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Philips HeartStart XL+ Defibrillator Monitor for use in hospital and electrosurgical settings, refurbished

Philips HeartStart XL+

SKU: P/0220/E/P/0202/S
Certified Used
1-year Limited Warranty
Regular price
Unit price
  • guarantee

The Philips HeartStart XL+ defibrillator and monitor is a powerful unit that combines and AED/Manual mode defibrillator with an easy to read monitor. Tough, portable, and lightweight, this device offers four clinical modes: Monitor, AED, Manual, and Pacer (optional).

This powerful mix of advanced features is a critical asset for every professional user. AED Mode is suitable for personnel who have basic life support training, while Manual Mode is indicated when users have advanced life support training.

This unit offers an AED option, Manual Mode, Non-Invasive External Pacing, Pulse Oximetry, Non-Invasive Blood Pressure Monitoring, and ECG Monitoring.

Both AED and Manual mode use low-energy SMART Biphasic waveform for defibrillation to get the most use out of your batteries. The HeartStart XL+ is powered by an AC adaptor or via a rechargeable Lithium-ion battery, which can charge up to 200 Joules in less than three seconds.


  • Developed to meet the advanced needs of hospital code teams and staff
  • Lightweight, portable defibrillator/monitor
  • 4 Clinical modes: AED, Monitor, Manual, Pacing
  • Can view up to 2 different ECG waveforms at once
  • Optional monitoring of SpO2 and NBP
  • Stores critical event data that can be transferred via USB drive and downloaded to HeartStart Event Review Pro
  • Vital Signs Trending Reports available
  • Audible and visible battery indicators let you know the status of battery capacity
  • Ready For Use (RFU) indicators show unit status, readiness for charge delivery, errors, and power indicator.
  • Can Use both AC power adapter and Rechargeable Lithium-Ion battery.
  • Uses Philips’ low energy SMART Biphasic waveform for defibrillation
  • Delivers up to 200 J in under 3 sec

Why choose A Biomedical Service as your Refurbishing Partner?

Beyond significant cost savings and a sound capital equipment investment strategy, A Biomedical Service believes your patients and medical staff deserve access to the highest quality, most reliable medical equipment. We're committed to delivering the level of excellence your facility needs to achieve its patient care and asset management goals.

We aren't simply your refurbishment company, we're your partners in managing capital equipment investment along every step of a piece of equipment's lifecycle.

Refurbished Equipment vs. Certified Used

What's the difference between a piece of used medical equipment that's been refurbished compared to one that's certified used?

Refurbished equipment and certified used equipment are both thoroughly cleaned and sterilized. Their sensitive data is properly disposed of and we make sure the equipment works the way the original manufacturer intended it to perform.

Refurbished Medical Equipment

A machine that's Refurbished goes through a rigorous process that takes each piece of equipment back to the original OEM specifications. Our in-house biomedical engineers are certified, experienced, and the best in the business.

Every item that needs to be restored is torn down to its component blocks, fully tested, and visually inspected. Using OEM parts, highly-trained Biomed engineers identify and replace components that have failed or are likely to fail. Think of it as a tuneup for used medical equipment.

If there's any damage to the case, it will be repainted or replaced. After reassembly, every unit is tested to make sure it meets stringent manufacturer requirements.

Certified Used Medical Equipment

Certified Used machines are also cleaned and sterilized. Their sensitive data is secured and legally disposed of. Our talented BMETs perform a series of thorough preventative maintenance procedures and test the units to make sure they meet OEM standards for operation. In this case, not all replacement parts may be OEM, however, the units will still reliably perform to original manufacturer specifications.

Need to sell your old medical equipment?

A Biomedical Service is always looking to buy used or pre-owned medical equipment. We have a friendly, experienced purchasing department that would love to help walk you through the asset disposal process.

Our goal is to make the asset end-of-lifecycle process as painless as possible, get you the best price for your equipment, and help you dispose of unwanted medical equipment in an ecologically responsible way.

If you're interested in selling your used medical equipment to A Biomedical Service, contact us here or give us a call at +1-800-910-1422, Monday through Saturday, 8 AM - 6 PM PDT. We look forward to talking to you!



Refurbished & Used Certified with a Limited 1 year warranty


  • Height: 9 in (23 cm)
  • Width: 11.6 in (29.6 cm)
  • Depth: 10.9 in (27.9 cm)
  • Weight: 14.7 lbs (6.6 kg)


  • AED Mode:

    AED Energy Profile:
    150 Joules for Adult/50 J for Infant/Child (factory default) nominal into a 50 ohm test load.

    AED Controls: On/Off, shock.

    Text and Voice Prompts: Extensive text/audible messages guide user through a user-configured protocol.

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

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

    ECG analysis: Evaluates patient ECG and signal quality to determine if a shock is appropriate and evaluates connection impedance for proper defibrillation pad contact.

    Shockable Rhythms: 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.

    Shock Advisory Algorithm Sensitivity: 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 %. Shock Advisory Algorithm Specificity: 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%.

  • Manual Mode:

    Manual Output Energy (Selected):
    1-10, 15, 20, 30, 50, 70, 100, 120, 150, 170, 200 Joules; maximum energy limited to 50J with internal paddles.

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

    Energy Selection: Front panel Therapy knob.

    Charge Control: Front panel button; button on external paddles.

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

    Synchronized Control: Front panel Sync button.

    Synchronized Shock Timing: 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.

    Indicators: Text prompts, audio alerts, QRS beeper, battery status, Ready For Use (RFU), External Power, Sync Mode.

    Armed Indicators: Charging/charged tones, flashing shock button on front of panel and on external paddles, energy level indicated on the display

  • AED and Arrhythmia Monitoring:

    Up to 3 ECG waves may be viewed on the display and up to 2 waves printed simultaneously. Lead I, II or III 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.

    Heart Rate Display: 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.

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

    ECG Size: 1/4x, 1/2x, 1x, 2x, 4x, auto gain (1x gain is 10mm/mV on the printed strip).

    ECG waveforms: Displayed at a fixed timebase of 25 mm/sec (printer) ±5%, 20 mm/sec (display) ±10%.

    ECG Leads Off Sensing: 3- and 5-Lead wires apply a 30nA DC current.


  • Internal Event Summary: The HeartStart XL+ can store up to 8 hours of 2 continuous ECG waves, 1 pleth wave, research waves (AED Mode only) events and trending data per Event Summary. There is a maximum capacity of approximately 50 Event Summaries of approximately 30 minutes in length.

  • Information Transfer: Data can be transferred via USB thumb drive and downloaded to compatible version of Philips' HeartStart Event Review Pro software.


  • Printer: 50 mm x 30 m Thermal Array printer can be configured to run in real-time or with 10-sec delay. Strip prints primary ECG lead and second wave with event annotations and measurements. Can be configured to auto-print on Mark Events, Charge, Shock, and Alarm. Printed reports include: Event Summaries (long or short), Vital Signs Trends, Operational Check, Configuration, Status Log, Device Information

  • Charge Delivery: Up to 200 Joules in less than 3 seconds via defibrillation pads

  • Monitoring Capabilities: 3- and 5-lead monitoring of patient ECG, SpO2, NBP, Arrhythmia monitoring

  • SpO2/Pulse Oximetry with Alarms:

    SpO2 Measurement Range:

    SpO2 Resolution: 1%

    SpO2 Update Period: 1-2 sec typical; maximum of ≤ 30 sec

  • Non-Invasive Pacing: Waveform: Monophasic

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

    Pulse Duration: 20 or 40 msec with ±10% accuracy

    Rate: 30 ppm to 180 ppm (10 ppm increments); accuracy ±1.5%

    Mode: Demand or Fixed

    Refractory Period: 340 msec (30 to 80ppm); 240 msec (90 to 180 ppm) ±10%

  • 5-Lead ECG monitoring cable, AAMI or IEC

  • Output Energy Ranges (in Joules): 1 - 10, 15, 20, 30, 50, 70, 100, 120, 150, 120, 150, 200

  • NBP: Pulse Rate Range: 30 - 220 bpm

    Alarm Range: Systolic high limit: (Adult) 45-260, 160 mmHg, (Infant/Child) 45-160, 120 mmHg; Systolic low limit: (Adult) 40-255, 90, (Infant/Child) 40-155 mmHg; Diastolic high limit: (Adult) 25-200, 90, (Infant/Child) 25-120, 70 mmHg; Diastolic low limit: (Adult) 20-195, 50, (Infant/Child) 20-115, 40 mmHg; Mean high limit: (Adult) 30-220, 110, (Infant/Child) 30-135, 90 mmHg; Mean low limit: (Adult) 25-215, 60, (Infant/Child) 25-130, 50 mmHg


  • LCD: LCD-TFT Color Liquid Crystal Display with a 6.5 in (16.5 cm) diagonal viewing area
  • Resolution: 640 x 480 px with 34 brightness levels per color
  • Sweep Speed: 20 mm/sec nominal (stationary trace; sweeping erase bar) for ECG and SpO2
  • Wave Viewing Time: 5.2 sec


  • AC: AC adapter available, 100-240 VAC, 50 or 60 Hz, 1 - 0.46 A, Class I Equipment
  • Battery Type: Lithium-Ion, rechargeable
  • Battery Life Option 1: At least three hours of monitoring (ECG/SpO2 continuously, NBP sampled every 15 min), followed by 20 full-energy shocks
  • Battery Life Option 2: At least two hours of pacing (180 ppm at 140 mA with 40 msec pulse width) while monitoring (ECG/SpO2 continuously, NBP sampled every 15 min), followed by 20 full-energy shocks
  • Battery Life Option 3: At least 175 full-energy shocks
  • Capacity After Low Battery: After Low Battery alert first appears, there is enough energy for at least 10 minutes of monitoring and 6 full-energy shocks
  • Battery Indicators: Battery gauge on battery, capacity indicator on display, power indicators on front of device, flashing RFU indicator, chirp and Low Battery alarm messages on front of display for low battery condition


  • Temperature: 0°C to 45°C (32°F to 113°F) operating; -20°C to 70°C (-4°F to 158°F) storage
  • Humidity: Up to 95% relative humidity
  • Atmoshperic Pressure Range: Operating and Storage - 1014 mbar to 572 mbar (0 to 15,000 ft; 0 to 4,500 m).


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