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    Lab - 7

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    Iqra Zulfiqar
    The document provides information about the working principle and components of a defibrillator machine. It also details the procedure to test a defibrillator using a Netech Model Delta 3000 Defibrillator Analyzer, including setting energies on the defibrillator, discharging it onto the analyzer, and recording impulse times and delivered voltages and currents. The document further describes features of a LIFEPAK defibrillator/monitor and presents two scenarios to be solved using the device.

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    Lab - 7

    Uploaded by

    Iqra Zulfiqar
    18 views12 pages
    The document provides information about the working principle and components of a defibrillator machine. It also details the procedure to test a defibrillator using a Netech Model Delta 3000 Defibrillator Analyzer, including setting energies on the defibrillator, discharging it onto the analyzer, and recording impulse times and delivered voltages and currents. The document further describes features of a LIFEPAK defibrillator/monitor and presents two scenarios to be solved using the device.

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    LAB - 7

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    The document provides information about the working principle and components of a defibrillator machine. It also details the procedure to test a defibrillator using a Netech Model Delta 3000 Defibrillator Analyzer, including setting energies on the defibrillator, discharging it onto the analyzer, and recording impulse times and delivered voltages and currents. The document further describes features of a LIFEPAK defibrillator/monitor and presents two scenarios to be solved using the device.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views12 pages

    Lab - 7

    Uploaded by

    Iqra Zulfiqar
    The document provides information about the working principle and components of a defibrillator machine. It also details the procedure to test a defibrillator using a Netech Model Delta 3000 Defibrillator Analyzer, including setting energies on the defibrillator, discharging it onto the analyzer, and recording impulse times and delivered voltages and currents. The document further describes features of a LIFEPAK defibrillator/monitor and presents two scenarios to be solved using the device.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 12

    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY

    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    Subject: Biomedical Instrumentation II Year: 3rd, Semester 6th

    LAB HANDOUT- 07

    Name: ___________________________________________ Roll No: ____________________

    Score: __________ Signature of Tutor: _______________________ Date:________________

    OBJECTIVE: To study working principle of Defibrillator machine.

    WORKING PRINCIPLE: A defibrillator is a device used to treat ventricular arrhythmias.


    Defibrillators have various components, including a power source, variable transformer, rectifier,
    capacitor, switches and paddles. A rectifier, in the capacitor charging circuit, converts AC voltage into
    DC voltage. DC energy is used rather than AC because it is more effective, causes less myocardial
    damage and is less arrhythmogenic. A capacitor is the most important part of the defibrillator. A
    capacitor is formed by a pair of conductors (metal plates) separated by an insulator (a layer of air). A
    capacitor stores electrical energy in the form of electrical charge. In the capacitor, the quantity of
    electrical charge stored for a given charge potential is determined by the surface area of the plates, the
    thickness of the insulating layer and the ability of the capacitor to store charge (permitivity). During
    the discharge of a capacitor, delivered energy falls exponentially and some of the energy available is
    lost in circuit resistance, inductor and paddles. The defibrillator has an inductor in its output circuit.
    The inductor gives optimum shape and duration to the delivered current. In a biphasic (newer type)
    defibrillator, the effective energy required for defibrillation is less, requiring smaller capacitors.
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    DEFIBRILLATOR ANALYZER:

    NETECH MODEL DELTA 3000:


    Delta 3000 Defibrilator Analyzer combines the complete testing functions of a Defibrillator Tester,
    Transcutaneous Pacemaker Analyzer, Transvenous Pacemaker Analyzer and 12-Lead ECG /
    Arrhythmia Simulator into one compact, lightweight, and easy to-use instrument. No other single
    instrument matches the breadth of functions or delivers the performance testing power of the DELTA
    3000. Delta 3000 tests all Defibrillators including AEDs. It measures both monophasic and bi-phasic
    waveforms. It tests all external Pacemakers including transthoracic, transvenous, and AV sequential
    models. With 12 built-in user selectable test loads for transthoracic pacing testing, the built-in ECG /
    Arrhythmia Simulator allows performance testing of any ECG equipment. Menu driven and easy to
    use, the Delta 3000 displays test measurements on the large four line LCD. A print key outputs the
    data to the RS-232 serial port. Included with the Delta 3000 is a hard carrying case, various paddle
    adapters and interface cables.

    FEATURES:

    1. Compact, lightweight and rugged


    2. Simple menu driven operation
    3. Large 4-line LCD
    4. Simultaneous display of all test
    measurements
    5. Battery or AC operation.
    6. Dedicated print key for immediate
    documentation.

    PRE-OPERATION

    REQUIREMENTS:
    1. Manual External defibrillator with AED
    feature
    2. Netech Model Delta 3000 Defibrillator Analyzer.

    OPERATION:
    1. Switch on defibrillator and set on the initial value of energy.
    2. Switch on Netech model delta 3000 defibrillator analyzer.
    3. Take out the paddles of defibrillator and charge the paddles by pressing button on one of the
    paddle or by pressing charge button on the control menu.
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    4. Make sure you are taken paddles in right position, apex paddle in right hand and
    sternum paddle in left hand.
    5. Discharge the defibrillator by placing the paddles on analyzer and press the shock buttons of
    both paddles on the same time.
    6. Note the values of charge delivered by defibrillator.
    7. Deduce the impulse time by voltage and current values.
    8. Repeat the procedure with five different values of energy set and observe the results.

    POST-OPERATION:

    PRECAUTION:

    1. Clean paddles thoroughly


    2. Place paddles accordingly in the socket.
    3. Switch off DC power cable etc

    RESULTS:

    ENERGY CURRENT IMPULSE TIME(ms)


    ENERGY SET
    S.N DELIVERED VOLTAGE (V) (I) P=V×I
    (J)
    (J) T=E/P

    1.

    2.

    3.

    4.

    5.

    DEFIBRILLATOR SIMULATOR

    LIFEPAK DEFRIBRILLATOR:

    The LIFEPAK 20 defibrillator/monitor is an acute cardiac care response system used by authorized
    healthcare providers in hospital and clinic settings. The LIFEPAK 20 defibrillator/monitor offers the
    following optional features:
    Semiautomatic defibrillator
    Noninvasive pacemaker

    Pulse oximeter
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    Paddle accessories
    The LIFEPAK 20 defibrillator/monitor is available only with the biphasic defibrillation waveform.

    CONTROLS, INDICATORS, AND CONNECTORS:


    The following figures provide a brief description of the controls, indicators, and connectors for the
    LIFEPAK 20 defibrillator/monitor.

    FRONT VEIW:

    AREA-1:

    AREA-2:
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    AREA- 3:

    The following paragraphs provide additional information about the controls shown in Area 3

    Contrast (Passive Display Only) Press the CONTRAST button and rotate the Speed Dial to adjust
    the screen contrast/brightness. When the defibrillator is turned on, the contrast setting defaults to the
    previously adjusted setting.

    Home Screen The home screen is the background screen that displays during ECG monitoring.
    Pressing HOME SCREEN returns you to the home screen from any menu screen or overlay, except
    during AED analysis or during manual defibrillation charging and shocking.
    Event After pressing EVENT, the screen displays the following overlay
    Generic is automatically selected when EVENT is pressed and no other selection is made. The
    selected event and time stamp appear in the message/status area on the screen.
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    AREA-4:

    AREA-5:
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    AREA-6:

    BACK VIEW:
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    LAB TASK:
    Question#1: solve the following scenarios on the life-pak defibrillator?

    Case-1: A baby become un responsive!


    You are on the duty in the emergency department when a 6kg 6 month old infant is
    rushed in, limp and minimally responsive. Mother states that the baby has increased
    respiratory efforts and has been feeding poorly mother thought he had a viral
    respiratory infection.as you approach, the infant stops breathing and becomes
    unresponsive.

    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________

    Case: After completion:


    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    CASE-2:An inconsolable baby!


    You are called to help stabilize an 8.5kg, 6-month old female in the emergency department. The
    baby’s mother says that baby was well until 2 days ago when he develops inconsolable fussiness and
    poor feeding. The baby sometimes seems dusky during these episodes. The baby was afebrile, dusky,
    and inconsolably crying on arrival. The cardiology fellow assigned to the emergency department
    administered medication for what he thought was an abnormal heart rhythm. The infant did not
    respond to the medication and the blood pressure has fallen. Cardiology now feels that a defibrillator
    is needed and has asked you to bring it to the bedside.

    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    ______________________________________________________________________________

    Case: After completion:


    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    CASE-3: A lethargic teen comes to the ED!


    A 65kg, 17-year male is brought to the emergency department with history of lethargy and suspended
    multidrug ingestion. He had been at a save and his friend called EMS when he seemed out of it. The
    patient was arousal at the scene, and intubation was deferred because the patient was maintaining his
    own airway. On arrival at the emergency department the patient was mildly trachcardic, with tem 38’c
    and pupils 2mm. you are now called to assess the patient when a nurse notices a change in his cardiac
    rhythm that has not responded to his medications.
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    _________________________________________________________________________

    After completion:
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

    Case:
    INSTITUTE OF BIOMEDICAL ENGINEERING & TECHNOLOGY
    LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES JAMSHORO

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