DINAMAP® PRO Series 100-400V2 Monitor Operation Manual 1
DINAMAP® PRO 400V2 Monitor 2
DINAMAP® PRO Monitor Operation Manual This manual is for DINAMAP® PRO Monitor Models 100V2, 200V2, 300V2, and 400V2, all with printers. • PRO 100V2: BP and Pulse • PRO 200V2: BP, Pulse, and Temp • PRO 300V2: BP, Pulse, and SpO2 • PRO 400V2: BP, Pulse, Temp, and SpO2 The model of the Monitor determines which menu option buttons appear on the LCD. Please refer to applicable sections. The Model Number 100-400V2 is generic in nature and reflects the range of product codes available.
other purposes or copying thereof is prohibited without prior written consent by GE Medical Systems Information Technologies, Tampa, Florida. Illustrations may show design models; production units may incorporate changes. Hierarchy of Warnings and Cautions A general warning is a statement that alerts the user to the possibility of injury, death, or other serious adverse reactions associated with the misuse of the device. A warning relates to steps in a procedure.
Contents Introduction ............................................................................ 7 About the DINAMAP® PRO Monitor .................................................................... 7 Product Compliance ...............................................................................................10 Symbols ......................................................................................................................11 Getting Started...............................................
Appendix A............................................................................77 Technical Specifications...........................................................................................77 BP .................................................................................................................................77 Temperature...............................................................................................................78 SpO2 ........................................
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 DC-operated monitors are primarily intended for use in hospital acute care settings such as outpatient surgery, accident and emergency, labor and delivery, GI/endoscopy, and medical/surgical units.
been reports of sensors causing patient burns when operating in an MRI environment. • 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.
presence of equipment which does not conform to these specifications. • Place the PRO Monitor on a rigid, secure surface. Monitor must only be used with mounting hardware, poles, and stands recommended by GE Medical Systems Information Technologies. 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.
Product Compliance The DINAMAP® PRO Monitor is classified in the following categories for compliance with IEC 601-1: • Class l, 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 • IPX1, degree of protection against ingress of water • Sterilization/Disinfection, see Appendix F DINAMAP® PRO MONITOR CLASSIFIED WITH RESPECT TO ELECTRIC
Symbols The following symbols are associated with the PRO Monitor. Note: The type of model determines which symbols appear on the Monitor.
Packaging label depicting the transportation and storage atmospheric pressure range of 500 to 1060 hPa. IPX1 The DINAMAP® PRO Monitor is protected against vertically falling drops of water and conforms to IEC-529 standard at level of IPX1. Vertically falling drops of water shall have no harmful effects to the Monitor.
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 GE Medical Systems Information Technologies.
charging. If the battery is not inserted, the external power indicator LED will flash (short flash approx. every 4 sec). 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.
Getting Started in a medical/hospital grade attachment plug, provided with the following cord tag: “Hospital Grade Plug." Grounding integrity can only be maintained when equipment is connected to an equivalent receptacle marked "Hospital Grade." • 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.
Rear Panel Connections 1 Battery compartment cover: Retains and protects internal battery. 2 Mains input: Used to connect to AC power supply. 3 External power socket: To be used with approved GE Medical Systems Information Technologies AC-DC power converter ONLY. 4 Inactive temperature cable storage: Inactive temperature probe cable attaches here (Models 200V2 and 400V2). 5 Pole clamp: Used to clamp monitor to pole or stand.
Getting Started 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 200V2 and 400V2). 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 200V2 and 400V2).
14 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 200V2 and 400V2). 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 SpO2 sensor connector: SpO2 sensor extension cable attaches here (Models 300V2 and 400V2).
Getting Started Switching the Monitor On and Off To switch the DINAMAP PRO Monitor on, press and hold the power ON/OFF switch (16) for at least 10 seconds or press the rotor (21). As the Monitor powers up, it will run 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).
appears dark on a light background, while the text of 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.
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.
Storage Store thermal paper in a cool, dry place. The printed strip (thermal paper recording) should not be • exposed to direct sunlight, • exposed to temperatures over 100 °F/38 °C or relative humidity over 80%, or • placed in contact with adhesives, adhesive tapes, or plasticizers such as those found in all PVC page protectors. Note: When in doubt about long-term storage conditions, store a photocopy of the thermal paper recording.
Using the Monitor Noninvasive Blood Pressure Determination Description The BP parameter is included in Models 100V2, 200V2, 300V2, and 400V2. Blood pressure is monitored noninvasively in the 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, 2. Auto, 3. Stat, and 4. Vitals (UK: All Obs).
allowing SpO2 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 to ensure that the cuff pressure is below a specified level. 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. • 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 GE Medical Systems Information Technologies.
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 a duration of time set by the user. The factory default setting is 2 minutes (refer to “Retain Values” in the Using the Menu System section for information on how to change this setting).
When Auto mode is selected, a number at the right of the Auto button indicates the time interval between each reading. To change the time interval, choose the box around the number and turn the rotor until the desired interval is reached. The interval can be set between 1 and 120 minutes (1, 2, 3, 4, 5, 10, 15, 20, 30, 45, 60, 90, and 120 minutes). Press the rotor to confirm the setting. After power-off, the operating mode returns to the default setting of Manual.
Using the Monitor initial target pressure selection for neonates is 110 mmHg. Artifact rejection is relaxed in the Stat mode for adult/ pediatric patients to allow for accelerated determinations. If a BP or Stat reading has been made previously, the first new systolic value will flash on the LED display (7) within a few seconds and will continue to flash until the end of the determination.
Temperature is shown on the temperature display in degrees Celsius or Fahrenheit, and the unit of measure is indicated by the °C °F display (13). The default, which is Celsius, can be changed in the Clinician Menu (please refer to the “Using the Menu System” section of this manual). Temperature determinations can be either predictive or monitoring. The user can make this selection from the Main Menu using the More... and then Temp buttons (please refer to the “Using the Menu System” section of this manual).
Using the Monitor When a monitor mode measurement is in progress, it is terminated when the probe is inserted into the probe holster. Note: These temperature readings are not stored in trends and not reported via host comms. General Warning • The performance of the Monitor may be degraded if it is operated outside of the environmental conditions specified in Appendix A. General Cautions • Be careful not to overextend the coiled cord of the temperature probe.
readings may occur unless IVAC® probe covers are used. • If a patient’s temperature is below 96.0 °F, the unit will automatically switch from the normal mode into the monitor mode within 60 seconds. It will continue to monitor the patient’s temperature until the probe is removed from the patient and returned to the storage well. Procedures for Oral Predictive Mode Determinations For oral temperature measurement, use the blue oral probe. 1.
Using the Monitor 7. 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. An audible single-tone sounds. Once you place the probe in the probe holster, the temperature values will be cleared in the user selected timeframe. Procedures for Rectal Predictive Mode Determinations To measure rectal temperature use the red rectal probe. 1.
Procedures for Monitor Mode Determinations (Axillary Determinations) 1. Connect the temperature probe cable to the temperature probe connector. 2. Remove the temperature probe from the probe holster. An audible singletone sounds. Place a protective temperature probe cover on the probe and insert the probe in the patient's axilla, making sure the tip of the probe is in contact with the skin and positioned as close as possible to the axillary artery with the patient's arm held close to his/her side. 5.
Using the Monitor • If the probe tip temperature is 92.0° F or higher (33.3° C) when taken out of the probe holster, the thermometer will not be able to perform a predictive measurement. Instead, the thermometer will automatically go into monitor mode. The temperature reading will then flash. A correct final temperature reading may require 3 minutes or longer. The Monitor will not beep at final temperature.
Pulse rate derived from SpO2 appears in the Pulse Rate window, and the SpO2 pulse indicator flashes synchronization with the real-time pulse rate measurements that are derived from the SpO2 signal. A tone sounds at a rate corresponding to the pulse rate and at a pitch corresponding to the SpO2 saturation level. The pitch is highest at 100% oxygen saturation, and it becomes lower as the saturation level falls. The Monitor displays a pulse bar graph. The pulse bar graph is proportional to the signal quality.
Using the Monitor If the Monitor is unable to detect a pulse for 10 seconds during normal SpO2 monitoring, the values in the LED flash, alternating patient values with dashes. The Monitor returns to normal SpO2 reporting of values when several consecutive good pulse determinations are made. General Cautions • If any measurement does not seem reasonable, first check the patient’s vital signs by alternate means and the check the pulse oximeter for proper functioning.
- there is excessive illumination from light sources such as surgical lamp, a bilirubin lamp, or sunlight - a blood pressure cuff is inflated on the same extremity as the one with a SP02 sensor attached. - the patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia - there is arterial occlusion proximal to the sensor - the patient is in cardiac arrest or is in shock Sensors • Before use, carefully read the Masimo® sensor directions for use.
Using the Monitor measurements. Always remove oximetry devices and attachments from the MRI environment before scanning a patient. • The use of cardio-green and other intravascular dyes at certain concentrations may affect the accuracy of the SpO2 measurement. • The SpO2 function is calibrated to read functional arterial oxygen saturation. Significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin may affect the accuracy of the SpO2 measurement.
• Use or patient-applied parts are latex-free. Procedures 1. Select a sensor that is appropriate for the patient and the clinical situation. Warning: Do not use a damaged sensor or one with exposed electrical contacts. Note: Use only MASIMO® sensors, which are available from Masimo® Corporation and GE Medical Systems Accessories and Supplies. 2. Following the directions for use supplied with the sensor, apply the sensor to the patient.
Using the Monitor • Observe the sensor site to assure adequate distal circulation. Sensor sites should be checked at least every 2 hours and rotated at least every 4 hours. Monitor performance: • Placing a sensor distal to an arterial line may interfere with adequate arterial pulsation and compromise the measurement of SpO2. • Place the sensor so that the LEDs and the photodiode are opposite each other. 3. Plug the SpO2 sensor into the SpO2 sensor extension cable.
use a disposable adhesive sensor that may tolerate more motion. • Replace the sensor. PROBLEM: The SpO2 value or the pulse rate changes rapidly; the pulse amplitude bar is erratic. CAUSE: • Excessive patient motion may be making it impossible for the SpO2 function to find a pulse pattern. • An electrosurgical unit (ESU) may be interfering with performance. SOLUTION: Check the patient.
Using the Monitor SOLUTION: • Check that calculations have been corrected appropriately for the relevant variable. In general, calculated saturation values are not as reliable as direct laboratory hemoximeter measurements. • If there is excessive light, cover the sensor with opaque material. • Circulation distal to the sensor site should be checked routinely. The site must be inspected every 8 hours to ensure adhesion, skin integrity, and correct optical alignment.
• If there is excessive light, cover the sensor with opaque material. PROBLEM: A sensor error indicating a bad sensor has occurred. CAUSE: • The sensor or cable may be defective, or the cabling may be improperly connected. SOLUTION: Check the patient. • If possible, keep the patient still; check whether the sensor/cable is applied securely and properly, and replace it if necessary. • Disconnect and reconnect the sensor.
Using the Monitor that are derived from the SpO2 signal. A tone sounds at a rate corresponding to the SpO2 saturation level. The pitch is highest at 100% oxygen saturation and becomes a little lower with each 1% decrease in saturation level. The Monitor can display a pulse amplitude bar and a plethysmographic waveform on the LCD (25). The pulse amplitude bar graph is proportional to the arterial blood flow.
normal SpO2 reporting of values when several consecutive good pulse determinations are made. General Warnings • Do not use the SpO2 function during magnetic resonance imaging (MRI). Adverse reactions include potential burns to patients as a result of contact with attachments heated by the MRI radio frequency pulse, potential degradation of the magnetic resonance image, and potential reduced accuracy of SpO2 measurements.
Using the Monitor • 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 SpO2 function. To prevent such interference, cover the sensor with opaque material.
pulsation and inaccurate measurement of oxygen saturation. • Excessive pressure from the sensor may cause necrosis of the skin. • For additional warnings and information, refer to the NELLCOR® sensor’s directions for use. Monitor performance: •When an SpO2 sensor is on a limb that has a blood pressure cuff, the SpO2 data will not be valid when the cuff is inflated.
Using the Monitor 3. Plug the SpO2 sensor into the SpO2 sensor extension cable. Then plug the SpO2 sensor extension cable into the SpO2 sensor connector (18). 4. Proceed with monitoring. SpO2 determinations run continuously and can run simultaneously with other measurements. Troubleshooting the NELLCOR SpO2 Parameter This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact a qualified service person or your local representative.
SOLUTION: Check the patient. • If possible, keep the patient still; check whether the sensor is applied securely and properly, and replace it if necessary; move the sensor to a new site; use a sensor that tolerates more motion. If an ESU is interfering: • Move the SpO2 cable as far from the ESU as possible. • Plug the Monitor and the ESU into different AC circuits. • Move the ESU ground pad as close to the surgical site as possible. • The sensor may be damp or may need to be replaced with a new sensor.
Using the Monitor • If there is excessive light, cover the sensor with opaque material. • Circulation distal to the sensor site should be checked routinely. The site must be inspected every 8 hours to ensure adhesion, skin integrity, and correct optical alignment. If skin integrity changes, move the sensor to another site. • Try to keep the patient still, or change the sensor site to one with less motion.
• The sensor or cable may be defective, or the cabling may be improperly connected. SOLUTION: Check the patient. • If possible, keep the patient still; check whether the sensor/cable is applied securely and properly, and replace it if necessary. • Disconnect and reconnect the sensor.
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.
Normal Mode Menu 56
Using the Menu System Clinician Mode Menu 57
Rotor Rotating the rotor causes option buttons to be highlighted (light text on a dark background). Turning the rotor 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 SpO2 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. The LCD shows*: Note: If the printer is in “Auto” mode, the Print button does not appear as an option.
Note: If the SpO2 plethysmograph is displayed on the LCD, the waveform pauses for 2 minutes or until the Clear button is selected. SpO2 values are also retained the same manner as the BP and Temperature values. Print Selection of this button causes the current data to be printed. Notes • 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...
Using the Menu System operating mode returns to the default setting 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 under the Service menu. To cancel an Auto BP determination, select the START/STOP key. To cancel an Auto BP mode, select the Manual button in the Set BP (UK: BP Mode) menu. Manual Selection of this option starts a Manual BP determination.
Alarms Button Selection of this button displays the Alarms menu. This menu is used to adjust the violation limits for BP, Pulse Rate, and SpO2. The values and ranges for these parameters are not stored when the Monitor is turned off. The user may edit the limits, but they are restored to the default values each time the Monitor is switched on. To permanently change the alarm limits, refer to “Alarms” under “Service Button” in the “Using the Menu System” section.
Using the Menu System Auto Selection of this button updates the alarm limits relative to the current parameter values. Pressing this button cancels any limit violation alarm that is invalided by this automatic limit change. The alarm limits are updated as follows: Notes • In no case will the updated alarm limits be set beyond the valid limits in the Alarm Limits table. • If no values are available, the limits will remain unchanged. Main Selection of this button returns the user to the Main menu.
Display Selection of this button allows the operator to view the trend data. Note: If the trend data have been lost (e.g., if the clock settings have been changed), the message “Trend Empty” will appear instead of the Newer, Older, and Print page buttons. 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 page. Selection of this button causes the displayed information to be printed.
Using the Menu System Main Selection of this button returns the user to the Main menu. Print Button Selection of this button displays the 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.
More... Menu This menu is used to set the various operating modes of the Monitor. SpO2 Button (Models 300V2 and 400V2) Selection of this button displays the SpO2 mode menu, which is used to set the SpO2 pulse tone volume and SpO2 Average (Masimo ONLY). Average For PRO Monitors with Masimo SET technology, the Average value is used in the calculation of SpO2 values. Average can be set to 4, 6, 8, 10, 12 ,14, or 16 seconds. Volume The pulse tone volume can be set in the range of Off to 9.
Using the Menu System Response Mode (Nellcor Only) Response mode allows the user to specify the averaging technique to optimize measurements in the presence of various patient movement. Choose Mode 1 (normal Response) when patients are active as in exercise protocols. Choose Mode 2 (Fast response; default setting) for the general patient population. SatSeconds™ (Nellcor Only) The SatSeconds™ technique limit-controls the time that the % SpO2 level may fall outside the alarm before an audible alarm sounds.
Pwr Sav (Sleep Mode) Selection of this button allows the operator to specify the time, in minutes, that elapses before the Monitor goes into “sleep” mode (LEDs blanked and LCD displaying values from LEDs). Sleep mode is available only if the Monitor is operating from its battery. Sleep mode conserves power while the Monitor is not in use. Once the Monitor is in Sleep mode, the user can return it to normal operation by touching any button or the rotor.
Using the Menu System Time Selection of this button allows the operator to change the internal time and date of the Monitor. The clock, which is maintained by an internal battery after power down, uses 24hour format. The date is in the British format of dd/mmm/ yyyy; however, to avoid confusion the month number has been substituted with a three-letter abbreviation. Leap years are calculated automatically. Accept.
Main Selection of this button returns the user to the Main menu. Temp Selection of this button displays the temperature submenu, which allows the user to choose the temperature label. When C (Celsius) is selected, the °C indicator lights. When F (Fahrenheit) is selected, the °F indicator lights. C or F. Selection of this button toggles the temperature display between Celsius and Fahrenheit. Predictive. Selection of this button toggles between the two modes of temperature measurement.
Using the Menu System SpO2 Pleth When this option is checked and SpO2 data are available, the plethysmograph waveform and the pulse amplitude bar will be displayed. 3 NIBP When this option is checked, the last 3 NIBP readings will be displayed. If SpO2 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 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 OK. Selection of this button returns the user to the Clinician menu. More.... Selection of this button displays the More... menu, which allows the user to permanently change default mode settings. 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 powerup and returns the Monitor to the More... menu.
For monitors with Nellcor SpO2 technology, the SpO2 configuration menu includes Response Mode and SatSeconds™. Response Mode can be set to “1” or “2”. The factory default is “2”. SatSeconds™ technique limit-controls the time that the % SpO2 level may fall outside the alarm before an audible alarm sounds. Choose either 0, 10, 25, 50, or 100 seconds. If 0 is chosen this feature is disabled For monitors with Masimo SpO2 technology, sensitivity can be set to Normal (the factory default) or Max.
Using the Menu System 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.
OK Button Selection of this button acknowledges the error. The Monitor clears the identified error and then returns the user to the Main menu.
Appendix A Technical Specifications BP Cuff Pressure Range (Normal operating range) 0 to 290 mmHg (adult) 0 to 140 mmHg (neonate) Default Target: Cuff Inflation 150 ± 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 Range (mmHg) Systolic MAP Adult 30 - 245 15 - 215 Neonate 40 - 140 30 - 115 Diastolic 10 -195 20 -100 Blood Pressure Accuracy Meets or exceeds ANSI/AAMI stand
TURBOTEMP Temperature Scale °Fahrenheit (F) °Celsius (C) Range Predictive mode Monitor mode Max: 41.1° C; 106.0° F Min: 33.6° C; 96.0° F Max: 41.1° C; 106.0° F Min: 26.7° C; 80.0° F Monitor mode accuracy ± 0.1° C ± 0.2° F (when tested in a calibrated liquid bath; meets ASTM E1112, Table 1, in range specified) Predictive mode accuracy ± 1.0° F ± 0.6° C Determination time approximately 10 seconds Use only IVAC probes and probe covers.
Appendix A Pulse Rate Without Motion With Motion 20 to 250 beats/min ±3 digits normal physiologic range 55 to 125 beats/min ±5 digits 20 to 250 beats/min ±3 digits Low Perfusion *Adult specifications are shown for OXIMAX MAX-A and MAX-N sensors. Neonate specifications are shown for OXIMAX MAX-N. Saturation accuracy will vary by sensor type. **Applicability: OXIMAX MAX-A, MAX-AL, MAX-P, MAX-I, and MAX-N sensors.
Nellcor Patents 4,621,643; 4,653,498; 4,700,708; 4,770,179; 4,802,486; 4,869,254; 4,928,692; 4,934,372; 5,078,136; 5,351,685; 5,421,329; 5,485,847; 5,533,507; 5,577,500; 5,803,910; 5,853,364; 5,865,736; 6,083,172; Re. 35,122 and, international equivalents. Masimo SET SpO2 Measurement Range SpO2 Pulse Rate Perfusion Range 1 to 100% 25 to 240 beats/min 0.
Appendix A standard deviation. Plus or minus one standard deviation encompasses 68% of the population. ‡The Masimo SET® SpO2 parameter has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator and Masimo’s simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5% for saturations ranging from 70 to 100%. This variation equals plus or minus, one standard deviation.
Default Settings SpO2 (%) SpO2 (%) Sensitivity Mode Averaging Time FastSAT Mode HIGH: 100 LOW: 90 2 (for low perfusion-Default) 12 seconds 0 (for Off) Masimo Patents 5,482,036; 5,490,505; 5,632,272; 5,685,299; 5,758,644; 5,769,785; 6,002,952; 6,036,642; 6,067,462; 6,206,830; 6,157,850, and international equivalents. Mechanical Dimensions 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.
Appendix A supplied from a source conforming to IEC 601-1. AC input is protected by two internal fuses, replaceable by qualified service personnel only. DC input line is protected by an internal autoresetting fuse. Battery: 12 volt, 2.3 amphours protected by internal auto-resetting fuse. Minimum operation time: 2 hrs (5 min cycle with adult cuff at 25 °C with power save mode enabled) from full charge.
Compatibility Requirements and Tests and CISPR 11 (Group 1, Class A) for radiated and conducted emissions. The DINAMAP® PRO Monitor is protected against vertically falling drops of water and conforms to IEC-529 standard at level of IPX1. Vertically falling drops of water shall have no harmful.
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 The Priority 1 alarm (i.e., Failsafe) will override any other alarm. Priority 2 alarms will override only the low battery alarm. The low battery alarm will not override any other alarm.
Clear Clear Clear High priority N44 2 minutes alarm. Volume TIMEOUT: TOTAL silence adjustable High priority 2 minutes alarm. Volume silence adjustable High priority 2 minutes alarm. Volume silence adjustable N33 TIMEOUT: INFLT N00 OVER PRESSURE No change No change No change N33 N00 N44 Clear High priority 2 minutes alarm.
P55 SpO2 NO SIGNAL P00 SpO2 SENSOR SpO2 SENSOR OFF? E33 TEMP: FAIL E00 TEMP: FAIL No change No change No change Values zeroed No change No change Blank No change P55 P00 No Code No Code E33 E00 No Code No Code TEMP PROBE BROKEN HIGH TEMP SpO2 PLACEMENT? (Masimo Only) LCD Description LED Display Alarm Code 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence High priority alarm.
No change Values posted No Code No Code Other: N, P, Blank E, I, S Blank No change No Code No Code LED Display Alarm Code Error code, description NIBP RANGE ERROR PRINTER NO PAPER Steady tone, maximum volume LOW BATTERY SYSTEM DISABLED No effect No effect Clear High priority 2 minutes alarm. Volume silence adjustable Steady tone, maximum volume Clear No effect High priority 2 minutes alarm.
Appendix C Principles of Noninvasive Blood Pressure Determination The oscillometric method of determining NIBP is accomplished by a sensitive transducer which measures cuff pressure and minute pressure oscillations within the cuff. A single determination (in normal mode) is initiated before taking repeated determinations in auto or stat mode. As a determination is taken, the algorithm stores the pattern of the patient's oscillation size as a function of the pressure steps.
Full NIBP Determination Sequence for Adult At each step the microprocessor stores cuff pressure, the matched pulse amplitude, and the time between successive pulses. The stepped deflation and matched pulse detection continues until diastolic pressure is determined or total cuff pressure falls below 8 mmHg. The parameter then deflates the cuff (to zero detected pressure), analyzes the stored data, and updates the screen.
Appendix C NIBP - Auto Mode Systolic Search If systolic pressure is not found, the NIBP parameter can search at cuff pressures higher than the initial target pressure. The parameter will inflate the cuff above the initial target pressure to get better data in the systolic region. The maximum pressure allowed in systolic search is limited by the normal range for cuff pressures.
make an accelerated determination of blood pressure if it has been 16 minutes or less since the last determination.
Appendix D Reorder Codes PRODUCT DINAMAP PRO Monitor Operations Manual-English DINAMAP PRO Monitor Service Manual Battery, 12V Lead Acid Printer Paper (box of 10) DINAMAP Rolling Stand Nurse Call PROD CODE 2009802-001 2009829-001 2010422-001 089100 003215 487208CR NIBP: Air Hose 12 ft Adult/Pediatric, Screw Connector Air Hose 24 ft Adult/Pediatric, Screw Connector Air Hose 12 ft Neonatal, Quick Disconnect Air Hose 12 ft Adult/Pediatric, Quick Disconnect 107365 107366 107368 88847 E9050LH E9050LJ E9050LK
Appendix E Warranty, Service, and Spare Parts Warning: There are no user serviceable parts inside the DINAMAP® PRO Monitor. Refer all servicing to qualified personnel. Warranty All repairs on products under warranty must be performed or approved by GE Medical Systems Information Technologies. Unauthorized repairs will void the warranty. Products not covered by warranty should be repaired only by qualified electronics service personnel.
Repairs If your product requires warranty, extended warranty, or non-warranty repair service, call GE Medical Systems Information Technologies and a representative will assist you. Estimates for non-warranty repairs are provided at no charge; however, the product must be sent to GE Medical Systems Information Technologies for an estimate. To facilitate prompt service in cases where the product has external chassis or case damage, please advise the representative when you call.
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. • Do not clean with isopropyl alcohol or other solvents. • Do not immerse hoses.
• 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. For persistent contamination on the soft part of the closure, use a soft-bristled brush to loosen particles.
Appendix F 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.
• Repeated failure to fully charge the battery will result in a significant reduction in battery life. • 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.
Appendix F Disposal of Product Waste As you use the PRO Monitor, you will accumulate solid wastes that require proper disposal or recycling. These include batteries, patient applied parts, and packaging material. 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.
Appendix G Host Port Connector (rear panel) WARNING! Auxiliary equipment connected to the DINAMAP® PRO Monitor will result in the formation of an electromedical system and thus, must comply with the requirements of EN 60601-1-1/ IEC 601-1. All host port signals are NON-ISOLATED and should be connected to equipment conforming to IEC-601-1, configured to comply with IEC 601-1-1 ONLY.
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