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THERAPY 5 Troubleshooting Tips Table 5-3 Troubleshooting Tips for Defibrillation and Synchronized Cardioversion OBSERVATION POSSIBLE CAUSE CORRECTIVE ACTION Charge time to 360 joules exceeds 10 seconds Battery low • Replace battery with fully charged battery. Operating temperature is too low • Move patient and device to warmer environment, if necessary. Device is in Sync mode and QRS complexes are not detected • Adjust ECG size for optimum sensing QRS or deactivate SYNC if rhythm VF/VT. SYNC accidentally pressed and rhythm is VF/VT • Press SYNC to turn off Sync. (shock) buttons. • Press Device in Sync mode and (shock) buttons not pressed and held until next detected QRS (shock) buttons • Hold until discharge occurs or next detected QRS and ENERGY DELIVERED message appears. (shock) buttons pressed before full charge reached • Wait for tone and message indicating full charge. Standard paddles connected (shock) button on and defibrillator front panel pressed • Simultaneously press (shock) buttons on standard paddles to discharge. Sixty seconds elapsed before (shock) buttons were pressed after full charge. Energy was internally removed. (shock) buttons • Press within 60 seconds of full charge. Energy selection changed • Press CHARGE again. Therapy cable disconnected during charging • Reconnect cable and press CHARGE again. Therapy cable damaged • Replace therapy cable and perform daily checks per Operator’s Checklist. Defibrillator out of calibration • Attempt to transfer energy. • Contact a qualified service technician. Energy not delivered to patient (shock) buttons are when pressed CONNECT CABLE message appears ENERGY FAULT message appears (selected and available energy) ©2007-2010 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions 5-29