Non-Invasive Blood Pressure (NIBP) October 2007 9650-1214-01 Rev.
The issue date or revision level for this operation guide is shown on the front cover. ZOLL and E Series are registered trademarks of ZOLL Medical Corporation. © 2007 by ZOLL Medical Corporation. All rights reserved.
NON-INVASIVE BLOOD PRESSURE (NIBP) General Information Product Description The Non-Invasive Blood Pressure (NIBP) option on the E Series® unit allows you to take a single blood pressure measurement, STAT measurements (automatically repeated measurements over a 5 minute period), or automatic measurements at repeating pre-selected intervals.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT Safety Considerations General NIBP Safety • Read the E Series Operator’s Guide and this • • • • • • • manual insert before use. Ensure that the E Series NIBP option is operated by qualified personnel only. Consult a physician for the proper interpretation of pressure measurements. Do not use on patients known to be susceptible to bruising.
NIBP Indications for Use NIBP Indications for Use The ZOLL E Series® NIBP option is indicated for the non-invasive measurement of arterial blood pressure for resting patients in critical care and transport. The NIBP option is designed to measure blood pressure for adult and pediatric patients. Contraindication for Use The ZOLL E Series NIBP option is not indicated for use on neonatal patients or infants whose upper arm circumference is less than 13 cm.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT • Numbers that represent the measurement values Condition Adjustment/Response The unit cannot detect systolic pressure The unit automatically increases the cuff inflation pressure and completes the blood pressure measurement The unit cannot detect systolic, diastolic or mean pressure after 180 seconds The unit aborts the blood pressure measurement and deflates the cuff The unit detects a fault The unit displays a corresponding error message
Preparing to Take Measurements The NIBP display symbols shown in the preceding table are described as follows: • Cuff Inflation Status Bar — The movement of the cuff inflation status bar reflects the cuff inflation pressure, lengthening as the cuff inflates and shortening as the cuff deflates. When the cuff is fully deflated, the Cuff Inflation Status Bar is not displayed. • Artifact Indicator — The artifact indicator flashes when the E Series unit detects artifact in the signal.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT CAUTION WARNING Do not place the NIBP cuff on the same arm/leg as an SpO2 sensor. Inflation of the cuff causes the SpO2 monitor to read incorrectly. Also, do not attach the cuff to a limb being used for IV infusion. Cuff inflation might block the infusion, causing harm to the patient. Do not start NIBP measurements unless you are sure that the cuff inflation and alarm settings are appropriate for the patient.
Preparing to Take Measurements 1,%3 6WDW 1,%3 $XWR &XII ,QIODWLRQ $XWR ,QWHUYDO ,QIODWLRQ 3UHVVXUH PP+J J $XWR $GMXVW M 2Q 5HWXUQ Note: The following procedures assume that you are already in the NIBP menu. Selecting Cuff Inflation Settings Before taking a measurement, ensure that the cuff inflation settings are appropriate for the patient.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT 2. Press the Next softkey until Auto Adjust is highlighted. 3. Press the Inc softkey until Auto Adjust is set to OFF: ,QIODWLRQ 3UHVVXUH PP+J $XWR $GMXVW 2II 3UHY ,QF 'HF 1H[W Enabling, Disabling, and Suspending Alarms 5HWXUQ 4. Press the Return softkey to return to NIBP menu. The E Series unit repeats the selected cuff inflation pressure for every measurement.
Taking Measurements The E Series unit takes one blood pressure measurement. WARNING If the E Series unit takes a measurement but detects the presence of artifact in the signal (denoted by “*” in the NIBP display area), the measurement may not be accurate. Under such circumstances, perform additional blood pressure measurements. If you repeatedly obtain artifact, use alternate techniques to determine blood pressure prior to taking clinical action.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT takes another measurement, waits another 15 minutes, and so on. To take automatic measurements at set intervals, you must: 1. Set the measurement interval (if not set to desired value). Setting the Measurement Interval Before you take automatic measurements, ensure that the measurement interval is properly set. The measurement interval is the time period between when one measurement starts and the next measurement starts.
Printing Data Checkout Procedure ,%!$ 6S2 1,%3 &2 P P +J (&* ,, 3):% [ (2 55 For more specific instructions on how to accomplish each step listed below, refer to the related section in this manual. (&* 021,725 Perform the daily checkout procedure as follows: 3DUDP :DYH #(!2'%2 /. ,' 35--!29 $ODUPV #/$% -!2+%2 /HDG .
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT NIBP Accessories The following accessories can be used with the E Series NIBP option: NIBP CUFFS Cuffs Limb Circumference Thigh (Reusable) 38 to 50 cm (14.96 to 19.69 in.) 8000-1654 Adult Plus (Reusable) 31 to 40 cm (12.20 to 15.75 in.) 8000-1653 Adult (Reusable) 23 to 33 cm (9.06 to 12.99 in.) 8000-1651 Small Adult (Reusable) 17 to 25 cm (6.69 to 9.84 in.) 8000-1650 Child (Reusable) 12 to 19 cm (4.72 to 7.48 in.
Troubleshooting Troubleshooting The following table lists the error messages and problems associated with the NIBP option and the associated corrective action(s). Read this section carefully. For further assistance, call ZOLL Technical Service at 1-800-348-9011. International customers should call the nearest authorized ZOLL Medical Corporation business partner. Message/Symptom Problem User Action CALIBRATE NIBP NIBP calibration is incomplete or failed Recalibrate NIBP.
E SERIES - NONINVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT Message/Symptom Problem REPEAT NIBP MEAS alternating with NIBP SIGNAL WEAK There is a weak or no oscillometric signal. User Action Check cuff fit and positioning. Check hose connection to unit. Check for kinked hose. Increase cuff inflation pressure if clinically appropriate. SYSTEM FAULT False high reading False low reading 16 Communication problem with the NIBP module. Cycle power, and retry. Cuff too small. Select larger cuff.
Specifications Specifications Principle of Operation Oscillometric Warm-up Time Operational in less than 10 seconds Regulatory Standards ANSI/AAMI SP10-2002; EN 1060-1: 1996 Specification for Non-invasive sphygmomanometers; EN 1060-3: 1997; EN 60601-2-30: 2000 NIBP Measurement Range Systolic: 40 – 260 mmHg; 5.3 – 34.7 kPa Diastolic: 20 – 200 mmHg; 2.7 – 26.7 kPa Mean: 20 – 220 mmHg; 2.7 – 29.3 kPa NIBP Measurement Accuracy Per AAMI SP10 +/- 5 mmHg (0.7 kPa) mean difference; 8 mmHg (1.
Specifications Environmental Operating Temperature: 0° to 50° C (32º to 122º F) Storage Temperature: -20° to 70° C (-4º to 158º F) Humidity: 5 to 95% relative humidity, non-condensing Electromagnetic Immunity AAMI DF-80; EN 61000-4-3: 2002, 10 V/m Operating Pressure 594 to 1060 mBar a Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff/stethoscope auscultation method, within the limits prescribed by the American National
