Download pdf - Philips HeartStart MRx ALS monitor

12-Lead ECG viewPhilips HeartStart MRx ALS monitor

The HeartStart MRx is the ONLY monitor that displays ALL 12 leads at the same time. This allows the care provider to view and interpret all 12 leads without having to waste valuable time waiting for a printout. Plus caregivers can be confident that they are acquiring a quality 12-lead ECG prior to analysis, interpretation, data capture, and transmission.

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© 2009 Koninklijke Philips Electronics N.V.All rights are reserved.

Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.

Philips Healthcare is part of Royal Philips Electronics

www.philips.com/[email protected]

Printed in the USABOT-09-10878 * DEC 2009

Philips Healthcare3000 Minuteman RoadAndover, MA 01810

Please visit www.philips.com/ems

12-Lead ECG view

Philips HeartStart MRx features and benefits

ONLY monitor that displays ALL 12 leads at the same timeThe benefit of seeing all leads at once offers the clinician:

Ability to see if a lead is off• Ability to acquire, store and transmit a clean 12-lead ECG • the first timeAbility to see ST changes in contiguous leads as they occur•

12-lead interpretation and analysisAvailable on-screen: confirms paramedic’s diagnosis without • waiting for a printed report Performed using Philips DXL algorithm• Critical Values alerts the clinician to any of four • life-threatening conditions

Culprit artery (identifies the occluded vessel) analysis tailored • for pediatric and adult patientsEnhanced gender specific • Transmission via Bluetooth and internet is fast and reliable•

STEMI Decision SupportTools to provide clinicians with additional data to support diagnosis or treatment:

Culprit artery• Critical Values• Acute Cardiac Ischemia – Time Insensitive Predictive Instrument • (ACI-TIPI)Thrombolytic Predictive Instrument (TPI)•

Feature Expected benefit Philips MRx

Physio- ControlLP12LP15

ZollE-Series M-Series CCT

12-lead ECG acquisition Provides the most information at a critical time.12-lead view No scrolling saves time in checking lead quality 4

Send it right the first timeClinician can see contiguous leads to determine arrhythmias

4

View analysis and measurements onscreen including acute MI statements

4

STEMI decision support tools Supporting confident decision making:Speeding discovery-to-treatment

12-lead transmission Quick reliable transmission of 12-lead ECG 4 4 4

4 different critical values Identifies multiple life-threatening conditions, not just Acute MI 4

STEMI - Culprit Artery Detection Algorithm notifies clinician of occluded vessel on display 4

Acute Cardiac Ischemia – Time Insensitive Predictive Instrument (ACI-TIPI)

A predictive instrument that uses the 12-lead ECG to generate a 0-100% predicted probability that the patient is experiencing acute cardiac ischemia

4

Thrombolytic Predictive Instrument (TPI)

A predictive instrument that uses the 12-lead ECG to predict patient outcome with and without thrombolytic therapy

4

12-lead ECG is not available on the LP20 or R-Series.

Physio-Control and LifePak are registered trademarks of Medtronic Inc.Zoll, E-Series, M-Series, and R-Series are registered trademarks of Zoll Medical Inc.

DXL ECG AlgorithmPhilips HeartStart MRx ALS monitor

The Philips DXL ECG Algorithm is the only algorithm that conforms to the 2007 AHA/ACC/HRS statement recommendations for the standardization and interpretation of the ECG and guidelines for ST Segment Elevation Myocardial Infarction (STEMI) management. Pleth

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Sinus rhythmExtensive anterior infarct, acute (LAD)

28-Sep-2009 10:22:17

Mark Event

1234HR 72PR 152QRSD 96QT 385QTc 422

P 71QRS 54T 1

--A xis--

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Feature Expected benefit DXL(MRx)

GlasgowUniv.(LP15)

GE 12SL(LP12,E-Series M-Series CCT)

Algorithm development Trusted partner for ECG rhythm analysis

Algorithm developed by monitor/defibrillator manufacturer

Algorithm designed with clinical feedback from hospital and EMS thought leaders

4

Algorithm is an industry standard Wide acceptance of the 12-lead algorithm 4 4

Conforms to the 2007 AHA/ACC/HRS statement recommendations for the standardization and interpretation of ECGs

Conforms to recent recommendations for ECG interpretation 4

Conforms to guidelines for ST Segment Elevation Myocardial Infarction (STEMI) management

Conforms to recent recommendations for STEMI management 4

STEMI detection Fast, accurate detection of STEMI is critical to reduce door-to-balloon times and save heart muscle

Critical values Statement draws attention to abnormal rhythmStatement clearly identifies Acute MIIdentifies multiple life-threatening conditions, in addition to Acute MI

444

4 4 4

Gender-specific criteria STEMI criteria subjected to reduced ST limits in women increases accuracy of cardiac state diagnosis

4

STEMI decision support Supports confident decision-makingSTEMI- Culprit Artery Detection Algorithm notifies clinician of specific occluded vessel on display and

12-lead report electronically and on paper4

Specific coronary arteries listed on the monitor’s display:Left anterior descending (LAD)Right coronary artery(RCA)Left circumflex (LCx)Left main or equivalent multi-vessel disease (LM/MVD)

Pinpointing the culprit artery or probable anatomical site causing the functional ischemia will help to optimize the treatment approach taken in the catheterization laboratory

4








DXL ECG Algorithm


STEMI detectionCritical Values

Designed to be used as a trigger for EMS or hospital STEMI protocol• Highly visible (highlighted in red on the display with surrounding brackets)• Reports conditions requiring immediate clinical attention• Specific statements are:•

>>> ACUTE MI <<< >>> ACUTE ISCHEMIA <<< >>> COMPLETE HEART BLOCK <<< >>> VERY FAST HEART RATE <<<

STEMI decision support toolsSTEMI Culprit Artery

Helps paramedic “build a case” for preparation of the cath lab • ahead of the patientIdentifies the artery most likely causing the acute • (recent/emergent) symptomsIdentifies global ischemia when multiple obstructions exist• Can direct care in the field based on the side of the heart impacted• Can assist in directing treatment in the cath lab to the likely lesion location•

- Left Anterior Descending (LAD) - Right Coronary Artery (RCA) - Left Circumflex (LCx) - Left Main or Multi-Vessel Disease (LM/MVD)

12-lead ECG is not available on the LP20 or R-Series.Physio-Control and LifePak are registered trademarks of Medtronic Inc. Zoll, E-Series, M-Series, and R-Series are registered trademarks of Zoll Medical Inc.

12-Lead transmissionPhilips HeartStart MRx ALS monitor

The Philips HeartStart MRx offers fast, reliable transmission of 12-lead ECGs via the Internet, radio or ePCR network.Philips provides a flexible “back-end” solution with these multiple destination options and technologies to get the 12-lead ECG into the hands of the treating clinician as quickly as possible.

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Sinus bradycardiaSecond deg AVB, Mobitz I (Wenckebach)Lateral infarct, acute (LAD)

17-Nov-2009 09:57:55

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0911170957169fd6HR 54PR QRSD 101QT 385QTc 422

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12-Lead transmission


The Philips HeartStart MRx can transmit over: The internet via a cell phone or air card in a mounted gateway• Two-way public safety radio• Your ePCR Network•

The MRx also:Reduces Discovery to Balloon Time• Offers reliable, fast transmission of 12-lead ECGs• Displays current status of transmission at all times•

Once transmission begins, the provider can continue to focus on other patient needs.

The MRx can send 12-leads to multiple locations at the same time, like email addresses, fax machines, printers, PDAs and ECG management systems, including Philips TraceMaster Vue.

There are no subscription costs from Philips to transmit or store 12-lead data. Low cost telemedicine server software can be located at EMS station, hospital or anywhere the customer needs it and the software can be downloaded to a computer with basic server specs.




Monitor sends patient vitals along with 12-lead including via two-way radio

Provide remote caregivers with a more complete clinical picture 4

No subscription costs necessary to transmit or store 12-lead information

Lower cost to the customer and customer has full control over their data

4 Optional

Device confirms delivery of the 12-lead report to the telemedicine server

User confidence the 12-lead transmission is complete and accurate 4

Transmission status is always displayed• Connecting to network• Connecting to server• Transmitting 0% to 100%• Confirming, Please Wait• Disconnecting

User confidence that device is transmitting correctly 4

12-lead ECG encrypted with Blowfish technology

Protects confidential patient data 4



ACI-TIPIPhilips HeartStart MRx ALS monitor

The Philips Acute Cardiac Ischemia-Time Insensitive Predictive Instrument (ACI-TIPI) is a software tool that enhances the computerized 12-lead ECG analysis capabilities of the HeartStart MRx. It generates a predicted probability score of ACI based on ECG features and patient demographic information such as age, gender, and chest pain status.The probability score supports EMS personnel’s efforts to decrease time from the onset of acute cardiac ischemia (ACI) symptoms to treatment with interventional cardiology.

Adult Non-Paced

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Sinus rhythmAnterior infarct, acute (LAD)

12-Feb-2009 16:37:41

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090212163706a0e9HR 72PR 152 QRSD 98QT 369QTc 404

P 66QRS 53T 64

--Axis--

Unconfirmed diagnosis- ABNORMAL ECG -

Acute MIPhilips Predicted Probability of Acute Ischemia 85%

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ACI-TIPI


The Philips ACI-TIPI algorithm and report are implementations of work by Harry P. Selker, MD, and his colleagues at New England Medical Center in Boston, MA.

The ACI TIPI predictive instrument is independent of the DXL 12- lead ECG algorithm. ACI-TIPI algorithm is based on weighted values for the patient’s age, gender, chest pain status, and ECG waveform criteria.

With ACI-TIPI, the term cardiac ischemia is used as a general term that includes ischemia, injury, and infarction which are defined as different stages of the cardiac ischemic disease. For example, a STEMI (based on ST elevation) or acute global ischemia (based on severe ST depression) can both have ACI-TIPI scores of 75 percent but would have different diagnostic ECG interpretations.

ACI-TIPI prediction appears in 12-lead display and is printed on the 12-lead paper strip.

ACI-TIPI is useful in:• - Determining when additional diagnostic testing is not required in a low-risk ED population with symptoms suggestive of acute coronary syndrome - Identifying the likelihood of ischemia to help determine the need for stress testing before hospital release - Determining the probability of ischemia to influence the initial triage disposition of AMI patients to CCUs or intermediate units

As with standard 12-lead ECGs, the ACI-TIPI report can be • transmitted via the Philips Telemedicine Server and the Philips TraceMasterVue ECG Management System.




ACI-TIPI is an orderable option on the monitor/defibrillator

Output is a probability score (0 – 100%) that patient is experiencing acute cardiac ischemia; this is another tool to help the caregiver provide quality patient care

4

ACI-TIPI prediction appears in 12-lead display and printer on the 12-lead paper strip

Provides caregiver with additional information to assist appropriate care for patient

4



TPI (Thrombolytic Predictive Instrument)Philips HeartStart MRx ALS monitor

Clinical evidence shows acute myocardial infarction patient outcome may depend directly on thrombolytic therapy (TT). In an effort to predict the efficacy of TT for the treatment of AMI, Philips has incorporated a cardiac decision support tool into the HeartStart MRx.








TPI (Thrombolytic Predictive Instrument)


TPI can be used in conjunction with ACI-TIPI. As with standard 12-lead ECGs, the TPI report can be transmitted to the Philips Telemedicine Server and Philips TraceMasterVue ECG Management System, and stored on the TraceMasterVue System.

Understanding the Philips TPI variablesThe Philips TPI evaluated eleven predicators of thrombolysis-related benefits and risks – seven clinical factors and four ECG features.The seven clinical factors are:

Patient’s age• Patient’s gender• Patient’s weight• Patient’s blood pressure•



ZollE-Series M-SeriesCCT

TPI is an orderable option on the ALS monitor

Helps predict patient outcome with and without thrombolytic therapy

4

TPI prediction appears in 12-lead display and printer on the 12-lead paper strip

Provides caregiver with additional information to assist appropriate care for patient

4

12-lead ECG is not available on the LP20 or R-Series


Patient’s history of diabetes• Patient’s history of hypertension• Time since ischemic symptom onset•

The four ECG features are:The presence or absence of pathological or significant Q waves• The presence of and degree of ST segment elevation or depression• The presence and degree of T wave elevation and inversion• Heart rate•

While none of these features alone are diagnostic, they represent the most prominent indication of the thrombolysis-related benefits and risks.

Q-CPR viewPhilips HeartStart MRx ALS monitor

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Perform high quality CPR from the start

Q-CPR helps to minimize interruption •to chest compressions and the resulting drop in coronary perfusion pressure.Immediate feedback can help reduce •CPR performance variability.Rapid, on-scene deployment even prior •to using an auto assist CPR device.Avoids hyperventilation.•Flexibleconfigurationtomeetavariety•of protocols including continuous chest compressions.Ideal for responder training and actual •clinical use on a patient.Data capture available for retrospective •review for those teachable moments.


PhilipsHealthcarereservestherighttomakechangesinspecificationsand/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.






Q-CPR viewPhilips HeartStart MRx features and benefitsFeature Expected benefit Philips

MRxPhysio- ControlLP15

ZollE-Series M-Series R-Series

CPR feedback Provides critical information in real time 4 4

Visual feedback on the meter

Easy-to-use and intuitive feedback where you want it: on the patient’s chest 4

Tiered feedback Tier 1: visual feedback on the meterTier 2: visual feedback on the meter (for example, arrow to compress deeper)Tier 3: audible feedback is given if caregiver doesn't correct for visual feedback

4

All CPR feedback is viewable on monitor display at all times 4 4

Verbal feedback Voice prompts provide corrective information about compression performanceVoiceiseasilymutedorconfiguredtobeoff

4 4

Visual feedback Compressions are shown on monitor display 4 4

True compression waveform is shown on the monitor 4 4 (R-Series

only)Ventilations are shown on monitor display (in the form of a lung icon) 4

Numericsforcompressionrate,“noflow”hands-offtime,andnumberofcompressions are displayed on the monitor

4

Compressions Identified as critical in 2005 AHA Guidelines“Noflow”orhands-off time

Displayedas“seconds”timeroncecompressionsstop,alsosupportedbyvoicepromptsAlerts rescuers to resume compression

4 4 (no voice prompt)

Compression rate Displayed as numeric value and supported by voice promptsHelps rescuer maintain 90-100 compressions per minute

4

Compression depth Simple visual feedback where you want it – on the patient’s chest (displayed on CPR meter as well as on the monitor); helps rescuer maintain target compression depth

4

Incomplete release Simple visual feedback where you want it – on the patient’s chest (displayed on CPR meter as well as on the monitor); ensures that the rescuer comes off the chest completely,allowingthehearttofillcompletelyupwithbloodbeforethenextcompression squeezes it out and into circulation

4

Ventilations Only ventilation monitoring device availableVentilation icon and rate

Lung icon as well as displayed rate numeric on MRx screen helps rescuer avoid excessive ventilations, providing protection from hyperventilation

4

Protocolflexibility Ventilationscanbeconfiguredasofftosupportcontinuouschestcompressionprotocols 4

CPR data Excellent quality improvement toolCPR data capture CPR compression event data can be downloaded for retrospective review 4 4

CPR ventilation event data can be downloaded for retrospective review 4

Research Proven technologyPeer reviewed published manuscripts

Published research using CPR feedback technology showing improvements to CPR aswellaspatientbenefitSee application note for details

4

Economics Provides critical information in real timeMultifunction electrode pads

Uses standard HeartStart multifunction pads; no need to purchase expensive specialty pads

4

CPR feedback is not available on the LP12, LP20 or CCT.

Physio-Control and LifePak are registered trademarks of Medtronic Inc. Zoll, E-Series, M-Series, and R-Series are registered rademarks of Zoll Medical Inc.Q-CPR is a registered trademark of Laerdal Medical.

Code viewPhilips HeartStart MRx ALS monitor

Code view displays the most critical information at the most critical time –cardiac arrest. Philips code view automatically optimizes viewing of waveforms and numerics based on the patient’s condition.

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Code view

Philips HeartStart MRx features and benefitsFeature Expected benefit Philips

MRxPhysio-ControlLP12LP15LP20

ZollE-Series M-SeriesR-SeriesCCT

Code view screen Prioritizes the most important information during a cardiac arrest

Largest ECG waveform on an ALS monitor display

Visibility allows clinicians to see ECG changes even from a distance

4

Increases the size of vitals and elapse time clock

Vital information is prioritized by design 4

EtCO2 waveform moves up under the primary ECG

Give clinicians the total picture 4

Alarms silenced Once clinician selects the energy, the alarms are automatically silenced

4

Running a code with the MRxSingle energy selection for adult defibrillation

With SMART biphasic the first shock is the best shock; eliminates the step of changing energy levels

4

Rapid charge to full energy Less than five second charge to full energy provides rapid defibrillation; importance of decreased hands-off to defibrillation time supported by resuscitation science; time is muscle

4

Capnography during a code: no need to zero out, no warming up time

View the capnography waveform and value in seconds, providing quick confirmation for clinician; annual calibration

4 4


Monitor modePhilips HeartStart MRx ALS monitor

With the Philips HeartStart MRx, data is presented the way you need to see it using large numeric measurements, waveforms, and alarms. The large four-wave color display makes it possible to view all four waves simultaneously with color- matched numeric data.

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Monitor mode


ECG AutogainData presented the way you need to see it•

Large numeric measurements, waveforms, and alarms

Enables user to quickly locate information• Smart numerics, numerics automatically • optimized to available space Time of day and date clock• Event time clock•

Monitoring parameters:ECG (3-, 5- & 12-lead)• SpO• 2

EtCO• 2

NBP• IBP (two channels)• Temperature•

Concise alarm information, silenced with the touch of a button

Selectable heart rate, SpO• 2, NBP, EtCO2 alarms


Physio-ControlLP12LP15LP20

ZollE-Series M-SeriesR-SeriesCCT

Monitor view shows four waves with color-matched numeric data

Display is optimized for patient surveillanceShows five seconds of data for each wave

4

Easy to configure and customize Can customize either in configuration or on-the-fly during patient care

4 4

(LP15 only)Alarm information is clearly noted on the display and hard keys let you silence with one button push

Alarms when user needs to be notified and can be easily and quickly turned off

4

Autogain Patient ECG size automatically adjusted for optimal viewing 4

Arrhythmia monitoring Labels life-threatening arrythmias: VTach, VFib, extreme tachycardia, extreme bradycardia

4

Selectable pediatric mode Changes all alarm limits and algorithms automatically when the patient category is selected to pediatric

4


Three-tiered alarm system: red is life- • threatening arrhythmias, yellow is an alarm violation and green indicates in-operationArrhythmia analysis – labels life-threatening • arrhythmias

Four-wave color displayLarge color display (8.4 inch diagonal)• See all four waves simultaneously • with color-matched numeric dataConfigurable wave placement and • wave colorEasy to configure and customize, • either at set up or on the fly

High contrast displayPhilips HeartStart MRx ALS monitor

The Philips HeartStart MRx high contrast display monitor screen is easy to read in bright sunlight.

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High contrast display


We listen and respondCustomer requests for a monitor screen that was easy to read in bright sunlight resulted in the addition of the industry’s first high contrast display.

We lead in patient monitor designPhilips, the worldwide leader in patient monitoring, has a deep legacy of experience in designing patient monitors that are easy to read, intuitive, task-specific and durable.


Physio-ControlLP12LP15

ZollE-Series

Black or gray information on yellow background

Dark waveforms, numeric values and text are easy to read in bright direct or reflected light

4 4

(LP15 only)4

Easy to use High contrast screen is activated with button presses from main menu – no need to go into deep configuration or complicated on/off process

4 4

(LP15 only)

High contrast display is not available on the LP12, LP20, M-Series, M-Series CCT and R-Series.


Automated test summary viewPhilips HeartStart MRx ALS monitor

The Philips HeartStart MRx offers a complete on-screen summary of automated tests for the last year.

03 Oct 2009 11:10 A B

ExitSummary Print

Automated Test Summary 1 03 Oct 09 10:45 Hourly Pass 2 03 Oct 09 00:31 Daily Pass 3 02 Oct 09 01:18 Daily Pass 4 01 Oct 09 00:03 Daily Pass 5 30 Sep 09 00:38 Daily Pass 6 29 Sep 09 00:33 Daily Pass 7 28 Sep 09 00:05 Daily Pass 8 25 Sep 09 00:16 Weekly Pass 9 18 Sep 09 11:57 Weekly Pass 10 11 Sep 09 00:46 Weekly Pass 11 04 Sep 09 00:21 Weekly Pass 12 28 Aug 09 00:11 Weekly Pass 13 21 Aug 09 00:39 Weekly Pass 14 14 Aug 09 00:11 Weekly Pass 15 07 Aug 09 14:27 Weekly Fail/D 16 31 Jul 09 00:20 Weekly Pass 17 24 Jul 09 00:42 Weekly Pass 18 17 Jul 09 00:25 Weekly Pass 19 10 Jul 09 00:29 Weekly Pass 20 03 Jul 09 00:39 Weekly Pass 21 26 Jun 09 00:31 Weekly Pass 22 19 Jun 09 00:15 Weekly Pass 23 12 Jun 09 11:47 Weekly Pass 24 05 Jun 09 00:21 Weekly Pass 25 29 May 09 00:36 Weekly Pass 26 22 May 09 00:26 Weekly Pass 27 15 May 09 00:38 Weekly Pass 28 08 May 09 00:44 Weekly Pass 29 01 May 09 00:51 Weekly Pass 30 24 Apr 09 00:43 Weekly Pass

31 17 Apr 09 00:20 Weekly Pass 32 10 Apr 09 00:58 Weekly Pass 33 03 Apr 09 00:37 Weekly Pass 34 27 Mar 09 00:04 Weekly Pass 35 20 Mar 09 00:21 Weekly Pass 36 13 Mar 09 00:31 Weekly Pass 37 06 Mar 09 00:56 Weekly Pass 38 27 Feb 09 00:31 Weekly Pass 39 23 Feb 09 00:48 Weekly Pass 40 16 Feb 09 00:09 Weekly Pass 41 09 Feb 09 00:17 Weekly Pass 42 02 Feb 09 00:53 Weekly Pass 43 25 Jan 09 00:32 Weekly Pass 44 18 Jan 09 00:41 Weekly Pass 45 11 Jan 09 00:51 Weekly Pass 46 04 Jan 09 00:31 Weekly Pass 47 28 Dec 08 00:46 Weekly Pass 48 21 Dec 08 00:15 Weekly Pass 49 14 Dec 08 00:23 Weekly Pass 50 07 Dec 08 00:31 Weekly Pass 51 30 Nov 08 00:54 Weekly Pass 52 23 Nov 08 11:51 Weekly Pass 53 16 Nov 08 00:19 Weekly Pass 54 09 Nov 08 00:43 Weekly Pass 55 02 Nov 08 00:34 Weekly Pass 56 26 Oct 08 00:55 Weekly Pass 57 19 Oct 08 00:41 Weekly Pass








Automated test summary view


Automated testsThe HeartStart MRx performs hourly, daily and weekly self-tests that are reported to the ready-for-use indicator and stored in internal memory as the Automated Test Summary Report. These tests ensure that the device is functioning properly and is ready at a glance.

HourlyBatteries• Internal power supplies• Internal memory•

Daily – hourly test plus:Internal clock battery• Defibrillation (low energy internal discharge)• Pacing• ECG• SpO• 2

EtCO• 2

NBP• Invasive Pressure• Temperature• Bluetooth• Printer• 3-, 5-, or 12-lead ECG cable (if attached)•


Physio- ControlLP12LP15LP20

ZollE-Series M-Series R-SeriesCCT

Automated self tests schedule

Minimize user interface during shift checks

Hourly self-test Device runs self-tests for critical functionality 4

Daily self-test Device runs more enhanced self-tests 4 4 (LP15, LP20 only)

4

(R-Series only)Weekly self-test Device runs full system diagnostics self-tests 4

System startup Device runs self-tests for critical functionality 4 4 4

Auto test summary Simple, quick viewing of device checksOn-screen auto Test summary

MRx displays the results of the most recent hourly test, the daily tests that have run since the last weekly test, and the last 53 weekly tests

4

Print auto test summary Pass/fail test results can be printed for the last 53 weeks (other manufacturers print out only individual daily tests)

4

Ready for use indicator Assurance that the MRx is ready when neededActive indicator visible when device is off

Active indicator verifies that the device has passed self-tests and ensures that the unit has not suffered a catastrophic failure (R-Series Code readiness status is not active) – the device has a “pulse”

4

Indicator for self-test failure

Highly visible red X indicates a self-test failure (this can be solid or active on the MRx depending on the failure, solid only on the R-Series)

4 4

(R-Series only)Physio-Control and LifePak are registered trademarks of Medtronic Inc.Zoll, M-Series, E-Series, and R-Series are registered trademarks of Zoll Medical Inc.

Weekly – daily test plus:Defibrillation (full energy internal discharge)•

TrendingPhilips HeartStart MRx ALS monitor

The trending feature of the Philips HeartStart MRx enables the clinician to view and print numeric trends for the current incident, provides an historical picture of the condition of the patient, and helps to determine the effect of treatment.

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PAPdPAPs

PAPm

NBPs

NBPd

NBPm

7292 92 93 93 95 95 95 95

22 22 23 23 24 24 24 24 95

813 14 14 14 15 15 15 15

9 9 9 10 10 10 10 9

86111 117 120

63 64 80

79 84 95

10:08^ 10:23 10:38

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CloseTrends

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Adult Non-PacedHRbpm

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Trending


Configurable report intervals: 1, 5, 10, 15, 30 and 60 minutes

Waves and numeric data are • color-matched for ease of reading patient information


Physio-ControlLP12LP15LP20

ZollE-Series M-Series R-SeriesCCT

View trending on screen Increased convenience 4 4

(LP15 only)Upgrade to Trending available at no charge

Field upgradeable with no additional cost 4

Storage intervals at 1, 5, 10, 15, 30, and 60 minuites

Offers flexibility and choice for clinicians 4 4

(LP15 only)Graphical trending viewable on screen

Quick view of vitals over time 4

(LP15 only)Graphical trending data with Event Review Pro 4.0

Raw data converted into color graphs that show effects of trends

4 4

(LP12, LP15 only)

During loss of device power, incident is closed and trend data is available on the device; restored power generates new incident

Patient data is not lostConvenient to view and print trends from device

4


Ability to view and print numeric trends for the current incident

Provides the clinician with • an historical picture of the condition of the patientHelps to determine the effect • of treatment

Ability to trendHR• IBP• NBP•

EtCO• 2

AwRR• SpO• 2

Trend table is visible in the lower half of the display

Trend data is available for • up to 12 hours of monitoringTrending feature is available • at no charge on all devices at software revision 7.0 or later

Pulse• Temp•

Invasive pressuresPhilips HeartStart MRx ALS monitor

The Invasive Blood Pressure measurement produces real-time waveforms and numeric values for systolic, diastolic and mean arterial blood pressure and works within a range of catheters and blood pressure transducers.

100 41 15

25 Oct 2009 11:41

DOE, JOHN

Adult Non-Paced

Mark Event

09:48A B

HRbpm

120

5039.0

36.080 37.5 80 SYS 11:35

160119/69

(86) 90

II

ABP150

75

0

160 16100

090 90 30

3050SYS DIA

ABP mmHg mmHg mmHg AwRR

119/79(95)

24/10(15)

PAP Sp02 % EtCO2 rpm

8

30

30

15

60

PAP

CO2

0

0

Start 12-Lead ZeroPressureNBP

MENU

Pulse bpm ManualmmHgNBPTemp Co








Invasive pressures


Philips MRx invasive pressures are easy to use, fast and connect to most disposable invasive pressure catheters via trunk cables supplied by catheter manufacturer.

Invasive pressure labelsIntracranial Pressure (ICP) – pressure • in the headPulmonary Arterial Pressure (PAP) – • blood pressure in the right and left ventriclesCentral Venous Pressure (CVP) – • blood pressure in the superior vena cava

Cerebral Perfusion Pressure (CPP) – • blood pressure calculation: mean arterial minus intracranial pressureArterial Blood Pressure (ABT or ART) – • indicator of workload in left ventricleAortic Blood Pressure (AO) – • blood pressure in the aortaLeft Arterial Pressure (LAP) – • blood pressure in the left atriumRight Arterial Pressure (RAP) – • blood pressure in the right atrium



ZollCCT

Zero two transducers simultaneously

Reduces time needed to perform standard maintenance on pressures transducers

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View four waveforms ECG, two invasive pressures, and one customizable monitoring waveform 4

Trunk cable connectivity IBP cables are compatible with other monitors from Philips, the worldwide leader in patient monitors

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Waveform color coded to numeric values

Allows clinicians to easily match critical pieces of patient information;result of Philips deep legacy of experience in designing patient monitors

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Configurable pulse source options

Allows clinician to select source for pulse reading from SpO2 or invasive pressure, selected pulse displayed in same color as its source

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Selecting new pressure label automatically activates appropriate scale, alarms settings and alarm limits

No need for clinician to manually reset scales and alarms 4 4 4

12 hours of internal memory storage

Comprehensive data capture for retrospective review, data can be wireless transmitted into Event Review Pro 4.0 (with MRx 9.0 software and wireless data transfer)

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Two channels of pressure waveforms

Allows clinicians to configure display to show most critical pressure readings; waveforms are easily selected for display

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Invasive pressures are not available on the LP20, M-Series, E-Series or R-Series.


Customer contact pointsBelow is a list of additional contacts that are most interested in IBP

Hospital – ALS staff• Hospital – EP/cath labs• Hospital – Flight nurses• Hospital – High acuity patient transport • teams (“inter” and “intra” hospital)EMS – Critical care transport teams • (critical care paramedics)EMS – Air medical programs • (helicopter and fixed wing) EMS – Medical directors for critical • care programs