid transport damage when dispatching devices, care should be taken to ensure they are suitably packed.

• Page 229: Loading The Printer Paper

  User Manual corpuls Maintenance and tests Loading the Printer Paper The printer paper has a marking in form of a red stripe at its edge indicating the end of the paper roll. It is recommended to load a new roll of paper as soon as this marking is visible.

• Page 230: Changing The Battery

  User Manual corpuls Maintenance and tests Push the paper roll holder on both sides slightly outwards (item A) to remove the roll of paper. Insert a new roll of paper into the holder (item 2) so that the end of the paper has its printed side facing upwards and forwards.

• Page 231: Cleaning, Disinfection And Sterilisation

  User Manual corpuls Maintenance and tests Note For changing the battery on the patient box first switch it off and then change the battery within approx. 30 seconds. Under certain circumstances, the set time/date may be lost. Note The rechargeable battery is easier to remove if the respective module is held facing the floor.

• Page 232
  User Manual corpuls Maintenance and tests Fig. 9-4 Monitoring unit, infrared interface 1 Infrared interface Unplug all the cables on the patient box. Remove the patient box from the accessory bag. Wipe the infrared interface of the patient box with a cloth. Fig.

• Page 233: Shock Paddles

  User Manual corpuls Maintenance and tests Fig. 9-6 Defibrillator/Pacer, infrared interface 1 Infrared interface 9.7.2 Shock Paddles Cleaning Clean the cable, shock paddle handles and the electrode surface with soap solution. Make sure that • no residual electrode gel remains between the electrode plates and the paddle handles;…

• Page 234: Therapy Master Cable

  User Manual corpuls Maintenance and tests 9.7.3 Therapy Master Cable Cleaning Clean the therapy master cable with soap solution. Prevent moisture entering the plug connector. Dry the plug connection thoroughly. Disinfection Disinfect the therapy master cable with a disinfectant itemised in the current disinfectant list of the RKI.

• Page 235: Nibp Cuffs

  User Manual corpuls Maintenance and tests 9.7.6 CO Sensor Never apply liquid directly to the sensors. Caution Cleaning Moisten a soft cloth with an alcohol-based cleaning solution. Wipe the surface with the cloth. Note Avoid scratches on the surface of the CO sensors.

• Page 236: Approved Accessories, Spare Parts And Consumables

  User Manual corpuls Maintenance and tests Approved Accessories, Spare Parts and Consumables An up-to-date list can be found at www.corpuls.com/en/service/approved- accessories.html. For further information, consultancy and sales, please contact your authorised sales and service partner. Designation Monitoring unit with printer corpuls 04100 Monitoring unit with printer corpuls 04100.1…

• Page 237
  User Manual corpuls Maintenance and tests Designation Additional holder for corPatch easy 04324.5 corPatch easy pre-connected 05120.1 corPatch easy Pediatric 05120.2 corPatch CPR disposable sensor adults and children > 20 04325.2 corPatch CPR intermediate cable 1,0 m 04235.0 Therapy master cable corpuls 04326.0 SLIM 4-pole ECG monitoring cable corpuls…
• Page 238
  User Manual corpuls Maintenance and tests Part number Article 04228.62 MASIMO SpO disposable sensor children 10-50 kg (box of 20 items) HBO 04228.63 MASIMO SpO disposable sensor infants 3-20 kg (box of 20 items) HBO 04228.64 MASIMO SpO disposable sensor neonates <3 kg toe / >40 kg finger (box of 20 items) HBO (MASIMO Rainbow SET) corpuls 04212…
• Page 239
  User Manual corpuls Maintenance and tests Part number Article 04225.46 MASIMO® SpO2/Hb/Met(Rainbow) sensor Adult, box of 5 resposable sensors (reusable up to 20 times) Use with P/N 04225.461 HBO 04225.461 MASIMO® SpO2/Hb/Met(Rainbow) disposable sensor Adult, box of 25 Use with P/N 04225.46 HBO Option NIBP (SUNTECH) 04203 04229.01…
• Page 240
  User Manual corpuls Maintenance and tests Part number Article 02131.9 Disposable cover for re-usable rectal temperature probes (box of 10 pieces) 04231.41 Disposable skin temperature sensor STS-400 (box of 20 pieces) 04205 Option IBP (4-channel) IBP adapter cable corpuls 04333.0 with ODU connector 04233.01 IBP assembly plug (ODU)
• Page 241
  User Manual corpuls Maintenance and tests Part number Article 04401 Charging bracket for Monitoring unit 12 V DC, cable length 1.5 m 04401.003 Charging bracket Monitoring unit with MagCode (cable length 1.5 m) 04401.041 Charging bracket for Monitoring unit with Molex plug, cable length 2.0 m 04401.1 Mounting for Monitoring unit without power supply…
• Page 242
  User Manual corpuls Maintenance and tests Part number Article 04410.21 Adapter for stretcher Stryker M1 – head part (incl. set of screws) 04410.3 Adapter for stretcher Kartsana (incl. set of screws) 04412.2 Adapter (detachable) for stretcher Ø19/22mm/side rail (incl. set of screws) Table 9-8 Accessories for stretcher, adapter Part number…
• Page 243
  User Manual corpuls Maintenance and tests Part number Article 04327.1 Shock spoon size A, 11.00 cm² 04327.2 Shock spoon size B, 18.25 cm² 04327.3 Shock spoon size C, 46.60 cm² 4-pole ECG monitoring cable corpuls 04222.1 with AHA-marking (American), cord length 2.0 m 4-pole ECG monitoring adapter cable corpuls 04222.2 neonates and infants…
• Page 244
  User Manual corpuls Maintenance and tests Part number Article 04103) corpuls.web 97041.3 Fax-/E-mail license (for 7 years) corpuls.web 97041.6 License (Server/(Web) Client and Fax) corpuls.web DatamedFT™ v2 Software license 97501 DatamedFT™ device license corpuls 97502 corpuls.web 97503 Support-/maintenance agreements Table 9-13 Data management/Data transmission Part number Article…

• Page 245: Procedure In Case Of Malfunctions

  User Manual corpuls Procedure in case of malfunctions Procedure in Case of Malfunctions 10.1 Device alarms The following table lists all alarms of the device with their priority and describes the cause of the malfunction as well as how to eliminate it. Alarm message Priority Explanation/Measure…

• Page 246
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure  The current capacity of the memory card CF card almost full Low priority (CompactFlash® card) amounts to less than 20% of the memory capacity or the number of missions is more than 999.
• Page 247
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Check pacer  The pacer is stimulating, but there is no connection High priority between the monitoring unit and the defibrillator/pacer.  The wireless communication between the patient box and the monitoring unit/defibrillator has been interrupted or could not be established: Make sure that the distance between the modules is…
• Page 248
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure  Connect the corPatch electrodes or shock paddles Connect therapy High priority to the therapy master cable of the corpuls electrodes  If the alarm message persists, connect immediately the reserve corPatch electrodes.
• Page 249
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Defibrillator failure (3)  Internal error. High priority  The corpuls is possibly not functioning correctly and must not be used.  Contact authorised sales and service partners. …
• Page 250
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Error GSM module  The GSM module is faulty. Low priority  Contact authorised sales and service partners.  The measuring option mentioned is faulty. Error IBP module Medium priority …
• Page 251
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure HW conflict [MODULE]  The wireless connection authorisation (Pairing) has Low priority failed.  Due to different hardware versions the modules used can only be used as compact device with an ad-hoc connection.
• Page 252
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Low perfusion (X)  «X» stands for the vital parameters SpCO, SpHb or Low priority Low perf. (X) (P-Box) SpMet.  The measured signal is too weak.  Make sure that the patient lies calmly during the measurement and that there is no commotion caused by the vehicle.
• Page 253
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure NIBP measurement  Wait up to 20 secs. to start measurement. The Medium priority aborted softkeys are greyed out as long as the selection is NIBP measurem. not available. aborted(P-Box) …
• Page 254
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure No APN entered  The APN is not configured or has not been saved. Low priority  Configure APN anew and save configuration.  Contact your mobile communications provider for the respective current APN.
• Page 255
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure No ECG cable  The pacer is stimulating in DEMAND mode, but High priority (PACER) there is no 4-pole ECG cable connected or individual ECG electrodes are loose. …
• Page 256
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Oxi sensor expired  The sensor is expired and has to be exchanged with Medium priority Oxi sen. exp. (P-Box) a new one.  The sensor indicated has come loose from the Oxi sensor loose Medium priority measuring site at the body or from the intermediate…
• Page 257
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure  The pacing therapy must be checked immediately. Pacer failure High priority The corpuls is possibly not functioning correctly and must not be used.  Contact authorised sales and service partners. Pacer high impedance …
• Page 258
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure Phonebook upload  The phonebook source cannot be read. Low priority failed  If the phone book source is the SIM card, check the SIM card.  If the phonebook source is the corpuls , contact your authorised sales and service partners.
• Page 259
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure  „X“ stands for a failure number from 1 to 2. Risk of overheating (X) High priority  Defibrillation was performed on the test contacts (1= in the shock paddle holder) (2= in the cable socket) too frequently in succession.
• Page 260
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure SpCO < [NUMBER] %  The measured carbonmonoxide level exceeds/falls Medium priority SpCO > [NUMBER] % below the upper/lower alarm limit.  Check the patient’s vital signs. SpHb < [NUMBER] g/dl …
• Page 261
  User Manual corpuls Procedure in case of malfunctions Alarm message Priority Explanation/Measure  The measuring option mentioned is faulty. Temp. measurement Medium priority failed  Contact authorised sales and service partners. Error T1/T2 (P-box)  Check all connections of the corPatch electrodes. Therapy electrodes High priority loose…

• Page 262: Troubleshooting And Corrective Actions

  The jog dial was pressed starts with a during switching on or is and is not blocked black screen and the blocked. headline „corpuls3  Switch off the corpuls by pressing the Software Update On/Off key for at least 8 sec. and restart Mode“…

• Page 263
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure  Contact sales and service partners. Configuration import The configuration file has failed been written with a different software version. Table 10-2 General malfunctions Malfunction Possible cause Measure …
• Page 264
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure  Release shock again. No shock is triggered The shock buttons were in spite of pressing the pressed too briefly.  Hold the shock buttons down for at least shock buttons on the 1 second in manual defibrillation mode.
• Page 265
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure  Check the contact of the electrodes on The contact between the ECG electrodes and the the patient’s skin, in particular of the patient’s skin is poor. green and the black ECG electrode of the 4 pole ECG monitoring cable.
• Page 266
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure The loudspeaker volume is Set the volume to a readily audible value selected too low. (see chapter 7.2.1 ECG Monitoring, p. 148). The opening of the Clean the opening of the loudspeaker loudspeaker is dirty.
• Page 267
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure Electromagnetic Operate the sensor at a distance from interferences interfere with cables of electrosurgical devices if possible. the measurement (e.g. electrosurgical devices). The patient has Take measures according to medical dysfunctional haemoglobin.
• Page 268
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure The NIBP Too large/too small NIBP Use the correct NIBP cuff size. measurement values cuffs are being used. do not seem plausible. The NIBP cuff cannot The NIBP cuff or the hose Use a new NIBP cuff.
• Page 269
  User Manual corpuls Procedure in case of malfunctions Malfunction Troubleshooting Explanation/corrective action  When the nasal tube is obstructed with Expiratory CO cannot Nasal tube of the nasal be detected. adapter is obstructed. secretions, the sensor cannot detect the expiratory CO2. …
• Page 270
  User Manual corpuls Procedure in case of malfunctions Malfunction Troubleshooting Explanation/corrective action  The output of the photo detector drifts due Environmental temperature changes rapidly. to the rapid temperature change.  Wait until the photo detector temperature stabilises. Measured ETCO Patient breathing is very The measured value may be inaccurate value is lower than the…
• Page 271
  User Manual corpuls Procedure in case of malfunctions Malfunction Troubleshooting Explanation/corrective action  The expiratory CO2 cannot be effectively Oral expiratory CO Oral breath collector is too low or not detected far from the lip. detected when the oral breath collector is even though the YG- too far from the patient’s lip.
• Page 272
  User Manual corpuls Procedure in case of malfunctions Malfunction Troubleshooting Explanation/corrective action  If oxygen is administered from an A nasal oxygen cannula not undesirable direction via a non-authorised authorised by Nihon- cannula it may affect the expiratory Kohden is used. …
• Page 273
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure The pressure channel is not Calibrate the pressure channel. calibrated. Table 10-11 Malfunctions during IBP monitoring Malfunction Possible cause Measure No printout follows in The roll of paper in the Insert a new roll.
• Page 274
  User Manual corpuls Procedure in case of malfunctions Malfunction Possible cause Measure Wait until the corpuls The printout contains 6 The booting process of the has booted corpuls ECG curves of the DE- is not yet completely. recording with a finished.

• Page 275: Notifications Message Line And Information In The Protocol

  User Manual corpuls Procedure in case of malfunctions 10.3 Notifications Message Line and Information in the Protocol The notifications marked by `- -` do not require further explanation, as they are self-explanatory. The measure to be taken is to follow the instruction given in the notification. The following notification texts can be shown on the display and/or are printed out in the protocol (in alphabetical order*): Notification in the Explanation/Measure…

• Page 276
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Charging  Message in the message line that the defibrillator is being charged.  Wait until the charging process is finished and the defibrillator signals readiness to shock by issuing the ready-signal.
• Page 277
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Connect defibrillator and  Message in the message line of the monitoring unit. monitoring unit  The wireless communication between the defibrillator and the monitoring unit/patient box has been interrupted or could not be established: Make sure that the distance between the modules is not more than…
• Page 278
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Defibrillator powered on Event in the protocol, recording the switching on of the defibrillator/pacer. Demo mode off The DEMO mode has been switched off. Demo mode on …
• Page 279
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Fax connection not possible  Possibly a wrong fax number has been dialled.  Repeat dialing. Fax transmission started Status indication during fax transmission Hardware conflict …
• Page 280
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol No connection to  Message in the message line of the monitoring unit. defibrillator unit  The wireless communication between the defibrillator and the monitoring unit/patient box has been interrupted or could not be established: Make sure that the distance between the modules is not more than…
• Page 281
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Pacing not possible  The corpuls is possibly not functioning correctly and must not be used.  Contact authorised sales and service partners. …
• Page 282
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Re-enter new code: User prompt to re-enter the new access code. [NUMBER] [NUMBER] [NUMBER] [NUMBER] Reset code? Confirmation prompt asking if the access code of the user level should be reset to factory settings.
• Page 283
  User Manual corpuls Procedure in case of malfunctions Notification in the Explanation/Measure message line and information in the protocol Switch off Pacer? — Power  Confirmation prompt asking if the stimulation should be ended and OFF? the corpuls should be switched off. Synd setting: [TEXT] The synd setting has been changed in manual mode to Async, Auto or Sync.

• Page 284: A Symbols

  User Manual corpuls Appendix Appendix A Symbols Please read and follow the operating instructions Please read and follow the operating instructions Please read the additional instructions in the user manual USB port (in preparation) BF (body floating, defibrillation-proof) An insulated application component of this type is authorised for external and internal use on the patient CF (cardiac floating, defibrillation-proof) An insulated application component of this type is authorised…

• Page 285
  User Manual corpuls Appendix On/Off key On/Off key (patient box and defibrillator/pacer) Home/key locking Back key Print key Event key Alarm key Multifunction key (patient box) Display in parameter field: alarm enabled Display in status line: error message Display in parameter field: physiological alarm disabled Clock symbol: In the NIBP parameter field: indicates that the NIBP interval measurement is active and an automatic…
• Page 286
  User Manual corpuls Appendix Monitoring unit Patient box Defibrillator/Pacer Battery QRS tone off QRS tone, volume 4 QRS tone, volume 6 QRS tone, volume 8 QRS tone, volume 10 Jog dial Jog dial, field highlighted Function selected (configuration dialogue) Lower alarm limit (configuration dialogue) Upper alarm limit (configuration dialogue) Field which can only be edited with special user authorisation (configuration dialogue).
• Page 287
  User Manual corpuls Appendix Status of the battery. Number of bars indicates the charging status. Status of the battery. Number of bars indicates the charging status. Status of the battery. Number of bars indicates the charging status Status of the battery. Battery is empty Mains operation.
• Page 288
  User Manual corpuls Appendix GPRS connection not possible. Error in GSM module (e. g. wrong PIN, no PIN configured, etc.) Status data transmission Data transmission to server failed. The IP address has been assigned manually or via the DHCP server. Monitoring unit with insurance card reader (optional) Approved for operation in a hyperbaric chamber for hyperbaric oxygen therapy (HBO) (option)

• Page 289: B Function Checklist

  User Manual corpuls Appendix Function Checklist A function check of the corpuls must be performed each time you start duty. The function check guarantees unrestricted function and readiness for use of the corpuls and is an important addition to the automatic self tests performed internally in the corpuls .

• Page 290: C Factory Settings

  User Manual corpuls Appendix C Factory Settings The corpuls is delivered with a factory configuration to which the device can be reset at any time by the person responsible for the device. The factory configuration settings concern general system settings, on the one hand, and, on the other hand, configurations of views and alarm limits are also pre-set here.

• Page 291
  User Manual corpuls Appendix Field Value/Setting Printer — D-ECG Format 12-lead ECG Activated Rep. cycle Activated Speed 50mm/s ECG Format 2 x 6 Duration View classic Add. copy Disabled Advanced Meas. table Activated Suggestion Activated Telemetry — Settings GSM (aircraft mode off) Disabled PIN (SIM card) Phonebook…
• Page 292
  User Manual corpuls Appendix Field Value/Setting IP address Network mask Default gateway DNS server prim. DNS server sec. Radio connection Active (radio connection) Disabled PIN (radio connection) 6673 ECG — Settings Display Speed 25mm/s Amplitude QRS mark Activated Auto curve Activated QRS tone QRS tone…
• Page 293
  User Manual corpuls Appendix Field Value/Setting Auto curve Activated Acoustic signal Enabled Activated Dynamic Disabled Volume Acoustic signal Tone 4 Mode FastSat Disabled Averaging 8 Sek. Sensitivity Normal SpHb SpHb unit g/dl NIBP — Settings Automatic Interval 5min Initial mode Patient Adult Initial pressure…
• Page 294
  User Manual corpuls Appendix Field Value/Setting Auto Energy (Manual mode) Adult ± 200J Child ± 50J Auto Energy (AED mode) Adult ± 200J Child ± 50J Locked Activated Authorisation Man. Defib. Disabled Recording Disabled Man. Defib. Disabled Disconn.-signal Enabled Volume Tone Tone 1 Defibrillator –…
• Page 295
  User Manual corpuls Appendix Field Value/Setting Vent. tone Insurance card settings Screen/Printout/Telemetry Name, last name Activated Address Activated Date of birth: Activated Status Activated Insuree number Activated Insurance, or health payer Activated Insurance no. Activated Insurance card number Activated Table A-2 General Settings General alarm settings Field…
• Page 296
  User Manual corpuls Appendix Pre-set Alarm Limits Measurement value HR 1/min PP 1/min SpCO % SpHb g/dl SpHb mmol/l 10.6 SpMet % mmHg RR 1/min NIBP mmHg SYS 80 SYS 200 DIA 40 DIA 100 P1 mmHg SYS 80 SYS 180 DIA 50 DIA 100 P3 mmHg…
• Page 297
  User Manual corpuls Appendix Pre-set Views A selection of six different configured views is available: View 1: Curves: ECG leads I, II, III; Pleth; CO Parameter: HR, SpO , PP, NIBP; CO (horizontal presentation) View 2: Curves: ECG leads II, III; Pleth; CO Parameter: HR, SpO , PP, NIBP (horizontal presentation)

• Page 298: D Technical Specifications

  User Manual corpuls Appendix Technical Specifications General Technical Specifications Dimensions (without accessory bag, H x W x D in cm) Monitoring unit 29.5 x 30.5 x 12 [11.6 x 12.0 x 4.7 inches] Patient box 13.5 x 26.5 x 5.5 [5.3 x 10.4 x 2.1 inches] Defibrillator/Pacer unit 29 x 30 x 19…

• Page 299
  User Manual corpuls Appendix Energy management/power supply  Modules with exchangeable, chargeable battery Internal power supply (lithium-ion battery)  Each module with identical lithium-ion battery Battery capacity 4.4 Ah at 7.4 V nominal voltage (each) Battery size 4.2 x 4.6 x 7.6 [1.7 x 1.8 x 3 inches] (H x W x D in cm) Battery weight (in kg)
• Page 300
  User Manual corpuls Appendix Energy management/power supply Operating time Compact device: 7 — 10 h (depending on settings and operational demands) Patient box: approx. 4 — 6 h Monitor unit: approx. 4 h Defibrillator: approx. 200 shocks at 200 Joules Maximum storage period for At 30% battery capacity before storage and within a temperature range from 10 °C –…
• Page 301
  User Manual corpuls Appendix Display Description/explanation Type 8.4’’ colour display, transflective with 750 Cd/m backlighting Screen size, visible Width 171 mm, height 128 mm Screen definition 640 pixels horizontal, 480 pixel vertical, VGA Angle of view Horizontally: 160° Vertically: 140° Backlighting Lifetime approx.
• Page 302
  User Manual corpuls Appendix Description/explanation ≥ 20 mV/ 0.2 msec. Detection of implanted pacer Electrode detection (ECG) 80 nA (maximum current) according to IEC 60601-2-27 Active noise cancellation (RL) 1 nA (maximum current)  During the mission ECG memory  Per 60 min ECG (lead II) and trend-recording a data memory (1-channel recording of lead II or of approx.
• Page 303
  User Manual corpuls Appendix Heart rate Alarm time for tachycardia VT/VF 1 mV, 206/min after 6 s according to IEC 60601-2-27 VT/VF 2 mV, 206/min after 5 s VT/VF 0.5 mV, 206/min after 6 s VT/VF 2 mV, 195/min after 5 s VT/VF 4 mV, 195/min after 6 s VT/VF 1 mV, 195/min after 8 s Table A-15…
• Page 304
  User Manual corpuls Appendix Defibrillator General Output Insulated application (insulation Electrodes for external defibrillation: voltage > 5 kV External shock paddles (type BF): The type is determined by the  shock paddles for adults kind of shock electrodes used  baby shock paddles (adapter for shock paddles;…
• Page 305
  User Manual corpuls Appendix Biphasic Defibrillator Description/explanation  2, 3, 4, 5, 10, 15 to 200 J for adults Energy levels for manual and AED defibrillation with shock  2, 3, 4, 5, 10, 15 to 100 J for children with paddles or corPatch easy corPatch easy electrodes (Neonates) electrodes and shock spoons…
• Page 306
  User Manual corpuls Appendix Non-invasive Pacer Description/explanation Output Insulated application part Type BF, insulation voltage > 5 kV  30/min. to 150/min Pacing frequency (adjustable in steps of 5/min.)  in OVERDRIVE mode 30/min. to 300/min. (adjustable in steps of 1/min.) Intensity of pacing current 10 to 150 mA (0-10 mA, then adjustable in increments of 5 mA)
• Page 307
  User Manual corpuls Appendix Description/Explanation Measuring range 70 to 150 compressions per minute 1.9 cm to 10.16 cm [0.75 inches – 4.0 inches] Measurement interval Continuous Operating temperature (sensor) -10°C to +60°C Storage temperature (sensor) -30°C to +65°C Relative humidity (sensor) Up to 93% (without condensation) Storage humidity (sensor) Up to 93% (without condensation)
• Page 308
  User Manual corpuls Appendix Description/explanation ± 4/min. Accuracy of pulse rate measurement Table A-25 Oximeter (Option SpO , SpCO, SpHB, SpMet, manufacturer Masimo, Masimo ® Rainbow SET technology Only use the recommended sensors and intermediate cables. Any accessories other than those itemised in the ‘list of approved accessories’ (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p.
• Page 309
  User Manual corpuls Appendix Description/explanation Test According to EN 1060-1 and EN 1060-3, Non-invasive blood pressure instruments, part 1 and part 3 Table A-26 Non-invasive blood pressure measurement module (Option NIBP, manufacturer SUNTECH) Only use the recommended NIBP-cuffs and hoses. Any accessories other than those in the ‘list of approved accessories’…
• Page 310
  User Manual corpuls Appendix Description/explanation Measurement accuracy 0.1 K ± 0.1 K (25°C to 45°C) Limits of calibration errors ± 0.2 K (other) Minimum necessary 1 min measurement time Maintenance interval Every 2 years (as part of the safety checks) Table A-28 Temperature (optional) Only use the recommended YSI probes of the 400 series or probes that are…
• Page 311
  User Manual corpuls Appendix Description/explanation Sensor weight (without cable) < 10 g Protection IP54 Diameter of the connector of 15 mm airway adapter ± 4 mmHg (≤ 40 mmHg) Accuracy (based on an ± 10% of reading value (40 mmHg < CO ≤…

• Page 312: E Biphasic Defibrillator

  User Manual corpuls Appendix E Biphasic Defibrillator Shockwave The waveform of the shockwave is comprised of a positive rectangular waveform of 4 msec. duration and a negative rectangular waveform of 3 msec. duration, which contains 10% of the energy of the positive waveform. The amplitude of the waveforms is adjusted automatically to the patient’s impedance.

• Page 313
  User Manual corpuls Appendix Shock Release Synchronisation Manual defibrillation and cardioversion are automatically performed synchronously. If no R-waves are detected in the ECG (e.g. in case of fibrillation), a shock will immediately be delivered asynchronously when the shock button is pressed (shock release). Further information regarding manual defibrillation and cardioversion can be found in chapter 5.4 Manual Defibrillation and Cardioversion, page 74.
• Page 314
  User Manual corpuls Appendix Precision of the Energy Released Nominal energy released in comparison selected Precision to patient impedance energy in Joules Load impedance (in Ohm) ± 3J ± 3J ± 3J ± 3J 10.6 10.5 10.1 ± 3J ± 3J ±…

• Page 315: F Safety Information

  User Manual corpuls Appendix Precision of the Energy Released for Shock Spoons Selected Accuracy: Nominal energy released in comparison to patient energy impedance (in Joule) Load impedance (in Ohm) ± 3J ± 3J 11.2 10.2 ± 15 % 18.1 19.4 20.2 20.8 22.8…

• Page 316
  ECG electrodes which are itemised in the list of accessories (see chapter 9.8 Approved Accessories, Spare Parts and Consumables, p. 224). GS Elektromedizinische Geräte G. Stemple GmbH cannot undertake any guarantee in this respect for other disposable ECG electrodes.
• Page 317
  User Manual corpuls Appendix • Do not use any damaged oximetry sensors and particularly no oximetry sensors with open optical components. • The oximetry sensor must not be placed on the same extremity as a cuff for non-invasive blood pressure monitoring, a catheter or an intravascular access. The cuff pressure influences pulse oximetry during all pressure measurements.
• Page 318
  User Manual corpuls Appendix sample should be performed. • A functional tester cannot be utilized to assess the accuracy of the oximeter or any sensors. • Elevated levels of methemoglobin (MetHb) will lead to inaccurate SpO and SpCO measurements. • Elevated levels of carboxyhemoglobin (COHb) will lead to inaccurate SpO measurements.

• Page 319: G Ecg Analysis During Semi-Automatic Defibrillation (Aed Mode)

  User Manual corpuls Appendix G ECG Analysis during Semi-automatic Defibrillation (AED mode) Procedure The ECG analysis is performed by a program which analyses the ECG in up to three blocks of 4 seconds with the following result: • shock recommended •…

• Page 320
  User Manual corpuls Appendix The following are defined as shockable rhythms: • ventricular fibrillation • ventricular tachycardia, rate > 180/min ECG database for validation of the analysis software Origin of the data The ECG data used originate from recordings from the AHA Database CD ROM Series 1.
• Page 321
  User Manual corpuls Appendix Assessment and Results Decision-making Reliability of the ECG Analysis Program Sensitivity and The quality of an ECG analysis program is expressed by the two values specificity sensitivity and specificity. The following parameters were established to assess the reliability of the Parameters algorithm.

• Page 322: H Corpuls3 Hyperbaric (Hbo)

  User Manual corpuls Appendix H corpuls3 HYPERBARIC (HBO) The product variant corpuls HYPERBARIC is approved for operation in a Operation in hyperbaric chamber multiplace hyperbaric chamber during hyperbaric oxygen therapy (HBO) up to up to 3 barg and an overpressure of 3 barg and a maximum oxygen concentration of 23% 23% oxygen (Certificate No.

• Page 323: I Guidelines And Manufacturer’s Declaration

  User Manual corpuls Appendix Guidelines and Manufacturer’s Declaration Electromagnetic emission The corpuls is intended for operation in the electromagnetic environment indicated below. The operator or the user has to make sure that the corpuls is used in such an environment. Emission measurements Compliance Electromagnetic environment -…

• Page 324
  User Manual corpuls Appendix Electromagnetic interference immunity Voltage dips, brief < 5% U Not applicable The device is always operated interruptions and (> 95% dip with a battery buffer. The user fluctuations in the in U ) for ½ period must ensure that the battery in the corpuls power supply…
• Page 325
  User Manual corpuls Appendix Electromagnetic interference immunity ECG, oximetry monitor: Radiated HF 10 V/m 3 V/m interference 80 MHz to 2.5 GHz according to for 80 MHz to 800 MHz IEC 61000-4-3 for 800 MHz to 2.5 GHz With magnetic forces of > 3 V/m, disturbances in the ECG signal may selectively occur.
• Page 326
  User Manual corpuls Appendix Electromagnetic interference immunity Comment 1: At 80 MHz and 800 MHz, the higher frequency range applies Comment 2: These guidelines may not be applicable in all cases. Dissipation of electromagnetic variables is influenced by absorption and reflection of the buildings, objects and people. The ISM frequency bands (for industrial, scientific and medical applications between 150 kHz and 80 MHz) are 6.765 MHz to 6.795 MHz;…
• Page 327
  User Manual corpuls Appendix Recommended protection distances between portable/mobile HF communication devices and the corpuls When used as a defibrillator/pacer Defibrillator: no unintentional energy release 80 MHz to 800 MHz to 80 MHz to 800 MHz to 800 MHz 2.5 GHz 800 MHz 2.5 GHz 0.01…

• Page 328: J Warranty

  The claim under the warranty shall be void as well if accessories are used that were not purchased from GS or an authorised sales partner. Software support (except updates) are not covered under the warranty.

• Page 329: K Protection Rights And Patents

  Goods are mentioned in this user manual without any mention of any existing patents, samples or trademarks. ® The corpuls is a registered trademark of GS Elektromedizinische Geräte G. Stemple GmbH. ® is a registered trademark of GS Elektromedizinische Geräte G. Stemple GmbH. ENG — Version 2.1 – P/N 04130.2…

• Page 330: L Disposal Of The Device And Accessories

  User Manual corpuls Appendix Disposal of the Device and Accessories To further preservation and protection of the environment, avoidance of pollution and recycling of raw materials, the European Commission issued a directive decreeing that electrical and electronic devices have to be taken back and correctly disposed of or recycled by the manufacturer.,Devices marked with this symbol therefore may not be disposed of in the normal waste within the European Union.

• Page 331: M Note On Data Protection

  User Manual corpuls Appendix Note on Data Protection During the operation of the corpuls personalised data for service provision and patient care is being saved or transferred in encrypted form under strict adherence to the directives 95/46/EC (Data protection), 2002/58/EC (Data protection for electronic communication) as well as other relevant directives, ordinances and legislation.

• Page 332: N List Of Illustrations

  User Manual corpuls Appendix N List of Illustrations Fig. 1-1 Sample rating plate …………..2 Fig. 3-1 Compact device …………….. 7 Fig. 3-2 Individual modules …………..7 Usage options of the modular corpuls 3 ……..9 Fig. 3-3 Usage options of the modular corpuls 3 as a patient Fig.

• Page 333
  User Manual corpuls Appendix Fig. 4-11 Warning on switching off …………45 Fig. 4-12 Example for softkey context menu ……….. 46 Fig. 4-13 Parameter context menu (illustration may differ) ….. 47 Fig. 4-14 Curve context menu …………..48 Fig. 4-15 Main menu …………….
• Page 334
  User Manual corpuls Appendix Fig. 5-12 Pacer, attaching the electrodes ……….84 Fig. 5-13 Pacer, initial screen …………..85 Fig. 5-14 Pacer, selecting the intensity ……….. 86 Fig. 5-15 Pacer, OVERDRIVE function ……….. 87 Fig. 5-16 Softkey context menu metronome ……….. 90 Connecting the corPatch CPR sensor to the Fig.
• Page 335
  User Manual corpuls Appendix Fig. 6-30 NIBP monitoring, attaching the NIBP cuff ……129 Fig. 6-31 NIBP monitoring parameter fields ………. 130 Fig. 6-32 IBP calibration ……………. 133 Fig. 6-33 IBP monitoring, configured screen ……… 134 Fig. 6-34 IBP monitoring, section of a printout ……..135 Fig.
• Page 336
  User Manual corpuls Appendix Fig. 8-1 Entering patient data ………….. 186 Fig. 8-2 Entering master data………….. 189 Fig. 8-3 Example of an ECG in the protocol at the time of an event ………………191 Fig. 8-4 Operation browser …………..192 Fig.

• Page 337: O List Of Tables

  User Manual corpuls Appendix O List of Tables Table 3-1 Brackets and power supply options ……… 19 Table 3-2 Frequency and intensity …………23 Table 4-1 Keyboard layout defibrillation keys (modifications possible) ………………. 32 Table 4-2 Module connection status …………36 Table 4-3 Connection status of the modules ………..

• Page 338
  User Manual corpuls Appendix Table 9-4 Checking accessories and consumables……. 215 Table 9-5 Basic configuration with charging bracket ……225 Table 9-6 Options measurement modules vital parameters ….228 Table 9-7 Accessories for vehicle installation and mounting ….229 Table 9-8 Accessories for stretcher, adapter ………
• Page 339
  User Manual corpuls Appendix Table A-19 Defibrillation …………….292 Table A-20 Biphasic defibrillator …………… 293 Table A-21 Non-invasive pacer …………..294 Table A-22 Impulse suppression according to IEC 60601-2-27 ….294 Table A-23 CPR Feedback …………… 295 Table A-24 GSM/GPRS Modem (Optional) ……….295 Table A-25 Oximeter (Option SpO , SpCO, SpHB, SpMet,…

• Page 340: Index

  Index preparation ……….132 Blood pressure monitoring, non-invasive Accessories ……….224 (NIBP) Accessory bag information ……….126 packing …………57 malfunctions ……….255 Accessory bag ……….16 performing individual measurement ..129 installation ……….56 performing interval monitoring ….131 Accessory bag preparation ……….

• Page 341
  monitoring respiratory rate ……. 125 see AED mode ………. 74 performing CO measurement ….124 Defibrillation automatic (AED) see AED mode preparation ……….122 …………..68 sensor, cleaning ……..223 Defibrillation, manual Compact device ……….7 malfunctions ……….252 brackets – insertion/removal …… 60 with corPatch electrodes ……
• Page 342
  ECG cable tester ….96, 98, 103, 106 check of accessories ……. 207 ECG cable tester ……… 277 check of the device ……..207 ECG filter settings ……..101 check of the power supply ……. 207 ECG measurement corpuls S ……….102 STEMI …………
• Page 343
  Marking paper roll ….146, 212, 214, 217 Master cable Network cleaning ………… 222 connection ……….39 disinfection ……….222 troubleshooting ……..251 Master data ……….188 NIBP cuffs configuration……….169 cleaning ……….. 223 Menu types ………… 46 disinfection ……….223 configuration dialogue ……..
• Page 344
  Pacer, external Representative Cycle ……..111 technical specifications ……294 Reset Pairing Reset configuration ……161, 162 see connection authorisation ….. 10 Reset to default ……. 161, 162 Papierendmarkierung ……..246 Parameter context menu ……. 47 Patents…………317 Safety Patient box …………. 14 defibrillator ………..
• Page 345
  ECG with therapy electrodes ….291 Temperature sensor energy management …….. 287 cleaning ……….. 223 GSM modem ……….295 disinfection ……….223 NIBP …………296 sterilisation ……….223 oximetry ………… 295 Test software, Test version ……43 power supply ……….287 Tests, general information ……

• Page 346: Hauswiesenstrasse

  GS Elektromedizinische Geräte G. Stemple GmbH Hauswiesenstrasse 26 86916 Kaufering Germany Tel.: +49-8191-65722-0 Fax: +49-8191-65722-22 Web site: www.corpuls.com…

Three modules, flexible application

The corpuls3 has a unique and revolutionary device concept. The modular design distinguishes the patient monitor with integrated defibrillator/pacemaker from other compact devices and can be divided into:

Maximum mobility, easy to operate, fast diagnosis

The monitor unit displays all curves and vital parameters and is at the same time the operating interface of the corpuls3. The intuitive user interface supports and assists the user during the emergency call. The ergonomic handle and the shock protection on all sides additionally insure that the monitor with its weight of only 2.7 kg operates under even the toughest conditions.

Specifications

Uninterrupted monitoring from the incident site all
the way to the hospital

The patient box serves to process and transmit the ECG and sensor signals. This very lightweight module together with the pre-connected sensors and cables that are stored in the spacious protective bags can remain directly on the patient. This way, the patient can be monitored continuously, also when the patient is moved.

Optimum ergonomics and flexibility in use

The modular design of the corpuls3 allows complete detachment of the defibrillator/pacemaker. This saves weight and shocks can be administered from a safe distance via the monitor unit (in connection with the corPatch therapy electrodes).

The best energy management is the one you don’t have to think about. This is precisely the optimum we have achieved with the corpuls3 energy management.

When you take the corpuls3 out of the charge mount in the vehicle it is ready for operation. As soon as the device is returned to the mount the batteries are charged automatically and the corpuls3 is ready for its next job. Time-consuming and fault-prone manual charging and changing of batteries is not required and the user can fully concentrate on the patient.

The batteries of all three modules are identical and extremely powerful. In compact mode, they simply use the battery reserves of the other modules. This concept always provides sufficient power even in long deployments to ensure comprehensive monitoring and the therapy with the defibrillator/pacemaker.

• Battery life of up to 10 hours as a compact device
• A complete charge of the batteries in the device takes approximately 2 hours
• Display of the remaining battery life on the monitor’s display and on the patient box
• Charging via 12 V DC or 100V AC — 240V AC (50 Hz — 60 Hz) via magnetic contact (MagCode)
• Operation as a compact device even if up to two batteries are discharged

There are solutions for each application: Mounts on the wall and floor, with or without swivel mechanism or safe attachment on the stretchers by different manufacturers. Almost all mounts are in conformity with DIN EN 1789 and have been tested with an acceleration of up to 24 g instead of the specified 10 g. The mounts are also available with or without integrated power supply.

• 

  corpuls on-field: Champions League

  Champions League matches are always highly emotional, the atmosphere sometimes explosive. So the emergency services ist also much in demand. At the quarter-final between FC Porto and Inter Milan at the Estádio do Dragão, corpuls had the exclusive opportunity to get a taste of Champions League action.

• 

  Tutorials by corpuls | Our new format

  From now on we give you tips and recommendations on the corpuls products and their features and possibilities in short, practial how-to videos. Verena and Andreas have help for users without corpuls experience as well as smart options for professionals. In the first episode of our new format, the two emergency paramedics first briefly introduce themselves.

• 

  Bomberos with passion – corpuls in Costa Rica

  The firefighters in Costa Rica enjoy a high reputation, which is why the bomberos wear their logo with great pride. After all, they take on even more tasks than the firefighters in other countries, because there is no military in this nature paradise. Get into the typical American fire engines of the Bomberos with corpuls and get to know the sworn troop.
• 

  Tutorials by corpuls | How to use corpuls 3: Non-invasive blood pressure measurement

  How does non-invasive blood pressure measurement work with the corpuls3 and what features are there? Verena and Andreas explain this and much more in this episode. Among other things, they go into the basic requirements for a reliable measurement, guide you through the versatile display menu and explain the different parameters and numerous options. You will also learn what to consider when choosing cuff sizes.

• 

  Tutorials by corpuls | How to use corpuls 3: Daily function test

  In this episode, Verena and Andreas go through the daily functional testing with the corpuls3. Starting with the self-test of the device, they then show you the various options for checking the function of the defibrillator. They also go into the test of the printer and the power supply. Finally, there is a visual inspection of all modules.

• 

  Starcode — Emergency on board of «Mein Schiff 2»

  On the «Mein Schiff 2», the medical team is always prepared for emergencies, despite the holiday mood.

• 

  DOWN UNDER – Queensland Ambulance Service

  3,800 paramedics are on duty every day with state-of-the-art equipment in often extreme conditions for almost 5 million residents.

• 

  Emergency rescue at the Oseberg oil field in Norway

  Why the probability of surviving a cardiac arrest in the middle of the North Sea is almost higher than on the mainland

• 

  Competence Centre for Rescue Services in Peru

  With the training of rescue service professionals, the rescue system in Peru and Bolivia is optimised sustainably.

• 

  Air Zermatt – RESCUE AT 4,000 METRES

  Extreme Alpine Air Rescue — with 11 helicopters, Air Zermatt flies 2000 rescue missions per year

• 

  Perfect partners on duty

  Revolution in resuscitation: The modular monitoring/defibrillator system corpuls3 can now work synchronously and directly with the chest compression device corpuls cpr. Another step towards the perfect rescue system.

• 

  «SMUR Pédiatrique» – CHILDREN RESCUE SERVICE IN PARIS

  Paris. City of love — and crowded streets. We accompanied the «SMUR Pédiatrique», a rescue service especially for children, on a mission.

• 

  corpuls on ice

  Dr. Tim Heitland, Base Commander of the Neumayer III research station, reports on life in the eternal ice and the use of corpuls devices under extreme conditions.
• 

  Mission under the red dragon

  corpuls in Wales: Rugby, Sheeps, corpuls3 and the Welsh Ambulance Service in the rough landscape of the Brecon Beacons.

• 

  corpuls in the Helicopter

  DRF, Helgoland, Georgia, corpuls cpr, corpuls3 and 40 years of Air Rescue in the interview.

• 

  ECGmax – The new dimension of ECG

  22 channels from only 10 electrodes. Including rear wall and right side. Any damage to the heart is immediately visible thanks to the ingeniously simple CEB. Display of vector loops.

• 

  An interview with Prof. Dr. Clemens Kill

  We spoke with the director of the new Emergency Center at the University Hospital Essen…

• 

  Hospital in Iran: Saving a life is priceless

  Don’t skimp on your health – or your patient’s one. A physician from Iran cuts right to the chase of the matter…

• 

  corpuls extrem: Die Bohrinsel

  They are considered as extreme workplaces right after space travel: oil platforms. We visited a rig in the Northern Sea and met an old friend the corpuls3

Страна-производитель: Германия 

Страна-производитель: Германия