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Critikon-Dinamap-Compact Operation Manual

1. E es 7 b At each step the microprocessor stores cuff pressure the n 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 7 mmHg The Monitor then deflates the cuff to zero detected pressure analyzes the stored data and updates the front panel displays The operating cycle is composed of four parts inflation time deflation time evaluation time and wait time Wait time which varies from mode to mode is affected by the cycle time Auto mode or operator intervention Manual mode The figure shows the Basic Operating Cycle INFLATION TIME WAIT TIME EVALUATION TIME DEFLATION TIME DETERMINATION TIME CUNUUOYQETME gt PRESSURE cee IMB Lo BP Operating Cycle Systolic Search If systolic pressure is not found the Monitor can search at higher cuff pressures than the initial target pressure If the determination is in a late stage the Monitor will inflate the cuff to 70 mmHg above the initial target to get better data in the systolic region If the determination is in an early stage the Monitor will inflate the cuff to 50 mmHg above the initial target pressure The maximum pressure allowed in systolic search is limited by the normal range for cuff pressures In any operating mode if a patient s systolic pressure exceeds the inflation pressure of the Monitor the
2. Environmental Operating Temperature Appendix A 5 C to 40 C 41 F to 104 F Operating Atmospheric Pressure 700 hPa to 1060 hPa Storage Temperature Storage Transportation Atmospheric Pressure Humidity Range Radio Frequency 20 C to 50 C 4 F to 122 F 500 hPa to 1060 hPa 0 to 95 noncondensing Complies with IEC Publication 601 1 2 April 1993 Medical Electrical Equipment Electromagnetic Compatibility Requirements and Tests The DINAMAP Compact Monitor is protected against vertically falling drops of water and conforms with the IEC 529 l PX1 standard at level of IPX1 No harmful effects will come of vertically falling drops of water making contact with the Monitor E m IM 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 Whenever one of these conditions occurs the associated display SYSTOLIC MAP DIASTOLIC PULSE or SpO will flash the most recent reading and an audible alarm will be issued Pressing
3. DINAMAP Compact Monitor Operation Manual This manual is for DINAMAP Compact Monitor Models T S TS and BP with and without printers Model T BP Pulse and Temp Model S BP Pulse and SpO Model TS BP Pulse Temp and SpO Model BP BP and Pulse The model of the Monitor determines which menu option buttons appear on the LCD Please refer to applicable sections Reissues and Updates Changes occurring between issues are addressed through Change Information Sheets Addendums and replacement pages If a Change Information Sheet does not accompany this manual it is correct as printed Errors and Omissions If errors or omissions are found in this manual please notify Critikon 4110 George Road Tampa FL 33634 1 800 237 2033 Part No 776980A USA Printed in USA Part No 8796EMO5 UK Printed in UK The content of this document including all figures and drawings is proprietary information of Critikon provided solely for purposes of operation maintenance or repair and dissemination for other purposes or copying thereof is prohibited without prior written consent by Critikon Tampa Florida Illustrations may show design models production units may incorporate changes CRITIKON 1998 TAMPA FL 33634 All rights reserved 3 PEE Contents Introduction VISTOS EROR AN REDIT NTEE RE RENT d About the DINAMAP Compact Monitor cccccscesscscsescsessecesssseststssseceeececsese 7
4. If there is excessive light cover the sensor with opaque material o aa ae PESE Using the Monitor 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 Observe all instructions warnings and cautions in this manual and in the directions for use of the sensor PROBLEM A valid SpO signal was present but has disappeared CAUSE A BP determination on the same limb is in progress SOLUTION An alarm message No signal will appear on the screen and the audible alarm will sound immediately ee LH PE Using the Menu System Introduction The DINAMAP Compact Monitor is equipped with a liquid crystal display 10 and a SelectKnob 9 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 The SelectKnob provides the means of choosing menu options and changing monitor settings Liquid Crystal Display The LCD is divided into three areas each of which has a
5. N33 TIMEOUT INFLT NOO OVER PRESSURE Effect of Effect of Alarm Silence Clear via Switch SelectKnob 2 minutes silence 2 minutes silence High priority alarm Volume adjustable High priority alarm Volume adjustable High priority alarm Volume adjustable 2 minutes silence 2 minutes silence 2 minutes silence Probable Cause Unable to make an NIBP determination due to insufficient signal One cuff pressure for gt 1 minute Motion artifact Determination time gt 2 minutes Motion artifact Inflation time gt 40 seconds or air leak detected Overpressure detected g xipusddy Procedural and Error Alarm Codes cont Effect of Effect of Alarm LCD Description Audibie Tone Alarm Silence Clear via Probable Cause Code and Volume Switch SelectKnob High priority P55 P55 zac Volare 2 minutes Clear No or very low SpO signal SpO NO SIGNAL MS silence Check or reposition sensor 2 adjustable No POO High priority TUN SpO sensor not connected change NO SpO SENSOR alarm Volume a eee No sensor code detected E 2 adjustable Sensor failure MA Temperature probe not No E33 lish pRORE 2 minutes connected or inoperable E33 alarm Volume Clear Ar change TEMP FAIL silence Predictive temperature loss adjustable of tissue contact g
6. o EE a Using the Monitor Procedures 1 Connect the end of the air hose which has quick release clips to the cuff connector 24 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 24 2 Select the appropriate blood pressure measurement site Because normative values are generally based on this site and as a matter of convenience the upper arm is preferred When upper arm size or shape the patient s clinical condition or other factors prohibit use of the upper arm the clinician must plan patient care accordingly taking into account the patient s cardiovascular status and the effect of an alternative site on blood pressure values proper cuff size and comfort The figure shows the recommended sites for placing cuffs Warning Do not place the cuff on a limb being used for intravenous infusion or any area where circulation is compromised or has the potential to be compromised x 3 If patient is standing sitting or inclined ensure that cuffed limb is supported to maintain cuff at level of patient s heart If cuff is not at heart level the difference in systolic and diastolic values due to hydrostatic effect must be considered Add 1 80 mmHg to values for every inch 2 54 cm above heart level Subtract 1 80 mmHg from values for every inch 2 54 cm below heart lev
7. 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 amp 990000000000000 g oo0oo0oo0oo00000000000 Rear Panel Connections 1 Pole clamp Used to clamp Monitor to pole or stand 2 Battery compartment cover Retains and protects internal battery 3 External power socket To be used with supplied AC DC power converter ONLY 4 Fuse holder Holds external power source line fuse 5 Data interface connector 15 way D type socket Host communications port RS 232E serial port Remote alarm control This port nonisolated for use with equipment conforming to IEC 601 only o ENSE PE Getting Started Front Panel Controls and Indicators 6 Power on ff switch Controls on off state of Monitor push for power on and push again for power off 7 External power indicator Green LED indicates external power status and battery charging status of Monitor 8 Battery power indicator Yellow LED indicates operation and charge status of internal battery 9 SelectKnob Used to highlight and select items in LCD menus if Monitor is off pressing SelectKnob will switch Monitor on 10 LCD liquid crystal display Displays all alarms user interface messages and configuration options 11 Alarm silence switch Alternately mutes and enables audible alarms when pushed once after alarm sounds silence on switch lights to
8. Monitor will begin normal deflation sequence detect the a Pa Appendix C absence of a systolic value stop deflation reinflate to a higher than initial inflation pressure 290 mmHg maximum and resume normal deflation sequence This additional inflation will occur only once per determination if a previous valid systolic pressure is displayed and the new systolic pressure oscillations are compared with the previous valid determination and the Monitor thinks that the systolic was not obtained the Monitor will inflate the cuff to a pressure of an additional 50 mmHg above the immediately preceding inflation This additional inflation will occur Only once per determination Do not use the auscultatory method to verify the accuracy of the Monitor Auscultatory method using cuff and stethoscope calculates the mean pressure value from audible sounds at systolic and diastolic but the BP function method detects all three values Invasive pressure monitoring directly measures the pressure exerted on a transducer and displays this pressure as a waveform Noninvasive blood pressure monitoring is dependent on the flow of blood through the peripheral circulation E A Appendix D Compatibility Table and Reorder Codes Description of Compatible Parts Code CRITIKON Soft Cuff Infant 2500 CRITIKON Soft Cuff Child 2501 CRITIKON Soft Cuff Small Adult 2502 CRITIKON Soft Cuff Adult 2503 CRITIKON Soft Cuff Larg
9. distinct function Menu Area This area displays the menu buttons that are available for selection Normal text in the menu area appears dark on a light background while the text of selected buttons appears light on a dark background Area 2 This area displays BP and SpO data and error and warning messages The Display mode menu is used to select the data to be displayed Area 3 This area displays the time battery icon if operating on battery power the time and battery icon toggle and the BP and printer modes Note In cold ambient temperatures below 50 F 10 C updates on the LCD can be delayed by approximately 1 second This delay on the LCD does not affect the performance of the Monitor E NENNEN Menu Tree 7 TREND WILL BE LOST PE Using the Menu System Menu Tree Sp02 Pleth v 3 NIBP Automaticalley Clear Trend on Power up Restore previously set Print Auto mode On power up Restore BP mode on power up Enter alarm configuration mode Last Calibration BP 14 Jul 1997 Temp 14 Jul 1997 Enable Quik BP menu C or F Confirm Silence 3 Mins C TREND WILL BE LOST EA Notes The model of the Monitor determines which menu option buttons appear on the LCD The Monitor s LCD may display the word Rotor for the SelectKnob eee SelectKnob iu Rotating the SelectKnob causes option buttons to be highlighted light text on a dark background Turning t
10. mode shuts down all functions until the Monitor is turned off and the battery is recharged or replaced Battery charging will take place as long as the Monitor remains connected to an external AC power source via the supplied AC DC power converter A battery that is fully discharged can be fully recharged in 1 hour 50 minutes when the Monitor is switched off or 8 hours if the Monitor is switched on Notes To prolong the life of the battery keep the Monitor connected to an AC outlet whenever possible NEVER allow the battery to become completely discharged A fully charged battery will power the Monitor for approximately 3 to 4 hours Model TS and T with printer 3 hours Model BP and T with printer 4 hours and should survive between 200 and 500 charge discharge cycles When it is necessary to replace the battery refer to the Compatibility Table and Reorder Codes listed in Appendix D To ensure full charge cycles replace only with a recommended battery If the Monitor is to be stored for some time first charge the battery and then remove it and store it separately from the Monitor For continued safety use only a power cord of listed type SJT three conductor min No 18 AWG terminated in a hospital grade attachment plug provided with the D o o oom Pans Getting Started following cord tag Hospital Grade Plug Grounding integrity can only be maintained when equipment is connected to an equivalent receptacle marked
11. CIRCUMFERENCE NUMBER 107368 Teal Green Neonatal 12 ft 366 cm ADULT PEDIATRIC LIMB REFERENCE USE WITH HOSE CUFF TYPE CIRCUMFERENCE NUMBER 366 cm Air Hose Gray made with Clippard screw connectors at cuff end or 107366 Adult 24 ft 732 cm Air Hose Gray made with Clippard screw connectors at cuff end ee 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 e Do not immerse unit Do not clean with isopropyl alcohol or other solvents Do not immerse hoses Cuff Cleaning and Disinfection General The cuff must be thoroughly cleaned with the specified detergent before reuse The additional use of household bleach as described below provides at least intermediate level disinfection Apply cuff hose plugs before cleaning The following cleansing procedure was repeated 20 times on DURA CUF Blood Pressure Cuffs and once on CRITIKON Soft Cuffs without affecting the performance of the cuff While this procedure is adequate for cleaning disinfection it may not remove all stains Do not immerse hoses Do not immerse cuffs without prior application of cuff hose caps Materials Enzymat
12. Indications ciue denote he en um eee titer citer cutebieti eie 7 Contraindications MMMMMMMEMMMNMEMMMMMM 7 lcinlp ce 7 CautlOns s ood nt te e Ete re ete e ER euer 8 PRODUCE Compliance suse ure n ade adeb Om Vn bodie e 10 DVIS Lu a darn toes cohesion cR cL ENDE Sec tee ae 11 Getting Started i i cereis reno ode enn e o uo xe FUE o REQUE 13 Unpacking the Monitor and Accessories ccccscesssssssssssesessecessessesesreasseseceseeeees 13 POW TF SOUTCGS eiecit eite Pevede ae ev ee ede UD ERE ue EO 13 Powering the Monitor cscsccsssssssssssssscsessssssssesssseseseoesecsscssessatesussessesseseseeeacenees 13 Rear Panel Connections ccssssssessssssssssescssccsssscsesscsssersssesacsesseseeaccesseseceesseeecseseeess 16 Front Panel Controls and Indicators ette 17 Installing the Temp Probe Holder eere erect 19 Switching the Monitor On and Off ettet 19 Liquid Crystal Display LCD ceccecccsssesesessssesessessesecsneseesesssssssesucsussssussesocsneenss 20 Using the PHOTGES uoo avo ere rarena inii ed eenia ai EE E 21 eC IPM m 22 Using the MOnitor ccscccesecccsccssescsscesscesccescsesensnseees 23 Noninvasive Blood Pressure Determination sse 23 General Warnings c iusta cette dui e Deer o ata alis o NES IH RUE 24 General CaullOhs ia ares cecinit aaas 25 Predictive Temperature Determination eerte 31 General Warning ec estates tette discuti eve bo dada d
13. LCD To clear the alarm press the SelectKnob The message in Area 3 of the LCD will remain until new paper is installed and the printer door is closed See Using the Menu System Installing new paper will cause the Critikon DINAMAP Compact wal header to be printed thereby confirming that the paper is installed correctly and that the printer is operational The message next to PRNT in Area 3 of the LCD will change to Auto or Man to S identify the operating mode of the printer After power off the operating mode of the printer returns to the previous user selected setting Auto or Man unless specified otherwise in the Print button under the Service Button Cleaning If the print quality is reduced the print head can be cleaned with a cotton swap saturated with isopropyl alcohol For preventive maintenance clean the print head once a month 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 8096 or E 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 Cautions The paper is thermally activated therefore do not store it in a hot place as discoloration may result Only use
14. OXIBAND pediatric infant sensor DURA Y ear clip OXISENSOR ll D 20 pediatric sensor OXICLIQ N neonatal adult sensor REFLECTANCE sensor DURASENSOR adult OXIBAND adult neonatal sensor DURA Y multisite sensor OXISENSOR R 15 adult nasal sensor OXISENSOR ll D 25 adult sensor OXICLIQ A adult sensor OXISENSOR II N 25 neonatal adult sensor OXISENSOR Il I 20 infant sensor OXISENSOR ll D 25L adult sensor long cable o ee nk ee a a 3 36 1 C to 39 4 C x 0 6 C 97 F to 103 F 1 F lt 36 1 C and gt 39 4 C unspecified 97 F and gt 103 F unspecified ead sera 30 seconds typical 60 aid seconds max 0 to 100 0 to 69 unspecified Accuracy 2 5 digits 3 0 digits 3 5 digits 2 0 digits 2 5 digits 3 5 digits 3 0 digits 3 0 digits 3 0 digits 3 5 digits 2 0 digits 2 5 digits 2 0 digits 2 0 digits 2 0 digits Neonatal Accuracy Appendix A When sensors are used on neonatal subjects as recommended the specified accuracy range is increased by 1 digit to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood e g N 25 accuracy on neonates is 3 rather than 2 Note Refer to NELLCOR s sensor specifications Pulse Rate Range Accuracy Audible Indicator Waveforms Sensor Disconnect Disconnect From Patient Pulse Detection Loss of Pulse eee c 20 to 250 beats min 3 beats min Pitch changes with saturat
15. default setting by saving all trends after power off and returns the Monitor to the More menu Selection of Cancel returns the user to the More menu Note The Monitor must be turned off and then on again to activate this feature etd Print Selection of this button displays the message Restore Print mode on power up Selection of Yes restores the Print mode to the default setting previous user selected mode after power off and returns the Monitor to the More menu Selection of No restores the Print mode to the Manual mode after power off and returns the Monitor to the More menu Selection of Cancel returns the Monitor to the More menu Note The Monitor must be turned off and then on again to activate this feature Quik BP Selection of this button displays the message Enable Quik BP menu Selection of either Yes No or Cancel returns the user to the More menu When Quik BP is enabled the Quik BP menu always appears as the first menu when the Monitor is turned on Selection of Auto BP starts a series of automatic BP determinations A number at the right of the Auto BP button indicates the time interval between each reading Selection of Manual starts a Manual BP determination Selection of Main returns the Monitor to the Main menu When Quik BP is enabled and after the SelectKnob has been inactive for 2 minutes the Monitor automatically returns to the Quik BP menu Note The Monitor must be turned of
16. inch 2 5 cm beyond the roller at the front edge of the door There is no need to thread the paper it simply rests over the rubber roller Note Make sure that the roll of paper is tightly wound With the Monitor powered on snap the printer door shut leaving a small amount of paper exposed The printer motor will feed a little paper forward and out over the door Any time the printer door is opened or closed the printer will automatically print a test strip with the DINAMAP Compact name on it If no print is visible on the paper check that the paper roll has been installed correctly The paper should be coming off the top of the roll To tear off the printout use a slight sideways action to pull the paper sharply down across the serrated edge of the door Printer Alarms If the Monitor is switched on with no paper installed or with the printer door open the message No Paper will appear next to PRNT in Area 3 of the LCD When new paper is installed and the printer door is closed the message will change to Man for Manual print or Auto for Auto print depending on the status before the paper change If the paper runs out during a print request or if an attempt is made to print when no paper is installed the message E NEEDS Printer No Paper will appear in Area 2 of the LCD and an audible alarm will sound In addition the message No Paper will appear next to PRNT in Area 3 of the
17. indicate that audible alarms have been silenced for 2 minutes 12 BP key Press to start or stop a BP determination or cancel BP Stat mode E A 13 Stat key Press to start or stop BP Stat mode ad 14 Systolic pressure display 3 digit red LED indicates measured systolic BP in mmHg 15 Diastolic pressure display 3 digit red LED indicates measured diastolic BP in mmHg 16 Mean arterial pressure display 3 digit red LED indicates measured MAP in mmHg and shows instantaneous cuff pressure during BP determination ai 17 SpO display 3 digit red LED indicates oxygen saturation in Models S and TS 18 Pulse BPM display 3 digit yellow LED shows pulse rate in beats per minute 19 SpO pulse indicator Yellow LED in heart symbol flashes to indicate that real time pulse rate measurements are being derived from SpO signals Models S and TS 20 Temperature display 4 digit red LED indicates measured temperature Models T and TS 21 C F display Indicates whether temperature is being displayed in degrees Celsius or Fahrenheit Models T and TS 22 Temperature probe connector Predictive temperature probe cable attaches here Models T and TS 23 SpO sensor connector SpO sensor extension cable attaches here Models S and TS 24 Cuff connector BP cuff hose attaches here 25 Light sensor Automatically measures ambient light to set LED display intensity l l 26 Printer door Provides access to paper nn Getting Started Instal
18. rears maximum No effect No effect Internal system fault description E TS volume g Xipuaddy ee Appendix C Principles of Noninvasive Blood Pressure Determination The oscillometric method of determining BP is accomplished by a sensitive transducer which measures cuff pressure and minute pressure oscillations within the cuff The first determination sequence initially pumps up to a cuff pressure of about 180 mmHg for adult pediatric patients or 110 mmHg for neonates depending on the initial target pressure preset After inflating the cuff the Monitor begins to deflate it and measures systolic pressure mean pressure and diastolic pressure When the diastolic pressure has been determined the Monitor finishes deflating the cuff and updates the systolic diastolic and MAP displays on the front panel The Monitor deflates the cuff one step each time it detects two pulsations of relatively equal amplitude The time between deflation steps depends on the frequency of these matched pulses pulse rate of the patient However if the Monitor is unable to find any pulse within several seconds it will deflate to the next step The process of finding two matched pulses at each step provides artifact rejection due to patient movement and greatly enhances the accuracy of the Monitor The figure shows the BP determination sequence OSCILLATION AMPLITUDE DIASTOLIC I __ CUFF PRESSURE 34 BP Determination Sequence
19. the Alarm Silence switch causing the integral LED to be lit silences the audible alarm for 2 minutes but the alarm display reading and SILENCE LED indicator will continue to flash at the same rate System Alarms System alarms alert the operator to certain abnormal conditions or internal system failures Pressing the SelectKnob cancels the alarm information box which is displayed on the LCD Codes for different procedural and system alarms are on the next page Failsafe Alarm The failsafe alarm which is the most powerful alarm of the Compact Monitor indicates a serious failure of the Monitor This alarm occurs immediately upon any failure of a self test and indicates system failure When the failsafe alarm occurs the Monitor disables all features to ensure patient safety ee ee a T I Hierarchy of Alarms C Alarms in the DINAMAP Compact Monitor are in three priority levels They are Alarm Priority Level Failsafe 1 Patient and system 2 Low battery 3 The Priority 1 alarm i e Failsafe will override any other alarm Priority 2 alarms will override only the low battery e alarm The low battery alarm will not override any other alarm oc ee o es 8I Procedural and Error Alarm Codes LED Display LCD Display N99 NIBP FAILED Audible Tone and Volume High priority alarm Volume adjustable N55 TIMEOUT PRESS High priority alarm Volume adjustable N44 TIMEOUT TOTAL
20. the operator All LED displays will be blanked and any existing readings will be transferred to the LCD which will also display the message Sleep Mode Active Moving the SelectKnob or pressing a key will wake up the Monitor Liquid Crystal Display LCD MENU AREA Menu Area This area displays the name of the menu that has option buttons available for selection Normal text in the menu area 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 Source 1 SpO plethysmograph Models S and TS Source 2 Last three BP readings Source 3 Error and warning messages Note Refer to Display Button in the Using the Menu System section for instructions on setting Area 2 Area 3 This area displays the time battery icon if operating on battery power the time and battery icon toggle and the BP and Printer modes o0 MEE Pa Getting Started Using the Printer Installing the Paper Models With Printer Tilt the DINAMAP Compact Monitor back and grasp the tabs at the sides of the printer door 26 Squeeze the tabs together and pull the printer door down Place the roll of paper into the compartment so that the end of the paper comes off the top of the roll and extends approximately 1
21. this button displays the Config mode menu which allows the Power Save mode and time to be adjusted Main eee 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 SelectKnob POWER SAVE MENU 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 24 hour format The date is in the British format of dd mm yyyy however to avoid confusion the month number has been substituted with a three letter abbreviation Leap years are calculated automatically Hour Sec Day Mon Year tI Cita Accept Selection of this button produces an advisory to the user that the trend will be lost when the clock settings are changed Choosing Yes will cause the Monitor to accept the new clock settings and erase the trend memory Choosing No will cause the Monitor to retain the existing clock settings and the trend memory Either choice returns the user to the Main menu Main Selection of this button returns the user to the M
22. using a clip on sensor on patients with compromised circulation e g because of peripheral vascular disease or vasoconstricting medications 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 SpO function To prevent such interference cover the sensor with opaque material General Notes A patient s vital signs may vary dramatically during the use of cardiovascular agents such as those that raise or lower blood pressure or those that increase or decrease heart rate The Compact Monitor is compatible only with NELLCOR sensors 34 ae Using the Monitor 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 NELLCOR sensors which are available from Mallinckrodt Inc 675 MacDonnell Blvd PO Box 5840 St Louis MO 63134 Phone 1 800 NELLCOR USA Fax 1 888 222 9799 Following the directions for use supplied with the sensor apply the sensor to the patient Warnings Patient safety If you fail to apply the sensor properly the patient s skin could be injured or the ability of the Compact Monitor to measure oxygen saturation could be compromised For example a clip on sen
23. B tton rr te reto Renee isle deste ean E 51 Pwr Sav Sleep Mode 1 4 gd tide de sedat bei du ER HEXEATE 52 Time tetti E dete eee e nee ciegos eii culucsast toc ony 52 Rotor Select nDD aussi ca ae eee eels 53 WTrendiB ttOn 23 3 eene o de eee E ed een dere ied 53 Display Pu NP 53 Newer ano Olde ne purre i RO etr te busca een 54 Pint page RD iiser pii aria S otp aseran Fart RRAN A 54 E AE EESE A A eet alee A ot ested Re eae 54 Prnt Alli sii ec eee itech bea cease an Races 54 Display BUON omae uadit ded ert GbR KC TAI GR PEERS 54 Service B EOT re faeere hn np AE an to et re er eid eres t Ree eas 55 Clinician Men riter ctt bebe estratto ne ers b eee nre E 56 Alarms Butte rh etos e decepta levsecasecoeston eedem RRA 60 OK BUttOR eite estote eec derer ee A E anir ea iasa 60 Error and Warning Messages ssssssssssssssssssesesnscnssanssscecesaseeaesnecnrerareenecsenseass 60 Appendix A RR 61 Technical Specifications 2st ait eH UID e Lupin Laien ridetur 61 Environmental tici rte stu e ep cie AERE AAEE 65 Appendix B eee ievesta 67 Patient Alarms ecce totes cei e UU E EE 67 System Alar MS couette e gai seca qe DU ca e pide a inpune tuit 67 Failsafe Alarm eee etie i een ct eee e E Geese cbs lovin erae des 67 Hierarchy of Alarms cetur rattep enger tete spon tonta eee dseeap eset ivu ties S nuce 68 Appendix C 4 6 rero tus oaa aedes 73 Principles of Noninvasive Blood Pressure Deter
24. P parameter should be performed at least once a year or when there is doubt about the validity of the pressure readings Caution Refer calibration and leak testing to qualified service personnel Full calibration details are available in the DINAMAP Compact Monitor Service Manual available from Critikon Disposal of Product Waste As you use the Compact 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 Place the battery in packaging which electrically isolates its contents Do not puncture or place the battery in a trash compactor Do not incinerate the battery or expose it to fire or high temperatures Patient Applied Parts Certain patient applied parts such as those with adhesive disposable SpO sensors are intended for single use and should be disposed of properly as medical waste Other patient applied parts such as blood pressure cuffs should be cleaned according to instructions Inspect reusable applied parts for wear replace as necessary and dispose of used product as medical waste eee
25. ain menu 2l a FPE Using the Menu System Rotor SelectKnob Selection of this button displays a panel for setting the volume of the beep that sounds when the SelectKnob is turned The range of adjustment is Off default to 9 and the setting is retained when the Monitor is turned off Note The Monitor s LCD may display the word Rotor for the SelectKnob ROTOR BEEP Volume Main Selection of this button returns the user to the Main menu Main Trend Button Selection of this button displays the Trend mode menu Print All 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 TIME SYS DIA MAP BPM SpO2 TEMP War Euh cue geel ee ee Wied ako ee ssa eae Ji Har inem eet Bi ee ON a ee eee onum SSE oe ee 1 i 1 1 1 U 1 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 If no information is available these buttons will not appear Main Selection of this button returns the user to the Main menu Clear 3t Selection of this button produces an advisory that the trend
26. al between blood pressure determinations is prolonged the patient s limb should be observed frequently and the cuff placement site should be rotated as needed General Cautions Accuracy of BP measurement depends on using a cuff of the proper size It is essential to measure the circumference of the limb and to select the proper size cuff The air hoses are color coded according to size of the patient The gray 12 or 24 foot hose 3 66 m or 7 3 m is required on patients who require cuff sizes from infant through thigh cuffs The teal blue green 12 foot hose 3 66 m is required for the neonatal cuff sizes 1 through 5 If it becomes necessary to move the cuff to another limb make sure the appropriate size cuff is used The pulse rate derived from a BP determination may differ from the heart rate derived from an EKG waveform because the Compact Monitor measures actual peripheral pulses not electrical signals or ee 2 contractions from the heart Differences may occur because electrical signals at the heart occasionally fail to produce a peripheral pulse or the patient may have poor peripheral perfusion Also if a patient s beat to beat 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 Genera
27. ched The interval can be set between 1 and 90 minutes 1 2 3 4 5 10 15 20 25 30 45 60 and 90 minutes Press the SelectKnob to confirm the setting 3 Stat determinations are started by pressing the Stat key 13 In the Stat mode the blood pressure is determined as many times as possible in 5 minutes CSE 3 4 Vitals determinations are started by selecting the Vitals a button in the Main menu Refer to the Using the Menu System section Selection of this button initiates BP SpO and predictive temperature determinations depending on Monitor model In the Vitals 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 The Monitor senses the type of hose being used and automatically uses adult pediatric monitoring parameters or neonatal monitoring parameters as appropriate Audible and visible alarms occur when a value for systolic pressure diastolic pressure mean arterial pressure or pulse rate is outside the selected high or low limit instructions for cleaning and disinfecting BP cuffs are in Appendix F General Warnings The Compact Monitor will not measure blood pressure effectively on patients who are experiencing seizures or tremors Arrhythmias will increase the ti
28. d as a result of a limit change Alarm limits are updated as follows Parameter Label Label High Limit Low Limit SYS SYS 30 SYS 30 Diastolic DIA MAP MAP MAP 30 MAP 30 Heart Rate BPM BPM 430 BPM 30 SpO2 SpO2 SpO2 5 SpO2 5 If the reading plus the limit is greater than the valid range of measurement e g SpO2 5 is greater than 100 the valid range of measurement becomes the limits Notes In no case will the updated alarm limits be set beyond the valid limits in the preceding table If no values are available the limits will remain unchanged Main Selection of this button returns the user to the Main menu Temp Button Models T and TS Selection of this button causes a predictive temperature measurement to be performed This takes approximately 30 seconds to complete Different predictive modes are used for oral probes and rectal probes The Monitor automatically selects the correct mode for the probe type used T LB IEEE Using the Menu System When the Temp button is pressed any temperature display from a previous reading will be blanked and a new determination will begin Pressing the button during a Temp determination cancels it While the new determination is being performed the pattern of lines on the temperature LED display 20 will blink to indicate progress On completion the new value will be indicated by the temperature LED display Note When an
29. e Adult 2504 CRITIKON Soft Cuff Thigh 2505 CRITIKON Soft Cuff Neonatal Type 1 2521 CRITIKON Soft Cuff Neonatal Type 2 2422 CRITIKON Soft Cuff Neonatal Type 3 2523 CRITIKON Soft Cuff Neonatal Type 4 2524 CRITIKON Soft Cuff Neonatal Type 5 2525 DURA CUF Cuff Infant 2783 DURA CUF Cuff Child 2781 DURA CUF Cuff Small Adult 2779 DURA CUF Cuff Adult 2774 DURA CUF Cuff Large Adult 2791 DURA CUF Cuff Thigh 2796 DURA CUF Cuff Assortment Cuff Pack 2699 DURA CUF Cuff Child Pack 2697 12 Foot approx 3 7 m Long Adult Pediatric Hose 107365 24 Foot approx 7 3 m Long Adult Pediatric Hose 107366 12 Foot approx 3 7 m Long Neonatal Hose 107368 Oral Temperature Probe 8975 Rectal Temperature Probe 8976 Temperature Probe Covers pack of 20 8815 DINAMAP Compact Monitor Operation Manual 776980 DINAMAP Compact Monitor Service Manual 776856 12 Volt Lead Acid Battery US 633132 12 Volt Lead Acid Battery UK 200000 Accessory Pole Basket 3210 Accessory Base 3211 Power Converter US 621262 Power Converter UK 487205 Printer Paper box of 10 US 107206 Printer Paper box of 10 UK 487206 Power Cable US 316579 Power Cable UK CBL700000 NELLCOR SpO Extension Cable EC8 NELLCOR Finger Sensor DS100A BP Cal Kit 320246 Temp Cal Plug act Monitor unique parts allickrodt Inc es 77 Comp NELLCOR is a trademark of USE WITH HOSE NO NEONATAL LIMB REFERENCE CUFF TYPE
30. el 4 Select appropriate cuff size Measure patient s limb and select appropriately sized cuff according to size marked on cuff or cuff packaging When cuff sizes overlap for a specified circumference choose the larger size cuff Precaution Accuracy depends on use of proper size cuff s NEEDS 2 5 Inspect cuff for damage Replace cuff when aging E 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 Any attempt to modify the hose will inhibit the Monitor from switching between the neonatal and adult measurement modes Note In normal use each cuff will have its own hose so it will not usually be necessary to disconnect them If it is necessary to do so carefully unscrew the cuff from the hose Care should be taken in reconnecting the cuff to a hose ensuring that threads of the cuff and hose are in alignment and no cross threading occurs 7 Inspect patient s limb prior to application Precaution Do not apply cuff to areas where skin is not intact or tissue is injured 8 Palpate artery and place cuff so that patient s artery is aligned with cuff arrow marked artery 9 Squeeze all air from cuff and confirm that connection is secu
31. esee esee eee tee tenente tatnen enean enn tn tenens nen 87 Connection Details eee riiin entente nnne e tent naire iia nen nen 87 eee Introduction About the DINAMAP Compact Monitor DINAMAP Compact 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 Gl endoscopy and medical surgical units The DINAMAP Compact Monitor comes in four different models Models T S TS and BP with and without printers Model T BP Pulse and Temp Model S BP Pulse and SpO Model TS BP Pulse Temp and SpO Model BP BP and Pulse All of the main operations of the DINAMAP Compact Monitor are easy to use and in most cases the factory default settings will be suitable The Using the Monitor section of this manual explains how to use the system in its most simple form while the Using the Menu System section explains how to customize measurements by using the menu system Indications The DINAMAP Compact Monitor is intended to monitor one patient at the bedside Contraindications This device is not designed sold or intended for use except as indicated Federal law U S A restricts this device to sale by or on t
32. etained in the Compact Monitor when it is turned off except when the default is overridden by selecting the Trend button under the Service menu E E PEE Getting Started Unpacking the Monitor and Accessories Before attempting to use the DINAMAP Compact Monitor take a few minutes to become acquainted with the Monitor and its accessories Unpack the items carefully and check them against the contents checklist enclosed in one of the accessory boxes This is also a good time to check for any damage or shortage If there is a problem or shortage contact Critikon It is recommended that all the packaging be retained in case the Monitor must be returned for service in the future Power Sources The DINAMAP Compact Monitor is designed to operate from either an internal lead acid rechargeable battery or an external AC source via the AC DC power converter supplied with the Monitor For replacement power converters or rechargeable batteries please refer to Appendix D For continued safety use only the double insulated AC DC power converter supplied with the Monitor The external DC line power input is protected by an internal 3 15 Amp fuse type T3 15A which can be accessed from the rear panel The internal battery power source is protected by a resettable thermal fuse Powering the Monitor Before the DINAMAP Compact Monitor is used for the first time the battery should be charged in the Monitor for at least 24 hours Refer t
33. eturns the user to the Clinician mode menu If silence is confirmed the Alarm Silence button 11 illuminates and alarms are permanently muted If silence is not confirmed the alarm will be audible Caution Alarms will be muted until either the Monitor is switched off and on again or the Alarm Silence button 11 is pressed E m ee Appendix A Technical Specifications BP Cuff Pressure Range 0 to 290 mmHg adult 0 to 140 mmHg neonate Default Target Cuff Inflation 180 15 mmHg adult 110 15 mmHg neonate Target Cuff Inflation 100 to 250 mmHg adult Adjustment Range 100 to 140 mmHg neonate in 5 mmHg increments Blood Pressure Measurement Range mmHg Systolic MAP Diastolic Adult 30 245 15 215 10 195 Neonate 40 140 30 115 20 100 Blood Pressure Accuracy Meets or exceeds AAMI ANSI standard SP 10 mean error lt 5 mmHg standard deviation lt 8 mmHg Maximum Determination Time 120 s adult 85 s neonate Overpressure Cutoff 300 to 330 mmHg adult 150 to 165 mmHg neonate Pulse Rate Range 30 to 200 beats min adult 30 to 200 beats min neonate Pulse Rate Accuracy 3 5 Temperatur Scale Fahrenheit F Celsius C Range Max 42 2 C 108 0 F Min 31 1 C 88 0 F Probe Accuracy 0 1 C 0 2 F E N Predictive Temperature Accuracy Determination Time Functional Oxygen Saturation Range Accuracy A It Accur 70 1 9o NELLCOR Sensor OXICLIQ P pediatric sensor
34. f and then on again to activate this feature Auto BP NM Manual PREEEENE Using the Menu System Set BP Selection of this button displays the message Restore BP mode on power up Selection of Yes restores the BP mode to previous user selected mode after power off and returns the Monitor to the More menu Selection of No restores the BP mode to the default setting of Manual after power off and returns the Monitor to the More menu Selection of Cancel returns the Monitor to the More menu Note The Monitor must be turned off and then on again to activate this feature Alarms Selection of this button displays the message Enter alarm configuration mode Selection of No returns the Monitor to the More menu Selection of Yes brings up the Alarms menu Selection of Reset changes all alarm limits back to the factory defaults and returns the Monitor to the More menu Selection of Save permanently saves the user selected alarm limits and returns the Monitor to the More menu Selection of Cancel returns the Monitor to the More menu Note The Monitor must be turned off and then on again to activate this feature SYS DIA SpO2 DEG iso poo i i ar e B m m m rx Main Selection of this button returns the user to the Main menu Silence Selection of this button will cause all alarms except the FAILSAFE alarm to be muted A confirmation menu will appear in Area 2 of the LED Selection of either Yes or No r
35. he SelectKnob 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 SelectKnob selects the highlighted button and produces an audible tone Some menus e g Alarms contain values that can be changed by the operator After the value is highlighted the ea user selects it by pressing the SelectKnob Turning the SelectKnob clockwise will cause the value to increase and turning the SelectKnob counterclockwise will cause the value to decrease Pressing the SelectKnob again will confirm the changed value Menu Tree The menu tree on the previous page shows all possible choices available within the menu structure from the top level downward u Main Menu This menu is the top level menu unless the Quik BP menu is enabled refer to Quik BP in the Using the Menu System section It is displayed when the Monitor is first switched on and after the SelectKnob has been inactive for 2 minutes unless the Monitor is in sleep mode Pwr Sav o EE ERN IEEE Using the Menu System Vitals Button UK All Obs Selection of this button initiates BP SpO and predictive temperature determinations depending on Monitor model When the BP determination is complete all patient data are displayed on the LEDs and held for 2 minutes or until cleared by the user The LCD shows Val
36. he order of a clinician Warnings Do not use the Compact Monitor in the presence of magnetic resonance imaging MRI devices There have been reports of sensors causing patient burns when operating in an MRI environment 7 Do not use the Monitor in the presence of flammable anesthetics To help prevent unintended current return paths with the use of high frequency HF surgical equipment ensure that the HF surgical neutral electrode is properly connected To avoid personal injury do not perform any servicing unless qualified to do so WARNING These Monitors should not be used on patients who are connected to cardiopulmonary bypass machines Do not use power adapters or converters other than the AC DC power converter supplied with the DINAMAP Compact Monitor Replacement power converters are available from Critikon For continued protection against fire hazard replace only with the same type and rating of fuse Disconnect the power supply before servicing To reduce the risk of electric shock do not remove the cover or the back Refer servicing to a qualified service person If the accuracy of any determination reading is questionable first check the patient s vital signs by alternate means and then check the Compact Monitor for proper functioning Cautions Do not use replacement batteries other than the type supplied with the Monitor Replacement batteries are available from Critikon See A
37. he SpO parameter is included in Models S and TS To begin SpO monitoring simply place the SpO2 sensor on the patient s finger monitoring begins automatically Functional oxygen saturation SpO of arterial blood is noninvasively and continuously monitored in the DINAMAP Compact Monitor using pulse oximetry technology from NELLCOR Functional SpO is the ratio of oxygenated hemoglobin to hemoglobin that is capable of transporting oxygen This ratio expressed as a percentage is shown on the SpO display 17 The percentage is updated with each heart beat Heart rate derived from SpO appears in the Pulse BPM display 18 and the SpO pulse indicator 19 flashes synchronization with the real time pulse rate measurements NELLCOR is a trademark of Mallinckrodt Inc 2 eee ere a Using the Monitor that are derived from the SpO signal A tone sounds at a rate corresponding to the pulse rate and at a pitch corresponding to the SpO saturation level The pitch is highest at 10096 oxygen saturation and it becomes lower as the saturation level falls The Monitor can also display a pulse amplitude bar and a plethysmographic waveform on the LCD 10 The pulse amplitude bar graph is proportional to the arterial blood flow Audible and visible alarms occur when SpO levels are outside the alarm limits When a limit alarm occurs a message appears in Area 2 of the LCD display Low SpO Mns If you select the Alarms button the A
38. iations in patient motion Mode 1 uses 5 7 second averaging it is the most widely used and the default mode Mode 2 uses 2 3 second averaging it is useful for special studies but is sensitive to patient movement Mode 3 uses 10 15 second averaging and is least affected E by patient movement o are FE Using the Menu System Notes Mode 3 suppresses the SpO derived heart rate but allows a heart rate to be displayed from BP if one is available and valid When changing from Mode 1 or 2 to Mode 3 the heart rate will be removed from the LEDs and will be displayed Changing from Mode 3 to Mode 1 or 2 will remove BP or from the LEDs and display the SpO heart rate In Mode 3 BP heart rate is used by Trends Printer and Host Comm In Mode 1 and 2 SpO heart rate has priority If no SpO heart rate is available BP heart rate is used In Mode 3 the heart rate LED and audible beeps are suppressed as an indication of noncontinuous heart rate monitoring In Modes 1 and 2 these beeps and flashes occur for each pulse detected Volume The pulse tone volume can be set in the range of Off to 9 The value Off should be selected if no pulse tone is desired The volume setting is stored when the Monitor is turned off and is restored to the user s preference each time the Monitor is switched on Main Selection of this button returns the user to the Main menu Config Button Selection of
39. ic detergent such as ENZOL enzymatic detergent US or Cidezyme enzymatic detergent UK Distilled water 10 solution of household bleach 5 25 sodium hypochlorite in distilled water Trademark eae C ux EXER l Soft cloths and soft bristled brushes n Spray bottles Procedure ud 1 Prepare the enzymatic detergent according to the manufacturer s instructions and the 1096 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 i 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 Rinse with copious amounts of distilled water Repeat until no visible M contamination remains For soil on the hook part of the closure use a soft bristled brush to remove the material and rinse with copious amounts of distilled water Repeat until no visible contamination remains 3 Spray the 1096 bleach solution on the affected area until the area is saturated Allow the cuff to sit for 5 minutes 4 Wipe away any excess solution and rinse the cuff again sj with distilled water Allow 2 hours for drying The user has the responsibility to validate any deviations from the recommended method of cleaning and disinfection For additional information on infection control p
40. ion volume selectable from 0 off to 9 Pulse plethysmograph waveform on LCD gain compensated Monitor will detect attachment or disconnection of sensor from patient within 5 s Monitor will detect pulse or enter no signal state within 15 s of being attached to patient Monitor will detect loss of pulse from patient and enter no signal state within 10 s ae a Mechanical Dimensions Weight Including Battery Mountings Portability Classification Information Power Requirements Power Converter Monitor Height 9 1 in 23 0 cm Width 7 3 in 18 5 cm Depth 6 9 in 17 5 cm 8 3 Ib 3 75 kg Self supporting on rubber feet or pole mountable Carried by recessed handle or pole mounted Mode of operation continuous Degree of protection against harmful ingress of water Drip proof IPX1 Protection against electrical shock Class 1 AC input voltage 115 230 VAC 50 60 Hz nominal 90 264 VAC 47 63 Hz range Protection against electrical shock Class 1 Input voltage 24 VDC nominal 12 30 VDC from supplied power converter External DC line fuse T3 15A 250 VAC Battery 12 volt 2 3 amp hours Minimum operation time TS amp S 3 hrs and BP amp T 4 hrs 5 min cycle with adult cuff at 25 C with power save mode enabled from full charge Time for full recharge 1 hr 50 min from full discharge when the Monitor is switched off and 8 hrs when the Monitor is switched on a
41. l Notes A patient s vital signs may vary dramatically during the use of cardiovascular agents such as those that raise or lower blood pressure or those that increase or decrease heart rate Because treatment protocols based on the patient s blood pressure may rely on specific values and differing measurement methods such as auscultatory clinicians should note a possible variance from values obtained with the Compact Monitor in planning patient care management The Compact Monitor values are based on the oscillometric method of noninvasive blood pressure measurement and correspond to comparisons with intra aortic values within ANS AAMI Standards for accuracy a mean difference of 5 mmHg and a standard deviation of 8 mmHg Several conditions may cause the BP parameter to calculate and display only the mean arterial pressure MAP without a systolic and diastolic reading These conditions include very low systolic and amplitude fluctuations so an accurate calculation for these values can t be made e g patient in shock too small of a difference between systolic and MAP calculations in relationship to the difference between diastolic and MAP or a leak has occurred in the DINAMAP Compact Monitor 1 Check all BP connections 2 Monitor may need calibration and leak testing If only the MAP value is displayed the systolic and diastolic will display dashes and an alarm message N99 BP FAILED will be displayed
42. larms menu appears This menu is used to adjust the violation limits for BP and SpO Refer to Alarms Button in the Using the Menu System section If you select the Suspend button the SpO alarm is suspended for 2 minutes and then the Compact returns to normal SpO monitoring A message informing the user that SpO is suspending appears in Area 2 and dashes appear in the SpO LED while the SpO alarm suspend is counting down Selecting Cancel will cancel the SpO alarm suspension and return to monitoring SpO Low SpO is suspending General Warnings Do not use the SpO 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 CCE potential degradation of the magnetic resonance L image and potential reduced accuracy of SpO 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 SpO measurement The SpO function is calibrated to read functional arterial oxygen saturation Significant levels of 2 dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin may affect the accuracy of the SpO measurement General Cautions As with any clip on sensor pressure is exerted The clinician should be cautious in
43. ling the Temp Probe Holder Attach the temperature probe holder to the side of the DINAMAP Compact Monitor Models T and TS by aligning the back and bottom edges of the holder and the Monitor and pressing the holder firmly to the Monitor A distinct snap will sound when the Dual Lock fasteners are properly engaged 7 To remove the holder place your fingers in the indentations at the back of the Monitor and pull the holder away from the side of the Monitor Switching the Monitor On and Off To switch the DINAMAP Compact Monitor on push the power on off switch 6 or click the SelectKnob 9 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 10 To switch the Monitor off push the power on off switch 6 again This will terminate any measurements that may be in progress and automatically deflate the cuff When the Monitor is operating on the internal battery only battery life is enhanced by the use of the sleep mode _ However the Compact Monitor will not enter sleep mode if an alarm is active If no controls are used and no Dual Lock is a trademark of Minnesota Mining and Manufacturing Company 3M E N determinations are being made the Monitor will enter sleep mode after a time which can be preset by
44. lly charged battery can retain about 80 of its charge A fully charged battery in good condition will provide sufficient power to operate a Monitor for approximately 3 hours including temperature and BP measurements made at 5 minute intervals It is best to keep the battery charged as fully as practical and never store the Monitor with the battery in a discharged condition When the battery will no longer hold a charge remove and replace it with one of the same part number Failure to replace the battery with the same Critikon part number may result in shorter battery life To charge the battery insert the plug from the AC DC power converter into the external power socket and then plug the converter into an appropriate AC outlet The battery will charge regardless of the position of any switches E E S Battery charging will take place as long as the Monitor remains connected to an external AC power source via the supplied AC DC power converter A battery that is fully discharged can be fully recharged in 1 hour 50 minutes when the Monitor is switched off or 8 hours if the Monitor is switched on Cautions To ensure that the battery will be ready for portable operation keep the Monitor connected to a mains supply whenever possible 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
45. me required by the Compact Monitor to determine a blood pressure and may extend the time beyond the capabilities of the Monitor In Manual mode the Compact Monitor displays the results of the last blood pressure determination for 2 minutes or until another determination is completed If a patient s condition changes between one determination and the next the Monitor will not detect the change or indicate an alarm condition Devices that exert pressure on tissue have been associated with purpura skin avulsion compartmental syndrome ischemia and or neuropathy To minimize these potential problems especially when monitoring 24 Using the Monitor at frequent intervals or over extended periods of time make sure the cuff is applied appropriately and 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 Compact Monitor is designed for use only with dual tube cuffs Use only accessories recommended by Critikon Failure to use recommended accessories may result in inaccurate readings See Appendix D Blood pressure cuffs should be removed from the patient when the Monitor is powered off If the extremity remains cuffed under these conditions or if the interv
46. mination 73 Systolic SedtChio uud aene eee capone date aan tesa dis dritte petit cee 74 Appendix D M T 77 Compatibility Table and Reorder Codes ee 77 Appendix E eere AEN TENEN eiO Warranty Service and Spare Parts sse 79 EU CO RR M 79 Extended Warranties e esses sente tette tetetntn tette tnter tnt tntnnntt 79 Assistance and Parts ee essere tnnt tte tette te etita eoi Eae nene 79 Repairs eeisesseeeeeetentn tette tnn ntt te tnn tent tenente nt tnn se tette tse nnns nien nenne ntes tentent 80 Packing Instructions s sssescsecsseeseessseessuneeesseoneteeecssessunsssncessescsasecanasersanacennnseetnas 80 Service Manuals eese eeeeeeeee ee eeesnentntnta tata ta sttasesn senem ense en ds KiKi aiaee reada 80 Appendix F reser eese ee esent en ente tet atetnnn tn sn enean tetenentnn 81 Maintenance csssesescscscssssscscsccsasscsncesereconesstcsesosesssescsecscsensasssnsessoratacensatsnscossnanes 81 Storage and Battery Care sese nn tennn ente nnntennn nennt tnnt 83 FU SeS acd E EE dte ie sad cade genes E EN E den deut 84 Replacement of DC Line Input Power Fuse sssseeeennnnene 84 Calibration NERONE 85 Leak Testing qu 85 Disposal of Product Waste s essen etn nenenn ennt ennt 85 Appendix G eee
47. o the illustration of the rear panel connections Looking at the rear of the DINAMAP Compact Monitor remove the battery compartment cover 2 Insert the rechargeable battery pack into the compartment so that the battery terminals fit into the power clips at the bottom of the compartment Then replace the cover Insert the plug from the AC DC power converter into the external power socket 3 and plug the converter into an AC outlet Refer to the illustration of the front panel controls and indicators With external power connected the green external power indicator LED 7 will light to indicate that E N external power is being applied and that the battery is charging If the battery is not inserted the external power indicator LED will flash 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 8 will light When the battery becomes discharged and only 10 of the full charge remains the indicator will begin to flash and the Monitor will sound periodic warning beeps At this point the Monitor should be connected to an AC outlet to recharge the battery If the Monitor continues to be used without charging the battery the message WARNING THE BATTERY IS TOO LOW FOR MONITOR TO FUNCTION TURN MONITOR OFF appears and the Monitor will enter the fail safe mode The fail safe
48. olic diastolic and mean arterial pressures and pulse rate will appear on their LED displays 14 15 16 18 The Monitor will begin another determination once the pressure is below 5 mmHg for 8 seconds neonates or 15 mmHg for 4 seconds adults unless the 5 minute period has ended or the determination has been canceled o ae PaaS Using the Monitor Predictive Temperature Determination Description The Temp parameter is included in Models T and TS The DINAMAP Compact Monitor can be used with both oral and rectal temperature probes The Monitor automatically detects the type of probe being used and sets the correct predictive mode Temperature is shown on the temperature display 20 in degrees Celsius or Fahrenheit and the unit of measure is indicated by the C F display 21 The factory default which is Celsius can be changed in the Service menu please refer to the Using the Menu System section of this manual Temp information will be displayed for 2 minutes on the LED unless another determination is started This applies to Manual and Vitals modes 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 Overextension can damage the probe coil connector interfaces Accurate oral temperatures blue can only be obtained b
49. onfirm the setting After power off the 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 Manual Selection of this option allows the user to take a Manual BP determination by simply pressing the Start Stop BP key After power off the 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 Tgt Pressure Selection of this option allows the user to set the BP target inflation pressure The initial target pressure can be set between 100 and 250 mmHg in 5 mmHg increments The factory default is 180 mmHg for adults and 110 for neonates If the target pressure is set to 140 mmHg under the Set BP or Clinical menu then the neonatal target pressure will be 110 mmHg If the target pressure is set between 100 and 140 mmHg then that setting is the target pressure that will be used When the target pressure is changed the next determination will use the new target inflation value if no systolic is available Initial target pressure is restored to the factory default setting after power off The target pressure can be adjusted permanently in the Clinician menu of the Service 2o ERN FPE Using the Menu System mode refer to Pre
50. oral blue probe is used the pattern on the LED display looks like this When a rectal red probe is used the pattern on the LED display looks like this Print Button Selection of this button displays the Print menu PRINT MENU Auto Man Pressing this button toggles between Automatic and Manual Printing modes The current mode is displayed on Area 3 of the LCD The Automatic mode prints the readings after each determination The Manual mode which is the factory default mode requires the user to press the Now button to print the readings Now Selection of this button causes the current readings for the available parameters to be printed If no readings are available the message No reading is printed for that parameter An error message appears if there is no paper in the printer 49 History Selection of this button causes the entire contents of the trend memory to be printed When selected this button temporarily changes to Cancel until the history has completed printing Main Selection of this button returns the user to the Main menu More Menu This menu is used to set the various operating modes of the Monitor SpO Button Models S and TS Selection of this button displays the SpO mode menu which is used to set the SpO response mode and pulse tone volume Mode Volume 5 Mode Three response modes are available Each uses a different averaging time while measuring to account for var
51. other measurements ee a Using the Monitor Troubleshooting This section discusses potential difficulties and suggestions for resolving them If the difficulty persists contact a qualified service person or your local Critikon representative The service manual which is for use by qualified service personnel provides additional troubleshooting information PROBLEM The pulse amplitude bar indicates a pulse but no oxygen saturation or pulse rate values appear on the screen CAUSE Excessive patient motion may be making it impossible for the SpO function to find a pulse pattern The sensor may be damaged The patient s perfusion may be too low to allow the SpO function to measure saturation and pulse rate SOLUTION Check the patient If possible keep the patient still check whether the SpO sensor is applied securely and properly and replace it if necessary move the sensor to a new site or use a disposable adhesive sensor that may tolerate more motion Replace the sensor PROBLEM The SpO value or the pulse rate changes rapidly the pulse amplitude bar is erratic CAUSE Excessive patient motion may be making it impossible for the SpO function to find a pulse pattern An electrosurgical unit ESU may be interfering with performance SOLUTION Check the patient If possible keep the patient still check whether the sensor is applied securely and properly and replace it if
52. p Er dU UU 31 Gene fal C 3utloD oscar detras lont etd nei t ties uad ES 31 SPO riaan pdin aAA va Biden nannies 32 General Warin BE snas naa aari E r e a Ea 33 General Ca tions i icis sette repu e a gun gesds 34 General Notes 2 eius scseiish saacdch virentia ta Cages eda ede ga ce eere euge 34 WAIN lf EE 35 Caton E LEER 35 IntrOQUCtlOni secte d ee I aa eec iHe perse doeet endete teu ee 41 Using the Menu System ee ee eee esee eee een seen nae enaa 41 Selectnobs xo scc e ous ecu tectae t tti a Hee edd 44 Menu TI amp 6 ce ee etae per etoepet lee dd et dtes adea che abeat e eee tees 44 Main MENU 3 s He eere ritiene De ste boram do pase deep aeo Pe end deste ce REC Ra ssc svattecs 44 Vitals Button UK All ODS occ cecessessecssecessssssenssssssessecssssessesesesassessenssesesseeeseens 45 S e 45 dile d ED DEEP 45 More BUON innen a a aote eese te re Ete a trt 45 Set BP Button UK BP Mode eese tr tettenentetentttet 46 Alarms BUOM sce ee Re ete attrita E EEE 47 Temp Button Models T and TS sesesscesesessssesseseessnesacenssecsesessesesscesearensesesnees 48 Print B tton iEn otras creen ese Sects oe ette erecta Les eec v eh ee tute 49 AUTOS Mie paii e teda esteso ve tree qua ee cts ee REOR res E 49 NOW ELE 49 HISTORY 35a en ee c rii cer tee tee ee aeta or deiode doe 50 Morea MOT MED 50 SpO2 Button Models S and TS 0 sesesseesscsseseesseseeteeessssesceseecsesessssesarsssseansass 50 Config
53. parts of the Service mode menu Notes SpO is automatically disabled when entering Service mode Service modes that affect the calibration or alignment of the instrument are not available to the user These modes are described in the Service Manual pinin uinnin To access the clinician menu use the SelectKnob to select the numbers 1 2 3 4 sequentially ME Clinician Menu ud 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 The factory default is 180 mmHg for adults and 110 for neonates When the target pressure is changed the next determination will use the new target inflation value if no systolic is available When adjusted under the Clinician menu of the Service mode the target pressure is adjusted permanently TARGET PRESSURE Default 100 Main 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 E Using the Menu System C o
54. ppendix D The DINAMAP Compact Monitor is designed to conform to Electromagnetic Compatibility EMC standard IEC 601 1 2 1993 and will operate accurately in conjunction with other medical equipment which also meets this requirement To avoid interference problems affecting the Monitor do not use the Monitor in the presence of equipment which does not conform to these specifications 8 Introduction Place the Compact Monitor on a rigid secure surface Monitor must only be used with mounting hardware poles and stands recommended by Critikon See Appendix D The weight of the accessory basket contents should not exceed 6 6 Ib 3 kg Arrange the power cord air hoses and all cables carefully so they do not constitute a hazard Verify calibration of BP and TEMP Models T and TS parameters pulse oximeter does not require calibration Ensure that the Compact Monitor is functioning properly before operating the Compact Monitor Do not immerse the Monitor in water If the Monitor is splashed with water or becomes wet wipe it immediately with a dry cloth Do not gas sterilize or autoclave Notes Waveforms may be distorted and readings inaccurate when electrosurgical cautery equipment is used while monitoring with the Compact Monitor The electromagnetic compatibility profile of the Compact Monitor may change if accessories other than those specified for use with the Compact Monitor are used Trend data are r
55. r F Selection of this button toggles the temperature display between Celsius and Fahrenheit and produces an advisory that the trend will be lost Choosing Yes will cause the Monitor to accept the new temperature label and erase the trend memory Choosing No will cause the Monitor to retain the existing temperature label and the trend memory TREND WILL BE LOST OK Selection of this button returns the user to the Service mode menu Note Also on this panel is an indication of the current temperature algorithm 3 Mins or 12 Mins which tells the user whether the temperature displayed by the Monitor will be representative of a mercury in glass thermometer used for 3 minutes or 12 minutes respectively The algorithm is set in the restricted service menu The initial factory default is 3 minutes Info Selection of this button causes the most recent calibration dates of the NIBP and temperature systems to be displayed Selection of OK returns the user to the Clinician menu Last Calibration NIBP 14 Jul 1997 Temp 14 Jul 1997 More Selection of this button displays the More menu which allows the user to permanently change default mode settings m E M Trend Selection of this button displays the message Automatically clear trend on power up Selection of either Yes overrides the default setting by clearing all trends on power up and returns the Monitor to the More menu Selection of No retains the
56. re and unoccluded and that tubing is not kinked 10 Wrap cuff snugly around the patient s limb Cuff index line must fall within the range markings Ensure that hook and loop closures are properly engaged so that pressure is evenly distributed throughout cuff If upper arm is used place cuff as far proximally as possible 11 Proper cuff wrapping should be snug but should still allow space for a finger between patient and cuff Cuff should not be so tight as to prevent venous return between determinations Warning Using a cuff that is too tight will cause venous congestion and discoloration of the limb but using a cuff that is too loose may result in no readings and or inaccurate readings 12 Proceed with monitoring in the Manual Auto or Stat mode 0 M Py Using the Monitor Manual Mode To start a determination press the BP key 12 A normal uninterrupted Manual cycle takes about 40 seconds The cuff pressure must drop below 5 mmHg neonate or 15 mmHg adult before another determination can be started BP information will be displayed for 2 minutes on the LED unless another determination is started within that time frame This applies to Manual and Vitals modes After power off the 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 Note The BP key is an on off s
57. replacement paper rolls from Critikon 2 EE PIENE Using the Monitor Noninvasive Blood Pressure Determination Description The BP parameter is included in Models T S TS and BP Blood pressure is monitored noninvasively in the DINAMAP Compact 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 Compact Monitor has four BP modes 1 Manual 2 Auto 3 Stat and 4 Vitals The mode which is selected by the user is shown on the LCD 10 The BP measurements are automatic and once the cycle is complete the LED displays 14 15 16 18 will show systolic pressure diastolic pressure mean arterial pressure and pulse rate 1 Manual BP determinations are started by pressing the BP key 12 In the Manual mode the blood pressure is determined one time 2 If the Quik BP menu is enabled Refer to Quik BP in the Using the Menu System section Auto BP determinations are started by selecting the Auto button If the Quik BP menu is disabled Auto BP determinations are started by selecting the Auto button under the Set BP button in the Main menu 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 SelectKnob until the desired interval is rea
58. rocedures contact Critikon Technical Support Printer If the print quality is reduced the print head can be cleaned with a cotton swap saturated with isopropyl alcohol For preventive maintenance clean the print head once a month Temperature Devices The probe holder and temperature calibration plug may be removed and cleaned with a mild detergent The probe holder may be immersed during cleaning Do not immerse the temperature calibration plug o eee ee Appendix F Do not immerse predictive temperature probes The probe may be cleaned with an alcohol solution Use a cloth or sponge just damp not wet and avoid getting any liquid into the interior of the probe SpO Sensors Adhesive sensors are sterile and for single use only Reusable sensors can be cleaned with a 7096 alcohol solution Do not immerse the sensor completely in water solvents or cleaning solutions because the connector is not waterproof Do not sterilize the sensor by irradiation steam or ethylene oxide If disposable sensors or their packaging are damaged they must be disposed of as advised in Appendix F Storage and Battery Care If it becomes necessary to store the Monitor for an extended period of time first fully charge then remove the battery Then store the Monitor and the battery in the original packaging materials Batteries should always be fully charged before being placed in storage Even after 6 months of storage a fu
59. s a 5 minute series of determinations will start If a Manual determination is in progress that determination will become the first in the series A normal uninterrupted Stat sequence will give the first set of systolic diastolic and mean arterial pressure values and pulse rate within 15 to 20 seconds Pressing the Stat key 13 during a series of Stat determinations will cancel the determination in progress and the rest of the series BP information will be displayed on the LED until the determination has been canceled or completed This applies to Stat mode only Notes Because the Stat key is an on off switch it can be used at any time to cancel a Stat determination Pressing the BP key during a series of Stat determinations will also cancel the determination in progress and the rest of the series The series begins with cuff inflation to a pressure above the previous systolic pressure or if no previous systolic value is stored to approximately 180 mmHg for adult pediatrics The initial target pressure selection for neonates has a maximum pressure of 120 mmHg Artifact rejection is relaxed in the Stat mode for adult pediatric patients to allow for accelerated determinations If a BP or a Stat reading has been made previously the first new systolic value will flash on the LED display 14 within a few seconds and will continue to flash until the end of the determination At that point a short tone will sound and the updated syst
60. s ESSEN S A necessary move the sensor to a new site use a sensor that tolerates more motion bazna If an ESU is interfering Move the SpO 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 If using a sensor extension cable remove it and connect the sensor directly to the Compact Monitor If the patient weighs less than 3 kg or more than 40 kg apply an OXISENSOR N 25 oxygen transducer to an appropriate site This sensor has added protection against electrosurgical interference PROBLEM The oxygen saturation measurement does not T correlate with the value calculated from a blood gas determination CAUSE The SpO calculation may not have correctly adjusted for the effects of pH temperature CO fetal hemoglobin or 2 3 DPG Accuracy can be affected by incorrect sensor application or use intravascular dyes bright light excessive patient movement venous pulsations electrosurgical interference and placement of a sensor on an extremity that has a blood pressure cuff arterial catheter or intravascular line 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
61. sor should never be taped shut Taping the sensor could damage the patient s skin or impair the venous return thus causing venous pulsation and inaccurate measurement of oxygen saturation Excessive pressure from the sensor may cause necrosis of the skin Monitor performance When an SpO sensor is on a limb that has a blood pressure cuff the SpO data will not be valid when the cuff is inflated If SpO readings are required during the entire blood pressure determination attach the SpO sensor to the limb opposite the one with the blood pressure cuff e Remove nail polish and artificial nails Placing a sensor on a polished or an artificial nail may affect accuracy Cautions Patient safety Do not place any clip on sensor in a patient s mouth or on a patient s nose or toe E N Do not place a clip on finger sensor on a patient s De thumb or across a child s foot or hand Observe the sensor site to assure adequate distal circulation a Monitor performance For best performance place the sensor at heart level Placing a sensor distal to an arterial line may interfere with adequate arterial pulsation and compromise the measurement of SpO Place the sensor so that the LEDs and the photodiode are opposite each other 3 Plug the SpO sensor extension cable into the SpO2 ne sensor connector 23 4 Proceed with monitoring SpO determinations run continuously and can run simultaneously with
62. ss in the Using the Menu System section Main Selection of this button returns the user to the Main menu Alarms Button Selection of this button displays the Alarms menu This menu is used to adjust the violation limits for BP Pulse Rate and SpO 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 Parameter Range Default Systolic High Systolic Low Diastolic High Diastolic Low Heart Rate High Heart Rate Low 20 245 Sp0z2 High 51 100 Off Sp02 Low 50 99 90 Volume Selection of this button displays the alarm volume submenu The volume range is from 1 to 10 with 10 being the loudest The alarm volume is stored when the Monitor is turned off and restored to the user s preference each time the Monitor is switched on Selection of the Check button allows the current volume setting to be heard Selection of the Main button returns the user to the Main menu s cmm C Auto Selection of this button updates the alarm limits on the LCD relative to the current parameter values Pressing this button S will automatically cancel any limit violation alarm that becomes invali
63. t 30 sec No E11 High priority Dope Me Removal of probe before E11 alarm Volume i Clear temperature determination change TEMP FAIL silence adjustable complete E00 No E00 ji AM 2 minutes Predictive temperature change TEMP FAIL poe silence Clear determination 60 sec adjustable es HI Procedural and Error Alarm Codes cont Effect of Alarm Silence Switch Effect of Clear via SelectKnob Audible Tone LCD Description nd Volume Probable Cause Alarm LED Code Display No No Code Change Replace or recharge battery 3 beeps every From onset of alarm 5 NIBP LOW BATTERY 10 seconds 2 minutes Flashing No effect measurements available adjustable silence battery icon Solus Beep rate increases linearly as battery discharges WARNING THE BATTERY IS TOO LOW FOR High Priority 2 Blank MONITOR TO alarm Volume No effect No effect ES econo Pun FUNCTION adjustable TURN MONITOR OFF High Priority alarm Volume adjustable PRINTER NO PAPER 2 minutes silence Paper ran out or printer door open No No Code Change No NIBP RANGE High Priority ET NIBP algorithm retured Blank alarm Volume value outside specified Code ERROR silence adjustable accuracy range Other Error code Steady tone N P Blank
64. ues Held Note Temperature alarms will be disengaged while using Vitals mode Clear Selection of this button halts measurements and returns the user to the Main menu Note If the SpO plethysmograph is displayed on the LCD the waveform pauses for 2 minutes or until the Clear button is selected SpO 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 menu has six options depending on model of Monitor most of which have submenus For this reason instructions for the More button are in a separate section Ss s Set BP Button UK BP Mode Selection of this button displays the Auto and Manual BP menu Auto BP C Manual Se Tet Pressure Main Auto Selection of this option starts an Auto BP determination 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 SelectKnob until the desired interval is reached The interval can Ha be set between 1 and 90 minutes 1 2 3 4 5 10 15 20 25 30 45 60 and 90 minutes Press the SelectKnob to c
65. used If the battery is allowed to completely discharge before being fully recharged the battery should survive around 200 recharge cycles If the battery is used in such a way that it never becomes more than one third discharged and is fully recharged whenever possible it can survive up to 1200 cycles This means that by thoughtful usage the d lifetime of the battery can be extended up to six times Replacement batteries may be obtained from Critikon Note The replacement part number of the battery is US 63313 or UK 200000 Do not use other types Fuses The Monitor contains two fuses The low voltage DC line input power fuse is mounted on the rear of the Monitor An additional thermally resettable fuse which protects the battery circuit is fitted inside the Monitor This fuse does not require user intervention Replacement of DC Line Input Power Fuse At the rear of the Monitor disconnect the input supply Insert a flat bladed too such as a screwdriver or a coin into the slot in the fuse holder and rotate counterclockwise Remove the fuse from the holder Replace the blown fuse with the appropriate type 5 a e PRENNE Appendix F Replace the fuse and fuse holder by inserting the fuse holder into the socket and turning clockwise until it locks Calibration Calibration of the Monitor should be checked at least once a year or when there is doubt about the validity of the readings Leak Testing A leak test of the B
66. will be lost Choosing Yes will erase the trend memory Choosing No will retain the trend memory This button disappears from the menu while printing Print All Selection of this button prints all the historical data available When selected this button temporarily changes to Cancel until the history has completed printing Once printing is complete the Cancel button returns back to the Print All button Display Main Main Selection of this button returns the user to the Main menu Display Button Selection of this button displays the Display mode menu This menu is used to specify whether Area 2 of the LCD will display SpO or BP data If neither SpO nor 3 BP is selected Area 2 of the LCD will remain blank except for the pulse amplitude bar if SpO data are available and any error or warning messages that may appear The Display mode setting is maintained when the Monitor is switched off and on 4 es PE Using the Menu System SpO Pleth y 3 NIBP SpO Pleth When this option is checked and SpO 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 SpO data are available the pulse amplitude bar will also be displayed Main Selection of this button returns the user to the Main menu Service Button Selection of this button displays a keypad that allows the clinician to access some
67. witch pressing it will stop any BP determination Manual Auto or Stat that is in progress Auto Mode If the Quik BP menu is enabled Refer to Quik BP in the Using the Menu System section Auto BP determinations are started by selecting the Auto button If the Quik BP menu is disabled Auto BP determinations are started by selecting the Auto button under the Set BP button in the Main menu 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 SelectKnob until the desired interval is reached The interval can be set between 1 and 90 minutes 1 2 3 4 5 10 15 20 25 30 45 60 and 90 minutes Press the SelectKnob to confirm the setting After power off the 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 In the Auto mode the pressure must be below 5 mmHg neonate or 15 mmHg adult for at least 30 seconds before another determination can be started BP information will be displayed on the LED until the next determination is started This applies to Auto mode only a ME Stat Mode T Multiple BP readings can be taken at any time by pressing the Stat key 13 If a Manual determination is not in progres
68. y placing the probe under the tongue in the right or left sublingual pocket Temperatures in other locations in the mouth can vary by more than 2 F or 1 C Accurate rectal temperatures can only be obtained by using the red temperature probe Red and blue temperature probes are not interchangeable Do not allow the tip of the predictive temperature probe to come into contact with a heat source e g hands or fingers prior to taking a temperature E C determination If this occurs allow 5 seconds for the probe tip to cool before proceeding Procedures 1 Connect the temperature probe cable to the temperature probe connector 22 2 Place a protective temperature probe cover on the probe and insert the probe appropriately 3 While observing the LCD 10 turn the SelectKnob 9 to highlight the Temp option and then click the SelectKnob Any previous temperature display will be blanked si 4 Hold the temperature probe steady until the determination is complete This will take about 20 seconds during which time a pattern of lines on the temperature display 20 will blink to indicate progress When the determination is complete the temperature will appear on the display 5 Record the temperature remove the probe discard the disposable cover by pressing the button on the probe handle and place the probe in the probe holder Note Wait at least 5 seconds before making another temperature determination Description T

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