Physio-Control LIFEPAK 20e Defibrillator / Monitor

Physio-Control LIFEPAK 20e Defibrillator / Monitor Features

• Seven operating modes available.
• This LIFEPAK can be used with the CodeManagement Module for wireless connectivity.
• Can perform readiness self-checks for battery power.
• Compact for crash cart use.

Physio-Control LIFEPAK 20e Defibrillator / Monitor Specifications

Physical Characteristics

• Weight:
  • Fully featured defibrillator/monitor (pacing, Sp02 and door, without paper or cables) 5.58 kg (12.3 lbs)
  • QUIK-COMBO® cable: 0.20 kg (.43 lbs)
  • Standard (hard) paddles: 0.88 kg (1.95 lbs)
  • For SpO2 cable and standard re-usable sensor, add: 0.11 kg (0.25 lbs)
  • For full roll of 50mm paper, add: 0.09 kg (0.20 lbs)
• Height: 21.3 cm (8.4 in)
• Width: 26.2 cm (10.3 in)
• Depth: 26.2 cm (10.3 in)

Display

• Size (active viewing area): 115.18 mm (4.53 in) wide x 86.38 mm (3.4 in) high
• Resolution: 320 x 240 dot color active LCD. Displays a minimum of 3.7 seconds of ECG and alpha numeric for values, device instructions or prompts. Option to display one additional waveform.
• Waveform display sweep speed: 25 mm/sec for ECG and SpO2.

Power

• AC Powered: 100–120 VAC 50/60Hz, 220–240 VAC 50/60 Hz, total power draw less than 120 Volt-Amperes (VA).
• Battery Charge Time: <4 hours when device is powered off and AC power is applied.
• Low Battery Indication and Message: When the device is unplugged from AC power, it switches to battery. When the battery gets low, the battery status indicator displays one yellow segment and a “low battery” message and warning tone occurs. Shortly thereafter the status indicator displays one flashing red segment, the “low battery; connect to AC power” message appears, and a warning tone occurs.
• Service Indicator: LED illuminates when error is detected.

Monitor

• ECG: 
  • Lead Selection:
    • Leads I, II and III, (3-wire ECG cable)
    • Leads I, II, III, AVR, AVL, and AVF, V (c) acquired simultaneously, (5-wire ECG cable)
  • ECG size: 4, 3, 2.5, 2, 1.5, 1, 0.5, 0.25 cm/mV
  • Heart Rate Display: 20–300 bpm digital display
  • Out of Range Indication: Display symbol “---” Heart symbol flash for each QRS detection
  • Continuous Patient Surveillance System (CPSS): In AED mode, while Shock Advisory System™ is not active, CPSS monitors the patient via QUIK-COMBO paddles or Lead II ECG for potentially shockable rhythms.
  • Voice Prompts: Used for selected warnings and alarms (Configurable On/Off).
  • Analog ECG Output: 1 V / mV x 1.0 gain < 35 ms delay.
  • Common Mode Rejection: 90 db at 50/60 Hz.
• SpO2:
  • Saturation Range: 1 to 100%.
  • Saturation Accuracy: 70–100% (0–69% unspecified).
  • Adults/Pediatrics:
    • +/- 2 digits (during no motion conditions).
    • +/- 3 digits (during motion conditions).
  • Neonates:
    
    • +/- 3 digits (during no motion conditions).
    • +/- 3 digits (during motion conditions).
    • Dynamic signal strength bar graph.
    • Pulse tone at the onset of the pleth waveform.
  • SpO2 Update Averaging Rate: User selectable 4, 8, 12 or 16 seconds.
  • SpO2 Measurement: Functional Sp02 values are displayed and stored.
  • Pulse Rate Range: 25 to 240 pulses per minute.
  • Pulse Rate Accuracy: (Adults/Pediatrics/Neonates).
    • +/- 3 digits (during no motion conditions).
    • +/- 5 digits (during motion conditions).

Alarms

• Quick Set: Activates alarms for all parameters.
• VF/VT Alarm: Activates continuous CPSS monitoring in Manual Mode.

Printer

• Paper size: 50 mm (2.0 in).
• Print speed: Continuous ECG 25 mm/sec +/- 5% (measured in accordance with AAMI EC-11, 4.2.5.2).
• Delay: 8 seconds.
• Autoprint: Waveform events print automatically (user configurable).
• Print Speed for CODE SUMMARY Reports: 25 mm/sec.

Frequency Response

• Diagnostic: 0.05 to 150 Hz or 0.05 to 40 Hz (user configurable).
• Monitor: 0.67 to 40 Hz or 1 to 30 Hz (user configurable).
• Paddles: 2.5 to 30 Hz.
• Analog ECG Output: 0.67 to 32 Hz (except 2.5 to 30 Hz for paddles ECG). 

Pacer

• Pacing Mode: Demand or nondemand rate and current defaults (user configurable).
• Pacing Rate: 40 to 170 ppm.
• Rate Accuracy: +/- 1.5% over entire range.
• Output Waveform: Monophasic, amplitude stable to +/- 5% relative to leading edge for currents greater than or equal to 40 mA, Duration 20 +/- 1 ms, Rise/Fall times <= 1 ms [10–90% levels].
• Output Current: 0 to 200 mA.
• Pause: Pacing pulse frequency reduced by a factor of 4 when activated.
• Refractory Period: 200 to 300 ms +/- 3% (function of rate).

Environmental

• Temperature, Operating: 5 to 40° C (41 to 104°F).
• Temperature, Nonoperating: -20 to +60° C (-4 to +140° F) except therapy electrodes.
• Relative Humidity, Operating: 5 to 95%, noncondensing.
• Atmospheric Pressure, Operating: Ambient to 522 mmHg (0 to 3,048 meters) (0 to 10,000 feet).
• Water Resistance, Operating (without accessories.except for ECG Cable and hard paddles): IPX1 (spillage) per IEC 60601-1.
• Vibration: MIL-STD-810E Method 514.4, Cat 1.
• Shock (Drop): 1 drop on each side from 45.7 cm (18 in.) onto a steel surface.
• EMC
  
  • IEC 60601-1-2/EN 60601-1-2, Medical Equipment-General Requirements for Safety-Collateral Standard: Electromagnetic Compatibility-Requirements and Tests.
  • IEC 60601-2-4/EN 60601-2-4; Particular Requirements for the Safety of Cardiac Defibrillators and Cardiac Defibrillator Monitors.

Defibrillator

• Waveform: Biphasic Truncated Exponential. The following specifications apply from 25 to 200 ohms, unless otherwise specified.
• Energy Accuracy: ±1 joule or 10% of setting, whichever is greater, into 50 ohms ±2 joule or 15% of setting, whichever is greater, into any impedance from 25–100 ohms
• Voltage Compensation: Active when disposable therapy electrodes are attached. Energy output within ± 5% or ± 1 joule, whichever is greater, of 50 ohm value, limited to the available energy which results in the delivery of 360 joules into 50 ohms.
• Paddle Options:
  • QUIK-COMBO pacing/defibrillation/ECG electrodes (standard).
  • Standard adult paddles with embedded pediatric paddles (optional).
  • Internal handles with discharge control (optional).
• Cable length: 2.4 meter (8-foot) long QUIK-COMBO cable (not including electrode assembly).
• MANUAL
  • Energy Select: 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 30, 50, 70, 100, 125, 150, 175, 200, 225, 250, 275, 300,325, and 360 joules and user configurable sequence of 100–360, 100–360, 100–360 joules.
  • Charge Time:
    • Charge time to 200 J <5 seconds with fully charged battery.
    • Charge time to 360 J <7 seconds with fully charged battery.
    • Charge time to 360 J <10 seconds while not in low battery operations.
  • Synchronized Cardioversion:
    • Energy transfer begins within 60 ms of the QRS peak.
    • Energy transfer begins within 25 ms of the External Sync Pulse.
    • External Sync Pulse; 0–5V (TTL Level) Pulse, active High, > 5 ms in duration, no closer than 200 ms apart and no further than 1 second apart.
• AED
  • Shock Advisory System is an ECG analysis system that advises the operator if the algorithm detects a shockable or nonshockable ECG rhythm. The shock advisory system acquires ECG via therapy electrodes only.
  • Shock Ready Time: Using a fully charged battery at normal room temperature, the device is ready to shock within 16 seconds of power on, if initial rhythm finding is “Shock Advised”
  • The AED mode of the LIFEPAK 20e defibrillator/monitor is not intended for use on children less than 8 years of age.
    
    • User configurable protocol of three sequential shock levels, each 150-360 Joules.
  • cprMAX technology Setup Options (items marked with * are default settings):
    • Stacked Shocks: Off*, On.
    • Initial CPR: Off*, Analyze First, CPR First.
    • Preshock CPR: Off*, 15, 30 seconds.
    • Pulse Check: Never*, After Second No Shock Advised, After Every No Shock Advised, Always.
    • CPR Time 1 & 2: 15, 30, 45, 60, 90, 120*, 180 seconds, 30 minutes.
    • Motion Detection: On* or Off.
    • Auto Analyze: Off* or After First Shock.
    • Users should refer to the LIFEPAK 20e defibrillator/monitor operating instructions for details on how to customize the configuration of their devices to hospital protocols.

Physio-Control LIFEPAK 20e Defibrillator / Monitor Accessories

These are commonly purchased accessory items for the LIFEPAK 20e Defibrillator / Monitor. Please note that these are NOT included with purchase of the defibrillator. They are sold separately.

• #11996-000017: EDGE System Electrodes with QUIK-COMBO Connector (42" leadwire length).
• #11140-000015: LIFEPAK 20e AC Power Cord.
• #11141-000112: LIFEPAK 20e Lithium-Ion Rechargeable Internal Battery.
• #11141-000162: LIFEPAK 20e CodeManagement Module Lithium-ion Battery.
• #11150-000018: LIFEPAK 20e Defibrillator CodeManagement Module - Wireless.
• #11150-000019: LIFEPAK 20e Defibrillator CodeManagement Module - Wireless and Capnography.
• #11260-000045: LIFEPAK 20 / 20e Carry Case.
• #21330-000996: LIFEPAK 20 / 20e Docking Station.
• #11130-000037: LIFEPAK 20e Standard Adult Detachable Hard Paddles.
• #11998-000320: Ambu Res-Cue First Responder Kit - With Disposable CPR Barrier.
• #11998-000321: Ambu Res-Cue First Responder Kit - With Reusable CPR Barrier, Valve, and Filter.

Physio-Control LIFEPAK 20e Defibrillator / Monitor Literature

Stryker Emergency Care Customer Guidance for Cleaning - COVID-19

Physio-Control LIFEPAK 20e Defibrillator / Monitor Brochure

Physio-Control LIFEPAK 20e Defibrillator / Monitor Operating Instructions