Critikon Dinamap S Manuale utente

CRITIKON 1998, TAMPA, FL 33634

8796EM05 (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.

SpO,

l 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

47 10 George Road

Tampa, FL 33634

l-800-23 7-2033

Part No. 776980A (USA; Printed in USA)

Part No.

SpO,

l Model TS: BP, Pulse, Temp, and

BP, Pulse, and Temp

l Model S: BP, Pulse, and

DINAMAP@

Compact Monitor

Models T, S, TS, and BP, with and without printers.

l Model

DINAMAP”

Compact Monitor

Operation Manual

This manual is for

..........................................................................................................................

Config Button .........................................................................................................

Pwr

Sav

(Sleep Mode)

...........................................................................................

Time

SpO2

Button (Models S and TS) .........................................................................

...........................................................................................................

TS)

..........................................................................

Print Button ..............................................................................................................

Auto/Man .................................................................................................................

Now

..........................................................................................................................

History

.......................................................................................................................

...

.........................................................................................................

Temp Button (Models T and

...............................................................................................................

...

Button .........................................................................................................

Set BP Button (UK: BP Mode) .............................................................................

Alarms Button

........

SelectKnob

...............................................................................................................

Menu Tree ................................................................................................................

Main Menu ..............................................................................................................

Vitals Button (UK: All Obs) ..................................................................................

Clear ..........................................................................................................................

Print..

.35

Cautions

....................................................................................................................

Introduction

.............................................................................................................

Using the Menu System ......................................................

........................................................................................................

Warnings

..................................................................................................................

........................................................................................................................

General Warnings ...................................................................................................

General

Cautions ....................................................................................................

General

Notes

....................................................................................................

spo2.

...................................................................................................

Predictive Temperature Determination .............................................................

3 1

General

Warning.. ..................................................................................................

3 1

General Cautions

...............................................................

Switching the Monitor On and Off ....................................................................

Liquid Crystal Display (LCD) ...............................................................................20

Using the Printer ....................................................................................................

Cautions

....................................................................................................................

Using the Monitor

...............................................................

Noninvasive Blood Pressure Determination

..................................................... 23

General Warnings ...................................................................................................

General Cautions.

.......

...................................................................

Installing the Temp Probe Holder

........................................................................................................

Powering the Monitor ............................................................................................

Rear

Panel

Connections ........................................................................................

Front Panel Controls and Indicators

Getting Started

....................................................................

Unpacking the Monitor and Accessories ..........................................................

Power Sources

..............................................................................................

Symbols

.....................................................................................................................

Cautions

...................................................................................................................... 8

Product

Compliance

......................................................................................................

Warnings

.................................................................................................................

Contraindications

..........................................................

Indications

DINAMAP@

Compact Monitor

Contents

Introduction

..........................................................................

About the

.._..........................

.._.............................................

. . . . .

8”:

Connection Details

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.._.........._._._........._..................................

Appendix

.._......

. .

._..........__.......................................................

Disposal of Product Waste

. . . . . . . . .

Leak Testing

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.._._....._._.__................................................

.._......_..

..___............................................

Calibration . .

.._......._.......................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Replacement of DC Line Input Power Fuse . . . . .

.._...........................................................................

Fuses

. . . . . . . . . . .

.._...__..._...........................................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Storage and Battery Care . . .

. . . . .

..___._._.._.._._

Appendix F

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Maintenance

. . . . .

..__......_...................................................

. . . . . . . . . . . . . . . . . . . . . . . . . .

Service

Manuals . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.._..._.............................

Packing Instructions

. . . . . . .

.._.......................................................

. . . . . . . . . . . .

.._._.._....__...........................................................................

Assistance

and

Parts . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Repairs . .

. . . . . . . . . . .

.._._.__........................................................................................

Extended Warranties

. . . . .

.___._

. . . . . . . . . . .

.._............~..............................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendix D

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Compatibility Table and Reorder

Codes

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Appendix E

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Warranty, Service, and Spare Parts . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Warranty

.._...........................

Systolic Search . .

. . . . . . . . . . . .

.._.............................................................................

Appendix C

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Principles of Noninvasive Blood Pressure Determination

._..._

. . . . . . . . .

.._............................

Hierarchy of Alarms

.._........................................................................

. . . . . . . . . . . . . . . . . .

Failsafe Alarm.

.._................................................................................

System Alarms . . .

. . . . . . . .

Patient

Alarms . . . . . . . .

. . . . . . . . . . . . . .

..~....................................................................

Appendix B

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

..___........................................................................61

Environmental

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

..~...

Appendix A

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Technical Specifications . .

. . . . . . . . .

.._.............................................................................................

OK Button

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Error and Warning Messages

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

..__.

Alarms Button

. . . . . . . . .

.._..__...........................................................................

Clinician Menu

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . .

Service Button

. . . . . . . . . . . .

. . . . . . . . . .

.._................................................................................

..__._...................................................................................................

Display Button.

.._................

Print All

. . . . . . . . . . . . .

.__.__

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . 54

Clear

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

.._...__..

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Print page

.._._...__.......................................................................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Newer

and

Older . . . . . . . .

__._

. . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Display

._........_.................,.................................

(SelectKnob)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Trend Button

Rotor

Compacf 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.

SpO,

l 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 the

order of a clinician.

Warnings

l Do not use the

SpO,

l Model

TS: BP, Pulse, Temp, and

BP, Pulse, and Temp

l Model

S: BP, Pulse, and

GI/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

DC-

operated monitors are primarily intended for use in hospital

acute care settings such as outpatient surgery, accident and

emergency, labor and delivery,

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

The DINAMAP Compacf Monitor is designed to

conform to Electromagnetic Compatibility (EMC)

standard IEC 601-l-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.

Do not use replacement batteries other than the type

supplied with the Monitor. Replacement batteries are

available from Critikon. See Appendix D.

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 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.

.The electromagnetic compatibility profile of the

Compact Monitor may change if accessories other than

those specified for use with the Compact Monitor are

used.

l Trend data are retained in the Compact Monitor when

is turned off, except when the default is overridden by

selecting the Trend button under the Service menu.

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 lb (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

l Waveforms may be distorted and readings inaccurate

when electrosurgical cautery equipment is used while

monitoring with the Compact Monitor.

.Introduction

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 to 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

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

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

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.

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

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

l 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

external power is

Getting Started

following cord tag: “Hospital Grade Plug.” Grounding

integrity can only be maintained when equipment is

connected to an equivalent receptacle marked

“Hospital Grade.”

l 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.

(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

Rear Panel Connections

Pole clamp: Used to clamp Monitor to pole or stand

Battery compartment cover: Retains and protects

internal battery

External power socket: To be used with supplied AC-DC

power converter 0 N LY

Fuse holder: Holds external power source line fuse

Data interface connector

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