ZOLL Medical Corporation Sales Training

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ZOLL Medical CorporationSales Training
M Series CCT
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M Series CCT Inservice

• Catherine Prophet
• April 2005

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M Series CCT KNOWLEDGE
A defibrillator with physiologic parameters that
lets one continually assess vital signs of
critically ill patients during transport.
A defibrillator with physiologic parameters that
lets one continually assess vital signs of
critically ill patients during transport.
A defibrillator with physiologic parameters that
lets one continually assess vital signs of
critically ill patients during transport.
A defibrillator with physiologic parameters that
lets one continually assess vital signs of
critically ill patients during transport.
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M Series CCT KNOWLEDGE

• The CCT is not a Transport Monitor
• No Central Station
• No Clinical Information System interface
• No telemetry
• No electro-surgical unit immunity
• No arrhythmia analysis
• No wedge pressure calculation
• No real time trending
• No contracts

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M Series CCT KNOWLEDGE

• Who buys a CCT?
• OR/CVOR Anesthesiologist
• CCU/ICU Nurse Manager
• ER Director of ER
• Transport Committee, Code Committee, Equipment
  Committee
• EMS Transport
• Flight Services

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M Series CCT
Standard Configuration

• Advisory Defibrillator
• Rectilinear Biphasic waveform
• 3 Channel, Color VGA LCD
• VGA Output
• XL Battery
• SpO2

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M Series CCT KNOWLEDGE

• In addition to the standard M Series features,
  the M Series CCT option can do the following
• Display three traces simultaneously (Trace 1 is
  always ECG).
• Select which traces display in addition to ECG.
• Connect to an external VGA display.
• Configure displayed parameters by color.
• Include invasive pressure and temperature as
  optional parameters (in addition to M Series
  optional parameters)

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M Series CCT KNOWLEDGE

• CCT Display
• Trace 1 Reserved for ECG Note In defib or
• Trace 2 Determined by user pace modes, only
• Trace 3 Determined by user two traces are
• displayed

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M Series CCT KNOWLEDGE

• Changing Waveform Display
• Press TRACES softkey
• Press SELECT to highlight 3 lead ECG, SET
  TRACE 2 or SET TRACE 3
• Press ENTER
• If 3 lead ECG is selected, Traces 2 and 3 are
  set to ECG with leads based on active lead
• Press LEAD button to change active lead
• Lead Groups I, II, III aVR, aVL, aVF V1, V2,
  V3 V4, V5, V6
• To set Trace 2 or 3, press SELECT to highlight
  desired parameter
• Press ENTER
• VGA Output can be used to display waveforms on
  larger bedside or computer monitor

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M Series CCT KNOWLEDGE

• Enabling VGA Output
• Attach monitor cable to VGA output on front of
  machine
• Press CONTRAST button
• Press ENABLE VGA OUTPUT

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M Series CCT KNOWLEDGE

• Parameter Colors
• The CCT is configured to display each parameter
  according to the following table

Parameter Color ECG Green SpO2 Yellow EtCO2
Blue NIBP White Temp Purple P1 Red P2
Cyan ART Red PA Yellow CVP Cyan ICP White
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M Series CCT KNOWLEDGE

• Invasive Blood Pressure Monitoring
• Select proper transducer
• Connect interface cable to the CCT and to the
  transducer
• Set up transducer and catheter
• Display IBP menu
• Press PARAM softkey to display IBP menu
• Press SELECT to highlight IBP
• Press ENTER
• Zero the transducer (See next slide)

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M Series CCT KNOWLEDGE

• Zeroing the transducer
• Transducer must be zeroed before each use. ZERO
  P1 or ZERO P2 is automatically displayed when
  zeroing is required
• Place transducer at same height as patients
  atrium
• Close transducer stopcock to patient
• Open venting stopcock to atmospheric air. Allow
  a few seconds to settle.
• Press ZERO softkey.
• Press SELECT to highlight the desired pressure
  channel
• Press ENTER
• Verify that the BP displays 0 and that the REZERO
  message does not display
• Close venting stopcock to atmospheric air
• Open the transducer stopcock to the patient

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M Series CCT KNOWLEDGE

• Changing trace labels
• The following labels are available for both P1
  and P2
• ART (arterial pressure)
• PA (pulmonary arterial pressure)
• CVP (central venous pressure)
• ICP (intracranial pressure)
• Display IBP menu
• Press PARAM softkey to display IBP menu
• Press SELECT to highlight IBP
• Press ENTER
• Press LABEL softkey
• Press SELECT to highlight desired label
• Press ENTER

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M Series CCT KNOWLEDGE

• Changing IBP Range
• Changing the range changes the size of the IBP
  waveform
• Display IBP menu
• Press PARAM softkey to display IBP menu
• Press SELECT to highlight IBP
• Press ENTER
• Press RANGE softkey
• Press SELECT to highlight desired pressure
  channel
• Press ENTER
• Press SELECT to highlight desired pressure range
• Press ENTER

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M Series CCT KNOWLEDGE

• Printing IBP Data
• Press RECORDER when IBP waveforms are displayed
  to print
• One or two IBP traces (as displayed on monitor)
• Systolic blood pressure
• Diastolic blood pressure
• Mean pressure
• Time of measurement

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M Series CCT KNOWLEDGE

• Factors Affecting IBP Measurements
• Catheter placement
• Position of transducer stopcock, catheter and
  flush port
• Saline line flushes (temporary interruption)
• Patient movement
• Catheter clogging
• Air bubbles in catheter or transducer dome
• Position of transducer relative to patients
  phlebostatic axis or catheter tip

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M Series CCT KNOWLEDGE

• IBP Transducers Interface Cables
• Abbott 8000-0664-02
• Baxter/Edwards 8000-0665
• Utah Medical 8000-0685
• Becton Dickenson Validated only
• Medex MX90 Validated only
• Utah Medical Transducers 8000-0666

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M Series CCT KNOWLEDGE

• Temperature Probes
• Adult General Reusable 8000-0668
• Adult Skin Reusable 8000-0670
• Pediatric Skin Reusable 8000-0671
• Ped Esoph/Rect Reusable 8000-0669
• Adult Esoph/Rect Disp 8000-0672
• Adult Skin Disp 8000-0673

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M Series CCT KNOWLEDGE

• Monitor Adapters
• Spacelabs No adapter required
• Philips/Agilent/HP 8000-0678 (240)
• GE/Marquette 8000-0679 (240)

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M Series CCT UNDERSTANDING

• Practice In-Service

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M Series CCT UNDERSTANDING

• Key Differentiators
• Smallest lightest transport defibrillator
• Benefit Potential to decrease adverse outcomes
  during critical care transports by having both
  defibrillator and monitored critical parameters
• Question What equipment do you currently take
  with you on critical care transports?
• Question What happens if a patient codes while
  youre in an elevator?
• Benefit Eases compliance with JCAHO requirements
  for continuity of patient care
• Question What equipment do you currently take
  with you on critical care transports?
• Benefit Reduces training costs by having same
  platform as crash cart defibrillators
• All the M Series Parameter benefits

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M Series CCT Offers Solutions

• Tools for Everyone and Every Environment
• Extensive range of M Series options and
  configurations to meet every clinical need.
• Crash Cart
• ED
• Transport
• Cath Lab/EP
• OR
• Low Acuity Units
• EMS
• Flight Service

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A Defibrillator Optimized for Transport

• 20 lighter than nearest competitor, which means
  less energy expended by staff.
• Large 6.5 inch color LCD effectively provides
  vital information to response team as compared
  with typical 5 defib screen.
• XL Battery Pack insures adequate run time, unlike
  other transport devices whose batteries cannot be
  replaced.
• Bed Hooks secures unit in variety of transport
  settings providing easy visibility.
• Options for Pacing IBP/Temp, EtCO2, NIBP and
  12-Lead ECG.
• Upgradeable affording you more flexibility at a
  lower cost.

M Series CCT Transport Defibrillator
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M Series CCT Offers Solutions
Consistency that Builds Confidence and Minimizes
Training
A 20-Year Commitment D900 PD1200 PD1400,
D1400 PD1600, D1600 PD1700 PD2000, D2000 M
Series M Series CCT
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M Series CCT Offers Solutions
Dynamic Error Correction

• Driven by design principles of cockpit safety.
• Issues corrective prompt instead of describing
  error
• ECG LEAD OFF

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M Series CCT Offers Solutions
A Better Way to Collect Performance Data

• Data transfer via PC card technology to RescueNet
  CodeReview for case review and reporting.
• Unit does not have to be removed from service

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M Series CCT Offers Solutions
Automated Compliance with Standards and
Recommendations

• JCAHO Standard TX.8
• Effective resuscitation services are
  systematically available through the hospital.
• d. Appropriate data collection related to the
  processes and outcome of resuscitation and
• Ongoing review of outcomes related to
  resuscitation in the aggregate to identify
  opportunities for improvement of resuscitation
  efforts.
• AHA Guidelines 2000
• Organized collection and review of patient data
  can identify system wide problems and allow
  assessment of each link in the Chain of Survival
  for the adult victim of sudden cardiac death.

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Superior Clinical Results from Better
Technology
Over Fifty Years of Innovation Paul Zoll, M.D.
Professor Emeritus, Harvard Medical School 1952
- First successful clinical use of cardiac
pacing.1956 - First successful use of external
defibrillation.1984 - ZOLL NTP 1000 noninvasive
temporary pacing.1986 - ACLS protocols revised
to include NTP, introduction of pediatric pacing.
1988 - PD 1200 Pacemaker/Defibrillator/Monitor.1
989 - First Adult Multi-Function
Pacing/Defibrillation/ Monitoring Electrode.1991
- PD 1400 Introduced - Smallest and lightest
transport Pacemaker/Defibrillator/Monitor.1992-
ACLS protocols revised to recommend NTP as the
initial treatment for certain serious patient
conditions (Class 1 for profound
bradycardia).1993 - First Pediatric
Multi-Function Pacing/Defibrillation/ Monitoring
Electrode.1994 - First Preconnect statpadz
Multi-Function Electrode with Speed Pack
PD/D 2000 Introduced First fully integrated
Shockable Rhythm Interpretation (Advisory)
Pacemaker/Defibrillator/ Monitor. 1995 -
ZOLL 1600 First fully upgradeable and user
configurable semi-automatic defibrillator.1996 -
ZOLL 1700 First fully integrated Hospital AED for
both ACLS BLS staff.1997 - Introduced First
Pen-computer based 12 Lead System for early
identification of heart attack 1998 - Introduced
M Series complete system for all levels of
resuscitation needs in a single design. 1999 -
ZOLL Rectilinear Biphasic Waveform revolutionizes
defibrillation techniques improving outcomes
in the area of cardioversion, while
lowering energy requirements in all areas. 2000
- ACLS protocols revised to incorporate
low-energy biphasic defibrillation. 2001 -
Introduced M Series CCT as worlds first
comprehensive transport defibrillator. 2002 -
AED-Plus introduced with BLS rescue sequence
prompts.
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M Series CCT Summary

• Designed with transport in mind
• 21 lighter than LP12
• 48 smaller than LP 12
• Helps hospital maintain standard of care
• Ensures proper equipment on transfers
• All the benefits of the M Series

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M Series CCT APPLICATION

• Practice Demo