Critikon | Dinamap BP | Specifications | Critikon Dinamap BP Specifications

Critikon Dinamap BP Specifications

DINAMAP Compact
Monitor
Operation Manual
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DINAMAP® Compact
Monitor Model TS
DINAMAP® Compact
Monitor Model T
DINAMAP® Compact
Monitor Model S
DINAMAP® Compact
Monitor Model BP
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
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.
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. 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.
© CRITIKON 1998, TAMPA, FL 33634
All rights reserved.
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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. LTD
1-5 Khartoum Road
North Ryde, NSW 2113
Australia
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Contents
Introduction .......................................................................... 7
About the DINAMAP® Compact Monitor .......................................................... 7
Indications .................................................................................................................. 7
Contraindications ...................................................................................................... 7
Warnings ..................................................................................................................... 7
Cautions ...................................................................................................................... 8
Product Compliance .............................................................................................. 10
Symbols ..................................................................................................................... 11
Getting Started .................................................................... 13
Unpacking the Monitor and Accessories .......................................................... 13
Power Sources ........................................................................................................ 13
Powering the Monitor ............................................................................................ 13
Rear Panel Connections ........................................................................................ 16
Front Panel Controls and Indicators ................................................................... 17
Installing the Temp Probe Holder ....................................................................... 19
Switching the Monitor On and Off .................................................................... 19
Liquid Crystal Display (LCD) ............................................................................... 20
Using the Printer .................................................................................................... 21
Cautions .................................................................................................................... 22
Using the Monitor ............................................................... 23
Noninvasive Blood Pressure Determination ..................................................... 23
General Warnings ................................................................................................... 24
General Cautions .................................................................................................... 25
Predictive Temperature Determination ............................................................. 31
General Warning .................................................................................................... 31
General Cautions .................................................................................................... 31
SpO2 ......................................................................................................................... 32
General Warnings ................................................................................................... 33
General Cautions .................................................................................................... 34
General Notes ........................................................................................................ 34
Warnings ................................................................................................................... 35
Cautions .................................................................................................................... 35
Introduction ............................................................................................................. 41
Using the Menu System ...................................................... 41
SelectKnob ............................................................................................................... 44
Menu Tree ................................................................................................................ 44
Main Menu .............................................................................................................. 44
Vitals Button (UK: All Obs) .................................................................................. 45
Clear .......................................................................................................................... 45
Print ........................................................................................................................... 45
More... Button ......................................................................................................... 45
Set BP Button (UK: BP Mode) ............................................................................. 46
Alarms Button ......................................................................................................... 47
Temp Button (Models T and TS) .......................................................................... 48
Print Button .............................................................................................................. 49
Auto/Man ................................................................................................................. 49
Now .......................................................................................................................... 49
History ....................................................................................................................... 50
More... Menu ........................................................................................................... 50
SpO2 Button (Models S and TS) ......................................................................... 50
Config Button ......................................................................................................... 51
Pwr Sav (Sleep Mode) ........................................................................................... 52
Time .......................................................................................................................... 52
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Rotor (SelectKnob) ................................................................................................. 53
Trend Button ............................................................................................................ 53
Display ...................................................................................................................... 53
Newer and Older .................................................................................................... 54
Print page ................................................................................................................. 54
Clear .......................................................................................................................... 54
Print All ...................................................................................................................... 54
Display Button ........................................................................................................ 54
Service Button ........................................................................................................ 55
Clinician Menu ....................................................................................................... 56
Alarms Button ......................................................................................................... 60
OK Button ................................................................................................................ 60
Error and Warning Messages ............................................................................... 60
Appendix A .......................................................................... 61
Technical Specifications ........................................................................................ 61
Environmental ......................................................................................................... 65
Appendix B .......................................................................... 67
Patient Alarms ......................................................................................................... 67
System Alarms ........................................................................................................ 67
Failsafe Alarm ........................................................................................................... 67
Hierarchy of Alarms ............................................................................................... 68
Appendix C .......................................................................... 73
Principles of Noninvasive Blood Pressure Determination .............................. 73
Systolic Search ........................................................................................................ 74
Appendix D .......................................................................... 77
Compatibility Table and Reorder Codes .......................................................... 77
Appendix E ........................................................................... 79
Warranty, Service, and Spare Parts ..................................................................... 79
Warranty ................................................................................................................... 79
Extended Warranties .............................................................................................. 79
Assistance and Parts ............................................................................................... 79
Repairs ....................................................................................................................... 80
Packing Instructions ............................................................................................... 80
Service Manuals ..................................................................................................... 80
Appendix F ........................................................................... 81
Maintenance ............................................................................................................ 81
Storage and Battery Care ...................................................................................... 83
Fuses .......................................................................................................................... 84
Replacement of DC Line Input Power Fuse ...................................................... 84
Calibration ................................................................................................................ 85
Leak Testing .............................................................................................................. 85
Disposal of Product Waste .................................................................................. 85
Appendix G .......................................................................... 87
Connection Details ................................................................................................. 87
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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.
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 SpO2
• Model TS: BP, Pulse, Temp, and SpO2
• 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
• 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.
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• 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 Appendix 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.
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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). 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 retained in the Compact Monitor when it
is turned off, except when the default is overridden by
selecting the Trend button under the Service menu.
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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/CSA C22.2 NO.
601.1. ALSO EVALUATED TO IEC-601-2-30.
0086
This product conforms with the essential requirements
of the Medical Device Directive. Accessories without
the CE mark are not guaranteed to meet the Essential
Requirements of the Medical Device Directive.
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Introduction
Symbols
The following symbols are associated with the Compact
Monitor.
Note: The type of model determines which symbols appear
on the Monitor.
Attention, consult accompanying
documents
Defibrillator-proof type BF equipment
Power (ON/OFF)
SpO2
BP (START/STOP)
BP STAT
Battery Power
MAP
mmHg
MAP (Mean Arterial Pressure)
Predictive Temperature
Beats Per Minute
BPM
Silence
External DC Power
Fuse
External Communications Port Connector
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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.
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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 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
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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
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
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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.
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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. This port nonisolated for use with
equipment conforming to IEC-601 only
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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 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 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
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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 beats per minute
19 SpO2 pulse indicator: Yellow LED in heart symbol flashes
to indicate that real-time pulse rate measurements are
being derived from SpO2 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 SpO2 sensor connector: SpO2 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
26 Printer door: Provides access to paper
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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.
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)
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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. 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: SpO2 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.
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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.
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
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“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.”)
Installing new paper will cause the Critikon DINAMAP Compact
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
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 80%, or
• 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 replacement paper rolls from Critikon.
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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 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.
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.
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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.
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 time 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
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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 interval 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 (bluegreen) 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
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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.
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.
• 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 ANSI /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.
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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.
Neonate
Adult/Pediatric
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 level.
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.
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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. 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
secure 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.
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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 switch; 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.
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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. 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 systolic,
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.
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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 by 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
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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. 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.
SpO
2
Description
The SpO2 parameter is included in Models S and TS. To
begin SpO2 monitoring, simply place the SpO2 sensor on
the patient’s finger; monitoring begins automatically.
Functional oxygen saturation (SpO2) of arterial blood is
noninvasively and continuously monitored in the
DINAMAP Compact Monitor using pulse oximetry
technology from NELLCOR. Functional SpO2 is the ratio of
oxygenated hemoglobin to hemoglobin that is capable of
transporting oxygen. This ratio, expressed as a percentage,
is shown on the SpO2 display (17). The percentage is
updated with each heart beat.
Heart rate derived from SpO2 appears in the Pulse BPM
display (18), and the SpO2 pulse indicator (19) flashes
synchronization with the real-time pulse rate measurements
NELLCOR is a trademark of Mallinckrodt, Inc.
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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.
Audible and visible alarms occur when SpO2 levels are
outside the alarm limits. When a limit alarm occurs, a
message appears in Area 2 of the LCD display.
Low SpO2
Alarms
Suspend
If you select the Alarms button, the Alarms menu appears.
This menu is used to adjust the violation limits for BP and
SpO2. Refer to “Alarms Button” in the “Using the Menu
System” section.
If you select the Suspend button, the SpO2 alarm is
suspended for 2 minutes and then the Compact returns to
normal SpO2 monitoring. A message informing the user that
SpO2 is suspending appears in Area 2 and dashes appear in
the SpO2 LED while the SpO2 alarm suspend is counting
down. Selecting Cancel will cancel the SpO2 alarm
suspension and return to monitoring SpO2.
Low SpO2 is suspending
2:00
Cancel
General Warnings
• Do not use the SpO2 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,
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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. Significant levels of
dysfunctional hemoglobins such as
carboxyhemoglobin or methemoglobin may affect the
accuracy of the SpO2 measurement.
General Cautions
• As with any clip-on sensor, pressure is exerted. The
clinician should be cautious in 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 SpO2 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.
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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.
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 sensor 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 SpO2 sensor is on a limb that has a blood
pressure cuff, the SpO2 data will not be valid when the
cuff is inflated. If SpO2 readings are required during the
entire blood pressure determination, attach the SpO2
sensor to the limb opposite the one with the blood
pressure cuff.
• 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.
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• 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. Plug the SpO2 sensor extension cable into the SpO2
sensor connector (23).
4. Proceed with monitoring. SpO2 determinations run
continuously and can run simultaneously with other
measurements.
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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 SpO2 function to find a pulse pattern.
• The sensor may be damaged.
• The patient’s perfusion may be too low to allow the
SpO2 function to measure saturation and pulse rate.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
SpO2 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 SpO2 value or the pulse rate changes
rapidly; the pulse amplitude bar is erratic.
CAUSE:
• Excessive patient motion may be making it impossible
for the SpO2 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
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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.
• 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
correlate with the value calculated from a blood gas
determination.
CAUSE:
• The SpO2 calculation may not have correctly adjusted for the
effects of pH; temperature; CO2; fetal hemoglobin; or 2,3DPG.
• 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.
• If there is excessive light, cover the sensor with opaque
material.
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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.
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.
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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.
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
distinct function.
MENU AREA
AREA 2
AREA 3
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 SpO2 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 oF / 10o 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.
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☞
Menu Tree
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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.
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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. After the value is highlighted, the
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.
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).
Vitals
More...
Set BP
Alarms
Temp
Print
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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.
Note: If the SpO2 plethysmograph is displayed on the LCD,
the waveform pauses for 2 minutes or until the Clear button
is selected. SpO2 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.
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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. 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.
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
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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. To permanently
change the alarm limits, refer to “Alarms” under “Service
Button” in the “Using the Menu System” section.
SYS
DIA
MAP
BPM
SpO2
180
130
140
160
OFF
Volume
Auto
30
15
Parameter
Systolic High
Systolic Low
Diastolic High
Diastolic Low
MAP High
MAP Low
Heart Rate High
Heart Rate Low
Sp02 High
Sp02 Low
50
40
Range
35 - 245
30 - 240
15 - 195
10 - 190
20 - 215
15 - 210
25 - 250
20 - 245
51 - 100
50 - 99
90
Main
Default
180
30
130
15
140
50
160
40
Off
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.
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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. Alarm limits
are updated as follows:
Parameter Label
Systolic
Diastolic
MAP
Heart Rate
SpO2
High Limit
SYS
+30
DIA
+30
MAP +30
BPM +30
SpO2 +5*
Label
SYS
DIA
MAP
BPM
SpO2
Low Limit
SYS
-30
DIA
-30
MAP -30
BPM -30
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.
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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 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
Now
History
Main
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.
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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.
SpO2
Config
Trend
Display
Service
Main
SpO2 Button (Models S and TS)
Selection of this button displays the SpO2 mode menu,
which is used to set the SpO2 response mode and pulse
tone volume.
Mode
1
Volume
5
Main
Mode
Three response modes are available. Each uses a different
averaging time while measuring to account for variations 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
by patient movement.
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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. If no SpO2 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 this button displays the Config mode menu,
which allows the Power Save mode and time to be adjusted.
Pwr Sav
Time
Rotor
Main
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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
15
Main
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.
Main
Hour
20 : 21 . 11
Min
Sec
Accept
24-Aug-1997
Day
Mon
Year
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 Main
menu.
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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.
Display
Clear
Print All
Main
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
SAT
TEMP
11:37
11:42
11:47
11:52
---------
---------
---------
---------
---------
---------
Newer
Older
Print page
Main
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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.
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
Cancel
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 SpO2 or BP data. If neither SpO2 nor 3 BP is
selected, Area 2 of the LCD will remain blank except for the
pulse amplitude bar (if SpO2 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.
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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.
Service Button
Selection of this button displays a keypad that allows the
clinician to access some parts of the Service mode menu.
Notes
• SpO2 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.
1
2
3
4
5
6
7
8
9
Main
0
To access the clinician menu, use the SelectKnob to select
the numbers 1, 2, 3, 4 sequentially.
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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. 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.
C or F
OK
3 Mins
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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.
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:
Temp:
14-Jul-1997
14-Jul-1997
OK
More.... Selection of this button displays the More... menu, which
allows the user to permanently change default mode settings.
Trend
Print
Quik BP
Set BP
Alarms
Main
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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. 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 off and then on again to
activate this feature.
Auto BP
Manual
5
Main
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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
MAP
BPM
SpO2
180
130
140
160
OFF
Reset
Save
30
15
50
40
90
Cancel
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 returns 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.
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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.
Alarms Button
Selection of this button takes the user to the Alarms menu, where
the alarm limits can be adjusted. This button is available only when
a parameter alarm limit has been violated.
OK Button
Selection of this button acknowledges the error. The Monitor clears
the identified error and then returns the user to the Main menu.
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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 ≤5 mmHg,
standard deviation ≤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%
Temperature
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
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Predictive Temperature
Accuracy
36.1 °C to 39.4 °C: ± 0.6 °C
97 °F to 103 °F: ± 1 °F
< 36.1 °C and > 39.4 °C:
unspecified
< 97 °F and > 103 °F:
unspecified
Determination Time
30 seconds typical; 60
seconds max
SpO2
Functional Oxygen Saturation:
Range
Accuracy
0% to 100%
0% to 69%: unspecified
Adult Accuracy (70% - 100%)
NELLCOR Sensor
OXICLIQ-P pediatric sensor
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 ll N-25 neonatal/adult
sensor
OXISENSOR ll I-20 infant sensor
OXISENSOR ll D-25L adult sensor,
long cable
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
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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.
Pulse Rate Range
Accuracy
20 to 250 beats/min
±3 beats/min
Audible Indicator
Pitch changes with
saturation; volume
selectable from 0 (off) to 9
Waveforms
Pulse plethysmograph
waveform on LCD gain
compensated
Sensor Disconnect/
Disconnect From Patient
Monitor will detect
attachment or
disconnection of sensor
from patient within 5 s
Pulse Detection
Monitor will detect pulse
or enter no signal state
within 15 s of being
attached to patient
Loss of Pulse
Monitor will detect loss of
pulse from patient and enter
no signal state within 10 s
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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 (3.75 kg)
Mountings
Self-supporting on rubber
feet or pole mountable
Portability
Carried by recessed
handle or pole mounted
Classification Information
Mode of operation:
continuous
Degree of protection
against harmful ingress of
water: Drip-proof IPX1
Power Requirements
Power Converter
Protection against
electrical shock: Class 1
AC input voltage: 115/
230 VAC, 50 / 60 Hz (nominal)
90 ~ 264 VAC, 47 ~ 63 Hz (range)
Monitor
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 & S: 3 hrs and BP & 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.
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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.
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.
IPX1
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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. Whenever one
of these conditions occurs, the associated display
(SYSTOLIC, MAP, DIASTOLIC, PULSE, or SpO2) will flash
the most recent reading and an audible alarm will be issued.
Pressing 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.
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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.
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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. Volume
adjustable
N99 NIBP FAILED
No
change
N99
Effect of
Alarm Silence
Switch
LED
Display
Alarm
Code
Audible Tone
and Volume
LCD Display
Clear
Clear
Clear
Clear
Clear
Effect of
Clear via
SelectKnob
Procedural and Error Alarm Codes
Overpressure detected
Inflation time > 40 seconds
or air leak detected
Determination time > 2
minutes. Motion artifact
One cuff pressure for > 1
minute. Motion artifact
Unable to make an NIBP
determination due to
insufficient signal
Probable Cause
Appendix B
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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. Volume
adjustable
High priority
alarm. Volume
adjustable
High Priority
alarm. Volume
adjustable
Clear
Clear
Clear
Clear
Clear
Effect of
Clear via
SelectKnob
Procedural and Error Alarm Codes (cont.)
Predictive temperature
determination > 60 sec
Removal of probe before
temperature determination
complete
Temperature probe not
connected or inoperable.
Predictive temperature loss
of tissue contact > 30 sec
SpO2 sensor not connected.
No sensor code detected.
Sensor failure
No or very low SpO2 signal.
Check or reposition sensor
Probable Cause
COMPACT MAN-REV B
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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. Volume
adjustable
NIBP RANGE
ERROR
Error code,
description
2 minutes
silence
High Priority
alarm. Volume
adjustable
PRINTER NO PAPER
No effect
Effect of
Alarm Silence
Switch
Audible Tone
and Volume
LCD Description
No effect
Clear
Clear
No effect
No effect
Effect of
Clear via
SelectKnob
Procedural and Error Alarm Codes (cont.)
Internal system fault
NIBP algorithm retured
value outside specified
accuracy range
Paper ran out or printer
door open
Replace or recharge battery.
NIBP measurement disabled
Replace or recharge battery.
From onset of alarm. 5 NIBP
measurements available.
Beep rate increases linearly
as battery discharges
Probable Cause
Appendix B
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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. 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.
146 138
130 122
114 106
98
SYSTOLIC
90
82
MAP
74
DIASTOLIC
162 154
CUFF PRESSURE
170
OSCILLATION
AMPLITUDE
66 58
TIME
BP Determination Sequence
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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. 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
CYCLE TIME
CUFF
PRESSURE
TIME
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
Monitor will begin normal deflation sequence, detect the
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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.
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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 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 SpO2 Extension Cable
EC8
NELLCOR Finger Sensor
DS100A
BP Cal Kit
320246
Temp Cal Plug
320635
*
Compact Monitor unique parts
NELLCOR is a trademark of Mallickrodt, Inc.
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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.
107368 Teal Green,
Neonatal, 12 ft (366
cm)
USE WITH HOSE
NO.
107365 Adult 12 ft
(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)
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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.
Contact your Sales Representative for details and pricing.
Assistance and Parts
If the product malfunctions or if assistance, service, or spare
parts are required, contact Critikon Technical Support.
Before contacting Critikon it is helpful if you can duplicate
the problem and check and confirm the operation of all
accessories to ensure that they are not the cause of the
problem.
When calling, please have the following information at hand:
• product name and model number and complete
description of the problem
• the serial number of your Monitor
• your name and address
• a purchase order number if out-of-warranty repairs or
spare parts are required
• your Critikon account number, if applicable
• the 6-digit part number for spare or replacement parts
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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.
The representative will record all necessary information and
will provide a Return Authorization Number. Prior to
returning any product for repair, a Return Authorization
Number must be obtained.
Packing Instructions
If you have to return goods for service, follow these
recommended packing instructions:
• Remove all hoses, cables, sensors, power cords, and
ancillary products from the Monitor before packing.
• Wherever possible use the original shipping carton and
packing materials.
• Observe the environmental conditions detailed in
Appendix A.
It is recommended that all returned goods be insured.
Claims for loss or damage to the product must be initiated
by the sender.
Service Manuals
Service Manuals containing calibration and repair
information can be ordered from Critikon. These manuals
also include full schematic diagrams, assembly drawings,
and spare parts lists.
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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. The additional use of household
bleach as described below provides at least intermediatelevel 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
• Enzymatic 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
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•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. For persistent
contamination on the soft part of the closure, use a softbristled brush to loosen particles. Rinse with copious
amounts of distilled water. Repeat until no visible
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 10% 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
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 procedures,
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.
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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). 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 fully
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.
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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 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
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 tool 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.
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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. 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 SpO2 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.
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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.
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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. Please refer to the
Information Sheet included with the isolated remote alarm cable
for operational details.
Note: When using remote alarm, the Compact Monitor should be
considered the primary alarm source. The secondary alarm is
used for secondary purposes only.
Pin Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Function
Ground
Inverted TTL Transmit Data
Inverted TTL Receive Data
Fused +5 volts
No connection
No connection
Ground
Remote Alarm
RS232 Request to Send (RTS)
RS232 Clear to Send (CTS)
RS232 Transmit Data (TxD)
No connection
RS232 Receive Data (RxD)
No connection
No connection
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