Datascope Accutorr Plus Service Manual page 31

2. Attach the cuff hose to the NIBP cuff connector (18). To do this, hold the hose behind
the knurled pressure fitting (female). Push onto the male connector until a click is
heard. To remove, hold the knurled female fitting and pull firmly to release.
3. Apply the cuff to the patient. To reduce errors, the cuff should fit snugly, bue with
enough room for two fingers to be placed between the cuff and the patient's arm (on
adults), and with little or no air present within the cuff. Cuff should fit loosely on
neonates. Apply the cuff so that the center of the inflation bag (bladder) is over the
brachial artery. Be sure that the INDEX line on the cuff falls between the two
RANGE lines. If not, a larger or smaller cuff is required. Be sure the cuff lies directly
against the patient's skin. For best results, the cuff should be placed on the arm at
heart level and no clothing should come berween the patient and the cuff. NOTE:
Avoid compression or restriction of the pressure hose.
NOTE: The NIBP cuff should not be placed on a limb that is being utilized for any
other medical procedure. For example, an I.V. catheter.
4. If required, select the patient size with the PATIENT SETUP key (37). On initial power
up, the configurable default setting is used. Otherwise, the last selected patient size is
used. Initial default cuff inflation pressures depend on the Patient Size setting. See
section 1.3.2.2 for details on changing the initial cuff inflation pressure.
5. Press the START NIBP key (38) co begin an NIBP measurement. A beep is sounded
after a completed measurement.
NOTE: Inflate the cuff only after proper application to the patient's limb. Cuff
damage can result if the cuff is left unwrapped and then inflated.
The cuff begins to inflate to the selected cuff pressure. After reaching the
selected pressure, the cuff begins to slowly deflate and the Accutorr Plus collects
oscillometric pulsations.
If the initial cuff inflation is found to be inadequate, the unit retries with a higher
inflation pressure (+50 mmHg in the adult mode; +50 in the pediatric mode; +40
mmHg in the neonate mode). A triple beep tone is generated. NOTE: Any time there
is an unsuccessful NIBP measurement, a triple beep cone is generated and the Diastolic,
Systolic, NIBP HR, MAP and Timer/Temp LED's will be replaced with dashes.
Have the patient remain still to avoid unnecessary motion artifact. After the cuff
pressure drops below the diastolic pressure, the results of the measurement are
displayed and the cuff is vented to atmosphere.
If an error code displays in the Systolic Display or a status code in the Room/Bed
Display, refer to Section 1.3.16, Status and Error Codes, for its explanation. A
successful measurement clears a status code. To clear a status code, press the
ROOM/BED NUMBER key (24).
6. When required, press the DEFLATE key (36) to interrupt a measurement. The cuff will
deflate.
NOTE: Once the initial measurement is taken for a room/bed, the Accutorr Plus will
continue to use the selected patient size.
NOTE: Check the patient's limb for any indications of circulation impairment.
Accutorr Plus Service Manual
Chapter 1, Operation
1-21