Rectilinear Biphasic Technology

High-Current Rectilinear Biphasic Waveform

Improved efficacy with lower energy is the promise of biphasic waveforms. But not all biphasic waveforms are created equal.

The high-current ZOLL Rectilinear Biphasic™ waveform (RBW) provides more current than the “high-energy” biphasic others use. This capability is particularly important for the difficult-to-defibrillate, high-impedance patient.

High-current Rectilinear Biphasic is the only biphasic waveform that was developed specifically for external defibrillation. Both high-and low-energy biphasic truncated exponential (BTE) waveforms were adapted from internal defibrillation. RBW has been studied extensively in over 7,000 patients and shown to be superior to monophasic. The high-current ZOLL RBW is the only waveform that the FDA has cleared to claim superiority* over monophasic waveforms. 

  • Cardioversion of atrial fibrillation
  • Defibrillation of ventricular fibrillation in high impedance patients
  • Defibrillation of ventricular fibrillation in out-of-hospital cardiac arrest in an ACLS environment

What makes the Rectilinear Biphasic Waveform (RBW) Different?

The scientific community and defibrillator manufacturers all agree - current defibrillates the heart.

"The essential requirement for electrical ventricular defibrillation is the attainment of a sufficient current density." Tacker WA

At 200 J, the ZOLL RBW delivers more average current to high impedance patients than any other biphasic waveform - even ones that have higher energy settings.

Read on to uncover the unique advantages of ZOLL's Rectilinear Biphasic waveform :

Principles of Electricity
More Current at 200 J than other biphasic waveforms at 360 J
New Control for Patient Impedance
Optimal Duration for Defibrillation Shocks
Superior for Cardioversion of Atrial Fibrillation
Superior for Defibrillation of Ventricular Fibrillation
Superior for Defibrillation of Out-of-Hospital Cardiac Arrest
Pediatric Biphasic Recommendations
Bibliography  

*The data demonstrates the equivalent efficacy of low energy rectilinear biphasic shocks compared to standard high energy monophasic shocks for transthoracic defibrillation for all patients in VT/VF at the 95% confidence level.  The data also demonstrate the superior efficacy of low energy rectilinear biphasic shocks compared to standard high energy monophasic shocks in patients in VT/VF with high transthoracic impedance at the 90% confidence level.