ZOLL R Series Manual
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ZOLL R Series Manual

Non-invasive blood pressure
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See also: Service Manual , Operator's Manual
R Series
®
Non-Invasive Blood Pressure
(NIBP)
9650-0914-01 Rev. C

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Summary of Contents for ZOLL R Series

  • Page 1 R Series ® Non-Invasive Blood Pressure (NIBP) 9650-0914-01 Rev. C...
  • Page 2 The issue date for the R Series Non-Invasive Blood Pressure guide (REF 9650-0914-01 Rev. C) is January, 2018. Copyright 2018 by ZOLL Medical Corporation. All rights reserved. ZOLL and R Series are trademarks or registered trademarks of ZOLL Medical Corporation.

  • Page 3: General Information

    Non-Invasive Blood Pressure Monitoring (NIBP) Indication of Use The R Series system is indicated for the non-invasive measurement of arterial blood pressure for resting patients in critical care and in-hospital transport. The NIBP feature is indicated to measure blood pressure for patients from newborn (neonate) to adult.
  • Page 4 — N (NIBP) O ERIES NVASIVE LOOD RESSURE PTION NSERT www.zoll.com 9650-0914-01 Rev. C...

  • Page 5: Non-Invasive Blood Pressure (Nibp)

    5 minute period), or automatic measurements at repeating pre-selected intervals. The blood pressure information (including the patient’s systolic, diastolic and mean blood pressure values) is shown on the R Series monitor in the NIBP display area, on the left side of the screen.

  • Page 6: Safety Considerations

    Check patient regularly for signs of skin irritation or impaired circulation in the monitored • limb. Do not use the NIBP option on a patient when the R Series unit is connected to an ECG • simulator. If an alarm occurs while the audible alarm indicators are disabled, alarms do not sound;...
  • Page 7 Do not repeat NIBP measurements (particularly STAT measurements) at intervals less than • 3-5 minutes over an extended period of time. Rapidly repeating measurement can impair circulation in the monitored limb. Do not sterilize or immerse the cuffs or hoses. • 9650-0914-01 Rev. C R Series Non-Invasive Blood Pressure (NIBP)
  • Page 8 (This page intentionally left blank.)
  • Page 9 The R Series NIBP option is designed to measure blood pressure for adult patients (21 years of age and older) and for pediatric patients, as described in the following table:...
  • Page 10 How Does the NIBP Option Work? The patient blood pressure cuff and hose connect to the R Series unit through the NIBP connector on the rear panel of the unit. The NIBP button ( ) on the front panel of the R Series allows you to initiate and terminate non-invasive blood pressure measurements, whose values display in the NIBP area of the monitor.
  • Page 11 Softkey Label Softkeys Note: Depending on the options included in your R Series unit, your display may differ slightly from the illustrations in this insert. The NIBP display area on the left side of the monitor screen consists of: NIBP Symbols that represent the status of blood pressure measurements.
  • Page 12 Neonatal Patient Type Artifact indicator The artifact indicator is shown when the R Series unit detects artifact in the signal. Under such circumstances, the displayed pressure values may be inaccurate. Perform additional blood pressure measurements before taking clinical action. If you repeatedly obtain artifact, use alternate techniques to obtain blood pressure prior to taking clinical action.

  • Page 13: Connecting The Hose

    (1.2 to 2.4 in.) Caution You must use the 3 m hose when making neonatal NIBP measurements with the R Series. The 3 m hose (ZOLL Part No. 8000-0662) is standard on R Series units. Do not use the 1.5 m hose when making neonatal NIBP measurements;...
  • Page 14 NSERT 1. Insert the metal connector on the NIBP hose into the NIBP connector at the back of the R Series unit and push the connector until it snaps into place. NIBP connector Insert the plastic connector on the NIBP hose into the cuff hose connector, and twist the connectors until they lock into place.
  • Page 15 10 seconds after the R Series unit is turned off. If you have not received training on setting NIBP features, do not use the NIBP option.
  • Page 16 Manual mode to display the NIBP menu. To display the NIBP menu: 1. Press the Param softkey. If the Param softkey label is not displayed, press the Return softkey until it is displayed. The R Series unit displays the Parameter menu: NIBP Return SPO2 Press the NIBP softkey.
  • Page 17 • Selecting the Patient Type On R Series units, you can select a patient type for NIBP measurements: adult, pediatric, or neonate. The patient type setting determines the default cuff inflation pressure, as well as default alarm limits for high/low systolic, diastolic and mean blood pressure values.Unless configured otherwise, the R Series defaults to adult patient mode when initially powered on.
  • Page 18 Use the default setting unless it is clearly inappropriate. Any changes to this setting remain in effect until either the setting is changed or 10 seconds after the R Series unit is turned off (returning the setting to its default).
  • Page 19 Turning Off Auto Adjust You should turn off the Auto Adjust feature in situations where the R Series unit might inflate the cuff to levels that can cause discomfort or harm to the patient. For example, when the...

  • Page 20: Setting Alarms

    35 mmHg (4.7 kPa) 30-105 mmHg (4.0-14.0 kPa) When the R Series unit is turned on, all alarm functions are disabled, and the alarm limits are set to their default values for the selected patient type. Any changes to these settings remain in effect until either the settings are changed for the patient type or for 10 seconds after the R Series unit is turned off.

  • Page 21: Taking Measurements

    All visual alarm indicators remain active. Triggering NIBP Measurements You can configure the R Series unit to take a single NIBP measurement after the heart rate alarm is triggered and/or the NIBP alarm is triggered. See the R Series Configuration Guide for further details.

  • Page 22: Taking A Single Measurement

    NSERT WARNING! If the R Series unit takes a measurement but detects the presence of artifact in the signal (denoted by “*” in the NIBP display area), the measurement may not be accurate. Under such circumstances, perform additional blood pressure measurements.
  • Page 23 The R Series unit takes one blood pressure measurement. Taking STAT Measurements You can set the R Series unit to take a STAT measurement, which consists of the unit taking as many blood pressure measurements as possible (up to 10) in five minutes. When the R Series unit finishes taking a measurement and the cuff deflates, it immediately starts another measurement.
  • Page 24 RESSURE PTION NSERT If the R Series unit is configured to automatically generate strips, it prints a history of the STAT measurements at the end of the 5-minute period. Caution Before taking the first measurement, a period of at least 5 minutes should elapse to give time for blood pressure stabilization.
  • Page 25 The R Series unit takes a measurement, and repeats subsequent measurements at the selected interval. Note that if the defibrillator is charged or charging when the R Series unit is about to take an automatic measurement, it aborts the blood pressure measurement. All subsequent automatic measurements take place at their scheduled time.
  • Page 26 NIBP MEAS ABORTED message, and deflates the cuff. WARNING! Make sure that a measurement has already started before attempting to abort. If you press the NIBP button while a measurement is not being taken, the R Series unit starts a new measurement. SHOCK...

  • Page 27: Viewing Trend Data

    Press the Print softkey to print the displayed measurements. Press the Return softkey to return to the main menu. The patient’s trend data is cleared when the R Series unit remains off for more than 10 seconds. Printing Data A strip recorder is provided with the R Series unit to document events and data. See the “Recorder Operation”...

  • Page 28: Nibp Accessories

    NSERT 1. Select the proper size cuff, as described in “Selecting the Proper Size Cuff” on page 8. Connect the hose to the R Series unit and to the cuff, as described in “Connecting the Hose” on page 9. Apply the cuff to a human test subject, as described in “Applying the Cuff to the Patient” on page 10.
  • Page 29 8000-0640 (Disposable) (1.2 to 2.4 in.) NIBP HOSES Hoses Length (m) Air hose with 3 m (9.8 ft.) 8000-0662 pneumatic fittings Air hose with 1.5 m (4.9 ft.) 8000-0655 pneumatic fittings 9650-0914-01 Rev. C R Series Non-Invasive Blood Pressure (NIBP)

  • Page 30: Troubleshooting

    The following table lists the error messages and problems associated with the NIBP option and the associated corrective action(s). Read this section carefully. For further assistance, call ZOLL Technical Service at 1-800-348-9011. International customers should call the nearest authorized ZOLL Medical Corporation representative.
  • Page 31 Patient’s limb below level of heart. Raise patient’s limb to heart level. False low reading Cuff too large. Select smaller cuff. Limb above level of heart. Lower patient’s limb to heart level. 9650-0914-01 Rev. C R Series Non-Invasive Blood Pressure (NIBP)

  • Page 32: Specifications

    High 60 – 140 mmHg; High 8.0 – 18.7 kPa Low 30 – 120 mmHg; Low 4.0 – 16.0 kPa Neonatal High 35 –110 mmHg; High 4.7 – 14.7 kPa Low 30 – 105 mmHg; Low 4.0 – 14.0 kPa www.zoll.com 9650-0914-01 Rev. C...
  • Page 33 American National Standard, Electronic or Automated Sphygmomanometers (AAMI SP10). To receive a copy of the report containing the AAMI SP10 test results, contact ZOLL Technical Support at (800) 348-9011 or (978) 421-9655 9650-0914-01 Rev.
  • Page 34 — N (NIBP) O ERIES NVASIVE LOOD RESSURE PTION NSERT www.zoll.com 9650-0914-01 Rev. C...

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