ZOLL® X Series® Defibrillator Incident Log

Case Date: 2014-05-08 11:50:08

Device
Device Type: ZOLL® X Series® Defibrillator
Serial Number: AR12E000834
Device ID:
Software Version: 02.09.06.00

Patient Case
Patient ID: Patient 0552 Date: 2014-05-08 11:50:08
Patient Name: Unknown Start Time: 11:50:08
Gender: Male End Time: 12:27:21
DOB: Unknown Duration: 37:13
Number of Shocks Delivered: 3

Event Timeline
11:50:08 Patient mode: adult
11:50:08 Power on
11:50:08 Patient mode: new patient
11:50:08 Defib state: last power off events
11:50:08 Power status: AC connected, battery not in
11:50:08 Power status: AC connected, battery in
11:50:08 Defib mode: AED mode
11:50:09 Defib state: printer platen open
11:50:09 Impedance/respiration status: lead change
11:50:09 Defib cable ID: CPR Stat-padz or CPR-D-padz
11:50:09 Impedance/respiration status: lead change
11:50:09 ECG cable ID: 12-lead, ZOLL®
11:50:10 CO2 status: calibration required

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Event TimeLine (Contd.)
11:50:10 Pads
11:50:11 T2 status: connected
11:50:11 T1 status: connected
11:50:11 Pads on
11:50:11 NIBP mode: device status
11:50:11 ECG multi-lead out of fault
11:50:15 SpO2 status: connected
11:50:15 Analysis: started
11:50:26 Defib state: presenting rhythm
11:50:26 Analysis: shock advised
11:50:26 Defib state: charged
11:50:27 Snapshot: AED analysis results
11:50:27 Snapshot: AED presenting
11:50:28 Patient current: 0 A
11:50:28 Patient impedance: 53 Ω
11:50:28 Shock 1 120 J
11:50:28 Delivered 132 J
11:50:28 Analysis: perform CPR
11:50:28 Shock delivered
11:50:29 Snapshot: defib
11:51:12 NIBP mode: device status
11:51:50 Defib mode: Manual mode
11:51:50 IBP diastolic alarm settings: disabled
11:51:50 IBP mean alarm settings: disabled
11:51:50 IBP systolic alarm settings: disabled
11:51:50 IBP diastolic alarm settings: disabled
11:51:50 IBP mean alarm settings: disabled
11:51:50 IBP systolic alarm settings: disabled
11:51:50 ΔT alarm settings: disabled
11:51:50 Temperature alarm settings: disabled

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Event TimeLine (Contd.)
11:51:50 T2 alarm settings: disabled
11:51:50 IBP diastolic alarm settings: disabled
11:51:50 IBP mean alarm settings: disabled
11:51:50 NIBP mean alarm settings: disabled
11:51:50 Respiration rate alarm settings: disabled
11:51:50 NIBP diastolic alarm settings: disabled
11:51:50 Heart rate alarm settings: disabled
11:51:50 NIBP systolic alarm settings: disabled
11:51:50 CO2 alarm settings: disabled
11:51:50 SpMET alarm settings: disabled
11:51:50 IBP systolic alarm settings: disabled
11:51:50 SpCO alarm settings: disabled
11:51:50 FICO2 alarm settings: enabled (-32768-32767)
11:51:50 SpO2 alarm settings: disabled
11:51:51 IBP1 status: connected
11:51:51 IBP3 status: connected
11:51:51 IBP2 status: connected
11:51:67 Power status: AC connected, communication failure
11:52:17 IBP0 zeroed
11:52:41 IBP1 zeroed
11:53:12 IBP2 zeroed
11:53:31 Lead III
11:53:52 Pads
11:53:52 Advisory: analyzing
11:53:58 Advisory: shock advised
11:53:59 Snapshot: AED analysis results
11:53:64 Defib state: charging
11:53:64 Defib state: charging
11:53:67 Defib state: charged
11:54:08 Patient current: 0 A

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Event TimeLine (Contd.)
11:54:08 Patient impedance: 53 Ω
11:54:08 Shock 2 100 J
11:54:08 Delivered 112 J
11:54:09 Snapshot: defib
11:54:28 SpO2 status: calibrating
11:54:29 12-Lead analysis: ended
11:54:29 12-Lead analysis: started
11:54:36 SpO2 status: connected
11:54:42 SpO2 status: connected
11:55:28 Lead I
11:55:31 Lead II
11:55:43 aVL
11:55:46 V2
11:55:49 Lead III
11:55:55 V6
11:55:58 Pads
11:55:61 Lead I
11:56:37 Lead II
11:56:43 aVR
11:56:46 aVF
11:56:49 V2
11:56:55 V4
11:56:58 aVL
11:56:61 V5
11:56:64 Lead III
11:56:67 aVR
11:57:33 NIBP mode: reading pending
11:57:35 NIBP mode: device status
11:57:36 NIBP mode: reading started
11:57:36 NIBP mode: device status

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Event TimeLine (Contd.)
11:57:56 NIBP mode: reading
11:57:56 NIBP (mmHg) 117/79/92(M)
11:57:67 aVL
11:58:10 V6
11:58:13 Lead II
11:58:30 SpO2 status: connected
11:58:40 Pads
11:58:41 SpO2 status: calibrating
11:58:49 SpO2 status: connected
11:58:59 Impedance/respiration status: lead change
11:58:62 NIBP mode: device status
11:59:31 Advisory: analyzing
11:59:37 Advisory: no shock advised
11:59:38 Snapshot: AED analysis results
11:59:53 CO2 status: on
11:59:55 CO2 status: no filter
11:60:15 CO2 status: off
11:60:15 CO2 status: on
11:60:16 CO2 status: no filter
11:63:12 CO2 alarm settings: enabled (-32768-32767)
11:63:13 CO2 alarm settings: enabled (-32768-32767)
11:63:34 CO2 alarm settings: enabled (8-22)
11:63:34 Alarm: CO2
11:63:35 Snapshot: patient alarm
11:63:39 Respiration rate alarm settings: enabled (-32768-32767)
11:63:41 Respiration rate alarm settings: enabled (-32768-32767)
11:63:55 Respiration rate alarm settings: enabled (3-6)
11:63:55 Alarm: respiration rate
11:63:60 CO2 alarm settings: enabled (8-22)
11:63:61 CO2 alarm settings: disabled

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Event TimeLine (Contd.)
11:63:64 CO2 alarm settings: enabled (8-22)
11:63:64 CO2 alarm settings: enabled (8-22)
11:63:64 Alarm: CO2
11:63:65 CO2 alarm settings: disabled
11:64:09 Respiration rate alarm settings: enabled (3-6)
11:64:11 Respiration rate alarm settings: disabled
11:65:10 None
11:65:10 Snapshot: patient alarm
11:65:14 Alarm button status: silenced
11:65:31 Heart rate alarm settings: enabled (50-120)
11:65:31 Heart rate alarm settings: enabled (50-120)
11:65:31 Alarm: heart rate
11:65:37 Heart rate alarm settings: enabled (50-120)
11:65:40 Respiración no reanudada
11:65:43 Heart rate alarm settings: enabled (50-120)
11:65:45 Heart rate alarm settings: disabled
11:66:26 IBP systolic alarm settings: enabled (-32768-32767)
11:66:55 IBP systolic alarm settings: enabled (75-113)
11:66:55 Alarm: IBP
11:66:56 Snapshot: patient alarm
11:66:62 IBP systolic alarm settings: disabled
11:67:16 IBP diastolic alarm settings: enabled (-32768-32767)
11:67:26 IBP diastolic alarm settings: enabled (35-73)
11:67:26 Alarm: IBP
11:67:35 IBP diastolic alarm settings: disabled
11:67:55 NIBP mode: device status
11:67:57 NIBP mode: device status
11:67:57 NIBP systolic alarm settings: enabled (-32768-32767)
11:67:65 NIBP systolic alarm settings: enabled (-32768-32767)
11:68:36 NIBP systolic alarm settings: enabled (59-116)

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Event TimeLine (Contd.)
11:68:36 Alarm: NIBP
11:68:37 Snapshot: patient alarm
11:68:51 NIBP diastolic alarm settings: enabled (-32768-32767)
11:68:62 NIBP diastolic alarm settings: enabled (35-78)
11:68:62 Alarm: NIBP
11:69:17 NIBP systolic alarm settings: enabled (59-116)
11:69:19 NIBP systolic alarm settings: disabled
11:69:24 NIBP diastolic alarm settings: disabled
11:69:46 T2 alarm settings: enabled (-32768-32767)
11:69:63 T2 alarm settings: enabled (950-953)
11:69:63 Alarm: temperature
11:69:63 T2 alarm settings: enabled (950-953)
11:69:64 Snapshot: patient alarm
11:70:08 T2 alarm settings: enabled (950-953)
11:70:10 T2 alarm settings: disabled
11:70:26 NIBP mode: device status
11:71:41 Snapshot: life threat alarm
11:71:51 Alarm button status: silenced
11:72:29 Snapshot: life threat alarm
11:73:34 SpO2 alarm settings: enabled (-32768-32767)
11:73:49 Snapshot: patient alarm
11:73:49 SpO2 alarm settings: enabled (85-87)
11:73:49 Alarm: SpO2
11:73:53 SpO2 alarm settings: disabled
11:74:08 SpCO alarm settings: enabled (-32768-32767)
11:74:25 SpCO alarm settings: enabled (0-2)
11:74:25 Alarm: SpCO
11:74:28 SpCO alarm settings: disabled
11:74:39 SpMET alarm settings: enabled (-32768-32767)
11:74:50 CO2 status: SFM in progress

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Event TimeLine (Contd.)
11:74:66 SpMET alarm settings: enabled (7-30)
11:74:66 Alarm: SpMET
11:74:67 Snapshot: patient alarm
11:75:10 SpMET alarm settings: disabled
11:75:43 Respiration rate alarm settings: enabled (3-6)
11:75:54 Respiration rate alarm settings: enabled (3-6)
11:75:54 Alarm: respiration rate
11:75:63 Respiration rate alarm settings: disabled
11:76:40 aVR
11:76:49 Lead I
11:76:52 Lead II
11:76:55 aVF
11:76:58 V3
11:76:61 Pads
11:77:13 Lead III
11:78:64 aVF
11:78:67 Lead II
11:81:63 Snapshot: life threat alarm
11:84:54 FICO2 alarm settings: enabled (0-2)
11:84:54 Alarm: FICO2
11:84:55 Snapshot: patient alarm
11:84:66 Alarm button status: silenced
11:85:08 FICO2 alarm settings: disabled
11:85:39 Power on
11:85:39 Defib state: last power off events
11:85:39 Power status: AC connected, communication failure
11:85:39 Power status: AC connected, battery in
11:85:39 IBP diastolic alarm settings: disabled
11:85:39 IBP mean alarm settings: disabled
11:85:39 IBP systolic alarm settings: disabled

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Event TimeLine (Contd.)
11:85:39 IBP diastolic alarm settings: disabled
11:85:39 IBP mean alarm settings: disabled
11:85:39 IBP systolic alarm settings: disabled
11:85:39 ΔT alarm settings: disabled
11:85:39 Temperature alarm settings: disabled
11:85:39 T2 alarm settings: disabled
11:85:39 IBP diastolic alarm settings: disabled
11:85:39 IBP mean alarm settings: disabled
11:85:39 NIBP mean alarm settings: disabled
11:85:39 Respiration rate alarm settings: disabled
11:85:39 NIBP diastolic alarm settings: disabled
11:85:39 Heart rate alarm settings: disabled
11:85:39 NIBP systolic alarm settings: disabled
11:85:39 CO2 alarm settings: disabled
11:85:39 SpMET alarm settings: disabled
11:85:39 IBP systolic alarm settings: disabled
11:85:39 SpCO alarm settings: disabled
11:85:39 FICO2 alarm settings: disabled
11:85:39 SpO2 alarm settings: disabled
11:85:40 Defib state: printer platen open
11:85:40 Impedance/respiration status: lead change
11:85:40 Defib cable ID: CPR Stat-padz or CPR-D-padz
11:85:40 ECG cable ID: 12-lead, ZOLL®
11:85:41 CO2 status: calibration required
11:85:41 CO2 status: on
11:85:41 IBP1 status: not connected
11:85:41 IBP3 status: connected
11:85:41 IBP2 status: not connected
11:85:41 T1 status: connected
11:85:41 T2 status: connected

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Event TimeLine (Contd.)
11:85:42 Pads on
11:85:42 NIBP mode: device status
11:85:42 ECG multi-lead out of fault
11:85:46 SpO2 status: connected
11:85:57 Defib state: log transfer begin
11:86:08 Defib state: log transfer failed
11:86:18 Defib state: log transfer begin
11:86:20 Defib state: log transferred
11:86:22 Defib state: log transferred
11:86:30 Defib state: log transfer failed
11:86:43 NIBP mode: device status
11:86:45 IBP1 status: connected
11:86:45 IBP3 status: connected
11:86:45 IBP2 status: connected
11:86:46 IBP1 status: circuit failure
11:86:46 IBP2 status: circuit failure
11:86:56 Defib state: log transfer begin

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 Comments
None

Physician Signature:

Print Name:

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