DINAMAPm Portable Adult/Pediatric and Neonatal Vital Signs Monitor Model 8100 Operation Manual a company DINAMAPTM is a trademark of Critikon, Inc. CRITIKON, INC. 4110 George Road Tampa, Florida U.S.A.
CRITIKON, INC. CONTENTS List of Effective Pages.. .................................................................ii List of Illustrations.. ....................................................................... vi List of Tables.. .............................................................................. vi Frontispiece.. .............................................................................. SECTION 1. INTRODUCTION General.. ............................................................
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL CONTENTS SECTION 4. FUNCTIONAL DESCRIPTION Continued Determination Sequence . Maximum-Minimum Ranges Basic Operating Cycle Operating Modes Manual Mode AutoMode . . . . . . . . . . . . . . . . . . . . . . . . . Neonatal or Adult/Pediatric Monitoring Systolic Search Undetermined Systolic and Diastolic Pressures SECTION 5. . . . 15 17 17 18 18 18 19 19 19 INSTALLATION AND OPERATION Unpacking ..........................
CONTENTS SECTION 8. MAINTENANCE AND CALIBRATION Continued Maintenance ._.....__., __..__.... Cleaning ,_.., ., . . ..__...._...._...._ . . . Storage .., . ..__. ._...__.., . ..__.. Battery Charging Battery Removal and Replacement Changing Fuses . . .._...._...._..........
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL LIST OF ILLUSTRATIONS LIST OF TABLES Figure No. Title Page Frontispiece VIII 3-1 3-2 Front Panel Controls and Indicators ........... Rear Panel Controls and Indicators ............ 10 14 4-1 4-2 4-3 Determination Sequence .............. Basic Operating Cycle ................ Low Amplitude Waveform Diagram ......
CRITIKON, INC. SECTION 1. INTRODUCTION SECTION 1. INTRODUCTION GENERAL The DINAMAPTM Portable Vital Signs Monitor 8100 is designed to noninvasively and automatically measure systolic and diastolic pressure, mean arterial pressure (MAP), and pulse rate for neonatal or adult/pediatric patients. Results are displayed on large, easy-to-read digital displays. The monitor will operate on AC line voltage or on its internal battery.
DINAMAP’” PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL RELATED PUBLICATIONS Instruction Labels Two permanently affixed labels, one on each side of the monitor, contain condensed operation and alarm code information. Service Manual The DINAMAP’” Portable Monitor Model 8100 Service Manual (776-370) contains service and repair parts information directed to qualified service personnel.
CRITIKON, INC. SECTION 2. PRODUCT DESCRIPTION SECTION 2. PRODUCT DESCRIPTION OVERVIEW UNIQUE OPERATING FEATURES The DINAMAP’” Portable Monitor, Model 8100, is designed to provide operator convenience and reliability when monitoring vital signs. Features that enhance the DINAMAP’” Monitor’s operation follow. FULLY AUTOMATIC PATIENT SELECTION AND MONITORING Senses cuff size and switches automatically from adult/pediatric monitoring to neonatal monitoring or vice versa.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL UNIQUE OPERATING FEATURES Continued U DIGITAL DISPLAYS Large, easy-to-read digital displays (via high intensity LEDs) provide continuous readout of the most recent patient parameter values. 0 ACCESSORIES FULLY PORTABLE OPERATION The monitor can be operated from a fully charged internal battery for a minimum of 6 hours (in 5 minute cycle mode with adult cuff attached) or from AC power using AC line power cord.
CRITIKON, INC. ACCESSORIES SECTION 2. PRODUCT DESCRIPTION Optional Accessories - Continued Continued Reorder No. Regular (White) DISPOSA-CUF” Blood Pressure Cuff Large Adult Adult Small Adult Thigh Child Infant 2643 2603 2608 2648 2613 2618 DURA-CUF” Bladderless Blood Pressure Cuff 31 .O cm-40.0 cm Large Adult, 23.0 cm-33.0 cm Adult, 17.0 cm-25.0 cm Small Adult, Thigh, 38.0 cm-50.0 cm Child, 12.0 cm-l 9.0 cm Infant, 8.3 cm-l 5.
CRITIKON, INC. SECTION 3. PHYSICAL DESCRIPTION SECTION 3. PHYSICAL DESCRIPTION The DINAMAP’” Portable Monitor Model 8100 is a microprocessor controlled noninvasive device housed in a blue plastic case. Performance and technical specifications for the Model 8100 follow.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL PERFORMANCE SPECIFICATIONS PULSE RATE ACCURACY + 3.5 percent Continued DETERMINATION TIME 20 seconds to 45 seconds typical; 120 second maximum OVERPRESSURE CUTOFF 310 + 45 mmHg Adult/Pediatric 235 + 10 mmHg Neonate BATTERY CHARGING At least 90% capacity in 16 hours. Unit will operate and charge battery simultaneously when connected to AC power source. TECHNICAL SPECIFICATIONS Mechanical DIMENSIONS Height 8.
CRrrKm. lw. TECHNICAL SPECIFICATIONS SFCTION 3. PHYSICAL tJFSCRIPTION Elect rlcal POWER REQUIREMENTS Input Power 0.4 amps max. at 100,120 VAC 0.2 amps max. at 220,240 VAC Input Voltage (Domestic) 120 VA060 Hz (nom.), 104-132 VAC, 47-63 Hz (International) 100 VAC/50 Hz (nom.), 88-112 VAC, 47-63 Hz 230 VAC/50 Hz (nom.), 194-268 VAC, 47-63 Hz FUSE REQUIREMENTS 120 VACIGO Hz-2 each, 0.5 amp, 3AG at 250 VAC 100 VAC150 Hz-2 each, 0.5 amp, 3AG at 250 VAC 230 VACI50 Hz-2 each, 0.
l- -5 +6 19 -7 18 -8 -9 -10 17 16 -11 15 Figure 3-1. TABLE 3-l 10 Model 8100 Front Panel Controls and Indicators MODEL 8100 FRONT PANEL CONTROLS AND INDICATORS ITEM NAME FUNCTION 1 CUFF This illuminated (amber) indicator signifies that a determination is in progress. 2 kPa kPa (amber) indicator lights on/y if internal kPa jumper is installed.
CRITIKON, INC. TABLE3-1. MODEL 8100 FRONT PANEL CONTROLS AND INDICATORSContinued ITEM NAME FUNCTION MAP mmHg This 3-digit red LED display shows mean arterial pressure. In addition this display; 0 flashes cuff pressure during deflation time. El shows MAP alarm limits (see Item 18, SELECT). SYSTOLIC mmHg This 3-digit red LED display shows systolic pressure. In addition, this display q shows systolic alarm limits (see Item 18, SELECT).
SECTION 3. PHYSICAL DESCRIPTION CRITIKON, INC. TABLE34 Model8100 FRONTPANELCONTROLSAND INDICATORS Continued ITEM NAME 9 CYCLE MINUTES FUNCTION This 2-digit red LED display shows the cycle time (in minutes) when the monitor is placed into automatic mode. The display is normally blanked when in manual mode. In either mode, the elapsed time since the last data update (up to 90 minutes) is flashed in the CYCLE MINUTES display.
DINAMAP’” PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL TABLE3-1. Model8100 FRONT PANELCONTROLSAND INDICATORS Continued ITEM NAME FUNCTION 15 LOW LIMIT This grey momentary pushbutton switch displays the current low alarm limit that you select (SELECT switch). If you push and hold this switch, you will cause the display to step through the entire range of low limit settings (settings overlapping the high limit will not be displayed.
CRITIKON, INC. SECTION 3. PHYSICAL DESCRIPTION TABLE 3-1. Model8100 FRONT PANEL CONTROLSAND INDICATORS Continued ITEM NAME FUNCTION ia Pressing the switch a fourth time 0 blanks all displays except DIASTOLIC, and Cl allows the HIGH LIMIT and LOW LIMIT switches to be used to display (set) the high and low diastolic alarm limits in the DIASTOLIC display. SELECT continued Pressing the switch a fifth time 0 returns the values of the last determination to all displays.
DINAMAP’” PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL Figure 3-2. Model8100 Rear Panel Controlsand Indicators TABLE3-2. 14 MODEL 8100 REAR PANEL CONTROLS AND INDICATORS ITEM NAME FUNCTION 1 Pole Clamp Clamps monitor securely to pole. 2 Battery Compartment Contains internal battery. Removal of two screws allows changing battery without affecting other internal parts. 3 Data Interface Connector 4 AC Power Switch Port for connection of external computer.
SECTION 4. FUNCTIONAL DESCRIPTION CRITIKON, INC. SECTION 4. FUNCTIONAL DESCRIPTION The DINAMAP’” Portable Monitor, Model 8100, is a fully portable, microprocessor controlled, noninvasive device that automatically measures systolic pressure, diastolic pressure, mean arterial pressure (MAP), and pulse rate for neonates, children, and adults using the oscillometric technique. Results are displayed on four large, easy-toread digital displays.
DINAMAP’” PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL DETERMINATION SEQUENCE Continued The monitor deflates the cuff one step each time it detects two pulsations of relatively equal amplitude. Time between deflation steps depends on the frequency of these matched pulses (pulse rate of patient). However, if the monitor is unable to find any pulse within 1.6 seconds, it deflates to the next step.
CRITIKON, INC. MAXIMUM-MINIMUM RANGES SECTION 4. FUNCTIONAL DESCRIPTION Maximum and minimum ranges of Blood Pressure and Pulse Rate determinations are shown in Table 4-l. TABLE 4-1.
DINAMAP’” PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL OPERATING MODES Manual Mode The manual mode is the normal initial mode of operation for the monitor, the mode entered automatically after pressing the POWER ON switch. Default alarm limits automatically activate at power-ON but may be changed by the operator to suit any particular patient. (See Set Alarms Limits Procedure, Section 5.
SECTION 4. FUNCTIONAL DESCRIPTION CRITIKON, INC. OPERATING MODES Neonatal or Adult/Pediatric Monitoring Continued The monitor automatically switches between neonatal and adult/pediatric monitoring at the beginning of a determination when the appropriate hose is used. No operator intervention is required. Default adult/pediatric or neonatal alarm limits are switched on/y if limits have not been set or viewed. However, if alarm limits have been viewed or set, the monitor retains those limits.
SECTION 5. INSTALLATION AND OPERATION CRITIKON, INC. SECTION 5. INSTALLATION AND OPERATION This section contains preparation and initial setup instructions, electrical and pneumatic hose connections, as well as cuff size and placement instructions. This section also contains indications and contraindications, operating precautions, and procedures. UNPACKING The monitor is shipped in a carefully designed corrugated carton. Inspect the exterior carefully for any signs of damage.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL INSTALLATION AND INITIAL SETUP Electrical and Hose Connections If there is no apparent external damage to the monitor, follow these steps With monitor power off: Check the voltage rating stamped on the serial number plate attached to the bottom of the monitor and make sure it matches the line voltage of the receptable to be used.
SECTION 5. CRITIKON, INC. INSTALLATION AND INITIAL SETUP 4. continued INSTALLATION AND OPERATION Select the appropriate measurement site (see Figure 5-l). For neonates, the arm or leg can be used. For adults/pediatrics, the preferred location is the upper arm. When the upper arm cannot be used, placement on the ankle or forearm is preferred over the thigh since measurement on the adult thigh may be uncomfortable. When there is no suitable alternative for the thigh (e.g.
DINAMAPTM PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL INSTALLATION AND INITIAL SETUP 6. Continued Connect the cuff to the hoses. Thread the cuff connectors onto the hose connectors until finger tight. DO NOT OVERTIGHTEN. WARNING It is mandatory that the 8-foot hose (Light Blue, Reorder No. 8840) be used with neonatal cuffs and the 12 or 24 ft. hoses (Blue, Reorder Nos. 884118842) be used with infant through thigh cuffs.
SECTION 5. INSTALLATION AND OPERATION CRITIKON, INC. Cl 0 0 0 Cl c7 Cl Cl 0 0 0 0 0 0 q PRECAUTIONS Read and have a thorough understanding of the material presented in the manual. Read and observe all the caution and warning labels affixed to the monitor. Place the monitor on a rigid, secure surface or attach securely with the pole clamp. If the integrity of the electrical ground is in doubt, disconnect the power cord from the power source, and operate the monitor using internal battery.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL OPERATING PROCEDURES The procedures described here are those steps you follow to operate the monitor. However, you should read Section 5 in its entirety to ensure responsible operation of the monitor. POWER.ON PROCEDURE 1.
SECTION 5. CRITIKON, INC. SET ALARM LIMITS PROCEDURE INSTALLATION AND OPERATION The adult default alarm limits are in effect each time power is first applied to the monitor. If neonatal default alarm limits are desired, make one determination with a neonatal cuff and hose attached prior to inspecting or changing limits. See Table 5-2, Default Alarm Limits. To change these limits, perform the following steps.
DINAMAPTM PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL SET ALARM LIMITS PROCEDURE 7. Momentarily press the SELECT switch to enable the PULSE display to show the pulse alarm limits. All other displays will be blanked and the pulse display will show zero (or the pulse of the previous determination if one was performed). a. Momentarily press HIGH LIMIT to display the current high limit in the PULSE display.
SECTION 5. INSTALLATION AND OPERATION CRITIKON, INC. 2. AUTO MODE Continued Preset cycle time is three (3) minutes. To change the cycle time, press and hold the CYCLE SET switch until the desired cycle time appears in the display; then release the switch. The display will periodically flash the amount of time which has expired since the last data update. You may initiate a determination at any time during the wait period by pressing the START switch. This action resets the wait cycle.
TABLE 5-3. PULSE DISPLAY Flashes 899 _-^-Flashes 888 for 1 set Flashes 855 until next SYSTEM ALARMS SUMMARY TABLE ALL OTHER DISPLAYS LED INDICATORS CANCEL SWITCH PROBABLE CAUSE Blank ALARM flashes, others unchanged Stops audio/visual indicators Monitor unable to make determination due to insufficient signal ----- Has no effect More than 3 min in Calibration Mode Alarm flashes - others Stops audio/visual At one pressure level for more --- - --..
CRITIKON, INC. TROUBLESHOOTING SECTION 5. INSTALLATION AND OPERATION The DINAMAPTM Portable Monitor Model 8100 has been designed to provide safe and reliable operation in medical environments. As with all medical devices, if the accuracy of any determination value is questionable, first check the patient’s vital signs by alternate means and then check the monitor. Determination Unsuccessful Alarm (899) This alarm is indicated by an alarm tone and a flashing 899 in the PULSE display.
DINAMAPTM PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL TROUBLESHOOTING Excess Determination Time Alarm (844) Continued This alarm is indicated by an alarm tone and a flashing 844 in the PULSE display. The alarm is generated if determination time exceeds 120 seconds, which is usually caused by excessive patient movement andlor erratic pulse rate. Restrain patient movement and check the patient’s pulse rate. Move the cuff to another location and try another determination.
CRITIKON, INC. SECTION 5. INSTALLATION AND OPERATION TROUBLESHOOTING Excess Pressure Alarm (800) Continued The alarm is indicated by an alarm tone and a flashing 800 in the PULSE display. The alarm can be cleared by pressing CANCEL or turning power off and on. 1. If the sensed cuff pressure remains higher than 20 mmHg for more than 20 seconds during the wait cycle. 2. If the sensed cuff pressure exceeds 310, pediatric cuff attached. 3.
CRITIKON, INC. SECTION 6. SECTION 6. MAINTENANCE MAINTENANCE AND CALIBRATION MAINTENANCE AND CALIBRATION Cleaning The only maintenance routinely required is that the monitor and accessories are kept clean and are handled and used according to the instructions provided here and in the Service Manual (776-370). The exterior of the monitor may be wiped clean with a cloth slightly dampened with mild detergents. 0 Do not immerse unit. 0 Do not clean with isopropyl alcohol or other solvents.
DINAMAPTM PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL TABLE 6-1. MAINTENANCE BATTERY CHARGING CHARACTERISTICS Continued CHARGE TIME* OPERATING TIME** 30 minutes 1 hour 2 hours 3 hours 4 hours 5 hours 6 hours 7 hours 8 hours 10 hours 16 hours 24 hours 15 minutes 30 minutes 1 .O hour 1.6 hours 2.2 hours 2.7 hours 3.2 hours 3.7 hours 4.1 hours 4.6 hours 5.3 hours 6.0 hours *Charging at 25°C ambient temperature.
SECTION 6. CRITIKON, INC. MAINTENANCE AND CALIBRATION MAINTENANCE Continued Figure 6-l. Loosen the Battery Door Hold-Down Screws Figure 6-2. 3. Remove Battery Door Place both thumbs over the knurled portions of the battery door and push the door out and away from the monitor case as shown in Figure 6-2.
DINAMAP’” PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL MAINTENANCE Continued 4. Locate the nylon ribbon and use it to pull the battery out of its compartment as shown in Figure 6-3. The battery is held securely in its compartment by friction-lock material strips and a firm, steady pull on the ribbon is required to pull the battery free Figure 6-3. Remove Battery Figure 6-4.
SECTION 6. CRITIKON, INC. MAINTENANCE MAINTENANCE AND CALIBRATION 5. When the battery is free, remove the battery cable slip-on connectors as shown in Figure 6-4. 6. Connect the battery cable connectors to the new battery, ensuring proper polarity. Connect the red battery cable to the positive (+) terminal. Connect the black battery cable to the negative (- ) terminal. 7.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL MAINTENANCE Continued Figure 6-5. Open AC Line Fuse Compartment Using the same tool, pry out each fuse holder as shown in Figure 6-6. Figure 6-6. Remove Fuse Holder Remove each fuse from its fuse holder as shown in Figure 6-7 and inspect it for a burned or broken filament. If the filament appears to be intact, check it for continuity with an ohmmeter. Replace the blown fuse with one of the exact same rating and type.
SECTION 6. CRITIKON, INC. MAINTENANCE AND CALIBRATION MAINTENANCE Continued Figure 6-7. Remove Fuse From Fuse Holder Replace the fuse and fuse holder as shown in Figure 6-8. Make sure that the arrows on the outward facing ends of the fuse holders are pointing in the same direction as the arrows on the inside of the cover plate. Snap down the cover plate. Figure 6-8.
DINAMAPT” PORTABLE ADULTIPEDIATRIC and NEONATAL VITAL SIGNS MONITOR OPERATION MANUAL MAINTENANCE Replacement of Battery Fuse Continued Refer to qualified service personnel since replacement of the battery fuse requires unit disassembly. CALIBRATION Calibration of the monitor should be checked at least once every three months or when there is doubt about the validity of the pressure readings. CAUTION Calibration equipment should always be kept dry and free of particulate matter.
SECTION 6. CRITIKON, INC. BLOOD PRESSURE CALIBRATION CHECK Continued MAINTENANCE AND CALIBRATION To perform a calibration check, follow these steps: 1. Obtain the calibration kit (Reorder No. 8886) supplied with the unit. 2. Connect a mercury manometer (Baumanometer 300, or equivalent) to the monitor using the parts supplied with the calibration kit as shown in Figure 6-9. In calibration procedure, use Adult Cuff and Air Hose. 3. Plug the monitor into the specified line power outlet 4.
DINAMAPTM PORTABLE ADULT/PEDIATRIC and NEONATAL VITAL SIGNS TABLE 6-2 BLOOD PRESSURE CALIBRATION CHECK Continued CALIBRATION CHECK PRESSURE LEVELS MANOMETER PRESSURE MAP DISPLAY 200 mmHg, + 1 mmHg 200mmHg, f 5mmHg 150 mmHg, + 4 mmHg lOOmmHg, f 4mmHg 50mmHg, f 4mmHg 0 mmHg, + 1 mmHg, - 0 mmHg 150 mmHg, + 1 mmHg 100 mmHg, f 1 mmHg 50mmHg, f 1 mmHg 0 mmHg CUFF AND HOSE LEAK CHECK MONITOR OPERATION MANUAL 10. If the indicated pressures are not within tolerance, the monitor must be calibrated.
SECTION 6. CRITIKON, INC. MAINTENANCE AND CALIBRATION CUFF AND HOSE LEAK CHECK Continued INFLATION BULB Figure 6-10.
