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CNSystems CNAP Monitor 500 Operator's Manual

Continuous noninvasive blood pressure monitor
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Summary of Contents for CNSystems CNAP Monitor 500

  • Page 2 This manual refers to the following configuration: Hardware: CNAP™ Monitor 500i and CNAP™ Monitor 500at (note that only the CNAP™ Monitor 500at comes with a functional analog output port) Software: Version 3.5R01 CNSystems Medizintechnik AG Reininghausstrasse 13 8020 Graz Austria T: +43 (0) 316 7 23456-0 F: +43 (0) 316 7 23456-2 E-mail: service@cnsystems.at...

  • Page 3: Table Of Contents

    Table of contents Table of contents About this manual......................1-1 STOP, CAUTION, NOTES..................1-1 Cross references.....................1-1 Settings ........................1-1 General information .......................2-1 Warnings.......................2-1 Precautions......................2-1 2.2.1 General precautions ..................2-1 2.2.2 Blood pressure ....................2-2 Disposal ........................2-3 Declaration of intended use ..................2-3 Introduction ........................3-1 General information ....................3-1 System components ....................3-1 3.2.1 CNAP™...
  • Page 4 Table of contents Discharge ......................5-3 Alarm system ........................6-1 Visual alarm signals ....................6-2 Acoustic alarm signals.....................6-3 Alarm system control ....................6-4 6.3.1 Acknowledgement of alarms – Audio Off, Audio Pause........6-4 6.3.2 Pausing/switching off alarms – Alarms Paused, Alarms Off........6-4 6.3.3 Reactivation of paused alarms - Alarms Off.............6-5 Alarm limits ......................6-5 6.4.1 Display of individual alarm limits ..............6-5...
  • Page 5 Table of contents 11.1 General precautions....................11-1 11.2 Cleaning......................11-1 11.3 Disinfection......................11-2 Technical alarms and status messages ................12-1 12.1 Main unit ......................12-2 12.1.1 Status messages ..................12-2 12.1.2 Technical alarms..................12-2 12.2 BP Wave Out (IBP) ....................12-3 12.2.1 Status messages ..................

  • Page 6: About This Manual

    About this manual 1 About this manual STOP, CAUTION, NOTES......................1-1 Cross references ........................1-1 Settings ..........................1-1 1.1 STOP, CAUTION, NOTES In this manual the icons "STOP", "CAUTION", and "NOTE" are used to indicate matters of particular interest to keep in mind when operating the CNAP™ Monitor 500 or dealing with patients. STOP The STOP icon indicates important security-relevant information: STOP:...

  • Page 7: General Information

    General information 2 General information Warnings..........................2-1 Precautions ..........................2-1 General precautions ......................2-1 Blood pressure........................2-2 Disposal ..........................2-3 Declaration of intended use ....................2-3 2.1 Warnings The CNAP™ Monitor 500 is not designed for intracardial use. • Do not connect the device's air connectors to an intravascular system! •...

  • Page 8: Blood Pressure

    CNSystems will not warrant for faultless functioning and operation if third party manu- facturer replacement parts and accessories are used. CNSystems Medizintechnik AG is not liable for any warranty claim for possible damages if parts of • third party manufacturers are used.

  • Page 9: Disposal

    Device and accessories Dispose of the CNAP™ Monitor 500 and any accessories at the end of the products' lifecycles in • accordance with respective national regulations or send the parts back to CNSystems Medizintech- nik AG. 2.4 Declaration of intended use The CNAP™...

  • Page 10: Introduction

    Introduction 3 Introduction General information.......................3-1 System components ......................3-1 CNAP™ Monitor 500.......................3-2 CNAP™ hardware ........................3-5 CNAP™ double finger cuff .......................3-5 CNAP™ controller ........................3-6 CNAP™ cable ........................3-6 NBP cuff ..........................3-6 Power supply ........................3-7 Mains operation ........................3-7 Battery operation ........................3-7 First steps .......................... 3-10 Power on/off ........................

  • Page 11: Cnap™ Monitor 500

    Introduction 3.2.1 CNAP™ Monitor 500 Carrying handle Display Battery LED Click-wheel control Power LED Control panel Illustration 1: Front view CNAP™ cable port BP Wave Out: analog output port NBP cuff connector Illustration 2: Patient connectors CNAP™ Monitor 500 Page 3-2 Version 3.5.1, PN: 21-FHZU-10002...
  • Page 12 Introduction Thermal printer Mains power port USB connector: software updates Ethernet connector AUX: analog output port (only functioning with CNAP™ Monitor 500at) Illustration 3: Printer, interface, power supply Holding device channel (op- tional) Type plate Illustration 4: Back view CNAP™ Monitor 500 Page 3-3 Version 3.5.1, PN: 21-FHZU-10002...
  • Page 13 Introduction CNAP™ Monitor 500 symbols The following table describes all symbols in use on the CNAP™ Monitor 500 and its components: Symbol Description Power On/Off (monitor on/off) • Setup (monitor, measurement, service settings) • Main Screen (return to main screen) •...

  • Page 14: Cnap™ Hardware

    Introduction 3.2.2 CNAP™ hardware CNAP™ Monitor 500 CNAP™ hardware NBP hardware Illustration 5: CNAP™ Monitor 500 3.2.2.1 CNAP™ double finger cuff The CNAP™ double finger cuff comes in three sizes, each size being marked by a different colored hood. Size Diameter (mm) Color 24 - 28...

  • Page 15: Nbp Cuff

    Introduction 3.2.2.2 CNAP™ controller The CNAP™ controller connects the CNAP™ double finger cuff and the monitor via the CNAP™ cable. The jacks for the CNAP™ double finger cuff and the CNAP™ cable are adequately designed so as to avoid any confusion when putting the cables into the cor- responding jacks.

  • Page 16: Power Supply

    (without mains power supply). CAUTION: Do not use any power supply accessories, but those intended and authorized by • CNSystems Medizintechnik AG for utilization with the monitor! Power cord Power adapter Cable connecting power adapter and monitor Illustration 10: Power cord 3.3.2 Battery operation...
  • Page 17 When disposing of used batteries, adhere to your local waste disposal regulations. • Do not use any batteries but those authorized by CNSystems. Use of non-authorized • batteries might damage the monitor. Before turning on the appliance for the first time, be sure to charge the integrated •...
  • Page 18 Current measurement discontinued, • monitor switched off automatically Battery malfunction, acoustic techni- • Call a service technician (CNSystems) • cal alarm signal Battery is being charged while run- • ning on mains power Fully charged while running on •...

  • Page 19: First Steps

    Introduction 3.4 First steps 3.4.1 Power On/Off Power On/Off key is located in the left lower corner on the front side of the device. Illustration 11: Front view Switching on the monitor Power On/Off The CNAP™ Monitor 500 is switched on by pressing the key located on the front side of the device for two seconds.

  • Page 20: Access/Return To Main Screen

    Introduction Switching off the monitor Power On/Off The CNAP™ Monitor 500 is switched off by pressing the key located on the front side of the device for 2 seconds. CAUTION: Power On/Off key does not interrupt the monitor's power supply. In order to •...

  • Page 21: Fast Access Keys

    Introduction 3.4.3 Fast access keys Illustration 14: Fast access keys Membrane keys on the front side of the CNAP™ Monitor 500 enable fast access to important functions: Function Power On/Off Switching on/off the monitor Setup Access to configuration menu Main Screen Return to main screen from any submenu Print Start/stop printing...

  • Page 22: Menu Navigation - Click-Wheel Control

    Introduction 3.4.4 Menu navigation – click-wheel control The monitor's click-wheel control enables the operator to select menus and settings and to access certain functions. Wheeling the control enables the operator to navigate through menus, while press- ing on the control ("clicking") confirms the menu choice. Illustration 15: Click-wheel control Selection and confirmation of functions/menu items: 1.

  • Page 23: Patient Setup

    (see illustration on the side). Putting on the NBP cuff: Make sure that only NBP cuffs authorized by CNSystems are used and that you apply the correct size to the patient (Child, Small Adult, Adult, Large Adult).

  • Page 24: Timer

    Introduction Illustration 18: CNAP™- Controller-Fixation 3.6 Timer The timer displays the CNAP™ change of finger and/or NBP measurements following within the next 30 minutes (calibration measurements), thus making the following measurement-related interruptions of continuous blood pressure perceptible and allowing adequate time management (see below).

  • Page 25: Perfusion Index

    Introduction NOTE: The timer is only displayed during active measurement (with available CNAP values) • Parameter frame at the bottom of the NBP: Start A manual resets the NBP timer: this means a reset of the NBP count- • NBP: Cal Interval Parameter down to set in the...
  • Page 26 Introduction Example 2: current PI ≤ 1 - bad signal quality NOTE: The Perfusion Index will only be displayed during the initialization phase (until NBP • NBP: triggered by CNAP measurement - NOTE: The reason for a low light signal may be •...

  • Page 27: Monitor Configuration

    Monitor configuration 4 Monitor configuration Monitor settings ........................4-1 Measurement settings......................4-1 Service settings ........................4-2 BP Wave Out (patient monitors)....................4-2 Interfaces (optional) ......................4-6 4.1 Monitor settings Menu item Description Settings Brightness 20(20)100, Auto Regulates the brightness of the TFT-display Language EN, DE, FR, ES, IT Language setting for the user interface YYYY/MMM/DD Date...

  • Page 28: Service Settings

    Monitor configuration NOTE: Measurement settings are saved automatically for any current or future measure- • ment. Loss of power supply (interruption of mains operation, followed by depletion of bat- • tery) entails the loss of measurement settings. Service All settings can be changed to factory settings in the menu (see chapter 4.3 •...

  • Page 29: Compatibility List

    CNAP™ blood pressure waveform using an RJ11 6P4C connector. The compatible CNAP™ Transducer Cable is a component for the CNAP™ Monitor 500 and is only available from CNSystems Medizintechnik AG. IBP Interface Cable: connects the IBP port of a patient monitor to the RJ11 6P4C con- •...

  • Page 30: Zeroing

    Monitor configuration 4.4.3 Zeroing After having connected the CNAP™ Monitor 500 and the patient monitor using a) the CNAP™ trans- ducer cable and b) the IBP interface cable (see 4.4.1 - BP Wave Out configuration), zeroing must be performed: a) Zeroing without active measurement: Before and after an active measurement (without displayed CNAP values), zeroing is activated automatically (a zero signal is output).
  • Page 31 Monitor configuration CAUTION: In order to ensure full accuracy of the CNAP™ blood pressure waveform and its derived blood pressure values to another patient monitor, do not forget to perform an IBP zeroing when connecting the two devices. In addition, the CNAP™ waveform is to be zeroed ac- cording to your hospital regulation (but at least once a day).

  • Page 32: Interfaces (Optional)

    Monitor configuration 4.5 Interfaces (optional) On the right side of the CNAP™ Monitor 500, the following connectors can be found (see chapter 3.2.1 - illustration 2): 4.5.1 AUX Analog Out (analog output port) The AUX Analog Out (analog output port) is only available for the CNAP™ Monitor 500at. The cor- rected CNAP™...
  • Page 33 Monitor configuration NOTE: If the shutdown procedure of the CNAP™ Monitor 500 is interrupted by releasing the • Power On/Off Button to early, the error message “No USB Stick Attached” may oc- cure even if the USB media is placed correctly. In this case the USB media must be reconnected to mount the device correctly.

  • Page 34: Management Of Patient Data

    Management of patient data 5 Management of patient data Patient entry.........................5-1 Editing of patient data......................5-3 Discharge ..........................5-3 Immediately after a patient has been connected to the CNAP™ Monitor 500 and the setup process has Setup Patient been performed correctly (see chapter 3.5 - Patient setup), the dialog for selecting the patient category opens automatically.
  • Page 35 Management of patient data Illustration 21: Setup Patient Dialog There are 2 ways for setup a patient before starting a measurement: a) New Patient: New Patient – Adult Defaults New Patient – Pediat- Selecting the functions ric Defaults automatically sets the respective patient category (adult, pediatric). Preset- New Patient –...

  • Page 36: Editing Of Patient Data

    Management of patient data 5.2 Editing of patient data Setup Patient At any given time – except during the display of the dialog – you can enter detailed Alarm frame patient data by using the click-wheel control to select the on the main screen and to Patient Data open the...
  • Page 37 Management of patient data After having stopped the measuring process, patient data can be deleted in 2 ways: Patient Data menu: Patient Data Alarm frame Open the menu by using the click-wheel control to select the Discharge on the main screen. Select and confirm your selection in the input dialog.

  • Page 38: Alarm System

    Alarm system 6 Alarm system Visual alarm signals .......................6-2 Acoustic alarm signals......................6-3 Alarm system control ......................6-4 Acknowledgement of alarms – Audio Off, Audio Pause ...............6-4 Pausing/switching off alarms – Alarms Paused, Alarms Off ............6-4 Reactivation of paused alarms - Alarms Off ................6-5 Alarm limits ..........................6-5 Display of individual alarm limits .....................6-5 Alarm setup..........................6-5...

  • Page 39: Visual Alarm Signals

    Alarm system 6.1 Visual alarm signals Alarm frame Parameter frame Alarm signals are displayed visually in the and the directly in Parameter frame the main screen. In the , only those parameters are visually marked which ex- ceed the defined alarm limits. Illustration 22: Visual alarm signals Alarm frame: Background color:...

  • Page 40: Acoustic Alarm Signals

    Alarm system Alarm message: a text with an alarm message describing the cause for the alarm signal appears in • Alarm frame Alarm frame Flashing for physiological alarms • ** CNAP: Sys High ** CNAP: Sys High Illustration 23: Alarm frame – alarm conditions Parameter frame Background color: YELLOW –...

  • Page 41: Alarm System Control

    Alarm system 6.3 Alarm system control 6.3.1 Acknowledgement of alarms – Audio Off, Audio Pause In order to acknowledge all activated alarms (physiological and technical malfunction alarms), press Alarm Pause/Off once. Alarm Reminder Audio Depending on the respective settings of the feature, the status message Audio Pause is displayed.

  • Page 42: Reactivation Of Paused Alarms - Alarms Off

    Alarm system 6.3.3 Reactivation of paused alarms - Alarms Off Alarm In order to reactivate alarms having been paused for an unlimited amount of time, press Pause/Off three times. 6.4 Alarm limits Alarm limits set the alarm conditions for physiological alarm signals. 6.4.1 Display of individual alarm limits The preset alarm limits (upper, lower) of every measuring parameter are displayed beside the respec- Parameter frame...

  • Page 43: Auto Limits

    Alarm system Menu item Description Settings Narrow, Wide, Automatic setting of alarm limits for activated Auto Limits alarms Cancel, Off On, Off; Alarm limits for systolic blood pressure upper, lower On, Off; Alarm limits for diastolic blood pressure Upper, Lower On, Off;...

  • Page 44: Alarm Limits - Factory Settings

    Alarm system 6.4.3 Auto limits Auto limits By means of the function the operator is able to adjust alarm limits to a specific pa- tient. Therefore, it is necessary to wait for the monitor to display physiological signals of a measure- Auto limits ment in order to be able to activate Later, if patient data is deleted or new patient data...

  • Page 45: Alarm History

    Alarm system Alarm limits (PEDIATRIC): • Lower limits Upper limits Parameter Lower limits Defaults Upper limits Lower limits Defaults Upper limits [mmHg] [mmHg] [mmHg] Pulse [bpm] NOTE: Alarm defaults The operator can adjust alarm limits within the menu. Alarm limit •...

  • Page 46: Alarm System Function Tests

    Alarm system 6.6 Alarm system function tests When the CNAP™ Monitor 500 is switched on, the alarm system automatically performs a self-test in the course of which the operator has to check the functional reliability of all acoustic and visual alarm signals.
  • Page 47 Alarm system NOTE: All technical malfunction alarm messages of the CNAP™ Monitor 500 or its components • can be found directly in the chapters describing the respective system components. CNAP™ Monitor 500 Page 6-10 Version 3.5.1, PN: 21-FHZU-10002...

  • Page 48: Trends

    Trends 7 Trends Trend - the menu for display options ..................7-2 Setup ..........................7-3 Trend views ..........................7-3 Graphic trend........................7-3 Numeric trend........................7-6 Alarm history ........................7-7 Scrolling of trend views ......................7-8 Sys, Mean, Dia Pulse The CNAP™ Monitor 500 automatically displays the parameters in the Trend frame on the main screen.

  • Page 49: Trend - The Menu For Display Options

    Trends Illustration 26: Trend frame 7.1 Trend – the menu for display options Trend (Display Options) menu, which can be accessed directly from the main screen by Trend frame. means of the click-wheel control, allows the operator to configure trend views in the Menu item Description Settings...

  • Page 50: Setup

    Trends 7.2 Setup 7.2.1 Trend views Trend frame Recorded data are automatically displayed in the on the main screen, including three Trend Display options: Graphical graphic trend of measured parameters, displayed on a time axis • Numerical: numeric trend of measured parameters in adjustable time limits •...
  • Page 51 Trends BP SCALE: BP Scale The scale factor of the CNAP™ blood pressure trend can be configured in the menu item Trend which is located in the menu. Scales are configured as follows: Menu item Description Settings BP Scale … 20(10)240 mmHg* 50(25)200 mmHg** BP Mean...
  • Page 52 Trends Menu item Description Settings 40*, 100**, 200*** Setting of expected pulse amplitude (max – Pulse Amplitude min) TIME SCALE: Time scale The time scale of blood pressure and pulse rate trends can be set in the menu item Trend which is located in the menu.

  • Page 53: Numeric Trends

    Trends 7.2.3 Numeric trends Numeric Trend Display allows a numeric view of the following parameters on a time axis: CNAP™ blood pressure values: Sys, Dia, Mean • CNAP™: Pulse • Illustration 29: Numeric Trend Display NOTE: Numeric Trend Display Time Scale can be configured by adjusting from •...

  • Page 54: Alarm History

    Trends NOTE: Numeric Trend Display The time scale of the corresponds to the time interval • between 2 displayed measured values. Time Scale The displayed values are averaged on the basis of the selected (time • interval). In case of an adjustment of the time scale, the current point of time is displayed in •...

  • Page 55: Scrolling Of Trend Views

    Trends NOTE: Alarm History includes the entire list of the last reported alarms (up to 100 • Time Scale entries). Therefore, cannot be selected. STOP: The deletion of patient data irretrievably deletes all connected recordings, including • Sys, Mean, Dia Pulse Time Scale the parameters...

  • Page 56: Printing

    Printing 8 Printing Launching print reports ......................8-1 Cancelling print reports ......................8-2 Print reports .........................8-2 Print options .........................8-3 The CNAP™ Monitor 500 is provided with an integrated thermal printer, enabling the operator to print print reports a range of predefined 8.1 Launching print reports Print Snapshot Depending on how long the operator presses...

  • Page 57: Canceling Print Reports

    Printing 8.2 Canceling print reports Print In order to cancel print tasks, press once. 8.3 Print reports print reports print reports The CNAP™ Monitor 500 offers a range of predefined . All have the same header containing the following information: Print report type •...

  • Page 58: Print Options

    Printing Illustration 34: Alarm History Report Illustration 35: Snapshot report NOTE: Alarm History Report: The currently selected alarm as well as the 15 preceding • alarms will be printed. Snapshot Report: In the case of multiple alarms, a separate snapshot for each •...

  • Page 59: Cnap

    CNAP 9 CNAP™ General information.......................9-1 Safety precautions.........................9-2 Setup ..........................9-3 View features........................9-4 Blood pressure waveform .......................9-4 Trend view ...........................9-4 Numeric values ........................9-5 CNAP™ options ........................9-6 9.1 General information CNAP™ - Continuous Non-Invasive Arterial Blood Pressure – is a non-invasive method for measuring the continuous blood pressure waveform in adult and pediatric patients from the age of 4 years.

  • Page 60: Safety Precautions

    CNAP CAUTION: Movements of the patient, which result in changes of position of the CNAP™ double • finger cuff regarding heart level, will have immediate influence on the absolute values of blood pressure readings. To compensate these physical effects (hydrostatic height), recalibrate the CNAP™...

  • Page 61: Setup

    Illustration 37: CNAP™ hardware NOTE: CNSystems recommends placing the CNAP™ double finger cuff on the index and the • middle finger of a patient. In rare cases – if necessary – the CNAP™ double finger cuff may also be placed on the middle and the ring finger. Thumb and little fingers are not suited for CNAP™...

  • Page 62: View Features

    CNAP NOTE: Start/Stop key is primarily intended to stop the CNAP™ measurement and the • Start/Stop Setup NBP measurement. In addition, the key serves to display the Patient dialog manually if it was not automatically displayed upon start of meas- Setup Patient urement.

  • Page 63: Numeric Values

    CNAP Illustration 40: Graphic Trend and numeric values NOTE: The mean and amplitude scales for CNAP™ trends, CNAP™ and pulse are set in the • Trend menu (see chapter 7 – Trends). 9.4.3 Numeric values Parameter frame Sys, Mean, Dia The CNAP™...

  • Page 64: Cnap™ Options

    CNAP 9.5 CNAP™ options Parameter menu: Menu item Description Settings NBP: Start/Stop Start/Stop of a single NBP measurement NBP: Start/Stop Ve- Start/Stop of venous stasis nous Stasis Off, 5(5)30, Setting of time interval for automatic NBP measure- NBP: Interval ments [min] 45, 60 CNAP: Change Finger Change of signal source in CNAP™...
  • Page 65 CNAP NOTE: Interruptions due to CNAP change of finger are displayed by means of red countdown • Parameter frame bars in the (see chapter 3.6 – Timer). Parameter Adjustments in the menu alter only the current measurement. In a new •...

  • Page 66: Nbp

    10 NBP General information......................10-1 Safety precautions....................... 10-3 Setup ..........................10-4 View features........................10-6 NBP options ........................10-7 10.1 General information NBP (Non-Invasive Blood Pressure) uses the oscillometric method to determine a patient's blood pres- sure on a non-continuous basis. To achieve this, the NBP module is integrated into the CNAP™ Monitor 500.

  • Page 67: Venous Stasis

    10.2 Venous stasis Venous stasis to support punctures of intravenous lines can be performed by means of the NBP cuff. NBP: Start Venous Stasis After putting on the NBP cuff, venous stasis can be started by selecting Parameter NBP: Start Venous Stasis in the menu at any time.

  • Page 68: Safety Precautions

    10.3 Safety precautions STOP: Patient category: Make sure to select the correct patient category before starting a • measurement (see chapter 5.1 – Patient entry). The higher adult levels of inflation pressure of the NBP cuff, excess pressure limits or measuring time for instance, must never be used for pediatric patients! Intravenous infusion lines: Never put on an NBP cuff to a limb already connected •...

  • Page 69: Setup

    10.4 Setup The NBP hardware consists of the following components: NBP cuff (Child, Small adult, Adult, Large adult) • NBP module (integrated into the CNAP™ Monitor 500) • NBP air connector • NBP air connector Illustration 44: CNAP™ Monitor 500 with NBP air connector CNAP™...
  • Page 70 Start/Stop a measurement: 1. Make sure you are using an NBP cuff authorized by CNSystems and make sure to use the correct size. NOTE: The width of the cuff should be between 37% and 47% of the circumference of the •...

  • Page 71: View Features

    10.5 View features By means of NBP, the blood pressure values are determined and displayed in the rameter frame of the CNAP™ Monitor 500. Systolic blood pressure Diastolic blood pressure Time of last NBP measurement Illustration 45: Parameter frame NOTE: Parameter frame always displays the most recent NBP values as well as the time of measurement.

  • Page 72: Nbp Options

    10.6 NBP options Parameter menu: Menu item Description Settings NBP: Start/Stop Start/Stop of a single NBP measurement NBP: Start/Stop Venous Start/Stop venous stasis Stasis Off, 5(5)30, Setting of time interval for automatic NBP meas- NBP: Interval urements [min] 45, 60 Change of signal source in CNAP™...
  • Page 73 NOTE: Parameter Adjustments in the menu alter only the current measurement and are • in the Measurement transcribed by defaults menu when a new measurement is started. Settings performed in the Measurement menu, however, alter both the current as • well as future measurements and can be transcribed by the operator or factory set- tings from the Service menu.

  • Page 74: Cleaning And Disinfection

    The warranty of CNSystems does not apply to the effectiveness of the mentioned cleaning agents and methods for the purpose of infection prevention and control. When in doubt, the operator should con- tact the hospital hygiene department.

  • Page 75: Disinfection

    Cleaning and disinfection CAUTION: Be particularly careful when cleaning or disinfecting the insides of the CNAP™ double finger cuffs. Wipe them carefully in order to avoid any damage. 11.3 Disinfection CAUTION: Disinfectant agents: Never mix different kinds of disinfecting solutions (e.g. bleaching agents and ammonia), as this might result in the production of dangerous gases! Internal hospital regulations: Disinfect the product in accordance with your own hos- pital regulations in order to avoid long-term damage of any kind.

  • Page 76: Technical Alarms And Status Messages

    Technical alarms and status messages 12 Technical alarms and status messages Main Unit – Status messages ....................12-2 Main Unit - Technical alarms ....................12-2 BP Wave Out (IBP) - Status messages ................... 12-3 BP Wave Out (IBP) - Technical alarms ................... 12-3 Printer - Technical alarms.....................

  • Page 77: Main Unit

    Technical alarms and status messages 12.1 Main unit 12.1.1 Status messages Message Possible cause Measures MU: No USB Stick - Connect USB stick and reboot - No USB stick connected Attached CNAP™ Monitor 500 - Connect USB with free storage MU: USB Stick Full - USB memory full capacity and reboot CNAP™...

  • Page 78: Bp Wave Out (Ibp)

    Technical alarms and status messages 12.2 BP Wave Out (IBP) 12.2.1 Status messages Message Possible cause Measures - Perform zeroing (refer to chap- ter 4.4) - BP Wave Out is connected IBP: Connected to patient monitor - Make sure to disable zeroing when calibration is complete IBP: - BP Wave Out is discon-...

  • Page 79: Status Messages

    Technical alarms and status messages 12.3 Printer 12.3.1 Technical alarms Message Possible cause Measures - Printer is out of PRINTER: Out of Paper - Replenish paper paper - Hardware problem: - Problem will be solved automati- Excess tempera- cally PRINTER: Fault ture - In case of persistent error, con- Internal voltage...

  • Page 80: Technical Alarms

    Technical alarms and status messages Message Possible cause Measures - NBP measurement to calibrate CNAP™ CNAP: Calibrating NBP - Wait for end of NBP measurement blood pressure is in progress - CNAP™ blood pres- sure is not within - Check and eliminate influence physiological measur- from third party measuring de- ing range...
  • Page 81 Technical alarms and status messages Message Possible cause Measures - In case of persistent error, con- tact service - Disconnect CNAP™ hardware - Valve blocked or leaky CNAP: Failure – Valve - In case of persistent error, con- Blocked/Leaky tact service for faulty CNAP™ controller - Disconnect CNAP™...
  • Page 82 Technical alarms and status messages Message Possible cause Measures - Improve peripheral blood flow (e.g. warm patient’s hand) - Check CNAP™ double finger cuff for patient movement - Pressure exceeded CNAP: Cuff Fault – 330mmHg for more - Disconnect and reconnect Overpressure than 2 sec in CNAP™...
  • Page 83 Technical alarms and status messages Message Possible cause Measures - Check connections of CNAP™ hardware CNAP: Cuff Fault – - Leakage in right - Replace CNAP™ double finger Leakage Right CNAP™ finger cuff cuff (check with other cuff size) - In case of persistent error, re- place CNAP™...

  • Page 84: Technical Alarms

    Technical alarms and status messages Message Possible cause Measures - Venous stasis is per- NBP: Venous Stasis - n.a. formed 12.5.2 Technical alarms Message Possible cause Measures - Check position and fit of NBP NBP: cuff - Weak or no oscil- Weak Or No Signal lometric signal - Make sure cuff is placed directly...
  • Page 85 Technical alarms and status messages Message Possible cause Measures - Make sure that NBP air hose is not bent, or twisted too tight NBP: - Make sure patient is not lying - Blocked line / air hose Blocked Line on NBP cuff or air hose - Check position and fit of NBP cuff - Check NBP air connections (e.g.
  • Page 86 Technical alarms and status messages Message Possible cause Measures - Reboot CNAP™ Monitor 500 NBP: - Autozeroing has failed Autozero Failure - In case of persistent error, con- tact service - Reboot CNAP™ Monitor 500 - Measuring transducer NBP: out of measuring Out Of Range Failure - In case of persistent error, con- range...

  • Page 87: Appendix A - Glossary

    Appendix A 13 Appendix A – Glossary Alternating current Ampere-hour BP Wave Out Interface to patient monitors (CNAP blood pressure waveform) Beats per minute Body surface area (m²) CNAP Continuous non-invasive arterial pressure Dia or diastolic Diastolic blood pressure Hour Hertz Light-emitting diode Main...

  • Page 88: Illustrations

    Appendix A 13.1 Illustrations Illustration 1: Front view ......................3-2 Illustration 2: Patient connectors.....................3-2 Illustration 3: Printer, interface, power supply ................3-3 Illustration 4: Back view......................3-3 Illustration 5: CNAP™ Monitor 500 ..................3-5 Illustration 6: CNAP™ finger cuffs....................3-5 Illustration 7: CNAP™ controller ....................3-6 Illustration 8: CNAP™...

  • Page 89: Appendix B - Accessories

    Paper recommendation ......................14-2 Connections........................14-2 Other accessories ........................ 14-2 STOP: In order to ensure operational reliability, functional safety as well as patients' safety, only original CNSystems Medizintechnik AG accessories and replacement parts are to be used. 14.1 CNAP™ Items Number CNAP™...

  • Page 90: Printer

    20-HVZU-00258 14.3.1 Paper recommendation CNSystems Medizintechnik AG recommends using the following paper with your CNAP™ Monitor 500: Kanzan KPR 540. In comparison with standard thermal paper for POS or fax, this high quality paper is characterized by a considerably higher degree of resistance against substances, i.e. alcohol, grease, PVC or plasticisers, oil, hand lotion or cream, etc.
  • Page 91 Appendix B Operator's Manual English 21-FHZU-10002 Operator's Manual French 21-FHZU-10003 Operator's Manual Italian 21-FHZU-10004 Operator's Manual Spanish 21-FHZU-10005 CNAP™ Monitor 500 Page 14-3 Version 3.5.1, PN: 21-FHZU-10002...

  • Page 92: Appendix C - Technical Specifications

    Appendix C 15 Appendix C – Technical specifications CNAP™ Monitor 500......................15-1 External mains adapter ......................15-2 CNAP™ - continuous non-invasive arterial pressure ..............15-3 NBP - non-invasive blood pressure ..................15-3 Printer ..........................15-4 Connections........................15-4 Electromagnetic compatibility ....................15-6 Standards ........................

  • Page 93: External Mains Adapter

    Appendix C Screen Type TFT-LCD Size 200 x 150 mm (7.8 x 5.9 in.) Display 170 x 128 mm (6.6 x 4.9 in.); 8.4 inch diagonally Resolution 800 x 600 pixel Color resolution 16 Bit Trend memory Data memory 24 h, based on a mean heart rate of 90 Data resolution Beat-to-beat 15.1.1...

  • Page 94: Cnap™ - Continuous Non-Invasive Arterial Pressure

    Appendix C 15.1.2 CNAP™ - continuous non-invasive arterial pressure CNAP™ - continuous non-invasive arterial pressure Sys, Dia, Mean [mmHg] Parameter classification Pulse [bpm] Sys: 40 - 250 mmHg (5.3 – 33.3 kPa) Measuring range Dia: 30 - 210 mmHg (4 - 28 kPa) Mean: 35 - 230 mmHg (4 –...

  • Page 95: Printer

    Appendix C Max. inflation time 50 s Max. cuff pressure 300 mmHg Automatic deflation after 180 s Protection against electric Type BF shock 15.1.4 Printer Printer Type Integrated thermal paper printer Width 58mm Roll diameter 60mm 15.2 Connections BP Wave Out Bridge supply voltage from other monitor to CNAP 2 - 10 VDC...
  • Page 96 Appendix C AUX (analog output port) Channel 1 Channel 2 Voltage range +-12 V +-12 V Reference 0 / 5 V (0 / 500 mmHg) -5 / +5 V (0 / 500 mmHg) Sensitivity 100 mmHg/V 50 mmHg/V Sampling frequency 100 Hz 100 Hz +/- 50 mV...

  • Page 97: Electromagnetic Compatibility

    CNAP™ Monitor 500 must be closely observed to ensure its normal operability with- in this arrangement of devices. Only original CNSystems Medizintechnik AG accessories and power cords are to be used with this de- vice! Authorized accessories and replacement parts are listed in "Appendix B – Accessories" in this operator's manual.
  • Page 98 Appendix C Guidelines and manufacturer's declaration – electromagnetic immunity The CNAP™ Monitor 500 is intended for use in an electromagnetic environment as specified below. The cus- tomer or operator of the CNAP™ Monitor 500 is to ensure that it is used in such an environment. Immunity test IEC 60601 test level Level of compli-...
  • Page 99 Appendix C Guidelines and manufacturer's declaration – electromagnetic immunity The CNAP™ Monitor 500 is intended for use in an electromagnetic environment as specified below. The cus- tomer or operator of the CNAP™ Monitor 500 is to ensure that it is used in such an environment. Immunity test IEC 60601 Compliance level...

  • Page 100: Maintenance Schedule

    Appendix C Recommended separation distance between portable and mobile RF-communication devices and the CNAP™ Monitor 500 The CNAP™ Monitor 500 is intended for use in an electromagnetic environment with controlled RF disturbances. The customer or operator of the CNAP™ Monitor 500 can avoid electromagnetic disturbances by complying with the minimum distance between portable or mobile RF-communication equipment (transmitter) and CNAP™...

  • Page 101: Maintenance

    Test measurement Documentation including: service report, calibration protocol, safety protocol, inspec- tion sticker, shipping documents NOTE: The maintenance is always performed by CNSystems or through a certified service • partner. 15.5 Standards The CNAP™ Monitor 500 meets the following standards: 1.

  • Page 102: Declaration Of Conformity

    Appendix C 15.6 Declaration of conformity CNAP™ Monitor 500 Page 15-11 Version 3.5.1, PN: 21-FHZU-10002...

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