Dinamap Pro 100V2 Dokumentacja

1DINAMAP® PROSeries 100-400V2MonitorOperation Manual

10Product ComplianceThe DINAMAP® PRO Monitor is classified in the following categories for compliance with IEC 601-1:• Class l, internally powered•Tra

100•Spray bottlesProcedure1. Prepare the enzymatic detergent according to the manufacturer’s instructions and the 10% bleach solution, in separate spr

101Appendix Fare damaged, they must be disposed of as advised in Appendix F.Storage and Battery CareIf it becomes necessary to store the Monitor for a

102• Repeated failure to fully charge the battery will result in a significant reduction in battery life.• The expected lifetime of the battery largel

103Appendix FDisposal of Product Waste As you use the PRO Monitor, you will accumulate solid wastes that require proper disposal or recycling. These i

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105Appendix GHost Port Connector (rear panel)WARNING! Auxiliary equipment connected to the DINAMAP® PRO Monitor will result in the formation of an ele

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2009802-001 BEuropean RepresentativeGE Medical Systems Information Technologies GmbHPostfach 60 02 65D-79032 Freiburg, GermanyTel. +49 761 45 43 - 0Fa

11SymbolsThe following symbols are associated with the PRO Monitor. Note: The type of model determines which symbols appear on the Monitor. Attention,

12Packaging label depicting the transportation and storage atmospheric pressure range of 500 to 1060 hPa.The DINAMAP® PRO Monitor is protected against

13Getting StartedUnpacking the Monitor and AccessoriesBefore attempting to use the PRO Monitor, take a few minutes to become acquainted with the Monit

14charging. If the battery is not inserted, the external power indicator LED will flash (short flash approx. every 4 sec). When the Monitor is running

15Getting Startedin a medical/hospital grade attachment plug, provided with the following cord tag: “Hospital Grade Plug." Grounding integrity ca

16Rear Panel Connections1 Battery compartment cover: Retains and protects internal battery.2 Mains input: Used to connect to AC power supply.3 Externa

17Getting StartedFront Panel Controls and Indicators7 Systolic pressure display: 3-digit red LED indicates measured systolic BP in mmHg.8 Active temp

1814 External power indicator: Green LED indicates external power status and battery charging status of monitor.15 Temperature probe connector: Temper

19Getting StartedSwitching the Monitor On and OffTo switch the DINAMAP PRO Monitor on, press and hold the power ON/OFF switch (16) for at least 10 sec

2DINAMAP® PRO 400V2 Monitor

20appears dark on a light background, while the text of selected buttons appears light on a dark background.Note: Some menus have six option buttons.

21Getting StartedAny time the paper is loaded, the printer automatically prints a test strip with the DINAMAP® PRO name on it. If no print is visible

22StorageStore thermal paper in a cool, dry place. The printed strip (thermal paper recording) should not be• exposed to direct sunlight,• exposed to

23Using the MonitorNoninvasive Blood Pressure DeterminationDescriptionThe BP parameter is included in Models 100V2, 200V2, 300V2, and 400V2. Blood pre

24allowing SpO2 and predictive temperature determinations to be monitored and recorded (depending on Monitor model). In the Vitals (UK: All Obs) mode,

25Using the Monitorexamine the cuff site and the limb distal to the cuff regularly for signs of impeded blood flow.• Do not apply external pressure ag

26produce a peripheral pulse or the patient may have poor peripheral perfusion. Also, if a patient’s beat-to-beat pulse amplitude varies significantly

27Using the MonitorProcedures1. Connect the end of the air hose which has quick-release clips to the cuff connector (30) on the front of the Monitor.

285. Inspect cuff for damage. Replace cuff when aging, tearing, or weak closure is apparent. Do not inflate cuff when unwrapped.Precaution: Do not use

29Using the MonitorManual ModeTo start a determination, press the START/STOP BP key (29). A normal, uninterrupted Manual cycle takes about 40 seconds.

3DINAMAP® PRO MonitorOperation ManualThis manual is for DINAMAP® PRO Monitor Models 100V2, 200V2, 300V2, and 400V2, all with printers. • PRO 100V2: BP

30When 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,

31Using the Monitorinitial target pressure selection for neonates is 110 mmHg. Artifact rejection is relaxed in the Stat mode for adult/pediatric pati

32Temperature is shown on the temperature display in degrees Celsius or Fahrenheit, and the unit of measure is indicated by the °C °F display (13). Th

33Using the MonitorWhen a monitor mode measurement is in progress, it is terminated when the probe is inserted into the probe holster.Note: These temp

34readings may occur unless IVAC® probe covers are used. • If a patient’s temperature is below 96.0 °F, the unit will automatically switch from the n

35Using the Monitor7. Remove the probe. Discard the disposable cover by holding the probe as you would a syringe and pressing the button on the probe

36Procedures for Monitor Mode Determinations (Axillary Determinations)1. Connect the temperature probe cable to the temperature probe connector. 2. Re

37Using the Monitor• If the probe tip temperature is 92.0° F or higher (33.3° C) when taken out of the probe holster, the thermometer will not be able

38Pulse rate derived from SpO2 appears in the Pulse Rate window, and the SpO2 pulse indicator flashes synchronization with the real-time pulse rate me

39Using the MonitorIf the Monitor is unable to detect a pulse for 10 seconds during normal SpO2 monitoring, the values in the LED flash, alternating p

4other purposes or copying thereof is prohibited without prior written consent by GE Medical Systems Information Technologies, Tampa, Florida.Illustra

40- there is excessive illumination from light sources such as surgical lamp, a bilirubin lamp, or sunlight- a blood pressure cuff is inflated on the

41Using the Monitormeasurements. Always remove oximetry devices and attachments from the MRI environment before scanning a patient.• The use of cardio

42• Use or patient-applied parts are latex-free.Procedures1. Select a sensor that is appropriate for the patient and the clinical situation.Warning: D

43Using the Monitor• Observe the sensor site to assure adequate distal circulation. Sensor sites should be checked at least every 2 hours and rotated

44use a disposable adhesive sensor that may tolerate more motion.• Replace the sensor.PROBLEM: The SpO2 value or the pulse rate changes rapidly; the p

45Using the MonitorSOLUTION:• Check that calculations have been corrected appropriately for the relevant variable. In general, calculated saturation v

46• If there is excessive light, cover the sensor with opaque material.PROBLEM: A sensor error indicating a bad sensor has occurred.CAUSE:• The sensor

47Using the Monitorthat are derived from the SpO2 signal. A tone sounds at a rate corresponding to the SpO2 saturation level. The pitch is highest at

48normal SpO2 reporting of values when several consecutive good pulse determinations are made.General Warnings• Do not use the SpO2 function during ma

49Using the Monitor• Do not perform any testing or maintenance on a sensor while it is being used to monitor a patient.• Bright light sources (e.g., i

5Introduction ...7About the DINAMAP® PRO Monitor ...

50pulsation and inaccurate measurement of oxygen saturation.• Excessive pressure from the sensor may cause necrosis of the skin.• For additional warni

51Using the Monitor3. Plug the SpO2 sensor into the SpO2 sensor extension cable. Then plug the SpO2 sensor extension cable into the SpO2 sensor connec

52SOLUTION:Check the patient.• If possible, keep the patient still; check whether the sensor is applied securely and properly, and replace it if neces

53Using the Monitor• If there is excessive light, cover the sensor with opaque material.• Circulation distal to the sensor site should be checked rout

54• The sensor or cable may be defective, or the cabling may be improperly connected.SOLUTION:Check the patient.• If possible, keep the patient still;

55Using the Menu SystemIntroductionThe PRO Monitor is equipped with a liquid crystal display (25) and a rotor (21). Used together, these allow the ope

56Normal Mode Menu

57Using the Menu SystemClinician Mode Menu

58RotorRotating the rotor causes option buttons to be highlighted (light text on a dark background). Turning the rotor produces a click. Turning it cl

59Using the Menu SystemVitals Button (UK: All Obs)Selection of this button initiates a BP determination while allowing SpO2 and predictive temperature

6Appendix A...77Technical Specifications...

60Note: 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 a

61Using the Menu Systemoperating mode returns to the default setting of Manual. The default setting of Manual can be overridden to return to the previ

62Alarms ButtonSelection of this button displays the Alarms menu. This menu is used to adjust the violation limits for BP, Pulse Rate, and SpO2. The v

63Using the Menu SystemAutoSelection of this button updates the alarm limits relative to the current parameter values. Pressing this button cancels an

64DisplaySelection 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

65Using the Menu SystemMain Selection of this button returns the user to the Main menu.Print ButtonSelection of this button displays the Print menu.Au

66More... MenuThis menu is used to set the various operating modes of the Monitor.SpO2 Button (Models 300V2 and 400V2)Selection of this button display

67Using the Menu SystemResponse Mode (Nellcor Only)Response mode allows the user to specify the averaging technique to optimize measurements in the pr

68Pwr Sav (Sleep Mode)Selection of this button allows the operator to specify the time, in minutes, that elapses before the Monitor goes into “sleep”

69Using the Menu SystemTimeSelection of this button allows the operator to change the internal time and date of the Monitor. The clock, which is maint

7About the DINAMAP® PRO MonitorDINAMAP® PRO Monitors provide noninvasive determination of systolic blood pressure, diastolic blood pressure, mean arte

70Main Selection of this button returns the user to the Main menu.TempSelection of this button displays the temperature submenu, which allows the user

71Using the Menu SystemSpO2 PlethWhen this option is checked and SpO2 data are available, the plethysmograph waveform and the pulse amplitude bar will

72Clinician MenuPress. Selection of this button displays a panel for setting the default BP target inflation pressure. Adjusting the default target pr

73Using the Menu SystemOK. Selection of this button returns the user to the Clinician menu.More... Selection of this button displays the More... menu

74For monitors with Nellcor SpO2 technology, the SpO2 configuration menu includes Response Mode and SatSeconds™. Response Mode can be set to “1” or “

75Using the Menu SystemSilence. Selection of this button will cause all alarms except the FAILSAFE alarm to be muted. A confirmation menu will appear

76OK ButtonSelection of this button acknowledges the error. The Monitor clears the identified error and then returns the user to the Main menu.

77Appendix ATechnical SpecificationsBPCuff Pressure Range 0 to 290 mmHg (adult)(Normal operating range) 0 to 140 mmHg (neonate)Default Target: Cuff In

78TURBOTEMP TemperatureScale °Fahrenheit (F)°Celsius (C)RangePredictive mode Max: 41.1° C; 106.0° FMin: 33.6° C; 96.0° F Monitor mode Max: 41.1° C;

79Appendix APulse RateWithout Motion 20 to 250 beats/min ±3 digits With Motion normal physiologic range 55 to 125 beats/min ±5 digits Low Perfusion 20

8been reports of sensors causing patient burns when operating in an MRI environment.• Do not use the Monitor in the presence of flammable anesthetics.

80Nellcor Patents4,621,643; 4,653,498; 4,700,708; 4,770,179; 4,802,486; 4,869,254; 4,928,692; 4,934,372; 5,078,136; 5,351,685; 5,421,329; 5,485,847; 5

81Appendix Astandard deviation. Plus or minus one standard deviation encompasses 68% of the population.‡The Masimo SET® SpO2 parameter has been valida

82Default Settings SpO2 (%) HIGH: 100 SpO2 (%) LOW: 90Sensitivity Mode 2 (for low perfusion-Default)Averaging Time 12 secondsFastSAT Mode 0 (for Off)M

83Appendix Asupplied from a source conforming to IEC 601-1.AC input is protected by two internal fuses, replaceable by qualified service personnel onl

84Compatibility Requirements and Tests and CISPR 11 (Group 1, Class A) for radiated and conducted emissions.IPX1The DINAMAP® PRO Monitor is protected

85Appendix BAlarm CodesAll alarm indications are accompanied by an audible signal unless Alarm Silence is selected.A microprocessor system failure wil

86Hierarchy of AlarmsAlarms in the DINAMAP® PRO Monitor are in three priority levels. They are:AlarmPriority LevelFailsafe 1Patient and system 2 (High

87Appendix BProcedural and Error Alarm CodesAlarm CodeLED DisplayLCD DescriptionAudible Tone and VolumeEffect of Alarm Silence SwitchEffect of Clear v

88Procedural and Error Alarm Codes (cont.)Alarm CodeLED DisplayLCD DescriptionAudible Tone and VolumeEffect of Alarm Silence SwitchEffect of Clear via

89Appendix BProcedural and Error Alarm CodesAlarm CodeLED DisplayLCD DescriptionAudible Tone and VolumeEffect of Alarm Silence SwitchEffect of Clear v

9presence of equipment which does not conform to these specifications.• Place the PRO Monitor on a rigid, secure surface. Monitor must only be used wi

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91Appendix CPrinciples of Noninvasive Blood Pressure DeterminationThe oscillometric method of determining NIBP is accomplished by a sensitive transduc

92Full NIBP Determination Sequence for AdultAt each step the microprocessor stores cuff pressure, the matched pulse amplitude, and the time between su

93Appendix CNIBP - Auto ModeSystolic SearchIf systolic pressure is not found, the NIBP parameter can search at cuff pressures higher than the initial

94make an accelerated determination of blood pressure if it has been 16 minutes or less since the last determination.

95Appendix DReorder CodesPROD PRODUCTCODE ECATDINAMAP PRO Monitor Operations Manual-English 2009802-001DINAMAP PRO Monitor Service Manual 2009829-001B

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97Appendix EWarranty, Service, and Spare PartsWarning: There are no user serviceable parts inside the DINAMAP® PRO Monitor. Refer all servicing to qua

98RepairsIf your product requires warranty, extended warranty, or non-warranty repair service, call GE Medical Systems Information Technologies and a

99Appendix FMaintenanceCleaning the MonitorThe Monitor and accessories are to be kept clean and used according to the instructions provided here and i