Go To Table Of Contents CARDELL® Veterinary Vital Signs Monitors Models 9401 and 9402 User’s Manual Manufactured for: 21-02-0285 REV.
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Go To Table Of Contents Back CARDELL® Veterinary Vital Signs Monitors MODEL DESCRIPTION 9401 Non-invasive Blood Pressure and Pulse Rate. 9402 Non-invasive Blood Pressure, Pulse Rate and Pulse Oximeter. IMPORTANT: This manual addresses all parameters of the CARDELL Veterinary Vital Signs Monitor. Not all monitors have all the parameters referred to in this manual. Read this Manual completely before using this equipment. WARNING: The CARDELL Monitor is to be operated by qualified personnel only.
Back Go To Table Of Contents In the U.S. the following caution applies: CAUTION: Federal law restricts this device to sale by or on the order of a veterinarian. First Printing: Revised: Revised: Revised: Revised: Revised: Revised: 01/04 02/04 08/04 07/05 09/07 05/08 05/09 21-02-0285 REV.
Go To Table Of Contents Back Manufacturers Declaration of Conformity Electronic Emissions and Immunity The Model 9401/9402 Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 9401/9402 Monitor should assure it is used in such an environment. Emissions Test Compliance Electromagnetic Environment RF emissions – CISPR 11 Group 1 The Model 9401/9402 Monitor uses RF energy only for its internal function.
Go To Table Of Contents Back Next Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The Model 9401/9402 Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 9401/9402 Monitor should insure that it is used in such an environment.
Go To Table Of Contents Back WARRANTY POLICY MONITORS CAS Medical Systems, Inc. warrants the monitor, when new, to be free from defects in material and workmanship and to perform in accordance with manufacturer’s specifications for a period of three (3) years from the date of original purchase from CAS or its authorized distributors or agents except as noted below.
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Go To Table Of Contents Back Next HOW TO CONTACT US For Warranty Issues: CAS Medical Systems, Inc. 44 East Industrial Road Branford, CT 06405 U.S.A. Phone: (800) 227-4414 (203) 488-6056 For Product Usage Information: Midmark 10008 N. Dale Mabry Hwy, Suite 110 Tampa, FL 33618 U.S.A. Phone: Toll Free: 800-Midmark (643-6275) Fax: (813) 264-6218 Fax: (203) 488-9438 E-Mail: techsrv@casmed.com E-Mail: www.Midmark.com/Pages/Contactus.aspx Web: Web: www.casmed.com www.Midmark.
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Back Next CARDELL® Veterinary Monitors TABLE OF CONTENTS 1. INTRODUCTION AND INTENDED USE ...................................................... 17 INTRODUCTION ................................................................................................. 17 INDICATIONS FOR USE.....................................................................................17 CONTRAINDICATIONS ......................................................................................17 BRIEF DEVICE DESCRIPTION .......
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors REAR PANEL ......................................................................................................50 AC LINE POWER CONNECTOR..................................................................50 FUSE COMPARTMENT ................................................................................50 BATTERY COMPARTMENT .........................................................................50 EQUIPOTENTIALITY GROUND POST .............
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors MONITOR CONFIGURATION ............................................................................67 ENTERING THE CONFIGURATION MENU .................................................67 SAVING YOUR CHANGES ........................................................................... 67 SOFTWARE REVISIONS..............................................................................68 SETTING THE LANGUAGE ..........................................
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors PNEUMATIC TUBING ...................................................................................88 PRINTER .......................................................................................................89 SPO2 INTERCONNECT CABLE ...................................................................89 SENSOR AND CLIPS ....................................................................................89 10. MAINTENANCE ..............
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors FIGURES Figure 1: Patient Environment ................................................................................................18 Figure 2: Cat Cuff Placement ..................................................................................................34 Figure 3: Dog Cuff Placement ................................................................................................35 Figure 4: Full Velcro® Engagement ................
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors TABLES Table 1: Parts of the System ..................................................................................................18 Table 2: Small Animal Cuff Selection ....................................................................................37 Table 3: Large Animal Cuff Selection ....................................................................................37 Table 4: Default Alarm Values ..............................
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 1. INTRODUCTION AND INTENDED USE INTRODUCTION The CARDELL Veterinary Monitors, Models 9401 and 9402, are vital signs monitors measuring blood pressure and oxygen saturation. The monitors are restricted for use, one patient at a time. Non-invasive blood pressure is measured using the oscillometric technique determining systolic, diastolic, mean arterial pressure and pulse rate.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors On each detected pulse, the perfusion LED does indicate patient perfusion signals. This bar graph gives the user a pulse-by-pulse visual indication of waveform signal quality. An audio “beep” can be enabled that is generated each time the SpO2 module detects a pulse. NOTE: The bar graph is not proportional to the pulse volume.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors DEFINITION OF TERMS In this manual, “WARNING”, “CAUTION”, “IMPORTANT” and “NOTE” mean the following: WARNING: Directions that warn of conditions that put the patient or caregiver at risk. CAUTION: Directions that help you avoid damaging your monitor or losing data. IMPORTANT: Directions you should be particularly aware of; something not readily apparent. NOTE: Directions that make it easier to use your monitor. 21-02-0285 REV.
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Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 2. UNPACKING THE MONITOR INITIAL INSPECTION Before unpacking the monitor, inspect the packaging for damage. If there are any signs of damage to the package, a claim should be filed immediately with the shipping agent. It is the receiver's responsibility to notify the carrier's local office to arrange for the pickup of the damaged items. Save the damaged shipping carton as evidence. Contact CAS Medical Systems Inc.
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Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 3. SYMBOLS Units may display the following symbols: Alternating Current CAUTION: Before using, read instructions included. The CE Mark signifies the device has met all essential requirements of European Medical Device Directive 89/336EEC. This symbol appears here instead of on the unit. The first two digits of the unit’s serial number indicate the year of manufacture in the 21st century.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SYMBOLS IPX1 (CONT.) Protection against ingress of water. NIBP Hose and Cuff Connector SpO2 Pulse Oximeter Probe Input Connector Two-way Communications Port RS232 Interface Connector These symbols may be used in place of text on the front panel. ON/STANDBY – Turns “ON” the monitor’s display. SILENCE/RESET START/STAT CANCEL CYCLE TIME 21-02-0285 REV.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SYMBOLS (CONT.) HISTORY VOLUME ALARM LIMITS ARROW UP ARROW DOWN Bar graph display of SpO2 signal strength. ♥ BPM Pulse Rate Display Large Cuff A lighted LED to indicate NIBP operating with SV8 and SV10 size cuffs or larger. Small Cuff A lighted LED to indicate NIBP operating with SV1 – SV5 size cuffs. A tri-colored LED used to indicate the status of the monitors power source. 21-02-0285 REV.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SYMBOLS (CONT.) These symbols appear on the battery pack in place of text. Recycling suggested (see General Notes). These symbols appear on the packaging in place of text. Symbol used to indicate where Relative Humidity information concerning storage and transport can be located. Symbol used to indicate the minimum and maximum storage and transport Temperatures. This symbol appears on the printer in place of text.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 4. SAFETY MEASURES AND WARNINGS WARNING: The CARDELL MODEL 9401 and 9402 monitors are intended for VETERINARY USE ONLY. Do no use on human patient. Do not use this instrument for any purpose other than specified in this manual. Doing so will invalidate the monitor’s warranty. Do not connect more than one (1) patient to the monitor. Do not plug the monitor into an outlet controlled by a wall switch.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors WARNING: The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include: - Use of the accessory in the Patient Environment. - Evidence that the safety certification of the accessory has been performed in accordance with the appropriate IEC 60601.1 and/or IEC 60601.1.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors WARNING: ACCURACY – If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by alternate means and then check the CARDELL Monitor for proper functioning. CABLES – Route all cables away from patient’s throat to avoid possible strangulation. DEFIBRILLATION – Do not come in contact with patients during defibrillation. Serious injury or death could result.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors CAUTION: Before each use, make sure that the monitor default alarm settings are appropriate for the specific patient being monitored. Pressing the front panel keyswitch with a sharp or pointed instrument may permanently damage the keyswitch. Press the keyswitch using only your finger.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors CAUTION: ACCIDENTAL SPILLS – In the event that fluids are accidentally spilled on the monitor, take the monitor out of operation and inspect for damage. BATTERY POWER – If the monitor will not be used or not connected to AC line power for a period over six (6) months, remove the battery. ELECTRICAL SHOCK – To reduce the risk of electrical shock, do not remove the back cover. Refer all servicing to qualified personnel.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors GENERAL NOTES: There are no known risks with common disposal of equipment or accessories; however, the disposing of accessories should follow in accordance with local hospital policies. The user should ensure these policies do not conflict with any local, state or federal guidelines. The monitor is suitable for use in the presence of electro surgery. The monitor is suitable to be connected to public AC mains power.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 5. BLOOD PRESSURE MONITORING CUFF SELECTION AND APPLICATION The use of properly designed and sized cuffs is essential for the accurate non-invasive measurement of blood pressure. Midmark cuffs are recommended for use with the CARDELL Monitor. NOTE: CAS recommends the use of Midmark cuffs with the CARDELL Monitor. CAS recommends the use of the inflation hose supplied with the monitor or a replacement from CAS.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SITE SELECTION Place the patient on a padded surface or chair to provide comfort. Shivering will inhibit the monitor from making a determination. CUFF PLACEMENT FOR A CAT A cat may be left in its owner’s lap to keep it calm. Measurements are best done in an area of the hospital away from noise and bright lights. The animal may be held so that the front limbs are free for cuff placement.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors CUFF PLACEMENT FOR A DOG For measurements in dogs, it is preferable to use the right lateral, sternal or dorsal recumbent positions. That is not a problem in anesthetized patients, but it may be difficult to get large dogs to cooperate for proper positioning. If the dog is in a sitting position, place the front paw on the operator’s knee and take measurements from the metacarpus.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors LARGER ANIMALS A large animal such as a horse should be in a stock, standing still, or lying down. For horses and cows, the cuff can be wrapped around the base of the tail using the coccygeal artery on the ventral surface. WARNING: When monitoring over an extended period of time, or at frequent intervals, periodically observe the patient’s limb to make sure that the circulation is not impaired for a prolonged period of time.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors Use the following table as a guide to select the correct size. Table 2: Small Animal Cuff Selection Cuff Model Number Bladder Size (Width) Limb Circumference Range SV1 SV2 SV3 SV4 SV5 2.0 cm (0.8 in.) 2.5 cm (1.12 in.) 3.5 cm (1.5 in.) 4.0 cm (1.75 in.) 5.0 cm (2.0 in.) 3 – 6 cm (1.2 – 2.4 in.) 4 – 8 cm (1.6 – 3.1 in.) 6 – 11 cm (2.4 – 4.3 in.) 7 – 13 cm (2.8 – 5.1 in.) 8 – 15 cm (3.1 – 5.9 in.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors Normal feline blood pressure: 124/84 Other investigators have reported comparable reference values: Feline Reference Values Systolic (mmHg) 125 ± 11 123 ± 14 125 ± 12 Diastolic (mmHg) 89 ± 9 88 ± 15 86 ± 15 Brown et al, 1997 Curtet, 2001 Weber et al, 2002 CANINE NORMAL VALUES The normal values for dogs are breed-specific.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors GUIDELINES2 Mean Arterial Pressure (MAP): Hypertension: Hypotension: Minimum to adequately perfuse all peripheral tissue beds: 60 - 70 mmHg. Suspect with systolic pressure greater than 150 mmHg; affirmed when above 160 - 170 mmHg; also affirmed in cats when diastolic pressure is above 100 mmHg. During anesthesia, generally maintain systolic pressure above 80 mmHg. For more information, call Midmark. 2 Info per Dr.
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Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 6. PULSE OXIMETRY MONITORING (Model 9402 only) The CARDELL Model 9402 Monitor is intended for animal monitoring by trained personnel. It displays numerical values for oxygen saturation and pulse rate. The Model 9402 has provisions for alarm settings. WARNING: Use only Nellcor® VetSat® veterinary oxygen transducer (sensor and clips). Use of other oxygen transducers may cause improper oximeter performance.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 7) Be sure that the sensor cable is positioned along the side of the animal’s face and body to avoid entanglement with the animal. WARNING: Do not use supplemental tape to adhere the clip and sensor directly to the site; this can restrict blood flow and cause inaccurate measurements. For best results, secure the sensor cable independently from the sensor.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SENSOR REMOVAL CAUTION: For the comfort of the patient and to avoid damaging the sensor, do not pull on the cable when removing the sensor and clip from the sensor site. When SpO2 monitoring is completed, remove the sensor from the patient. To remove the sensor and clip from the patient, press the clip open and remove.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors PERFORMANCE CONSIDERATIONS If there is excessive ambient light, cover the sensor site with opaque material. Failure to do so may result in inaccurate measurements. Light sources that can affect performance include surgical lights (especially those with a xeon light source), bilirubin lamps, fluorescent lights, infrared heating lamps and direct sunlight. 21-02-0285 REV.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 7. MONITOR OPERATION FRONT PANEL Figure 6: Front Panel View DIGITAL DISPLAY AND INDICATORS SYSTOLIC mmHg Red colored LEDs indicate the Systolic pressure measurement in mmHg. DIASTOLIC mmHg Red colored LEDs indicate the Diastolic pressure measurement in mmHg. MAP mmHg Red colored LEDs indicate the Mean Arterial Pressure in mmHg. %SpO2 Green colored LEDs indicate the %SpO2 value. (Model 9402) 21-02-0285 REV.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors ♥ BPM Red colored LEDs indicate the Pulse Rate in BPM (beats per minute). Green colored LEDs provide a visual indication of the SpO2 signal strength in a bar graph form (Model 9402). LARGE CUFF SMALL CUFF A yellow LED indicating NIBP operating with SV8 and SV10 size cuffs or larger. A yellow LED indicating NIBP operating with SV1 – SV5 size cuffs.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors FRONT PANEL CONTROLS Figure 7: Front Panel Controls ON/STANDBY: Press once, turns “ON” the CARDELL Monitor’s display (if it was OFF). Press again, turns the monitor’s display “OFF”. SILENCE/RESET: When pressed during an active patient alarm, silences the audio portion of that alarm for fifteen (15) seconds.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors START/STAT: START: Initiates a blood pressure measurement in the Manual Mode or begins the selected automatic cycle. STAT: Starts a series of NIBP measurements (press and hold for two (2) seconds). Continues for five minutes. CANCEL: Cancels any active blood pressure function and immediately deflates the cuff. Press and hold for two (2) seconds to change between Large Cuff and Small Cuff NIBP Modes.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors VOLUME: Used to set the volume level of the Alarms and the SpO2 Beep (Model 9402). Use the Up and Down Arrows to change. Also used to adjust the brightness of the front panel displays (press and hold for two (2) seconds). ALARM LIMITS: Allows the user to enter and set the monitor’s Alarm Limits. ARROW UP: Allows forward Adjustment (Auto Cycle, History, Inflation Pressure, Limits and Monitor Configuration).
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors REAR PANEL Figure 8: Rear Panel View Monitor shown with optional RS232 Communications Module AC LINE POWER CONNECTOR Receptacle for the AC power cord. FUSE COMPARTMENT The power input receptacle incorporates dual fuses located in the hot and neutral lines. BATTERY COMPARTMENT The CARDELL Monitor is equipped with a 7.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors LEFT SIDE VIEW Figure 9: Left Side Panel View CUFF HOSE CONNECTION The six (6) foot, Inflation Hose is connected to the monitor where the MAXNIBP logo is located as shown in Figure 9. The hose must be connected to the cuff prior to use. NELLCOR® VET SpO2 SENSOR CONNECTION (Model 9402 only) The SpO2 connector is compatible only with Nellcor® VetSat® veterinary sensor. Connect the Interface Sensor cable in this receptacle for SpO2 monitoring.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors MONITOR OPERATING INSTRUCTIONS TURNING THE CARDELL MONITOR “ON” Press the ON/STANDBY pushbutton on the front panel to turn the monitor “ON”. Figure 10: Turning the Monitor On Each time the monitor is turned “ON”, a brief electronic song will play while the Power On SelfTest (POST) is conducted to ensure that its internal circuits are functioning properly.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors NOTE: If the printer was powered “ON” during the monitor’s power-up sequence, the Midmark logo is printed. Once the Power On Self-Test is completed, the monitor indicates that it is “Ready” for use. FRONT PANEL INTENSITY CONTROL The CARDELL Monitor utilizes Super Bright LED displays in its front panel for better viewing in a variety of environments.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors MANUAL MODE FOR BLOOD PRESSURE DETERMINATION Select the appropriate sized cuff for the patient being monitored. Refer to Section 5, BLOOD PRESSURE MONITORING for more information. Connect the cuff to the end of the monitor tubing. Connect the monitor tubing to the NIBP connector, located on the left side of the monitor. The default Initial Inflation Pressure is 150 mmHg.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors Press the CANCEL pushbutton, at any time, to stop a measurement and deflate the cuff during the measurement process. The monitor’s front panel NIBP displays will indicate all dashes “- -“ and the Message Window returns to “Ready”. The CANCEL pushbutton can be pressed after a measurement is taken to clear the current reading from the displays.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors STAT MODE WARNING: Readings obtained during STAT mode may not meet the stated accuracy of this monitor. WARNING: In some cases, rapid, prolonged cycling of an oscillometric, noninvasive blood pressure monitor cuff has been associated with ischemia.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors HISTORY MODES The History Mode allows the user to recall previously taken measurements. The measurement results and the time the measurement was taken are also displayed. Patient History is organized in two visually displayed lists. Event History: Pressing the HISTORY pushbutton the first time reveals the first viewable list that contains up to 480 entries of NIBP Event History readings along with the corresponding %SpO2 results (Model 9402).
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors EVENT HISTORY (EVENT-Ev) To review History based on Event readings, press the HISTORY pushbutton. The most current NIBP measurement and the time of measurement (HH:MM-Ev) are displayed on the front panel along with its corresponding %SpO2 values. If there are no readings in the History, the message "No Evnts" is displayed in the Message Window. Press the ARROW DOWN pushbutton to review preceding measurements.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PRINT HISTORY (to optional printer) The stored Event History and Trend History data are printed individually. Press and Hold the HISTORY pushbutton for two (2) seconds while in either the Event or Trend History screens. The message “Print? N” appears in the Message Window. Use either the ARROW UP or ARROW DOWN pushbutton until the message “Print? Y” appears in the Message Window.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PATIENT ALARM MODE WARNING: Configuring the CARDELL Monitor’s alarm settings to “OFF” will disable all audible and visual alarms. This mode should only be selected for spot check applications where the patient is receiving bedside surveillance by a trained clinician. Refer to Page 68, AUDIO ALARMS (SILENCE/RESET Pushbutton) for more information.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors The Message Window will display “Saving” and the current value(s) will be saved. When finished, press the CANCEL pushbutton to return to the “Ready” state. These values will be retained in memory even after the monitor is turned “OFF”. RESTORE FACTORY DEFAULTS To restore the factory default settings, press ALARM LIMITS pushbutton to enter the Alarm Limits mode.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors AUDIBLE AND VISUAL INDICATORS The CARDELL Monitor is capable of producing both an audible and a visual indicator for a variety of monitor conditions. The following table provides a cross reference for audible and visual indications. Table 5: Audible and Visual Indicators Alarm Condition Priority Level Audible Tone Visual Indication The message is displayed continuously in the Message Window. The Battery Power Visual Indicator is Red.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors CLEARING ALARMS The CARDELL Monitor provides to the user with an audible and visual indication for both patient and equipment alarm conditions. NIBP PATIENT ALARMS During an active NIBP Patient Alarm Limit Violation (Low/High Systolic or Low/High Diastolic), the monitor flashes the LED display of the parameter in alarm and provides a Patient Alarm Limit Violation audible tone. To acknowledge the alarm, press the SILENCE/RESET pushbutton.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors EQUIPMENT ALARMS During an Equipment Alarm, the monitor displays the alarm parameter in either the Message Window or flashes the LED display of the alarmed parameter and provides an audible Alarm Tone. To clear the alarm, press the SILENCE/RESET pushbutton. The monitor silences the audible tone and clears the parameter. NOTE: The Low Battery and Dead Battery alarms cannot be silenced.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 2-MINUTE AUDIO SILENCE NOTE: Enabling the 2-Minute Audio Alarm Off mode can only be accomplished after all active alarm conditions have been addressed. To clear an alarm, refer to Page 63, CLEARING ALARMS for more information.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors When enabled, the monitor will not alarm for patient related High and Low alarms, NIBP Application Error and SpO2 Probe Alarm. The monitor will alarm for Low Battery and Dead Battery. To re-activate the audio alarm, press the SILENCE/RESET pushbutton again. The visual indicators will go out. Refer to Page 68, AUDIO ALARMS (SILENCE/RESET Pushbutton) for more information.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors MONITOR CONFIGURATION The Monitor Configuration section allows the user to configure the CARDELL Monitor to your individual needs.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SOFTWARE REVISIONS The CARDELL Monitor displays the current software revision of its operating system and that of the internal modules being used inside. The software versions are displayed in the following order: Table 6: Software Revisions Software Module Message Window CARDELL Monitor Control Board Boot Loader Power Supply PIC Processor CAS NIBP Module Nellcor SpO2 Module (1) Ver X.X Boot X.XX PIC X.X ND X.X NEL X.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors To configure the alarms, first enter the Monitor Configuration menu. Once in the menu, use one of the NEXT programmed pushbutton keys until the Message Window displays the current value of the Audio Alarms menus. Use the ARROW UP or ARROW DOWN pushbuttons to make your selection. Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the “Ready” mode.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors MAP VALUE ENABLE / DISABLE During a blood pressure reading, the user can elect to display or not to display the MAP value. Should it need to be changed, first enter the Configuration menu. Refer to Page 67, ENTERING THE CONFIGURATION MENU. Once in the menu, use one of the NEXT programmed pushbutton keys until the Message Window displays the monitor’s current setting for the MAP value “MAP On” or “MAP Off”.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SETTING THE TIME The CARDELL Monitor’s Time value is set for Eastern Time and is set at the factory. Should it need to be changed, enter the Monitor Configuration menu and use one of the NEXT programmed pushbutton keys until the Message Window displays the monitor’s time using the following format: “HH:MM”. Where HH = Hour of the Day (0 – 23) and MM = Minute of the Hour (0 – 59).
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors BATTERY POWER The CARDELL Monitor is equipped with an internal rechargeable battery. The battery is charging whenever the monitor is plugged into the AC wall outlet. A Battery Power Visual Indicator, located on the front panel, indicates the status condition of the monitor’s battery. Batteries will self-discharge when they are not used.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors CHECKING BATTERY STATUS NOTE: The monitor, when connected to AC Line Power and is powered “OFF”, will display “CHARGING” in the Message Window until the battery reaches a full charge condition. Once the battery reaches full charge, the monitor is capable of supplying battery charge information as described below. The monitor’s Main Board receives information from electronics enclosed within the battery pack.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors For the Auto “OFF” feature to work properly, the following conditions must apply; Alrm Off is selected in the Configuration Menu. The CARDELL Monitor is operating on battery power. No NIBP or SpO2 readings were taken in the past ten (10) minutes. No key presses were made in the past ten (10) minutes. The monitor cannot be in the Automatic NIBP cycle mode. POWER FAIL The CARDELL Monitor incorporates a Power Fail feature.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors SpO2 USER MESSAGES (Model 9402 only) If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by an alternate method. NOTE: The SpO2 probe must be kept as motionless as possible to make a proper determination. Use the SpO2 strength bar graph to determine if a strong rhythmic pulse signal is present.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW Table 7: Error Messages on the Message Window ERROR MESSAGE "Air Leak" “Appl Err“ “ChksumEr“ "Dead Bat" "Flow Err" POSSIBLE CAUSE POSSIBLE SOLUTION Cuff applied too loosely. Check cuff for snug fit on patient. Leak in cuff/monitor pneumatic system. Check that the cuff/monitor connection is secure. Small Cuff is detected in Large Cuff Mode.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW (cont.) Table 7: Error Messages on the Message Window ERROR MESSAGE "NIBP Err" “No Probe” "OverPres" POSSIBLE CAUSE An electronic failure has occurred within the NIBP module. The monitor is not detecting the SpO2 probe. Cuff pressure exceeded 290 mmHg. POSSIBLE SOLUTION Contact CAS Medical Systems, Inc. to have the monitor serviced. The probe was disconnected.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW (cont.) Table 7: Error Messages on the Message Window ERROR MESSAGE “Sig Sat” "Time Out" POSSIBLE CAUSE POSSIBLE SOLUTION Motion pulses too strong. Limit patient activity. The monitor was unable to complete a measurement within 150 seconds. Repeat measurement. An extremely long measurement can be due to a loose cuff, high blood pressure, or monitor re-pumps. Try measurement again.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 8. EXTERNAL PRINTER (optional) The following section is provided as an overview of the Citizen CMP-10 Mobile Printer as it is used with the CARDELL Monitor. NOTE: The Citizen Model CMP-10 Mobile Printer that is used with the CARDELL Monitor has proprietary software installed in it for communications.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PRINTER CONTROLS AND INDICATORS Figure 11: Printer Controls and Indicators LED Indicators (Bicolor – Red and Green) 1. CHARGE LED Red on – Charging Battery Green on – Battery is fully charged 2. Power (Error) LED Green on – Device is switched “ON” or self-testing is in progress Red/Green blinking fast - End of paper Red/Green blinking slow - Print Head Overheated Controls 3. 4. 5. 6.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PRINTER OPERATION DIRECT CONNECTION The monitor uses the optional DB9 connector, located on the rear panel of the monitor to interface to the RS232 port on the printer. Use the cable which is supplied with the printer. NOTE: When using the direct connect method, connect the printer’s serial cable to the printer before turning the printer on.
Back Go To Table Of Contents Next CARDELL® Veterinary Monitors Sample printouts of both History Modes are shown below.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors CHARGING THE PRINTER BATTERY The printer is equipped with a rechargeable Lithium Ion (LiION) battery pack. When the printer detects a Low Battery condition within itself, the message “Low Battery” is printed and an audio indicator, located inside the printer sounds three (3) times. WARNING: Charge the printer battery using the AC Adapter, Model TRC-09-1100-M from GROUP WEST, or equivalent (supplied with printer).
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors INSTALLING PAPER NOTE: A red line appears when the remaining supply of thermal paper becomes low. 1) Switch the printer “OFF”. 2) Press the Cover Open button to access the paper compartment. Remove any remaining paper before installing the new roll. 3) Place the new paper roll as shown on the illustration and pull out enough paper to reach out over the control panel of the printer. 4) Close the paper door.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors REPLACING THE BATTERY PACK WARNING: Do not operate the printer or connect the printer to the CARDELL Monitor with the battery pack removed. WARNING: Never change the battery pack while the battery charger is plugged in and/or the CARDELL Monitor is being operated. 1) Switch the printer “OFF”.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors INSTALLING A NEW BATTERY PACK 1) Connect the battery cable into the battery connector. 2) Insert the battery and its connecting cable into the battery compartment. Figure 15: Installing the New Battery 3) Replace the battery cover by sliding it in from the back of the printer and pushing down to lock it in place. CAUTION: Be sure to place the battery cover firmly in its position after installing the new battery pack.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 9. CLEANING CLEANING OVERVIEW WARNING: Do not, under any circumstances, perform any testing or maintenance on the monitor while the monitor is being used to monitor a patient. The monitor must be turned “OFF”. Unplug the monitor from the AC power source and remove the internal battery. CAUTION: Do not open the monitor to clean or repair it. Contact CAS Medical System for service needs.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors THE DISPLAY CAUTION: Use care when cleaning the display. Scratches may occur. Occasionally, as needed, clean the display window using a soft, lint-free cloth sprayed with an alcohol free glass cleaner. Do not use either isopropyl alcohol or solvent to clean the display. Use of these cleaners can cause damage to the display. The use of paper towels is not recommended as it may scratch the surface.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PRINTER When the printer becomes dirty, wipe with a soft dry cloth. For extreme dirt buildup, soak a cloth with mild detergent, wring well and wipe. Dry by wiping with a soft dry cloth. CAUTION: Before cleaning the printer, disconnect the AC adapter from the printer. Do not use volatile chemicals such as thinner, benzine, etc. Never wet the inside of the printer mechanism. Refer to the printer User’s Manual for more information.
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Back Go To Table Of Contents Next CARDELL® Veterinary Monitors 10. MAINTENANCE MAINTENANCE INTERVALS Besides the routine cleaning of the monitor and accessories outlined in the previous section, and replacement of accessories due to normal wear and tear, calibration of the monitor should not be necessary during the warranty period. If the monitor is in need of repair, it must be referred to the appropriate service personnel.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors TEST MODE WARNING: Do not place the monitor in the TEST MODE when a cuff is attached to a patient. NOTE: While in the Test Mode if no pushbutton is pressed within 15 minutes, the monitor will automatically terminate the Monitor Configuration menu and return to the “Ready” mode.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors LED CHECK The CARDELL Monitor incorporates an all lights “ON” check to verify the functionality of the front panel LED displays and indicators. Enter the Test Mode. The Message Window will briefly display “TestMode” followed by "0 mmHg". Press and hold either the ARROW UP or ARROW DOWN pushbuttons.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 6) Use the manometer inflation bulb to slowly inflate the system pausing for 30 seconds at the following points and verify calibration according to the following table: 0 mmHg +/- 1 mmHg 50 mmHg +/- 4 mmHg 100 mmHg +/- 4 mmHg 150 mmHg +/- 4 mmHg 200 mmHg +/- 5 mmHg NOTE: If the monitor does not display the test pressure for the 30-second period, deflate to zero and verify the proper assembly of the calibration set-up.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 5) The Message Window will display “Chk Pres”, will inflate to approximately 180 mmHg and attempt to hold this pressure. The pressure value will be displayed in the SYSTOLIC display window. This test takes about fifteen (15) seconds. 6) At the completion of a successful Pressure Check, the Message Window will display “Passed”, the monitor will beep two (2) times and will return to the Calibration Check function after five (5) seconds.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors OXIMETRY CALIBRATION CHECK The oximeter is factory calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin. No user calibration is required. REPLACING THE MONITOR BATTERY A part number for the battery can be found in the ACCESSORIES section of this manual or on the label located on the inside panel of the battery pack. When the battery fails to hold a charge it will need to be replaced.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors INSTALLING THE BATTERY 1) Align the Battery Pack guides with the bottom of the monitor. 2) Slowly close the battery door to ensure the connector in the monitor and the connector on the battery pack mate together. 3) Lock the battery door closed. Refer to Page 72, BATTERY POWER for additional battery information. NOTE: When the battery pack is re-installed, the monitor will automatically turn “ON”.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors To replace the fuses: 1) Turn the monitor “OFF” and disconnect the power cord from the back of the monitor. 2) Press down on the locking tab, which holds the fuse holder in the power input receptacle. 3) While holding down on the tab, pull the fuse holder out. 4) Remove the fuses. 5) Place new fuses directly into the fuse holder. 6) Insert the fuse holder into the power input receptacle.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 11. ACCESSORIES BLOOD PRESSURE CUFFS Reusable Blood Pressure Cuffs (single tube) Catalog Number SV8 SV10 Width 8.0 cm 10.2 cm Range 13 – 20 cm 18 – 26 cm Disposable Blood Pressure Cuffs (single tube) Catalog Number SV1 SV2 SV3 SV4 SV5 SV600 Width Range 2.0 cm 3 – 6 cm 2.5 cm 4 – 8 cm 3.5 cm 6 – 11 cm 4.0 cm 7 – 13 cm 5.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors OTHER ACCESSORIES: Catalog No. Description 01-02-0395 01-02-0386 01-02-0385 01-02-0384 Replacement Power Cord, U.S.A. Replacement Power Cord, European Replacement Power Cord, Australian Replacement Power Cord, U. K. 03-08-0450 Monitor Battery Pack (7.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors MONITOR CONFIGURATIONS Table 8: Monitor Configurations Model 9401 9402 Description MAXNIBP® Non-invasive Blood Pressure and Pulse Rate, 100240V, 50/60HZ, AC Power Supply and Battery MAXNIBP® Non-invasive Blood Pressure, Pulse Rate and Nellcor Veterinary SpO2, 100-240V, 50/60HZ, AC Power Supply and Battery 21-02-0285 REV.
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Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 12. GLOSSARY Diastolic The Diastolic pressure is the bottom (lower) number given in a reading. This number represents the amount of pressure present in the system between heartbeats. NIBP Non-Invasive Blood Pressure. Abbreviation used when a blood pressure reading is taken externally using a non-invasive procedure. SpO2 (%SpO2) Abbreviation used when oxygen saturation level of the blood is measured with a pulse oximeter.
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Go To Table Of Contents Back Next CARDELL® Veterinary Monitors 13. SPECIFICATIONS NIBP MEASUREMENT Characteristic Specification Technique: Blood Pressure Range Systolic: Diastolic: MAP: Pulse Rate Range: Accuracy Blood Pressure: Pulse Rate: Oscillometric (MAXNIBP® Technology) Microprocessor software eliminates most ambient noise and motion artifact.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors PATIENT ALARMS 9401 9402 Patient Parameters SYS: DIA: MAP: Pulse: % SpO2: SpO2 Pulse: Low Limit High Limit Low Limit High Limit 30 – 260 20 – 215 25 – 230 35 – 295 30 – 260 20 – 215 25 – 230 35 – 295 30 – 260 20 – 215 25 – 230 35 – 295 70 – 95 25 – 295 30 – 260 20 – 215 25 – 230 35 – 295 80 – 99 25 – 295 NOTE: Each alarm limit may also be selected “OFF” individually or as a whole.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors POWER Characteristic Source: AC Power Option: Battery: Leakage Current: Specification External line or internal battery 100 - 240 VAC, 50/60 Hz, 0.5A; Fuse Rating – T500mAL250V or T1.25AL250V (two provided) Refer to monitor rear panel labeling for actual fuse rating. Nickel Metal Hydride (NiMH) battery pack (user removable) Charge Time: 4 hours Operation on battery: 100 NIBP readings when set in the 5-minute Automatic Mode.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors OPERATING ENVIRONMENT Characteristic Operating Temperature: Humidity: Altitude: Specification 0°C to 50°C (32°F to 122°F) – for NIBP & SpO2 15 - 95%, non-condensing 10,000 to -1,250 ft. (700 – 1050 hPa) Monitors may not meet performance specifications if stored or used outside temperature and humidity ranges.
Go To Table Of Contents Back Next CARDELL® Veterinary Monitors STANDARDS Units comply with the following requirements: IEC 60601-1 EN 60601-1-2 EN 60601-2-49 EN 865 ETL Listed - UL 2601, CAN/CSA C22.2 No. 601.1 CARDELL® is a registered trademark of Midmark. , , Tuff-Cuff®, Safe-Cuff®, SoftCheck®, UltraCheck® and “FOR WHAT’S VITAL” are registered trademarks of CAS Medical Systems, Inc. Nellcor®, VetSat® and OxiMax® are registered trademarks of Mallinckrodt Inc.
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Back Go To Table Of Contents Next CARDELL® Veterinary Monitors 14. PURCHASING RECORD CARDELL VETERINARY MONITOR Model Purchased (select one): 9401 ( ) 9402 ( ) Serial Number: Date of Purchase: Distributor Name: Representative: Phone Number: Fax Number: Email: 21-02-0285 REV.
Back Go To Table Of Contents Midmark Corporation 60 Vista Drive Versailles, OH 45380-0286 Phone: 937-526-3662 Fax: 937-526-5542 midmark.
