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Critikon DlNAMAP PRO Series 100-400 Operation Manual

Dinamap pro series 100-400
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DlNAMAP@ PRO
Series 100-400 Monitor
Operation Manual

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Summary of Contents for Critikon DlNAMAP PRO Series 100-400

  • Page 1 DlNAMAP@ PRO Series 100-400 Monitor Operation Manual...
  • Page 2 Critikon, provided solely for purposes of operation, maintenance or repair, and dissemination for other purposes or copying thereof is prohibited without prior written consent by Critikon, Tampa, Florida. Illustrations may show design models; production units may...

  • Page 3: Table Of Contents

    Contents Introduction ................DINAMAP@ PRO Monitor..............7 About the Product Compliance ....................Symbols ........................Getting Started ..............Unpacking the Monitor and Accessories ............13 Power Sources ......................t.he Monitor .................... 13 Powering Rear Panel Connections.
  • Page 4 ............BP.

  • Page 5: Introduction

    Introduction About the DINAMAP PRO Monitor DINAMAP@ PRO Monitors provide noninvasive determination of systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse rate, temperature, and oxygen saturation. These portable AC- and operated monitors are primarily intended use in hospital acute care settings such as outpatient surgery, accident and emergency, labor and delivery, Gl/endoscopy, and medical/...
  • Page 6 . If powering the Monitor from an external power adapter or converter, use only Critikon-approved power adapters and converters. The Monitor does not include any user-replaceable fuses. Refer servicing to qualified service personnel.
  • Page 7 Introduction Place the PRO Monitor on a rigid, secure surface. Monitor must only be used with mounting hardware, poles, and stands recommended by Critikon. See Appendix D. The weight of the accessory basket contents should not exceed 6.6 lb (3 kg).

  • Page 8: Product Compliance

    Product Compliance PRO Monitor is classified in the following DINAMAP@ categories for compliance with IEC 601-l : Class I, internally powered Transportable For continuous operation Not suitable for use in the presence of flammable anesthetics Not for use in the presence of an oxygen-enriched atmosphere (oxygen tent) Type BF applied parts IPXl, degree of protection against ingress of water...

  • Page 9: Getting Started

    This is also a good check time to for any damage or shortage. If there is a problem or shortage, contact Critikon. It is recommended that all the packaging retained, in must be returned for in the future.
  • Page 10 power indicator LED will flash (short flash approx. every 4 set). When the Monitor is running on battery icon power, a battery appears in with the time indicator) LCD area 3 (toggling indicating the charge status. During battery-only operation, the yellow battery power indicator LED (17) will light.
  • Page 11 Getting Started integrity can only be maintained when equipment is connected to an equivalent receptacle marked “Hospital Grade.” Where the integrity of the external earth conductor in the must installation or its arrangement is in doubt, the Monitor be operated from its internal battery. General Caution Do not touch either the pin of the DC input connector (3) or the terminals within the battery compartment (1) and...

  • Page 12: Rear Panel Connections

    AC Mains input: Used to power supply socket: To be used with approved External power Critikon AC-DC power converter ONLY Inactive temperature cable storage: Inactive temperature probe cable attaches here (Models 200 and 400) Pole clamp: Used to clamp monitor to...

  • Page 13: Front Panel Controls And Indicators

    Getting Started Front Panel Controls and Indicators 7 Systolic pressure display: 3-digit red LED indicates measured systolic BP in mmHg Active temperature probe holster: Temperature probe that is being used stored here (Models 200 and 400) Diastolic pressure display: 3-digit red LED indicates measured diastolic mmHg...
  • Page 14 14 External power indicator: Green LED indicates external power status and battery charging status of monitor Temperature probe connector: Temperature probe cable attaches here (Models 200 and 400) switch: Controls on/off state of monitor; push ON/OFF for power on and push again for power off 17 Battery power indicator: Yellow LED indicates operation and charge status of internal battery SpOz...

  • Page 15: Switching The Monitor On And Off

    Getting Started Switching the Monitor On and Off To switch the DINAMAP PRO Monitor on, push the power switch ON/OFF (16) press the rotor (21). a short the Monitor powers up, it will run self-test routine, which will flash all the indicator lights and then beep the warning speaker.

  • Page 16: Using The Printer

    selected buttons appears light on a dark background. Note: Some menus have six option buttons. In these cases, there title. is no space available to display the menu Area 2 This area displays data from one of three different sources. SpO, Source 1: plethysmograph (Models 300 and 400)

  • Page 17: Printer Alarms

    The message in Area 3 of the LCD will remain until new paper is installed and the printer door is closed. (See “Using the Menu System.“) Installing new paper will cause the Critikon DINAMAP PRO header to be printed, thereby confirming that the paper is installed correctly and that the printer is operational.
  • Page 18 Note: When in doubt about long-term storage conditions, store a photocopy of the thermal paper recording. &ions do not store it in a The paper is thermally activated; therefore, hot place as discoloration may result. Use only replacement paper rolls (58 mm) from Critikon.

  • Page 19: Using The Monitor

    Using the Monitor Noninvasive Blood Pressure Determination Description The BP parameter is included Models 100, 200, 300, and in the 400. Blood pressure is monitored noninvasively PRO Monitor by the oscillometric method, which measures the amplitude of the pressure oscillations within the blood pressure cuff.
  • Page 20 while allowing SpOz and predictive temperature determinations to be monitored and recorded (depending on Monitor model). In the Vitals (UK: Obs) mode, the blood pressure is determined one time. Before each BP determination, the Monitor performs a test is below a specified level. to ensure that the cuff pressure The determination is delayed until this condition is met.
  • Page 21 The PRO Monitor is designed for use only with dual- tube cuffs. Use only accessories recommended by Critikon. Failure to use recommended accessories may result in inaccurate readings. See Appendix D. Blood pressure cuffs should be removed from the patient when the Monitor is powered off.
  • Page 22 to produce a peripheral pulse or the patient may have Also, if a patient’s beat-to- poor peripheral perfusion. beat pulse amplitude varies significantly (e.g., because of pulsus alternans, atrial fibrillation, or the use of a rapid-cycling artificial ventilator), blood pressure and pulse rate readings can be erratic, and an alternate measuring method should be used for confirmation.

  • Page 23: Procedures

    Using the Monitor Procedures end of the air hose which has quick-release Connect the clips to the cuff connector (30) on the front of the Monitor. Make sure that the hose is not kinked or compressed. disconnect the hose from the Monitor, squeeze Note: To the quick-release clips together and pull the plug from the cuff connector (30).
  • Page 24 Inspect cuff for damage. Replace cuff when aging, tearing, or weak closure is apparent. Do not inflate cuff when unwrapped. Precaution: Do not use cuff if structural integrity is suspect. Connect the cuff to the air hose. Thread the cuff connectors onto the hose connectors until finger tight.

  • Page 25: Manual Mode

    Using the Monitor Manual Mode To start a determination, press the START/STOP BP key (29). normal, uninterrupted Manual cycle takes about 40 The cuff pressure must drop below 5 mmHg seconds. (neonate) or 15 mmHg (adult) before another determination can be started. BP information will be for 2 minutes on the LED unless another displayed...

  • Page 26: Stat Mode

    120 minutes). Press the rotor to confirm the setting. After power-off, the operating mode returns to the default setting The default setting of Manual can be overridden of Manual. to return to the previous user-selected setting (Auto or Manual) by selecting Set BP (UK: BP Mode) under the Service menu.

  • Page 27: Predictive Temperature Determination

    Using the Monitor arterial pressures and pulse rate will appear on their LED displays (7, 9, 19, 22). The Monitor will begin another below 5 mmHg determination once the pressure is for 8 seconds (neonates) or 15 mmHg for 4 seconds (adults), unless the S-minute period has ended or the determination has been canceled.

  • Page 28: Procedures

    General Warning The performance of the Monitor may be degraded if it is operated outside of the environmental conditions specified in Appendix A. General Cautions Be careful not to overextend the coiled cord of the temperature probe. Overextension can damage the probe coil connector interfaces.
  • Page 29 Using the Monitor When the determination is complete, an audible tone sounds and the temperature appears on the display. Record the temperature and remove the probe. Discard the disposable cover by holding the probe as you would a syringe and pressing the button on the probe handle. in the probe holster.

  • Page 30: Spa

    spa, Description SpOz parameter is included in Models 300 and 400. To begin SpOz monitoring, simply place SpOZ sensor on the patient’s finger; monitoring begins automatically. Functional oxygen saturation (SpOJ of arterial blood is in the noninvasively and continuously monitored PRO Monitor using pulse oximetry technology from NELLCOR*.
  • Page 31 Using the Monitor If you select the Suspend button, the SpOz alarm is suspended for 2 minutes and PRO returns to normal SpOz then the monitoring. A message informing the user that Sp02 is in Area 2 and dashes appear in the SpOz suspending appears LED while the...

  • Page 32: Procedures

    patients with compromised circulation (e.g., because of peripheral vascular disease or vasoconstricting medications). Do not perform any testing or maintenance on a sensor while it is being used to monitor a patient. Bright light sources (e.g., infrared heat lamps, bilirubin lights, direct sunlight, operating room lights) may interfere To prevent...
  • Page 33 Using the Monitor with the sensor, Following the directions for use supplied apply the sensor to the patient. Warnings Patient safety: If you fail to apply the sensor properly, the patient’s skin could be injured or the ability of the PRO Monitor to measure oxygen saturation could be compromised, For example, a clip-on sensor should...
  • Page 34 Place the sensor so that the LEDs and the photodiode are opposite each other. Plug the SpOz sensor into the Sp02 sensor extension cable. sensor extension cable into the SpOz Then plug the SpOZ sensor connector (18). Proceed with monitoring. SpOz determinations run continuously and can run simultaneously with other measurements.

  • Page 35: Troubleshooting

    Troubleshooting This section discusses potential difficulties and suggestions resolving them. If the difficulty persists, contact a qualified service person or your local Critikon representative. The service manual, which is for use by qualified service personnel provides additional troubleshooting information. PROBLEM: The pulse amplitude bar indicates a pulse, but no oxygen saturation or pulse rate values appear on the screen.
  • Page 36 If an ESU is interfering: Move the SpOz ESU as possible. cable as far from the ESU into different AC circuits. Plug the Monitor and the Move the ESU ground pad as close to the surgical site as possible. 0 The sensor may be damp or may need to be replaced with a sensor.
  • Page 37 Try to keep the patient still, or change the sensor site to one with less motion. this manual Observe all instructions, warnings, and cautions in and in the directions use of the sensor. PROBLEM: A valid SpO2 signal was present but has disappeared. CAUSE: in progress.

  • Page 38: Using The Menu System

    L Using the Menu System Introduction The PRO with a liquid crystal display Monitor is equipped together, these allow the (25) and rotor (21). Used operator to view and edit most of the Monitor’s parameters and functions. When the Monitor is in use, a number of option buttons appear on the liquid crystal display (LCD).
  • Page 39 Menu Tree ” Stat 1 Main MAP BPM POWER SAVE MENU r’ Display . . _ r TIME SYS MAP BPM SpO2 TEMP ,I:37 ___ -_- --- --- ,,:a2 ___ ___ __- --- --- ,,:q - - - ,,:S2...
  • Page 40 _ Using the Menu System Menu Tree Automaticalley Clear Trend on Power-up? Restore Print mode on power-up? ROTOR BEEP Restore BP mode on power-up? Enter alarm configuration mode? 14-J& I999 20: 21 11 24-Aug-1999 pi-,, Notes model of the Monitor determines which menu option buttons appear on the LCD.

  • Page 41: Rotor

    Rotor Rotating the rotor causes option buttons to be highlighted rotor (light text on a dark background). Turning the produces a click. Turning it clockwise moves the highlighting clockwise over the available buttons, while turning it counterclockwise reverses the direction of the highlighting.

  • Page 42: Vitals Button (Uk: All Obs)

    - Using the Menu System Vitals Button (UK: All Obs) this button initiates a BP Selection of determination while allowing SpO, and predictive temperature determinations to be monitored and recorded (depending on Monitor model). When the Vitals determination is complete, a single “warble” sounds and all patient data are displayed on the LEDs and held for 2 minutes or until cleared by the user.

  • Page 43: Set Bp Button (Uk: Bp Mode)

    Notes The Print button appears only when Print is set to Manual mode. . If the printer is in Auto print mode, the data will be printed automatically. More... Button this button displays the More... menu. The More... Selection of menu has six options (depending on model of Monitor), most of which have submenus.

  • Page 44: Alarms Button

    B Using the Menu System Tgt Pressure this option allows the user to set the Selection of BP target The initial target pressure can be set inflation pressure. between 100 and 250 mmHg in 5 mmHg increments. The factory default is 160 mmHg for adults and 110 for neonates.
  • Page 45 spoz 1 Auto Default Parameter Range 245-.-~..- .._.. _._---- Systolic High ___. Systolic Low Diastolic Hiah - 195 Heart Rate ’ 51-100 SpO2 High spo2 - 99 Volume _> Selection of this button displays the alarm volume submenu. The volume range is from 1 to 10, with 10 being the loudest.

  • Page 46: Trend Button

    I Using the Menu System High Limit Low Limit Label Parameter Label Systolic Diastolic MAP -30 BPM -30 Heart Rate spo2 spo2 -5 span span SpO2 * If the reading plus the limit is greater than the valid range of measurement (e.g., is greater than the valid range of measurement becomes the limits.
  • Page 47 TIME SYS DIA MAP BPM SpO2 TEMP II:37 ___ ___ ___ ___ ___ ___ 11~42 ___ ___ ___ ___ ___ ___ II:47 ___ ___ ___ ___ ___ ___ 11:52 Newer These buttons may be used to move Older. forward and backward through the recorded data. If no information is available, these buttons will not appear.

  • Page 48: Print Button

    1 Using the Menu System Print Button this button displays the Print menu. Selection of MENU PRINT Auto/Man Pressing this button toggles between Automatic and Manual Printing mode is displayed on Area 3 of modes. The current the LCD. The Automatic mode prints the readings after each determination.

  • Page 49: Spo2 Button (Models 300 And 400)

    SpO, Button (Models 300 and 400) Selection of this button displays the SpOz mode menu, which is used to set the SpOZ pulse tone volume. Volume [ Main Volume The pulse tone volume can be set in the range of Off to 9.

  • Page 50: Time

    C Using the Menu System POWER SAVE MENU enters mode only if the following Monitor Sleep are true: No alarm is active SpO, is not actively reporting patient statistics The keys and have not been used rotor for the preset time The Monitor is running from its battery No determinations are...

  • Page 51: Rotor

    24-Aug-1999 ,Year , Min , Mon 1 , Hour, Accept. this button produces an advisory Selection of user that the trend will be lost when the clock settings are changed. Choosing Yes will cause the Monitor to accept the new clock settings and erase the trend memory. Choosing No will cause the Monitor to retain the existing clock settings and the trend memory.

  • Page 52: Service Button

    Using the Menu System SpO2 Pleth SpOz Pleth When this option is checked and SpO;! data are available, the plethysmograph waveform and the pulse amplitude bar will be displayed. N/BP this option is checked, the last 3 NIBP readings will When be displayed.

  • Page 53: Clinician Menu

    ___*’ Clinician Menu .>I .r’ this button displays a panel setting the Press. Selection of default BP target inflation pressure. Adjusting the default target pressure will automatically update the current inflation target The range of pressure and will be used for the next reading. adjustment setting is is 100...
  • Page 54 Using the Menu System Selection of this button toggles the temperature display between Celsius and Fahrenheit and produces an advisory that the trend will be lost. Choosing Yes will cause the Monitor to accept the new temperature label and erase the trend memory. Choosing No will cause the Monitor to retain the existing temperature label and the trend memory.
  • Page 55 Trend. Selection of this button displays the message: Automatically clear trend on power-up? Selection of Yes overrides the default setting by clearing all trends on power-up and returns the Monitor to the More... menu. Selection of No retains the default setting by saving all trends after power-off and returns the Monitor to the More...
  • Page 56 k Using the Menu System Main. Selection of this button returns the user to the Main menu. Silence. Selection of this button will cause all alarms except the FAILSAFE alarm to be muted. A confirmation menu will appear in Area 2 of the LED. Selection of either Yes or No returns the user to mode menu.

  • Page 57: Error And Warning Messages

    Error and Warning Messages The error panel appears in LCD and indicates the Area 2 of the error and its code, if it has one. In this example, a limit violation alarm (which has no error code) has occurred. A list of alarm error messages and their codes is in Appendix B.

  • Page 58: Appendix A

    Appendix A Technical Specifications 0 to 290 mmHg (adult) Cuff Pressure Range 0 to 140 mmHg (neonate) (Normal operating range) f 15 mmHg (adult) Default Target: Cuff Inflation + 15 mmHg (neonate) 100 to 250 mmHg (adult) Target Cuff Inflation: 100 to 140 mmHg (neonate) Adjustment Range...
  • Page 59 Max: 42.2” C; 108.0” Monitor mode Min: 26.7” C; 80.0” F Monitor &O.l”C mode accuracy (when + 0.2” F tested in a calibrated liquid bath; meets El 112, ASTM Table 1, range specified) .O” F mode accuracy Predictive 0.6” C seconds less than 60 Determination time...
  • Page 60 Appendix A OXISENSOR R-l 5 adult nasal sensor* 3.5 digits *Accuracy: 80% to 100%; 0 to 79%: unspecified. Neonatal Accuracv (70% 100%) When sensors are used on neonatal subjects as recommended, the specified accuracy range is increased by digit to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood (e.g., N-25 accuracy on neonates...
  • Page 61 Dimensions Height: 9.8 in (25.0 cm) in (24.8 cm) Width: 9.8 Depth: 6.9 in (17.5 cm) >. lb (3.5 kg) Weight, Including Battery Self-supporting on rubber Mountings feet or pole mountable Carried by recessed Portability handle or pole mounted _> Mode of operation: Classification Information continuous...
  • Page 62 Appendix A enabled) from full charge. Time for full recharge: 1 hr 50 min when the from full discharge Monitor is switched off and 8 hrs when the Monitor is switched on. nvlronmental Operating Temperature “C to + 40 “C (+ 41 “F to + 104 “F)

  • Page 63: Patient Alarms

    Appendix B Alarm Codes All alarm indications are accompanied by an audible signal unless Alarm Silence is selected. microprocessor system failure will generate a high-pitched the setting of the Alarm Silence audible alarm regardless of switch. There are three categories of alarms: patient alarms, system alarms, and failsafe alarm.

  • Page 64: Hierarchy Of Alarms

    Hierarchy of Alarms Alarms in the DINAMAP@ PRO Monitor are in three priority levels. They are: Priority Level Alarm Failsafe 2 (High priority alarm) Patient and system Low battery other The Priority 1 alarm (i.e., Failsafe) will override any alarm. Priority 2 alarms will override only the low battery alarm.

  • Page 68: Principles Of Noninvasive Blood Pressure Determination

    Appendix Principles of Noninvasive Blood Pressure Determination The oscillometric method of determining BP is accomplished by a sensitive transducer which measures cuff pressure and minute pressure oscillations within the cuff. The first determination sequence initially pumps up to a cuff mmHg pressure of about for adult/pediatric patients, or...
  • Page 69 ‘al3h3 8ugeJadO 3!seg s~oys aJn%j ‘(ap0~U (enuew) uoya~~a)u! Jo)eJado (ap0~1 O$r’I\d) ~LIJ!] al3b i3l# paJXj4P ‘3pOl.U i3pOUJ LUOJ4 Sa!JPA Y3!YM ‘Xll!~ -au_q l!eM pue uoyenlem ‘auq uo!3eljap ‘auy %uJ!~ :s]Jed pasoduro3 al3A3 uo!yel4u! $$eJadO *sAelds!p laued 1~0~4 salepdn paJO]S SaZ/i(eUe ‘elep ‘(aJnssaJd pa]Xlap...
  • Page 70 Appendix absence of a systolic value, stop deflation, reinflate to a higher (than initial) inflation pressure (290 mmHg maximum), and resume normal deflation sequence. This additional inflation will once per determination. occur only a previous valid systolic pressure is displayed, and the new systolic pressure oscillations are compared with the previous valid determination and the Monitor “thinks”...

  • Page 71: Appendix D

    Appendix D Compatibility Table and Reorder Codes Code Description of Compatible Parts 2500 SOFT-CUP”, Infant 2501 SOFT-CUFT”, Child 2502 SOFT-CUFT”, Small Adult 2503 SOFT-CUFT”, Adult 2504 SOFT-CUP”, Large Adult SOFT-CUP”, Thigh 2505 2521 SOFT-CUP”, Neonatal Type 2422 SOFT-CU FT”, Neonatal Type 2 2523 SOFT-CUp”, Neonatal Type 3 SOFT-CUP”, Neonatal Type...
  • Page 72 12 Volt Lead Acid Battery 633132 3210 Accessory Pole/Basket 3211 Accessory Base 621262’ Power Converter Printer Paper (box of 10) Power Cable 316579 NELLCOR SpOz Extension Cable SCPl o* NELLCOR Finger Sensor DSlOOA BP Cal Kit 320246 *PRO Monitor unique parts NELLCOR is a trademark of Mallickrodt, Inc.

  • Page 73: Service Manuals

    Appendix F Maintenance Cleaning the Monitor The Monitor and accessories are to be kept clean and used in the according to the instructions provided here and Service Manual. The exterior of the Monitor may be wiped clean with a soft cloth slightly dampened with mild detergents.

  • Page 74: Temperature Devices

    For additional information on infection control procedures, contact Critikon Technical Support. Temperature Devices Do not immerse predictive temperature probes. The probe may be cleaned with an alcohol solution. Use a cloth or sponge-just damp, not wet-and avoid getting any liquid into the interior of the probe.

  • Page 75: Appendix F

    When the battery will no longer hold a charge, remove and replace it with one of the same part number. Failure to replace the battery with the same Critikon part number may result in shorter battery life. To charge the battery, insert the plug from either the AC...

  • Page 76: Fuses

    1200 cycles. This means that by thoughtful usage, the lifetime battery can be extended up to six times. of the Replacement batteries may be obtained from Critikon. Note: The replacement part number of the battery is 63313. Do not use other types. Fuses The Monitor contains five fuses.
  • Page 77 Appendix F Batteries Caution: Do not incinerate batteries. The sealed, rechargeable backup battery contains lead and can be recycled. The rechargeable memory battery is of the Nickel Metal Hydride form. Discharge this battery prior in packaging which to disposal. Place the battery electrically isolates its contents.

This manual is also suitable for:

Dinamap pro 100Dinamap pro 200Dinamap pro 300Dinamap pro 400

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