X Series ®

Quick Reference Guide

Controls & Indicators

Equipment Alert Patient Alarm
LED LED Power Button
Ready For Use
Indicator

Alarm Silence/
Data Reset
Transfer
LED
Display/Home

Quick Up/Clockwise
Access
Keys Select

Down/
Counterclockwise

Snapshot
Auxiliary
Power NIBP Start/Stop
LED

Battery Pacer Analyze 1 2 3

Charge Energy Charge Shock
LED Select

Auxiliary Power Connection Battery Insertion

Align arrow with dot and Align battery with battery well
push connector until it locks. and push battery into place.

Copyright ® 2013 ZOLL Medical Corporation. All rights reserved. 9652-000391-01 Rev. F
 X Series ®

Quick Reference Guide

Changing Patient Mode

1. Press & to highlight the patient mode field at the top of
the display. Press .
2. Press & to highlight correct patient mode. Press .

Neonate: Birth through 28 days, or 44 weeks gestational

Pediatric: 29 days through 12 years
Adult: 12 years or greater

Changing Screen Views

Press to cycle through the different screens.
06/06/2011 12:34:56 Adult 00:17:43 06/06/2011 12:34:56 Adult 00:17:43 06/06/2011 12:34:56 Adult 00:17:43
I, II, 1 cm/mV
I, II, I, II,
II II 1 cm/mV
III... III... III... HR bpm SpO2 %
12
CO2
12
CO2

Time HR/PR
NIBP Trends
SpO2 NIBP RR/BR
12
CO2

NIBP
80 mmHg EtCO2
97 mmHg
R R

121
R IBP

38
bpm % mmHg br/min

SYNC SYNC 12:30:21 72 97 122/60 (85) 12 SYNC

Analyze
(96)
79
12:25:21

HR bpm NIBP mmHg CO2 mmHg SpO2 % HR

12:20:21bpm NIBP
81 97 mmHg122/60
CO2(85) mmHg
15 SpO2 % BR

80 121
T1 ºF
(96)
38 97 80 121
12:15:21 73 97

Navigate Here to Scroll Through Trends

38
(96)124/63 (86) 13
97 S D M 23:45 12
98.6 79 BR
12
T1
98.6
ºF
79 BR
12

Waveform Screen Trends Screen Large Numerics Screen

Note: also acts as a Home key while a menu is displayed.

Changing Display Brightness

Press & to cycle through the screen brightness options.
06/06/2011 12:34:56 Adult 00:17:43 06/06/2011 12:34:56 Adult 00:17:43 06/06/2011 12:34:56 Adult 00:17:43
I, II, HR bpm HR bpm
II 1 cm/mV
I, II, 11 cm/mV
cm/mV
I, II, 11 cm/mV
cm/mV
IIII IIII
III...

12
III...
80 III...
80
12 NIBP mmHg 12 NIBP mmHg

CO2 CO
CO22
121 CO
CO22
121
79 79
R
(96) (96)
R
IBP R
EtCO2 mmHg EtCO2 mmHg

SYNC SYNC
SYNC
Analyze
38 SYNC
SYNC
Analyze
38
HR bpm NIBP mmHg CO2 mmHg SpO2 % HR bpm NIBP mmHg CO2
BR
mmHg SpO2
12 HR bpm NIBP mmHg CO2
BR
mmHg SpO2
12 %
SpO2 % SpO2 %

80 121
T1 ºF
(96)
38 97 80 121 (96) 38 97
97 80 121 (96) 38 97
97
98.6 79 BR
12 79 BR 12
T1

98.6
ºF
79 BR 12
T1

98.6
ºF

Normal Mode High Contrast Mode NVG Friendly Mode

Taking a Monitor Snapshot

Press to take a monitor snapshot. The unit records all
waveforms for 12 seconds before and after pressing the button, and
stores the numeric data on display when the button is pressed.
 X Series ®

Quick Reference Guide

ECG Monitoring
Apply ECG electrodes.

3-Lead Electrode Placement 5-Lead Electrode Placement

Changing the Lead Source in Waveform Trace 1

I, II,
Press III... to cycle through leads until the desired lead is displayed.

Changing the Lead Source in Waveform Trace 1-4

1. Press & to highlight the 06/06/2011 12:34:56 Adult

Source Label above the waveform. I, II,

II
Source
1 cm/mV
Pads
III...
Press . I
II
12 III

2. Press & to highlight the CO2

aVR
aVL
aVF
desired lead source. Press . V
Insert
R Cascade

Changing the Waveform Gain

06/06/2011 12:34:56 Adult
1. Press & to highlight the
Gain Label above the waveform. I, II, Lead II Size
II 1 cm/mV
0.125 cm/mV
Press . III... 0.25 cm/mV
0.50 cm/mV
2. Press & to highlight the 12 1.0 cm/mV
2.0 cm/mV
desired waveform size. CO 2
4.0 cm/mV
Auto
Press .

Changing the ECG Sweep Speed

1. Press & to highlight the HR numeric. Press .
2. Press to highlight the ECG Sweep Speed. Press .
3. Press & to highlight the desired sweep speed. Press .
 X Series ®

Quick Reference Guide

12-Lead ECG Monitoring

Apply ECG electrodes.

Jugular Notch
Angle of Louis

Limb Lead Electrode Placement V-Lead Electrode Placement

Acquiring a 12-Lead ECG Snapshot

1. Press 12 to enter 06/06/2011 12:34:56 Adult
00:17:43
HR bpm
12-lead mode. I, II, I 1 mV/cm V1
12
III...
80
2. Check for a good 12 II V2
NIBP mmHg

CO2
121
quality signal and III V3
79
(96)
ensure all leads R
EtCO2 mmHg
aVR V4
are displayed. SYNC
38
BR 12
3. Press 12 . aVL V5
SpO2 %
Exit
12 97
4. Keep the patient still aVF V6

T1 ºF

during the 10-second 98.6

acquisition period.

Reviewing a Stored 12-Lead Snapshot

1. Press to display the 12-Lead Review menu.
2. Press & to highlight the desired 12-lead snapshot.
Press .

Changing Displayed Leads in a 12-Lead Snapshot

I, II,
Press III... to change the displayed leads for a 12-lead snapshot.

Printing a 12-Lead Snapshot

Press to print the displayed 12-lead snapshot.
 X Series ®

Quick Reference Guide

Preparing for NIBP Monitoring

1. Select the correct size cuff.
2. Attach the cuff to the NIBP hose.
3. Attach the hose to the X Series unit.
4. Apply the cuff to the patient’s limb.
5. Place the limb at the same level as the patient’s heart.
6. Verify the correct patient mode on the X Series unit.

Single Lumen Hose Connection Dual Lumen Hose Connection

Initiating an NIBP Reading

1. Press to initiate a manual NIBP reading.

Setting Up Automatic NIBP Readings

1. Press & to NIBP

Lower Upper
highlight the NIBP NIBP Systolic Alarm 75 220
110
NIBP Diastolic Alarm 35

numeric. Press . NIBP MAP Alarm 50 120

NIBP Mode Manual

2. Press to highlight NIBP Auto Mode Interval

SmartCuf On/Off
5 min
On

NIBP Mode. Press . Start TurboCuf

3. Press & to 59 50 100 150 200 250 300

toggle to Auto Mode.

Press .

Changing the NIBP Auto Interval

1. Press & to highlight the NIBP numeric. Press .
2. Press & to highlight NIBP Auto Mode Interval (mode
must be set to Auto). Press .
3. Press & to highlight desired interval. Press .
 X Series ®

Quick Reference Guide

SpO2 Monitoring (and SpCO and SpMet if equipped)

1. Connect the appropriate sensor cable to
the X Series unit.
2. Apply probe to patient.

The pleth waveform and oxygen saturation

value will automatically appear on the
screen when a signal has been detected.
SpO2 Probe Connection

Changing the Waveform Gain

1. Press & to highlight 06/06/2011 12:34:56 Adult

the Gain Label above the pleth

I, II, 1 cm/mV
II
waveform. Press . III...
2. Press & to highlight 12
the desired waveform size.
CO2
Press . SpO2 1x
SpO2 Size
1x
2x
R 4x
8x

Removing the Pleth Waveform

1. Press & to highlight the 06/06/2011 12:34:56 Adult

Source Label above the pleth I, II, Source

1 cm/mV
II Pads
III...
waveform. Press . I
II
2. Press to highlight Remove. 12 III
aVR
aVL
Press . CO2 aVF
SpO2 V1 x
SpO2
R Resp
CO2
P1
P2
SYNC P3
Insert
Cascade
Remove

Note: You can add the pleth waveform back to the display by
selecting Insert from the Source Label menu or by reconnecting the
sensor to the X Series unit and the patient.
 X Series ®

Quick Reference Guide

Connecting the CO2 Sampling Line

1. Slide open the CO2 inlet port cover on the X Series unit.
2. Insert the fitting at end of the sampling line into the inlet port.
3. Rotate the fitting clockwise to tighten.
4. Attach sampling line to patient or endotracheal tube.

Slide open door & insert fitting Rotate fitting to tighten

Starting CO2 Monitoring

CO2
Press to initiate CO2 monitoring. CO2
Note: A green LED appears when CO2 is on, and the unit
automatically displays the capnogram and the EtCO2 value.

Changing the Waveform Scale

1. Press & to highlight the 06/06/2011 12:34:56 Adult

Scale Label above the CO2 I, II,

II 1 cm/mV
waveform. Press . III...

2. Press & to highlight the 12

desired waveform size. CO2
Press . CO2 Scale
CO2 0 to 60 mmHg
0 to 30 mmHg
R 60 0 to 60 mmHg
0 to 100 mmHg
0 to 150 mmHg
30
SYNC

Changing the CO2 Sweep Speed

1. Press & to highlight the CO2 numeric. Press .
2. Press to highlight the CO2/Resp Sweep Speed. Press .
3. Press & to highlight the desired sweep speed. Press .
 X Series ®

Quick Reference Guide

Enabling Individual Alarms & Setting Alarm Limits

1. Press & to highlight the parameter label for the alarm you
want to set (e.g., HR/PR). Press .
2. Press & to highlight the desired parameter alarm (e.g.,
HR/PR Alarm). Press .
3. Press & to highlight the alarm setting you want to
modify (e.g., HR/PR Upper Limit Enable). Press .
4. Press & to adjust the setting to the desired value
(e.g., On). Press .
5. Press & to highlight the alarm limit you want to modify
(e.g., HR/PR Upper Limit). Press .
6. Press & to adjust the setting to the desired value
(e.g., 120). Press .
Note: An alarm must be enabled (turned on) before the alarm limit
can be adjusted.
HR/PR

Lower Upper
HR/PR Alarm 50 120
Extreme Brady/Tachy Alarms -10 +20
LTA Monitoring Off
HR/PR Tone Off
HR/PR Selected Source ECG
Current Source ECG
ECG Sweep Speed 25 mm/s

Enabling Multiple Alarms & Setting Alarm Limits

1. Press .
2. Press Limits
to bring up the Alarm Settings Control Panel.
3. Follow steps 2-6 above to enable alarms and set limits.
Note: When any parameter alarm limit is disabled (turned off), the
message SOME ALARM LIMITS DISABLED will appear on the display.

Silencing an Active Alarm

Press to silence an active alarm.
 X Series ®

Quick Reference Guide

Performing Defibrillation
1. Connect therapy (MFC or OneStep™) cable to device.
2. Connect therapy cable to hands-free therapy electrodes.
3. Connect hands-free therapy electrodes to patient.
ENERGY
4. Press SELECT
to select desired energy.

5. Press CHARGE to charge the X Series unit.

6. After the X Series unit is charged, stand clear and press

to deliver energy.
06/06/2011 12:34:56 Adult
00:17:43
200
1 150
I, II, 1 cm/mV
II
III... 120
12 100
85
Disarm
CO 70
2
50
30
IBP 20
15
10
SYNC 9
8
7
6
Defibrillator Selected Energy 5
4
CHARGED 3
Press to Shock 0 120 J 2
1

Disarming the Defibrillator

Disarm
While the X Series unit is charging or charged, press to
safely disarm the energy. Changing the selected energy will also
disarm the X Series unit.

Performing Synchronized Cardioversion

1. Press SYNC to activate Sync mode. Verify sync marker is placed
over the R-wave.
ENERGY
2. Press SELECT
to select desired energy.

3. Press CHARGE to charge the X Series unit.

4. After the X Series unit is charged, stand clear then press and
hold to deliver energy.
 X Series ®

Quick Reference Guide

Starting the Pacer & Changing Pacer Settings

1. Press PACER to bring up the Pacer menu.
2. Confirm Pacer Mode and Pacer Rate.
3. Press & to highlight Start Pacer.
4. Press to begin pacing.
5. Press & to highlight the Pacer Output. Press .
6. Press & to adjust the pacer output until capture occurs,
then decrease the output to the lowest level that still maintains
capture.
7. Press to exit the Pacer menu.
Pacer Settings

Mode Demand
Rate 60
Output 70
Start Pacer
Turn Pacer Off

Pausing the Pacer

1. Press PACER
to bring up the Pacer menu.
2. Press & to highlight Pause Pacer.
3. Press to pause the pacer.

Turning Off the Pacer

1. Press PACER
to bring up the Pacer menu.
2. Press & to highlight Turn Pacer Off.
3. Press to turn the pacer off.

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269 Mill Road Newtonweg 18
Chelmsford, MA USA 6662 PV ELST
01824-4105 The Netherlands 0123