DINAMAP Compact Monitor Operation Manual 1 COMPACT MAN-REV B 1 1/12/99, 9:46 AM
DINAMAP® Compact Monitor Model TS DINAMAP® Compact Monitor Model T DINAMAP® Compact Monitor Model S DINAMAP® Compact Monitor Model BP 2 COMPACT MAN-REV B 2 1/12/99, 9:46 AM
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 SpO2 • Model TS: BP, Pulse, Temp, and SpO2 • Model BP: BP and Pulse The model of the Monitor determines which menu option buttons appear on the LCD. Please refer to applicable sections.
United States Critikon, L.L.C. 4110 George Road Tampa, FL 33634 Canada Johnson and Johnson Medical Products 1421 Lansdowne Street West Peterborough, Ontario, Canada K9J 7B9 United Kingdom Critikon LTD Coronation Road Ascot Berkshire SL5 9EY UK Australia Johnson and Johnson Medical Pty.
Contents Introduction .......................................................................... 7 About the DINAMAP® Compact Monitor .......................................................... 7 Indications .................................................................................................................. 7 Contraindications ...................................................................................................... 7 Warnings ........................................................
Rotor (SelectKnob) ................................................................................................. 53 Trend Button ............................................................................................................ 53 Display ...................................................................................................................... 53 Newer and Older .................................................................................................... 54 Print page ......
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 DCoperated monitors are primarily intended for use in hospital acute care settings such as outpatient surgery, accident and emergency, labor and delivery, GI/endoscopy, and medical/ surgical units.
• 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.
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 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).
Product Compliance The DINAMAP Compact Monitor is classified in the following categories for compliance with IEC 601-1: • Class l, internally powered • Transportable • For continuous operation • Not suitable for use in the presence of flammable anesthetics • Not for use in the presence of an oxygen-enriched atmosphere (oxygen tent) • Type BF applied parts NRLT/C DINAMAP COMPACT MONITOR CLASSIFIED WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL AND OTHER SPECIFIED HAZARDS ONLY IN ACCORDANCE WITH CAN/C
Introduction Symbols The following symbols are associated with the Compact Monitor. Note: The type of model determines which symbols appear on the Monitor.
Packaging label depicting the transportation and storage atmospheric pressure range of 500 to 1060 hPa. IPX1 The DINAMAP Compact Monitor is protected against vertically falling drops of water and conforms with the IEC 529 standard at level of IPX1. No harmful effects will come of vertically falling drops of water making contact with the Monitor.
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.
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.
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." • 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.
2 1 5 4 3 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.
Getting Started 16 14 mmHg MAP mmHg 15 18 mmHg 19 9 BPM 20 Oc F % 17 21 10 7 13 6 12 8 11 22 26 23 25 24 Front Panel Controls and Indicators 6 Power on/off 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 selec
13 Stat key: Press to start or stop BP Stat mode 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 17 SpO2 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 be
Getting Started Installing 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 LockTM fasteners are properly engaged. 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.
determinations are being made, the Monitor will enter sleep mode after a time which can be preset by 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 AREA 2 AREA 3 Menu Area This area displays the name of the menu that has option buttons available for selection.
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 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.
“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 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.
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.
4. Vitals determinations are started by selecting the Vitals button in the Main menu. (Refer to the “Using the Menu System” section.) Selection of this button initiates BP, SpO2, 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.
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.
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-tobeat 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.
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.
5. Inspect cuff for damage. Replace cuff when aging, 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.
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.
Stat Mode Multiple BP readings can be taken at any time by pressing the Stat key (13). If a Manual determination is not in progress, 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.
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).
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. 4.
Using the Monitor that are derived from the SpO2 signal. A tone sounds at a rate corresponding to the pulse rate and at a pitch corresponding to the SpO2 saturation level. The pitch is highest at 100% 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.
potential degradation of the magnetic resonance image, and potential reduced accuracy of SpO2 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 SpO2 measurement. • The SpO2 function is calibrated to read functional arterial oxygen saturation.
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 2. Following the directions for use supplied with the sensor, apply the sensor to the patient.
• Do not place a clip-on finger sensor on a patient’s thumb or across a child’s foot or hand. • Observe the sensor site to assure adequate distal circulation. 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 SpO2. • Place the sensor so that the LEDs and the photodiode are opposite each other. 3.
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.
necessary; move the sensor to a new site; use a sensor that tolerates more motion. If an ESU is interfering: • Move the SpO2 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.
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 SpO2 signal was present but has disappeared.
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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.
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Using the Menu System Menu Tree 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.
SelectKnob Rotating the SelectKnob causes option buttons to be highlighted (light text on a dark background). Turning the 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.
Using the Menu System Vitals Button (UK: All Obs) Selection of this button initiates BP, SpO2, 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: Values Held Clear Print 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.
Set BP Button (UK: BP Mode) Selection of this button displays the Auto and Manual BP menu. Auto BP Manual Tgt Pressure 180 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.
Using the Menu System mode (refer to “Press” 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 SpO2. 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.
ALARM VOLUME 5 Check Main Auto Selection of this button updates the alarm limits on the LCD relative to the current parameter values. Pressing this button will automatically cancel any limit violation alarm that becomes invalid as a result of a limit change.
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.
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.
Using the Menu System Notes • Mode 3 suppresses the SpO2-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 SpO2 heart rate. • In Mode 3, BP heart rate is used by Trends, Printer, and Host Comm. In Mode 1 and 2, SpO2 heart rate has priority.
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.
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 3 Main Main Selection of this button returns the user to the Main menu. Trend Button Selection of this button displays the Trend mode menu.
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 Selection of this button produces an advisory that the trend will be lost. Choosing Yes will erase the trend memory.
Using the Menu System SpO2 Pleth √x 3 NIBP √x √ Main SpO2 Pleth When this option is checked and SpO2 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 SpO2 data are available, the pulse amplitude bar will also be displayed. Main Selection of this button returns the user to the Main menu.
Clinician Menu Press Temp Info More... Silence Main 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.
Using the Menu System C or 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 No Yes OK. Selection of this button returns the user to the Service mode menu.
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 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. Print.
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.
Confirm silence No Yes Main. Selection of this button returns the user to the Main menu. Error and Warning Messages The error panel appears in Area 2 of the LCD and indicates the error and its code, if it has one. In this example, a limit violation alarm (which has no error code) has occurred. A list of alarm error messages and their codes is in Appendix B. HIGH SYSTOLIC Alarms OK Alarm conditions are cleared in one of two ways: the Alarms button and OK button.
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: Adjustment Range (in 5 mmHg increments) 100 to 250 mmHg (adult) 100 to 140 mmHg (neonate) Blood Pressure Measurement Range (mmHg) Systolic MAP Adult 30 - 245 15 - 215 Neonate 40 - 140 30 - 115 Diastolic 10 -195 20 -100 Blood Pressure Accuracy Meets or exceeds AAMI/ ANSI standard SP-10 (mean error
Predictive Temperature Accuracy 36.1 °C to 39.4 °C: ± 0.6 °C 97 °F to 103 °F: ± 1 °F < 36.1 °C and > 39.
Appendix A Neonatal Accuracy 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.
Mechanical Dimensions Height: 9.1 in (23.0 cm) Width: 7.3 in (18.5 cm) Depth: 6.9 in (17.5 cm) Weight, Including Battery 8.3 lb (3.
Appendix A Environmental Operating Temperature + 5 °C to + 40 °C (+ 41 °F to + 104 °F) Operating Atmospheric Pressure 700 hPa to 1060 hPa – 20 °C to + 50 °C (– 4 °F to + 122 °F) Storage Temperature Storage/Transportation Atmospheric Pressure 500 hPa to 1060 hPa Humidity Range 0% to 95% noncondensing Radio Frequency Complies with IEC Publication 601-1-2 (April 1993) Medical Electrical Equipment, Electromagnetic Compatibility Requirements and Tests.
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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.
Hierarchy of Alarms Alarms in the DINAMAP Compact Monitor are in three priority levels. They are: Alarm Failsafe Patient and system Low battery Priority Level 1 2 3 The Priority 1 alarm (i.e., Failsafe) will override any other alarm. Priority 2 alarms will override only the low battery alarm. The low battery alarm will not override any other alarm.
COMPACT MAN-REV B 69 N33 TIMEOUT: INFLT N00 OVER PRESSURE No change No change N33 N00 2 minutes silence 2 minutes silence High priority alarm. Volume adjustable High priority alarm. Volume adjustable 2 minutes silence High priority N44 alarm. Volume TIMEOUT: TOTAL adjustable No change N44 2 minutes silence High priority alarm. Volume adjustable N55 TIMEOUT: PRESS No change N55 2 minutes silence High priority alarm.
COMPACT MAN-REV B 70 1/12/99, 9:47 AM LCD Description P55 SpO2 NO SIGNAL P00 NO SpO2 SENSOR E33 TEMP: FAIL E11 TEMP: FAIL E00 TEMP: FAIL LED Display No change No change No change No change No change Alarm Code P55 P00 E33 E11 E00 Effect of Alarm Silence Switch 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence 2 minutes silence Audible Tone and Volume High priority alarm. Volume adjustable High priority alarm. Volume adjustable High priority alarm.
COMPACT MAN-REV B 71 71 1/12/99, 9:47 AM Other: N, P, Blank E, I, S Blank No Code Blank No Code No Change No Change No Code No Code LED Display Alarm Code 2 minutes silence 3 beeps every 10 seconds, adjustable volume High Priority alarm. Volume adjustable LOW BATTERY, Flashing battery icon WARNING: THE BATTERY IS TOO LOW FOR MONITOR TO FUNCTION. TURN MONITOR OFF Steady tone, maximum volume No effect 2 minutes silence High Priority alarm.
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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.
At each step the microprocessor stores cuff pressure, the 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.
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.
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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, Large 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
NEONATAL CUFF TYPE LIMB CIRCUMFERENCE REFERENCE NUMBER #1 3 cm - 6 cm 2521 #2 4 cm - 8 cm 2422 #3 6 cm - 11 cm 2523 #4 7 cm - 13 cm 2524 #5 8 cm - 15 cm 2525 ADULT/PEDIATRIC CUFF TYPE LIMB CIRCUMFERENCE REFERENCE NUMBER Infant 8 cm - 13 cm 2703/2500 Child 12 cm - 19 cm 2781/2501 Small Adult 17 cm - 25 cm 2779/2502 Adult 23 cm - 33 cm 2774/2503 Large Adult 31 cm - 40 cm 2791/2504 Thigh 38 cm - 50 cm 2796/2505 USE WITH HOSE NO.
Appendix E Warranty, Service, and Spare Parts Warning: There are no user serviceable parts inside the DINAMAP Compact Monitor. Refer all servicing to qualified personnel. Warranty All repairs on products under warranty must be performed or approved by Critikon. Unauthorized repairs will void the warranty. Products not covered by warranty should be repaired only by qualified electronics service personnel. Extended Warranties Extended warranties may be purchased on most products.
Repairs If your product requires warranty, extended warranty, or non-warranty repair service, call Critikon and a representative will assist you. Estimates for non-warranty repairs are provided at no charge; however, the product must be sent to Critikon for an estimate. To facilitate prompt service in cases where the product has external chassis or case damage, please advise the representative when you call.
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. • 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.
•Soft cloths and soft-bristled brushes •Spray bottles Procedure 1. Prepare the enzymatic detergent according to the manufacturer’s instructions and the 10% 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 the soft part of the closure or the cuff itself, wipe the material off with a soft cloth.
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. SpO2 Sensors Adhesive sensors are sterile and for single use only. Reusable sensors can be cleaned with a 70% alcohol solution. Do not immerse the sensor completely in water, solvents, or cleaning solutions (because the connector is not waterproof).
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.
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 BP 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.
Packaging Material Retain original packaging materials for future use in storing or shipping the Monitor and accessories. This recommendation includes corrugated shippers and inserts. Whenever possible recycle the packaging of accessories and patient applied parts.
Appendix G Connection Details Host Port Connector (rear panel) Pin 15 Pin 1 Important! All host port signals are NON-ISOLATED and should be connected to equipment conforming to IEC-601-1 ONLY. Where isolation of data communication is required, Critikon part number ILC232 should be used. If external alarm control is required, Critikon part number 487208 (Isolated Remote Alarm Cable Assembly) should ALWAYS be used.
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