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Survival, Water, Medical Field Manuals

Military Manuals

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Philips 861290 HeartStart XL+ defibrillator monitor 


sense simplicity 


For resuscitation teams and rapid response teams, the Philips HeartStart XL+ defibrillator/monitor is 


designed with meaningful innovations that help you confidently and effectively respond to patients’ 


needs throughout the hospital environment. 


Hospital cardiac emergencies are often stressful and hectic 
events. You want a defibrillator that is dependable and 
ready to “grab and go” at a moment’s notice. Building on 
the clinical history of Philips defibrillation, the HeartStart 
XL+ will inspire confidence in its ability to respond in 


critical situations. 


The HeartStart XL+ offers advanced and basic life-support 
in a compact, light-weight and easy-to-use defibrillator/ 
monitor. It offers both Manual and AED defibrillation, 
synchronized cardioversion, and arrhythmia detection 
with ECG monitoring through 3- and 5-Lead sets or 
multifunction electrode pads. Options include SpO, and 
Non-invasive blood pressure (NBP) monitoring and 


Pacing. 


The HeartStart XL+ introduces the Patient Category 
button. With one simple press of the Patient Category 
button you can switch from Adult to Infant/Child patient 
category. The device not only quickly and automatically 
adjusts the energy for AED defibrillation but it also 


automatically adjusts all alarm limits. 


AED Mode uses the same SMART Analysis algorithm as 
Philips’ industry-leading AEDs. In AED Mode, with the use 
of the patient category button, the HeartStart XL+ 
simplifies the ability to defibrillate different patient types 
without the need to calculate a dose or special pads to 
reduce energy. AED Mode coaches you with easy to 


understand voice prompts and display messages. 


In Manual Defibrillation Mode, defibrillation is as easy as 1, 
2, 3. The entire process is under your control. After 
assessing the ECG you decide if defibrillation, 
cardioversion or pacing is necessary, select an energy, 


charge and shock. Select cardioversion by simply pressing 


the Sync button. When Sync Mode is active, the Sync 
button lights up and indications appear on the display. 


In optional Pacing Mode, you can perform either Demand 
or Fixed mode transcutaneous pacing with a configurable 
choice of 20 or 40 msec pulse duration. The device also 
allows you to use front panel controls to adjust rate and 


output. 


The HeartStart XL+ is highly configurable such that you 
can configure the energy, number of shocks and CPR time 


to meet your hospital defibrillation protocol needs. 


Viewing and obtaining data from the HeartStart KLF is 
easy. You can view patient parameter Trend Reports on 
the display. The Trend Reports and Event Summaries are 
also available after an event and are easily retrieved. The 
results of all daily, weekly and monthly self-tests and 
Operational Checks are stored in internal memory and 


available for review. 


Data can be copied to a USB Drive for easy transfer to 


event review data management software. 


Since it is part of a larger Philips Healthcare family of 
products, the HeartStart XL+ can help you simplify 
inventory management and reduce inventory costs. The 
device’s supplies and accessories are compatible with 
other Philips defibrillators while the patient monitoring 
cables and sensors are the same ones used with Philips 


patient monitors. 


The HeartStart XL+ is ready. Ready to respond. Ready to 
revive. Ready to review. And ready to meet the needs of 


your organization. 


Features/Upgrades 


Standard Features 


ST/AR Basic algorithm for arrhythmia detection and 
ECG analysis 

SMART Analysis algorithm for making shock decisions 
in AED Mode 

One button push to change from Adult to Infant/Child 
patient category, including alarm limits in all modes 
ECG monitoring through monitoring electrodes and 
defibrillation pads 

“Ouick Look” ECG monitoring through erternal 
paddles 

Synchronized cardioversion with dedicated back-lit 
button 

Adjustable ECG size and autogain 

Manual and AED operation 

3-wave color display 

Strip chart printer (50 mm) 

Individual, adjustable volume of ORS beeper, voice 
prompts and alerts 

Event Summary 

Displayed and printed Trending Reports 
Configuration Mode 

Service Mode 

Operational checks 

Automated self-tests with “Ready For Use” indicator 


Lithium lon battery with fuel gauge 


Optional Features 


SpO2 with Fourier Artifact Suppression Technology 
(FAST) 
Noninvasive Blood Pressure 


Noninvasive Pacing 


Standard Accessories 


Lithium lon Battery with fuel gauge 

Hands-free multifunction electrode cable 

3-Lead ECG trunk cable and lead set 

10 monitoring electrodes 

50mm printer paper 

Defibrillator Test Plug 

Three cable wraps (ECG, pads cable, external paddles) 
Documentation CD containing instructions for use, 
user training material and application notes 

Quick Reference Cards 


Product Ordering Information 
861290 HeartStart XL+ Defibrillator/Monitor 


Option Ordering Information 


A01 SpO,Monitoring 

A02 SpO, and NBP Monitoring 

B01 External Pacing 

C01 External Paddles with PCI 

C02 External Paddles Sterilizable 

C03 USB Data Drive 

C04 Accessory Storage System 

C05 Extra Lithium lon Battery 

C06 Bed Rail/Roll Stand Mounting 

C07 ECG Sync Out Cable 

C08 5-Lead ECG Cable 

LP1 Instructions for Use 

LP3 User Training DVD 

SM1 Service Manual 

wo01 One-year on-site warranty 

W08 Three-year bench repair and loaner 
warranty 

W23 Two-year bench repair and no loaner 
warranty 

W24 Five-year bench repair and loaner 
warranty 

WAI Five-year Biomed Alliance 


861395 SpO, 

861396 NBP 

861397 External Pacing 
861401 Pads Conversion 
861402 External Paddles 
861403 Hardware Platform 
861404 Software Platform 


Supplies 


Multifunction Electrode Pads 


M3501A 


M3504A 
M3713A 
M3716A 
M3717A 
M3718A 


M3719A 


989803166021 
989803158211 
989803158221 
989803139261 


Hands-Free Pads Therapy Cables 


M3507A 


M3508A 


05-10200 


External Paddles 


M3543A 
M4745A 
M4759A 


Internal Switched Paddles 


M4741A 
M4742A 
M4743A 
M4744A 


Internal Switchless Paddles 


M1741A 
M1742A 
M1743A 
M1744A 


A 


Adult/Child Pads, barrel connector, 
AAMI 


Infant Pads, barrel connector, AAMI 
HeartStart Adult/Child Plus Pads 
HeartStart Adult/Child Radiolucent Pads 
HeartStart Infant Plus Pads 


HeartStart Adult/Child 
Radiotransparent/Reduced Skin Irritation 
Pads 


HeartStart Infant Radiotransparent/ 
Reduced Skin Irritation Pads 


HeartStart Adult/Child Preconnect Pads 
HeartStart Adult (1 set) 
HeartStart Adult (5 sets) 


SMART Pads II Adult/Child/Infant 
(for handoff only) 


Defibrillator Pads Hands-Free Cable, 
barrel style (2.2 m/7 ft.) 


Defibrillator Pads Hands-Free Cable, 
plug style (2.2 m/7 ft.) 


Pads Adapter (use with M3507A) 


External Paddles 
Sterilizable External Paddles 


Paddle Electrode Replacement 


7.5cm Switched Internal Paddles 
6.0cm Switched Internal Paddles 
4.5cm Switched Internal Paddles 
2.8cm Switched Internal Paddles 


7.5cm Switchless Internal Paddles 
6.0cm Switchless Internal Paddles 
4.5cm Switchless Internal Paddles 


2.8cm Switchless Internal Paddles 


3-Lead ECG Cables 


M1500A 
M1510A 
M1605A 
M1615A 
M1669A 
M1671A 
M1672A 
M1673A 
M1674A 
M1675A 
M1678A 
M3526A 
M3528A 


3-lead ECG Trunk Cable (AAMI) 
3-lead ECG Trunk Cable (IEC) 

3-lead ECG Set with Snaps (AAMI) 
3-lead ECG Set with Snaps (IEC) 
3-lead ECG Trunk Cable (AAMI/IEC) 
3-lead ECG set grabber (AAMI/ICU) 
3-lead ECG set ICU grabber (IEC) 
3-lead ECG set with snaps (ICU) 
3-lead ECG set with snaps (IEC, ICU) 
3-lead ECG set with grabbers (OR) 
3-lead ECG set, grabber (IEC, OR) 
3-wire lead set and plug, snap (AAMI) 
3-wire lead set and plug, snap (IEC) 


5-Lead ECG Cables 


M1520A 
M1530A 
M1625A 
M1635A 
M1644A 
M1645A 
M1668A 
M1949A 
M1968A 
M1971A 
M1973A 
M1974A 


5-lead ECG Trunk Cable (AAMI) 
5-lead ECG Trunk Cable (IEC) 
5-lead ECG set with snaps (AAMI) 
5-lead ECG set with snaps (IEC) 
5-lead ICU snaps (AAMI) 

5-lead ICU snaps (IEC) 

5-lead ECG Trunk Cable (AAMI/IEC) 
5 plus 5 ECG Trunk Cable (AAMI/IEC) 
5-lead ICU grabber (AAMI) 

5-lead ICU grabber (IEC) 

5-lead OR grabber (AAMI) 

5-lead OR grabber (IEC) 


6-Lead ECG Cables 


M1667A 
M1680A 
M1682A 
M1684A 


6-lead Trunk Cable (AAMI) 
6-lead ICU grabber, limb (AAMI) 
6-lead ICU snap, limb (AAMI) 
6-lead OR grabber, limb (AAMI) 


10-Lead ECG Cables 


M1663A 
M1665A 
M1682A 
M3525A 


10-lead Trunk Cable (AAMI) 

10-lead Trunk Cable (AAMI) 

6-lead ICU snap, limb (AAMI) 

10-lead ECG patient Trunk Cable, 12-pin 


ECG Monitoring Electrodes 


M2202A 


High-Tack Foam ECG Electrodes — 5 
electrodes/pack (60 packs/case) 


ECG Sync Out Cables 


M1783A 
M5526A 


12-pin Sync Cable (8 feet) 
12-pin Sync Cable (25 feet) 


NBP Interconnect Tubing 


M1598B 


M1599B 


Adult Pressure Interconnect Cable 
(1.5m) 


Adult Pressure Interconnect Cable (3m) 


Reusable Blood Pressure Cuffs 


40400A 


40400B 


40401A 
40401B 

40401C 
40401D 
40401E 

M4552B 
M4553B 
M4554B 
M4555B 
M4556B 
M4557B 
M4558B 


M4559B 
M1571A 
M1572A 
M1573A 


M1574A 
M1575A 


M1576A 


Reusable Cuff Kit, 3 sizes (Pediatric, 
Adult, Large Adult) 


Reusable Cuff Kit, 5 sizes (Infant, 
Pediatric, Adult, Large Adult, Thigh) 
Traditional Reusable Cuff — Infant 
Traditional Reusable Cuff — Pediatric 
Traditional Reusable Cuff — Adult 
Traditional Reusable Cuff — Large Adult 
Traditional Reusable Cuff — Thigh 

Easy Care Reusable Cuff — Infant 

Easy Care Reusable Cuff — Pediatric 
Easy Care Reusable Cuff — Small Adult 
Easy Care Reusable Cuff — Adult 

Easy Care Reusable Cuff — Adult Long 
Easy Care Reusable Cuff — Large Adult 
Easy Care Reusable Cuff — Large Adult 
X-Long 

Easy Care Reusable Cuff — Thigh 
Multi-Patient Comfort Cuffs — Infant 
Multi-Patient Comfort Cuffs — Pediatric 


Multi-Patient Comfort Cuffs — Small 
Adult 


Multi-Patient Comfort Cuffs — Adult 


Multi-Patient Comfort Cuffs — Large 
Adult 


Multi-Patient Comfort Cuffs — Thigh 


Disposable Blood Pressure Cuffs 


M1874A 
M1875A 
M1876A 
M1877A 
M1878A 
M1879A 
M4572B 


M4573B 


M4574B 


M4575B 


M4576B 


M4577B 


M4578B 


M4579B 


Disposable Cuff — Infant 

Disposable Cuff — Pediatric 
Disposable Cuff — Small Adult 
Disposable Cuff — Adult 

Disposable Cuff — Large Adult 
Disposable Cuff — Thigh 

Soft Single-Patient Disposable Cuff — 
Infant 

Soft Single-Patient Disposable Cuff — 
Pediatric 

Soft Single-Patient Disposable Cuff — 
Small Adult 

Soft Single-Patient Disposable Cuff — 
Adult 

Soft Single-Patient Disposable Cuff — 
Adult X-Long 

Soft Single-Patient Disposable Cuff — 
Large Adult 

Soft Single-Patient Disposable Cuff — 
Large Adult X-Long 


Soft Single-Patient Disposable Cuff — 
Thigh 


M1131A 


M1132A 


M1133A 


M1191A 
M1191B 
M1191AL 


M1191BL 


M1191T 


M1192A 


M1192T 


M1194A 


M1195A 
M1196A 
M1196T 


M1902B 


M1903B 


M1904B 


M1941A 
M1943A 


M1943AL 


Disposable SpO, Sensor — Adult/ 
Pediatric Finger 

Disposable SpO, Sensor — Pediatric 
Disposable SpO, Sensor — Neonatal/ 
Adult (for adults only - any finger except 
thumb) 

Reusable SpO, Sensor — Adult finger 
Reusable SpO, Sensor — Adult finger 
Reusable SpO, Sensor — Adult finger 
(3m cable) 

Reusable SpO, Sensor — Adult finger 
(3m cable) 

Reusable SpO, Sensor — Adult finger 
(9-pin connector) 


Reusable SpO, Sensor — Pediatric/Small 
Adult 

Reusable SpO, Sensor — Pediatric 
Finger (9-pin connector) 

Reusable SpO, Sensor — Adult/Pediatric 
ear clip 

Reusable SpO, Sensor — Infant 
Reusable SpO, Sensor — Adult clip 
Reusable SpO, Sensor — Adult clip 
(9-pin connector) 

Disposable SpO, Sensor — Infant digit 
(available outside the U.S. only) 
Disposable SpO, Sensor — Pediatric 
Finger (available outside the U.S. only) 
Disposable SpO, Sensor — Adult Finger 
(available outside the U.S. only) 

SpO, Extension Cable (2m) 

Reusable SpO, Sensor Adapter Cable 
(1m) — Use with M1903B/M1904B 
Reusable SpO, Sensor Adapter Cable 


989803167281 HeartStart XL+ Lithium lon Battery 


Data Management 


989803171261 


USB Data Drive 


Accessory Pouches 


989803171281 


989803171291 


One therapy and one monitoring 
accessory system 

Three cable wraps (one each for ECG, 
hands-free therapy cable, external 
paddles) 


Mounting Solutions 


989803171701 
PH-0050-60 


PH-0050-03 


Bed Rail/Roll Stand Hook 
GCX Roll Stand with basket 
(orderable through GCX) 
GCX Flush Wall Mount 
(orderable through GCX) 


Test Loads and Test Plugs 


M1781A 
M3725A 


989803171271 


Adapters 


Test Load for use with M3507A Pad 
Cable 

Test Load for use with M3508A Pad 
Cable 

Defibrillator Test Plug for M3508A 
Cable 


M4740A 
05-10200 


Paper 


For use with internal switchless paddles 


For M3507A. Changes barrel cable to 
flat (removable or permanent) for 
M37xxA pads 


40457C 


40457D 


50 mm Chemical Thermal Paper, gray 
grid (10 rolls) 
50 mm Chemical Thermal Paper, gray 
grid (50 rolls) 


Specifications 


Physical Dimensions 


Size: inches: 11.6W x 9H x 10.9D 
cm: 29.6W x 23H x 27.9D 


Weight: 14.7 lbs/6.6 kg (includes one battery, one 
new roll of paper, one pads cable). 
Incremental weight of external standard 
paddles and paddle tray is less than 3 lbs 
(1.3 kg). 

Standard Within one meter (3 feet) of the device. 

Operator 

Position: 


Power Supply 


Rechargeable Lithium lon battery; AC power using a 
protectively grounded outlet. 


Alarm Tone Maximum - 85 dB(A), 
and Voice Minimum - 45 dB(A). 
Message 


Volume Range: 


Alarm Tone Volumes 


Imminent Continuous tone alternating between 
Shutdown: 1000 and 2100 Hz. 

High Tone of 960 Hz lasting 0.5 sec repeated 
Priority: every second. 

Medium Tone of 480 Hz lasting 1 sec repeated 
Priority: every two seconds. 

Low Tone of 960 Hz lasting 0.25 sec repeated 
Priority: every two seconds. 


Alarm Characteristics 


High Flashing at 2 Hz with 50% duty cycle (a 
Priority: .25-sec flash twice every second). 
Medium Flashing at 0.5 Hz with 50% duty cycle (a 
Priority: 1-sec flash every other second). 

Low Constant on. 

Priority: 


Defibrillator 


Waveform: Biphasic Truncated Exponential. 
Waveform parameters adjusted as a 
function of patient impedance. 

Shock Via multifunction electrode pads or 

Delivery: paddles. 

Shock Series: | Configurable energy escalation in a 
series. 

Leads Off Apply 500nA rms (571Hz); 200uA rms 

sensing and (32K Hz). 


PCI sensing for 
pads/paddles: 
Charge time: 3 seconds to the recommended adult 
energy level (150 Joules) with a new 


fully-charged battery installed. 


Less than 5 seconds to the selected 
energy level (up to 200 Joules) with a 
new fully charged battery installed. 


Less than 15 seconds to the selected 
energy level while connected to AC 
power only. 


The device powers on in manual 
defibrillation mode ready to deliver 
shock in less than 8 seconds plus 
applicable charge time, assuming an 
immediate selection of an energy and 
initiation of a charge, even at 90V AC 
and after 15 maximum energy 
discharges. 


The device powers on in AED mode 

ready to deliver shock in less than 17 

seconds plus applicable charge time. 
Patient Minimum: 25 ohm (external 
defibrillation); 15 ohm (internal 
defibrillation); Maximum: 250 ohm. 


Actual functional range may exceed 


Impedance 
Range: 


these values. 


Delivered Energy Accuracy 


Nominal Delivered Energy 


vs. Load Impedance 


Energy 


1) 
2) 
3J 
4) 
5) 
6) 
7) 
8) 
9) 
10) 
15) 
20) 
30) 
50) 
70) 
100) 
120) 
150) 
170) 
200) 


Load Impedance (ohms) + 2% 


25 
1.2 
1.7 
2.6 
3.5 
4.3 
5.2 
6.1 
6.9 
7.8 
8.7 
13 
17 
26 
43 
61 
87 
104 
130 
147 
173 


50 
1.3 
2.0 
3.0 
4.0 
5.0 
6.0 
7.0 
8.0 
9.0 
10 
15 
20 
30 
50 
70 
100 
120 
150 
170 
200 


75 
1.3 
2.1 
3.1 
4.2 
5.2 
6.3 
7.3 
8.4 
94 
10 
16 
21 
31 
52 
73 
105 
126 
157 
178 
209 


100 
1.2 
2.0 
32 
4.3 
5.4 
6.5 
7.6 
8.6 
9.7 
11 
16 
22 
32 
54 
76 
108 
130 
162 
184 
216 


125 
1.1 
1.9 
3.2 
44 
5.5 
6.6 
7.8 
8.9 
10 
11 
17 
22 
33 
55 
78 
111 
133 
166 
188 
222 


150 
1.0 
1.7 
3.1 
4.5 
5.6 
6.7 
7.8 
8.9 
10 
11 
17 
22 
33 
56 
78 
111 
134 
167 
189 
223 





175 
0.9 
1.6 
Deg) 
43 
5.4 
6.5 
7.6 
8.7 
9.8 
11 
16 
22 
33 
54 
76 
108 
130 
163 
184 
217 


Delivered Energy accuracy is +10% or +1] whichever is greater 
for all energy settings. 


Smart Biphasic Waveform at 200) 


2500 


2000 


1500 


into 25-175 Ohms 





1000 


500 








Voltage (V) 


-500 


-1000 


-1500 











Manual Defibrillation 


Manual Output 
Energy 
(Selected): 


Controls: 


Energy 
Selection: 
Charge 
Control: 
Shock 
Control: 
Synchronized 
Control: 


Synchronized 


Shock Timing: 


Indicators: 


Armed 
Indicators: 


1-10, 15, 20, 30, 50, 70, 100, 120, 150, 
170, 200 Joules; maximum energy limited 
to 50) with internal paddles. 

On/Off Therapy knob, Charge, Shock, 
Sync, ECG Lead Select, Patient Selection, 
Print, Mark Events, Reports, Alarms, 
Menu Select, Navigation. 


Front panel Therapy knob. 


Front panel button; button on external 
paddles. 

Front panel button; buttons on external 
or switched internal paddles. 


Front panel Sync button. 


Maximum time from R-Wave detected 
to shock delivered is 25ms, as measured 
with oscilloscope from peak of input 
QRS wave to leading edge of 
defibrillation discharge into a 50 ohm 
test load. 

Text prompts, audio alerts, QRS beeper, 
battery status, Ready For Use (RFU), 
External Power, Sync Mode. 
Charging/charged tones, flashing shock 
button on front of panel and on external 
paddles, energy level indicated on the 
display. 


0 5 10 15 20 





25 —50 —75 100 —125 150 —175 





Time (ms) 


AED Mode ECG and Arrhythmia Monitoring 


AED Energy 
Profile: 


AED Conrrols: 


Text and Voice 
Prompts: 


Indicators: 


Armed 


Indicators: 


ECG analysis: 


Shockable 
Rhythms: 


Shock 
Advisory 
Algorithm 
Sensitivity: 


Shock 
Advisory 
Algorithm 
Specificity: 


150 Joules for Adult/50 Joules for Infant/ 
Child (factory default) nominal into a 50 
ohm test load. 


On/Off, shock. 


Extensive text/audible messages guide 


user through a user-configured protocol. 


Monitor display messages and prompts, 
voice prompts, battery status, RFU, 
external power. 

Charging/charged tones, flashing shock 
button, energy level indicated on the 
display. 

Evaluates patient ECG and signal quality 
to determine if a shock is appropriate 
and evaluates connection impedance for 
proper defibrillation pad contact. 
SMART Analysis is designed to shock 
ventricular fibrillation, ventricular flutter 
and polymorphic ventricular tachycardia. 
It is designed to avoid delivering a shock 
for rhythms that are commonly 
accompanied by a pulse or rhythms that 
would not benefit from an electrical 
shock. 


Meets AAMI DF39 requirements and 
AHA recommendations; Adult: 
Ventricular Fibrillation - 90% with lower 
confidence limit (LCL) of 87 %, 
Polymorphic Ventricular Tachycardia 
and Ventricular Flutter - 75% with LCL 
of 67 %; Infant/Child: Ventricular 
Fibrillation - 90% with LCL of 87 %. 
Meets AAMI DF39 requirements and 
AHA recommendations; Normal Sinus 
Rhythm - 99% with LCL of 97%; Asystole 
- 95% with LCL of 92%; Other non- 
shockable Rhythms - 95% with LCL of 
88%. 


Inputs: 


Lead Fault: 


Pad Fault: 


Heart Rate 
Display: 


Heart Rate/ 
Arrhythmia 


Alarms: 


Common 
Mode 
Rejection: 


ECG Size: 


ECG 


waveforms: 


ECG Leads Off 
Sensing: 
Maximum 
T-Wave 


amplitude: 


Frequency 


Response: 


Up to 3 ECG waves may be viewed on 
the display and up to 2 waves printed 
simultaneously. Lead I, Il or Ill is obtained 
through the 3-wire ECG cable and 
separate monitoring electrodes. With a 
5-Lead ECG cable, leads aVR, aVL, aVF 
and V can also be obtained. Pads ECG is 
obtained through two multifunction 
electrode pads. 

Messages and dashed lines appear on the 
display if an electrode or lead becomes 
disconnected. 

Dashed line appears on the display if a 
pad becomes disconnected. 

Digital readout on the display from 16 to 
300 bpm (Adult Patient Category) or 16 
to 350 bpm (Infant/Child), with an 
accuracy of +10% or +5 bpm whichever 
is greater. 

HR high/low, Asystole, VFIB/V-TACH, 
VTACH, Extreme Tachy, Extreme 
Brady, PVC rate, Pacer Not Capture, 
Pacer Not Pacing. 

105 dB for Leads ECG, 96 dB for pads 
ECG. 


1/4x, 1/2x, 1x, 2x, 4x, auto gain (1x gain 
is 10mm/mV on the printed strip). 
Displayed at a fixed timebase of 25 mm/ 
sec (printer) +5%, 20 mm/sec (display) 
+10%. 

3- and 5-Lead wires apply a 30nA DC 
current. 

Device rejects up to 80% of R-Wave 
amplitude for synchronized 
cardioversion; up to 55% of R-Wave 
amplitude for demand pacing; up to 34% 
of R-Wave amplitude for arrhythmia 
analysis. 

ECG AC Line Filter - 50 Hz or 60 Hz; 
ECG for Display - 0.15-40 Hz, 0.05-40 
Hz; ECG for Printer - 0.05-150 Hz 
Diagnostic, 0.15-40 Hz, 0.05-40 Hz. 


ECG and Arrhythmia Monitoring ECG and Arrhythmia Monitoring 


Heart rate 
accuracy and 
response to 
irregular 
rhythm: 


Heart rate 
averaging: 


Pace Pulse 
Detection 
Sensitivity: 
ECG Analog 
Output 
Bandwidth: 
ECG Analog 
Output Gain: 
ECG Analog 
Output Delay: 
Pacemaker 
Pulse 
Rejection 
Capability: 
Heart Rate 
Response 
Time: 

Time to Alarm 
for 
Tachycardia: 


Meets AAMI standard for ventricular 
bigeminy (HR = 80 bpm); slow 
alternating ventricular bigeminy (HR=60 
bpm); rapid alternating ventricular 
bigeminy (HR=120 bpm); bidirectional 
systoles (HR=90 bpm) as measured after 
a 20 sec stabilization time. 

For heart rates > 50 bpm, heart rate is 
determined by averaging the 12 most 
recent R-R intervals. Beats N, P, and V 
are included. When heart rate drops 
below 50 bpm, the four most recent R-R 
intervals are used in the average. Note: 
For ventricular tachycardia alarms, which 
have a user-definable PVC run length 
limit, the heart rate is based on the user- 
selected PVC length up to 9 PVCs 
maximum. 

1 mV for a width of 100 ps; 200 uV for a 
500 us width and 200 uV for widths of 
500 us to 2 ms. 


0.5 to 70 Hz 


1v output per 1mV input +10% 


Propagation delay time is <35ms from 
ECG input to ECG analog output. 
Amplitude from + 2 mV to + 700 mV, 
width from 0.1 ms to 2.0 ms as per 
ANSI/AAMI EC 13: 2002 4.1.4.1. 


7 sec (80-120 bpm); 6 sec (80 to 40 
bpm) 


3 sec for 206 bpm (1 mV, halved 
amplitude and double amplitude) and 
195 bpm (2 mV, halved amplitude and 
double amplitude) as measured following 
a normal 80 bpm rate with upper alarm 
limit set at 100 and lower alarm limit set 
at 60 bpm. 


Patient 
Isolation 
(Defibrillation 
Proof): 

Other 


consideration: 


Battery 
Type: 


Dimensions: 


Weight: 
Charge time 
with device 
turned off and 
AC power 
connected: 
Charge time 
with device on 
and AC power 
connected 
Life: 


Lead ECG, SpO2, NBP and Internal 
Paddles: Type CF 


Pads/Paddles: Type BF 


The HeartStart KLF is suitable for use in 
the presence of electrosurgery. Burn 
hazard protection is provided via a 1K 
current-limiting resistor contained in 
each ECG lead wire. Proper lead 
placement is important to reduce burn 
hazards in the event of a defect in the 


electrosurgical equipment. 


Rechargeable, Lithium lon; See battery 
label for capacity information. 

23.6mm (H) x 116mm (W) x 146 mm 
(L); 1 in (H) x 4.5 in (W) x 5.7 in (L) 
Approximately .68kg (1.5 lbs) 

With the temperature between 0-35” C 
(32-95° F), less than 3 hours to 100% 
capacity; less than 2 hours to 80% 


capacity. 


Charge time is less than 10 hours. 


Depends on frequency and duration of 
use. When properly cared for and used 
in its intended environment, the useful 
life is approximately 3 years. Use outside 
those conditions can significantly reduce 
battery life. 


Capacity: 


Battery 
Indicators: 


Battery 
Storage: 


With a new fully charged battery, at 20 
°C (68 °F), one of the following: At least 
3 hours of monitoring (ECG and SpO2 
monitored continuously and NBP 
sampled every 15 minutes) followed by 
20 full-energy charge/shocks; OR at least 
two hours of pacing (180ppm at 140mA 
with 40 msec pulse width) while 
monitoring (ECG and SpO2 monitored 
continuously and NBP sampled every 15 
minutes) followed by 20 full-energy 
charge/shocks; OR at least 175 full- 
energy charge/shocks. 

Battery gauge on battery, capacity 
indicator on display, power indicators on 
front of device; flashing RFU indicator, 
chirp and Low Battery messages on the 
display for low battery condition. When 
a low battery message first appears there 
is still enough energy for at least 10 
minutes of monitoring and 6 maximum 
energy discharges. 

Storing the battery for extended periods 
at temperatures above 40° C (104° F) 
reduces battery capacity and degrades 
battery life. 


Continuous 
ECG Strip: 


Auto Printing: 


Reports: 


Speed: 
Amplitude 
Accuracy: 


Paper Size: 


The Print key starts and stops the strip. 
The printer can be configured to be run 
real time or with a 10-second delay. The 
strip prints the primary ECG lead and a 
second wave with event annotations and 
measurements. 

The printer can be configured to 
automatically print on Mark Events, 
Charge, Shock and Alarm. 

The following can be printed: Event 
Summary (Long or Short), Vital Signs 
Trends, Operational Check, 
Configuration, Status Log, Device 
Information. 

25 mm/s with an accuracy of +5%. 

5% for offset voltages of + 300 mV at 
5Hz. 

50 mm (W) x 30 m (L) 


Pacing 


Waveform: 
Current Pulse 


Amplitude: 


Pulse 
Duration: 


Rate: 


Mode: 
Refractory 
Period: 


Monophasic. 

10 mA to 200 mA if the pulse width is 
set to 20ms (5 mA increments); accuracy 
+10% or +5 mA whichever is greater. 
For a 40ms setting, the maximum pacing 
current is 140mA. 


20 or 40 msec with +10% accuracy. 


30 ppm to 180 ppm (10 ppm 
increments); accuracy +1.5% 

Demand or Fixed. 

340 msec (30 to 80ppm); 240 msec (90 
to 180 ppm) +10%. 


Measurement 
Range: 
Resolution: 
Update Period: 
Ambient Light 
Sensitivity: 


Alarm Range: 


SpO, and Pulse 
High/Low 
Alarm Signal 
Generation 
Delay: 
Response 
Time (90 to 80 
%): 

SpO, and Pulse 
Averaging 
Time: 

Emitted Light 
Energy: 
Wavelength 
Range: 


0-100% 


1% 

1-2 sec typical; maximum of < 30 sec 
Interference from fluorescent light is 
<2% SpO2 under the following 
conditions: 0.3 and 1% perfusion, 50 nA/ 
mA transmission, 10 to 1000 Ix light 
intensity, 50/60Hz power line frequency 
+0.5 Hz line frequency. 

Low Limit: 50-99% (Adult and Infant/ 
Child); High Limit: 51-100% (Adult and 
Infant/Child) 


10 seconds 


Average 18.9 seconds, standard 
deviation 0.88 seconds 


10 sec 


<15 mW 


500-1000 nm (Information about 
wavelength range can be useful to 
clinicians, especially those performing 
photodynamic therapy.) 


Desat Alarm 
Signal 
Generation 
Delay: 

Pulse Rate 
Measurement 
Range: 

Pulse Rate 
Resolution: 
Pulse Rate 
Accuracy: 
Pulse 
Response 
Time (90 to 
120 bpm): 
Pulse Alarm 
Range: 


Accuracy with sensors (1 standard deviation 70-100%): 


+ 2%: 


+ 3%: 


Systolic 
Pressure 
Range: 
Diastolic 
Pressure 
Range: 

Mean Pressure 
Range: 
Systolic Alarm 
Range High: 
Systolic Alarm 
Range Low: 
Diastolic 
Alarm Range 
High: 
Diastolic 
Alarm Range 
Low: 


20 sec 


30-300 bpm 


5 bpm 


2% or 1 bpm whichever is greater 


Average 18.0 seconds, standard 
deviation 0.86 seconds. 


Low Limit: 30-295 (Adult and Infant/ 
Child); High Limit: 35-300 (Adult and 
Infant/Child) 


M1132A, M1133A, M1191A, M1191B, 
M1191AL, M1191BL, M1192A. 
M1131A, M1191T, M1192T, M1194A, 
M1195A, M1196A, M1196T, M1902B, 
M1903B, M1904B. 


Adult: 40-260 mmHg/5-35 kPa; 
Infant/Child: 40-160 mmHg/5-21 kPa 


Adult: 20-200 mmHg/2-27 kPa; 
Infant/Child: 20-120 mmHg/2-16 kPa 


Adult: 26-220 mmHg/3-30 kPa; 
Infant/Child: 26-133 mmHg/3-18 kPa 
Adult: 45-260 mmHg/6-35 kPa; 
Infant/Child: 45-160 mmHg/6-22 kPa 
Adult: 40-255 mmHg/5-34 kPa; 
Infant/Child: 40-155 mmHg/5-21 kPa 
Adult: 25-200 mmHg/3-27 kPa; 
Infant/Child: 25-120 mmHg/3-16 kPa 


Adult: 20-195 mmHg/2-26 kPa; 
Infant/Child: 20-115 mmHg/2-15 kPa 


Mean Alarm 
Range High: 
Mean Alarm 
Range Low: 
Pulse Rate 
Range: 

Initial 
Pressure: 
Maximum 
Pressure: 
Overpressure 
Safety Limits: 
Cuff Inflation 
Time: 
Pressure 
Transducer 
Accuracy: 
Auto Mode 
Repetition 
Time: 
Maximum 
Measurement 
Time: 
Interconnect 
Tube Length: 
Recommended 
Frequency of 
Pressure 
Transducer 
Calibration: 


Display 


Size: 


Type: 


Resolution: 
Sweep Speed: 


Wave Viewing 
Time: 


Adult: 30-220 mmHg/4-30 kPa; 
Infant/Child: 30-135 mmHg/4-18 kPa 


Adult: 25-215 mmHg/3-29 kPa; 
Infant/Child: 25-130 mmHg/3-17 kPa 


30 to 220 bpm 


160 mmHg, 21 kPa (adult); 120 mmHg, 
16 kPa (Infant/Child); 


300 mmHg; 40 kPa 


300 mmHg; 40 kPa 


75 sec maximum 


+3 mmHg over the range 1-300 mmHg/ 
.1-40 kPa 


1, 2.5, 5, 10, 15, 30, 60 or 120 min 


120 sec 


M1598B Connect tubing 1.5 m (4.92 ft.); 
M1599B Connect tubing 3.0 m (9.24 ft.) 


Yearly 


Approximately 6.5 in (16.5 cm) diagonal 
viewing area. 

Color TFT LCD 

640 x 480 pixels (VGA) with 32 
brightness levels per color 


20 mm/s nominal (stationary trace; 
sweeping erase bar) for ECG and SpO, 
5.2 sec 


Environmental 


Temperature: 


Humidity: 
Atmospheric 
Pressure 
Range: 
Shock - 
operating: 
Shock - 


non-operating 


Water/Solids 
Ingress 
Resistance: 


EMC: 


Safety: 


Mode of 
Operation: 


AC Line 
Powered: 


Battery 
Powered: 


Other 


considerations: 


0°C to 45°C (32°F to 113°F) operating; 
20°C to 70°C (-4°F to 158°F) storage 
Up to 95% relative humidity 


Operating and Storage - 1014 mbar to 
572 mbar (0 to 15,000 ft; 0 to 4,500 m) 


Half-sine waveform, duration <11ms, 
acceleration > 15.3 G, 3 shocks per face 
Trapezoidal waveform, acceleration 
30G, velocity change 7.42 m/s +10% 1 
shock per face 


Meets Ingress Protection level IP21 


Complies with the requirements of 
standard EN 60601-1-2:2002 

Meets UL 60601-1 (1st edition), EN 
60601-2-4:2003, EN 60601-1:1990 


Continuous 


100-240 VAC, 50 or 60 Hz, 1-0.46A, 
Class | Equipment 

Minimum 14.4 V, Rechargeable Lithium 
lon 

The HeartStart XL+ is not suitable for 
use in the presence of concentrated 
oxygen or a flammable anesthetic 
mixture with air, oxygen. or nitrous 
oxide. Hazards arising from software 
errors were minimized by the product's 
compliance with the software 
requirements contained in EN 60601-1- 
4:1996. 


Environmental 


Vibration 
Operating 
Random: 


Vibration 
Non- 
Operating 
Swept Sine 
Vibration 
Non- 
Operating 
Random: 


Frequency: 10-100, PSD (m/s2)2/Hz 1.0 
Frequency: 100-200, Slope (dB/octave): 
-3.0 

Frequency: 200-2000, PSD 0.5 
Frequency: 10-57, Amplitude + .15 mm; 
Frequency: 57-150, Amplitude 2g 


Frequency: 5-500 Hz, PSD: 0.0117 g2/Hz, 
Acceleration: ~ 2.41 Grms 


Patient Data Storage 


Internal Event 
Summary: 


The Internal Event Summary stores up 
to 8 hours of data per event. The 
number of events that can be stored is 
related to the duration of each individual 


event. 


USB Device 


Correct Drive: Use the USB Drive that accompanied 


your device. If it is not available, use a 
USB device that is USB 2.0 compatible 
and is < 32 gigabytes. 


Philips Healthcare is part of 
Royal Philips Electronics 


How to reach us 
www.philips.com/healthcare 


[email protected] 


Asia 
+49 7031 463 2254 


Europe, Middle East, and Africa 
+49 7031 463 2254 


Latin America 
+55 11 2125 0744 


North America 
+1 425 487 7000 
800 285 5585 (toll free, US only) 


Trademarks and trade names 
are those of their respective 


owners. 


Please visit www.philips.com/heartstart 


© 2011 Koninklijke Philips Electronics N.V. 


PHILIPS 


All rights are reserved. 


Philips Healthcare reserves the right to make changes in specifications or to discontinue any product at any time without notice or 
obligation and will not be liable for any consequences resulting from the use of this publication. 


Printed in The Netherlands. 
4522 962 71361 * JUL 2011