User's Manual

Ultraview Care Network
32
NIBP Overview (90343 only)
The 90343 digital telemetry multi-parameter transmitter sends NIBP patient data,
acquired by the 90217 ambulatory blood pressure (ABP) monitor, to the 90478
digital telemetry receiver. The 90478 displays the patient’s episodic NIBP data
and trigger alarms based on thresholds set at the patient monitor.
The 90217 ABP monitor is a small, lightweight, battery-powered unit designed to
take blood pressure measurements. Please refer to the 90217 Operations Manual
(070-0137-xx) for more detailed information on this product, its initialization by a
direct PC interface (90121 ABP Report Management System Operations Manual
— P/N 070-0529-xx), Patient Preparation, and Event Codes.
NIBP uses oscillometric monitoring to measure systolic (S), diastolic (D), and
mean (M) arterial blood pressures. The pressure readings are sent from the
90217 ABP monitor to the 90343 transmitter by a connecting cable. The 90343
transmitter then includes the NIBP readings in the communications to the 90478
receiver using the radio frequency data link. Received NIBP measurements are
checked to eliminate the possibility of erroneous readings and valid
measurements are displayed on the patient monitor and stored in the patient
monitor for trending. The Ultraview Care Network monitor displays valid
measurements and the time the measurement was acquired. The most recent
reading is displayed by the Ultraview Care Network monitor. The most recent 120
readings are stored and may be displayed by the monitor.
Setting Up NIBP Monitoring
Proper cuff selection and application is critical in ensuring the accuracy of NIBP
readings. To ensure proper cuff selection, first measure the circumference of the
limb at its midpoint. Match the limb measurement to the range of appropriate
circumferences (in centimeters) specified on each cuff. If the cuff bladder is too
wide for the patient, the reading will be falsely lowered; if it is too narrow, the
reading will be falsely elevated. Undersizing the cuff results in the greatest chance
of error, so a variety of cuff sizes should be available to accommodate your full
patient population.
Apply the cuff snugly. When the cuff is properly applied to an adult, you should be
able to insert one finger between the cuff and the arm. If you can insert two
fingers, the cuff is too loose, which may result in falsely elevated readings. Ensure
that the hose is not kinked when the cuff is applied.
!
• The 90217 ABP Monitor is intended for use with adult patients
only.
• The 90217 ABP, when used with the 90343 Ultraview Digital
Telemetry system, purges its measurements as they are
successfully sent. This operation differs from when the 90217
ABP is used in a stand-alone manner and stores a maximum of
240 NIBP readings and event codes.
• NIBP readings which are not successfully transmitted by the
90217 to the 90478 within twenty-four hours of their
measurement are unavailable for patient monitor display or
trending.
To set up NIBP monitoring:
1 Configure 90343 DIP switch 5 to
ON (refer to Figure Telemetry-5:
DIP Switch Setting in Battery
Compartment)
2 Initialize 90217 with 90121 ABP
report management system
using the ABP Remote
Management System adapter
cable (P/N 012-0097-02)
3 Apply appropriate cuff to patient
4 Attach cuff to 90217 monitor
5 Connect NIBP adapter cable
(700-0015-00) between 90217
and 90343
6 Touch ECG
7 Touch CHANNEL FORMAT
8 Select NIBP ON