Summary of Contents for DARAY V460S Series
- Page 1 V460S Series Ambulatory NIBP Patient Monitor with SpO User Manual & Installation Guide QAM.V460S.0915.4...
- Page 2 Page 1 of 49...
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Page 3: Table Of Contents
Contents 1. Introduction ..................4 1.1 Supported Units ................4 1.2 Specification ................5 1.3 Pre-Operation Responsibilities and component packing list......7 1.4 Packing List ................7 1.5 Safety Information ............... 7 2. General Operation Guide Section ............9 2.1 Product Layout ................10 2.2 Pre-Start Checks ................ - Page 4 7. First Time Setup and the on-board menu functions ........37 7.1 Introduction ................38 7.2 Main Interface ................38 7.3 System Menu ................38 7.4 System Setup ................39 7.5 BP SETUP ................. 40 7.6 SpO SETUP ................40 7.7 Patient Information ..............
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Page 5: Introduction
No responsibility is assumed by DARAY for the use or reliability of software or equipment that is not supplied by DARAY. For further information on our product range and find out more about our company please visit www.daray.co.uk... -
Page 6: Specification
1.2 Specification General Information Display 2.4 inch colour LCD Display (V460S - 64k Colour OLED) Measuring Parameters Blood Pressure, PR, Pulse strength/waveform, (V460S - SpO Battery 2 x AA Battery’s and low battery indicators Alarms 0-100% Adjustable Data 24 Hour monitoring with automatic power-off function Connection Mini USB Backlight... - Page 7 Pulse Rate (V460S only) Range 0 ~ 250 bpm Resolution 1 bpm Accuracy ±2 bpm Storage and Review Maximum Data Quantity: 300 records of common user data and 358 Ambulatory BP data Every record includes the detailed measure time, systolic blood pressure, diastolic blood pressure, mean blood pressure, pulse rate, error message and record number, etc.
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Page 8: Pre-Operation Responsibilities And Component Packing List
Series Ambulatory patient monitor system. However, any work required for the setup or operation of the device is the responsibility of the owner or designated operators. 1.4 Packing List The components supplied by Daray should be the following items in the specified quantities, unless otherwise arranged. V500 Packing List Qty. - Page 9 Any internal maintenance should only be conducted by a Daray authorised service centre. For further details please contact Daray. Standard electrical safety tests should be conducted once every 12...
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Page 10: General Operation Guide Section
2. General Operation Guide Section Page 9 of 49... -
Page 11: Product Layout
2.1 Product Layout The V460 Ambulatory NIBP Monitor has a couple of connection points which vary slightly depending on model (V460 / V460s). Located on the top of the device is a blue plastic cap which signifies the location of the NIBP nozzle and the SpO2 connector (V460S only). For the convenience of operation, the different interfaces are on different parts of the monitor. -
Page 12: Pre-Start Checks
2.2 Pre-Start Checks Please check that the device and its accessories are without visible damage and that there are no cuts, harsh folds or knots in any part of the equipment or its accessories. Check that any cables are fully connected to the device and that plugs and connectors are fully attached. -
Page 13: Mode Selection, Modes And Backlighting
In the primary screen display this key toggles the data review function for the current user. The function of this key alters depending on what is being displayed. The text in the right bottom of the screen indicates the function of this key. Such as: being the data review key of the current user in the primary display screen, the ‘down’... -
Page 14: Alarm Operation
3. Alarm Operation The V460 has a selection of adjustable Audio and Visual alarms for monitoring. During the operation of the monitor, users can turn the alarms on or off using the keys mentioned in section 7. While the alarm is on: The blood pressure alarm is as follows: after the test finishes, it will measure the high pressure, low pressure and the mean pressure every 4 seconds, until the end of the next test. -
Page 15: Nibp Operation
4. NIBP Operation Page 14 of 49... -
Page 16: Introduction
4.1 Introduction The V460S’s primary function is an ambulatory NIBP monitor. The Non-invasive Blood Pressure (NIBP) module measures blood pressure by using the oscillometric method. Warnings Prolonged non-invasive blood pressure measurements in Auto mode may Prolonged Usage be associated with purport, ischemia and neuropathy in the limb wearing the cuff. -
Page 17: Placement And Operation
Limitations Patient Measurements will be unreliable or cannot be taken if the patient is moving, Movement shivering or having convulsions. These motions may interfere with the detection of the arterial pressure pulses. In addition, the measurement time will be prolonged. Cardiac Measurements will be unreliable and may not be possible if the patient's cardiac Arrhythmia's... - Page 18 Ensure the marking indicated on the cuff with the symbol "Φ" is placed over the brachial artery. The cuff should not be wrapped too tightly around the limb. Excessive tightness may cause discoloration and eventual ischemia of the extremities. The tube coming from the cuff should be immediately to the left or right of the brachial artery to prevent kinking when the elbow is bent.
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Page 19: Troubleshooting Nibp Messages And Explanations
There is an unidentifiable issue with the NIBP module or the Analogue/Digital sampling of the system has presented an error in conversion after turning on the device. Please restart the device, if this problem persists please contact Daray Measurement The Measurement timeouts after a specific interval. This can be... -
Page 20: Spo Operation
5. SpO Operation Page 19 of 49... - Page 21 The V460S has the added functionality of an SpO Plethysmogram sensor. This measurement is employed to determine the oxygen saturation of haemoglobin in the arterial blood. If, for example; 97% haemoglobin molecules in the red blood cells are combined with oxygen, then the blood has an SpO rate of 97%.
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Page 22: Considerations And Limits
Handling Do not detach the SpO2 sensor by pulling the cable, the SpO2 sensors are fragile; heavy handling, pulling or throwing the devices by their cables could severely damage the sensors and connectors avoid undue pressure and knocks to the probe, when not in use; coil the cable in a loose circle and store out of excessive sunlight or other high temperature light sources 5.2 Considerations and Limits... -
Page 23: Placement And Operation
5.3 Placement and Operation There are a collection of SpO sensors available for the V460S. Sensor selection typically depends on patient size. Our standard sensor should be suitable for adults, young adults and children. For neonatal patients, you can use the clip on their Hallux (big toe) or choose to use a neonatal wrap sensor. -
Page 24: Software Operation
6. Software Operation & Initial Set-up Guide Section Page 23 of 49... -
Page 25: Software Requirements
6.1 Software Requirements To appropriately run this software you require a minimum computer specification of Processor: Pentium IV 1.8Gb or more Operation System:Windows XP EMS memory: 256Mb and more Hard Disk: 40Gb or more Display: 17 inch or more CD-ROM Drive USB: 2 or more A printer with a 600 DPI print resolution 6.2 Installation of the software... -
Page 26: Patient File Path
6.4.2 Patient File Path Choose the download path for your recordings. As soon as the data is downloaded to the computer, the software will save this path and a ‘case’ document location. If you check the "Always use default path" checkbox, then data searches will always begin at the default path. -
Page 27: Wearing The Monitor
6.4.4 Wearing the Monitor You can wear the V460(S) by pressing the shortcut key ‘wear’ This will then show the following dialog box. You can wear the device according to the picture above. Please read the note carefully before use. 6.4.5 Designing the measurement plan Before you upload the test parameters to the device, make certain: 1. -
Page 28: Data Download
The ABPM Dialogue box displays the following: Patient Name & Patient ID (as defined by your own medical processes). Current Time and Study Start Time (The time the study period will begin. By default 5 minutes after the current time). ... -
Page 29: Choose Patient Data To Edit
Press the shortcut key , or from the menu select "Download" and then select "Do Download" this will then display the following dialog box. Prompting you to select what data you want to download (either the ABPM data or the Patient Monitor data). The following dialog box will appear to show the progress of the data being transferred. -
Page 30: Delete Data File
6.4.8 Delete data file If you feel some patient files are not necessary, you can delete them. From the menu select "File" and then select "Delete Data", this will show the data deletion interface which is similar to the patient data selection interface, shown below: You are also able to delete one, or multiple files at the same time. -
Page 31: Edit Blood Pressure Data
Once you have selected the destination drive or directory, select "Okay" .You may also select "Cancel" to end the dialog without copying any patient data. 6.4.10 Edit Blood pressure data Pressing the shortcut key , or from the menu selecting "Edit" and then selecting "BP Data" will cause the following dialog box to pop up. - Page 32 Colour filler type BP trend Table Excerpt Dotted line type BP trend On the trend graphs shown above, you can view specific details by hovering your mouse over the specific readings you want to see. The details of this reading are then displayed in a table excerpt displayed at the top of the screen (as indicated).
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Page 33: Spo Trend Edit
6.4.12 SpO Trend Edit Press the shortcut key for SpO Edit, and the SpO trend interface will appear. The picture above shows different parts of the data trend edit area. If you move the mouse into the data area you will see a yellow line. At the top of the graphical chart area is the "Selected data info", this is where the selected values are displayed, and the selected data correlates to the location of the yellow line on the chart. -
Page 34: Display The Statistics Information
6.4.13 Display the statistics information Press the shortcut key or from the menu select "Report" and the select "View Statistics” Then this dialog box will appear. 6.4.14 Editing diagnosis information Diagnosis information includes the following items: Patient information, Interpretation, Current Medication and Physician information. -
Page 35: Blood Pressure Thresholds
6.4.16 Blood Pressure Thresholds After BP Thresholds have been set up, the trend graph will renew automatically, statistic data will also be recalculated. From this view select "Edit" and then select "Thresholds". The following dialog box will appear. The default recommended thresholds for calculating the Blood Pressure Load are 140/90 for awake periods and 120/80 for sleeping periods. -
Page 36: Pie Chart Reports
6.4.18 Pie Chart Reports Press the shortcut key - , and the following interface will appear: You can adjust the charts to show the percentage above normal value, normal value and below normal value. On the left side of the screen, various statistics can be displayed, such as BP value, PR maximum, minimum, and average value etc. -
Page 37: Report Printing
6.4.20 Report Printing After you have completed editing the BP data, diagnosis information, trends and so on; the software will create a series of diagnostic reports. From these reports you can select all of the pages or a small selection of them for printing. Your printing selection can be saved as a default collection of information for the next time you want to print. -
Page 38: First Time Setup And The On-Board Menu Functions
7. First Time Setup and the on-board menu functions Page 37 of 49... -
Page 39: Introduction
7.1 Introduction The V460(S) has a fairly straight forward design making it easy to pick up and use the device on the fly, however, to ensure that you are fully aware and competent with the ambulatory monitor, please use the following instructions to familiarise yourself with first time set up and the Demo mode function. -
Page 40: System Setup
7.4 System Setup Select the SYSTEM SETUP item in the [SYSTEM MENU]. The following menu will pop up: Time - Users can set the system time by selecting the [TIME] function. When in the time section you can switch between hours minutes and seconds, when you have selected the one you want to change press ok, this will highlight the selected section turning the border red and the text white, then use the up and down keys to adjust, once adjusted press ok again to confirm. -
Page 41: Bp Setup
7.5 BP SETUP From the system menu select the [BP SETUP] key and the following menu will pop up. Auto Measure – In PM mode (selected via system setup), when a user selects [ON] for auto measurement, the Monitor will measure blood pressure according to the time selected in the [INTERVAL] item. -
Page 42: Patient Information
Alarms - For the SpO ALM HI/LO keys you can set the alarm thresholds in percentage; when the value exceeds the rates specified the alarm will sound. The Pulse Rate alarm works the same way and the parameters would be set in BPM levels. The SpO and PR alarm range limits are: Parameters Max. -
Page 43: Trend
7.10 TREND From the main menu select TREND to enter the TREND GRAPH interface, as shown in the following picture: From this menu, select the ABPM TREND to enter the interface shown below, the display waveform is the measurement of data from the ABPM mode; Selecting PM TREND will enter the same interface display showing waveform measurements from the PM mode data. -
Page 44: Maintenance
The proposed maintenance is only a suggestion. Depending on the use of the product and the operating environment, this may need to be revised more often. Daray would strongly recommend against “quick fixes” with tape, etc. If you cannot resolve a problem then please contact our helpline on 0800 878 9864 or email support@daray.co.uk... -
Page 45: Cleaning
8.3 Cleaning Do not use strong chemical cleaning agents or any abrasive materials to clean the monitor. The monitor is not waterproof so the use of excessive amounts of cleaning fluids could cause serious harm or injury. The V460 Series of monitors have an Ingress Protection (IP) rating of IPX1. The exterior surfaces of the V460S may be cleaned gently with a clean and soft cloth, sponge or cotton swab, dampened with a non-erosive cleaning solution. -
Page 46: Disposal
Reusable Blood Pressure Cuff The cuff can be sterilized by means of conventional autoclaving, gas, or radiation sterilization in hot air ovens or disinfected by immersion in decontamination solutions, but remember to remove the rubber bag if you use this method. The cuff should not be dry-cleaned. The cuff can also be machine-washed or hand-washed, the latter method may prolong the service life of the cuff. -
Page 47: Troubleshooting Guide
9. Troubleshooting Guide Below is a quick reference guide to some of the issues, causes and solutions that could happen, for any assistance with issues or faults that you cannot resolve, please contact Daray Customer Services. Code Problem Possible Cause... -
Page 48: Replacement Parts
10. Replacement Parts Item Description Product Code Carry Pouch CS6106 Spare Battery and Charger CS6153 Adult Sensor CS6079 Paediatric Sensor CS6080 SpO2 Neonatal/Clip Sensor CS6073 NIBP Extension Tube CS6123 NIBP Thigh BP Cuff CS6006 46-66cm NIBP Large Adult BP Cuff CS6007 33-47cm NIBP Adult BP Cuff... -
Page 49: Warranty Information
If you send us goods that do not qualify for return, you will invalidate your claim to any refund, and you will be obliged to compensate DARAY Ltd for the cost of return postage and any other reasonable costs incurred processing the goods. -
Page 50: Warranty Details
The period of warranty is the period stated on your warranty card and commences on the date of purchase of the product. In the event that the product is not in good working order Daray will provide, during the warranty period, a free repair service within the United Kingdom. The warranty is subject to proof of purchase being provided;...
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