Safety Considerations - ZOLL R Series Manual

R S — N -I
ERIES ON NVASIVE

Safety Considerations

General NIBP Safety
Read the R Series Operator's Guide and this manual insert before use.
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Ensure that the R Series NIBP option is operated by qualified personnel only.
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Consult a physician for the proper interpretation of pressure measurements.
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Do not use on patients known to be susceptible to bruising.
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Use caution when using on elderly hypertensive patients, as such patients may be more
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susceptible to bruising.
Route patient hoses carefully to avoid patient entanglement, strangulation or compression of
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hose.
Do not select a cuff inflation pressure that exceeds the patient's expected systolic pressure
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by more than 30-40 mmHg (4.0-5.3 kPa). The factory-installed default adult cuff inflation
pressure is 160 mmHg (21.3 kPa) for adult patients, 120 mmHg (16.0 kPa) for pediatric
patients, and 90 mmHg (12.0 kPa) for neonatal patients.
Keep patient, hose and cuff as still as possible during measurement. Patient movement or
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vibrations from outside sources, particularly moving vehicles, can degrade measurement
accuracy.
Check patient regularly for signs of skin irritation or impaired circulation in the monitored
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limb.
Do not use the NIBP option on a patient when the R Series unit is connected to an ECG
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simulator.
If an alarm occurs while the audible alarm indicators are disabled, alarms do not sound;
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rather only the visual alarm indicators are displayed.
If the accuracy of measurements is suspect, first check the patient's vital signs by alternate
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means. Then check the cuff, hose and R Series NIBP option for proper functioning.
The cuff, hose, and fitting are defibrillation-protected. Using the NIBP option introduces no
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risk for shock due to defibrillation. The cuff and hose are non-conductive. Using the NIBP
option introduces no risk for burns due to electrosurgery.
Cuff safety and effectiveness have not been proven on pregnant women.
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Do not attach the cuff to a limb being used for IV infusions or any other intravascular
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access, therapy or an arterio-venous (AV) shunt.The cuff inflation can temporarily block
blood flow, potentially causing harm to the patient.
Applying the cuff over a wound can cause further injury.
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For patients that have had a mastectomy, cuff should be applied to opposite arm.
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Blood pressure measurements can be affected by the position of the patient, physiologic
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condition, activity level, improper cuff size/application, environment and use outside of the
operating instructions detailed in this manual.
The NIBP module may not operate correctly if used or stored outside the relevant
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temperature or humidity ranges described in the specifications on page 28.
Cuff and Hose Safety
Only use cuffs, hoses, and connectors supplied or specified by ZOLL.
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Ensure that the hose is not kinked or obstructed before taking measurement.
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LOOD RESSURE
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PTION NSERT
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