Zoll Aed Pro Manual

®
Operator’s Guide
June 2006 9650-0350-01 Rev. C

An issue date and revision level for this guide appear on the title page.
If more than three years have elapsed since this date, contact ZOLL Medical Corporation to determine if
additional product information updates are available.
ZOLL, AED Pro, stat•padz, pedi•padz, pro•padz, and v•pack are registered trademarks of ZOLL Medical
Corporation. AED Plus, PowerCharger, Preconnect, RescueNet, Smart Alarms, CPR-D•padz, Rectilinear
Biphasic, “Real CPR Help,” and “Advancing Resuscitation. Today.” are trademarks of ZOLL Medical
Corporation. All other trademarks and registered trademarks are property of their respective owners.
Copyright © 2006 ZOLL Medical Corporation. All rights reserved.
Table of Contents
Preface
How To Use This Guide .........................................................................................................vi
Manual Updates .............................................................................................................vi
Related Manuals ............................................................................................................vi
Conventions ...................................................................................................................vi
Safety Considerations........................................................................................................... vii
General ......................................................................................................................... vii
Operator Safety ........................................................................................................... viii
Patient Safety ................................................................................................................ix
Cautions ..........................................................................................................................x
Restarting the Device .....................................................................................................x
Equipment .............................................................................................................................xi
Symbols Used on the Equipment ..................................................................................xi
FDA Tracking Requirements ....................................................................................... xiii
Notification of Adverse Events ..................................................................................... xiii
Warranty (U.S. Only) ................................................................................................... xiv
Contacting Technical Service .......................................................................................xv
Intended Use ....................................................................................................................... xvi
Indications for Use ....................................................................................................... xvi
Contraindications for Use ............................................................................................ xvi
Intended Users ............................................................................................................ xvi
Defibrillator Precautions .............................................................................................. xvii
Chapter 1 Product Overview

Defibrillation ........................................................................................................................ 1-2
Defibrillation Modes .................................................................................................... 1-2
Semiautomatic Mode Defibrillation and CPR Monitoring .................................................... 1-2
Manual Mode Defibrillation ................................................................................................. 1-3
ECG Monitoring .................................................................................................................. 1-3
Audio Recording ................................................................................................................. 1-4
Nonrescue Mode ................................................................................................................ 1-5
Data Transfer .............................................................................................................. 1-5
Device Configuration .................................................................................................. 1-5
Standby State...................................................................................................................... 1-5
Automatic Shutoff................................................................................................................ 1-5
Available Models................................................................................................................. 1-6
Accessories ........................................................................................................................ 1-6
The Front Panel .................................................................................................................. 1-7
Display Screen ............................................................................................................ 1-9
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide i

TABLE OF CONTENTS
Chapter 2 Getting Started

Installing a Battery Pack ..................................................................................................... 2-2
CHANGE BATTERY Warning .................................................................................... 2-4
Preparing the Unit for Clinical Use...................................................................................... 2-5
Performing a Self-Test ........................................................................................................ 2-6
Automatic Self-Tests ................................................................................................... 2-6
Manual Self-Test ......................................................................................................... 2-6
Preconnecting the Defibrillation Electrodes Cable.............................................................. 2-7
Messages ........................................................................................................................... 2-8
Chapter 3 Semiautomatic Mode

Applying Defibrillation Electrode Pads ................................................................................ 3-2
Applying Defibrillation Electrode Pads — Adult CPR-D•padz ..................................... 3-3
CPR Monitoring with CPR-D•padz -- Real CPR Help ................................................. 3-5
Applying Defibrillation Electrode Pads — Adult stat•padz II ....................................... 3-6
Applying Defibrillation Electrode Pads — Infant/Child pedi•padz II ............................ 3-7
Semiautomatic Defibrillation ............................................................................................... 3-8
Start with CPR Option ............................................................................................... 3-11
Messages in Semiautomatic Mode ........................................................................... 3-11
Chapter 4 Manual Mode

About Manual Mode............................................................................................................ 4-2
Switching to Manual Mode.................................................................................................. 4-3
Manual Defibrillation ........................................................................................................... 4-4
Messages in Manual Mode ................................................................................................. 4-5
Chapter 5 ECG Monitoring Mode

About ECG Monitoring........................................................................................................ 5-2
ECG Electrode Placement .................................................................................................. 5-3
Applying ECG Electrodes ................................................................................................... 5-4
Monitoring the ECG Rhythm ............................................................................................... 5-6
Monitoring with ECG Electrodes ................................................................................. 5-6
Monitoring with Defibrillation Electrodes ..................................................................... 5-7
Messages in ECG Monitoring Mode ................................................................................... 5-8
Chapter 6 Nonrescue Mode

Entering Nonrescue Mode .................................................................................................. 6-2
Data Storage ....................................................................................................................... 6-3
Device History ............................................................................................................. 6-3
Patient Clinical Data ................................................................................................... 6-3
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ZOLL Administration Software ............................................................................................ 6-4
Installing ZOLL Administration Software ..................................................................... 6-4
RescueNet Code Review Software ............................................................................ 6-4
Communicating with an External Device ............................................................................ 6-5
Setting Up Data Communications ............................................................................... 6-5
Device Configuration .......................................................................................................... 6-5
Messages in Nonrescue Mode ........................................................................................... 6-6
Chapter 7 Troubleshooting and Maintenance

General Troubleshooting ................................................................................................... 7-2
ECG Monitoring Troubleshooting ....................................................................................... 7-4
Defibrillator Troubleshooting .............................................................................................. 7-5
Cleaning the Unit ............................................................................................................... 7-6
Optional Maintenance for Technical Professionals ............................................................ 7-7
Appendix A Specifications
Device Specifications..........................................................................................................A-2
Battery Pack Specifications ................................................................................................A-4
Guidance and Manufacturer’s Declaration — Electromagnetic Emissions.........................A-5
Electromagnetic Immunity Declaration (EID) ..............................................................A-6
Rectilinear Biphasic Waveform Characteristics ..................................................................A-9
Clinical Trial Results for the M Series Biphasic Waveform ...............................................A-12
Randomized Multicenter Clinical Trial for Defibrillation of Ventricular Fibrillation (VF)
and Ventricular Tachycardia (VT) ...........................................................................A-12
ECG Analysis Algorithm Accuracy....................................................................................A-14
Appendix B Rechargeable Battery Packs

Managing Rechargeable Battery Packs .............................................................................B-2
Recharging and Testing Battery Packs ...............................................................................B-2
Achieving Optimal Performance with Rechargeable Batteries ...........................................B-3
Appendix C Configurable Settings

Descriptions of AED Pro Configurable Settings..................................................................C-2
Index
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide iii

TABLE OF CONTENTS
iv www.zoll.com 9650-0350-01 Rev. C

Preface
The AED Pro™ unit from ZOLL Medical Corporation is a portable, automated external
defibrillator (AED) intended for use by trained rescuers to provide emergency defibrillation and
to monitor patient ECG during treatment.
This Preface contains the following sections:
• “How To Use This Guide” on page vi
• “Safety Considerations” on page vii
• “Equipment” on page xi
• “Intended Use” on page xvii
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide v

PREFACE
How To Use This Guide

The AED Pro Operator’s Guide provides information that operators need for the safe and
effective use and care of the AED Pro device. Before operating this device, be sure to read and
understand all the information contained within.
This guide also describes device setup and maintenance procedures.
Separate chapters in this document describe use of the device in either semiautomatic or
manual mode.
Manual Updates
ZOLL Medical Corporation provides manual updates to inform customers of changes in device
information and use. Customers should carefully review each update to understand its
significance, and then file the update in its appropriate section within the manual for subsequent
reference.
Product documentation is available through the ZOLL website at www.zoll.com. From the
Products menu, choose Product Documentation.
Related Manuals
In addition to this manual, the following ZOLL publications provide information about this
product and related products and accessories:
REF Title
9650-0054-01 ZOLL Base PowerCharger 4x4 Operator’s Manual
9650-0120-01 ZOLL Base PowerCharger 1x1 Operator’s Manual
9651-0801-01 AED Pro Simulator Operator’s Guide
Conventions
This guide uses the following conventions:
Within text, the names and labels for physical buttons and softkeys appear in boldface type (for
example, “Press the Shock button or the DISARM softkey”).
This guide uses uppercase italics for audible prompts and for text messages displayed on the
screen (for example, DON’T TOUCH PATIENT, ANALYZING).
WARNING! Warning statements alert you to conditions or actions that can result in personal injury
or death.
Caution Caution statements alert you to conditions or actions that can result in damage to the unit.
vi www.zoll.com 9650-0350-01 Rev. C

Safety Considerations
All operators should review these safety considerations before placing the AED Pro unit into
service.
These operating instructions describe the functions and proper operation of the AED Pro unit.
This manual does not substitute for a formal training course. Operators must obtain formal
training from an appropriate authority before using this device for patient care.
Follow all recommended maintenance instructions. If a problem occurs, obtain service
immediately. Do not use the device until it has been inspected by appropriate personnel.
Do not disassemble the unit. A shock hazard exists. Refer all problems to authorized service
personnel.
The AED Pro unit is capable of delivering 200 joules. To completely deactivate the unit, turn it
off and remove the battery pack.
To manually disarm a charged (or charging) defibrillator, do one of the following:
• Turn the unit off for at least 3 seconds.
• Press the DISARM softkey (manual mode only).
For safety, the AED Pro unit automatically disarms a fully charged defibrillator after
60 seconds in manual mode or 30 seconds in semiautomatic mode if the Shock button is not
pressed.
General
Federal (U.S.A.) law restricts this device to use by or on the order of a physician.
Proper operation of the unit and correct electrode placement is critical to obtaining optimal
results. Operators must be thoroughly familiar with proper device operation.
The use of external defibrillation electrodes or adapter devices from sources other than ZOLL
is not recommended. ZOLL Medical Corporation makes no representations or warranties
regarding the performance or effectiveness of its products when used with defibrillation
electrodes or adapter devices from other sources. Device failures attributable to the use of
defibrillation electrodes or adapters not manufactured by ZOLL might void the warranty on the
ZOLL equipment.
This device is protected against interference from radio frequency emissions typical of the
two-way radios and cellular phones (digital and analog) used in emergency service or public
safety activities. You should assess the device’s performance in your typical operating
environment to determine the likelihood of radio frequency interference (RFI) from high-power
sources. Radio frequency interference can cause shifts in the monitor baseline, trace
compression, changes to brightness of the display, or transient spikes on the screen.
The AED Pro unit might not perform to specifications when stored at the upper or lower
extreme limits of storage temperature and then immediately put into use.
Do not use or stack the unit with other equipment. If the unit is used or stacked with other
electrical equipment, verify proper operation before using it.
Do not use or place the unit in service if it beeps while turned off.
Do not use or place the unit in service if the Ready indicator (at the upper right of the front
panel) shows a red “X”.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide vii

PREFACE
Defibrillation
Emergency defibrillation should be performed only by appropriately trained, skilled personnel
who are familiar with the operation of the equipment. The prescribing physician should
determine what training, such as Advanced Cardiac Life Support (ACLS) or Basic Life Support
(BLS) certification, is appropriate for operating this device.
ECG analysis
A patient must be motionless during ECG analysis. Do not touch the patient during analysis.
Cease all patient movement by stretcher or vehicle before beginning ECG analysis in
semiautomatic mode.
Cardiopulmonary resuscitation (CPR)

Before performing CPR, place the patient on a firm surface.
Battery care
Keep a fully charged spare battery pack with the device at all times.
When the unit displays the message CHANGE BATTERY, immediately replace the battery pack
with a fully charged one.
Regular use of a partially charged battery pack without fully recharging it between uses might
permanently reduce the battery’s capacity and result in early failure.
Regularly test rechargeable battery packs. A rechargeable battery pack that does not pass its test
could fail without warning.
Do not disassemble a battery pack or dispose of it in fire. Do not try to recharge a
nonrechargeable battery pack. If mistreated, a battery pack might explode.
Dispose of battery packs in accordance with federal, state, and local regulations. Battery packs
should be shipped to a reclamation facility for recovery of metal and plastic compounds as the
proper method of waste management.
Operator Safety
Do not use the unit near oxygen-rich atmospheres, flammable anesthetics, or other flammable
agents (such as gasoline).
Do not use the unit within standing water.
Before discharging the defibrillator, warn everyone to stand clear of the patient.
Do not discharge the defibrillator except as indicated in the instructions. Discharge the
defibrillator only when defibrillation pads are properly attached to the patient. Never discharge
the unit with the defibrillation pads shorted together or in open air.
Electrical shock
Before defibrillation, be sure to disconnect from the patient all electromedical equipment that is
not defibrillation-protected. Keep defibrillation electrodes away from all other equipment
attached to the patient and from metal objects in contact with the patient.
viii www.zoll.com 9650-0350-01 Rev. C

During defibrillation, do not touch the bed, the patient, conductive material, or any equipment
connected to the patient; a severe shock can result. To avoid hazardous pathways for the
defibrillation current, do not allow exposed portions of the patient's body to touch any metal
objects, such as a bed frame.
Accessory equipment
The use of accessory equipment that does not comply with the equivalent safety requirements
of the AED Pro device could reduce the level of safety of the resulting system. When selecting
accessory equipment, consider the following:
• Use of the accessory in the patient vicinity
• Evidence that the safety certification of the accessory has been performed in accordance
with the appropriate IEC (EN) 60601-1 and/or IEC (EN) 60601-1-1 harmonized national
standards.
Patient Safety
The AED Pro unit detects ECG electrical signals only and does not detect a pulse (effective
circulatory perfusion). Always verify pulse and heart rate by physical assessment of the patient.
Never assume that the display of a nonzero heart rate means that the patient has a pulse.
ECG rhythm analysis does not warn of patient asystole, which is not a shockable rhythm.
Defibrillation pads and ECG electrodes

Check the expiration date on the electrode packaging. Do not use electrodes that have passed
their expiration date.
Do not use defibrillation pads or ECG electrodes if the gel is dried or damaged; patient burns or
poor quality ECG signals might result from using such electrodes.
Poor adherence or air pockets under defibrillation pads can cause arcing, skin burns, or reduced
energy delivery. To minimize burning, apply freshly opened and undamaged defibrillation pads
to clean and dry skin. Excessive body hair or wet, diaphoretic skin can inhibit electrode pad
coupling (contact) with the skin. Clip excess hair and dry any moisture from the area where an
electrode pad is to be attached.
To prepare for an emergency, keep the defibrillation electrode cable connected to the unit at all
times, even when the unit is not in use.
Use only high-quality ECG electrodes. ECG electrodes are for monitoring only; you cannot use
ECG electrodes for defibrillation.
Implanted pacemakers
Do not place electrodes directly over an implanted pacemaker. Implanted pacemakers might
cause the heart rate meter or ECG rhythm analysis to count the pacemaker rate during incidents
of cardiac arrest or other arrhythmia. Carefully observe pacemaker patients. Check the patient's
pulse; do not rely solely on heart rate meters. Patient history and physical examination are
important factors in determining the presence of an implanted pacemaker.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide ix

PREFACE
Cautions
Do not sterilize the device or the ECG monitoring cable.
Do not immerse any part of the device into water.
Do not use ketones (such as MEK or acetone) on the device.
Avoid using abrasives (including paper towels) on the display screen and IrDA port.
Restarting the Device

Certain events require a restart of the AED Pro unit after it shuts off, encounters an error, or
becomes inoperative. If such an event occurs, always try to restore device operation as follows
before seeking alternative methods of patient monitoring or treatment:
1. Press and hold the On/Off button for 1 second to turn the unit off.
2. After the unit has shut down, wait at least 3 seconds.
3. Press and release the On/Off button to restart the unit.
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Equipment
Equipment
Before unpacking the AED Pro unit, carefully inspect each shipping container for damage. If
the container or cushioning material is damaged, keep it until you have checked the contents for
completeness, and the unit has been tested for mechanical and electrical integrity.
Examine the unit for any signs of damage that might have occurred during shipping. Review
the shipping list to ensure that you received all ordered items. If the contents are incomplete, if
there is mechanical damage, or if the device does not pass its electrical self-test (as indicated by
a red “X” in the Ready indicator after battery installation), contact the ZOLL Technical Service
Department or the nearest ZOLL authorized representative. If the shipping container is
damaged, notify the carrier also.
Symbols Used on the Equipment

The following symbols might appear in this document or on the AED Pro unit, battery packs,
electrodes, or shipping materials.
Symbol Description
Dangerous voltage.
Attention, consult accompanying documents.
Fragile, handle with care.
Keep dry.
This end up.
Temperature limitation.
Conformité Européenne Complies with medical device directive 93/42/EEC.
Defibrillator-proof type BF equipment.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xi

PREFACE
Symbol Description
Defibrillator-proof type CF equipment.
2%
$
45
,%!
2.
Contains lead. Recycle or dispose of properly.
2%#9#,%
0B 5(
1
,2
7
85
/L
Contains lithium. Recycle or dispose of properly.

1
5(&<&/(
/L,21
Keep away from open flame and high heat.
Do not open, disassemble, or intentionally damage.
Do not crush.
Nonrechargeable battery.
Do not discard in trash. Recycle or dispose of properly.
Date of manufacture.
Use by.
Latex-free.
Do not reuse.
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Equipment
Symbol Description
Do not fold.
Not sterile.
Nonionizing electromagnetic radiation.
Manufacturer.
Authorized representative in the European Community.
Serial Number.
Catalogue number.
Consult instructions for use.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xiii

PREFACE
FDA Tracking Requirements

U.S. Federal Law (21 CFR 821) requires the tracking of defibrillators. Under this law, owners
of this device must notify ZOLL Medical Corporation if this product is
• received
• lost, stolen, or destroyed
• donated, resold, or otherwise distributed to a different organization
If any such event occurs, contact ZOLL Medical Corporation in writing with the following
information:
1. Originator's organization – Company name, address, contact name, and contact phone
number
2. Part number, model number, and serial number of the device
3. Disposition of the device (for example, received, lost, stolen, destroyed, distributed to
another organization), new location and/or organization (if known and different from
originator’s organization) – company name, address, contact name, and contact phone
number
4. Date when the change took effect
Please address the information to:
ZOLL Medical Corporation
Attn: Tracking Coordinator
269 Mill Road
Chelmsford, MA 01824-4105
Fax: (978) 421-0025
Tel: (978) 421-9655
Notification of Adverse Events

Under the Safe Medical Devices Act (SMDA), health care providers are responsible for
reporting to ZOLL Medical Corporation, and possibly to the FDA, the occurrence of certain
events.
These events, described in 21 CFR Part 803, include device-related death and serious injury or
illness. In addition, as part of our Quality Assurance Program, ZOLL Medical Corporation
requests to be notified of device failures or malfunctions. This information is required to ensure
that ZOLL Medical Corporation provides only the highest quality products.
xiv www.zoll.com 9650-0350-01 Rev. C

Equipment
Warranty (U.S. Only)

(a) ZOLL Medical Corporation warrants to the original equipment purchaser that beginning on
the date of installation, or thirty (30) days after the date of shipment from ZOLL Medical
Corporation's facility, whichever first occurs, the equipment (other than accessories and
electrodes) will be free from defects in material and workmanship under normal use and service
for the period of one (1) year. During such period ZOLL Medical Corporation will, at no charge
to the customer, either repair or replace (at ZOLL Medical Corporation's sole option) any part
of the equipment found by ZOLL Medical Corporation to be defective in material or
workmanship. If ZOLL Medical Corporation's inspection detects no defects in material or
workmanship, ZOLL Medical Corporation's regular service charges shall apply. (b) ZOLL
Medical Corporation shall not be responsible for any equipment defect, the failure of the
equipment to perform any function, or any other nonconformance of the equipment, caused by
or attributable to: (i) any modification of the equipment by the customer, unless such
modification is made with the prior written approval of ZOLL Medical Corporation; (ii) the use
of the equipment with any associated or complementary equipment; (iii) installation or wiring
of the equipment other than in accordance with ZOLL Medical Corporation's instructions;
(iv) abuse, misuse, neglect, or accident. (c) This warranty does not cover items subject to
normal wear and burnout during use, including but not limited to lamps, fuses, batteries, patient
cables and accessories. (d) The foregoing warranty constitutes the exclusive remedy of the
customer and the exclusive liability of ZOLL Medical Corporation for any breach of any
warranty related to the equipment supplied hereunder. (e) Limitation of Liability: ZOLL shall
not in any event be liable to Purchaser, nor shall Purchaser recover, for special, incidental or
consequential damages resulting from any breach of warranty, failure of essential purpose, or
under any other legal theory including but not limited to lost profits, lost savings, downtime,
goodwill, damage to or replacement of equipment and property, even if ZOLL has been advised
of the possibility of such damages.
THE WARRANTY SET FORTH HEREIN IS EXCLUSIVE AND ZOLL MEDICAL
CORPORATION EXPRESSLY DISCLAIMS ALL OTHER WARRANTIES WHETHER
WRITTEN, ORAL, IMPLIED, OR STATUTORY, INCLUDING BUT NOT LIMITED TO
ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xv

PREFACE
Contacting Technical Service

The AED Pro unit is calibrated at the factory, and does not require periodic recalibration or
adjustment. If a unit requires service, contact the ZOLL Technical Service Department.
Telephone: 1-800-348-9011 (within the U.S.A. only)
1-978-421-9655
Fax: 1-978-421-0010
When requesting service, please provide the following information to the service
representative:
• Unit serial number
• Description of the problem
• Department using the equipment and name of the person to contact
• Purchase order to allow tracking of loan equipment
• Purchase order for a unit with an expired warranty
Returning a unit for service

Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service
request (SR) number from the service representative.
Remove the battery pack from the unit. Pack the unit with its cables in the original containers
(if available) or equivalent packaging. Be sure the assigned service request number appears on
each package.
s
For customers Return the unit to

ZOLL Medical Corporation
269 Mill Road
In the U.S.A.
Attention: Technical Service Department (SR number)
Telephone: 1-800-348-9011
ZOLL Medical Canada
Unit #15
5266 General Road
Mississauga, Ontario
In Canada
L4W 1Z7
Attention: Technical Service Department (SR number)
Telephone: 1-866-442-1011
The nearest authorized ZOLL Medical Corporation representative.
To locate an authorized service center, contact the International Sales
Department at
In other locations ZOLL Medical Corporation
269 Mill Road
Telephone: 1-978-421-9655
xvi www.zoll.com 9650-0350-01 Rev. C

Intended Use
The AED Pro unit is intended to defibrillate victims of ventricular fibrillation or pulseless
ventricular tachycardia, for ECG monitoring, and for CPR monitoring of patients. The CPR
monitoring function provides a metronome designed to encourage rescuers to perform chest
compressions at the AHA/ERC recommended rate of 100 compressions per minute. Voice and
visual prompts encourage a compression depth of 1.5 to 2 inches (3.8 to 5.0 cm) for adult
patients.
Indications for Use

Use of the device for defibrillation is indicated on victims of cardiac arrest with apparent
lack of circulation as indicated by
• Unconsciousness, and
• Absence of breathing, and
• Absence of pulse and other signs of circulation.
When the victim is less than 8 years old or weighs less than 55 lb. (25 kg), use ZOLL
pedi•padz™ II pediatric defibrillation electrodes. Do not delay therapy to determine the
patient’s exact age or weight.
The device is also intended for use when ECG monitoring is indicated to evaluate the patient’s
heart rate or ECG morphology.
Contraindications for Use
Defibrillation
Never use the AED Pro unit for defibrillation when the patient
• Is conscious, or
• Is breathing, or
• Has a detectable pulse or other sign of circulation.
CPR Monitoring
The CPR monitoring function is not intended for use on patients under 8 years of age.
Intended Users
In semiautomatic mode, the AED Pro unit is intended to be used by rescuers and emergency
care personnel who have completed training and certification requirements applicable to the
use of a defibrillator where the operator controls delivery of shocks to the patient.
In manual mode, the AED Pro unit is intended to be used only by qualified medical personnel
trained in Advanced Life Support skills.
In ECG monitoring mode, the AED Pro unit is intended to be used by personnel who are
qualified by training in the use of the AED Pro device, basic life and/or advanced life support,
or other physician-authorized emergency medical training.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xvii

PREFACE
Defibrillator Precautions
Inappropriate defibrillation of a patient (for example, with no malignant arrhythmia) can
precipitate ventricular fibrillation, asystole, or other dangerous types of arrhythmia.
Without proper application of electrode pads, defibrillation might be ineffective and cause
burns, particularly when repeated shocks are necessary. Erythema or hyperemia of the skin
under the defibrillation pads often occurs. This reddening effect, often enhanced along the
perimeter of the pad, should diminish substantially within 72 hours.
Defibrillator output energy

The AED Pro unit can deliver as much as 200 joules into a 50 ohm impedance. The energy
delivered through the chest wall, however, is determined by the patient’s transthoracic
impedance.
xviii www.zoll.com 9650-0350-01 Rev. C

Chapter 1
Product Overview
The AED Pro device provides the following clinical modes:
• Semiautomatic defibrillation with CPR monitoring
• Manual defibrillation
• ECG monitoring
To guide the operator through rescue protocols, the AED Pro unit issues instructions through
text messages displayed on its screen and by voice prompts played through a speaker.
This chapter introduces the AED Pro unit, and contains the following sections:
• “Defibrillation” on page 1-2
• “Semiautomatic Mode Defibrillation and CPR Monitoring” on page 1-2
• “Manual Mode Defibrillation” on page 1-3
• “ECG Monitoring” on page 1-3
• “Audio Recording” on page 1-4
• “Nonrescue Mode” on page 1-5
• “Standby State” on page 1-5
• “Automatic Shutoff” on page 1-5
• “Accessories” on page 1-6
• “The Front Panel” on page 1-7
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide 1–1

CHAPTER 1 PRODUCT OVERVIEW
Defibrillation
The AED Pro unit uses the ZOLL rectilinear biphasic waveform and ZOLL single-use
defibrillation electrode pads for defibrillation.
Escalating energy levels for the first three shocks are preconfigured into the unit for adult and
pediatric patients. (The unit selects the appropriate levels by detecting the type of defibrillation
electrode pads in use.) After the first three shocks, all subsequent shocks are delivered at the
same energy as the third shock.
The factory default energy levels in joules are as follows:
First shock Second shock Third shock

Adult 120 150 200
Pediatric 50 70 85
For more information, refer to Appendix C, "Configurable Settings".
Defibrillation Modes
The AED Pro unit can be manufactured to run in one of three defibrillation modes:
• Semiautomatic Mode Defibrillation with CPR Monitoring
• Manual Mode Defibrillation
• Semiautomatic Mode Defibrillation with CPR Monitoring and Manual Mode Override
Semiautomatic Mode Defibrillation and CPR Monitoring

When the AED Pro unit is configured to run in semiautomatic mode or semiautomatic mode
with manual mode override, the unit starts up in semiautomatic mode unless an AED Pro ECG
cable is attached to the unit.
In semiautomatic mode, the unit analyzes the patient’s ECG through the defibrillation electrode
pads attached to the patient. If the unit detects a shockable rhythm, it automatically charges to
the appropriate (preconfigured) energy level. Once the defibrillator is fully charged, the Shock
button begins flashing. The unit also emits a charge-ready tone, and directs the rescuer to press
the Shock button to deliver therapy. In semiautomatic mode, the rescuer must deliver the shock
within 30 seconds of full charge, otherwise the defibrillator automatically disarms itself, and
the unit resumes ECG analysis.
After delivering a shock, the unit continues analyzing the patient’s ECG, guiding the rescuer to
perform CPR or to deliver additional shocks, if needed.
The unit also provides CPR monitoring if ZOLL CPR-D•padz™ defibrillation electrodes are
attached. CPR-D•padz include a sensor to monitor the rescuer’s chest compression rate and
depth. The compression data enables the unit to guide the rescuer to perform effective CPR.
The unit can be preconfigured to prompt the rescuer to perform a period of CPR before the first
ECG analysis cycle begins.
For more information, refer to Chapter 3, "Semiautomatic Mode".
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Manual Mode Defibrillation
Manual Mode Defibrillation

In manual mode, the rescuer controls each step of defibrillation therapy. The AED Pro unit
displays patient ECG data and heart rate on the screen. The rescuer uses this information to
determine whether or not the patient has a shockable rhythm.
If the AED Pro unit is configured for semiautomatic mode defibrillation with ECG monitoring
enabled and manual mode override, and the ECG cable is not attached, the AED Pro unit will
start in semiautomatic mode at power up. If the AED Pro unit is configured for manual mode
defibrillation, the AED Pro unit will in run only in manual mode.
When a shock is deemed necessary, the rescuer charges the defibrillator by pressing the
CHARGE softkey to charge the unit to the preconfigured energy level.
Note: Defibrillation energy levels are preconfigured and cannot be changed during clinical
use.
Once the defibrillator is fully charged, the Shock button begins flashing. The unit also emits a
charge-ready tone, continuously for the first 50 seconds, and then intermittently for the final
10 seconds. The rescuer must deliver the shock within this 60-second period, otherwise the
defibrillator automatically disarms itself. To recharge the unit, the rescuer must press the
CHARGE softkey again.
For more information, refer to Chapter 4, "Manual Mode".
ECG Monitoring
The optional ECG monitoring mode provides ECG rhythm and heart rate display, as well as
performing background ECG analysis to detect shockable rhythms. If the AED Pro unit detects
a shockable rhythm during monitoring, it immediately alerts the rescuer through displayed and
voiced prompts; if defibrillation pads are attached, the unit automatically switches to
semiautomatic mode.
For ECG monitoring, you can use
• AED Pro-compatible defibrillation electrode pads
• Standard ECG electrodes (with an AED Pro ECG cable)
While ECG electrodes (not defibrillation electrode pads) are connected to the unit, the only
available mode is ECG monitoring.
All ECG monitoring is performed in the lead II configuration. The operator cannot select
another lead.
For more information, refer to Chapter 5, "ECG Monitoring Mode".

Audio Recording
When installed and enabled, the Audio Recording Option allows the AED Pro unit to record up
to 20 minutes of continuous audio and clinical event data during a rescue. (The AED Pro unit
can record and store at least 7 hours of clinical event data when the Audio Recording Option is
disabled.) The recorded audio data is synchronized to the clinical event data.
Note: The AED Pro unit records up to three minutes of audio data prior to electrode
placement.
The AED Pro unit can record and store data for only a single rescue when audio recording is
enabled -- when the electrode pads are placed on the patient, the unit deletes any stored data
(ECG, Audio, and Event data) and begins recording data from the current rescue.
When you start the AED Pro unit in Non-rescue Mode, it does not delete stored rescue data.
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Nonrescue Mode
Nonrescue Mode
The AED Pro unit provides the following functions in nonrescue mode:
• Data transfer
• Device configuration
The following sections briefly describe these functions. For more information, refer to
Chapter 6, "Nonrescue Mode".
Data Transfer
The AED Pro unit includes nonvolatile memory, which automatically records
• Device history
• Clinical data
Stored information can be transferred to a remote device (such as a computer) through an IrDA
(infrared wireless) connection. The clinical data format is compatible with ZOLL RescueNet™
Code Review software, which can be used to review and analyze the patient data.
The unit retains the device history and clinical data even when powered off or when the battery
pack is removed. Clinical data is erased only when the device is powered on and electrodes are
attached to a new patient. If configured to do so, the unit can store data for more than one
patient.
Device Configuration
The AED Pro unit provides configurable settings that can be used to tailor the device for local
rescue protocols and procedures. Using the ZOLL Administration Software on a personal
computer, you can view or modify the unit’s configuration.
Standby State
When the unit is turned off with a good battery installed, the unit enters standby state. While in
standby, the unit periodically starts up automatically to perform a self-test, and then returns to
standby. The Ready indicator shows the result of the self-test. The frequency of self-tests while
the unit is in standby state is a configurable setting.
Automatic Shutoff
The unit automatically powers off if no patient connection is detected within 10 minutes
(configurable).

Accessories
The following related accessories and equipment are available.
Item REF
Adult CPR-D•padz electrodes
™ 8900-0800-01
Adult stat•padz II electrodes
® 8900-0801-01
Pediatric pedi•padz II electrodes
™ 8900-0810-01
ECG electrodes 8900-0003
AED Pro ECG cable
AAMI 8000-0838
IEC 8000-0839
Defibrillation analyzer (universal) adapter cable 8000-0804-01
Rechargeable PD 4410 battery pack
Standard 8004-0009
Smart 8004-0103-01
Smart Ready 8004-0104-01
Disposable sealed lithium manganese dioxide battery 8000-0860-01
pack
AED Pro carry bag
Soft case 8000-0810-01
Hard case 8000-0832-01
IrDA adapter for personal computer
USB 8000-0815
RS-232 8000-0816
Base PowerCharger™ 4x4 battery Charger/Tester with 8050-0002-01
AutoTest and three batteries
Base PowerCharger™ 4x4 battery Charger/Tester with 8050-0012-01
AutoTest (no batteries included)
Base PowerCharger™ 1x1 Autotest Charger without 8050-0022-01
battery
Base PowerCharger™ 1x1 Autotest Charger with 8050-0025-01
Smart Ready Battery
AED Pro simulator 8000-0829-01
AED Pro ZOLL Administration Software (ZAS) CD 9658-0800-01
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The Front Panel
The Front Panel

Figure 1-1 shows the front panel of the AED Pro unit. Table 1-1 describes each of the unit’s
front panel features.
Patient cable
connector
Display screen
Shock button
Microphone
On/Off button
(optional)
Ready
indicator
Softkeys IrDA port
Speaker
Battery compartment
latch
Battery compartment
cover
ZM040001A
Figure 1-1. AED Pro Front Panel
USB connector
(inside battery compartment)
ZM050001A
Figure 1-2. USB Connector

Table 1-1. AED Pro Front Panel Features
Feature Description
Shock button When the defibrillator is fully charged and ready, the Shock button
repeatedly flashes. To deliver a shock, press and hold the button.
On/Off button To start the unit, press this button and release it within 5 seconds.
To start the unit in nonrescue mode, press and hold this button for
more than 5 seconds.
To turn the unit off and place it in standby state, press and hold this
button for 1 second.
Ready indicator Shows the status of the unit, based on
its last self-test.
A green check indicates the unit is
ready for use.
A red “X” indicates the unit is not ready
ZM040010A for use.
IrDA port Provides a way to connect the unit to an external device for
transferring patient data, unit status information, or configuration
information.
Speaker Issues voice prompts and alerts.
Battery compartment Holds the battery pack.
Battery compartment latch Provides access to the battery compartment.
Softkeys Directly below the display, two unlabeled buttons control various
functions depending on the operating mode. Labels for the softkeys
appear at the bottom of the display above each softkey to indicate
its function.
Patient cable connector Used for plugging in defibrillation electrodes or an AED Pro ECG
cable.
This connector is a defibrillator-proof type BF patient
connection.
USB connector (Reserved for future use — do not connect any equipment.)
With software support, provides a way to transfer data to an
external device.
Microphone (optional) Allows the AED Pro Unit to record audio rescue data. Only AED Pro
units that have been ordered with the Audio Recording Option have
a microphone installed.
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The Front Panel
Display Screen
The display screen shows the following items (depending on the activity in progress):
Elapsed time — Shows the total time (in hours, minutes, and seconds) since the unit was
turned on. The counter resets to 00:00:00 after 23 hours, 59 minutes, and 59 seconds, or when
the unit is turned off.
ECG size — Shows the amplitude scale for the displayed ECG in centimeters per millivolt
(cm/mV). The device adjusts the scale automatically.
Heart rate and heartbeat symbol — (Manual and ECG monitoring modes only) Shows the
current heart rate in beats per minute. The symbol flashes with each detected heartbeat.
Chest compression depth gauge— Shows the depth of chest compression during CPR when
ZOLL CPR-D•padz are connected. The bar extends downward as the depth of compression
increases, with scale marks representing 0, 1.5 inches, and 2 inches.
Softkey labels — Labels for the softkeys appear at the bottom of the display directly above
each softkey to indicate its function.
Text prompts and messages — In semiautomatic mode, text prompts guide the rescuer. In all
modes, messages alert the operator about problem conditions.
ECG rhythm — Displays the patient’s ECG.
Shock symbol and number of shocks delivered — Shows the number of shocks delivered
since the unit was powered on.
Current mode — Displays MANUAL in manual mode, or MONITOR in ECG monitoring
mode. No mode label appears in semiautomatic mode.

Figure 1-3 shows the layout of the screen and the location of the above items.
Number of shocks Elapsed time Heart rate and

delivered heartbeat symbol
Current mode ECG size
Shock symbol
1 00:03:45
MANUAL 142
ECG X0.5
ECG rhythm
Chest compression
depth gauge (with
CPR-D•padz only)
Text prompts
and messages
150 J SELECTED
Left softkey CHARGE Right softkey

label location label location
Figure 1-3. AED Pro Display Screen Elements
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Chapter 2
Getting Started
This chapter describes some common tasks that you must do to get the AED Pro unit ready to
use, and contains the following sections:
• “Installing a Battery Pack” on page 2-2
• “Preparing the Unit for Clinical Use” on page 2-5
• “Performing a Self-Test” on page 2-6
• “Preconnecting the Defibrillation Electrodes Cable” on page 2-7
• “Messages” on page 2-8

CHAPTER 2 GETTING STARTED
Installing a Battery Pack

The AED Pro unit accepts the following types of battery packs:
• Rechargeable PD 4410-series battery packs
• Disposable sealed lithium manganese dioxide battery packs
When the unit displays the message CHANGE BATTERY, immediately replace the battery with
a fully charged battery pack.
Before you begin

Be sure the unit is turned off.
Be sure the battery pack to be installed is fully charged.
WARNING! Do not use a rechargeable battery pack if the unit’s standby period will exceed 90 days.
Procedure
To install or replace a battery pack:
Step Action Notes
1 Pull the bottom edge of the battery

compartment latch outward.
When released, the latch slides upward.
ZM040004A
2 Pull the top edge of the latch toward you

and then downward.
3 Lift the edge of the battery compartment

cover.
ZM040004A
4 Slide out the cover panel.
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Installing a Battery Pack
Step Action Notes
5 If a battery is installed, remove it from the

compartment by pressing the tab on the
battery pack.
ZM040006A
6 Align the tab of the new battery with the The shape of the battery pack allows it to seat
finger access area on the left side of the itself properly.
battery compartment, then place the
battery into the compartment.
ZM040005A
7 Press the edge of the battery pack until it

clicks into place.
8 Slide the cover panel back into place, and

then lower the edge of the cover.
ZM040007A
9 Raise the compartment latch, and tilt the

top edge toward the unit.
10 Press the bottom edge of the latch toward

the unit to lock the cover in place.
ZM040007A

Important: If you change the battery while the unit is in clinical use (that is, with a cable
connected), the unit automatically powers on in nonrescue mode and then shuts
down. Press and release the On/Off button to restart the unit.
CHANGE BATTERY Warning

When the unit detects a low energy condition, it issues the voice and text prompt CHANGE
BATTERY once every minute. Depending on the age and condition of the battery, the remaining
operating time of the unit might be extremely limited.
The warning message continues until the device shuts down.
WARNING! To ensure the availability of adequate power during an emergency, keep a fully charged
spare battery pack with the device at all times.
Whenever the unit issues the prompt CHANGE BATTERY, immediately replace the used
battery pack with a fully charged one to ensure continuous operation and to avoid unexpected
device shutdown. After removing a depleted rechargeable battery pack from the unit, recharge
the pack as soon as possible.
Battery Condition Indications Correction

Low energy detected during Message: Replace battery pack.
power-on self-test. CHANGE BATTERY
Low energy or other self-test Ready indicator shows a Replace battery pack.
failure while the unit is red “X”. Unit beeps once every
Check or replace
powered off (standby). minute for 30 minutes.
preconnected electrodes.
If the red “X” remains, contact
Technical Support for service.
Low energy detected while the Message: Replace battery pack as soon
unit is powered on. CHANGE BATTERY as possible.
Dead battery Ready indicator shows a Replace battery pack.
red “X”.
If the red “X” remains, contact
ZOLL Technical Service.
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Preparing the Unit for Clinical Use
Preparing the Unit for Clinical Use

The following set-up and checkout procedures should be performed before placing the unit into
service and after each clinical use.
Before you begin

You need the following items:
• A fully charged battery
• Defibrillation electrode pads
Procedure
To prepare an AED Pro unit for clinical use:
Step Action
1 Inspect all external surfaces of the unit to ensure that they are clean (with no fluid spills)
and free from structural damage, such as cracks and broken or missing parts.
2 Inspect the patient cable connector to ensure that the pins are not broken, bent, or missing.
3 Inspect all cables. Replace any item that is cut or frayed, or that has bent pins.
4 Install a fully charged battery pack that is appropriate for your application.
5 Ensure that you have an adequate supply of defibrillation and ECG electrodes.
6 Verify that the defibrillation electrodes have not expired and are not close to expiration.
7 Follow the instructions provided with the defibrillation electrodes to preconnect them to the
patient cable connector.
Note: If electrodes are not preconnected, the unit will fail its next self-test in standby state.
8 Press and release the On/Off button to turn on the unit and initiate a power-on self-test.
The message UNIT OK indicates that the battery pack and electrodes are properly
installed and that the unit is ready for service.
The message UNIT FAILED indicates that the unit is not ready for service.
9 Verify that the unit correctly detects the type of electrodes that are attached (with the
message ADULT PADS or PEDIATRIC PADS).
10 Press and hold the On/Off button for 1 second to turn off the unit.
11 Wait 2 minutes. Verify that the Ready indicator displays a green check, and that the unit
does not beep.
12 Place the unit into service.
While the unit is in service, periodically check the Ready indicator to ensure that it displays a
green check and inspect the unit for physical damage.

Performing a Self-Test
The AED Pro unit performs automatic or manual self-tests to verify its integrity and readiness
for emergency use. These tests verify the following:
• Battery energy — Verifies that the battery energy is sufficient for at least two hours of
continuous monitoring and ten shocks at maximum energy.
• Defibrillation electrodes connection — Verifies that defibrillation electrodes are properly
preconnected to the unit.
• ECG circuitry — Verifies that the ECG signal acquisition and processing electronics are
functional.
• Defibrillator charge and discharge circuitry — Verifies that the defibrillator electronics are
functional and can charge and discharge at 2 joules.
• Microprocessor hardware and software — Verifies the proper function of the
microprocessor electronics and the integrity of the software.
• CPR circuitry and sensor — Verifies that the CPR monitoring and compression depth
detection are functional (when CPR-D•padz are attached).
• Audio circuitry — Verifies that the audio output circuitry is functional.
• Display — Verifies that the visual indicators are functional.
After the successful completion of the self-test, the Ready indicator
displays a green check, indicating that the unit is ready for use.
If the Ready indicator displays a red “X” after a self-test, the unit is not
ready for use and might be defective. Remove the unit from service
and consult the Troubleshooting chapter of this guide.
ZM040010A
Automatic Self-Tests
The unit performs a self-test whenever it is turned on or a battery pack is installed, or at
periodic intervals while in standby state. The interval for automatic self-tests in standby state is
a configurable setting; the default interval is one day. For more information, refer to
Appendix C, "Configurable Settings".
Manual Self-Test
You can manually initiate a self-test by pressing and holding the On/Off button for 5 seconds.
The unit illuminates the Shock button and issues voice and text messages so that you can verify
the visual and auditory output functions. In addition, the screen shows information about the
unit’s hardware and software.
00:00:18
VERSIONS
B:05.00 P:05.10 L:05.00
C:02.00 H:00.00
NON-RESCUE MODE (This text message appears

only if an IrDA connection exists.)
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Preconnecting the Defibrillation Electrodes Cable
Preconnecting the Defibrillation Electrodes Cable

WARNING! To prepare for an emergency, keep the defibrillation electrodes cable connected to the
unit at all times.
ZM040008A
WARNING! Do not reuse defibrillation electrodes.
The AED Pro unit supports both adult and pediatric electrode pads. The device adjusts
defibrillation energy to adult or pediatric levels depending on the type of electrodes connected
to it. Always use electrode pads that are appropriate for the patient.
WARNING! Do not use adult defibrillation electrode pads or CPR-D•padz on patients under 8 years
of age.
The electrode packaging allows you to connect the cable to the unit while the pads remain in a
sealed envelope.
• To prepare for future emergencies, after each use connect a new package of electrodes by
plugging the electrode cable into patient cable connector.
• To ensure that the electrodes are fresh and ready to use in an emergency, regularly check the
electrode expiration date on the preconnected electrode pack.
• Replace expired electrodes.
• After completing its power-on self-test, the unit issues a voice and text message to indicate
the type of electrodes that are connected (ADULT PADS or PEDIATRIC PADS). Verify that
the connected electrodes are appropriate for the patient. If necessary, replace the connected
electrodes with appropriate ones.
If the electrode cable is not properly connected to the unit, the unit issues the voice and text
prompt PLUG IN CABLE.
If the electrodes are not properly attached to the patient, the unit issues the voice and text
prompt CHECK DEFIB PADS or ATTACH DEFIB PADS TO PATIENT’S BARE CHEST.

Messages
While preparing the AED Pro unit for use, the following messages can be seen and/or heard:
Message Description
UNIT OK The unit successfully passed its power-on self-test.
UNIT FAILED The unit failed its power-on self-test and is not usable
for patient care.
CHANGE BATTERY The self-test detected a low energy condition that is

insufficient for patient care. Replace the battery pack
immediately.
ADULT PADS The unit detected the specified type of electrode pads
and adjusted defibrillation energy settings accordingly.
PEDIATRIC PADS
PLUG IN CABLE The unit started up without an electrode cable plugged

in. Plug the cable into the unit.
NON-RESCUE MODE The device is operating in nonrescue mode and an IrDA

connection is established.
POWERING OFF The On/Off button was pressed and held for 1 second
to turn the unit off.
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Chapter 3
Semiautomatic Mode
In semiautomatic mode, the unit uses voice prompts and visual indicators to guide the rescuer
through a resuscitation sequence that can include defibrillation and/or cardiopulmonary
resuscitation (CPR).
AED models start up in semiautomatic mode unless an AED Pro ECG cable is connected to the
unit. For more information, refer to Chapter 5, "ECG Monitoring Mode".
After guiding the rescuer through patient assessment by issuing voice and text messages, the
unit issues the voice and text prompt DON’T TOUCH PATIENT, ANALYZING. The unit then
begins analysis of the patient’s ECG to determine whether the rhythm is shockable or not and
announces and displays the result (SHOCK ADVISED or NO SHOCK ADVISED).
If defibrillation is needed, ECG analysis ends and the unit charges to the preconfigured energy
level. When charged, the unit emits a charge-ready tone, repeatedly flashes the Shock button,
and issues the voice and text prompt PRESS FLASHING SHOCK BUTTON. After the rescuer
presses the button to deliver therapy, the unit resumes analysis and can guide the rescuer
through an escalating series of three shocks if necessary.
This chapter contains the following sections:
• “Applying Defibrillation Electrode Pads” on page 3-2
• “Semiautomatic Defibrillation” on page 3-8
• “Messages in Semiautomatic Mode” on page 3-11

CHAPTER 3 SEMIAUTOMATIC MODE
Applying Defibrillation Electrode Pads

To deliver defibrillation therapy to a patient, you must use AED Pro-compatible defibrillation
electrode pads:
• ZOLL CPR-D•padz™ (adult patients; includes CPR sensor)
• ZOLL stat•padz® II (adult patients)
• ZOLL pedi•padz™ II (pediatric patients)
Defibrillation electrode pads connect to the AED Pro unit through the patient cable connector.
Preconnect a set of electrode pads so that they are ready for use in an emergency.
WARNING! Do not open the sealed electrodes until immediately prior to use.
You can also use defibrillation electrode pads for ECG monitoring.
Before applying defibrillation electrode pads to the patient, be sure to
• Remove all clothing covering the patient’s chest.
• Clip or shave any excessive hair to ensure proper adhesion of the pads.
• Use alcohol to wash away any oil or dirt at the electrode site.
• Dry any moisture at the electrode site.
WARNING! Poor adherence or air pockets under the defibrillation electrode pads can lead to arcing,
skin burns, or reduced energy delivery.
For proper placement of electrodes for defibrillation, refer to the graphics on the electrode
packaging.
Check the expiration date on the defibrillation electrode packaging. Do not use expired pads.
This symbol on the electrode label is accompanied by the expiration date.

For stat•padz II, this symbol does not appear; the expiration date appears on the lower
right corner of the label, below the lot number.
Note: ZOLL electrodes contain no hazardous materials and may be disposed of in general
trash unless contaminated with pathogens. Use appropriate precautions when
disposing of contaminated electrodes.
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Applying Defibrillation Electrode Pads — Adult CPR-D•padz
WARNING! ZOLL CPR-D•padz are for adult patients only; do not use them on patients under
8 years of age.
To apply CPR-D•padz defibrillation electrodes:
Step Action
1 Tear open the electrode package and unfold the

electrodes.
2 Using the cross hairs on the CPR sensor to guide you,

place the sensor on the middle of the patient’s
breastbone, between the nipples.
3 Hold the CPR sensor in place with your right hand, and
use your left hand to pull the number 2 tab and peel the
protective backing from the electrode.
Note: If the patient has an implanted pacemaker or
defibrillator in his/her upper right chest, angle
the electrode slightly to avoid placing it over the
device. Ensure that the CPR sensor remains
over the lower half of the breastbone.
Press the electrode from the center of the chest

outward to push out air from beneath the pad, and to
make sure the pad adheres properly to the patient’s
skin.

Step Action
4 Hold the CPR sensor in place with your left hand, and
use your right hand to pull the number 3 tab and peel
the protective backing from the electrode.
Press the electrode from the center of the abdomen

outward to push out air from beneath the pad, and to
make sure the pad adheres properly to the patient’s
skin.
If the patient is large or there is a need to place the

electrode under a breast, you can detach the lower pad
at the perforation and extend it for effective positioning.
Place the pad slightly to the patient’s left and below the
patient’s left breast.
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CPR Monitoring with CPR-D•padz

ZOLL CPR-D•padz electrodes include a sensor that detects the rate and depth of chest
compressions. When the electrodes are properly positioned on the patient, the sensor lies
between the rescuer’s hands and the patient’s lower sternum. While the rescuer performs chest
compressions, the sensor detects the rate and depth and sends the information to the AED Pro
unit.
If the unit does not detect chest compressions during a CPR period, it periodically issues the
voice and text prompt IF NO PULSE CONTINUE CPR (if configured to do so).
ZOLL CPR-D•padz electrodes can be connected to other ZOLL defibrillators, and
defibrillation can be administered through other ZOLL defibrillators. The CPR function,
however, does not operate with any device other than the ZOLL AED Pro or the ZOLL
AED Plus.
Chest compression rate

With CPR-D•padz, the unit provides a metronome function to encourage rescuers to perform
chest compressions at the AHA/ERC recommended rate of 100 compressions per minute.
When CPR is indicated, the metronome begins to beep after detecting the first few chest
compressions. The metronome continues (at rates described below) until a few seconds after
the rescuer halts compressions or until the recommended CPR period ends (one minute for
AHA and ERC protocols).
The metronome adjusts its beeping rate based on the rescuer’s rate. When the rescuer’s
compression rate is greater than 80 compressions per minute (cpm), the metronome beeps 100
times per minute. When the rescuer’s rate is less than 80 cpm, the metronome sounds
approximately 15 beeps per minute faster, with a minimum rate of 60. The metronome’s faster
rate encourages the rescuer to increase the rate of chest compressions to achieve the
recommended rate of 100 cpm.
During the CPR period, if the rescuer stops chest compressions, the metronome stops within a
few seconds. If chest compressions resume, the metronome starts again.
The metronome is disabled whenever CPR should not be performed (for example, during ECG
analyses and defibrillation shock sequences).
Chest compression depth

With CPR-D•padz, the unit provides visual indicators and voice prompts to encourage a chest
compression depth of 1.5 to 2 inches (3.8 to 5.0 cm) for adult patients.
The screen displays a gauge, which shows the depth of chest compressions. Compression depth
is correct when the bar extends downward between the lower two lines, which represent 1.5 and
2 inches (3.8 to 5.0 cm).
When the detected compression depth is consistently less than 1.5 inches (3.8 cm), the unit
issues the voice and text prompt PUSH HARDER. If the rescuer responds by increasing
compression depth to 1.5 inches (3.8 cm) or more, the unit issues the voice and text message
GOOD COMPRESSIONS.

Applying Defibrillation Electrode Pads — Adult stat•padz II
WARNING! ZOLL stat•padz II electrodes are for adult patients only; do not use them on patients
under 8 years of age.
To apply stat•padz II defibrillation electrode pads:
Step Action
1 Tear open the electrode package and unfold the inner

package to expose the electrodes.
2 Remove the square electrode from its backing material,

and place it on the patient’s upper right chest as shown.
3 Place your hand on the electrode edge. Using your

other hand, gently roll the electrode onto the patient’s
chest, pushing out air from beneath the electrode as
you go.
4 Remove the round electrode from its backing material,

and place it on the patient’s lower left chest as shown.
For female
patients, place the
electrode under
the patient’s left
breast.
5 Place your hand on the electrode’s edge. Using your

other hand, roll the electrode onto the patient’s skin,
pushing out air from beneath the electrode as you go.
6 Follow the AED Pro prompts.
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Applying Defibrillation Electrode Pads — Infant/Child pedi•padz II
WARNING! ZOLL pedi•padz II electrodes are for pediatric patients only; these pads provide
defibrillation energy levels that might be inadequate for adult patients.
Procedure
To apply pedi•padz II defibrillation electrode pads:
Step Action
1 Tear open the electrode package and unfold the inner

package to expose the electrodes.
2 Remove the round electrode from its backing material.
3 Position the electrode on the patient’s chest as shown.

Place your hand on the electrode edge. Using your other
hand, gently roll the electrode onto the patient’s chest,
4 Roll the patient onto his/her chest.
5 Remove the square electrode from its backing material.
6 Position the electrode on the patient’s back as shown.

Place your hand on the electrode’s edge. Using your
other hand, roll the electrode onto the patient’s skin,
7 Roll the patient onto his/her back, and follow the

AED Pro prompts.

Semiautomatic Defibrillation
In semiautomatic mode, the AED Pro unit analyzes the patient’s ECG rhythm to determine
whether it is shockable or not. If a shock is needed, follow the text and voice prompts to
defibrillate the patient.
WARNING! During ECG analysis, do not touch or move the patient. If conveying the patient in a
vehicle or stretcher, cease all patient movement.
After three successive episodes of ECG analysis resulting in delivery of a shock, or after any
no-shock-advised result, the unit initiates a period of CPR.
Note: If the AED Pro unit is configured to use a one or two shock sequence, the unit initiates
a period of CPR after a single episode of ECG analysis and shock (one shock
sequence) or two successive episodes of ECG analysis and shock (two shock
sequence), or after a no-shock-advised result.
In semiautomatic mode, the screen shows the shock count, elapsed time, ECG size, ECG
rhythm, and text messages.
If CPR-D•padz are attached to the patient, the screen includes a chest compression gauge that
shows the depth of each chest compression as detected by the CPR sensor.
1 02:04:45
ECG X1.5
GOOD COMPRESSIONS
The rhythm recognition detector continues analyzing the ECG after detecting a
shockable rhythm and the defibrillator is charged and ready but will not bring the
unit into a state where defibrillation is prohibited.
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Before you begin

Be sure the defibrillation cable is plugged into the unit.
Procedure
To defibrillate the patient in semiautomatic mode:
Step Action Result
1 Press and release the On/Off button to turn On successful completion of the power-on
on the unit. self-test, the unit issues the voice and text
message:
UNIT OK
and then indicates the type of attached
electrodes.
If the defibrillation pads are not attached to
the patient, the unit issues the voice and
text prompt:
ATTACH DEFIB PADS TO PATIENT’S
BARE CHEST
2 If prompted, apply defibrillation electrode When the pads are properly attached to the
pads to the patient. patient, the unit issues the voice and text
message:
(Refer to “Applying Defibrillation Electrode
Pads” on page 3-2.) DON’T TOUCH PATIENT, ANALYZING
and then begins ECG analysis.
3 Allow the unit to analyze the patient’s ECG. The unit determines whether or not the
patient has a shockable rhythm and then
displays and voices its recommendation:
SHOCK ADVISED
or
NO SHOCK ADVISED
4 After ECG analysis, which message

appears?
— If SHOCK ADVISED, continue with step 5. If a shock is needed, the defibrillator
automatically begins charging.
— If NO SHOCK ADVISED, go to step 8. If a shock is not needed, the unit prompts
you to perform CPR.
5 Wait for the defibrillator to charge. When fully charged, the unit emits a
charge-ready tone, repeatedly flashes the
Shock button, and issues the voice and
text prompts:
DON’T TOUCH PATIENT
PRESS FLASHING SHOCK BUTTON

Step Action Result
WARNING! You have 30 seconds to perform the following step, otherwise the
defibrillator automatically disarms itself. (During the final 10 seconds, the
charge-ready tone sounds intermittently to indicate that time is expiring.)
Before discharging the defibrillator, warn everyone to STAND CLEAR.

Verify that no one is touching the patient, the bed rails, or any other
potential pathway for electrical current.
6 Press and hold the Shock button until The unit delivers the shock and updates
treatment is delivered. the shock count.
Depending on the number of shocks that
have been delivered, the unit either
resumes ECG analysis or prompts you to
ZM040011A perform CPR.
7 Does the unit resume ECG analysis? When the unit resumes ECG analysis, it
displays the message:
— If NO, continue with step 8.
DON’T TOUCH PATIENT, ANALYZING
— If YES, return to step 3.
8 Follow the prompts to perform CPR, until The following prompts can appear:
directed to stop.
• OPEN AIRWAY
• CHECK BREATHING
• GIVE TWO BREATHS
• CHECK PULSE
• IF NO PULSE START CPR
At the end of the defined CPR period, the
unit displays the message:
STOP CPR
(CPR-D•padz only) After the first few chest Note: If CPR-D•padz are attached, the unit
compressions, the metronome begins also monitors the rate and depth of chest
beeping. Try to time each compression with compressions and can issue these related
the metronome beep. Check the on-screen voice and text prompts:
gauge to ensure that the compression depth • PUSH HARDER
is adequate. • GOOD COMPRESSIONS
In addition, if the unit does not detect chest
compressions, it issues the following voice
and text prompt every 15 seconds:
• IF NO PULSE CONTINUE CPR
9 When the unit resumes ECG analysis, return During ECG analysis, keep the patient
to step 3. motionless, and do not touch the patient.
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Start with CPR Option

Your AED Pro unit may be configured to start a rescue with a CPR period of 30 to 180 seconds
that begins after you power on the AED Pro unit. You can end this initial CPR period at any
time by pressing the Analyze softkey. When you press the Analyze softkey, the AED Pro unit
immediately begins analyzing the patient’s ECG rhythm if the electrode pads are attached
correctly. The Analyze softkey appears only during the initial CPR period, and does not appear
during any subsequent CPR periods.
Messages in Semiautomatic Mode

During semiautomatic mode, the unit can issue the following voice prompts and text messages.
The unit issues each voice prompt only once, but the equivalent message remains on the screen
until you take action, time expires, or the device status changes.
Message Description
UNIT OK The unit successfully passed the power-on self-test.
UNIT FAILED The unit failed the power-on self-test and is not usable for
patient care.
CHANGE BATTERY The self-test detected a low energy condition that is insufficient
for patient care. Replace the battery pack immediately.
ADULT PADS The unit detected the specified type of electrode pads and
adjusted defibrillation energy settings accordingly.
PEDIATRIC PADS
PLUG IN CABLE The unit started up without an electrode cable plugged in. Plug
the cable into the unit.
ATTACH DEFIB PADS TO The unit does not detect attachment of the defibrillation
PATIENT’S BARE CHEST electrode pads to the patient.
Check the cable for damage.
Make sure that the pads are properly applied to the patient.
If this message continues, check the electrode sites to ensure
that they are clean, dry, and free of excess hair. Check the
expiration date on the electrode package.
CHECK PATIENT Check the patient for responsiveness or consciousness by
gently shaking the patient and shouting “Are you all right?”
CHECK PULSE Check the patient for a pulse or other signs of circulation, such
as normal breathing, movement, or coughing.
IF NO PULSE START CPR Indicates the beginning of a CPR period. If you cannot detect
the patient’s pulse or other signs of circulation, begin CPR.
STOP CPR Indicates the end of the CPR period. Discontinue CPR.
DON’T TOUCH PATIENT, Indicates the beginning of an ECG analysis period. Make sure
ANALYZING everyone stands clear of the patient. Keep the patient
motionless during ECG analysis.
NO SHOCK ADVISED ECG analysis did not detect a shockable rhythm.
SHOCK ADVISED ECG analysis detected a shockable rhythm that requires

therapy.

Message Description
DON’T TOUCH PATIENT The unit is analyzing the patient’s ECG, charging the
defibrillator, or holding a charge. Do not touch the patient.
PRESS FLASHING SHOCK After detecting a shockable rhythm, the unit charged to the
BUTTON preselected energy level. Within 30 seconds, press the Shock
button to deliver a shock to the patient.
RELEASE SHOCK BUTTON The Shock button was depressed too soon. Wait until the unit
issues the prompt PRESS FLASHING SHOCK BUTTON.
CHECK DEFIB PADS The defibrillation electrode pads became disconnected.
Check the pads to ensure that they are properly applied to the
patient, and verify that the cable is undamaged and plugged
into the unit.
RELEASE LEFT SOFTKEY A softkey was pressed for more than 10 seconds. Release the
softkey.
or
RELEASE RIGHT SOFTKEY
ANALYSIS HALTED. KEEP ECG rhythm analysis halted due to excessive ECG signal
PATIENT STILL. artifact. Stop CPR, and keep the patient as motionless as
possible.
SHOCK DELIVERED A shock was delivered to the patient.
NO SHOCK DELIVERED No shock was delivered to the patient because the rescuer
failed to press the Shock button, or an error condition was
detected.
STAY CALM Relax as much as possible and focus on the rescue effort.
CALL FOR HELP Activate the local emergency medical services (EMS) system
or ask a bystander to do it for you.
OPEN AIRWAY Place the patient in the supine position and perform a head tilt,
chin lift, or jaw thrust to open the patient’s airway.
CHECK BREATHING Look, listen, or feel for signs of breathing or airflow from the
patient’s lungs.
GIVE TWO BREATHS If the patient is not breathing, give two rescue breaths.
IF NO PULSE CONTINUE CPR (Optional prompt) Perform CPR until directed to stop unless
you detect a pulse or other sign of circulation in the patient.
PUSH HARDER (With CPR-D•padz only) Apply more force so that chest
compressions are at least 1.5 inches (3.8 cm) deep. Observe
the compression indicator on the display screen.
GOOD COMPRESSIONS (With CPR-D•padz only) The unit detected proper chest
compression depth during CPR.
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Chapter 4
Manual Mode
In manual mode, the AED Pro unit displays the patient’s ECG, while the rescuer evaluates the
rhythm to determine if a shock is needed. The rescuer can charge the unit to a preselected
energy level. Once the defibrillator is fully charged, the rescuer presses the Shock button to
deliver therapy.
Note: Manual mode is not available on AED-only models.
• “About Manual Mode” on page 4-2
• “Switching to Manual Mode” on page 4-3
• “Manual Defibrillation” on page 4-4
• “Messages in Manual Mode” on page 4-5

CHAPTER 4 MANUAL MODE
About Manual Mode

In manual mode, you must evaluate the patient’s rhythm to determine whether or not it is
shockable. If a shock is required, you manually charge the defibrillator to the preselected
energy level.
Once the defibrillator is fully charged, the Shock button begins flashing. The unit also emits a
charge-ready tone to indicate that the defibrillator is ready to deliver a shock. The tone is
continuous for the first 50 seconds and then sounds intermittently for 10 seconds more. Press
the Shock button to deliver therapy.
If you do not deliver a shock within this 60-second period, the defibrillator automatically
disarms itself. To recharge the defibrillator, you must press the CHARGE softkey again.
WARNING! During shock delivery, do not touch the patient or any other equipment connected to
the patient. A severe shock can result. To avoid unwanted pathways for defibrillation
current, do not allow exposed portions of the patient’s body to touch metal objects, such
as a bed frame.
In manual mode, the screen shows the shock count, elapsed time, mode (MANUAL), heart rate,
heartbeat symbol, ECG size, ECG rhythm, text messages, and the label CHARGE or
DISARM above the left softkey.
1 00:03:45
MANUAL 142
ECG X1.5
150 J SELECTED
CHARGE
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Switching to Manual Mode
Switching to Manual Mode

When the unit is operating in semiautomatic mode, you can override the automated functions
and switch to manual operation. Changing modes does not affect the preselected energy level.
Before you begin

Be sure the defibrillation electrode pads are properly attached to the patient and are plugged
into the unit. (For more information, refer to Chapter 3.)
Procedure
To override semiautomatic mode and begin manual mode:
Step Action Result
1 Press and hold both (unlabeled) softkeys The MANUAL and SEMI-AUTO softkey
simultaneously for at least 3 seconds. labels appear.
2 To change to manual mode, press the The unit changes to manual mode, and
MANUAL softkey. displays the CHARGE softkey label.
Or to remain in semiautomatic mode, press
the SEMI-AUTO softkey.
Note: If you do not press either softkey
within 10 seconds, the unit reverts
to semiautomatic mode.
To return to semiautomatic mode after manual override, turn the unit off and then back on
again.

Manual Defibrillation
With manual defibrillation, you must evaluate the ECG rhythm to determine whether or not it is
shockable. If a shock is needed, you manually charge the defibrillator and then deliver a shock
to the patient.
Before you begin

Prepare the patient as described in “Applying Defibrillation Electrode Pads” on page 3-2.
Procedure
To manually defibrillate the patient:
Step Action Result
1 Press the CHARGE softkey to begin The unit displays the message:
charging the defibrillator.
DON’T TOUCH PATIENT, CHARGING
If you need to disarm the defibrillator before
The CHARGE softkey label changes to
it reaches full charge, press the DISARM
DISARM.
softkey.
The charge-ready tone indicates that the
defibrillator is charged and ready. The Shock
button flashes repeatedly.
WARNING! You have 60 seconds to perform the following step, otherwise the
defibrillator automatically disarms itself. (During the final 10 seconds, the
charge-ready tone sounds intermittently to indicate that time is expiring.)
Before discharging the defibrillator, warn everyone to STAND CLEAR.

Verify that no one is touching the patient, the bed rails, or any other
potential pathway for electrical current.
2 Press and hold the Shock button until The unit delivers the shock to the patient.
treatment is delivered.
The unit updates the shock count and shows
the energy level for the next shock:
XXX J SELECTED
ZM040011A
Or to disarm the defibrillator, press the

DISARM softkey.
3 Continue evaluating the patient.

If additional shocks are needed, repeat this
procedure.
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Messages in Manual Mode
Messages in Manual Mode

During manual mode, the following messages can be displayed:
Message Description
PLUG IN CABLE The unit started up without an electrode cable plugged

in. Plug the cable into the unit.
CHECK DEFIB PADS The defibrillation electrode pads became disconnected.

Check the pads to ensure that they are properly applied
to the patient, and verify that the cable is undamaged
and plugged into the unit.
CHECK PATIENT Evaluate the status of the patient. The unit detected
either a shockable rhythm or a low heart rate.
DON’T TOUCH PATIENT, CHARGING The defibrillator is charging.

Do not touch the patient.
RELEASE SHOCK BUTTON The Shock button was pressed while the unit was
charging.
Do not press the Shock button until the unit emits the
charge-ready tone, and the button begins flashing.
RELEASE LEFT SOFTKEY A softkey was pressed for more than 10 seconds; the
unit automatically switched to semiautomatic mode.
or
Release the softkey.

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Chapter 5
ECG Monitoring Mode
You can use the AED Pro unit for short-term monitoring of the patient’s electrocardiogram
(ECG). The AED Pro unit monitors lead II only.
Rescue protocol voice prompts are disabled in ECG monitoring mode.
• “About ECG Monitoring” on page 5-2
• “ECG Electrode Placement” on page 5-3
• “Applying ECG Electrodes” on page 5-4
• “Monitoring the ECG Rhythm” on page 5-6
• “Messages in ECG Monitoring Mode” on page 5-8

CHAPTER 5 ECG MONITORING MODE
About ECG Monitoring

For ECG monitoring, you can use
• Standard ECG electrodes (with an AED Pro ECG cable)
• AED Pro-compatible defibrillation electrode pads
The AED Pro ECG cable is an applied type CF defibrillator-proof device.
In ECG monitoring mode, the screen shows the shock count, elapsed time, mode (MONITOR),
heart rate, heartbeat symbol, ECG size, ECG rhythm, and text messages.
If defibrillation electrode pads are in use, the label SEMI-AUTO appears above the right
softkey.
1 00:24:18
MONITOR 34
ECG X1.0
CHECK PATIENT
SEMI-AUTO
WARNING! An implanted pacemaker might cause the heart rate meter or ECG rhythm analysis to
count the pacemaker rate during incidents of cardiac arrest or other arrhythmia.
Carefully observe pacemaker patients. Check the patient's pulse; do not rely solely on
the heart rate meter. Patient history and physical examination are important in
determining the presence of an implanted pacemaker.
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ECG Electrode Placement
ECG Electrode Placement

Before applying ECG electrodes, be sure to
• Remove all clothing covering the patient’s chest.
• Clip or shave any excessive hair to ensure proper adhesion of the electrodes.
• Use alcohol to wash away any oil or dirt at the electrode site.
• Dry any moisture at the electrode site.
Some skin abrasion is necessary to remove the top layer of dead skin cells and expose moist
living cells for better electrical contact. Proper skin preparation reduces baseline wander and
noise and provides a noise-free signal more quickly after electrode application.
Place ECG electrodes on the patient’s chest as shown in Table 5-1.
Table 5-1. ECG Electrode Labeling and Placement
IECa Label AHAb Label Placement

R (red) RA (white) Patient’s right
midclavicular line, directly
below clavicle.
3-lead R L
configuration
L (yellow) LA (black) Patient’s left midclavicular (IEC)
line, directly below
clavicle.
F
ZM048004A
F (green) LL (red) Between sixth and
seventh intercostal space
on the patient’s left
midclavicular line.
3-lead RA LA
configuration
(AHA)
LL
ZM048003A
a. International Electrotechnical Commission

b. American Heart Association

Applying ECG Electrodes

Proper application and placement of electrodes is essential for ECG monitoring. Good contact
between the electrode and the skin minimizes motion artifact and signal interference. ZOLL
recommends the use of high-quality Ag/AgCl (silver/silver chloride) ECG electrodes.
Before you begin

Check the electrodes to ensure they are free from damage and are not past the expiration date
on the packaging.
Procedure
To apply ECG electrodes to the patient:
Step Action
1 Identify the appropriate sites for electrode placement

(refer to “ECG Electrode Placement” on page 5-3).
2 Clean and abrade the patient’s skin to remove the outer

layer of dead tissue.
Ensure that the skin at the electrode site is dry.
ZM040030A
3 Snap the leads onto each electrode.

Check for good contact between the electrode and the
lead termination.
ZM040031A
4 Peel the protective backing from the ECG electrode.

Keep the adhesive surface free of electrolyte gel.
WARNING! Do not use electrodes if the gel is dried or
damaged.
ZM040032A
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Applying ECG Electrodes
Step Action
5 Apply the adhesive side of each ECG electrode firmly to

the patient’s skin, pressing around the entire perimeter of
the electrode.
ZM040030A
6 Plug the ECG cable into the patient cable connector on

the unit.
Note: Arrange the ECG cable so that it does not pull on
any of the electrodes.

Monitoring the ECG Rhythm

You can monitor a patient’s ECG using standard ECG electrodes or defibrillation electrode
pads.
Monitoring with ECG Electrodes

When it detects an AED Pro ECG cable at startup, the unit enters ECG monitoring mode (if
monitoring mode is enabled) and displays the patient’s ECG rhythm and heart rate.
Procedure
To start and operate the unit in ECG monitoring mode:
Step Action Result
1 Be sure the AED Pro ECG cable is plugged

into the unit, the electrodes are snapped
onto the cable, and the electrodes are
attached to the patient.
2 Press and release the On/Off button to turn The unit starts up and the screen displays
on the unit. MONITOR as the current mode.
3 Allow the unit to monitor the patient’s ECG. If it detects a shockable rhythm while
monitoring, the unit issues the voice and text
prompts:
CHECK PATIENT
PLUG IN DEFIB CABLE
The latter message remains on screen until
defibrillation pads are attached.
If the detected heart rate is lower than the
configured minimum heart rate limit, the unit
issues the voice and text prompt:
CHECK PATIENT
This message remains on screen as long as
the patient’s heart rate is below the limit.
4 If prompted, check the patient. If it detects defibrillation pads, the unit

changes to semiautomatic mode.
If prompted to plug in defibrillation cable,
replace the ECG electrodes and cable with For more information, refer to Chapter 3,
defibrillation electrode pads. "Semiautomatic Mode"
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Monitoring the ECG Rhythm
Monitoring with Defibrillation Electrodes

With defibrillation electrodes in use, you can change from semiautomatic mode to ECG
monitoring mode.
If the unit detects a shockable rhythm while in ECG monitoring mode and defibrillation
electrodes are in use, the unit prompts you to check the patient and then changes to
semiautomatic mode.
For more information, refer to Chapter 3, "Semiautomatic Mode".
Before you begin

Attach defibrillation electrode pads to the patient (refer to Chapter 3.)
Procedure
To change from semiautomatic to ECG monitoring mode:
Step Action Result
1 Press and hold the left (unlabeled) softkey The unit displays MONITOR as the current
for at least 5 seconds. mode, and the SEMI-AUTO softkey label
appears.
1 00:24:18
MONITOR 34
ECG X1.0
CHECK PATIENT
SEMI-AUTO
2 Monitor the patient’s ECG. If it detects a shockable rhythm while

monitoring, the unit prompts you to check the
patient and changes to semiautomatic mode.
3 To manually return to semiautomatic mode,

press and release the SEMI-AUTO softkey.

Messages in ECG Monitoring Mode

The following voice prompts and text messages can occur while using the unit for ECG
monitoring:
Message Description
CHECK PATIENT ECG monitoring detected a shockable rhythm or low

heart rate. Evaluate the status of the patient.
PLUG IN DEFIB CABLE The unit detected a shockable rhythm while monitoring
the patient with ECG electrodes.
An ECG cable was plugged in, but the unit is not
configured for ECG monitoring.
Plug in the defibrillation cable.
CHECK ECG ELECTRODES Ensure that the ECG electrodes are properly attached
to the patient and that the cable is plugged into the unit.
CHECK DEFIB PADS Ensure that the defibrillation electrode pads are
properly attached to the patient and that the cable is
plugged into the unit.
ATTACH DEFIB PADS TO PATIENT’S The unit does not detect attachment of the defibrillation
BARE CHEST electrode pads to the patient.
Attach defibrillation pads to the patient.
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Chapter 6
Nonrescue Mode
For the AED Pro device, nonrescue mode includes
• Managing device history and clinical data
• Configuring the device
The unit includes nonvolatile memory for storing device status and clinical event information.
You can retrieve stored data using a personal computer or personal digital assistant with ZOLL
RescueNet Code Review software through an IrDA connection with the AED Pro unit.
You can configure an AED Pro device using a personal computer with ZOLL Administration
Software (ZAS) through an IrDA connection with the device.
• “Entering Nonrescue Mode” on page 6-2
• “Data Storage” on page 6-3
• “ZOLL Administration Software” on page 6-4
• “Communicating with an External Device” on page 6-5
• “Device Configuration” on page 6-5
• “Messages in Nonrescue Mode” on page 6-6

CHAPTER 6 NONRESCUE MODE
Entering Nonrescue Mode

Before you begin
To transfer data or configure an AED Pro unit, set up the data connection before starting the
AED Pro unit. Refer to “Communicating with an External Device” on page 6-5.
Procedure
To place the AED Pro unit in nonrescue mode:
Step Action Result
1 If the unit is on, press and hold the On/Off The unit powers off.
button for 1 second to turn off the unit.
Wait until the message POWERING OFF
disappears.
2 Press and hold the On/Off button for at If an IrDA connection is established with an
least 5 seconds. external device, the unit issues the voice and
text message:
NON-RESCUE MODE
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Data Storage
Data Storage
The AED Pro unit stores device history and patient clinical data in nonvolatile memory.
The unit retains the device history and clinical data even when powered off or when the battery
pack is removed. Clinical data is erased only when the device is powered on and electrodes are
attached to a new patient. If configured to do so, the unit can store data for more than one
patient.
Device History
The AED Pro unit keeps a log of its status information, including:
• Unit model name
• Device serial number
• Hardware revision number
• Application software and boot code revision numbers
• Language file version number
• Total shocks delivered
• Battery life status (percentage of charge remaining)
• Ready indicator status
• Elapsed time since installation of the battery
• Date and results of last self-test
• Error log
To view device history, use ZOLL Administration Software.
Patient Clinical Data

During clinical mode, the device stores the following, with date and time notation:
• Electrode attachment
• Electrode type (CPR-D•padz, stat•padz II, or pedi•padz II defibrillation pads, or AED Pro
ECG cable)
• Results of ECG analysis
• Continuous ECG data
• Number of shocks delivered
• Energy delivered
• Patient impedance
• Voice prompts
• CPR data (depth and rate of chest compressions)
To view and analyze patient clinical data, use ZOLL RescueNet Code Review software.

ZOLL Administration Software

ZOLL Administration Software (ZAS) helps you perform software maintenance tasks when the
AED Pro unit is communicating with a personal computer. Using ZAS, you can transfer data
from the AED Pro unit to a computer. From the computer, you can transmit the data to a
network or print the data to a local printer.
For instructions on using ZAS, refer to its online help.
Installing ZOLL Administration Software

To install ZOLL Administration Software, insert the ZOLL Administration Software CD into a
CD-ROM drive on the computer. The installation program starts automatically.
If the installation program does not start, do the following:
1. From the Windows Start menu, select Run.
2. In the Open field, type
x:setup.exe
(where x is the letter of the CD-ROM drive that contains the ZAS CD).
3. Click OK.
Follow the on-screen instructions to complete the installation.
RescueNet Code Review Software

To analyze incident information transferred from the AED Pro unit to a personal computer, use
RescueNet Code Review software. With this software, you can
• Transfer patient data from the AED Pro unit to a personal computer
• Access and review patient case data
• Add or modify patient information
• View an animated ECG
• Annotate the ECG
• Print ECG stripcharts and case reports
For more information, refer to the RescueNet Code Review User’s Guide.
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Communicating with an External Device
Communicating with an External Device

For many nonrescue operations (such as data transfer or device configuration), the AED Pro
unit must establish communications with an external device.
Setting Up Data Communications

You can transfer data from an AED Pro unit to an external device through an IrDA (infrared
wireless) connection. The AED Pro unit has an IrDA port on its right side, near the Ready
indicator. The external device (such as a personal computer or personal digital assistant) must
have an IrDA port as well. For IrDA adapters, refer to “Accessories” on page 1-6.
For best transmission results, the IrDA ports must be facing each other, with a clear 10- to
18-inch line-of-sight between devices.
Start the ZOLL Administration Software or RescueNet Code Review software on the computer.
Press and hold the On/Off button on the AED Pro unit for at least 5 seconds to enter nonrescue
mode. The AED Pro unit establishes contact with the computer within 5 seconds and issues the
voice and text message COMMUNICATIONS ESTABLISHED; otherwise, it shuts down.
Device Configuration
The AED Pro unit provides configurable settings to suit the needs of your organization and its
medical protocols. Before putting the unit into service for the first time, the administrator
should inspect the factory settings and make any required adjustments.
Operators cannot adjust these settings while the unit is in clinical use.
For more information, refer to Appendix C, "Configurable Settings".

Messages in Nonrescue Mode

The unit can display the following messages when exchanging data:
Message Description
COMMUNICATIONS The unit successfully contacted the external device.
ESTABLISHED
DATA DOWNLOAD COMPLETE Data transfer was successful.
DATA DOWNLOAD FAILED Data transfer halted because the external device detected
an error or the operator canceled transmission through the
communication program.
Check the communications package or utility on the external
device for the source of the error.
NON-RESCUE MODE The device is operating in nonrescue mode.
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Chapter 7
Troubleshooting and
Maintenance
To ensure that the AED Pro unit is functioning properly and is ready for use in an emergency,
general maintenance procedures should be performed before putting the unit into service and
after each clinical use.
• “General Troubleshooting” on page 7-2
• “ECG Monitoring Troubleshooting” on page 7-4
• “Defibrillator Troubleshooting” on page 7-5
• “Cleaning the Unit” on page 7-6
• “Optional Maintenance for Technical Professionals” on page 7-7
If trouble persists after consulting this chapter, contact the appropriate technical personnel or
ZOLL Technical Service Department.

CHAPTER 7 TROUBLESHOOTING AND MAINTENANCE
General Troubleshooting
Table 7-1 lists general issues with the unit and their associated corrective action.
Table 7-1. General Issues
Symptom Corrective Action
Unit beeps or displays a red “X” while Turn the unit on. Follow the prompts to resolve the
turned off. problem.
If the unit continues to fail, take it out of service, and
contact ZOLL Technical Service.
Ready indicator shows a red “X” while the Turn the unit off and then on again. Follow the prompts
device is powered on. to resolve the problem.
Power-on self-test failed. Follow the prompts to resolve the problem.

Unexpected shutdown in clinical mode. Note: In clinical mode, the unit automatically powers
off if it does not detect a patient connection
within 10 minutes (configurable).
Turn the unit on. Follow the prompts to resolve the
problem.
Unexpected shutdown in nonrescue Note: The unit automatically powers off if an

mode. established IrDA connection is lost.
Press and hold the On/Off button for at least 5
seconds. Follow the prompts to resolve the problem.
If the unit still is not ready for use, take it out of service.
Contact ZOLL Technical Service.
Message: Replace the battery pack with a fully charged battery

CHANGE BATTERY pack as soon as possible.
Message: Ensure that the electrode cable is properly connected

PLUG IN CABLE to the unit.
Remove the cable and check for bent or broken pins.
Replace the electrode cable.
Message: Release the Shock button. Wait until the unit issues the
RELEASE SHOCK BUTTON prompt PRESS FLASHING SHOCK BUTTON before
pressing the button.
7–2 www.zoll.com 9650-0350-01 Rev. C

General Troubleshooting
Table 7-1. General Issues (continued)
Message: Note: This prompt appears if an ECG cable is

PLUG IN DEFIB CABLE connected, but the unit is not configured for
ECG monitoring.
Check the cable, and replace if necessary.
Message: A softkey was pressed for more than 10 seconds; the

RELEASE LEFT SOFTKEY unit automatically switched to semiautomatic mode.
or Release the softkey.

ECG Monitoring Troubleshooting

Table 7-2 lists common issues with ECG monitoring and their associated corrective action.
Table 7-2. ECG Monitoring Issues
Messages: Ensure that the ECG cable is connected to each

CHECK ECG ELECTRODES electrode and to the unit.
ATTACH ECG ELECTRODES
Ensure that the ECG electrodes are making good
contact with the patient and are not dried out.
Replace the ECG electrodes.
Replace the ECG cable.
Noisy ECG, artifact, or wandering Turn off nearby two-way radios and cell phones.
baseline.
Before attaching electrodes, properly prepare the
patient’s skin (refer to “Applying ECG Electrodes” on
page 5-4).
Check for proper adhesion of the electrodes to the
patient.
Arrange the cable and leads so that they do not pull
on the electrodes or swing excessively.
Poor ECG signal level. Replace the ECG electrodes, and change their
position on the patient.
Irregular heart rate. Observe the patient’s ECG. Verify that the irregular
heart rate is not caused by noise, low amplitude
R waves, extra-systoles, or arrhythmias.
Replace the ECG electrodes, and change their
position on the patient.
Message: ECG analysis detected a shockable rhythm.

PLUG IN DEFIB CABLE
Replace the ECG electrodes and cable with
defibrillation pads to deliver therapy.
ECG data recording stops. If the unit is turned off and then turned on again within
10 seconds, ECG recording is interrupted.
7–4 www.zoll.com 9650-0350-01 Rev. C

Defibrillator Troubleshooting
Defibrillator Troubleshooting
Table 7-3 lists common issues with defibrillation and their associated corrective action.
Table 7-3. Defibrillator Issues
Defibrillator does not charge. The patient’s ECG rhythm is not shockable because it
is not either ventricular fibrillation (VF) or wide complex
ventricular tachycardia (VT), or is VF with amplitude
less than 100 µV (semiautomatic mode only). Verify the
rhythm.
Confirm that the defibrillation cable is plugged in and
the pads are attached to the patient.
Install a fully charged battery pack.
Defibrillator takes more than 15 seconds Install a fully charged battery pack.
to charge.
Energy does not discharge when the A fully charged defibrillator automatically disarms itself
Shock button is pressed. after 60 seconds in manual mode or 30 seconds in
semiautomatic mode. Charge the defibrillator again,
and deliver the shock while the charge-ready tone
sounds.
The Shock button was pressed before the unit was fully
charged. Wait for the charge-ready tone and a flashing
Shock button before pressing and holding the Shock
button.
No apparent energy delivery to patient. Under certain circumstances, a patient might not
display a physical reaction when energy is delivered.
Replace the electrodes if they are dried out or expired.
Ensure that the electrodes are making proper contact
with the patient’s skin.
Test the defibrillator. (Refer to “Optional Maintenance
for Technical Professionals” on page 7-7.)
If the message CHECK DEFIB PADS appears, check
and correct the attachment or position of the
electrodes.
Message: Ensure that the defibrillation electrode pads are making

CHECK DEFIB PADS proper skin contact and that patient does not have
excessive hair beneath electrodes.
If message persists, change the defibrillation cable.
Message: Check for proper application and adhesion of the

ANALYSIS HALTED. KEEP PATIENT defibrillation electrode pads.
STILL.
Ensure that no one is touching the patient and that the
patient is motionless during ECG analysis.
Message: Contact ZOLL Technical Service.

DEFIB MAINTENANCE REQUIRED

Cleaning the Unit

After each use, clean and disinfect the unit and ECG cables with a soft, damp cloth using any of
the following cleaning agents:
• Soap and water
• Chlorine bleach solution (30 milliliters per liter of water)
• 90% isopropyl alcohol
The AED Pro unit and its accessories are chemically resistant to most common cleaning
solutions and noncaustic detergents.
Refer to the “Cautions” on page x.
7–6 www.zoll.com 9650-0350-01 Rev. C

Optional Maintenance for Technical Professionals
Optional Maintenance for Technical Professionals

The AED Pro is calibrated at the factory and requires no testing other than the self-tests it
performs. Qualified professionals who want to perform additional tests can use the following
procedure.
Required equipment
• AED Pro simulator (or equivalent)
Before you begin

Be sure the unit and the simulator/tester are turned off.
Procedure
To test the unit:
Step Action
1 Connect the AED Pro simulator to the unit’s patient cable connector.
2 Power on the simulator and the AED Pro unit.
3 Verify that all of the following occur:

• The Ready indicator initially displays a red “X”, which changes to a green check within
10 seconds after the unit is turned on.
• The unit issues the voice and text message UNIT OK within 10 seconds.
• The screen displays the shock count and the elapsed time.
4 Set the simulator to send a VF rhythm to the AED Pro unit.
5 After the sequence of patient assessment prompts, verify that the unit does the following:
• Issues the voice and text prompt DON’T TOUCH PATIENT, ANALYZING.
• Analyzes the ECG rhythm.
• Issues the voice and text message SHOCK ADVISED.
• Charges the defibrillator.
• Issues the voice and text prompts DON’T TOUCH PATIENT and PRESS FLASHING
SHOCK BUTTON.
6 Verify that the AED Pro unit sounds the charge-ready tone and that the Shock button
flashes repeatedly.
7 Press the Shock button. Verify that the simulator indicates that a shock was delivered and
that the unit updates the displayed shock count.
Note: The simulator can verify the unit’s ability to deliver energy but cannot verify that the
correct energy was delivered. To verify the level of delivered energy, use a
defibrillator analyzer and universal adapter cable in place of the simulator.
8 Immediately after shock delivery, change the simulator to send a normal sinus rhythm
(NSR) to the AED Pro unit.

Step Action
9 Verify that the AED Pro unit performs a new rhythm analysis, resulting in the message NO
SHOCK ADVISED, followed by voice and text prompts such as:
OPEN AIRWAY
CHECK BREATHING
CHECK PULSE
IF NO PULSE START CPR
10 Activate the simulator’s CPR function.
11 Verify that the metronome begins to beep.

Verify that the AED Pro unit issues the following voice and text prompts within 60 seconds
(unless CPR monitoring is disabled on the unit):
PUSH HARDER
GOOD COMPRESSIONS
Verify that the chest compression gauge functions properly.
12 After approximately one minute of CPR, verify that the unit issues the voice and text prompt
STOP CPR.
13 Verify that the AED Pro unit begins a new ECG analysis.
14 Turn off the AED Pro unit and the simulator.
15 Verify that the Ready indicator displays a green check before disconnecting the simulator
and attaching defibrillation electrode pads.
For instructions on placing the unit back into service, refer to “Preparing the Unit for Clinical
Use” on page 2-5.
7–8 www.zoll.com 9650-0350-01 Rev. C

Appendix A
Specifications
This appendix describes the specifications for the AED Pro unit and contains the following
sections:
• “Device Specifications” on page A-2
• “Battery Pack Specifications” on page A-4
• “Guidance and Manufacturer’s Declaration — Electromagnetic Emissions” on page A-5
• “Rectilinear Biphasic Waveform Characteristics” on page A-9
• “Clinical Trial Results for the M Series Biphasic Waveform” on page A-12
• “ECG Analysis Algorithm Accuracy” on page A-14
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide A–1

APPENDIX A SPECIFICATIONS
Device Specifications
General
Size 3 in • 9.24 in • 9.4 in
(height • width • length) 7.62 cm • 23.47 cm • 23.88 cm
Weight 5.19 lb. (2.35 kg) without battery pack
5.97 lb. (2.70 kg) with nonrechargeable battery pack
Power Battery pack
Device classification Class II and internally powered per EN 60601-1
Design standards Meets applicable requirements of UL 2601, AAMI DF80,

IEC 60601-2-4, EN 60601-1, IEC 60601-1-2
Patient safety All patient connections are electrically isolated.
Environmental
Temperature Operating: 0°C to 50°C
Storage and shipping: –30°C to 70°C
Humidity 10% to 95% relative humidity, noncondensing
Vibration MIL-STD-810F, Integrity Test for Helicopters
Shock IEC 60068-2-27; 100G
Altitude Height: –300 to 15,000 ft; –91 to 4573 m

Pressure: 768 to 429 mmHg; 1024 to 572 millibars
Particle and water IEC 60529, IP 55
ingress
Drop test 1.5 m per IEC 68-2-32
Defibrillator
Waveform ZOLL rectilinear biphasic waveform
Energy selection Configurable preset energy levels for adult and pediatric patients in
three-shock stacks.
Charge time Less than 10 seconds with a new, fully charged battery; with depleted
battery packs, the charge time will be longer.
For the fifteenth discharge at maximum energy (200 joules), the
charge time is less than 10 seconds.
Charge hold time Semiautomatic mode: 30 seconds
Manual mode: 60 seconds
Energy display Display screen shows selected energy level (manual mode only).
Charge controls Semiautomatic mode: Automated

Manual mode: Softkey
A–2 www.zoll.com 9650-0350-01 Rev. C

Device Specifications
Defibrillation electrode ZOLL single-use, pregelled electrode pads:

pads
• CPR-D•padz (includes CPR sensor)
• Adult stat•padz II
• Pediatric pedi•padz II
Built-in defibrillator Verifies proper charging and discharging of the defibrillator.
self-test
Defibrillation advisory Evaluates electrode attachment and patient ECG to determine if
defibrillation is needed.
Shockable arrhythmia:
• Ventricular fibrillation (VF) with amplitude greater than 100 µV
• Wide-complex ventricular tachycardia (VT)
Adult: greater than 150 beats per minute
Pediatric: greater than 200 beats per minute
Valid patient impedance 10Ω to 300Ω
range
CPR Monitoring
Compression depth 0.75 to 3 inches ±0.25 inches
1.9 to 7.6 cm ±0.6 cm
Compression rate 50 to 150 compressions per minute
ECG Monitoring
Input protection Fully defibrillation-protected.
Bandwidth 1.4 to 22 Hz with defibrillation electrode cable

1.4 to 22 Hz (default) with AED Pro ECG cable;
0.7 to 30 Hz as a configurable option
ECG lead Lead II
ECG amplitude range ±5 mV
Heart rate range 30 to 300 beats per minute
Heart rate accuracy ±5 beats per minute
Heart rate resolution 1 beat per minute
Heart rate alert • Configurable low heart rate limit in the range 30 to 100 beats per
minute
• Off
Data Recording and Storage
Type Nonvolatile memory
Capacity 7 hours of ECG data

20 minutes of audio recording and ECG data if Audio Recording
Option is enabled

Display Screen
Display type Liquid crystal display (LCD)
High resolution, 320 pixels by 240 pixels
Viewable area 2.27 in • 3.02 in
(height • width) 5.76 cm • 7.68 cm
Sweep speed 25 mm/s ±5%
Viewing time 2.96 seconds (if CPR gauge displayed)

3.2 seconds (without CPR gauge)
Battery Pack Specifications

Rechargeable Sealed lead acid
Type Sealed lead acid
Weight 1 kg
2.2 lb.
Nominal voltage 10 V
Recharge time 4 hours or less with:

ZOLL Base PowerCharger 4x4
ZOLL Base PowerCharger 1x1
Operating time For a new, fully charged battery pack at 20°C:
170 defibrillator discharges at maximum energy (200 joules) or
6 hours of continuous ECG monitoring.
The CHANGE BATTERY warning appears after 115 maximum-energy
discharges.
Standby life 3 months before recharge or retest
Disposable Sealed Lithium Manganese Dioxide

Type Disposable sealed lithium manganese dioxide
Weight 0.4 kg
0.9 lb.
Nominal voltage 12 V
Operating time For a new, fully charged battery pack at 20°C:

300 defibrillator discharges at maximum energy (200 joules) or 15
hours of continuous ECG monitoring.
The CHANGE BATTERY warning appears after 200 maximum-
energy discharges.
Standby life 5 years

Guidance and Manufacturer’s Declaration — Electromagnetic Emissions
Guidance and Manufacturer’s Declaration —

Electromagnetic Emissions
The ZOLL AED Pro device is intended for use in the electromagnetic environment specified
below. The customer or operator should ensure that the device is used in such an environment.
Table A-1. EMC Specifications
Electromagnetic Environment –
Emissions Test Compliance
Guidance
RF emissions Group 1 The ZOLL AED Pro unit uses RF energy
for its internal function only. Therefore, its
CISPR 11
RF emissions are very low and are not
likely to cause any interference in nearby
electronic equipment.
RF emissions Class B
CISPR 11
Harmonic emission Not applicable
IEC 61000-3-2
Voltage fluctuations/ Not applicable
flicker emission
IEC 61000-3-3
Medical electrical equipment needs special precautions regarding EMC and needs to be
installed and put into service according to EMC information provided in this document.

Electromagnetic Immunity Declaration (EID)

The ZOLL AED Pro device is intended for use in the electromagnetic environment specified
below. The customer or operator should ensure that the device is used in such an environment.
IEC 60601 Compliance Electromagnetic Environment –

Immunity Test Test Level Level Guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete,
discharge or ceramic tile. If floors are
(ESD) covered with synthetic material,
±8 kV air ±8 kV air
the relative humidity should be at
IEC 61000-4-2
least 30%.
Electrical fast ±2 kV for power supply Not applicable
transient/burst lines
IEC 61000-4-4 ±1 kV for input/output ±1 kV I/O
lines
Surge ±1 kV differential mode Not applicable
IEC 61000-4-5 ±2 kV for common Not applicable
mode
Voltage dips, <5% Ut (>95% dip in Not applicable
short Ut) for 0.5 cycle
interruptions,
40% Ut (60% dip in Ut) Not applicable
and voltage
for 5 cycles
variations on
power supply 70% Ut (30% dip in Ut) Not applicable
input lines for 25 cycles
IEC 61000-4-11 <5% Ut (>95% dip in Not applicable
Ut) for 5 seconds
Note: Ut is the ac
mains voltage prior to
application of the test
level.
Power 3 A/m 3 A/m Power frequency magnetic fields
frequency should be at levels characteristic
(50/60 Hz) of a typical location in a typical
magnetic field commercial or hospital
environment.
IEC 61000-4-8

Guidance and Manufacturer’s Declaration — Electromagnetic Emissions
IEC 60601 Compliance Electromagnetic Environment –

Immunity Test Test Level Level Guidance
Portable and mobile RF
communications equipment should be
used no closer to any part of the
AED Pro device, including cables, than
the recommended separation distance
calculated from the equation applicable
to the frequency of the transmitter.
Conducted RF 3 Vrms 3 Vrms Recommended separation distance (d)
150 kHz to 80 MHz in meters b:
IEC 61000-4-6
outside ISM bands a d = 1.17 √P outside ISM bands
10 Vrms 10 Vrms
150 kHz to 80 MHz d = 1.20 √P within ISM bands
in ISM bands a
Radiated RF 10 V/m 10 V/m d = 1.20 √P 80 MHz to 800 MHz

80 MHz to 2.5 GHz
IEC 61000-4-3
d = 2.30 √P 800 MHz to 2.5 GHz
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer.
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey c, should be
less than the compliance level in each
frequency range d.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
Notes
(1) At 80 MHz and 800 MHz, the higher frequency range applies.
(2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people.
a. The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to
6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
b. The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency
range 80 MHz to 2.5 GHz are intended to decrease the likelihood that mobile or portable communications
equipment could cause interference if it is inadvertently brought into patient areas. For this reason, an
additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in
these frequency ranges.
c. Field strengths from fixed transmitters, such as base stations for radio (cellular or cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
AED Pro unit is used exceeds the applicable RF compliance level above, the AED Pro unit should be
observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the AED Pro unit.
d. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m.

Recommended separation distances between portable and mobile RF

communications equipment and the AED Pro unit
The AED Pro unit is intended for use in an environment in which radiated RF disturbances are
controlled. The customer or operator can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the AED Pro unit as recommended below, according to the maximum output
power of the communications equipment.
Separation distance in meters (m) according to frequency of transmitter

Rated maximum 150 kHz to 80 MHz 150 kHz to 80 MHz 80 MHz to 800 MHz to
output power of outside ISM bands in ISM bands 800 MHz 2.5 GHz
transmitter in watts
(W)
d =[ 3.5
3
] √P d = [ 12
10 √P
] d = [ 12
10 √P
] d =[ 23 ]
10 √P
0.01 0.17 0.12 0.12 0.23

0.1 0.37 0.38 0.38 0.73
1 1.17 1.20 1.20 2.3
10 3.69 3.79 3.79 7.27
100 11.70 12.00 12.00 23.00
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters can be determined using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts according to
the transmitter manufacturer.
Notes
(1) At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
(2) The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are
6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and
40.66 MHz to 40.70 MHz.
(3) An additional factor of 10/3 is used in calculating the recommended separation distance for
transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
80 MHz to 2.5 GHz to decrease the likelihood that mobile or portable communications equipment
could cause interference if it is inadvertently brought into patient areas.
(4) These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people.

Rectilinear Biphasic Waveform Characteristics

The following table shows the characteristics of the rectilinear biphasic waveform when
discharged into 25 ohm, 50 ohm, 100 ohm, and 125 ohm loads at the maximum energy setting
of 200 joules.
Table A-2. Rectilinear Biphasic Waveform Characteristics
200 J discharged into
25Ω 50Ω 100Ω 125Ω
First phase
Maximum initial current 32 A 26 A 21 A 17 A
Average current 28 A 22 A 16 A 13 A
Duration 6 ms 6 ms 6 ms 6 ms
Interphase duration 200 µs 200 µs 200 µs 200 µs

(between first and
second phases)
Second phase
Initial current 33 A 19 A 12 A 11 A
Average current 21 A 14 A 11 A 10 A
Duration 4 ms 4 ms 4 ms 4 ms
Table A-3. Delivered Energy at Each Defibrillator Setting into a Range of Loads
Selected Energy
Load 50 J 70 J 85 J 120 J 150 J 200 J
25Ω 40 J 61 J 66 J 95 J 111 J 146 J
50Ω 51 J 80 J 85 J 124 J 144 J 183 J
75Ω 64 J 89 J 111 J 148 J 172 J 204 J
100Ω 62 J 86 J 108 J 147 J 171 J 201 J
125Ω 63 J 89 J 110 J 137 J 160 J 184 J
150Ω 67 J 93 J 116 J 127 J 148 J 168 J
175Ω 61 J 86 J 107 J 119 J 138 J 155 J
Accuracy ±15% ±15% ±15% ±15% ±15% ±15%
The AED Pro rectilinear biphasic waveform employs the same first and second phase timing,
similar first and second phase currents/voltages, and essentially the same mechanisms for
controlling defibrillation waveshape as the ZOLL M Series. The ZOLL M Series and AED Pro
defibrillation waveforms are considered substantially equivalent.
Figures A-1 through A-6 show the rectilinear biphasic waveforms that are produced when the
AED Pro defibrillator is discharged into loads of 25, 50, 75, 100, 125, 150, and 175 ohms at
each energy setting (200, 150, 120, 85, 70, and 50 joules).
The vertical axis shows the current in amperes (A); the horizontal axis shows the duration in
milliseconds (ms).

35 25Ω
50Ω
30 75Ω
100Ω
25
125Ω
20 150Ω
175Ω
15
10
5
A 0
-5
-10
-15
-20
-25
-30
0 2 4 6 8 10 12 14 16 18 20
ms
Figure A-1. Rectilinear Biphasic Waveforms at 200 Joules
25Ω
30
50Ω
75Ω
25
100Ω
20 125Ω
150Ω
15 175Ω
10
A 0
-5
-10
-15
-20
-25
0 2 4 6 8 10 12 14 16 18 20
ms
25Ω
30
50Ω
75Ω
25
100Ω
125Ω
20
150Ω
175Ω
15
10
A 0
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
ms

25Ω
25
50Ω
75Ω
20 100Ω
125Ω
15 150Ω
175Ω
10
A 0
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
ms
25Ω
25
50Ω
75Ω
20 100Ω
125Ω
15 150Ω
175Ω
10
A 0
-5
-10
-15
-20
0 2 4 6 8 10 12 14 16 18 20
ms
25Ω
20
50Ω
75Ω
100Ω
15
125Ω
150Ω
10 175Ω
A 0
-5
-10
-15
0 2 4 6 8 10 12 14 16 18 20
ms

Clinical Trial Results for the M Series Biphasic Waveform

The efficacy of the ZOLL rectilinear biphasic waveform has been clinically verified during a
study of defibrillation of Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT). A
feasibility study was performed initially for defibrillation of VF/VT (n=20) on two separate
groups of patients to ensure waveform safety and energy selection. Subsequently, a separate,
multicenter, randomized clinical trial was performed to verify the waveform’s efficacy. A
description of this study is provided below. The study was performed using ZOLL defibrillation
systems consisting of ZOLL defibrillators, the ZOLL rectilinear biphasic waveform, and ZOLL
defibrillation pads.
Randomized Multicenter Clinical Trial for Defibrillation of

Ventricular Fibrillation (VF) and Ventricular Tachycardia (VT)
Overview: The defibrillation efficacy of the ZOLL rectilinear biphasic waveform was
compared to a monophasic damped sine waveform in a prospective, randomized, multicenter
study of patients undergoing ventricular defibrillation for VF/VT during electrophysiological
studies, ICD implants, and test. A total of 194 patients were enrolled in the study. Ten patients
who did not satisfy all protocol criteria were excluded from the analysis, leaving a study
population of 184.
Objectives: The primary goal of this study was to compare the first shock efficacy of the 120 J
rectilinear biphasic waveform with a 200 J monophasic waveform. The secondary goal was to
compare all shock (three consecutive 120, 150, and 170 joules) efficacy of the rectilinear
biphasic waveform with that of a monophasic waveform (three consecutive 200, 300, and
360 joules). A significance level of p=0.05 or less was considered statistically significant using
Fischer’s Exact test. Also, differences between the two waveforms were considered statistically
significant when the customary 95% or AHA-recommended 90% 1 confidence interval between
the two waveforms was greater than 0%.
Results: The study population of 184 patients had a mean age of 63±14 years. Of these,
143 patients were male. 98 patients were in the biphasic group (ventricular fibrillation/flutter,
n=80; ventricular tachycardia, n=18) and 86 patients were in the monophasic group (ventricular
fibrillation/flutter, n=76; ventricular tachycardia, n=10). There were no adverse events or
injuries related to the study.
The first shock, first induction efficacy of biphasic shocks at 120 J was 99% versus 93% for
monophasic shocks at 200 J (p=0.0517, 95% confidence interval of the difference of –2.7% to
16.5% and 90% confidence interval of the difference of –1.01% to 15.3%).
Monophasic Biphasic
First shock efficacy 93% 99%
p-value 0.0517
95% confidence interval –2.7% to 16.5%
1. Kerber RE, et al., “Automated External Defibrillators for Public Access Defibrillation: Recommendations for Specifying and Reporting
Arrhythmia Analysis Algorithm Performance, Incorporating New Waveforms, and Enhancing Safety,” Circ J Am Heart Assoc.
1997;95:1677-1682.
“… the task force suggests that to demonstrate superiority of an alternative waveform over standard waveforms, the upper boundary
of the 90% confidence interval of the difference between standard and alternative waveforms must be <0% (ie, alternative is
greater than standard).”

Clinical Trial Results for the M Series Biphasic Waveform
Successful defibrillation with rectilinear biphasic shocks was achieved with 58% less delivered
current than with monophasic shocks (14±1 amperes versus 33±7 amperes, p=0.0001).
The difference in efficacy between the rectilinear biphasic and the monophasic shocks was
greater in patients with high transthoracic impedance (greater than 90 ohms). The first shock,
first induction efficacy of biphasic shocks was 100% versus 63% for monophasic shocks for
patients with high impedance (p=0.02, 95% confidence interval of the difference of –0.0217%
to 0.759% and 90% confidence interval of the difference of 0.037% to 0.706%).
Monophasic Biphasic
First shock efficacy 63% 100%
(high impedance patients)
p-value 0.02
90% confidence interval 0.037% to 0.706%
A single patient required a second biphasic shock at 150 joules to achieve 100% efficacy versus
six patients for whom monophasic shocks of up to 360 joules were required for 100% total
defibrillation efficacy.
Conclusion: The data demonstrate the equivalent efficacy of low energy rectilinear biphasic
shocks compared to standard high energy monophasic shocks for transthoracic defibrillation for
all patients at the 95% confidence level. The data also demonstrate the superior efficacy of low
energy rectilinear biphasic shocks compared to standard high energy monophasic shocks in
patients with high transthoracic impedance at the 90% confidence level. There were no unsafe
outcomes or adverse events due to the use of rectilinear biphasic waveform.

ECG Analysis Algorithm Accuracy

Sensitivity and specificity are expressions of ECG analysis algorithm performance when
compared to ECG interpretation by a clinician or expert. Sensitivity refers to the algorithm’s
ability to correctly identify shockable rhythms (as a percentage of the total number of
shockable rhythms). Specificity refers to the algorithm’s ability to correctly identify
nonshockable rhythms (as a percentage of the total number of nonshockable rhythms).
The data in Table A-4 and Table A-5 summarize the accuracy of the ECG analysis algorithm as
tested against the ZOLL ECG rhythm database.
The algorithm sequence takes approximately 9 seconds and proceeds as follows:
• Divides the ECG rhythm into 3-second segments.
• Filters and measures noise, artifact, and baseline wander.
• Measures baseline content (“waviness” at the correct frequencies – frequency domain
analysis) of signal.
• Measures QRS rate, width, and variability.
• Measures amplitude and temporal regularity (autocorrelation) of peaks and troughs.
• Determines if multiple 3-second segments are shockable and then prompts the operator to
treat the patient.
Table A-4. Clinical Performance Results (Adult Patients)

Sample Performance Observed 90% One-sided Lower
Rhythms Size Goals Performance Confidence Limit
Shockable 466 Sensitivity
Coarse VF 403 >90% 96.28% 94.33%
Rapid VT 63 >75% 100.0% 95.36%
Nonshockable 2305 Specificity

NSR 1659 >99% 100.0% 99.82%
AF, SB, SVT, heart block, 604 >95% 100.0% 99.51%
idioventricular, PVCs
Asystole 42 >95% 100.0% 93.12%
Intermediate 68
Fine VF 50 Report only 92.00% 82.62%
Other VT 18 Report only 88.89% 68.97%

ECG Analysis Algorithm Accuracy
Table A-5. Clinical Performance Results (Pediatric Patients)

Sample 90% One-sided
Size Performance Observed Lower
Rhythms (9 second Goals Performance Confidence
records) Limit
Shockable Sensitivity
(49 patients)
Coarse VF 42 >90% 100% (42/42) 93.1%
Rapid VT 82 >75% 93.9% (77/82) 87.6%
Nonshockable Specificity
(155 patients)
NSR 208 >99% 100% (208/208) 98.6%
AF, SB, SVTa, heart block, 348 >95% 99.4% (346/348) 98.2%
idioventricular, PVCs
Asystole 29 >95% 100% (29/29) 90.2%
Intermediate
(16 patients)
Fine VF 0 Report only — —
Other VT 40 Report only 90% (36/40) 78.6%
a. 161 of the 348 abnormal rhythm records were SVT (72 patients). The SVT heart rates ranged
from 152 to 302 beats per minute.
Arrhythmia performance is reported according to the article, Kerber RE, Becker LB,
Bourland JD, Cummins RO, Hallstrom AP, Michos MB, Nichol G, Ornato JP, Thies WH,
White RD, Zuckerman BD. “Automated External Defibrillators for Public Access
Defibrillation: Recommendations for Specifying and Reporting Arrhythmia Analysis
Algorithm Performance, Incorporating New Waveforms, and Enhancing Safety,” Circ J Am
Heart Assoc. 1997;95:1677-1682.
References
Young KD, Lewis RJ. “What is confidence? Part 2: Detailed definition and determination of
confidence intervals”. Ann Emerg Med. September 1997;30:311-318.
Beyer WH. Percentage Points, F-Distribution Table. CRC Standard Mathematical Tables.
28th ed. Boca Raton, Fla: CRC Press; 1981:573.


Appendix B
Rechargeable Battery Packs
This appendix provides information about using rechargeable battery packs with the AED Pro
unit and contains the following sections:
• “Managing Rechargeable Battery Packs” on page B-2
• “Recharging and Testing Battery Packs” on page B-2
• “Achieving Optimal Performance with Rechargeable Batteries” on page B-3
For specifications, refer to “Battery Pack Specifications” on page A-4.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide B–1

APPENDIX B RECHARGEABLE BATTERY PACKS
Managing Rechargeable Battery Packs

Rechargeable battery packs require a full recharge after each use. Avoid using a battery pack
that is not fully recharged.
WARNING! Regular use of a partially charged battery pack without a full recharge between uses
results in permanently reduced capacity and early failure of the battery pack.
Many factors contribute to the loss of battery capacity, including the frequency of use, the
number of battery packs available for operations, and the pattern of discharging and recharging
battery packs. Because of this, ZOLL recommends that operators schedule a preventive routine
for replacing and discarding used battery packs. Base your replacement schedule for
rechargeable battery packs on anticipated use patterns, battery pack testing results, and
experience with the device in actual operation.
When stored and not in use, a battery pack can lose 2% to 3% of its energy per month.
ZOLL recommends purchasing new batteries every eighteen months or sooner.
Recharging and Testing Battery Packs

ZOLL battery packs are designed to be charged in ZOLL chargers. ZOLL recommends that you
always have a ZOLL auxiliary battery charger available for charging spare battery packs and
for routine testing of battery packs.
WARNING! Test battery packs regularly. A battery that does not pass its test might shut down
unexpectedly.
For information on using battery chargers, refer to the ZOLL Base PowerCharger manuals
listed in “Related Manuals” on page vi.
B–2 www.zoll.com 9650-0350-01 Rev. C

Achieving Optimal Performance with Rechargeable Batteries
Achieving Optimal Performance with Rechargeable

Batteries
To ensure the longest life from rechargeable battery packs, follow these general practices:
DO carry a fully charged spare battery pack at all times.
DO charge battery packs completely.

Whenever a battery pack exchange is required, install a fully charged battery pack.
Use of partially charged battery packs might result in very short run time and unexpected
shutdown.
If you use a partially charged battery pack, fully charge that battery pack before using it again.
Repeated use after partial charging quickly diminishes the battery pack’s capacity, thereby
shortening its life.
If you must frequently use partially charged battery packs, your organization should assess
whether enough battery packs are available to fully support typical rescue activity.
DO implement a means of indicating the charge status of battery packs.

It is important to visually distinguish battery packs that are charged from those that are not.
Establish a system for visually indicating whether a battery pack requires charging or is charged
and ready for use. ZOLL can provide battery pack status labels for this purpose, or you can use
labels or methods of your own.
DO change the battery pack as soon as the message CHANGE BATTERY

appears.
The battery warning ultimately leads to shutdown of the unit. As a battery ages, its remaining
operating time between the warning and shutdown progressively diminishes. Older battery
packs might provide very little run time after the warning and might fail unexpectedly. Always
replace a battery with a fully charged battery as soon as the battery warning appears.
DO test rechargeable battery packs regularly.

Your organization must determine and implement an appropriate testing schedule for
rechargeable battery packs. Conformance to this schedule is crucial for identifying battery
packs that have reached end-of-life and should be removed from use. Battery packs subjected to
repeated short discharge-and-charge cycles might lose capacity quickly, and so should be tested
more frequently.
DO exchange battery packs regularly.

Exchange battery packs once every shift or once every day, depending on their use.
DO exercise or test battery packs every 90 days (or sooner as they age).
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide B–3

APPENDIX B RECHARGEABLE BATTERY PACKS
DO NOT store battery packs in a discharged or depleted state.

When you remove a rechargeable battery from the unit, immediately place it in a charger or test
well. Idle battery packs lose some of their charge and might suffer damage to charge capacity if
left in a discharged state.
DO NOT assume that a shift check of the unit verifies adequate battery pack
run time.
Test the unit daily to verify its readiness for use. This test, however, does not verify adequate
charge state or capacity of the battery pack and might leave the unit with inadequate run time.
If the message CHANGE BATTERY appears during testing, replace the battery pack
immediately. If the removed battery pack is rechargeable, recharge it immediately.
DO NOT charge battery packs at temperature extremes.
Charge battery packs at or near normal room temperature (15°C to 35°C or 59°F to 95°F).
DO NOT remove a partially charged battery pack from the battery charger.
Always fully charge a battery pack before returning it to use. If you must use a partially charged
battery pack, be sure to fully charge the pack before its next use.
B–4 www.zoll.com 9650-0350-01 Rev. C

Appendix C
Configurable Settings
This appendix describes the configurable settings for the AED Pro unit. To configure the
AED Pro device, use ZOLL Administration Software (ZAS) installed on a Windows-based
personal computer. After you establish an IrDA connection between the computer and the
AED Pro unit, you can modify the configuration settings on the unit or load a saved
configuration and send it to the unit.
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide C–1

APPENDIX C CONFIGURABLE SETTINGS
Descriptions of AED Pro Configurable Settings
Configurable Option Possible Values
Self-test Interval • 1 day — default

Sets the period of time between automated self-tests in • 2 days
standby state. • 3 days
• 4 days
• 5 days
• 6 days
• 7 days
Line Frequency • 60 Hz — default

Selects the ac power frequency to be filtered during • 50 Hz
ECG monitoring.
Power Down Delay • 5 minutes

Sets the time interval after which the unit powers off if • 10 minutes — default
no patient connection is detected. • 15 minutes
• 20 minutes
• 30 minutes
Audio Volume • High — default

Sets the volume level for voice messages and tones. • Medium
• Low
Number of Patient Records • 1

Sets the number of patients for whom information will • 2 — default
be stored in nonvolatile flash memory. • 3
• 4
Audio Recording Enabled • Disabled -- default

Enables the use of the Audio Recording Option • Enabled
(requires the installation of an internal microphone
when the AED Pro unit is manufactured).
Note: You must set the Number of Patient Records to
1 before you can enable the Audio Recording
Option.
Number of Shocks • 1 Shock

Sets the number of shocks in the shock sequence to 1, • 2 Shocks
2, or 3 shocks. • 3 Shocks — default
Adult First Shock Energy • 120 J — default

Sets the energy level in joules for the first shock in a • 150 J
stack of three for an adult patient. • 200 J
Adult Second Shock Energy • 120 J

Note: This value cannot be less than the value • 150 J — default
selected for the first adult shock. • 200 J
Adult Third Shock Energy • 120 J

Note: This value cannot be less than the value • 150 J
selected for the second adult shock. • 200 J — default
C–2 www.zoll.com 9650-0350-01 Rev. C

Pediatric First Shock Energy • 50 J — default

Sets the energy level in joules for the first shock in a • 70 J
stack of three for a pediatric patient. • 85 J
Pediatric Second Shock Energy • 50 J

Note: This value cannot be less than the value • 70 J — default
selected for the first pediatric shock. • 85 J
Pediatric Third Shock Energy • 50 J

Note: This value cannot be less than the value • 70 J
selected for the second pediatric shock. • 85 J — default
Jump to Analysis • On — default

When this option is checked (On), the unit immediately • Off
begins ECG analysis when pads are attached to the
patient, except during CPR periods.
Note: The Start with CPR option, if also checked (On),
overrides this setting.
Enable Lay Rescuer • Off — default

When this option is checked (On), the unit issues the • On
following voice and text prompts after completion of the
power-on self-test and entry into clinical mode:
STAY CALM
CALL FOR HELP
CHECK PATIENT
Continue CPR • On
When this option is checked (On), the prompt IF NO • Off — default
PULSE/CIRCULATION CONTINUE CPR is repeated
every 15 seconds during a CPR period if the unit does
not detect chest compressions (CPR-D•padz only).
UNIT OK • On — default
When this option is checked (On), the unit issues the • Off
message UNIT OK after a successful power-on
self-test.
Check Airway Prompt Delay • Off

Sets the period over which the unit issues the following • 9 seconds — default
voice and text prompts: • 15 seconds
• 20 seconds
OPEN AIRWAY
CHECK BREATHING
GIVE TWO BREATHS
When disabled (Off), these prompts are not issued.
Responsiveness or Patient • CHECK PATIENT — default

Selects the wording for this prompt. • CHECK RESPONSIVENESS

Responsiveness or Patient Prompt Delay • Off (this prompt omitted)

Sets the duration before the next prompt or disables • 4 seconds — default
this prompt. • 6 seconds
• 8 seconds
Circulation or Pulse • CHECK PULSE — default

Selects the wording for this and related prompts. • CHECK CIRCULATION
Circulation or Pulse Prompt Delay • Off (this prompt omitted)

Sets the duration before the next prompt or disables • 10 seconds — default
this prompt. • 15 seconds
• 20 seconds
Treatment or Shock • PRESS FLASHING SHOCK

Selects the wording for this and related prompts. BUTTON – default
• PRESS FLASHING TREATMENT
BUTTON
ECG Monitoring Modes • On — default

When this option is checked (On), the unit switches to • Off
ECG monitoring mode when an ECG cable is attached
or when the left softkey is pressed and held for at least
5 seconds in semiautomatic mode.
When this option is not checked (Off), the unit does not
support ECG monitoring mode. If an ECG cable is
attached, the unit prompts the rescuer to plug in a
defibrillation cable.
Display Heart Rate • On — default

When this option is checked (On), the unit displays the • Off
patient heart rate in manual mode.
Low Heart Rate Limit • 30 — default

In manual or ECG monitoring mode, the unit issues the • 35
prompt CHECK PATIENT if the patient heart rate falls • 45
below this number of beats per minute. • 50
• 55
• 60
• 65
• 75
• 80
• 85
• 90
• 100
• Off (no lower limit alarm)
Display ECG Waveform • On — default

When this option is checked (On), the unit displays the • Off
patient’s ECG rhythm.
Monitor Bandwidth Filter Cutoff • 1.4 – 22 Hz — default

Selects the bandwidth filter to be used during ECG • 0.7 – 30 Hz
monitoring.

ECG Analysis During CPR • Off — default

When this option is checked (On), background ECG • On
analysis begins after the start of a CPR period. If a
shockable rhythm is detected during a 12-second
period in which CPR is not performed, the unit prompts
the rescuer to stop CPR and stand clear. It then initiates
ECG analysis.
When this option is not checked (Off), the unit does not
perform ECG analysis during CPR periods.
Use Analysis After • 0 seconds — default

When the ECG Analysis During CPR option is checked • 15 seconds
(On), this option specifies the number of seconds to • 30 seconds
delay background ECG analysis after a no-shock or • 45 seconds
post-shock CPR period begins. • 60 seconds
• 120 seconds
• 180 seconds
CPR Monitoring • On — default

When this option is checked (On) and CPR-D•padz are • Off
attached, the unit performs CPR monitoring and
prompts the rescuer.
No-Shock CPR Period • 30 seconds

Sets the duration of the CPR period following a • 60 seconds — default
no-shock result for the first analysis in a stack. • 90 seconds
• 120 seconds
• 150 seconds
• 180 seconds
Cycle through CPR • On — default

When this option is checked (On) and pads are • Off
detached from the patient for more than two and
one-half minutes, the unit prompts the rescuer to
perform CPR.
Post-Shock CPR Period • 30 seconds

Sets the duration of the CPR period following the • 60 seconds — default
delivery of one or more shocks. • 90 seconds
• 120 seconds
• 150 seconds
• 180 seconds
Start with CPR (Semiautomatic Mode only) • On

When this option is checked (On), before beginning • Off — default
ECG analysis, the unit prompts the rescuer to check the
patient’s pulse and perform a period of CPR if no pulse
is detected.

Start with CPR Period • 30 seconds

Sets the duration of the CPR period associated with the • 60 seconds — default
Start with CPR option. • 90 seconds
• 120 seconds
• 150 seconds
• 180 seconds

Index
A C
Accessing nonrescue mode 6-2, 7-2 Cable connector, patient 1-8

Accessories 1-6 Cautions x
Adverse events, notification of xiii Change battery warning 2-4, 8-3
Algorithm for ECG analysis A-14 Charge hold time, defibrillator 3-10, 4-4, A-2
Altitude A-2 Charging battery pack 8-2
Amplitude, ECG 1-9 Charging defibrillator (manual mode) 4-4
Applying Check (green) indicator 1-8
defibrillation pads 3-3, 3-6, 3-7 Chest compressions 3-5
ECG electrodes 5-4 indicator 1-9
Audio volume B-2 Clinical data 1-5, 6-1, 6-3, 7-1, 7-3, B-2
Automated defibrillation — See Semiautomatic mode. Clinical modes 1-1
Automatic shutoff 1-5 Communicating with external device 6-5, 7-5
Compression rate and depth 3-5
Configuration of device 6-5, 7-5, B-2
B Connector
patient cable 1-8
Battery pack USB 1-8
care viii Contraindications for use xvi
charging and testing 8-2 Controls, front panel 1-7
compartment 1-8, 2-2 Conventions used in manual vi
installing 2-2 CPR
optimal performance 8-3 chest compression indicator 1-9
specifications A-4 duration 3-9, B-5
symbols xii metronome 3-5, 3-10
warning 2-4, 8-3 monitoring specifications A-3
Biphasic waveform characteristics A-9 post-shock 3-8
Button prompts 3-11
On/Off 1-8 sensor 1-2, 1-9, 3-3, 3-12, A-3
Shock 1-8 CPR-D•padz 1-2, 1-6, 1-9, 3-3, 3-10, 3-12, A-3
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide Index–1

INDEX
D Equipment
accessory ix
Data general information xi
communications 6-5, 7-5 layout 1-7
device history and clinical event 6-1, 7-1, B-2 servicing xv
storage specifications A-3 warranty xiv
Defibrillation Escalating energy levels 1-2
manual mode 1-3, 4-4 Events, adverse xiii
semiautomatic mode 1-2, 3-8
Defibrillation pads
applying 3-3, 3-6, 3-7 F
disposing 3-2
ECG monitoring 5-7 FDA tracking requirements xiii
preconnecting 2-7 Front panel 1-7
Defibrillator
implanted 3-3
intended use xvi H
output energy xvii
precautions xvii Heart rate 1-9, B-4
specifications A-2 Heartbeat indicator 1-9
Device History data 1-5, 6-1, 7-1
communications 6-5, 7-5 Hold time, defibrillator charge 3-10, 4-4, A-2
configuration 6-5, 7-5, B-2 Humidity A-2
history 1-5, 6-1, 7-1
Disarming defibrillator (manual mode) 4-4
Display screen 1-7, 1-9 I
specifications A-4
Disposing of electrodes 3-2 Implanted devices ix, 3-3, 5-2
Indications for use xvi
Indicator
E chest compression 1-9
current mode 1-9
ECG analysis (semiautomatic mode) B-3 heartbeat 1-9
algorithm A-14 unit readiness 1-8
shockable rhythms A-3 Ingress, particle and water A-2
ECG monitoring 5-1, 5-6, B-4 Installing
cable 1-3, 1-6, 5-5, 5-6, B-4 battery pack 2-2
electrodes ix, 1-6, 5-3, 5-4 ZAS on a PC 6-4, 7-4
rhythm display 1-9, B-4 Intended use xvi
specifications A-3 IrDA port 1-5, 1-8, 6-5, 7-5
switch to semiautomatic mode 5-7
Elapsed time 1-9
Electrocardiogram — See ECG. M
Electrodes, defibrillation
applying 3-3, 3-6, 3-7 Manual
disposing 3-2 how to use vi
preconnecting 2-7 updates to vi
Electrodes, ECG Manual mode 1-3, 4-1
applying 5-4 defibrillation 4-4
placement 5-3 switching to 4-3
Electromagnetic emissions A-5 Messages 1-9
Emissions, electromagnetic A-5 ECG monitoring mode 5-8
Energy, defibrillator general 2-8
escalating levels 1-2 manual mode 4-5
output xvii nonrescue mode 6-6, 7-6
Environmental specifications A-2 semiautomatic mode 3-11
Metronome, CPR 3-5, 3-10
Models, AED Pro 1-6
Index–2 www.zoll.com 9650-0350-01 Rev. C

Modes RescueNet software 6-3, 7-3
clinical 1-1 Restarting x
ECG monitoring 1-3 Returning unit for service xv
indicator 1-9 RFI vii, A-5
manual 1-3
nonrescue 1-5, 6-1, 7-1
semiautomatic 1-2 S
Monitoring ECG 1-3, 5-1, 5-6, B-4
Safety vii
operator viii
N patient ix
Screen, display 1-9
Nonrechargeable battery packs viii Self-test 2-6
Nonrescue mode 1-5, 6-1, 7-1 interval in standby B-2
access to 6-2, 7-2 Semiautomatic mode 1-2, 3-1
Notification of adverse events xiii defibrillation 3-8
Number of shocks delivered 1-9 Sensor, CPR 1-2, 1-9, 3-3, 3-12, A-3
Service, technical xv
Settings, configurable 6-5, 7-5, B-2
O Shock
number delivered 1-9
On/Off button 1-8 stack of three 1-2
Operator safety viii Shock button 1-8
Overview of product 1-1 Shockable rhythms A-3
Shutoff, automatic 1-5
Simulator, AED Pro 1-6
P Softkeys 1-8
Software
Pacemakers, implanted ix, 3-3, 5-2 device administration 6-4, 7-4, B-1
Pads ix, 2-7 RescueNet 6-3, 7-3
CPR-D•padz 1-2, 1-9, 3-3, 3-12, A-3 ZOLL Administration 6-3, 6-4, 7-3, 7-4
pedi•padz xvi, 3-7, A-3 Speaker 1-8, B-2
stat•padz 3-6, A-3 Specifications A-1
Particle ingress A-2 battery packs A-4
Patient data storage A-3
data 6-3, 7-3, B-2 defibrillator A-2
preparing 3-2 display screen A-4
safety ix ECG analysis algorithm A-14
Patient cable connector 1-8 environmental A-2
pedi•padz xvi, 1-6, 3-7, A-3 general A-2
Performance of battery packs 8-3 Stacked shocks 1-2
Port, IrDA 1-5, 1-8, 6-5, 7-5 Standby state 1-5
Power down time B-2 stat•padz 1-6, 3-6, A-3
Precautions for defibrillation xvii Symbols on equipment xi
Preconnecting defibrillation pads 2-7
Preparing patient 3-2
Product overview 1-1 T
Prompts, voice 2-8, 3-11, 4-5, 5-8, 6-6, 7-6, B-3
Technical Service xv
Temperature vii, A-2
R Testing
battery pack 8-2
Radio frequency interference vii, A-5 self-tests 2-6
Ready indicator 1-8 Text messages 1-9, 2-8, 3-11, 4-5, 5-8, 6-6, 7-6
Rechargeable battery packs viii, 1-6, 2-2, 8-1, A-4 Three-shock stack 1-2
Recorded device history and clinical data 1-5 Time since startup 1-9
Rectilinear biphasic waveform characteristics A-9 Tracking requirements, FDA xiii
Replacing battery pack 2-2 Transferring data 6-5, 7-5
Requirements, FDA tracking xiii
9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide Index–3

INDEX
U Warranty xiv
Water ingress A-2
USB connector 1-8 Waveform, rectilinear biphasic A-9
Use, intended xvi Weight A-2
V X
Vibration A-2 X (red) indicator 1-8

Voice prompts 2-8, 3-11, 4-5, 5-8, 6-6, 7-6, B-3
Volume, audio B-2
Z
W ZOLL Administration Software (ZAS) 6-3, 6-4, 7-3,

7-4, B-1
Warning, battery 2-4, 8-3
Index–4 www.zoll.com 9650-0350-01 Rev. C

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®

June 2006 9650-0350-01 Rev. C

Chapter 1 Product Overview

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide i

Chapter 2 Getting Started

Chapter 3 Semiautomatic Mode

Chapter 4 Manual Mode

Chapter 5 ECG Monitoring Mode

Chapter 6 Nonrescue Mode

ii www.zoll.com 9650-0350-01 Rev. C

Chapter 7 Troubleshooting and Maintenance

Appendix B Rechargeable Battery Packs

Appendix C Configurable Settings

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide iii

iv www.zoll.com 9650-0350-01 Rev. C

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide v

How To Use This Guide

vi www.zoll.com 9650-0350-01 Rev. C

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide vii

Cardiopulmonary resuscitation (CPR)

viii www.zoll.com 9650-0350-01 Rev. C

Defibrillation pads and ECG electrodes

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide ix

Restarting the Device

x www.zoll.com 9650-0350-01 Rev. C

Symbols Used on the Equipment

Attention, consult accompanying documents.

Fragile, handle with care.

This end up.

Conformité Européenne Complies with medical device directive 93/42/EEC.

Defibrillator-proof type BF equipment.

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xi

Defibrillator-proof type CF equipment.

Contains lithium. Recycle or dispose of properly.

Keep away from open flame and high heat.

Do not open, disassemble, or intentionally damage.

Do not discard in trash. Recycle or dispose of properly.

xii www.zoll.com 9650-0350-01 Rev. C

Nonionizing electromagnetic radiation.

Authorized representative in the European Community.

Consult instructions for use.

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xiii

FDA Tracking Requirements

Notification of Adverse Events

xiv www.zoll.com 9650-0350-01 Rev. C

Warranty (U.S. Only)

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xv

Contacting Technical Service

Returning a unit for service

For customers Return the unit to

xvi www.zoll.com 9650-0350-01 Rev. C

Indications for Use

Contraindications for Use

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide xvii

Defibrillator output energy

xviii www.zoll.com 9650-0350-01 Rev. C

9650-0350-01 Rev. C ZOLL AED Pro Operator’s Guide 1–1

First shock Second shock Third shock

For more information, refer to Appendix C, "Configurable Settings".

Semiautomatic Mode Defibrillation and CPR Monitoring