DlNAMAP@ PRO Series 100-400 Monitor Operation Manual
Df NAMAP” PRO Monitor Operation Manual This manual is for DINAMAP@ PRO Monitor Models 100, 200, 300, and 400, all with printers. l l l l PRO 100: BP and Pulse PRO 200: BP, Pulse, and Temp PRO 300: BP, Pulse, and SpO, PRO 400: BP, Pulse, Temp, and SpO, The model of the Monitor determines which menu option buttons appear on the LCD. Please refer to applicable sections. Reissues and Updates Changes occurring between issues are addressed through Change Information Sheets, Addendums, and replacement pages.
Contents 7 Introduction .......................................................................... About the DINAMAP@ PRO Monitor.. ................................................................. 7 Product Compliance .............................................................................................. 70 Symbols ...................... . ..............................................................................................11 Getting Started ..............................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 BP.. ... . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IVAC Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 64 ,. . . ,. . _ ,....... .._..............__..
Introduction About the DINAMAP PRO Monitor DINAMAP@ PRO Monitors provide noninvasive determination of systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse rate, temperature, and oxygen saturation. These portable AC- and DCoperated monitors are primarily intended for use in hospital acute care settings such as outpatient surgery, accident and emergency, labor and delivery, Gl/endoscopy, and medical/ surgical units.
l l l l Do not use the Monitor in the presence of flammable anesthetics. To help prevent unintended current return paths with the use of high frequency (HF) surgical equipment, ensure that the HF surgical neutral electrode is properly connected. To avoid personal injury, do not perform any servicing unless qualified to do so. WARNING: These Monitors should not be used on patients who are connected to cardiopulmonary bypass machines. .
Introduction Place the PRO Monitor on a rigid, secure surface. Monitor must only be used with mounting hardware, poles, and stands recommended by Critikon. See Appendix D. The weight of the accessory basket contents should not exceed 6.6 lb (3 kg). Arrange the power cord, air hoses, and all cables carefully so they do not constitute a hazard. Verify calibration of BP parameter (temp and pulse oximeter do not require calibration).
Product Compliance The DINAMAP@ PRO Monitor is classified in the following categories for compliance with l l l l l l l l IEC 601-l : Class I, internally powered Transportable For continuous operation Not suitable for use in the presence of flammable anesthetics Not for use in the presence of an oxygen-enriched atmosphere (oxygen tent) Type BF applied parts IPXl, degree of protection against ingress of water Sterilization/Disinfection, see Appendix F QD @ us C DINAMAP@ PRO MONITOR CLASSIFIED WIT
Getting Started Unpacking the Monitor and Accessories Before attempting to use the PRO Monitor, take a few minutes to become acquainted with the Monitor and its accessories. Unpack the items carefully, and check them against the contents checklist enclosed in one of the accessory boxes. This is also a good time to check for any damage or shortage. If there is a problem or shortage, contact Critikon.
power indicator LED will flash (short flash approx. every 4 set). When the Monitor is running on battery power, a battery icon appears in LCD area 3 (toggling with the time indicator) indicating the charge status. During battery-only operation, the yellow battery power indicator LED (17) will light. When the battery becomes discharged beyond the low battery threshold, the indicator will begin to flash, and the Monitor will sound warning beeps every 30 seconds.
Getting Started integrity can only be maintained when equipment is connected to an equivalent receptacle marked “Hospital Grade.” l Where the integrity of the external earth conductor in the installation or its arrangement is in doubt, the Monitor must be operated from its internal battery. General Caution Do not touch either the pin of the DC input connector (3) or the terminals within the battery compartment (1) and the patient at the same time.
**a ***e .:::::t:.
Getting Started 15 16 I I 17 18 Front Panel Controls and Indicators 7 Systolic pressure display: 3-digit red LED indicates measured systolic BP in mmHg 8 Active temperature probe holster: Temperature probe that is being used stored here (Models 200 and 400) 9 Diastolic pressure display: 3-digit red LED indicates measured diastolic BP in mmHg 10 Temperature probe cover storage: Box of probe covers stored here (Models 200 and 400) 11 Inactive temperature probe holster: Extra temperature probe can be st
External power indicator: Green LED indicates external power status and battery charging status of monitor 15 Temperature probe connector: Temperature probe cable attaches here (Models 200 and 400) 16 ON/OFF switch: Controls on/off state of monitor; push for power on and push again for power off 17 Battery power indicator: Yellow LED indicates operation and charge status of internal battery 18 SpOz sensor connector: SpOz sensor extension cable attaches here (Models 300 and 400) 19 Mean arterial pressure
Getting Started Switching the Monitor On and Off @ To switch the DINAMAP PRO Monitor on, push the ON/OFF switch (16) or press the rotor (21). As the Monitor powers up, it will run power a short self-test routine, which will flash all the indicator lights and then beep the warning speaker. After a few seconds the system will be ready for operation, as indicated by the appearance of the main menu on the LCD (25). To switch the Monitor off, push the power ON/OFF switch (16) again.
selected buttons appears light on a dark background. Note: Some menus have six option buttons. In these cases, there is no space available to display the menu title. Area 2 This area displays data from one of three different sources. l Source 1: SpO, plethysmograph (Models 300 and 400) . Source 2: Last three BP readings . Source 3: Error and warning messages Note: Refer to “Display Button” in the “Using the Menu System” section for instructions on setting Area 2.
Getting Started Any time the paper is loaded, the printer automatically prints a test strip with the DINAMAP@ PRO name on it. If no print is visible on the paper, check that the paper roll has been installed in the correct position (refer to diagram). To tear off the printout, use a slight sideways action to pull the paper sharply up across the serrated edge of the door.
Note: When in doubt about long-term storage conditions, store a photocopy of the thermal paper recording. Ca &ions l The paper is thermally activated; therefore, do not store it in a hot place as discoloration may result. l Use only replacement paper 22 rolls (58 mm) from Critikon.
Using the Monitor Noninvasive Blood Pressure Determination Description The BP parameter is included in Models 100, 200, 300, and in the 400. Blood pressure is monitored noninvasively PRO Monitor by the oscillometric method, which measures the amplitude of the pressure oscillations within the blood pressure cuff. Further information about the oscillometric method is in Appendix C. The PRO Monitor has four BP modes: 1. Manual, (UK: All Obs). The mode, 2. Auto, 3. Stat, and 4. Vitals shown on the LCD (25).
while allowing SpOz and predictive temperature determinations to be monitored and recorded (depending on Monitor model). In the Vitals (UK: All Obs) mode, the blood pressure is determined one time. Before each BP determination, the Monitor performs a test is below a specified level. to ensure that the cuff pressure The determination is delayed until this condition is met. During the delay, the BP values are displayed as zero.
Using the Monitor examine the cuff site and the limb distal to the cuff regularly for signs of impeded blood flow. . Do not apply external pressure against cuff while monitoring. Doing so may cause inaccurate blood pressure values. l l l l Use care when placing cuff on extremity used to monitor other patient parameters. The PRO Monitor is designed for use only with dualtube cuffs. Use only accessories recommended by Critikon. Failure to use recommended accessories may result in inaccurate readings.
to produce a peripheral pulse or the patient may have poor peripheral perfusion. Also, if a patient’s beat-tobeat pulse amplitude varies significantly (e.g., because of pulsus alternans, atrial fibrillation, or the use of a rapid-cycling artificial ventilator), blood pressure and pulse rate readings can be erratic, and an alternate measuring method should be used for confirmation.
Using the Monitor Procedures 1. Connect the end of the air hose which has quick-release clips to the cuff connector (30) on the front of the Monitor. Make sure that the hose is not kinked or compressed. Note: To disconnect the hose from the Monitor, squeeze the quick-release clips together and pull the plug from the cuff connector (30). 2. Select the appropriate blood pressure measurement site.
5. Inspect cuff for damage. Replace cuff when aging, tearing, or weak closure is apparent. Do not inflate cuff when unwrapped. Precaution: Do not use cuff if structural integrity is suspect. 6. Connect the cuff to the air hose. Thread the cuff connectors onto the hose connectors until finger tight. Do not overtighten. Warning: It is mandatory that the appropriate hose and cuff combination be used.
Using the Monitor Manual Mode @ To start a determination, press the START/STOP BP key (29). A normal, uninterrupted Manual cycle takes about 40 seconds. The cuff pressure must drop below 5 mmHg (neonate) or 15 mmHg (adult) before another determination can be started. BP information will be displayed for 2 minutes on the LED unless another determination is started within that time frame. This applies to Manual and Vitals (UK: All Obs) modes.
120 minutes). Press the rotor to confirm the setting. After setting power-off, the operating mode returns to the default of Manual. The default setting of Manual can be overridden to return to the previous user-selected setting (Auto or Manual) by selecting Set BP (UK: BP Mode) under the Service menu. below 5 mmHg (neonate) or 15 mmHg (adult) for at least 30 seconds before another determination can be started.
Using the Monitor arterial pressures and pulse rate will appear on their LED displays (7, 9, 19, 22). The Monitor will begin another determination once the pressure is below 5 mmHg for 8 seconds (neonates) or 15 mmHg for 4 seconds (adults), unless the S-minute period has ended or the determination has been canceled. Note: Alarm limits are disabled while in Stat mode. Predic five Tempera ture De termina tion Q Description The temperature parameter is included in Models 200 and 400.
General Warning l The performance of the Monitor may be degraded if it is operated outside of the environmental conditions specified in Appendix A. General Cautions l l Be careful not to overextend the coiled cord of the temperature probe. Overextension can damage the probe coil connector interfaces. Accurate oral temperatures (blue) can only be obtained by placing the probe under the tongue in the right or left sublingual pocket.
Using the Monitor When the determination is complete, an audible tone sounds and the temperature appears on the display. 4. Record the temperature and remove the probe. Discard the disposable cover by holding the probe as you would a syringe and pressing the button on the probe handle. Place the probe in the probe holster. Once you place the probe in the probe holster, the temperature values will be cleared. Notes l l l - l If the probe tip temperature is 94.0” F or higher (34.
spa, Description The SpOz parameter is included in Models 300 and 400. To begin SpOz monitoring, simply place the SpOZ sensor on the patient’s finger; monitoring begins automatically. Functional oxygen saturation (SpOJ of arterial blood is noninvasively and continuously monitored in the PRO Monitor using pulse oximetry technology from NELLCOR*. Functional SpOz is the ratio of oxygenated hemoglobin to hemoglobin that is capable of transporting oxygen.
Using the Monitor If you select the Suspend button, the SpOz alarm is suspended for 2 minutes and then the PRO returns to normal SpOz monitoring. A message informing the user that Sp02 is suspending appears in Area 2 and dashes appear in the SpOz LED while the Sp02 alarm suspend is counting down. Selecting Cancel will cancel the SpOZ alarm suspension and return to monitoring Sp02.
patients with compromised circulation (e.g., because of peripheral vascular disease or vasoconstricting medications). l Do not perform any testing or maintenance on a sensor while it is being used to monitor a patient. . Bright light sources (e.g., infrared heat lamps, bilirubin lights, direct sunlight, operating room lights) may interfere with the performance of the SpOZ function. To prevent I _, >T such interference, cover the sensor with opaque material. General Notes .
Using the Monitor 2 Following the directions for use supplied with the sensor, apply the sensor to the patient. Warnings Patient safety: If you fail to apply the sensor properly, the patient’s skin could be injured or the ability of the PRO Monitor to measure oxygen saturation could be compromised, For example, a clip-on sensor should never be taped shut.
.., l Place the sensor so that the LEDs and the photodiode are opposite each other. 3. Plug the SpOz sensor into the Sp02 sensor extension cable. Then plug the SpOZ sensor extension cable into the SpOz sensor connector (18). 4. Proceed with monitoring. SpOz determinations run continuously and can run simultaneously with other measurements. 38 .
Using the Monitor Troubleshooting for resolving them. If the difficulty persists, contact a qualified service person or your local Critikon representative. This section discusses potential difficulties and suggestions The service manual, which is for use by qualified service personnel provides additional troubleshooting information. PROBLEM: The pulse amplitude bar indicates a pulse, but no oxygen saturation or pulse rate values appear on the screen.
If an ESU is interfering: l l l Move the SpOz cable as far from the Plug the Monitor and the ESU as possible. ESU into different AC circuits. Move the ESU ground pad as close to the surgical site as possible. 0 The sensor may be damp or may need to be replaced with a new sensor. l If the patient weighs less than 3 kg or more than 40 kg, apply an OXISENSOR N-25 oxygen transducer to an appropriate site. This sensor has added protection against electrosurgical interference.
Try to keep the patient still, or change the sensor site to one with less motion. l Observe all instructions, warnings, and cautions in and in the directions for use of the sensor. l this manual PROBLEM: A valid SpO2 signal was present but has disappeared. CAUSE: l A BP determination on the same limb is in progress. SOLUTION: l An alarm message (No signal) will appear on the screen, and the audible alarm will sound immediately. PROBLEM: A bad signal error has occurred.
L Using the Menu System Introduction The PRO Monitor is equipped with a liquid crystal display (25) and a rotor (21). Used together, these allow the operator to view and edit most of the Monitor’s parameters and functions. When the Monitor is in use, a number of option buttons appear on the liquid crystal display (LCD). The model of the Monitor determines which menu option buttons appear on the LCD. The number of buttons and the specific options depend on the menu level.
Menu Tree ” ) 1 Stat SYS DIA 1 1 Main 1 MAP BPM POWER SAVE MENU r’ Display L TIME SYS ,I:37 ___ c ,,:a2 ___ ___ ,,:q _ _ _ + ,,:S2 _ _ _ MAP BPM SpO2 TEMP -__ _-- -_- --- --__- __- --- --___ ___ _-----.__ _-_ _ ----- DIA . _ r .
_ Using the Menu System Menu Tree Automaticalley Clear Trend on Power-up? Restore Print mode on power-up? ROTOR BEEP I Restore BP mode on power-up? Enter alarm configuration mode? 14-J& I999 I pi-,, How Min 20: 21 11 Set 24-Aug-1999 Day Mon Yew . Notes l The model of the Monitor determines which menu option buttons appear on the LCD.
Rotor Rotating the rotor causes option buttons to be highlighted rotor (light text on a dark background). Turning the produces a click. Turning it clockwise moves the highlighting clockwise over the available buttons, while turning it counterclockwise reverses the direction of the highlighting. Pressing the rotor selects the highlighted button and produces an audible tone. Some menus (e.g., Alarms) contain values that can be changed by the operator.
- Using the Menu System Vitals Button (UK: All Obs) Selection of this button initiates a BP determination while allowing SpO, and predictive temperature determinations to be monitored and recorded (depending on Monitor model). When the Vitals determination is complete, a single “warble” sounds and all patient data are displayed on the LEDs and held for 2 minutes or until cleared by the user. The LCD shows: Values Held Note: If the printer is in “Auto” mode, the Print button does not appear as an option.
Notes l The Print button appears only when Print is set to Manual mode. . If the printer is in Auto print mode, the data will be printed automatically. More... Button Selection of this button displays the More... menu. The More... menu has six options (depending on model of Monitor), most of which have submenus. For this reason, instructions for the More... button are in a separate section. Set BP Button (UK: BP Mode) Selection of this button displays the Auto, Stat, and Manual BP menu.
B Using the Menu System Tgt Pressure Selection of this option allows the user to set the BP target inflation pressure. The initial target pressure can be set between 100 and 250 mmHg in 5 mmHg increments. The factory default is 160 mmHg for adults and 110 for neonates. (This is indicated by “AUTO” at the end of adjustable range.
SYS DIA MAP cl 130 140 cl FF Kl 15 cl 50 cl cl Parameter Systolic High Systolic Low Diastolic Hiah I / , / BPM spoz 1 Auto 1 90 / Default Range 35 _ 245-.-~..- . . . .._.. _._------180 ___. _-30 - 240 j 30 15 - 195 I ., J L Heart Rate Lo\ SpO2 High spo2 Low 30 - 245 51-100 50 - 99 I 40 ’ Off 90 . A _,I IL, Volume Selection of this button displays the alarm volume submenu. The volume range is from 1 to 10, with 10 being the loudest.
I Using the Menu System 1 Label Parameter Label Systolic Diastolic j SYS DIA Low Limit -30 SYS +30 +30 +30 +5* DIA -30 MAP -30 BPM -30 spo2 -5 DIA MAP BPM spo2 MAP BPM span MAP Heart Rate span High Limit SYS +30 1 * If the reading plus the limit is greater than the valid range of measurement (e.g., is greater than 100% ), the valid range of measurement becomes the limits. SpO2 +5 Notes . In no case will the updated alarm limits be set beyond the valid limits in the preceding table.
TIME SYS DIA MAP BPM II:37 ___ ___ ___ ___ ___ ___ 11~42 ___ ___ ___ ___ ___ ___ II:47 ___ ___ ___ ___ ___ ___ 11:52 _ _ _ ___ -__ -__ SpO2 TEMP _-_ --- Newer and Older. These buttons may be used to move forward and backward through the recorded data. If no information is available, these buttons will not appear. Print oaae. Selection of this button causes the displayed information to be printed. If no information is available, this button will not appear. Main.
1 Using the Menu System Print Button Selection of this button displays the Print menu. PRINT MENU Auto/Man Pressing this button toggles between Automatic and Manual Printing modes. The current mode is displayed on Area 3 of the LCD. The Automatic mode prints the readings after each determination. The Manual mode, which is the factory default mode, requires the user to press the Now button to print the readings. Now Selection of this button causes the last readings of the available parameters to be printed.
SpO, Button (Models 300 and 400) Selection of this button displays the SpOz mode menu, which is used to set the SpOZ pulse tone volume. 5 Volume [ Main 1 Volume The pulse tone volume can be set in the range of Off to 9. The value Off should be selected if no pulse tone is desired. The volume setting is stored when the Monitor is turned off and is restored to the user’s preference each time the Monitor is switched on. Main Selection of this button returns the user to the Main menu.
C Using the Menu System - POWER SAVE MENU The Monitor enters Sleep mode only if the following are true: . No alarm is active . SpO, is not actively reporting patient statistics .
.; 20 : 21 11 1 , Hour, ,_ , Min ,, 24-Aug-1999 Set , , Day , , Mon , ,Year , 1 Accept. Selection of this button produces an advisory to the user that the trend will be lost when the clock settings are changed. Choosing Yes will cause the Monitor to accept the new clock settings and erase the trend memory. Choosing No will cause the Monitor to retain the existing clock settings and the trend memory. Either choice returns the user to the Main menu.
Using the Menu System SpO2 Pleth 4 X 4 i SpOz Pleth When this option is checked and SpO;! data are available, the plethysmograph waveform and the pulse amplitude bar will be displayed. 3 N/BP When this option is checked, the last 3 NIBP readings will be displayed. If Sp0~ data is available, the pulse amplitude bar will also be displayed. Main Selection of this button returns the user to the Main menu.
* ___*’ Clinician Menu .>I i _I .r’ Press. Selection of this button displays a panel for setting the default BP target inflation pressure. Adjusting the default target pressure will automatically update the current inflation target pressure and will be used for the next reading. The range of adjustment is 100 mmHg to 180 mmHg, and the setting is retained when the Monitor is turned off. The initial target pressure can be set between 100 and 180 mmHg in 5 mmHg increments.
Using the Menu System I OK t C or F. Selection of this button toggles the temperature display between Celsius and Fahrenheit and produces an advisory that the trend will be lost. Choosing Yes will cause the Monitor to accept the new temperature label and erase the trend memory. Choosing No will cause the Monitor to retain the existing temperature label and the trend memory. TREND WILL BE LOST OK. Selection of this button returns the user to the Clinician menu. Info.
Trend. Selection of this button displays the message: Automatically clear trend on power-up? Selection of Yes overrides the default setting by clearing all trends on power-up and returns the Monitor to the More... menu. Selection of No retains the default setting by saving all trends after power-off and returns the Monitor to the More... menu. Selection of Cancel returns the user to the More... menu. Print.
k Using the Menu System Main. Selection of this button returns the user to the Main menu. Silence. Selection of this button will cause all alarms except the FAILSAFE alarm to be muted. A confirmation menu will appear in Area 2 of the LED. Selection of either Yes or No returns the user to the Clinician mode menu. If silence is confirmed, the Alarm Silence button (26) illuminates and alarms are permanently muted. If silence is not confirmed, the alarm will be audible.
Error and Warning Messages The error panel appears in Area 2 of the LCD and indicates the error and its code, if it has one. In this example, a limit violation alarm (which has no error code) has occurred. A list of alarm error messages and their codes is in Appendix B. HIGH SYSTOLIC _ , ,’ j pi-1 L .I Alarm conditions are addressed in two ways: the Alarms button and OK button. Alarms Button Selection of this button takes the user to the Alarms menu, where the alarm limits can be adjusted.
Appendix A Technical Specifications Hz Cuff Pressure Range (Normal operating range) 0 to 290 mmHg (adult) 0 to 140 mmHg (neonate) Default Target: Cuff Inflation 160 f 15 mmHg (adult) 110 + 15 mmHg (neonate) Target Cuff Inflation: Adjustment Range (in 5 mmHg increments) 100 to 250 mmHg (adult) 100 to 140 mmHg (neonate) Blood Pressure Measurement Systolic Range (mmHg) Adult 30-245 Neonate 40-140 Blood Pressure Accuracy MAP 15-215 30-115 Diastolic 10 -195 20 -100 Meets or exceeds ANSI/ AAMI standard S
Max: 42.2” C; 108.0” F Monitor mode Min: 26.7” C; 80.0” F &O.l”C + 0.2” F (when tested in a calibrated liquid bath; meets Monitor mode accuracy ASTM El 112, Table 1, in range specified) 1 Predictive mode accuracy + 1 .O” F 3~ 0.6” C Determination time less than 60 seconds Use only IVAC probes and probe covers. The size, shape, and thermal characteristics of the probe covers can affect the performance of the instrument.
Appendix A OXISENSOR R-l 5 adult nasal sensor* *Accuracy: 80% to 100%; 0 to 79%: unspecified. 3.5 digits Neonatal Accuracv (70% - 100%) When sensors are used on neonatal subjects as recommended, the specified accuracy range is increased by +_l digit to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood (e.g., N-25 accuracy on neonates is +3, rather than +2). Note: Refer to NEI_I_COR’s sensor specifications.
Dimensions _I* Height: 9.8 in (25.0 cm) Width: 9.8 in (24.8 cm) Depth: 6.9 in (17.5 cm) Weight, Including Battery 7.8 lb (3.5 kg) Mountings Self-supporting on rubber feet or pole mountable Portability Carried by recessed handle or pole mounted I >. , , _> _, Mode of operation: continuous Degree of protection against harmful ingress of water: Drip-proof IPXl Classification Information . Power Rewemen& AC input voltage: loo-240 VAC, 50 / 60 Hz (nominal) 90 - 253 VAC, 47 - 63 Hz (range), SOVA.
Appendix A enabled) from full charge. Time for full recharge: 1 hr 50 min from full discharge when the Monitor is switched off and 8 hrs when the Monitor is switched on.
Appendix B Alarm Codes All alarm indications are accompanied by an audible signal unless Alarm Silence is selected. A microprocessor system failure will generate a high-pitched audible alarm regardless of the setting of the Alarm Silence switch. There are three categories of alarms: patient alarms, system alarms, and failsafe alarm. Patient Alarms Patient alarms include those alarms issued when the patient’s systolic pressure, diastolic pressure, pulse rate, or oxygen saturation is outside the set limits.
Hierarchy of Alarms Alarms in the DINAMAP@ PRO Monitor are in three priority levels. They are: Alarm Failsafe Patient and system Low battery Priority Level 1 2 (High priority alarm) 3 other alarm. Priority 2 alarms will override only the low battery alarm. The low battery alarm will not override any other alarm. The Priority 1 alarm (i.e.
Audible Tone and Volume 2 minutes silence Effect of Alarm Silence Switch Clear Clear Effect of Clear via SelectKno b Determinati minutes. Mo One cuff pre minute. Mot Unable to m determinatio insufficient Procedural and Error Alarm Codes High priority alarm. Volume adjustable 2 minutes silence Clear High priority alarm. Volume adjustable 2 minutes silence Clear Clear Overpressu Inflation tim or air leak d %%!?%&e .. fl~~:~tes Prob N99 No change NIBP FAILED High priority alarm.
No Code PO0 P55 4larm Code Values zeroed No change No change NO Ehange LED Display E33 TEMP: FAIL SpO, CABLE? SPO, PLACEMENT? PO0 NO SpO, SENSOR ‘55 ;pO, NO SIGNAL LCD Description High priority alarm. Volume adjustable High priority alarm. Volume adjustable High priority alarm. Volume adjustable High priority alarm. Volume adjustable High priority alarm.
LCD Description 2 minutes silence Effect of Alarm Silence Switch No effect No effect Effect of Clear via SelectKno b Paper ran ou door open Replace or re NIBP measu Replace or re From onset o measuremen Beep rate inc as battery dis Procedural and Error Alarm Codes (cont.) LED Alarm Code Display 3 beeps every 10 seconds, adjustable volume No effect Clear NIBP RANGE ERROR High Priority alarm.
Appendix C Principles of Noninvasive Blood Pressure Determination The oscillometric method of determining BP is accomplished by a sensitive transducer which measures cuff pressure and minute pressure oscillations within the cuff. The first determination sequence initially pumps up to a cuff pressure of about 160 mmHg for adult/pediatric patients, or 1 10 mmHg for neonates depending on the initial target pressure preset.
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Appendix C absence of a systolic value, stop deflation, reinflate to a higher (than initial) inflation pressure (290 mmHg maximum), and resume normal deflation sequence. This additional inflation will occur only once per determination.
-1 Appendix D Compatibility Table and Reorder Codes Description of Compatible Parts Code 2500 SOFT-CUP”, Infant 2501 SOFT-CUFT”, Child 2502 SOFT-CUFT”, Small Adult 2503 SOFT-CUFT”, Adult 2504 SOFT-CUP”, Large Adult 2505 SOFT-CUP”, Thigh 2521 SOFT-CUP”, Neonatal Type 1 2422 SOFT-CU FT”, Neonatal Type 2 2523 SOFT-CUp”, Neonatal Type 3 2524 SOFT-CUP”, Neonatal Type 4 2525 SOFT-CUP”, Neonatal Type 5 2783 DURA-CUF@ Cuff, Infant 2781 DURA-CUF@ Cuff, Child 2779 DURA-CUF@ Cuff, Small Adult 2774 DURA-CUF@ Cuff,
633132 3210 3211 621262’ 089 1 00* 316579 SCPl o* DSlOOA 320246 12 Volt Lead Acid Battery Accessory Pole/Basket Accessory Base Power Converter Printer Paper (box of 10) Power Cable NELLCOR SpOz Extension Cable NELLCOR Finger Sensor BP Cal Kit *PRO Monitor unique parts NELLCOR is a trademark of Mallickrodt, Inc.
Appendix F Maintenance Cleaning the Monitor The Monitor and accessories are to be kept clean and used according to the instructions provided here and in the Service Manual. The exterior of the Monitor may be wiped clean with a soft cloth slightly dampened with mild detergents. The Monitor and accessories should be inspected once yearly for wear and damage. Do not immerse unit. l . Do not clean with isopropyl alcohol or other solvents. Do not immerse hoses.
l Soft cloths and soft-bristled brushes - Spray bottles Procedure 1. Prepare the enzymatic detergent according to the manufacturer’s instructions and the 10% bleach solution, in separate spray bottles. 2. Spray the detergent liberally on device. If the material is dried on, allow the cuff to sit for 1 minute. For soil on the soft part of the closure or the cuff itself, wipe the material off with a soft cloth.
Appendix F disposable sensors or their packaging are damaged, they must be disposed of as advised in Appendix F. Storage and Battery Care If it becomes necessary to store the Monitor for an extended period of time, first fully charge then remove the battery. Then store the Monitor and the battery in the original packaging materials. Batteries should always be fully charged before being placed in storage. Even after 6 months of storage, a fully charged battery can retain about 80% of its charge.
l The expected lifetime of the battery largely depends on the way in which the Monitor is used. If the battery is allowed to completely discharge before being fully recharged, the battery should survive around 200 recharge cycles. If the battery is used in such a way that it never becomes more than one third discharged and is fully recharged whenever possible, it can survive up to 1200 cycles. This means that by thoughtful usage, the lifetime of the battery can be extended up to six times.
Appendix F Batteries Caution: Do not incinerate batteries. The sealed, rechargeable backup battery contains lead and can be recycled. The rechargeable memory battery is of the Nickel Metal Hydride form. Discharge this battery prior to disposal. Place the battery in packaging which electrically isolates its contents. Do not puncture or place the battery in a trash compactor. Do not incinerate the battery or expose it to fire or high temperatures.
