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Defibrillator KMR DFM-700 Monitor

Defibrillator KMR DFM-700 Monitor

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Description

The defibrillator the KMP DFM 700 Monitor is a system with the monitor and a defibrillator which provides expanded functions of monitoring and procedures during bad heart attack with use of 4 modules for work: the option Monitor with an oksimetriya of pulse (SpO2), the Manual defibrillator, a semi - automatic defibrillator (option) and a pacemaker (option). This easy portable device developed taking into account the last technical developments in the field of a defibrillation (for example, a modern two - phase signal).

At the device the wide big display allowing to see not only a signal of an ECG, but also parameters of monitoring and the patient and the device, the message of the prevention and message - the instruction for the user. In the mode the signal through 4, 5 or 10 assignments cables of the patient or by means of external one - time plates for adults or children or through one - time multifunction electrodes can make observations of KMP DFM 700. In the mode of a manual defibrillation if the Category is necessary for the patient, then it is easy to make it three operations: 1 - The choice of level of energy, 2 - Charging, 3 - the Category.

During the work in the semi - automatic mode the device analyzes an ECG of the patient and defines whether it is necessary to defibrillate a cordial rhythm and if it is necessary, then will provide to the user of team for work of the Category. During all process the device shows messages on the display and transmits voice messages through the special device the speaker located on the front panel of the device, the Speaker reports actions for the operator of the device, it means that for work on the device it is necessary to pass basic training in this mode.
The pacemaker mode (additional) provides noninvasive endocardial stimulation, delivering a rhythm through one - time electrodes of multifunction devices.
The device has a recorder of high resolution which the user can configure, it is possible to unpack forms of waves and operating modes.
In addition to these modes oriented to the patient the device has the special starting mode which provides direct access to the configuration mode in which the user can change and configure settings of control of operations of the device for convenience of work with the device.
The device KMP DFM 700 can work at NiMH batteries which can be recharged, also it can be connected to the alternating current main or to the automobile accumulator. The indicator of the status of the battery constantly is shown in upper part of the display. Also at connection of the device to an external energy source the battery is automatically recharged irrespective of, the device is connected or not.

PREVENTION: if supply with energy is interrupted more than for 30 seconds, then after energy inclusion the device turns on in the same mode which was set at a configuration. If interruptions in energy were less than for 30 seconds, then values of the parameters set by the user remain.
The device KMP DFM 700 carries out a series of tests on self - examination at turning on of the device and in operating time that allows to find malfunctions in system of work or some problems which can lead to interruptions in operation of the device and will make it unsafe. The indicator of malfunctions located on the front panel of the device shows the found mistake, also messages on it appear on the display.
The device can also carry out various tests at the request of the user, using configuration mode options.
Also  the device KMP DFM 700 has an option of automatic saving information on an external memory card (USB stick). These data include an ECG of the patient, an event, the actions happening in a usage time of the device and audiosignals (in addition) and also background noise. In addition to this information 100 last actions which happened in a device usage time are stored in memory, they are grouped in use options.

All this information can be loaded, seen and kept, using the VISOR ECG CONTROL program.

Monitoring 
The mode of supervision/monitoring allows to look through the patient's electrocardiogram during 4,5 sec. (9 sec. in the cascade mode) transferred on a cable of the patient of 4, 5 and 10 assignments, on reusable external plates or on one - time multifunction electrodes.
PREVENTION:  in different conditions, such hemoglobin saturation by other components (not oxygen), the hypothermia, movement of the patient, nail varnish and additional lighting can cause the wrong reading an oksimetriya of pulse.

Defibrillation:
Defibrillation - the only effective way of treatment for the heart attack caused by the wrong rhythm which can be defibrillated. In this case the cardiac muscle fights in the wrong rhythm, having the polarizing and stressful effect, emergence of this rhythm can be caused by the numerous reasons.
The device makes the defibrillatory category by means of the two - phase impulse of pulse truncated exponents. This energy moves to the patient via reusable external panels or through one - time multifunction electrodes which are connected to the device and the bared thorax of the patient.

Mode of a manual defibrillation:
Manual or asynchronous defibrillation this primary action for the patients suffering from attacks of fibrillation of ventricles (VF) and pulse of the ventricular tachycardia (VT). It is inexpedient to be carried out for the patients suffering from an asystolia, and in general for patients with one or several of the below - stated symptoms:

  • The patient in consciousness
  • Pulse is probed
  • Breathes constantly

Semi - automatic fibrillation (in addition) 
It is necessary to connect only adult patients who have symptoms of heart attack to the device working in the mode of a semi - automatic defibrillation, namely:

  • Unconscious patient,
  • Pulse is not probed
  • The patient does not breathe

Synchronized cardioversion 
Synchronized cardioversion this recommended action at treatment of the patients suffering from attacks of fibrillation of auricles. The device KMP DFM 700 during the work in the mode of synchronized cardioversion makes two phase defibrillatory category with R wave on the patient's ECG (right after it).

Technical characteristics:

MONITOR
ECG Supervision by means of 4, 5 and 10 assignment of a cable, reusable internal and external plates and one - time multifunction electrodes
Assignments 4 veins. cable: PLATES, I, II, III, aVR, aVL and aVF
5 veins. cable: PLATES, I, II, III aVR, aVL, aVF and V 
10 veins. cable: PLATES, I, II, III, aVR, aVL, aVF and V1 to V6
The indicator without assignments On the display the badge at shutdown or bad connection of assignment will appear 
Amplitude at present connected to the patient for definition without assignment less than 0.5 uA.
ECG size 0.5, 1, 2 and 4 cm / мV chosen from the front panel
ECG speed on the display 25 mm/sec.
Frequency response AC filter (50/60 Hz).
Diagnostics: 0.05 - 150 Hz (only on the printer) 
Filter muscular sokrashcheniyr: 0.67 - 40 Hz (only on the printer) 
Display response: 0.05 - 25gts
ChSS (heart rate) 30 - 300 bpm ± 10% are shown on the display of the device
Accuracy in ChSS and a response to arrhythmia Matches the Standard of Safety of IEC 60601 - 2 - 27: 2005 for a ventricular bigenimiya (ChSS=40 bpm)
Average ChSS For ChSS equal or it is more than 50 bpm, 8 latest R - R of intervals are applied to alignment of ChSS 
For ChSS it is less than 50 bpm, 4 latest R - R of an interval priimenyatsya for alignment of ChSS
ChSS response time From 80 to 40 bpm: 3 seconds; from 80 to 120 bpm: 2 seconds
Alarm signal response time for tachycardia
  • 206 bpm (1 mV): 2 seconds 
  • 206 bpm (half of amplitude): 3 seconds 
  • 206 bpm (double amplitude): 3 seconds 
  • 195 bpm (2 mV): 2 seconds
  • 195 bpm (half of amplitude): 2 seconds
  • 195 bpm (double amplitude): 2 seconds
Ability to reject T - waves Rejects T - waves with the maximum amplitude of 0.7 mV
Alarm signals
  • maximum and minimum ChSS
  • the maximum and minimum SpO2 of % (only for an option with pulsoksimetry)
  • VT/VF alarm (only for devices with an option of a semi - automatic defibrillation)
Suppression of a cophased component > 100 dBs
Simultaneous use of the KMP DFM 700 device with other equipment connected to the patient The KMP DFM 700 device can be used along with the electrosurgical equipment. Defect in a neutral electrode of the electrosurgical equipment does not constitute any danger to the patient as the device provides protection against high - frequency ignitions. This protection leans on the fact that the cable of the patient is isolated through grounding. See Instructions for electrosurgical tools for reduction of risk of ignitions in case of defect of this device.
- Simultaneous use of the KMP DFM 700 device with an outside pacemaker at the patient does not represent risk for the patient. The device can define impulses of QRS of an internal pacemaker as complexes which can be reflected in display of incorrect ChSS.
SPO2 PULSOKSIMETRIYA (OPTION)
Fullness (% SpO2) accuracy level 1% - 100%
Fullness (SpO2% ) in the conditions of an immovability the adult / pediatrich 70% - 100% : ± 2 figures
0% - 69% : it is not specified
Newborn 70% - 100% : ± 3 figures
0% - 69% : it is not specified
Fullness (% SpO2) accuracy on condition of the movement the adult / pediatrich / 70% - 100% : ± 3 figures
novorozhd. 0% - 69% : it is not specified
Fullness (SpO2% ) permission 1%
Range of pulse rate (bpm) 25 - 240 bpm
Pulse rate (ppm) accuracy on condition of lack of the movement ±2 bpm
Pulse rate (ppm) accuracy on condition of the movement ±5 bpm
Pulse rate (ppm) permission 1 bpm
DEFIBRILLATOR
Signal phase Two - phase truncated exponential, with compensation of energy according to the patient's resistance
Energy output accuracy (more than 50 Ω) ±15% or ±3 J that is the greatest for all range
MANUAL DEFIBRILLATOR
Energy at the exit External plates 
Internal plates
1 - 2 - 3 - 5 - 7 - 9 - 10 - 15 - 20 - 30 - 50 - 70 - 100 - 125 - 150 - 200 J
1 - 2 - 3 - 5 - 7 - 9 - 10 - 15 - 20 - 30 - 50 J
Options of plates Reusable external plates 
Internal plates
Multifunction one - time electrodes 
Constant cable for one - time multifunction electrodes
Energy choice The button on the front panel and buttons on external plates
Loading control The button on the front panel and buttons on external plates
Loading indicator The sound when loading, a sound at the end of loading, ZhKD charging button, the button the category on the front panel blinks for one - time multifunction electrodes and internal plates
Control of the category Buttons on external plates, the button on the front panel for one - time multifunction electrodes and internal plates
Charging time Less than 5 sec. at 200 J with the new and completely charged NiMH battery at 25 0C.
Less than 10 sec. without battery, it is connected to energy to a voltage at 90 - 100% of nominal rate 
Less than 10 sec. with the new and completely charged with NiMH battery, with the carried - out 15 categories on 200 J at 25 0C.
The maximum time from the beginning of connection of an energy source to readiness for the category Less than 10 sec. from the moment of inclusion with the new and completely charged NiMH battery.
Less than 15 sec. from the moment of inclusion, without battery, it is connected to the power supply for 90 - 100% of nominal rate
Less than 15 sec. with the new and completely charged NiMH battery with the carried - out 15 categories on 200 J at 25 0C.
Synchronization The button on the front panel. Display on the display of points of synchronization
Max. delay time between an impulse of synchronization and delivery of energy Each delivery of energy happens during 60 ms right after definition of peak of QRS
SEMI - AUTOMATIC DEFIBRILLATION (OPTION)
Energy of an exit At most: 200 J of ±15%
Plate option One - time multifunction electrodes 
Constant cable with one - time electrodes
Messages of the recommendation Removal on the screen and audio of the message which help the user in operating time
Charge indicator Charging sound, sound of the termination of charging and blinking of the button the category on the front panel
Control of the category Button of the front panel
Configuration of the applied parameters By means of the corresponding options of the mode of a configuration
Properties of definition VF of feelings - st: compliance to standards of safety of AHA 
VT of feelings - st: compliance to standards of safety of AHA 
NSR specifics: compliance to standards of safety of AHA 
Specifics of other signals: compliance to standards of safety of AHA
The maximum time from the beginning of the analysis of a cordial rhythm until readiness for the category Less than 20 sec. with new and completely zaryazhe - m NiMH batteries; Less than 20 sec. without battery, it is connected to energy at 90 - 100% of value nomas - go; Less than 20 sec. with new and a polnost the charged NiMH batteries with the carried - out 15 categories on 200 J at 250C.
The maximum time from initial energy supply to readiness for the category Less than 26 sec. with the new and completely charged NiMH batteries 
Less than 26 sec. without battery, it is connected to energy at 90 - 100% of nominal rate 
Less than 26 sec. with new and a polnost the charged NiMH batteries with the carried - out 15 categories on 200 J at 250C
PACEMAKER (Option)
Signal phase Continuous priyamolineyny form
Pulse width 40 ms
Amplitude From 0 to 150 mA with a step to 5 mA
Speed from 30 to 180 bpm with a step to 5 bpm
Operating modes fixed as necessary
Dispersion/refraction period 240 ms from 30 to 80 bpm 
340 ms from 85 to 180 bpm
DISPLAY
Size 120 x 89 mm (SP14Q001 - Hitachi)
Type LCD with illumination (SP14Q001 - Hitachi)
Permission 320 x 240 px (1/4 VGA)
Rate of display 25 mm/sec.
Time of viewing of a form of a wave 4, 5 seconds
RECORDER/PRINTER (OPTION)
Continuous strip of an ECG Prints a continuous strip with one ECG channel together with summaries and events.
For devices with an option of a pulsoksimetriya it is fashionable to unpack 2 channels: signal of an ECG and phase of a signal (SpO2)
Automatic press It is possible to make a configuration of the automatic press for 8 seconds before and after events which disconnect preventions and a defibrillation
Reports
  • use of the report on work 
  • schedules of ChSS and graphics of SpO2 of % (option) 
  • results of checks by the user and self - examinatione of the device 
  • configuration parameters
  • the events kept on a memory card together with the corresponding signal of an ECG
Paper width 50 mm
Speed 10,25 and 50 mm/sec. ± 5%
DATA STORAGE (OPTION)
Memory type The external taken - out USB stick/memory card
Memory size At least 16 MB that is equal to 4 hours of continuous record of signals of an ECG plus audio
Data
  • Constant signal of an ECG plus audio (option)
  • Important events together with the corresponding signal of an ECG
THE GENERAL
Indicators
  • Indicator of the status of the battery
  • Indicator of malfunctions of the device energy supply Indicator
  • Charge indicator
  • Energy accumulation indicator
  • Synchronization indicator
Self - examination of the device
  • At inclusion
  • In operating time
  • Separately at the request of the user
ENERGY SUPPLY
Battery 
Type 
Power 
Charging/accumulation time 
Weight
NiMH (loaded) 
More than 130 categories in 200 J at 20єC 
More than 150 minutes of monitoring 
More than 120 minutes of monitoring plus pacemaker (60 mA and 60 bpm) 
About 3 hours 
800 gr
Alternating current 100 - 240 V AC and of 50 - 60 Hz
Constant (car accumulator) 10 - 16 V DC
Equipotential conductor Provides additional connection to grounding of the building where the device is installed. If this grounding is unavailable, then connect the equipotential connector to any metal to an element in the building.
ENVIRONMENTAL CONDITIONS
Work temperature From 00C to 500C only in the mode of monitoring of a defibrillation, with established batteries and without supply of electricity 
From 00C to 400C at connection to an electric power source
Storage temperature From 200C to 600C except the battery and one - time multifunction electrodes
Relative humidity From 10 to 95%
The atmospheric pressure (existing) Surrounding up to 525 mmHg (0 to 3,000 m)
Vodonepronichayemost IPX2
Vibration IEC 60068 - 2 - 64
Category IEC 60068 - 2 - 27
PHYSICAL CHARACTERISTICS
Weight
  •  The device with the printer, reusable external plates and the battery: 6.9 kg
  • The device with the printer, reusable multifunction electrodes and the battery: 6.0 kg
  • The device with a recorder, the option SpO2, AED,
  • pacemaker, reusable multifunction electrodes and battery: 6.3 kg
  • Reusable external plates: 0.95 kg
  • battery: 0.8 kg
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Defibrillator KMR DFM-700 Monitor
Defibrillator KMR DFM-700 Monitor
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